Tertiary Hospital In South West Research Articles

Prevalence and Determinants of Sickness Absenteeism among Healthcare Workers in a Tertiary Hospital in Southwestern Nigeria

Introduction: Sickness absenteeism is a global problem that affects almost all forms of workers, especially healthcare workers. This study assessed the prevalence and determinants of sickness absenteeism among healthcare workers in a tertiary hospital in Southwest, Nigeria. Methods: An institutional-based, cross-sectional study was conducted among 360 healthcare workers in a Tertiary Hospital in Southwest, Nigeria from October to December 2022. A pre-tested interviewer-administered, semi-structured questionnaire was used to elicit information from the respondents who were selected using a stratified sampling technique. Bivariate analysis and binary logistic regression analysis were performed to identify the predictors of sickness absenteeism using SPSS version 25.0. The significance of associations was determined at p-value < 0.05. Results: The mean age ± SD of the respondents was 34 ± 7.15 years. The prevalence of sickness absenteeism among the health workers was 21.0%, while the causes of sickness absenteeism were malaria (51%), body pain (18%), and diarrhea (5%). Family obligation (AOR: 2.1, 95% CI: (1.20, 3.53), P=0.009) and the job type (AOR: 2.7, 95% CI: (1.05, 6.83), P=0.038) were the only predictors of sickness absenteeism. Conclusion: About one-fifth of the respondents had one spell of sickness keeping them away from work due to illnesses such as malaria, diarrhea, and body pain. Preventive interventions should be instituted by stakeholders based on the identified factors to reduce the prevalence of sickness absenteeism among these populations.

Key CT markers for predicting haemorrhagic transformation after ischaemic stroke: a prospective cohort study in China

ObjectivesLimited studies have systematically addressed the CT markers of predicting haemorrhagic transformation (HT). We aimed to (1) investigate the predictive ability of the imaging factors on multimodal CT for HT...

Associations between velamentous or marginal cord insertion and risk of adverse perinatal outcomes in twin pregnancies: a retrospective cohort study

BackgroundVelamentous cord insertion (VCI) and marginal cord insertion (MCI) are well-known risk factors for adverse perinatal outcomes in singleton pregnancies. However, the potential links between VCI or MCI and perinatal outcomes in twin pregnancies have yet to be systematically evaluated. This study aimed to investigate the relationships between VCI or MCI and perinatal outcomes in twin pregnancies.MethodsThis retrospective single-center cohort study included women with twin pregnancies who gave birth in a tertiary hospital in Southwest, China between January 2017 and December 2022. VCI and MCI were identified by abdominal ultrasound and confirmed after placental delivery. Logistic regression, multinomial logit regression and generalized estimation equation models were used to evaluate the association between VCI or MCI and perinatal outcomes.ResultsA total of 3682 twin pregnancies were included, including 100 (2.7%) pregnancies with VCI and 149 (4.0%) pregnancies with MCI. Compared to pregnancies with normal cord insertion, both monochorionic and dichorionic pregnancies with VCI were associated with an increased risk of preterm delivery 32–34 weeks (aRRR 2.94, 95% CI 1.03–8.39; aRRR 2.55, 95% CI 1.19–5.46, respectively), while pregnancies with MCI were not associated with preterm delivery. VCI was associated with a higher incidence of placental previa (aOR 6.36, 95% CI 1.92–21.04) in monochorionic pregnancies and placental accreta (aOR 1.85, 95% CI 1.06–3.23) in dichorionic pregnancies. MCI was associated with an increased risk of preeclampsia (aOR 3.07, 95% CI 1.49–6.32), intertwin birthweight discordance ≥ 20% (aOR 2.40, 95% CI 1.08–5.60) and selective fetal growth restriction (aOR 2.46, 95% CI 1.08–5.60) in monochorionic pregnancies and small-for-gestational age neonates (aOR 1.97, 95% CI 1.24–3.14) in dichorionic pregnancies.ConclusionsVCI was associated with an increased risk of preterm delivery in twin pregnancies irrespective of chorionicity, whereas MCI was associated with an increased preeclampsia risk, significant intertwin birthweight discordance in monochorionic pregnancies and small-for-gestational age neonates in dichorionic pregnancies.

Prevalence of Anaemia among Antenatal Clinic Attendees at A Tertiary Hospital in South West, Nigeria

Introduction: Anaemia in pregnancy is a global public health problem causing both maternal and perinatal morbidities and mortalities. Prevalent rates vary from one geopolitical region to the other. Efforts have been made to reduce this condition during pregnancy through the use of haematinics and other interventions. However, despite all the efforts put in place, pregnant women still present with this condition. This study was carried out to find out its prevalence rate and the factors responsible for it. Materials and Methods: It was a cross-sectional institutional based study carried out at the antenatal clinic of the University of Medical Sciences Teaching Hospital Complex, Akure, Ondo State, South West, Nigeria. The study used a systematic sampling to recruit 400 antenatal clinic patients over a period of 16weeks starting from the 16th of August to 16th of December 2022.The women were interviewed with copies of a structured questionnaire administered by trained research doctors who also helped in the collection of the blood samples. About 3mls of venous blood was collected from the antecubital vein using plastic disposable syringes into sample bottles containing ethylene diamine-tetra acetic acid (EDTA) and the bottles labelled accordingly. Packed cell volume and red cell morphology were done for the women at the time of recruitment. Data obtained were analysed using the Statistical Package for Social Sciences (SPSS Version 22). Descriptive statistics were computed for all relevant variables, Chi Square test and Multivariate logistic regression were used to test for association and possible risk factors for anaemia. The level of significance was set at ???? < 0.05. Results: Most of the women were within 30years- 39years (51.2%, 205) with a mean age of 31.61years±5.37years. Most of them were married (97.3%, 389), were Christians (94.5%, 378), were Yorubas (82.8%, 331), were traders (40.3%, 161), had tertiary level of education (68.8%, 275) and lived in the urban areas of Ondo State (89.5%,358). Most had their first menses between the ages of 10 to 15 years (79.2%, 317) with a mean age of 14.24 ± 2.12 years. Majority had inter- pregnancy interval of ≤ 2 years (53.7%, 215). There was no history of bleeding in most of the women (91.5%, 366), many of them were in the third trimester of their pregnancy (64.1%, 257) with a mean gestational age of 28.83 ± 6.91 weeks. The prevalence of anaemia among the study participants was 40.0% (160/400) while 60% (240/400) were not anaemic. Among the participants who were anaemic, 77.5% (124/160) had mild anaemia, 22.5% (36/160) had moderate anaemia while none had severe anaemia. The only risk factors identified to be responsible for anaemia among the women were high parity and being in the third trimester of pregnancy. Conclusion: This study showed that the prevalence of anaemia is still high among our women mostly occurring among women of high parity and in the third trimester of pregnancy. Efforts must be intensified to address this condition through the use of haematinics which can be started pre-conception and adequate counselling on the need to fully recover from the effects of one pregnancy before embarking on another.

Effect of Peer-Led Educational Intervention On Occupational Risk Prevention Practices Among Medical Waste Handlers in Tertiary Hospitals, Southwest, Nigeria

This study was undertaken to assess the effect of peer led educational intervention programs on the occupational risk prevention practices among the medical waste handlers in some selected tertiary hospitals in South west, Nigeria. The specific objectives were to determine the baseline occupational risk prevention practices among the participants; and assess the effect of peer- led educational intervention on the occupational risk prevention practices at 12th week post intervention follow up among the participants. The study was an interventional study and adopted a two group quasi-experimental design. Participants of the study were the hospital attendants that served as medical waste handlers working at Olabisi Onabanjo University Teaching Hospital, Sagamu and Federal Medical Centre, Ebute Meta, Lagos. The instrument for the study was a structured questionnaire developed to determine the baseline assessment and outcome evaluation of the intervention. Data collected were analysed using descriptive and inferential statistics. The findings of the study revealed that the mean score of risk prevention practices at 12th week post intervention for control group is 11.12±3.20 while the experimental group is 17.32±4.78 with mean difference of 6.20 in favour of the experimental group. The study concludes that peer led educational intervention programs was effective in improving risk prevention practices among the medical waste handlers. It was recommended among others that major stakeholders in the ministry of health and health institutions should adopt peer led education in the training of the medical waste handlers.

In-patient morbidity and mortality patterns among patients with diabetes in Southwest Nigeria: A multicenter prospective study

Background: Diabetes is a disease of public concern with increasing hospital admissions and mortality in developing countries. Hence, we aimed to determine the patterns of in-hospital morbidity and mortality in patients admitted for diabetes. Methods: A prospective multicenter analysis of the causes of hospital admission and death among patients with type 2 diabetes who were admitted from diabetic clinic and emergency units over a 3-month period in selected tertiary hospitals in southwest, Nigeria was conducted. Data analysis was performed using the SPSS version 21.0. Results: A total of 341 patients with diabetes were admitted with a mean age of 59.6 ± 15.6 years and overall mortality of 14 deaths (4.4%). Almost three-fifths (59.5%) were previously known patients with diabetes with a mean duration of 52.44 ± 30.02 months. Two hundred and thirty-one (70.9%) patients were admitted through the emergency units and others through outpatient clinics. The duration of hospital stay ranged from 1 to 135 days, with a mean duration of 24.5 ± 14.7 days. The diabetes-related indications for admission were hyperglycemic crisis (diabetes ketoacidosis [DKA] and hyperglycemic hyperosmolar state [HHS]) (59.8%), diabetic foot ulcer [DFU], (11.7%), hypoglycemia (7.6%), and infections (7.3%). Among the diabetes-related diagnoses, 100%, 77.8%, 50.0%, 41.7%, and 28.3% of patients with chronic kidney disease, stroke, DFU, DKA, and HHS respectively stayed longer than 10 days on admission. Conclusion: Diabetes still contributes high cause of morbidity in our hospitals but with a reduced mortality compared to previously reported figure. Hence, continued emphasis on early diagnosis with improvements in diabetes care will help to improve diabetes outcomes.

Benign gallbladder disease is a risk factor for colorectal cancer, but cholecystectomy is not: A propensity score matching analysis.

Previous studies reported controversial results on the relationship between cholecystectomy (CHE) and colorectal cancer (CRC). We hypothesized that gallbladder disease (GBD), instead of cholecystectomy, increased the risk of CRC. We aimed to investigate the incidence of benign gallbladder disease (BGBD) and CHE in CRC patients and local adults undergoing annual health examination by analyzing large data from a tertiary hospital in southwest China. A propensity score matching (PSM) analyzed, retrospective study from January 1, 2013, to August 31, 2020, including 7,471 pathologically confirmed CRC patients and 860,160 local annual health examination adults in the First Affiliated Hospital of Chongqing Medical University, was conducted. The prevalence of BGBD and the CHE rate were analyzed before and after a 1:1 PSM. Of the 7,471 CRC patients, 7,160 were eligible for the case group. In addition, 860,160 local health examination adults were included for comparison. The incidence of BGBD was higher in the CRC patients than in the local adults (19.2% vs. 11.3%, P < 0.001), but no significant difference in CHE rate existed between the case group and the control group (5.0% vs. 4.8%, P = 0.340). In the subgroup analysis, patients with BGBD had a higher risk of colon cancer than rectal cancer (20.4% vs. 18.2%, P = 0.024) and more significantly in the right colon (P = 0.037). A weakly positive correlation between CHE and right colon cancer was observed before PSM but no longer existed after PSM (P = 0.168). Benign gallbladder disease was positively correlated with colorectal cancer, especially right colon cancer. Cholecystectomy did not increase the risk of colorectal cancer.

Leadership Styles, Change Management and Job Performance of Health Information Management Practitioners in Tertiary Hospitals in South-West, Nigeria

The study examined the influence of leadership styles and change management on job performance of Health Information Management practitioners in tertiary hospitals in South-West, Nigeria. The study employed survey research design. A sample size of 239 Health Information Management Practitioners in Tertiary Hospitals in South-West, Nigeria was employed using proportionate sampling technique. Besides, a self-developed structured questionnaire was used to gather data for the study. Data analysis involves both descriptive and inferential statistics. Result revealed a high level of job performance of Health Information Management practitioners in tertiary hospitals in South-West, Nigeria. In addition, the study revealed that leadership style and change management had a combined influence on job performance of Health Information Management practitioners in selected tertiary hospitals in Southwest, Nigeria (Adj. R2=0.287, β = 0.348, (t= 238), F (2, 238) = 12.234, p&lt;0.05). The study therefore concluded that most Health Information Management Practitioners in Southwest Nigeria were performing well on their job as specified by Health information management practice. Despite the negative factors of wrong leadership styles there still exist high job performance because of skillful trainings and professionalism. However, many do not adhere to policy of Health information management practice in the study area. Key words: Leadership styles, Change management, Job performance, Health Information Management Practitioners, Tertiary Hospitals, South -West, Nigeria.

Direct Medical Cost of Treating Substance Use Disorders in Two Tertiary Hospitals in South-West, Nigeria: A Cross-Sectional Study.

Introduction Successful interventions for substance use disorders (SUDs), though obtainable, are not effectively utilized due to the high cost of treatment. The adoption of any given therapy is often impeded by insufficient evidence of the effectiveness of such treatment. Objective This study aimed to assess the direct medical cost of treating SUD in two tertiary hospitals in South-West, Nigeria. Methods A descriptive, cross-sectional survey of patients managed for SUD at the two psychiatric hospitals was carried out between January and June 2020. The inclusion criteria were patients with SUD above 18 years of age, registered and managed at the two hospitals. Data were collected from selected patients' case notes using a standardized data collection tool and analyzed using descriptive and inferential statistics. Results The average costs of treatment for alcohol use disorder, drug use disorder, and drug and alcohol use disorder were ₦146,425.38 ± 57,388.84, ₦135,282.09 ± 53,190.39, and ₦143,877.33 ± 68,662.04, respectively. This translates to $384.82, $355.53, and $378.12, respectively. The highest contributors to SUD treatment cost are inpatient admissions and the cost of medicines; inpatient admissions include accommodation, feeding, and laundry. Conclusion Considering that over 60% of the Nigerian population lives below the poverty line, the direct cost of SUD treatment is unaffordable to the patients and the health care system, which is grossly underfunded.

The burden of diabetic complications in subjects with type 2 diabetes attending the diabetes clinic of the Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria - a cross-sectional study

the increasing prevalence of diabetes (DM) worldwide has resulted in an increase in the morbidity and mortality of DM. This burden is as a result of the development of the chronic complications associated with it. This study determined the burden of occurrence of microvascular and macrovascular complications of subjects with type 2 diabetes attending the out -patient clinic of a tertiary hospital in south west Nigeria. this cross-sectional study involved 400 consecutive subjects with type 2 diabetes. A study proforma was used to document the socio demographic data. While clinical assessment for anthropometric measurement, blood pressure was done. Laboratory measurement of blood glucose control and lipids were done. Assessment of the occurrence of microvascular and macrovascular complications were performed and documented. four hundred type 2 DM participants made up of 190 males and 210 females with a mean age of 60.35±9.53 years, with a mean age of 60.35(SD 9.53) years for males and 60.81(SD10.29) years for females. Median duration of DM for all subjects was 6.00(IQR 3.00 - 11.00) years. Majority (45%) of the participants were overweight. The prevalence of hypertension was 78% and poor glycaemia using HBA1C was 75.5% and 59.8% had dyslipidaemia. The occurrence of microvascular complications (diabetic neuropathy - 82%, diabetic retinopathy - 46% and diabetic nephropathy - 44%) 69.3% while macrovascular complications (peripheral arterial disease - 42.5%, stroke - 4%, electrocardiographic changes if ischaemic heart disease -9.3% and left ventricular hypertrophy - 22%) in 49%. Regression analyses showed advancing age aOR (1.18 [95%CI 1.01 - 1.38]) and waist circumference (aOR 1.17 [95% CI 1.00 - 1.36]), as significant contributors to the presence of diabetes complications. the risk factors of both microvascular and macrovascular complications remain high in our clinic and this is linked to the high burden of diabetes mellitus and its long duration.

Prevalence of hepatitis B virus infection among children attending the outpatient clinic of a tertiary health centre in Southwest Nigeria.

hepatitis B virus (HBV) infection is a global health disease. One-third of the world´s population is reportedly infected with the virus. Infections in children are mostly perinatal and therefore acquired early in life, with a propensity to evolve into chronic diseases and their attendant life-threatening complications. Early diagnosis can, however, improve outcomes in this group of children. The study aimed to determine the prevalence of HBV among children attending the outpatient clinic of a tertiary hospital in Southwest Nigeria. we recruited a total of one hundred and ninety-eight children aged 6 months to 18 years from the children´s outpatient clinic of a tertiary health centre, using the systematic sampling technique. HBsAg was tested using the HBsAg test kit (PRO-med®, China), and the anti-HBs antibody was tested using the ELISA method. Data were analysed using SPSS version 26. of the 198 children that were screened, 2 (1.0%) were positive. Of these, one (50.0%) had a Hepatitis B positive mother and was HBeAg positive. Two-thirds of the children had received the hepatitis B vaccine, as evidenced by caregivers´ recall, or sighting of the immunization record. There was no statistically significant relationship between the hepatitis B status of the children and the sociodemographic parameters. the study supports the fact that paediatric HBV infections are transmitted from mother to child. Though the prevalence of HBsAg in the study population was lower than the national average for the country, routine immunization program should be strengthened for further control of HBV. Age and gender were not significantly associated with HBV infection in this study.

Health Professionals' COVID-19 Vaccine Acceptance and Associated Factors in Tertiary Hospitals of South-West Ethiopia: A Multi-Center Cross- Sectional Study.

BackgroundAcceptance of the COVID-19 vaccine by health professionals highly influences the communities’ decision to receive the vaccine, because health professionals are perceived to be a reliable source of health information. Hence, this study aimed at assessing COVID-19 vaccine acceptance and associated factors among health professionals in two tertiary hospitals in southwest Ethiopia.MethodsA cross-sectional study was conducted among 319 health professionals working in Jimma University Medical Center and Mizan-Tepi university teaching hospital, southwest Ethiopia, from June 30, 2021 to July 30, 2021. Data were collected by a structured self-administered questionnaire and analyzed by SPSS version 23. A multivariate logistic regression model was used to identify independent factors associated with health professionals’ covid-19 vaccine acceptance. Variables with P-value < .25 on univariate analysis were candidates for multivariate logistic regression. Then, variables with P-value < .05 at 95% CI in multivariate logistics regression were considered statistically significant.ResultsOf the total participants, 232 (72.73%) received COVID-19 vaccines. Among non-vaccinated health care professionals, 82 (94.3%) of them stated, worries about the safety and side effects of the vaccines, as the reason for non-acceptance. Factors such as, friends or families diagnosed with COVID-19 (AOR = .086; CI: 95%, .041–.18; P = .001), and attitudes and beliefs about COVID-19 and its vaccine (AOR = .129; CI: 95%, .037–.449; P = .001), were significantly associated with the acceptance of COVID-19 vaccine.ConclusionMore than one-fourth of health professionals who did not accept COVID-19 vaccines require immediate intervention through awareness creation on the safety and adverse effects of the vaccine by the government and other stakeholders. Otherwise, the community may in large reject the vaccine as they trust health professionals.

Exposure to Occupational-related Blood and Fluids Infections, Accidental Injuries and Precaution Practices among Healthcare Workers in a Tertiary Hospital in South-West, Nigeria

Background and Aim: Healthcare workers are at risk of infections from blood-borne pathogens due to percutaneous injuries from sharps, mucous membrane and skin exposures to contaminated blood and bodily fluids. The study, therefore, investigated exposure to occupational-related blood and fluids infections, accidental injuries and precaution practices among health care workers in a tertiary hospital in South-West, Nigeria. Methods: The study utilised a cross-sectional research design requiring a structured questionnaire to elicit data from medical doctors, nurses and laboratory scientists/technologists. Through the convenience sampling technique, 266 respondents were selected for the study. Non-parametric descriptive statistics were used to analyse the data with the level of significance of the chi-square test put at 5%. Results: The overwhelming majority (76%) of the health care workers at the hospital are of the female gender. The study found that the majority of the respondents (92%) were trained on infection control in the course of their career while virtually all of them (98%) had never contracted an occupational-related infection. Recapping of used needles accounted for 24.4% of activity that predisposed the workers to accidental injuries. Also, there was a significant association between the recapping of needles and the occurrence of accidental injuries (P.V. = 0.000). Meanwhile, the incidence of unreported injuries stood at 70.3% as all the reasons given were significant (P.V. = 0.000) using a one-sample chi-square test. Conclusion: It has been established that prevention practices like training in infection control, adherence to clear work procedures and guidelines, post-exposure prophylaxis and use of personal protective equipment were associated with contraction of occupational-related infections. Moreover, while recapping of used needles was a usual practice in the hospital, it was, however, associated with cases of accidental injuries among most health care workers. Unfortunately, most cases of injuries were unreported due to certain significant reasons.

Prevalence and correlates of sexual dysfunction among patients with mental disorders in a tertiary hospital in Southwest Nigeria.

BackgroundSexual dysfunction is more common among patients with mental disorders compared to the general population. Despite this high occurrence, information regarding sexual dysfunction as well as their correlates in patients receiving care for mental disorders in developing countries is still sparse.AimTo determine the prevalence and correlates of sexual dysfunction among patients with mental disorders receiving care in a tertiary hospital in Southwest Nigeria.SettingThis study was performed at the psychiatric outpatient clinic at the University College Hospital, Ibadan, Southwest Nigeria.MethodsA cross-sectional study was conducted on a convenience sample of 238 adults aged 18–60 years. Socio-demographic and clinical information was obtained from all recruited patients. Sexual dysfunction was assessed using the International Index of Erectile Function questionnaire for men and the Female Sexual Function Index questionnaire for women. Questionnaires for measuring depression, medication adherence and autonomic medication side effects were also administered. Associations between sexual dysfunction and socio-demographic and clinical factors were explored.ResultsThe prevalence rates of sexual dysfunction among male and female participants were 84.7% and 95.7%, respectively. In the multivariate analysis, employment status and autonomic side effects of psychotropic medications significantly predicted male sexual dysfunction, while religion and employment status were predictors of female sexual dysfunction.ConclusionSexual dysfunction is very common among patients with mental disorders, with higher rates in female participants. There is a need for clinicians to consider routine screening for sexual dysfunction in psychiatric outpatients with a view of providing psychosocial interventions to improve patient’s quality of life.

High occurrence of antibiotic resistance and biofilm-formation among Stenotrophomonas maltophilia isolated from a tertiary hospital in Southwest of Iran

IntroductionThe emergence of Stenotrophomonas maltophilia (S. maltophilia) causes of morbidity and mortality infections associated with hospitalized or compromised patients. The aim of this study was to evaluate the antimicrobial resistance patterns, biofilm formation ability as well as the clonal and genetic diversity among clinical isolates of S. maltophilia. Materials and methodsDuring 8-months period, 109 non-repetitive S. maltophilia isolates were obtained from a tertiary hospital in Shiraz, Iran. Minimum inhibitory concentrations (MICs) was performed by broth microdilution. To detect rmlA, rpfF, spgM, and smf-1 genes, polymerase chain reaction (PCR) was performed. Moreover, to evaluate biofilm-forming ability of the isolates, microtiter plate method was used. Finally, to determine clonal relatedness among isolates, ERIC-PCR was performed. ResultsAmong 109 clinical isolates, 92.7% of isolates were collected from blood samples. The highest susceptibility was against levofloxacin (100%) followed by minocycline (96.3%) and the most resistance rate was against TMP/SMX (54.1%). Among the genes associated with biofilm formation, rmlA, spgM, rpfF, and smf-1 were detected in 78.9, 86.2, 58.7, and 32.1% of isolates, respectively. Moreover, 52.3% of S. maltophilia isolates were able to produce strong biofilm. ERIC-PCR typing revealed that 103 isolates with biofilm formation ability were classified into 7 clusters. ConclusionIn conclusion, high occurrence of antibiotic resistance in S. maltophilia isolates seems to be alarming for the health care systems. Moreover, the most detection biofilm formation gene was spgM. This study revealed a high-level of biofilm formation. Also, a close relationship between the presence of rpfF gene and biofilm formation was observed. Thus, it is challenging for physicians to treat infections resulting from these resistant bacteria. Also, molecular typing of S. maltophilia showed that isolates were relatively heterogeneous.

Immediate Outcomes of Neonatal Transport in a Tertiary Hospital in South-West of Nigeria

Neonatal morbidity and mortality continue to be major public health burden in developing countries despite the availability of proven cost-effective interventions for addressing it [1]. By the end of 2015, global neonatal mortality rates (NMR) had not reduced as much as under-five mortality rates and the need for 13 nations including Nigeria to accelerate the reduction in neonatal mortality rate in order to achieve 12 per 1000 live births by 2030 in line with the SDGs has been identified [2].

Level of implementation of WHO COVID-19 document on rights, roles and responsibilities of health care workers in a tertiary hospital in Southwest Nigeria.

in order to curb the increasing spread of COVID-19 amongst health care workers (HCWs), the World Health Organization (WHO) released the COVID-19 Rights, Roles and Responsibilities of Health workers (COVID-19 RRRHW) policy document aimed at protecting HCWs amidst the on-going pandemic. This study determined the level of implementation of the document in a tertiary hospital in Southwest Nigeria. this was a cross-sectional descriptive study among HCWs in a tertiary hospital in South-western Nigeria that assessed the level of implementation of the WHO COVID-19 RRRHW document using a closed ended structured questionnaire. five hundred and thirty-five HCWs participated in the study comprising 165(30.8%) males and 370(69.2%) females. Majority (87.3%) of the HCWs were 40 years and below. One hundred and sixty-three (30.5%) of the HCWs had been involved in the care of COVID-19 patients; less than 60% of the respondents were aware of the presence of an official platform for dissemination of information on suspected or confirmed cases of COVID-19 and 435(81.3%) were aware of hospital training on Infection Prevention and Control (IPC); 191(35.7%) have had uninterrupted supplies of personal protective equipment(PPE) and IPC materials; 211(39.4%) were aware of mental and counselling services in the hospital while only 106(19.8%) knew how to access these services; 289(54%) have attended IPC training and 307(57.4%) are able to don and doff PPE. this study showed inadequate implementation of the WHO COVID-19 RRRHW document. There is urgent need for all stakeholders to familiarize with the document in order to ensure adequate protection of HCWs and minimize their risk of contracting COVID-19.

Neonatal Jaundice: Perception of Pregnant Women Attending Antenatal Clinic at a Tertiary Hospital in Southwest, Nigeria.

Background: Severe neonatal jaundice (NNJ) remains a leading cause of preventable brain damage, mental handicap, physical disabilities, and early death among infants. Methods: Using a descriptive cross-sectional study design, information was gathered using a structured, pretested questionnaire from 518 pregnant women who attended the antenatal clinic at a tertiary Hospital in Southwest Nigeria. Results: Most (77%) of the respondents have heard about NNJ prior the survey. Most respondents (69.5%) demonstrated poor knowledge of the causes of NNJ. The majority, 98.4% had good attitude toward treatment of NNJ. Most respondents (72.1%) demonstrated poor knowledge of the correct treatment of NNJ. A quarter of the respondents knew no danger sign of NNJ. Conclusion: There is serious knowledge gap among the respondents about the causes, treatment, dangers signs and complications of NNJ. There is need for increased awareness campaign using every available means of reaching women of reproductive age group to reduce the consequences of this common neonatal problem.

Glycaemic control in patients with diabetes mellitus in a Tertiary Hospital in South-West, Nigeria

Glycaemic control in patients with diabetes mellitus in a Tertiary Hospital in South-West, Nigeria

Satisfaction among patients attending oncology clinic in a tertiary hospital in South West, Nigeria

Objective: This study determined patients' satisfaction with health care received at the oncology clinic in a tertiary hospital in Lagos, South West of Nigeria. Methods: A descriptive cross-sectional study was carried out among patients attending the oncology clinic in Lagos State University Teaching Hospital, Ikeja, Lagos. A total of 143 patients were recruited using a systematic random sampling and interviewer administered questionnaire was used to collect data. Analysis was done using Statistical Package for Social Sciences (SPSS version 20). Test of significance was performed using a 95% confidence interval and the level of significant set at p = 0.05. Results: More than half 123 (86.1%) reported that they got the kind of service they wanted, 125 (87.5%) reported almost all their needs had been met. Majority (92.3%) of the respondents were satisfied with the level of care received while 2.8% were indifferent and 7 (5%) were dissatisfied. The level of satisfaction was statistically significantly associated with age, marital status, level of education and average monthly income (p<0.05). Conclusion: Majority of patients were satisfied with the health care services at the oncology clinic. Regular satisfaction survey is recommended Keywords: Patient satisfaction, oncology, tertiary hospital