Awareness and Attitude towards Acceptance of Vasectomy among Spouses of Pregnant/Delivered Women in the University College Hospital, Ibadan, Oyo State (Published)
Awareness and Attitude of vasectomy are critical for enhancing male involvement in family planning and reducing the contraceptive burden on women in Nigeria. This study assessed awareness and attitudes toward vasectomy and how these factors influence its acceptance among spouses of pregnant or recently delivered women at the University College Hospital (UCH), Ibadan, Nigeria. The study specifically examined the level of awareness of vasectomy, attitudes toward vasectomy as a male contraceptive method, perceived barriers influencing its acceptance, and the readiness of men to consider vasectomy as a family planning option. A descriptive cross-sectional research design was adopted. The study population comprised male spouses of pregnant or recently delivered women attending antenatal, postnatal, and family planning clinics at UCH. Using convenience sampling, fifty respondents who met the eligibility criteria were recruited. Data were collected using a structured questionnaire that assessed respondents’ awareness, attitudes, perceived barriers, and readiness regarding vasectomy. The instrument was validated through expert review and tested for reliability using a pilot study, which produced a reliability coefficient of 0.84. Data were analyzed using descriptive statistics and Chi-square analysis at a 0.05 level of significance. The findings revealed that most respondents were aware of vasectomy as a permanent family planning method, although misconceptions regarding sexual performance and safety persisted. Respondents generally supported male involvement in reproductive health and joint decision-making with partners. However, cultural beliefs, perceived social stigma, and limited accessibility of services were identified as major barriers to acceptance. Readiness to recommend or adopt vasectomy remained relatively low, though many respondents indicated willingness to consider it after receiving adequate information. The study concludes that improving awareness through targeted health education, promoting male involvement in family planning, and enhancing access to vasectomy services may significantly improve acceptance of the procedure.
Keywords: Acceptance, attitude, awareness, readiness, spouses, vasectomy
Effect of a Nurse-Led Intervention on the knowledge of and attitude towards Chlorhexidine Gel for Cord Treatment on Babies in selected hospitals in Lagos State (Published)
Newborn survival is strongly linked to care quality, with proper umbilical cord care crucial in preventing infections during the first week of life, thereby improving neonatal health outcomes. The main objective was to assess the effect nurse-led intervention on the knowledge of and attitude towards chlorhexidine gel for cord treatment on babies. The study adopted a two group quasi-experimental method. The target population for the study were all the pregnant women in their last trimester attending antenatal clinic in the selected secondary health facilities in Lagos Island while the total sample size was 120 pregnant women in their last trimester selected using purposive and proportional sampling technique. The research instrument used was a questionnaire divided into three sections. The study was carried out in three phases and data collected were analysed using SPSS version 28. The results revealed that in the experimental group, knowledge of chlorhexidine gel use improved significantly from a pre-intervention mean score of 5.14 to 12.69, with 93.7% attaining high knowledge, unlike the control group. Attitudes also shifted in the experimental group from negative to positive, with mean scores rising from 20.14 to 32.69, while the control group showed minimal change. Post-intervention analyses confirmed significant group differences (knowledge: t = 33.858, p < .05; attitude: t = 49.858, p < .05). The study concluded that nurse-led interventions significantly improved mothers’ knowledge and attitudes towards chlorhexidine gel for cord care. It recommends regular health education during antenatal and postnatal care, alongside standardised protocols on umbilical cord care.
Keywords: Knowledge, attitude, chlorhexidine gel, cord-treatment, nurse-led intervention
Correlates of Adherence to Infection Prevention and Control Practices (IPC) Among Healthcare Workers from Primary Healthcare Centers in Osun State, Nigeria (Published)
This quantitative based study examines Correlates of Adherence to Infection Prevention and Control Practices (IPC) among Healthcare Workers from Primary Healthcare Centers. Descriptive design was adopted for this study with a sample size of 124 health workers from urban and rural areas, selected across 3 Local Government Areas in the State, using multi-stage sampling techniques. Data collected using Pre-tested semi-structured questionnaire. Data was processed using Statistical Package for Social Sciences (SPSS), version 27. Analysis was conducted using descriptive statistics, while hypotheses was tested using t-test at p-value of 0.05 or less. Results revealed that, majority of the respondents were within age group, 20-29 years (30.7%) and 50 years & above (37.1%) respectively. Also over a third (37.1%) had completed diploma, with about 10 years’ experience or over. Overall 44.5% of the total respondents have adequate knowledge of IPC. Also over half (54.4%) had more negative attitude towards IPC, while slightly over half (51.9%) of the respondents had more poor adherence to IPC. Hypotheses tested revealed that, there is a significant difference in the knowledge (t (123) =4.116; p=.000), attitude (t (123) =5.289; p=.000) and adherence (t(123)=4.481; p=.000) to IPC among healthcare workers in rural and Urban PHCs in Osun State. The study concluded that, there is knowledge deficit on IPC practices, while adherence and attitude towards IPC practice among majority health workers in both rural and urban PHCs violates the standard expectation from Healthcare professionals. These insights underscore the need for designing appropriate interventions and policy formulation towards implementation of existing promotional guidelines on IPC.
Keywords: Adherence, Knowledge, attitude, control practices, infection prevention
Predictors of Patients` Satisfaction with Nursing Care Delivery Among Patients in Mbodo Aluu Health Center, Rivers State (Published)
Patients’ satisfaction is a vital evaluation that should be made often for improved service delivery. Patients’ satisfaction is key to improving quality of care. Patients have a right to quality care and information regarding their health and treatment regimen. This study assessed the predictors of patients` satisfaction with nursing care delivery among patients in Mbodo Aluu Health Center, Rivers State. Descriptive survey design was used for the study. A sample of 160patients were selected from Mbodo Aluu Health Center in Rivers State. A simple random sample technique was adopted to select the participants who met the inclusion criteria into the study. Data were collected using a self-developed questionnaire. Face and content validity of the questionnaire were ensured. The reliability of the questionnaire was ascertained using test re-test method and Cronbach’s alpha coefficient was 0.78. Data collected were processed using Statistical Package for Social Sciences (SPSS) version 23. Research questions and hypotheses were answered using descriptive statistics of mean, standard deviation, percentage t-test, PPMC and Chi-squaretested at 0.05 level of significance. Results revealed the overall satisfaction levels of the patient receiving nursing care to be fair,while hospital environment, nurses’ disposition to work, attitude of the nurses, supply of information by the nurses to the patients, and respect for privacy are the factors that affect the satisfaction level of patient. Also, nurses’ behavior or care affects patients’ health \recovery of health. It was revealed further that male and female patients do not differ in their level of satisfaction and the care received; while a positive significant relationship was found between respondent’s length of hospital stays, level of education, and their satisfaction with nursing care received. It is concluded that nurses’ care attributes and hospital environments are strong predictors of patients’ satisfaction. Therefore, it is recommended that to increase satisfaction with nursing care, greater emphasis should be given to patient privacy, freedom and communication.
Keywords: attitude, nurses’ disposition, patient satisfaction, ward environment
Knowledge, Attitude and Practice of Preventive Measures towards COVID-19 among Pregnant Women Attending Selected Primary Health Centre’s in Osogbo, Osun State (Published)
Background: COVID-19 is a new viral disease, and health researchers are currently evaluating its effects on pregnant women and their unborn children. There is dearth of research available to support the argument that pregnant women are at greater risk of COVID-19 disease.Methods: This study used an exploratory research design to examine the knowledge, attitude and practice of preventive measures towards COVID-19 among pregnant women in Osogbo, Osun state. 382 subjects were selected using a simple random technique. Self-developed questionnaire was the instrument used to collect data. The data collected were analyzed using statistical package for social sciences (SPSS) and the results were presented using tables and percentages. Six null hypotheses were tested using chi-square at 0.05 level of significance. Results: Result of this study shows that nearly half of the respondents are within 18-25 (45.0%) years of age, 79(63.6%) are Muslims and 358(93.7%) are from the Yoruba tribe. This study also reveals that the respondents do have significant knowledge on the novel Coronavirus disease and a good attitude towards the prevention of COVID-19 as they practice frequent hand washing, sanitizer use and maintenance of social distancing. From the hypothesis tested, there is significant association between the education level of the respondents and their knowledge and attitude of preventive measures towards COVID-19 and no association between the age of the pregnant women and practice of preventive measures towards COVID-19. Conclusion: From the study, there seems to be a moderate level of awareness on the preventive measures towards COVID-19 among pregnant women in Osogbo but increase in the level of awareness and educational program can be done by the government and health workers in order have a very good attitude and awareness which will eventually improve the rate of adherence and compliance towards COVID-19 preventive measures.
Keywords: COVID-19, Knowledge, Preventive, attitude, pregnancy
Awareness and Attitude towards Utilization of Reproductive Health Services among Adolescents in Calabar Municipality (Published)
Purpose: The main focus of this study was awareness and attitude towards utilization of Reproductive health services among adolescents in Calabar Municipality. Objectives: In order to successfully carry out the study, the following objectives were formulated to guide the study. To determine the level of awareness of adolescents towards utilization of reproductive health services in Calabar municipality. To assess the attitudes of adolescents towards utilization of reproductive health services in Calabar municipality. To identify the barriers of adolescents towards utilization of reproductive health services in Calabar municipality. Literature: Literature, was reviewed based on the research variables, Methods: the research instrument used in collecting data for analysis was a questionnaire which was administered on one hundred and fifty (150) adolescents in Calabar Municipality who served as sample for the study. Their responses were analyzed using frequencies, percentage and Pearson product moment correlation analysis and the following results were obtained. Results: in table 3 indicate that 50(33.3%) of the respondents strongly agreed that they did not like reproductive health services because of its complications to health while 3(2%) agreed, 84(56%) of the respondents strongly disagreed while 13 (8.6%) of the respondents disagreed. 40(26.6%) of the respondents strongly agreed, that they like reproductive health services because it prevents unwanted pregnancy, 44(29.3) disagreed, 60(40) of the respondents strongly disagreed while 6(4%) disagreed. 8(26.6%) strongly agreed that they love going to hospital because the nurses there will explain different methods of reproductive health services to them 90(60%) agreed, while 2(1.3%) strongly disagreed, 50(33.3%) disagreed. 80(53.5%) of the respondents strongly agreed that they love reproductive health services because they do not want to be pregnant, 8(5.3%) agreed, 60(40%) strongly disagreed and 2(1.3%) disagreed. 30(20%) of the respondents strongly disagreed that most adolescent choose the wrong method because it offers an appropriate method to each adolescent 30(20%) disagreed while 45(30%) agreed, 45(30%) strongly agreed. 45(30%) of the respondents strongly agreed that most women choose the wrong method because of improper counseling based on culture religion and ignorance 30(20) agreed while 30(20%) strongly disagreed and 45(30%) disagreed. Conclusion: Reproductive health services were accessible to adolescents in Calabar Municipality. And most adolescents were aware of the reproductive health services but fail to utilize it. There is no significant relationship between attitude of reproductive health services and adolescents utilization of reproductive health; Reproductive health services were available to the public for use. There is no significant relationship between barriers of reproductive health services and adolescents utilization of reproductive health services. Nevertheless, it was concluded that Local Government authorities should organize enlightenment campaigns, to educate adolescents in the area on the importance of reproductive health services.
Keywords: Adolescence, Reproductive Health, Utilization, attitude, awareness