Browsing by Author "Ike, E. U."

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Determinants of Outcome of Neonates Admitted in the University College Hospital (UCH) Ibadan, Oyo State, Nigeria
(West African College of Nursing, 2018) Ike, E. U.; Ndikom, C. M.
Neonatal period is a crucial period compared to any other time during infancy as they are at high risk of dying during this period. The Neonatal Intensive Care Unit (NICU) of UCH is a highly technical specialized unit in the hospital that provides medical/nursing care to sick and/or high-risk premature infants. Yet some babies admitted to this unit fail to survive. The aim of this study is to determine characteristics of neonates admitted at NICU and factors influencing outcome of care. A retrospective descriptive survey based on case record of babies admitted for a five year period between January 2007 and December 2011. Check list was used for data collection of the 1020 neonates admitted during the period. Analysis was done using statistical package for social sciences (SPSS) version 17 software. Out of the 1020 neonates, male babies were more 549(53.8%) than their female counterparts 468 (45.9%). Most 992(97.3%) of their mothers were not booked or registered for antenatal care and were not referred early to UCH causing the babies to be in fetal distress before arrival to the hospital. Mortality was less (16.6%) among the in-born than out-born babies (35.8%). It was observed that male neonates, preterm/low birth weight and their time of admission were associated with poor outcome. There is a significant association between mothers' occupation, pregnancy complication, place of birth, mode of delivery and neonates care outcomes (p<0.05). Binary logistic regression analysis shows that mothers who had up to tertiary (university) level of education are three times more likely to have babies who survived and discharged home alive compared to those who had no formal education. There is need for nurses to educate women on the importance of early antenatal booking and delivery in a well-equipped facility. Prompt screening, identification and referral of women at risk and prompt resuscitation of new-born with asphyxia should be ensured.
Knowledge of Cervical Cancer and Uptake of Human Papillomavirus Vaccine among Mothers of Adolescents in Ibadan, Nigeria.
(Faculty of Nursing Sciences, College of Health Sciences, Ladoke Akintola University of Technology (LAUTECH), 2023) Ndikom C. M.; Oyegoke A. A. A.; Chukwuka, L.; Ike, E. U.
Cervical cancer (CC) is the most common gynecological malignancy in Nigeria, and the Human papillomavirus (HPV) is known to be associated with the disease. Vaccination is an effective preventive strategy, but its uptake remains low in Nigeria. Therefore, this study aimed to assess the knowledge and uptake of HPV vaccination among mothers of adolescents in two selected markets in Ibadan, Nigeria. A descriptive cross- sectional design was employed, and 398 mothers were purposively selected out of the 600 accessible participants. Data was collected using a structured interviewer-administered questionnaire and analyzed using IBM Statistical Package for the Social Sciences version 25. Descriptive statistics, frequency tables, and charts were used for data presentation, while the chi- square test was used for hypothesis testing at a significance level of 0.05. The findings revealed that 46.7% of the respondents were aged 39-48 years. Less than half (47.2%) had a high knowledge level of Cervical cancer and HPV, and only 23.4% had received HPV vaccination, with none of their daughters being vaccinated against HPV. The major perceived factors influencing mothers' uptake of HPV vaccine were a lack of adequate information about the vaccine (87.2%) and not knowing where to get the vaccine (79.4%). There was no significant association between mothers' knowledge and uptake of the HPV vaccine (p=0.487), as well as the cost of the vaccine and its uptake (p=0.998). However, a significant association was found between mothers' educational level and their knowledge of cervical cancer (p=0.000). These findings highlight the need for improved information dissemination on cervical cancer and HPV vaccination. It is recommended that the government initiates national immunization policies to make the vaccine more accessible and affordable, thereby combating the disease effectively.