Nigerian Journal of Family Practice https://www.ajol.info/index.php/njfp <p><em>Nigerian Journal of Family Practice</em> (NJFP) serves as a repository for cutting-edge, peer-reviewed research in all fields of primary health care and family medicine in a uniquely African context. Encouraging scholarly exchange between family medicine and primary health care researchers and practitioners across Sub-Saharan Africa, NJFP provides a contextual and holistic view of family medicine as practiced across the continent. The journal is indispensable for family medicine specialists, primary health care practitioners and academics from both the developing and developed worlds, and offers an engaging insight into the growth of these disciplines from a distinctly African perspective.</p><p><em>Coverage of NJFP includes: Family medicine; Primary health care; District health; Rural health; Health promotion Prevention of disease and disability; Community oriented primary care; Education and training of professionals and health workers in primary health care and family medicine; Medical informatics and information science; Accident &amp; Emergency care; Occupational Health; Travel Medicine etc</em><strong><em>.</em></strong></p> en-US iwokshabi@yahoo.com (SHABI, Olabode) pdienye@yahoo.com (Dr Paul Dienye) Mon, 06 Jul 2020 08:40:53 +0000 OJS 3.1.2.4 http://blogs.law.harvard.edu/tech/rss 60 Rifampicin resistant tuberculosis in a secondary Health facility in Ilorin, Nigeria https://www.ajol.info/index.php/njfp/article/view/197220 <p><strong>Background</strong>: Rifampicin resistant tuberculosis is an unrecognized and potentially serious treatment issue. Rifampicin resistance is a risk factor for poor outcome in tuberculosis. It is prevalent in Nigeria. Therefore, we sought to examine the pattern of Rifampicin resistance tuberculosis in Ilorin, Nigeria.</p> <p><strong>Method</strong>: One hundred and forty tuberculosis cases were referred to the chest clinic of Sobi Specialist Hospital, Ilorin from January to December, 2014. Sputum samples were obtained from them, smeared on glass slides, stained using Ziehl Neelsen Stain and later observed under light microscopy. The GeneXpert MTB/RIF assay was used to simultaneously detect TB and rifampicin resistance.</p> <p><strong>Result</strong>: The minimum age of the patients was 18years, while the maximum was 83years. The mean age was 38.39± 13.75. There was male preponderance 84(60%), compared to 56(40%) female. The Sobi Specialist Hospital made the highest referral. The tertiary hospital, the University of Ilorin Teaching Hospital had no functional GeneXpert facility as at the time of this study. Forty eight (34.3%) had smear-positive TB, while 92(65.7%) were sputum negative. Thirty two (38.1%) male out of 84 and 12(21.4%) female out of 56 were sensitive to Rifampicin, while 6(7.1%) male out of 84 and 4 (7.1%) female out of 56 were resistant to it. Forty four (31.4%) were MD-TB positive with a prevalence of 31.4%. Ten (7.2%) were Rifampicin resistant; this included 6 males and females. This was statistically significant.</p> <p><strong>Conclusion</strong>: Our study highlights that physicians should have a high index of suspicion for rifampicin resistant tuberculosis in patients refractory to anti-TB treatment. The MTB/RIF test is a useful method for rapid diagnosis of TB and detection of RIFresistance strains. There is need for increasing effort to interrupt the transmission of RIF-TB. </p> <p><strong>Keywords</strong>: Rifampicin resistant tuberculosis; Secondary health facility; Nigeria</p> L.O Odeigah, R.O. Shittu , U.S. Rotifa, A.A. Akanbi , W. Adeoti Copyright (c) https://www.ajol.info/index.php/njfp/article/view/197220 Mon, 06 Jul 2020 00:00:00 +0000 Relationship between spiritual wellbeing and medication adherence among adults attending the antiretroviral therapy clinic of Bingham University Teaching Hospital, Jos https://www.ajol.info/index.php/njfp/article/view/197224 <p><strong>Introduction</strong>: HIV causes AIDS, which is a potentially life-threatening diagnosis, that can trigger deep spiritual questions about the meaning of illness, purpose of life, and relationship with God. When people living with HIV/AIDS take their medications, the virus is exposed to inadequate concentrations of antiretroviral medications. Spirituality assessment is increasingly becoming an important assessment for people with illnesses like HIV/AIDS, especially for evaluating the ART usage and for finding solutions to identified barriers influencing adherence to ARVs.<br><strong>Aim</strong>: The aim of the study was to determine the relationship between spiritual wellbeing and medication adherence of adults attending the ART Clinic of Bingham University Teaching Hospital, Jos.<br><strong>Methodology</strong>: The study was a cross-sectional analytic study carried out in the ART Clinic of Bingham University Teaching Hospital, Jos. A systematic random sampling method was used to select 372 consenting adults attending the ART clinic, who fulfilled the selection criteria. A semi-structured interviewer administered questionnaire was used to collect data, which was analyzed with the SPSS, version 22.<br><strong>Results</strong>: Majority of the study participants were between 18 and 49 years old. The prevalence of medication adherence in this study was 34.1%. More than half of the study participants had a high spiritual wellbeing score. Most of the clients were diagnosed with HIV for 1 - 10 years and had been on ART for about the same period. There was a significant relationship between spiritual wellbeing, educational status (p = 0.000) and high medication adherence of the study participants (p = 0.000).<br><strong>Conclusion:</strong> Non-adherence to antiretroviral drugs was common at Bingham University Teaching Hospital, Jos. The findings of this study illustrate the necessity for Researchers, Clinicians and Policy makers to understand the perspectives and relevance attributed to spirituality/religiosity by HIV/AIDS clients. Family Physicians should use every encounter with HIV/AIDS patient to screen for their medication adherence and spiritual wellbeing.</p> <p><strong>Keywords:</strong> Spiritual wellbeing, Medication adherence, Antiretroviral therapy, Adults, Bingham University Teaching Hospital, Jos</p> C.C. Akude , S. Lengmang , J. Shuaibu Copyright (c) https://www.ajol.info/index.php/njfp/article/view/197224 Mon, 06 Jul 2020 00:00:00 +0000 Pattern of blood pressure among patients with diabetes mellitus in a tertiary hospital in Port Harcourt, Nigeria https://www.ajol.info/index.php/njfp/article/view/197219 <p><strong>Background:</strong> Diabetes mellitus is a predisposing factor for hypertension. The coexistence of hypertension among diabetic patients in clinical practice increases the risks of cardiovascular disease (CVD). This study was aimed to describe the socio-demographic characteristics of diabetic patients and determine the prevalence of hypertension among diabetic patients in the Family Medicine clinic of Braithwaite Memorial Specialist Hospital, Port Harcourt.</p> <p><strong>Methods</strong>: Systematic random sampling was used to recruit 422 eligible patients for this hospital based descriptive cross sectional study. An interviewer administered data was analyzed using the statistical package for social science [SPSS] version 15. Statistical significance was set at p-value &lt; 0.05.</p> <p><br><strong>Results</strong>: A total of 422 participants consisting of 296 males and 126 females. The study age range was 35 – 84 years, with a mean age of 55.6 ±10.3 years. A large number the subjects (333; 78.9%) were found to be hypertensive, of which 227(68.2%) were males and, 106(31.8%) were females. The association of hypertension with diabetes in the participants aged 35-64years, of male gender, and married was not statistically significant (p&gt;0.05), however, the association between hypertension and diabetes among the different educational groups was statistically significant (p=0.012). Participants earning salary of less than N30,000 were about two times at risk of hypertension and the association between hypertension and diabetes among them was statistically significant (p=0.008).</p> <p><br><strong>Conclusion</strong>: The prevalence rate of hypertension among the diabetics was lower in patients with tertiary education and higher income above ₦30,000. Large scale epidemiological studies are required to ascertain the causes of the high prevalence of hypertension among our patients. Detection and treatment of pre-diabetes and pre-hypertension through periodic surveillance is very imperative for the early intervention and delay of disease progression.</p> <p><strong>Keywords</strong>: Pattern, Patients, Blood pressure, Diabetes mellitus, Tertiary hospital</p> A. Dan –Jumbo, P.O. Dienye, B.E. Ikpae Copyright (c) https://www.ajol.info/index.php/njfp/article/view/197219 Mon, 06 Jul 2020 00:00:00 +0000 Family support and depression among adult patients with tuberculosis attending a tertiary hospital in north-central Nigeria https://www.ajol.info/index.php/njfp/article/view/197222 <p><strong>Background</strong>: Tuberculosis (TB) infection can have negative effect in the lives of patients, hence the need to carry out research to determine the extent of such impact. Depression prevalence is higher among patients with tuberculosis than the general population. Family support affects the outcome of many chronic diseases including tuberculosis. Hence, the study set out to determine the prevalence of depression and its relationship with family support among this group of people.<br><strong>Methods</strong>: A hospital based descriptive cross-sectional study was conducted among 180 adult patients with Tuberculosis attending University of Ilorin Teaching Hospital by systematic random sampling. Pretested interviewer administered structured and semistructured questionnaires were used to obtain information on socio- demographic characteristics, perceived family support and prevalence of depression. Data was analysed using SPSS version 21 and p value &lt; 0.05 was considered statistically significant.<br><strong>Results</strong>: The prevalence of depression among respondents was 28.3%. Perceived family support was strong among 78.9% of respondents. There was statistically significant association between depression and family support (p- value = &lt; 0.001) among respondents.<br><strong>Conclusion</strong>: Poor family support is a risk factor for depression among tuberculosis patients. Hence, family members of patients with tuberculosis should be counselled and encouraged to offer appropriate support in order to improve their psychosocial well being. </p> <p><strong>Key words</strong>: Family support, Depression, Tuberculosis, Family Medicine, Hospital</p> Shittu B.A. Umar, B.A. Ayinmode , K.M. Alabi , B.A. Issa , S. Kuranga, A. Amoko , L.O. Odeigah Copyright (c) https://www.ajol.info/index.php/njfp/article/view/197222 Mon, 06 Jul 2020 00:00:00 +0000 Relationship between patient satisfaction with medical care and medication non-adherence among hypertensive patients attending a general outpatient department in southwest Nigeria https://www.ajol.info/index.php/njfp/article/view/197221 <p><strong>Background:</strong> Medication non-adherence (MNA) is prevalent in hypertension. Patient satisfaction is derived from the patient's appraisal of how well the provider meets his or her personal emotional and physical needs. The objectives of this study were to determine the factors associated with medication non-adherence; and to also ascertain the relationship between patient satisfaction with medical care and medication non-adherence among hypertensive patients.</p> <p><strong>Methods</strong>: Cross sectional study which was conducted in the Family Medicine clinic of the Federal Teaching Hospital, Ido-Ekiti. The sample size was 337. Morisky Medication Adherence Scale (MMAS-8), and the Patient Satisfaction Questionnaire (PSQ-18) were the questionnaires used. Data was analysed using the Statistical Package for Social Sciences (SPSS).</p> <p><strong>Results</strong>: The majority {185 (54.9%)} of the hypertensives were in the age-group 45 – 64 years. The male to female ratio was 1:0.67. The largest proportion of the respondents {134 (39.8%)} had low adherence (medication non-adherence), while 104 (30.9%) and 99 (29.3%) had medium and high medication adherence level respectively. Mean satisfaction scores of 3 and above were obtained in the Technical Quality (3.54 ± 0.81), Accessibility and Convenience (3.48 ± 0.87), Communication (3.23 ± 0.95) and Interpersonal Manner (3.09 ± 0.98) subscales. The subscales with mean satisfaction scores of less than 3 were the General Satisfaction (2.82 ± 1.23), Financial Aspects (1.91 ± 0.82), and Time Spent with Doctor (1.85 ± 0.82) which had the least score. There were statistically significant strong positive correlations between medication adherence and each of the seven patient satisfaction subscales. The significant predictors of medication non-adherence were having primary education or no formal education,&nbsp; having monthly income of less than ₦50,000, and being overweight or obese.</p> <p><strong>Conclusion</strong>: Physicians should deliver quality care in a way to achieve high ratings of patient satisfaction. This will influence patients to adhere better to their antihypertensive medications. </p> <p><strong>Keywords</strong>: Patient satisfaction, medication non-adherence, blood pressure, hypertension, Nigeria</p> K.M. Olusuyi , O.M. Shabi, S.M. Agboola, O.E. Gabriel , O.T. Elegbede , E.O. Omosanya , O.A. Ajetunmobi , E.O. Ajayi Copyright (c) https://www.ajol.info/index.php/njfp/article/view/197221 Mon, 06 Jul 2020 00:00:00 +0000