There is an increasing burden of chronic kidney disease among youths in most developing countries like Nigeria where healthcare financing is poor. Therefore, there is a need to assess the level of awareness of the risk factors for chronic kidney disease. The study employed the cross-sectional study design. Random selection of 271 respondents was done and data was collected from them using questionnaire. The analysis of the data was done using the statistical package for social sciences (SPSS) to generate descriptive statistics in form of frequency tables and charts. The result showed that 49.8% of the respondents were between the ages of 13 and 15 years, with a mean age of 13.51±1.385. Most of the respondents (56.8%) were females and of the Christians denomination (64.9%). Nearly all the respondents (90.4%) were from the Yoruba ethnic group. Some 60.9% of the respondents claimed to be aware of chronic kidney disease while only 44.6% had heard about the risk factors of chronic kidney disease. The mean value for the computed construct for level of awareness of risk factors of chronic kidney disease was 14.40±2.59 which is approximately 60% (not very strong) of the maximum point (using a 24-point scale). There is therefore a need for more awareness on risk factors for chronic kidney disease among adolescents in Nigeria and this can be done through the different mediums for passing health messages to the general public.
{"title":"Awareness of the Risk Factors for Chronic Kidney Disease among Secondary School Students in Nigeria: Evidence from Ogun State","authors":"Omeonu P.E., Olayemi A.T., Asekun-Olarinmoye I.","doi":"10.52589/ajhnm-fe5gmazu","DOIUrl":"https://doi.org/10.52589/ajhnm-fe5gmazu","url":null,"abstract":"There is an increasing burden of chronic kidney disease among youths in most developing countries like Nigeria where healthcare financing is poor. Therefore, there is a need to assess the level of awareness of the risk factors for chronic kidney disease. The study employed the cross-sectional study design. Random selection of 271 respondents was done and data was collected from them using questionnaire. The analysis of the data was done using the statistical package for social sciences (SPSS) to generate descriptive statistics in form of frequency tables and charts. The result showed that 49.8% of the respondents were between the ages of 13 and 15 years, with a mean age of 13.51±1.385. Most of the respondents (56.8%) were females and of the Christians denomination (64.9%). Nearly all the respondents (90.4%) were from the Yoruba ethnic group. Some 60.9% of the respondents claimed to be aware of chronic kidney disease while only 44.6% had heard about the risk factors of chronic kidney disease. The mean value for the computed construct for level of awareness of risk factors of chronic kidney disease was 14.40±2.59 which is approximately 60% (not very strong) of the maximum point (using a 24-point scale). There is therefore a need for more awareness on risk factors for chronic kidney disease among adolescents in Nigeria and this can be done through the different mediums for passing health messages to the general public.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45768495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The study Assessed major childhood diseases and child mortality in Yamaltu/Deba Local Government Area of Gombe State. It also analyzed the complex socio-economic and cultural factors that influence the distribution of diseases and mortality in the study area. Data on childhood diseases and mortality were collected from hospital visits of children aged 0-5 years at Deba General Hospital during the 10-year period from 2007-2016. Five percent of the records were sampled. Data on the demographic, socio-economic and cultural factors of respondents were collected with the aid of questionnaires, Focus Group Discussions (FGDs) and In-Depth Interviews (IDIs) to explain perceptions and attitudes regarding the major diseases and child mortality in the study area. The sample size was determined from one-third of the households in the study area. One hundred respondents were selected from 21 settlements in the 11 wards of the study area, using a systematic sampling technique. Descriptive and Inferential Statistics (regression analysis, Pearson’s correlation and ANOVA) were used in analyzing the results. The results show malaria, diarrhoea and other fevers as the major childhood diseases; with variation in childhood mortality as influenced by the demographic, socio-economic, and cultural characteristics of parents. The regression analysis with an R-value of 0.860 indicates a very high degree of correlation among the variables. It indicates that 70% of the diseases caused can be explained or accounted for by income, religion, occupation and education. The regression analyses Coefficients indicate that Religion and Education significantly predict “Disease”. The result further indicates that “Religion” which yielded a Beta (β) value of .862, t-value of 3.102, and a p-value of .002, and “Education” which yielded a Beta (β) value of .760, t-value of 2.058, and a p-value of .040 were significant. Similarly, regression analysis for mortality with an R-value of 0.536 indicates a high degree of correlation among the variables in the model. This shows that 41.8% of the mortality causes can be explained or accounted for by income, religion, occupation and education. The result of the analysis also shows that healthcare facilities in the area are not efficiently located. The study recommended that Programmes and policies aimed at addressing the health needs and economic empowerment of the population should be put in place in the study area.
{"title":"Assessment of the Socio-Demographic and Economic Risk Factors of Childhood Diseases and Mortality in Yamaltu Deba Local Government Area, Gombe State, Nigeria","authors":"Dakyes S.P., Rhoda M., S. I., Beatrice B.N., S. Y","doi":"10.52589/ajhnm-hfe9juad","DOIUrl":"https://doi.org/10.52589/ajhnm-hfe9juad","url":null,"abstract":"The study Assessed major childhood diseases and child mortality in Yamaltu/Deba Local Government Area of Gombe State. It also analyzed the complex socio-economic and cultural factors that influence the distribution of diseases and mortality in the study area. Data on childhood diseases and mortality were collected from hospital visits of children aged 0-5 years at Deba General Hospital during the 10-year period from 2007-2016. Five percent of the records were sampled. Data on the demographic, socio-economic and cultural factors of respondents were collected with the aid of questionnaires, Focus Group Discussions (FGDs) and In-Depth Interviews (IDIs) to explain perceptions and attitudes regarding the major diseases and child mortality in the study area. The sample size was determined from one-third of the households in the study area. One hundred respondents were selected from 21 settlements in the 11 wards of the study area, using a systematic sampling technique. Descriptive and Inferential Statistics (regression analysis, Pearson’s correlation and ANOVA) were used in analyzing the results. The results show malaria, diarrhoea and other fevers as the major childhood diseases; with variation in childhood mortality as influenced by the demographic, socio-economic, and cultural characteristics of parents. The regression analysis with an R-value of 0.860 indicates a very high degree of correlation among the variables. It indicates that 70% of the diseases caused can be explained or accounted for by income, religion, occupation and education. The regression analyses Coefficients indicate that Religion and Education significantly predict “Disease”. The result further indicates that “Religion” which yielded a Beta (β) value of .862, t-value of 3.102, and a p-value of .002, and “Education” which yielded a Beta (β) value of .760, t-value of 2.058, and a p-value of .040 were significant. Similarly, regression analysis for mortality with an R-value of 0.536 indicates a high degree of correlation among the variables in the model. This shows that 41.8% of the mortality causes can be explained or accounted for by income, religion, occupation and education. The result of the analysis also shows that healthcare facilities in the area are not efficiently located. The study recommended that Programmes and policies aimed at addressing the health needs and economic empowerment of the population should be put in place in the study area.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46485218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clients’ satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Quality is considered good when adequate infrastructure, supplies, and equipment are in place. This study therefore assessed clients’ satisfaction with quality of maternity care services in selected Primary Health Care Centres in Ijebu- Ode LGA of Ogun State. A quantitative design adopting a descriptive, cross-sectional approach was utilized in the study. It was carried out among a total of 309 respondents, adopting a total enumeration method. A structured self-administered questionnaire and an adopted observational checklist was used for data collection and data analysis was done using descriptive statistics in the form of tables of frequencies, percentages, median and Standard deviation to analyze the research questions, while the inferential statistics of T-test was used to analyze the hypotheses. The findings of the study on the services of maternity care received by clients revealed that all the examined maternity care services (ANC services, Childbirth/ Delivery service, PNC service, Counselling service (PMTCT of HIV/AIDS), Obstetric emergency care and Laboratory and imaging (ultrasound scan)) are received in the sampled PHC facilities. Result also shows that clients are highly satisfied with the six (6) examined maternity care services rendered in the PHCs, as discussed (ANC services- 97.5%, PNC- 88.7%, DELIVERY- 92.3%, Counselling (PMTCT of HIV/AIDS) - 80.9%, Obstetric Emergency Care - 73.4% and Laboratory/Imaging- 73.8%). The findings also revealed that all the facilities were adequately equipped with essential items needed for the management of labour. Italapo has the highest number of essential items (91%), Ita-osu, Iwade-oke and Itantebo PHC facilities has 89% each in adequacy of essential items, while Oke-oyinbo PHC facility has 66% in adequacy of essential items for management of labour.. The finding also shows there is no significant association between maternity care services available at each PHC facility and clients’ level of satisfaction. Although, the clients who were satisfied with the services received at PHC facilities were more than those who were less satisfied, the influence of availability of services on their level of satisfaction were not statistically significant; p-value > 0.05. The result also shows that the population of women who booked for ANC service is far more than the population of women who returned for child birth in each centre. The mean difference being 74.6. This was found to be statistically significant. In conclusion, the findings of this study revealed that the six (6) maternity care services examined in this study were received in the 5 sampled PHCs. Also, on the average, larger percentage of the respondents were satisfied with all the six (6) maternity care services rendered in the 5 selected PHC facilities. Although, the population of women who booked for ANC service is far mo
{"title":"Clients’ Satisfaction with Quality of Maternity Care Services in Selected Primary Health Care Centres in Ijebu-Ode Local Government Area of Ogun State","authors":"Awosanya O.O., Aluko J.O., Ogungbesan J.O., Oluwole O.O","doi":"10.52589/ajhnm-nbkseujw","DOIUrl":"https://doi.org/10.52589/ajhnm-nbkseujw","url":null,"abstract":"Clients’ satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Quality is considered good when adequate infrastructure, supplies, and equipment are in place. This study therefore assessed clients’ satisfaction with quality of maternity care services in selected Primary Health Care Centres in Ijebu- Ode LGA of Ogun State. A quantitative design adopting a descriptive, cross-sectional approach was utilized in the study. It was carried out among a total of 309 respondents, adopting a total enumeration method. A structured self-administered questionnaire and an adopted observational checklist was used for data collection and data analysis was done using descriptive statistics in the form of tables of frequencies, percentages, median and Standard deviation to analyze the research questions, while the inferential statistics of T-test was used to analyze the hypotheses. The findings of the study on the services of maternity care received by clients revealed that all the examined maternity care services (ANC services, Childbirth/ Delivery service, PNC service, Counselling service (PMTCT of HIV/AIDS), Obstetric emergency care and Laboratory and imaging (ultrasound scan)) are received in the sampled PHC facilities. Result also shows that clients are highly satisfied with the six (6) examined maternity care services rendered in the PHCs, as discussed (ANC services- 97.5%, PNC- 88.7%, DELIVERY- 92.3%, Counselling (PMTCT of HIV/AIDS) - 80.9%, Obstetric Emergency Care - 73.4% and Laboratory/Imaging- 73.8%). The findings also revealed that all the facilities were adequately equipped with essential items needed for the management of labour. Italapo has the highest number of essential items (91%), Ita-osu, Iwade-oke and Itantebo PHC facilities has 89% each in adequacy of essential items, while Oke-oyinbo PHC facility has 66% in adequacy of essential items for management of labour.. The finding also shows there is no significant association between maternity care services available at each PHC facility and clients’ level of satisfaction. Although, the clients who were satisfied with the services received at PHC facilities were more than those who were less satisfied, the influence of availability of services on their level of satisfaction were not statistically significant; p-value > 0.05. The result also shows that the population of women who booked for ANC service is far more than the population of women who returned for child birth in each centre. The mean difference being 74.6. This was found to be statistically significant. \u0000In conclusion, the findings of this study revealed that the six (6) maternity care services examined in this study were received in the 5 sampled PHCs. Also, on the average, larger percentage of the respondents were satisfied with all the six (6) maternity care services rendered in the 5 selected PHC facilities. Although, the population of women who booked for ANC service is far mo","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42134991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The objective of any educational system is to provide education for all learners with diverse needs and abilities to enable them to achieve their potential and subsequently contribute to society. Teachers are in a position to be the first to suspect that a child might have Attention Deficit Hyperactivity Disorder (ADHD) because they are with them for most of the day and they know how normal learners typically behave in classroom situations. One group pre-test post-test quasi-experimental study was employed for this study. The population comprised 42 teachers in the selected schools. Total enumeration was used for the study. A self-structured questionnaire was validated and used to collect data. The Cronbach Alpha reliability coefficient of the construct ranged from 0.741 to 0.808. Data collected were analyzed using descriptive and inferential statistics. The results showed 45.2% participants had low knowledge, 18.1% and 16.7% had moderate and high knowledge respectively at the pre-intervention stage while at the post-intervention stage, 14.3% had low knowledge score while 21.4% and 64.3% had moderate and high knowledge scores respectively. Also, at the pre-intervention stage of this study, it was found that 64.3% participants had a bad management score of ADHD while 35.7% had a good management score of ADHD. The result indicated that there is a non-significant difference in the post intervention knowledge and management of ADHD among the respondents as a p-value of 0.494 was recorded which is much greater than the alpha (α) p-value of 0.05. The study concluded that the role of teachers in the identification and management of ADHD cannot be overlooked. This shows that training and proper education of the teachers will go a long way in the management of attention deficit in the pupils. The study recommended that the management of ADHD should be included in educational programs. Also, there should be follow-up to monitor the progress of the teachers in the management of children with ADHD.
{"title":"Nurse-Led Intervention on Teachers’ Knowledge and Management of Pupils with Attention Deficit Hyperactivity Disorder in Primary Schools in Abeokuta, Ogun State","authors":"Alake O.M., Aina J., Sodimu J.O., Dele-Alonge O.","doi":"10.52589/ajhnm-tgbixvfy","DOIUrl":"https://doi.org/10.52589/ajhnm-tgbixvfy","url":null,"abstract":"The objective of any educational system is to provide education for all learners with diverse needs and abilities to enable them to achieve their potential and subsequently contribute to society. Teachers are in a position to be the first to suspect that a child might have Attention Deficit Hyperactivity Disorder (ADHD) because they are with them for most of the day and they know how normal learners typically behave in classroom situations. One group pre-test post-test quasi-experimental study was employed for this study. The population comprised 42 teachers in the selected schools. Total enumeration was used for the study. A self-structured questionnaire was validated and used to collect data. The Cronbach Alpha reliability coefficient of the construct ranged from 0.741 to 0.808. Data collected were analyzed using descriptive and inferential statistics. The results showed 45.2% participants had low knowledge, 18.1% and 16.7% had moderate and high knowledge respectively at the pre-intervention stage while at the post-intervention stage, 14.3% had low knowledge score while 21.4% and 64.3% had moderate and high knowledge scores respectively. Also, at the pre-intervention stage of this study, it was found that 64.3% participants had a bad management score of ADHD while 35.7% had a good management score of ADHD. The result indicated that there is a non-significant difference in the post intervention knowledge and management of ADHD among the respondents as a p-value of 0.494 was recorded which is much greater than the alpha (α) p-value of 0.05. The study concluded that the role of teachers in the identification and management of ADHD cannot be overlooked. This shows that training and proper education of the teachers will go a long way in the management of attention deficit in the pupils. The study recommended that the management of ADHD should be included in educational programs. Also, there should be follow-up to monitor the progress of the teachers in the management of children with ADHD.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43115979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Continuing Professional Development Programs have been identified as an important strategy towards improving basic professional skills and competence of health care professionals. This study explored nurses’ perception about the Mandatory Continuing Professional Development Program (MCPDP) and assessed nurses’ satisfaction with the Continuing Professional Development Program in Nigeria.Study adopted sequential explanatory mixed methods, using both quantitative and qualitative data collection methods. The quantitative aspect included 412 nurses in Osun state, Nigeria selected through multistage sampling. Data was analyzed at univariate, bivariate and multivariate levels using appropriate statistics, level of significance was p<0.05. The qualitative aspect of the study employed in-depth interview; responses were analyzed thematically. Findings showed that 72.8% of the nurses had positive perception about the MCPDP, 66.3% assessed the MCPDP training as very useful, 31.3% and 2.4% assessed the training as moderately useful and useful respectively, 57.0% were very satisfied with the MCPDP training, 41.5% were satisfied while1.5% nurses were indifferent. Regression analysis revealed that nurses’ years of working experience (OR = 0.24, CI = 0.10-0.62, p = 0.003) significantly influenced perception about the MCPDP. Study concluded that professionalism in nursing should focus on ensuring quality years of working experience and effective Continuous Professional Development for all categories of nurses.
{"title":"Nurses’ Assessment of the Mandatory Continuing Professional Development Program in Osun State, Southwest, Nigeria","authors":"Afolabi A.O., Abioye P.O., Akinbade M.O, Omishakin M.Y.J., Adégòkè A.O, Ademola A.L., Ogundeji M.O., Faniran S.O., Agboire T.M.","doi":"10.52589/ajhnm-5ves8sqn","DOIUrl":"https://doi.org/10.52589/ajhnm-5ves8sqn","url":null,"abstract":"Continuing Professional Development Programs have been identified as an important strategy towards improving basic professional skills and competence of health care professionals. This study explored nurses’ perception about the Mandatory Continuing Professional Development Program (MCPDP) and assessed nurses’ satisfaction with the Continuing Professional Development Program in Nigeria.Study adopted sequential explanatory mixed methods, using both quantitative and qualitative data collection methods. The quantitative aspect included 412 nurses in Osun state, Nigeria selected through multistage sampling. Data was analyzed at univariate, bivariate and multivariate levels using appropriate statistics, level of significance was p<0.05. The qualitative aspect of the study employed in-depth interview; responses were analyzed thematically. Findings showed that 72.8% of the nurses had positive perception about the MCPDP, 66.3% assessed the MCPDP training as very useful, 31.3% and 2.4% assessed the training as moderately useful and useful respectively, 57.0% were very satisfied with the MCPDP training, 41.5% were satisfied while1.5% nurses were indifferent. Regression analysis revealed that nurses’ years of working experience (OR = 0.24, CI = 0.10-0.62, p = 0.003) significantly influenced perception about the MCPDP. Study concluded that professionalism in nursing should focus on ensuring quality years of working experience and effective Continuous Professional Development for all categories of nurses.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42870939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Caregivers’ strain mainly comes from lack of relevant care knowledge and nursing skills. Traditional health education is just a one-way information transmission mode without evaluation and feedback. Objective: To help caregivers’ memory, the researcher utilized a quasi-experimental design to measure the effectiveness of the teach-back method on caregivers’ strain in handling patients with prolonged immobilization. Method: A total of forty caregivers were averagely assigned into treatment (Teach-Back) and comparison group (traditional). Participant’s Data Sheet, The Zarit Burden Interview and Teach Back Assessment Tool was used to gather data. Results: There was a significant difference in caregivers’ strain before and after the Teach-Back Method in treatment (p<0.001) and comparison group (p <0.001). Likewise, a significant difference existed after the Teach-Back Method in the treatment group (p <0.001). Conclusion: The Teach-Back Method is an effective intervention in reducing caregivers’ strain in handling patients with prolonged immobilization.
{"title":"The Effects of Teach Back Method on Caregivers’ Strain in Handling Patients with Prolonged Immobilization","authors":"Wei-Zhong Zhang","doi":"10.52589/ajhnm-iynvjnmh","DOIUrl":"https://doi.org/10.52589/ajhnm-iynvjnmh","url":null,"abstract":"Background: Caregivers’ strain mainly comes from lack of relevant care knowledge and nursing skills. Traditional health education is just a one-way information transmission mode without evaluation and feedback. Objective: To help caregivers’ memory, the researcher utilized a quasi-experimental design to measure the effectiveness of the teach-back method on caregivers’ strain in handling patients with prolonged immobilization. Method: A total of forty caregivers were averagely assigned into treatment (Teach-Back) and comparison group (traditional). Participant’s Data Sheet, The Zarit Burden Interview and Teach Back Assessment Tool was used to gather data. Results: There was a significant difference in caregivers’ strain before and after the Teach-Back Method in treatment (p<0.001) and comparison group (p <0.001). Likewise, a significant difference existed after the Teach-Back Method in the treatment group (p <0.001). Conclusion: The Teach-Back Method is an effective intervention in reducing caregivers’ strain in handling patients with prolonged immobilization.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46666256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Routine use of Partograph prevents labour related deaths which contributes hugely to maternal mortality in Sub-Saharan Africa (WHO, 2015).The study assessed knowledge and utilization levels of partograph in management of labour amongst midwives in selected health facilities in Akure, Ondo State. A cross-sectional descriptive survey design was adopted. Two hundred respondents were selected using a multistage sampling method. A validated self-structured questionnaire was used for data collection after a test retest for reliability. Data were analyzed using descriptive statistics of frequency, means and percentages while inferential statistics of Chi-square ANOVA was used to test hypothesis at significance of P ≤ 0.05. The result showed that the majority of the midwives 119 (59.5%) had good knowledge of partograph. Also, on levels of utilization, 62(62%) of respondents from UNIMEDTH and 46 (59%) in MCHA had good utilization of partograph, while all the 22(100%) respondents in CHCA had poor utilization. There was a significant relationship between years of work experience and midwives’ level of knowledge of partograph (p = 0.01). Annual partograph utilization rate was highest in the tertiary facility (UNIMEDTH (63%), followed by secondary (MCHA 51.8%) and primary (CHCA 41.3%). In conclusion, although the respondents had good knowledge of partograph, its utilization level was low at CHCA, therefore practical skills, training and retraining programs for midwives should be instituted to enhance the level of utilization of partograph in the primary health care facilities. Further study for midwife-led intervention on the utilization of partograph among midwives in the PHC should be done at a wider scope.
{"title":"Knowledge and Utilization Levels of Partograph in Management of Labour Amongst Midwives in Selected Health Facilities in Akure, Ondo State","authors":"Adamolekun P.A., Osaji T., Adeyanju A.B.","doi":"10.52589/ajhnm-fgrzbgws","DOIUrl":"https://doi.org/10.52589/ajhnm-fgrzbgws","url":null,"abstract":"Routine use of Partograph prevents labour related deaths which contributes hugely to maternal mortality in Sub-Saharan Africa (WHO, 2015).The study assessed knowledge and utilization levels of partograph in management of labour amongst midwives in selected health facilities in Akure, Ondo State. A cross-sectional descriptive survey design was adopted. Two hundred respondents were selected using a multistage sampling method. A validated self-structured questionnaire was used for data collection after a test retest for reliability. Data were analyzed using descriptive statistics of frequency, means and percentages while inferential statistics of Chi-square ANOVA was used to test hypothesis at significance of P ≤ 0.05. The result showed that the majority of the midwives 119 (59.5%) had good knowledge of partograph. Also, on levels of utilization, 62(62%) of respondents from UNIMEDTH and 46 (59%) in MCHA had good utilization of partograph, while all the 22(100%) respondents in CHCA had poor utilization. There was a significant relationship between years of work experience and midwives’ level of knowledge of partograph (p = 0.01). Annual partograph utilization rate was highest in the tertiary facility (UNIMEDTH (63%), followed by secondary (MCHA 51.8%) and primary (CHCA 41.3%). In conclusion, although the respondents had good knowledge of partograph, its utilization level was low at CHCA, therefore practical skills, training and retraining programs for midwives should be instituted to enhance the level of utilization of partograph in the primary health care facilities. Further study for midwife-led intervention on the utilization of partograph among midwives in the PHC should be done at a wider scope.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41705218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction- Pinpointing sexual and reproductive health needs from the students` perspective is a key step towards prevention of avoidable global adolescents` death and promotion of health. The purpose of this article was to explore the sexual and reproductive health needs of adolescent secondary school students in Bayelsa State. Method- A descriptive qualitative design was adopted for this study using the purposive sampling technique with a sample of 10 participants in one public secondary school. The Source of data was a semi-structured interview guide and a voice recorder. Data was analyzed thematically in six sequential steps. Findings- Two (2) themes, sexual and reproductive health needs of adolescents, methods of sexual health dissemination and five (5) sub-themes emerged. Conclusion- Findings indicate that the public-secondary school adolescent girls require education on; menstrual cycle, prevention of sexually transmitted infections, Human Immuno-Deficiency Virus /Acquired Immune Deficiency Syndrome, as well as on appropriate use of different types of contraceptives from established centres for sexual and reproductive health services. To ensure the public secondary school girls have access to the services and utilize the services, this study recommends the dare need to adopt different methods to disseminate sexual and reproductive health information to reach the secondary school girls to prevent avertable illnesses and deaths.
{"title":"Sexual and Reproductive Health Needs of Adolescent Secondary School Girls in Bayelsa State","authors":"Helen I.W., Efeunu E.N.","doi":"10.52589/ajhnm-yaie6atl","DOIUrl":"https://doi.org/10.52589/ajhnm-yaie6atl","url":null,"abstract":"Introduction- Pinpointing sexual and reproductive health needs from the students` perspective is a key step towards prevention of avoidable global adolescents` death and promotion of health. The purpose of this article was to explore the sexual and reproductive health needs of adolescent secondary school students in Bayelsa State. Method- A descriptive qualitative design was adopted for this study using the purposive sampling technique with a sample of 10 participants in one public secondary school. The Source of data was a semi-structured interview guide and a voice recorder. Data was analyzed thematically in six sequential steps. Findings- Two (2) themes, sexual and reproductive health needs of adolescents, methods of sexual health dissemination and five (5) sub-themes emerged. Conclusion- Findings indicate that the public-secondary school adolescent girls require education on; menstrual cycle, prevention of sexually transmitted infections, Human Immuno-Deficiency Virus /Acquired Immune Deficiency Syndrome, as well as on appropriate use of different types of contraceptives from established centres for sexual and reproductive health services. To ensure the public secondary school girls have access to the services and utilize the services, this study recommends the dare need to adopt different methods to disseminate sexual and reproductive health information to reach the secondary school girls to prevent avertable illnesses and deaths.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43908368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Osuala E.O., Udi O.A., O. B., Ojong I.N., Oduali E.N.
Background: Exploring sexual activities that may make individuals vulnerable to sexually transmitted infections and unplanned pregnancies is being considered following observation and increased reports of unplanned pregnancies and its attendant consequences among students in tertiary institutions. Objective: Determine the undergraduates’ awareness and attitude towards risky sexual behaviour. Methods: A descriptive Cross-sectional survey was conducted, among year one and year two Medical and Nursing undergraduate students at two tertiary institutions in Rivers State of Nigeria, using a questionnaire adapted from World Health Organisation survey instrument to obtain data on knowledge of and attitude towards risky sexual behaviours. Two hundred and eighty participants were randomly selected. Descriptive analysis was carried out using Statistical Package for Social Sciences version 21.0. Results: About 92.9% of the respondents are aware that unprotected (oral, anal, vaginal) sexual intercourse is a risky sexual behaviour. Assessing respondents’ attitudes to risky sexual behaviour revealed that 9.3% agree that condom should only be used during sexual intercourse with commercial sex workers. Conclusions: Most Undergraduates are aware of sexual activities that constitute risky sexual behaviours but there is need to cascade this awareness to reflect on general sexual habits and reduce public health emergencies among undergraduates.
{"title":"Understanding Risky Sexual Behaviour Among Undergraduates","authors":"Osuala E.O., Udi O.A., O. B., Ojong I.N., Oduali E.N.","doi":"10.52589/ajhnm-3gj4lozm","DOIUrl":"https://doi.org/10.52589/ajhnm-3gj4lozm","url":null,"abstract":"Background: Exploring sexual activities that may make individuals vulnerable to sexually transmitted infections and unplanned pregnancies is being considered following observation and increased reports of unplanned pregnancies and its attendant consequences among students in tertiary institutions. Objective: Determine the undergraduates’ awareness and attitude towards risky sexual behaviour. Methods: A descriptive Cross-sectional survey was conducted, among year one and year two Medical and Nursing undergraduate students at two tertiary institutions in Rivers State of Nigeria, using a questionnaire adapted from World Health Organisation survey instrument to obtain data on knowledge of and attitude towards risky sexual behaviours. Two hundred and eighty participants were randomly selected. Descriptive analysis was carried out using Statistical Package for Social Sciences version 21.0. Results: About 92.9% of the respondents are aware that unprotected (oral, anal, vaginal) sexual intercourse is a risky sexual behaviour. Assessing respondents’ attitudes to risky sexual behaviour revealed that 9.3% agree that condom should only be used during sexual intercourse with commercial sex workers. Conclusions: Most Undergraduates are aware of sexual activities that constitute risky sexual behaviours but there is need to cascade this awareness to reflect on general sexual habits and reduce public health emergencies among undergraduates.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44379963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Aim: Healthcare workers are at risk of infections from blood-borne pathogens due to percutaneous injuries from sharps, mucous membrane and skin exposures to contaminated blood and bodily fluids. The study, therefore, investigated exposure to occupational-related blood and fluids infections, accidental injuries and precaution practices among health care workers in a tertiary hospital in South-West, Nigeria. Methods: The study utilised a cross-sectional research design requiring a structured questionnaire to elicit data from medical doctors, nurses and laboratory scientists/technologists. Through the convenience sampling technique, 266 respondents were selected for the study. Non-parametric descriptive statistics were used to analyse the data with the level of significance of the chi-square test put at 5%. Results: The overwhelming majority (76%) of the health care workers at the hospital are of the female gender. The study found that the majority of the respondents (92%) were trained on infection control in the course of their career while virtually all of them (98%) had never contracted an occupational-related infection. Recapping of used needles accounted for 24.4% of activity that predisposed the workers to accidental injuries. Also, there was a significant association between the recapping of needles and the occurrence of accidental injuries (P.V. = 0.000). Meanwhile, the incidence of unreported injuries stood at 70.3% as all the reasons given were significant (P.V. = 0.000) using a one-sample chi-square test. Conclusion: It has been established that prevention practices like training in infection control, adherence to clear work procedures and guidelines, post-exposure prophylaxis and use of personal protective equipment were associated with contraction of occupational-related infections. Moreover, while recapping of used needles was a usual practice in the hospital, it was, however, associated with cases of accidental injuries among most health care workers. Unfortunately, most cases of injuries were unreported due to certain significant reasons.
{"title":"Exposure to Occupational-related Blood and Fluids Infections, Accidental Injuries and Precaution Practices among Healthcare Workers in a Tertiary Hospital in South-West, Nigeria","authors":"Adetoun A.O., Olanrewaju A.I., Temidayo O.A., Oluwasayo B.O.","doi":"10.52589/ajhnm-zuhmcmeb","DOIUrl":"https://doi.org/10.52589/ajhnm-zuhmcmeb","url":null,"abstract":"Background and Aim: Healthcare workers are at risk of infections from blood-borne pathogens due to percutaneous injuries from sharps, mucous membrane and skin exposures to contaminated blood and bodily fluids. The study, therefore, investigated exposure to occupational-related blood and fluids infections, accidental injuries and precaution practices among health care workers in a tertiary hospital in South-West, Nigeria. Methods: The study utilised a cross-sectional research design requiring a structured questionnaire to elicit data from medical doctors, nurses and laboratory scientists/technologists. Through the convenience sampling technique, 266 respondents were selected for the study. Non-parametric descriptive statistics were used to analyse the data with the level of significance of the chi-square test put at 5%. Results: The overwhelming majority (76%) of the health care workers at the hospital are of the female gender. The study found that the majority of the respondents (92%) were trained on infection control in the course of their career while virtually all of them (98%) had never contracted an occupational-related infection. Recapping of used needles accounted for 24.4% of activity that predisposed the workers to accidental injuries. Also, there was a significant association between the recapping of needles and the occurrence of accidental injuries (P.V. = 0.000). Meanwhile, the incidence of unreported injuries stood at 70.3% as all the reasons given were significant (P.V. = 0.000) using a one-sample chi-square test. Conclusion: It has been established that prevention practices like training in infection control, adherence to clear work procedures and guidelines, post-exposure prophylaxis and use of personal protective equipment were associated with contraction of occupational-related infections. Moreover, while recapping of used needles was a usual practice in the hospital, it was, however, associated with cases of accidental injuries among most health care workers. Unfortunately, most cases of injuries were unreported due to certain significant reasons.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49607573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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