IBRAHIM WADEMBERE

Background: Majority of the women with cervical cancer delay to seek health care and the determinants are not well not. Objective: This study sought to investigate potential determinants of patient delay among Ugandan women with cervical cancer. Methods: A cross-sectional study was conducted from March 2017 to May 2017 at the Mulago National Referral Hospital in the capital city of Uganda. The data was collected using questionnaire among patients with cervical cancer (stages I–IV). An interval longer than 90 days between self-discovery of a potential symptoms and presentation to a qualified health worker was defined as a patient delay. Results: One hundred and thirty-six patients with cervical cancer enrolled in this study and 36.8% had patient delay. The median and mode age group was 35-46 years, 76.5% had not exceeded secondary level of education. The findings showed that 71.4% were diagnosed with stages II-IV and among them 32.7% were found having patient delay. The regression analysis showed that women over 55 years (p=0.041), fear of being diagnosed with cancer (p=0.039), borrowing money to pay medical bills (p=0.02), long distance (p=0.046), and poor quality of health service (p = 0.001) were significantly associated with patient delay. Conclusion: The study shows that source of funds to pay medical bills is the only socio-economic factor associated with patient delay while the fear of being diagnosed with cervical cancer is the only individual factor associated with patient delay. The distance to the first choice of provider and quality of health services are the health system factors associated with delay in seeking health care among women with cervical cancer in Uganda.

Background: Majority of the women with cervical cancer delay to seek health care and the determinants are not well not.
Objective: This study sought to investigate potential determinants of patient delay among Ugandan women with cervical cancer.
Methods: A cross-sectional study was conducted from March 2017 to May 2017 at the Mulago National Referral Hospital in the capital city of Uganda. The data was collected using questionnaire among patients with cervical cancer (stages I–IV).
An interval longer than 90 days between self-discovery of a potential symptoms and presentation to a qualified health worker was defined as a patient delay.
Results: One hundred and thirty-six patients with cervical cancer enrolled in this study and 36.8% had patient delay. The median and mode age group was 35-46 years, 76.5% had not exceeded secondary level of education. The findings showed that 71.4% were diagnosed with stages II-IV and among them 32.7% were found having patient delay. The regression analysis showed that women over 55 years (p=0.041), fear of being diagnosed with cancer (p=0.039), borrowing money to pay medical bills (p=0.02), long distance (p=0.046), and poor quality of health service (p = 0.001) were significantly associated with patient delay.
Conclusion: The study shows that source of funds to pay medical bills is the only socio-economic factor  associated with patient delay while the fear of being diagnosed with cervical cancer is the only individual factor associated with patient delay. The distance to the first choice of provider and quality of health services are the health system factors associated with delay in seeking health care among women with cervical cancer in Uganda.

This research was focussed on the determinants of powerplant project success in Kalangala district using a case study of Bukuzindu Hybrid Solar and Thermal Power Project. The study objectives of the study were; to establish the effect of project team skills on the success in power plant projects within Uganda; to determine the extent to which project management influences success in power plant projects within Uganda; to investigate the effect of project planning on the success in power plant projects within Uganda. The study used both qualitative and quantitative methods to generate information from project staff that included technicians, administrators and project officers and senior management officials. Data was analysed using SPSS and regression analysis was used to show the strength of the relationship between the independent and dependent variable. The hypothesis was tested using Analysis of Variance (ANOVA). The results showed that project management had a significant impact on project success with p<0.01, similarly project team skills had a positive effect on project success with p<0.01 and also project planning on the success in power plant projects with p<0.01.  It was therefore concluded that project management, project team skills and project planning were essential for the success of powerplant projects in Kalangala district.