Savannah Journal of Medical Research and Practice最新文献

{"title":"Delivery Strategy For Covid-19 Vaccination And A Review Of Secondary Data From A Tertiary Health Facility, North-central Nigeria","authors":"T. Kayode, G. K. Oshagbemi, H. Ameen, O.R. Aibinuomo, T. Akande","doi":"10.4314/sjmrp.v10i2.1","DOIUrl":"https://doi.org/10.4314/sjmrp.v10i2.1","url":null,"abstract":"Background: COVID-19, which started in Wuhan, China, spread and affected over 200 countries causing various social, economic, psychological and  health impacts. It weakened the health system and halted ongoing preventive programs. Coronavirus disease 2019 (COVID-19) is caused by severe acute  respiratory syndrome coronavirus 2(SARS -COV-2). On March 11, 2020, it was declared a pandemic by the World Health Organization. To deter the spread  of the disease, the TEACH strategy for COVID-19 vaccination was launched in March 2021 by NPHCDA of the Federal Ministry of Health in Nigeria. The  objective of this paper is to review the strategy for COVID-19 vaccination in Nigeria using data from a tertiary health facility as a case study. \u0000Methodology: A Medline search and search of other internet search engines such as Google, Google Scholar, PubMed, Research gate and WHO.int was  carried out for published studies on COVID-19 vaccination in Nigeria, Africa and worldwide. A total of 29 publications were reviewed; Journals 23, Reports  4 and Guidelines 2. Opinions of relevant stakeholders were sought and records of COVID-19 immunization activities at UITH was also analyzed. \u0000Findings: People with comorbidities did not present at the launch of the vaccination in UITH probably due to myth and fears about the vaccine. The  proportion of health workers vaccinated exceeded others reflecting the prioritization matrix used in TEACH strategy. Fever was the most common AEFI  reported in UITH (27%) and vaccine hesitancy was a big challenge. \u0000Conclusion: The usage of electronic registration in the TEACH strategy can be explored for routine vaccines. Allocation of funds for COVID-19 vaccines,  risk communication and community engagement among others are ways to help solve the challenges surrounding COVID-19 vaccination strategy in  Nigeria.","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122535016","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}

{"title":"Communique Issued at The End of the 62nd Annual General Conference & Delegates’ Meeting (AGC/DM) of The Nigerian Medical Association Held at The Eui Event Centre, Port Harcourt, Rivers State from 15th- 22nd May, 2022","authors":"O. Adedoyin","doi":"10.4314/sjmrp.v10i1.4","DOIUrl":"https://doi.org/10.4314/sjmrp.v10i1.4","url":null,"abstract":"No Abstract.","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122979372","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}

{"title":"Assessment of Knowledge, Attitude and Perception of Covid-19 Vaccines among Lecturers in Higher Institutions in Ilorin, Nigeria","authors":"O. Agede","doi":"10.4314/sjmrp.v10i2.3","DOIUrl":"https://doi.org/10.4314/sjmrp.v10i2.3","url":null,"abstract":"Background: This study assessed the knowledge, attitude and perception of COVID-19 vaccine among lecturers in higher institutions in Ilorin. \u0000Methods: It was a web based cross-sectional study conducted for a period of eight weeks among lecturers in higher institutions in Ilorin. Data on socio-  demographics, COVID-19 and vaccinerelated concerns were collected and analyzed. Descriptive and inferentialfrequency statistics were done. Chi-square  test was used to evaluate associations between the categorical variables. P-value was set at <0.05. Ordinal logistic regression was used to evaluate the  determinants of willingness to accept COVID-19 vaccine. \u0000Results: A total of 1800 lecturers participated in this study. The gender distribution showed male preponderance (n=1217, 67.6%) and most participants  were married (n=1546, 85.9%). Most common age group was 36-50year (n=772, 42.9%). Majority of the participants got information on COVID-19, vaccine  and preventive measures through the social media. Less than half (46.5%) of the participant used the preventive measures only when present in crowded  environment. Most (93.4%) of the participant believed the preventive measures helps to reduce the spread of the disease. Female gender (p= <0.001),  good perception (p= <0.001) and some other factors affected the willingness to receive COVID-19 vaccine. \u0000Conclusion: There was high awareness and good perception of COVID-19 and its vaccine among the study participants. Information about COVID-19  vaccine and the disease were mostly gotten from the social media, as few of the study participants practiced the preventive measures though most were  willing to take the vaccine when it becomes available. Thus, healthcare policy makers should take advantage of social media to disseminate appropriate  information on COVID-19 and vaccine to improve disease control.","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133303923","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}

{"title":"Knowledge Of glaucoma and its socio-demographic determinants: a comparative study of selected rural and urban communities in Kwara State, North-central Nigeria","authors":"K. Durowade, A. Salaudeen, O. Musa, L. Olokoba, M. Osinubi, M. Fasiku, O. Elegbede, A. Fawole, T. Akande","doi":"10.4314/sjmrp.v6i2.2","DOIUrl":"https://doi.org/10.4314/sjmrp.v6i2.2","url":null,"abstract":"","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128483473","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}

{"title":"Does health insurance matter in antenatal care experience? A study among expectant mothers at a federal medical centre in Nigeria","authors":"O. Daramola, W. Maduka, T. Akande","doi":"10.4314/sjmrp.v7i1.2","DOIUrl":"https://doi.org/10.4314/sjmrp.v7i1.2","url":null,"abstract":"One of the viable ways of improving accessibility to maternal health services and Antenatal Care (ANC) is through health insurance. The National Health Insurance Scheme (NHIS) in Nigeria has the objective of promoting access to quality healthcare, which includes maternity care amongst other services. A descriptive cross-sectional study was done between August and September 2017 to evaluate the perception and satisfaction of insured (NHIS) and uninsured (Out-of-Pocket paying) pregnant women with the quality of antenatal care services at the Federal Medical Centre- Keffi, Nasarawa state, Nigeria, and to also identify if health insurance has any influence on the antenatal care experience. Data were collected from 85 respondents from each group through interviewer-administered questionnaires, containing socio-demographic and obstetric characteristics, knowledge on ANC, satisfaction with antenatal care services and perception about the NHIS and out-of-pocket payment. Data analysis was done using IBM SPSS Statistics 20.0. The mean gestational age at booking for insured enrollees (16.5 ± 4.3 weeks) was significantly lower than that of uninsured patients (20.3 ± 5.8 weeks), p-value = 0.001. There were some significant differences in the specific aspects of services accessed, however, the overall mean satisfaction for the uninsured group was 80.4 ± 7.5 while that of the insured group was 82.1 ± 5.9, with the difference not statistically significant, p-value: 0.057. Majority of the insured 69(81.2%) and uninsured 60(70.6%) patients indicated preference for the insurance system. This study found that overall, insured and uninsured pregnant women generally expressed comparable levels of satisfaction, and it also indicated the need for service improvement and expansion. Efforts and advocacy should be strengthened therefore, towards increasing health insurance coverage and improving its services.Keywords: Antenatal care, Perception, Satisfaction, Quality of care, Health insurance, NigeriaSavannah Journal of Medical Research and Practice 2018; 7(1):07-16","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125592604","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}

{"title":"Low anorectal malformation associated with lumbo-costovertebral anomalies: A case report","authors":"L. Abdur-Rahman, A. Abdulkadir","doi":"10.4314/sjmrp.v6i2.4","DOIUrl":"https://doi.org/10.4314/sjmrp.v6i2.4","url":null,"abstract":"","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123683440","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}

{"title":"Anterior urethral erosion: report of a malfunctioned and infected artificial urinary sphincter","authors":"A. Abdulwahab-Ahmed, A. Khalid, E. U. Onwuasoanya, E. Oyibo, K. M. Garuba, A. T. Aderhaman","doi":"10.4314/sjmrp.v7i1.4","DOIUrl":"https://doi.org/10.4314/sjmrp.v7i1.4","url":null,"abstract":"Background: Since its introduction in less than a century, artificial urinary sphincter (AUS) remains the gold standard in the treatment of severe male sphincter weakness incontinence. It is an extremely reliable prosthesis and patient's satisfaction rate is high after successful implantation. However, complications can occur following implantation and one of the most feared complications is anterior urethral erosion from sphincter malfunction and failure. As patients embark on medical tourism, Urologists in our environment may be challenged with complications resulting from various interventions not readily available in our environment.Case Summary: A 15 year old male student presented to our facility with fever of one week duration and painful scrotal swelling which ruptured spontaneously discharging purulent foulsmelling fluid two (2) months following successful implantation of AUS at a hospital in India. He was febrile with temperature of 38.70C, respiratory rate 32 cycles/minute, pulse rate 110 beat per minutes and blood pressure of 100/60mmHg. His packed cell volume was 34 % other laboratory parameters were not remarkable. He was managed for urosepsis with intravenous infusion, parenteral antibiotics, and initial wound debridement and subsequent AUS ex-plantation and perineal urethrostomy. Patient did well and he is awaiting urethroplasty and AUS placement.Conclusion: Artificial urinary sphincter removal and perineal urethrostomy is a viable option for the emergency management of anterior urethral erosion due to malfunctioned infected artificial sphincter.Keywords: Anterior urethral erosion, artificial urinary sphincter, Urosepsis, perineal urethrostomy, urethroplastySavannah Journal of Medical Research and Practice 2018;7(1):23-27","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116585551","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}

{"title":"Catastrophic health expenditure as a result of health shocks: challenge to universal health coverage In Nigeria","authors":"O. D. Adegboye, B. Rotimi, T. Akande","doi":"10.4314/sjmrp.v7i1.1","DOIUrl":"https://doi.org/10.4314/sjmrp.v7i1.1","url":null,"abstract":"Health shocks coping mechanisms provide important information on how households respond to health shocks and how payment may affect their future welfare. Health spending ratio to household expenditure, can state if there is threat to consumption especially if the out-of-pocket (OOP) payments is followed by catastrophic or impoverishment consequences. The World Health Organization (WHO) has re – affirmed that when people suffer financial hardship due to OOP, it is impossible to get closer to Universal health coverage (UHC). During health shocks, informal coping mechanisms can be employed by households to mitigate cost of illness especially in low- and middle-income countries including Nigeria where there is poor financial protection. It has been proven that this can have implications for both transient poverty and long-term poverty traps. Health shocks may adversely influence household financial burden, increase hardship, affect ability to contribute to positive child health and education outcome which is a dire consequence of high reliance of OOP payment, it also further widens the intergenerational equality which UHC tends to preach against. Catastrophic Health Expenditures as a result of OOP payment when health shocks occur is an enormous challenge to achieving UHC. It is therefore more urgent than ever for the Nigerian Government to create innovative ways to increase financial protection, intensify implementation of health policies for all its citizens irrespective of social class, age, gender or area of residence and draw lessons from other countries who have achieved or near achieve UHC.Keywords: Catastrophic Health Expenditures, Universal Health CoverageSavannah Journal of Medical Research and Practice 2018;7(1):01- 06","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131838938","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}

{"title":"The pattern and outcome of ureteroscopy in a tertiary health care facility, North-western Nigeria","authors":"A. Abdulwahab-Ahmed, A. Umar, A. Muhammad, N. Agwu, I. Mungadi","doi":"10.4314/sjmrp.v7i1.3","DOIUrl":"https://doi.org/10.4314/sjmrp.v7i1.3","url":null,"abstract":"Objective: To review the pattern and outcome of ureteroscopy in our institution Materials and Methods: A retrospective review of ureteroscopies performed at our hospital between January 2013 and December 2018 for patients aged ≥18 years. The following data were extracted from patients' case notes and operation register; patient demographics, symptoms, investigations, diagnosis, definitive treatment, hospital stay, surgical outcome, duration of urethral catheterization and ureteric stenting, complications and duration of follow up visits. SPSS version 20.0 for Windows was used in data analysis. The results are presented in simple frequencies and percentages. Result: Total of 32 ureteroscopies were performed on 32 patients aged between 20 to 65 years with modal age of 32 years (18.8%). The commonest presenting complaint is ureteric colic, 13(40.6%) while the commonest indication for ureteroscopy is ureteric calculi, 14(43.8%) and ureteral obstruction, 12(33.3%). Ureteroscopy, pneumatic lithotripsy and double J (DJ) stenting of the ureter is the definitive treatment in 14(43.8%) patients, making it the most common performed definitive treatment. Following treatment, 63% of the patients were symptom free while 27.2% have residual symptom. The mean hospital stay is 4.6 days, mean duration of DJ stenting of the ureter is 6.3 weeks and that of follow up is 10.4 months. The commonest complications recorded was Urinary tract infection, 12(37.5%) Conclusion: Ureteroscopy is an effective treatment modality for treating ureteric diseases such as calculus and strictures with no mortality recorded during the study period. Keyword: Ureteroscopy, lithotripsy, ureteric calculus, DJ stenting. Savannah Journal of Medical Research and Practice 2018;7(1):17-22","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128418720","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}

{"title":"The impact of presbyopia on quality of life in rural Nigeria","authors":"T. Obajolowo, F. Adepoju, J. F. Owoeye","doi":"10.4314/sjmrp.v6i2.1","DOIUrl":"https://doi.org/10.4314/sjmrp.v6i2.1","url":null,"abstract":"","PeriodicalId":347051,"journal":{"name":"Savannah Journal of Medical Research and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123771286","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}