An Assessment of Employees Performance Management in Selected Local Governments of Ogun State

This paper examines the implementation of performance management of employees in two Local Governments Areas of Ogun State, Nigeria with a view to assessing its successes, challenges and implication on public service delivery. The paper adopted content analysis as a way of gathering data, in total, 30 respondents comprising of heads of departments and middle level employees were purposively sampled. The data gathered from the interviews were analysed using Miles and Huberman’s (1994) approach to qualitative data analysis. The findings revealed that the managers had good understanding of the purpose and implementation of performance management, but the implementation has not been effective. The reasons for this ineffective implementation range from lack of uniform process in the system, varying performance management indicators, poor monitoring and evaluation, to godfatherism, dearth of funds and lackadaisical attitude of workers to work. This paper concludes that, unless and until, employee performance management is effectively implemented in Local Governments in Nigeria, effective public service delivery would remain a travesty of grassroot development. Keywords: Performance management, local government administration, globalization and development DOI: 10.7176/PPAR/10-9-08 Publication date:September 30th 202

Relationship Between Socioeconomic Status and Body Mass Index Among Adult Nigerians

There is a long tradition of observational studies from developed societies linking overweight and obesity to low socioeconomic status (SES). The aim of this study is to assess the relationship between SES and obesity and determine whether variations in the body mass index (BMI) of adult Nigerians is influenced by their SES. The height and body weight of 1067 adults, aged 30 - 60 years were measured and their BMI was calculated. A structured questionnaire which assessed socioeconomic (SE) variables such as income, education and occupation was used to objectively classify the participants into the different SE strata. A pictorial self-rating SES ladder of nine rungs was employed to assess the participants’ SES and to test the validity of the questionnaire. A high correlation ® = 0.951, P < 0.01) was found between the two SES assessment tools. SE scores were found to be inversely related to weight ® = - 0.113, P < 0.01) and BMI ® = - 0.172, P < 0.01), respectively. There was a significant relationship (X2 = 32.853; p = 0.000) between BMI categories and SES. Individuals in the lower SES had higher rates of overweight (24.8%) and obesity (12.9%). There were significant differences in the weight (F = 8.407; p = 0.000) and BMI (F = 20.66; p= 0.000) across the different SE strata. An inverse relationship was found between SES and BMI. Individuals in the lower SE strata had a greater BMI and a higher prevalence of overweight and obesity. KEY WORDS: socioeconomic status, body mass index, overweight, obesit

Pain characteristics, activity limitation and their influence on health-seeking behaviours of community-dwelling older adults with osteoarthritis in Nigeria

Background: It is postulated that osteoarthritis (OA) patients' health-seeking behavior depends largely on the disease severity and loss of function. Objective: This study aimed to assess the pain characteristics, activity limitations, and health-seeking behaviors of older adults with OA in Nigeria. Methods: A cross-sectional survey was conducted among 230 purposively selected community-dwelling older adults in a semi-urban setting in Nigeria. Pain characteristics, activity limitations, and health-seeking behavior were assessed by an interviewer using the Chronic Pain Grade Scale, Western Ontario and McMaster Universities Arthritis Index, and Health-Care Seeking Behaviour Questionnaire, respectively. Data were analyzed using descriptive statistics and inferential statistics (chi-square and multiple regression) to predict factors influencing health-seeking behavior, and we set the alpha level at p&lt;0.05. Results: Pain at the knee (73.0%) was the most defining feature of OA, and it was typically severe (59.1%), frequent (51.3%), felt deep in the bone (47.0%), and associated with morning stiffness (27.4%). OA led to severe activity limitation (54.3%), and 51.7% of the respondents had an overall negative health-seeking behavior. Furthermore, activity limitation was significantly associated with religion (p=0.008) and pain severity (p=0.001). Similarly, the age (p=022), sex (p=0.006), marital status (p=0.005), and ethnicity (p=0.018) were significantly associated with health-seeking behavior. In addition, health-seeking behavior was predicted by cost, preference, ethnicity, employment, marital status, and limitation inactivity. Conclusion: OA pain is prevalent among community-dwelling older adults, it imposes a severe limitation on activities of daily living, and sociodemographic factors influenced the health-seeking behaviors of patients with OA

Development and feasibility testing of a remote support application for adherence to home exercise programs: a randomized pilot study

Objectives: Poor adherence to home exercise programs (HEPs) is a significant barrier to continuity of care and eventual outcomes, thus requiring innovative mitigating approaches. This study aimed to develop and test the feasibility of a remote support application (RSA) designed to encourage adherence to HEPs. Methods: Using standard computer programing, an RSA with administrator and user interfaces was developed for mobile phone or tablet. Consenting patients receiving physiotherapy for musculoskeletal conditions (n=19) were randomly assigned into the experimental group (n=10) or the control group (n=9). The experimental group received their customized HEP reminders via the RSA, whereas the control group used conventional paper handouts for HEPs. Adherence to HEPs was assessed over 4 weeks. The feasibility of the RSA was assessed using the Mobile Application Rating Scale and System Usability Scale (SUS) questionnaires. Data were summarized using descriptive and inferential statistics. Results: The adherence rate of patients in experimental group was significantly higher than that of patients in the control group after 2 weeks [median diff.=−6.0, 95% confidence interval (CI): −8.0 to −5.0; U=5.00; Z=−3.304; P=0.001; r=0.75] and 4 weeks (median diff.=−7.0, 95% CI: −8.0 to −5.0; U=0; Z=−3.695; P<0.001; r=0.84) of intervention. The RSA had a mean SUS score of 82.53±9.04 (out of 100) and a mean app quality rating score of 75.95±4.98 (out of 95). Conclusions: The use of an RSA to improve adherence to HEPs is feasible for patients with musculoskeletal conditions

Global and regional prevalence and incidence of systemic lupus erythematosus in low and-middle income countries: a systematic review and meta-analysis

Systemic lupus erythematosus (SLE) may be more prevalent among most ethnic groups in the low-and-middle income countries (LMICs), still these countries are under-represented in epidemiological data on SLE. The aim of this study was to review the prevalence and incidence of SLE in LMICs and use meta-analytic techniques. The MEDLINE, CINHAL, Web of Science, Scopus and Global Index Medicus databases were searched for relevant studies published up to July of 2022. Papers selected for full-text review were included in the systematic review if they provided the prevalence or incidence of SLE in LMICs and published in English language. The reference lists of included articles were also searched for additional studies. Two individuals independently performed abstract and full-text review, data extraction, and quality assessment of the papers. The prevalence and incidence of SLE were pooled through random effects model. Pooled estimates were expressed with 95% confidence. Out of 2340 papers, 23 studies were included in the review. The mean age at diagnosis ranged from 25.5 to 45.8 years. Three studies were conducted in Argentina and Brazil, two studies in China and one study in Cuba, Colombia, Democratic Republic Congo, Ecuador, Egypt, India, Kenya, Malaysia, Mexico, Nigeria, Pakistan, Turkey, Ukraine, Venezuela, and Zimbabwe. The SLE prevalence and incidence varied from 3.2 to 159 per 100,000 and 0.3–8.7 per 100,000 persons, respectively. In a random effects meta-analysis (n = 10), the pooled prevalence of SLE was 103 (95% confidence interval [CI] – 17 to 224) per 100,000. Meta‐analysis of data from 6 incidence studies revealed an incidence of 5 cases per year (95% CI 2–8) per 100,000. According to WHO regions, the pooled prevalence of American and Western Pacific regions was 300 (95% CI – 200 to 900) and 36 (95% CI 35–37) per 100,000, respectively. The pooled incidence of the American region was 10 (95%, 0–14) per 100,000 inhabitants. Systemic lupus erythematosus is a common disease with considerable variation in prevalence and incidence among the general population in LMICs. Accurate estimates of prevalence and incidence of SLE are required to put in place appropriate programmes to reduce its burden in LMICs. PROSPERO registration number: CRD: 42020197495, https://www.crd.york.ac.uk/prospero/

Economic Impact of COVID-19 Lockdown on households

Introduction:&nbsp;this study evaluated the economic impact of the COVID-19 lockdown on individuals and households. Methods:&nbsp;a cross-sectional online survey was used to collect data. Nigerian citizens who were domiciled or restricted from travelling abroad for no less than one month since the COVID-19 restrictions and lockdown were recruited into the study through focal persons purposively selected across the different states in Nigeria. Using WhatsApp® platform, the respondents completed the survey on household income and expenditure before and during the lockdown. Economic burden of COVID-19 lockdown on individuals and families was estimated using a prevalence-based cost of illness approach. Results:&nbsp;four hundred and four (male = 242; female = 162) individuals have participated in the study. The mean (SD) age of the respondents was 30.98 (10.92) years. Monthly income showed no statistically significant difference (p = 0.73) before and during lockdown. The overall household expenditure before and during the lockdown periods were USD 320 and USD 290. The total mean monthly costs for COVID-19 and non-COVID-19 health related problems were ₦11746.25 (USD30.79) and ₦11784.9 (USD 30.89), respectively. Household expenditure for hand sanitizers, facemasks, hand gloves, and disinfectants increased significantly during the COVID-19 restriction lockdown (p &lt; 0.05). However, expenditure on education, water, electricity, fuel, internet data, clothing and wears, toiletries decreased significantly during the lockdown period (p &lt; 0.05). Conclusion:&nbsp;this study suggests that the costs of continuing COVID-19 restrictions could have huge economic consequences on households and health system

Breastfeeding profile and practice of Nigerian mothers: a cross-sectional survey

Background: Breastfeeding patterns in the developing world are still below the recommended levels and the potential to improve child survival remains untapped. This study investigated the breastfeeding profile and practices of Nigerian nursing mothers.  Methods: This cross-sectional survey involved women at attending selected baby-friendly facilities in Ile-Ife, South-West, Nigeria who had breastfed their most recent baby for a minimum of six months. A self-administered questionnaire was used to obtain data on demographics, infant-maternal characteristics and breastfeeding practices. 383 mothers volunteered for this study, yielding a response rate of 95.7%. Data were analyzed using descriptive and inferential statistics at 0.05 alpha level.Results: The mean age of the respondent was 29.0 ± 4.96 years. Exclusive breastfeeding (EBF) rate was 86.2%. Breastfeeding initiation time of less than 1 hour after delivery and 24 hours rooming-in practice rate was 78.3% and 79.1% respectively. Daily breastfeeding time and total breastfeeding duration was 8.06 ± 2.33 hours and 18.3 ± 4.82 months respectively. The mean onset time for water supplementation was 4.74 ± 1.77 months with a rate of 30.3% within 1-3 months. Weaning initiation time was mostly (43.9%) within 12 to 18 month of infant’s age.  There was significant association between EBF practice and each of maternal education (X2 = 6.554; P = 0.038) and Socio-Economic Status (SES) (X2 = 19.32; P = 0.031) with most of the respondents in the lower SES (56.1%) subscribing to EBF.Conclusions: Exclusive breastfeeding (EBF) rate for the first six months among Nigerian mothers attending baby-friendly clinics was high. Breastfeeding initiation time after delivery was early, water supplementation to breastfeeding was before 5 months of the infant’s life and weaning practice was late. Maternal educational level and socio-economic status significantly influenced EBF practice.

Performance Evaluation of Suitability of Carbonized Palm Kernel Shell (PKS) as a Veritable Alternative to Coal and Charcoal in Solid Fuel Fired Furnaces

PKS were carbonised in other to drive off the organic matter, and obtained a clean solid fuel. Leco 350 Bomb Calorimeter was used to determine the heating value of the fuel; while adiabatic flame temperature and mass of air/ Kg of fuel were calculated for different conditions of excess air ratio ‘n’. The carbonised PKS was used to melt aluminium. Results: The higher heating value of PKS was 26541.204KJ/Kg. The lower heating value of PKS was 24457.9592KJ/Kg. The adiabatic flame temperature at n = 1 and 1.3 were 2082°C and 1679°C respectively. The air/fuel ratio is directly proportional to n. Discussion: The higher heating value of carbonised PKS was comparatively higher than those of firewood, peat and lignin but less than bituminous and anthracite coals

Patterns, facilitators and barriers to physical activity among Nigerian pregnant women

Introduction: pregnancy is associated with sedentary behaviors and/or low levels of physical activity (PA). This study aimed to assess patterns, barriers, and facilitators of PA among pregnant women. Methods: a convergent parallel mixed method design study involving a concurrent collection of quantitative (n=198) and qualitative (n=36) data was carried out. Respondents were drawn from five selected health care facilities in Ile-Ife, Osun state, South-West, Nigeria. Physical activity was assessed using the pregnancy physical activity questionnaire. Focus group discussions were used to qualitatively explore barriers and facilitators of PA. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were analyzed using thematic content analysis. Results: the mean total PA score for the population was 118.663±81.522 mets-min/wk. While it was 118.743±92.062 mets-min/wk, 113.861±72.854 mets-min/wk, and 25.429±87.766 mets-min/wk for the first, second, and third trimester respectively. The respondents engaged more in moderate (44.27±37.07) than vigorous (13.89±18.87) intensity PA. Respondents in the third trimester had the highest and the least scores for household-related PA (45.7±33.0) and vigorous-intensity PA (10.0±14.0) respectively. Major themes that emerged on enablers and barriers of PA engagement during pregnancy were related to intrapersonal, interpersonal, availability of specialized health personnel and policy for PA, good built environment/neighborhood factors, and pervading cultural beliefs and myths about pregnancy. Conclusion: moderate intensity and household-related PA were most common among Nigerian pregnant women. Contextual facilitators and barriers to PA during pregnancy were largely related to intrapersonal, interpersonal, environmental or organizational, policy, and cultural factors

Global and regional estimates of clinical and economic burden of low-back pain in high-income countries: a systematic review and meta-analysis

Background: Low-back pain (LBP) is a common health problem, and the leading cause of activity limitation and work absence in people of all ages and socioeconomic status. Purpose: This study aimed to analyse the clinical and economic burden of LBP in high income countries via systematic review and meta-analysis. Methods: The systematic review was carried out using the PubMed, Medline, CINAHL, PsycINFO, AMED, Embase and Scopus databases with studies published from inception to December 10th, 2021. We also searched prescribing information, relevant web sites, reference lists and citation sections of recovered articles. Two reviewers independently assessed studies for inclusion and extracted data manually. Differences were resolved by consensus. Meta-analyses were conducted for clinical and economic outcomes. Results: Literature search identified 3571 potentially relevant articles and 19 studies met the inclusion criteria and were therefore reviewed. The included studies were from region of America (n = 5); European region (n = 12) and the Western Pacific region (n = 2). The average annual direct and indirect costs estimate per population for LBP ranged from € 2.3 billion to € 2.6 billion; and € 0.24 billion to $8.15 billion, respectively. In the random effects meta-analysis, the pooled rates of hospitalisation for LBP was 3.2% (95% confidence interval 0.6% - 5.7%). The pooled direct costs and total costs of LBP per patients were USD 9231 (95% confidence interval -7126.71 - 25588.9) and USD 10143.1 (95% confidence interval 6083.59 - 14202.6), respectively. Conclusion(s): Low-back pain led to high clinical and economic burden in high income countries that varied significantly across the geographical contexts. Implications: Knowledge of the clinical and economic impact of LBP in high income countries may be useful to influence programmes and behaviour in healthcare systems, through guiding policy makers and funding agencies to improve health outcomes of individual with this condition