Radiography Profession: Regulation, Practice and Challenges in Northern Nigeria

Objective: To determine the impact of regulatory body of the Radiography profession, ascertain the major challenges, its causes and suggesting ways to mitigate them in northern Nigeria.Method: A cross-sectional survey was conducted among Radiographers in Northern Nigeria with practice experience of 10 years+, for a period of 3 months (January-March 2015). A semi structured 18-item questionnaire was used to elicit data concerning demography, regulation, major challenges, and suggestionsto mitigate these challenges. Data was analyzed using SPSS version 16.0 and descriptive statistics were used in the analyses.Results: A total of seventy (70) questionnaires were distributed and 66 (93%) were returned. There were 42(63.6%) male respondents and 24 (36.4%) female respondents with ages ranging from 30 to above 60 years. A good number of the respondents (42) had B.Sc. degree as highest qualification; representing 63.6%while those with Masters degree and above made the remaining 13.6%, numbering 9. About 27 (40.9%) rated the efforts of the regulatory body as good. The major challenges noted were: few Universities offering Radiography at undergraduate and post graduate level, low level of manpower, limited scope of practice, frequent equipment breakdown and inactive professional body. Possible causes suggested included poor recognition of the profession, systemic failure, lack of unity in the Radiology unit. The recommendations made to overcome these include; an active and strong regulatory body visible in all the geopolitical zones and states, provision of scholarship schemes, unionism, and improvement towards education and training.Conclusion: Persistent challenges confront the radiography profession. Radiographers are aware of these challenges and possible causes. There is need for the professional body (RRBN) to improve on its regulatory duties to mitigate the persistent challenges in radiography profession in Nigeri

Audit of Referral Pattern of Cancer Cases to the Radiotherapy and Oncology Unit of a Tertiary Hospital in Nigeria

Objectives: This study assessed the types of cancer cases referred to Radiotherapy and oncology unit of Ahmadu Bello University Teaching Hospital (ABUTH) Zaria, and determine the age, sex, and geopolitical zones distributions of cancer cases in ABUTH, Zaria.Methods: A retrospective study was conducted reviewing all cancer cases referred to the centre, for a period of 10 years (2004 – 2013). Ethical approval was obtained from the ethical committee of the hospital. Data capture sheet was used to collect information from the patient’s folder and this was analysed using statistical package for social sciences version 20.0Results: Three thousand nine hundred and thirty four (3934) patient’s records were reviewed. Patient’s age ranged from 0 -110 years, with a mean age of 42.4 years. Patients within the age range of 31 to 60 years had the highest cancer incidence. A total of 37 types of cancer were diagnosed with cervical cancer having the highest incidence of 1083 (27.5%). This was followed by head and neck 821 (20.9%). Intestinal cancer had the least incidence of 1 (0.02%). Female cancer cases predominated with a female to male ratio of 1.8:1. North-western Nigeria had the highest cancer incidence of 1656 (42.1%). Conclusion: This study found high incidence of cancer cases among adults age ranged 31 to 60 years with female to male ratio of 1.8:1. Cervical cancer had the highest incidence among the 37 cancer spectrum treated at the centre. The North-western Nigeria had the highest incidence of cancer cases