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Author(s):
Editor in Chief.
Page No :
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African Journal of Health, Nursing and Midwifery, Volume 7 Issue 2, Cover Page
Abstract
African Journal of Health, Nursing and Midwifery, Volume 7, Issue 2, Cover Page
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Author(s):
Lawrence Sao Babawo (Ph.D.), Rashid Bundu Kpaka, Stella Fortune.
Page No : 1-19
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The Impact of Nurse Educators’ Attitude on Nursing Students’ Academic Performance and Ethical Growth at the Department of Nursing, Eastern Technical University of Sierra Leone
Abstract
Introduction: Sierra Leone faces significant healthcare challenges, including a shortage of healthcare professionals and concerns over the competence and ethical behaviour of nurses. Understanding the role of nurse educators in shaping the next generation of nurses is essential for addressing these challenges and improving healthcare delivery. Aim: To examine the impact of Nurse Educators’ attitudes on Nursing Students' academic performance and Ethical Growth at the Department of Nursing, Eastern Technical University of Sierra Leone. Methods: The study was a descriptive cross-sectional mixed-methods design, incorporating both quantitative and qualitative approaches, and utilised a stratified random sampling method to survey students between August and October 2023. The sample size was determined using an online Raosoft sample size calculator and the WallStreetMojo formula, ensuring a 5% margin of error at a 95% confidence interval. Data collection involved a self-designed 5-point Likert scale questionnaire, assessed for reliability and internal consistency using Cronbach's alpha, with analysis conducted through descriptive statistics, factor analysis, and the chi-square test of independence, maintaining a significance level of p ≤ 0.05. Result: Findings that emerged include the positive influence of educators' attitudes, commitment, and effective teaching methods, underscoring their crucial role in cultivating a conducive learning environment. Similarly, negative findings reveal apprehensions regarding clinical preparation, student participation, and the perceived influence of educators' behaviour on academic progress and motivation. Statistical analyses, including chi-square tests, reveal the statistical significance of the relationships between nurse educators' attitudes and students’ academic performance and ethical growth. Qualitative themes, including respect, fairness, and equality emerged, highlighting the intricate nature of professional relationships between educators and students. Conclusion: The study sheds light on nurse educators' influence on students' academic performance and ethical growth, emphasising the importance of addressing both positive aspects and areas of concern for a holistic learning environment. The qualitative responses emphasised a collective desire for a supportive and respectful atmosphere and implementing the study's recommendations is seen as vital for enhancing professional relationships in nursing education.
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Author(s):
Lawrence Sao Babawo (Ph.D.), Allieu F. B. Saccoh, Rashid Bundu Kpaka.
Page No : 20-46
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Understanding Vision Impairment: A Comprehensive Study of Uncorrected Refractive Errors among Primary School Teachers and Pupils in Nongowa Chiefdom, Kenema District, Sierra Leone.
Abstract
Introduction: Uncorrected Refractive Error (URE) is a major concern globally, particularly in developing nations like Sierra Leone, where limited access to eye care services poses challenges. Aim: This study, conducted in Nongowa Chiefdom, Kenema District, Sierra Leone, aimed to investigate the prevalence of URE and associated knowledge, attitudes, and practices among primary school pupils and teachers. Methods: Descriptive cross-sectional designs, incorporating both qualitative and quantitative methods were used. A structured survey questionnaire and visual acuity screening tools were used to assess uncorrected refractive errors among 692 randomly selected participants, data analysis involved descriptive statistics and qualitative content analysis. Results: The study involved 374 pupils and 318 teachers from 145 public and 14 private schools, uncorrected refractive error prevalence was 66%, with hypermetropia most prevalent and blindness at 0.13%. Girls contributed 29% of cases compared to boys' 25%. Ages 5-17 were most affected. Public schools accounted for 91% of cases, with peri-urban areas contributing 24% and urban areas 76%. Economic status and education influenced prevalence. Teachers played a crucial role in promoting eye health education. Economic factors may have influenced observed differences in refractive errors. Conclusion: The study highlighted the multifaceted nature of URE, involving demographic, economic, and educational factors. Addressing these complexities through targeted interventions is crucial for mitigating the burden of visual impairment in the region.
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Author(s):
Ibrahim Sahr Momoh, Mimi K. K. Rogers, Mariama Lilei Kassay, Elizabeth M. J. Faley.
Page No : 47-63
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Innovative Management of Non-Communicable Disease in a Low-Income Country: Supporting Nurses and Midwives to Set Up and Manage a Nurse-Led Diabetes Clinic at Bo Government Hospital in Sierra Leone
Abstract
Recognising the increasing prevalence of diabetes globally and the challenges faced by communities with limited resources, the Organisation of Sierra Leonean Healthcare Professionals Abroad (TOSHPA) proposed the establishment of a nurse/midwife-led clinic for patients with Type 2 and gestational diabetes to be established in Bo Government Hospital (BGH) Southern Sierra Leone. The nurse/midwife-led approach can prove to be an effective and sustainable solution and is done in collaboration with the Ministry of Health (MOH) and BGH Management Team in Sierra Leone. The project is funded by The Burdett Trust for Nursing, UK. BGH will allow second-motivated registered nurses and midwives who have a passion for community health to be trained/upskilled and capacitated to work in an extended role. The training will focus on patient assessment, investigations, diagnosis, treatment, health promotion, education, cultural competency, effective communication and active follow-up.
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Author(s):
Ogechi Helen Abazie, Linda Chihurumnanya Odikpo.
Page No : 64-81
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Nursing Students’ Perception and Attitude towards Online Learning during COVID-19 Pandemic in Nigeria
Abstract
The COVID-19 pandemic affected nursing students dramatically when the clinical sites and the onsite classrooms closed to physical participation. The study is on nursing students’ perception, attitude and perceived benefits of online learning during the COVID-19 Pandemic.
Methods: This is a descriptive cross-sectional online survey of nursing students. A multistage sampling technique was used for the study. Data were collected using Google Forms from 429 nursing students. Descriptive data of respondents were presented in tables, charts, percentages, means, and standard deviation, while the inferential data were tested with Chi-square at a significance level of P< 0.05.
Results: Mean age is 23.15± 3.10 years, 396(92.3%) had positive perception and 396(92.3%) had a good attitude towards online learning. There is a relationship between the perception of online learning and attitudes toward online learning as all the variables showed a statistically significant relationship of p<0.001.
Conclusion: Nursing students had a positive view of online learning in nursing education. To be successful, online learning must be reliable, accessible, and user‐friendly with tech support available 24 hours a day.
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Author(s):
Ojilere Ezinne Jane, Ilo Clementine Ifeyinwa.
Page No : 82-92
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Knowledge and Uptake of Community-Based Healthcare Financing in Management of Non-Communicable Diseases among Community Members in Anambra State, Nigeria
Abstract
Background: Catastrophic health expenditure is one of the challenges people living with non-communicable disease face, especially in Nigeria. This has led to the emergence of community-based health insurance as a means to achieve universal health coverage and reduce out-of-pocket payments. However, lack of knowledge about the insurance scheme and how it helps to manage non-communicable diseases seems to affect utilization. Aim: The study assessed the knowledge and uptake of community based healthcare financing in the management of non-communicable diseases among community members in Anambra State. Materials and Methods: A descriptive cross-sectional survey design was adopted for the study, sample size was 444 and a multistage sampling technique was used. The instrument for data collection was a self structured questionnaire and data obtained were analyzed using Microsoft excel, descriptive statistics, inferential statistics for hypothesis testing and IBM statistical package for social Sciences (SPSS) version 29. Results: 64.1% had a good knowledge of community based healthcare financing; 51.4% managed their health condition through hospital visits under CBHI. There was a significant relationship between the level of education of respondents and their level of knowledge of community based health insurance (p-value 0.001 < 0.05). Conclusion: Majority had a good knowledge; those suffering pregnancy related non-communicable diseases used the insurance more although half of the respondents still pay through their pocket. The following recommendations were made: increase access to community-based healthcare financing information, encourage those in the informal sector to enroll and plan benefit packages to have wide illness coverage.
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Author(s):
Olofin-Samuel Mary Ayodeji, Aina Modupe Aduke (Ph.D.), Ogidan Oluwakemi Christie (Ph.D.), Ayedun Tosin Olusola, Gentry Oluwabukola Ayo, Adeagbo Omolola Yinka, Oyolola Victoria Ifeoluwa.
Page No : 93-104
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Acceptance of Hepatitis B Vaccine Among Health Care Workers in Ondo State.
Abstract
Hepatitis-B Virus is a prevalent blood-borne disease that can be spread through occupational exposures. This study examines the acceptance of the Hepatitis B vaccine among healthcare workers in Akoko Senatorial District, Ondo State. This study utilised a cross-sectional descriptive research methodology to assess the adoption of the hepatitis B vaccine among healthcare workers in the Akoko senatorial district of Ondo state. The sample size was calculated using the Taro Yamane formula, resulting in 226. The participants were chosen from each of the research locations using convenience sampling technique. The data was gathered over a period of four weeks. The instrument used for data collection was a self-developed questionnaire. Only 218 questionnaires were completed accurately and were suitable for analysis. The data was analysed using Statistical Package for Social Sciences (SPSS) version 25. The hypothesis was tested using Pearson Product Moment Correlation at 0.05 level of significance. It was revealed that majority of the respondents had a strong grasp of important elements of Hepatitis B. Only 36 respondents has a positive and open attitude toward accepting the hepatitis B vaccine among this segment of the surveyed population. The listed factors influencing acceptance were vaccine accessibility, poor attitudes among vaccinators, crowded vaccination centers, and inadequate staff orientation. The findings also revealed a non-significant relationship between knowledge levels and vaccine acceptance. This implies that while knowledge is essential, it may not singularly drive vaccine acceptance, pointing to the need for comprehensive interventions. It is therefore recommended that Healthcare institutions and policymakers should work on optimizing the accessibility of vaccination services.
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Author(s):
Chinwe Judith Egwuonwu , Florence Tochukwu Sibeudu (Ph.D.).
Page No : 105-114
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Does Life Satisfaction Influences Work Family Conflict among Nurses Working in Teaching Hospitals in Anambra State.
Abstract
Life satisfaction has been shown to be a major factor influencing productivity across different categories of employees including health workers. Nurses encounter challenges of balancing their work and family life. They are also mindful of achieving satisfaction in various aspects of life. Understanding the relationship between work-family conflict and life satisfaction is crucial for creating a supportive and friendly work environment, which would enable the nurse lead a satisfied life. This study hence aimed at ascertaining the relationship between work-family conflict and life satisfaction among nurses. It is a cross-sectional survey conducted in Nnamdi Azikiwe University Teaching Hospital (NAUTH) and Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH) in Anambra State, Nigeria. A sample of 420 nurses was used for the study. The instruments for data collection included work-family conflict questionnaire and the satisfaction with life scale. The collected data was analysed using frequency, percentage, mean, standard deviation and Spearman correlation using the SPSS 25. Results showed that majority had life satisfaction (79.5%). There also was a positive relationship between life satisfaction and work-family conflict (p < .001). This study recommends that recruiting more nurses and implementing a flexible work arrangement in health facilities such as study leave, sufficient maternity leave, etc., which would help nurses cope while pursuing the various highpoints leading to higher life satisfaction.
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Author(s):
Jacob Joy Nkeiruka, Agbapuonwu Noreen E., Yarhere Iroro.
Page No : 115-140
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Knowledge, Attitude and Practice of Evidence-Based Nursing among Nurses in Children’s Ward at Tertiary Health Institutions in Anambra State, Nigeria.
Abstract
Background:
Evidence-based nursing care is the cornerstone of quality healthcare which integrates the best available research evidence with clinical expertise and patient values to guide nursing practice. Despite the importance of evidence-based nursing care, many nurses in children's wards lack the necessary knowledge and skills to implement this approach effectively. This has created a gap in practice of EBP in pediatric care which resulted to consequences such as reduced patient outcomes, increased mortality rates, increased length of hospital stays, requesting for discharge against medical advice due to longer hospital stay and others.
Aim: The study assessed the knowledge, attitude and practice of evidence - based nursing care and associated factors among Nurses in children’s ward at tertiary health institutions in Anambra State.
Materials and Methods: A descriptive cross sectional survey design was adopted for the study, Population of the study was 127 and a total population survey was used. The instrument for data collection was a self structured questionnaire, data obtained were analyzed using Microsoft excel, descriptive statistics, inferential statistics for hypothesis testing and IBM statistical package for social Sciences (SPSS) version 29.
Results: indicated that majority of the Nurses 105 (82.7%) had a good knowledge of evidence –based practice, 68 (53.5%) of the nurses possessed a negative attitude towards evidence-based practice, 89 (70.1%) of the nurses had a poor practice of evidence- based nursing. However, several factors such as lack of time, lack of resources, lack of knowledge about EBP, lack of access to research literature/guidelines, organizational challenges, workload and staffing constraints etc were associated with the practice of evidenced –based nursing.
Conclusion: Majority had a good knowledge, their attitude was negative and several f actors were associated with it leading to poor practice of evidence-based nursing. It is recommended that for continuous improvement of knowledge and attitude, educational training opportunities, access to reliable research database and mentorship programs are needed.
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Author(s):
Aliyu-Jacob Ijanada, Atulomah Nnodimele, Dangana Jonathan, Onyeike Nelson, Egga Dennis, Olorunnisola Abosede.
Page No : 141-154
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Examining Moderator Influences on the Effect of Information and Motivation on Infant-Survival Behavioural Skills of Mothers in Selected PHC Facilities.
Abstract
This research aims to identify the moderating variables such as age, education level, and number of children alive in the association between information and motivation on infant-survival behavioural skills of mothers in selected PHC Facilities. The research was taken from a quasi-experimental design, with one experimental group (n=25) and one control group (n=25) to determine the effect of a peer-led educational intervention on Infant-Survival behavioural skills of Mothers. Results revealed that age (β =-2.36; p<0.05) and number living children significant (β =3.26; p<0.05) have significant moderating effect on motivation while education has a significant moderating effect on knowledge or information (β =-7.51; p<0.05) with association to behavioural skills for EG. In the EG, the correlation coefficient shows a that very strong relationship exit between knowledge, motivation and behavioural skills due to the presence of moderating variables and influence of the interventions. The adjusted R2 of 0.646; p<0.05 connotes 65% changes in behavioural skills was due knowledge and motivation couple with moderation factors.
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Author(s):
Onasoga Olayinka A. (Ph.D.), Adeola Olubunmi Olulope, Cosmos Enyindah (Prof.).
Page No : 155-170
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Promoting Maternity Care: Knowledge, Perception and Challenges of Midwives in Selected Government Hospitals in Federal Capital Territory (FCT), Abuja.
Abstract
Introduction: One major threat to achieving the Sustainable Development Goals is the refusal of about one-third of pregnant and postpartum women to access maternity care from health facilities. Evidences suggest that women who do not access maternity care have reported to have ever experienced or witnessed disrespectful maternity care at health facilities. The aim of this study is to investigate the knowledge, perception and challenges of promoting respectful maternity care by midwives. Method: A descriptive cross-sectional study was carried out in 6 selected government hospitals in FCT. A stratified random sampling technique was used in classifying FCT into 6 strata. The hospitals were selected using simple random sampling from each stratum. Then, Purposive Non-probability sampling technique was used to select 112 midwives working in the maternity units at study hospitals. Data were collected using a well-structured questionnaire. Results: The percentage of midwives that expressed knowledge of respectful maternity care and its components is 84.6%. 71.2% expressed positive perceptions of respectful maternity care. 58.4% identified challenges related to promotion of respectful maternity care. The average percentage of respondents acknowledging the prospects and opportunities for promoting respectful maternity care is 89.6%. Conclusion: Midwives generally exhibit a positive attitude towards respectful maternity care. A significant proportion of midwives have undergone training on RMC, possess a deep understanding of its key components, and feel confident in their ability to apply the principles of respectful care in their daily practice. However, despite this positive outlook, challenges persist in the provision of respectful maternity care.
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Author(s):
Abigael Casiwa Lamadrid, Belenitha Pujeda Edica, Ali Aboubaker Faraj Abdulraheem.
Page No : 171-193
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Level of Awareness on Tuberculosis, Roles and Functions Treatment Partner and Implementation of the Treatment Partner Strategy.
Abstract
This study determined the level of awareness on tuberculosis, roles and functions of treatment partners and Implementation of the treatment partner strategy. It also looked into the significant relationship between the profile of the respondents, the level of awareness on tuberculosis of the respondents, the level of roles and functions of the respondents, the level of implementation of the treatment partner strategy and its significant relationship.
This study utilized the descriptive-correlational design utilizing quantitative approach in determining the profile, level of awareness on tuberculosis and level of roles and functions of treatment partners. Furthermore, it will also be used to determine the significant variables correlated
Based on the findings of the study, the following conclusions were drawn: There is no significant relationship between profile variables and level of awareness on tuberculosis and level of roles and functions of the treatment partners. But, there is a significant relationship between awareness and roles and functions as well as roles and functions of treatment partners and implementation of the treatment partners program.
Based on the results of the study, the following are recommended: The TB. patients should be aware of the personal, social and economic consequences of the dreaded disease and that they will live normal lives after TB treatment with the help of their TB treatment partners. Treatment Partners should realized their role in treating TB in their locality and their overall contribution in helping increase cure rate on TB. Moreover, the family members and significant others should understand the importance of having a TB treatment partner. Futhermore, Rural health workers should help the frontline workers to really insist of having their community volunteer health workers as the first priority to be the TB patient's treatment partners. And lastly, the Ministry of health should continuously provide technical assistance to the community volunteer health workers in the form of training packages and other non-monetary benefits such as those provided in the law.
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Author(s):
Olatubosun Alice Kehinde, Samuel Godwin Atayi, Silas Oyibo Saidu.
Page No : 194-207
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Clients Satisfaction of Maternity Care and the Determinants for Antenatal Booking Among Pregnant Women Attending Clinic in ECWA Hospital Egbe, Kogi State
Abstract
Globally, at least 1600 women die from the complications of pregnancy and childbirth daily giving an annual figure of 585.000 women (with Nigeria alone contributing up to 10% of figure), and over 50 million more women suffer from acute complications and long term morbidities. The indices for maternal and child mortality are relatively high in most developing countries, particularly in sub-Saharan Africa. This study aims to look at clients satisfaction of maternity care and The determinants for antenatal booking among pregnant women attending clinic in ECWA Hospital Egbe, Kogi State. A non-experimental descriptive mixed method was used with the combination of quantitative and qualitative method. A total of two hundred and forty-four (244) women attending maternal health services at ECWA hospital Egbe were selected by cluster sampling technique. Data was collected using pretested structured client questionnaires, and focus group discussion guide. About 64(74.6%) of the clients had 2-4 babies and 198(90,0%) had their previous delivery in the hospital. Majority 178(80.9%) book their antenatal in ECWA hospital and 17(7.7%) booked in PHC centres. Only 4 (1.8%) of the participants booked for antenatal service in other facilities. This implies that women are beginning to be aware of the benefits of booking and antenatal care, hence the higher rate of booking although only few return to deliver their babies after booking. Majority 204(92.7%) received enough help from staff with the baby care and 215(97.7%) said they will advice friends to use this facility, hence, the likelihood to return for child birth but they go to another clinic for other services such as child immunisation. Majority of the women were satisfied with the maternity care services received at the hospital. Therefore, the following recommendations were made; the management should employ more competent health professionals especially nurses in their various field of specialties and regular in service training to meet with improving world standard.
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Author(s):
Uzochukwuamaka Blessed Ogeh, Faith Chinaemerem Diorgu.
Page No : 208-220
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Breast Milk and Hand Hygiene Practices among Breastfeeding Mothers in Tertiary Health Institutions in Abakaliki, Ebonyi State South-East Nigeria.
Abstract
Introduction: Breast milk and hand hygiene are very important aspect for breastfeeding mothers. This is because of the role breast milk plays in the early stage of development of the infant. Though breast milk is very essential for infants, its quality can be compromised when proper hygiene practices are not observed by the breastfeeding mothers. Therefore, this study is aimed at determining the knowledge and practices of breast milk and hand hygiene among breastfeeding mothers in tertiary health institutions in Abakaliki, Ebonyi State, Nigeria.
Method: The study adopted a cross-sectional descriptive design with a purposive sampling method to select 215 breastfeeding mothers who visited two tertiary health institutions for immunization. Data among were analyzed. Ethical approval and permission were from the participants, hospitals studied and the institution of University of Port Harcourt the author affiliates.
Result: The result revealed that 71.3% and 75.3% had good knowledge of breast milk and hand hygiene while 2.3% and 1.4% had poor knowledge. The study noted that 58.1% and 60.9% of the mothers practices breast milk and hand hygiene respectively and 21.4% and 9.8%.The knowledge of breast milk and hand hygiene was significantly associated with practices of breast milk and hand hygiene. The result further revealed that only knowledge of breast milk hygiene was significantly associated with parity while knowledge of hand hygiene, practices of breast milk and hand hygiene was not significantly associated with parity.
Conclusion: Though there is high knowledge of breast milk and hand hygiene among the breastfeeding mothers but the knowledge did not reflect with the practice. There is therefore a need for continuous education of the breastfeeding mothers on the practice of milk and hand hygiene and its importance to the growing infants.
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Author(s):
Lucy W. Kivuti-Bitok (Ph.D.).
Page No : 221-234
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Revolutionizing Primary Healthcare in Africa: Empowering Youth through the Heckling Model of Health Systems Engineering and Innovation.
Abstract
This perspective hypothesizes the Health Entrepreneurship Compensation of Knowledge and Innovations among the Next Generation (HECKLING) model, which aims to kickstart a dialogue and delve into research in utilizing the skills, innovation, and vast youth population in Africa to generate employment opportunities in complementing community Health Promoters/volunteers. The proposed entrepreneur model fosters a holistic approach to sustainable flower farming by integrating healthcare, environmental responsibility, community engagement, and economic growth. It creates a symbiotic relationship between flower farms, healthcare providers, volunteers, manufacturing companies, and research institutions, paving the way for a resilient and thriving community ecosystem. By harnessing the potential of Artificial Intelligence, the model seeks to enhance health outcomes within communities
The model proposes integrating health systems engineering concepts into the virtual healthcare hubs and virtual digital tray centers aligning with the principles of primary healthcare, preventive medicine, entrepreneurship, and sustainability. It acknowledges operational efficiency and ensures the long-term sustainability of community health initiatives which have the potential to compensate community health volunteers consummately.
By applying the concept of carbon credits to preventive and health promotion efforts, the model could create new opportunities to incentivize and reward individuals and organizations for their contributions to improving public health reducing healthcare costs, and promoting community development.
Integrating health systems engineering concepts into the virtual healthcare hubs and virtual digital tray centers aligns with the principles of primary healthcare, preventive medicine, entrepreneurship, and sustainability.
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Author(s):
Allagoa Basila Inie, Amininiye Manuel M., Gbobo Patricia I..
Page No : 235-248
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Factors Influencing Attitude and Adherence Toward Principles of Medical Ethics Among Midwives and Midwifery Students in University of Port Harcourt Teaching Hospital.
Abstract
Introduction: The professional ethics of midwives at the University of Port Harcourt Teaching Hospital (UPTH) in Rivers State, Nigeria, represent a crucial aspect of healthcare delivery, influencing both patient care and educational frameworks within midwifery. This study investigated factors influencing attitudes and adherence to principles of medical ethics among practising midwives and midwifery students.
Methodology: A cross-sectional quantitative designed was adopted to survey 124 participant drawn using purposive sampling. The participants predominantly aged between 18 and 45 years, with a minor segment over 46. The majority, 89.5%, were female, reflecting a significant gender imbalance, while males constituted only 10.5%. Data collection was carried out using questionnaire, which included items on demographic data and various ethical considerations in midwifery practice. Mean and standard deviation were employed for data analysis.
Results: Findings from the study revealed positive attitude (3.41±0.773) and a strong adherence medical ethics principle (3.39±0.642). The most challenging factors to adherence were balancing conflicting ethical principles in complex cases(3.12 ± 0.694) and workplace culture and policies (3.01 ± 0.716) while regular training and updates on medical ethics (3.64 ± 0.483) and recognition and appreciation for ethical behaviour (3.45 ± 0.603) as the most effective ways to overcome the challenges.
Conclusion: despite the positive attitude and high level of adherence to medical, challenges remain. As such, continuous education and reinforcement of ethical principles are imperative to ensure that these standards are not only understood theoretically but are also consistently applied in clinical practice.
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Author(s):
Hauwa Salisu Abdullahi.
Page No : 249-259
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Assessment of Pain Management in Labour and Midwives Perspectives in Hospital Used Damaturu Yobe State.
Abstract
Introduction: pain management during labour is a critical aspect of obstetric care aimed at optimizing maternal comfort and ensuring positive childbirth experience. This article was on assessment of pain management in labour and midwives perspective in hospital used in Damaturu, Yobe state. Methods: Descriptive cross-sectional qualitative survey was employed for this study. Four selected healthcare facilities within Damaturu metropolis were used. The population size consist of 100 postpartum women and 98 midwives (for interview& focus group discussion) who work at the maternity unit . Self-structured questionnaire, and semi-structured interview guide were used to collect data. Quantitative data was analyzed using descriptive statistics, SPSS version 20, while qualitative data collection achieved saturation when no new information was obtained .The six steps of qualitative data analysis were used, also qualitative rigor was achieved through credibility. Result: showed that pain management in labour was not practice with 89% failure. Inadequate staffing was the major obstacle. 100% of the respondents says they had never undergo any training on pain management in labour. Two themes identified for qualitative research. In conclusion Addressing pain management in labour involves accessibility to pain relief options, midwives training support and holistic approach to childbirth. Recommendation: Future research to explore the effectiveness and long-terms outcomes of various pain management approach in maternal and infant health.
Key words: labour pain, pain management, midwives, childbirth.
