15 research outputs found
Pressure ulcer stages among bed-ridden patients in Ahmadu Bello University Teaching Hospital (ABUTH), Zaria- Nigeria
Get PDFThis study was carried out to assesspressure ulcer stages among bed-ridden patients in Medical, Neurosurgical and Orthopaedic wards inAhmadu Bello University Teaching Hospital (ABUTH) Shika-Zaria. The main aim of this study is to determine the prevalence as well as the stages of pressure ulcers among bed-ridden patients and to assess the Nurses’ awareness and application of the awareness in the stage-based treatment of pressure ulcer in ABUTH. The descriptive survey design was adopted and data was collected with the help of questionnaire and observation checklist. A convenient sampling method was used among the bed-ridden patients and a single-stage cluster method was used among the nurses in the three wards. The study sample consisted of 51 Nurses whom answered a pre-established Questionnaire and 129 bed-ridden patients whom were observed using Observational Checklist. The Major Findings were as follows: the cumulative point prevalence of Pressure ulcer was noted to be 18.6% which is significantly high; Pressure ulcer stages were observed to be highest for Stages III (37.5%), and Stage IV (33.3%) which are the advanced stages, and then low in Stage II (20.8%) and Stage I (8.3%). Furthermore, 96% of Nurses were observed to be aware of pressure ulcer stages and 82% apply their awareness in the stage-based treatment of pressure ulcer. In conclusion, there was a high prevalence of pressure ulcer among bed-ridden patients majority of which were the advanced stage of the condition. Therefore it is recommended that, use of a risk assessment tool such as theBraden Scale on admission will identify if the client has pressure ulcer or not, and if they do, at which stage, health care professionals should be more informed about secondary conditions that may occur in the course of patient’s stay in the hospital rather than emphasis only on primary condition that warranted admission, and patient’s relatives should be informed about the risk factors for the development of pressure ulcers since they are also fully involved in the care
Evaluation of Emergency Obstetric Care Services in Primary Health Care Facilities in Niger State: A Mixed Methods Study
Get PDFBackground: Primary health care (PHC) is built on the principles of equity in the distribution of quality health care, active community participation in health care programmes and emphasis on prevention of illnesses rather than cure. The main objectives of maternal health services in the primary health care programme are to ensure that every expectant mother maintains good health throughout the maternity cycle. Aim: The main aim of this study is to evaluate the provision of emergency obstetrics care (EmOC) in Primary Health Care facilities. Materials and Methods: Utilizing the mixed research design, data were collected from 887 women, 69 male participants and 24 healthcare providers across 24 PHC facilities in Niger State selected through the multistage sampling technique using the questionnaire, focus group discussion, indepth interview and facility assessment. Ethical approval and all necessary permission were obtained from the Niger State Primary Health Care Agency, stakeholders and the participants. Data were analyzed using descriptive statistics and transcription. Results: Findings from the study revealed that prolonged/obstructed labour, hypertension in pregnancy, bleeding in pregnancy, anaemia, retained placenta and breech presentation of the baby during childbirth were among the maternal health problems occurring in the study locations. Also, there were no facilities for the provision of EmOC services in the PHC facilities. Conclusion: Although prolonged/obstructed labour, hypertension in pregnancy, bleeding in pregnancy, anaemia, postpartum haemorrhage and retained placenta were among the frequently occurring maternal health problems, EmOC services were not provided in almost all the PHC facilities visited. It is therefore recommended that efforts should be made to improve the state of the PHC facilities. 
Barriers to reporting postpartum hemorrhage at different levels of healthcare facilities in Nigeria: a qualitative study
No full textBackground: Maternal mortality reduction remains a world health priority. One of the causes of maternal death is bleeding after childbirth. However, little is known regarding barriers to reporting for postpartum hemorrhage care among postnatal women in Nigeria.
Objective: This research aimed to understand the perceived barriers to reporting postpartum hemorrhage care experienced by women and healthcare workers in Birnin Kebbi, North west-Nigeria.
Methods: Qualitative case research was employed in this study with face-to-face interviews among ten postnatal women who experienced bleeding and six healthcare workers. Data were collected from September to November 2021. The interviews were all audio-taped, transcribed verbatim, and analyzed using thematic analysis. NVivo Pro Version 12 was applied to organize further and manage the data.
Results: Six themes were developed: (1) knowledge deficit, (2) poor attitudes, behaviors, and performances, (3) low socioeconomic status, (4) lack of healthcare personnel, (5) cultural norms, and (6) lack of access to healthcare facilities.
Conclusion: The study findings might serve as input for healthcare policymakers and healthcare workers to improve health and reduce maternal mortality. Enhancing knowledge and awareness about reporting process is necessary to improve reporting for postpartum hemorrhage care among women. Training and continuous professional development of health care workers are also highly suggested to enhance the quality of care
Theory-based immunisation health education intervention in improving child immunisation uptake among antenatal mothers attending federal medical centre in Nigeria: A study protocol for a randomized controlled trial
No full textBackground Childhood immunisation coverage is very low in Nigeria (31%) with Zamfara State being amongst the states with the poorest coverage (Methodology The study will be a single-blind parallel-group randomised controlled trial, where baseline data will be collected from 392 estimated antenatal mothers, after that they will be evenly randomised using randomly generated permuted block sizes (each containing two intervention and two control assignments). The study participants will be antenatal mothers of ages 18 years and above who are in third trimesters and attending Federal Medical Centre Gusau, Zamfara State, Nigeria; during the study period and fulfilled all the inclusion and exclusion criteria. The intervention group will undergo five-health education sessions on immunisation, which will be strictly guided by Social Cognitive Theory-based intervention module: while the control group will receive usual care (standard care). Follow-up data will be collected using the same questionnaire at 6-weeks post-delivery, 10-weeks post-delivery and 14-weeks post-delivery. The generalized linear mixed model will be carried-out to determine the overall effect of the intervention after controlling for 14 potential confounding variables. An intention to treat analysis will also be carried-out. Childhood immunisation uptake is the primary outcome while the secondary outcomes are: improved knowledge scores, attitude scores, outcomes expectation, self-efficacy scores, cultural beliefs scores and assumptions on religious regulations scores. Discussion The study will be a randomised controlled trial, that focuses on the effects of an immunisation health educational intervention with application of Social Cognitive Theory on pregnant women to improve knowledge, attitude, outcome expectations, self-efficacy, cultural beliefs and assumptions on religious regulations regarding childhood immunisation uptake in Federal Medical Centre Gusau, Zamfara State, Nigeria. Trial registration Pan African Clinical Trial Registry PACTR202006722055635. Protocol registered on 09 June 2020
SPIRIT 2013 checklist: Recommended items to address in a clinical trial protocol and related documents*.
No full text(DOC)</p
