PEPTIC ULCER PREVALENCE AMONG PATIENT ATTENDING KAMPALA INTERNATIONAL UNIVERSITY TEACHING HOSPITAL IN ISHAKA BUSHENYI MUNICIPALITY BY NAMUGERWA JULIANA DCM /0020/143/DU A RESEARCH REPORT SUBMITTED TO SCHOOL OF ALLIED HEALTH SCIENCES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF DIPLOMA IN CLINCAL MEDICINE AND COMMUNITY HEALTH AT KAMPALA INTERNATIONAL UNIVERSITY JUNE, 2017 DECLARATION I, Namugerwa Juliana (REG. No: DCM/ / /DU) declare that this thesis is my own work and that all the sources that I have used or quoted have been indicated and acknowledged by mean of complete reference. SIGNATURE……………………….. DATE………………………………… SUPERVISOR’S APPROVAL This research proposal/report has been done under my supervision and is ready to be submitted for examination with my approval. SUPERVISOR: MR. TASHOBYA DANIEL KAMUGISHA Signature……………………………… Date…………………………………… ACKNOWLEDGEMENT First and foremost I am thankful to the almighty God for the gift of life and good heath that has enabled me to reach this far in my studies and work as well. Special appreciation to my research supervisor Mr. Tashobya Daniel Kamugisha for all the help and guidance he has accorded me throughout my research and without whose efforts this work would be in vain. My sincere gratitude also goes to the entire academic staff, School of Allied Health Sciences (SAHS), Kampala International University- Western Campus, for their coordinated effort and commitment to ensure that we acquire necessary competences both in class and in the field. I do extend my infinite gratitude to my …family members (name them)………………………………whose prayers, moral, social and financial support has brought me this far. Last but not least, I extend my special thanks to all my classmates 14 series for the encouragement during the course of our study. Thank you all so much. DEDICATION The research is dedicated to my family members, all my friends and more importantly to my supervisor Mr. Tashobya DanielKamugisha for his kindness, generosity and guidance. I appreciate every little contribution every one of you rendered towards this research report. Am humbled and God bless you all. TABLE OF CONTENTS SUPERVISOR’S APPROVAL ........................................................................................................................ 3 ABBREVIATIONS AND ACRONYMS ........................................................................................................... 8 ABSTRACT. ............................................................................................................................................ 10 CHAPTER ONE ....................................................................................................................................... 11 1.0 INTRODUCTION ....................................................................................................................... 11 1.1 BACKGROUND ......................................................................................................................... 11 1.2 PROBLEM STATEMENT .......................................................................................................... 12 1.3 OBJECTIVES ............................................................................................................................. 13 1.3.1 Broad objective ..................................................................................................................... 13 1.3.2 Specific objectives ................................................................................................................ 13 1.4 Research questions ....................................................................................................................... 13 1.5 STUDY JUSTIFICATION........................................................................................................... 13 1.6 SCOPE OF THE STUDY ............................................................................................................ 13 1.6.1 Geographical scope ............................................................................................................... 13 1.6.2 Content scope........................................................................................................................ 14 1.6.3 Time scope. ........................................................................................................................... 14 CHAPTER TWO ...................................................................................................................................... 15 LITERATURE REVIEW.............................................................................................................................. 15 2.0 INTRODUCTION ....................................................................................................................... 15 2.1 EPIDEMIOLOGY OF PUD ......................................................................................................... 15 2.2 GENDER DISTRIBUTION ......................................................................................................... 17 2.3 AGE DISTRIBUTION. ............................................................................................................... 18 CHAPTER THREE .................................................................................................................................... 18 METHODOLOGY .................................................................................................................................... 19 3.0 Introduction ................................................................................................................................. 19 3.1 Study Design ............................................................................................................................... 19 3.2 Study Area ................................................................................................................................... 19 3.3 Study Population.......................................................................................................................... 20 3.4 Sample Size ................................................................................................................................. 20 3.5 Sampling Method......................................................................................................................... 21 3.6 Inclusion Criteria ......................................................................................................................... 21 3.6.1 Exclusion criteria .................................................................................................................. 21 3.7 Ethical considerations .......................................................................................................... 21 3.8 Data collection ...................................................................................................................... 21 3.9 Data analysis and presentation ..................................................................................................... 21 3.10 Study Limitations ....................................................................................................................... 21 CHAPTER FOUR ..................................................................................................................................... 22 STUDY FINDINGS ................................................................................................................................... 22 4.0 Introduction ................................................................................................................................. 22 4.1 Socio-demographic characteristics ............................................................................................... 22 4.2 Clinical presentation .................................................................................................................... 22 4.3 Respondents’ gender distribution ................................................................................................. 22 4.4 Respondents’ age distribution ...................................................................................................... 23 4.5 Diagnosis of PUD ........................................................................................................................ 24 4.6 PUD specific gender distribution .................................................................................................. 24 4.7 PUD specific age distribution. ...................................................................................................... 25 4.8 PUD main symptoms. .................................................................................................................. 25 CHAPTER FIVE........................................................................................................................................ 27 DISCUSSION........................................................................................................................................... 27 5.0 Introduction ................................................................................................................................. 27 5.1 Prevalence of PUD ....................................................................................................................... 27 5.2 PUD gender distribution .............................................................................................................