EXPLORATION OF COMMUNITY PERCIEVED RISK

FACTORS OF DIARRHEAL DISEASES IN BUSAANA

SUB COUNTY, KAYUNGA DISTRCT USING

PARTICIPATORY EPIDEMIOLOGY METHODS

Moses Tetui

Makerere University School of Public

Health

Introduction

• In Uganda Diarrhea is among the five leading causes of mortality among children less than five years (Ministry of Health 2005).

• Kayunga district

– Despite epidemiological knowledge no significant reduction in diarrhea morbidity has been noted.

– Third leading cause of morbidity >five years (HMIS, 2008/2009).

Study Objectives

• To describe the community perceived risk

factors for diarrheal diseases in Busaana sub

county, Kayunga district.

• To identify community perceived plausible

intervention that can be implemented to

control diarrheal diseases in Busaana sub

county, Kayunga district.

Methods

• A participatory epidemiology study

�September 2010

�Kayunga district

�Busaana sub-county,

• Two parishes

�The most affected- purposively selected.

�Seven villages randomly selected

�Discussions with eight to ten individuals were held in each of

the villages.

Methods

• PE data collection methods

used

� Simple ranking

� Proportional pilling

� Community mapping.

� Seasonal calendar

� Semi-structured interviews.

• Data analysis

� Manual

� Results presented in text &

tables

Results I

Risk Factors for diarrheal diseases

• Inadequate supply of water

� Using water from R. Nile,

unprotected springs &

swamps

• Seasonality

� Rain

• Poor personal hygiene

� Having dirty compounds

� improper use of latrine

Results

Community proposed

interventions

� Health education,

� boiling drinking water

� Increasing access to safe

water

Recommendations

• To Local government of Kayunga district

�Mobilize resources to ensure increased access to

safe water for Busaana sub- county residents.

�Behavioral change campaigns

• To residents of Busaana Sub County

�Improve personal hygiene

Value added by the PE methods • Community participation

�Increases responsibility

�Acceptability

�Translates into change

• Timeliness

�Collection and analysis of data

• Use of resources

�Less resource intensive

• Design of future studies

�Maternal and newborn intervention

ACCKOWLEDGEMENTS • Co-authors

�Racheal Ankunda

�Christine Nalwadda

• Study participants

�Residents of Busana sub county

�District health team of Kayunga district

• Funders

�PENAPH

�AFENET

�OCHEA

Thank you

Improved Access to safer water Improved personal hygiene