Male knowledge of birth preparedness in Ogun State, Nigeria: A rural/urban comparative cross-sectional study

Objective: This study aimed to compare the knowledge of men concerning birth preparedness between rural and urban dwellers of Ogun State, Nigeria. Methodology: This comparative cross-sectional study was conducted among 440 men each in rural and urban areas of Ogun State using a multistage sampling method to select participants. A structured interviewer-administered questionnaire was used to elicit data about respondents’ socio-demographic characteristics and knowledge of birth preparedness. Knowledge was graded as good and poor knowledge. Data analysis was done with SPSS version 20 and presented as tables. Results: The mean ages of the urban and rural respondents were 36.58±6.760 and 37.61±9.788 respectively. The difference in the mean age of urban and rural residents was not statistically significant (t= -1.819, P=0.069). A higher proportion of urban respondents (53.4%) had a statistically significant good knowledge of birth preparedness compared to 30.2% of rural men (P<0.001). The association between age and knowledge of birth preparedness was statistically significant among rural respondents (P<0.001) unlike urban respondents (P=0.874). A statistically significant association was noted between education and knowledge (P<0.001) in the urban area as against the rural area (P=0.084). Conclusion: Knowledge of birth preparedness is better among male urban dwellers than their rural counterparts. Knowledge is statistically significantly associated with age in the rural area and with the level of education in the urban area. There is a need for an improved appropriate strategy that can raise knowledge of maternity care among rural men

Condom use and associated factors among HIV-positive patients accessing care at a private tertiary health institution in the southwest, Nigeria

Objective: This study aimed to assess the knowledge, attitude and practice towards condom utilization and other associated factors among people living with HIV/AIDS enrolled in the Virology clinic in Babcock University Teaching Hospital (BUTH) Ilishan, Ogun state, Nigeria. Methods: This cross-sectional study was conducted among 285 ART users selected using a systematic random sampling method. The minimum sample size was estimated using the formula z2pq/d2 and a 24% prevalence extracted from a previous similar study. Data were elicited using a structured interviewer-administered questionnaire, analyzed using SPSS version 20, and presented as tables. The Chi-square test was used to assess associations between categorical variables. The level of significance was set at the 95% confidence interval with a p-value of 0.05. Results: Of the total respondents, 180(63.2%) were females, 93.7% had good knowledge, 141(49.5%) believed ARV prevents transmission of HIV, and 144 (50.5%) strongly agreed that condom reduces sexual pleasure. Majority 254 (89.1%) were currently using condoms, 131 (46.0%) used a condom consistently, while 108 (37.9%) frequently use a condom during sexual intercourse. The Use of condoms had statistically significant associations with occupation (p<0.001), married at pre-diagnosis of HIV (p<0.001), married at post-diagnosis of HIV (p<0.001), and education (p= 0.015). Conclusion: The majority of the respondents had good knowledge and were using condoms. Discussions on safe sex and improved positive attitudes towards condom-use should, however, be encouraged further

Drug adherence among adult hypertensives attending medical out-patient clinic in a tertiary hospital in Ogun State, Nigeria

Objective: The research aimed to estimate the level of drug adherence, to determine the reasons for non-adherence, and identify risk factors associated with non -adherence among adult hypertensive clients attending an out-patient clinic in Ogun State, Nigeria. Methodology: A descriptive cross-sectional study of adults with hypertension at a medical outpatient clinic in a tertiary hospital. Four hundred and four (404) respondents were selected from November 2015 to April 2016, a validated questionnaire by Morisky Green was adapted and distributed by trained research assistants. The chi-square test was used to compare categorical variables like sex, marital status, and clinic attendance among the two groups of adherent and non-adherent hypertensive. Information was summarized using frequency tables and cross-tabulations. Binary logistic regression analysis was done. The level of significance was set at 5%. Results: Optimal adherence was observed in 281(69.0%) of the respondents. Being a female (OR: 1.833; 1.048 -7.205, p=0.034), being employed (OR: 2.099; 1.097-4.096, p=0.03) and regular clinic attendance (OR: 22.26; 12.647 – 39.107, p<0.001) were significantly correlated with optimal adherence. Forgetfulness (23, 9.9%), use of traditional medicines (42, 18.1%), lack of funds (59, 25.4%), and feeling well (60, 25.9%) were some of the reasons for suboptimal adherence Conclusion: The level of drug adherence among the respondents was good, especially among those that attend clinics regularly, those that are employed, and female respondents. Suboptimal adherence among the few respondents was due to forgetfulness, the use of traditional medicine, lack of funds, and stopping the use of drugs when they felt better

HIV Patients’ Satisfaction with Services Provided at Tertiary Health Institutions in Ogun East Senatorial District, Ogun State, Nigeria: Public-private Comparison

Background: Patient satisfaction is defined as the extent to which patients feel that their needs and expectations are being met by the services provided. A good number of HIV patients often drop out of treatment programs because they are not satisfied with some aspects of the services provided. This study assessed and compared HIV patients’ satisfaction with health services provided at public and privately owned tertiary health institutions in Ogun State, Nigeria.Methods: This is a facility-based 2-center (a government-funded and a privately funded), cross-sectional comparative study carried out among HIV-positive patients who received care at these two tertiary hospitals. HIV patients’ satisfaction was assessed using PSQ III. Two hundred patients were recruited from each institution. A comparison of mean satisfaction scores was done using the student’s t-test. Logistic regression analysis was used to predict the factors associated with patients’ satisfaction.Results: The mean ages of study participants were 42.25±10.81 and 44.04±9.97 for public and private health facilities, respectively (t=-1.717 P=0.087). The mean satisfaction scores of the private health facility (3.48+0.42) were higher compared to those of the public health facility (3.29±0.54) (t=-3.912, P=0.000). Also, more patients in the private health facility were satisfied with the care received compared to the public health facility in six domains out of the seven domains studied.Conclusion: Patients’ satisfaction evaluation should be done periodically in health facilities to continually identify the gaps in service delivery and monitor progress towards the ending of HIV/ AIDS epidemics which is one of the targets of the sustainable development goals

Factors Influencing Hepatitis-B Infection among Traditional Birth Attendants in Ikenne Local Government Area, Ogun State, Nigeria

The main objective of this study was to investigate the factors influencing Hepatitis B infection and vaccine uptake among traditional birth attendants in Ikenne Local Government Area, Nigeria. The study was a cross-sectional survey design. The study population were TBAS in the LGA. The study utilized a total enumeration sampling method of 70 registered traditional birth attendants in Ikenne LGA. Data collected, were analyzed using descriptive and inferential statistics. All statistical tests were at 5% level of significance. Majority were more females than males 6 (11.5%). TBAs had no formal education; 24 (46.2%) TBAs had between 1 and 10 years of experience in their occupation and mean±SD of the years of experience reported by all the TBAs was 15.13±9.65 years. TBAs had a low level of knowledge on HBV (mean±SD = 5.81±2.78). Majority had good perception towards HBV. Years of experience had no statistical relationship with the knowledge on HBV (r = -0.180; p = 0.201). Knowledge had a statistically significant relationship with practice of preventive measures (r = 0.382; p = 0.005) with a 14.6% contribution (r2 = 0.146) of the variation observed. The study concludes that adequate knowledge of TBAs on hepatitis B will induce a change in TBAs‟ practice of preventive measures against the infection. Key words: Hepatitis B, Traditional Birth Attendants, Vaccine, Knowledge, Preventio