Browsing by Author "Johnson, Wahab Babatunde Rotimi"

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    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 Rotimi
    Background. 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.
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    Caregivers perception of childhood fever in Ilorin, North-Central Nigeria
    (Nigerian Journal of Paediatrics, 2013) Abdulkadir, Mohammed Baba; Johnson, Wahab Babatunde Rotimi
    Background: Fever remains a common clinical indicator of disease, accounting alone for over 25% of paediatric emergency rooms consultations. Perception of this important sign is a crucial prelude and determinant of outcome in febrile children. The aim was to determine knowledge and attitudes of parents regarding fever in their children. Methods: The study is a crosssectional descriptive study carried out at the Emergency Paediatric Unit of the University of Ilorin Teaching Hospital (UITH). Fourhundred under-five children presenting with fever were recruited along with their caregivers. A semi-structured questionnaire was administered to collect information on sociodemographics, and caregiver’s knowledge and attitudes regarding fever in their wards. Results: The mean age of the caregivers was 29.5 ± 4.46 years (Range 21 – 41 years). Only 30.3% of caregivers could correctly describe what fever was. The most frequently utilised fever detection method was tactile assessment. Only 3.2% of the caregivers used a thermometer to detect fever. Social class, maternal age and religion significantly influenced the decision to use thermometers. The most common remedies caregivers would use for fever in their children were to give paracetamol (96.3%), sponging (73.2%) and a warm bath (63.8%). About 61% of caregivers had a wrong perception of the possible complications of fever. Conclusions: Caregivers in this study had a poor knowledge of fever, and parental educational and socioeconomic status impacted on their responses to fever. There is a need for education of caregivers at all contacts with the healthcare system on fever, and its management.
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    A comparative study of rectal, tympanic and axillary thermometry in febrile Nigerian children under five years of age
    (Paediatrics and International Child Health, 2013) Abdulkadir, Mohammed Baba; Johnson, Wahab Babatunde Rotimi
    Background: Fever alone accounts for over 25% of paediatric emergency room consultations. Accurate determination of temperature is critical for the management of sick children by both parents and health care-providers. Aims and Objectives: To compare simultaneous measurements of temperature measured by the rectal, axillary, and tympanic routes in children under 5 admitted to the University of Ilorin Teaching Hospital. Methods: 400 children under 5 years of age with a rectal temperature of §38.0uC were recruited consecutively into the study. Rectal and axillary temperatures were measured using digital thermometers. Tympanic measurements were undertaken with an infrared tympanic thermometer. All measurements were made simultaneously and compared. Results: Mean (SD) rectal temperature was 38.8 (0.7)uC, and mean (SD) tympanic and axillary temperatures were 38.7 (0.7)uC and 38.1 (0.7)uC, respectively. There was no significant difference between rectal and tympanic temperatures (P50.14), and a strong correlation was identified between values from these two sites (r50.91). At 91.5%, the sensitivity of tympanic thermometry in determining fever was higher than that of axillary measurements (54.0%). A mathematical relationship was demonstrated between rectal/tympanic temperatures and between rectal/axillary temperatures as follows: Rectal temperature (uC)56.03z0.85 * Mean tympanic temperature (uC) Rectal temperature (uC)511.7z0.71 * Axillary temperature (uC) Conclusion: In febrile children, tympanic temperature better reflects rectal temperature than does axillary temperature; tympanic temperature should therefore be measured when there are no contra-indications for its use.
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    Socio-demographic and clinical factors predicting time to presentation for children with pneumonia in Ilorin, Nigeria
    (Alexandria Journal of Medicine, 2018) Ibraheem, Rasheedat Mobolaji; Abdulkadir, Mohammed Baba; Gobir, Aishatu A; Johnson, Wahab Babatunde Rotimi
    Background: Pneumonia is a major contributor to morbidity and mortality in children, and the time to presentation is a recognized contributor towards disease severity and outcome. Objectives: The current study aimed to explore the influence of some socio-demographic and clinical factors in children with pneumonia on the time to presentation at a health facility in Ilorin, North Central Nigeria. Materials and method: A prospective cross-sectional study of 167 children with pneumonia was done. The duration of the various symptoms and first presentation to a health facility was obtained. Time to presentation was categorized as 0–2 days (early), 3–5 days (intermediate) and greater than five days (late). Multinomial logistic regression analysis was used to identify significant predictors of either early or intermediate presentation compared with late presentation. A p-value of less than 0.05 was considered significant. Results: Fifty-one (30.5%) children with pneumonia had an early presentation, 73 (43.7%) had intermediate presentation and 43 (25.7%) were late in presentation. Predictors of early presentation were younger age (OR 0.96, 95%CI 0.93–0.99), higher respiratory rates (OR 1.03, 95%CI 1.01–1.06) and bronchopneumonia (OR 6.93, 95%CI 1.52–31.63). Predictors of intermediate presentation were families with few number of children (OR 0.73, 95%CI 0.57–0.92) and bronchopneumonia (OR 3.41, 95%C.I. 1.02–11.38). Conclusion: Infancy and families with few children are socio-demographic features that are likely to determine early-to-intermediate presentation of children with pneumonia while high respiratory rates and bronchopneumonia are disease related factors that predict early presentation.