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UTILIZATION OF MATERNAL AND CHILD HEALTH CARE SERVICES AMONG CHILD BEARING MOTHERS IN DEKINA LOCAL GOVERNMENT AREA OF KOGI STATE

The extent of utilization of maternal and child healthcare services is the proximate factor behind the high rate of maternal and child morbidity and mortality. The high rate of maternal and child morbidity and mortality has become a serious challenge to the global public health especially in developing countries like Nigeria. Hence, this study assessed, the utilization of maternal and child health care services among child bearing mothers in Dekina Local Government Area. A descriptive cross-sectional design is adopted and through multistage sampling technique, a total number of 400 respondents were selected. Data was collected using a self-structured questionnaire with a Cronbach Alpha of 0.77. Analysis is done with the aid SPSS and presented in tables, frequencies and percentages. The result of this study revealed that the utilization of antennal and immunization services by the respondents is high. Further results of this study showed that the utilization of delivery services is high but low compared to utilization of ANC and postnatal services is low. The result observed that the following factors affect utilization of maternal and child health services: availability of health personnel (59.8%), nearness to health facility (85.2%), attitude of health workers (88.8%), availability of services materials (63.0%), free medical services (94.0%), lack of money (94.8%), nonavailability of child health services (60.5%) and nonavailability of drugs in the facility (56.8%). It is recommended that, health education and campaign on adequate utilization of MCH should be conducted by health educators and other health professionals regularly at the health centers. Government should ensure that all primary health centers should be made functional by making sure that they are well supplied with adequate drugs and equipment.

  • Abalaka | Joy | . | @ | +234, Jegede | Solomon | Oluwatobi | @ | +234
  • : Morbidity, Mortality, Delivery Services.
  • UTILIZATION OF MATERNAL AND CHILD HEALTH CARE SERVICES AMONG CHILD BEARING MOTHERS IN DEKINA LOCAL
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SINGLE PARENTHOOD AS A CORRELATES OF NURSING STUDENTS’ ACADEMIC PERFORMANCE IN ONDO AND EKITI STATE, NIGERIA

This study assessed the effect of single parenting on the academic performance of students’ in the schools of nursing in Ondo and Ekiti State Nigeria using a correlational research design. The objectives of the study were to determine the relationship between single parenting and academic achievement of nursing students and determine the academic performance of male and female nursing students from single parents’ home. The researcher utilized the whole population of 250 students of year two and three as the sample size using purposive sampling technique. The Classroom Academic Performance Scores were drawn from the performance of the students in their promotional examination result in two consecutive years. Findings showed that there was no significant relationship between the academic performance of students from single parents’ homes and those raised by both parents. t=0.88, df=237 and p= 0.38. Also there was no significant relationship between academic performance of male (59.23%) and female (59.82%) nursing students from single parents’ homes. Conclusively, single parenthood has no negative effect on the academic performance of Nursing students’.

  • Olufunke | Mercy | Iwaola, | @ | +124, Gbemisola | Bolanle | Ogbeye | @ | +234, Yetunde | Abosede | Olawale | @ | +234, Modupe | Motunrayo | Adamolekun | @ | +234
  • : Single parenthood, Academic performance, Nursing students
  • SINGLE PARENTHOOD AS A CORRELATES OF NURSING
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REPRODUCTIVE TRACT INFECTION PATTERN AND SOCIO- DEMOGRAPHIC CORRELATES IN A TERTIARY INSTITUTION IN SOUTH WEST NIGERIA

WHO estimates that over 340 million new cases of four curable STIs (gonorrhea, chlamydia, syphilis and trichomoniasis) occurred in 1999. If viral STIs such as human papilloma virus (HPV), herpes simplex virus (HSV) and human immunodeficiency virus (HIV) infections are included, the number of new cases may be three times higher. This study assesses the reproductive tract infection pattern and sociodemographic correlate in a tertiary institution in South West Nigeria. The design of this study is retrospective. And the instrument used was checklist. Data were collected based on medical records and case files of undergraduates who visited the st University health centre from 1 January 2011 to 31 December. 2015. The record books with date of clinic attendance, sex, age, department/faculty and the diagnosis of students who attended the Health Centre were analysed. The result of this study revealed that majority of the undergraduates with RTIs were within the age range of 20-24 years. The pattern of reproductive tract infection shows that the prevalence rate of RTI was high overall, 2.59 (412/15933) within the studied period and the highest prevalence rate (3.53) was reported in 2014, followed by 3.33 in 2011. The result further observed that the most common types of RTIs among them was Trichomoniasis 112 (27.2%), followed by Gonorrhea 87 (21.1%), Candidiasis 65 (15.8%), HIV/AIDs 38 (9.2%) and syphilis 33 (8.2%) respectively. The socio-demographic correlates showed that trichomoniasis which was the most diagnosed RTIs was accounted for by 81.3% of the female students as against 18.75% males and gonorrhea which accounted for the second most reported RTIs was majorly among male students (78.2%) while, candidiasis was found to be prevalent among female students (93.8%). It was also found in this study that females have 3 times chances of having RTIs compared with male students. Also the younger students have 2 times chances of having RTIs compared with older students.  therefore recommended that there is need for enlightenment programmes on the prevention of reproductive tracts infections.

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QUALITY HEALTH CARE PROVISION IN A RESOURCE CHALLENGED SETTINGS

The quality of health care provided by a nation is an indicator of a country’s ability to meet the health care needs of her people, especially for the most vulnerable of the society. In resource-challenged settings, the resources to provide quality health care are limited and the method these resources are allocated has implications on health care services provided to individual in that country. Hindrances such as human resources, technical logistics, communication, client or health care consumer challenges are impediments to the provision of quality health care to the citizenry. Challenges with nursing involvements in quality health care provision are highlighted. Recommendations are made on intervention in providing quality health care in resource challenged settings.

  • Ganiyat | O. | Adeniran | @ | +234
  • : Communication, Health Care, Nursing, Quality Care.
  • QUALITY HEALTH CARE PROVISION IN A RESOURCE CHALLENGED SETTINGS
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PSYCHOLOGICAL EFFECTS OF INFERTILITY ON MARRIED WOMEN IN ESAN NORTH EAST LOCAL GOVERNMENT AREA EDO STATE

The study assessed the psychological effects of infertility on married women in Esan North East L.G.A, Edo State. A cross sectional research design was adopted for this study. The target population are married women attending fertility clinic in Central hospital, Esan north East L.G.A and systematic sampling technique was used to select 80 respondents. The instrument used for this study is selfdeveloped semi-structured questionnaires with a coefficient reliability score of 0.78. Data was analyzed using statistical computations expressed in form of tables, percentages and correlation. Result of this study revealed that anxiety and worry including emotional harassment is a psychological effect of infertility. Further findings revealed grief and depression including feelings of failure is not a major psychological effect of infertility among infertile women. Furthermore, this study also revealed that the opinion of respondents concerning infertility are that inability to bear a child causes reproach (criticism) or stigma from the neighbourhood or members of one’s social network. Two hypotheses were tested, and findings revealed that the alternative hypothesis which states that there is a significant relationship between emotional trauma and the psychological effect of infertility among married women in Esan North East LGA was accepted also, there is a significant relationship between loneliness including guilt and the psychological effect of infertility among married women in Esan North East LGA was accepted. In conclusion, it was therefore recommended that the health information and educator should give more orientation about infertility in other to reduce misconception about infertility among nursing mothers. Government should reduce the cost of treatment e.g. artificial insemination as this will bring about less invasive surgical procedure, thereby reducing the causes of infertility. Nurses should be friendly and relate well to the patient as this will promote interpersonal relationship and reduces psychological effect

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PERCEPTION OF VULNERABILITY TO LUNG CANCER AMONG MALE STUDENTS IN SELECTED SECONDARY SCHOOLS IN IBADAN NORTH LOCAL GOVERNMENT AREA, OYO STATE

Lung cancer is the most common cause of cancer-related deaths worldwide with an overall survival rate less than 15% and poor prognosis due to delay in clinical manifestations. However, it is probably one of the most behaviour-controlled diseases in the world with an obvious environmental etiology and therefore the potential for risk reduction. Hence, this study assessed the perception of secondary school students, selected from two schools in Ibadan North Local Government Area towards vulnerability to lung cancer and its associated risk factors. A descriptive cross-sectional design was adopted and through simple random sampling, a total number of 265 male students were recruited into the study. Data were collected using a selfstructured questionnaire with a Cronbach Alpha of 0.85 Analysis was done with the aid of SPSS, using descriptive statistic and Chi-square test at p <0.05. The study revealed that the age range was 12 to 24 years, and a mean age of 15.87 ± 16 years. Further finding show that the level of knowledge about lung cancer is average (54%) and awareness of signs and symptoms is average (50%). The result also revealed that the perception about the risk factor of cancer is average (50%) and perception about the preventive strategies is high (67.8%). Also, a significant positive relationship was seen between knowledge of lung cancer and perception toward vulnerability among students [N= 263, r 0.524, p < 0.01]. There is need to further educate the youths on risk factors of lung cancer, symptoms, early detection and treatment in order to increase their perception towards vulnerability to lung cancer. This will reduce the mortality, late presentation with a subsequent improvement in prognosis and quality of life

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PERCEPTION OF NURSES TOWARDS CONTINUING EDUCATION IN A TERTIARY HOSPITAL IN NORTHERN NIGERIA

Nursing best practices and standards of care are continually changing. As more evidence is gained and new advances in technology emerge, nurses need to update stt heir knowledge to imbibe 21 century nursing practice. Continuing education help nurses to acquire new knowledge and skills necessary to be in efficient service delivery. This study assessed the perception of nurses on the need for continuing education and factors affecting continuing education of nurses and also identify motivational factors for continuing education in nurses. The population of study include nurses working in Ahmadu Bello University Teaching Hospital, Zaria. Both quantitative and qualitative methods of data collection were used. Clustered sampling technique was adopted to select nurses within the different units of the hospital. Informants for the qualitative component were purposively selected. Questionnaires and In-depth interviews were the techniques of data collection. The result showed that majority of the respondents (94.4%) perceived higher education is relevant to the practice of nursing. The study further reveal that perceived factor affecting continue education for nurses include lack of time and financial constraints. Lastly, the perceived factors motivating nurses towards continue education is sponsorship by government and other NGOs. It was therefore recommended that the Government should make it mandatory for hospitals to sponsor their staff for the BNSc program. Universities offering the degree programme in Nursing should also start part time BNSc programs so that diploma certified nurses can be motivated to go for their degrees.

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PERCEPTION AND PRACTICE OF POST RAPE CARE AMONG HEALTH CARE PROFESSIONALS IN A TERTIARY HOSPITAL IN EDO STATE

Sexual abuse in any form, including rape is seen as a private matter, which is fueled by a culture of secrecy, stigma and silence which make the abused unlikely to report the crime as they are often ashamed, frightened, and incapable of verbalizing their experience. Health care workers occupy a unique position in providing medical care and psychological support for rape victims. Such a position may be influenced by their perception, practice and the services available for postrape victims. The aim of this study was to assess the perception and practice of post rape care among staff of Irrua Specialist Teaching Hospital Irrua. A descriptive cross-sectional design was utilized for this study. A total population of 221 health care workers consisting of nurses, doctors and social workers were used. A selfstructured questionnaire was the instrument used, data collected were analysed using descriptive statistics, hypotheses stated were tested using Pearson`s correlation coefficient and Chi –Square at 0.05 level of significance. Results showed that the respondent’s perception of post rape care was high (93.4%). The study revealed that Services available in the institution of study are post exposure prophylaxis counselling, screening for VDRL (venereal diseases) and emergency contraceptive. Further findings showed that the practice level of post-rape care services rendered by the staff was good (69%). Lastly the study revealed that factors affecting the care of rape patients in the study institution are late presentation (82.2 %) and poor cooperation of victims (61.9%). Also, the study, revealed significant relationship between perception and practice of post rape care (p<0.000), however there was no significant relationship between years of experience and practice of post rape care. (P=0.056). Hospital management and federal ministry of health should actively train health professionals in the linkage of sexual violence and health care in order to improve the practice of post rape care.

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FACTORS INFLUENCING THE UTILIZATION OF MODERN FAMILY CONTRACEPTIVES AMONG WOMEN OF REPRODUCTIVE AGE IN IKOT OFFIONG AMBAI COMMUNITY, AKPABUYO LOCAL GOVERNMENT AREA, CROSS RIVER STATE

This study assessed the utilization of modern family contraceptives among women of reproductive age in Ikot Offiong Ambai community in Akpabuyo local government area. The descriptive research design was adopted for this study. A simple random sampling technique was adopted and balloting by replacement was done to select a total of 154 women of reproductive age (15-49 years) from the health facility, using the Taro Yamane’s sample size estimation formula. The instrument used for the study was a self-developed structured questionnaire divided into three (3) sections and consisting of 18 items. The validity and reliability of the instrument was ascertained, the reliability coefficient score is 0.71. The result presented in frequency and percentages. The result of this study observed that the level of awareness of family planning by respondent is high. Further findings showed that religion, spousal influence and sex preference are factors influencing the utilization modern methods of family planning, but income is not a factor. It was recommended that, there should be added efforts in creating awareness on the benefits of modern family planning utilization by government and non-government parastatals so as to aid in the achievement of Millennium Developmental goal five.

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EXPERIENCES OF SCHOOL HEALTH NURSES ON THE PROVISION OF GUIDANCE TO THE ADOLESCENTS IN THEIR DECISION-MAKING ABOUT REPRODUCTIVE HEALTH IN OGUN STATE, NIGERIA

School health nurses have a responsibility to guide adolescents in their decision making about reproductive health. This is necessary because studies have established that risky decision-making in reproductive health accounts for a large proportion of adolescent mortality. Adolescent reproductive health entails unprotected sex, unsafe abortion, and HIV/AIDs. Guiding adolescents in their decision making about reproductive health is an adaptive role of school health nurses which requires they are prepared to take up the role. The purpose of the study was to explore the experiences of school health nurses on the provision of guidance to adolescents in their decision making about reproductive health. This is an exploratory, descriptive and contextual study. The study took place in the secondary school environment. Qualitative research approach was used for the study. The participants for the study were purposively selected from among school health nurses and adolescents. Semi-structured interviews and focus group discussions were used to obtain data for school health nurses and school adolescents respectively. Interview guide was developed to direct the questions during the interview sessions. The data collected was transcribed in verbatim, and inductive content analysis which entails which entails coding, and organizing the texts into meaningful sub categories and categories to form themes, was employed. The findings from the data showed that what school health nurses provide is not proximate to guidance rather some form of health talk which has no bearing on decision-making process of adolescents in reproductive health. Findings further show that they lack adequate skills and the knowledge of processes involved in guidance. Furthermore, there is a reflection of poor communication between school health nurses and adolescents which eliminated the trust and confidence school health nurses needed to gain in adolescents before dyadic guidance session could take place. School health nurses need to move beyond their formalized roles toward adaptive and proactive ones as this helps in further evolving a true professional status. Their contributions toward reducing adolescent mortality can be harnessed through the provision of adequate guidance to adolescents in their decision making on reproductive health and this requires that they are knowledgeable.

  • Oluwatoyin | A. | Ogunyewo | vicyommie@gmail.com | +234, Savasthian | Arunachallam | . | @ | +233
  • : Adolescent Mortality, Unprotected Sex, Unsafe Abortion.
  • EXPERIENCES OF SCHOOL HEALTH NURSES
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