Abstract

Puerperal sepsis remains a significant health concern in regions with limited access to
quality healthcare, contributing to elevated maternal morbidity and mortality rates. Uganda
is no exception, where cases of puerperal sepsis lead to higher-than-average percentages of
maternal health issues. The prevalence of this condition varies across regions, influenced
by patient and healthcare-related factors. However, there is a dearth of information on the
specific factors contributing to puerperal sepsis in Ugandan hospitals, including Hoima
Regional Referral Hospital. This study aimed to address this knowledge gap by assessing
the factors contributing to puerperal sepsis in Hoima Regional Referral Hospital, Hoima
district. A descriptive case study involving 335 women of reproductive age at the hospital
employed a researcher-administered questionnaire to collect data. The prevalence of
puerperal sepsis was found to be 12.48%. Factors significantly contributing to puerperal
sepsis included giving birth outside a hospital setting, advanced age, parity, and poor
hospital and personal hygiene. These contributing factors are largely preventable,
emphasizing the need for collaboration among stakeholders, including patients,
communities, and hospitals, to prevent puerperal sepsis. Furthermore, increased research
funding from the government can support further investigations in this field, ultimately
reducing the burden of puerperal sepsis