| 1 |
Author(s):
Helen U. Ohazulume, Clementina U. Nwankwo, Esther A. Silas.
Page No : 1-14
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Women’s Satisfaction with Maternal Healthcare Services in Tertiary Health Institutions in Anambra State.
Abstract
Maternal satisfaction is a key measure of the quality of healthcare services and a determinant of maternal and neonatal health outcomes. This study examined the availability and women’s satisfaction with maternal health services in Tertiary Health Institutions in Anambra State, Nigeria. A cross-sectional study design was employed, involving 167 women aged 18-49 years attending healthcare services at Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi and Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH). Data were collected using self-structured questionnaires and analyzed using descriptive and inferential statistics, with significance set at 0.05 level. Results show that awareness of maternal health services was high (91.02%), with antenatal care the most utilized service (93.41%), followed by delivery (75.45%), post-natal (74.25%), and family planning services (29.52%). Satisfaction levels were highest for ante-natal care (96.4%) and family planning services (85.5%), compared to delivery (78.9%) and post-natal services (74.1%). In conclusion, although satisfaction with maternal healthcare services was generally high, gaps in the availability of delivery and family planning services highlight the need for improved infrastructure, enhanced provider training, and greater access to family planning education. Addressing these issues is critical to improving maternal and neonatal health outcomes in Tertiary Health Institutions in Nigeria.
| 2 |
Author(s):
Emeonye Odochi Peace (Ph.D.).
Page No : 15-22
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Effective Health Care Delivery at the Grassroots: The Primary Health Care Challenge.
Abstract
A health care delivery system is the aggregate of institutions, organizations and persons who enter the health care system, who have responsibilities that include the promotion of health, prevention of illness, detection and treatment of disease, and rehabilitation. Effective health care (EHC) improves the quality of health care by providing the best available evidence on the outcomes, benefits and harms, and appropriateness of drugs, devices and health care services, and by helping health care professionals, patients, policymakers and health care systems. Health system also sometimes refers the organization of people, institutions, and resources that deliver health care services to meet the health needs of target populations. In some countries, health system planning is distributed among market participants.
| 3 |
Author(s):
Oparanma Florence Uche (Ph.D.), Tee Ndele Barivure, Chinemere Onyema (Ph.D.).
Page No : 23-33
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Influence of Stress on Work Behaviour among Nurses Working in Rivers State University Teaching Hospital (RSUTH), Port Harcourt.
Abstract
This study focused on the influence of stress on work behaviour among nurses working in Rivers State University Teaching Hospital (RSUTH), Port Harcourt. It was guided with two objectives and two research questions. Cross-sectional survey design was adopted as the research design for this study. The population of the study comprised all the 300 registered nurses in RSUTH. A simple random sampling technique was adopted for this study and a sample of 171 was selected for the study. The instrument for data collection was a structured questionnaire with a reliability coefficient of 0.73. Data was analyzed using statistical tools like: mean score and Chi-square at 0.05 level of significance. The result showed that the majority of the nurses have good knowledge of the major causes of stress among nurses working in RSUTH. The result of the analysis further revealed that the relationship between stress and job dissatisfaction was very high; this indicates that as stress increases, job dissatisfaction also increases among nurses working in RSUTH. It was concluded that nurses working in Rivers State University Teaching Hospital (RSUTH), Port Harcourt had good knowledge of the causes of work stress as well as the coping strategies nurses take to manage stress. It was recommended among others that the hospital administrators should provide structured stress management workshops and coping skills training. These programs should focus on practical techniques such as time management, emotional resilience, and conflict resolution to help nurses translate their knowledge into effective stress reduction strategies.
| 4 |
Author(s):
Tongdima Jaakuk Luka, Adams Lishikah, Malloson Sunday Joram, Daniel Isaac Samanja, Ponchang Godfirst Nanpyal, Tang-an Inusa Amos, Haruna Alfred, Bature Usman Yuyu.
Page No : 34-50
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Factors Influencing Academic Performance in Introductory Examinations at Plateau State College of Nursing Sciences, Jos Campus.
Abstract
The academic performance of nursing students in introductory tests is a significant component in determining their progress in both the educational and professional arenas. However, chronic underperformance in these exams has created major concerns at the Plateau State College of Nursing Sciences, Jos Campus.
This research studied various variables that impact academic success, which include familial, learner-centric, and instructional aspects. The family characteristics evaluated were socioeconomic position, parental educational attainment, and familial support networks. Learner-centered qualities such as motivation, study habits, and self-efficacy were analyzed. While instructional components such as teacher effectiveness, curriculum appropriateness, and pedagogical techniques.
The research adopted a descriptive survey method. Data were obtained from 177 nursing students of Plateau State College of Nursing Sciences and examined using the statistical technique of mean scores. The findings demonstrated that language limitations severely impede communication, self-confidence, and engagement in educational contexts (mean score = 3.3). A lack of fundamental comprehension of nursing theories and sciences was also connected with low performance (mean score = 3.2). Furthermore, poor study habits, inadequate desire, and psychological obstacles such as fear and concern surfaced as important impediments. Environmental aspects such as peer influence, social interactions, and instructor feedback affected students' academic experiences. Financial restrictions and demanding academic standards worsened these issues.
The research concluded that these multidimensional issues harm academic growth and require a thorough correction technique. Recommendations include the deployment of language upgrading activities, such as English for Nursing Purposes (ENP), to eliminate communication hurdles, as well as the introduction of bridging programs to enhance important information. Workshops on effective study tactics, time management, and resilience training were given to address unproductive study habits and emotional concerns. The introduction of financial assistance programs and the strengthening of teacher feedback systems were also highlighted. This study underlines the necessity for an economic holistic framework in nursing education, which incorporates cognitive, emotional, and economical support systems to increase student accomplishment.
| 5 |
Author(s):
Tongdima Jaakuk Luka, Adams Lishikah, Izzah Nanko Grace, Dalyop Kaneng Mary, Dung Esther, Yerima Nenlepmwa, Haruna Alfred, Haruna Dadi.
Page No : 51-63
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Determinants of Performance in Objective Structured Clinical Examination (OSCE) among Nursing Students in School of Nursing Jos, Plateau State.
Abstract
This research examines the determinants influencing the performance of nursing students in Objective Structured Clinical Examinations (OSCEs) at School of Nursing Jos, Plateau State. The initiatives undertaken by educators and policymakers; enduring underachievement continues to pose a significant challenge. Variables such as, learner-centered attributes, and instructional components were scrutinized for their effects on students’ academic performance.
A descriptive survey methodology was employed, encompassing 67 students who had engaged in OSCEs on more than three occasions. Data were procured through structured questionnaires and subsequently analyzed utilizing mean scores. The results indicated moderate levels of confidence among students (mean score: 3.2), which positively influenced their performance. Nonetheless, in contrast to prevailing literature, anxiety and depression were not identified as predominant obstacles, with mean scores recorded at 2.7 and 2.6, respectively. An excessive academic workload emerged as a significant impediment (mean score: 3.6), adversely affecting students’ performance. Favorable lecturer-student interactions (mean score: 3.4) and efficacious teaching methodologies (mean score: 3.3) were acknowledged as facilitators of enhanced academic outcomes, while a deficiency of empathy from lecturers (mean score: 2.8) was noted as an issue of concern. Additionally, the congruence of assessment with course content (mean score: 3.5) was found to substantially bolster performance in OSCE.
The study concludes that confidence levels, management of academic workload, and the nature of lecturer-student relationships are pivotal determinants of success in OSCEs. Although discrepancies with certain extant literature were noted, the findings highlight the necessity of addressing these factors to ameliorate academic outcomes.
The study recommends the following: Formulate comprehensive counseling and mentorship initiatives to mitigate workload and psychological challenges, aligning OSCE assessments with course content to alleviate stress and enhance preparedness, facilitate workshops for lecturers aimed at improving empathetic teaching practices and nurturing supportive educational environments. furthermore, to establish robust frameworks for the ongoing evaluation of pedagogical strategies and lecturer-student interactions.
| 6 |
Author(s):
Ezekiel Adeyinka Adeyemi, Aliu Opeyemi Yakubu, Usman Hosea Ojoh, Bilkis Ajoke Bashorun, Ebubechukwu Lauren Emily Okafor.
Page No : 64-76
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Assessment of Knowledge, Attitudes, and Fruit and Vegetable Intake Among Adults in Surulere, Lagos State.
Abstract
Background: Adequate consumption of fruits and vegetables is essential for the prevention of non-communicable diseases (NCDs); however, intake remains suboptimal in many urban settings in Nigeria. Understanding knowledge, attitudes, and consumption practices is critical for designing effective nutrition interventions.
Methods: A community-based cross-sectional study was conducted among adults aged 18 years and above in Surulere, Lagos State, using a pre-tested interviewer-administered questionnaire to assess socio-demographics, knowledge, attitudes, and fruit and vegetable intake. Knowledge and attitudes were scored, and data were analyzed with EPI INFO version 7 using chi-square tests at p<0.05.
Results: A total of 284 respondents participated, with a mean age of 34.79 ± 12.71 years. Most respondents demonstrated good knowledge of the health benefits of fruits and vegetables (81%) and had positive attitudes towards their consumption (96.5%). Awareness of specific benefits, such as prevention of cardiovascular diseases, diabetes, and cancers, was high. However, only 7.5% correctly identified the World Health Organization recommendation of consuming at least five servings daily, indicating a significant knowledge–practice gap. Knowledge was significantly associated with ethnicity, religion, and educational level, with higher knowledge observed among respondents with a tertiary education.
Conclusion: Although knowledge and attitudes toward fruit and vegetable consumption among adults in Surulere are generally high, actual understanding of recommended intake levels and consumption practices remains inadequate. Targeted nutrition education and policy interventions addressing practical barriers to intake are needed to bridge the gap between awareness and practice and to support NCD prevention in urban Nigerian communities.
| 7 |
Author(s):
Onyebuchi Obia, Akpobari Nwikina, Minini Otobo Odimabo, Udodiri Obia.
Page No : 77-86
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Impact of Cigarette Smoking on the Anthropometric Parameters and Academic Performance of Undergraduate Students of Rivers State University.
Abstract
Background to the study: Cigarette smoking is a known lifestyle factor that contributes to the pathogenesis of certain diseases. The aim of the present study was to examine the effect of cigarette smoking and anthropometric parameters on the academic performance of undergraduate students in Rivers State University.
Methodology: This descriptive cross-sectional study involved 400 undergraduate students who were selected by simple random sampling method. Data were collected using structured self-administered questionnaires to assess lifestyle behaviors and academic performance. Academic performance was assessed by self-reported CGPA and academic behaviors (class attendance, completion of assignments, and number of failed courses in the last session, average studying hours and review of lecture materials before exams). Anthropometric parameters (weight, height, waist circumference and hip circumference) were measured using standard methods. Body mass index (BMI) and waist-to-hip ratio were calculated using their respective formulae.
Results: The prevalence of cigarette smoking amongst undergraduate students was 8.3%. Smokers had a significantly lower mean BMI (20.88 ± 2.70 kg/m²) than non-smokers (23.02 ± 4.26 kg/m²) (p 0.05), even though more smokers (18.2%) rated themselves below average than non-smokers (10.1%). Smokers exhibited poorer academic behaviors than non-smokers such as higher course failure rate (54.5% vs. 46.0%), fewer study hours, lower class attendance and less consistent assignment completion. However, more of the smokers (48.5%) could always review their lecture materials shortly before examinations as against non-smokers (43.9%). The BMI of smokers was significantly reduced compared to non-smokers, but smoking status did not have any significant effect on the waist and hip circumferences as well as the waist-to-hip ratio (WHR) of respondents.
Conclusion: These findings suggest that while cigarette smoking may not directly impair academic grades, it could negatively affect study habits and overall academic engagement. Therefore, targeted health education and behavioural interventions are recommended to discourage smoking and promote healthier lifestyles among university students.
| 8 |
Author(s):
Shatu Ishaku, Hadiza Mohammed Sani, Hayat Imam Gommaa, Mfuh Anita Y. Lukong, Ishaku Hassan.
Page No : 87-100
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Effect of Nurse-Led Educational Intervention on Uptake of Human Papillomavirus Vaccine Among Parents of Adolescents in Communities in Kaduna North Senatorial District.
Abstract
Background: Human Papillomavirus infection is a major global public health concern, with cervical cancer being the fourth most common cancer among women. Despite the availability of the HPV vaccine, uptake remains low in many communities in Nigeria. Nurse-led educational interventions have the potential to improve parental awareness and vaccine uptake.
Objective: To determine the effect of a nurse-led educational intervention on parental uptake of the HPV vaccine among parents of adolescents in Kaduna North Senatorial District, Nigeria.
Methods: A quasi-experimental pretest–posttest study was conducted among 208 parents of adolescents aged 9–14 years, equally allocated across four Local Government Areas (LGAs); Zaria and Sabon Gari (intervention) and Makarfi and Soba (control). A multistage sampling technique was used to select wards, communities, and households, with one parent recruited per household. Baseline data on HPV vaccine uptake were collected, followed by a structured nurse-led educational intervention. Post-intervention uptake was assessed three months later using the same questionnaire. Data were collected using a structured questionnaire, and the results were analyzed using descriptive and inferential statistics to address the research question to test the null hypotheses at a 0.05 level of significance.
Results: The mean HPV vaccine uptake score in the intervention group increased significantly from 2.49 ± 2.37 at pretest to 4.12 ± 1.71 at post-test (t = –6.91, p < 0.001), while the control group showed no significant change (1.45 ± 2.14 vs 1.77 ± 2.18, t = –1.85, p = 0.067). The proportion of parents with high uptake in the intervention group increased from 52.9% to 86.3%, compared with a modest rise from 31.4% to 40.2% in the control group. Between-group comparisons confirmed that the intervention group achieved significantly higher uptake than the control group post-intervention (p < 0.001).
Conclusion: Nurse-led educational interventions effectively improved parental uptake of the HPV vaccine in Kaduna North Senatorial District. These findings support the incorporation of structured nurse-led education into community-based immunization programs to enhance HPV vaccine coverage among adolescents.
Recommendation: Integrating nurse-led educational programs into routine immunization outreach is recommended to improve HPV vaccine coverage in Nigeria.
| 9 |
Author(s):
Authority O. A. U..
Page No : 101-116
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Toward an Episto-Musical Pedagogy of Hormonal Regulation: Music and Female Reproductive Health.
Abstract
This article explores whether music can function as a hormonal regulator in female reproductive health, situating the inquiry at the intersection of musicology, endocrinology, pedagogy, and cultural studies. Drawing on Episto-Musical Pedagogy Theory, which frames music as both a knowledge system and pedagogical tool within decolonial musicology, the researcher conducts a narrative review and conceptual synthesis of biomedical and ethnomusicological evidence. Existing studies consistently demonstrate that musical engagement reduces cortisol, enhances oxytocin release, and supports emotional regulation, thereby buffering stress and fostering resilience. While direct evidence on reproductive hormones such as estrogen, progesterone, Luteinizing Hormone (LH), and Follicle-Stimulating Hormone (FSH) remains limited, indirect pathways suggest that stress reduction through music may positively influence menstrual regularity, fertility, and perinatal well-being. Cultural traditions, including ritual drumming and communal singing, further highlight music’s role in reproductive support. The paper proposes a framework mapping inputs, mediators, and outcomes, and concludes by calling for interdisciplinary, culturally sensitive research to validate music as a non-invasive, empowering intervention in reproductive health.
| 10 |
Author(s):
Oyetunji Felicia Odunayo, Adewole Jude Adesola, Ojoawo Samuel Olubode.
Page No : 117-138
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Knowledge and Treatment Compliance among People Living with Diabetes Mellitus in Selected Secondary Healthcare Facilities in Ibadan, Oyo State, Nigeria.
Abstract
Compliance with treatment modalities is imperative to mitigate diabetes mellitus-related complications. However, compliance among these individuals living with diabetes mellitus has been low. Hence, this study assessed the knowledge and treatment compliance among people living with diabetes mellitus in a selected hospital in Ibadan, Oyo state, Nigeria. The study utilised a descriptive cross-sectional design. The Population size was190 patients attending Ring-Road State Hospital, Ibadan. Taro Yamane’s formula was used to determine 100 sample size. Participants were selected using a random sampling (balloting) technique. A self-constructed questionnaire with Cronbach’s Alpha Coefficient of .773 was used to collect data. The response rate was 100%. 70% of the participants had poor knowledge and treatment compliance, respectively. This shows that most people living with diabetes mellitus in Oyo state lack adequate knowledge of diabetes mellitus, which reflects in the compliance rate. Therefore, there is a need for health education and support systems across Oyo state.
