RESUMEN
Background: Mental health services at the primary healthcare level remain at their lowest ebb in most developing countries. Mental health toolbox talk is a way to solve mental health needs in the community. This study aimed at assessing the acceptability of mental health toolbox talk in primary health care (PHC), in Oshodi/Isolo, local government area (LGA). Methods: This is a descriptive cross-section study conducted among 119 PHC staff. A multistage sampling technique was used to select participants for the study. Data were collected and analyzed using the statistical package for social sciences (SPSS) 26 and the EPI Info application. Result: Findings revealed that the majority 79% of respondents were females and were within the age range of 40-60 years of age. Also, 76% of PHC staff showed poor knowledge of mental management, while 94% of the respondents accepted the integration of mental health toolbox talk into PHC. Findings revealed that professions (?2=12.998, p<0.05) had a significant association with the respondents’ knowledge about mental health. However, the analysis of variance shows there is a statistically insignificant difference in knowledge between the professional groups of PHC staff on the provision of mental health services in the PHC facilities, (f=0.616; p=0.688) (p>0.05). Conclusions: Lack of knowledge on mental health was observed to mitigate PHC staff in the management of mental health disorders, and the need for training on mental health toolbox talk was determined.
RESUMEN
The Nigerian model of community health practice is a unique approach to healthcare delivery that emphasizes the involvement of community members in the planning and implementation of healthcare services. This model is based on the principle that healthcare should be accessible, affordable, and equitable for all members of the community. This review focused on the Nigerian model of community health practice yesterday, today, and in the future. Findings indicated that the Nigerian model of community health practice was established in 1978 and is characterized by the use of community health practitioners who have acquired National Diplomas, Higher National Diploma, Bachelor, Master and Ph.D. degrees in Community Health. They are licensed by the Community Health Practitioners Registration Board of Nigeria to provide basic healthcare services such as health education, preventive care, treatment of common illnesses, maternal and child health services, and family planning at primary health centers and community levels. While the model of community health practice has faced significant challenges, including inadequate funding, lack of infrastructure, and a shortage of trained personnel, it has demonstrated promising results in improving healthcare access and outcomes in rural communities. The Nigerian Model of community health practice holds important lessons for other countries seeking to strengthen their primary healthcare systems.
RESUMEN
Background: Individual factors may have an impact on how well healthcare workers adhere to standards for infection prevention. The aim of the study was to identify individual factors affecting compliance with personal protective equipment (PPE) use among community health practitioners in Bayelsa State, Nigeria. Methods: Three hundred and fifty-four (354) self-structured questionnaires were manually distributed among community health practitioners who worked at government-owned primary health care facilities in Bayelsa State, Nigeria. Item mean analysis with a criterion mean set at 2.0 was used to analyze the quantitative data of the 3-Likert scale and results were presented in tables, item mean, and percentages. Results: Individual factors affecting compliance with standard infection prevention precautions on the use of PPE were difficulty to feel veins while wearing PPE (x=2.7), some level of discomfort while performing skills using the PPE (x=2.0), and lack of knowledge of how to use the PPE (x=2.9). It was also revealed that those who complied with the standard infection prevention precaution do so because they understand that the use of PPE prevents them from being infected (x=2.9). Conclusions: Individual factors that affect compliance with standard infection prevention precautions on the use of PPE among community health practitioners can be modified. It is recommended that community health practitioners should have a positive attitude towards compliance with standard infection prevention precautions, especially in this post-COVID-19 era. The government should conduct continuous in-service training and regular supportive supervision on compliance with standard infection prevention precautions among health workers in the primary health care setting.