Undergraduate Research Reports & Masters Dissertations

Permanent URI for this collectionhttps://research.unilus.ac.zm/handle/123456789/447

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A study to determine the factors contributing to the rise in malaria prevalence in Mumbwe District of Zambia
(University of Lusaka, 2023) LUMAI, Robert
Malaria is a common and life-threatening disease caused by a plasmodium parasite, transmitted by the bite of infected mosquitoes in many tropical and subtropical areas. Malaria is caused by the protozoan parasite called Plasmodium. Human malaria is caused by four different species of Plasmodium namely P. falciparum, P. malariae, P. ovale and P. vivax. There are two categories of malaria infections namely uncomplicated and severe or complicated infection. Uncomplicated malaria lasts 6-10 hours and it consists of a cold stage, a hot stage and a sweating stage. This study sought to assess the factors that contribute to the rise in malaria prevalence in Mumbwa District. The study used quantitative research using descriptive cross-sectional study on 39 participants. The respondents were knowledgeable of the importance of using treated bed nets, the time of using it, types of nets and source of information pertaining to LLINs utilization. In this study the utilization of ITNS for respondents has shown that majority of them (74percent) were using bed nets when they went to sleep, while only a few (17percent) who were not using bed nets in regular bases during their sleep. A higher malaria prevalence is associated with a number of factors that lead to lowered malaria transmission, like increased literacy levels, higher access to malaria health awareness campaigns and health education, as well as being able to afford disease prevention methods and treatment. According to the present study, 72.3% of participants had a history of malaria infection however, only 26 were infected with malaria. In particular, individuals who had a family history of malaria were 1.53 times more likely to be infected by Plasmodium species compared to their counterparts (p < 0.00). The result showed that malaria is still one of the most serious public burdens in the study area. The main infection factors linked to the infection in the study area were age, sex, marital status, family size, use of LLIN and IRS, presence of mosquito breeding sites, and openings on their wall/roof. In addition, the main reason for rejecting LLIN is misconceptions about the toxicity of the treated net. The burden of malaria could be reduced by focusing on changing the attitudes towards malaria prevention and control through continued health education.
Adherence to Occupational Health and Safety Practices at Konkola Copper Mines, Chililabombwe District Zambia
(University of Lusaka, 2023) NALWAMBA, Patience Mbughi
In the majority of emerging nations, the modern period of globalization, fast industrialization, and urbanization have emerged as twin brothers. ILO standards on occupational safety and health provide essential tools for governments, employers, and workers to establish safe practices for providing maximum safety at work. The ISO 45001 standard serves as the foundation for the mining sector's occupational health and safety management systems in Zambia. It is probable that about 2.2 million people die annually from work related accidents and diseases, and a further 270 million workers fall victims of nonfatal occupational injuries. This results in substantial human and economic costs to workers and their families, employers, and society. The objective of this study was to assess the occupational health and safety practices at konkola copper mines. A facility based cross-sectional study was used among KCM underground miners prior to the study in 2023 in Chililabombwe district. A structure questionnaire was used to collect data. The data was analysed using STATA. The minimum age of respondents was 22 years old and the maximum was 56 years old with the mean age of 36.8 (SD=6.8) years. The majority of the participants 90(23.7%) were between 31-40 years old. Females were the most responds who adhered to occupational health and safety guidelines 43(82.69) compared to males with (28.57). The majority of respondents attended Primary (50.00) education level who adhered to occupational health and safety guidelines compared to those who attended secondary and university (33.33) and (16.67) respectively. The study concluded that there was awareness of emergency procedures and accident reporting and investigation vital for some enhancement. In general, the findings emphasize the significance of continuous education and preparation to maintain a safe and sound workplace, as well as the importance of ongoing observation and evaluation of workplace security strategies and practice. It may be necessary to enforce stricter adherence to safety guidelines and the use of personal protective equipment in order to improve safety and cut down on accidents. Training on safety rules and how to use personal protective equipment (PPE) should be given more frequently and more thoroughly.
An Assessment of Menstrual Hygiene Management among Adolescent School Girls in Mazabuka District and the Impact on their Education
(2023) MOONDE, Linda
Adolescence is a time of transition from childhood to maturity, and during this time, various changes such as menstruation take place. Menstruation is the regular flow of blood through the vaginal cavity that coincides with the shedding of the uterine mucosa. (Oyebola, 2002). Menstruation is a normal and healthy physical process for girls and women in their reproductive years however managing it presents a number of difficulties that are primarily brought on by negative cultural perception. Menstrual cycle is stigmatized in most societies and possesses hindrance to women and girls especially where participation in community activities is concerned. Menstruation tends to demoralize young girls and burden them with emotions of guilt, humiliation, and worthlessness, especially for those who may not know how to maintain the best hygiene which affects their school performance. The objective of the study was to assess the menstrual hygiene management among adolescent school girls in the district and its impact on their education. A quantitative cross-sectional study was used to conduct this research; data was collected through self-administered questionnaire which was then analyzed using SPSS version 16, the sample size (91) was obtained using Yamane formula. The study made use of multi-stage and random sampling methods in the selection of study participants. It was found that the largest number of respondents (57.3%) had family members more than five while the least number of respondents (42.7%) had family members less than 5, additionally 66.3 % were able to purchase sanitary pads while 33.7 could not manage. In relation to their knowledge on menstruation 100 % of the respondents had knowledge on the importance of bathing during menstruation however, 85.4% of the girls said menstrual blood was unclean, and 2.2% were not sure. 96.7% of those surveyed said agreed that hormonal changes in the body were to blame for menstruation. One-fourth of the respondents were not sure of the origin of menstrual blood, while 55.5% named the womb, 15.6% the abdomen, and 13.3% the bladder. The findings also indicate that 57.3% of the respondents were not frowned upon discussion of periods, 25.3 % gave correct answer about presence of harmful substances in their menses. Due to cultural differences 17.8% of the respondents did not bath regularly while on periods consequently, 37.1% demonstrated that they were missing from school because of feminine cycle and 43.8% detailed that they missed school because of period for 1-4 days in a month. More than half (51.6 %) of the respondents missed game or play because of period, while 27.3 % of the girls concurred that feminine cycle impeded them from walking far. Majority (57.6%) also indicated lack of menstrual resources such as water, 51.7 had no access to soap and 67.3 of the respondents were not able to purchase disposable sanitary pads. It was concluded that social factors affect knowledge, attitudes, and practices related to menstrual hygiene management among adolescents in peri-urban schools, Culture, lack of knowledge and economic reasons have greater impact on menstrual hygiene among school going children, hence government and key stakeholders need to put up measures into ensuring that schools have a girl-friendly environment, where resources like running water, soap, and sanitary facilities are available.
An assessment of peer dynamics and parental influence on substance Abuse in youths of Mpatamatu, Luanshya district: A cross-section study
(2026) Mpundu, Ethel
Substance abuse among youth is a growing global concern, particularly in low-income and developing regions. In Zambia, like in many other parts of the world, adolescent substance abuse has emerged as a pressing issue with long-term implications for public health, education, and social development. Mpatamatu, a residential area in Luanshya, Zambia, faces a rising incidence of substance abuse among its youth. This research aims to assess the influence of peer dynamics and parental relationships on substance abuse behaviours in this community. Substance abuse during adolescence can be a consequence of various factors, but peer pressure and parental influence have been identified as two of the most significant contributors. Peer influence involves the impact that friends or peers have on an individual’s decision-making process, while parental influence pertains to how family relationships, values, and behaviours shape youth attitudes toward substances. Understanding these dynamics in the context of Mpatamatu can provide insights into the root causes of substance abuse and inform effective interventions.
An Assessment of risk factors associated with Preeclampsia among Antenatal Clients at Ndola Teaching Hospital
(University of Lusaka, 2026) MISAPA, Chomba
Pre-eclampsia is a major hypertensive disorder in pregnancy and among the leading cause of maternal morbidity and mortality in sub-Sahara Africa. However, evidence on the burden and associated risk factors especially in tertiary level hospitals in Zambia remains limited. Therefore, this study aimed to determine the risk factors associated with preeclampsia among antenatal clients at Ndola Teaching Hospital for the period January 2023 to December 2024. This was a cross-sectional study that was conducted at Ndola Teaching Hospital (NTH) by utilizing 440 maternity records from January, 2023 to December 2024. Data on social demographic characteristics, obstetric history, and clinical factors were extracted using a data extraction tool. Descriptive statistics were used to summarize participants characteristics and estimate the prevalence of pre-eclampsia. Bivariate analyses and multivariate logistics regression analysis to identify factors associated with pre-eclampsia. Model fit was assessed using Hosmer-Lemeshow goodness of fit test and variance inflation factor (VIF) analysis was conducted to determine multicollinearity. Statistical significance was set at p < 0.05. The prevalence of pre-eclampsia was 14.1% among the reviewed records. Factors associated with pre-eclampsia included maternal age less than 20 (AOR 2.7, CI 1.02 - 3.87, p = 0.04), maternal age more than 35 (AOR 2.9, CI 1.05 - 4.74, p = 0.03), previous history of preeclampsia (AOR 3.2, CI 1.57 - 6.56, p < 0.001), multiple pregnancy (AOR 2.4, CI 1.03 - 5.74, p value = 0.04), obesity (AOR 2.87, CI 1.48 - 5.56, p value < 0.001), chronic hypertension (AOR 4.1, CI 2.02 - 8.23, p value <0.001), and history of diabetes mellitus (AOR 2.6, CI 1.06 - 6.45, p value = 0.03). Socio-demographic factors such as education, residence, and HIV status were not associated with pre-eclampsia. Pre-eclampsia remains a burden at Ndola Teaching Hospital with a relatively high prevalence with identifiable maternal and clinical risk factors. Pre-eclampsia, obstetric factors, maternal factors, clinical factors, antenatal care
An Assessment of Sexual and Reproductive health - seeking behaviours among female students at Chipata College of Nursing and Midwifery in the Eastern Province of Zambia
(2026) TEMBO, Ivert
This study was conducted to assess the SRH-seeking behaviours of female students at Chipata College of Nursing and Midwifery in the Eastern Province of Zambia. The study used a qualitative approach to collect diverse views on the SRH-seeking behaviours of the participants using in-depth interviews. Cumulatively, the sample size, which was purposely drawn from three study cohorts, was 24 female students, i.e., 8 from each study cohort. On SRH advice from parents/guardians, most participants, especially those from rural areas, did not discuss issues of SRH with their parents or guardians because of their perceived beliefs in cultural and traditional norms, but those from the urban areas discussed a lot about SRH matters with their parents/guardians. Regarding SRH services accessed, participants from rural areas appreciated the pregnancy prevention services, while those from urban areas appreciated the contraception services. Among service providers consulted, most participants consulted private health facilities on sexual and reproductive issues, followed by those who consulted their peers and a youth-friendly health centre. Regarding challenges participants faced, most participants said that negative attitudes from some healthcare practitioners were a big problem, followed by those participants who saw a lack of confidentiality/privacy as another problem. On recommendations, all participants made recommendations on how to improve the sexual and reproductive health services at the college, with the majority recommending an improvement in attitudes of some health practitioners, followed by a recommendation on adherence to confidentiality and privacy norms. SRH services at Chipata College of Nursing and Midwifery were a concern as they affected female students’ choices, which ultimately affected their lives morally and educationally. The Ministry of Health and cooperating partners should design and implement youth-friendly SRH policies that can create a more supportive environment for female students.
An Assessment of the Effects of weather variability on Malaria Transmission Patterns in North-Western Province, Zambia in the period of 2017 to 2024
(2026) HIMOONGA, Nchimunya
Malaria whose transmission is facilitated by Anopheles female mosquitoes has remained a major public health. Global malaria cases have increased in the recent years rising from 229 million in 2019 to 249 million in 2022 with over 95% of cases and deaths occurring in sub-Saharan Africa. Globally, Zambia accounts for 1.4% malaria burden with a record of 11 million cases in 2023. Evidence shows that climate change, through shifts in temperature, humidity and rainfall significantly affect malaria transmission by influencing mosquito breeding. Regional impacts, however, particularly in North-western province remain underexplored. The aim of the study was to investigate the impacts of weather variability on malaria transmission patterns in North-western province, Zambia. Malaria incidence data was collected from Ministry of Health while weather variables data was sourced from the Zambia Meteorological Department. Excel was used to manage, clean and analyse the data. Monthly weather variables and malaria cases were summarised using means, standard deviations, and frequencies using STATA software. Pearson’s correlation test was used to measure the strength and direction of the relationship between weather variables and malaria incidence. Negative binomial regression was run to determine the influence of weather variables on malaria incidence. Malaria incidence showed strong seasonality, with peaks during the rainy season and lower levels in the dry months. Precipitation and relative humidity exhibited high seasonal variability, while temperature and wind speed remained relatively stable. Time-series analysis revealed a substantial increase in malaria cases from 2020, with a sharp surge in 2022–2023 followed by stabilization. Although regression and correlation analyses showed weak and statistically non-significant associations between malaria incidence and individual climatic variables, descriptive and temporal patterns suggest that rainfall and humidity are key drivers of seasonal malaria transmission, with temperature and wind speed acting as moderating factors. In conclusion, malaria transmission in North-Western Province is strongly seasonal and primarily influenced by rainfall and humidity, while temperature and wind speed play moderating roles, underscoring the need for integrated climate-informed and socio-economic malaria control strategies.
An Assessment of the impact of Alternative Banking Channels on Financial Performance of Commercial Banks in Zambia
(2026) MWALE, Chikumbutso
The purpose of this study was to assess the impact of alternative banking channels (ABCs) on financial performance of Commercial Banks in Zambia which includes Internet banking, mobile banking, agency Banking and automated teller machines (ATMs), focusing on Stanbic Bank, First National Bank Zambia, and Zanaco from 2021 to 2023. The findings of the study confirmed that alternative banking channels exert a statistically significant and positive influence on the financial performance of commercial banks in Zambia. This suggests that the ongoing digital transformation in Zambia’s banking sector is generating measurable financial benefits, and that banks that invest in diverse and integrated alternative banking channels stand to achieve superior financial performance. Anchored on financial intermediation theory and agency theory, the research adopted a quantitative approach with a correlational research and causal-comparative design. Secondary data was sourced from various sources such as Bank of Zambia publications and banks’ annual reports. These were analyzed using panel regression, descriptive statistics and correlation matrix techniques through MS Excel and SPSS. The findings of the study revealed a statistically significant positive relationship between financial performance and Alternative Banking Channel adoption. Mobile banking showed stronger marginal effect (coefficient = 0.041, p = 0.000), followed by the aggregate Alternative Banking Channel index (coefficient = 0.468, p = 0.000). Agency banking, ATMs and internet banking also positively contributed to Banks net profits. However, cybersecurity risks, infrastructural deficits, and limited financial literacy constrain Alternative Banking Channels effectiveness. The study recommends enhanced financial literacy initiatives and more investments in digital infrastructure to maximize the benefits of Alternative Banking Channels and contribute to policy formulation and academic discourse in Zambia’s banking sector.
An exploration of factors leading to improper electrical waste disposal in Matero, Lusaka Province
(2022) PEREIRA, Owen
E-waste refers to electrical/Electronic gadgets that are discarded or no longer of use by the purchaser (Sansa-Otim et al. 2012). The rapid climb in electronic and IT trade has increased the volumes of e-waste in Zambia. In most urban areas, “due to uncertainty of the ways to treat e-waste, when electronic products reach their end life, electronic junks lie unattended in shops, offices, homes, etc and is commonly mixed with family waste, that is finally disposed of at waste disposal points which may be hazardous as the e-waste is not sorted and separated.” In this context, the research aims to explore the factors that lead to improper disposal of e-waste in Matero. The study utilized a qualitative approach and made use of a cross-sectional study design, data was collected through interview guides and was analyzed through themes and coding. The sample size was 31 and the sampling technique used was purposive sampling. The data collected was analyzed thematically (Thematic analysis). It was found that (6%) had attended primary education, (65%) had attended secondary education and (29%) attained tertiary education. Despite majority attaining some level of education, majority of the participants had little or no knowledge on e-waste management. Knowledge on e-waste was highly dependent on the level of education. The study also revealed that most participants were not aware about e-waste, whereas only a few had an idea on what e-waste was and social factors such as knowledge and education played a pivotal role in management of e-waste as most participants did not know what e-waste was, as e-waste was treated like any other waste. Furthermore, most participants stated that economic factors such as income and infrastructure influenced the management of e-waste, as it was highlighted that the indiscriminate disposal of e-waste is because of the lack of adequate infrastructure and that income is the reason why there is more e-waste in the area and people don't mind the management of e-waste because they know less about its effects as they are only trying to earn a living by dealing with it. Lastly it was noted that personal factors such as attitudes tend to influence the behaviour and practice of waste management in Matero. The study concluded that social, economic, and personal factors do indeed play a pivotal role in influencing the proper management of e-waste in Matero.
Assessing Factors associated with Stress among Nursing Students at Choma College of Nursing in Choma District
(University of Lusaka, 2023) HAZEMBA, Natasha
Stress is a sensation of emotive or physical pressure (MedlinePlus , 2022). Stress can originate from any incident or thought that makes one feel unfulfilled, annoyed, or anxious. Stress is also defined as any type of adjustment that causes physical, emotive, or psychological tension (Scott, 2022).This research assessed the factors associated with stress among nursing students at Choma College of Nursing. The researcher explored, academic factors, personal factors, environmental factors and stress levels. The main objective was to identify risk factors associated with stress among nursing students of Choma College of Nursing. The study espoused a quantitative study approach and the study design engaged was in this study was a cross-sectional study as it is considered the most operative when looking at factors associated with stress among nursing students. Data was collected using a structured survey and a professed stress scale for measuring stress levels for the stress scores was used. From the results obtained 79.6% of the sampled population showed high levels of stress and 20.4% showed moderate levels of stress. Among the sampled no participant showed low levels of stress. The study had more female participants 54.6% than males 45.4%. The findings showed academic factors, examinations to be the most stressful factor among the study participants though the results were statistically insignificant with a p-value 0.949>0.05 which showed that there was no significant difference between the two groups (stress and examinations). Majority of the participants were above 20 years 77.6% and less than or equal to 20 years 22.4%, with mean age 24.32 and standard deviation 4.91622 of which the minimum age was 17 and maximum 40. The study consisted of the 1st, 2nd and 3rd years of which the majority of the students were the 3rd years 50.0%, 2nd year 31.6% and 1st years 18.4%. This study provides some unique evidence that stress at Choma College of Nursing is prominent among students and is mostly as a result of academic factors. Academic factors such as examinations, workload and assignments were reported as the most cause of stress among the students. High levels of stress have been under looked among students because there are no infringements that have been executed to help nursing students deal with stress in their learning environment.
Assessing Health Insurance (NHIMA) coverage of retired patients and their access to health care at Levy Mwanawasa Hospital
(2026) CHANDA, Bupe Mubanga
In Zambia access to healthcare among retirees remains a major concern particularly regarding enrolment and utilization of the NHIS, despite the number growth limited empirical data exists on how retired individuals navigate through healthcare services at Levy Mwanawasa Hospital. In Zambia this transition poses additional challenges as retirees often struggle to have access to health services, although this scheme was introduced to promote equitable and affordable healthcare for all Zambian citizens. Despite a growing number of retirees joining NHIMA, empirical evidence remains limited regarding how patients navigate healthcare under this system, particularly with high volume public hospitals such as Levy Teaching Mwanawasa Hospital. This study adopted a qualitative method was used as an explorative and descriptive design to gain in depth insight into the lived experiences of retired patients aged 60 and above. Data was collected through interviews with purposively selected participants. Data was collected through interviews with purposively selected participants. The thematic analysis was used to analyze the data, well-structured questionnaires were administered to individuals that were willing to participate and express their perceptions, challenges and expectations in details, thematic analysis was also used to analyze the data that was collected. This study revealed a widespread of gaps in health insurance literacy among retirees, with many unsure about how NHIMA operates or how to access its benefits. Low literacy levels proved to be high and often resulted in confusion, delays and underutilization of services available. Additionally, retirees highlighted persistent systematic barriers which included drug stockouts, long waiting hours, perceived negative attitudes among healthcare workers and inconsistent communication. Although some patients acknowledged improvements in financial access due to the health insurance coverage. The Ministry of Health should allocate adequate funding to NHIMA-accredited facilities to prevent drug shortages and ensure timely procurement of essential commodities. The Ministry of Health should strengthen health insurance education for adults, both at community level and also during hospital visits. Furthermore, staff training on customer care and customer service health insurance processes in order to reduce misinformation by Strengthening, accountability mechanisms which will help address the necessary gaps and support progress towards universal health coverage.
Assessing Infection Control Practices Among Health Care Workers At Levy Mwanawasa University Teaching Hospital: A Knowledge, Attitudes And Practice Study
(University of Lusaka, 2025) KHOTA AMMAARAH
This study investigates the knowledge, attitudes, and practices (KAP) regarding infection prevention and control (IPC) among healthcare workers at Levy Mwanawasa University Teaching Hospital. The primary aim was to evaluate how these dimensions interact and influence IPC compliance, with a specific focus on role-based differences and structural barriers. A cross-sectional design was employed, involving 30 healthcare workers across various roles. Data were collected using structured questionnaires and analyzed using descriptive and inferential statistics. Findings revealed high knowledge levels (M = 2.90/3) and positive attitudes (M = 1.70/2), yet practice scores were more varied (M = 3.00/5). Notably, attitude significantly correlated with practice (r = .35, p = .047), while knowledge did not. Practice scores differed significantly by job role (F(3,26) = 5.67, p = .004), with nurses exhibiting the highest compliance. Structural barriers such as lack of resources (53%) and high patient loads (30%) emerged as critical deterrents to IPC adherence. These results underscore the importance of targeted, role-specific interventions that go beyond knowledge dissemination. Enhancing attitudes, improving resource availability, and implementing structured monitoring systems are recommended to strengthen IPC adherence and safeguard patient safety.
Assessing Sustainable Practices in Managing Mineral Processing Residues: An Analysis at Mopani Copper Mines, Mufulira District
(University of Lusaka, 2025) MAMBO, Namasiku Yvonne
Environmental sustainability is a crucial concern in the mining industry, particularly in Zambia, where mining plays a significant role in the national economy. This study examines the sustainability of mineral processing water disposal at Mopani Copper Mines, focusing on four key environmental practices: pollution prevention techniques, resource efficiency practices, ecosystem protection measures, and waste minimization strategies. The study aims to determine how these practices influence sustainable water disposal and contribute to minimizing the environmental impact of mining activities. A quantitative research approach was adopted, utilizing a structured questionnaire to collect data from 120 respondents working at Mopani Copper Mines. The analysis involved descriptive statistics, correlation analysis, and regression modeling to assess the relationship between environmental practices and sustainable water disposal. The findings revealed that resource efficiency practices and ecosystem protection measures had the most significant impact on sustainable water disposal, while pollution prevention techniques and waste minimization strategies also played a role but with less pronounced effects. The study concludes that improving resource efficiency and ecosystem protection initiatives is critical in achieving sustainable mineral processing water disposal. It recommends increased investment in advanced water recycling technologies, enhanced pollution monitoring systems, and stricter enforcement of waste management policies. Future research should explore the long-term effectiveness of these environmental practices and examine their broader impact across the Zambian mining sector. Keywords: Environmental Sustainability, Mining, Water Disposal, Resource Efficiency, Pollution Prevention, Waste Management, Ecosystem Protection
Assessing the Effectiveness of Waste Management Units Garbage Collection Systems in Kabwata Constituency,in Lusaka City, Zambia
(University of Lusaka, 2025) CHONGO, Chisomo
Globally, effective waste management is a cornerstone of sustainable urban development, mitigating public health risks and minimizing environmental degradation. However, many cities, especially in low- and middle-income countries, face persistent challenges in achieving efficient garbage collection systems. Effective waste management systems are critical for ensuring urban cleanliness, public health, and environmental sustainability. This study employs a structured qualitative case study design to assess the effectiveness of waste management units in delivering garbage collection services in Kabwata Constituency, Lusaka City, Zambia. The research focuses on evaluating operational efficiency, community satisfaction, environmental sustainability, and compliance with national waste management regulations. Data was gathered through semi-structured interviews with stakeholders, direct field observations, document reviews, and thematic analysis of responses from residents. The findings reveal systemic inefficiencies within waste management units. Operational challenges include irregular garbage collection, reported by 60% of respondents, and limited service coverage, with under 75% of households availed services. Community dissatisfaction with inconsistent collection schedules and the lack of environmentally sustainable practices were prominent concerns. Additionally, the study highlights inconsistent adherence to national waste management policies, particularly in low-income areas. The study concludes that while waste management units fulfill a vital role, their effectiveness is hindered by logistical and structural barriers. Recommendations include enhancing operational capacity through investment in equipment, expanding service coverage to underserved areas, and promoting sustainable practices in waste management operations. This research contributes to a deeper understanding of the systemic challenges faced by urban waste management units and offers actionable recommendations to policymakers and stakeholders aiming to enhance service delivery and environmental outcomes in similar urban contexts. Key Phrases: Effective waste management, Garbage collection systems, Operational efficiency, Environmental sustainability, Community satisfaction, Policy enforcement.
Assessing The Efficacy Of Modern Medicine Compared To Herbal Medicine In Treating Diabetes Mellitus Type 2 Patients At Levy Mwanawasa Hospital
(University of Lusaka, 2024) MURAMBIWA MELISSA
Type 2 Diabetes Mellitus (T2DM) is a growing public health concern in Zambia, with many patients turning to both modern and herbal treatments for management. Understanding the comparative effectiveness, adherence, and safety of these options is essential for improving patient outcomes. This study aimed to compare the efficacy, adherence, and side-effect profiles of modern and herbal medicines in managing T2DM at Levy Mwanawasa Hospital. A mixed-methods cross-sectional study was conducted among 50 T2DM patients, 30 using modern medicine and 20 using herbal remedies. Quantitative data were collected through structured questionnaires and analyzed using descriptive statistics and inferential tests (t-tests and chi-square). Qualitative data were obtained via open-ended questions and thematically analyzed. Modern medicine users reported significantly higher perceived effectiveness (mean score: 4.1) compared to herbal users (mean score: 2.9; p < 0.001). Adherence was also higher in the modern group (75%) than in the herbal group (40%; p = 0.018). However, the modern group experienced a higher frequency of side effects (50% vs 20%; p = 0.024). Qualitative findings revealed that cultural beliefs, cost, and perceived natural safety influenced herbal use, while modern medicine was favored for its reliability and clinical support. Modern medicine appears more effective and better adhered to in managing T2DM, though it is associated with more side effects. Herbal remedies are perceived as safer but less effective and inconsistently used. A culturally sensitive, integrative approach combining biomedical care with validated traditional practices may enhance diabetes management in Zambia.
Assessing the Factors Influencing Hypertension Self-Management Practices among Adults in Urban Lusaka: A Cross-Sectional Study
(2026) KALYONDO, Jonathan Musonda
Hypertension remains a significant public health challenge in urban Lusaka, contributing to high morbidity and mortality, a trend evidenced by the steady increase in reported cases. Effective management is crucial, yet poor control indicates potential gaps in individual selfcare. To assess the factors influencing hypertension self-management practices among adults in urban Lusaka. A cross-sectional study was conducted among 151 adults diagnosed with hypertension. Convenience sampling was used to select Kanyama, Chawama and Matero Level 1 Hospitals while a stratified random sampling technique was used to select study participants. Data was collected using a self-administered questionnaire. SPSS version 25 was used to analyse data. Before data collection, ethical approval was obtained from university ethics committee and National Health Research Authority. The findings revealed a moderate overall knowledge level among participants (mean score of 67.9%), with a high standard deviation (20.63) indicating significant variability. While most respondents (90%) understood the general seriousness of the condition. Attitudes were moderately positive (mean 3.58), with strong agreement on seriousness, exercise, and medication importance. In conclusion a significant gap exists between what adults with hypertension in urban Lusaka know and how they actually manage the condition. High non-adherence rates are largely driven by structural barriers such as medication cost and accessibility, behavioural challenges like forgetfulness and low self-efficacy, and weak patient follow-up systems. To improve hypertension control, the study recommends sustained, targeted health education, stronger patient counselling to build confidence, and practical interventions to reduce barriers to medication adherence. Key Words: Knowledge, Attitude, Practice, Hypertension, self-medication
Assessing The Impact Of Interdepartmental Communication On Patient Mortality At Levy Mwanawasa Teaching Hospital
(University of Lusaka, 2025) Lubemba Lupando Bupe
Effective communication between hospital departments plays a critical role in patient safety and care outcomes. At Levy Mwanawasa University Teaching Hospital, gaps in interdepartmental communication may be contributing to preventable patient mortality. This study draws on Systems Theory, Social Exchange Theory, and Human Error Theory to explore how communication failures within hospital systems affect patient outcomes. The objective of this study was to assess the impact of interdepartmental communication on patient mortality and to identify communication-related challenges and potential solutions within the hospital setting. A qualitative research design was employed, using open-ended survey questions distributed to healthcare professionals, including doctors, nurses, and technicians. The responses were analyzed thematically to identify recurring issues and insights regarding communication practices and their influence on patient outcomes. The analysis revealed recurring challenges such as inadequate communication tools, delayed departmental responses, lack of structured training, and poor coordination during emergencies. Participants emphasized the need for regular interdepartmental meetings, reliable communication devices, and a work culture that encourages staff to voice concerns about patient safety. Although the study did not quantify the relationship between communication and mortality, the qualitative evidence indicates a strong association between poor communication and preventable patient deaths. The study recommends implementing structured communication frameworks like SBAR, investing in modern communication technologies, and enhancing staff training. These measures are essential for improving interdepartmental communication and ultimately reducing patient mortality.
Assessing The Incidence And Risk Factors Of Postpartum Haemorrhage In Pregnant Women At Levy Mwanawasa University Teaching Hospital
(University of Lusaka, 2025) SEBIKIRI KEMO ONE
Postpartum haemorrhage (PPH) is the leading cause of maternal mortality and an obstetric emergency that complicates 1-10% of all deliveries and require appropriate training for effective prevention, recognition and management. The aim of this study is to assess the incidence and risk factors of postpartum haemorrhage among pregnant women at Levy Mwanawasa University Teaching hospital. The main objective of the study was to determine the incidence of postpartum haemorrhage among patients delivering at Levy Mwanawasa University Teaching Hospital. This was a retrospective cohort study with a quantitative approach of 278 medical files. The data was analysed using SPSS version 26 and Microsoft excel and was presented in the form of frequency tables, bar charts, pie charts and histograms. The findings from an analysis of 203 medical records, revealed that 13.8% (28 cases) developed PPH. The majority of affected women were under 30 (82.2%), particularly those aged 25 to 29 (53.6%). Most PPH patients were Gravida 3 (39.3%) and Para 2 (35.7%). PPH primarily occurred at term (35.7%) and at 37 weeks of gestation (21.4%), with most deliveries being spontaneous vaginal births (89.3%). Prolonged labor emerged as the main clinical risk factor, affecting 35.7% of cases. The outcome was generally positive, with 92.9% of women discharged and only 7.1% resulting in death. Regression analysis indicated that age (p = 0.002) and gestational age (p < 0.001) were significant predictors of PPH, highlighting that younger and preterm patients are at greater risk.
Assessing the influence of Socio demographic factors on stunting among underfive children in Chabanyama Compund, Chingola: A cross-sectional study
(2026) MUWOWO, Agness
Stunting among under-five children is a persistent public health concern in Sub Saharan Africa, including Zambia, contributing to impaired growth, cognitive deficits, and poor school performance. Socio-demographic factors such as parental education, household size, employment status, and maternal age have been identified as key determinants of child nutritional status. This study aimed to assess the influence of socio-demographic factors on stunting among under-five children in Chabanyama Compound, Chingola, Zambia. A cross-sectional analytical study was conducted among 262 under-five children and their caregivers. Data were collected using structured questionnaires and child health records. Descriptive statistics were used to summarize socio-demographic characteristics, while Pearson’s Chi-square tests were applied to examine associations between stunting and socio-demographic variables. Statistical significance was considered at p < 0.05. The study found that 52.3% of the children were female, and the majority of mothers (44.3%) had attained secondary education. Most households (68.3%) had four or more members, and 58.8% had an average monthly income of less than 5000 ZMW. Stunting prevalence in the study population was 20.6%. Chi-square analysis revealed no statistically significant associations between stunting and maternal education (p = 0.352), paternal education (p = 0.315), maternal age at childbirth (p = 0.447), maternal employment status (p = 0.326), paternal/guardian employment status (p = 0.789), household size (p = 0.342), number of children under five (p = 0.926), or household income (p = 0.103). Stunting in Chabanyama Compound is moderately prevalent, but socio demographic factors such as parental education, maternal age, employment status, and household size did not show significant associations with stunting in this study. These findings suggest that other factors, including feeding practices, access to health services, and environmental conditions, may play a more prominent role in influencing child nutritional outcomes. Multi-sectoral interventions targeting nutrition education, health service accessibility, and household food security are recommended. Keywords: Stunting, Under-five Children, Socio-demographic Factors, Household Size, Parental Education
Assessing the knowledge and attitudes associated with abortion among female students at the University of Lusaka
(University of Lusaka, 2025) NAMBEYE, Temwa
Abortion is an issue of public health concern as there are millions of induced abortions being recorded each year globally. The biggest problem about abortion is that most of them are unsafe and they contribute to 13% of maternal related deaths worldwide. There have been efforts to address unsafe abortion such as the introduction of comprehensive abortion care by the World Health organization, however, there is still a large number of women who resort to unsafe abortion due to different factors. In Zambia, abortion was legalized under the termination of pregnancy (TOP) act but despite this intervention, comprehensive abortion care remains inaccessible to most women in Zambia. To assess the knowledge and attitudes associated to abortion among female students at the University of Lusaka. This was a qualitative study conducted at the University of Lusaka, Leopards hill campus and convenience sampling was used to select the sample. Data collection was done by carrying out in-depth interviews and thematic analysis was used to analyze the data. Results of the study indicate that female students the University of Lusaka have sufficient and good knowledge on the causes of abortion and the consequences of unsafe abortion. The results revealed that most of the female students had adequate knowledge on the legality of abortion in Zambia and that they have a positive attitude towards safe abortion. The factors in the conceptual framework that were associated to the knowledge and attitudes that one would have towards abortion were discussed and they include age, level of education and religion. The results of the study indicate that knowledge and attitudes towards abortion were related to age, level of education and religion.