TABLE OF CONTENTS
DECLARATION i
APPROVAL ii
DEDICATION iii
ACKNOWLEDGEMENT iv
TABLE OF CONTENTS v
LIST OF ACRONYMS AND ABBREVATIONS viii
ABSTRACT ix
CHAPTER ONE 1
1.0 Introduction 1
1.1 Background 1
1.2 Problem statement 2
1.3 Objectives 3
1.3.1 General Objective 3
1.3.2 Specific objectives 3
1.4 Research questions 4
1.5 Research scope 4
1.5.1 Geographical scope 4
1.5.2 Content scope 4
1.5.3 Time scope 4
1.6 Justification of the study 4
1.7 Conceptual framework 5
1.8 Operational definitions ofterms 6
CHAPTER TWO 7
LITERATURE REVIEW 7
2.0 Introduction 7
2.1 Theoretical Review 7
2.1.1 New Public Management Theory 7
2.2 Empirical Review 8
2.2.lKnowledge ofthe expectant mothers 8
2.2.2Accessibility to health facility for maternal health services 9
2.2.3 Availability of equipment and logistics 10
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2.2.4 Availability of adequate human resource 10
CHAPTER THREE 12
METHODOLOGY 12
3.0 Introduction 12
3.1 Study area 12
3.2 Study designs 12
3.3 Study Population 12
3.4 Sampling size 13
3.5 Study variable 13
3.6 Sampling procedure 13
3.7 Data collection tools 13
3.8 Data management and storage 13
3.10 Ethical consideration 14
3.11 Study limitations 14
CHAPTER FOUR 15
PRESENTATION, DATA ANALYSIS AND INTERPRETATION OF FINDINGS.. 15
4.0 Introduction 15
4.1 Demographic characteristics ofrespondents 15
4.1.1 Age of the respondents 15
4.1.2 Marital Status of Respondents 16
4.1.3 Education level ofrespondents 16
4.1.4 Employment ofrespondents 17
4.1.5 Salary scale ofrespondents 17
CHAPTER FIVE 27
DISCUSSION OF THE FINDINGS, CONCLUSIONS AND RECOMMENDATIONS
27
5.0 Introduction 27
5.1 Discussion ofthe findings 27
5.1.1 Determining the knowledge of expectant mothers on antenatal care and
maternity services in Bukedea district 27
5.1.2 Establishing the accessibility of maternal health services by mothers in
Bukedea district 28
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5.1.3 Establishing the availability of necessary equipments and logistics at
Bukedea health center IV 28
5.1.4 Establishing the availability of adequate human resource at Bukedea health
Centre IV 29
5.2 Conclusion 30
5.2.1 Determining the knowledge of expectant mothers on antenatal care and
maternity services in Bukedea district 30
5.2.2 Establishing the accessibility of maternal health services by mothers in
Bukedea district 30
5.2.3 Establishing the availability of necessary equipments and logistics at
Bukedea health center IV 30
5.2.4 Establishing the availability of adequate human resource at Bukedea health
Centre IV 30
5.3 Recommendations 31
5.3.1 Determining the knowledge of expectant mothers on antenatal care and
maternity services in Bukedea district 31
5.3.2 Establishing the accessibility of maternal health services by mothers in
Bukedea district 31
5.3.3 Establishing the availability of necessary equipments and logistics at
Bukedea health center IV 31
5.3.4 Establishing the availability of adequate human resource at Bukedea health
Centre IV 31
APPENDEXES 34
APPENDIX I: WORK PLAN 34
APPENDIX II: BUDGET ESTIMATE 35
APPENDIX III. QUESTIONNAIRE 36
APPENDIX IV: QUESTIONNAIRE FOR HEALTH WORKERS 40
ABSTRACT The General Objective of the study was to determine the factors associated with maternal deaths at Bukedea Health Center IV in Bukedea district. The specific objectives were: to determine the knowledge of expectant mothers on antenatal care and maternity services in Bukedea district, to establish the accessibility of maternal health services by mothers in Bukedea district, to establish the availability of necessary equipments and logistics at Bukedea Health Center IV and to establish the availability of adequate human resource at Bukedea Health Centre IV. The findings of the study revealed that expectant mothers have knowledge on antenatal care and maternity services in Bukedea as respondents agreed with the statements with a mean greater mean response except that most of them rejected that they do not receive enough health facilities when they go for antenatal care, most of the respondents agreed that maternal health services are accessible by mothers at Bukedea Health Center IV, respondents accepted to a greater extent that the necessary equipments and logistics are available at Bukedea health center TV except the nutritional supplements and that the Caesarean section is not well equipped furthermore, the findings further revealed that that respondents moderately accepted that there is adequate human resource at Bukedea Health Centre IV whereas most of the employees rejected the statements that there are enough trained medical workers to provide antenatal services at Bukedea health Centre IV. The study recommended that; the government should make sure that it motivates the employees and provide all the necessary equipments in order to improve on the facilities given to mothers who go for antenatal care, the government should extend health centers to most areas as respondents gave evidence that the travel long distances to reach the health centers and also the means of transport should be improved. The government should provide nutritional supplements as the findings gave evidence that they are not provided, the government should equip the Caesarean section in order to reduce on maternal mortality rate and the study generally recommended that the government should hire enough employees and motivate them in order to provide enough services and reduce on the maternal mortality rate.
