EXPLORATION OF COMMUNITY PERCIEVED RISK
FACTORS OF DIARRHEAL DISEASES IN BUSAANA
SUB COUNTY, KAYUNGA DISTRCT USING
PARTICIPATORY EPIDEMIOLOGY METHODS
Moses Tetui
Makerere University School of Public
Health

Introduction
• In Uganda Diarrhea is
among the five leading
causes of mortality among
children less than five years
(Ministry of Health 2005).
• Kayunga district
– Despite epidemiological
knowledge no significant
reduction in diarrhea
morbidity has been noted.
– Third leading cause of
morbidity >five years (HMIS,
2008/2009).

Study Objectives
• To describe the community perceived risk
factors for diarrheal diseases in Busaana sub
county, Kayunga district.
• To identify community perceived plausible
intervention that can be implemented to
control diarrheal diseases in Busaana sub
county, Kayunga district.

Methods
• A participatory epidemiology study
September 2010
Kayunga district
Busaana sub-county,
• Two parishes
The most affected- purposively selected.
Seven villages randomly selected
Discussions with eight to ten individuals were held in each of
the villages.

Methods
• PE data collection methods
used
Simple ranking
Proportional pilling
Community mapping.
Seasonal calendar
Semi-structured interviews.
• Data analysis
Manual
Results presented in text &
tables

Results I
Risk Factors for diarrheal diseases
• Inadequate supply of water
Using water from R. Nile,
unprotected springs &
swamps
• Seasonality
Rain
• Poor personal hygiene
Having dirty compounds
improper use of latrine

Results
Community proposed
interventions
Health education,
boiling drinking water
Increasing access to safe
water

Recommendations
• To Local government of Kayunga district
Mobilize resources to ensure increased access to
safe water for Busaana sub- county residents.
Behavioral change campaigns
• To residents of Busaana Sub County
Improve personal hygiene

Value added by the PE methods
• Community participation
Increases responsibility
Acceptability
Translates into change
• Timeliness
Collection and analysis of data
• Use of resources
Less resource intensive
• Design of future studies
Maternal and newborn intervention

ACCKOWLEDGEMENTS
• Co-authors
Racheal Ankunda
Christine Nalwadda
• Study participants
Residents of Busana sub county
District health team of Kayunga district
• Funders
PENAPH
AFENET
OCHEA

Thank you
Improved Access to safer water Improved personal hygiene