scholarly journals Knowledge, attitude and uptake of mammography among female health workers in two tertiary health facilities of Sokoto state, Nigeria

Author(s):  
Mansur O Raji ◽  
Shehu P Adamu ◽  
Hafsat O Akinnibosun-Raji ◽  
Hadija O Raji ◽  
Umar M Ango ◽  
...  

Background: Globally, breast cancer is the most common cancer in women and early detection remains the cornerstone of breast cancer control in terms of outcome and survival. Female health care workers, being frontline healthcare providers, often come in contact with patients and their relatives and can disseminate accurate mammography information. This study thus aimed to determine the knowledge, attitude and uptake of mammography among female health workers working in two tertiary health care facilities in Sokoto state, Nigeria.Methods: The study was cross sectional in nature. Using formula for estimating sample size for cross-sectional studies, a sample size of 209 was obtained. All female health care workers were eligible to participate in the study. Systematic sampling was used to recruit them into the study. A self-administered questionnaire was used for data collection. Data was subsequently entered into IBM statistical software package version 20. Descriptive and inferential analysis was performed All statistical tests were carried out using 2 tailed test with alpha set at 0.05.Results: Less than a fifth of the respondents knew the age screening mammography end if no breast problem is detected, less than half (44.4%) of the respondents knew how frequent a screening mammography be obtained after the age of 40 years. Less than a tenth (7.9%) of the respondents had ever had mammography done.Conclusions: Majority of our study participants had good overall mammography related knowledge, most of them demonstrated positive attitude towards mammography, the uptake of mammography in our study population was very low.

2020 ◽  
pp. 387-394
Author(s):  
Liese C.C. Pruitt ◽  
Stella Odedina ◽  
Imaria Anetor ◽  
Tolulope Mumuni ◽  
Helen Oduntan ◽  
...  

PURPOSE Breast cancer is the most common cancer among women, and in low- to middle-income countries late-stage diagnosis contributes to significant mortality. Previous research at the University College Hospital, a tertiary hospital in Ibadan, Nigeria, on social factors contributing to late diagnosis revealed that many patients received inappropriate initial treatment. METHODS The level of breast cancer knowledge among health practitioners at various levels of the health system was assessed. We developed a tool tailored to local needs to assess knowledge of symptoms, risk factors, treatments, and cultural beliefs. The recruitment included doctors, nurses, and pharmacists in public hospitals, physicians and pharmacists in private practice, nurses and health care workers from primary health care centers, community birth attendants, and students in a health care field from state schools. RESULTS A total of 1,061 questionnaires were distributed, and 725 providers responded (68%). Seventy-eight percent were female, and > 90% were Yoruba, the dominant local ethnic group. The majority were Christian, and 18% were Muslim. Median knowledge score was 31 out of 56, and the differences in scores between health care worker types were statistically significant ( P < .001). Nearly 60% of the participants believed breast cancer is always deadly. More than 40% of participants believed that keeping money in the bra causes breast cancer, and approximately 10% believed that breast cancer is caused by a spiritual attack. CONCLUSION Our questionnaire revealed that, even at the tertiary care level, significant gaps in knowledge exist, and knowledge of breast cancer is unacceptably low at the level of community providers. In addition to efforts aimed at strengthening health systems, greater knowledge among community health care workers has the potential to reduce delays in diagnosis for Nigerian patients with breast cancer.


2019 ◽  
Vol 2 (4) ◽  
pp. 202-207
Author(s):  
AM Jibo ◽  
RS Karaye ◽  
AU Gajida ◽  
AA Abulfathi

Nigeria is making effort to address the child mortality burden by increasing vaccine coverage rates, yet the vaccine coverage falls short of 90% target. Scaling up of new and under-used vaccines to 90% coverage could save more than 600,000 Nigerian children. Healthcare givers knowledge of vaccine used for immunization is essential to increase the vaccine uptake rates. This study assesses the knowledge of routine, underutilized and future vaccines among health workers. A cross sectional descriptive study was done among health care workers at a tertiary health facility in Nigeria. Using a pre-tested semi structured interviewer administered questionnaire, 220 respondents were selected by cluster sampling technique. The health workers’ knowledge of these vaccines was assessed using a scale developed for the study. Data collected were analyzed using SPSS version 22.The mean age of the respondents was 31.9 + 5.7 years . Doctors and nurses formed more than half of the respondents, 51.8% (n=114). About three quarters of respondents 72.3% (n=159) had good knowledge of vaccines used in routine immunizations. Knowledge of under-utilized and future vaccine was low with less than a fifth 18.6% (n=41) and one tenth 9.1% (n=20) having good knowledge scores respectively. Similarly, poor perception scores of future vaccines were observed in 90.1% (n=218) of the respondents. Only marital status was associated with knowledge of underutilized vaccines (p<0.05) and no association was observed between other sociodemographic variables and knowledge of these vaccines (P>0.05). The awareness level of health care workers on routine immunization is high. Their knowledge and perception of under-utilized and future vaccines were however low. There is, therefore, need for more training and retraining of health care workers on the vaccines.


Author(s):  
P. K. Kubai ◽  
M. P. Ndiba ◽  
L. K. Ikiara ◽  
C. K. Karani

Worldwide Corona virus outbreak has cause panic and enormous health and economic effects due to inadequate or lack of appropriate information about COVID -19. Aims: The aim of the study was to determine the Level of knowledge and Preparedness to Corona Virus (COVID –19) Pandemic among Health Workers in Igembe South, Meru County, Kenya. Study Design: This was cross-sectional study was conducted to determine their Knowledge and Preparedness among HCWs on COVID-19 pandemic. Place and Duration of Study: The study was conducted in Igembe South Health Facilities between March and June 2020. Methodology: A facility based cross-sectional study was conducted in Igembe South Sub County of Meru County from March 2020 to June 2020 among 87 Health Care Workers to determine their Knowledge and Preparedness on COVID-19 pandemic. Data was collected using structured Likert’s Scale questionnaire. Descriptive analysis was performed to obtain frequencies and distribution of the variables. Results: The results shows that eight seven (87) health care workers with mean age of 34± 9 (SD) years with a minimum age of 19 years and maximum age of 60 years were recruited responded to the questions of the study. Among the 87 participants, 51 (58.6%) had at least a bachelor's degree, 30 (34.5%) participants had a diploma and 6 (6.9%) participants had a certificate. About 32 (36.8%) of the participants were nurses. Other professional disciplines included nutritionists, records officers, supporting staff, social workers among others. Majority of the facilities acknowledged receiving Ministry of Health guidelines and protocols on COVID-19 case management. Regarding knowledge of COVID -19 Almost half (48.3%) of the participants somewhat agreed that health care workers had knowledge of Corona Virus Pandemic, however, most of the respondents (50.6%) strongly disagreed that they are equipped with adequate Knowledge to manage severe Corona Case compared to (8%) respondents who strongly agreed that Corona Virus Incubation period is an average of 7 days and maximum of 14 days. Conclusion: The study concludes that knowledge and preparedness level on COVID - 19 was above average, however, there is need for continuous professional development (CPD) training and support supervision for HCWs to ensure maintenance of appropriate practices during the COVID-19 pandemic. The study further concludes that those with knowledge and are conversant with their respective areas of practice are at less risk, considering that inadequate knowledge is not only a risk factor for poor delivery of WHO approved COVID -19 guidelines met to prevent the spread of COVID -19, but also increases the occupational risk to health care workers.


2014 ◽  
Vol 02 (02) ◽  
pp. 092-095
Author(s):  
K.V.S. Kumar ◽  
A. Gupta ◽  
Amit Kumar

Abstract Background: Health care workers should have adequate knowledge and the correct attitude to deal with the diabetes. We conducted this study among nursing and medical students to assess their attitude regarding diabetes. Materials and Methods: This cross-sectional descriptive study was conducted on medical (Group 1, N = 50) and nursing (Group 2, N = 50) students. Data was collected using the Diabetes Attitude Scale questionnaire developed by the University of Michigan Diabetes Research and Training Centre. The scores identify the attitude regarding five key areas of diabetes, namely need for special training, seriousness of diabetes, value of tight control, psychosocial impact and patient autonomy. The data were analyzed with appropriate statistical tests using GraphPad Prism Software, version 6 (GraphPad Software, San Deigo, CA, USA). Results: The study participants consist of 100 students of which 27 were male and 73 were female with a mean age of 22.9 ± 3.3 year. The scores in any subscale did not differ between the medical and nursing students. The correlation analyzes revealed that seriousness of diabetes is increasing linearly with age (P = 0.0325) and all the five key areas of diabetes showed a significant correlation with the increasing duration of residency (P < 0.05). Conclusion: Increasing age and more exposure to formal education are the major determinants of an individual′s attitude toward diabetes. Our study attempts to highlights the need of education for all health care workers involved in the management of diabetes.


2021 ◽  
Vol 3 (`1) ◽  
pp. 9
Author(s):  
Shinta Novelia ◽  
Andi Mayasari Usman ◽  
Rian Adi Pamungkas

Background: During the pandemic of Covid-19 in the world, frontline health care workers have been responsible for tracing contacts of patients infected with coronavirus disease 2019 (COVID-19). It has an impact on mental health of health care workers. This study aimed to investigate the perceived stress among health care workers who work in health care facilities during the COVID-19 outbreak in Indonesia. Material and methods: A cross sectional study designed was applied in this study. The participants were midwives, nurses, pharmacists, pharmacist assistants, physicians, medical record staff, dental nurse, nutritionists and sanitarian. Demographic questionnaire was delivered to assess age, gender, marital status, job, work place and work place province. Personal protective equipment was added to the questionnaire. A perceived stress scale was used to assess perceived stress. Results: Study questionnaires were completed by 196 respondents. The results showed that almost participants had a moderate stress (73%). Most of the subjects were in the age group of 20-30 years old (43.9%). Majority of the participants were female (89.8%). Most of the participants were married (71.4%). In 58.2% of participants’ job was midwife and in 25.5% of the participants’ job was nurse. 50% of the participants worked in Health Centre and 20.9% of the participants worked in referral Covid-19 Hospital. In 26 % of participants work place Province was West Java, 17.9 % of participants work place Province was Banten and 16.3 % of participants work place Province was South Sulawesi. There was a significant difference of participants’ perceived stress in the group of workplace (p = -.023). Conclusion:  The COVID-19 outbreak in Indonesia resulted in increased stress for health care workers in Indonesia. Indonesia governments should improve interventions for preventing the spread of epidemics, promote disease treatment methods, and also offer psychological support especially for health care workers. Keyword: health care worker, covid-19, perceived stress, nurses, outbreak.


2020 ◽  
Vol 70 (6) ◽  
pp. 1765-70
Author(s):  
Jamal Azfar Khan ◽  
Asif Ali ◽  
Farzana Muneer

Objective: To determine the impact of a single tutorial session on the technique of donning and doffing the personal protective equipment by health care workers. Study Design: Cross-sectional comparative study. Place and Duration of Study: CMH Landi Kotal Cantt, from 1st March 2020 to 10th June 2020. Patients and Methods: The study was conducted on 62 health workers, working in CMH Landi Kotal Cantt. They were asked to demonstrate donning and doffing surgical masks, gowns and gloves and the steps were evaluated as per a standardized checklist. Then, the participants were given a single tutorial of the donning and doffing technique of personal protective equipment. They were asked to demonstrate their technique of personal protective equipment use one week, one month and three months after the tutorial. Any improvement was recorded in the checklist used earlier. Results: The correct donning and doffing technique of personal protective equipment were demonstrated by 22 and 14 participants respectively before the tutorial. When evaluated one week after the tutorial, this number increased to 48 and 38 respectively, showing significant improvement (p<0.05). The technique of personal protective equipment use deteriorated significantly one month of the tutorial and deteriorated further after three months (p<0.05). The most common fault while donning and doffing the equipment was the incorrect donning sequence, and self-contamination while taking off the gloves, respectively. Conclusion: A single tutorial session results in significant improvement in the technique of using personal protective equipment by health care workers but the effect is lost over time.


2021 ◽  
Vol 3 (`1) ◽  
Author(s):  
Shinta Novelia ◽  
Andi Mayasari Usman ◽  
Rian Adi Pamungkas

Background: During the pandemic of Covid-19 in the world, frontline health care workers have been responsible for tracing contacts of patients infected with coronavirus disease 2019 (COVID-19). It has an impact on mental health of health care workers. This study aimed to investigate the perceived stress among health care workers who work in health care facilities during the COVID-19 outbreak in Indonesia. Material and methods: A cross sectional study designed was applied in this study. The participants were midwives, nurses, pharmacists, pharmacist assistants, physicians, medical record staff, dental nurse, nutritionists and sanitarian. Demographic questionnaire was delivered to assess age, gender, marital status, job, work place and work place province. Personal protective equipment was added to the questionnaire. A perceived stress scale was used to assess perceived stress. Results: Study questionnaires were completed by 196 respondents. The results showed that almost participants had a moderate stress (73%). Most of the subjects were in the age group of 20-30 years old (43.9%). Majority of the participants were female (89.8%). Most of the participants were married (71.4%). In 58.2% of participants’ job was midwife and in 25.5% of the participants’ job was nurse. 50% of the participants worked in Health Centre and 20.9% of the participants worked in referral Covid-19 Hospital. In 26 % of participants work place Province was West Java, 17.9 % of participants work place Province was Banten and 16.3 % of participants work place Province was South Sulawesi. There was a significant difference of participants’ perceived stress in the group of workplace (p = -.023). Conclusion:  The COVID-19 outbreak in Indonesia resulted in increased stress for health care workers in Indonesia. Indonesia governments should improve interventions for preventing the spread of epidemics, promote disease treatment methods, and also offer psychological support especially for health care workers. Keyword: health care worker, covid-19, perceived stress, nurses, outbreak.


Author(s):  
Ashokkumar Thirunavukkarasu ◽  
Khaloud Amash Hossin Alrawaili ◽  
Ahmad Homoud Al-Hazmi ◽  
Umar Farooq Dar ◽  
Bashayer ALruwaili ◽  
...  

Health care workers (HCWs) working in different health care facilities are exposed to many hazards, especially during the COVID-19 pandemic. This questionnaire-based cross-sectional study aimed to assess the prevalence, pattern, and risk factors of occupational health hazards faced by 438 randomly selected HCWs from northern Saudi Arabia. The HCWs are commonly exposed to needle stick injuries (34.5%) under the biological hazards category; and work-related stress (69.6%) under the non-biological hazards categories. The significant associated factors were work setting (ref: Primary Health Center: Adjusted OR (AOR) = 2.81, 95%CI = 1.21–4.59, p = 0.017), smoking status (ref.: non-smoker: AOR = 1.73, 95%CI = 1.03–2.91, p = 0.039), and mean sleeping duration per day (AOR = 1.22, 95%CI = 1.04–1.43, p = 0.014) for biological, and smoking status (ref: non-smoker: AOR = 2.16, 95%CI = 1.09–3.29, p = 0.028), and mean sleeping duration per day (AOR = 1.35, 95%CI = 1.07–1.70, p = 0.013) for non-biological categories. This study revealed several risk factors and occupational health hazards that HCWs are exposed to during their work time. Periodic training and follow-up assessments regarding bio-safety measures for the HCWs should be implemented. Finally, future explorative studies are warranted on the feasibility of implementing rotation-based postings for the HCWs in different health care settings.


2020 ◽  
Vol 2 (2) ◽  
pp. 104
Author(s):  
ETI PONCORINI PAMUNGKASARI ◽  
SRI ANGGRAINI PARWATININGSIH

<p class="Abstract">ABSTRAK</p><p class="AbstractNormal"><strong>Pendahuluan: </strong>Kolaborasi tenaga medis merupakan hal yang penting dalam mengupayakan peningkatan kualitas pelayanan kesehatan. WHO menyampaikan bahwa kolaborasi akan memperkuat sistem kesehatan. Studi tentang kolaborasi tenaga medis di Indonesia terutama tentang tenaga medis Puskesmas masih sangat terbatas.</p><p class="AbstractNormal"><strong>Metode:</strong><strong> </strong>Studi ini merupakan bagian dari pengabdian masyarakat,  dengan pendekatan cross sectional<strong>. </strong>Lokasi yang digunakan adalah Puskesmas Banyuanyar dan Puskesmas Kratonan, mewakili Puskesmas di kawasan pedesaan dan perkotaan.<strong> </strong>Tenaga kesehatan yang mengikuti kegiatan ini sebanyak 37 orang. Instrumen yang digunakan adalah kuesioner persepsi tentang identitas profesi, dan kuesioner sikap tentang <em>interprofessional collaboration</em>. Data yang didapatkan dianalisis statistik dengan uji regresi linier ganda.</p><p class="AbstractNormal"><strong>Hasil:</strong><strong> </strong>Setiap peningkatan satu skor persepsi tentang identitas profesi akan meningkatkan sikap interprofessional collaboration sebesar 1,07; dan signifikan secara statistik (p = 0,001), setiap peningkatan satu tahun lama kerja akan menurunkan sikap interprofessional collaboration, namun tidak signifikan secara statistik (p=0,31). Persepsi tentang identitas profesi dan lama kerja bersama-sama mempengaruhi sikap interprofessional collaboration sebesar 31 %, sisanya sebesar 69 % dipengaruhi oleh faktor lain yang tidak diteliti, model regresi ganda fit dengan p=0,001.</p><p class="AbstractNormal"><strong>Kesimpulan: </strong>Persepsi tenaga kesehatan tentang identitas profesi mempengaruhi sikap tentang identitas profesi. Perlu memperkuat persepsi tenaga kesehatan tentang identitas profesi.</p><p class="Keywords">Kata Kunci: kolaborasi; puskesmas; tenaga medis; identitas profesi</p><p class="Keywords"> </p><p class="Keywords"><em>ABSTRACT</em></p><p class="KeywordsCxSpMiddle"><em>Introduction:</em><em> Collaboration of </em><em>health care workers</em><em> is important in </em><em>order</em><em> to improve the quality of health services. WHO</em><em> </em><em>states that collaboration will strengthen the health system. Studies on collaboration of </em><em>health care workers</em><em> in Indonesia, especially on </em><em>public health center workers</em><em>, are still very limited.</em></p><p class="KeywordsCxSpMiddle"><em>Methods:</em><em> This study was part of community service, with a cross sectional study approach. The locations used are Puskesmas Banyuanyar and </em><em>Puskesmas</em><em> Kratonan, representing </em><em>public health center </em><em>in rural and urban areas. There were 37 health workers who participated in this activity. The instrument used was a perception of professional identity, and attitudes about interprofessional collaboration. The data obtained were statistically analyzed using the multiple linear regression.</em></p><p class="KeywordsCxSpMiddle"><em>Results:</em><em> Every increase of one perception score about professional identity would increase interprofessional collaboration attitude by 1.07, statistically significant (p ≤ 0.001), every increase of one year of work would decrease interprofessional collaboration attitude, but not statistically significant (p = - 0.31). Perceptions of professional identity and length of work together affect interprofessional collaboration attitude by 31%, the remaining 69% is influenced by other factors not examined, the multiple fit regression model with p = 0.001.</em></p><p class="KeywordsCxSpMiddle"><em>Conclusion:</em><em> Health workers' perceptions about professional identity influence attitudes about professional identity. </em><em>There is a n</em><em>eed to strengthen the perception of health workers about professional identity.</em></p><p class="KeywordsCxSpMiddle"><em> </em></p><p class="Keywords"><em>Keywords: collaboration; public health center;</em><em> health care workers; professional identity</em></p>


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 873
Author(s):  
Oluwatosin Ruth Ilori ◽  
Oluwatosin Stephen Ilori ◽  
Phillip Oluwatobi Awodutire ◽  
Olabisi Roseline Ige ◽  
Adesanmi B Idowu ◽  
...  

Background: The COVID-19 pandemic is global public health crisis. Mass vaccination, until herd immunity is achieved, is one of the most effective ways of combating the deadly infectious virus. The disposition of health workers towards the AstraZeneca vaccine will most likely determine if other members of the community will be willing to get vaccinated or not. Thus, the purpose of this study is to determine the attitudes of healthcare workers to the COVID-19 vaccine, as well as determine the various side effects experienced by those who have already been vaccinated. Method: Frequency tables were created, and Chi-square was used to determine the relationship between respondents' socio-demographic characteristics, as well as their acceptance or rejection of the COVID-19 vaccine and attitude towards it. Using IBM SPSS Statistics for Windows, version 22.0, multinominal logistic regression was used to determine the key factors which influenced respondents’ decision to have the vaccine. Result: There was a statistically significant relationship between the cadre of health care workers, their tribe, and their involvement in the care of COVID-19 patients and their attitude towards the vaccine. Conclusion: Previous involvement in the care of COVID-19 patients is one of the most important determinants of health care workers' acceptance of the COVID-19 vaccine. Most respondents were positive about the vaccine; however, the fear of side effects was the primary reason why those who were yet to be vaccinated, do not plan to do so. The most common side effect reported by those who had already been vaccinated, was pain at the injection site. Public awareness of the vaccine and its benefits should be increased, and the vaccine should be made available in all health care facilities.


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