FACULTY OF CLINICAL SCIENCES
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Item Knowledge and Attitude of Pregnant Women Attending Antenatal Clinic to Cervical Cancer Screening in Pregnancy in Ibadan, Nigeria(Science Publishing group, 2022) Ifebude, J. E.; Idowu, O. C.; Awolude, O. A.Intensive global efforts are currently on-going to ensure the elimination of cervical cancer by 2030. To achieve this, identification of populations and settings to optimize implementation is important. Pregnant women in antenatal setting provide one of such opportunities. This cross-sectional study conducted among pregnant women in a tertiary health facility evaluates the knowledge and attitude of cervical cancer screening in pregnancy. A total of 372 of the 380 (97.9%) women responded to the survey. The knowledge about cervical cancer among the respondents was 16.0%, 27.0% with good knowledge about cervical cancer screening and 21.0% had been previously screened for cervical cancer. If offered in the index pregnancy, about 74.2% were willing to undergo the screening. The age of respondents (p < 0.001) and the knowledge about cervical cancer screening (p = 0.034) were statistically significant factors associated with the respondents’ attitude to screening in pregnancy. Fear of the screening affecting their pregnancies was the reason in about half of the 26.8% of the respondents unwilling to undertake cervical cancer screening in pregnancy. The knowledge about risk factors for cervical cancer among our participants was poor. However, the attitude of participants towards cervical cancer screening in pregnancy was good. While policy makers might find this encouraging to incorporate routine cervical cancer screening into maternity services, there is urgent need for more awareness creation among our pregnant women, adequate counselling to correct misconceptions and education on the benefits of cervical cancer screening among our parturient.Item Acceptability of Child Adoption and adoption services among civil servants in Ibadan, Nigeria(Pan African Medical Journal (PAMJ), 2020) Nwachukwu, C. C.; Cadmus, E. O.; Nwachukwu, A. C.; Adebayo, A. M.; Owoaje, E. T.Child adoption provides an opportunity for children to have new families and for parents to have children. Its acceptance by the society, however, may affect people’s decision to adopt. This study was conducted to determine the attitude and acceptability of child adoption and adoption services among 403 civil servants in Oyo State Secretariat, Ibadan in February and May, 2008.Self-administered questionnaire was used to collect data. Likert scale of score range 1-5 was used to measure respondents’ attitudes. Each positive attitude answer was given a score of 5, while each negative attitude answer had a score of 1. Total scores were computed for each respondent. Attitudinal scores within the range of 16-50 and 51-80 were considered negative and positive respectively. The mean age of respondents was 40.2 ± 9.7 years. Sixty five percent had tertiary education. Overall, 45.9% had positive attitude to adoption. A higher proportion of respondents who had tertiary education (56.3%) were supportive of adoption compared to the others. About 65.0% would support or encourage a relation to adopt a child while 68.5% would recommend adoption to a childless couple. Males, (57.2%), were more willing to support a relation who would like to adopt compared with females, (65.6%). The main reason for non-support of adoption by 32.4% of respondents was that they believed that the childless couples would have their biological children. Efforts should be made to improve the acceptability of adoption.Item 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.Item 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.Item Assisted reproductive techniques and gamete donation; knowledge, attitude and willingness to participate among students in a Nigerian tertiary institution(Zambia Medical Association, 2020) Ogunbode, O. O.; Obajimi, G. O.Background: Infertility is a worldwide problem affecting about 10-15% of married couples and has social, economic and psychological implications1. A significant number of couples will require assisted reproduction following failure of common treatment options. Undergraduates form a rich source of potential gamete donors and it is imperative to assess their knowledge, attitude and willingness to participate in the expanding gamete donor programs in a developing country like Nigeria. Objectives: This study aimed to assess the knowledge and attitude of participants about assisted reproduction and to further evaluate their willingness to donate gametes for assisted conception or act as surrogates. Methodology: This was a cross-sectional descriptive study of 1150 participants consisting of 511 male students and 639 female students of the University of Ibadan. Participants were selected by simple random sampling technique. A semistructured, self-administered questionnaire was used to obtain information on sociodemographic characteristics, knowledge, attitude and willingness to participate in gamete donor programs. Participation was voluntary and data obtained was treated with utmost confidentiality. Data was analyzed using the Statistical Package for Social Sciences (IBM SPSS, New York) version 22. Descriptive statistics were generated, and the results summarized with the aid of a bar chart and frequency tables. Results: Eight seven percent of the respondents had good knowledge of Assisted Reproductive Techniques (ART) and the most common source of awareness was the media (63.3%). More respondents were aware of sperm donation (75.5%) compared to egg donation (61.9%). Ninety percent of the participants were correctly able to identify the places where ART could be practiced in Nigeria. Most of the respondents (81.5%) supported ART services and the most common reason for not supporting was due to ethical considerations (45.1%). Only about 54.9% were willing to participate in gamete donor programs. Nine (0.8%) female respondents had previously participated in egg (oocyte) donation while none of the male respondents had ever donated sperm. About threequarters of the respondents demonstrated good knowledge about the practice of surrogacy. Conclusion: Despite good knowledge about ART, only about half of the respondents were willing to participate in gamete donor programs. Religious and health concerns were primarily responsible for their reluctance. Providing Information, Education and Communication (IEC) materials about the safety of ART will increase the level of awareness and confidence in ART thereby increasing participation by potential donors particularly undergraduates in a developing country like Nigeria.Item Attitude to caesarean section amongst antenatal clients in Ibadan, Nigeria(College of Health Sciences, University of Ilorin, 2011-01) Bello, F. A.; Olayemi, O.; Ogunbode, O. O.; Adekunle, A. O.This was a cross-sectional study carried out on 372 clients receiving antenatal care at a rural, suburban and urban centres, in order to assess the acceptance of caesarean delivery amongst them and the factors influencing their attitude. Caesarean section was acceptable to 65.7%. Many respondents will refuse the surgery, because they do not think abdominal delivery is natural or necessary. However, if indicated by their health caregiver to be necessary to save life, 78.3% would comply. Others would leave for a religious healing home, another hospital, a traditional birth attendant or be delivered at home. The cultural reasons why some women decline include feeling that caesarean delivery is due to “spiritual attacks”, retribution for maternal infidelity and failure of a woman to fulfil her reproductive function. Respondents were more likely to accept the surgery if they had heard of it before or had a previous caesarean delivery. They were less likely to accept it if they were Christians or attended the rural health centre. Age, parity and educational level had no influence. Only 4% of the respondents would request a caesarean section for non-medical reasons. Health education needs to be carried out in the community, as well as during antenatal classes, to address the cultural beliefs. Means of involving religious bodies in enlightenment campaigns to improve women's attitude should be explored.Item Auditory lifestyles, attitudes to noise and beliefs about hearing loss and hearing protection among undergraduates in southern Nigeria(2019-07) Udoh, A. E.; Adeyemo, A. A.Noise tolerance is a possible reflection of the attitudes of young people, and probably influenced by beliefs on hearing loss and the use of hearing protection devices. This study addressed the attitudes and beliefs of young Nigerians towards noise thereby providing background data that is necessary for design of culturally relevant interventions to reduce noise exposure and hearing loss. This study determined the attitude towards noise and beliefs about hearing loss and hearing protection among young people in Nigeria. It was a cross-sectional study using semi-structured questionnaires was conducted. The subjects were 427 university undergraduate students. Data was collected on their attitudes to noise and beliefs about hearing protection and hearing loss. Youths Attitude to Noise (YANS) and Beliefs about Hearing Protection and Hearing Loss (BAHPL) instruments were completed by the subjects. Majority of the subjects had neutral attitude towards noise and neutral attitude in Beliefs About Hearing Protection and Hearing Loss while only a minority used any form of hearing protection devices. Indifference is the main attitude of young Nigerians towards noise and hearing loss. Future interventions should focus on the harmful effects of noise, emphasizing the need to avoid exposure to loud noise while encouraging use of hearing protection devices during noise exposure