Human Immunodeficiency Virus needlestick injury: knowledge and management in a population of Nigerian anaesthetists

Objective: To determine the knowledge of HIV transmission and of post exposure management, following an HIVinfected needlestick injury, in a population of Nigerian anaesthetists. Subjects and Method: A cross-sectional, prospective assessment was conducted voluntarily in anaesthetists at an annual healthcare provider's forum, and at a major general hospital, using a structured questionnaire. Results: 63 Anaesthetists participated in the study. One anaesthetist knew the percentage of infected HIV needlestick injury that would result in HIV infection. ALL the high risk body fluids were correctly identified by 7 (11.1%) respondents. Twelve (19.0%) knew the correct immediate management when injured by a HIV-infected needlestick. Fifty eight (92.1%) were aware of post exposure prophylaxis (PEP), 25 (39.7%) had a PEP policy in their institutions and 57 (90%) knew when to commence PEP.Conclusion: Nigerian anaesthetists, though acutely aware of post exposure prophylaxis, are not aware of the fluids at risk and have not demonstrated adequate knowledge in the management, when injured by a HIV-infected needlestick. Keywords: HIV, needle-stick injury, anaesthetist, knowledge, management South African Psychiatry Review Vol. 11(4) 2005: 131-13

Duplication of effort across Development Projects in Nigeria: An example using the Master Health Facility List

ObjectiveDuplication of effort across development projects is often the resultant effect of poor donor coordination in low and middle income countries which receive development assistance. This paper examines the persistence of duplication through a case study of health facility listing exercises in Nigeria.MethodsDocument reviews, key informant interviews and a stakeholder’s meeting were undertaken to identify similar health facility listing exercises between 2010 and 2016.ResultsAs an outcome of this process, ten different health facility listing efforts were identified.Discussions Proper coordination and collaboration could have resulted in a single list grown over time, ensuring return on investments. This study provides evidence of the persistence of duplication, years after global commitment to harmonization, better coordination and efficient use of development assistance were agreed to.ConclusionsThe paper concludes by making a proposal for strategic leadership in the health sector and the need to leverage information and communications technology through the development of an electronic Health Facility Registry that can archive the data on health facilities, create opportunity for continuous updates of the list and provide for easy sharing of the data across different country stakeholders thereby eliminating duplication