Browsing by Author "Abdulkadir, Zainab Ajoke"
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Item An analysis of national data on care-seeking behaviour by parents of children with suspected pneumonia in Nigeria(South African Journal of Child Health, 2016) Abdulkadir, Mohammed Baba; Abdulkadir, Zainab Ajoke; Johnson, Wahab Babatunde RotimiBackground. Pneumonia is responsible for 940 000 under-5 deaths annually. Most of these deaths result from delays in instituting effective treatment. Objectives. To determine care-seeking behaviour by parents of children with pneumonia and sociodemographic factors that influence decisions to seek appropriate care. Methods. The study was an analysis of the Nigeria Demographic and Health Survey 2013, which was a nationwide cross-sectional survey using a stratified cluster design of 40 680 households. All children under-5 living in the surveyed households with suspected pneumonia in the preceding 2 weeks were recruited along with their mothers. Sociodemographic characteristics of the parents and where they sought care for their child were obtained. Binomial logistic regression analysis was used to determine the contribution of various sociodemographic variables to the decision on seeking appropriate medical care. Results. Of the 28 950 children surveyed, 565 had suspected pneumonia, which equates to an occurrence rate of 19.5 per 1 000 children. About 36% of parents were judged to have sought appropriate care when their children had pneumonia. High paternal education, health decision-making by both husband and wife, and belonging to the higher quintiles on a wealth index were factors that positively influenced care-seeking behaviour. Conclusion. Care-seeking behaviour for pneumonia is poor. Paternal education and joint decision-making are key determinants of parents seeking appropriate care for their children with suspected pneumonia in Nigeria.Item Cross- sectional survey of school teachers knowledge of Ebola virus disease in Ilorin(Tropical Journal of Health Sciences, 2016) Abdulkadir, Mohammed Baba; Abdulkadir, Zainab Ajoke; Ibraheem, Rasheedat Mobolaji; Afolabi, Joseph KolawoleThe current outbreak of Ebola virus disease is the largest ever. It had led to major disruptions in academic calendars due to closing of schools. However, recent successes in curtailing the epidemic had led to the reopening of schools. School teachers who are in close contact with children should have the necessary knowledge regarding the disease and the capacity to carry out appropriate actions for ill children. We sought to determine the knowledge of primary and secondary school teachers in privately owned schools regarding Ebola virus disease. The study is a descriptive questionnaire based survey on knowledge of teachers regarding EVD. Study participants were primary and secondary school teachers working in privately owned schools. A purposive sampling technique was used in selecting participants. One hundred questionnaires were distributed with an 89% response rate. The mean age of the teachers was 34.18 years ± 8.49. Majority (87.6%) of the teachers recognized close contact with an infected person as a method of transmission. Most (68.5%) of the teachers were able to correctly identify six or more common symptoms of EVD. Over 70% of the teachers recognized the need to isolate suspected/ confirmed cases, frequent hand washing the use of hand sanitizers as effective strategies for the prevention of EVD. School teachers in the current study have a good knowledge of EVD and strategies for its prevention.Item A cross-sectional survey of parental care-seeking behavior for febrile illness among under-five children in Nigeria(Alexandria Journal of Medicine, 2017) Abdulkadir, Mohammed Baba; Abdulkadir, Zainab AjokeAbstract Background: Infections are a common cause of childhood morbidity and mortality in developing countries. Proper management of these conditions in appropriate health facilities provides the best opportunity for survival and reducing disability. Aims: To evaluate the care-seeking behavior by parents of under-five children with fever in Nigeria and determine household characteristics associated with appropriate care-seeking. Material and methods: The study is a secondary analysis of 2013 Demographic and Health Survey data for Nigeria, which was a cross-sectional survey conducted nationwide to obtain demographic and health characteristics of the population among 40,680 households selected using a multistage cluster sampling method. Under-five children with fever in the preceding two weeks were selected alongside their mothers. Selected sociodemographic parameters were related to parents seeking care from appropriate health facilities or otherwise. Logistic regression analysis was employed to evaluate the association of these parameters with appropriate care-seeking. Results: There were 3632 (12.6%) under-five children with fever in the preceding two weeks. Of these, 1142 (31.4%) had been taken to an appropriate health facility for care. Factors associated with appropriate care-seeking were paternal secondary (OR, 95% CI; 1.49, 1.16–1.90), paternal tertiary education (OR, 95% CI; 2.03, 1.49–2.76) and belonging to the Muslim faith (OR, 95% CI; 2.31, 1.86–2.87). Others were age of child <36 months, being married and working mother. Conclusion: There is poor care-seeking for fever in under-five children by parents in Nigeria. Improved literacy, women empowerment and health education are strategies that may improve care-seeking behavior. Highlighted regional differences are additional considerations for such interventions.Item The survey of head teachers of private schools regarding knowledge and implementation of the school health program in Ilorin(Journal of Clinical Sciences, 2017) Abdulkadir, Mohammed Baba; Abdulkadir, Zainab AjokeBackground and Objectives: School health program (SHP) is a critical aspect of the nation’s healthcare system integrating education and delivery of health‑care services. We sought to explore knowledge of head teachers regarding the SHP and determine their level of implementation. Methods: A survey was conducted of head teachers of privately owned primary and secondary schools in Ilorin. A pretested questionnaire with information on knowledge of SHP and current facilities and practices in their schools was given to head teachers at a training workshop to improve their awareness regarding hygiene and disease prevention in schools. Results: A total of 100 questionnaires were distributed with 84 head teachers returning their completed questionnaires. The mean (standard deviation) age of the head teachers was 43.3 (9.9) years with a female:male ratio of 1.9:1. Thirty‑eight (47.5%) of the head teachers had good/adequate knowledge, and female head teachers were statistically more likely to have adequate knowledge Thirty‑nine of the schools delivered school health services, most commonly by a health assistant (79.5%). Fifty‑nine (73.8%) of the schools had a first aid box. The most common source of water was well water (46.3%). Refuse and sewage disposal was largely by incineration and water closet system, respectively. Conclusion: School head teachers had a poor knowledge of SHP and inadequate school health services in their school.Item A systematic review of trends and patterns of congenital heart disease in children in Nigeria from 1964-2015(African Health Sciences, 2016) Abdulkadir, Mohammed Baba; Abdulkadir, Zainab AjokeBackground: Congenital heart diseases cause significant childhood morbidity and mortality. Several restricted studies have been conducted on the epidemiology in Nigeria. No truly nationwide data on patterns of congenital heart disease exists. Objectives: To determine the patterns of congenital heart disease in children in Nigeria and examine trends in the occurrence of individual defects across 5 decades. Method: We searched PubMed database, Google scholar, TRIP database, World Health Organisation libraries and reference lists of selected articles for studies on patterns of congenital heart disease among children in Nigeria between 1964 and 2015. Two researchers reviewed the papers independently and extracted the data. Seventeen studies were selected that included 2,953 children with congenital heart disease. Results: The commonest congenital heart diseases in Nigeria are ventricular septal defect (40.6%), patent ductus arteriosus (18.4%), atrial septal defect (11.3%) and tetralogy of Fallot (11.8%). There has been a 6% increase in the burden of VSD in every decade for the 5 decades studied and a decline in the occurrence of pulmonary stenosis. Studies conducted in Northern Nigeria demonstrated higher proportions of atrial septal defects than patent ductus arteriosus. Conclusions: Ventricular septal defects are the commonest congenital heart diseases in Nigeria with a rising burden.