Disease pattern of hospitalized patients in two tertiary healthcare facilities in Nigeria

2013 ◽  
Vol 17 (2) ◽  
pp. 1
Author(s):  
GU Madubuko ◽  
AN Anarado ◽  
JJ Olarerin
Keyword(s):  
Hospitalized Patients ◽  
Healthcare Facilities ◽  
Disease Pattern ◽  
Tertiary Healthcare

Barriers to efficient provision of healthcare facilities: an experience from a developing country.

2021 ◽  
Author(s):  
Fatima Fakir Musharraf ◽  
Anooja Rani
Keyword(s):  
Tertiary Care ◽  
Care Hospital ◽  
Low Literacy ◽  
Healthcare Facilities ◽  
Large Tertiary Care ◽  
Care Facilities ◽  
Tertiary Healthcare ◽  
System 2 ◽  
Tertiary Care Hospitals

Pakistan has nearly 200 million people, of which almost 20 million people live in Karachi, which has 17 tertiary care hospitals, and it is no secret that they are overburdened (1). Despite the healthcare workers’ competency, several issues hinder administering proper care in a tertiary healthcare setup. Firstly, spatial distancing-spatial access to facilities within a hospital also proves a challenge for patients. Patients have little idea regarding specific departments in a large tertiary care hospital due to low literacy rates compounded with a lack of health literacy. At times many patients have reportedly circled the hospital twice and can still not find their desired specialist. A study conducted in Delhi that closely matches Karachi in demographics suggested that patients with one-time visits to secondary care facilities had lower follow-up rates than those who were more familiar with the system (2). Patients may take time to acclimatize to healthcare setup when visiting as first-timers, and if found too challenging to adapt, they may not make an effort again. Unsurprisingly, this renders many facilities- the administration spends, sometimes a fortune, procuring- useless. Continuous...

scholarly journals Cholera El Tor in Infants below 2 Years of Age as seen in Private and Hospitalized Patients

2017 ◽  
Vol 19 (3-4) ◽  
pp. 79
Author(s):  
Haroen Noerasid ◽  
Pitono Soeparto ◽  
Bing Rudianto ◽  
Hananto Wirjo ◽  
Juliati Sudanawidjaja ◽  
...  
Keyword(s):  
Private Practice ◽  
Hospitalized Patients ◽  
Pediatric Ward ◽  
Positive Stool ◽  
Disease Pattern ◽  
Similar Report ◽  
One Year ◽  
El Tor ◽  
Stool Cultures ◽  
Made In

A report was made on cholera El Tor in children under 2 years of age with mute gastroenteritis admitted to the pediatric ward of the Dr. Soetomo Hospital, Surabaya. Twenty-three out of 115 cases (20%) showed positive stool cultures. A similar report was made in the same period on patients with gastroenteritis in private practice. Four out of 108 cases (3.6%) showed positive stool cultures. A brief description of the disease pattern of infantile gastroenteritis was presented. The increasing incidence of cholera, below one year was also discussed.

scholarly journals A survey of kinesiophobia as a correlate of lower limb function in patients with lower extremity fractures during inpatient post-operative rehabilitation

2020 ◽  
Vol 1 (2) ◽  
pp. 128-134
Author(s):  
Ajediran I Bello ◽  
Love Kanebi ◽  
Fidelis T Iyor ◽  
Babatunde O A Adegoke
Keyword(s):  
Lower Extremity ◽  
Lower Limb ◽  
Cross Sectional Study ◽  
Limb Function ◽  
Chi Square ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Tertiary Healthcare ◽  
Study Participants ◽  
Lower Limb Function

Background: The rehabilitation phase of patients with lower extremity fractures (LEF) is often hindered post-operatively by fear of moving (kinesiophobia) with consequent deconditioning and declining of functions. Profiling the prevalence of kinesiophobia and its association with demographic variables could become useful during the rehabilitation process. Objective: The study aimed to determine the prevalence of kinesiophobia and its correlation with lower limb functions among patients with LEF post-operatively. Methods: One-hundred and nine (n = 109) patients [male = 79 (72.50%)] with mean age of 41.83 ± 17.37 yr. participated in the cross-sectional study. Participants with LEF who had either undergone closed reduction and immobilization or open reduction with internal or external fixation were recruited into this study using convenience sampling during the rehabilitation phase at the orthopaedic wards of two tertiary healthcare facilities in Accra. Data collection was performed using the Tampa Scale of Kinesiophobia (TSK) and Lower Extremity Functional Scale. Data were analyzed using Spearman’s Rho correlation coefficient and Chi-square tests at p < 0.05.Results: Seventy-nine (72.50%) of the participants exhibited kinesiophobia based on their TSK scores (≥37). The TSK scores were significantly inversely correlated with participants’ lower limb function (r = -0.345; p < 0.001). Participants’ sex as well as the causes, types and sites of the fractures sustained had no significant association (p > 0.050) with the level of kinesiophobia. Conclusion: There was a high prevalence of kinesiophobia which negatively correlated with LEF but was not associated with the type, site, and cause of fracture as well as the participants’ sex. Mitigating kinesiophobia should always be considered an integral rehabilitation goal for in-patients with LEF.

scholarly journals Status of antimicrobial stewardship programmes in Nigerian tertiary healthcare facilities: Findings and implications

2019 ◽  
Vol 17 ◽  
pp. 132-136 ◽  
Author(s):  
Joseph O. Fadare ◽  
Olayinka Ogunleye ◽  
Garba Iliyasu ◽  
Adekunle Adeoti ◽  
Natalie Schellack ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Healthcare Facilities ◽  
Tertiary Healthcare

Assessment of Knowledge, Attitude and Practice of Adverse Drug Reaction Reporting Among Healthcare Professionals working in Primary, Secondary and Tertiary Healthcare Facilities in Ekiti State, South-West Nigeria

2020 ◽  
pp. 001857872095796
Author(s):  
Theophilus A. Adegbuyi ◽  
Joseph O. Fadare ◽  
Ebisola J. Araromi ◽  
Abayomi O. Sijuade ◽  
Iyanu Bankole ◽  
...  
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Healthcare Professionals ◽  
Adverse Drug Reaction Reporting ◽  
Health Extension Workers ◽  
Healthcare Facilities ◽  
Adr Reporting ◽  
Attitude And Practice ◽  
Tertiary Healthcare ◽  
Knowledge Attitude And Practice

Background: Adverse drug reactions (ADRs) constitute a significant global healthcare challenge associated with increased morbidity, mortality and healthcare costs; however, there are concerns that ADRs are grossly under-reported by different categories of healthcare professionals (HCPs) in many countries. The main objective of this study was to assess the knowledge, attitude and practice of ADR reporting of HCPs working at the primary, secondary and tertiary levels of care in Ekiti State, Nigeria. Methodology: This was a self-administered questionnaire-based study conducted among HCPs working in Ekiti State, South-west Nigeria. The questionnaire which was adapted from ones used in similar studies was reviewed for content validity by experts in the field. Healthcare professionals (medical doctors, pharmacists, nurses, community health extension workers, and other allied HCPs) working in the 3 tiers of healthcare participated in the study. The questionnaire consisted of sections on the demographics of respondents, their knowledge, attitude and practice of ADR reporting. Data analysis was done using SPSS (version 25) employing t test, ANOVA and chi-square as appropriate with P-value < .05 accepted as being statistically significant. Results: Three hundred HCPs comprising of nurses (112; 37.3%), physicians (75; 25.0%), pharmacists (53; 17.7%), community health extension workers (40; 13.3%) and others (20; 6.7%) completed the questionnaire with 166 (55.3%) of them working in tertiary healthcare facilities. Male respondents (6.3 ± 1.7; P = .003), pharmacists (7.0 ± 1.6; P < .0001), HCPs and those from tertiary centers (6.2 ± 1.7; P = .028) had higher knowledge scores. While 228 (76%) respondents had observed incidents of ADR during their professional practice, only 75 (25%) have ever reported it. Only 113 (37.7%) of respondents had seen the adverse drug reaction reporting form with only 53 (17.7%) ever using it. The reporting methods preferred by respondents were through email/internet (102; 34.0%), phone/SMS (78; 26.0%) and using the hard copy of the forms (95; 31.7%). The attitude of respondents towards ADR reporting was mainly positive. Conclusion: There was significant variation in the knowledge of different categories of HCPs and facility levels about ADR reporting. Encouragingly, the overall attitude of respondents towards ADR reporting was positive. Based on the above, strategies are needed to build capacity of HCPs in the area of on adverse drug reaction and its’ reporting.

scholarly journals The orthopedic patient and limb amputation: impact of traditional beliefs on acceptance in Port Harcourt, Nigeria

2021 ◽  
Vol 8 (3) ◽  
pp. 789
Author(s):  
Friday E. Aaron ◽  
Rex Friday Ogoronte A. Ijah ◽  
Tonye Obene
Keyword(s):  
Health Care Facilities ◽  
The Body ◽  
Limb Amputation ◽  
Traditional Beliefs ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Orthopedic Patient ◽  
Port Harcourt ◽  
Tertiary Healthcare ◽  
Orthopedic Patients

Background: Aim of the study was to ascertain the awareness on surgical limb amputation and establish the existence of traditional beliefs that impacts on acceptance of surgical limb amputation in tertiary healthcare facilities in Port Harcourt. Surgical limb amputation is a form of treatment recommended in conditions of dead, dying, dangerous limb or damn nuisance, in which the appendage is removed surgically and permanently from the rest of the body.Methods: A cross-sectional descriptive study was carried out among patients and patients’ relatives in the two government-owned tertiary health care facilities that offered orthopedic surgical services in Port Harcourt using self-administered questionnaires. Data obtained was analyzed using the Statistical Package for the Social Sciences (SPSS) version 20.0.Results: Safe removal of a disease limb from the rest of the body was considered by 217 respondents (93.1%) as the meaning of limb amputation. Some community beliefs on amputated limb were: risk of incomplete body in the “next world”, burying of persons with amputated limb in the evil forest when they die, stigmatization as outcasts in some communities. Eighty-two respondents (35.2%) opined that traditional bone setters should be encouraged to continue their work.Conclusions: There was high awareness on limb amputation among respondents. Though expressed by few respondents, the twin factors of patronage of traditional bone setters and the practice of community stigmatization of amputees / social isolation among others explains patients decline of offer of limb amputation in the care of orthopedic patients in our society.

scholarly journals Informed Consent in Surgical Practice in Port Harcourt: How Informed are the Patients?

2021 ◽  
Vol 2 (3) ◽  
pp. 130-133
Author(s):  
Promise N. Wichendu ◽  
Rex Friday Ogoronte A. Ijah ◽  
Friday E. Aaron ◽  
Alexander A. Dimoko ◽  
Joy O. Dayi ◽  
...  
Keyword(s):  
Social Sciences ◽  
Teaching Hospitals ◽  
Surgical Patient ◽  
Surgical Operation ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Counselling Session ◽  
Port Harcourt ◽  
The Social ◽  
Tertiary Healthcare

Aim: The aim of this study was to ascertain the opinion of patients on counselling of the surgical patient in tertiary healthcare facilities in Port Harcourt in the months of May and June 2020. Background: Counseling of the surgical patient is a dynamic process and its scope which is individualized should arm the patient with information on the purpose and nature of the disease and treatment, etc. Materials and Methods: Four hundred and twenty respondents were recruited for this cross-sectional descriptive study carried out in the wards and specialist surgical out-patient clinics of Teaching Hospitals in Port Harcourt, Nigeria between the months of May and June 2020 using semi-structured questionnaires. Data obtained was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0. Results: Two hundred and twenty-five (53.6%) respondents asserted that they had counselling sessions for the surgical operation, 108 (25.7%) respondents opined that they did not have counselling session, while 87 (20.7%) were not sure if they had or not. Forty-five (10.7%) respondents asserted that the surgeons carried out the counselling. Only, 227 (54.0%) of the respondents affirmed that they were satisfied with the counselling sessions, while 104 (24.8%) respondents asserted that there was no counselling session at all. Conclusion: The opinion of patients on the counselling service experience is not entirely satisfactory. There is need for closer attention to be paid to issues of counselling of the surgical patient in order to ensure the full benefits of the services rendered.

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