Nursing
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Item Knowledge of Cervical Cancer and Uptake of Human Papillomavirus Vaccine among Mothers of Adolescents in Ibadan, Nigeria.(Faculty of Nursing Sciences, College of Health Sciences, Ladoke Akintola University of Technology (LAUTECH), 2023) Ndikom C. M.; Oyegoke A. A. A.; Chukwuka, L.; Ike, E. U.Cervical cancer (CC) is the most common gynecological malignancy in Nigeria, and the Human papillomavirus (HPV) is known to be associated with the disease. Vaccination is an effective preventive strategy, but its uptake remains low in Nigeria. Therefore, this study aimed to assess the knowledge and uptake of HPV vaccination among mothers of adolescents in two selected markets in Ibadan, Nigeria. A descriptive cross- sectional design was employed, and 398 mothers were purposively selected out of the 600 accessible participants. Data was collected using a structured interviewer-administered questionnaire and analyzed using IBM Statistical Package for the Social Sciences version 25. Descriptive statistics, frequency tables, and charts were used for data presentation, while the chi- square test was used for hypothesis testing at a significance level of 0.05. The findings revealed that 46.7% of the respondents were aged 39-48 years. Less than half (47.2%) had a high knowledge level of Cervical cancer and HPV, and only 23.4% had received HPV vaccination, with none of their daughters being vaccinated against HPV. The major perceived factors influencing mothers' uptake of HPV vaccine were a lack of adequate information about the vaccine (87.2%) and not knowing where to get the vaccine (79.4%). There was no significant association between mothers' knowledge and uptake of the HPV vaccine (p=0.487), as well as the cost of the vaccine and its uptake (p=0.998). However, a significant association was found between mothers' educational level and their knowledge of cervical cancer (p=0.000). These findings highlight the need for improved information dissemination on cervical cancer and HPV vaccination. It is recommended that the government initiates national immunization policies to make the vaccine more accessible and affordable, thereby combating the disease effectively.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 Risk Perception and Uptake of Prostate Cancer Screening Among a Population of Civil Servants in Ibadan, Nigeria(Biomedical Communications Group, University of Ibadan, Nigeria, 2021) Ndikom, C. M.; Oluwole T. G.; Ilesanmi, R. EProstate cancer (PCa) is the leading cancer in both incidences and mortality among men in Africa including Nigeria. Evidence suggest that African men present with more advanced disease, signifying that they are highly unscreened group for PCa. This study examined the risk perception and uptake of PCa screening among civil servants in Oyo state secretariat, Ibadan. This was a descriptive cross-sectional survey of 192 male staff of Oyo State Secretariat, selected by simple random sampling technique. Respondents’ risk perception and uptake of prostate cancer screening were examined using a structured questionnaire. Pearson's chi-square was used to test hypotheses at 0.05 level of significance. Mean age of respondents was 47.44±5.36 years. Up to 140(73.3%) of respondents were aware of PCa, mainly through literature (29.5%), 53.8% had good knowledge of PCa. However, 78% perceived themselves as not at risk for prostate cancer. For 39.6%, prostate cancer is a myth. While only 15(7.9%) had ever been screened, a greater percentage (92.1%) had never been screened. There is significant association between knowledge and uptake of prostate cancer screening (χ2=3.748, p=0.05) as well as between perception of susceptibility and uptake of prostate cancer screening (χ2=26.093, p=0.00). The risk perception for Prostate Cancer is low among the study cohort. There is need for more public enlightenment to improve awareness and uptake of prostate cancer screening services.Item Perception and Satisfaction with Midwife-Led Model of Care Among Women in Ibadan, Nigeria(West African College of Nursing, 2020) Adebisi, T. M.; Ndikom, C. M.Background: Women's preference for natural childbirth and woman-friendly care has made some to patronize unskilled care providers, especially where Midwife-led care is not available which is known to contribute to maternal mortality. Aims: To evaluate women's perception and satisfaction with midwife-led model of maternal health care in Ibadan. Methods: A descriptive cross-sectional design was used. Simple randomization was used to select 367 women and data was obtained using an interviewer- administered questionnaire. Data was analyzed using descriptive and inferential statistics. Results: The mean age was 28.9 ± 6years. Most, 94.3% had good perception of MLMC. The mean satisfaction score was 39.0±5.5 out of a maximum score of 54 and 274(74.7%) claimed they had good experiences with the midwives. The experiences perceived as very important were quality of the caregiver-patient relationship, continuity of care and patient's involvement in decision-making. There was a significant association between level of education and perception of MLMC (fisher's value = 0.010) but there was no significant association between perception and satisfaction (x2= 0.622; p=0.430). Conclusion: Respondents' perception and satisfaction with midwife-led care was good. Midwives need to function more in the management of low risk pregnancies at various levels of health care.Item Perception, Acceptance and Uptake of Human papillomavirus Vaccine among Female Adolescents in Selected Secondary Schools in Ibadan, Nigeria(A.R.C Publishing, 2017) Ndikom, C. M.; Obo, P. I.Infection with Human papillomavirus (HPV) contributes to malignant changes in the cervix leading to cancer mortality among women. HPV vaccine is now available for its prevention, yet the level of uptake is low. The study aimed at determining Perception, Acceptance and Uptake of Human papillomavirus Vaccine among female adolescents in selected secondary schools in Ibadan, Nigeria. This cross-sectional study was conducted among 296 female adolescent senior secondary school students in Ibadan, Nigeria. Respondents were selected using purposive sampling method and data were collected using self-administered questionnaire. The data were analysed using the Statistical Package for Social Sciences version 20.0. Variables were presented as frequency tables and hypotheses were tested using chi-square and Fisher's exact test at P≤ 0.05. Most 142(48.0%) of the respondents were between ages 15-17. The respondents' perception and knowledge about HPV vaccine, HPV infection and cervical cancer was generally poor. Furthermore, only 12(4.1%) of the respondents have received the HPV vaccine before the study. There is a significant association between adolescent's perception and uptake of HPV vaccine p=0.000 as well as Perception and readiness for the use of HPV vaccine (p=0.007). Parental approval and readiness for HPV vaccine uptake were found to be significantly associated (p=0.000). Since knowledge about Human Papilloma Virus Vaccination is quite low, there is need to increase awareness about the Vaccination among female adolescents and their mothers. Also, peer educators in schools can be trained to improve awareness in schools so as to reduce the incidence of cervical cancer.Item Perception and Practice of Female Genital Cutting among Mothers in Ibadan, Nigeria(National Press Associates, 2017) Ndikom, C. M.; Ogungbenro, F. A.; Ojeleye, O. A.Female Genital Cutting (FGC) is the practice of altering the structure of the female external genitalia and this has the potential of causing of medical complications and harm to reproductive health. This practice has gone on over many years with no proven health and social benefits. Persistent calls have been made for the practice to stop, yet it still continues primarily in Africa and among certain communities in the Middle East and Asia, of which Nigeria is not an exception. This study sought to determine the perception and practice of FGC among mothers in Ibadan, Nigeria. This cross-sectional study used structured, interviewer-administered questionnaire to elicit data on the perception and practice of Female Genital Cutting from the 106 mothers sampled by convenience from three primary health centres in Ibadan North Local Government Area (INLG). The data was coded and analysed using descriptive statistics and chi-square at a 5% (0.05) level of significance. More than half of the respondents (63.2%) had undergone FGC. Almost 19% of the respondents had circumcised their daughters at an average age of 30.8 days, while another 28.3% had plans to do so in future, probably at a later date. The major practitioners of FGC are traditional circumcisers (54.7%). The mothers' level of education influenced their practice of FGC (p<0.03) and there was also a significant association between having undergone FGM and the experience of dyspareunia (p<0.03). The most expressed benefit of FGC by the mothers is that, it conserves virginity till marriage and the negative effect mostly expressed was infection. More than half of the women declared that, their mother/mother-in-law's insistence was their reason for performing FGC. Although, the views expressed by the mothers on FGC, including its eradication, were somewhat impressive, this study shows that, FGC is still being practiced and many women are living with its negative effects. There is therefore, the need to intensify and consolidate educative and advocacy efforts to ensure that the practice is completely eradicated.Item Awareness and attitudes of women towards cervical cancer screeningin Oyo state, Nigeria(MA Healthcare, 2014) Bammeke, O. O.; Ndikom, C. M."Cervical cancer is one of the leading causes of cancer deaths among women especially in the developing world. This study examined the awareness and the attitude of women towards cervical cancer screening in Agbowo Primary Health Centre in Ibadan, Nigeria. Using a cross-sectional study design and convenient sampling, a questionnaire was administered to collect data from 100 women who utilised postnatal and immunization services in the health centre. The hypotheses were tested using Pearson product moment correlation at significance level of P<0.005. The findings showed that the majority (52%) of the participants were aware of cervical cancer, 58% were aware of cervical cancer screening but only 5.0% had utilised cervical cancer screening services. There was significant positive relationship (r=0.369; P=0.001) between awareness and utilisation of cervical cancer screening services and educational background and utilisation of cervical cancer screening services (P=0.002) as well as economic status and use of the screening services (r=0.276; P=0.001). Attitude and uptake of cervical cancer screening services also showed a positive correlation (r=0.276; P<0.006) some of the factors that influenced uptake include lack of awareness about where to get screened, cost, attitude of health workers and delay in hospitals. The study has shown that cervical cancer screening uptake is still very poor, although, the awareness of cervical screening was fairly high. There is no doubt that education improve uptake of cervical cancer screening. There is still the need to create more awareness and make the services available so as to improve the uptake of cervical cancer screening.Item Substance Use and Perceived Consequences on Health and Safety among Commercial Motorcyclists in Ibadan North Local Government, Ibadan, Nigeria(Science domain International, 2014) Ndikom, C. M.; Ndikom O. B. C.; Uvere, E.Introduction: Motorcycling is a globalized mode of transport patronized by many road users especially in Nigeria. Although, fraught with negative health outcomes. This study sought to access the perceived consequences of substance use on health and safety among commercial motorcyclists in Ibadan, Nigeria. Design and Method: Using a cross-sectional survey design, registered and consenting eighty commercial motorcyclists were recruited. A 39 item, interviewer-administered questionnaire containing motorcyclists’ demographic characteristics, perceived consequence of substance use, behaviour towards substance use and consequences of substance use was used to obtain information. Collected data was analyzed at p≤0.05 of significance. Results: The respondents were mainly within 30-39 years (36.3%); previously traders (42.5%) and have attained secondary school level of education (45.0%). Though, 57.5% of the respondents positively affirmed the ability of an individual under the influence of alcohol to cause accident, 46.3% of them hold the belief that it is good for mood modification and did not affect health negatively (70%). Up to 36.2% of the respondents agreed to have used substances while driving. Enhancement of visibility while driving (51.3%), relaxation (47.5%) and assists in forgetting problems (42.5%) were reasons given by motorcyclists for this. Fifty percent of the motorcyclists have been involved in a fatal accident. There no significant association between educational level and perception about substance use at p=0.258 but association between perception on substance use and age of respondents was significant at p=0.05. The Perception and Behavior of motorcyclists’ Riders were significantly different at p= 0.04. Conclusion: Although, the respondents know that substance use had some negative consequences, yet many still indulged in it even when on duty. Positive behavioural change interventions should be implemented among motorcyclists.Item Perception and Satisfaction with the Use of Birth Plan among Postpartum Women in a Nigerian Tertiary Hospital(Department of Nursing, College of Medicine, University of Ibadan, 2013) Akintan, I.; Akinwaare, M.; Ndikom, C.M.Background: The role of choice in child birth is of utmost importance because of women’s need of having control over their birth process, which makes them to be satisfied with the process of child birth. The purpose of the birth pian is to act as a communication tool, to encourage women to make informed choices, to draft a realistic pian of care during labour, and to achieve greater satisfaction from the birth experience. Satisfaction with such a life changing event can be the basis for a positive beginning to early mother/baby interaction and a solid foundation for long term family health. Methods: The study was carried out among women who had at least one child in the postnatal ward and infant welfare clinic of the University College Hospital, Ibadan. A stratified random sampling technique was used in selecting 200 postpartum women from the hospital. A structured questionnaire was administered and analysed using statistical package for social Sciences version 15 (SPSS 15). Results: Majority (90%) of the respondents indicated that being involved with decisions about birth makes them to be satisfied with birth process. The study also revealed that almost all (97%) of the respondents were aware of birth-plan while 72% supported the fact that birth plan help improve communication with health practitioners. Most of the women have a high perception that introduction and use of birth-plan in their care will help enhance childbirth experience and satisfaction. There was a significant association between utilization of birth plan and satisfaction with childbirth process (p=0.015). Conclusion: The gradual shift of maternity care from a paternalistic medical model to a more humanistic approach will encourage active client participation and partnership in care. This will also lead to the rights of women to information and informed choices being advocated. Satisfaction in childbirth is an important indicator of quality of matenity care given today and continuous use of skilled birth attendants.Item Awareness, perception and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria(BioMed Central, 2012) Ndikom, C. M.; Ofi, B. A.Background: Over the years awareness and uptake of cervical cancer screening services has remained poor in developing countries. Problems associated with cervical cancer incidence include late reporting, ignorance and cultural issues relating to cervical cancer screening. This study sought to explore the awareness, perception and utilization of cervical cancer screening among women in Ibadan as well as factors that influence utilization. Method: This is a qualitative study that utilized Eight Focus Group Discussions to collect information from women in selected health facilities in Ibadan, South West, Nigeria. The 82 participants were purposely recruited from women attending Antenatal clinics in 4 secondary and 4 primary health care facilities after approval was received from the Institutional Review Board in charge of the facilities. The focus group discussions were tape recorded and transcribed verbatim. The transcripts were analyzed into themes. Findings: The study provided qualitative information on the awareness, perception of the utilization of cervical cancer screening services among women in Ibadan. Participants were mainly married women (92.7%), mean age =27.6, SD =4.5, mainly traders (39%) and from Yoruba ethnic backgrounds (87.8%) and had secondary education (39%). The respondents reported not being aware of cervical cancer and were not utilizing the services. Though they did not know what cervical cancer screening entailed or the screening methods, they still believed that it is important since like for other diseases will help in early detection and treatment. The participants were eager to get more information from nurses on cervical cancer about cervical cancer screening. The major factors identified by the women that influence screening utilization were ignorance, Illiteracy, belief in not being at risk, having many contending issues, nonchalant attitude to their health, financial constraint and fear of having a positive result. Conclusion: There is an urgent need for more enlightenment about cervical cancer especially by health workers. Also, cervical cancer services should be made available at very affordable cost so that women can easily access the services in order to reduce incidence of invasive cancer.
