Health Promotion & Education

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    Emergency contraceptive pill knowledge, attitudes and dispensing practices of pharmacists in Ibadan and Lagos metropolis, Nigeria
    (2010) Omotoso, O; Ajuwon, A. J
    Use of Emergency Contraceptive Pills (ECP) is desirable in Nigeria where there is high rate of unwanted pregnancy. Pharmacists are expected to play important role in promoting use of ECP but few studies have assessed their knowledge, attitude and dispensing practice of this product in Nigeria. A total of 211 randomly selected pharmacists practicing in Ibadan and Lagos metropolis completed a questionnaire that assessed knowledge about ECP, attitude towards this contraceptive and actual dispensing practices. The results showed that the mean age of the respondents was 38.8 (±10.9) years. There were more male (57.3%) than female respondents (42.7%). The overall mean knowledge scores for the sample was 8.9 (SD: 2.6) out of 18. No significant difference was found in mean knowledge score of male (9.0) (± 2.6) and female respondents (8.9) (±2.8) (p>0.05). Respondents who had practiced for up to 30 years had significantly higher score (9.1) than those with less years of experience (7.7) (p< 0.05). Forty-three percent claimed they had religious or moral (46.9%) objection to dispensing ECP. The majority (79.1%) had ever dispensed ECP whereas 21.9% had never done so. Of the 167 respondents who had ever dispensed, 94.6% had a stock of ECP on the day of their interview. More respondents from Ibadan than Lagos had ever dispensed ECP (p<0.05). More community (80%) than hospital based (60%) pharmacists had dispensed ECP (p<0.05). Only 17.5% of those who had ever dispensed ECP had ever received a formal training on the mode of action of this drug. Although majority had dispensed ECP, their knowledge of the drug is limited. There is need for pharmacists to receive continue education on ECP to enable them serve better the clients who need this service.
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    Emergency contraceptive pill knowledge, attitudes and dispensing practices of pharmacists in Ibadan and Lagos metropolis, Nigeria
    (2010-12) Omotoso, O.; Ajuwon, A. J.
    Use of Emergency Contraceptive Pills (ECP) is desirable in Nigeria where there is high rate of unwanted pregnancy. Pharmacists are expected to play important role in promoting use of ECP but few studies have assessed their knowledge, attitude and dispensing practice of this product in Nigeria. A total of 211 randomly selected pharmacists practicing in Ibadan and Lagos metropolis completed a questionnaire that assessed knowledge about ECP, attitude towards this contraceptive and actual dispensing practices. The results showed that the mean age of the respondents was 38.8 (±10.9) years. There were more male (57.3%) than female respondents (42.7%). The overall mean knowledge scores for the sample was 8.9 (SD: 2.6) out of 18. No significant difference was found in mean knowledge score of male (9.0) (± 2.6) and female respondents (8.9) (±2.8) (p>0.05). Respondents who had practiced for up to 30 years had significantly higher score (9.1) than those with less years of experience (7.7) (p< 0.05). Forty-three percent claimed they had religious or moral (46.9%) objection to dispensing ECP. The majority (79.1%) had ever dispensed ECP whereas 21.9% had never done so. Of the 167 respondents who had ever dispensed, 94.6% had a stock of ECP on the day of their interview. More respondents from Ibadan than Lagos had ever dispensed ECP (p<0.05). More community (80%) than hospital based (60%) pharmacists had dispensed ECP (p<0.05). Only 17.5% of those who had ever dispensed ECP had ever received a formal training on the mode of action of this drug. Although majority had dispensed ECP, their knowledge of the drug is limited. There is need for pharmacists to receive continue education on ECP to enable them serve better the clients who need this service.
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    Community-directed interventions for priority health problems in Africa: results of a multicountry study
    (2010) Ajuwon, A. J.
    Objective: To deterrnine the extent to which the community-directed approach used in onchocerciasis control in Africa could effectively and efficiently provide integrated delivery of other health interventions. Methods: A three-year experirnental study was undertaken in 35 health districts from 2005 to 2007 in seven research sites in Carneroon, Nigeria and Uganda. Four trial districts and one comparison district were randomly selected in each site. All districts had established ivermectin treatment programmes, and in the trial districts four other established interventions - vitamin A supplementation, use of insecticide-treated nets, home management of malaria and short-course, directly-observed treatment for tuberculosis patients - were progressively incorporated into a community-directed intervention (CDI) process. At the end of each of the three study years, we performed quantitative evaluations of intervention coverage and provider costs, as well as qualitative assessments of the CDI process. Findings with the CDI strategy, significantly higher coverage was achieved than with other delivery approaches for all interventions except for Short-course, directly-observed treatment. The coverage of malaria interventions more than doubled. The district-level costs of delivering all five interventions were lower in the CDI districts, but no cost difference was found at the first-line health facility level. Process evaluation showed that: (i) participatory processes were important; (ii) recurrent problerns with the supply of intervention materials were a major constraint to implementation; (iii) the communities and community implementers were deeply committed to the CDI process; (iv) community implementers were more motivated by intangible incentives than by external financial incentives. Conclusion The CDI strategy, which builds upon the core principles of primary health care, is an effective and efficient model for integrated delivery of appropriate health interventions at the community level in Africa.
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    HINDRANCES TO MALE INVOLVEMENT IN MATERNAL HEALTH CARE IN KWALI AREA COUNCIL, ABUJA, NIGERIA
    (2014-08) YUSUF, NANA HAUWA
    Involving men in Maternal Health Care (MHC) has become important because of the realization that men’s behaviour can significantly affect health outcomes of women and children. Male involvement in MHC is generally poor in many developing countries including Nigeria. Reasons for poor male involvement in MHC services have not been adequately documented. This study was therefore designed to determine hindrances to male involvement in MHC in Kwali Area Council, Abuja, Nigeria. A community-based cross-sectional study was conducted among 370 candidates recruited from households in Kwali Area Council, Abuja using a four-stage sampling technique: Kwali Area Council from the 6 Area Councils of the FCT, wards selection, settlements selection and selection of respondents. A pre-tested interviewer administered questionnaire containing information on knowledge of MHC was assessed using a 23-point scale. Scores of < 15 and >15 were categorized as low and high knowledge respectively. Levels of male involvement was assessed using a 6-point scale with scores of < 4 and > 4 were categorised low and high involvement respectively. Three Focus Group Discussions (FGDs) were also conducted among men in 3 randomly selected wards out of the 10 wards in the Area Councils. The FGDs were tape recorded, transcribed and subjected to content analysis. The quantitative data were analysed using descriptive statistics and Chi-square test at 0.5% level of significance. Mean age of the respondents was 37.9 ± 9.5 years, educational status: no formal education (33.2%), Islamic education (21.1%), primary education (15.9%), OND/NCE (14.1%), HND/B.Sc (8.1%) and secondary education (7.6%). Respondents Religion: Christians (58.1%), Muslims (41.4%) and traditionalist (0.5%). Ethnical composition: Gbagi (78.1%), Ibo (6.2%), Hausa (3.2%), Yoruba (2.7%) and other tribes (9.8%). Marital Status: currently married (99.2%) with (15.9%) were in polygamous marriage. Most (84.3%) had heard of MHC services with health workers (25.8%) being the leading source of information among respondents. Many (68.9%) and (31.1%) of respondents had poor and good knowledge of MHC respectively. Witchcraft (45.7%) and family planning methods (46.9%) were perceived to be the causes of maternal mortality. Mean knowledge score of respondents who had ever and never heard of MHC were 14.5±3.5 and 11.6±3.0 respectively. Only 42.0% of men had high level of involvement in MHC. Perceived hindrances to male involvement in MHC included poor knowledge of maternal health care (95.1%), negative health workers’ attitude (83.4%), financial constraints (95.7%) among others. The FGD participants perceived MHC as care given to women from pregnancy till delivery. Maternal Health Care was perceived as women affairs accounting for the low male involvement. Significantly more of secondary school holders and above (50.5%) had good knowledge of maternal health care than other educational qualifications (p<0.05) Poor knowledge, societal norms, negative Health workers’ attitude, financial constraints among others constitute the main factors which militate against male involvement in maternal health care services. Community health education programme which focuses on reorientation on gender roles will improve knowledge of men on maternal health care issues. Continuing education training programme should be organized for health workers on attitudinal change to clients.
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    STRESS AND COPING MECHANISMS AMONG POSTGRADUATE STUDENTS OF UNIVERSITY OF IBADAN, NIGERIA
    (2013-01) VAUGHAN, O. A.
    Undertaking University education in Nigeria may be fraught with stress. The bulk of previous studies on stress among university students had focused on undergraduates, leaving stress and coping mechanisms among postgraduate students inadequately investigated. In this study the stressors and the coping mechanisms adopted by postgraduate students of the University of Ibadan, Nigeria were identified. A cross-sectional survey involving a 3-stage random sampling technique was adopted in selecting 340 postgraduate students from the 13 faculties in the institution. Focus group discussions (FGD) and a validated self-administered semi-structured questionnaire that included a 32-point stress scale were used to collect information about the stressors and the coping mechanisms adopted by the students. Descriptive statistics and Chi - square were used to analyze the data at p = 0.05. The mean age of respondents was 30.7 ± 6.7 years, and 50.6% were males. Seventy one percent of respondents stated that stress was a normal phenomenon, while stressors were classified by respondents as those challenges which could be physical, financial, psychological or emotional that hinders them from performing optimally. Forty percent complained of having to do many courses to satisfy university requirements. The situations that respondents considered stressful included having too many assignments (34.7%) and having difficult lecturers (16.5%). Medically, the respondent’s response to stress included moderate fatigue (29.1%), sleeplessness (5.3%) and increased heart rate (2.1%). The types of support received included financial assistance (12.6%) moral encouragement (38.5%), spiritual guidance (11.8%) and medical assistance (2.9%). Recreational activities used to relieve stress included sports and exercise (54.7%), sightseeing (10.6%), visiting night clubs (2.6%), reading (11.2%). The overall mean knowledge score on stress was 9.4 ± 4.3, respondents aged 41-50 years had the highest mean stress score (5.0 ± 3.3) while the lowest mean score of 4.8 ± 3.9 was found among the 21-30 years age group. Female respondents had higher (4.7 ± 3.7) mean score than male 4.6 ± 3.8. Respondents from the Clinical Sciences had the highest mean score of 7.7 ± 3.8 while those in the faculties of Public Health had the lowest mean score (2.8 and 3.0 respectively). No significant relationship was found between the gender of the respondents and stress. Recommendations made by the FGD participants on how postgraduate students can cope with stress included improvement in time management, avoiding procrastination, reduction of situations that bring about stress, seeking medical attention, and praying to God. Coping mechanisms in response to stress by postgraduate students in the University of Ibadan was poor. There is therefore a need to provide training on coping mechanisms and the University authority should improve the condition of the learning environment.
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    KNOWLEDGE, PERCEPTION, ILLNESS-RELATED EXPERIENCES AND TREATMENT COMPLIANCE AMONG DIABETES MELLITUS PATIENTS IN SELECTED HOSPITALS IN IBADAN, OYO STATE, NIGERIA
    (2014-11) OYELAMI, F. I.
    Diabetes Mellitus (DM) is a chronic disease of public health importance in Nigeria. However patients’ knowledge, perceptions, practices and experiences relating to DM seems not to have been sufficiently investigated. This study was therefore designed to determine DM-related knowledge, perception, illness-related experiences and treatment compliance among diabetics in selected hospitals in Ibadan. The study was a cross-sectional survey involving systematic random sample of 600 out of 2,115 diabetes patients receiving treatment at the following purposively selected health care facilities: University College Hospital, Ring-Road State Hospital and Oluyoro Catholic Hospital. The semi-structured questionnaire used for data collection included 45-point knowledge and 32-point perception scales, questions on socio-demographic characteristics, illness-related experiences and treatment compliance. Knowledge scores of 1- 20, 21 - 35 and 36 - 45 were considered poor, fair and good respectively. Perception scores of ≤16 and ≥ 17 points were categorized as negative and positive respectively. Descriptive statistics, Chi-square test and t-test were used for data analysis at p< 0.05. Mean age of the respondents was 63.9 ± 8.6 years, 75.3% were married and 62.7% were females. Respondents’ sources of information about DM included doctor (41.0%), radio (29.3%) and friends (27.3%). Mean knowledge score was 36.6 ± 5.8. Respondents with poor, fair, and good knowledge were 2.5%, 32.5%, and 65.0% respectively. Majority (87.8%) were aware that diabetics could take most food substances in small amounts. Respondents’ mean perception score was 21.8 ± 4.8. The positive perceptions included views that DM cannot be cured (69.2%) and Physical Exercise (PE) can be used to control DM (90.0%) while negative perceptions included views that it is the best types of food health care providers tell diabetics not to eat (68.7%), and too much time is wasted in the clinic (75.8%). Respondents with overall negative and positive perceptions were 6.0% and 94.0% respectively. Perceived diabetic-related symptoms experienced within three months preceding the study included: cramps (72.0%), excessive hunger (73.8%), profuse sweating (75.5%) and severe thirst (77.8%). None of the respondents complied with all the DM recommended treatment practices. Non–compliance related practices among the respondents’ included: failure to go to the hospital for regular checkup (51.5%), failure to take drugs as a result of forgetfulness (50.2%) and excessive consumption of food which ought to be taken in small quantities (43.8%). A major challenge faced by the diabetics was high cost of drugs as stated by the respondents (69.0%). There was no significant difference in respondents’ mean scores by sex (male=36.6 ± 5.6; female = 36.5 ± 6.0). Similarly, there was no significant association between perception that DM could be controlled by PE and respondents’ age. Knowledge of majority of respondents was high and many had appropriate perceptions needed to cope with the disease. However, inadequate compliance with various measures for managing the disease constitutes a concern which could be addressed by patient education and social support.
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    FACTORS INFLUENCING INTENTION TOWARDS ORGAN DONATION AMONG HEALTH PROFESSIONALS IN LADOKE AKINTOLA UNIVERSITY OF TECHNOLOGY TEACHING HOSPITAL, OSOGBO, NIGERIA
    (2014-07) OYENIRAN, A. A.
    One of the greatest technological advancements in modern medical practice is the discovery that lives could be saved through Organ Donation (OD) and transplantation. However, there is an unmet demand for OD and transplantations because few people including Health Professionals (HPs) are willing to donate. Therefore, this study was conducted to identify the factors influencing intention to donate organs among HPs at Ladoke Akintola University of Technology Teaching Hospital, Osogbo. This descriptive cross-sectional study employed stratified random sampling technique using profession as the basis for stratification to proportionately select 410 HPs through balloting. A semi-structured interviewer-administered questionnaire was used to elicit information on socio-demographic characteristics, OD awareness, knowledge, attitude and intention to donate. Knowledge and attitude were measured on a 41-point and 15-point scales respectively. Knowledge score of ≤22 was rated as poor while attitudinal score of ≤9 was rated as negative. Intention to be Living Donors (LDs), Cadaveric Donors (CDs) or both were classified as willing and unwilling. Two In-Depth Interviews (IDIs) which was used to complement the quantitative data were conducted with two available doctors in organ transplantation-related fields and analysed using thematic approach. Quantitative data were analysed using descriptive statistics, Chi-square and logistic regression at p<0.05. Respondents’ mean age was 33.6±7.4 years and 57.9% were females. Majority (83.5%) were doctors (37.1%) and nurses (46.4%). Others (16.4%) were pharmacists, paramedics and Health Record Officers (HROs). Most (99.7%) respondents had heard about OD. Out of this, 70.8% were aware of OD requests in Nigeria. Majority had poor knowledge (80.2%) and negative attitude (72.3%) to OD. None had donated an organ before while 44.2% were willing to donate. Of those willing to donate, 29.3% preferred to be LDs alone while 49.4% preferred to be both LDs and CDs. The reasons adduced for willingness to donate were to save lives (19%) and if a loved one needed it (13.2%). Adverse health consequences (33.9%), fear of death (17.5%) and lack of conviction to donate (12.5%) were the reasons for unwillingness to become LDs. The reasons for unwillingness to be CDs included not having considered it (46.0%), its complicated process (23.4%) and religious implications (20.4%). Majority (73.6%) believed that education was imperative to promoting OD while 12.4% supported the use of incentives. Knowledge of OD was not significantly associated with OD intention. The proportion of doctors willing to donate (58.9%) was significantly higher than HROs (42.1%). Sex was a significant predictor of OD intention (OR: 2.2, 95% CI: 1.4-3.3) with males more willing to donate. Respondents with positive attitude to OD were more willing to donate (OR: 5.0, 95% CI: 3.1-8.1). The IDIs revealed that HPs were unwilling to donate due to fear and uncertainty of OD outcome. It was agreed that information about successful OD should be made available to the public. Intention to donate was influenced by sex and attitude. Health education strategies such as periodic workshops, handbills providing information to dispel existing fears and misconceptions about organ donations should be promoted especially among female health professionals.
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    FACTORS INFLUENCING COMPLIANCE WITH THE NATIONAL ANTIMALARIAL TREATMENT GUIDELINES BY FACILITY-BASED SECONDARY HEALTH CARE PHYSICIANS IN OYO STATE, NIGERIA
    (2015-02) OYEDOKUN, F. I.
    The National Antimalarial Treatment Guidelines (NATG) stipulates treatment actions for the management of malaria using Artemisinin Combination Therapy (ACT). Available evidence indicates that adoption of treatment guidelines are not matched with corresponding levels of comprehension and compliance. An investigation of practice gaps will generate information which will guide future policy formulation and implementation. The aim of this study was to determine the factors influencing compliance of facility-based secondary health care physicians in Oyo state with NATG. This descriptive cross-sectional study involved 94 out of 124 physicians on full-time employment from all 36 secondary health care facilities offering malaria management services in Oyo state. They were interviewed using a semi-structured interviewer-administered questionnaire to elicit information on awareness of and perceived challenges relating to implementation of the NATG. This included a 60-point knowledge scale on diagnosis and treatment of malaria with knowledge scores of 0-20, >20-40 and >40-60 rated as poor, fair and good respectively. Case notes of malaria patients seen on the day of interview were stratified into three categories; under-five children, pregnant women and adults. A minimum of one and maximum of three case notes were randomly selected across the strata per physician. Overall, 44, 74 and 128 case notes belonging to pregnant women, under-five children and adults respectively were assessed using a check-list which included an 11-point compliance scale on patient’s history documented, laboratory assessment and drug prescribed by dosage. Compliance scores of 0-3, >3-7 and >7-11 were rated poor, fair and good respectively. Data were analysed using descriptive statistics and t-test at p=0.05. Age of respondents was 40.0±8.6 years, 70.2% were males and mean years of experience was 9.4±3.4. Majority (84.0%) of the respondents had ever received training on NATG, 91.5% of the respondents had heard of the NATG mainly from medical conferences. However, 48.9%, 37.2% and 11.7% had seen, read and have personal copies of NATG respectively. Knowledge score was 32.4±6.4 with 8.5% and 90.4% of respondents having good and fair knowledge of the NATG respectively. Compliance score was 4.3±1.9 with 4.5%, 63.4% and 32.1% of physicians having good, fair and poor compliance respectively. Only 0.8% of case notes had complete history documented, 54.0% had prescription for ACT, 19.1% Sulphadoxine Pyrimethamine and 26.9% non-recommended Anti-Malarial Drugs. Recommended dosage of ACT was correctly prescribed in 26.0% and 47.8% of case notes belonging to children and adults respectively. Only 24.2% of adults and 5.6% of children had both clinical and laboratory assessments before prescription. High cost (31.4%), unavailability (14.9%) and treatment inefficacy (9.1%) of ACTs were identified as perceived hindrances to compliance with NATG. A statistically significant higher compliance score (4.4±1.7) was observed amongst respondents ever trained on NATG than those never trained (3.7±1.3). An interplay of factors influenced physician’s compliance with the national antimalarial treatment guidelines. Continuing professional training programmes on compliance with current malaria treatment approaches and adequate supervision are recommended.
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    HEALTH SEEKING BEHAVIOUR AND PATTERN OF ADHERENCE TO TREATMENT AMONG PATIENTS WITH TYPE-2 DIABETES MELLITUS IN CENTRAL HOSPITAL WARRI, DELTA STATE
    (2013-05) AGOFURE, O.
    Type-2 Diabetes mellitus (T2DM) could be well managed if patients adhere strictly to treatment regimen. Adherence to treatment (ATT) is a major challenge among patients with T2DM partly because the disease requires lifelong management to prevent the onset of complications. Previous studies on ATT have not been linked with studies on Health Seeking Behaviours (HSBs). Consequently, a study on HSBs and factors influencing ATT of patients with T2DM will be useful for its effective management. This study was therefore designed to investigate HSBs and pattern of ATT among T2DM patients in Central Hospital Warri, Delta State. A cross-sectional study was conducted among 350 purposively selected patients with T2DM. A semi-structured questionnaire was interviewer administered to obtain information on respondents’ socio-demographic characteristics, HSBs, level of ATT, factors influencing ATT and suggestions on ways of improving ATT. A 14-point scale graded; poor (0-8) and good (>8) was used to measure HSBs. A 24-point scale graded; partial (0-13) and strict (>13) was used to measure ATT. Descriptive statistics, Chi-square test and logistic regression were used to analyse the data with level of significance set at 0.05. Mean age of respondents was 57.9 ± 9.8 years, 60.9% were females and 78.0% were married. More than 95.0% exhibited good HSBs and 58.0% adhered strictly to treatment. Analysis of the determinants of non-adherence to treatment showed that taking alternative traditional medicines (herbs) for treatment of the disease was the major contributing variable (OR = 2.5, 95% CI = 4.55-1.69). Factors that hindered adherence included difficulty in sticking to prescribed diets (69.1%) and the least was busy schedule of doctors to listen to patients’ complaints (0.3%). Respondents who were diagnosed with T2DM at mid-adulthood (40-49 years) did not significantly exhibit strict ATT (27.7%) more than those (15.4%) who were diagnosed at late-adulthood (50-59 years). Suggestions on ways of improving ATT included self discipline (46.9%) and encouragement from healthcare personnel (44.0%). Lack of awareness about the disease (42.6%) was a major challenge confronting patients with T2DM. One of the ways of overcoming the challenges of T2DM was creation of awareness as suggested by 39.1% of respondents. Respondents exhibited good health seeking behaviour but use of alternative medicine (herbs) remains a major challenge among patients with type-2 diabetes mellitus. Health education on diabetic care with emphasis on adherence to treatment regimen, among other strategies, should be organised regularly for diabetic patients.
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    AWARENESS, ATTITUDE AND PRACTICES OF PRE-MARITAL GENOTYPE TEST AMONG UN-MARRIED STUDENTS OF THE POLYTECHNIC, IBADAN, NIGERIA
    (2014-04) OTEVWOYERE, V. E.
    Sickle Cell Anaemia (SCA) is one of the major causes of morbidity and mortality and a strategic way of reducing the problem is to educate the public and create more awareness on its causes and prevention. There is need for adequate information on awareness and attitude of young adults in tertiary institutions to undertake Pre-marital Genotype Test (PGT).Therefore, this study was aimed at determining the awareness, attitude, and practices of PGT among unmarried students of The Polytechnic, Ibadan. A cross sectional survey was conducted among 382 students who were randomly selected from the four halls of residence in The Polytechnic Ibadan, using a multistage sampling technique. A semi-structured questionnaire which included information on socio-demographic characteristics, awareness about SCA and PGT, 40- point attitude scale relating to PGT, practice of PGT and intention to undertake the test was administered on the respondents. Scores of < 20 and ≥ 20 were classified as negative and positive respectively. Descriptive statistics and Chi-square test were used to analyse the data with level of significance set at 5%. The mean age of respondents was 21.6 ± 3.1 years, 56.6% were females, 68.6% were Christians and 35.5% were in their first year of the National Diploma (ND) course. Respondents’ awareness of SCA and PGT were 89.0% and 92.3% respectively. Major sources of information on SCA and PGT were television (67.9% and 59.8%), friends (54.9% and 50.6%), parents (44.1% and 59.8%) and health workers (47.4% and 50.3%) for both sexes. More than half of the respondents (58.4%) knew their Haemoglobin (Hb) genotype. Of those that claimed to know their Haemoglobin (Hb) genotype, 37.3%, 17.1%, 3.1% and 0.9% were AA, AS, SS and AC respectively. Parents were the major decision makers for respective Hb genotype testing. Of those that knew their Hb genotype, 18.2% and 26.2% of males and females respectively had informed their partners of the result. In respect to respondent’s attitude to PGT, 54.0% had positive and 46.0% had negative attitude. Less than quarter (23.4%) of the respondents would not marry anyone with SCA, 58.4% agreed that it should not be a hindrance to marriage, while 55.4% affirmed their right to know their partner’s genotype before marriage and 37.3% reported that their partner’s genotype result would affect their selection of spouse. Furthermore, majority (85.3%) knew the importance of PGT. About 35.0% of those who did not know their Hb genotype intend to undertake the test before marriage. There was significant relationship between respondent’s awareness about SCA and awareness about genotype testing (p= 0.001). Awareness and practice in respect to sickle cell anaemia and pre-marital genotype test among respondents were high. Partner’s result affects the decision of respondents especially those with positive attitude towards premarital genotype test as critical factor. More awareness programmes should be created by the stakeholders during fresher’s orientation programme by educating the students on premarital genotype test and the consequences of actions guiding their choice of partner.