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1.
EuropePMC; 2022.
Preprint in English | EuropePMC | ID: ppcovidwho-333088

ABSTRACT

This study examined mental wellbeing and associated factors among Nigerian adults who observed Ramadan intermittent fasting (RIF) amid the COVID-19 pandemic. A cross-sectional online study was conducted among 770 adult Nigerians who observed RIF. Using pre-tested, web-based questionnaires, data about mental wellbeing (depression, anxiety), spirituality, and intrinsic religiosity were collected using validated generalised anxiety disorder-2 (GAD-2) and Patient Health Questionnaire-2 (PHQ-2), four-item spiritual wellbeing index (4-ISWBI) and the Muslim intrinsic religiosity questionnaire. Respondents' mental wellbeing before and during Ramadan was compared. The factors associated with the feeling of depression and anxiety were determined using multinomial regression analysis. When compared to mental wellbeing prior to Ramadan, observing RIF by Nigerian adults were associated with improved mental wellbeing.

2.
Research Square ; 2022.
Article in English | EuropePMC | ID: covidwho-1786499

ABSTRACT

This study examined mental wellbeing and associated factors among Nigerian adults who observed Ramadan intermittent fasting (RIF) amid the COVID-19 pandemic. A cross-sectional online study was conducted among 770 adult Nigerians who observed RIF. Using pre-tested, web-based questionnaires, data about mental wellbeing (depression, anxiety), spirituality, and intrinsic religiosity were collected using validated generalised anxiety disorder-2 (GAD-2) and Patient Health Questionnaire-2 (PHQ-2), four-item spiritual wellbeing index (4-ISWBI) and the Muslim intrinsic religiosity questionnaire. Respondents' mental wellbeing before and during Ramadan was compared. The factors associated with the feeling of depression and anxiety were determined using multinomial regression analysis. When compared to mental wellbeing prior to Ramadan, observing RIF by Nigerian adults were associated with improved mental wellbeing.

3.
PLoS One ; 16(9): e0257567, 2021.
Article in English | MEDLINE | ID: covidwho-1430542

ABSTRACT

INTRODUCTION: The COVID-19 pandemic continues to overwhelm health systems across the globe. We aimed to assess the readiness of hospitals in Nigeria to respond to the COVID-19 outbreak. METHOD: Between April and October 2020, hospital representatives completed a modified World Health Organisation (WHO) COVID-19 hospital readiness checklist consisting of 13 components and 124 indicators. Readiness scores were classified as adequate (score ≥80%), moderate (score 50-79.9%) and not ready (score <50%). RESULTS: Among 20 (17 tertiary and three secondary) hospitals from all six geopolitical zones of Nigeria, readiness score ranged from 28.2% to 88.7% (median 68.4%), and only three (15%) hospitals had adequate readiness. There was a median of 15 isolation beds, four ICU beds and four ventilators per hospital, but over 45% of hospitals established isolation facilities and procured ventilators after the onset of COVID-19. Of the 13 readiness components, the lowest readiness scores were reported for surge capacity (61.1%), human resources (59.1%), staff welfare (50%) and availability of critical items (47.7%). CONCLUSION: Most hospitals in Nigeria were not adequately prepared to respond to the COVID-19 outbreak. Current efforts to strengthen hospital preparedness should prioritize challenges related to surge capacity, critical care for COVID-19 patients, and staff welfare and protection.


Subject(s)
COVID-19/epidemiology , Hospitals/statistics & numerical data , Pandemics , Surveys and Questionnaires , Hospitals/supply & distribution , Humans , Nigeria/epidemiology , Surge Capacity
4.
PLoS One ; 16(1): e0245176, 2021.
Article in English | MEDLINE | ID: covidwho-1067408

ABSTRACT

BACKGROUND: A pandemic of coronavirus disease 2019 (COVID-19) emerged and affected most of the world in early 2020. To inform effective public health measures we conducted a knowledge, attitude and practice (KAP) survey among a Hausa Muslim society in Nigeria in March 2020. METHODS: The study is an analytic cross-sectional survey with questionnaires administered to the general population including Health Care Workers (HCW) in Kano, Nigeria. Participants were recruited by convenience sampling following informed consent. The percentage of KAP scores were categorized as good and poor. Independent predictors of good knowledge of COVID 19 were ascertained using a binary logistic regression model. RESULTS: The questionnaire was administered among urban 32.8%, peri-urban dwellers 32.4%, and to online participants 34.8%. The peri-urban and urban participants were given paper questionnaires. There were 886 study participants with mean age 28.58yrs [SD:10.25] (Interquartile range [IQR]:22yrs-32yrs), males 55.4% with 57.3% having had or were in tertiary education. Most participants were students 40% and civil servants 20%. The overall mean [standard deviation (SD)] for knowledge, attitude and practice scores expressed in percentage was 65.38%[SD15.90], 71.45% [SD14.10], and 65.04% [SD17.02] respectively. Out of the respondents, 270(30.47%) had good knowledge (GK), 158(17.8%) had good attitude (GA), and 230(25.96%) had good practice (GP) using cut-off scores of 75%, 86.5%, and 75% respectively. Over 48% did not agree COVID-19 originated from animals while 60% perceived the pandemic to be due to God's punishment. Also, 36% thought it was a man-made virus. When rating fear, most respondents [63.5%] had marked fear i.e. ≥ 7 out of 10 and 56% admitted to modifying their habits recently in fear of contracting the virus. As regards attitude to religious norms, 77.77% agreed on cancellation of the lesser pilgrimage as a measure to curb the spread of the disease while 23.64% admitted that greater pilgrimage (Hajj) should proceed despite the persistence of the ongoing pandemic. About 50% of the respondents insisted on attending Friday congregational prayers despite social distancing. One in four people still harbored stigma towards a person who has recovered from the virus. 28% felt some races are more at risk of the disease though 66% mentioned always practicing social distancing from persons coughing or sneezing. Almost 70% of respondents said they were willing to accept a vaccine with 39% saying they would be willing to pay for it if not publicly funded. In univariate analysis increasing age and having been ever married were associated with GK while tertiary education was associated with GA [Odds Ratio; 95% Confidence Interval] 2.66(1.79-3.95). Independent positive predictors of GK were those who were or had ever been married, those who had marked fear of COVID-19, and had modified their habits in the last three months. Those who had non-tertiary education and had the questionnaire administered as paper rather than online version had GK but age was not a predictor. CONCLUSION: Knowledge of transmission and preventive measures should be improved in the general population cognizant of cultural norms and Islamic practices. The study highlights the importance of considering belief systems and perception in developing control measures against COVID-19.


Subject(s)
COVID-19/ethnology , Health Knowledge, Attitudes, Practice/ethnology , Islam/psychology , Adult , COVID-19/epidemiology , COVID-19/psychology , COVID-19/virology , Cross-Sectional Studies , Female , Health Personnel/psychology , Humans , Knowledge , Male , Nigeria/epidemiology , Pandemics , SARS-CoV-2/isolation & purification , Surveys and Questionnaires , Young Adult
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