Joyce 001
Joyce 001
RESEARCH REPORT
I JOYCE AMOS SHIJA declare that this is my original work, and all of the sources that
have been consulted have been acknowledged. I further declare that this work has not
previously been submitted by any one, for the award of diploma in clinical medicine at
Sengerema health training institute (SHTI) or any other institution.
Signature………………………… Date…………………………
Under my supervision. The undersigned certifies that he read and here by recommends for
considerably by Sengerema Health Training Institute the report that entitles Assessment of
awareness and knowledge on factor contributing to urinary tract infection among
female student at Sengerema focal development college (FDC) on February 2024
Signature…………………………… Date………………………….
TABLE OF CONTENT
DECLARATION...................................................................................................................I
TABLE OF CONTENT.......................................................................................................II
ACKNOWLEDGEMENTS...............................................................................................IV
LIST OF ABBREVIATIONS..............................................................................................V
OPERATIONAL RESEARCH TERMS..........................................................................VI
SUMMARY.......................................................................................................................VII
BACKGROUND:..............................................................................................................VII
STATEMENT OF THE PROBLEM:...................................................................................VII
RATIONALE:...................................................................................................................... VII
OBJECTIVE:........................................................................................................................VII
METHODOLOGY:..............................................................................................................VII
CHAPTER ONE....................................................................................................................1
1.1INTRODUCTION..............................................................................................................1
1.2 PROBLEM OF THE STATEMENT................................................................................2
1.3 RATIONALE....................................................................................................................2
1.4 RESEARCH QUESTIONS...............................................................................................2
1.5 HYPOTHESIS FORMULATION....................................................................................2
1.5.1NULL HYPOTHESIS.....................................................................................................2
1.5.2ALTERNATIVE HYPOTHESIS....................................................................................3
1.6 OBJECTIVE.....................................................................................................................3
1.6.1 MAIN OBJECTIVE.......................................................................................................3
1.6.2 SPECIFIC OBJECTIVES..............................................................................................3
1.7 RESEARCH VARIABLE.................................................................................................3
1.7.1 DEPENDENT VARIABLE...........................................................................................3
1.7.2INDEPENDENT VARIABLE........................................................................................3
CHAPTER TWO..................................................................................................................4
LITERATURE REVIEW........................................................................................................4
CHAPTER THREE..............................................................................................................5
METHODOLOGY..................................................................................................................5
3.1 STUDY AREA..................................................................................................................5
3.2 STUDY DESIGN..............................................................................................................5
3.3 STUDY POPULATION...................................................................................................5
3.4 SAMPLING PROCEDURE..............................................................................................5
3.5 SAMPLE SIZE..................................................................................................................5
3.6 DATA COLLECTION TECHNIQUE AND TOOLS......................................................6
3.7 DATA PROCESS AND ANALYSIS...............................................................................6
3.8 DISSEMINATION OF RESULTS...................................................................................6
3.9 ETHICAL CONSIDERATIONS......................................................................................6
3.10 STUDY LIMITATIONS.................................................................................................6
CHAPTER FOUR.................................................................................................................7
RESEARCH FINDING..........................................................................................................7
CHAPTER FIVE.................................................................................................................10
DISCUSSION.......................................................................................................................10
CHAPTER SIX....................................................................................................................11
CONCLUSION AND RECOMMENDATIONS..................................................................11
6.1: CONCLUSION..............................................................................................................11
6.2: RECOMMENDATIONS...............................................................................................11
REFERENCE......................................................................................................................12
APPENDIX: WORK PLAN...............................................................................................13
BUDGET..............................................................................................................................14
APPENDICES.....................................................................................................................15
DATA COLLECTION TOOLS:QUESTIONNAIRE..........................................................15
APPENDIX 1: ENGLISH VERSION QUESTIONNAIRE.................................................15
SWAHILI QUESTIONS....................................................................................................18
ACKNOWLEDGEMENTS.
I would like to thank almighty God for granting me a favour and health at all-time even
during the process of preparing proposal.
Wish to express my profound gratitude and sincere appreciation to my supervisor Dr.
Ndaki for his suggestions, advice, encouragement and guidance, which complemented and
directed my effort towards completion of this study.
My appreciation also goes to my tutor (Mr. Frances Mugalura) during the class period of
the study.
My thanks are also directed to Sengerema focal development college (FDC) for their
Cooperation and support during data collection.
LIST OF ABBREVIATIONS
MO - Medical Officer
Urethra…………The tube that carries urine from bladder out of your body
Escherichia coli…is the bacteria that lives in the intestine of people so when transferred
from intestine to the genital it causes UTI
Woman of reproductive age…….Are those women of age between 15years and 45years
SUMMARY
BACKGROUND:
Urinary tract infection (UTIs) is the presence of microbial pathogens in the urinary tract
which is commonly caused by (Escherichia coli) and accounts for 80-85% (Marziyeh A, 2019).
Patient can easily acquire this disease especially women through wiping from back to front
after urinating, excessive douching, multiple sexual partners.
Rationale:
This study has provided the useful information for policy makers, health providers,
researchers and other stakeholders so as to be a baseline in planning, formulating policies
and efforts to increase the awareness on the importance of knowledge on the factors
contributing to UTI.
Objective:
Was to assess awareness and knowledge on factors contributing to urinary tract infection
among female students at Sengerema focal development college( FDC) on February 2024.
Methodology:
The descriptive Cross-section study design was used. The study was done at Sengerema
FDC by using Swahili/English self-administering written questionnaires from sample of
100 students at Sengerema focal development college (FDC). The extended Microsoft
Excel program will be used for analy
CHAPTER ONE
1.1INTRODUCTION
Urinary tract infection is defined as the presence of microbial pathogens in the urinary
tract. UTIs are one of the most common bacterial infections seen in primary care. The
infection of the bladder and urethra are referred to as the infection of the lower urinary
tract whereas the kidney and ureter infection is an indication of upper urinary tract
infection. UTIs can be classified as uncomplicated or complicated based on the factor that
triggers the infection or primary or recurrent depending on the nature of occurrence. Most
uncomplicated UTIs are community acquired. Complicated UTIs usually occur in people
with urologic abnormalities or recent catheterization and are often acquired during
villageization(Bakker SJ, 2018)
Although UTI affects both genders, women of the reproductive age group (15-44 years) are
the most vulnerable, may be due to their anatomy and reproductive physiology. Women are
particularly at risk of developing UTIs because of their short urethra, and certain behavioral
factors which include delay in micturition, sexual activity and the use of contraceptives
which promote colonization of the per urethral area with coli form bacteria. It is found that
nearly, 25-30% of women between 20-40 years of age will get UTIs (Valero De Bernabé J,
2019). Urinary tract infection has been described since ancient times with the first
documented description in the Ebers Papyrus dated to [Link] was described by the
Egyptians in Africa as “sending forth heat from the bladder” and the effective treatment did
not occur until the development and availability of antibiotics in 1930sbefore which time
herbs, bloodletting and rest were recommended. UTI affect the urinary system which can be
in the kidney, ureter, urinary bladder or urethra which can be caused by Bacteria, fungus or
Virus. E. coli is usually the most prevalent organism responsible for UTI and accounts for
80–85% of the total isolates; with Staphylococcus saprophyticus being the cause in 5–10%.
Other bacterial causes of UTI include Klebsiella, Proteus, Pseudomonas, Enterococcus,
Enterobacter spp. Virus and parasite are not usually considered as urinary pathogens but
however, virus plays a major role in the pathogenesis of hemorrhagic cystitis (Yadav DK,
2020). The urinary tract from the kidneys to the urethral meatus is normally sterile and
resistant to bacterial colonization despite frequent contamination of the distal urethra with
colonic bacteria. Typically occurs when bacteria enter the urinary tract through the urethra
and begins to multiply in the bladder so when it happens bacteria may take hold and grow
1
in to full blown infection in the Urinary tract. UTI mostly occur in women and affect the
bladder and urethra.
Interventions that have been made by the government of Tanzania includes provision of
education on the importance of using clean toilets like Asian type, avoiding multiple sexual
partners, early diagnosis and treatment to avoid complications.
Despite measures taken by the government UTI prevalence is still high about 39% in
Tanzania. Hence there is need to conduct this research in order to assess awareness and
knowledge regarding UTI among females at FDC.
1.3 RATIONALE
In spite of the consequences of lack of knowledge and information on factor contributing
to UTI, there are no studies which have been conducted in our area. However, this study
has provided the useful information for policy makers in their planning, decision makers,
other stakeholders and researchers was a baseline, in efforts to increase the awareness on
the importance of provision of knowledge on factors contributing to UTI.
1.5.1NULL HYPOTHESIS
There is no statistically significant difference on the awareness, knowledge on factors
contributing to urinary tract infections among female students at Sengerema FDC by 2024.
2
1.5.2ALTERNATIVE HYPOTHESIS
There is a statistically significant difference on the awareness and knowledge on factors
contributing to urinary tract infections among female students at Sengerema focal
development college (FDC) by 2024
1.6 OBJECTIVE
1.7.2INDEPENDENT VARIABLE
Age,
level of education
Awareness
Poor personal hygiene
Multiple sexual partners
Previous urinary tract infection
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CHAPTER TWO
LITERATURE REVIEW
Approximately half of all girls and woman and some boys and men will experience UTI
during their life time; UTI is the most bacterial infection and can lead to death to critical ill
patient. This is due to Research done by (Michael Hsieh Research laboratory).
UTIs are series of heath problem affecting millions of people each year it is account for
about 8.3 million doctor visit each day, this is due to Research done by ([Link] and his
colleague at Bugando Medical Center).
Woman with acute bacteremia during pregnancy are likely to deliver pre mature infant or
low birth weight baby and have a risk to get pyre nephritis, Research done by
([Link] and his colleague at Alawa metropolis Nigeria).
Pregnancy is the one of the factors which increases the risk of UTI due to gravid uterus on
the urethra causing stasis of urine flow, Research done by (Forman .B. at Ethiopia).
UTI is most bacterial infection managed in General Medicine practice and account for 13%
of consultation,( Davidson’s principle and practice of medicine 21stEdition).
The prevalence of UTI in woman is about 3% at the age of 20, increasing by about 1% in
each subsequent decade (Text book of medicine 5th Edition).
UTI can affect people of any age, most UTI caused by enteric bacteremia reminder are due
to sexual transmitted pathogen (The MERCK MANUAL Eighteenth Edition)
The knowledge of UTI is very crucial in preventing its occurrence and recurrence
(Changizi et al., 2014).
A cross-sectional study was conducted at Kilosas district hospital in Tanzania for 6 months
a total number of 370 participants were enlored whereby a high prevalence of 18.6%
(Beatrice C 2015).
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CHAPTER THREE
METHODOLOGY
5
3.6 DATA COLLECTION TECHNIQUE AND TOOLS
6
CHAPTER FOUR
RESEARCH FINDING
The study was conducted at SENGEREMA FDC at sengerema district which is the one of
the seven districts in Mwanza region of Tanzania, East Africa. It is bordered the north and
east by Lake Victoria, to the south by Geita region and to the southeast by Misungwi
district with the population of 663,034 in 2012 in which the activities conducted are
Agriculture activities Fishing activities and livestock keeping activities, and research was
done in order to assess the knowledge on factors contributing to urinary tract infection
among female students at sengerema focal development college on February 2024. A total
of 100 participants. Among these totals of 82 had knowledge of urinary tract infections
which is 82% but 18 had no knowledge on urinary tract infection which was 18%. On level
of education a total of 89 (89%) were primary education, 11 (11%) were secondary
students.
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GRAPH SHOW % OF PARTICIPANT ON KNOWLEDGE OF
URINARY TRACT INFECTION WITH RESPECT TO LEVEL OF
EDUCATION
100%
90%
80%
70%
PRIMARY SCHOOL (%)
60%
SECONDARY SCHOOL (%)
50%
40%
30%
20%
10%
0%
19-29 30-40 >40 TOTAL
8
GRAPH SHOW % OF KNOWLEDGE ON FACTORS CON-
TRIBUTING TO URINARY TRACT INFECTION WITH
RESPECT TO AGE
90%
80%
70%
60%
(%)WITH KNOWLEDGE
50% (%)WITHOUT KNOWLEDGE
40%
30%
20%
10%
0%
19-29 30-40 >40 TOTAL
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CHAPTER FIVE
DISCUSSION
Urinary tract infection (UTI) is a common bacterial infection that affects millions of people
worldwide, with females being at a higher risk particularly in developing countries.
The research study found that the majority of respondents were aged between 19-20 years
(30%), followed by those aged 30-40 years (54%) ,and those aged greater than 40
years(16%). The knowledge status of respondents on the causes of UTI indicated that
bacteria (80.4%) was the most commonly known cause, followed by bad hygiene of
reproductive parts (49.5%). However, changes in body hormones were only known by
33.6% of respondents.
The research study reveals that the majority of the respondents had high level of knowledge
on severe pain when urinating as a symptom of urinary tract infection (87.9%) followed by
frequent urination (59.6%) while the lowest levels of knowledge was recorded on pain
below the abdomen and backache (57.9%) followed by strong smelling urine (55.1%).
In terms of factors contributing UTI, the respondents had good knowledge of wiping from
front to back (55.1%), drinking adequate and safe water (62.6%), and wearing clean and
comfortable underwear (77.6%).
On the aspect of toilet use and hygiene, the study revealed that 68.2% of the respondents
reported that the college did not have enough toilets. Of the 68.2% who reported the to not
have enough toilets, 89% use the same toilets, while 1.37% urinate outside.
The assessment of hygiene of undergarments revealed that 86% of the respondents dry their
underwear under sunlight, while 14% do not. Furthermore, 6.67% of respondents who do
not dry their underwear under sunlight iron them directly, 20% hang inside and 73.37% use
other ways.
Most of the respondents (86.9%) knew the benefits of drying underwear, with 48.4%
reporting killing bacteria as one of the benefits. Distribution of level of knowledge
according to age groups showed that the overall level of knowledge on UTI was average for
respondents aged1 9-30,30--40 and 40 and above years. However, those above 30 years had
a high level of knowledge.
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CHAPTER SIX
CONCLUSION AND RECOMMENDATIONS
6.1: CONCLUSION
Based on the findings of the research study titled “Assessment of knowledge and
Awareness on factors contributing to UTI among female student at focal development
college (FDC)”, it can be concluded that the overall level of knowledge on UTI among the
female is average, but factors contributing to UTI are also implemented at an average level.
6.2: RECOMMENDATIONS
From the research findings obtained, the following recommendations can be implemented
to improve knowledge and Awareness on factors contributing to UTI among female
student at focal development college (FDC), other learning institutions and the community
at large:
Health education: The college should incorporate health education on UTI into the college
curriculum to raise knowledge and improve knowledge among the female student.
Adequate sanitation facilities: The college should provide adequate sanitation facilities,
including toilets, for the pupils to promote good hygiene practices.
Monitoring and supervision: The college should monitor and supervise the students’ use of
toilets and ensure that they practice good hygiene.
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REFERENCE
Masinde and his colegue; Research done at Bugando Medical Center (2011).
Beatrice Chipwaza, Prevalence of Bacterial Febrile Illnesses in Children in Kilosa
District, Tanzania, PLOS neglect Tropical Disease\DO1:10, 1371/Journal,
printed .0003750may 2015:1.
Brunner and Suddarth s Textbook of Medical Surgical Nursing, 13th Edition
Changizi M, Zadeh S, Zinat-Motlagh F, MahboubiM,.Beliefs of Female Teenagers
on Prevention of Urinary Tract Infection: Application of Health Belief
a. Model. J. Bio Today’s World(2014), 3(10): 223-226.)
Davidson’s principle and practice of clinical medicine 21thEdition
Gopalakrishnan S, Urinary Tract Infection among female of reproductive age in
rural area, Community medicine and public health.2017 oct,4(10).
Hsiao CJ et al, National Ambulatory Medical care Survey2007.
Naber KG et al, surveillance study in Europe and Brazil on clinical aspects and
Antimicrobial Resistance Epidemiology in Female with
a. cystitis(ARESC):Implications for empiric [Link] Urol.2008 Nov
54(5):116475(Medline).
Obiogbolub.C. et al, ;.in Alawa metropolis Nigeria(2009)
Suzanne L. August Evaluation of the Prevalence of Urinary Tract Infection in Rural
Panamanian Women, PLOT ONE, VOL7, issue10, e47752, October 2012
The Merck manual book of clinical medicine eighteen edition
Tirunelveli, Tamil Nadu ,Research and Review journal of microbiology and
Biotechnology (sensitivity pattern of [Link] in UTI)(2013)
Heba A, Hanan T, Elbahnasawy M, Samia A, El-nagar N, Nadin S, Ghabyen S.
Prevention of Genitourinary Tract Infection among Female Adolescent students.
Bhat A, Pradna G, Prakash W, Geeta R,. Knowledge and Attitude Regarding
Urinary Tract Infection(2017)
Marziyeh A, Zoreh L, Reza N, Masoomeh M, Amin R, Mohammed R, Hadi Z .
Prevalence of Urinary Tract Infection among Pregnant Women and its
Complications in the new borns during the birth in the Hospital (2012-2013-2014
FoxmanB ;Am J mod Vol .133pp.5-135,2002.
African Health Science Vol [Link].2 June 2011.
Iran Red Crescent med J Vol 17(8): August 2015.
Mayo clinic Minute: Avoiding summer [Link]: May 2019.
IOSR J. Nurs and Hlth Sci(2016), 5(4): 12-18.
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APPENDIX: WORK PLAN
ACTIVITY TIME
1 2 3 4 1 2 3 4 1 2 3 4
Data collection
13
BUDGET
08 Subtotal 45000
14
APPENDICES
Address………………………..
Instructions:
Letter the number of correct response in the box provided or fill in the space provided
1. Drinking plenty of liquid, especially water reduces the risk of acquiring UTI?
A) Yes
B) no ( )
C) Not sure
2. Emptying your bladder soon after intercourse is one of the preventive measures of
UTI?
A) Yes
B) No ( )
C) Not sure
3. One of the way to prevent UTI is wipe from front to back?
A) True
B) False ( )
C) Not sure
4. DO you know that avoiding potentially irritating feminine products on the genitals
15
can prevent UTI?
A) Yes
B) No ( )
C) Not sure
5. Some of birth control method can lead to UTI?
A) Yes
B) No ( )
C) Not sure
SECTION B: ASSESSMENT OF KNOWLEDGE
1. Do you know that female anatomy creates a greater chance of acquiring UTI than
Male?
A) Yes
B) No ( )
C) Not sure
2. Do you think sexual activities increases chance of acquiring UTI?
A) Yes
B) No ( )
C) Not sure
16
A) Yes
B) No ( )
C) Not sure
A) Yes
B) No ( )
C) Not sure
5. Do you know when you rich menopause there is a greater chance of UTI?
A) Yes
B) No ( )
C) Not sure
6. Level of education?
A) Primary level education.
B) Secondary level education. ( )
C) High school level education
D) College level education
7. Age?
A) 18-25 years
B) 26-32 years ( )
C) 33-40 years
D) 40+
17