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Risky behaviours and attitude of healthy Nigerians towards kidney failure: a case study of Ede North Local Government workers
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Comparative case studies in integrated care implementation from across the globe: a quest for action
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Influence of psychological factors on self and perceived stigma and the efficacy of cognitive behaviour therapy in symptoms reduction among mentally ill patients
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Attitude of women towards family planning in selected rural communities of Ibadan
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Attitude of women towards family planning in selected rural communities of Ibadan
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Page will reload when a filter is selected or excluded.- Attitude 3 results 3
- Family planning 3 results 3
- Contraceptive use 2 results 2
- Medical & Health Sciences 2 results 2
- Nigeria 2 results 2
- Perceived benefits 2 results 2
- Perceived side effect 2 results 2
- Public Health 2 results 2
- Reproductive health behavior 2 results 2
- Research on maternal health was conducted among the residents of the Seme border community in republic of Benin to determine the available maternal health care services in the community and the level of accessibility to residents, to find out the pattern of the maternal health care seeking behavior and to examine the relationships between the socio-cultural characteristic and maternal health care seeking behavior in the area. The major instruments used were structured questionnaire, key informant interview and non-participant observation method. The study established that there are a considerable number of maternity hospitals and health centers in the community, many of which are privately owned. Residents tend to have a terrible level of access to the maternity services as there is no enough publicity either through word of mouth referrals or information from social service workers. The study also discovered that a very large proportion of the resident of the area use both the western maternal health care services and traditional substances. Due to the setting of this border area, a central cultural connotation is not prominent; hence the cultural influence on the maternal health seeking behavior is not general to the society as a whole. Though many residents use the western (private and public) service, factors like husbands approval, money for treatment, and personal cultural preferences still had negative effects on the maternal health seeking behavior in the area. 2 results 2
- — — — — — Health and Safety 2 results 2
- A strong belief exists that Physical and Health Education (PHE) have the power to promote the development of behaviors, ethical decision-making skills, and a total curriculum for moral character development as well as providing a social environment to acquire personal and social values and behaviors contributing to good character and good citizenship. There is dearth of empirical research supporting that participation in PHE leads to character training. However, Creative PHE has immense power to shape consciousness, values, and beliefs of students that could be passed on to selected aspects of the dominant culture. This paper therefore discusses the formal and informal processes of character training among Secondary School Students in Nigeria. Character training is seen in two different ways which are moral and social values which include loyalty, sacrifice, good citizenship, dedication, healthful living and cleanliness, while moral values include honesty, fairness, fair play, justice, and responsibility. Social values, which are highly esteemed in our society, are about the real world and how society views the importance of social character. Social values are positive assets but must be tempered by moral values. Character training through PHE should be systematic and involve formal and informal processes. Creative PHE provided powerful contexts for the teaching and learning of good moral habits and for this to succeed, students need both thinking and reasoning programmes, role models, a supportive environment, and the strong moral/philosophical commitment of community members, parents, teachers, students and the media. 1 results 1
- Adolescents have one of the highest rates of suicidal behaviours found in research. Hence, health research and interventions have become a key preference among them. This study therefore, examined Depression And Suicidal Ideation And Moderating Effect of Suicide Resilience Among In-School Adolescents In Ibadan South East And Oluyole Local areas of Oyo state. The descriptive survey design was used for the study and a combination of random and purposive sampling techniques were employed to select 275 participants with age ranges between 15 and 19years, x =16.87, SD=1.02 into this study. A structured questionnaire focusing on socio-demographic profile, Depression, Suicide Resilience and Suicidal Ideation was administered to the participants. Five hypotheses were formulated, tested and all were confirmed. Data were analyzed using descriptive statistics, simple regression and independent sample for ttest, point-biserial correlation, biserial correlation multiple regression and hierarchical regression analysis. The results showed that Depression (R2= 0.061, F = 17.753, p<.01) significantly predicted suicidal ideation and behaviour, while gender had significant influence on suicide behavior (t (273) = -4.597, p<.01) among in-school adolescents. In addition t-test, point-biserial correlation results showed gender (rpb= .265, n=273, p= .01). accounted for 7% variance observed in the reported Suicidal behavior among in-school Adolescent. Age also had significant influence on suicide behavior (t (273) = -3.300, p<.01) among in-school adolescents. In addition t-test, biserial correlation results showed Age (rpb= -.175, n=273, p= .05). accounted for 3% variance observed in the reported Suicidal behavior among in-school Adolescent. Additionally, Suicide Resilience and Depression [F(2,272)= 11.74, R=.14, R2 =.02,p<.01] jointly predicted Suicide behavior (ΔR2 =0 .81, p < .001). Meanwhile, the effect of depression on suicidal ideation and behavior was moderated by the interaction between depression and suicide resilience (b = -.285, p < .05) Suicide Resilience can reduce the impact of Depression on suicidal Ideation and Behavior. It suggests that when suicide resilience was high, the association between depression and suicide behavior was the weakest; when suicide resilience was low, the association was the strongest. Additional clinical implications, limitations of the study, and suggestions for future research are addressed. 1 results 1
- Adult 1 results 1
- Anti-Retroviral (ARV) drugs are effective in reducing the incidence of death due to AIDS. The drugs are administered free of charge to People Living with HIV/AIDS (PLWHA) in designated clinics throughout Nigeria. Despite their availability compliance with ARV drug treatment remains a major challenge. The factors which influence compliance to ARV drugs among PLWHA in Nigeria have not been adequately studied. This research was therefore targeted at assessing the factors which affect compliance to ARV treatment among PLWHA at the University of Nigeria Teaching Hospital Enugu. A total of 341 consenting respondents out of the 1,200 patients who attended the weekly HIV clinic over a period of one month were selected for the study. A validated questionnaire which included questions on demographic characteristics, health related information, compliance with ARV, social support, counseling services, side effects, perceived benefits and inhibiting factors to ARV medication was used for data collection. Data were analyzed using descriptive statistics, Chi-square and logistic regression. Participants’ mean age was 36.8±9.8 years, 60.7% were females, 50.7% were married and 57.8% were traders/artisans. Respondents’ level of education was as follows: tertiary (31.1%), secondary (42.2%), primary (21.4%) and no formal education (5.3%). Many (48.4%) respondents’ had been on ARV treatment for 6 to 18 months preceding the study. Eighty three percent of the participants’ received counseling before they were placed on ARV drugs. An improvement in health was reported by 89.1% of those that took ARV drugs as prescribed. Seventy nine percent of the respondents fully complied with their ARV medication as prescribed. The reasons for failure to take the drugs as prescribed include traveling (19.1%), forgetfulness (17.3%) lack of access to food (7.9%). Forty percent of the respondents’ experienced side-effects after using the drugs; as a result of which 5.0% stopped using their drugs. The side-effects included: rashes (56.2%), diarrhea (30.7%), and abdominal pain (30.7%), vomiting (27.7%) and dizziness (24.8%). More males (82.0%) than females (77.3%) took their drugs as prescribed. Most (82.2%) of the married respondents took their drugs as prescribed compared to the singles (75.3%). Seventy nine point seven percent of the respondents within the age bracket 30 to 40 years complied with their ARV drug therapy whereas, 79.2% of those younger than 30 years and 78% of those older than 40 years took their ARV drugs as prescribed. Respondents who experienced improvements in their health status were more likely to comply with their treatment regimen than those who did not (OR= 15.2, 95% CI=1.6-140.1). The PLWHA who received social/ financial support were also more likely to comply with treatment regimen than those who did not receive social support (OR=1.8, 95% CI=1.1-3.1). Compliance to anti retroviral drugs was high among the respondents in spite of the attendant side effect. This positive health seeking behavior should be reinforced through effective health education strategy such as daily counseling and patient education. 1 results 1
- Anti-retroviral 1 results 1
- Attitude, 1 results 1
- Background: Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for integrated care implementation applicable to diverse healthcare systems. Furthermore, there is a complex interplay of factors at multiple levels of influence that are necessary for successful implementation of integrated care in health systems. methods: Guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., 2011), a multiple case study design was used to address two research objectives: 1) To highlight current integrated care implementation efforts through seven international case studies that target a range of healthcare systems, patient populations and implementation strategies and outcomes, and 2) To synthesize the shared and unique challenges and successes across studies using the EPIS framework. Results: The seven reported case studies represent integrated care implementation efforts from five countries and continents (United States, United Kingdom, Vietnam, Israel, and Nigeria), target a range of clinical populations and care settings, and span all phases of the EPIS framework. Qualitative synthesis of these case studies illuminated common outer context, inner context, bridging and innovation factors that were key drivers of implementation. Conclusions: We propose an agenda that outlines priority goals and related strategies to advance integrated care implementation research. These goals relate to: 1) the role of funding at multiple levels of implementation, 2) meaningful collaboration with stakeholders across phases of implementation and 3) clear communication to stakeholders about integrated care implementation. 1 results 1
- Background: Sexually transmitted infections is an important epidemic of public health significance, especially among female commercial sex workers (FCSW), due to its associated symptoms and complications. Objectives: To determine knowledge of sexually transmitted infections (STIs) and the health seeking behaviour among FCSW in Ibadan North Local Government Area (LGA). Method: A cross-sectional study using self-administered questionnaires distributed to 131 FCSW in Ibadan North LGA by trained research personnel. Data was analysed using IBM SPSS version 23.0. Descriptive statistics and tests of associations were done, with statistical significance set at p<0.05. Results: One hundred and twenty-nine respondents (98.5%) were aware of STIs and the majority (69.8%) got their information from hospitals and health workers. Only 43 respondents (36.8%) had good health seeking behaviour. Associations with good health seeking behaviours were being in the age group 18-25 years (p<0.001), single (p<0.001), non-Christian religion (p<0.001), having secondary level of education (p<0.001), combining sex worker with trading (p<0.001). and work experience as a FCSW of less than 5 years (p=0.001). Multivariate logistic regression showed that respondents with less than junior secondary education were 16 times less likely to have good health seeking behaviour (OR=0.062; 95%CI=0.004-0.992) while those who were both sex workers and traders were about 37 times more likely to have good health seeking (OR=37.250; 95%CI=6.006-231.039). Conclusion: This study revealed that the health seeking behavior of FCSW in Ibadan is poor and most resort to self-medication. Therefore, there is need to develop interventions that will help them in accessing affordable health facility when necessary. 1 results 1
- Child nutrition 1 results 1
- Civil servants 1 results 1
- Commercial Sex 1 results 1
- Compliance 1 results 1
- Depression 1 results 1
- Despite intervention programmes aimed at improving child nutrition in Nigeria, the number of children with poor nutrition has consistently increased over the years. The usual top-down management approach to execution of intervention is contributory to this problem. Social marketing, a bottom-up and effective approach to intervention, has not been well studied in Nigeria. The effectiveness of social marketing on knowledge, attitude and practice of child nutrition by women in South-West Nigeria was therefore investigated. The study was carried out using quasi-experimental research approach and Focus Group Discussion (FGD). Two hundred and forty women were selected by systematic random sampling from ante-natal clinic in primary health centres in selected 10 local government areas in Oyo (4), Ekiti (3) and Osun state (3) based on probability proportionate sample to size with 90, 75, and 75 women interviewed from each of the states respectively. Data were collected from the two groups using structured questionnaire which included 50 points-knowledge, 17 points-practice and 5-points Likert-attitudinal scales before and after exposure to nutrition messages. In addition, one FGD each was conducted among women in each of the 10 LGAs. Fifty percent (experimental group) were exposed to nutrition messages for 12 weeks with emphasis on social marketing techniques, while the remaining served as control. Parameters assessed were women‟s personal characteristics, knowledge, attitude and practice with respect to child nutrition. Data were analysed using descriptive statistics, problem tree analysis, Pearson Product Moment Correlation, Chi square and t-test at p = 0.05. Mean age of women was 33 ± 7.7 years, 69.6% were married, mean household size was 5.10 ± 2.4 and mean number of children under-five was 2.90 ± 1.49. Half (50.4%) were educated and majority (67.5%) engaged in petty trading. The mean monthly income was N20, 330 ± 17,052. At baseline, information sources included radio (75.4%) and television (54.2%). Attitude to nutrition messages revealed favourable disposition to communication channels/promotion (53.8%), environment/ place (58.8%), nutrition messages/ product (53.0%) and abandonment of previous nutrition behavior/price (64.2%). The discussants stated that child nutrition was affected by income, cultural preference and nutritional knowledge. Post-intervention evaluation showed that the experimental group manifested an increase in knowledge from 50.4% to 90.2%, favourable attitude from 47.8% to 68.9% and nutrition practice from 58.3% to 75.5% when compared to increase in knowledge 50.6% to 57.2%, favourable attitude 48.6% to 50.4% and nutrition practice 49.7% to 52.8% of the control group. Marital status (χ2=16.94), family size (r = 0.26), education (χ2= 44.45), occupation (χ2=21.00), and communication channel (r = 0.23) were significantly related to nutrition behaviour. Knowledge was significantly different in Oyo (t = 2.93) and Ekiti (t = 2.29), while attitude was significantly different in Oyo (t = 4.23) and Osun (t = 3.99) before and after exposure to nutrition messages. Respondents exhibited significant difference in nutrition behavioural (t = 2.62) before and after the intervention. Social marketing using nutritional messages in audio, video and chart improved women‟s knowledge, attitude and practice of child nutrition. Adoption of the strategy for effective nutrition intervention programmes should be encouraged 1 results 1
- Doctors in Training Healthcare Institutions 1 results 1
- EPIS framework 1 results 1
- Family planning methods 1 results 1
- Female non-academic staff in the Nigerian Universities 1 results 1
- Gender 1 results 1
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