Savannah Journal of Medical Research and Practice
https://www.ajol.info/index.php/sjmrp
<p>The <em>Savannah Journal of Medical Research and Practice</em> aims to promote and advance the practice and study of all fields of medicine in Nigeria in general as well as in other African countries and the rest of the world. We therefore welcome contributions relating to all aspects of medicine from workers throughout the world. Contributions may be in the form of original articles, solicited review articles, case reports, letters, preliminary communications etc. it aims to serve medical doctors, medical consultants, allied health professionals and medical scientists</p>University of Ilorin Teaching Hospitalen-USSavannah Journal of Medical Research and Practice2276-6839Copyright belongs to the Kwara State Chapter of the Nigerian Medical Association (NMA)Delivery Strategy For Covid-19 Vaccination And A Review Of Secondary Data From A Tertiary Health Facility, North-central Nigeria
https://www.ajol.info/index.php/sjmrp/article/view/243511
<p><strong>Background</strong>: COVID-19, which started in Wuhan, China, spread and affected over 200 countries causing various social, economic, psychological and health impacts. It weakened the health system and halted ongoing preventive programs. Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2(SARS -COV-2). On March 11, 2020, it was declared a pandemic by the World Health Organization. To deter the spread of the disease, the TEACH strategy for COVID-19 vaccination was launched in March 2021 by NPHCDA of the Federal Ministry of Health in Nigeria. The objective of this paper is to review the strategy for COVID-19 vaccination in Nigeria using data from a tertiary health facility as a case study.</p> <p><strong>Methodology</strong>: A Medline search and search of other internet search engines such as Google, Google Scholar, PubMed, Research gate and WHO.int was carried out for published studies on COVID-19 vaccination in Nigeria, Africa and worldwide. A total of 29 publications were reviewed; Journals 23, Reports 4 and Guidelines 2. Opinions of relevant stakeholders were sought and records of COVID-19 immunization activities at UITH was also analyzed.</p> <p><strong>Findings</strong>: People with comorbidities did not present at the launch of the vaccination in UITH probably due to myth and fears about the vaccine. The proportion of health workers vaccinated exceeded others reflecting the prioritization matrix used in TEACH strategy. Fever was the most common AEFI reported in UITH (27%) and vaccine hesitancy was a big challenge.</p> <p><strong>Conclusion</strong>: The usage of electronic registration in the TEACH strategy can be explored for routine vaccines. Allocation of funds for COVID-19 vaccines, risk communication and community engagement among others are ways to help solve the challenges surrounding COVID-19 vaccination strategy in Nigeria.</p>T.G. Kayode G.K. Oshagbemi H.A. Ameen O.R. AibinuomoT.M. Akande
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2023-03-142023-03-14102010810.4314/sjmrp.v10i2.1Assessment Of Adenoid Nasopharyngeal Ratio In Children With Symptoms Suggestive Of Obstructive Adenoid Disease
https://www.ajol.info/index.php/sjmrp/article/view/243529
<p><strong>Background</strong>: Adenoid hypertrophy (AH) is a common childhood illness that occurs due to obstruction of the nasopharynx by enlarged adenoids. Lateral nasopharyngeal X-ray is used for diagnosis and assessment of patency of the nasopharyngeal air column by assessing the Adenoid Nasopharyngeal Ratio (ANR). This study aims to assess the ANR of symptomatic patients with AH that presented to Ear, Nose and Throat/ Head and Neck Surgeon (ENT/HNS) Department of the University of Abuja Teaching Hospital (UATH).</p> <p><strong>Methodology</strong>: This was a retrospective study conducted in the ENT/HNS Department of UATH, Gwagwalada from January 2019 to December 2021. The case notes and lateral nasopharyngeal xrays of 112 children aged between 3 months to 15 years, diagnosed with Adenoid Hypertrophy, were retrieved. Relevant information such as demographics, and Lateral Nasopharyngeal X-ray measurements were extracted.</p> <p><strong>Results</strong>: A total number of 112 participants were enrolled into this study. Out of these, 77 (68.8%) were males and 35 (31.2%) were females. The mean age of participants was 3.86 0.27 years, and age range was 3 months to 15 years. Most participants were between 0 – 5 years. The mean ANR among participants was 0.69 0.02. The minimum ANR was 0.03, and the maximum ANR was 1.00 Majority of participants had ANR 0.69. None of the participants between 10 – 15 years had an ANR > 0.79. Regression analysis showed statistically significant correlation between ANR and Age (p = 0.05).</p> <p><strong>Conclusion:</strong> We observed an Adenoidal Nasopharyngeal Ratio that was lower than the benchmark of ANR considered for AH, this may probably be due to our inability to control the timing for obtaining the radiographs from clinic visit and some may have commenced treatment</p>E.A. Dahilo U.D. Itanyi S.S. Yikawe D.F. Folorunsho T.S. Ibekwe
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2023-03-142023-03-14102091410.4314/sjmrp.v10i2.2Assessment of Knowledge, Attitude and Perception of Covid-19 Vaccines among Lecturers in Higher Institutions in Ilorin, Nigeria
https://www.ajol.info/index.php/sjmrp/article/view/243538
<p><strong>Background</strong>: This study assessed the knowledge, attitude and perception of COVID-19 vaccine among lecturers in higher institutions in Ilorin.</p> <p><strong>Methods</strong>: It was a web based cross-sectional study conducted for a period of eight weeks among lecturers in higher institutions in Ilorin. Data on socio- demographics, COVID-19 and vaccinerelated concerns were collected and analyzed. Descriptive and inferentialfrequency statistics were done. Chi-square test was used to evaluate associations between the categorical variables. P-value was set at <0.05. Ordinal logistic regression was used to evaluate the determinants of willingness to accept COVID-19 vaccine.</p> <p><strong>Results</strong>: A total of 1800 lecturers participated in this study. The gender distribution showed male preponderance (n=1217, 67.6%) and most participants were married (n=1546, 85.9%). Most common age group was 36-50year (n=772, 42.9%). Majority of the participants got information on COVID-19, vaccine and preventive measures through the social media. Less than half (46.5%) of the participant used the preventive measures only when present in crowded environment. Most (93.4%) of the participant believed the preventive measures helps to reduce the spread of the disease. Female gender (p= <0.001), good perception (p= <0.001) and some other factors affected the willingness to receive COVID-19 vaccine.</p> <p><strong>Conclusion</strong>: There was high awareness and good perception of COVID-19 and its vaccine among the study participants. Information about COVID-19 vaccine and the disease were mostly gotten from the social media, as few of the study participants practiced the preventive measures though most were willing to take the vaccine when it becomes available. Thus, healthcare policy makers should take advantage of social media to disseminate appropriate information on COVID-19 and vaccine to improve disease control.</p>Olalekan A. Agede
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2023-03-142023-03-14102152110.4314/sjmrp.v10i2.3WMA International Code of Medical Ethics
https://www.ajol.info/index.php/sjmrp/article/view/243564
<p>No Abstract</p>O.T. Adedoyin
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2023-03-142023-03-14102323510.4314/sjmrp.v10i2.4Communique Issued at the end of the August 2022 National Executive Council (NEC) meeting of The Nigerian Medical Association (NMA) held at The Gombe International Hotel, Gombe, Gombe State, Nigeria, from 29th August to 4th September, 2022
https://www.ajol.info/index.php/sjmrp/article/view/243565
<p>No Abstract</p>O.T. Adedoyin
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2023-03-142023-03-14102262910.4314/sjmrp.v10i2.