DECLARATION

This project is my own original work. I am therefore eclaring that this project has not
!een s"!mitte in this instit"tion for acaemic #"alification.
$RANCI% ND&N'& D(R)*+,
%ignat"re------------Date-------------.
The research project is to !e s"!mitte for e.amination an research p"rposes only to the
appointe s"per/isors.
+
st
s"per/isor0 1R%.L2DIA( 1&T(ONI
%igne-------------Date----------------..
3
n
s"per/isor0 DR.4IR&(I 1AC(ARIA
%igne--------------Date-----------------
ACKNOWLEGEMENT
I wish to acknowlege my gratit"e to my parent for their inspiration an enco"ragement
into meical professional my heartfelt thanks to o"tspan meical college fraternity
pro/iing con"ci/e en/ironment for learning. %pecial appreciation goes to my research
lect"rer DR 4ir"hi 1acharia who mole me to !ecome a research literate thro"gh
patient an inspiration.
I owe my sincere thanks appreciate to all my people who may not !e mentione who
helpe financially or other way.
5
A6%TRACT
This research project seeking to e.plore on major factors infl"encing isclos"re of
patient confiential information to thir parties at Nyeri pro/incial general hospital. The
main o!jecti/e is to ientify major factors infl"encing isclos"re of patient confiential
information to thir parties at Nyeri pro/incial general hospital.
The aim of the st"y was to asses on factors contri!"ting to isclos"re of patient
confiential information. The researcher was a!le to compare the research one !y other
researcher an fin o"t the reason leaing to isclos"re of patient confiential
information.The researcher aopte a escripti/e research esign.
The researcher was a!le to "se a s"!ject of thirty meical at Nyeri pro/incial general
hospital. The s"!jects were selecte ranomly. The selecte s"!jecte were !eing
inter/iew "sing a str"ct"re #"estionnaire an which ha close an open #"estions. This
st"y has !een analy7e "sing escripti/e statistics incl"ing mean an moe. At the en
the researcher was a!le to esta!lish the factors infl"encing isclos"re of patient
confiential information to thir parties at Nyeri pro/incial general hospital.
The st"y that was one on meical professionals at N8'( re/eale that most of them
ha knowlege on the isclos"re. The attit"e of meical professionals an isclos"re
was goo since *.*9: error was to their !enefit. The researcher fo"n that transference
!etween hospital was major factor .

TA6LE O$ CONTENT
CONTENT 8A'E
Declaration----------------------------.--...i
Acknowlegement-----------------------..----.ii
Deication------------------------------..iii
A!stract------------------------------...-i/
Ta!le of content-------------------------...
------/
List of
fig"res--------------------------------../
i
Operation efinition--------------------------..
---./ii
List of Appeni.es--------------------------...
---./iii
C(A8TER ONE0
INTROD&CTION-------------------------.--+
+.+ 6ackgro"n of the st"y----------------------..-..3
+.3 %tatement of the pro!lem----------------------..-.;
+.; O!jecti/e of the st"y------------------------....;
+.;.+6roan o!jecti/e-------------------..----....;
+.;.+specific o!jecti/e----------------------......-;
+., Research #"estion-----------------------.---.,
+.9 %ignificant of the st"y------------------------..,
+.< scope of the st"y-------------------------..
----.,
C(A8TER T=O0 LITRAT&RE RE>IE=
3.* Intro"ction---------------------------...-.9
3.+ 6ackgro"n----------------------.------.<
3.3 Literat"re re/iew.....................................................................................................-...?
3.*.+ 4nowlege----------------------------.@
3.*.3 Cost----------------------------+*
3.*.; Attit"e-----------------------------+3
3.*.,
%er/ices-------------------------------..+,
3.; Critical re/iew an gap to !e fille--------------.-----.+<
3.,Concept"alframework-------------------...
--------+?
C(A8TER T(REE0 RE%EARC( 1ET(ODOLO'2
;.*
Intro"ction-------------------------------
..+?
;.+ %t"y esign-----------------..-----------.
--..+?
;.3 Target pop"lation--------------..
--------------...+?
;.; %ampling esign-------------.
----------------..+?
;., Data collecting methos-------..
-------------------.+@
;.9 Ethical consierations----------.
-----------------.+@
;.< Data
analysis-------------------------------+A
;.? E.pecte o"tcome--------------..
--------------..3*
C(A8TER $O&R0 DATA ANAL2%I%B 8RE%ENTATION AND INTER8RETATION O$
T(E RE%&LT%.
,.*Intro"ction on ata
analysis-------------------------+A
,.+Desripti/es analysis on
emographic----------------------+A
,.3 Data analysis on inepenent /aria!le+----..------...--..
-------3,
,.; Data analysis on inepenent
/aria!le3--------------------...;*
,.,Data analysis on inepenent
/aria!le;---------------------;<
,.9Data analysis on inepenent /aria!le,---------------.
-----...,*
C(A8TER $I>E0 %&11AR2 O$ $INDIN'%B CONCL&%ION AND
RECO11ENDATION%.
9.*Intro"ction-----------------------------
-.......;9
9.+%"mmary on the research
finings-------------------................;9
9.3Answers on the research
#"estion-----------------------.;<
9.3.+$inings on inepenent /aria!le+-----------------.
----...;<
9.3.3$inings on inepenent /aria!le3-------..
--------------..;?
9.3.;$inings on inepenent
/aria!le;----------------------;?
9.3.,$inings on inepenent
/aria!le,--------------------...-;?
9.;Concl"sion---------------------------............
.......;@
9.,
Recommenation----------------------------.
-;@
9.9 C"stification of the
st"y--------------------------..;@
RE$ERENCE
A88ENDICE%
Appeni. +D letter of intro"ction--------------...-----..
----;A
Appeni.D3
#"estionnaire--------------------------.-.;A
Appene.D;work
plan-----------------------------;A
Appeni.D, !"get---------------------------.
---,*
LI%T O$ TA6LE%
Ta!le ,.+ is on age istri!"tion of the responent--...-----.....
---------.3*
Ta!le ,.3 is on the responent resient-...-...-..-----..
------------3*
Ta!le ,.; is on the marital stat"s of attenance of mother an chil clinic.--...
----.-..3*
Ta!le ,., is on le/el of e"cation of the responent----------...---..
--....3+
Ta!le ,.9 is on responent on knowlege of mother an chil clinic--------..
-....3+
Ta!le ,.9.* is on mother an chil clinic on ret"rn ate----------...-.
---....3+
Ta!le ,.9.+ its on response on mothers not attening the clinic--.................................
--..33
Ta!le ,.9.3 is on responent on health e"cation to
mother--------------33
Ta!le ,.9.; ison rate of health e"cation !y the
responent------------...-.3;
Ta!le ,.<.* is on cost of mother an chil clinic from the responent
--------....-.3;
Ta!le ,.<.+ is on rating the cost of clinic in percentage accoring to the
responent----...3;
Ta!le ,.<.3 is on mothers who atten for mother an chil clinic---------.
-..-.3,
Ta!le ,.<.; it is on reasons of nonDattenance to mother an chil clinic..
------...-.3,
Ta!le ,.?.* is on ret"rn to clinic of mother an chil
clinic------------...-..3,
Ta!le ,.?.+ is on interest in attenance of mother an chil clinic--...-------.
-..39
Ta!le ,.?.3 is on responent on important of mother an chil
clinic---------.....39
Ta!le ,.?.; is on how is health e"cation to the responent..----------...
--..39
Ta!le ,.@.* is on attenance of health care pro/iers from the
responent--------..3<
Ta!le ,.@.+ is on response of attenance of clinic from the responent-------...
--3<
Ta!le ,.@.3 is on talk of health care pro/iers to mothers "ring the
clinic--------.3?
Ta!le ,.@.; is on ser/ice offere "ring mother an chil -------..---.....
---3?
Ta!le ,.@., is on the ser/ices offere "ring the clinic !y the
mothers--------...-.3@
LI%T O$ TA6LE%
Ta!le ;.+ =ork plan--------------------------.
---.;*
Ta!le ;.3 6"get--------------------------..
----..;+
LI%T O$ $I'&RE%
$I'&RE +.+ schematic iagram showing relationship of /aria!le--------+;
LI%T O$ A6RI>IATION
N$ADNew !orn feeing a!ility
6I8D 6reast feeing practices
11RD1aternal mortality rate
$'DD $oc"se gro"p isc"ssion
8NCD8ostnatal clinic
ANTDAntenatal clinic
81TCTD8re/enti/e maternal to chil transmission
(I>D("man imm"ne /ir"s
1C(D1aternal chil health
(C8sD(ealth care pro/iers
N8'(DNyeri pro/incial general hospital
O8ERATION O$ DE$INATION
1ortality
Is the percentage of those who ie in that pop"lation from a isease.
1or!iity
Is the percentage of people in a pop"lation that get sick of a partic"larisease
Infant
A chil "ring the earliest perio of its life especially !efore he)she walk.
1other
Is a woman who ha/e raise a chil gi/en !irth to a chil or s"pplie the o/"m that
"nite with the sperm which grew into a chil.
8ostnatal
Is a perio !eginning immeiately after !irth of a chil for a!o"t si. weeks
Antenatal
Its care gi/en "ring pregnancy for mother an a !a!y with etails on meication test
performe "ring the first /isit to a health care pro/ier.
1aternal health
Refers health of a women "ring pregnancy chil!irth an postpart"m perio
New !orn
Is a chil "ner 3@ ays of age.
(ealthD Is a state of complete physical mental an social well!eing an not merely the
a!sence of the isease or infirmity.
CHAPTER 4
DATA ANALYSIS AND PRESENTTIONS
4.0 INTRODUCTION
This chapter shows the ata analysis presentation an analysis of the st"y. The
researcher st"ie a!o"t major factors infl"encing isclos"re of patient confiential
information to thir parties in nyeri pro/ential general hospital ."tili7ation of mother an
chil clinic at pro/incial general hospital of Nyeri. The sample was ;* thro"gh simple
ranom sampling. Data were collecte thro"gh "sing of #"estionnaire which incl"e
two main parts emographic etail an o/erall response a!o"t "tili7ation of mother an
chil clinic. The ata analy7e "sing fre#"ent ta!les percentage !ar.
,.+ The Ta!le !elow shows percentage of Age istri!"tion of responent.
The ta!le
a!o/e shows
the age of the
women who
participate
in responing the #"estionnaires on "tili7ation of mother an chil clinic. These were
women who were at repro"cti/e age this was !etween +9D,A.it also shows the
percentage of women participate accoring to respecti/e ages.
,.; Ta!le !elow shows percentage of marital stat"s of those atten mother an chil
clinic
A'EE2EARF N&16ER *$
RE%8ONDENT
8ERCENTA'E
+9D+A 3 ,
3*D3, +* 3*
39D3A +9 ;*
;*D;, +9 ;*
;9D,* 9 +*
,*D,, 3 ,
,9D,A + 3
TOTAL 9* +**
1ARITAL %TAT&% $REG&ENC2 8ERCENTA'E
%IN'LE +9 9*
1ARRIED @ 3?
DI>ORCED < 3*
=INDO=ED + ;
TOTAL ;* +**
The ta!le a!o/e shows the highest n"m!er of meical professional who were the
responent were single this was 9*:. 1arrie were 3?:B i/orce were 3*: an
winowe which was the least n"m!er was ;:.
,.9.* The ta!le !elow shows percentage of hanling of o"t!reak cases .
8"!lic interest $REG&ENC2 8ERCENTA'E
2E% 15 9*
NO 15 9*
TATOL ;* +**
*,.9.; The ta!le !elow shows e.istence of high "ty in safeg"aring in percentage of
responent.
8"!lic interest fre#"ency percentage
yes 3* <?
no +* ;;
total ;* +**
The ta!le a!o/e how rate how was the health e"cation that was pro/ie !y the health
care pro/iers as it was rate !y the women who attene mother an chil clinic. 3*:
sai it was /ery goo ,<: sai it was goo ;*: sai it was a/erage an ,: sai it was
!oring.
,.< CO%T
,.<.*The ta!le !elow shows percentage of cost from responent
cost fre#"ency percentage
yes 9 +*
no ,9 A*
totals 9* +**
The ta!le a!o/e shows that the highest n"m!er shows that there was no free ser/ices on
mother an the chil clinic !eca"se A*: sai no while +*: sai that there were. These
showe that there was no free ser/ice of mother an chil clinic.
,.<.+ The ta!le !elow shows rating of cost in percentage accoring to responent
cost fre#"ency percentage
e.pensi/e 3* ,*
a/erage 33 ,,
fair @ +<
total 9* +**
The ta!le a!o/e shows the rate on which the cost of the ser/ice was rate !y the women
who attene mother an chil clinic.,*: sai that it was e.pensi/eB ,,: sai the cost
the ser/ices were a/erage an +<: sai the cost was fair.
,.<.3 The ta!le !elow shows percentage mothers who come for mother an chil clinic
cost fre#"ency percentage
yes ,* @*
no +* 3*
totals 9* +**
The ta!le a!o/e shows the corresponent n"m!er of women who come for s"!se#"ent no
of the times to the clinic as inicate in the car @*: of the women they come to mother
an chil clinic as inicate while 3*: i not come to mother an chil clinic as
inicate.
,.<.; The ta!le !elow shows reasons of nonDattenance to clinic in percentage
cost fre#"ency percentage
istance 3* ,*
money +* 3*
commitment 3* ,*
total 9* +**
The ta!le a!o/e shows the reason why the n"m!er of women were not a!le to atten
mother an chil clinic ,*: sai it was !eca"se of the istance 3*: sai eficiency of
money mae them to miss the clinic of mother an chil clinic an ,*: sai that they
ha other commitment that mae them to miss the clinic.
,.? ATTIT&DE
,.?.* The ta!le !elow shows feeling in percentage of mother an chil clinic
ALTIT&DE $REG&ENC2 8ERCENTA'E
happy ;* <*
!ore 9 +*
a/erage +9 ;*
total 9* +**
The ta!les a!o/e shows how mother who are attening mother an chil clinic feel
towars ret"rn to the clinic. This shows that <*: felt goo !eca"se they knew importance
of mother an chil clinic +*: were !ore in attenance of mother an chil clinic an
;*: were a/erage this shows that they attene mother an chil clinic !eca"se it was
inicate.
,.?.+ The ta!le !elow shows percentage on interest of attenance of mother an chil
clinic
cost fre#"ency percentage
caring ;* <*
a!"si/e +* 3*
!ore +* 3*
total 9* +**
The ta!le a!o/e shows the feeling of the women who attene mother an chil clinic
towars health care pro/iers. This shows that <*: of the mothers felt that the health
care gi/ers were caring to themB 3*: sai that the health care gi/ers were a!"si/e an
3*: of the people sai that it was !oring.
,.?.3 The ta!le !elow shows percentage of responent on importance of clinic
altit"e fre#"ency percentage
yes ,9 A*
no 9 +*
total 9* +**
The ta!le a!o/e shows the percentage of women who tho"ght that the health e"cation
was importance to them. This shows that A*: of the women attening mother an chil
clinic knew the importance of attening the clinic. =hile +*: i not know the
importance of attening mother an chil clinic.
,.?.; The ta!le !elow shows percentage on rating of health e"cation !y responent
altit"e fre#"ency percentage
goo 3* ,*
fair +* 3*
a/erage +9 ;*
!oring 9 +*
total 9* +**
The ta!le a!o/e shows the rate of importance of health e"cation to the mothers who are
attening to mother an chil clinic in to percentages ,*: fin the e"cation of mother
to chil was goo 3*: sai that it was fair ;*: sai that the e"cation was a/erage an
+*: was !oring.
,.@ %ER>ICE
,.@.* The ta!le !elow shows percentage of attenance of health care pro/ier from the
responent.
ser/ice fre#"ency percentage
yes ;9 ?*
no +9 ;*
total 9* +**
The ta!le a!o/e shows how the mothers rate accoring to the percentage the attenance
of health care pro/iers to the mother an chil clinic. This shows that ?*: sai that the
health care pro/iers atten the mother an chil clinic in a goo wayB while ;*
percentages sai that the attenance was not goo.
,.@.+ The ta!le !elow shows percentage response on attenance of clinic !y health care
pro/iers from the responent.
ser/ice fre#"ency percentage
fewness ;* <*
la7iness 9 +*
!"sy +9 ;*
total 9* +**
The ta!le a!o/e shows the rating of the health care pro/iers accoring to their
attenance of mother an chil clinic accoring to women who attene mother an chil
clinic. This shows that <*: shows that there was few n"m!er of health care pro/iers
that slow attenance of mother an chil clinic.+*: were la7y an ;*: were !"sy.
,.@.3 The ta!le !elow shows percentage of aress !y health care pro/iers to mothers
"ring the clinic
ser/ice fre#"ency percentage
caring +* 3*
harsh 3* ,*
!oring +9 ;*
a!"si/e 9 +*
total 9* +**
The ta!le a!o/e shows the rating of comm"nication !etween the health care pro/iers
an the women who atten mother an chil clinic. It shows that 3*: of the health care
pro/iers were caring ,*: talke harsh to the women at the clinicB ;*: were !oring an
+*: talke to the women who attene mother an chil clinic were a!"si/e.
,.@.; The ta!le !elow shows the percentage of mothers on response of ser/ices offere in
clinic
ser/ice fre#"ency percentage
yes ,9 A*
no 9 +*
totals 9* +**
The ta!le a!o/e shows the n"m!er of women who were attening mother an chil clinic
who knew any of the ser/ices offere there where we fin A*: sai they know where
+*: sai they i not know.
,.@., The ta!le !elow shows percentage of the ser/ice offere "ring the clinic !y
responent.
ser/ice fre#"ency percentage
imm"ni7ation 3* ,*
(ealth e"cation 39 9*
$amily planning 9 +*
total 9* +**
The ta!le a!o/e shows /ario"s types of ser/ices offere "ring mother an chil clinic
,*: sai imm"ni7ationB 9*: health e"cation an 9: family planning.
C(A8TER 9
9.* INTROD&CTION
This st"y was a!o"t factors infl"encing "tili7ation of mother an chil clinic at Nyeri
pro/incial general hospital. The sample was fifty clients who atten mother an chil
clinic at pro/incial general hospital Nyeri The statistic "se were fre#"ency an
percentages the ata were presente in form of fre#"ency ta!lesB percentagesB pie chart
an c"m"lati/e !ar graph. This chapter s"mmari7es the major research fining answer the
research #"estion an gi/es concl"sion an the f"t"re recommenation.
9.+ %&11AR2 O$ 1ACOR RE%EARC( $INDIN'
This chapter isc"sses the pre/io"s chapter. The responents were mothers who are
attening mother an chil clinic the total sample was 9* responents.
Accoring to the st"y it showe that the largest no of women who were attening
mother an chil clinic were !etween the age of 3*D;A these was ?*: *f the total
pop"lation of the women attening mother an chil clinic. The least n"m!er was from
the age of ,*D,A which was ;*:.
Accoring to the st"y it shows that the largest n"m!ers of women who are attening
mother an chil clinic were the women aro"n the hospital since the largest n"m!er
were from the town that was ?*:. This shows that there were few women from r"ral area
who attene mother an chil clinic this was ;*:.
The research fo"n that the largest n"m!er of women who attene mother an chil
clinic were marrie women these ,*: an the least n"m!er were winowe these was
+*: of the total pop"lation attening mother an chil clinic.
Accoring to the st"y shows that the largest n"m!er of women who were attening
mother an chil clinic ha e"cation that is college e"cation while the least n"m!er
was from illiterate that was @:.
9.3 AN%=ER TO T(E RE%EARC( G&E%TION
$rom the research one the res"lts corresponent to research #"estion as followsH
9.3.+finings on the le/el of knowlege on mother an chil clinicDThe responent were
aske whether they ha/e !een in ret"rn ate.?*: of the women to inicate that they ha
!een coming for a ret"rn ate this shows that they knew the important of mother an
chil clinic.;*: of the responence ha no iea of mother an chil clinic so they were
not aware of what happen after one has !een gi/en a ret"rn ate. This shows that large
n"m!er of women attening mother an chil clinic knew the importance of mother an
chil clinic.
9.3.3 $inings on cost on mother an chil clinicH Accoring to the responent it shows
that there was no free ser/ice of mother an chil clinic !eca"se we fin that A*: sai
that there were no free ser/ices. The responents also sai that the ser/ices were at
a/erage cost that was ,,: of the pop"lation while ,*: sai it was e.pensi/e an +<:
that the cost was fair. This shows that cost was affora!le to the large n"m!er that
attene mother an chil clinic.
9.3.; $inings on attit"e on mother an chil clinicH The st"y shows that A*: of the
women who attene mother an chil clinic ha a positi/e attit"e towars the
attenance. They sai they recei/e an important e"cation "ring the attenance of the
clinic that was gi/en !y the health care pro/iers while +*: of the responents ha a
negati/e attit"e towars attenance of mother an chil clinic it show that responents
who ha negati/e attit"e was !eca"se of their low le/el of e"cation.it was fo"n that
large n"m!er of the responent sai that the health e"cation that was gi/en to them was
of great important. This shows that the large n"m!er of responent were literate.
9.3., finings on ser/ice of mother an chil clinic HThe st"y shows that ?*: *f the
women who attene mother an chil clinic sai that the health care pro/iers atten the
ser/ice in appropriate way an they are always there for themB that they are always !"y
attening them an they always aress them in a caring manner. There was also A* : of
the responents were a!le to name *ne of ser/ices that is offere in mother an chil
clinic that is imm"ni7ation B a/ertise on how to o family planning an weighing of
chilren to fin o"t whether they are growing that were the some of the ser/ices that were
name !y the responent. There was <*: of the responent who were sai that there is
few n"m!er of health care pro/ier an they take long time in the #"e"ing waiting to !e
attene.+*: of the women were not a!le to name any the ser/ice offere in health care
ser/ice.
9.; CONCL&%ION
The st"y one on women attening mother an chil clinic at the pro/incial general
hospitalB Nyeri. The st"y re/eale that since most of the mothers ha a knowlege on
attenance of mother to chil clinic this infl"ence greatly the large n"m!er of
responents attening mother an chil clinic this is facilitate !y the le/el of
e"cation .On the other han there was few n"m!er of responent who were not
consiering attenance mother to chil clinic was importance this was !eca"se they i
not reali7e importance of mother to chil clinic this was "e to their le/el of e"cation.
on mother an chil clinic .
On the cost it was affora!le to the large n"m!er of mothers who were attening mother
an chil clinic.it shows that the cost was a/erage an most of mothers were a!le to pay
for the ser/ice. There were n"m!er of the responent who were complaining that "e to
istance mae them not to atten mother an chil clinic.
On the ser/ice shows that the health care pro/iers gi/e the ser/ices to the mothers an
chilren in appropriate wayB they are always there attening them. 6"t therewas
acomplaint from n"m!er of responent that they #"e"e for a long time !efore !eing
attene this was "e to few n"m!er of health care pro/iers. There was also few n"m!er
of responents who i not "nerstan importance of mother an chil clinic.
Altit"e of mothers who were attening mother an chil clinic we fin that the large
pop"lation of mothers felt goo as they go !ack to mother an chil clinic this shows that
the knew the important of mother an chil clinic they also ha goo attit"e towars the
health care pro/iers since e/en the health care gi/er attene them in a lo/ely manner. It
was only few n"m!er showe that they were !ore an these was "e to the long istance
!efore they got to the hospital.
9., RECO11ENDATION%
The following recommenations were mae !ase on the o!jecti/es an the finings of
the st"y the ministry of health sho"l pro/ie more information on "tili7ation of mother
an chil clinic. The ministry of health sho"l make methos of cost effecti/e. %e/eral
recommenations ha/e !een mae. The st"y fo"n that majority of mothers who atten
mother an chil clinic got ae#"ate care "ring the clinic attenance. The ministry of
health sho"l pro/ie employee e/elopment this is concerne with the pro/ision of
learning e/elopment an training opport"nities in orer to impro/e ini/i"al team who
are attening mother an chil clinic an organi7ation program this is health facility that
is offering mother an chil clinic. 1inistry of health is also "rge to o recr"itment an
selection of staff this is to o!tain minim"m cost of n"m!er an #"ality of employee
re#"ire to satisfies mothers who are attening mother an chil clinic. The st"y
therefore strongly recommens that co/erage of health facilities offering eli/ery
ser/ices sho"l !e increase so as to help mothers who are not a!le to atten mother an
chil clinic !eca"se of the cost. Comm"nity e"cation on the importance of "sing
mother an chil clinic ser/ices is necessary. 1oreo/erB !arriers to access in r"ral areas
sho"l !e eliminate. The st"y recommens that #"alitati/e research sho"l !e
Done to e.plain some of the patterns of "tili7ation of mother an chil clinic O!ser/eB
since the st"y was only a!le to gi/e a #"antitati/e approach.
9.9 %&''E%TION ON $&RT(ER %T&DIE%
$"rther in/estigation to !e carrie o"t on how ministry of health sho"l carry o"t
employee e/elopment so as to enhance well "tili7ation of mother an chil clinic an to
re"ce infant mortality rate an maternal eath.
RE$ERENCE%
A!!ot sB Renfrew 1j 1c 3**< Informal learning to s"pport !reastfeeing local pro!lem
an opport"nities.
Aet"njiB A. Caco!B +AA< Infant mortality le/el in Africa oes metho of estimation
matters.
Alan '"ttmacherB +AA, se. American teenage Report New 2ork.
6assetB 3**3 ens"ring p"!lic health impact of programs to re"ce (I> transmission from
mothers to infantB the place of the /ol"ntary concealing an testing .American jo"rnal of
p"!lic health.
6harga/a%4B singhkk %a.ena6NB +AA; in/esting in the health.The worl e/eloping
report.O.for &ni/ersity press.
6othwellB T.( an R.=. CharltonB +A@, Iron eficiency in women. Report for the
international Cons"ltati/e 'ro"p IINAC'J
6an"ra A. +A@<B social fo"nation of tho"ght an action. A social cogniti/e theory
6rown et alB 3**3B st"ie eight ranomi7e controlle trial an warne that a/erse
o"tcome of !oth mothers an chilren.
Demographic an health s"r/eyB +AAAB pre/ention of mother to chil (I> transmission an
management of (I> positi/e pregnant women. 8retoriaB epartment of health.Department
of health.%"mmary report.National (I> an syphilis antenatal seroDpre/alence s"r/ey in
%o"th Africa 8retoria epartment of health.
DorkenooB '"mee mal"leke an sheikh.3**;B pre/ention of the mother to chil
transmission. A report of assessment of a pilot programme in health facility in 'a"teng
pro/inceB Cape Town0 h"man sciences co"ncil.
$allen et alB 3**9B s"pporte !oth primary care team an the family is consiere.
C"an %choemakerB +AA@B 1o7am!i#"eB In#"erito Cal/erton 1arylan.
Loe/insohn 68B I+AA*J (eath e"cation in e/eloping co"ntriesB a methoological re/iew
of p"!lishe articles.
Renfrew 1CBDyson LB=allace DK%o"7a LB 1cCormick $B %pi!y0 (I3**9J.LononB
National instit"te for health an clinical E.cellence. The effecti/eness of p"!lic health
inter/entions to promote the "ration of !reastfeeing0 %ystematic Re/iew.
Renfrew 1CB'ill (B=allace L1B%p"!y (B 1c $aen AB 3**<B e/eloping practice in
!reast feeing.
%ingh DB New!orn 3**+B =omens e.periences of postnatal care. National Chil !irth
Tr"st0 Lonon
Tha"es et al.B +AA,B referre socioeconomic c"lt"ral factors women stat"s in ho"sehol
an society.
=orl (ealth Organi7ationB &NICE$B &N$8A)=6B 3**9B maternal mortality in0 estimates
e/elope !y =(B &NICE$B &N$8A an =orl 6ank. 'ene/a %wit7erlanB 3**9.
=allace L1B 4asmalaDAnerson CB 3**?. Training nees s"r/ey of miwiesB health /isitors
an /ol"ntary Lsector !reast feeing s"pport staff in Englan.
=orl (ealth Organi7ation B +A?@B the Alma Ata eclarationB 'ene/a =orl 6ank.
Maoro7nyiB 3**? con"cte a st"y on the impact of post natal s"pport in %o"th A
APPENDICES
APPENDIX I
LETTER OF INTRODUCTION`
Date: .
Dear sir/ madam,
RE: RESEARCH ON FACTORS INFLUENCIN UTILI!ATION OF "OTHER AND
CHILD CLINIC AT N#ERI PRO$INCIAL ENERAL HOSPITAL.
I am a st%de&t at O%ts'a& "edi(a) C*))e+e '%rs%i&+ a Di')*ma (*%rse Hea)t,
Re(*rds a&d I&-*rmati*& Te(,&*)*+.. I am (%rre&t). (*&d%(ti&+ a resear(, i&
t,e area re-erred.
Atta(,ed is a (*'. *- resear(, i&str%me&t -*r +at,eri&+ i&-*rmati*& -*r t,is
st%d. -r*m .*%, as *&e *- t,e 'e*')e i& t,e tar+et '*'%)ati*&. T,e i&-*rmati*&
*/tai&ed -r*m t,is st%d. 0i)) /e *- +reat im'*rta&(e t* t,e ma&a+eme&t *- t,is
,*s'ita) a&d t* t,e e&tire '*'%)ati*&. T,e res%)ts 0i)) /e a&a).1ed a&d re'*rted
i& terms *- e&tire '*'%)ati*& a&d &*t i&di2id%a)s.
3i&d). (*m')ete t,is 4%esti*&&aire t* t,e /est *- .*%r a/i)it., a&d d* &*t
'r*2ide .*%r &ame, .*%r reside&(e *r .*%r address i& t,is 4%esti*&&aire.
#*%r '*siti2e res'*&se 0i)) /e ,i+,). a''re(iated.
APPENDIX II
RESEARCH 5UESTIONNAIRE
TIC3 6HERE APPROPRIATEL#
SECTION A: RESPONDENTS PROFILE
7. I&di(ate .*%r a+e /ra(8et
i. 79:7;
ii. <=:<>
iii. <9:<;
iv. ?=:?;
v. ?9:?;
vi. >=:>>
vii. >9:>;
<. I&di(ate .*%r reside&t
a) Ur/a& @ A
b) R%ra) @ A
? I&di(ate .*%r marita) stat%s :
a) Si&+)e
b) "arried
c) Di2*r(ed
d) 0i&d*0ed
?. 6,at is .*%r ,i+,est ed%(ati*& )e2e)B
a. I))iterate.. @ A
b. Primar. s(,**) .. @ A
c. Se(*&dar. s(,**) @ A
d. C*))e+e/U&i2ersit.. @ A
SECTION C: 3NO6LEDE
7. Ha2e .*% e2er /ee& i& a ret%r& dateB
A. #es @ A
C. N* @ A
<. I- .es t* a/*2e 4%esti*& did .*% ,*&*r t,e ret%r& dateB
A. #es
C. N*
I- &* t* a/*2e 4%esti*& 0,at are t,e reas*&s
aA T,*%+,t it 0as &*t im'*rta&t
/A T,*%+,t I 0as (%red
(A Atte&ded a&*t,er ,*s'ita)
dA Had *t,er 'ers*&a) (*mmitme&t
eA Ot,ers
?. D* ,ea)t, (are 'r*2iders ed%(ate .*% *& im'*rta&(e *- m*t,er a&d (,i)d
()i&i(B
A. #es @ A
C. N* @ A
>. I- .es t* a/*2e 4%esti*& ,*0 d* .*% rate t,e tea(,i&+B
aA $er. +**d
/A **d
(A A2era+e
dA C*ri&+
SECTION C: COST
7. Are t,e ser2i(es -reeB
A. #es
C. N*
<. I- &* t* a/*2e 4%esti*& ,*0 (a& .*% rate t,e (*stB
aA ED'e&si2e
/A A2era+e
(A Fair
dA N*&e
?. D* .*% (*me -*r m*t,er a&d (,i)d ()i&i( as i&di(atedB
A. #es
C. N*
>. I- &* t* a/*2e 4%esti*& 0,. is it &*t '*ssi/)eB
a) Dista&(e
b) "*&e.
c) C*mmitme&t
d) Ot,ers
SECTION D: ATTITUDE
7. H*0 d* .*% -ee) 0,e& .*% are +i2e& a ret%r& dateB
aA Ha''.
/A C*red
(A A2era+e
dA Ot,ers
<. H*0 (a& .*% rate t,e ,ea)t, (are 'r*2iders are t,e.B
aA Cari&+
/A C*red
(A A/%si2e
dA Ot,ers
?. Is t,e ,ea)t, ed%(ati*& im'*rta&t t* m*t,er a&d (,i)d ()i&i(B
A. #es
C. N*
>. I- .es t* a/*2e 4%esti*& ,*0 (a& .*% rate t,e ,ea)t, ed%(ati*& /ei&+
+i2e& B
aA **d
/A Fair
(A A2era+e
dA C*ri&+
SECTION E: SER$ICES
7. Are t,e ,ea)t, (are 'r*2iders atte&d .*% d%ri&+ t,e ()i&i( i& a''r*'riate
ma&&erB
A. #es
C. N*
<. I- &* t* a/*2e 4%esti*& ,*0 (a& .*% rate t,em B
aA Fe0
/A La1.
(A C%s.
dA N*&e *- t,e a/*2e
?. 6,e& t,e. are ta8i&+ (are *- .*% ,*0 d* t,e. ta)8 t* .*%B
aA Cari&+ ma&&er
/A Hars, ma&&er
(A A/%si2e ma&&er
dA C*ri&+ ma&&er
>. D* .*% 8&*0 *&e *- t,e ser2i(e *Eered d%ri&+ m*t,er a&d (,i)d ()i&i(B
A. #es
C. N*
I- .e &ame *&e....................................................................................................
THAN3 #OU FOR CO"PLETIN THE SUR$E#
APPENDIX III
RESEARCH TI"E PLAN
SOURCE <=7<
FAN FEC SEP NO$ FAN FEC "AR
Pr*'*sa)
0riti&+
X
Pr*'*sa) X
'rese&tati
*&
Data
(*))e(ti*&
X
Data
editi&+
a&d
'r*(essi&
+
X
Data
a&a).sis
X
Data
re'*rt
0riti&+
X
Resear(,
re'*rt
'rese&tati
*&
X
APPENDIX I$
RESEARCH CUDET
T,e resear(,er tar+ets t* s'e&d t*ta) *- 3s, 7=,=== t* %&derta8e t,e st%d.
des(ri/ed a/*2e. T,e maG*rit. *- -%&ds 0as %sed t*0ards 4%esti*&&aire
're'arati*& a&d He)d eD'e&ses -*r t,e esse&tia) /%t time:(*&s%mi&+ a(ti2ities
*- (*&d%(ti&+ a&d a&a).1i&+ <= i&ter2ie0ees.
ACTI$IT# A"OUNT
Pr*'*sa) 0riti&+ 7,===
5%esti*&&aires I==
Fie)d eD'e&ses <,===
Stati*&ar. >==
mis(e))a&e*%s 7===
TOTAL J 9,===
S*%r(e: Resear(,er <=7<