Browsing by Author "Giwa, A."

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    A Cross-Sectional Study on Health-Related Quality of Life and Productivity Loss in HIV/AIDS Patients on ART
    (2025) Giwa, H.B.,; Oluwasey A.,; Jamiu, M.O.,; Giwa, F.S.,; Giwa, A.
    This study evaluated health-related quality of life (HRQoL), productivity loss, and associated factors among HIV/AIDS patients on antiretroviral therapy at a tertiary-level hospital in Ilorin, Kwara State, Nigeria. A cross-sectional study was conducted among patients registered in the clinic during the preceding ten years. Data were collected using the World Health Organization Quality of Life HIV Brief (WHOQOL-HIV-BREF) and the Work Productivity and Activity Impairment Questionnaire: General Health (WPAI:GH). Of the 358 participants, 94 (26.3%) were male and 264 (73.7%) females. Majority age group were 39-55years 204 (56%). Most respondents were married at 216 (60.3%) and did not perceive themselves as ill 334 (93.2). The overall (HRQoL) score was 59.34%, with 71.34% and 75.05% observed in the psychological and physical domains. Single individuals had increased scores of 30,25, 10 and 20 across HRQoL domains. Work impairment and overall activity impairment scores, as outcomes of work productivity, were found to be 12.81% and 14.35%, respectively. The highest percentage of patients (86.2 %) were on a Dolutegravir (DTG) based regimen, while others were on Atazanavir boosted regimens. Overall HRQol scores showed that participants were coping moderately well but had unmet needs due to chronic nature of the disease. Advanced medical care positively impacts the physical and psychological domains of HRQoL. The disease exerts a mild to moderate impact on productivity. Notably, psychological status shows a stronger association with loss of productivity. Higher HRQoL scores are strongly linked to reduced activity impairment and productivity. Emphasis should be on comprehensive care addressing physical, psychological, environmental and social aspects of HIV.
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    DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE (HRQOL) IN ADULT PATIENTS UNDERGOING ANTI-MALARIAL TREATMENT AT A SECONDARY HEALTHCARE FACILITY IN ILORIN, NIGERIA
    (Nigerian Journal of Pharmaceutical Sciences, 2025-09) Giwa, H. B.; Shittu, H. D.; Babatunde, M. O.; Jamiu, O. M.; Aiyelero, O. M.; Eniayewu, O. I.; Giwa, A.; Abdul, A.; Atunwa, S. A.; Giwa, F. S
    ABSTRACT This study aimed to evaluate the health-related quality of life (HRQoL) and related factors among patients receiving antimalarial treatment at a General hospital Ilorin (GHI). Participants were drawn after a sample size of 291 participants were calculated. An EQ-5D-5L, EQ-VAS instrument was used to collect the data (from July to September 2023). Informed consent was obtained from all participants, and Ethical approval was obtained from Ministry of Health Ethical Research Committee (ERC) and Ethical Review and Research Committee of General Hospital Ilorin (GHI) with assigned number: ERC/MOH/2023/07/130 and GHI/ADM/134/VOL.I/081 respectively. Of the 291 participants included, 182 (62.5%) were female, and 109 (37.5%) were male. Most of the participants were aged 18–24 years (93; 32%), had tertiary education (195; 67%), and had low incomes, earning less than ₦3,000 (126; 43.3%). Also, a significant majority lacked health insurance (211; 72.5%). The most commonly used treatment was Artemether/Lumefantrine (281; 96.6%). The mean EQ-5D utility scores and EQ-VAS scores were 0.74 ±0.152 and 67.17±19.48 respectively. The EQ-5D descriptive system had 11111 as the health state of majority of participants 89(30.6%) followed by 11121 (19)6.5%, both states having utilities of 0.9 and 0.646 respectively. Sixty-three-point six percent of participants had problem in the pain and discomfort domain. The results of multivariate regression analysis showed marital status (p=0.005) and family history (p= 0.004) of any disease correlated with EQ-5D-5L index score (Health state). These variables contributed approximately 58.93% and 41.07% respectively to the EQ-5D index score of patients. The findings indicate that malaria patients in this study generally reported a good health-related quality of life. Most participants experienced minimal problems across domains except for pain/discomfort Socio-demographic factors such as marital status and family history of disease had significant influence on HRQoL, suggesting that social support and underlying health vulnerabilities play crucial roles in patients’ well-being. Overall, malaria’s impact on HRQoL extends beyond clinical symptoms, underscoring the need for patient-centered care that addresses both physical and psychosocial factors. Keywords: EQ-5D-5L, EQ-VAS, HRQoL, Malaria fever, Nigeria, Quality of life
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    Efficiency of Combined Use of Charcoal and Activated Carbon from Coconut Shells in the Purification of Generator Exhaust Fumes.
    (Nasarawa State University Keffi., 2016) Iji, J.O.; Ibrahim, F.B.; Giwa, A.
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    Evaluation of Direct Medical Cost for HIV/AIDS Management in Iran.
    (Faculty of Pharmaceutical Sciences, University of Ilorin, Ilorin., 2022) Giwa, H.B.; Giwa, A.; Davari, M.; Jamiu, M.O.; Seyed, A.S.A.; Mohraz, M.; Aiyelero, O.M.
    Background: Although Iran has a low prevalence of HIV/AIDS, government budgets and developmental assistance in the management of the disease have reduced over the years. Accurate knowledge of direct medical costs is key to developing and prioritizing healthcare policies and interventions, as well as allocating healthcare resources within budget constraints, to achieve policy efficiency. Objective: To evaluate direct medical costs for the management of HIV/AIDS Patients in Iran. Method: A one-year retrospective review of 2000 case notes of HIV/AIDS patients of Imam Khomeini Hospital Tehran (Iranian Research Centre for HIV/AIDS) out of which 322 were selected as the sample size for both Pre-ART and ART patients between January and December 2019. Subsequently, systematic sampling was done, with sampling interval offive . Prevalence rate method is used to determine direct medical costs. Results: Annual cost for management of 322 Pre-ART and 322 ART patients was found to be $191,718 with components of $ 141,492.58 (74%), $48,582.77(25%) and $1,612.92(1%) representing the cost of medications, diagnostic tests and personnel respectively. The main cost driver was found to be medications. The annual cost per prevalent case for HIV/AIDS for Iran was found to be $599.25, with $129.25 representing cost for pre - ART care and $470 for ART care. Conclusion Annual cost per prevalent case of HIV/AIDS was 55% of annual expenditure per capita. This is quite enormous considering other diseases of high burden. The annual National cost for Iran is $ 4.9 Million.
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    : Prevalence of surgical site nosocomial infection in tertiary health care institution in Nigeria
    (Seiknow publication Ltd, 2013) Atata, R. F; Ibrahim, Y.K.E; Olurinola, P.F; Adigun, I.A.; Giwa, A.; Abdul, I.F.; Akanbi, A.A.
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    Retrospective study of nosocomial infection in six private hospitals in kwaara state, Nigeria
    (Journal of medicine and medical sciences, 2013) Atata, R. F.; Ibrahim, Y.K.E.; Akanbi, B.A.; Abdul, I.F.; Giwa, A.; Gwazo, M.S.; ., S.M. Jodi