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EVALUATION OF DISASTER PREPAREDNESS OF TERTIARY HOSPITAL IN ZARIA, NIGERIA

Motivated by the increasing global incidences of disaster and the global recognition of the pivotal role played by tertiary
hospitals (TH) in disaster management (DM), this article seeks to assess the preparedness of TH to assume such a role.
The research objectives are; to scrutinize international best practices templates as benchmarks for evaluating the level of
disaster preparedness of Nigerian tertiary hospitals, determine how the tertiary hospital, managed disasters in the past
and how prepared it is for future disasters, and identify factors affecting the capacities of THs for DM. An explanatory
sequential mixed method research design was used, questionnaires were administered to the respondents, there after indepth
interviews were conducted with key informants who are highly placed. The data was analysed using SPSS version
24 while the qualitative data was analysed thematically. It is found that TH is not prepared for disaster, there are no
adequate resources both human and equipment to deal with casualty above 50 patients and also lack of funds. In
conclusion, TH has a major role to play in DM, their Emergency Preparedness (EP) should be upgraded in line with
global best practices to better position them for that role. As such, TH should adopt any of the global Emergency Management Plan (EMP) templates to guide them in preparing a manual for EP, which staff must be familiar with through wide circulation and regular disaster drills and exercises based on the manual.

  • Musa-Maliki | A. | U. | aishaudu@yahoo.com | +2347038159582, Ibrahim | A. | H. | ahibrahim02@gmail.com | +2348035570017
  • : Disaster Management, Emergency Preparedness, Emergency Management Plan
  • Musa-Maliki Vol 8(1)
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AWARENESS, KNOWLEDGE AND ATTITUDE OF HYPERTENSION AMONG FEMALE PATIENTS RECEIVING HEALTHCARE IN A TERTIARY HEALTH INSTITUTION IN SOUTH-EAST, NIGERIA

Cardiovascular diseases (CVD) such as hypertension are well established as a leading contributor to the burden of disease in low income and middle-income countries. An estimated 16.7 million, or 29.2% of total global deaths, result from the various forms of cardiovascular disease, many of which are preventable by action on the major primary risk factors:
unhealthy diet, physical inactivity and smoking. Awareness, knowledge and attitude about hypertension have been
indicated to influence practice of healthy lifestyle which has implications for hypertension prevention and control. This
study aims at examining the female patients in Nnamdi Azikiwe University Teaching Hospital on their awareness,
knowledge and attitude towards Hypertension prevention and control. The research design adopted was descriptive
survey and balloting sampling technique was used to select 86 respondents. The instrument for data collection was a
self- structured, validated questionnaire that contains 12 items. One hundred and thirty (130) questionnaires were
administered. Tables and graphs were used for presentation of data. This study revealed that most of the respondents
were within the age of 56-65 years. Also, most of the respondents were complete house wife and went to secondary
school. Majority of the respondents were Christians. Findings also showed that respondents were highly aware of
hypertension. Also, our study observed that respondents are highly knowledgeable about the meaning, causes,
complications, the possible risk factors of hypertension and ways in which hypertension can be prevented. Lastly, this
study revealed that the respondents’ attitude towards preventing hypertension, regular check of blood pressure and
regular exercises as a means of hypertension prevention are positive. In conclusion, it was recommended that there is
need for more encouragement to prevent relentlessness of respondents on hypertension prevention and control.

  • OSUALA | EUNICE | O. | euniceosuala@yahoo.com | +2348061146538, NWOSU | VIVIAN | CHIKAMSO | chikaumeson@gmail.com | +2347031909118, EZEAMA | MARTINA | . | ezeamas@yahoo.com | +2348037249849
  • : Hypertension, Prevention, female patients, attitude
  • Osuala Eunice Vol 8(1)
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ASSESSMENT OF VESICO VAGINAL FISTULA AMONG WOMEN ACCESSING HEALTHCARE IN FAMILY LIFE CENTRE ITAM, AKWA-IBOM STATE, NIGERIA FROM 2014-2017

Vesico vaginal fistula has become a societal burden and health problem that affects women’s health. The aim of the
study is to determine the prevalence of vesico vaginal fistula among women accessing Family Life Centre, Itam, Uyo
from 2014-2017. A retrospective descriptive research design was used with a checklist to obtain data from the case files
and medical records of the patients between the period of study. Analysis and interpretation of data was done with the
aid of IBM SPSS version 24.0. Data analysis was presented with descriptive statistics using tables and means to represent
information. Findings revealed a rising and falling trend of prevalence over the study period thus, a prevalence rate of
103 (7.7%) in 2014, 160 (8.4%) in 2015, 125 (7.4%) in 2016, 145 (9.6%) in 2017 respectively. The age group with
highest prevalence of VVF is 24-34 years. Primiparous woman had the highest prevalence outcome of management
which was successful and dry with 88 (85.4%) in 2014, 128(80.0%) in 2015, 102(81.6%) in 2016, 133(91.7%) in
2017, unsuccessful and wet 12 (11.7%) in 2014, 6 (3.8%) in 2015, 7(5.6%) in 2016, 7(4.8%) in 2017 respectively. In
conclusion, the study revealed an unstable rise and fall prevalence of VVF with low prevalence in 2014 and high in 2017
at the centre. It affects age group 24-34 years. Primiparous women exhibited higher cases of VVF and a majority of the
women had successful outcome of repair. It was recommended that sensitization and some measure of prevention,
improvement in status of women and access to prompt medical services be emphasized.

  • ENUKU | C. | A. | akpoigho@yahoo.com | +2348169823907, MAKATA | N. | E. | ne.makata@unizik.edu.ng | +2348028205942, ADEWOLE | A | . | tessicaessence@yahoo.com | +2348138530702
  • : Vesico Vaginal Fistula, Prevalence, Women
  • Enuku, C. A Vol 8(1)
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FACTORS INFLUENCING FEMALE UNDERGRADUATE STUDENTS’ ACCEPTANCE OF CERVICAL CANCER SCREENING IN SOUTH-WEST NIGERIA

There is a general recognition of lack of practice, knowledge and acceptance of importance of cervical cancer screening
among young women. This has resulted in late diagnosis of cervical cancer and a resultant poor prognosis. The aim of
this study is to assess the level of acceptance and determine the factors influencing the acceptance of cervical cancer
screening among female undergraduate students in a selected University in Lagos, Nigeria. This study adopted a
descriptive design and a multistage sampling technique. A self-administered questionnaire was used to elicit information
from 228 students with a response rate of 99.13%, data was analysed using the SPSS statistic version 20. This study
observed that more than half (70.2%, n=228) of the respondents were between ages 20-24yrs. A good number (31.6%,
n=228) were in 300 level. Almost all (93%, n=228) were single and well above half (63.2%, n=228) were Yorubas.
More than three-quatre (89.9%, n=228) were Christians and well above half (57.0%, n=228) began menarche from
age 9-12 years. The study reveals that the level of acceptability of cervical cancer screening among the respondents is
average. Further findings shows that accessibility of Screening Center, affordability of vaccines and screening services,
lack of funds, health workers attitude, worry about privacy and feeling of embarrassment about the procedure were the
major factors influencing the acceptance of cervical cancer screening and the major risk factors of cervical cancer are
Human Papilloma virus infection, multiple sexual partners, early onset of sexual activity and family history and smoking.
The tested hypothesis shows that the age and level of study have significant association with acceptance of cervical
cancer screening with P = 0.000 and 0.014 respectively. It is therefore recommended that the nurses should, in
conjunction with the government and the ministry of health and ministry of education, create awareness programmes
on the importance of cervical cancer screening among undergraduate students at all levels.

  • Mobolaji-Olajide | O. | M. | funmilolabolaji2010@gmail.com | +2348039241620, Akintaju, | F. | A. | fakintaju@gmail.com | +2348037141887, NWEKE | C. | I. | cutechigo2009@gmail.com | +2347038147433
  • : Factors, Acceptance, Cervical Cancer Screening
  • Mobolaji-Olajide Vol 8(1)
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KNOWLEDGE, AWARENESS AND PRACTICE OF LACTATIONAL AMENORROHEA AMONG WOMEN OF CHILDBEARING AGE IN AKOKO SOUTH-WEST AREA, ONDO STATE, NIGERIA

Little is known about lactational amenorrhea as a contraceptive method among women of childbearing age. Our study
aims at examining the level of awareness, knowledge, and practice of LAM by women especially nursing mothers visiting
the Primary Health Care Clinics around Akoko South West Local Government Area of Ondo State, Nigeria. A cross sectional
design was used for this study. Random sampling technique was used to select 130 women of childbearing
age. Data were collected with a self-developed validated questionnaire; the collected data were analyzed. The result
reveals that majority of the respondents are within 26 to 35years, Christians and their educational status is secondary school leaving certificate. Lastly majority of the respondents are public servants. The result further shows that the perception level of women on Lactational Amenorrhea Method as a form of contraceptive method is low (39.82%), the
knowledge level is poor (32%), and lastly, the barriers to the adoption and practice of Lactational Amenorrhea Method as a form of contraceptive method are that LAM is for a short time, lack of knowledge and lack of motivation. It is therefore recommended that radio and television jingles, the use of community health educators and other personnel with individual decision to adhere strictly to its adoption and practice are the most cited possible intervention methods
for promotion of lactational amenorrhea adoption and practice among women of childbearing age.

  • FATILE | O. | ADEBIMPE | bimpeolufat@yahoo.co.uk | +2348034017063, OLABISI | Olanike | C. | olamike.enlade@aaua.edu.ng | +2348029068310, MAKANJUOLA | Osuolale | J. | moi750@gmail.com | +234, FATILE | ELIJAH | O. | eloufat@yahoo.com | +234
  • : Breastfeeding: Childbearing: Women: lactational amenorrhea, contraceptive
  • FATILE O. Adebimpe Vol 8
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KNOWLEDGE, UTILIZATION OF MATERIALS AND CONTROL MEASURES IN NOSOCOMIAL INFECTION IN SELECTED HEALTH CARE FACILITIES, EDO STATE, NIGERIA

Healthcare facilities are dangerous places for acquisition of nosocomial infections. As much as literature abounds
on nosocomial infection in tertiary health care in Nigeria, there is a dearth of information on both secondary and
primary health facilities. This study examines knowledge, utilization of materials and control measures of
nosocomial infections in selected health facilities in Edo State, Nigeria. The study was a descriptive survey Design
carried out in three Health Care Facilities (Primary, Secondary and Tertiary) in Edo State which are Central Hospital
Benin, UBTH and Primary Health Centre Okada. The target population are the health personnel-Nurses and
Doctors working in these Healthcare Facilities. Multi-Stage sampling technique was used to select 330 respondents
from a total of 1293 in this study. The instrument used for this study are Qualitative and quantitative instrument
consisting of three research tools named -key informant interview (KII) guide, observational methods and structured
questionnaire. The method of data analysis includes Quantitative data analyzed using frequency tables, simple
percentages and Chi-square, while qualitative data were analyzed using narration and content analysis. The result
of this study shows that the demographic characteristics of respondents as follows, majority of respondents are
between 30 – 39years, majority are females and are married, majority of respondents are nurses with less than
6years of experience and majority are Christians. Further findings showed that respondents are highly
knowledgeable about the causes of nosocomial infection and nosocomial control measures. Also, this study shows
that the respondents level of utilization of materials and control measures of nosocomial infections was low and
the ones mostly used are making the environment clean and hygienic, use of anti-septic lotion in hand washing,
use of aseptic techniques in invasive procedures, having an effective infection control program, having good lab
back-up and use of Personal Protective Equipment (PPE) such as hand gloves, apron, mask etc, but the level of
utilization of hospital policy on infection control is high in selected health facilities in Edo State, Nigeria. Therefore,
this study advocated for encouragement in the utilization of materials and control measures to reduce the incidence
of nosocomial infections in hospitals since

  • OBASUYI | STELLA | EKINADOSE | obasuyistella555@gmail.com | +2348107410466
  • : Breastfeeding: Utilization: Control Measures: Healthcare Facilities
  • OBASUYI Stella Ekinadose Vol 8
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ACCEPTANCE AND UTILIZATION OF SURGICAL SAFETY CHECKLIST AMONG OPERATING ROOM PROFESSIONALS IN TWO NIGERIAN TERTIARY HEALTH INSTITUTIONS

Studies have shown that adherence to WHO Surgical Safety Checklist (WHOSSC) reduces mortality and surgical
complications, but the extent to which it is being accepted and used in South West Hospitals in Nigeria is yet to be
established. This study therefore assesses the awareness, perception and utilization of the WHOSSC in tertiary health
institutions, South-western Nigeria. Adopting a descriptive cross-sectional design, questionnaire was administered on
105 operating room professionals who formed the sample. The collected data were analysed with descriptive and
inferential statistical techniques. Findings from the study shows that 97% of the respondents are aware of the WHOSSC
but only 56.1% belief that its inclusion in the care of surgical patients will promote safety and saves time. Further analysis
shows that 38.1% of the respondents have utilized the WHOSSC. Factors identified as barriers to utilization of the
WHOSSC are lack of training (92.8 %) and sanction by the leaders of health institutions (76.6%). The study therefore
concludes that despite the high awareness of WHOSSC among surgical personnel, its acceptance and utilization leave
so much to desire.

  • OYEDIRAN | OLUFEMI | O. | phemyoyediran@gmail.com | +2348058071028, AYANDIRAN | EMMANUEL | O. | oluayan@gmail.com | +234803312360, ADEYEYE | BABATUNDE | A. | applets18@yahoo.com | +2348083289625, FAJEMILEHIN | BOLUWAJI | R. | fajemilehin@yahoo.com | +2348066787367, OGUNLADE | ALADE | A. | bunmirinto2@gmail.com | +234803312360
  • : Breastfeeding: Acceptance: Utilization: Surgical Safety: Operating Room
  • OYEDIRAN Olufemi Vol 8
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ASSESSMENT OF OBESITY RISK BEHAVIORS AMONG UNDERGRADUATES OF A PRIVATE UNIVERSITY IN NIGERIA

Obesity has become an emerging epidemic of public health concern and contributes to 2.8 million deaths worldwide. Unhealthy eating habits and sedentary behaviours, particularly among the youths are key risk factors for obesity. There is limited data on obesity risk behaviours among young adults in private universities in Nigeria. This study assesses obesity
risk behaviours among undergraduate students in a private university in South-West, Nigeria. A cross-sectional survey design was used for this study. Simple random sampling technique was used to select 255 undergraduates in a private university in South-West, Nigeria. Data was collected using self-reported questionnaire adapted from previous study.
Descriptive analysis was done using frequency and percentage while inferential statistics was done using Chi-Square. The demographic characteristics shows that majority of the respondents were females (78.4%), were between of 19-21 years (71%) with the mean age of 20.09 years. Most of the respondents were Christians (89.8%). Majority (86.3%)
received a monthly allowance that was between 31, 000 naira and 60, 000 naira. Result of this study, showed that the level of obesity risk eating behaviour of respondents very low although the rate of consumption of Shawarma (76.5) and carbonated drinks (57.3%) are high, 5-7 times a week. This indicates that obesity risk behaviour is high among students of the private university under study. Furthermore, findings reveal that sedentary risk behaviours among respondents is very high and the most common behaviours exhibited by respondents are using the internet and computer/Phone games. Lastly, a significant association is observed between consumption of Sharwama and the monthly allowance of
the students ( ꭓ2 = 25.31, p < 0.05) This suggests the need for development of comprehensive intervention targeting behavioural skills, health education and counselling to promote healthy eating and increased physical activities.

  • Cecilia | B. | BELLO | bukolabello@abuad.edu.ng | +2347044444333, Deborah | T. | ESAN | esandt@abuad.edu.ng | +2348062384864, Risikat | I. | FADARE | fadareri@abuad.edu.ng | +2348034679248, Adaeze | C. | IKPEAZU | adaezeikpezu@yahoo.com | +2348100082026
  • : Sedentary lifestyle; Unhealthy eating habits; Obesity; Public enlightenment on nutrition
  • Cecilia B. BELLO Vol 8
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KNOWLEDGE, PREPAREDNESS AND PREVENTIVE PRACTICES OF LASSA FEVER AMONG HEALTH WORKERS IN ONDO STATE, NIGERIA

The study assesses the knowledge, attitude and preventive practices of Lassa fever among health workers in Ondo State.
A cross-sectional descriptive design was adopted. Multi stage sampling technique was used to select six hospitals out of
eighteen general/specialist hospitals in eighteen LGAs of Ondo State and lastly, 350 health workers participated in this
study. The instruments used were questionnaires and observed practice checklist. Data were analysed using descriptive
statistics. The results of the demographic characteristics of respondents showed that majority of the respondents are
within the ages of 30 to 39 years, females and were married. Majority of the respondents were Nurses and Chews with
above five years of experience. Lastly, majority of the respondents are from the State specialist Hospitals. Further
findings shows that the respondents are highly knowledgeable about Lassa fever (70.6%) and the source of their
knowledge is the Media (67.7%). This study also reports that the level of preparedness and response to Lassa fever is
poor (38%), the practice of Lassa fever prevention is adequate (55%) and the type of preventive practices of Lassa fever
used by respondents in the health facilities are health education, adequate hand washing and safe injection practice. Two
hypotheses are tested. The first hypothesis tested reveals that the knowledge on Lassa fever is significant with the
respondent’s qualification (grade) and type of facility while there is no association between knowledge and age. The
second hypothesis reveals that there is no association between practice of prevention of Lassa fever and age including
sex. It is therefore recommended that adequate resources and information on preventive practices of Lassa fever be
provided for proper Lassa fever prevention in all health facilities in Ondo State.

  • EDWARD | MARY | IDOWU | edwardmaryidowu@yahoo.com | +2349037543853, OMOLAGBA | MARGARET | OPENIYI | openiyimargaret@gmail.com | +2349067708186
  • : Knowledge, preventive practices, Lassa fever, Laboratory
  • EDWARD Mary Vol 8
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PRECONCEPTION CARE AND GENETIC COUNSELING: IMPLICATIONS FOR THE MIDWIFE (A REVIEW)

Many women give birth to babies with various genetic or congenital abnormalities and other complications but are totally
unprepared for the experience. These among several others are the negative consequences that could result from poor
preconception health which could cause perpetual sorrow in the future. Preconception care and genetic counselling can
increase the health and well-being of women and couples and improve subsequent pregnancy and child health outcomes.
This paper discusses the issues in relation to preconception care and genetic screening and counselling. Preconception
care is beneficial to both low risk and high-risk women in preventing foetal abnormalities and helps to reduce the
incidence of foetal anomalies, poor pregnancy outcomes and genetic abnormalities as risk factors would have been
noticed and proper counsel given to prevent the occurrence of abnormality. Its long-term outcome also results in healthy
women, healthy men, healthy babies, healthy families and healthy societies. Preconception care is a need that should
be incorporated into every country’s health care system. There should be increased public awareness of the importance
of preconception healthcare services by using information and tools appropriate across various ages, literacy, including
health literacy; and cultural/linguistic contexts. The midwife has significant roles to play and must have up to date
information about preconception care and genetic counselling and screening.

  • Chizoma | M. | NDIKOM | cmndikom@gmail.com | +2348035212455, kenna | N. | OJIEGBE | ojinath@gmail.com | +2347039530970, Esther | I. | OJIEGBE | estar4good@gmail.com | +2237033494783
  • : Preconception care: Genetic counselling: Midwives: Health: Screening
  • Chizoma M. NDIKOM Vol 8
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