Online ISSN: 2515-8260

Keywords : Nigeria

Self-Medication Among Nurses In A Tertiary Health Facility In Enugu State, South East Nigeria

Hope O. Nwoga; Miriam O. Ajuba; Gabriel C. Ume

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 1410-1425

Background: Self-medication (SM) is a global practice that is prevalent in all age groups and in all races. Although it has been successfully integrated into many healthcare systems throughout the world, it still presents with the problems of wrong diagnosis, inappropriate choice of treatment, drug abuse, delayed health seeking behaviour, double medication and harmful interactions, inappropriate storage and administration of expired medicines, medication wastage and in extreme cases death.
Methods: The study was a cross-sectional study conducted at ESUTH Parklane, Enugu Nigeria. A structured pre-tested self-administered questionnaire was used to collect data from the consenting nurses. Data was analysed using SPSS version 25 and variables were presented in frequencies, percentages, means, and standard deviation with the aid of tables. Bivariate analysis was done using chi-square test. The level of significance was set at p value ≤ 0.05.
Results: Most of the nurses were within the 30-39 years age group 95(44.4%). Majority were females 199(93.0%) and married 169(79.0%). Almost all of them were Christians 213(99.5%) and Igbo ethnic group 212(99.0%).
All the nurses have heard about SM but only 181(86.4%) have good knowledge of it. Majority of them have practiced SM in the past one year 185(86.4%). Among those that practiced SM, majority practiced rarely 157(73.4%). The commonest symptom for which SM was practiced was headache 194(90.7%) followed by fever 170(79.4%) and pain 163(76.2%). The commonly used drugs for SM were analgesics/anti-pyretic 194(90.7%) and anti-malarias 187(87.4%). Sources of drugs were majorly from pharmacy shops 195(91.1%). Their major reasons for SM were emergency illness 171(79.9%), mild illness 162(75.9%) and prior knowledge about the illness and its treatment 150(70.1%).Conclusion: There was good knowledge of SM among the studied nurses but their practice was poor as majority practiced SM in the past one year.

The Perceived Influence of Intervention Programmes in Promoting Health-seeking Behaviour among Vesicovaginal Fistula Women: A Qualitative Study in North-West Nigeria

Muhammad AnkaNasiru; Nuarrual Hilal Md Dahlan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 3845-3855

Vesicovaginal fistula (VVF) is a childbirth-related disease that disturbs millions of women in developing societies, including Nigeria. In recent times, in its bid to influence VVF women's health-seeking behaviour, the government of Nigeria through the Federal Ministry of Health put into operation numerous intervention programmes (IVPs). Nonetheless, despite the government's preceding determination to eradicate VVF disease, the number of afflicted women who participated in IVPs is discouraging. Previous researches were not able to explore verbatim the perceived influence of most relevant IVPs in promoting health-seeking behaviour among VVF women in Nigeria. Therefore, this qualitative descriptive study's objective is to explore the perceptions of the study’s participants regarding the most relevant IVPs that encourage VVF women to seek treatment in northwest Nigeria.This study used descriptive design and Nvivo qualitative research software v11. A total of nine participants were selected through a purposive sampling technique. The findings of this study indicated that a theme, sub-themes, and sub-sub themes emerged resulting from the data analysis. The primary study theme that emerged was IVPs, followed by two sub-themes, namely, rehabilitation and campaign. Also, three sub-sub themes emerged under rehabilitation, namely, surgical intervention, skills acquisition, and counselling. Also, two sub-sub themes emerged under the campaign. The finding of this study shows that the majority of the participants (RES I, II, V, VII, VIII, & IX) agree rehabilitation programmes are the most relevant IVPs that influenced health seeing-behaviour among VVF women in the northwest, Nigeria. As against the least participants (RES VI, IV & III) who perceived campaign programmes. Thus, this study recommends the enforcement of appropriate laws and policies concerning the utilisation of motherly and child health facilities; offenders should be sanctioned appropriately. Moreover, the study recommends that the federal, state, and local governments should increase funding in health sectors to improve the much-needed IVPs and other social services. Finally, the study recommends that politicians and health managers focus on improving the rehabilitation programme’s components, such as free surgical operations, skills acquisition, and counselling