| 1 |
Author(s):
Aina Oluwaseun James, M. F. Olanrewaju, Akinbode Abiola Oluwatoyin, Ajayi Oluwaseun Chidera, Agboola Segun Mattew , Ukachukwu Soyama Felix.
Page No : 1-12
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Effect of Educational Intervention on Knowledge and Perception of Mortuary Workers in Selected Health Facilities in South-West Nigeria (Mortuary).
Abstract
Background: Mortuary workers’ exposure to hazards is a serious public health issue, as consequences of these work-related risks do not only affect individuals who are directly at the receiving end, but also the impact ripples through their families, with potential emotional and financial burdens, and extends to employers who may face increased healthcare costs and workforce management challenges. Therefore, this study examined the effect of educational intervention on knowledge and perception of personal protective equipment among workers in selected health facilities in South-West, Nigeria. METHODOLOGY: Quasi-experimental research approach was employed for this study. A total of 10 mortuaries were selected in the two states out of the 46 facilities existing in Lagos and Osun by balloting. A sample size of 60 mortuary workers was using the Power formula. A random sampling technique was used to group the participants into an Experimental group Group (EG) and Control Group (CG). The intervention was implemented for 2 hours per day once a week for four weeks. Four workers were trained for 2 hours over a period of three days. A structured validated questionnaire with Cronbach’s alpha coefficients ranging from 0.70 to 0.79 was used to collect data. Data were collected at baseline, immediate post-intervention and 12th week follow-up. Response rate was 100% for both IG and CG. Data were analysed using descriptive and inferential statistics at 5% level of significance. Effect size (ES) was computed to measure the magnitude of the intervention in IG. RESULTS: Findings showed that at baseline, there was no significant difference (p > 0.05) in the mean scores of PPE knowledge for Experimental Group (3.52 ± 0.33) and Control Group (3.69 ± 0.38). It also revealed that at baseline, there was no significant difference (p > 0.05) in the mean scores of PPE perception for experimental group (16.36 ± 0.73) and control group (16.15 ± 1.22). Furthermore, there was a significant difference (p < 0.05) in the mean scores of PPE knowledge between baseline for EG (3.52 ± 0.33) and 12th week follow-up (9.93 ± 0.05), as there was a significant difference (p 0.05) in the knowledge and perception of PPE utilisation among mortuary workers in the control group and artisans in the experimental group at 12th follow-up, greatly due to the occupational-risk intervention program. CONCLUSION: The proper and sufficient use of PPE among mortuary workers is due to a variety of factors. This study affirmed that increase in knowledge and perception on usage of PPE among workers in selected health facilities are very crucial factors to be considered. The result of the analysis reveals that there were significant differences at 12th week follow-up between the control and experimental groups in all the variables measured. This result attests to effectiveness of the educational intervention program in improving the knowledge and perception of utilisation of PPE among mortuary workers in selected health facilities. This is evident in the statistical analysis which revealed that, there is a significant difference in the mean score of each of knowledge and perception from baseline period to immediate and follow-up stage based on the t-test.
| 2 |
Author(s):
Aribisala Felicia Oluwatoyin .
Page No : 13-27
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Practice of Unsafe Abortions and it’s Associated Factors Among Youths in Oyo South Senatorial District of Oyo State, Nigeria.
Abstract
Unsafe abortion has become a public health issue in Nigeria especially among the youth and has resulted in increased morbidity and mortality. This is due to poor knowledge and non-utilization of family planning. Therefore, this study aimed to determine the rate of unsafe abortion and its associated factors among students in selected higher institutions. A descriptive cross-sectional design was employed with a multistage sampling technique to select 384 respondents. A validated and self-structured questionnaire was used. The response rate was 100%. Descriptive statistics were applied to analyze the data using SPSS Version 25.0 and the results were presented with tables, frequencies, and simple percentages. Findings indicated that 25.3% of the respondents have experienced unsafe abortions, while the majority terminated their pregnancies due to lack of support, financial constraints, and unpreparedness. The findings show a high rate of unsafe abortions among the students in the selected institutions in Oyo State. Therefore, there is an urgent need to create awareness on unsafe abortions and its consequences.
| 3 |
Author(s):
Maria Oluomachi Enebeli.
Page No : 28-56
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Relationship Between Health Literacy and Level of Education on Health-Related Behaviours of the Nigerian Population in Anambra State.
Abstract
Background: Health literacy challenges significantly impact the adult population in Nigeria across multiple dimensions. Current research indicates that health literacy and structured health education remain underdeveloped, with only 38% of adults having access to formal education. While the relationship between health literacy and health-related behaviours has been widely studied in global contexts, there is a notable lack of research specific to Nigerian populations. This study explores the interrelationship between health literacy, levels of educational attainment, and health-related behaviours among adults in Nigeria, aiming to better understand how these factors influence one another and impact health outcomes.
Methods: A quantitative research design was employed, utilizing standardized questionnaires adapted from the Health Literacy Survey North Rhine-Westphalia. Education levels were classified according to the International Standard Classification of Education. Data were collected from a purposive sample of 50 men and women aged 30–60 and analysed using computer-assisted descriptive statistics and frequency distributions.
Results: Findings revealed that participants with a high level of education (100%) were significantly more likely to seek out and utilized health information compared to those with medium (71%) and low (50%) education attainment. Additionally, 91% of highly educated participants obtained health information from healthcare professionals, whereas participants with medium (33%) and low (62%) education levels relied more on family and friends. Similarly, all participants in the high education group reported practicing health-conscious behaviours, compared to 75% in the medium group and 65% in the low education group. Despite these differences, a majority across all education levels reported difficulties in understanding written health information and a general underutilization of preventive health services.
Conclusion: The findings demonstrate that although education level and health literacy significantly influence health behaviours, formal education alone does not guarantee the ability to comprehend and apply health information effectively. To improve health outcomes, it is essential to expand access to both formal and informal education, promote structured health education, and support lifelong learning opportunities. Achieving this goal requires increased investment in both the education and health sectors, alongside targeted training for health professionals. Further research on health literacy in Nigeria is recommended to address existing knowledge gaps and to inform the design of context-specific, evidence-based interventions.
| 4 |
Author(s):
Enrique Arvin F. Pekson II RN.
Page No : 57-96
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Work-Life Balance and Moral Competence Among Nurses in Medical-Surgical Units of Selected Tertiary Hospitals.
Abstract
The medical-surgical unit is one of the busiest units in the hospital registering as high as 20 patients per nurse (Tamayo et al., 2022; Villanueva, 2023). Due to this staffing situation the nurses tend to be overburdened which makes their work-life balance unstable that may directly affect their moral competence. Although there is a vast amount of literature about work-life balance among nurses, as well as various studies on moral competence, there has not been much study about how work-life balance and moral competence interact. The study aims to add to the larger conversation of work-life balance impacting moral competence of nurses by making sure that those who provide patient care have the resources they need for a morally enhanced happy and healthier career. The researcher used quantitative descriptive correlational design employing non-probability consecutive sampling technique based on the established inclusion criteria. G*Power software was used to determine the sampling size of 84-92 and data gathered reached a sample of 90 respondents. The study has been granted approval by the FEU-Ethics Review Board prior to implementation. Two adapted instruments were employed and were subjected to validity and reliability testing. Cronbach α coefficient results yielded a high reliability for both instruments obtaining 0.946 (Work-Life Balance) and 0.989 (Moral Competence) respectively. Data gathering was initiated using google forms. Frequency and percentile, weighted mean and standard deviation, Mann-Whitney U test and Kruskal-Wallis’s test, Spearman’s rho, and logistic regression are the statistical treatment used to interpret the gathered data. Staff nurses in the medical-surgical unit exhibit a “high agreement” in perceived level work-life balance and “very high” perceived level in moral competence. The demographic factors such as age, sex, civil status, years in service, and years assigned in the medical-surgical unit do not significantly affect the perceived level of work-life balance or neither moral competence, except for the job status of which regular staff nurses assigned in the medical surgical unit seemed to exhibit higher moral competence as opposed to contractual staff nurses. Furthermore, the results show that moral competence is dependent on work-life balance and the supportive work environment as the sole contributor.
| 5 |
Author(s):
Ssempebwa Kato Daniel, Asonye Christine C. (Ph.D.), Fafemi Adenike Suzan, Godfrey Goodnews.
Page No : 97-105
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The Role of Mobile Applications (Apps) in Hypertensive Self-Care Management: A Narrative Review.
Abstract
Mobile applications (apps) play a significant role in improving hypertension management by enhancing patient engagement, adherence, and real-time monitoring. These apps enable users to track blood pressure, medication intake, physical activity, and dietary habits, providing personalized feedback and reminders. For healthcare providers, mobile apps facilitate remote monitoring, allowing timely interventions based on patient-generated data. Features such as data visualization, telehealth integration, and educational resources empower patients to take an active role in their care. Studies suggest that app-based interventions can lead to better blood pressure control, reduced cardiovascular risks, and improved treatment compliance. However, challenges such as data privacy, app accuracy, and user accessibility must be addressed for widespread adoption. Policymakers and developers should collaborate to ensure apps meet clinical standards, integrate with electronic health records, and are accessible to diverse populations. By leveraging mobile technology, hypertension management can become more efficient, patient-centered, and scalable, ultimately reducing the global burden of cardiovascular diseases.
| 6 |
Author(s):
Asaba Marion, Ssempebwa Kato Daniel, Bukirwa Sarah.
Page No : 106-116
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Factors Associated with Urinary Tract Infection Among Students Aged 20-25 Years at Bugema University Health Centre III, Luweero District.
Abstract
Introduction: Urinary tract infection is one of the most common infections among people and the most common disease of the urinary tract in women of all ages. At Bugema University Health Centre III, UTIs are a common reason for students seeking medical attention. Therefore, this study aimed to assess the investigate the factors associated with urinary tract infection among students aged 20-25 years at Bugema University Health Centre III, Luweero District.
Methodology: A cross-sectional study design was employed, utilizing quantitative data collection. A questionnaire was administered to 36 students selected via simple random sampling. Data were manually entered and analyzed using Microsoft Excel 2016, and presented using descriptive statistics in the form of tables and figures.
Results: The study revealed significant behavioral and environmental factors. Key individual factors included: infrequent genital cleaning (52.8% reported once-daily cleaning), inadequate water intake (44.4% consumed less than 4 glasses per day), and delaying urination after an urge (63.9%). Regarding recent sexual activity, 36.1% reported intercourse within the past week. Environmental factors at the school included: predominant use of seater toilets (75%), lack of student orientation on toilet use (72.2%), perceived poor washroom cleanliness (44.4%), and inadequate access to drinking water facilities (66.7%)
Conclusion: The study concluded that poor personal hygienic practices, inadequate water intake, and insufficient school water facilities were significantly associated with UTIs in this student population. It is recommended that students adopt improved hygienic practices and increase their water consumption. Furthermore, the university should provide more clean water sources and improve washroom maintenance and student orientation.
| 7 |
Author(s):
Asaba Marion, Ssempebwa Kato Daniel, Nazziwa Sophie Isabella, Nabwire Bonita.
Page No : 117-131
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Factors Influencing the Uptake of Medical Treatment Among Epileptic Patients at Mukono General Hospital, Mukono District, Uganda.
Abstract
Background: In Uganda, it is estimated that epilepsy affects between 2.2 to 12.6 individuals per 1000 population with a treatment uptake gap of 78%. The purpose of the study was to determine factors influencing uptake of medical treatment among epileptic patients at Mukono General Hospital, Mukono District.
Methodology: The study used a descriptive cross sectional study design that involved quantitative data collection methods. A sample of 30 respondents was recruited using a simple random sampling method and data was collected using questionnaires which was analysed and presented into tables, graphs and pie charts using Microsoft Excel 2020.
Results: Individual factors were; 15(50%) mentioned that medical treatment is important in management of epilepsy, 30(100%) experienced side effects with epileptic drugs and 21(70%) sometimes forgot the scheduled follow up visits. Health facility related factors included; 23(76.7%) lived in a distance of 10 – 50 kilometres from the health facility, 16(53.3%) waited for three hours or more at the epileptic clinic and 20(66.7%) reported that drugs used in management of epilepsy were available sometimes. Socio – cultural
factors reported were; 14(46.7%) experienced high stigma, 22(73.4%) were advised to visit
traditionalist/herbalist by their culture and 14(46.7%) reported that family members were sometimes supportive.
Conclusion: There is need for national public awareness campaigns to combat stigma and misinformation, alongside health system reforms to decentralize services, ensure consistent drug availability, and train healthcare workers in patient-centred care. Ultimately, success depends on a coordinated strategy that simultaneously targets community beliefs, financial barriers, and the quality of care within health facilities
| 8 |
Author(s):
Fabiyi Gbolahan Akanji, Nnodimele Atulomah, Obube Motunrayo Ibukun, Obube Olumide Abiodun, Bello Olufunmilayo Esther, Fabiyi Oluwadamola Ibiyemi, Solesi Abiodun Olufunso.
Page No : 132-137
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Effect of Reinforcing Factors on Blood Pressure Control: A Community-Based Study among Nigerian Seniors in Selected Local Government Areas in Ogun State, Nigeria.
Abstract
Hypertension is a prevalent global health issue, particularly among seniors, contributing to severe health complications such as stroke and heart failure. Despite the availability of effective management strategies, poor adherence to treatment regimens remains a significant challenge. this study investigated the effects of enabling and reinforcing factors on blood pressure control among nigerian seniors aged 60 years and above. the primary objective was to determine reinforcing factors on blood pressure control Nigerian seniors in selected local government areas in Ogun state Nigeria
A quasi-experimental design was employed in Abeokuta South and Ikenne Local Government Areas of Ogun State, Nigeria. Fifty hypertensive seniors were randomly assigned to experimental (n=25) and control (n=25) groups. The 13-week intervention comprised peer education sessions, health talks, and personalized counselling delivered every four weeks. Descriptive statistics, paired and independent t-tests, and Cohen’s d were employed for data analysis, with significance set at p < 0.05.
Findings revealed significant improvements in Reinforcing factors among participants in the experimental group. Post-intervention, adherence scores increased (M = 14.00, SD = 0.91) compared to the control group (M = 2.52, SD = 4.99
Conclusively, peer education and counselling interventions significantly enhance reinforcing factors of blood pressure control among Nigerian seniors. It is recommended that community-based health programs incorporate peer-led strategies to improve adherence behaviours. Policymakers should consider integrating such interventions into national healthcare strategies, with emphasis on training peer educators and enhancing healthcare access in underserved communities.
| 9 |
Author(s):
Ssempebwa Kato Daniel, David Bakunzi, Nabwire Bonita.
Page No : 138-149
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Nurses Role in Early Detection and Management of Acute Stroke: Saving Patients from Complications.
Abstract
Introduction: stroke remains a leading cause of disability and mortality worldwide, necessitating prompt identification and effective management to optimize patient outcomes. Nurses play a critical role across the stroke care continuum, from early recognition to acute intervention and rehabilitation.
Methodology: data was obtained from searching across different databases including PubMed, Scopus, google scholar, and Medline The search was limited to peer-reviewed publications excluding non-English publications and non-research articles to maintain focus and quality.
Results: an outline of multiple challenges in stroke nursing care were discovered to be a great hinderance in nursing stroke care. Key challenges include the need for rapid assessment, managing acute-stroke symptoms, providing patient and family education, and overcoming resource limitations.
Discussion: Future innovations such as telemedicine, artificial intelligence (AI), robotic rehabilitation, and interdisciplinary care models present promising solutions to the challenges discovered. Standardizing nursing training in stroke recognition tools (e.g., FAST, NIHSS), implementation of rapid response protocols, and close nursing collaboration with multidisciplinary teams will further improve stroke care.
Conclusion: this paper underscores the vital role of nurses in stroke care and calls for ongoing education, systemic support, and technological integration to advance stroke management practices globally.
Keywords: stroke, nurses role, early identification, acute stroke management.
| 10 |
Author(s):
Kayembe M. Biduaya, Niren R. Maharaj, Balandeli S. I. Sonti, Mikyle David.
Page No : 150-163
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Advanced Abdominal Pregnancy: Insights and Outcomes from a Two-Year Case Report and Literature Review at a Tertiary Hospital in South Africa.
Abstract
Advanced abdominal pregnancy (AAP) is a rare condition posing significant challenges to mothers, babies, and clinicians, especially in low-resource settings. Despite its association with high morbidity and mortality, there is limited data on its diagnosis and management. This retrospective study aimed to review the demographic characteristics, clinical presentation, imaging findings, treatment approaches, and outcomes for mothers and fetuses affected by AAP at Universitas Academic Hospital (UAH) from May 1, 2020, to May 1, 2022. A secondary objective was to enhance diagnostic and management guidelines at the institution.
Out of 1129 deliveries during the study period, 11 patients were diagnosed with AAP. The mean age of the patients was 23 years, with 54% being unemployed, 45% using alcohol, and 27% smoking. Notably, 72% of the patients were HIV-positive, with 50% not virally suppressed and half having CD4 counts below 200 cells/µL. Additionally, 63% had undergone at least one ultrasound where AAP was missed. The most common symptom was abdominal pain, reported by 72% of patients.
The study revealed that only 2 neonates survived, and 1 patient required ICU admission. The findings highlight critical gaps in AAP diagnosis and management, particularly missed diagnoses on ultrasound, and underscore the need for heightened clinical awareness, improved skills, and further research to enhance outcomes.
