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Permanent URI for this collectionhttps://repository.ui.edu.ng/handle/123456789/524
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Item Knowledge and Cervical Cervical Cancer Screening Self-efficacy in Jema’a Local Government Area of Kaduna State, Nigeria.(West African College of Nursing, 2023) Adams K.; Ndikom C. M.; Ogunmodede, E. O.; Akomolede E. O.; Peter Z. B.Background: Cervical Cancer (CC) is the second most common cancer among women in Nigeria. The women present at the late stage of the disease with no history of screening. Poor knowledge of CC has been reported which could have implications on screening uptake. The study assessed knowledge and cervical cancer screening self-efficacy among women in Jema'a LGA of Kaduna State. Methodology: A descriptive cross-sectional design was utilized and 382 women were selected using systematic random sampling. Data were collected using structured questionnaire. Data were analyzed using descriptive and inferential statistics- Chi-square test at 0.05 level of significance. Results: 167(43.7%) of the respondents had good knowledge on CC. Majority, 315 (82.5%) had high self-efficacy scores. Uptake was low as 227(59.4%) of the respondents had never been screened. There was a significant association between educational level and knowledge of CC screening (X-58.01; p=0.000), religion and self-efficacy (X= 7.873; p=0.020), education level and self-efficacy on CC screening (X-6.980; p=0.008). Conclusion: The women's knowledge and uptake of cervical cancer screening was poor; however, the respondents' self- efficacy was high. There is need for educational interventions to increase knowledge of cervical cancer screening and to make screening services available and accessible to enhance uptake.Item Psychoeducation for psychological issues and birth preparedness in low- and middle-income countries: a systematic review(Elsevier Inc, 2022) Tola Y. O.; Akingbade O.; Akinwaare M. O.; Adesuyi E. O.; Arowosegbe T. M.; Ndikom C. M.; Adejumo P. O.; Alexis O.BACKGROUND: Psychological issues usually accompany the pregnancy of first-time mothers, and psychoeducational interventions might be effective in addressing these concerns and preparing first-time mothers for childbirth and the postnatal period. OBJECTIVE: This study aimed to identify, analyze, and synthesize the components and determine the effectiveness of psychoeducational interventions that are used for managing psychological issues and enhancing birth preparedness among primigravid women or couples in low and middle-income countries. STUDY DESIGN: A systematic search of 12 databases (APA PsycINFO, EmCare, Embase, MEDLINE(R), Ovid Nursing, British Nursing Index, Health & Medical Collection, ProQuest, CINAHL, Cochrane, Hinari, and PubMed) was conducted to identify relevant studies published between 1946 and October 2021. The quality of the included studies was appraised by the Joanna and Briggs Institute critical appraisal tool, and a narrative synthesis was performed to analyze data extracted from included articles. The systematic review protocol is registered with the International Prospective Register of Systematic Reviews (registration number: CRD42021237896). RESULTS: The initial search yielded 8658 articles. Of note, 16 articles, including 7 randomized controlled trials and 9 nonrandomized trials, met the inclusion criteria and were selected and reviewed for quality. In addition, 31 outcomes were measured in the studies, including psycho logical outcomes, birth preparedness outcomes, and other outcomes. The design of the interventions included antenatal education that was delivered through lectures, role plays, trainings, and antenatal counseling. All the psychoeducational interventions had a significant effect (P<0.05) Cohen’s d or Hedges’ g=0.2−1.9) on certain psychological outcomes, including childbirth attitude, fear of childbirth, depression, fear, and anxiety, and birth preparedness outcomes. CONCLUSION: Although first-time mothers experience a range of psychological issues during pregnancy, psychoeducational interventions were beneficial in addressing their psychological concerns. It would seem that these interventions are less expensive and could be easily implemented in low- and middle-income countries. However, rigorous research, such as randomized controlled trials, is hereby warranted to standardize the interventions and outcome assessment tools.Item Cervical Cancer and Human Papillomavirus Vaccine Knowledge, Utilisation, Prevention Educational Interventions and Policy Response in Nigeria: A Scoping Review(SAGE Publications, 2022) John-Akinola Y. O.; Ndikom C. M.; Oluwasanu M. M.; Adebisi T.; Odukoya O.Purpose: This review evaluated the knowledge, utilisation, prevention education, and policy response across the six geo political regions of Nigeria to inform national efforts for the prevention and control of cervical cancer. Methods: A keyword-based systematic search was conducted in PubMed/MEDLINE (NCBI), Google Scholar, and AJOL electronic databases, including a manual scan of papers, journals and websites to identify relevant peer-reviewed studies. Articles were screened and assessed for eligibility. Results: Many (158) articles were downloaded and after duplicates were removed, 110 articles were included in the final analysis. These were made up of qualitative, quantitative (cross-sectional), intervention and policy studies. Studies have generally reported poor knowledge and awareness of cervical cancer screening but those carried out in urban areas demonstrated a slightly higher level of awareness of Human Papilloma Virus (HPV) vaccine, HPV vaccination uptake and utilization of cervical cancer preventive services than the rural studies. The studies did not show strong government support or policies in relation to cervical cancer control. Conclusion: Knowledge and uptake of cervical cancer preventive services across diverse groups in Nigeria remain poor. These could be linked to socio-cultural factors, the lack of an organised cervical cancer screening programme and low financial resource pool for cervical cancer prevention. Therefore, it is necessary to increase government, donor prioritisation and political support in order to ensure increased investment and commitment to cervical cancer elimination in Nigeria.Item Neonatal Morbidity and Mortality Pattern in a Mission Hospital in Nigeria: A Facility-Based One Year Retrospective Study(Advanced Research Publications, 2021) Ike E. U.; Oliwatosin O. A.; Ndikom C. M.; Aluko J. O.Neonatal period is sensitive due to the physiological adaptations newborns make to adapt to extra uterine environment. High percentage of mortality during infancy occur during this period especially in developing countries. Nigeria neonatal mortality record is among the worst in the world. This study examined morbidity and mortality pattern of neonates admitted to Our Lady of Apostles (OLA) Catholic hospital, Okeofa Ibadan. This hospital-based retrospective study was carried out among admitted neonates at OLA Catholic hospital Oluyoro Ibadan, for a period of 1 year from May, 2017 to June 2018. Overall, 360 complete case notes were reviewed. A 5-sectioned structured checklist containing 39 items designed by the researchers was used for data collection. Data was analyzed using descriptive statistics and chi-square test. Among 360 neonatal case notes that were studied, 310 (86.1%) were admitted within the first and 7th day of life with the mean day of admission being 4 ± 5.5 days. 248 (68.9%) of the neonates had normal birth weight, 59 (16.4%) had low birth weight and 53 (14.7%) were macrosomic babies with the mean weight being 3 ± 0.6 kg. The two main causes of admission were neonatal sepsis 113 (31.4%) and birth asphyxia 94 (26.1%). A total of 248 (68.9%) neonates survived and were discharged home, 79 (21.9%) were discharged against medical advice, 25 (6.9%) were referred to a higher centre and 8 (2.2%) died. There is a significant association between neonates’ gender (P0.025), birth weight (P0.013) and neonatal outcome. Sepsis and birth asphyxia were the leading causes of neonatal morbidity and mortality. Efforts should be intensified to improve the care provided to women and their newborns during labor and immediate postpartum period respectively.Item Adherence to antenatal care among rural pregnant women in Lagos, Nigeria(MA Healthcare, 2021) Abazie O. H.; Okanlawon F. A; Ndikom C. M.Background: The benefits of early and frequent antenatal care visits include early prevention, detection, treatment of potential pregnancy complications and the reduction of maternal mortality related to these complications. Despite these benefits being explained to them, the majority of pregnant women in developing countries, including Nigeria, do not adhere to antenatal care, as they do not attend the recommended number of antenatal care appointments. Previous research has shown that urban women (84%) are more likely than rural women (56%) to receive antenatal care from a skilled provider. This study examined adherence to antenatal care among rural pregnant women in Lagos, Nigeria. Methods: This was a cross-sectional descriptive study using multistage sampling to select 600 pregnant women from rural areas of Lagos. A self-structured questionnaire was used to collect participants' sociodemographic data, knowledge of antenatal care, and adherence to antenatal care. Data were analysed and presented using descriptive and inferential statistics. Chi-square tests were used to assess the association between adherence to antenatal care and knowledge about antenatal care, and logistic regression was used to test the association between participants' characteristics and adherence to antenatal care, with P<0.05 being considered significant. Results: Participants were between 15 and 49 years old and 96.2% were married. The majority of participants had poor knowledge of antenatal care (57.1%), and low adherence to antenatal care (71.7%). However, 73.9% had the overall perception that there were benefits to attending antenatal care. No significant relationship was found between participants' knowledge of and adherence to antenatal care (P=0.32). Occupation was significantly associated with adherence to antenatal care (P=0.03). The majority (54.4%) indicated that perceived barriers are the major cause of non-adherence to antenatal care. Conclusions: Addressing perceived barriers to antenatal care attendance should increase adherence to antenatal care, especially in rural areas of Lagos.