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, perception and attitude of physiotherapy and medical undergraduates in Nigeria towards people with disability
    (College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria, 2022) Olaleye, O. A.; Sowemimo O. M.
    Background: Knowledge, perception and attitude of healthcare professionals could constitute barriers that could affect healthcare provision for, and social life of People with Disability (PWD). Knowledge, perception and attitude towards PWD was investigated among physiotherapy and medical undergraduates of the University of Ibadan, Nigeria using a mixed-method design. Methods: Knowledge and perception of first and final year physiotherapy and medical undergraduates about PWD were assessed using a validated questionnaire while attitude was assessed using the Attitude Towards Disabled Persons scales (Forms A and O). Focus Group Discussion (FGD) was held with eight purposively selected students from the survey sample. Data were analysed using Man- Whitney U test at p-value <0.05. Transcripts from the discussion were analysed thematically. Results: 187 undergraduates (106 males) aged 20.35+2.67years participated in the survey. Majority of the participants (≥88.0%) were knowledgeable about physical disabilities but had poor perception and negative stereotypes about PWD. Only 38(20.3%) of the participants reported that PWD experienced disparities in accessing healthcare. First- year physiotherapy undergraduates had more positive attitudes towards PWD than first-year medical students (68.2% vs 35.0%, p<0.01) whereas final year medical students had more positive attitude that final year physiotherapy students (68.2% vs 52.6%, p=0.29) on form O. Participants in the FGD believed disability could be socially constructed and not just on account of physical impairments. They considered treating PWD as being more stressful than treating people without disability. Conclusion: Participants had good knowledge, ambivalent attitude and poor perception about PWD. Their perception and attitude could be improved through adequate exposure and contact with PWD.
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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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    Knowledge of Human Papilloma Virus Self-sampling and Cervical Cancers Screening Uptake among Gynaecology Clinic Attendees in a Tertiary Hospital in Nigeria
    (Biomedical Communications Group, 2023) Oyedero, L. C.; Ndikom. C. M.; Ojo, I. O.
    Cervical cancer remains a significant contributor to global cancer-specific morbidity and mortality, despite being one of the most preventable and treatable cancers. Uptake and knowledge of cancer screening has remained low in developing countries. Therefore, this study investigated the level of knowledge Human Papilloma Virus (HPV) Self-sampling and Cervical cancers screening uptake among gynaecology clinic attendees in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. A cross-sectional design was employed in the study. A total of 256 respondents were selected using simple random sampling technique from two tertiary institutions in Osun State, Nigeria. A semi-structured questionnaire was used to collect data on the knowledge of HPV Self-sampling and cervical screening uptake from the respondents. Data were analysed and presented in percentages and association between variables were tested with logistic regression, chi-square and fisher’s exact test at 0.05 level of significance. The mean age of the respondents was 35.8±9.7 years, age of sex initiation for almost half (48.2%) of the respondents was between 21 and 25 years. Also, 66% of the respondents had not been screened of cervical cancer and 62.9% do not have enough education on self-sampling. However, 75.4.0% had poor knowledge on HPV self-sampling while 21.5% believed only sexually active women can only engage in self-sampling. There was a significant association between socio demographic, utilisation and knowledge of self-sampling for HPV. The study revealed poor knowledge on Human Papilloma Virus self-sampling and low screening uptake. Therefore, there is a need to strengthen the self-sampling knowledge among women for future screening.
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    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.
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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.