ABSTRACT
"BACKGROUND: Interprofessional conflict in university teaching hospitals in Nigeria is on the increase. This study was aimed at assessing the health professions' perception of factors responsible for conflict. METHODOLOGY: A cross-sectional descriptive survey among six health professions. RESULTS: The perceived causes of conflict include differential salary between doctors and others; physician intimidation and discrimination of other professions; ""inordinate ambition"" of the other professions to lead the health team; and envy of the doctor by the other professions. Doctors differed significantly from the other professions on the role of each of these in causing conflict. Mutual respect for each other's competence; proper remuneration and clear delineation of duties for all; and other groups appreciating the salary differential between them and doctors were perceived as means of resolving the conflict. While all accepted mutual respect and proper remuneration as effective; other health workers differed significantly from doctors on the effectiveness of appreciating salary differential between them and doctors in resolving the conflict. CONCLUSION : Differential salary between the doctor and the other health workers is the main factor perceived to cause interprofessional conflict. The government and all health professions should accept; and maintain the relativity in salary differential between doctors and other health professions."
Subject(s)
Health , Health Occupations , Interprofessional RelationsABSTRACT
Background of the study: This study was undertaken because of the observed worrisome high number of adolescent mothers who delivered in the Mile IV Hospital; Abakaliki. Objectives: The study was undertaken to determine the hospital incidence of adolescent pregnancy and their pregnancy outcomes. Materials and methods: All adolescent pregnancies booking over a one year period were followed up till delivery. The outcome measures were antenatal complications; foetal presentations; mode of delivery; postpartum complications; foetal outcomes and birth weight. Results: The hospital incidence of adolescent pregnancy was 5. Sixty-eight percent of the mothers were married. Malaria in pregnancy was expectedly the leading antenatal complication and the Caesarean Section rate was 11. The relative risk for episiotomy in this group of mothers was 0.25. The maternal mortality rate was 1000 per 100;000 and the perinatal mortality rate was 106.8 per 1000 births. Conclusions: This study shows that the incidence of adolescent pregnancy is high in the centre. The rates of interventional deliveries and episiotomies are increased and the perinatal outcomes are poor. There is the need to discourage the existing cultural feature of childhood marriage in some parts of the State