Browsing by Author "Akande, T. M."

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    Determination of Haemoglobin Concentration of Prospective Voluntary Blood Donors using Digital Haemoglobinometer in North Central Nigeria
    (College of Health Sciences, Ambrose Alli University, Ekpoma, 2020-06) Durotoye, I.A.; Salaudeen, A. G.; Babatunde, A. S.; Durowade, K. A.; Sanni, E. O; Akande, T. M.; Olawumi, H. O.; Musa, O. I.
    Haemoglobin estimation is one of the most important criteria in donor selection so as to safeguard the health of donors. To achieve this, reliable and cost-effective methods should be employed during blood donation drive. The aim of this study was to determine the haemoglobin concentration of voluntaryblood donors using digital haemoglobinometer. This study was a prospective, community based conducted in five tertiary institutions in Kwara and Kogi States. Blood samples were taking from consecutive male and female donors within the age of 15-63 years following blood donation campaign. Assessment of haemoglobin concentration was done using Diaspect haemoglobinometer. A total of 905 students and staff of five tertiary institutions participated in this study. The mean age of the respondents was 21.98±5.17 years and 96.3% were below 30 years of age. The mean, median, and standard deviation of heamoglobin level were 13.22, 13.20, and 1.62 g/dl respectively. Using the WHO haemoglobin cut –off value of 12.5g/dl for donor selection, about 64.1% of the prospective donor had haemoglobin value of greater. There was a statistically significant difference between haemoglobin level of male and female donors (p=0.001). This study revealed that 64% of blood donors had heamoglobin concentration greater than 12.5g/dl and were fit for blood donation. Students of tertiary institutions could therefore be encouraged for regular blood donation to meet WHO vision 2020 towards attaining 100% voluntary non-remunerated blood donors
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    Determination of Normal and Variant Hemoglobin using Capillary Electrophoresis among Voluntary Blood Donors in North Central Nigeria: Implications on Blood Transfusion Services
    (Faculty of Medicine and Health Sciences - Omdurman Islamic University, 2021) Durotoye, I. A.; Salaudeen, A. G.; Sanni, E. O.; Babatunde, A. S.; Durowade, A. K.; Olawumi, H. O.; Akande, T. M.; Musa, O. I.
    Abstract Background: Voluntary non-remunerated blood donation is a strategy adopted by World Health Organization aimed at ensuring safety and adequacy of blood supply. Sub-Saharan Africa has a high prevalence of hemoglobin disorders and therefore needs to adopt stringent measures in donor selection to ensure safety for the recipient of blood transfusion. This study aimed to analyze normal and variant hemoglobin among voluntary blood donors. Methods: In this descriptive cross-sectional study, 100 prospective blood donors including 55 (55%) males and 45 (45%) females, aged 18–34 years were recruited. Capillary electrophoresis using the Minicap system was used for determining the hemoglobin variants in alkaline buffer (PH 9.4). Data analysis was done using SPSS version 20 and p-value < 0.05 was considered as the level of significance Results: The mean age of the participants was 22.23 ± 3.3 SD years. The proportion of participants with genotype AA was 67 (67%), those with AS were 17 (22 %), while those with AC were 11 (11 %). While Hb A ≥ 90% was noted in 67 (67%) blood donors, Hb S was seen in 22 (22%) and Hb A2 > 3.5% in 57 (57%). Hb F > 2% was observed in 3% of the studied participants Conclusion: Variant hemoglobin is common among blood donors and this should be taken into consideration whenever blood is being crossmatched for recipients of blood transfusion. Data from this study will be useful in raising awareness and genetic counseling.
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    Health Consumer Expectations and Perception of Quality Care Services at Primary Health Care Level in Nigeria
    (Journal of Liaquat University of Medical & Health Sciences., 2019) Saka, M. J.; Akande, T. M.; Saka, A. O.; Bello, F. A.; Isiaka, S. B.
    OBJECTIVE: The study examined the expectations of health consumers and perception used in judging the Quality of health care services at the primary health care level. METHODOLOGY: A cross-sectional study was carried out among randomly selected health consumers that had received health care services in the hospitals designated as primary health care facilities in Kwara State Nigeria. RESULTS: Overall health consumers’ means score expectations was 6.57 while perception was 5.80. Though was high in favour of females with no statistics significant difference. However, correlation test revealed significant association in socio-demographic variables such as age, occupation and educational status. Conversely, relationship was inverse in term of increase in education attainment with lower perception value (pv = <0.001). CONCLUSIONS: Expectation- perception gap was a major determinant of quality of health care services at primary health care levels. Significant relationship occurred between heath consumer’s age, occupation, educational status and overall expectation -perception of quality health care received. It is recommended that hospital management need to monitor the link between the expectations including perception of services received by patients for quality improvement at primary health care level.
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    Predictors of Cost of Follow-up Care among Patients with Hypertension and Diabetes Mellitus Attending a Teaching Hospital, North Central, Nigeria
    (Journal of Health Science research, 2018) Bolarinwa, O. A.; Abdulahi, A.; Sanya, E. O.; Kolo,P. M.; Ameen,H. A.; K. A. Durowade4 ,; Uthman , ,M. M. B.; Ogunmodede, J. A.; Buliaminu , S. A.; Odeigah, L. O.; Akande, T. M.
    Background: In sub-Saharan Africa, hypertension and diabetes mellitus (type II) remain major causes of cardiovascular disease. The prevalence of hypertension and diabetes remain high in Nigeria while the initial and follow-up management are almost entirely hospital-based. This constitutes huge financial burden not only to the patients, care givers and families, but also to the health system and the government. Information on basic cost of care of hypertension and diabetes and of those having both diseases as co-morbidities is still scanty in Nigeria. There is need to study the factors that strongly determine cost of follow-up care among this group of patients. Methodology: This study is a hospital-based cross-sectional study of 1,203 hypertensive and diabetic patients attending general and medical outpatient clinics of a teaching hospital in Nigeria. Results: The patients spend N6,401 ($32.16) on the average whenever they attend follow-up clinic. Close to three quarter (71.3%) of the patients spent more than 30 minutes to access follow-up clinic while similar proportion (74.3%) spent more than an hour waiting to be seen at the clinics. Major predictors of cost of follow-up care among hypertensive and Diabetics were; Drug, transportation and laboratory costs. Other predictors were; Male gender, long waiting time, accompanies persons; and co-morbidity of hypertension and diabetes. Conclusion: This study recommended that strategies that will reduce the cost of drugs, laboratory tests, and reducing waiting time will reduce the cost of managing hypertension and diabetes in Nigeria.
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    Predictors of Cost of Follow-up Care among Patients with Hypertension and Diabetes Mellitus Attending a Teaching Hospital, North Central, Nigeria
    (Journal of Health Science Research, 2018) Bolarinwa, O. A.; Abdulahi, A.; Sanya, E. O.; Kolo, P. M.; Ameen, H. A.; Durowade, K. A.; Uthman, M. M. B.; Ogunmodede, J. A.; Buliaminu, S. A.; Odeigah, L. O.; Akande, T. M.
    Background: In sub-Saharan Africa, hypertension and diabetes mellitus (type II) remain major causes of cardiovascular disease. The prevalence of hypertension and diabetes remain high in Nigeria while the initial and follow-up management are almost entirely hospital-based. This constitutes huge financial burden not only to the patients, care givers and families, but also to the health system and the government. Information on basic cost of care of hypertension and diabetes and of those having both diseases as co-morbidities is still scanty in Nigeria. There is need to study the factors that strongly determine cost of follow-up care among this group of patients. Methodology: This study is a hospital-based cross-sectional study of 1,203 hypertensive and diabetic patients attending general and medical outpatient clinics of a teaching hospital in Nigeria. Results: The patients spend N6,401 ($32.16) on the average whenever they attend follow-up clinic. Close to three quarter(71.3%) of the patients spent more than 30 minutes to access follow-up clinic while similar proportion (74.3%) spent more than an hour waiting to be seen at the clinics. Major predictors of cost of follow-up care among hypertensive and Diabetics were; Drug, transportation and laboratory costs. Other predictors were; Male gender, long waiting time, accompanies persons; and co-morbidity of hypertension and diabetes. Conclusion: This study recommended that strategies that will reduce the cost of drugs, laboratory tests, and reducing waiting time will reduce the cost of managing hypertension and diabetes in Nigeria.
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    Prevalence of heamoglobin genotype screening and awareness of SCD among undergraduate students of Unilorin.
    (The official Journal of the College of Medical Sciences, University of Benin, Nigeria., 2016) Ameen, H. A.; Abidoye, A. K.; Alatishe-Muhammad, B. W.; Aderibigbe, S. A.; Uthman, M. M. B.; Bolarinwa, O. A.; Akande, T. M.
    Nigeria has the highest number of homozygous sickle cell disease (HbSS) in the world with a prevalence of 1.3%. About a quarter of Nigerian populations (24%) are carriers of the mutant gene (HbAS) and annually about 150, 000 children are born withsickle cell anemia.This study aimedat determining the prevalence of sickle cell disease (SCD) and factors affecting the acceptance and practice of premarital genotype screening among Undergraduates of University of Ilorin, Nigeria. This descriptive cross sectional survey was carried out amongst 440 newly admitted undergraduates ofUniversity ofIlorinduring the 2014/ 2015 academic yearrecruited using multi-stage sampling method. Data was gathered using a semi-structured self administered questionnaire and the respondents' genotypes were determined by the use of an electrophoresis machine (electrophoresis equipment model MUPID-EXU Japan). Data was analyzed using SPSS version 16 software package. A p - value ≤ 0.05 was considered significant at 95% confidence level.The ages of the respondents ranged from 15 to 34 years with a mean age of 19.05 ± 2.61 years. Slightly more than half of the respondents (53.0%) had normal haemoglobin genotype HbAA while about 32.7% were carriers of the abnormal haemoglobin gene (HbAS). The prevalence of SCD was 7.8%, 6.2% and 1.3% for HbAC, HbSS and HbSC respectively. Even though majority of the respondents (72.3%) had fair knowledge of the disease, only a quarter (28.2%) of them had ever done their genotype test prior to the study. Factors that positively influenced respondents' practice of premarital genotype screening included; age, being married, parental educational background and being in science-related field.The prevalence of SCD is high among the study population and the knowledge and practice of premarital haemoglobin genotype is still unpopular. There is the need for continuous health education on the disease in relation to the pivotal role of premarital genotype screening in its prevention.