Résumé
Background/Aim:Overall patients’ satisfaction with services provided in a hospital is an objective of care, and also a desired outcome. Dissatisfied patients are more likely not to comply with prescriptions, follow-up appointments, or further use the health facility. Services provided in public health facilities in Nigeria have been perceived by both patients and health care providers as being poor. Teaching hospitals in Nigeria are the apex referral centers, with the General Outpatient Department (GOPD) being the first unit that patients mostly go to first. Waiting time and attitude of health workers are key contributors to overall patients’ satisfaction. The objective of this study is to assess patients’ satisfaction with waiting time, and attitude of health workers in the GOPD of a Teaching hospital in Nigeria.Materials and Methods:Cross-sectional study, conducted over three months in 2017 at the GOPD of Enugu State University Teaching Hospital, Nigeria. Structured, interviewer-administered questionnaire was used. Exit interview was conducted on randomly selected 13 patients as they were leaving the GOPD Pharmacy unit on Tuesdays and Thursdays of every week, until 313 respondents were interviewed.Results:A total of 313 patients were interviewed, 131 (41.9%) males and182 (58.1%) females. Analysis was done using Statistical Package for Social Sciences (SPSS) version 21.0, and the results were expressed as percentages. Patients’ satisfaction score for the various items studied were found to be 53.7% for waiting time, 74.4% for attitude of Records staff, 78.3% for nurses, 71.9% for doctors, 70.6% for time spent with doctor, 72.5% with doctor's explanationand 40.6% with privacy.Conclusions: Overall satisfaction with services rendered at the GOPD was 60.4%. Identifying and implementing interventions that will enhance patients satisfaction, shall improve health facility utilization
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Aims: The aim of this study was to evaluate the perceptions of general physicians (GPs) regarding insulin and determine the barriers to its initiation in patients with type 2 diabetes mellitus (T2DM).Study Design:A cross-sectional, quantitative research.Place and Duration:Enugu metropolis, Southeast Nigeria, between March and November 2018.Methodology:We used structured self administered questionnaire to evaluate the perceptions of 64 GPs (45 males and 19 females) regarding insulin, and to elicit barriers to insulin initiation in subjects with T2DM.Results:The mean (SD) age of the participants was 45.5 (11.7) years and their duration of general practice ranged from 3 –38 years. Majority were private practitioners predominantly in the rural areas. Only 15 (23.4%) respondents had ever initiated insulin for outpatient with T2DM Fear of hypoglycemia, anticipated patients’ refusal of insulin, physician’s lack of confidence, and concerns about needle pains were among the commonly reported barriers to insulin initiation. Others were socio-economic factors including concerns about affordability of insulin and frequent glycemic monitoring, and availability of insulin storage facilities.There was a general consensus among the GPs on a number of misconceptions including that patients’ adherence to oral glucose lowering drugs eliminates the need for insulin; that insulin should be reserved as a last resort; and that once initiated, insulin therapy is lifelong.Conclusion:This study revealed that there are several physician-related barriers and misconceptions regarding insulin therapy for T2DM among GPs in Southeast Nigeria. Periodic training to improve GPs’ attitude to insulin and optimize insulin utilization in T2DM is required
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Materials and Methods:The study was conducted in the Immunization unit of a Teaching Hospital, Southeast Nigeria, between November 2016 and February 2017. It was a quantitative, observational, descriptive, cross-sectional study, involving randomly selected 256 women who brought children for immunization. Pre-tested, interviewer-administered, structured questionnaire was used; and data was analyzed using SPSS version 20.0 for windows.Results:Highest number of respondents [112 (43.8%)] were from 30 to 39 age group, followed by those aged 20 to 29 years [108(42.2%)]. Up to 38.3% of respondents had never heard about Zika virus, though this was not statistically significant when compared to the 61.7% that were aware of Zika Virus Disease (P = 0.92).Highest number heard it through television [57(36.1%)]. Overall, respondents that were 20 to 29 years of age recorded mean percentage basic knowledge score of 54.6%, while those in the 30 to 39 years age range recorded 49.8%.Conclusions:Many respondents either had never heard about Zika virus, and also many exhibited poor basic knowledge on Zika virus disease. It is therefore important to develop good strategies aimed at addressing these awareness and knowledgegaps among women of child-bearing age, who are mostly affected by Zika virus disease
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The attainments of the Millennium Development Goal 5 (MDG 5) targets by 2015 in most developing countries are unlikely when large numbers of poor, illiterate, and vulnerable rural women do not have access to skilled care. To review progresses in MDG 5 targets and evaluate amenities that can influence SBAs to accept to practice in the rural areas of Enugu State. This was a questionnaire study administered to SBAs in private health facilities in Enugu metropolis from April 1 to 3o, 2014. Data on demographic profile and the amenities that can attract SBAs to live and practice in rural areas were extracted from the respondents. Out of 145 questionnaires administered 138 were completely filled, and analyzed using Excel 2007 software, and presented using percentages and figure. Majority of the SBAs were of ages between 20-30 years (69/138, 5o.0%). Staff nurse midwife were 91(65.9%) while medical doctor were 47(34.14 Ninety (65.2%) of the SBAs had no rural practice experience, and 7o (5o.7%) wish to practice in developed countries. The 5 top amenities that can attract SBAs to the rural area include: security of lives and property 134(97.a), pipe borne water supply 130(94.2%), equipped hospital 130(94.24 market with regular food supply 130(94.24 and higher staff salary and other motivations 129(93.54 There were high demands of amenities by SBAs for them to accept to live and practice their crucial services in the rural areas. The 5 top amenities that can attract SBAs to practice in the rural area include: security of lives and property, pipe borne water supply, equipped hospital, market with regular food supply, and higher staff salary and other motivations. SBAs services in the rural areas are crucial for attainments of the MDG 5 targets in developing countries by 2015.