Availability, use and efficacy of community audio towers in health communication for prevention of cervical cancer : a cluster randomized control trial in Kyotera District, Uganda /
Kabanda, Richard
Availability, use and efficacy of community audio towers in health communication for prevention of cervical cancer : a cluster randomized control trial in Kyotera District, Uganda / Richard Kabanda - Kampala : Uganda Martyrs University ; c2021. - xvi, 276 pages : ill. ; 31cm.
CHAPTER ONE..........
1.0 INTRODUCTION AND BACKGROUND..........
2.0 Introduction to the Study
Problem Statement......
General Research Question. 1.3.1 Specific Research Questions.
Specific Objectives........
General objective of the study. Public Health Significance of the Study. The Conceptual framework.....
The researcher's triggering experience and connection to Public Health Education
CHAPTER TWO............
2.0 LITERATURE REVIEW.........
2.1 Introduction..........
Theoretical Perspectives of the Study
The Socio-Ecological Model (SEM)
Competing theoretical frameworks
The Agenda Setting Function Theory (ASFT) Theory of Planned Behavior.
The Health Belief Model (HBM).
Communication Infrastructure Theory.
Literature search strategies
Prevention of Cervical Cancer
Cervical Cancer Screening and Vaccination in Uganda
Health literacy gaps for cancer of the cervix in Uganda
Health Communication.........
Targeted Health Communication in Communities
Community ......
Physical (Geographical) Community.
Non-physical (non-geographical) community (Virtual community)........... Availability of CATS in health communication for cervical cancer Use of Community Audio Towers (CATS) in Communication
Effectiveness of Broadcasting versus Narrowcasting for health communication
Narrowcasting through use of Community Audio Towers.
Community factors
CHAPTER THREE..........
RESEARCH METHODOLOGY
Philosophical Foundations
The Study Context.........
Field Sites.........
Research Design.........
Study Population
Factors that affect use of CATS in Health Communication
Individual factors.......
Health facility factors.
Data Collection Procedures.
Participant Recruitment.
Participant Inclusion and Exclusion Criteria
Sampling criteria.........
Data Collection Tools.....
Sample Size Determination.
Quantitative data.......
Qualitative data (Sub-study I)........
Procedures, Treatments and Follow-Up (Sub-study II)
Intervention arm.
Control arm...
Randomization....
Blinding...........
Contamination.......
Follow-up........
Outcome measures (Sub-study II)
Primary outcome measure
Secondary outcome measures.
Hypothesis (Sub-study II)............
Data Management and Analysis. Data Management........
Data Analysis........
Quality Control (Sub-studies I and II)...
Translating The Tools
Informed consent.
Recruitment and Training of Research Assistants
Pre-Testing of Tools
Compliance with Ethical Guidelines and Scientific Review (Sub-studies I and II)
Ethical approval....
Confidentiality and anonymity
Privacy....
Dissemination Plan.........
Conclusion........
CHAPTER FOUR...........
RESULTS PRESENTATION..............
RESULTS FOR SUB-STUDY I (SPECIFIC OBJECTIVES 1 AND 2).
Socio-Demographic Characteristics of Health Workers
Availability of Community Audio Towers to Health Workers in Health Communication. Use of Community Audio Towers (CATS) in Health Communication....
Frequency of use of CATS in Health Communication......
Individual Health Worker factors and use of CATS in Health Communication
Health Facility factors and use of CATS by Health Workers in Health Communication........... Community factors and use of CATS by Health Workers in Health Communication...............Perceived advantages and hindering factors to use of CAT.............
Proposed solutions to the hindering factors on use of CATS in health communication.
BIVARIATE ANALYSIS...
Association of health workers' socio-demographic factors with use of CATS in Cervical
Cancer health communication..
Association of Individual Health Worker Factors with use of CATS in Cervical Cancer Health
Communication...........
Health Facility Factors Associated with use of CATS in Cervical Cancer Health
Communication...
Community factors and use of CATS in Cervical Cancer Health Communication
MULTIVARIABLE ANALYSIS.....Factors independently associated with use of CATS in Health Communication for Prevention
of Cervical Cancer
RESULTS FOR SUB STUDY II (SPECIFIC OBJECTIVE 3)
Socio-demographic Characteristics
4.2.2 Health Information through Community Audio Towers.
General knowledge on cervical cancer.
Cervical Cancer Screening.........
Efficacy of Community Audio Towers as a health communication channel for prevention of cervical cancer in Kyotera district.
4.3 SUMMARY OF KEY RESULTS
Availability of CATS for use in health communication.
Factors associated with use of CATS in health communication by health workers Efficacy of CATs in cervical cancer prevention health communication...
CHAPTER FIVE.............
DISCUSSION OF RESULTS...........
Availability of CATS for use by health workers in health communication for prevention of cervical cancer in Kyotera district
Factors associated with use of CATS by health workers for health communication
Individual health worker factors associated with utilisation of CATS..
Xiv
Knowledge of participants on cervical cancer
Health facility factors associated with use of CATS by health workers.. Community factors associated with use of CATS by health workers Efficacy of CATS in health communication for prevention of cancer of the cervix.
Screening for Cancer of the Cervix.....
Intention to Screen for Cancer of the Cervix..
Efficacy of CATS in health communication for prevention of cancer of the cervix......... 164
CHAPTER SIX
CONTRIBUTIONS OF THE STUDY, CONCLUSIONS AND RECOMMENDATIONS
Key contributions of this PhD research.........
Theory of change model.
Contributions on Policy.
Contributions on Knowledge.
Contributions to Public Health Promotion Practice..
Contributions on Methodology.
Contribution on Knowledge Assessment for Prevention of Cancer of the Cervix.
Recommendations from the Study.
Proposed areas for future research.
Study Limitations.........
Key lessons learnt from this PhD study
Conclusions.........
REFERENCES........
APPENDIX 1: PARTICIPANT INFORMATION LETTER
APPENDIX II: INFORMED CONSENT FORM FOR INDIVIDUAL PARTICIPANTS.
APPENDIX III: SELF-ADMINISTERED QUESTIONNAIRE FOR HEALTH WORKERS IN KYOTERA DISTRICT....
APPENDIX IV: KEY INFORMANT INTERVIEW GUIDE FOR HEALTH WORKERS
APPENDIX V: KEY INFORMANT INTERVIEW GUIDE FOR CAT OPERATORS
APPENDIX VI: INTERVIEWER - ADMINISTERED QUESTIONNAIRE FOR FEMALE PARTICIPANTS IN A CLUSTER RANDOMISED CONTROL TRIAL............
APPENDIX VII: TRANSLATED TOOLS FROM ENGLISH TO LUGANDA..........
APPENDIX VIII: PhD PROPOSAL CLEARANCE LETTER FROM UMU
APPENDIX IX: PROTOCOL APPROVAL BY INSTITUTIONAL REVIEW BOARD........
APPENDIX X: LETTER TO MINISTRY OF HEALTH FOR CLEARANCE
APPENDIX XI: RECOMMENDATION FOR RESEARCH APPROVAL FROM MOH
APPENDIX XII: APPROVAL BY UGANDA NATIONAL COUNCIL OF SCIENCE & TECHNOLOGY....
APPENDIX XIII: CLEARANCE FROM KYOTERA DISTRICT
APPENDIX XIV: TEMPORARY AUTHORIZATION OF CATS BY UCC
APPENDIX XV: RECOMMENDATION OF CATS BY UGANDA ELECTORAL COMMISSION..
APPENDIX XVI: A MAP SHOWING KYOTERA DISTRICT
APPENDIX XVII: PUBLISHED PAPER 1:.........
Health communication--Uganda.--Community awareness.--Kyotera
616.99465 / KAB
Availability, use and efficacy of community audio towers in health communication for prevention of cervical cancer : a cluster randomized control trial in Kyotera District, Uganda / Richard Kabanda - Kampala : Uganda Martyrs University ; c2021. - xvi, 276 pages : ill. ; 31cm.
CHAPTER ONE..........
1.0 INTRODUCTION AND BACKGROUND..........
2.0 Introduction to the Study
Problem Statement......
General Research Question. 1.3.1 Specific Research Questions.
Specific Objectives........
General objective of the study. Public Health Significance of the Study. The Conceptual framework.....
The researcher's triggering experience and connection to Public Health Education
CHAPTER TWO............
2.0 LITERATURE REVIEW.........
2.1 Introduction..........
Theoretical Perspectives of the Study
The Socio-Ecological Model (SEM)
Competing theoretical frameworks
The Agenda Setting Function Theory (ASFT) Theory of Planned Behavior.
The Health Belief Model (HBM).
Communication Infrastructure Theory.
Literature search strategies
Prevention of Cervical Cancer
Cervical Cancer Screening and Vaccination in Uganda
Health literacy gaps for cancer of the cervix in Uganda
Health Communication.........
Targeted Health Communication in Communities
Community ......
Physical (Geographical) Community.
Non-physical (non-geographical) community (Virtual community)........... Availability of CATS in health communication for cervical cancer Use of Community Audio Towers (CATS) in Communication
Effectiveness of Broadcasting versus Narrowcasting for health communication
Narrowcasting through use of Community Audio Towers.
Community factors
CHAPTER THREE..........
RESEARCH METHODOLOGY
Philosophical Foundations
The Study Context.........
Field Sites.........
Research Design.........
Study Population
Factors that affect use of CATS in Health Communication
Individual factors.......
Health facility factors.
Data Collection Procedures.
Participant Recruitment.
Participant Inclusion and Exclusion Criteria
Sampling criteria.........
Data Collection Tools.....
Sample Size Determination.
Quantitative data.......
Qualitative data (Sub-study I)........
Procedures, Treatments and Follow-Up (Sub-study II)
Intervention arm.
Control arm...
Randomization....
Blinding...........
Contamination.......
Follow-up........
Outcome measures (Sub-study II)
Primary outcome measure
Secondary outcome measures.
Hypothesis (Sub-study II)............
Data Management and Analysis. Data Management........
Data Analysis........
Quality Control (Sub-studies I and II)...
Translating The Tools
Informed consent.
Recruitment and Training of Research Assistants
Pre-Testing of Tools
Compliance with Ethical Guidelines and Scientific Review (Sub-studies I and II)
Ethical approval....
Confidentiality and anonymity
Privacy....
Dissemination Plan.........
Conclusion........
CHAPTER FOUR...........
RESULTS PRESENTATION..............
RESULTS FOR SUB-STUDY I (SPECIFIC OBJECTIVES 1 AND 2).
Socio-Demographic Characteristics of Health Workers
Availability of Community Audio Towers to Health Workers in Health Communication. Use of Community Audio Towers (CATS) in Health Communication....
Frequency of use of CATS in Health Communication......
Individual Health Worker factors and use of CATS in Health Communication
Health Facility factors and use of CATS by Health Workers in Health Communication........... Community factors and use of CATS by Health Workers in Health Communication...............Perceived advantages and hindering factors to use of CAT.............
Proposed solutions to the hindering factors on use of CATS in health communication.
BIVARIATE ANALYSIS...
Association of health workers' socio-demographic factors with use of CATS in Cervical
Cancer health communication..
Association of Individual Health Worker Factors with use of CATS in Cervical Cancer Health
Communication...........
Health Facility Factors Associated with use of CATS in Cervical Cancer Health
Communication...
Community factors and use of CATS in Cervical Cancer Health Communication
MULTIVARIABLE ANALYSIS.....Factors independently associated with use of CATS in Health Communication for Prevention
of Cervical Cancer
RESULTS FOR SUB STUDY II (SPECIFIC OBJECTIVE 3)
Socio-demographic Characteristics
4.2.2 Health Information through Community Audio Towers.
General knowledge on cervical cancer.
Cervical Cancer Screening.........
Efficacy of Community Audio Towers as a health communication channel for prevention of cervical cancer in Kyotera district.
4.3 SUMMARY OF KEY RESULTS
Availability of CATS for use in health communication.
Factors associated with use of CATS in health communication by health workers Efficacy of CATs in cervical cancer prevention health communication...
CHAPTER FIVE.............
DISCUSSION OF RESULTS...........
Availability of CATS for use by health workers in health communication for prevention of cervical cancer in Kyotera district
Factors associated with use of CATS by health workers for health communication
Individual health worker factors associated with utilisation of CATS..
Xiv
Knowledge of participants on cervical cancer
Health facility factors associated with use of CATS by health workers.. Community factors associated with use of CATS by health workers Efficacy of CATS in health communication for prevention of cancer of the cervix.
Screening for Cancer of the Cervix.....
Intention to Screen for Cancer of the Cervix..
Efficacy of CATS in health communication for prevention of cancer of the cervix......... 164
CHAPTER SIX
CONTRIBUTIONS OF THE STUDY, CONCLUSIONS AND RECOMMENDATIONS
Key contributions of this PhD research.........
Theory of change model.
Contributions on Policy.
Contributions on Knowledge.
Contributions to Public Health Promotion Practice..
Contributions on Methodology.
Contribution on Knowledge Assessment for Prevention of Cancer of the Cervix.
Recommendations from the Study.
Proposed areas for future research.
Study Limitations.........
Key lessons learnt from this PhD study
Conclusions.........
REFERENCES........
APPENDIX 1: PARTICIPANT INFORMATION LETTER
APPENDIX II: INFORMED CONSENT FORM FOR INDIVIDUAL PARTICIPANTS.
APPENDIX III: SELF-ADMINISTERED QUESTIONNAIRE FOR HEALTH WORKERS IN KYOTERA DISTRICT....
APPENDIX IV: KEY INFORMANT INTERVIEW GUIDE FOR HEALTH WORKERS
APPENDIX V: KEY INFORMANT INTERVIEW GUIDE FOR CAT OPERATORS
APPENDIX VI: INTERVIEWER - ADMINISTERED QUESTIONNAIRE FOR FEMALE PARTICIPANTS IN A CLUSTER RANDOMISED CONTROL TRIAL............
APPENDIX VII: TRANSLATED TOOLS FROM ENGLISH TO LUGANDA..........
APPENDIX VIII: PhD PROPOSAL CLEARANCE LETTER FROM UMU
APPENDIX IX: PROTOCOL APPROVAL BY INSTITUTIONAL REVIEW BOARD........
APPENDIX X: LETTER TO MINISTRY OF HEALTH FOR CLEARANCE
APPENDIX XI: RECOMMENDATION FOR RESEARCH APPROVAL FROM MOH
APPENDIX XII: APPROVAL BY UGANDA NATIONAL COUNCIL OF SCIENCE & TECHNOLOGY....
APPENDIX XIII: CLEARANCE FROM KYOTERA DISTRICT
APPENDIX XIV: TEMPORARY AUTHORIZATION OF CATS BY UCC
APPENDIX XV: RECOMMENDATION OF CATS BY UGANDA ELECTORAL COMMISSION..
APPENDIX XVI: A MAP SHOWING KYOTERA DISTRICT
APPENDIX XVII: PUBLISHED PAPER 1:.........
Health communication--Uganda.--Community awareness.--Kyotera
616.99465 / KAB