HEALTH COMMUNICATION ANALYSIS OF DOCTOR-PATIENT RELATIONSHIP AND PATIENTS’ HEALTH BEHAVIOUR IN SOUTH WEST NIGERIA

Communication in doctor-patient relationship has undergone a transition over time from doctor-dominance to patient-centred approach. Unfortunately, the patient-centred approach adopted today has not positively influenced the health behaviour of patients. For this, health communication scholars wonder if there is any difference between patient-centred and the doctor-dominance approach. The study adopted the descriptive survey research method, using two sets of questionnaires for data collection from patients and doctors. Multi-stage sampling technique was used to select 120 respondents for the study. Data collected were analyzed using frequency counts, percentages and chi-square technique. Communication in doctor-patient relationship had significant influence on patients’ follow-up appointments (χ2 = 112.867) and compliance to prescribed drugs (χ2 = 48.333).   Communication in doctor-patient   relationship had significant influence on patients’ choice of the hospital (χ2= 44.083) and  consumption of balanced or specific diet (χ2 = 61.350). Communication in doctor-patient relationship had significant influence on patients’ exercising regularly (χ2 =18.80).The study concluded that doctor-patient relationship in health communication influences patients’ health behaviour in South West Nigeria. It is therefore recommended that doctors should apply an integrated/ synergetic approach in communicating with their patients and that audience-specific social media platforms should be utilized to complement the doctor-patient communication for more effective result. &nbsp

Apparent Nutrient Retention and Haematology of Shika Brown Pullet Chicks Fed Three Plant Protein Sources

An experiment was carried out to determine apparent nutrient retention and haematological indices of pullet chicks fed three plant protein sources. 243 day old Shika Brown chicks were divided into three treatment groups of 81 chicks subdivided into three replicate groups of 27 chicks. Three experimental diets were formulated to contain groundnut cake (GNC) Full fat soya (FFS) and lablab seed meal (LSM) and fed to the chicks for five weeks (3-8 weeks of age). At the 8th week three chicks per replicate were kept in metabolic cage and fed for faecal sample collection. Feed and faecal samples were weighed, oven dried and analyzed for proximate and mineral composition. Blood samples were collected via wing vein from 1 chick per replicate and stored in EDTA bottles for haematological analysis. Results indicated that retention of dry matter, nitrogen free extract and calcium were similar for chicks fed GNC and FFS but significantly different (P<0.05) from those fed LSM. Crude fibre retention was higher (P<0.05) in chicks fed FFS than those fed GNC and LSM, which were similar. Magnessium and sodium retentions were similar for chicks fed FFS and LSM but significantly different from those fed GNC. Only packed cell volume (PCV) varied significantly between treatment means. Other haematological parameters were similar across treatments and within normal ranges. Nutrients in LSM could be well utilized and safely too as those of GNC and FFS

Assessment of yeast supplementation on the onset of laying and subsequent performance of Shika brown layers fed high levels of rice bran during growing period

The study assessed the effect of feeding grower pullets with high levels of rice bran supplemented with or without yeast (Saccharomyces cerevisiae) on sexual maturity and subsequent laying performance. The treatment groups were: treatment 1, 0% rice bran without yeast, treatment 2, 45% rice bran without yeast, treatment 3, 50% rice bran without yeast treatment 4, 45% rice bran supplemented with yeast and treatment 5, 50% rice bran supplemented with yeast. These diets were fed from the 9th to 20th week of age. Thereafter, a common layer diet was fed to all treatment groups from 20th - 40th week. Results of the study indicated that feeding rice bran at the growing phase did not affect age at point of lay. Indeed the birds fed rice bran diets without yeast reached point of lay earlier than the control group. Similarly, birds on high rice bran + yeast reached peak production earlier than the control group. However, hen-day egg production was higher for the birds fed control diet. It could be concluded therefore that feeding diets containing up to 50% rice bran with or without yeast supplementation during the growing phase did not adversely affect the onset of laying and subsequent performance of Shika brown pullets.Keywords: Yeast, rice bran, pullets, eg

Orthodox versus unorthodox care: A qualitative study on where rural women seek healthcare during pregnancy and childbirth in Southwest, Nigeria

Introduction Utilization of orthodox health facilities for maternal health services is determined by factors operating at the individual, household, community and state level. The prevalence of small family norm is one of the identified variables operating within the community which influences the decision of where to access care (orthodox/traditional). The objective of the study was to determine the use of orthodox versus unorthodox maternity healthcare and determinants among rural women in southwest Nigeria. Methods A qualitative study was done and involved three focus group discussions. A semi-structured interview guide was used to collect information from women of reproductive age group within a rural Local Government Area in Lagos state. Results Most of the women access some form of healthcare during pregnancy, orthodox, unorthodox or both. Those who patronize both services concurrently do so to benefit from the two as each has some unique features such as herbal concoctions for traditional, ultrasound and immunization of babies for orthodox. Traditional belief exerts a strong influence on decision of where to access maternal healthcare services. Actual place of delivery is determined by individual and household factors including financial resources. Conclusion Rural women utilize one or both orthodox and unorthodox maternal health services for different reasons. Ward Development Committees should be strengthened so as to reach the communities, educate and convince women to dispel myths which limit their use of orthodox care. Training and monitoring of Traditional Birth Attendants (TBAs) are vital to eliminate harmful practices. We also recommend improved financial access to orthodox healthcare

The effects of educational curricula and training on LGBT specific health issues for healthcare students and professionals: a mixed-methods systematic review

Introduction: Poor access of lesbian, gay, bisexual and transgender (LGBT) people to healthcare providers with clinical and cultural competency contributes to health inequalities between heterosexual/cisgender and LGBT people. This systematic review assesses the effect of educational curricula and training for healthcare students and professionals on LGBT healthcare issues. Methods: Systematic review; the search terms, strategy and process as well as eligibility criteria were predefined and registered prospectively on PROSPERO. A systematic search of electronic databases was undertaken. Screening for eligible studies and data extraction were done in duplicate. All the eligible studies were assessed for risk of bias. The outcome of interest was a change in participants’ knowledge, attitude and or practice. Results: Out of 1171 papers identified, 16 publications reporting 15 studies were included in the review. Three were non-randomized controlled studies and 12 had a pre/post-design; two had qualitative components. Bias was reported in the selection of participants and confounding. Risk reported was moderate/mild. Most studies were from the USA, the topics revolved around key terms and terminology, stigma and discrimination, sexuality and sexual dysfunction, sexual history taking, LGBT-specific health and health disparities. Time allotted for training ranged from 1 to 42 hours, the involvement of LGBT people was minimal. The only intervention in sub-Saharan Africa focused exclusively on men who have sex with men. All the studies reported statistically significant improvement in knowledge, attitude and/or practice post-training. Two main themes were identified from the qualitative studies: the process of changing values and attitudes to be more LGBT inclusive, and the constraints to the application of new values in practice.Conclusions: Training of healthcare providers will provide information and improve skills of healthcare providers which may lead to improved quality of healthcare for LGBT people. This review reports short-term improvement in knowledge, attitudes and practice of healthcare students and professionals with regards to sexual and LGBT-specific healthcare. However, a unified conceptual model for training in-terms of duration, content and training methodology was lacking

Movement Behaviour of Traditionally Managed Cattle in the Eastern Province of Zambia Captured Using Two-Dimensional Motion Sensors

Two-dimensional motion sensors use electronic accelerometers to record the lying, standing and walking activity of cattle. Movement behaviour data collected automatically using these sensors over prolonged periods of time could be of use to stakeholders making management and disease control decisions in rural sub-Saharan Africa leading to potential improvements in animal health and production. Motion sensors were used in this study with the aim of monitoring and quantifying the movement behaviour of traditionally managed Angoni cattle in Petauke District in the Eastern Province of Zambia. This study was designed to assess whether motion sensors were suitable for use on traditionally managed cattle in two veterinary camps in Petauke District in the Eastern Province of Zambia. In each veterinary camp, twenty cattle were selected for study. Each animal had a motion sensor placed on its hind leg to continuously measure and record its movement behaviour over a two week period. Analysing the sensor data using principal components analysis (PCA) revealed that the majority of variability in behaviour among studied cattle could be attributed to their behaviour at night and in the morning. The behaviour at night was markedly different between veterinary camps; while differences in the morning appeared to reflect varying behaviour across all animals. The study results validate the use of such motion sensors in the chosen setting and highlight the importance of appropriate data summarisation techniques to adequately describe and compare animal movement behaviours if association to other factors, such as location, breed or health status are to be assessed