75 research outputs found
Health Workers' Competence in Diagnosis and Management of Post Traumatic Stress Disorder among Internally Displaced Persons in Plateau State, Nigeria
No full textObjectives is to determine the health workers' perceived competence in the diagnosis and management of PTSDMethods focus group discussion was employed with health workers working with the internally displaced persons in Plateau state Nigeria.Results health workers in Plateau state lacked full competence in the diagnosis and management of post traumatic stress disorder. Furthermore, they are partially competence in the basic life support skills as well as the referral of cases of PTSD.Conclusion health workers need more knowledge and training on the management of post traumatic stress disorders. Ajio Daniel K | Ogunyewo, A.O | Salihu Dauda | Gusen Nanle Joseph "Health Workers' Competence in Diagnosis and Management of Post Traumatic Stress Disorder among Internally Displaced Persons in Plateau State, Nigeria" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-4 , June 2017, URL: https://www.ijtsrd.com/papers/ijtsrd2221.pd
The effect of e-health interventions promoting physical activity in older people: a systematic review and meta-analysis
No full textIntroduction: The objectives of this review paper were to synthesize the data from randomized controlled trials in the literature to come to a conclusion on the effects of e-health interventions on promoting physical activity in older people. Methods: The Medline, CINAHL, Embase, PsycINFO, and SportDiscus databases were searched for articles about studies that 1) recruited subjects with a mean age of > 50 years, 2) tested e-health interventions, 3) employed control groups with no or less advanced e-health strategies, 4) measured physical activity as an outcome, 5) were published between 1st January 2008 and 31st May 2019, and 6) employed randomized controlled trials. The risk of bias in individual studies was assessed using the Physiotherapy Evidence Database scale. To examine the effects of the interventions, variables quantifying the amount of physical activity were extracted. The within-group effects of individual studies were summarized using Hedges g and 95% confidence intervals. Between-group effects were summarized by meta-analyses using RevMan 5.0 with a random effect model. Results: Of the 2810 identified studies, 38 were eligible, 25 were included in the meta-analyses. The within-group effect sizes (Hedges g) of physical activity in the intervention group at T1 ranged from small to large: physical activity time (0.12 to 0.84), step counts (- 0.01 to 11.19), energy expenditure (- 0.05 to 0.86), walking time (0.13 to 3.33), and sedentary time (- 0.12 to - 0.28). The delayed effects as observed in T2 and T3 also ranged from small to large: physical activity time (0.24 to 1.24) and energy expenditure (0.15 to 1.32). In the meta-analysis, the between-group effect of the e-health intervention on physical activity time measured by questionnaires, physical activity time measured by objective wearable devices, energy expenditure, and step counts were all significant with minimal heterogeneity. Conclusion: E-health interventions are effective at increasing the time spent on physical activity, energy expenditure in physical activity, and the number of walking steps. It is recommended that e-health interventions be included in guidelines to enhance physical activity in older people. Further studies should be conducted to determine the most effective e-health strategies
Emergency transport for obstetric emergencies: integrating community-level demand creation activities for improved access to maternal, newborn, and child health services in northern Nigeria
No full textOlugbenga Oguntunde,1,2 Farouk Musa Yusuf,1,3 Jabulani Nyenwa,1,4 Dauda Sulaiman Dauda,1,2 Abdulsamad Salihu,1,3 Irit Sinai5 1UKAid/Nigeria MNCH2 Programme, Kano, Nigeria; 2Palladium, Abuja, Nigeria; 3Society for Family Health, Abuja, Nigeria; 4Palladium, London, UK; 5Palladium, Washington, DC, USA Purpose: Ensuring adequate access to skilled birth attendants during and after childbirth is a key strategy to reducing maternal and newborn mortalities. Transportation difficulties in emergency situations continue to be a significant barrier to accessing emergency obstetric care, especially in rural and hard-to-reach areas. Emergency transport schemes (ETS) have been introduced in various settings to increase access to emergency care and reduce the second obstetric delay with varying degrees of success. This qualitative study assessed the perceptions of stakeholders and beneficiaries of ETS in two states in northern Nigeria, comparing two models of ETS: one in which the ETS were introduced as a stand-alone intervention, and another in which ETS were part of a package of interventions for increasing demand and improving utilization of maternal and newborn health services.Methods: We carried out focus group discussions with ETS drivers, mothers who delivered in the past year and utilized ETS, husbands of women who benefited from the schemes in the past year, health care providers, traditional birth attendants, and religious leaders, supplemented by in-depth interviews with program focal persons.Results: Demand creation activities – especially working with traditional birth attendants and religious leaders – provided a strong linkage between the ETS and families of women in need of emergency transport services. Community members perceived the ETS model that included demand-generating activities as being more reliable and responsive to women’s needs.Conclusion: ETS remain a key solution to lack of transport as a barrier to utilizing maternal and newborn health services in emergency situations in many rural and hard-to-reach communities. Programs utilizing ETS to improve access to emergency obstetric care should explore the potential of increasing their utility and reach by integrating the schemes with additional demand-side interventions, especially engagement with traditional birth attendants and religious leaders. Keywords: emergency transport, maternal health, emergency obstetric care, access, northern Nigeri
Effect of an African circle dance programme on mental health in internally displaced adults with depressive symptoms in Africa : a quasi-experimental study
No full textTrends of Child Trafficking Situation in Nigeria and A Way Forward
Get PDFInternational and local policies/legislations exist on Child Trafficking. However, it remains a serious public health concern in many parts of the world particularly in developing countries like Nigeria. This paper explores the problem in Nigeria and proffers appropriate solution. It involves illegal recruitment and movement of children for the purpose of exploitation. Different factors predispose to trafficking in the country, mainly due to social, political or economic reasons. Of recent, the phenomenon of Baby factory becomes very common in some parts of the country, leading to young girls mobilized into the trafficking cycle and giving birth to children for sale in black markets. Trafficking occurs either locally within the country or internationally through various routes, across all the geopolitical zones of Nigeria. Various health implications associated with trafficking exist, these include physical, mental or sexual consequences, hence, the article outline existing legislations, barriers and ways of controlling the menace. Keywords: Trends, Child, Trafficking, Situation, Nigeria
Strategies Used to Contain Ebola Virus Disease (EVD) in Nigeria: A Lesson to Other Developing Countries
Get PDFThe 2014 Ebola Virus Disease outbreak has been declared an international public health emergency by the WHO. It affected six West African countries among which Nigeria is one. Cases were also transmitted to UK, USA and Spain. The disease generally claim more than 11000 lives in the West African region, out of which 8 were from Nigeria. This paper aims to review the management approaches of the outbreak in Nigeria and develop specific recommendations. It was identified that immediately after the outbreak of the disease, the Nigerian government in partnership with international agencies set an Ebola Emergency Operation Centre and an Incident Management System, which were instrumental in containing the disease. A number of health protection strategies including surveillance, incident prevention/control, education and communication were put in place leading to successful management of the outbreak, hence the WHO declare the country free of Ebola in October, 2014. It is thus concluded that such approaches in conjunction with the suggested recommendations serve as a means of managing similar future outbreaks in Nigeria and other developing nations within and outside Africa. Keywords: Ebola, Impact, Management, Nigeria
Effects of an African Circle Dance Programme on Internally Displaced Persons with Depressive Symptoms: A Quasi-Experimental Study
No full textBackground: Internally Displaced Persons (IDPs) are people who have been forced to flee their homes due to disasters. Depressive symptoms, at over 31–67%, are prevalent in IDPs in Africa. Despite the evidence for the benefits of the promotion of dance interventions on psychological health, supporting information is needed to outline the benefits of an African Circle Dance (ACD) intervention for IDPs in Africa. Methods: A quasi-experimental design (pre-/post-test) was employed. Two IDP camps were randomized into the intervention group (psychoeducation and ACD intervention) and the control group (psychoeducation). Adults aged ≥18 years, living in an IDP camp, able to perform brisk walking, and who scored ≥10 on a depressive symptoms subscale were recruited. The intervention group received an 8-week ACD dance intervention and two 1-h psychoeducation sessions on stress management; the controls only received the psychoeducation sessions. Outcomes were depressive symptoms, stress, and anxiety. Data were collected at baseline (T0), immediately after the intervention at week 8 (T1), and at week 12 (T2) at the post-intervention and follow-up session. A generalized estimating equation was used to test the effects of the ACD intervention, with a 0.05 significance level. Results: 198 IDPs completed the study (ncontrol = 98; nintervention = 100). The intervention group reported significantly greater improvements in depressive symptoms (v = 0.33, p < 0.001) and stress (v = 0.15, 0.008) than did the control group. Conclusions: ACD could be a valuable complementary intervention in health promotion but more research is needed
Overcoming barriers to access and utilization of maternal, newborn and child health services in northern Nigeria: an evaluation of facility health committees
No full textAbstract Background Poor quality of health services and socio-cultural dynamics may severely limit utilization of health services. Facility health committees were established in several states in northern Nigeria to reduce these barriers. The committees were charged with mobilizing communities, improving quality of health services, and promoting utilization of maternal and child health services. This study assessed this intervention. Methods To obtain a comprehensive picture of facility health committees’ influence on maternal and child health services, we selected 33 facilities in three states in northern Nigeria (Jigawa, Kaduna, Kano) where the intervention was active. For each of these facilities we interviewed committee members (n = 399), conducted focus group discussions with a subset of committee members (18 focus groups), interviewed facility health providers (two providers from each facility), and conducted client exit interviews (n = 501). Results Facility health committees appear to have a positive influence on quality of maternal and child health services in the selected facilities. Committee members, health providers, and facility clients all agree that the committees have a tangible positive effect. The most important roles of the committees are to mobilize the community and increase demand for maternal and child health services, in a region where demand is very low. Committee activities further improve health services in many ways, including advocacy, community-facility coordination, fund raising, money donation, and problem mitigation. Conclusion Facility health committees can be invaluable in contributing to improved demand for and access to quality maternal and child health services in health facilities in northern Nigeria. They provide strong linkages between community members and the health facilities, directly work to increase demand for services, and address supply-side challenges that often limit utilization of services in health facilities. The intervention can be improved by more broadly communicating committee activities in the community, and by incentivizing facility health committee members
Overcoming barriers to access and utilization of maternal, newborn and child health services in northern Nigeria: an evaluation of facility health committees
No full textEffectiveness of an Integrated Education for Self-Management in Stroke Rehabilitation in North-east Nigeria: A Randomized Controlled Trial
No full textObjective: To investigate the effectiveness of a modeled community-based education (CBE) for self-management towards reducing disability and improving lower extremity functions among stroke survivors.
Study type & settings: This single-blind randomized controlled trial (RCT) was conducted among stroke survivors attending outpatient Physiotherapy unit of Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH), in the North-Eastern part of Nigeria.
Methodology: Single-blind randomized controlled trial design was employed by grouping the participants into experimental and control groups. Participants were considered eligible if their stroke was due to cerebrovascular accident, able to walk 10 meters unsupported, at least 30 days’ post-stroke and possessed cognition score of >24 on Mini-Mental State Examination. Sixty participants were assigned to either the intervention (n=31) or control group (n=29) and received intervention for 6 weeks after the baseline assessments. Modified Rankin Scale, Six-Minute Walk Test and Ten-Meter Walk Test were used to measure the degree of disability, walking distance and gait speed respectively.
Results: Groups did not differ significantly in terms of stroke related disability, walking distance and gait speed at baseline. Post-intervention assessments showed time effect on participants’ walking distance across two test periods, indicating significant time effect (F =13.963, p =0.001) with an effect size of η2 =0.245. Disability was assessed using the modified ranking scale. The time effect of the participants’ performance on the scale across the two test periods indicated significant time effect; (F =8.563, p =0.005) with effect size of η2 =0.166. However, non-significant time effect was reported on gait speed of the ..........
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