scholarly journals Knowledge and Utilization Levels of Partograph in Management of Labour Amongst Midwives in Selected Health Facilities in Akure, Ondo State

2021 ◽  
Vol 4 (6) ◽  
pp. 101-118
Author(s):  
Adamolekun P.A. ◽  
Osaji T. ◽  
Adeyanju A.B.
Keyword(s):  
Work Experience ◽  
Survey Design ◽  
Skills Training ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
Utilization Rate ◽  
Cross Sectional ◽  
Ondo State

Routine use of Partograph prevents labour related deaths which contributes hugely to maternal mortality in Sub-Saharan Africa (WHO, 2015).The study assessed knowledge and utilization levels of partograph in management of labour amongst midwives in selected health facilities in Akure, Ondo State. A cross-sectional descriptive survey design was adopted. Two hundred respondents were selected using a multistage sampling method. A validated self-structured questionnaire was used for data collection after a test retest for reliability. Data were analyzed using descriptive statistics of frequency, means and percentages while inferential statistics of Chi-square ANOVA was used to test hypothesis at significance of P ≤ 0.05. The result showed that the majority of the midwives 119 (59.5%) had good knowledge of partograph. Also, on levels of utilization, 62(62%) of respondents from UNIMEDTH and 46 (59%) in MCHA had good utilization of partograph, while all the 22(100%) respondents in CHCA had poor utilization. There was a significant relationship between years of work experience and midwives’ level of knowledge of partograph (p = 0.01). Annual partograph utilization rate was highest in the tertiary facility (UNIMEDTH (63%), followed by secondary (MCHA 51.8%) and primary (CHCA 41.3%). In conclusion, although the respondents had good knowledge of partograph, its utilization level was low at CHCA, therefore practical skills, training and retraining programs for midwives should be instituted to enhance the level of utilization of partograph in the primary health care facilities. Further study for midwife-led intervention on the utilization of partograph among midwives in the PHC should be done at a wider scope.

Occupational exposure of health care workers to blood and body fluids in West Shewa Zone, Oromia, Ethiopia, 2018: A cross-sectional study

2021 ◽  
Author(s):  
Tesfaye Solomon ◽  
Dejene Lemessa
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Body Fluids ◽  
Health Facilities ◽  
Needle Stick Injury ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Workers

Abstract Background: Health care workers are susceptible to acquiring blood and body fluids borne infections due to their occupations involving contact with patients and their body fluids, although studies conducted in Ethiopia are scarce. Therefore, the aim of this study was to investigate the magnitude of exposure to blood and body fluids among health care workers in governmental health facilities in West Shewa Zone, Ethiopia.Materials and methods: A facility-based cross-sectional study was conducted from May 19 to June 25, 2018. A total of 381 health care workers were selected by simple random sampling from 31 sampled governmental health facilities using proportional to size allocation. Data were collected through self-administered questionnaires, entered into Epi-info version 7, and analyzed by SPSS version 21. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) calculated for variables retained in the multivariable logistic regression and significance declared at p<0.05.Results: Of 377 health care workers who participated, the study found that 233 (61.2%) were exposed to blood and body fluids in their lifetime. Previous needle stick injury (AOR=0.30; 95%CI: 0.12-0.75), type of health facility (AOR=0.42; 95%CI: 0.26-0.68), handwashing practice (AOR=0.15; 95%CI: 0.07, 0.31), and perceiving at risk (AOR=0.16; 95%CI: 0.03, 0.98) were protective factors whereas long work experience (AOR=1.47; 95%CI: 1.13-1.93) was a risk factor for the exposure.Conclusions: Exposures to blood and body fluids during patient care were common among health care workers in the study area. Therefore, health care workers especially those newly hired and working in hospitals should pay due attention to their occupation's safety and regularly practice hand washing during critical times.

Quality of Antenatal, Labour and Delivery Services in Selected Districts in Malawi, Zambia and Zimbabwe: A Descriptive Cross-Sectional Study

2021 ◽  
pp. 1-9
Author(s):  
Clara Opha Haruzivishe
Keyword(s):  
Perinatal Care ◽  
Neonatal Morbidity ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Morbidity And Mortality ◽  
World Health ◽  
Performance Standard ◽  
Cross Sectional ◽  
Care Services

Background: High Maternal and Neonatal Mortality Ratios persist in Sub-Saharan Africa despite increasing perinatal care coverage. This suggests that coverage alone is not adequate to reduce maternal and neonatal morbidity and mortality. Quality of care should be the emphasis of maternal and child care services. Materials and Methods: A descriptive cross-sectional multicentre study was conducted in selected health facilities in Zambia, Malawi and Zimbabwe using purposive sampling. A World Health Organization-WHO 2016 Quality of Maternal and New-born assessment Framework and the WHO (2015) Service Availability and Readiness Assessment tool were used for data collection. Data was analyzed using Statistical Package for Social Scientist (SPSS) version 24.0. Results: Less than 43% of the health facilities satisfied at least three of the five Performance Standards of availability and adequacy of Antenatal infrastructure and supplies. Regarding Antenatal processes/care, an observation was the most common performance standard satisfied by 70.6% of all health facilities assessed while less than 30% fulfilled all other standards. Only 57.1% of the health facilities satisfied 5 of the 11 standards for labour and delivery infrastructure, while only 55.6% of the Health facilities satisfied only two of the 13 standards of Labour and delivery care. Conclusion: To achieve a significant and sustainable reduction in maternal and neonatal morbidity and mortality, there is a need for investment and improvement in maternity care services infrastructure and processes as opposed to focusing on mere attendance of Antenatal, and deliveries by trained birth attendants.

scholarly journals Stigmatising Attitudes Towards Co-workers with HIV in the Workplace of a Metropolitan State, Southwestern Nigeria

2017 ◽  
Vol 11 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Idongesit Godwin Utuk ◽  
Kayode Omoniyi Osungbade ◽  
Taiwo Akinyode Obembe ◽  
David Ayobami Adewole ◽  
Victoria Oluwabunmi Oladoyin
Keyword(s):  
Sampling Technique ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
People Living With Hiv ◽  
Cross Sectional Survey ◽  
Southwestern Nigeria ◽  
Cross Sectional ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Hiv Aids

Background:Despite demonstrating global concerns about infection in the workplace, very little research has explored how co-workers react to those living with HIV in the workplace in sub-Saharan Africa. This study aimed to assess the level of stigmatising attitude towards co-workers living with HIV in the workplace.Methods:The study was a descriptive cross-sectional survey involving 403 respondents. They were recruited from selected companies through a multistage sampling technique. Survey was carried out using pre-tested semi-structured questionnaires. Data were analyzed using the Statistical Package for the Social Sciences to generate frequencies, cross tabulations of variables at 5% level of significance. Logistic regression model was used to determine the predictors at 95% confidence intervals.Results:Mean age of respondents was 32.9 ± 9.4 years with 86.1% being females. Overall, slightly below two-third (63.0%) had good knowledge on transmission of HIV/AIDS while 218 (54.1%) respondents had a high stigmatising attitude towards co-workers with HIV in the workplace. More female respondents (69.6%) demonstrated high stigmatising attitudes towards co-workers with HIV in the workplace (p = 0.012). Female workers were twice more likely to have high stigmatising attitudes towards co-worker with HIV [OR 2.1 (95% CI: 1.13 – 3.83)].Conclusion:Stigma towards people living with HIV/AIDs is still very persistent in different settings. Good knowledge amongst our participants about HIV/AIDs did not translate to low stigmatising attitudes among workers. Concerted efforts and trainings on the transmission of HIV/AIDs are essential to reduce stigma that is still very prevalent in workplace settings.

scholarly journals EVALUATION OF THE EFFECT OF CORONAVIRUS PANDEMIC ON SUPPLY CHAIN OF HIV TEST KITS ONDO STATE, SOUTHWEST NIGERIA

2021 ◽  
Vol 6 (9) ◽  
pp. 34-78
Author(s):  
Michael Olabode Tomori ◽  
Funmilayo Adenike Fadiji
Keyword(s):  
Supply Chain ◽  
Data Analysis ◽  
Communicable Disease ◽  
Primary Objective ◽  
Health Facilities ◽  
Least Square ◽  
National Guidelines ◽  
Cross Sectional ◽  
Hiv Test ◽  
Ondo State

COVID-19 pandemic has required swift revamping of health systems and public health measures at a scale never observed. The pandemic emergence has a direct effect on the health system, negatively affecting its capacity as depletion of resources are now channelled to curb the emergency of the communicable disease, especially among individuals living with HIV disease which drew our attention to how individuals suffering from HIV and people who needed to know their HIV status has not been able to visit the health facilities due to the effect of coronavirus pandemic on the supply of the test kits used in the health facilities. This study evaluated the effect of the coronavirus pandemic on the supply chain of HIV test kits in Ondo State, Nigeria. The primary objective was to determine the effect of the coronavirus pandemic on the supply of HIV test kits in Ondo State. The research was a sequential cross-sectional design using a quantitative method of analysis with a total sample size of 100 respondents with all samples drawn from 30 supported health facilities in the state. In addition, literature review was also used to know the effect of the coronavirus on reach of 95% of UNAIDS 2030 target. The study used both descriptive and inferential methods of data analysis where the descriptive statistics comprise of frequency distribution, percentage distribution, weighted mean score, and standard deviation while the inferential method of data analysis used ordinal least square (simple linear regression) to determine the effect of coronavirus pandemic on the supply chain test kits. Findings from the result concluded that pandemic and the methods of supply chain management indicated a significant effect. In addition, from the review the major impacts of COVID-19 were innovation, increased technology, research and development, depletion of supply chain personnel. Therefore, there is a need to develop national guidelines on supply chain strategy for emergencies in Nigeria as well as adhere strictly to some recommendations made in the study.

scholarly journals Knowledge of Neonatal Danger Signs and Its Associated Factors among Mothers Attending Child Vaccination Centers at Sheko District in Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tewodros Yosef ◽  
Tadesse Nigussie ◽  
Adane Asefa
Keyword(s):  
Associated Factors ◽  
Educational Status ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
Health Seeking ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Danger Signs ◽  
Child Vaccination

Background. Even though a great improvement in the last twenty years, the problem of newborn deaths is still remaining. In 2017 alone, an estimated 2.5 million neonatal deaths occurred worldwide, around 39 percent of all deaths in sub-Saharan Africa. Early detection of neonatal illness is an important step towards improving newborn survival. If mothers know the appropriate manifestations of the causes of death in newborns (neonatal danger signs), it is possible to avert related mortality, because of the health-seeking behavior of mothers highly relies on their knowledge of neonatal danger signs. Objective. To assess knowledge of neonatal danger signs and its associated factors among mothers attending child vaccination centers at Sheko District in Southwest Ethiopia. Methods. A facility-based cross-sectional study was conducted among 351 mothers who attended health centers for child vaccination in Sheko District from March 17 to April 30, 2018. A consecutive sampling method was used to select study participants. Data were collected by using structured questionnaires through face-to-face interviews. Data were entered using EPI-DATA version 3.1 and analysed using SPSS version 21. Results. Of the 351 mothers interviewed, 39% (137) had good knowledge of neonatal danger signs. The study also found that mothers aged 29-40 years (AOR=2.37, 95% CI [1.35-4.17], P=0.003), educational status of primary and above (AOR=2.68, 95% CI [1.48-4.88], P=0.001), attending ≥ 4 antenatal care visits during pregnancy (AOR=3.57, 95% CI [2.10-6.06], P<0.001), and history of postnatal attendance after birth (AOR=2.33, 95% CI [1.16-4.65], P=0.017) were significantly associated with good knowledge of neonatal danger signs. Conclusion. The proportion of mothers with good knowledge of neonatal danger signs was remarkably low. Since the problem is a public health importance in developing countries, particularly in Ethiopia, which determines future generations. Great efforts are needed to create awareness for mothers on the importance of the early identifying neonatal danger signs plus to avert the high magnitude of neonatal mortality.

scholarly journals Midwifery workforce profile in Limpopo Province referral hospitals

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Sam T. Ntuli ◽  
Gboyega A. Ogunbanjo
Keyword(s):  
Maternal Mortality ◽  
Registered Nurses ◽  
Maternity Care ◽  
Work Experience ◽  
Limpopo Province ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Negative Effect ◽  
Sub Saharan

Background: In sub-Saharan Africa including South Africa, maternal mortality rates remain unacceptably high due to a shortage of registered nurses with advanced midwifery diplomas.Objective: To determine the profile of registered nurses (RNs) involved in maternity care in public referral hospitals of the Limpopo Province, South Africa.Method: A cross-sectional descriptive study was conducted in all maternity units of Limpopo’s public referral hospitals. The study population comprised of 210 registered nurses, who became the study sample. Data on their educational profile and work experience in midwifery was analysed using STATA version 9.0.Results: The mean age of the 210 registered nurses was 44.5 ± 9.1 years (range 21 to 62). The majority (152/210; 70%) were 40 years and older, 56% (117/210) had been working for more than 10 years, and 63/210 (30%) were due to retire within 10 years. Only 22% (46/210) had advanced midwifery diplomas, i.e. after their basic undergraduate training. Only six (2.9%) of the RNs providing maternity care in these referral hospitals were studying for advanced midwifery diplomas at the time of the study.Conclusion: This study demonstrated a shortage of registered nurses with advanced midwifery training/diplomas in referral hospitals of the Limpopo Province. This has a potentially negative effect in reducing the high maternal mortality rate in the province.

scholarly journals Leader Empowering Behaviors and Psychological Empowerment as Perceived by Young Hospital Staff Nurses: A Pilot Study

Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 47
Author(s):  
Ryan Michael Flores Oducado
Keyword(s):  
Work Experience ◽  
Psychological Empowerment ◽  
Survey Design ◽  
Rank Correlation ◽  
Hospital Staff ◽  
Positive Influence ◽  
The Philippines ◽  
Staff Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional

Introduction: Empowerment has become an important concept in nursing that has gained acknowledgment in theories and practice of leadership and management. A positive organization espouses empowerment to attract and retain employees. While it is not new to nursing, there is little published research on empowerment among nurses in the Philippines. This study aimed to measure young staff nurses’ perception of leader empowering behaviors and psychological empowerment.Methods: This study used a cross-sectional survey design participated by 44 conveniently chosen staff nurses in a private teaching and training hospital in Iloilo City, Philippines. The participants were asked to answer 5-point Likert scale questions utilizing adopted instruments. Descriptive and non-parametric statistical stools were used with Mann-Whitney U test to determine differences and Spearman’s rank correlation to establish relationship between variables.Results: Overall, young staff nurses perceived their leaders’ behaviors to be highly empowering (M=3.89). Staff nurses also had a high level of psychological empowerment (M=4.07). Leader empowering behaviors was significantly related to staff nurses’ perception of psychological empowerment (p=.001). Staff nurses’ level of psychological empowerment were significantly different in terms of employment status (p=.020) and years of work experience (p=.014).Conclusion: This study highlights the positive influence of the empowering behaviors of leaders in enhancing staff nurses’ level of psychological empowerment. It is vital for nurse managers to continually demonstrate leadership behaviors that empower staff nurses at the unit level.

scholarly journals Knowledge on American Heart Association Guidelines Update for Cardiopulmonary Resuscitation among the Nurses Working at University Hospital, Kavre

2020 ◽  
Vol 18 (2) ◽  
pp. 14-18
Author(s):  
S. Shrestha ◽  
R. Shrestha ◽  
R.M. Karmacharya ◽  
S. Ranjit
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Work Experience ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Knowledge Score ◽  
University Hospital ◽  
Good Knowledge ◽  
Cross Sectional

Background Cardiopulmonary resuscitation is the foundational technique for the emergency treatment of cardiac arrest and the standardized training of it has been emphasized more than ever. Competence of the nurses in this lifesaving procedure is a critical factor in patient outcome from cardiac arrest and can largely prevent sudden death. Objective Many evidences suggest lack of knowledge on proper cardiopulmonary resuscitation among nurses so the aim of this study was to assess the knowledge on 2015 American Heart Association guidelines update for cardiopulmonary resuscitation among nurses working at University hospital and to identify the relationship between the level of knowledge and selected variables. Method Two hundred and sixty nurses working in Dhulikhel hospital participated in the study. A cross-sectional descriptive study was conducted using a predesigned questionnaire based on 2015 guidelines updates for cardiopulmonary resuscitation that incorporated total of 20 questions. Result Total 260 participated in the study and all were female. Only one third of the nurses had good knowledge regarding 2015 guidelines update for cardiopulmonary resuscitation. No significant results existed between the knowledge score and age of the nurses, duration of work experience. However, significant results existed between the knowledge score and qualification, designation of the nurses and previous training on cardiopulmonary resuscitation. Conclusion One third of the nurses had good knowledge regarding 2015 guidelines update for cardiopulmonary resuscitation in this study. Thus, knowledge and practical approach has to be updated with current guidelines in cardiopulmonary resuscitation in order to improve the safety and effectiveness of patient care.

scholarly journals Active management of the third stage of labour: knowledge and challenges of obstetric caregivers in selected health facilities in Fako Division, Cameroon

2021 ◽  
Author(s):  
William Ntchompbopughu Tih ◽  
Egbe Obinchemti Thomas ◽  
Tendongfor Nicholas
Keyword(s):  
Maternal Mortality Ratio ◽  
Logistic Models ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Active Management ◽  
Good Knowledge ◽  
Cross Sectional ◽  
The Third ◽  
Third Stage ◽  
Mortality Ratio

Abstract Background: In Cameroon, the decrease in MMR (Maternal Mortality Ratio) from PPH (Postpartum Haemorrhage) despite reported use of the Active Management of the Third Stage of Labour (AMTSL) is slower than required to achieve the Third Sustainable Development Goal (SDG3) hence the need to question obstetric caregivers’ competence in AMTSL, as well as the factors hindering its proper useWe therefore aimed to assess obstetric caregivers’ knowledge about AMTSL, as well as the determinants and barriers of AMTSL in selected hospitals in Fako Division, Cameroon.Methods: This was a hospital-based cross-sectional study of 150 participants recruited in 27 health facilities in Buea, Limbe and Tiko health districts from January 15, 2020, to March 31, 2020. Participants’ socio-demographic and qualification characteristics, knowledge and challenges, and the references guiding their practice of AMTSL were collected using a structured questionnaire. AMTSL knowledge was categorized as poor or good and the determinants of good AMTSL knowledge were evaluated. The data was analyzed in SPSS version 25.0. Results: Of the 150 caregivers interviewed, only 48.7% had good knowledge of AMTSL. In logistic models, participants’ use of AMTSL increased Good knowledge of AMTSL (AOR: 12.96, CI: 1.12 -150.3, p=0.04). Unavailability of drugs and/or equipment, insufficient staff coverage and lack of knowledge and training of the staff were the major challenges reported. Conclusion: Obstetric caregivers in Fako division have knowledge gaps and face numerous challenges in AMTSL use, which could account for the consistently high MMR from PPH. Filling this knowledge gap and mitigating the challenges of these caregivers would certainly accelerate progress towards the achievement of SDG3.

scholarly journals Analisis Faktor Sosiodemografi Dalam Pengambilan Keputusan Pemilihan Tempat Persalinan Di Kabupaten Bangkalan

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Uswatun Khasanah ◽  
Esyuananik Esyuananik ◽  
Anis Nurlaili
Keyword(s):  
Health Center ◽  
Sampling Technique ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Infant Mortality Rate ◽  
Survey Method ◽  
P Value ◽  
Cross Sectional ◽  
Multi Stage ◽  
Socio Demographic Factors

Abstract : Parents Factors, Decisions, Selection Of Delivery Places. Maternal and Infant Mortality Rate in Indonesia remains high. Approximately 95% of maternal deaths occur during labor due to obstetric complications. Efforts are made by doing delivery in health facilities so it does not happen late referred and handled and can be anticipated if maternity in health facilities. Factors that are considered to influence the decision of maternity selection by maternity mothers are socio-demographic factors, namely education & culture. High knowledge about health services causes individuals to tend to use health care facilities. This study aims to analyze the Sociodemografi Factors that Affect Decision Selection Place Birth to Maternity Mother. The research design using explanatory survey method with cross sectional design. This population are maternity mother in August-2016 with 51 samples of with multi stage sampling technique at coastal cluster, town and mountains, is Sepuluh health centers, Arosbaya health center and Galis health center. The data were taken by using quesioner and analized by Chi-Khuadrat. The results showed that the sociodemographic factor did not significantly influence the decision of maternity selection in maternal mother (p value>0,05). It is recommended that midwives further improve counseling in pregnant women in the third trimester related to preparing for the delivery process, among othersthrough. 

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