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HEALTH SEEKING BEHAVIOUR AND PATTERN OF ADHERENCE TO TREATMENT AMONG PATIENTS WITH TYPE-2 DIABETES MELLITUS IN CENTRAL HOSPITAL WARRI, DELTA STATE
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HEALTH SEEKING BEHAVIOUR AND PATTERN OF ADHERENCE TO TREATMENT AMONG PATIENTS WITH TYPE-2 DIABETES MELLITUS IN CENTRAL HOSPITAL WARRI, DELTA STATE
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Page will reload when a filter is selected or excluded.- Social Sciences 11 results 11
- Business & Management 6 results 6
- — — — — — — Human Resources 4 results 4
- Economics 3 results 3
- — — — — — Business and Economics 3 results 3
- Health seeking behaviour 2 results 2
- Sociology 2 results 2
- Treatment compliance 2 results 2
- Type-2 Diabetes mellitus 2 results 2
- Type-2 Diabetes mellitus (T2DM) could be well managed if patients adhere strictly to treatment regimen. Adherence to treatment (ATT) is a major challenge among patients with T2DM partly because the disease requires lifelong management to prevent the onset of complications. Previous studies on ATT have not been linked with studies on Health Seeking Behaviours (HSBs). Consequently, a study on HSBs and factors influencing ATT of patients with T2DM will be useful for its effective management. This study was therefore designed to investigate HSBs and pattern of ATT among T2DM patients in Central Hospital Warri, Delta State. A cross-sectional study was conducted among 350 purposively selected patients with T2DM. A semi-structured questionnaire was interviewer administered to obtain information on respondents’ socio-demographic characteristics, HSBs, level of ATT, factors influencing ATT and suggestions on ways of improving ATT. A 14-point scale graded; poor (0-8) and good (>8) was used to measure HSBs. A 24-point scale graded; partial (0-13) and strict (>13) was used to measure ATT. Descriptive statistics, Chi-square test and logistic regression were used to analyse the data with level of significance set at 0.05. Mean age of respondents was 57.9 ± 9.8 years, 60.9% were females and 78.0% were married. More than 95.0% exhibited good HSBs and 58.0% adhered strictly to treatment. Analysis of the determinants of non-adherence to treatment showed that taking alternative traditional medicines (herbs) for treatment of the disease was the major contributing variable (OR = 2.5, 95% CI = 4.55-1.69). Factors that hindered adherence included difficulty in sticking to prescribed diets (69.1%) and the least was busy schedule of doctors to listen to patients’ complaints (0.3%). Respondents who were diagnosed with T2DM at mid-adulthood (40-49 years) did not significantly exhibit strict ATT (27.7%) more than those (15.4%) who were diagnosed at late-adulthood (50-59 years). Suggestions on ways of improving ATT included self discipline (46.9%) and encouragement from healthcare personnel (44.0%). Lack of awareness about the disease (42.6%) was a major challenge confronting patients with T2DM. One of the ways of overcoming the challenges of T2DM was creation of awareness as suggested by 39.1% of respondents. Respondents exhibited good health seeking behaviour but use of alternative medicine (herbs) remains a major challenge among patients with type-2 diabetes mellitus. Health education on diabetic care with emphasis on adherence to treatment regimen, among other strategies, should be organised regularly for diabetic patients. 2 results 2
- — — — — — Management 2 results 2
- — — — — — — Real Estate 2 results 2
- Asthma is a chronic disease and often requires complex management. This study was undertaken in four pharmacies–V-Ninat Pharmacy, Videc Chemists, Tomabel Pharmacy and Josbet Chemists, all in Isolo, Lagos, to determine the level of adherence to the anti-asthmatic drugs by asthmatic patients who participated in the study. Data was collected using structured questionnaires administered to patients coming into the pharmacies. The questionnaire was administered during a one-on-one interview. Times of recruitment were varied in an attempt to avoid any bias or restriction of the sample in relation to gender, age, or employment status such as trading and teaching. There were 73 participants in the study. The participation rate was 67 (92%) of those individuals eligible. The mean age of participants was 57(± 17.7) years. 30 (45.2%) of respondents were males and 37 (54.8%) were females. The mean number of occasion of exercise per week was 28.26. Twenty six (26) (39.0%) of patients used “preventer” medication, that is medication that prevents asthmatic attack on those who frequently suffer from asthma, and 5 (7%) never used it. Participants offered a number of reasons explaining their non-adherence, the most common 24 (58.5%) were those who forgot to take “preventer” medication. Nine (9) (21.9%) were too busy, 5 (12.2%) were concerned about side effects and 3 (7.3%) did not believe it was effective. Other responses were offered only by individual participants and were not endorsed by the participant sample. Older patients adhered to their medication regimen more closely than younger patients. Fifty (50) (68%) patients used “preventer” medication and 17 (26%) patients used “reliever” that is, agent that relieves asthmatic attack on those who frequently suffer from asthma. Based on these findings and the result of hypothesis testing (p < 0.05), the study established poor medication knowledge, suboptimal device technique, and disturbing levels of patients adherence with management recommendations. Asthma education strategies need to be modified to engage patients with low asthma knowledge to achieve improved patient outcome. Further, strategies should be employed to motivate patients to use “preventer” medications during the times they feel well. 1 results 1
- Authentic Leadership 1 results 1
- Bayelsa State 1 results 1
- Cocoa Industry 1 results 1
- Collaboration 1 results 1
- Commodity Market 1 results 1
- Conflict Management 1 results 1
- Conflict management 1 results 1
- Distance learners 1 results 1
- Employee Well-Being 1 results 1
- Farmer-herder conflict is one of the most prevalent violent occurrences in West Africa with attendant social cost, which include livelihood and socio-relational consequences. There have been frequent farmer-herder conflicts in Nigeria, which have resulted inmassive destruction of lives and property. Most studies on farmer-herder conflicts have focused mainly on causes, damages and casualties, with little attention paid to the social cost. This study, therefore, examined the effects of the conflicts on farmer andherder livelihoods, family structure and their symbiotic relationship, as well as the management structure employed to curtail farmer-herder conflicts in Iseyin, Oyo State. Group Conflict Theory was adopted as framework while the exploratory design was employed. Purposive sampling technique was used to select communities that experienced incessant farmer-herder conflicts at Iseyin. Snowball sampling technique was used to select the farmer and herder respondents. Two key informant interviews were conducted with leaders of farmers and herders. Sixty in-depth interviews were conducted with 30 farmers and 30 herders selected at Seraphim (6 farmers, 6 herders), Baale-sagbo (4 farmers, 5 herders), Awaye (6 farmers, 6 herders), Aba-paanu (5 farmers, 5 herders), Olugbade (4 farmers, 5 herders), Sangote (2 farmers, 2 herders) and Alagbe (3 farmers, 3 herders). Data were content-analysed. The prevalence of farmer-herder conflicts had adversely affected four principal elements of farmer and herder livelihood − security, income, health and education. Farmers and herders lived in constant fear of attack and destruction of lives and property. Also, farmers had witnessed significant decrease in farm produce because of the incessant destruction of farms; and herders lost herds due to retaliatory rustling and poisoning. There was a reduction in the income of farmers and herders owing to low output. Loss of income resulted in farmers’ failure to repay loans. Farmers accessed community healthcare, but herders had limited access to health facilities. The children of farmers and herders experienced disruption of their education as a result of their parents’ inability to pay the required fees. The families of both farmers and herders lost male breadwinners and family members, and made unplanned relocation to other communities. Prior to remarriage, farmers’ widows assumed the roles of family heads but the widows of herders were integrated into the extended family structure. Farmer-herder conflicts had made the symbiotic relationship of farmers and herders to degenerate into inter-community mistrust and discouragement of inter-communal marriages. It had also truncated intercommunity business relations. The conflict management strategies adopted by the herders and farmers included reporting incidence of conflict to group leaders and the police. That, in some instances, led to the compensation of aggrieved parties. The social cost of the conflicts between farmers and herders in Iseyin had a debilitating impact on their livelihoods and inter-group relations. Reports to group leaders and state authorities had brought about some compensation and peace to the communities. Farmers and herders should adopt conciliatory strategies to manage disagreements in peace and conflict periods. 1 results 1
- Farmer-herder conflicts in Iseyin 1 results 1
- Farmers 1 results 1
- Herdsmen 1 results 1
- Herdsmen and farmers conflict have become one of the major sources of insecurity and violence in Nigeria. This phenomenon has become widespread as virtually all the parts of the country is experiencing it, though in varying intensity. This paper assessed the approaches adopted in the management of the disenabling and destructive conflict by both the state and non-state actors in Bayelsa state, Nigeria. Data were collected fforn both primary and secondary sources. The United Nations Guiding Principles in Business and Human Rights was used as a tool of assessment. Findings revealed that the Bayelsa State government's management approach, which was deficient in terms of local ownership was less effective while the Bayelsa State Conflict Management Alliance approach, an initiative of the civil society, succeeded a great deal in reducing the conflict and restoring peaceful coexistence between the herdsmen and the farmers. This study established that the Bayelsa State Conflict Management Alliance approach succeeded due to its employment of the United Nations principles as its fulcrum. Consequently, this paper argued for the need for conflict interveners to involve the local people, as advocated in the United Nations Guiding Principles in Business and Human Rights, in their engagements in conflict. 1 results 1
- It is evident that Nigerian Government is making drastic and pronounced efforts at stemming the tide of unemployment via means such as change and innovation in the curriculum. However, it appears that there is no adequate instructional intervention to develop appropriate knowledge, attitudes and skills in learners for knowledge economy in the schools. Students are restricted to classroom instruction with little or no participation which has resulted in rote learning and memorisation and their attendant effects on learning outcomes. This paper, therefore, explored service learning instructional strategy that is outdoor and activity-based as a means of promoting entrepreneurship skills through effective teaching of economics for alleviating unemployment in Nigeria and its counselling implications. The following were also discussed in the paper: Economics, entrepreneurship, importance of an entrepreneur, characteristics of entrepreneur, economic view of unemployment, causes of unemployment, and counselling implications of effective teaching of economics for boosting entrepreneurship skills for alleviating unemployment. Some recommendations were made such as Economics teachers should employ service learning instructional strategy for effective teaching of Economics, universities should expose Economics students to service learning, and collaborate with industries; management is encouraged to organise on-the-job pedagogical training for Economics lecturers without a teaching qualification, and continuous professional development on innovative instructional strategies for all. Parents are counselled to encourage their ward(s) on the need to discover their entrepreneurial skills and make good use of them to be self-reliant, among others. All these will help to produce graduates that will be relevant beyond 21st century. 1 results 1
- Learners' academic achievement 1 results 1
- National Open University of Nigeria 1 results 1
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- Intangible Capital 3 results 3
- Baltic Journal of Real Estate Economics and Construction Management 1 results 1
- Business: Theory and Practice 1 results 1
- Dirassat Journal Economic Issue 1 results 1
- International Journal of Applied Management and Technology 1 results 1
- International Journal of Human Resource Studies 1 results 1
- Journal of Business and Management Studies 1 results 1
- Real Estate Management and Valuation 1 results 1
- Zeitschrift f?r Immobilien?konomie : German Journal of Real Estate Research 1 results 1
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