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Author(s):
Alake Oluwaseun Morolake, Professor Joseph Aina, Sodimu Jeminat Omotade, Dele-Alonge Olajumoke.
Page No : 1-14
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Nurse-Led Intervention on Teachers’ Knowledge and Management of Pupils with Attention Deficit Hyperactivity Disorder in Primary Schools in Abeokuta, Ogun State
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.
| 2 |
Author(s):
Opeyemi Afolabi, Janet Kio, Adegboyega Afolabi, Comfort Ajala, Olubukunola Ajayi.
Page No : 15-23
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Acceptance of Partner’s Presence during Labour by Midwives, Clients and Partners in selected Health Facilities in Osogbo, Nigeria
Abstract
This study examined the acceptance of partners’ presence during labour by midwives, clients and partners in selected health facilities in Osogbo, Nigeria. Well-structured questionnaire was used to collect data from a total of 120 respondents consisting of midwives, clients and partners from the health facilities. Data collected and analyzed using descriptive and inferential statistics. The Statistics Package for Social Sciences (SPSS version 20) was employed for data analysis. All analyses were done at p≤0.05. The study reveals that there is no significant difference in the acceptance of partners’ presence during labour by the three categories of respondents. The study concludes that partners’ presence be embraced as an intentional policy in health care, Midwifery training and practices in labour management in Nigeria. The study recommends that Government should initiate policies to facilitate partners’ presence during labour and organize programmes on partners’ presence during labour which will be made a standardized practice in all hospitals and this should be communicated and taught to staff immediately they are employed into the health care institutions.
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Author(s):
Awosanya Omolade Oyinola, Dr. Joel. O. Aluko, Ogungbesan Joshua Olufemi, Olu-Abiodun Oluwatosin O..
Page No : 24-36
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Clients’ Satisfaction with Quality of Maternity Care Services in Selected Primary Health Care Centres in Ijebu-Ode Local Government Area of Ogun State
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.
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 more than the population of women who returned for child birth in each facility. It is therefore recommended that there should be continuous training of healthcare providers, especially the maternity care service providers so as to improve their performance and consequently raise the level of quality of care.
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Author(s):
Rhoda Mundi, Dakyes Samuel Panse, Ishaya Sunday, Nwankwo Beatrice Biyaya, Stephen Yohanna.
Page No : 37-54
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Assessment of the Socio-Demographic and Economic Risk Factors of Childhood Diseases and Mortality in Yamaltu Deba Local Government Area, Gombe State, Nigeria
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.
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Author(s):
Precious Esther Omeonu, Aina Tolulope Olayemi, Ifeoluwapo Asekun-Olarinmoye.
Page No : 55-63
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Awareness of the Risk Factors for Chronic Kidney Disease among Secondary School Students in Nigeria: Evidence from Ogun State
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.
| 6 |
Author(s):
Boma Iweriso George, Oji Aleruchi Lenchi, Tari-Oki Udochukwu Peace.
Page No : 64-77
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Knowledge of Hypertension and Practice of Hypertension Control among Hypertensive Patients in University of Port Harcourt Teaching Hospital (UPTH), Nigeria
Abstract
Background: Hypertension remains a major public health challenge and cause of morbidity and mortality globally. Patients’ knowledge of hypertension among other factors could influence their practice of hypertension control measures. Purpose: This study aimed to determine the knowledge and practice of hypertensive patients towards hypertension control as well as identify factors influencing the practice of hypertension control in the University of Port Harcourt Teaching Hospital (UPTH), a tertiary healthcare institution in Nigeria. Materials and Methods: This cross-sectional descriptive study was carried out at the University of Port Harcourt Teaching Hospital (UPTH). One hundred and twenty (120) consenting hypertensive patients attending a clinic at the outpatient department were recruited for this study. A pre-tested structured questionnaire incorporating sociodemographic characteristics and questions on knowledge, practice and factors affecting hypertension control was administered to the patients. Data obtained was presented using frequencies, percentages, mean and standard deviation. Spearman rank correlation was used for correlation analysis of data. Statistical significance was set at p<0.05. Results: Study participants demonstrated good knowledge with a mean knowledge score of 3.68±0.30. However, poor practice in the control of hypertension with a mean practice score of 2.59±0.48 was observed. Financial constraint was identified as the factor affecting the practice of hypertension control among hypertensive patients (mean score 3.09±0.66). There were statistically significant positive correlations between mean practice score with age (r=0.269, p=0.005) and educational status (r=0.232, p=0.017). Significant negative correlations between the mean practice score and financial constraint (r= -0.246, p=0.011), negative side effects of drugs (r= -0.318, p=0.001), herbal medicine use (r= -0.207, p=0.034), failure to remember (r= -0.225, p=0.020) as well as perceived absence of symptom (r= -0.261, p=0.007) were observed. Conclusion: Hypertensive patients attending clinics at the outpatient department of UPTH demonstrated good knowledge of hypertension though this did not translate to good practice in hypertension control. Poor practice in hypertension control was associated with age, educational status, financial constraint, a side effect of drugs, herbal medicine use, failure to remember and perceived absence of symptoms.
