scholarly journals Rural-Urban Disparities and Factors Associated with Clients’ Satisfaction with Healthcare in a Nigerian population

2021 ◽  
Vol 7 (3) ◽  
pp. 268-281
Author(s):  
AK Ahmed ◽  
OY Ojo ◽  
MJ Saka ◽  
GA Salaudeen
Keyword(s):  
Waiting Time ◽  
Strong Predictor ◽  
Group Discussion ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
Cross Sectional ◽  
Multi Stage ◽  
Rural And Urban

Background: Clients’ satisfaction surveys are required to identify gaps and challenges in providing healthcare services; to ensure the quality of care and patient satisfaction. Objectives: To compare and assess factors responsible for healthcare satisfaction among rural and urban communities in Ilorin East Local Government Area (LGA) of Kwara State to improve service provision among the communities. Methods: This was a comparative, cross-sectional study involving rural (250) and urban (250) respondents selected through a multi-stage sampling technique and surveyed using an interviewer-administered questionnaire. Focus Group Discussion was also used to collect qualitative data. Participants were selected through the purposive sampling technique. Results: The proportion of clients who expressed satisfaction was 172 (68.8%) among urban and 175 (70.0%) among rural respondents, (z = 0.57; p = 0.45). The attitude of healthcare personnel influenced satisfaction among both the rural (56.0%) and urban (63.3%) respondents, respectively; short waiting time (12.8%) and privacy of the consulting rooms (13.7%) were reasons influencing satisfaction with service. Conclusion: Short waiting time and privacy of consulting room were reasons for service satisfaction among clients. Waiting time was a strong predictor of satisfaction. There is a need to improve health personnel’s attitude to work to ensure clients’ satisfaction with healthcare services.

scholarly journals Assessment of patients waiting and service times in the ophthalmology clinic of a public tertiary hospital in Nigeria

2020 ◽  
Vol 54 (4) ◽  
pp. 231-237
Author(s):  
Lateefat B. Olokoba ◽  
Kabir A. Durowade ◽  
Feyi G. Adepoju ◽  
Abdulfatai B. Olokoba
Keyword(s):  
Waiting Time ◽  
Waiting Times ◽  
Sampling Technique ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Ethical Review ◽  
Cross Sectional ◽  
Arrival Times ◽  
The Mean ◽  
Service Times

Introduction: Long waiting time in the out-patient clinic is a major cause of dissatisfaction in Eye care services. This study aimed to assess patients’ waiting and service times in the out-patient Ophthalmology clinic of UITH. Methods: This was a descriptive cross-sectional study conducted in March and April 2019. A multi-staged sampling technique was used. A timing chart was used to record the time in and out of each service station. An experience based exit survey form was used to assess patients’ experience at the clinic. The frequency and mean of variables were generated. Student t-test and Pearson’s correlation were used to establish the association and relationship between the total clinic, service, waiting, and clinic arrival times. Ethical approval was granted by the Ethical Review Board of the UITH. Result: Two hundred and twenty-six patients were sampled. The mean total waiting time was 180.3± 84.3 minutes, while the mean total service time was 63.3±52.0 minutes. Patient’s average total clinic time was 243.7±93.6 minutes. Patients’ total clinic time was determined by the patients’ clinic status and clinic arrival time. Majority of the patients (46.5%) described the time spent in the clinic as long but more than half (53.0%) expressed satisfaction at the total time spent at the clinic. Conclusion: Patients’ clinic and waiting times were long, however, patients expressed satisfaction with the clinic times.

scholarly journals Hearing healthcare gaps in LMICS: snapshot from a semi-urban community in Nigeria

2021 ◽  
Vol 21 (2) ◽  
pp. 912-918
Author(s):  
Adebolajo Adeyemo ◽  
Segun Ogunkeyede ◽  
Oluyinka Dania
Keyword(s):  
Hearing Loss ◽  
Urban Communities ◽  
Healthcare Delivery ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Traditional Healers ◽  
Medical Intervention ◽  
Cross Sectional ◽  
Ear Diseases

Background: Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to pre- ventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality. Objectives: This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community. Methods: A cross-sectional study of households selected by multistage random sampling technique. Seventy-four partici- pants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined. Results: All participants reported recent occurrence of ear complaints or gave similar history in a household member. Com- mon complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse. Conclusion: Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcare. Keywords: Hearing loss; healthcare delivery; disease burden; ear diseases; developing countries.

scholarly journals Prevalence and risk factors for myopia among school children in Aba, Nigeria

2017 ◽  
Vol 76 (1) ◽  
Author(s):  
Uchenna C. Atowa ◽  
Alvin J. Munsamy ◽  
Samuel O. Wajuihian
Keyword(s):  
School Children ◽  
Refractive Error ◽  
Age Groups ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Level Of Education ◽  
Multi Stage ◽  
Significant Difference

Aim: To study the prevalence of myopia among school children in Aba, Nigeria.Methods: This cross-sectional study was conducted in public and private (primary and secondary) schools. A multi-stage random sampling technique was used for selecting participants aged between 8 and 15 years from 12 schools in Aba, Nigeria. Data were analysed for 1197 children who underwent a comprehensive eye examination. The children were divided according to the following criteria: age groups (group 1 [8–11 years] or group 2 [12–15 years]), gender (male or female), level of education (primary or secondary) and type of school (public or private). Myopia was defined as spherical equivalent refraction (SER) ≤ -0.50 D in the poorer eye.Results: The prevalence of myopia was estimated to be 2.7%. Of the 96 children with refractive error, 78.1% were uncorrected. In using logistic regression analysis, risk of developing myopia was associated with older age groups (odds ratio [OR]: 1.20; 95% confidence interval [CI], 0.16–9.11; p < 0.010) and higher level of education (OR: 1.73; 95% CI, 1.05–2.86; p < 0.030). There was no significant difference in myopia prevalence between male and female children (p = 0.89).Conclusion: Although the prevalence of myopia and overall prevalence of refractive error in school children in Aba were low, the high prevalence of uncorrected refractive error is a significant public health problem. An effective and sustainable children’s vision screening programme is needed to prevent visual impairment and blindness.

scholarly journals NUTRITIONAL STATUS AMONG PRIMARY SCHOOL GOING CHILDREN LIVING IN URBAN AREA OF SINDH PAKISTAN

1970 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Muhammad Faisal Qureshi ◽  
Aneeta Rathore ◽  
Nandlal Seerani ◽  
Sumera Qureshi ◽  
Bisharat Faisal ◽  
...  
Keyword(s):  
Primary School ◽  
Primary Schools ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Head Of School ◽  
Multi Stage

Background: Children's health is very important for their better learning and timely nourishment everywhere in the world. Malnutrition among school going children has remained a big challenge in under developed countries. Methods: Cross-sectional study was conducted among 422 children of four Government Primary schools of Qasimabad, district Hyderabad after taking the proper consent and administration approval from the head of school. Multi stage simple random sampling technique was adopted. Study was approved from Institutional review board of Health Services Academy Islamabad. Results: Out of total, 217 (51.4%) were boys and 205 (48.6%) were girls. Mean Height of boys and girls were 128.09 cm (±SD 12.90) and 130.36 cm (±SD 12.50) respectively. Mean Weight of boys was 25.27 Kgs (±SD 6.17) while in girls mean Weight was 26.83 Kgs (±SD 7.03). 17.57 cm (±SD 2.34) was mean MUAC for all participants and mean BMI was 15.42 (±SD 2.02). Prevalent of stunting and wasting were 24.4% and 18.3% respectively. While in 13.7% thinness (BMI for age) was seen. Stunting was statistically significant in girls 9-10 year (p value=.015, CI: .118-.823, OR=.311) and 11-≥12 years (p value=.018, CI: .215-.874, OR=.434). Pallor was more in girls (17%) and Dental caries were higher in boys (20.8%). Insufficient breakfast was done by 347 (82.2%), whereas 75 (17.8%) were doing sufficient breakfast. 341 (80.8%) students became ill during last year, out of that 80 (19%) were having history of hospitalization. Conclusion: Poor polices and lack of food aid interventions regarding health of primary school going children was assessed during this study.

scholarly journals Patient Satisfaction in the Peruvian Health Services: Validation and Application of the HEALTHQUAL Scale

2020 ◽  
Vol 17 (14) ◽  
pp. 5111
Author(s):  
Fernando Barrios-Ipenza ◽  
Arturo Calvo-Mora ◽  
Félix Velicia-Martín ◽  
Fernando Criado-García ◽  
Antonio Leal-Millán
Keyword(s):  
User Satisfaction ◽  
Health Sector ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
Attractive Alternative ◽  
Path Modeling ◽  
Outpatient Services ◽  
Cross Sectional ◽  
The Relationship

During recent years, public–private partnerships (PPPs) in the health sector have been an attractive alternative for improving healthcare services in developing countries such as Peru. Therefore, it is fundamental to consider a comprehensive set of healthcare qualities, like the HEALTHQUAL scale, when we measure dimensions of healthcare service quality. Currently, no studies have applied HEALTHQUAL in Peruvian hospitals. The purposes of this study were to (1) validate and evaluate the application of the HEALTHQUAL scale to measure user satisfaction in outpatient services at two PPP hospitals in Peru; and (2) test the relationship between user satisfaction, efficiency, and loyalty. A descriptive, cross-sectional study based on the HEALTHQUAL scale was carried out at the end of 2018. The measurement items were satisfaction with healthcare personnel, satisfaction with nonhealthcare personnel, satisfaction with facilities and equipment, perception of efficiency, and trust. The scale was administered to a nonprobability sample of 250 users who attended one of two PPP hospitals—Barton and Kaelin. The application of partial least squares path modeling significantly impacted on the perceived efficiency in the items of healthcare personnel, nonhealthcare personnel, and facilities and equipment. The HEALTQUAL scale demonstrated sufficient validity and thus can be applied for measuring user satisfaction in PPP hospitals.

scholarly journals Immunization coverage under universal immunization programme in Kozhikode district, Kerala

2019 ◽  
Vol 6 (9) ◽  
pp. 3667
Author(s):  
Sreedevi C.
Keyword(s):  
Immunization Coverage ◽  
Sampling Technique ◽  
Cost Effective ◽  
Dropout Rate ◽  
Cross Sectional Study ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Vaccine Preventable Diseases ◽  
Immunization Programme ◽  
Multi Stage

Background: Immunization is an important cost effective tool for preventing the morbidities and mortalities caused by vaccine preventable diseases. The objectives of this study were to assess the universal immunization programme coverage of children of 12–23 months of age in Kozhikode district and to study the factors associated with immunization coverage.Methods: A cross sectional study was conducted in 30 randomly selected electoral wards of Kozhikode district which were selected using multi stage cluster sampling technique during April 2013 to May 2014.Results: 469 children were studied from 30 clusters. 75.5% was fully immunized while 1.5% was unimmunized. Dropout rate for DPT 3 to Measles was the highest accounting to 20.2%. Most common reason for failure of immunization among unimmunized was that the parents didn’t feel the need (57.1%) and for partially immunized was the illness of the child (27.8%) followed by lack of awareness of the time of immunization (22.2%). Religion, early age of the mother at marriage and first delivery and high birth order were significantly associated with a higher proportion of partially immunized while higher education of the parents (>12th standard), health worker’s home visit in the first year of the child and presence of immunization card were significantly associated with a high full immunization coverage (p<0.05).Conclusions: Immunization coverage of 75.5% is far behind the target to be achieved. 1.5% of the children didn’t get any of the vaccinations. It is very important to increases the coverage to prevent the re-emergence of vaccine preventable diseases.

scholarly journals Utilisation and Perceptions of Cervical Cancer Screening Services

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Mercy Kokuro ◽  
Abigail Kusi-Amponsah Diji
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Screening Services ◽  
Study Sites

Cervical cancer is the second most frequently diagnosed and the fourth commonest cause of cancer death among women worldwide. Even though cervical cancer is preventable, its screening rate has been reported to be low in Ghana. To the best of our knowledge, no study has focused on the utilisation and perceptions of cervical cancer among women in their reproductive age in Ghana. The present study aimed at assessing the utilisation and perceptions of cervical cancer screening services among women who seek reproductive healthcare services. A descriptive cross-sectional study was carried out among women aged 18 years and above. Using a two-stage sampling technique, 369 participants were selected from 2 out of 4 eligible study sites. Data on the perceptions and utilisation of cervical cancer screening services were collected following ethical approval. The data were collected using both English and Twi versions of the questionnaire. The data were descriptively and inferentially analysed. A few of the participants had been previously screened for cervical cancer (n = 69; 18.7%), while a greater proportion of the participants appropriately perceived the screening benefits (> 70%), and an equally greater percentage of them harboured negative perceptions which prevented them from engaging in such endeavours (> 80%). Significant differences in perception were, however, observed in two-fifths of the studied areas (6/14) among the screened and unscreened participants. Cervical cancer screening services were not utilised by the majority of the participating women. Screening was associated with socio-demographic characteristics such as marital status, parity, education, and employment status. Inappropriate perceptions on cervical cancer screening may account for the low utilisation of cervical cancer screening. Therefore, all-inclusive health education on the benefits of cervical cancer screening for both women and men should be a priority for stakeholders and all health organisations.

scholarly journals Risky Sexual Behaviour among Male Immigration and Correctional Personnel in Kano State, Nigeria, 2018

2020 ◽  
Author(s):  
Nureni Azeez ◽  
Aishat Bukola Usman ◽  
Adebowale Ayo Stephen ◽  
Abubakar Muhammad Jibo ◽  
Zubairu Iliyasu
Keyword(s):  
Sexual Intercourse ◽  
Sexual Behaviour ◽  
High Mobility ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Risky Sexual Behaviour ◽  
Chi Square ◽  
Cross Sectional ◽  
Male Immigration ◽  
Multi Stage

Abstract Background Worldwide, uniformed personnel have been recognized as a population at high risk for sexually transmitted infections because of their high mobility, power differentials and affluence. However, limited studies have been conducted on risky sexual behaviour (RSB) among male uniformed personnel in Nigeria. We conducted this study to determine the prevalence and identify the predictors of RSB among male immigration and correctional personnel in Kano State.Methods We conducted a cross-sectional study among 306 male immigration and correctional personnel using multi-stage sampling technique. A pre-tested self-administered structured questionnaire containing sociodemographic and variables associated with RSB was used for data collection. Indicators of RSB included transactional sexual intercourse, sexual intercourse with casual acquaintances and multiple non-regular sexual partners over the last 12 months. Data were analysed using descriptive statistics, Chi-square test and logistic regression (α=0.05).Results Mean age of the respondents in the immigration and correctional services was 37.9±9.3 and 38.0±8.1 years respectively. Overall prevalence of RSB was 15.1% (9.2% and 20.9% among correctional and immigration workers respectively). The identified predictors of RSB were service group, marital status and attending club house prior to sexual intercourse. The likelihood of RSB was lower among the correctional personnel (aOR=0.38, CI=0.17-0.80) than the immigration officers. Being married is protective of RSB (aOR=0.38, CI=0.18-0.81) while attending club house prior to sexual intercourse predisposes the uniform personnel to RSB (aOR=3.90, CI=1.30-11.68). Conclusions Risky sexual behaviour was highly prevalent among the investigated uniform men but was higher among immigration officers than the correctional personnel.

scholarly journals The effects of temporo mandibular joint disorder with clicking symptom on children mastication performance in Deutero Malay race children aged 12-15 years

2014 ◽  
Vol 26 (3) ◽  
Author(s):  
Henri Hartman ◽  
Arlette Suzy Puspa Pertiwi ◽  
Jakobus Runkat ◽  
Yetty Herdiyati ◽  
Roosje Rosita Oewen
Keyword(s):  
Sampling Technique ◽  
Cross Sectional Study ◽  
Control Group ◽  
Masticatory Performance ◽  
Cross Sectional ◽  
Forward Head Posture ◽  
Mandibular Joint ◽  
Multi Stage ◽  
Joint Disorder ◽  
Masticatory System

Temporo Mandibular Joint Disorder (TMD) could be caused by forward head posture. Articular sound/TMJ clicking is the most often sign and symptom for TMD that could happen in human being. The presence of TMD such as TMJ clicking would cause an imbalance masticatory system. The purpose of this research is to investigate TMJ clicking effects to masticatory performance. This research was cross-sectional study with a type of epidemiology survey. Subject were children aged 12-15 years old Deutero-Malay sub-races Live in Bandung and was taken using multi-stage random sampling technique. Subject; consisted of 24 children as control group and 28 children as TMJ clicking group. Both group were then checked for masticatory performance using multiple sieve method and 20x chewing of artificial test food. Mastication performance value represented by median particle size (MPS) particle distribution (b) for each group. MPS from TMJ clicking group (3.0571,SD=0.9990) showed higher value than control group (2.28958,SD=0.66838). Statistic analysis with t-test showed that there’s a significant result in both of group (pvalue=0,0024, α = 0,05). Conclussion, temporo mandibular joint clicking subject has lower masticatory performance.

scholarly journals A PHENOMENOLOGICAL STUDY ON THE EXPERIENCES OF SCHOOL HEADS, TEACHERS AND LEARNERS ON A MAKESHIFT CLASSROOM: ACCOUNTS ON BENEFITS, DRAWBACKS, AND INSIGHTS

2021 ◽  
pp. 3-21
Author(s):  
Herrick O. Agustin ◽  
Dr. Ronald S. Decano
Keyword(s):  
Phenomenological Study ◽  
Group Discussion ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Information And Communication ◽  
Qualitative Phenomenological ◽  
Keywords Education ◽  
Sectional Analysis ◽  
School Heads

This phenomenological-cross sectional study navigates the views of school heads, teachers, and learners in Kapalong East District. This phenomenological study aims to describe and understand the experiences of school heads, teachers, and learners in makeshift classrooms. This perspective encourages educators, families, and schools to understand that learners develop and learn new skills and knowledge by reacting to their environment. Five school heads, five teachers, and five learners participated in the in-depth interview and focus group discussion, selected through the purposive sampling technique. The experiences of the school heads resulted in nine major themes, which include: the makeshift classroom is not safe and conducive to learners; the makeshift classroom is an immediate solution to lack of classrooms; a big challenge to face; accepting the situation; providing support and motivation to teachers; involvement of stakeholders in the improvement of classrooms; making use of available resources, and provision of the concrete classroom. Nine major themes also emerged for teacher-participants: the makeshift classroom is not conducive and not secured; teachers used varied teaching styles; a challenge to take; integrating different strategies in teaching; motivating one’s self to do the best; being positive despite the present situation; needs for support from DepEd; integration of Information and Communication Technology (ICT) in teaching. Eight major themes revealed from learner-participants: not conducive to learning; willingness to learn; the desire to have a concrete and spacious classroom; determination to study; classroom cleanliness; learners should give their best to succeed, and government should provide additional concrete classroom. These results imply that having a good environment for learning can affect learners’ learning, particularly and the quality of education in general. The results of this study are critical to school heads, teachers, learners, and stakeholders in promoting better education. KEYWORDS - education, views of school heads, teachers and learners on makeshift classrooms, school heads, teachers and learners, qualitative-phenomenological research, cross-sectional analysis

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