Browsing by Author "Issa YF"

Now showing 1 - 7 of 7
  • Thumbnail Image
    Item
    A comparative study of Plasma Vitamin C levels in pre- eclamptic and normotensive pregnancies at the Lagos University Teaching Hospital
    (2015) Odeigah CC; Odeigah L; Olagunju FA; Suleiman ZA; Issa YF; Adesina KT; Saidu R; Raji HA; Ayeni MO; Jimoh AAG
    Background: Pre-eclampsia remains a major cause of maternal and perinatal morbidity and mortality in our environment. Research into methods of prevention of this disorder has been hampered by a poor understanding of the pathological mechanisms leading to pre-eclampsia. Recent studies suggest that oxidative stress (with reduced antioxidant defences) could lead to free radical mediated endothelial dysfunction in pre-eclampsia. Objectives: To determine the plasma vitamin C levels in pre-eclamptic and normotensive pregnant patients at LUTH, and to compare the levels of plasma vitamin C in both groups of patients with a view to investigate the association between plasma vitamin C level and preeclampsia. Method: A comparative study of plasma vitamin C levels in pre-eclamptic and normotensive pregnancies. Informed consent was obtained from 90 women admitted to the labour ward with singleton pregnancies between 28 and 40 weeks, who were divided into two groups: 30 preeclamptic patients and 60 normotensive patients (each pre-eclamptic patient was matched for parity with 2 normotensive patients). Venous blood was obtained from all the participants. Plasma vitamin C level was measured using High Performance Liquid Chromatography (HPLC). Data was analyzed using inferential statistical methods. Results: The results showed that mean plasma vitamin C level in the pre-eclamptic women was 119.3 ± 23.7 μg/ml, while the mean plasma vitamin C level in the normotensive pregnant patients was 246.5 ± 45.0 μg/ml. The mean concentration of plasma vitamin C level was significantly lower in the pre-eclamptic patients than in the normotensive patients (t=14.5; p<0.001) Conclusion: The study showed that pre-eclampsia is associated with decreased concentration of plasma vitamin C. There is the need for a local study to investigate the effect of vitamin C supplementation on pre-eclampsia.
  • Thumbnail Image
    Item
    Adherence to Antiretroviral therapy among Human Immunodeficiency Virus infected patients at the University of Ilorin Teaching Hospital, Ilorin, Nigeria.
    (2015) Olagunju FA; Odeigah LO; Suleiman ZA; Issa YF; Akanbi II A; Raji HA; Adesina KT; Saidu R; Ayeni OM; Jimoh AAG
    Background: When people living with HIV/AIDS (PLHAs) are able to meet its challenging adherence requirements, highly active antiretroviral therapy (HAART) can be a nearly miraculous drug regimen that drastically reduces viral replication and damage to the immune system, restores daily functioning and well being. Objectives: The study sought to determine the rate and sociodemographic factors affecting adherence to antiretroviral therapy. Also to find associations between adherence and some clinical parameters among HIV infected patients attending lentiviral clinic at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Methods: The study was a descriptive cross-sectional survey of a randomly selected 250 HIV infected adult patients who were on antiretroviral therapy for a minimum of three months under the Federal Government of Nigeria’s free drugs programme. Self-reported adherence and other data were collected using an interviewer-administered questionnaire. Results: Adherence rate to antiretroviral therapy among HIV-infected patients was 90%. Knowledge of respondents about adherence and the increase in CD4 counts were significantly associated with adherence level. An assessment of the relationship between rate of adherence and socio-demographic factors revealed that there were no statistically significant associations. Conclusion: The high rate of adherence was largely attributed to free drugs provided by the clinic, free CD4 counts and other investigations, regular health talk and adherence counseling provided by a high level man-power.
  • Thumbnail Image
    Item
    Assessment of Preparedness and Community Based Intervention Strategies for Prevention and Control of Lassa Fever in Rural Malete, Kwara State
    (2021) Olaolu BO; Elelu N; Adedapo AA; Taiye I; Issa YF
    Background: The outbreak of Viral Hemorrhagic Fevers (VHFs) in the West African sub region in recent timĞƐ had nĞŐĂtivĞ consequences on the health systems, ŝnƚĞrnĂtiŽnĂů travels, movements and trades. Nigeria is Ɛtiůů bĂƩůŝnŐ with a ƐŝŐnŝĮcĂnƚ spread of Lassa Fever (LF) outbreak. Aims: This study assessed preparedness and community bas ed ŝnƚĞrvĞntiŽn strategies for ƉrĞvĞntiŽn and control of Lassa fever in rural Malete, Kwara State. Methodology: This was a ĚĞƐcrŝƉtivĞ cross ƐĞctiŽnĂů study carried out among. Two hundred ĮŌy nine (259) people in rural Malete. Study respondents were s elected using mƵůtiƐƚĂŐĞ sampling technique. A well structur ed, paper based, interviewer administered qƵĞƐtiŽnnĂŝrĞ w as used for data cŽůůĞctiŽn͘ Data was analyzed using ^ƚĂtiƐticĂů Package for Social Science (SPSS) version 25.0, ƐŽŌwĂrĞ package for windows (IBM SPSS, 2017) ĚĞƐcrŝƉtivĞ and classical ƐƚĂtiƐticƐ were adopted and the level of ƐŝŐnŝĮcĂncĞ for the ƐƚĂtiƐticĂů tests was set at ≤ 0.05. Result: More than half of the respondents 75(64.7%) in the age group (21-30 years) agree they know strategies against Lassa fever ƉrĞvĞntiŽn and control in Malete, 35(57.6%) in the age group (31-40 years) of the respondents also agree they know strategies against Lassa fever ƉrĞvĞntiŽn and control in Malete. Majority 39(77.3%) of respondents in the age group (41-50 years) agree they know strategies against Lassa fever ƉrĞvĞntiŽn and control in Malete. 12(52%) of the respondents in (51 above years) years category agree that they know if the state rĞŐƵůĂtiŽnƐ for ƉrŽƚĞctiŽn against rĂĚŝĂtiŽn is available. Discussion: Past epidemic control in Nigeria have occurred, leaving ůŝƩůĞ or no traces of ĞxŝƐtinŐ control structures behind and preparing no ground for future outbreaks and ůŝƩůĞ or no emphasis on preparedness. Adequate training and retraining of health care providers as well as the establishing well equipped ŝnĨĞctiŽƵƐ disease clinics, laboratories and research centers would help in the prompt containment, diagnosis and treatment of Lassa and would help in ĂvĞrtinŐ possible future outbreaks.
  • Thumbnail Image
    Item
    . Comparative Study of Enrollee Satisfaction with Private and Public Health Care Providers of Community Based Health Insurance Scheme in Edu LGA, Kwara State
    (2020) Sheshi IM; Issa YF; Aderibigbe SA; Agbana BE; Sanni MD
    Introduction: Many low and middle income countries keep on searching for different ways of financing their health systems. In order to ensure accessibility to quality health services by those in the rural areas, a Community Based Health Insurance Scheme was initiated which aim to integrate both human and financial resources within the rural communities to provide basic healthcare services to its resident. In recent years, level of patient satisfactions have been identified as one of the major yardsticks to measure quality of healthcare. This study was conducted to compare enrollees satisfaction of public and private providers of community based health insurance scheme in Edu Local Government Area of Kwara State, Nigeria. Materials and Methodology: A descriptive cross sectional study was carried out among eight hundred respondents that were selected using multistage sampling technique. Data was collected using a semi-structured interviewer administered questionnaire and Focus Group Discussion. Analysis was done with EPI info software and confidence level was held at 95% and a p-value of less than 0.05 was considered as statistically significant. Results: The satisfaction level with private facility (4.28±0.35) was higher than that with public facilities (4.12 ±0.48). The difference was significant at a p-value of <0.001. Private providers had a higher satisfaction level than the public providers in the domains of empathy, tangibles, assurance and timeliness. The difference was statistically significant as the p-value was less than 0.05. No differences in level of satisfaction in responsiveness among the respondents of both providers as the p-value was 0.295. There was an association between marital status and satisfaction in public providers while an association occur between type of marriage and satisfaction in private provider. There was an association for both providers in occupation level, level of education and length of enrolment Conclusion and Recommendation: There was a higher overall satisfaction among enrollees of private providers than the public providers of Community Based Health Insurance Scheme. Health care delivery by private providers is of good quality and as such private facilities should be maintained as part of the providers of Community Based Health Insurance Scheme. Government should also strengthen monitoring and supervision to ensure good quality of health care delivery to the enrollees especially in the public health facilities.
  • Thumbnail Image
    Item
    Effect of health education intervention on the awareness and use of personal protective equipment among small scale electric arc welders in Ilorin, Nigeria.
    (2014) Adewoye KR; Awoyemi AO; Babatunde OA; Atoyebi OA; Salami SK; Issa YF
    Introduction: Welding is associated with workplace hazards that can affect the health of those who engaged in it as they are exposed to harmful dust. Subjects and Methods: This was a health education intervention study carried out among self-employed electric arc welder. Data were collected using an interviewer administered questionnaire and health education intervention was carried out between the preintervention and postintervention stages. Epi-info version 3.5.1 software package was used for data analysis and Chi-square analysis was used to determine the statistical signifi cance of observed differences between the study and control groups before the intervention and after intervention. Level of signifi cance was set at a P < 0.05. Results: At the preintervention phase, 285 respondents were interviewed in each of the study and control groups, while 280 study respondents and 275 control respondents were available for the postintervention phase of the study. Before the intervention, 279 (97.9%) of the respondents in the study group were aware of eye goggles as a means of protection, 20 (7%) were aware of welding helmet, 206 (72.3%) were aware of hand gloves and 4 (1.4%) were aware of face mask. All showed a significant increase in awareness postintervention (P < 0.05) while there was no signifi cant increase in awareness in the control group. Conclusion: Health education brought about a signifi cant increase in awareness and use of personal protective equipment among the welders. There is a need for proper education of welders on workplace hazards, the types and use of different protective devices in other to safeguard their health.
  • Thumbnail Image
    Item
    Exclusive breastfeeding as a predictor of a natural birth control method among women in the South West, Nigeria.
    (2014) Olaitan LO; Stephen JA; Odeigah LO; Saidu R; Issa YF; Adesina KT; Olarinoye OO; Raji KA; Jimoh AAG
    This study was carried out to assess the utilization of exclusive breastfeeding as a predicator of natural birth control among women in the south western Nigeria. Related literature was reviewed on different methods of National birth control with much emphasis on the useful ideas and the benefits of breastfeeding to both the nursing mothers and their babies. The population for the study consist only nursing mothers who are attending the infants welfare clinic, family planning clinic and ante-natal clinic which include civil servants, Traders and artisans. Four hundred subjects were randomly selected from about five thousands population of nursing mothers within the state in the south western Nigeria for the study. The instrument used for the study was self structured questionnaire that were validated by experts in the area of study and tested for the reliability of study using split half. A spearman rank order was used to analyze the result. A correlation coefficient of (0.75r) was obtained which ascertain its reliability for the study. The instrument was administered by the researcher and five research assistance. An inferential statistics of chi-square was used to analyze the formulated hypotheses. The result revealed that most respondents lack the knowledge about the benefit of exclusive breastfeeding, the nature of their work does not permit them to give exclusive breastfeeding. The health status of mothers and settlement pattern have influence on their compliance to exclusive breastfeeding. It is therefore recommended that appropriate steps through advocacy and campaign jingles be carried out by the stakeholders in the health sector; waiver should be given to nursing mothers to attend to their babies wherever the need arises to breastfeed them either at home or in the work place by their employers.
  • Thumbnail Image
    Item
    Willingness to Pay for Community Health Financing: An Approach to Financing and Sustainability of Integrated Community Case Management of Childhood Illness in Rural Communities in Niger State
    (2021) Sheshi IM; Ahmed A; Sanni MD; Issa YF; Agbana, BE
    Introduction: Community based health financing mechanism is referred to as a process whereby household in a community finance or co finance the recurrent and capital cost associated with a given set of health services thereby also include management of financial scheme and organization of health services. Iccm as a strategy to providing integrated case management services for two or more illness including diarrhea, malaria, pneumonia among children from two to upto five years. It is a community approach where lay persons are trained on management of the three diseases. This approach is being funded by foreign donor. However, there was stipulated period in which this support would elapsed and the support from the state Government may not be feasible. In an attempt to source for financing of iccm, this study aim at determining the willingness of the caregiver to use Community financing approach through payment of Premium to finance this community intervention (iccm). The concept of willingness to pay is maximum price a consumer is willing to pay for a given product or services. Materials and Methodology: A descriptive Cross sectional study was carried out among four hundred respondents that were selected using Multi stage sampling technique. Data was collected, coded and entered into a computer. Analysis was carried out using SPSS. Chi Square and logistic regression was used as a test of significance. Level of significance was set at Pvalue less than 0.05. Results: Twenty two percent of the respondents had good knowledge of iccm activities. Less than half of the respondents 41.3% were satisfied with iccm activities. Majority of the respondents 93.3% were willing to pay. Out of this, half of them 50.0% said they could only afford to pay less than 1000 naira per annum and 72.8% said the convenient time to pay was during the harvesting time. Factors influencing willingness to pay include Age, marital status and income level ( Pvalue <0.05). Knowledge and level of satisfaction were not influencing factors. The predictor of willingness to pay are aged 38-47 years and income of less than 5000 naira. Conclusion and Recommendation: There was willingness of the respondents to contribute for financing and sustainability of iccm in Niger State but the amount the majority of them were willing to pay was less than 1000 naira which might not able to sustain the iccm activities. There may be need for further research to determine amount needed for the annual activities and hence sustainability of iccm. The Government should show much responsibilities toward financing of iccm. Bi-apartite arrangement could be made between State Government and the Communities with iccm in place on how to share some responsibilities of iccm activities.