FACTORS AFFECTING MENTAL HEALTH CLINIC ATTENDANCE IN SHEEMA DISTRICT, SOUTH WESTERN UGANDA TUTAMWEBWA KABAGAMBE THOMAS DGN, DMH, BSc PH MPH/0001/133/DU A RESEARCH DISSERTATION SUBMITTED TO THE DIRECTORATE OF POSTGRADUATE STUDIES AND RESEARCH IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF THE MASTER OF PUBLIC HEALTH DEGREE OF KAMPALA INTERNATIONAL UNIVERSITY NOVEMBER, 2017 DECLARATION I, Tutamwebwa K Thomas hereby declare that the work presented in this dissertation is my own and has never been presented to any institution of learning for any academic award or submitted for publishing. I hereby submit this dissertation for examination. Sign: __---v-+________ _ Date: TUTAMWEBWA K THOMAS "MPHIOOO 11133/DU CERTIFICATION This dissertation entitled factors affecting mental health clinic attendance in Sheema District, South Western Uganda was done under our supervision and is ready to be submitted to the directorate of postgraduate studies and research. Si~---- -- ------------------ --------------- Date----·~J_j_l_l_ !~ -(1_ Dr. Scholastic Ashaba (Supervisor) Date-t{?-~_~:.f_ 1~J: 0 f 7- Dr. Moazzam Mohiuddin Lodhi (Supervisor) ii DEDICATION This work is dedicated to my late father Mzee Kabagambe Elias, My mother Specioza, to my darling wife- K yomugisha Beatrice and our dear children; Ayesigwa Cynthia, Atujunire Adolf, Atuhairwe Anitia and Atusingwize Anabel. iii ACKNOWLEDGEMENT I would not have finished this work in time had it not been the hard work of my supervisors, Dr Scholastic Ashaba and Dr. Moazzam Mohiuddin Lodhi Lecturers, Kampala International University Western Campus. Special thanks also go to the District health officer Sheema District who gave me permission to visit the health facilities in Sheema district. I further wish to thank my course mate Mr. Ahmed Hashi Mohamoud who advised and assisted me while developing this dissertation. T further thank my respondents who gave their time to answer the questionnaire. iv TABLE OF CONTENTS DECLARATION ............................................................................................................................. i CERTIFICATION .......................................................................................................................... ii DEDICATION ............................................................................................................................... iii LIST OF TABLES ....................................................................................................................... viii OPERATIONAL DEFINITIONS OF TERMS ............................................................................... x CHAPTER ONE .............................................................................................................................. ! INTRODUCTION ........................................................................................................................... 1 1.1 Background to the study ............................................................................................................ 1 1.1.3 Conceptual background .......................................................................................................... 3 1.1.4 Contextual back ground .......................................................................................................... 4 1.2 Problem statement ..................................................................................................................... 5 1.4 Specific objectives ..................................................................................................................... 6 1.5 Research Questions .................................................................................................................... 6 1.6 Justification ................................................................................................................................ 6 1.7.0 Scope of the study ................................................................................................................... 6 1.7.1 Content scope.......................................................................................................................... 7 1. 7.2 Geographical scope ................................................................................................................. 7 1.7.3 Time Scope ............................................................................................................................. 7 1. 9 Explanation of the conceptual frame work ................................................................................ 9 CHAPTER TWO ........................................................................................................................... 10 LITERATURE REVIEW .............................................................................................................. 10 2.0 Introduction .............................................................................................................................. 10 2.1 Regularity and Patterns of mental Clinic attendance ............................................................. .1 0 2.2 Social and economic factors associated with regular Mental health clinic attendance .......... 11 CHAPTER THREE ....................................................................................................................... 13 RESEARCH METHODOLOGY .................................................................................................. 13 3.0 Introduction .............................................................................................................................. 13 3.1 Study design ............................................................................................................................. 13 3.2 Study area ................................................................................................................................ 13 3.3 Study population ...................................................................................................................... 14 3.4 Sampling Method ..................................................................................................................... 15 v 3.5 Sample size determination ....................................................................................................... l5 Morgan tables were used to determine Sample size . where byN is the study population=480and Sis the sample size =214 ............................................................................................................... 15 3. 7 Data collection technique ........................................................................................................ 15 3. 8 Inclusion and exclusion criteria ............................................................................................... 16 3.8.1. Inclusioncriteria .................................................................................................................. 16 3.8.2 Exclusion criteria .................................................................................................................. 16 3.9 Data quality control ................................................................................................................. 16 3.10 Data analysis and presentation ............................................................................................... 16 3.11 Study limitations/ delimitations ............................................................................................. 17 3.12 Ethical considerations ............................................................................................................ l7 3.12.1. Informed Consent .............................................................................................................. 17 3.12.2 Benefit and risk ................................................................................................................... 18 3.12.3 Confidentiality .................................................................................................................... 18 3.12.4Autonomy ........................................................................................................................... 18 3.12.5 Respect for human rights: ................................................................................................... 18 3.13 Justice .................................................................................................................................... 18 3.14 Dissemination of the findings ................................................................................................ 19 CHAPTER FOUR ......................................................................................................................... 20 PRESENT ATTON AND TNTEPRETA TTON OF RESULTS ....................................................... 20 4.0 Introduction ............................................................................................................................. .20 4.1 Demographic characteristics of the respondents ..................................................................... 21 Table 2: Distribution of respondents' demographic characteristics by regularity of attendance ..23 4 Health Facility factors affecting mental clinic attendance ........................................................ 27 DISCUSSION, CONCLUSION AND RECOMMENDATIONS ................................................ .29 5. 0 Introduction .............................................................................................................................