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| Title : | A Comparative study of awareness and attitude to nosocomial infections among levels of health care workers in Southwestern Nigeria | | Authors: | Adebimpe Wasiu Olalekan ; Esther Olufunmilayo Asekun-olarinmoye, Author ; James Olusegun Bamidele, Author ; Olugbemiga Lanre Abodunrin, Author ; Adekunle Olowu, Author | | Publisher: | Ondo State [Nigeria] : Wilolud Journals | | Publication Date: | 2011 | | Series: | Continental Journal of Tropical Medicine, ISSN 2141-4167 No. 6(1) | | Pagination: | p.5-10 | | Layout: | Journal Article | | ISSN (or other code): | 2141-4167 | | Languages : | English | | Keywords: | Cross Infection Health Personnel Awareness Attitude of Health Personnel Comparative Study [Publication Type] Nigeria | | Abstract: | Introduction: Hospital acquired infections (HAIs) continue to be a threat to hospital admissions and workers thus contributing to mortalities and morbidities. Complexity and type of services rendered by health facilities may determine health worker's attitude towards combating these infections. The objective of this study is to compare knowledge; attitude and practice of HAIs among health workers at the three levels of health care in Southwestern Nigeria. Methods: - This descriptive; comparative cross sectional study was carried out among 273 health workers in Osogbo in Southwestern Nigeria; using multistage sampling method. Pre-coded semi structured self administered and pre-tested questionnaires were administered on sampled health workers. Data was analyzed using the SPSS software 13.0 Results: - All health care workers at the three levels have good awareness that patients could be a source of HAIs. Awareness of common HAIs; awareness of hospital staffs and equipments and the environment as sources of transmission of HAIs were good for health care workers in both tertiary and secondary level care; but poor among primary health care workers. There was poor awareness of presence of hospital policy on HAI and presence of hospital committee on infection control among health care workers at the three levels of health care; but this is worst among primary health care providers. More health care workers in tertiary care has reported themselves to staff clinics when sick; more always washed their hands before and after touching clients and equipments while more has also ever notified HAIs before; when compared to secondary and primary. Attitude towards willingness to report HAIs was better in both secondary and tertiary health care workers. There is a good attitude towards readiness to wear protective devices; towards washing of hand s before and after touching patients and self reporting to staff clinic when sick among health care workers at the three levels of care Conclusion: Good knowledge and attitude; but poor practice characterizes nosocomial infections among tertiary and secondary level health care workers in Osogbo. These indices are worst and ranges from fair to poor among health workers at the primary health care level. Routine seminars on factors associated with occurrence of nosocomial infections could help to improve awareness and reduce its prevalence in our hospital settings |
A Comparative study of awareness and attitude to nosocomial infections among levels of health care workers in Southwestern Nigeria [] / Adebimpe Wasiu Olalekan ; Esther Olufunmilayo Asekun-olarinmoye, Author ; James Olusegun Bamidele, Author ; Olugbemiga Lanre Abodunrin, Author ; Adekunle Olowu, Author . - Ondo State (2 Church Avenue, Oke Eri Qrts, Oba Ile, 214, Nigeria) : Wilolud Journals, 2011 . - p.5-10 : Journal Article. - ( Continental Journal of Tropical Medicine, ISSN 2141-4167; 6(1)) . ISSN : 2141-4167 Languages : English | Keywords: | Cross Infection Health Personnel Awareness Attitude of Health Personnel Comparative Study [Publication Type] Nigeria | | Abstract: | Introduction: Hospital acquired infections (HAIs) continue to be a threat to hospital admissions and workers thus contributing to mortalities and morbidities. Complexity and type of services rendered by health facilities may determine health worker's attitude towards combating these infections. The objective of this study is to compare knowledge; attitude and practice of HAIs among health workers at the three levels of health care in Southwestern Nigeria. Methods: - This descriptive; comparative cross sectional study was carried out among 273 health workers in Osogbo in Southwestern Nigeria; using multistage sampling method. Pre-coded semi structured self administered and pre-tested questionnaires were administered on sampled health workers. Data was analyzed using the SPSS software 13.0 Results: - All health care workers at the three levels have good awareness that patients could be a source of HAIs. Awareness of common HAIs; awareness of hospital staffs and equipments and the environment as sources of transmission of HAIs were good for health care workers in both tertiary and secondary level care; but poor among primary health care workers. There was poor awareness of presence of hospital policy on HAI and presence of hospital committee on infection control among health care workers at the three levels of health care; but this is worst among primary health care providers. More health care workers in tertiary care has reported themselves to staff clinics when sick; more always washed their hands before and after touching clients and equipments while more has also ever notified HAIs before; when compared to secondary and primary. Attitude towards willingness to report HAIs was better in both secondary and tertiary health care workers. There is a good attitude towards readiness to wear protective devices; towards washing of hand s before and after touching patients and self reporting to staff clinic when sick among health care workers at the three levels of care Conclusion: Good knowledge and attitude; but poor practice characterizes nosocomial infections among tertiary and secondary level health care workers in Osogbo. These indices are worst and ranges from fair to poor among health workers at the primary health care level. Routine seminars on factors associated with occurrence of nosocomial infections could help to improve awareness and reduce its prevalence in our hospital settings |
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| Title : | Harmful Cultural Practices and Reproductive Health in Nigeria | | Authors: | Igberase; Gabriel | | Publisher: | Ondo State [Nigeria] : Wilolud Journals | | Publication Date: | 2012 | | Series: | Continental Journal of Tropical Medicine, ISSN 2141-4167 No. 6(1); 27-33 | | Uniform Titles: |
Continental Journal of Tropical Medicine
| | Layout: | Journal Article | | ISSN (or other code): | 2141-4167 | | Languages : | English | | Abstract: | Background: Harmful cultural practices affecting reproductive health abound in Nigeria especially in the Niger Delta region. Method: A review of the literature using internet search engines such as PUBMED; AJOL; GOOGLE was undertaken. Results: A wide range of harmful cultural practices affecting reproductive health were found and were reviewed. They include female circumcision; abdominal massage; widowhood rite; fire and heat treatment; patronage of traditional birth attendants; early forced marriages; permission from men before obtaining medical treatment; insertion of toxic herbs and preference for the male child. The various reasons for their practice; implications to reproductive health of women and ways of reduction and eradication are discussed. Conclusion: Harmful cultural practices affecting pregnant women and reproductive life is often deep rooted in culture and tradition of the people. Therefore continuous health education and behavioural modification of the people is required. Changing the people's perception of their beliefs and myth may be fundamental in breaking theses harmful cultural chain. There is also a place for legislation by the government with appropriate and enabling laws put in place to check these harmful practices. Governments should openly condemn all forms of violence against women. The girl child and women in our society need to be empowered financially and educationally as an empowered woman would know her rights. Women should also form self help groups with the sole aim to combat this scourge. |
Harmful Cultural Practices and Reproductive Health in Nigeria [] / Igberase; Gabriel . - Ondo State (2 Church Avenue, Oke Eri Qrts, Oba Ile, 214, Nigeria) : Wilolud Journals, 2012 . - : Journal Article. - ( Continental Journal of Tropical Medicine, ISSN 2141-4167; 6(1); 27-33) . ISSN : 2141-4167 Work : Continental Journal of Tropical MedicineLanguages : English | Abstract: | Background: Harmful cultural practices affecting reproductive health abound in Nigeria especially in the Niger Delta region. Method: A review of the literature using internet search engines such as PUBMED; AJOL; GOOGLE was undertaken. Results: A wide range of harmful cultural practices affecting reproductive health were found and were reviewed. They include female circumcision; abdominal massage; widowhood rite; fire and heat treatment; patronage of traditional birth attendants; early forced marriages; permission from men before obtaining medical treatment; insertion of toxic herbs and preference for the male child. The various reasons for their practice; implications to reproductive health of women and ways of reduction and eradication are discussed. Conclusion: Harmful cultural practices affecting pregnant women and reproductive life is often deep rooted in culture and tradition of the people. Therefore continuous health education and behavioural modification of the people is required. Changing the people's perception of their beliefs and myth may be fundamental in breaking theses harmful cultural chain. There is also a place for legislation by the government with appropriate and enabling laws put in place to check these harmful practices. Governments should openly condemn all forms of violence against women. The girl child and women in our society need to be empowered financially and educationally as an empowered woman would know her rights. Women should also form self help groups with the sole aim to combat this scourge. |
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| Title : | Hypertension in pregnancy: pattern; anaesthetic care and outcome in a hospital in the Niger-Delta Region of Nigeria | | Authors: | Oyinpreye Jasper Abiodun ; Gabriel Oseremen Igberase, Author | | Publisher: | Ondo State [Nigeria] : Wilolud Journals | | Publication Date: | 2012 | | Series: | Continental Journal of Tropical Medicine, ISSN 2141-4167 No. 5(2) | | Pagination: | p.15-23 | | Layout: | Journal Article | | ISSN (or other code): | 2141-4167 | | Languages : | English | | Keywords: | Hypertension Pregnant Women Pre-Eclampsia Cesarean Section Nigeria | | Abstract: | This study set out to determine the pattern; seasonal presentation and the challenges encountered by anesthesiologists in the care of patients with hypertension in pregnancy at caesarean section in a centre short of anaesthetic manpower without an intensive care unit. Method A retrospective assessment of anaesthetic records of patients presenting in theatre for caesarean section was done with particular reference to mode of anaesthesia; complication including fetal and maternal outcome in the immediate perioperative period from 2004 to 2008 Results Hypertensive disease in pregnancy constituted 13.1of caesarean section cases; with peaks of presentation commonly between February and June. The months of September and October also experience lower and less frequent peak incidents in tandem with periods of peak rainfalls in the Niger- Delta. This corroborates studies done in other parts of the world including northern and eastern Nigeria. The incidence in The Niger-Delta was remarkably higher than other parts of Nigeria and other rain forest zones. Of these; 50were eclamptics; 45had pre-eclamspia while other hypertensive diseases constituted the balance of 5. 60.6of these patients had General anaesthesia -relaxant technique; 18.1had intravenous ketamine (plus hypotensive adjuvant) ; 11.7spinal anaesthesia while others had epidural; combined-spinal epidural (CSE) and local infiltration with sedation. Four intraoperative maternal deaths were experienced; while fetal mortality was 8.6Conclusion : The higher incidence of pre-eclampsia/ eclampsia in the Niger-Delta compared to other parts of the rain forest and the world makes it an issue of significant public health concern in this region. Health education; accessibility to skilled health care services and ease of transportation in this region would reduce the morbidity and mortality associated with this disease. |
Hypertension in pregnancy: pattern; anaesthetic care and outcome in a hospital in the Niger-Delta Region of Nigeria [] / Oyinpreye Jasper Abiodun ; Gabriel Oseremen Igberase, Author . - Ondo State (2 Church Avenue, Oke Eri Qrts, Oba Ile, 214, Nigeria) : Wilolud Journals, 2012 . - p.15-23 : Journal Article. - ( Continental Journal of Tropical Medicine, ISSN 2141-4167; 5(2)) . ISSN : 2141-4167 Languages : English | Keywords: | Hypertension Pregnant Women Pre-Eclampsia Cesarean Section Nigeria | | Abstract: | This study set out to determine the pattern; seasonal presentation and the challenges encountered by anesthesiologists in the care of patients with hypertension in pregnancy at caesarean section in a centre short of anaesthetic manpower without an intensive care unit. Method A retrospective assessment of anaesthetic records of patients presenting in theatre for caesarean section was done with particular reference to mode of anaesthesia; complication including fetal and maternal outcome in the immediate perioperative period from 2004 to 2008 Results Hypertensive disease in pregnancy constituted 13.1of caesarean section cases; with peaks of presentation commonly between February and June. The months of September and October also experience lower and less frequent peak incidents in tandem with periods of peak rainfalls in the Niger- Delta. This corroborates studies done in other parts of the world including northern and eastern Nigeria. The incidence in The Niger-Delta was remarkably higher than other parts of Nigeria and other rain forest zones. Of these; 50were eclamptics; 45had pre-eclamspia while other hypertensive diseases constituted the balance of 5. 60.6of these patients had General anaesthesia -relaxant technique; 18.1had intravenous ketamine (plus hypotensive adjuvant) ; 11.7spinal anaesthesia while others had epidural; combined-spinal epidural (CSE) and local infiltration with sedation. Four intraoperative maternal deaths were experienced; while fetal mortality was 8.6Conclusion : The higher incidence of pre-eclampsia/ eclampsia in the Niger-Delta compared to other parts of the rain forest and the world makes it an issue of significant public health concern in this region. Health education; accessibility to skilled health care services and ease of transportation in this region would reduce the morbidity and mortality associated with this disease. |
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http://www.wiloludjournal.com/ojs/index.php/cjtropmed/article/view/440/pdf_139URL | | |
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