Radiographic Room Design and Layout for Radiation Protection in Some Radio-Diagnostic Facilities in Katsina State, Nigeria.

Background: The radiographic room design and layout of the radio-diagnostic facilities involved in this study were converted from existing structures without the input the various professionals who use these facilities.   Objective: The aim of the study was to assess the measures for radiation protection installed in the building design and the layout of some radio-diagnostic facilities in Katsina state.   Methodology: The room dimensions, distances between the operator booth and the radiation source and between the operator booth and the cheststand were measured. Lead lining on doors and room walls, warning signs, warning lights and the use of personnel monitoring devices were also carefully checked.   Result: X-ray room dimensions were 20m2, 38.5m2 and 12.8m2 for x-ray unit A, B and C, respectively. The distance from the operator to tube was 3.4m, 3.8m and 3.1m while that of operator to chest stand was 3.2m, 4.5m and 3.1m for x-ray unit A,B and C respectively. There were warning signs and lights in all the units.   Conclusion: The use of radiation accessories and warning lights were satisfactory. Meanwhile, in order to ensure optimization of radiation protection, the various professionals such as radiographers, radiologists and medical physicists should, alongside the architect and engineers, play their role in the building design and the room layout of radio-diagnostic facilities.   &nbsp

Real time sonography as an anatomy teaching aid in undergraduate radiography institutions in Northern Nigeria

Background: Real-time ultrasound scanning is increasing in popularity as a teaching tool for human anatomy because it is non-invasive, offers real-time 3-D anatomy and is cheaper than dissections.Objectives: To assess real-time ultrasound scanning as a teaching method of human anatomy, and to determine what teaching methods radiography students consider effective for understanding human anatomy.Materials and methods: One hundred and ten self-administered, structured and pre-tested questionnaires were distributed to Clinical Radiography students (Third, fourth and fifth year)in Northern Nigeria featuring University of Maiduguri and Bayero University Kano. The questionnaire consists of two sections;Demographics and preferred methods of delivery of anatomical information. Participation was voluntary. Comparisons among teaching methods were made using repeated measures ANOVA.Results: A significant difference among the eight delivery methods with 3-D Radiology imaging being as the most preferred method overall (48.17, p<0.0001) and ultrasound the least (32.48, p<0.0001). With Duncan’s multiple Range test, it is clearly shown that 3-D Radiology imaging differ with mean value(5.2522) followed by Computer programs(5.1292), Anatomic models(4.7593), Laboratory videos(4.5815), textbooks(4.5358), animal dissection(4.2568), lectures(3.2568) and finally ultrasound scan (3.6087), (P<0.0001).Conclusion: 3-D Radiology imaging is the most preferred method of delivering anatomical information and ultrasound scanning is the least preferred method.Keywords: Real time sonography, radiography institutions, Northern Nigeria

Istraživanje zadovoljstva pacijenata radiološkim uslugama u javnim i privatnim zdravstvenim ustanovama u saveznoj državi Kano

Background: Patient satisfaction is the extent to which the patients feel that their needs and expectations are being met by the service provider. The survey of patient satisfaction with health care services is a growing concept in Nigeria, where study on this subject is just beginning to develop. Objective: The aim of this study was to compare the patients’ satisfaction level with radiological services and to identify the factors that may account for the differences in their satisfaction between a public and a private health facility in Kano state Nigeria. Method: The study was a cross-sectional prospective survey that targeted patients who visited radiology departments. Data was collected using a 43 item self-completion questionnaire designed in line with the objectives of the study. The data were categorized into groups and analysed using a statistical package for social sciences version 20.0, where descriptive statistics such as the percentages and frequencies were generated and tabulated. A chi-square test was used to test for the differences in the patients’ satisfactory level at (p<0.05). Results: The results showed that 60.7% (n=85) were female while 39.3% (n=55) were male, 52.2% (n=47) of the respondents from the public hospital were dissatisfied, while 47.8% (n=43) were satisfied. At the private hospital, only 20% (n=10) were dissatisfied, while 80% (n=40) were satisfied with the radiological services received. The type of health facility and patients’ satisfaction was found to be statistically significant at (p<0.05). Conclusion: The patients in the private health facility of the study were more satisfied than those at the public health facility because of prompt attention given to them immediately after arrival, immediate collection of their radiological reports, and high ergonometric environment provided by the hospital staff.Uvod: Zadovoljstvo pacijenta jest predodžba pacijenta o stupnju u kojem određeni pružatelj zdravstvene usluge zadovoljava njegove zahtjeve i očekivanja. Ispitivanje zadovoljstva pacijenata zdravstvenim uslugama sve više dobiva na važnosti u Nigeriji, gdje se ta tema tek počinje proučavati. Cilj: Cilj je ovog istraživanja bio usporediti zadovoljstvo pacijenata radiološkim uslugama te izdvojiti čimbenike koji mogu objasniti razlike između zadovoljstva pacijenata javnim i privatnim zdravstvenim ustanovama u saveznoj državi Kano u Nigeriji. Postupak: Ovo je prospektivno presječno istraživanje proučilo odgovore pacijenata koji su posjetili odjele za radiologiju. Podaci su prikupljeni s pomoću upitnika s 43 pitanja oblikovanog u skladu s ciljevima istraživanja. Podaci su grupirani i analizirani primjenom statističkog programa za društvene znanosti verzije 20.0 kojim se opisne statistike poput postotaka i frekvencija generiraju i tabuliraju. Hi-kvadrat test primijenjen je kako bi se ispitale razlike u razini zadovoljstva pacijenata (p < 0,05). Rezultati: Rezultati su pokazali da je 60,7 % (n = 85) ispitanika bilo ženskog spola, a 39,3 % muškog. Nezadovoljno je bilo 52,2 % (n = 47) pacijenata javne bolnice, dok je 47,8 % (n = 43) bilo zadovoljno. U privatnoj je bolnici samo 20 % (n = 10) ispitanika bilo nezadovoljno, dok je 80 % (n = 40) bilo zadovoljno radiološkim uslugama. Ustanovljeno je kako su vrsta zdravstvene ustanove i zadovoljstvo pacijenata statistički značajni (p < 0,05). Zaključak: Pacijenti privatne zdravstvene ustanove bili su zadovoljniji od onih u javnoj zdravstvenoj ustanovi zbog brzine kojom im je pružena pažnja nakon dolaska, brzine kojom su im izdani radiološki nalazi te visokog stupnja ergonometrijskog okruženja koje im je osiguralo bolničko osoblje

Istraživanje zadovoljstva pacijenata radiološkim uslugama u javnim i privatnim zdravstvenim ustanovama u saveznoj državi Kano

Background: Patient satisfaction is the extent to which the patients feel that their needs and expectations are being met by the service provider. The survey of patient satisfaction with health care services is a growing concept in Nigeria, where study on this subject is just beginning to develop. Objective: The aim of this study was to compare the patients’ satisfaction level with radiological services and to identify the factors that may account for the differences in their satisfaction between a public and a private health facility in Kano state Nigeria. Method: The study was a cross-sectional prospective survey that targeted patients who visited radiology departments. Data was collected using a 43 item self-completion questionnaire designed in line with the objectives of the study. The data were categorized into groups and analysed using a statistical package for social sciences version 20.0, where descriptive statistics such as the percentages and frequencies were generated and tabulated. A chi-square test was used to test for the differences in the patients’ satisfactory level at (p<0.05). Results: The results showed that 60.7% (n=85) were female while 39.3% (n=55) were male, 52.2% (n=47) of the respondents from the public hospital were dissatisfied, while 47.8% (n=43) were satisfied. At the private hospital, only 20% (n=10) were dissatisfied, while 80% (n=40) were satisfied with the radiological services received. The type of health facility and patients’ satisfaction was found to be statistically significant at (p<0.05). Conclusion: The patients in the private health facility of the study were more satisfied than those at the public health facility because of prompt attention given to them immediately after arrival, immediate collection of their radiological reports, and high ergonometric environment provided by the hospital staff.Uvod: Zadovoljstvo pacijenta jest predodžba pacijenta o stupnju u kojem određeni pružatelj zdravstvene usluge zadovoljava njegove zahtjeve i očekivanja. Ispitivanje zadovoljstva pacijenata zdravstvenim uslugama sve više dobiva na važnosti u Nigeriji, gdje se ta tema tek počinje proučavati. Cilj: Cilj je ovog istraživanja bio usporediti zadovoljstvo pacijenata radiološkim uslugama te izdvojiti čimbenike koji mogu objasniti razlike između zadovoljstva pacijenata javnim i privatnim zdravstvenim ustanovama u saveznoj državi Kano u Nigeriji. Postupak: Ovo je prospektivno presječno istraživanje proučilo odgovore pacijenata koji su posjetili odjele za radiologiju. Podaci su prikupljeni s pomoću upitnika s 43 pitanja oblikovanog u skladu s ciljevima istraživanja. Podaci su grupirani i analizirani primjenom statističkog programa za društvene znanosti verzije 20.0 kojim se opisne statistike poput postotaka i frekvencija generiraju i tabuliraju. Hi-kvadrat test primijenjen je kako bi se ispitale razlike u razini zadovoljstva pacijenata (p < 0,05). Rezultati: Rezultati su pokazali da je 60,7 % (n = 85) ispitanika bilo ženskog spola, a 39,3 % muškog. Nezadovoljno je bilo 52,2 % (n = 47) pacijenata javne bolnice, dok je 47,8 % (n = 43) bilo zadovoljno. U privatnoj je bolnici samo 20 % (n = 10) ispitanika bilo nezadovoljno, dok je 80 % (n = 40) bilo zadovoljno radiološkim uslugama. Ustanovljeno je kako su vrsta zdravstvene ustanove i zadovoljstvo pacijenata statistički značajni (p < 0,05). Zaključak: Pacijenti privatne zdravstvene ustanove bili su zadovoljniji od onih u javnoj zdravstvenoj ustanovi zbog brzine kojom im je pružena pažnja nakon dolaska, brzine kojom su im izdani radiološki nalazi te visokog stupnja ergonometrijskog okruženja koje im je osiguralo bolničko osoblje

The race towards the universal health coverage and factors influencing radiographers' career choice in rural settlements in North-Eastern Nigeria

Background: There is a human resource crisis in the healthcare sector in Nigeria. This is because of the existing inequitable distribution of the available meagre workforce which is itself not helped by the increasing and currently trending brain drain.Purpose: This study aimed at assessing the factors that influence radiographers' choice of career in rural settlements in Northeastern Nigeria.Methods: A cross-sectional study was conducted among Radiographers in Northeastern Nigeria. A 21-item, self-administered semi-structured questionnaire was distributed over a six (6) month period, where 130 questionnaires were distributed. The questionnaire consisted of two sections; a: on demography; b: on factors (attractors and detractors) for career choice in rural areas. Content analysis was used to analyze qualitative data; descriptive statistics were used to analyze quantitative data. Statistical Package for Social Sciences (SPSS) version 21.0 was used.Results: A total of 91 questionnaires were retrieved, giving a response rate of 70%. There were 56 (61.5%) males and 35 (38.5%) females. About 82 (90.1 %) had B.Sc and 9 (9.9 %) had M.Sc as their highest qualification. The major attractors for accepting rural jobs were improved remuneration 97 (86.8%) and opportunity for continuous professional development 72 (79.1%). While major detractors were, the cultural and traditional beliefs of the people in rural areas 23 (25.3%) and the lack of social amenities/poor infrastructure 22 (24.2%).Conclusion: The attractors for radiographers to rural areas in this study were; improved remuneration, availability of equipment, professional development, availability of social amenities and security among others. To recruit and retain radiographers in the rural areas, government, recruitment agencies and employers should in addition to good remuneration motivate the radiographers by providing adequate power, security, rural posting allowances, good functional equipment and working and learning environment

Real Time Sonography as an anatomy teaching aid in undergraduate radiography institutions in Northern Nigeria

Background: Real-time ultrasound scanning is increasing in popularity as a teaching tool for human anatomy because it is non-invasive, offers real-time 3-D anatomy and is cheaper than dissections. Objectives: To assess real-time ultrasound scanning as a teaching method of human anatomy, and to determine what teaching methods radiography students consider effective for understanding human anatomy. Materials and methods: One hundred and ten self-administered, structured and pre-tested questionnaires were distributed to Clinical Radiography students (Third, fourth and fifth year)in Northern Nigeria featuring University of Maiduguri and Bayero University Kano. The questionnaire consists of two sections;Demographics and preferred methods of delivery of anatomical information. Participation was voluntary. Comparisons among teaching methods were made using repeated measures ANOVA. Results: A significant difference among the eight delivery methods with 3-D Radiology imaging being as the most preferred method overall (48.17, p&lt;0.0001) and ultrasound the least (32.48, p&lt;0.0001). With Duncan\u2019s multiple Range test, it is clearly shown that 3-D Radiology imaging differ with mean value(5.2522) followed by Computer programs(5.1292), Anatomic models(4.7593), Laboratory videos(4.5815), textbooks(4.5358), animal dissection(4.2568), lectures(3.2568) and finally ultrasound scan (3.6087), (P&lt;0.0001). Conclusion: 3-D Radiology imaging is the most preferred method of delivering anatomical information and ultrasound scanning is the least preferred method. DOI: https://dx.doi.org/10.4314/ahs.v19i2.54 Cite as: Umar MS, Zira JD, Ogenyi PA, Njokwu G, Malgwi FD, Silas MA, Laushongo SS. Real time sonography as an anatomy teaching aid in undergraduate radiography institutions in northern Nigeria. Afri Health Sci.2019;19(2): 2282-2289. https://dx.doi.org/10.4314/ahs.v19i2.5