Factors

Perception of Mothers on Factors Contributing to Puerperal Sepsis in Selected Government Hospital in Lagos State (Published)

Puerperal sepsis is a bacterial infection of the genitourinary tract that occurs after delivery or a miscarriage. In a particular Lagos State government hospital, the study examined how mothers felt about the causes of puerperal sepsis. Structured questionnaires were used to gather data for the cross-sectional design of the study. The mothers’ questionnaires, numbering 210 altogether, were collected and analysed with SPSS 22.0. Results indicated that whereas 42.4% of women had a high awareness of puerperal sepsis, 59.0% were unaware of it. Sixty-three percent of respondents also identified low levels of education, ignorance, and living in rural areas as important reasons. In addition, 89% found that the manner of birth was a factor, and 87.1% found that infrequent antenatal clinic attendance was a factor. Low immunity was cited by 64.3% of respondents, whereas 96% cited the location of birth as a contributor to puerperal sepsis. All p-values for tests of correlation between the two sets of variables (factors and perception) were significantly lower than 0.05. Overall, most mothers only had a hazy understanding of what puerperal sepsis entailed. The stigma surrounding puerperal sepsis strongly correlates with socioeconomic standing. Puerperal sepsis awareness was significantly influenced by factors such as birth location, delivery method, and lack of antenatal clinic attendance. Puerperal sepsis risk variables were significantly correlated with mothers’ reports of experiencing the condition. The perception of puerperal sepsis among mothers continues to be low; thus, the obstetrics and gynaecological healthcare system should make it a matter of utmost importance to teach pregnant women about it so that their perception about it would have improved before to delivery. Puerperal sepsis is an infection that occurs after childbirth and can lead to serious complications. 

 

Keywords: Factors, Mothers, Perception, government hospital, puerperal sepsis

Factors Influencing Burnout Among Nurses Working in Obafemi Awolowo University Teaching Hospitals Complex, Osun State, Nigeria (Published)

Burnout is considered to be the challenges that have made the life of workers unbearable especially with respect to healthcare professionals. Research has shown that burnout is on the increase among health workers globally. Therefore, this research is aimed at examining factors influencing burnout among nurses working in Obafemi Awolowo University Teaching Hospitals complex, Osun State, Nigeria. The research adopted a quantitative descriptive survey research design. The sample size of 280 was determined by Taro’s formular. A self-structured questionnaire was validated and was used to collect data. Data collected were analyzed using descriptive and inferential statistics at 0.05 level of significance. The result shows that most of the respondents (84.4%) were affected by the burnout because majority of them agreed that the burnout can occur as a result of increased work load with a mean score of 4.80.  Majority also claimed that poor remuneration could contribute to burnout since they are likely to have little or nothing to show for their consistent exhaustion, these respondents have a mean value of 4.30. Overall, the mean score of burnout of the respondents was 4.44. This implies that most of the respondents were moderately affected by the burnout among nurses. Further results on the hypotheses shows that there was a positive and low correlation between work-related factors and environmental factors influencing burn out among nurses (r=.377, p<0.0.01). Also, there was a positive and low correlation between work related factors and personal factors influencing burn out among nurses (r=.329, p<0.0.01). The research concluded work-related, personal and environmental factors were established as strong factors contributing to the effect of burnout among nurses. It is recommended that government agencies and medical practitioners should device ways by which burnout can be prevented among employees.

Keywords: Burnout, Environmental, Factors, Nurses, Personal, work-related

Factors Influencing the Utilisation of Maternal Health Care Services Among Women of Reproductive Age in Lagos Island LGA, Lagos State (Published)

Nigeria has one of the highest rates of maternal deaths during pregnancy, childbirth and after childbirth among the developing countries. Therefore, it is important to identify the factors influencing the utilization of maternal health care services among women of reproductive age. This study was conducted to assess the level of utilization of maternal health care services and it examined factors influencing the utilization of the maternal health care services among women of reproductive age. This study was a cross-sectional descriptive design. Proportionate stratified sampling technique was used to select the markets, while convenience sampling technique was used to select 297 participants. The instrument used for data collection was a self-structured questionnaire that was divided into three sections (sections A-C). The validity and reliability of the instrument was established before used. The descriptive statistics was employed to answer the research questions, while Pearson correlation and chi-square analysis were employed to test the hypotheses at 0.05 level of significant. Findings showed that the level of utilization of maternal health care services was low. There was a significant relationship between factors influencing the utilization of maternal services and the level of utilization of the services among the women of reproductive age (r = .516, p = <0.05). Conversely, the socio-demographic factors were not significantly related to the level of utilization of maternal health services among participants. It was recommended among others that there should be education in form of orientation for women on the need for them to utilize MHCS during pregnancy and delivery and after childbirth.

Citation:Rotimi-Oyedepo, Victoria Oluwabunmi and Ajao, Ezekiel O. (2022) Factors Influencing the Utilisation of Maternal Health Care Services Among Women of Reproductive Age in Lagos Island LGA, Lagos State, International Journal of Nursing, Midwife and Health-Related Cases, Vol.8, No.2, pp.67-80

 

Keywords: Factors, Maternal, Reproductive Age, Women, child health care services

Factors influencing patronage of Traditional Birth Attendants (TBAs) among pregnant women attending TBAs centres in Epe, Lagos, Nigeria (Published)

The choice of birthplace has significant impacts on birth outcomes. The study assessed the influence of socio-demographic attributes of pregnant women on patronage of TBAs among pregnant women attending TBA centres in Epe local government area, Lagos, Nigeria.One hundred and sixty four pregnant women were selected through simple random sampling. Questionnaire with reliability index of 0.81 was used as an instrument for data collection. Data collected were analyzed using descriptive and inferential statistics and presented in tables.The study established that factors such as cheap services, caring nature of TBAs, desire for privacy, family involvement with care, faith based reasons, untoward attitude of healthcare workers and a favorable previous experience all contribute to respondents’ decision to patronize the TBA centers. A significant relationship was found to exist between respondents’ socio demographics variables (age (P=0.000), educational status (p=0.006), economic status (p=0.000), religion ( p=0.000)) and  patronage of TBA centers.  It is therefore recommended TBAs should be integrated into primary health care and their practices supervised, health practitioners should be more caring, government should strive harder at making maternity care free or at a subsidized to all pregnant women irrespective of their religion, age or economic status and religious centres charging with the responsibility of encouraging their members to patronize skilled attendants  before and during childbirth

Keywords: Factors, Patronage, Traditional Birth Attendants (TBAs)., influencing

Factors Influencing the Utilization of Infection Prevention and Control Measures (IPCM) Among Nurses in Some Selected State Hospitals in Lagos State, Nigeria (Published)

This study investigated the factors influencing the utilization of infection prevention and control strategies (IPCM) among nurses in some selected state hospitals in Lagos State.  It adopts a descriptive cross-sectional research design using multistage sampling technique to recruit 158 nurses. Self-structured questionnaire with reliability index of 0.79 was used for data collection. Obtained data was analyzed using descriptive and inferential statistics. Findings revealed that 84.8% of respondents used IPCM while 15.2% didn’t use this. The factors reported by respondents to influence utilization of IPCM include; attitude of nurses (p=0.001), unavailability of personal protective equipment (p=0.009), poor knowledge about  IPCM (p=0.034), prompt supervision by hospital’s infection control committee (p= 0.022), accessibility of materials for infection prevention and control (p= 0.042), frequent trainings on infection prevention and control procedures (p= 0.036) while year of practice ( p=0.645) and Qualification (p= 1.000) does not have influence on utilization of IPCM .Majority in this study use IPCM but few do not make use of it which can cause fatal consequences.  Hospitals should set up infection control committee to train and enforce safe practices among nurses and hospital management should also ensure availability accessibility of personal protective equipment to health care workers for safe practice.

Keywords: Factors, Infection control, Nurses, Utilization, infection prevention

Factors that Influence Exclusive Breastfeeding: A Literature Review (Published)

Every year more than 10 million children under the age of five years die, mainly from one of a short list of causes which already can prevented through successful base of exclusive breastfeeding.   Although WHO and Uniceif recommends early initiation of breastfeeding (within an hour from birth) and  exclusive breastfeeding for the first 6 months. The exclusive breastfeeding rate and early initiation to breastfeeding are still very low, because there are many factors that influence exclusive breastfeeding such as, lack of knowledge, lactation problems, poor family and social support, social norms, embarrassment, employment and child care, and health services. As well, a lot of barriers to successful exclusive breastfeeding among employed mothers have been identified in the work environment such as company policies/work culture, manager support/lack of support, co-worker support/lack of support, and the physical environment of the breastfeeding space. So; we see there is a need for   implementation of an educational program through primary health care settings as well mass media to improve, promote and support the exclusive breastfeeding practices, both national and international among working and non-mothers should be done.

Keywords: Breastfeeding, Duration, Exclusive, Factors