Browsing by Author "Amodu, MO"
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Item Knowledge, Awareness and Compliance with Standard Precautions among Health Workers in North Eastearn Nigeria(OMIS Group, USA, 2012) Abdulraheem, IS; Amodu, MO; Saka, MJ; Bolarinwa, OA; Uthman, MMBBackground: Health care workers (HCWs) are at risk of various occupational hazards in the hospital, including exposure to blood borne infections such as Human Immuno -deficiency Virus (HIV) and hepatitis B and C virus (HBV and HCV) infection from sharps injuries and contact with body fluids. Compliance on the part of Healthcare workers (HCWs) with standard precautions has been recognized as being an efficient means to prevent and control healthcareassociated infections. Objective: To assess knowledge, awareness and compliance of universal precautions among health workers in north eastern Nigeria. Method: This is a crossectional study conducted between March and August 2010. A 32- item self-administered questionnaire and observational checklist were used to obtain information from the health workers. Data was analyzed using SPSS version 17 and the level of significant was at p-value of < 0.05 Results: Less than one-fifth (13%) of the respondents have adequate knowledge of universal precautions with females (67.8%) better than the males (32.2%) (p< 0.05). Nurses (85.7%), midwifes (80.2%) and community health officers (69.8%) were very knowledgeable of universal precautions compared with other studied health workers. Those with ten years and above working experience had a high level of awareness of universal precautions than those with below five years (p< 0.05). Compliance with the use of sterile gloves, handling and disposal of needles and other sharp objects was higher than the knowledge of these procedures recorded (p < 0.05) especially among those with experience of ten years and above.Item Predictors of Hepatitis B Vaccine Acceptance Among Nigerian Primary Health Care Workers(Republic of Schichelles, 2013) Abdulraheem, IS; Tomin-West, CI; Amodu, MOBackground: Hepatitis B (HB) is a serious and common infectious disease of the liver. The World Health Organization (WHO) in 2009 reported HB to infect nearly 2 billion people around the world. The potential for Hepatitis B Virus (HBV) transmission in the occupational setting is greater than for human immunodeficiency virus (HIV). The center for disease control (CDC) estimates that 18,000 healthcare workers whose jobs involve exposure to blood became infected with HBV each year. As a result, 250 people will die of fulminate hepatitis, cirrhosis, or liver cancer Objective: This study assesses the prevalence, predictors, relative importance of occupational, epidemiologic, and attitudinal factors in hepatitis B vaccine acceptance. Method: Stratified random samples of 950 health care workers at risk of occupational blood exposure in primary health care centers were studied. Potential reasons for vaccine acceptance or refusal were evaluated with factor analysis. Logistic regression analysis was used to identify independent predictors of initiating and completing the vaccination. Results: The prevalence of acceptance of HBV vaccination was 79.4%, and of these, 22.5% had completed the required HBV vaccination doses while 48 % had not been vaccinated at all. About two-third (65.4%) of the unvaccinated subjects said they would accept vaccination if offered. Hepatitis B vaccine acceptance was related strongly to history of accidental exposure to blood or blood products, social & peer influence (physicians, supervisors, role models, friends, and spouse) and knowledge of the disease and vaccine, whereas refusal was primarily related to concern about vaccine side effects and problems with vaccine access. Conclusion: Hepatitis B vaccine should be offered routinely to health care workers with increased risk of exposure to blood and blood products as well as during evaluation for occupational blood exposure. Health workers must also be educated on occupational disease risk, liability, and the safety of the hepatitis B vaccine.Item Primary Health Care Services in Nigeria: Crical Issues and strategies for enhancing the use by the rural communities.(2012) Abdulraheem, IS; Oladipo, AR; Amodu, MOQuality health is a fundamental right of all Nigerian citizens. While primary health care (PHC) centers are relatively uniformly distributed throughout local government areas (LGAs) in Nigeria, the rural people tend to underuse the basic health services. This article examines some cross cutting issues in PHC and outlines strategies to enhance the utilization of health services by rural people. The responsibility for perpetuating the existing low use of PHC services should be held by PHC policy makers and LGA. Responsible health personnel can build a new social order, based on greater equity and human dignity, in which health for all by the year 2015, including that of rural populations, will no more be a dream but a reality. Capacity building and empowerment of communities through orientation, mobilization and community organization as regards training, information sharing and continuous dialogue, could further enhance the utilization of PHC services by rural populations.