The Role of Records Management in Secondary Health Care Delivery System in Selected State Hospitals in Osun State, Nigeria.

The study examined the role of records management in secondary health care delivery system. The purpose of the study is to appraise the records and archive management in all the recorded information generated in the state hospitals under the secondary health care delivery system, through the process of creation, preparation, disposal distribution, use, storage, retention and disposition of records, determining the validity of documents and its existence in the hospital. A descriptive survey was adopted with simple percentage analysis. 50 respondents were selected from two state hospitals in Osun State Nigeria.50 copies of questionnaire was administered and 46 copies of questionnaire were returned with a response rate of 92%. The findings revealed that lack of uniform retention policy, absence of legal authority on disposal records and document, lack of funds to purchase standard filing shelves and cabinets, and lack of attention by the hospital managements was responsible for misfiling, mislaying, overcrowding and reduced storage space in the state hospitals. It was recommended that legal authority should be instituted nationwide to support records retention and disposal schedules and archive documents for effective and efficient record management in secondary health care delivery system in Nigeria

Factors Influencing Repeat Pregnancies among Hiv-Positive Mothers in Ibadan, Nigeria

Introduction: HIV is a leading cause of morbidity and mortality among women of reproductive age worldwide, with significant implications for maternal and child health. This study focuses on the complex decision-making process around childbearing among HIV-positive women in Ibadan, Nigeria, where the HIV epidemic is a pressing concern. Aim: The study aims to understand the factors influencing repeat pregnancies among HIV-positive mothers in Ibadan, Nigeria, and contribute to improved maternal and infant HIV-free survival. Methods: Data was collected from 400 HIV-positive pregnant women attending an antenatal clinic. The study examined socio-demographic characteristics, sexual and reproductive history, knowledge of PMTCT, contraceptive knowledge and use, HIV diagnosis, and disclosure. Statistical analysis was conducted using SPSS. Results: The study revealed a relatively young and diverse population, with high awareness of PMTCT and HIV transmission modes. Most participants were diagnosed with HIV before pregnancy, but some were diagnosed during pregnancy. While 39.0% desired more children, 61.0% did not due to concerns about HIV transmission. Discussions about future childbearing with spouses were reported by 46.0% of participants. Conclusion: HIV-positive women in Ibadan, Nigeria, face a complex dilemma between their desire for more children and the fear of HIV transmission. A comprehensive approach that provides medical guidance, psychological support, and education while challenging societal stigmas is crucial. Empowering these women with information and support networks can help them make informed decisions while reducing the risk of HIV transmission. Recommendations: Healthcare providers should offer comprehensive counseling and support to HIV-positive women to address their reproductive desires and concerns. There is a need for community-based interventions to challenge societal norms and reduce stigma around HIV and childbearing. Policymakers should prioritize the development and implementation of strategies that improve maternal and infant HIV-free survival

Impact of Education on Knowledge and Attitude of Civil Servants in Oyo State Secretariat, Agodi, Ibadan Towards National Health Insurance Scheme

Introduction: In the challenging landscape of healthcare financing in developing nations like Nigeria, the National Health Insurance Scheme (NHIS) stands as a pivotal solution. This study delves into the perceptions of civil servants within the Oyo State Secretariat, Agodi, Ibadan, regarding NHIS, acknowledging the fundamental role robust healthcare systems play in sustainable socio-economic development. Despite high awareness levels (100%), our research revealed a significant gap in knowledge, with only 41.2% of participants demonstrating an average understanding of NHIS. Attitudes were diverse, with 47.0% showing positivity towards the scheme. Understanding these nuances, particularly in the context of education, is imperative for devising targeted strategies. Objectives: This research aims to assess the impact of education on NHIS awareness, delve into civil servants' knowledge and attitudes regarding NHIS, analyze educational influences on these attitudes, and investigate the relationship between knowledge and attitudes among civil servants regarding NHIS. Methods of Analysis: Utilizing a descriptive cross-sectional approach, this study surveyed 300 civil servants in key ministries. ANOVA tests were employed to discern the influence of education on both knowledge and attitudes, revealing significant educational impacts on knowledge (p < 0.001). These findings underscore the critical role education plays in shaping understanding about NHIS among civil servants. Results: The study paints a demographic picture where the majority of respondents (54.0%) fell within the 21-30 age range, primarily comprising females (64.7%) with diverse educational backgrounds. While NHIS awareness was universal (100%), only 41.2% demonstrated average knowledge levels. Attitudes varied, with 47.0% expressing positivity towards NHIS. Educational qualifications significantly influenced knowledge (F = 6.175, p < 0.001), emphasizing the need for targeted educational interventions. Conclusion: Awareness of the NHIS is prevalent among civil servants in the Oyo State Secretariat; however, there is a substantial variation in the levels of knowledge. Education appears to be a critical factor influencing this knowledge discrepancy. Comprehending these dynamics is essential for developing well-informed policies and specific interventions aimed at reducing the knowledge disparity. Recommendations: Implement focused educational initiatives tailored to various educational backgrounds and professional levels within civil service. Collaborate with healthcare facilities to ensure accurate information dissemination about NHIS, emphasizing its benefits and coverage options. Tailor communication strategies to address specific demographic needs, enhancing understanding and positive attitudes towards NHIS. Regularly assess NHIS awareness and knowledge levels among civil servants to inform ongoing educational efforts. Foster public-private partnerships to bolster NHIS implementation, ensuring seamless access to quality healthcare for all. Emphasize the pivotal role of education in shaping public attitudes and knowledge regarding NHIS, fostering a culture of informed decision-making and policy acceptance