07952nam a22001937a 4500 20250129092822.0 250129b |||||||| |||| 00| 0 eng d LC LC ABK RDA 23rd ed. 616.99465 KAB Kabanda, Richard 64141 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. 64142 Cervical Cancer Community awareness. 64143 Cervical Cancer prevention and control Kyotera 64144 ddc BOOK 39602 39601 0 0 ddc 0 0 ABK ABK 2025-01-29 0 616.99465 KAB 5306 2025-02-04 10:07:01 2025-01-29 BOOK