Organisation behaviour

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Explain what you understand by organization behavior and explain the following sub topics. Personality, values and motivation

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EVALUATION OF FAMILY PLANNING CLIENT ASSESSMENT PROCESS AT
NAROK COUNTY REFERRAL HOSPITAL.
By

JEK O DANIEL
H12/70292/12
Bachelor of Medicine and Bachelor of Surgery (MBChB),

A research project Submitted in Partial Fulfillment of the Requirements for the Award of
Degree of Bachelor of Medicine and Bachelor of Surgery of Egerton University

June 2017

Declaration
I declare that this research project is solely my original work and has not been presented in this
University or anywhere else for any academic award.

NAME: Jek O. Daniel

SIGN: …………………………………………
DATE……………………………………….

This research project has been submitted with my approval as the University supervisor
Signature ……………………………………. Date ………………….

NAME: Ms. Catherine Wanyanga
Lecturer, department of community Health
Egerton University

DEDICATION
This research project is dedicated to my loving parents: my father Harrison Barasa Ogara and
mother Felgona Osore.

ii

ACKNOWLEDGEMENT
I want to take this opportunity to give thanks to God the father, for giving me good health
through this research period.
I also want to thank all my lecturers at Egerton University, faculty of health science and
particularly the community health department who have guided me all through the process and
helped me in reviewing my research project. I thank all my classmates for being there for me and
sharing their ideas with me.
I give thanks to the community in Narok and the staff at the Narok county hospital for their
unending support and help throughout my research period
Lastly, I want to appreciate my parents and siblings for supporting me financially, emotionally
and spiritually always and more so during this period.

iii

Table of Contents
Declaration ....................................................................................................................................... i
DEDICATION ................................................................................................................................ ii
ACKNOWLEDGEMENT ............................................................................................................. iii
Table of Contents ........................................................................................................................... iv
Abbreviations and acronyms.......................................................................................................... vi
Abstract ......................................................................................................................................... vii
CHAPTER ONE: INTRODUCTION ............................................................................................. 1
Background information ................................................................................................................. 1
Problem statement ........................................................................................................................... 3
Justification ..................................................................................................................................... 3
Objectives of the study.................................................................................................................... 4
Broad objective ............................................................................................................................... 4
Specific objectives .......................................................................................................................... 4
Research question ........................................................................................................................... 4
Hypothesis....................................................................................................................................... 4
Limitations of study ........................................................................................................................ 5
Delimitations of the study ............................................................................................................... 5
Description of terms ........................................................................................................................ 5
CHAPTER TWO: LITERATURE REVIEW ................................................................................. 6
Prevalence of complications with Contraceptives .......................................................................... 7

iv

Prevalence of complications with IUCD use in developing countries ........................................... 8
Counseling ...................................................................................................................................... 8
Counseling and informed choice .................................................................................................... 8
Counseling and contraceptive use continuity ................................................................................. 9
Counseling and client satisfaction .................................................................................................. 9
Counseling and effective use of contraceptive method .................................................................. 9
Screening......................................................................................................................................... 9
CHAPTER 3: METHODOLOGY ................................................................................................ 10
Study design .................................................................................................................................. 10
Place of study ................................................................................................................................ 10
Study population ........................................................................................................................... 10
Sampling procedure ...................................................................................................................... 11
Sample selection ............................................................................Error! Bookmark not defined.
Inclusion criteria: .......................................................................................................................... 12
Exclusion criteria: ......................................................................................................................... 12
Data collection method ................................................................................................................. 12
Qualitative data collection .............................................................Error! Bookmark not defined.
Data processing and analysis ........................................................................................................ 13
ETHICAL CONSIDERATION .................................................................................................... 13
CHAPTER 4: RESULTS ...............................................................Error! Bookmark not defined.
References ..................................................................................................................................... 13
APPENDICES ...............................................................................Error! Bookmark not defined.
Appendix 1 .....................................................................................Error! Bookmark not defined.
Appendix 2 .....................................................................................Error! Bookmark not defined.
Appendix 3 .....................................................................................Error! Bookmark not defined.
v

Work plan.......................................................................................Error! Bookmark not defined.
Budget ............................................................................................Error! Bookmark not defined.
Maps ...............................................................................................Error! Bookmark not defined.

Abbreviations and acronyms

BP- Blood Pressure
COC -Combined Oral Contraceptives
CPR-Contraceptive prevalence rate
DMPA-Depot-Medroxyprogesterone Acetate
EC- Emergency Contraceptive
FP- Family Planning
HIV-Human Immunodeficiency Syndrome
FAM- Fertility Awareness Methods
GATHER- Greet, Ask, Tell, Help, Explain, Return
IUCD- Intra Uterine Contraceptive Device
MOH- Ministry of Health
NCRH-Narok county referral hospital
PID- Pelvic Inflammatory Disease
POI -Progestin Only Injectable
POP- Progestin Only Pills
RH- Reproductive Health
STI- Sexually Transmitted Infections
TB- Tuberculosis
TL- Tubal Ligation
UK- United Kingdom
vi

WHO- World Health Organization

Abstract
Family planning clients should be counseled and screened before they choose a contraceptive
method following Kenya National Reproductive Health policy. Proper FP and guidance will do a
great improvement among Narok town residents. Furthermore, given the large family size nature
of the Maasai community, who are the major natives of Narok county, implementation of
effective family planning will go a long way into improving the family sizes. It was even evident
that the majority of the mothers who came seeking family planning services were below the age
of 18. If well implemented, many of these young mothers will surely benefit as there will be
more of uptake and utilization of FP. It will also improve on the health care provision and
expenditure as it will improve the livelihood of those living the hand to mouth life with the aim
of achieving the vision 2030, given the proper children spacing that comes with FP in the
families in Narok county and the country as a whole. Those attending both the antenatal and
maternal child health care clinic should als...


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