Browsing by Author "Saka, A. O."
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Item Cognitive Function of Primary School Children in Ilorin, Kwara State, Nigeria.(Nigerian Society of Neurological Sciences., 2017-10) Bello, S. O.; Adeboye, M. A. N.; Saka, A. O.; Ojuawo, A.Background: Cognition is a measure of a child’s intelligence and reflects the child’s performance relative to that of children of the same age. The development of intelligence is critical especially in the first 1000 days of life. Cognitive capacity can be determined by the evaluation of intelligence quotient (IQ), using sets of standardized and validated tools such as the Draw-A-Person Test (DAPT). The cognitive performance of children has not been well studied in Nigeria. Objective: To determine and compare the intelligence quotient (IQ) of public and private primary school children in Ilorin. Methods: Cross-sectional descriptive studies of school children aged 6- 12 years in three Local Government Areas (LGA) of Ilorin Kwara State, using multi–staged sampling techniques. A total of 16 primary schools, 8 public and 8private school pupils were recruited for the study. The Draw-A-Person Test was used to determine IQ. Results: There were 221 (46.0%) males and 259 (54.0%) females. The mean age was 9.2 ±1.8 years, and mean IQ was 98.0 ±14.1. The mean IQ of the private school children (99.6 ± 15.2) was significantly higher than that for the public school children (96.5 ± 12.9) p<0.0170. The prevalences of intellectual deficit, low IQ and superior IQ in the study population were 2.5%, 9.6% and 8.8%, respectively. Conclusions: The mean IQ of school pupils was significantly higher in private than the public schools. Superior IQ was higher among private than the public school pupils, while low IQ and intellectual deficit were higher in public school pupils.Item 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.Item A Prospective Study of Spectrum, Risk Factors and Immediate Outcome of Congenital Anomalies in Bida, North Central Nigeria.(Department of Pediatrics, College of Health Sciences, University of Ilorin Teaching Hospital, 2017) Adeboye, M. A. N.; Abdulkadir, M. B.; Adegboye, O. A.; Saka, A. O.; Oladele, P. D.; Oladele, D. M.; Eze, E. C.; Adeyemi, O. O.; Abubakar, U.; Grace, A.; Rotimi, B. F.Background: Congenital disorders are structural, metabolic, behavioral and functional disorders that are present at birth. Their manifestations are protean ranging from mild anomalies to life‑threatening conditions. Aim: The objectives of this study were to describe the congenital anomalies in children seen at Federal Medical Center, Bida over a 12 month period, determine possible factors associated with these anomalies; and their short term outcome. Subjects and Methods: Children with clinically recognized congenital malformations were recruited consecutively over a 12 month period and socio‑demographic, etiologic and other relevant clinical data were obtained. A detailed examination was also performed and abnormalities documented. The data was analyzed using Epi‑info version 6 (Atlanta, USA). The Chi‑square was used to identify significant differences for categorical variables. Mid‑P and Fisher’s exact tests were utilized as appropriate. A P < 0.05 was considered to be significant. Results: A total of 46 children with congenital anomalies were seen during the study period, all which were recruited into the study. The hospital based prevalence amongst neonates was 111/1000 neonates. The most common system affected was the digestive system (50.0%) followed by the central nervous system and head and neck anomalies. There was no significant difference in distribution of anomalies amongst the various ethnic groups. About 22% of families were consanguineous, all being first cousins and 8.7% of mothers were greater than 35 years of age. The case fatality rate for congenital malformations was 2.2%, while 60.9% were referred to other hospitals for further care. Conclusion: The study has demonstrated a wide variety of congenital anomalies in Bida, North‑Central Nigeria with the digestive system anomalies being the most frequent. The findings of this study strengthen the need for empowerment of the institution in appropriate management of these disorders.Item Suspected Child abuse of an infant to the point of death by the father-need for enforcing protection Acts for Nigerian children(by College of Health Sciences, University of Ilorin, Ilorin, Nigeria, 2017) Adeboye, M. A. N.; Gobir, A. A.; Ibrahim, O. K.; Adegboye, O. A.; Saka, A. O.; Ayeni, A. S.; Ahmad, M. B.Child abuse occurs when a parent or caregiver, whether through action or failing to act, causes injury, death, or risk of serious harm to a child. There are many forms of child maltreatment, including neglect, physical abuse, sexual abuse, exploitation, and emotional abuse. It is a common phenomenon that can be easily missed by the health workers, thus it has a potential of becoming perpetuated. Some are characterized by tell-tale signs that give the diagnosis away very easily while some are not. It is generally acceptable in several African cultural settings for a parent or caregiver to “discipline” his or her child or ward by spanking or by any other physical measures than 'spare the rod and spoil the child' Case of an eleven-month old female child who was assaulted by her father while 'disciplining her' with resultant fatal outcome was reviewed. A review of some of the United Nations Articles and Acts on protection of the child and the merits or otherwise in the context of our cultural practice are highlighted. An eleven-month old female child recuperating from a febrile illness was physically abused by her father with resultant massive subdural haemorrhage only discovered at post mortem. The child was killed probably by the rage and over reaction of the father in attempt to discipline her. Protection Articles and Acts in the Nigerian Constitution and indeed those of other developing countries should be emphasized and enforced, given better publicity to reduce the magnitude of child abuse.