Prescription Pattern at a Secondary Health Care Facility in Ilorin, Nigeria

Background/Objectives: Expenditures due to irrational use of drugs have been a strain on the meagre health budgets of several developing countries and inappropriate prescribing has been identified in manyhealth facilities in developing countries. This study examines the prescription pattern in a secondaryhealth facility.Method: A descriptive cross-sectional survey was used in this study. Three hundred and three randomly selected prescriptions issued to patients attending out-patients' clinics in the facility over a period of threemonths were examined. Data obtained was analyzed using EPI-INFO 2000 computer software.Results: Mean number of drugs per prescription in the health facility is 3.99 ± 1.55. At least 4 drugs were prescribed in 61.6% of the prescriptions. Generic prescribing was generally low. Out of a total of 1219drugs prescribed 511 (41.9%) were prescribed in generic names. Analgesics, antimalarials, antibiotics and antihypertensives accounted for 19.7%, 10.2%, 13.0% and 4.9% of the drugs prescribed respectively.Only 124 (40.9%) of the prescriptions had all drugs prescribed available in the health facility.Conclusion: This study found practice of polypharmacy prevalent as found in other studies in developing countries among prescribers and prescription in generic names is low. Regular orientation and re-orientation of prescribers on rational drug prescription and prescription in generic names in conformity with national drug policies is necessary

Effect of Inorganic Fertilizer on the Microbial degradation of Diesel Polluted Soil in Abeokuta, Nigeria

The effect of Inorganic Fertilizer (IF) on the microbial degradation of diesel polluted soil in Abeokuta was assessed by collecting Top soil (0 – 15 cm depth) from diesel polluted site of Information and Communication Centre, Federal University of Agriculture, Abeokuta, Nigeria. Inorganic fertilizer was added to the polluted soil in the ratio: 0:1 (control), 1:1, 2:1 and 3:1. Microorganism identification, Soil Organic Carbon (SOC) and Total Petroleum Hydrocarbon (TPH) were determined using standard methods. Data obtained were subjected to descriptive and inferential statistics. Microorganism identified were Pseudomonas aeruginosa, Proteus vulgaris, Enterobacter sp., Bacillus sp., Klebsiella sp., Saccharomyces sp., Candida sp., Fusarium sp., Trichoderma sp., Neurospora sp., Penicillium sp., Alternaria sp., Aspergilus niger, Aspergilus flavus, and Aspergilus oryzaeas. pH of the soil ranged between 5.8 and 7.8. Electrical conductivity, NO3, Na, Mg and Ca contents decreased with inorganic fertilizer application. Organic Carbon, PO4 and K increased with fertilizer application. TPH degradation observed at 1:1, 2:1 and 3:1were 13.38 %, 6.45 % and 10.62 % respectively

Determinants of Referral Practices of Clients by Traditional Birth Attendants in Ilorin, Nigeria

A sizeable number of deliveries still take place with the assistance of Traditional Birth Attendants in Nigeria. This study aims to determine the factors that determine the referral practices of the TBAs in Ilorin of high risk and complicated pregnancies. This descriptive study was conducted among all the 162 registered TBAs in Ilorin that were traceable using pre-tested semi-structured interviewer-administered questionnaire. About 90%, whose source of skill acquisition was by inheritance did not refer their clients appropriately compared with 48% of those whose source of skill acquisition was through formal training (p<0.05). The more the numbers of trainings, the more appropriate the referral (p<0.05). Having supervisory visit by qualified personnel is associated with appropriate referral practices (p<0.05). Regular training and re-training of TBAs with routine monitoring and supportive supervision will promote prompt referral of high risk and complicated pregnancies and deliveries (Afr. J. Reprod. Health 2010; 14[2]:77-84)

Health workers sensitization: effects on perceived quality of immunization services among mothers of under five children in Ilorin, North Central Nigeria

Clients? satisfaction with services received is an important dimen- sion of evaluation that is examined only rarely in developing coun- tries. Health care professionals have always acknowledged that satisfying the consumers at some level is essential to providing ser- vices of high quality. This is a quasi-experimental study. The study group included 150 mothers bringing their children for immuniza- tion at Alanamu Health Centre, Ilorin. The control group included 150 mothers bringing their children for immunization at Okelele Health Centre. Total population of mothers bringing their children for vaccines against tuberculosis/poliomyelitis/hepatitis B (BCG/ OPV/HBV) and against diphterite-pertussis-tetanus (DPT)/OPV/ HBV were recruited sequentially until sample size was attained. Mean waiting time at pre-intervention was 82.7 ± 32.5 and 90.4 ± 41.7 minutes for the study and control groups respectively. Post intervention, there was a significant decrease (p inf. 0.05) in the estimated waiting time in the study group (mean = 48.0 ± 24.4 minutes) while there was no observed difference in the control p > 0.05 (mean = 88.4 ± 40.6 minutes). Perceived adequacy of information on services being provided by the health facility was low (58%) in the study group while it was relatively higher in the control group (80%), but there was a significant increase in pro- portion of those that felt information was adequate only in the study group (p inf. 0.05) at post intervention. Waiting time in health facili- ties by clients should be reduced as this may give clients a positive perception of the service they have come to access. Information dis- semination to clients should be encouraged among health workers as this would affect clients? knowledge and also quality of health care delivery

Biosynthesis of Copper and Iron Nanoparticles using Neem ( Azadirachta indica ) Leaf Extract and their Anti-bacterial Activity

Neem leaves extract was use to synthesize metal (iron and copper) nanoparticles. The nanoparticles were characterized using Scanning Electron Microscope (SEM), Fourier Transform Infrared (FTIR) and UV-Vis spectrometer. The formation and stability of the reduced metal nanoparticles in the colloidal solution were monitored by UV\u2013Vis spectrophotometer analysis. Their peaks of CuNPs and FeNPs were determined with a particles size in the range of 250nm-550nm and 250nm-350nm and have shapes of spherical and dendrimer respectively. The zone of inhibition by CuNP on gram negative bacteria ( Staphylococcus Aureus ) is 20mm \ub1 1 while on gram positive bacteria ( Escherichia Coli ) is 12.5mm \ub1 1. Thus, the synthesized metal nanoparticles prove to have very high anti-bacterial activity on both Staphylococci aureus and Escherichia coli. Copper nanoparticles exhibits high antibacterial activity compared to iron nanoparticles

Prevalence and risk factors of cervical cancer among women in an urban community of Kwara State, North Central Nigeria

Background. Cervical cancer is the second most common malig- nancy in women worldwide with a high incidence in under-devel- oped countries and Nigeria is one of these countries. This study aimed at screening for cervical cancer using Papanicolaou smear and to identify risk factors for cervical cancer among women in Olufadi community, Kwara state, North-central Nigeria. Methods. This was a cross-sectional study involving the screening of women aged 25-64 years for cervical cancer using Papanicolaou smear. Respondents were selected through systematic random sam- pling of households. Interviewer- administered questionnaire and clinical report form were also used to collect data. In addition, Pap smear samples were taken. Data was analyzed using SPSS version 15. Results. Only 10 (5.0%) respondents had positive cytology result, while the rest were normal. Of the 10 positive cytology results, 1(10.0%) was high grade squamous intraepithelial lesion (HGSIL) while the remaining 9(90.0%) were low grade squamous intraepithelial lesion (LGSIL) which corresponds to 0.5% and 4.5% of the total respondents respectively. Risk fac- tors for cervical cancer identified included coitarche, tobacco smoking, number of sexual partners and family history of cervi- cal cancer. Conclusion. The findings from this study attest to the increasing burden of cervical cancer. The high number of positive results obtained from the study coupled with the presence of risk factors was an indication of how useful regular screening will be in the early detection of cervical cancer

Women in South Africa: Striving for full equality post-apartheid

Life for South African women post-apartheid reflects both legislative advances and lingering challenges. Despite progress in the post-apartheid world, South Africa is still characterized by a high level of economic disparity, meaning that daily life for individual women can be quite different depending on one’s race, socioeconomic status, and age. Thus, the concept of intersectionality is critical to understand what it means to be a woman in South Africa today. Despite advances in girls’ access to education at both the primary and secondary levels, women still face significant challenges when they enter the workforce by way of occupational segregation and stratification. As is the case internationally, South African women are also more likely to engage in unpaid work and to be employed in the informal sector. Taken together, these make it more likely that South African women live in poverty and become victims of interpersonal violence. With respect to health, the risk of HIV infection and the transmission of HIV from mother to baby are paramount concerns for South African women’s health

Sexual Behaviour And Condom Use Among Nigerian Soldiers In Ilorin, Kwara State, Nigeria

Background/Objective: Studies have shown that military personnel are aware and knowledgeable about HIV/AIDS and its impact on combat preparedness and efficiency. However, this knowledge did not appear to have translated to reduced risky sexual behaviours. This study, therefore aimed at determining the sexual behaviour and condom use among Nigerian Army personnel in Ilorin, Nigeria. Materials and methods: A descriptive cross-sectional study using a multistage sampling technique to select 400 participants. A pre-tested semi-structured questionnaire was administered. Results: Out of 386 respondents (response rate 96.5%) males constituted 91.2%. Two hundred and seventy two (70.5 %) were married while 42 (15.4%) of the married did not live with their spouses. A significant proportion of the respondents (45.5%), especially those within the age of 18 to 34 years (p=0.000), those who had participated in foreign military operations (p=0.030) and those who did not live with their spouses (p=0.000) engaged in pre/extramarital sexual activities. Regular condom use among the respondents was low. Conclusion/Recommendations: There was a high risky sexual behaviour with irregular condom use among the study population. A continuous information, education and communication on HIV/AIDS to effect safe sex behaviours and regular condom use among this population are recommended. Keywords: Sexual, Behaviour, Condom, Nigerian, Soldiers, Ilorin African Journal of Clinical and Experimental Microbiology Vol. 10 (2) 2009: pp. 128-13

Polio eradication in Nigeria: controversies and way forward

No Abstract. African Journal of Clinical and Experimental Microbiology Vol. 7(3) 2006: 175-18

Patients' Perception on Communication Between Patients and Doctors in a Teaching Hospital

This cross-sectional survey of a study was conducted to determine the extent of communication between doctors and their patients, and the determinant factors. A total of 297 randomly selected patients were interviewed. About two-third (65.5%) responded that they knew the diagnosis or nature of their ailment. Less than half (42.2%) of those interviewed felt they received adequate information about the nature of their ailment from the health workers and about half (54.9%) felt doctors spent enough time to explain this to them. Educational level of patients tends to influence communication. This study confirmed communication gap between patients and health care providers. Sahel Med. J. Vol.5(4) 2002: 178-18