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Item Factors Influencing Birth Preparedness and Complication Readiness among Post-Natal Women in Selected Primary Health Centers in Ibadan, Nigeria(European Open Access Publishing, 2023) Adeteye, D. E.; Ndikom, C. M.; Akinwaare, M. O.; Dosunmu, T. O.Background: Birth preparedness and complication readiness is a strategic intervention to achieve a reduction in the rate of maternal mortality. However, despite the importance and ease of use of this intervention, it has been observed that several factors have hindered the practice. Hence, the need to consider the knowledge, attitude, practice, and factors that influences Birth preparedness and Complication readiness among post- natal women. Method: This descriptive cross-sectional study used a multi-stage sampling technique to select 116 post-natal women in selected primary health centers in Ibadan North Local Government Area, Oyo state. An adapted structured questionnaire was used to assess the knowledge, attitude, practice and factors influencing the practice of birth preparedness and complication readiness. Statistical analysis was done using Statistical Package for the social science (SPSS) version 21.0 software. Descriptive data were presented as frequency and percentages while the chi-square test was used to test the hypotheses at P value < 0.05. Result: The majority of respondents were highly knowledgeable (86.2%). The respondents had a positive attitude towards birth preparedness and complication readiness (75%). The practice level was high among the respondents (71.6%). However, the factors that influenced practice were lack of adequate knowledge (X2-4.578, P=0.032), pre-mature delivery (X2-19.929, P=0.000) and environmental insecurities (X2-6.556, P=0.010). Conclusion: There is a relationship between factors (lack of adequate knowledge, premature delivery and environmental insecurities) and the practice of birth preparedness and complication readiness. Hence, measures should be employed to address the identified factors to improve the practice of birth preparedness and complication readiness.Item Knowledge and Experience of Postnatal Women on Respectful Maternity Care During Childbirth in Selected Health Facilities in Nigeria(Faculty of Nursing Sciences, College of Health Sciences, Ladoke Akintola University of Technology (LAUTECH), 2022) Adeyemi, D. T.; Kolawole, I. O.; Ndikom, C. M.Respectful Maternity Care (RMC) is a lifesaving strategy that encompasses respect for women's basic human rights that includes respect for women's autonomy, dignity, feelings, choices, and preferences. However, the lack of RMC limits maternal health service utilization. It is against this background that this study examines knowledge, experience and satisfaction of women on RMC in selected health facilities in Ibadan. This descriptive cross-sectional study employs a simple random sampling technique to select 151 participants. A self-administered questionnaire with a reliability coefficient of 0.78 was used for data collection. Data collected were analyzed using descriptive statistics and chi-square for hypotheses testing at p<0.05. The findings show that respondents' mean age is 28.60 (+5.914) years. Less than half 69 (45.7%) of them have tertiary education and most of the respondents 89 (58.9%) have one or 2 children. A greater proportion of them, 112 (74.2%) have a positive experience of RMC. Majority, 102 (67.5%) of the respondents are highly satisfied with the RMC received. The respondents' experience of care is found to have a strong influence on their subsequent patronage of the health facilities at (2 8.9351, p= 0.011). Their level of knowledge about RMC is not associated with the experiences of the care they received (x2=6.383, p=0.567). Given the above, efforts should be made to improve the provision of Respectful Maternity Care in order to enhance the use of skilled care at childbirth. This will enhance the achievement of safe motherhood thus preventing maternal mortality and morbidity.Item Effects of educational intervention on women’s knowledge and uptake of cervical cancer screening in selected hospitals in Ibadan, Nigeria(Taylor & Francis, 2017) Ndikom, C. M.; Ofi, B. A.; Omokhodion, F. O.; Adedokun, B. O.This study evaluated the effects of an educational intervention (El) on women's knowledge and uptake of cervical cancer screening (CCS) services. A quasi-experimental study, conducted in the antenatal clinics of eight hospitals in Ibadan, Nigeria. The hospitals were randomly clustered into four in intervention group (IG) and four in control group (CG), and 846 women were selected in the two groups using Systematic random sampling at baseline and post-intervention (PI). Data were collected using a structured questionnaire. The women in the IG received educational intervention provided by hospital nurses who were exposed to an educational programme previously. Data were analysed using descriptive statistics and x2 at p <0.05. The mean age for women was 28 years ±5.8. The respondents' awareness of CC at baseline was IG: 12.9% and CG: 18.2% but this increased to 71.5% in IG and 22.1% in CG with net intervention effect (NIE) of 54.7% (p <0.0001), knowledge of the causative organism (NIE <37%, p < 0.0001), sexual intercourse as mode of transmission (NIE 53.7%, p<0.001). Screening for early detection of cervical cancer (NIE 75.6%, p < 0.001), awareness of where to receive screening (NIE 64.1%, p < 0.001). There was only a very slight increase in uptake of CCS from 1.4% at baseline to 3.6% in the IG and 2.1 to 2.3% in the CG. Over, 53.5% said unavailability of services was a major hindrance to their screening uptake. Cervical cancer screening knowledge improved in the intervention group but uptake only improved slightly with the intervention. Educational intervention is a useful tool for improving knowledge of Cervical Cancer Screening.Item Knowledge of risk factors and Predisposition to cervical cancer among female undergraduates’ in Oyo state tertiary(Department of Nursing, College of Medicine, University of Ibadan, 2013) Oluwatosin, O. A.; Ndikom, C. M.; Adewoye, A. F.Background: Cervical cancer is one of the conditions that lead to mortality among females. Major risk factors are early sexual debut and multiple sexual partners. Objective: This study investigated the knowledge of risk factors and predisposition to cervical cancer among female undergraduates in University of Ibadan and the Polytechnic, Ibadan, Nigeria. Methods: This descriptive survey was carried out among 346 female students selected using a multi-stage and stratified random sampling technique. Data were collected using a structured questionnaire. Data were analysed using Statistical Package for the social sciences and were presented as frequencies and percentages. Results: Findings revealed that the mean age of respondents was 18.7±7.3 years, 32.7% had ever had sexual intercourse, mainly between ages 17 and 21 years. Majority, 60.4% had high level of knowledge and their perception was good. Participants believed that multiple sex partners predispose an individual to the risk of cervical cancer but many did not understand the implications of early exposure to sexual intercourse. Only, 2.3% of the respondents had been screened for cervical cancer. Conclusion: Efforts should be made to enhance awareness of risk factors and provide accessible screening services.
