FACULTY OF CLINICAL SCIENCES
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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 Psychiatric morbidity among pregnant and non pregnant women in Ibadan, Nigeria(Taylor & Francis Group, 2023) Bello, O. O.; Bella-Awusah, T. T.; Adebayo, A. M.; John-Akinola, Y. O.; Ndikom, C. M.; Ilori, T.; Cadmus E. O.; Omokhodion F.A comparative cross-sectional study was conducted among 991 pregnant and 674 non-pregnant women of reproductive age attending healthcare facilities in Ibadan, Nigeria using the General Health Questionnaire-12 (GHQ), and WHO self-reporting questionnaire (SRQ). Logistic regression analysis was conducted to identify predictors of psychiatric morbidity at p <0.05. A significantly higher proportion of pregnant women experienced psychological distress on the GHQ (51.8%) and psychiatric morbidity on SRQ (33.3%) compared with 28.6% and 18.2% of non-pregnant women, respectively. Predictors of psychiatric morbidity among pregnant women were the type of facility, poor satisfaction and communication with partners, the experience of violence in the home, previous abortions, and previous history of depression. Psychiatric morbidity among non-pregnant women was predicted by younger age, previous history of depression, poor satisfaction and communication with partners. There is a need for early identification of psychiatric morbidity among women of reproductive age, to ensure early interventions and prevent long-term disability.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 Perceived Need for Spousal Support in Maternity Care and Psychosocial Challenges among Couples in Abuja, Nigeria(Department of Psychology at the University of Ibadan, Nigeria, 2022) Edu I. B.; Ndikom, C. M.; Ishola, A.G.Globally, implementation of continuous spousal support in maternity care remains a challenge despite being known as one of the best practices during childbirth. This study examined the perceived need for spousal support and psychosocial challenges of maternity care in Abuja, Nigeria. This mixed method survey was carried out among 196 couples who had had at least one child from the selected communities. A structured questionnaire was used to elicit information and was analysed using descriptive statistics. Qualitative data was thematically analysed. The mean age of husbands was 41.12±8.87 years; wives was 35.68±7.94 years. Couples had positive perception of spousal support with husbands (90.9%) and wives (95.7%). The reported presence of spouse at delivery of baby was similar, 34.8% by husbands and 36.9% by wives. Major psychosocial factors identified were work schedule (93.6%) for husbands and marital challenges (95.6%) for wives. Poor communication; couples’ perception of maternity care; distance to facility were their major challenges. The qualitative studies showed some discordant responses in their willingness. The couples had positive perception of spousal support but there is need for increased sensitization of couples as willingness to partake in spousal support is just fair. The hospital environment should be more conducive for spouses.Item Knowledge of Covid-19 and Psychosocial Experiences During the Covid-19 Lockdown among Secondary School Students in Eleyele, Ibadan, Oyo State, Nigeria(The International Journal of Caring Sciences, 2022) Oluwatosin, O.A.; Ekelaka C, T.; Ndikom, C. M.Background: COVID-19 Is A Highly Contagious Disease That Can Easily Spread from Person to Person and Is a Global Health Threat. The Ongoing COVID-19 Is Inducing Fear and Knowledge of the Disease Will Help to Dissipate Fear. The Lockdown That Was Introduced at the Earlier Onset in Many Countries Including Nigeria Was Sudden and This Had Implication for Physical and Psychological State of Individuals Especially Young People, Who Are Easily Bored. Assessment Of Young People’s Knowledge and Psychosocial Experience During the Lockdown Was the Objective of This Study. This Was Done to Provide Baseline Information About Their Experience During This Unprecedented Event. Methods: A Descriptive Cross-Sectional Survey Was Conducted Among 352 Respondents from Five Schools During the First Reopening of Schools for Those in JSS3 And SSS3 Who Were Due for External Examinations. Simple Random Sampling Was Used for Selection of Schools, While Systematic Sampling Was Used to Select Respondents. Data Were Generated From 28th September to 2nd Of October, 2020. Data Were Analyzed Using Descriptive and Inferential Statistics of Chi-Square Test At 0.05% Level of Significance Results: More Than Half (57.1%) Were Females, 55.7% Were Between 15-19 Years with Mean Age Of 14.7± 1.910, 54.3.0% Were in Third Year of Senior Secondary, 56.8% Were from Oyo State, 84.7% Are from Yoruba Ethnic Group and More Than Half Live with Both Parents. More Than Half (58.8%) Had Good Knowledge Of COVID-19, 56.0% Had Positive Psychological Experiences And 57.7% Had Positive Social Experience. Psychological (P=0.101) And Social Experiences (P=0.192) Were Not Significantly Associated with Level of Knowledge Of COVID-19. Conclusion: More Than Half of the Students Had Good Knowledge Of COVID-19, Positive Psychological and Positive Social Experiences. Regular Health Education About COVID-19 And Its Prevention Is Needed to Sustain the Positive Behavior Among the Students and Curb the Spread Of COVID-19.Item A Scoping Review of the Health of African Immigrant and Refugee Children(MDPI, 2021) Salami, B.; Fernandez-Sanchez, H.; Fouche, C. A.; Kwankye, S. O.; Evans, C.; Sibeko, L.; Tulli, M.; Bulaong, A.; Kwankye, S. O.; Ani-Amponsah, M.; Okeke-Ihejirika, P.; Gommaa H.; Agbemenu K.; Ndikom, C. M.; Richter S.Migration is a growing phenomenon around the world, including within the African continent. Many migrants, especially African children, face challenges related to health and social in-clusion and can face increased health risks. A systematic scoping review of available literature on the health of African migrant children across the globe was conducted to offer insight into these health risks. The review was conducted over a 15-month period from January 2019 to April 2020, yielding 6602 articles once duplicates were removed. This search included electronic databases, reference lists of articles reviewed, and searches of libraries of relevant organisations. A total of 187 studies met the inclusion criteria, of which 159 were quantitative, 22 were qualitative, and 6 used mixed methods. The findings reveal decreased health in this population in areas of nutrition, infectious diseases, mental health, birth outcomes, sexual and reproductive health, physical and developmental health, parasitic infections, oral health, respiratory health, preventative health, endocrine disorders, health care services, and haematological conditions. The findings offer insights into factors influencing the health of African immigrant and refugee children. Further studies, especially qualitative studies, are needed to determine barriers to service access after migration and to investigate other underexplored and overlooked health concerns of African migrant children, including pneumonia and child maltreatment.Item Mothers’ Perception of Growth Monitoring and Factors Influencing growth monitoring of Under-five children in Sagamu, Ogun State(The department of Health Promotion and Environamental Health Education, 2021) Oduyemi R.; Aluko J. O.; Ndikom, C. M.; Onasoga O. A.Growth monitoring is a measure of nutritional status of children especially those of under-five children. The perception of mothers of under-five could affect the growth monitoring of their children, hence understanding their perceptions is very important. This study was carried out to assess mothers' perception of growth monitoring and factors influencing growth of under-five children in Sagamu, Ogun state. This cross-sectional descriptive study was conducted among mothers of under-five in Sagamu, Nigeria. A Multistage sampling method was used to select respondents for the study. A self-administered structured questionnaire was used for data collection. Data collected was analysed and presented in frequency/percent tables. Ethical clearance for the study was obtained from UVUCH Ethical Review Committee. Out of 394 respondents, 246 (62.4%) were young mothers, 221 (56.1%) of their children were female. Also, 237 (60.2%) of the children were infants, 102 (25.9%) were toddlers, while 55 (14.0%) were pre- school children. Moreover, 343 (87.1%) respondents were Christians and the remaining Moslems. Furthermore, 77.2%) of the mothers strongly agreed that the growth of their children should be monitored, and 76.6% strongly agreed that mothers should be involved in growth Mother's Perception of Growth Monitoring and Factors Influencing Growth of under... 19 monitoring of their children. Their perception about growth monitoring was generally good. In addition, 248 (62.9%) of the mothers had adequate health knowledge on growth monitoring. The higher the knowledge of factors influencing child growth among mothers the better their perception towards growth monitoring. Therefore, mothers should be equipped with relevant health information to enhance healthy perception and attitudes.Item Preconception Care and Genetic Counseling: Implications for the Midwife (A Review)(Faculty of Nursing Sciences, College of Health Sciences, Ladoke Akintola University of Technology (LAUTECH), 2021) Ndikom, C. M.; Ojiegbe, I. N.; Ojiegbe, E. I.Many women give birth to babies with various genetic or congenital abnormalities and other complications but are totally unprepared for the experience. These among several others are the negative consequences that could result from poor preconception health which could cause perpetual sorrow in the future. Preconception care and genetic counselling can increase the health and well-being of women and couples and improve subsequent pregnancy and child health outcomes. This paper discusses the issues in relation to preconception care and genetic screening and counselling. Preconception care is beneficial to both low risk and high-risk women in preventing foetal abnormalities and helps to reduce the incidence of foetal anomalies, poor pregnancy outcomes and genetic abnormalities as risk factors would have been noticed and proper counsel given to prevent the occurrence of abnormality. Its long-term outcome also results in healthy women, healthy men, healthy babies, healthy families and healthy societies. Preconception care is a need that should be incorporated into every country's health care system. There should be increased public awareness of the importance of preconception healthcare services by using information and tools appropriate across various ages, literacy, including health literacy; and cultural/linguistic contexts. The midwife has significant roles to play and must have up to date information about preconception care and genetic counselling and screening.Item Nurses' and midwives' views on male partner involvement in maternity care in Imo, Nigeria(MA Healthcare, 2021) Ngwibete, A.; Ndikom, C. M.; Anyiam, F. E.Background/Aims: In 2015, the World Health Organization recommended male partner involvement in maternal and child health as an effective strategy to combat maternal and child health in pregnancy. Healthcare practitioners' acceptance of male partners in maternal and child healthcare is likely to improve provider and patient satisfaction. The main objective of the study was to assess nurses' and midwives' perceptions of male partner involvement in maternity care, and their willingness and constraints to performing it in selected hospitals in Imo, Nigeria. Methods: A mixed-method approach was used to gather data from nurses and midwives in the antenatal care, labour and postnatal care wards of selected hospitals. A semi-structured questionnaire and interview guide were used to collect data assessing the participants' perceptions of male partner involvement in maternity care and of the barriers to it. Quantitative data were analysed through bivariate analysis, using the Chi squared test, and key quotes were extracted from qualitative data to illustrate relevant points. Results: The majority (57%) of the respondent had a good perception of the concept of male partner involvement. The ward that a participant worked in significantly affected their perception (P=0.01). Respondents were willing to accept male partners in maternity care through education and providing more male-friendly services. However, sociocultural, hospital policy and structural factors restricted acceptance of men in the wards. Conclusions: Nurses and midwives in all wards should be educated on the importance of male partner involvement in maternity care. Nurses and midwives need to engage in community health education programmes that will modify cultural constraints to male partner involvement and facilities should modify their structure and policies to be more male-friendly.Item Perception and utilization of prevention of mother-to-child transmission of human immunodeficiency virus (HIV) services among women living with HIV(European Publishing in Heraklion, Greece, 2021) Saka, A. O.; Onyeneho, C. A.; Ndikom, C. M.INTRODUCTION: Mother-to-child transmission is the major route of pediatric Human Immunodeficiency Virus (HIV) infection accounting for 90% of childhood HIV infection. Poor utilization of prevention of mother-to-child transmission (PMTCT) of HIV services has been shown in this situation. Hence, the study assessed the perception and utilization of PMTCT services among Women Living with HIV (WLHIV). METHODS: A cross-sectional research design was used with a purposive sampling technique to select 182 WLHIV within reproductive age attending President’s Emergency Plan for Acquired Immunodeficiency Syndrome (AIDS) Relief (PEPFAR)/AIDS Prevention Initiative in Nigeria (APIN) clinic in two secondary Health facilities in Ibadan, Oyo State. A validated structured questionnaire was used for data collection. Descriptive and inferential statistics were used for data analysis. RESULTS: The mean age of the women was 37.0±6.5 years. Majority (74.2%) of the respondents had good knowledge on PMTCT of HIV, positive perception (89%) towards PMTCT services while only 42.9% of the respondents have utilized PMTCT services during pregnancy. However, some of the challenges to use of PMTCT services identified by the respondents were stigma (16.5%), discrimination (15.4%), financial constraint (11.5%) and non-involvement of partner (8.2%). There was a significant association between level of knowledge and PMTCT services utilization (χ2=6.244, p=0.012). CONCLUSIONS: There is need for improvement of knowledge and perception of HIV, MTCT and PMTCT among women through counseling and antenatal education, thereby increasing PMTCT services uptake. Partner involvement, good quality PMTCT services and lack of discrimination of people living with HIV in our society should be encouraged, hence promoting the utilization of PMTCT services.