Proteinuria and haematuria in apparently healthy primary school children in Enugu, Nigeria

Background: Mass screening for proteinuria and haematuria is advocated, especially in resource-poor countries with non-existent health insurance policy, to enhance awareness of renal diseases. This screening increases the chance for early detection and treatment, which in turn reduces incidences of resultant kidney failures. Objective: To determine the prevalence of asymptomatic proteinuria and haematuria in apparently healthy primary school children in Enugu. Methodology: This was a cross-sectional descriptive survey involving apparently healthy primary school children in Enugu, aged 6 to 12 years, conducted from January 2018 and March 2018 through a pre-tested, caregiver administered questionnaire. Subjects were clinically examined, and samples of on-the-spot mid-stream urine collected from each participant for dipstick urinalysis. The data obtained were analyzed using the Software Package for Social Science (SPSS) version 22 for Windows Results: One thousandchildren comprising, 437 (44%) males and 563 (56%) females were selected with an age range of 6 to 12 years and a mean of 10.13 ± 1.81 years. A total of 190(19%) urinary abnormalities were noted existing as isolated proteinuria, isolated haematuria or as a combination of both. These urinary abnormalities were more in the females, higher among the early adolescents (9-12 years) with proteinuria predominating.Conclusion: Asymptomatic urinary abnormalities can easily be detected early in the course of renal disease development. A urine dipstick is an important tool in the screening program for everybody, including children of school age. It is important that screening programs be organized for these children at regular intervals and those with positive findings referred immediately for appropriate management. Keywords: Proteinuria, Haematuria, Primary school children, Prevalence. Running title: Proteinuria and haematuria in school-aged children in Enugu

Management staff’s perspectives on intervention strategies for workplace violence prevention in a tertiary health facility in Nigeria: a qualitative study

IntroductionHealth workers have increasingly become victims of workplace violence. However, negligible action has been given to developing workplace violence (WPV) prevention programs in hospital settings in low-middle-income countries. An effective workplace violence prevention program is crucial for preventing violence and managing the consequences of incidents. This study assessed management staff perspectives on intervention strategies for workplace violence prevention in a tertiary health facility in Nigeria.MethodsA qualitative study design was employed to explore the intervention strategies for preventing and managing workplace violence at a tertiary health facility in southeast Nigeria. Six focus group discussions were conducted with thirty-eight management-level staff. The interview transcripts were manually coded according to six predefined constructs of workplace violence: creating interdisciplinary harmony and WPV experiences, causes, prevention, program/policy contents, and implementation strategies. A manual thematic analysis approach was adopted, and the results were presented as narratives.ResultsThe findings revealed recognition, welfare, administrative control, and security as vital strategies for the WPV prevention program. The participants agreed that unanimity among staff could be promoted through respect for all cadres of staff and for people’s perspectives (creating interdisciplinary harmony). Assaults and staff intimidation/victimization (experiences), attributed to unethical/poor health workers’ behaviour and ethnic discrimination (causes), were viewed as preventable by ensuring patients’/caregivers’ welfare through respectful and timely care and staff’s welfare through incentives/remunerations and discouraging intimidation (prevention strategies). Furthermore, the staff expressed that the WPV program should employ administrative controls, including instituting WPV policy/unit, codes of ethics, and standard operating procedures across all workplace facets (program/policy contents), which should be implemented through awareness creation, enforcement of sanctions, and provision of appropriate and adequate security presence in the hospital (policy implementation strategies).ConclusionRespect, patient/staff welfare, administrative control, and security are strong mechanisms to prevent workplace violence in tertiary hospitals. Hospital management should institutionalize workplace violence prevention programs/policies and ensure compliance