Recently Published Documents
Maintenance of public hospital buildings in Nigeria – an assessment of current practices and policy options
Purpose The recent COVID-19 pandemic has exposed the declining conditions of many of the hospital buildings, especially in developing countries. Past studies have shown inadequate maintenance practices but how far regarding Nigerian public hospital buildings is yet to receive empirical research. This paper aims to investigate the underlying issues leading to inadequate maintenance practices and proffers policy options to improve Nigerian public hospital buildings via an unexplored dimension. Design/methodology/approach The study used a mixed research design method involving both qualitative and quantitative data. First, results from the qualitative phase were analysed and verified at the quantitative phase through a well-structured questionnaire, developed from the qualitative findings across hospital maintenance experts (work/maintenance department, health-care provider, design team and health-care building/service contractor) in Abuja, Lagos and Benin City. Findings Insufficient funds for maintenance works, absence of planned maintenance programmes, inadequately trained personnel, etc., emerged as the maintenance inadequacies in the public hospital buildings across the cities covered. The paper categorised the cause of inadequate maintenance practices of public hospital buildings into six groups: statutory requirements, design stage, construction stage, budget for maintenance task, managing maintenance unit activities and user’s perception regarding maintenance management. Research limitations/implications This paper is limited to maintenance practices of Nigerian public hospital buildings. Future research is needed to evaluate factors that will enhance outsourcing maintenance and the use of the 4th industrial revolution (building information modelling for refurbishment and building automation systems) amongst others in maintenance practices of public hospital buildings. Practical implications As part of the practical implication, the government and hospital administrators should make provision for adequate funding and accountability of annual maintenance budgetary allocation. Also, the government should establish a national maintenance policy for public infrastructure with an emphasis on preventive maintenance and contractor’s reputation, outstanding pedigree, technical and financial soundness during build maintenance contract award, etc., were recommended. Originality/value This paper reveals that the stakeholders, especially hospital administrators, policymakers and political office holders that are concern with maintenance budget, approval and disbursement concerning maintenance practices in public hospital buildings need to reawaken to her responsibility because of the inadequate implementation across the cities covered.
Abstract Background Nurses are in the frontline and play an important role in the battle against the COrona VIrus Disease-2019 (COVID-19) pandemic. Sleep problems among health care workers are likely to increase due to the pandemic. However, it is conceivable that negative health outcomes related to the pandemic fluctuate with the infection rate waves of the pandemic. The present study aimed to investigate sleep patterns among Norwegian nurses, after the first wave, during a period with very low rates of COVID-19. Methods Data stemmed from the cohort study “SUrvey of Shift work, Sleep and Health (SUSSH)” among Norwegian nurses. A total of 1532 nurses responded one time to a questionnaire between June and September in 2020 including items about demographics and work, information about COVID-19 and quarantine, sleep patterns and changes in sleep patterns due to the pandemic. Descriptive statistics for all relevant variables were calculated and McNemar tests were used to compare categorical variables. Results The majority of nurses (84.2%) reported no change in sleep duration after the first wave of the COVID-19 pandemic compared to before, 11.9% reported less sleep, and 3.9% reported more sleep. Similarly, 82.4% of the nurses reported no change in their sleep quality, whereas 16.2% of the nurses reported poorer sleep quality after the first wave of the pandemic compared to before. The majority of nurses reported no change in their sleep schedule due to the pandemic, although 9.6% of the nurses reported to go to bed later and 9.0% woke up earlier than before the pandemic. Conclusions Most existing literature exploring sleep among health care workers during the COVID-19 pandemic has been carried out during periods with high infection rates. In this study we aimed to investigate sleep patterns among Norwegian nurses following the first wave, during a period of low COVID-19 rates in Norway. Most of the nurses reported no change in neither sleep duration, sleep quality, bedtime, nor wake-up times compared to before the pandemic. Still, nearly 12% reported shorter sleep duration, and about 16% reported poorer sleep quality indicating that some nurses experienced worsening of their sleep following the pandemic.
Impact of Chorea on Self-care Activity, Employment, and Health-care Resource Use in Patients with Huntington’s Disease
Abstract This article examines ʿAbd al-Ilah al-Qinaʿi's early 20th-century melding of local, imperial, and transoceanic health practices alongside his 21st-century reemergence as a protonational Kuwaiti doctor. In the early 20th century, geographically and ideologically expansive horizons of health care fostered the emergence of hybrid medical practices. Facilitated by his access to multiple medical spheres and his proximity to Kuwait's rulers, ʿAbd al-Ilah was uniquely positioned to meet the demands of health-seeking consumers. In the 21st century, Kuwaitis' search for a national history that naturalizes claims to citizenship has resulted in ʿAbd al-Ilah's new designation as Kuwait's first doctor. Both processes—the interplay between local cultures of health and emergent institutions and the imagining of medical history as a nativist teleology—demonstrate how health-seeking and history-writing efforts of a range of historical actors have placed medicine at the center of politics in Kuwait.
Maternal Factors Associated with Low Birth Weight Babies Delivered in Selected Primary Health Care Centres in Abuja Municipal Area Council, FCT, Nigeria
Introduction: Globally, low birth weight remains a public health challenge and is a major risk factor for infant mortality. Therefore, this study investigated the factors associated with low birth weight babies delivered in health facilities within Abuja, Nigeria. Methodology: Secondary data from January 2017 to December 2020 was extracted from 330 delivery records in ten (10) Primary Health Care centres to assess the determinants of low birth weight babies born in Abuja. Findings: The results showed that the mean age of mothers was 27.8 ± 5.1. Majority of the mothers (93.6%) were between 16 and 35 years of age, 93.6% were married, 67% were Christians, 23.3% had no formal education, 31.5% were housewives and 75.8% lived in rural communities. The mean birth weight of babies was 3.05 ± 0.55 kg and 20.3% of the babies had low birth weight compared to 79.7% with normal weights at birth. Maternal age, p=0.02; marital status, p=0.02; religion, p=001; occupation, p=0.001; and weight, p=0.000 were found to be significantly associated with having LBW babies. Maternal obstetric characteristics such as birth spacing, p=0.00; haematocrit level, p=0.001; pregnancy termination, p=0.001; and medical conditions, p=0.00 were also significantly associated with birth weight. Conclusion: The study reported a high prevalence of low birth weight; it also revealed the protective effects of being married on LBW. However, being a housewife significantly increased the risk for having a low birth weight baby.
Effect of Structured Educational Program on Practices of Radiation Safety Measures Among Health Care Providers in Urology Operation Theater
Questionnaire based assessment of awareness about infection control practices regarding COVID-19 among health care workers
Background: Healthcare workers (HCWs) are at frontline of response of the current pandemic of the COVID-19. This exposes them to risk of infection due to insufficient knowledge and unhealthy practices. The aim of the study was to assess the knowledge of infection control practices among HCWs regarding COVID-19.Methods: A web-based cross-sectional survey was conducted between April 2020 and June 2020. A 21-questions survey was developed and distributed among study population. A total of 622 HCWs working in a dedicated COVID-19 hospital participated in this study. Descriptive statistics was applied to represent participant characteristics and Chi-square test was used to evaluate the level of association among variables with a significance level of <0.05.Results: Out of 622 participants, 443 (71.22%) were females and 179 (28.78%) were males. Majority of the participants were nurses 308 (49.5%) followed by resident doctors 152 (24.4%), faculty doctors 108 (17.3%) and ancillary staff 54 (8.6%). Most participants 424 (68.1%) were less than 30 years of age. The overall response to survey was satisfactory with average correct responses recorded at 70.9%. Faculty doctors and resident doctors scored maximum average of 73% marks.Conclusions: The study participants showed sufficient basic knowledge about infection control practices regarding COVID-19. It also highlights the importance of continued training and educational interventions which are required to battle the present pandemic situation.