Nigerian Health Journal 2017-04-04T15:05:19+00:00 Pedro Chimezie Emem-Chioma Open Journal Systems <p><span>The <em>Nigerian Health Journal</em> (TNHJ) is an OPEN ACCESS, internationally peer-reviewed, English language, medical and health science journal that is published quarterly by the Nigerian Medical Association, Rivers state branch, Nigeria.</span></p><p>The journal publishes any contribution that advances medical science or practice extending to all aspects of medicine including socio-economic, political and legal matters related to medical practice, with a perspective that promotes the continuing medical and professional education role of the Journal.</p><p>Authors should see the author guidelines and section policies for information on manuscript submission.</p><p>The <em>Nigerian Health Journal</em> – An International Peer Review Journal - ISSN- 1597-4292</p><p>Other websites associated with this journal: <a title="" href="" target="_blank"></a></p><p> </p> Laryngoscopy: appraisal of 202 procedures carried out in two centers in Port Harcourt, Nigeria 2017-04-04T15:05:11+00:00 Lucky Obukowho Onotai Chibuike Nwosu <p><strong>Background:</strong> Laryngoscopy is a visual examination of the larynx and its related structures. It is an effective procedure for ascertaining the causes of laryngeal disorders, pain in the throat and difficulty in swallowing and should be used in all ENT clinics routinely.</p><p><strong>Aim and Objective:</strong> This study established the use of laryngoscopy in two otolaryngology clinics in Port Harcourt. It also analyzed the indications, findings and the role it played in the management of patients.</p><p><strong>Patients and Methods:</strong> This was a 2-year (1st January 2013 to 31stDecember 2014) prospective study of 202 laryngoscopy procedures done in the Ear, Nose and Throat (ENT) surgery clinics of University of Port Harcourt Teaching Hospital (UPTH) Port Harcourt and Kinx Medical Consultants clinic in Port Harcourt. The researchers in a profoma prepared for the study, documented all laryngoscopies done. The data collected were bio-data (age and sex), presenting symptoms/indications for the procedure, types of laryngoscopy and findings at laryngoscopy /biopsy results. The data were entered into SPSS version 14 computer software and analyzed descriptively.</p><p><strong>Results:</strong> There were a total of 202 (60 males and 142 females) with M: F ratio of 1:2.4. The age range was 18-83 years with a mean of (54.5 ± 5.64) years and median age of 32 years. Age group 40-50 years had the highest number of procedures. The commonest type of laryngoscopy done was indirect laryngoscopy and the commonest indication was pre-operative evaluation for thyroidectomy. The commonest positive findings were hyperaemia and indurations in 25 cases.</p><p><strong>Conclusion:</strong> Indirect laryngoscopy using laryngeal mirror remains a very useful cost effective diagnostic procedure in the otorhinolaryngology clinics.</p><p><strong>Keywords:</strong> Laryngoscopy, laryngeal mirror, fibreoptic laryngoscopy, rigid laryngoscopy, hoarseness, globuspharyngeus</p> 2017-04-04T00:00:00+00:00 Copyright (c) Patients’ satisfaction with healthcare: comparing general practice services in a tertiary and primary healthcare settings 2017-04-04T15:05:12+00:00 Deborah Abosede Osiya Daprim Samuel Ogaji Lucky Onotai <p><strong>Background:</strong> Patient satisfaction with healthcare is predictive of their likelihood of continuing use of available healthcare; comply with medical instruction and improvement in overall coverage and effectiveness of care. This research compared the level of patients’ satisfaction with general practice care delivered at physicians-manned General Outpatient clinics at tertiary and primary health centres in Rivers State.</p><p><strong>Method:</strong> This comparative cross-sectional study was conducted using the Patient Satisfaction Questionnaire (PSQ-18). A total of 1290 regular patients were recruited by systematic random sampling. Non-parametric analyses such as median satisfaction scores, Chi-square, Kruskal-Wallis and Mann-Whitney U test were conducted using SPSS version 20 statistical software. A p-value &lt;0.05 was considered statistically significant</p><p><strong>Result:</strong> Study showed patients who received care at the comprehensive health Centre were significantly more satisfied in domains such as patient-doctor communication (p&lt;0.001), interpersonal manner (p&lt;0.001), accessibility and convenience (p&lt;0.001), technical quality (p=0.006), financial aspects of care (p&lt;0.001) and general satisfaction (p&lt;0.001) than their counterparts at the tertiary Centre. There was no statistically significant difference with time spent during consultations in both centres (p=0.583). Other predictors of satisfaction were younger age, male gender, married, higher education, and those of the Moslem religious faith.</p><p><strong>Conclusion:</strong> Patients who sought general practice care from the health Centre were more satisfied that those who did at the tertiary Centre. We recommend increased sensitization on patients’ utilization of primary health care systems as first contact, continuing, comprehensive and efficient personal and non-personal healthcare needs.</p><p><strong>Keywords:</strong> General practice, Patients’ satisfaction, predictors of satisfaction, Primary health Centre, Tertiary health Centre</p> 2017-04-04T00:00:00+00:00 Copyright (c) Evaluation of HIV Surveillance System in Rivers State, Nigeria 2017-04-04T15:05:14+00:00 Ibitein Ngowari Okeafor Chukwuma Ugochukwu Okeafor <p><strong>Background:</strong> Rivers State has been reported to have the highest HIV prevalence of all the thirty-six states in Nigeria. HIV surveillance system generates information for timely and appropriate public health action. Evaluation of the surveillance system is vital in ensuring that the purpose of the surveillance system is being met. This study aimed to evaluate the HIV surveillance system in Rivers State from 2012-2014.</p><p><strong>Methodology:</strong> This is a surveillance evaluation involving qualitative method and review of 2012-2014 HIV surveillance data. The evaluation process was carried out in line with the Centers for Disease Control and Prevention (CDC) guidelines on public health surveillance evaluation. Key informant interview (KII) sessions were held with stakeholders at all levels to assess the operation, functionality and key attributes of the surveillance system.</p><p><strong>Results:</strong> The evaluation revealed that the HIV surveillance system is functional and operates a passive type of surveillance using the bottom to top approach in data transmission. The findings indicated that the system is simple, flexible and acceptable. However, it lacks data stability and representativeness is limited by non-inclusion of private health facilities. The surveillance data collected for the period of 2012 to 2014 revealed HIV prevalence rates of 13.6% (2012), 7.3% (2013) and 9.4% (2014).</p><p><strong>Conclusion:</strong> The HIV surveillance system in Rivers State is a useful tool for planning public health activities. The institution of measures to prevent strike actions among health workers in the State will enhance the stability of data. Private health facilities should be included in the HIV surveillance system to ensure better representativeness.</p><p><strong>Keywords:</strong> HIV, surveillance, Rivers State</p> 2017-04-04T00:00:00+00:00 Copyright (c) Pregnancy outcome of HIV-infected women on anti-retroviral therapy in a treatment centre in Port Harcourt, Nigeria: a retrospective analysis 2017-04-04T15:05:16+00:00 Bliss Mark Moore Charles Ibiene Tobin-West <p><strong>Introduction:</strong> There are conflicting reports of adverse pregnancy outcomes following the administration of antiretroviral treatment (ARVs) to HIV-positive pregnant women. The aim of this study was to assess the magnitude of adverse effects of antiretroviral drugs and to underscore their importance in limiting adverse pregnancy outcomes in newborns.</p><p><strong>Methods:</strong> The study was a retrospective analysis of medical records of HIV-infected pregnant women who received anti-retroviral treatment at the University of Port Harcourt Teaching Hospital between January 2010 and December 2013. Data was analyzed using Epi Info Version 7 Statistical Package. Proportions, measures of centrality/dispersion as well as measures of association between maternal predictors and birth outcomes were computed. The level of significance was set at p≤ 0.05.</p><p><strong>Results:</strong> A total of 290 medical records of women who received anti-retroviral treatment were examined: 68.3% women commenced antiretroviral treatment before pregnancy, 3.8% started in 2nd trimester of pregnancy and 14.1% during labour. Pregnancy outcomes were as follows: 90.7% were live births; 92.4% neonates had Apgar scores ≥7 and 90.7% had birth weights of ≥ 2,500 grams. More than half, 55.9% had haemoglobin levels ≥ 10g/dl, while 84.8% of them were born full term. There were only 9.3% stillbirths and 9.3% low birth weights respectively, and also 15.2% preterm births.</p><p><strong>Conclusion:</strong> The prevalence of adverse pregnancy outcomes in the study was minimal and stresses the value of antiretroviral treatment in the prevention of adverse pregnancy outcomes in newborns. We therefore recommend its intensified utilization for maximum impact in reducing adverse pregnancy outcomes.</p><p><strong>Keywords:</strong> HAART, HIV, PMTCT, pregnancy, Port Harcourt, Nigeria</p> 2017-04-06T00:00:00+00:00 Copyright (c) Knowledge, attitude towards and practice of oral hygiene among antenatal clinic attendees in public secondary health facilities in Benin City, Nigeria 2017-04-04T15:05:17+00:00 Vincent Yakubu Adam Sunny Ajimen Okeigbemen Osamwonyi Osagie Eromosele Oseghale <p><strong>Introduction:</strong> Oral hygiene involves the prevention of oral diseases which have been found to be common in pregnancy. Dental care in pregnancy aims at achieving healthy oral environment. This study assessed the knowledge, attitude towards and practice of oral hygiene among antenatal clinic attendees in public secondary health facilities in Benin City, Nigeria.</p><p><strong>Methods:</strong> A descriptive cross-sectional study was conducted among antenatal clinic clients in the two state-owned secondary health facilities in Benin City. Respondents were selected using a two-staged sampling technique. A structured, interviewer-administered questionnaire was utilized for data collection. Data were analyzed using the Statistical Package for Scientific Solutions. Test statistics was done using chi-square test.</p><p><strong>Results:</strong> The mean age of respondents was 29.3± 4.7 years, with 39.1% in the age group of 25-29 years. Majority of respondents, 228 (83.2%) were aware of oral hygiene. Also, 272 (99.3%) practiced tooth brushing while 43 (15.7%) used dental floss. Halitosis was identified as a form of poor oral hygiene by 177 (77.6%) of the respondents. More than half 54.4% of the women had poor knowledge of oral hygiene. The associations between their knowledge and attitude towards oral hygiene and the practice of oral hygiene were statistically significant (p &lt; 0.001).</p><p><strong>Conclusion:</strong> Though the respondents had poor knowledge of oral hygiene, there was a positive attitude and good practice of oral hygiene. There is a need for education on oral hygiene to antenal clinic attendees as a means of improving knowledge and preventing oral pathologies in pregnancy.</p><p><strong>Keywords:</strong> Oral hygiene, pregnant women, antenatal clinic, secondary health facilities</p> 2017-04-04T00:00:00+00:00 Copyright (c)