UNILAG Journal of Medicine, Science & Technology

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Browsing UNILAG Journal of Medicine, Science & Technology by Author "Abiola, A.O"

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  • Item
    Open Access
    Client Satisfaction and Quality of Family Planning Services: a Comparative Study of Public and Private Facilities in Lagos, Nigeria
    (University of Lagos Press, Akoka, 2016) Udom, C.F; Okafor, I.P; Abiola, A.O
    Client satisfaction and quality of care of family planning services affect contraceptive uptake and continued usage of method. The study aimed to determine and compare client satisfaction with quality of family planning services between public and private health facilities in an urban area of Lagos, Nigeria. A cross sectional study was carried out among consecutively recruited 240 women accessing family planning services in July 2013 at public and private health facilities (120 per facility). Data collection was done with exit interview, client-provider interaction and facility audit questionnaires from measure evaluation. Data was analyzed with epi-info and level of significance was set at 5% (p<0.05). Major findings include: (public vs private) mean age was 35.5±5.5 years vs 37.9±7.5 years; mean waiting time (minutes), 24.8±11.7 vs 48.7±17.8 (p<0.001). Statistically significant differences were observed in perceived long waiting time, (12.5%, 15/120) vs (30%, 36/120) (p<0.001); active participation, (95.8%, 115/120) vs (100%, 120/120) (p=0.020); client received method of choice, (66.3%, 56/80) vs (72.3, 60/83) (p=0.010). Overall, private provider clients were better satisfied with services (93%, 112/120) than clients in the public facility (88%, 105/120) (p <0.001). The private provider clients were better satisfied with services. Training of public providers on interpersonal relationship, counseling and communication skills is recommended. Private providers should implement strategies to reduce waiting time.
  • Item
    Open Access
    Pattern of Ordering and Usage of Homologous Blood Transfusion for Major Elective Maxillofacial Surgery at the Lagos University Teaching Hospital
    (University of Lagos Press, Akoka, 2014) Ayodele, A.O; Ogunlewe, M.O; Gbotolorun, O.M; Abiola, A.O; Adeyemo, W.L.
    Justification for the requests for homologous blood that accompany major elective maxillofacial surgical procedures is difficult to establish in most cases. This attitude of ordering for cross-matched blood is understandable in today's legal climate, but has led to serious problems in terms of laboratory inefficiency which can no longer be ignored. To evaluate the pattern of ordering and use of homologous blood, and transfusion ratios for major elective maxillofacial surgeries at the Lagos University Teaching Hospital (LUTH), Idi-Araba Lagos. Sixty-three consecutive subjects who required major elective maxillofacial surgery under general anaesthesia, and who met the inclusion criteria were included in the study. Data collected included age, sex, weight, and height of subjects, type of surgery done, preoperative and intraoperative haemoglobin concentration, blood units cross-matched and units transfused intraoperatively. Each subject was made to donate through a representative donor, at least one unit of homologous blood prior to surgery. There was a male predominance (57.1%) among subjects, with male to female ratio of 1.3 : 1. Mean age of subjects was 33.9 ± 13.5 years. O+ was the most predominant blood group (62%). Tumours (58.8%), were the most common indication for surgery. Majority of subjects (95.2%), had a preoperative haemoglobin concentration of ≥ 10 g/dl. Haemoglobin concentration at the point of transfusion was ˂ 10 g/dl for 58.8% of transfused subjects. The overall cross-match to transfusion ratio was 3.35, overall probability of transfusion was 26.9%, while the overall transfusion index was 0.6. Only oncological surgical procedures showed an efficient blood usage in all the 3 indices. This study also demonstrated that only onclogical surgical procedures have an indication for cross-matching of blood for surgery, however there is a need to determine the maximum surgical blood ordering schedule for these procedures. There is therefore the need to change the blood ordering pattern, and minimize over-ordering of blood for major elective maxillofacial surgery.