scholarly works

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    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.
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    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.
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    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.
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    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.
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    Knowledge, Health Seeking Behaviour on Febrile Conditions and Management Practices among Mothers of Under-Five Children in Selected Facilities in Ibadan, Nigeria
    (MDPI (Multidisciplinary Digital Publishing Institute), 2022) Nweya, N. C.; Ojo, I. O.; Ndikom, C. M
    Background: Fever is the most common symptom of childhood illnesses and parents have been said to develop what is called “fever phobia” because of fear of death of their child. Due to this, parents’ resort to various practices to manage fever which is also a function of the parents’ knowledge about fever. Objectives: This study investigated the knowledge, health seeking behaviour, and management practices of fever among mothers of under-five children. Methodology: A cross-sectional descriptive design was used with a multistage technique to select 122 mothers from the Ibadan North and Akinyele Local government area of Oyo state. A self-developed instrument was used for data collection. Data were analysed and presented in frequency and percentages. Association between variables were tested using fisher’s test, p value was set at 0.05. Results: The mean age of the respondents was 30 years. Majority (75.5%) of mothers had good knowledge about fever in children. A majority (91.6 %%) stated that fever is a serious illness. More than half agreed that dehydration and discomfort (74.5%), convulsion and brain damage (83.4%) are negative outcomes of fever. Most (72.9%) of the mothers took their children to a health facility on account of fever. Majority (79%) gave drugs to manage fever in a child. Other methods used to manage fever include bathing the child (46.3%), tepid sponging the child (50.5%), prayer (43.8%), ventilation (37.7%), and a sprinkling of anointing oil (19.7%). Conclusion: Findings from the study showed that mothers have good knowledge of fever. However, there is a gap in management. In the light of this, it will be imperative for nurses and midwives to educate mothers using on the management and prevention of fever in children.
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    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.
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    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.