FACULTY OF CLINICAL SCIENCES

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    Knowledge of Child adoption services in civil servants in Ibadan, Nigeria.
    (Jana Publication and Research LLP, 2019) Nwachukwu, C. C.; Cadmus, E. O.; Owoaje, E.T.
    Adoption provides an alternative for childless couples to have their own children, but the knowledge of this option and its services affects people’s choice. This study assessed the awareness and depth of knowledge of adoption among 403 civil servants working in the Oyo State Secretariat, Ibadan, Nigeria. This was a descriptive cross-sectional study conducted between February and May, 2008. Self-administered questionnaire was used to collect data on socio-demographic characteristics, knowledge of child adoption, laws and services. Each correct knowledge question had a score of 1 and each wrong knowledge question had a score of 0. Total scores were computed for each respondent. Knowledge scores which ranged from 0-5 and from 6-13 were considered low and high, respectively. Descriptive and Chisquare statistics were used for data analysis.Mean age of respondents was 40.2 ± 9.7 years. Sixty five percent had tertiary education, 77.4% were married, and 53.3% were senior civil servants. Majority (91.8%) had heard about child adoption; of these 65.1% could correctly state its meaning. Sixty three percent were aware of adoption services; of these, 33.0% knew where adoption services were provided and 47.3% were aware of adoption laws. Also (41.1%) knew someone that had adopted a child. Overall, 16.9% had high knowledge scores. Respondents who had tertiary education were more knowledgeable about adoption than others (p< 0.05). Majority of respondents were aware of child adoption services but knowledge of the details was low. Efforts should be made to enlighten the public about adoption.
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    Knowledge and Beliefs of Informal Caregivers of Children with Cerebral Palsy in Nigeria Concerning Cerebral palsy
    (Zambia Medical Association, 2019) Adegbemigun, O. D.; Hamzat, T. K.; Olaleye, O. A.
    Background: Caregivers of children with Cerebral Palsy (CP) play an important role in the habilitation of their wards. Their knowledge and beliefs about CP may affect their disposition to habilitation and the quality of care and habilitation their wards would receive. Knowledge and beliefs of informal caregivers of children with CP in Southwest, Nigeria were investigated in this study. 3 six(71%) respondents reported good knowledge while 9(9.7%) reported poor knowledge about cerebral palsy. Most of the caregivers responded correctly in expressing their belief, causes and management of cerebral palsy Methods: Ninety-three informal caregivers (relatives or friends) of children with CP who routinely provide an average of 3-5hours of care per week without pay were surveyed. A 56-item questionnaire was used to collect information on socio-demographics, knowledge and beliefs of the informal caregivers about CP. Data were summarized using descriptive statistics of mean, percentages and standard deviation. Results: Participants were aged 36.6 ±8.6 years and their age ranged from 16-66 years. Majority of the respondents (n = 85; 91.4%) were female. Most of the participants (n = 87; 93.5%) were married and (62.4%) had completed tertiary education. Sixty six (71%) respondents reported good knowledge while 9(9.7%) reported poor knowledge about cerebral palsy. Most of the caregivers responded correctly in expressing their belief, causes and management of cerebral palsy Conclusions: Informal caregivers of children with cerebral palsy in southwestern Nigeria had good knowledge and positive beliefs about cerebral palsy hence the need to ensure that they seek appropriate intervention to this condition.
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    Knowledge about complications and practice of abortion among female undergraduates in the University of Ibadan, Nigeria.
    (The Association of Resident Doctors (ARD), University College Hospital (UCH), Ibadan, Nigeria., 2011) Cadmus, E. O.; Owoaje, E. T.
    Background: Unwanted pregnancies and unsafe abortion pose major health risks to women in the reproductive age group. Female undergraduates are particularly exposed to these risks. This study was carried out to assess the knowledge about complications and practice of abortion among female undergraduates of the University of Ibadan. Methods: A cross-sectional study was conducted using structured, self-administered questionnaires, to collect data on respondents’ socio-demographic characteristics, sexual behaviour, knowledge about various complications of abortion and practice of abortion. Data was analyzed using SPSS version 14. Results: A total of 425 students were interviewed, mean age of the undergraduates was 21.5± 2.8 years. Overall, 122 (29%) of the respondents had ever had sexual intercourse. Twenty five percent of those who were sexually active had ever been pregnant and 90% had terminated the pregnancy. The most common reason given for termination was that pregnancy was unplanned for. Most of the respondents 354 (83.3%) had a good knowledge about complications of abortion and mean knowledge score was 4.01±1.58 (range 0-5). Conclusion: This group of students were aware of the risks associated with unsafe abortion; however, the abortion rate was still high. Sexual reproductive health interventions are needed on campus in order to equip female undergraduates with comprehensive knowledge and skills to reduce the likelihood of unplanned pregnancies.
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    Midwives’ Knowledge and Readiness to Practice Antenatal Screening and Genetic Testing in selected Hospitals in Lagos, Nigeria
    (Mashhad University of Medical Sciences, 2021) Asafa, K.; Ndikom, C.; Adelanwa, A.
    Background & aim: The burden of congenital malformation can be decreased through two major approaches‐ primary prevention of those at risk through antenatal screening and improving survival for those affected. This study was conducted to investigate the knowledge and readiness of midwives to practice antenatal screening and genetic testing for congenital abnormalities. Methods: A cross‐sectional study among randomly selected 245 midwives across five maternal and child health government hospitals within Lagos metropolis in 2017. The validated self‐administered questionnaire having 3‐section; midwife’s demographic‐characteristics, knowledge and readiness of antenatal screening and genetic testing, with 0.74 reliability coefficient, was used to obtain information within five weeks after obtaining ethical approval. The obtained information was analysed using SPSS version 22. Results: The study findings revealed that 62.9% of the midwives had inadequate knowledge of antenatal screening and genetic testing for congenital abnormalities. Up to 82.4% were ready to practice antenatal screening and genetic testing for congenital abnormalities. The midwives’ level of knowledge was not significantly associated with their readiness to practice antenatal screening and genetic testing for congenital abnormalities (p=0.74), meanwhile, professional qualification (p = 0.003) and years of experience (p < 0.001) were significantly associated with readiness to practice antenatal screening and genetic testing. Conclusion: The study recommends that midwives should improve their knowledge and skills in genetic testing by attending both local and international training workshops/seminars. Midwives should be provided with the screening devices to facilitate the practice of antenatal screening and genetic testing for congenital abnormalities.
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    Umbilical Cord Care Knowledge and Practices of Mothers attending Selected Primary Health Care Centres in Ibadan, Nigeria
    (The International Journal of Caring Sciences, 2020) Ndikom, C. M.; Oluwatosin, F.
    Background: Poor umbilical cord care (UCC) practices have been linked with infections and mortality in newborns. Some mothers use multiple agents in umbilical cord care. It is imperative to assess the knowledge of UCC and its practices among women at the lowest level of care. Methods: The study utilized a cross-sectional design. Multistage sampling technique was used to select 414 mother baby pairs (dyad) attending infant welfare clinics in the selected Primary Health Centres (PHCs). Data was collected using structured validated questionnaire after obtaining ethical approval and informed consent. Descriptive statistics were used for analysis of data and hypotheses were tested using chi-square statistic at p=0.05. Results: One hundred and ninety-nine (48.1%) of the respondents had a good level of knowledge of appropriate UCC, 254(61.4%) respondents practiced good cord care. Even though most (95.7%) mothers used methylated spirit to clean the cord, quite a number, 270(65.5%) applied mentholated balm to the umbilicus. Above 60% of those who received information on UCC had good practice compared to those that did not (p=0.04). Also, 125(62.8%) of the respondents with good knowledge of UCC had good cord care practices compared to 74(37.2) with poor practices. Respondents’ knowledge of UCC was not significantly associated with their cord care practices. Conclusion: Gaps were observed in both knowledge and practices of umbilical cord care among the mothers attending primary health care centres. Strategies need to be instituted by health care workers to improve knowledge of umbilical cord care and inappropriate practices should be strongly discouraged.
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    Effects of Educational Intervention on Nurses’ Knowledge and Attitude Towards Providing Cervical Cancer Screening Information in Selected Health Facilities in Ibadan, Nigeria
    (Springer Science+Business Media, 2019) Ndikom, C. M.; Ofi, B. A.; Omokhodion, F. O.; Bakare, P. O.; Adetayo, C. O.
    Cervical cancer is a major cause of death among women especially in developing nations. It can be prevented through screening yet many women are unaware of screening options. Nurses are in vantage position to provide cervical cancer screening (CCS) information and services especially in antenatal clinics. The purpose of this study is to evaluate the effects of an educational intervention (EI) on nurses' knowledge and attitude towards providing CCS information. This quasi-experimental study was conducted in eight health facilities in Ibadan, Nigeria. The facilities were randomly divided into intervention group (IG) and control group (CG). A total of 133 consenting nurses (60 in the IG and 73 in the CG) participated. Baseline data were collected using self- administered questionnaire. The nurses in the IG received the EI and both groups were administered with a post-test questionnaire after 6 months. Data were analysed using chi square and Student's t test at p = 0.05. Nurses' mean age was 41.7 years. Knowledge scores for the IG (11.8 ± 3.3) and CG (11.7 ± 3.3) were comparable at baseline (p = 0.901) but was significantly higher among nurses in the IG (14.63 ± 3.12) than CG (12.7 ± 3.5) at 6 months PI (p=0.01). More nurses in the IG had high level of knowledge than CG. There was no significant difference in their attitude at baseline and at PI. There was a significant association between knowledge and attitude towards providing cervical cancer screening information (p<0.000). Education improved knowledge of nurses on cervical cancer screening. Regular education programmes for nurses may result in improved counselling on major health issues like cancer.
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    Knowledge and uptake of folic acid among pregnant women attending a secondary health facility in Ibadan
    (MA Healthcare Ltd, 2017) Adebo, O.; Dairo, D.; Ndikom, C. M.; Adejumo, P. O.
    Background: Folate deficiency is associated with poor pregnancy outcomes and is one of the most common vitamin deficiencies in women, especially those of reproductive age. Aims: This study aimed to determine the level of knowledge and uptake of folic acid among a sample of pregnant women. Method: A descriptive cross-sectional study, using a structured questionnaire, was carried out among 300 pregnant women attending antenatal clinics in one hospital in Oluyoro, Ibadan, Nigeria. Findings: All participants claimed to have heard of folic acid and major source of information was health workers (77.3%). Only 11.8% knew that folic acid can prevent birth defects and just 22.7% knew the best time to start using folic acid. Almost all the women (98.3%) reported using folic acid in the current pregnancy, of whom 54.2% used it as prescribed. Education (P=0.002), marital status (P=0.001), plan of pregnancy (P=0.022), and maternal age (P=0.046) were significantly associated with knowledge of folic acid. Employment status was significantly associated with uptake of folic acid (P=0.004). Conclusions: In this study, knowledge and uptake of folic acid was low among young, single and low education status women. Campaigns promoting periconceptional use of folic acid will be very useful in reaching women of child-bearing age particularly those pregnant and not registered for antenatal care.
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    Knowledge and Uptake of Cervical Cancer Screening Services among Nurses in Ibadan, Oyo State
    (College of Health Sciences, Obafemi Awolowo University, 2013) Ndikom, C. M.; Ofi, B. A.
    Introduction: Cervical cancer is the second most frequent cancer among women in Nigeria. It is one of the leading causes of cancer related death among women in developing countries. However, uptake of cervical screening is reported to be low even among health workers. Objective: The objective of this study was to determine the knowledge and uptake of cervical screening among nurses. A cross-sectional self-administered questionnaire-based survey for 175 nurses in eight selected health facilities in Ibadan was carried out. Results: The results showed respondents' knowledge of cervical cancer as being fair. Uptake of cervical cancer screening was poor, as 126 (80.0%) of the respondents had never been screened. Also, 78 (44.6%) of them had never given information on cervical cancer to women. In addition, 108 (72.0%) of the respondents stated that the screening service was not available in their centre. There was no significant relationship between knowledge and uptake of cervical cancer screening, (p=0.88). Conclusion: Despite the fair knowledge of cervical cancer and its prevention by nurses, their cervical cancer preventive practices were poor. Nurses should be mandated to play their disease prevention role by sensitizing women on the need for screening; and that screening service should be made available in all facilities.
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    Awareness and knowledge of birth defects among antenatal clinic attendees at thè University College Hospital, Ibadan, South-West, Nigeria
    (West African College of Physicians and the West African College of Surgeons, 2021) Akinmoladun, J. A.; Uchendu, O. C.; Lawal, T. A.; Oluwasola, T. A. O.
    BACKGROUND: The burden of birth defects is disproportionately higher in developing countries. OBJECTIVES: This study assessed the knowledge of risk factors and prevention of birth defects among ante-natal clinic attendees at the University College Hospital, Ibadan, Oyo State, Nigeria. METHODS: This was a cross-sectional study among 415 mothers who presented at the antenatal clinic. A semi-structured questionnaire was used to obtain information on respondents' socio-demographic profile, pregnancy, birth history, knowledge on prevention and risk factors for birth defects. Descriptive statistics was used to present results, independent t-test and ANOVA were used to determine the factors associated with mean of overall knowledge of birth defects. Test statistics was done at a 5% level of statistical significance. RESULTS: The mean age of the women was 31.7 ± 4.8 years. Overall, 93 (22.4%) of the women were above 35 years, 118 (29.9%) were skilled workers and 343 (84,9%) had tertiary education. More than half (219, 52.8%) of the respondents had good knowledge of birth defects (56.4% bad good knowledge of prevention and 66.0% had good knowledge of risk factors). Antenatal clinic attendees in their first trimester had higher. mean overall knowledge score (8.3 4.9) compared to those in second (7.9 4.5) and third (7.9 4.9) trimesters but this was not statistically significant (p=0.873). However, respondents in skilled semi-skilled occupation (8.62) had a significantly higher mean knowledge score compared with those in unskilled occupation/ unemployed (7.33) (p=0,005), CONCLUSION: Knowledge of birth defects is relatively low among women. To reduce the occurrence and severity of birth defects, there is a need to educate mothers on the knowledge, prevention and importance of screening for birth defects.
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    Effect of training on knowledge and attitude to standard precaution among workers exposed to body fluids in a tertiary institution in south-west Nigeria
    (Association of Resident Doctors (ARD), University College Hospital (UCH), Ibadan, Nigeria., 2020) Uchendu, O. C.; Desmenu, A. P.; Owoaje, E. T.
    Introduction: Standard precaution in the workplace reduces the risk of occupational hazards among workers exposed to body fluids of humans and animals. Training on standard precaution has been recommended as a strategy to improve knowledge, attitude and compliance to these guidelines. This study therefore determine the effect of training on knowledge and attitude to standard precaution among workers exposed to body fluids of humans and animals in the University of Ibadan, South-west, Nigeria. Methods: This was an interventional study among workers exposed to body fluids of humans and animals. A total survey of all faculties where staff and student come in contact with human and animal body fluid was done. Selected staff were trained for two days on standard precaution. A self-administered questionnaire was used to obtain infor mation on socio-demographic information, knowledge and perception of staff on standard precaution. The maximum obtainable knowledge and attitude scores were 27 and 6 points respectively. The mean knowledge and attitude score were determined at pre- test and post-test. Frequency, proportion, mean and standard deviation were used for summary statistics and an independent t-test was performed to test for association. Statistical significance was set at 5%. Results: A total of 136 and 123 responses were obtained at pre-test and post- test respectively. A little over half of the respondents were females (51.5%) and below 40 years (54.4%). The mean knowledge score among the workers increased from 22.59 ± 3.4 at pre-test to 22.83 ± 3.2 at post-test, but it was not statistically significant. However, the mean post-test attitude score (5.10 ± 1.4) was significantly different from the pre-test attitude score (4.49 ± 1.5). Conclusion: Training improved the knowledge and attitude of workers exposed to body fluids of humans and animals working in the University of Ibadan on standard precaution. Periodic training on standard precaution is therefore recommended to sustain a proper attitude to standard precaution guidelines.