Community Health and Primary Care- Conference Papers
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Browsing Community Health and Primary Care- Conference Papers by Author "Kanma-Okafor, OJ"
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- ItemOpen AccessAssessment of health facilities, commodities and supplies for malaria case management at Primary Health Centres in Ogun State.(2019) Ladi-Akinyemi, TW; Daniel, OJ; Kanma-Okafor, OJ; Ogunyemi, AO; Onajole, ATIntroduction: Country-specific evidence shows that Nigeria has the largest population at risk of malaria in Africa. Primary healthcare facilities play a major role in malaria control and often provide the bulk of malaria case management services. Materials and Methods: A cross-sectional study was conducted in primary healthcare centers (PHCs) in three Local Government Areas (LGAs) of Ogun state. A pretested observational checklist adapted from the National Malaria Control Programme (NMCP) guideline was used to assess the health facilities, commodities, and supplies for malaria case management in all the PHCs. Results: A total of 75 PHCs were visited in the three LGAs. Only 32.0% of the PHCs had long lasting insecticide nets (LLINs) on the hospital beds. The majority (74.7 and 60.0%) of the PHCs distributed LLINs at antenatal care (ANC) and during immunization. The availability of sulfadoxine-pyrimethamine (SP) was good in 57.3% of the PHCs, and directly observed therapy of SP at ANC was good in 59.3% of the PHCs. Only 6.7% of the PHCs had the light microscope. There was availability of rapid diagnostic test kits in 62.7% of the PHCs. There was regular supply of artemisinin-based combination therapy in almost half of the PHCs. However, only 5.3% of the PHCs had quinine tablets available and only one of the PHCs had the correct prescription of quinine. Conclusion: There should be adequate and regular supplies of NMCP commodities in the PHCs if the country is to achieve the general objective of the current National Malaria Strategic Plan. Keywords: Commodities, Nigeria, NMCP, Ogun state, PHCs, supplies
- ItemOpen AccessDepression-related knowledge, attitude and help-seeking behaviour among residents of Surulere Local Government Area, Lagos State.(2019) Egwuonwu, CC; Kanma-Okafor, OJ; Ogunyemi, AO; Yusuf, HO; Adeyemi, JDContext: Worldwide, depression leads among the causes of ill‐health and disability. Therefore, it is a major public health concern. Aim: This study was carried out to determine depression‐related knowledge, attitude, and help‐seeking behavior among residents of Surulere Local Government Area, Lagos state, Nigeria. Settings and Design: This was a descriptive cross‐sectional study. A total of 422 respondents were recruited using the multistage sampling technique. Subjects and Methods: An adapted, pretested, semi‐structured, and interviewer‐administered questionnaire was used to collect data. Statistical Analysis Used: Data were analyzed using EPI Info Version 7 statistical software. Results: The proportion of respondents with depressive symptoms such as loss of interest in usual activities was 30.6%. Majority of the respondents had good knowledge of depression (90.0%), positive attitude (93.2%), and good help‐seeking behavior (87.9%) toward depression. Marital status was not significantly associated with the presence of depressive symptoms. However, there was a statistically significant association between employment status and the presence of depressive symptoms (P = 0.001) and the help‐seeking behavior toward depression (P = 0.013); the level of education on the other hand showed a statistically significant association with both knowledge and attitude (P = 0.003, P ≤ 0.001, respectively). Conclusion: Most of the respondents had good knowledge, positive attitude, and good help‐seeking behavior toward depression; however, mental health services may not be readily available. There is therefore a need to ensure the availability of good mental health services as well as public enlightenment on where and how to access these services. These can prove very useful in tackling the rising prevalence of mental health disorders. Key words: Attitude, depression, depressive symptoms, help‐seeking behavior, knowledge, mental health
- ItemOpen AccessKnowledge and implementation of the National Malaria Control Programme among health‑care workers in primary health‑care centers in Ogun State,(2018) Ladi-Akinyemi, TW; Amoran, OE; Ogunyemi, AO; Kanma-Okafor, OJ; Onajole, ATIntroduction: Country-specific evidence shows that Nigeria has the largest population at risk of malaria in Africa. Primary healthcare facilities play a major role in malaria control and often provide the bulk of malaria case management services. Materials and Methods: A cross-sectional study was conducted in primary healthcare centers (PHCs) in three Local Government Areas (LGAs) of Ogun state. A pretested observational checklist adapted from the National Malaria Control Programme (NMCP) guideline was used to assess the health facilities, commodities, and supplies for malaria case management in all the PHCs. Results: A total of 75 PHCs were visited in the three LGAs. Only 32.0% of the PHCs had long lasting insecticide nets (LLINs) on the hospital beds. The majority (74.7 and 60.0%) of the PHCs distributed LLINs at antenatal care (ANC) and during immunization. The availability of sulfadoxine-pyrimethamine (SP) was good in 57.3% of the PHCs, and directly observed therapy of SP at ANC was good in 59.3% of the PHCs. Only 6.7% of the PHCs had the light microscope. There was availability of rapid diagnostic test kits in 62.7% of the PHCs. There was regular supply of artemisinin-based combination therapy in almost half of the PHCs. However, only 5.3% of the PHCs had quinine tablets available and only one of the PHCs had the correct prescription of quinine. Conclusion: There should be adequate and regular supplies of NMCP commodities in the PHCs if the country is to achieve the general objective of the current National Malaria Strategic Plan. Keywords: Commodities, Nigeria, NMCP, Ogun state, PHCs, supplies