Review Article: Clinical risk management: time for a paradigm shift in medicare in Nigeria?

Introduction: Medical practice In Nigeria is faced with a myriad of challenges to patients, medical practitioners and the institutions that they render services in. These include but are not limited medical errors and malpractice that can lead to litigation, exposure to highly infectious diseases when medical practitioners interface with patients and the attendant liabilities that government and private health institutions may have to pay out.Objectives: To describe the role of clinical risk management in health care management and evaluate risk management practice policies in medical care in NigeriaMethodology: A systematic review of literature on risk management, policy that concern medical risks/management documents and articles was conducted. Keywords used in the search were clinical guidelines, and risk management in Nigeria. Reviewed documents contained information on risk management internationally and where available, in Nigeria. Searches were conducted on the Cochrane Library, PubMed and African Journals On line. Publications were also sourced from cited references and reports. The search engine used was Google.Results: NationalPolicies that provide direction in clinical risk management in Nigeria are lacking even against the background of medical errors that lead to mortalities and morbidities.Conclusion: There is a need for leadership to be provided by healthcareKeywords: Clinical risk management, Medical risk management, Health car

Induction of labour at Jos University teaching, hospital, Jos, Nigeria: a four year review

Background: Induction of labour (IOL) is a common procedure that remains a relevant Obstetric procedure. The maternal and perinatal outcomes are paramount hence the need to review the intervention in order to implement needed change.Objectives: To determine incidence, indications, outcome and complications of induction of labour at the Jos University Teaching Hospital (JUTH), Jos, Nigeria.Methods: This was a retrospective study reviewing 584 women who had IOL in JUTH from January 2004 to December 2007. Parameters selected for review include parity, gestation age, outcome and cervical state prior to IOL.Results: Four hundred and eighty women had vaginal deliveries (82.2%). There were fifty two induced on account of antepartum Intra Uterine Foetal Deaths (IUFD), while 1.5% of the deliveries ended up as still births, 10.5% had birth asphyxia and neonatology review and care. Thirty two patients had various complications after IOL. There were no maternal mortalities.Conclusion: Parity and presence of IUFD were found to influence the outcome of IOL

Additional file 4 of Mapping age- and sex-specific HIV prevalence in adults in sub-Saharan Africa, 2000–2018

Additional file 4: Supplemental results.1. README. 2. Prevalence range across districts. 3. Prevalence range between sexes. 4. Prevalence range between ages. 5. Age-specific district ranges