Effectiveness of The Rural Community Health Practice Carried Out In Nabweru Sub-County, Wakiso District.

Background: The field report was about the effectiveness of the rural community health practice to prove whether it's viable to the people in the community. The Objectives of the study were to gain more practical experience in the field, to acquire more knowledge in environmental health, to put theoretical knowledge into practice, and to enable the community to practice proper sanitation and hygiene. The field study was carried out in approximately two months from 16th|/July/2014 to 5th/September/2014. Methodology I reported at the organization on 17th July 2014 and was received by the District Health Inspector who later introduced him to the office public department.  I received orientation in the office of the District Health Inspector for about a week and then later was sent to the sub-county for the rest of the period.  I was assigned to the public health department of the Nabweru sub-country in the Wakiso district Results and observations The Organizational Structure of the Nabweru sub-country was fully understood. I learned better ways of how to deal with the community in many aspects. Skills gained Included Communication and Immunization. Problems encountered included those from the organization, the workers, and trainees.  Conclusion and recommendation The rural community practice was important as it helped to relate what was taught in class to the practical aspect. Therefore I acknowledge the role played by the staff of Nabweru Sub-County and the community at large. The sub-county in conjunction with the district should budget for sensitization outreaches in the community

Possible Pathogenic Bacteria Present on Stumps of Amputees Applying Prostheses: A Case of Mulago National Referral Hospital, Uganda.

Background:  The number of amputees using prostheses is decreasing, and the victims complain that prostheses make stumps itchy and cause sores and they thus opt to go without artificial limbs. This has led to increased joblessness among persons with orthopedic disabilities. This research, therefore, sought to determine whether the prostheses increase the number of species of bacteria found on the stumps of amputees since bacteria are known to be the primary cause of the discomfort in form of itches and sores.  Methodology:  Thirty participants were selected for this study, and were divided into two groups; 22 candidates were in the experimental group and four were in the control group, while six withdrew from the research. Members in both groups had their stump surfaces examined for the species of bacteria present at the time of prosthesis fitting. Members in the experimental group used the prostheses while those in the control group did not use the prostheses and both groups were re-examined three weeks later.  Results:  The use of prostheses generally increased the mean number of species of bacteria found on the skin surface of stumps of amputees three weeks after starting to use the artificial limbs although the increase was not found to be statistically significant. No significant change was observed in the mean number of species of bacteria in the control group at the time of prosthetic fitting and after the three weeks of disuse. This implied that the observed increase in bacterial load was truly due to the use of prostheses in the experimental group.  Conclusion: Escherichia coli, Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pyogenes, Clostridium tetani, and non-hemolytic streptococci were identified on the skin surfaces of the stumps of amputees

The PSYCHOLOGICAL CORRELATES OF TRAUMATIC EXPERIENCES AND COPING STRATEGIES OF POST AMPUTATION: A CASE STUDY OF MULAGO SPECIALIZED NATIONAL HOSPITAL, KAMPALA-UGANDA

Background: The study assessed the effect of psychological correlates of traumatic experiences on coping strategies of post-amputation basing on evidence from Mulago specialized national hospital, Kampala-Uganda. It specifically analyzed the personality styles that enhance coping among amputees, assessed the psychological consequences among amputees, and examined the psychological interventions among amputees. Methodology: The study adopted a hospital-based prospective post-treatment design employing a quantitative research approach. The quantitative data were collected using questionnaires from 72 patients who were admitted for amputations and attending weekly amputee clinics and those using prostheses and orthosises. The data was processed at both the descriptive and inferential levels using SPSS version 20.0. Results: The study found extraversion as a statistically positive correlate with the confrontational form of coping style (r = 0.279, p = 0.031 < 0.05). It found a significantly positive correlate that enhanced planful problem solving (r =0.278, p =0.032< 0.05) and positive reappraisal (r = 0.301, p = 0.019 < 0.05) compared to conscientiousness as a negative correlate of coping styles particularly self-control (r =-0.326, p = 0.011< 0.05) and escape avoidance (r =-0.263, p =0.043 < 0.05). Results showed abnormal depression (46.7%), suffering abnormal anxiety (45.0%) alongside demonstrating symptoms of at least 2 Post-Traumatic Stress Disorders (46.7%) as the psychological consequences. The psychological interventions study found included specialized physician services (60.0%), primary care provision (45.0%) and financial assistance (46.7 among others  Conclusion and discussion: Personality styles of extraversion, agreeableness, and conscientiousness are crucial in the coping styles among amputees and therefore need to be well established and aligned with supporting initiatives. The administrative staff of specialized units needs to put in place workable measures like avoiding unfair self-blame and inculcating a belief that they are still worth as to help amputees to improve their self-esteem thereby minimizing adverse psychological consequences