Journal of Community Medicine and Primary Health Care最新文献_第5页

Maternal and Neonatal Outcomes of Booked and Un-booked Pregnancies in Benin City, Southern Nigeria: A Comparative Study 尼日利亚南部贝宁市预定妊娠和未预定妊娠的孕产妇和新生儿结局:一项比较研究

Journal of Community Medicine and Primary Health Care Pub Date : 2022-08-09 DOI: 10.4314/jcmphc.v34i2.8

O. Okojie, E. Ogboghodo, E.A. Omoijuanfo

{"title":"Maternal and Neonatal Outcomes of Booked and Un-booked Pregnancies in Benin City, Southern Nigeria: A Comparative Study","authors":"O. Okojie, E. Ogboghodo, E.A. Omoijuanfo","doi":"10.4314/jcmphc.v34i2.8","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i2.8","url":null,"abstract":"Background: Nigeria contributes more obstetric, postpartum, and neonatal deaths and stillbirths than any other country globally. Booking and receiving antenatal care (ANC) is a vehicle for multiple interventions and programmes which improve maternal and neonatal outcomes. This study was conducted to assess and compare the maternal and neonatal outcomes of booked and un-booked pregnancies in Benin City, Southern Nigeria. \u0000Methods: A comparative cross-sectional total population study was carried out among booked and un-booked in-patients who had delivered either in a secondary or a tertiary health facility in Benin City. Data was collected using an intervieweradministered questionnaire and patients case notes. Maternal and neonatal outcomes were assessed as favourable and unfavourable and compared with booking status. A p-value <0.05 was considered statistically significant. \u0000Results: A total of 390 (260 booked and 130 un-booked) women, with a mean age (SD) of 30.86 ± 5.77 years (booked) and 28.48 ± 6.22 years (un- booked), participated in the study. A higher proportion, 56 (43.1%) of un-booked women had obstetric complications compared to booked women, 85 (32.7%) (p = 0.044). Fetal morbidity was 9 (3.5%) in booked mothers, compared to 21 (16.2%) of un-booked mothers. (p < 0.001). \u0000Conclusion: Maternal and neonatal outcomes were better in booked pregnancies. Stakeholders should ensure provision of health and hospital policies aimed at improving ANC to prevent poor maternal and neonatal outcomes.","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128710523","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}

引用次数: 1

Behavioural Responses to the COVID-19 Pandemic among Nigerians: A Nationwide Survey 尼日利亚人对COVID-19大流行的行为反应:一项全国性调查

Journal of Community Medicine and Primary Health Care Pub Date : 2022-08-09 DOI: 10.4314/jcmphc.v34i2.4

A. Jimoh, O. Jimoh, A. Oyefabi, C. Okpataku, B. Erin, M. S. Oguntoye, J.M. Adebayo, A. Olayinka

{"title":"Behavioural Responses to the COVID-19 Pandemic among Nigerians: A Nationwide Survey","authors":"A. Jimoh, O. Jimoh, A. Oyefabi, C. Okpataku, B. Erin, M. S. Oguntoye, J.M. Adebayo, A. Olayinka","doi":"10.4314/jcmphc.v34i2.4","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i2.4","url":null,"abstract":"Background: COVID-19 being a new disease has been fraught with poor public social responses. This survey described the behavioural responses to COVID-19 from individuals in a multi-ethnic and multi-cultural society like Nigeria. \u0000Methods: The study used a web-based descriptive cross-sectional design to recruit Nigerian adults, 18 years and above from all the geopolitical zones in the country, by snowball sampling technique. A 6-page Google form survey tool was used to administer the questionnaire via emails, WhatsApp groups and other social media platforms. Data analysis was done using descriptive statistics with percentage frequency distribution. \u0000Results: A total of 1841 respondents (45.8% females) were finally analyzed. The age range was 18-84years with mean of 31±11years. Overall, 1079 (58.6%) expressed at least one element of fear of disclosing their COVID-19 status. There were 1047 (56.7%) respondents who expressed worry about being discriminated against if they get COVD-19 and 1087 (59.1%) agreed that family members of COVID-19 patients may be rejected by the community. Majority 1749 (95%) stated willingness to present to the healthcare facility, though 932 (50.6%) stated they will not be attended to if suspected to have COVID-19. Of the respondents, 794 (43.1%) indicated that COVID-19 was caused by the Chinese and 1202 (65.3%) indicated that healthcare workers should be kept in a hotel separate from the rest of the community. Majority 1679 (91.2%) however, disagreed that COVID- 19 was a death sentence. \u0000Conclusion: The study revealed that there were elements of fear of disclosure, with discrimination and stigmatization being the major causes of concern.","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127413222","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}

引用次数: 0

Managerial Capacity of Health Care Managers in Primary Health Care Centres in Ekiti State, Nigeria 尼日利亚埃基蒂州初级保健中心保健管理人员的管理能力

Journal of Community Medicine and Primary Health Care Pub Date : 2022-03-15 DOI: 10.4314/jcmphc.v34i1.9

A. Adeniran, O. Ojo, E. Oluwole, F. Chieme, B. Olujobi, M. Akinyinka, M. Ilesanmi, A. Ogunsakin

{"title":"Managerial Capacity of Health Care Managers in Primary Health Care Centres in Ekiti State, Nigeria","authors":"A. Adeniran, O. Ojo, E. Oluwole, F. Chieme, B. Olujobi, M. Akinyinka, M. Ilesanmi, A. Ogunsakin","doi":"10.4314/jcmphc.v34i1.9","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i1.9","url":null,"abstract":"Background: The performances of Primary Health Care workers play key roles in delivering quality health care thereby leading to health systems’ strengthening. This study assessed the managerial capacity of health care managers at Primary Health Care centres in Ekiti State, Nigeria.Methods: A descriptive cross-sectional study was carried out amongst 188 health care managers in all the Local Government Areas of Ekiti State, Nigeria from August to November 2020. Self-administered questionnaires (google form) were used to obtain data. Analysis of data was done with STATA SE 12. The level of significance (p-value) was set at <0.05.Results: The mean age of respondents was 45.9 ± 7.0 years with females 161 (85.6%) and males 27 (14.4%). More than one-third 69 (36.7%) of respondents had received formal training in managerial and leadership development. The majority of respondents (94.7%) had good managerial capacity with a mean total score of 279.8 ± 46.9. There was a statistically significant difference in the average managerial capacity scores across the level of education and professional experience categories. Respondents who had tertiary education and those with more than 5 years’ experience had higher managerial capacity scores compared to others. (p < 0.001)Conclusion: The findings indicated that majority of the Primary Health Care managers in Ekiti State had a good managerial capacity to run the Primary Health Care systems. It is recommended that individual health workers should continue with personal development and continuous institutional development by the state government is encouraged towards improvement of health services rendered. \u0000Keywords: Managerial capacity; Healthcare managers; Primary Health Care; Institutional development","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122325296","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}

引用次数: 1

Women’s perception of quality and utilization of antenatal care and delivery services in Oshimili South Local Government Area of Delta State, Nigeria 尼日利亚三角洲州奥希米利南部地方政府地区妇女对产前保健和分娩服务质量和利用的看法

Journal of Community Medicine and Primary Health Care Pub Date : 2022-03-15 DOI: 10.4314/jcmphc.v34i1.6

O. Owigho, A. Isara

{"title":"Women’s perception of quality and utilization of antenatal care and delivery services in Oshimili South Local Government Area of Delta State, Nigeria","authors":"O. Owigho, A. Isara","doi":"10.4314/jcmphc.v34i1.6","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i1.6","url":null,"abstract":"Background: The perception of quality of antenatal care and delivery services is one of the several factors that influence utilization of these services. This study assessed the perception of quality and utilization of antenatal care (ANC) and delivery services among women of childbearing age in Oshimili South Local Government Area (LGA) of Delta State, Nigeria.Methods: A cross-sectional study among 301 women aged 15-49 years selected by multistage random sampling technique using mixed methods of data collection. Quantitative data were analyzed using SPSS version 21 while thematic analysis was done for the qualitative data.Results: The mean age of the women was 32.0 ± 2.5 years. Most were married 287 (95.3%), had secondary education 211 (70.1%)) and self-employed 227 (75.4%). One hundred and forty-eight (49.2%) had good perception of technical competence of staff, 132 (43.9%) their safety consciousness and 134 (44.5%) effectiveness/efficiency of drugs. However, 136 (43.5%) had poor perception of waiting time, 118 (39.2%) health workers respectfulness and 116 (38.5%) compassion for patients. Two hundred and seventy-three (90.7%) and 251(83.4%) utilized ANC and delivery services, respectively, while 22 (7.3%) delivered at home.Conclusion: The women’s perception of quality of ANC and delivery services varied across domains. There was a high level of utilization of antenatal care and delivery services. However, there were few traditional birth attendant (TBA) and home deliveries. Addressing the issues of long waiting time and attitude of health workers will encourage full scale utilization of health facilities and discourage TBA and home deliveries \u0000Keywords: Antenatal care; Delivery services; Perception; Quality of care; Utilization; Nigeria","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114962596","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}

引用次数: 0

One-year prevalence of domestic violence against women during the COVID-19 pandemic in an urban community in Southern Nigeria 尼日利亚南部一个城市社区2019冠状病毒病大流行期间一年来针对妇女的家庭暴力流行情况

Journal of Community Medicine and Primary Health Care Pub Date : 2022-03-15 DOI: 10.4314/jcmphc.v34i1.8

V. Adam, E. Erhus

{"title":"One-year prevalence of domestic violence against women during the COVID-19 pandemic in an urban community in Southern Nigeria","authors":"V. Adam, E. Erhus","doi":"10.4314/jcmphc.v34i1.8","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i1.8","url":null,"abstract":"Background:Violence against women is a major public health challenge particularly in the developing countries. During the COVID-19 pandemic, varied rising incidence of domestic violence against women were reported. This study determined the one-year prevalence of domestic violence against women during the COVID-19 pandemic in an urban community in Southern Nigeria.Methods: This descriptive cross-sectional study was conducted during the COVID-19 pandemic. Multistage sampling technique was utilized in recruiting 616 female respondents from an urban community in Benin City, Nigeria. Structured intervieweradministered questionnaire was the tool for data collection. The questionnaire was adapted from the 2018 Nigeria Demographic Health Survey and the 2006 World Health Organization multi-country survey tool. Data analysis was done using IBM-SPSS version 25.Results: More than a third of the women 221 (35.9%) had been victims of domestic violence in the last one year of the COVID-19 pandemic. The types of domestic violence experienced by the women included: psychological 120 (54.3%), physical 68 (30.8%), sexual 38 (17.2%) and economic 36 (16.3%). Husbands 52 (76.5%) and boyfriends 39 (57.4%) of the victims were the most frequent perpetrators of physical violence.Conclusion: The study revealed a high one-year prevalence of violence against women in the community during the COVID-19 pandemic. Psychological and physical violence were most prevalent and were perpetrated mainly by intimate partners of the women. The social media can be utilized routinely to educate the masses about violence against women. Also, men should be engaged in the prevention of domestic violence programmes through education workshops. \u0000Keywords: Prevalence; Perpetrators; Violence against women; Domestic violence; COVID-19 pandemic; Southern Nigeria","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123207279","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}

引用次数: 0

Parental Knowledge, Attitude and Practice of Adolescent Sex Education in Yaba, Lagos, Nigeria 尼日利亚拉各斯亚巴市青少年性教育的家长知识、态度与实践

Journal of Community Medicine and Primary Health Care Pub Date : 2022-03-15 DOI: 10.4314/jcmphc.v34i1.7

IA Onyeodi, TW Ladi-Akinyemi, OJ Kanma-Okafor

{"title":"Parental Knowledge, Attitude and Practice of Adolescent Sex Education in Yaba, Lagos, Nigeria","authors":"IA Onyeodi, TW Ladi-Akinyemi, OJ Kanma-Okafor","doi":"10.4314/jcmphc.v34i1.7","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i1.7","url":null,"abstract":"Background: The period of adolescence is characterized by rapid physical and cognitive growth along with sexual maturation. Parents are obligated to educate adolescents on matters of sex and relationships with age-appropriate information using culturally relevant methods and providing scientifically accurate and non-judgmental information. This study assessed the knowledge, attitude and practice of sex education among parents in Yaba, Lagos, Nigeria.Methods: This was a descriptive cross-sectional study among 350 parents selected by multi-stage sampling technique. Data were collected using a pretested intervieweradministered questionnaire and analyzed using Epi info version 7.2 statistical software. The Chi-square and Fisher’s exact tests were used to determine statistical associations. A p-value of <0.05 was considered statistically significant.Results: The mean age of the respondents was 46.1±10.2 years. The male to female ratio was 1.6:1. About two-thirds, 227 (67.2%) opined that sex education is best commenced in primary school. Overall, 311 (92.0%) had good knowledge, 323 (95.6%) of the respondents had positive attitudes while 255 (75.3%) had good practice of sex education. The major barrier to the practice of sex education was the lack of a general protocol to guide parents. Good knowledge and positive attitudes were significantly associated with practicing sex education (p<0.001).Conclusion: Although parents mostly had good knowledge, positive attitudes and good practice of sex education, a quarter of them still had poor practice of sex education mostly due to the lack of a protocol to guide them. Sex education programs and guidelines to encourage parents should be developed \u0000Keywords: Knowledge; Attitude; Practice; Adolescents Sex Education; Parents; Lagos","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126121219","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}

引用次数: 0

Relationship between Cost of Care and Medication Adherence among Hypertensive Patients Attending a Tertiary Health Facility in Ekiti State, Nigeria 在尼日利亚埃基蒂州的一家三级医疗机构就诊的高血压患者的医疗费用与药物依从性之间的关系

Journal of Community Medicine and Primary Health Care Pub Date : 2022-03-11 DOI: 10.4314/jcmphc.v34i1.3

TM Ipinnimo, O. Abodunrin, K. Durowade

{"title":"Relationship between Cost of Care and Medication Adherence among Hypertensive Patients Attending a Tertiary Health Facility in Ekiti State, Nigeria","authors":"TM Ipinnimo, O. Abodunrin, K. Durowade","doi":"10.4314/jcmphc.v34i1.3","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i1.3","url":null,"abstract":"Background: The economic burden of care is a barrier to effective treatment of hypertension as affordability of drugs may affect medication adherence. This study assessed the cost of care and level of medication adherence among patients with hypertension attending a tertiary hospital in Ekiti State, Nigeria.Methods: This was a descriptive cross-sectional study that used a systematic sampling technique to select eligible patients. Data was collected with an interviewer-administered questionnaire. Medication adherence was assessed with eight-item Morisky Medication Adherence Scale (MMAS-8). Data entry and analysis were done using IBM SPSS version 22.0. p-value < 0.05 was considered statistically significant.Results: The median age (Interquartile Range) of respondents was 55.0 (20.3) years with male to female ratio of 1:1.2. The mean monthly cost of care of hypertension was ₦15,964.76 (US$44.35). Only 47 (34.1%) respondents were adherent (MMAS score of ≥8) to their medications. Medication adherence was inversely associated with total cost of admissions (p=0.024) and cost of admission drugs/consumables (p=0.028). Male gender (AOR=12.561;95%CI=2.248–70.189), middle-age (45-64years) (AOR=11.577;95%CI=1.015- 131.998), being unmarried (AOR=0.006;95%CI=0.000–0.300), exercising <3days per week (AOR=0.055;95%CI=0.006–0.489), employment in informal and formal occupations (AOR=0.024,0.022; 95%CI=0.001–0.590,0.001–0.591) and living with someone (AOR=0.000;95%CI=0.000–0.086) were significant predictors of medication adherence.Conclusion: Medication adherence was suboptimal and negatively associated with total cost of admissions and cost of admission drugs/consumables. Attention should therefore be given to developing and implementing measures such as subsidy on drugs and increasing coverage of health insurance that would limit the impact of these costs on the patients. \u0000Keywords: Cost of care; Medication adherence; Hypertension; Ekiti","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115739747","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}

引用次数: 3

The Index Case of Covid-19 in Delta State, Nigeria: A Case Report 尼日利亚三角洲州Covid-19指数病例:病例报告

Journal of Community Medicine and Primary Health Care Pub Date : 2022-03-11 DOI: 10.4314/jcmphc.v34i1.4

DT Obong, O. Adesoye, O. Ochei, M. Ntaji, Nekwu E. Okolugbo, OT Owa-Nwabuzo

{"title":"The Index Case of Covid-19 in Delta State, Nigeria: A Case Report","authors":"DT Obong, O. Adesoye, O. Ochei, M. Ntaji, Nekwu E. Okolugbo, OT Owa-Nwabuzo","doi":"10.4314/jcmphc.v34i1.4","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i1.4","url":null,"abstract":"Background: Coronavirus disease (COVID-19) is a fatal respiratory infection that has spread rapidly around the world since it was first discovered in China in late 2019. Several management options and experiences have been observed across health systems globally including Nigeria. We report the progression and evolving clinical scenario of the first case of COVID-19 in Delta State, Nigeria.Methods: We reviewed the hospital admission case record of the first case of COVID- 19 in a 50-year-old male managed at the isolation centre of the Delta State University Teaching Hospital, Oghara, Delta State. All relevant information about the patient’s clinical characteristics, investigations, treatment and outcome were obtained and documented.Results: The patient was positive for COVID-19 and was placed on a wide-range of medications and supportive therapy. No baseline laboratory investigations were done throughout the period due to lack of a designated infectious disease laboratory to provide services at the time. Patient’s overall wellbeing was based on physical assessment and monitoring of vital signs: temperature, pulse rate, respiratory rate, blood pressure and oxygen saturation (SPO2). Although he became symptom-free by the 12th day of admission, the laboratory report was persistently positive for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2) until the 35th day of admission when he became negative.Conclusion: This report showed that the patient had complete resolution of clinical symptoms without concomitant viral clearance. Also, intensive supportive care contributed to a favourable outcome in this patient. The need for improved surveillance and response systems to ensure better patient outcome is recommended. \u0000Keywords: COVID-19; Case Report; Index Case; Coronavirus; Delta State","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117258291","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}

引用次数: 0

A review of morbidity pattern among undergraduate Law students that accessed healthcare at a private University clinic in South-west, Nigeria 在尼日利亚西南部一所私立大学诊所就诊的法学本科学生中发病率模式的回顾

Journal of Community Medicine and Primary Health Care Pub Date : 2022-03-11 DOI: 10.4314/jcmphc.v34i1.5

T. Ojo, M. Owoseni, O. Abiodun, E. Bamidele, K. Sodeinde, J. Ogunkoya, A. Amuda, W. Alakija

{"title":"A review of morbidity pattern among undergraduate Law students that accessed healthcare at a private University clinic in South-west, Nigeria","authors":"T. Ojo, M. Owoseni, O. Abiodun, E. Bamidele, K. Sodeinde, J. Ogunkoya, A. Amuda, W. Alakija","doi":"10.4314/jcmphc.v34i1.5","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i1.5","url":null,"abstract":"Background: There is a growing youth population in Nigeria’s universities. It is important to understand the prevailing health problems of undergraduate students and provide services that are responsive to their health needs. Hence, this study assessed the morbidity pattern among law undergraduates that accessed care at a private Nigerian university clinic.Methods: A review of health records of 569 undergraduate law students who attended Babcock University, Iperu campus clinic, Ogun State, from January-December 2018 was conducted. Data were extracted from clinic cards and information on socio-demographic characteristics, presenting complaints, diagnosis, drugs prescribed and outcome of care were obtained. Data were analysed using SPSS version 25 and summarised using frequencies and percentages.Results: The median age of the clinic attendees was 18.7 years and 410 (72.1%) of the clinic attendees were females. Fifth year students accessed care at the University clinic more than other undergraduates, 228 (40.1%). The common morbidities were malaria, 291 (51.1%), respiratory tract infection, 269 (47.3%), malnutrition, 221 (38.8%) and dysmenorrhea, 84 (14.8%). The commonly prescribed class of drugs were analgesics 454 (79.8%), haematinics 401 (70.1%), antibiotics 397 (69.8%), antihistamines 290 (51.0%) and antimalarials 260 (45.7%).Conclusion: Communicable diseases such as malaria and respiratory tract infections were the most common morbidities among the students studied. The study findings are important in planning university health services aimed at effective prevention and treatment of common morbidities among undergraduates. The university needs to increase sensitization among students with the aim of improving clinic service utilization by students, especially the non-final year students. \u0000Keywords: Health problems; Undergraduate students; Private University; Nigeria","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128310475","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}

引用次数: 0

Determinants of Isoniazid Preventive Therapy Completion among People Living with HIV in Oyo and Ogun States, Southwest Nigeria 尼日利亚西南部奥约州和奥贡州艾滋病毒感染者完成异烟肼预防治疗的决定因素

Journal of Community Medicine and Primary Health Care Pub Date : 2022-03-09 DOI: 10.4314/jcmphc.v34i1.2

O. Olajide, P. Okonkwo, O. Ajayi, D. Adetoye, O. Ogunsola, O. Ibiloye, T. Omole, O. Elujide, O. Ayinde

{"title":"Determinants of Isoniazid Preventive Therapy Completion among People Living with HIV in Oyo and Ogun States, Southwest Nigeria","authors":"O. Olajide, P. Okonkwo, O. Ajayi, D. Adetoye, O. Ogunsola, O. Ibiloye, T. Omole, O. Elujide, O. Ayinde","doi":"10.4314/jcmphc.v34i1.2","DOIUrl":"https://doi.org/10.4314/jcmphc.v34i1.2","url":null,"abstract":"Background: The World Health Organization (WHO) recommends the use of Isoniazid Preventive Therapy (IPT) among People Living with HIV (PLHIV) to reduce morbidity and mortality from Tuberculosis (TB). This study assessed the rate of IPT completion and its associated factors among PLHIV in South West Nigeria.Methods: A review of records of 1526 PLHIV who commenced IPT between October 2017 and December 2018 was done. Data were extracted from facility level IPT service documentation tools using study-developed data abstraction template. The chi-square test was used to assess the association between the independent variables and the patient’s IPT completion status at 0.05 significance level. Logistic regression was used to determine the predictors of IPT completion.Results: The mean age of the study population was 42.3±11.3 years and 1154 (75.6%) of them were females. About 1342 (87.9%) completed IPT within six months of initiation. Major reasons for non-completion of IPT were lost to follow up 86 (46.7%) and nonadherence to IPT 60 (32.6%). Higher proportion of respondents who were Igbo (92.9%), ART-naïve (97.6%) or active on ART regimen (94.8%) completed their IPT regimen within 6 months of initiation when compared to those of other tribes (p=0.023), ART experienced (87.7%), (p=0.023) or inactive on treatment (0.9%), (p<0.001) respectively. Traders/farmers were 6 times more likely to complete IPT compared to public/civil servants (AOR=6.110, 95%CI=2.180-17.112, p=0.001).Conclusion: IPT completion rate was high among study participants. Intensified counselling on IPT benefits among ART patients with focus on civil/public servants might further improve IPT completion. \u0000Keywords: IPT Completion; Isoniazid Preventive Therapy; PLHIV; Tuberculosis; Southwest Nigeria","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127408886","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}

引用次数: 1