Browsing by Author "JO Aluko"

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    Assessment of maternity services available to clients in private health facilities in Sagamu Local Government, Ogun State
    (College of Medicine, University of Ibadan, Oyo State Nigeria, 2019-06) JO Aluko; AL Ajetunmobi; MO Akinwaare
    Background: The quality of health care provided in various health facilities is one of the factors implicated for unabated high mortality and morbidity rate frequently reported. Care rendered to women in private health facilities has not been given the deserved attention. Yet significant proportion of women access perinatal care services in private health facilities. This is evident in the available very scarce literature. Therefore, this study sought to assess the nature of matenity services available to women in the selected private health facilities and the extent to which such care is satisfactory to the users. Methods: The descriptive survey was conducted in Sagamu Local Government Area (LGA). The study utilized a simple random sampling to select 20 out 38 private health facilities within the LGA. All health workers providing nursing/midwifery care in each of the hospitals/clinics and all clients who were on admission or came on outpatient basis for treatment were purposively recruited for the study. The total sample was adopted based on relatively few numbers of clients and health workers patronizing and working in each of the private health facilities, respectively. A checklist was used to assess each selected private health facility, while two different structured questionnaires were used for data collection from clients and health workers. The data collected with the three instruments were analyzed using descriptive and inferential statistics. Thus, tests of association between variables of interest were done using Pearson chi-square; level of significance (p-value) was set at 0.05. Result: The results reveal that 35% of health facilities had good building infrastructures; 50% had fairly good building infrastructure, while 60% had inadequate essential items for child delivery and management of a baby. Measurement and recording of blood pressure, abdominal palpation and fetal heart rate were commonly performed in the private hospitals. In addition, 51 (73.9%) of the mothers received antenatal care during their last pregnancies in the facilities that were assessed but only thirty three (47.8%) returned to the same facilities for childbirth. More than half of the clients had a positive perception towards and expressed satisfaction with services in the hospitals. Close to 90% of the staff who provide nursing/midwifery care were auxiliary nurses. Conclusion: The study reveals that the selected private hospitals/clinics were staffed with more number of quacks (auxiliary nurses) than qualified and registered nurses. Some of the facilities did not have the essential items and maternity related service. Therefore, stakeholders of health care industries should advocate enactment of legislation 'against quackery in nursing and midwifery practice in Nigeria. In addition, appropriate criteria involving should be put in place for establishment of private health facilities. Effective and efficient monitoring/inspection of established private hospitals/clinics should be promoted.
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    Compliance with intermittent preventive treatment during pregnancy among postpartum women in Ibadan, Nigeria
    (College of Medicine, University of Ibadan, 2014-10-02) OA Oluwatosin; JO Aluko
    Introduction: Malaria has adverse effects on pregnancy outcomes for mothers, their foetuses and newborns. The effective use of Intermittent Preventive Treatment - Sulfadoxine-Pyrimethamine (IPT-SP) would be of benefit to these vulnerable women. The aim of this study is to assess the compliance with IPT during pregnancy among postpartum women in Ibadan, Nigeria. Methods: The descriptive survey collected data from 346 postpartum women attending postnatal and child welfare clinics of the University College Hospital, Adeoyo Memorial Maternity Specialist Hospital and Saint Mary Catholic Hospital (all in Ibadan, Nigeria) using a questionnaire. The three settings were selected based on their high client flow and strategic locations within the reach of resident people of Ibadan (both the rich and poor). The three settings operate the traditional model of antenatal care. None of the settings provide preconception care. Descriptive and inferential statistics were employed for data analysis. Results: Antenatal visit recorded among the women was marked with irregularities. Majority of the women received information on IPT during clinic visits. Nearly half of the women received other antimalaria prophylaxis apart from SP. Less than 40% of the women had good knowledge of malaria in pregnancy (MIP). Only 20.9% demonstrated positive attitudes towards the use of IPT-SP for malaria prevention. Presentation of malaria symptoms influenced the uptake of IPT significantly. Conclusion: The study recommends integration of focused antenatal care with fewer clinic visits into the existing health care system to improve ANC service utilization. Since majority of the women accessed information on IPT during antenatal clinic visits, same should be intensified to improve its uptake and compliance among women.
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    Perception and Acceptance of Pre-Marital Fertility Screening among Final Year Students of College of Health Sciences at a University in North Centra
    (Peertechz, Hyderabad India., 2021-01-19) JO Aluko; OJ Makanjuola; FC Diorgu
    Premarital screening is a worldwide activity that aims to diagnose and treat unrecognized disorders and reduce the transmission of diseases to couples and children. This study was aimed at assessing the perception and acceptance of premarital fertility screening among fi nal year students of the college of health sciences, University of Ilorin, Kwara state. A descriptive research design with a structured, self-designed questionnaire was employed in the study to select a sample of 220 fi nal year students purposively. Results showed that the respondents had adequate knolewdge of pre-marital fertility screening but some of the respondents still have negative perception. The majority 79.5% of the respondents were positive about going for premarital fertility screening if it was available. Conclusively, policymakers should implement policies that support hitch-free screening processes. Nurses should comply with ethical principles and be able to health educate people to undergo fertility screening before marriage.