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Search Results: 1 - 10 of 18499 matches for " U. Ezeoke "
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Cigarette Smoking and Attitudes Concerning Its Control among Healthcare Workers in Enugu, South-East, Nigeria  [PDF]
I. B. Omotowo, E. O. Ndibuagu, U. Ezeoke
Health (Health) , 2016, DOI: 10.4236/health.2016.811108
Abstract: Introduction: Cigarette smoking is an established risk factor for many diseases, and according to World Health Organization, health care workers can influence positively or negatively the smoking habits of the community. Objective: The purpose of the study was to investigate the prevalence of cigarette smoking and attitudes regarding its control among healthcare workers in Enugu, South-East Nigeria. Methods: This cross sectional study was conducted among 369 healthcare providers randomly selected in primary, secondary and tertiary health facilities. Data were collected using a self reported questionnaire on cigarette smoking, and were analysed using SPSS Version 21, and statistical significance of association between variables was assessed using chi-square test at p < 0.05. Ethical clearance from University of Nigeria Teaching Hospital, Enugu and informed written consent was obtained from the participants. Results: Overall, 369 respondents returned the completed questionnaires. 54.2% were males, 75.9% were aged between 20 to 40 years, while their mean age was 27.5 ± 6.2 years. Overall life time prevalence of smoking among healthcare workers was 21.1% with (95% confidence interval 17.3 - 25.6), currently smoking was 6.5% with (95% confidence interval 5.8 - 7.4), while life time prevalence among physicians was 31.7% with (95% ci 28.8 - 33.6). The highest smoking rate was among the internists 72.7% in the physicians group. More smokers significantly agreed that the followings should be banned: cigarette sales (X2 = 22.134, df = 6, P = 0.003), advertising cigarettes (X2 = 42.532, df = 28, P = 0.040), cigarettes smoking in restaurants (X2 = 42.560, df = 20, P = 0.001), and smoking in all enclosed places (X2 = 33.257, df = 20, P = 0.025), but not statistically significant for health professionals to serve as role models (X2 = 24.420, df = 8, P = 0.086). Conclusion: Our results showed high percentage of cigarette smoking among healthcare providers. Smoking cessation programs should be introduced among healthcare providers.
Pattern of health seeking behaviour of mothers for common childhood illnesses in Enugu metropolis south east zone Nigeria
U.E Ezeoke, E.A Nwobi, O.C Ekwueme, B Tagbo, E Aronu, S Uwaezuoke
Nigerian Journal of Clinical Practice , 2010,
Abstract: TheObjective of the study is to assess the Health Seeking Behaviour ofmotherswhen their children presentwith the common aliments and their preferred treatment options. A cross sectional survey of 300 women that brought their children for routine immunization and growthmonitoring to three health institutions in Enugumetropolis was carried out using an interviewer administered structured questionnaire. Majority of the mothers, 208(69.3%) used self treatment for their children at home when they presented with common illnesses.Atotal of 146(48.7%) made use of government health institutions, 117(39. 0%) attended private health institutions while 21(7.0%) consulted an elder woman and 9 (.0%) patronized prayer house.Only 3(1%) respondents sought the help of traditional healers. In this study, the greater percentage of mothers used self medication for treatment of common childhood illnesses.The implication of this is that themajority of themothersmay not know the right treatment to institute at any point in time. This situation could lead to more complications of the illnesses or even loss of life.As a result,mothers should be educated on how best to take care of their sick children athome and be able to recognizewhen to seek appropriate help.
Print Media Objectivity and Advertising Revenue: An Appraisal
C Nwabueze, E Ezebuenyi, C Ezeoke
African Research Review , 2012,
Abstract: This paper is an analysis of the interface between objectivity of print media and advertising revenue. It adopts the analytical approach in analyzing the perceptual influence of sources of advert revenue on print media content. The primary objective is to ascertain whether the source of advert revenue influences media content. It recommends, among others, that print media organizations should adhere to professionalism and ethical tenets in generating and processing message contents with a view to ensuring objectivity even in the face of pressure from advert revenue sources.
Histological effects of chronic consumption of soda pop drinks on kidney of adult Wister rats
Josiah Obaghwarhievwo Adjene,Joseph Chigozie Ezeoke,Ezekiel Uba Nwose
North American Journal of Medical Sciences , 2010,
Abstract: Background: Health concerns over soda pop drinks have been severally report. However, histological perspectives are not very common. Aim: The objective of this study is to investigate histological effect of chronic consumption of soda pop drinks on the kidney of adult Wistar rats. Materials and methods: The rats of both sexes (n = 24), with average weight of 200g were randomly assigned into two treatment (A & B) (n=16) and Control (c) (n=8) groups. The rats in the treatment group (A) received a brand of soda pop drink on a daily basis for thirty days. The rats in treatment group (B) received another brand of soda drink, while the control group (C) received equal amount of water for the same period. The rats were given the drinks as well as feeds liberally for thirty days, and sacrificed by cervical dislocation on the thirty-first day of the experiment. The kidney was carefully dissected out and quickly fixed in 10% formal saline for histological study. Results: The findings indicate that rats in the treated groups (A&B) showed some varying degree of distortion and disruption of the renal structure. There are observable diffuse signs of glomerulonephritis with some congestion and tubular necrosis as compared to the control group. Conclusion: Chronic consumption of soda pop drinks may affect the microanatomy of the kidney of adult Wistar rats. Further study aimed at corroborating these observations in humans is warranted.
Household Perceptions, Willingness to Pay, Benefit Package Preferences, Health System Readiness for National Health Insurance Scheme in Southern Nigeria  [PDF]
Ishola Babatunde Omotowo, Uchechukwu Enuma Ezeoke, Ikechukwu Emmanuel Obi, Benjamin S. Chudi Uzochukwu, Chike Chuka Agunwa, Christopher Bismarck Eke, Chinedu Arthur Idoko, Ancilla Kate Umeobieri
Health (Health) , 2016, DOI: 10.4236/health.2016.814159
Abstract: Introduction: Several Nigerians are completely denied access to adequate health care because of cultural, temporal and financial factors with inequity. Objectives: To ascertain the household perceptions, willingness to pay, benefit package preferences, and health systems readiness for Insurance Scheme. Methods: A cross-sectional study of 400 heads of households and 43 health workers in Enugu, Southern Nigeria. Results: Awareness of NHIS among the heads of household was 56.8%, while it was 86% among the health workers. Awareness of NHIS among heads of households was significantly associated to both educational level (X2 = 16.083, P = 0.001), and occupation (X2 = 5.694, P = 0.017). More males (61.6%) had correct perceptions of NHIS compared to females (58.6%), but not statistically significant (X2 = 0.336, P = 0.562). Majority of households respondents 89% are willing to pay for NHIS. Willingness to pay was significantly associated to occupation (X2 = 5.169, df = 1, P = 0.023), but willingness to pay mandatory 5% premium was not significantly associated to occupation (X2 = 0.884, P = 347). Only 11.6% of the health facilities are enlisted as providers in the scheme. Conclusion: Willingness to pay was high, but majority are not ready to pay 5% premium of their earnings. Awareness creation programmes should be improved for the public, and more health facilities enlisted for wider coverage.
Do consumers' preferences for improved provision of malaria treatment services differ by their socio-economic status and geographic location? A study in southeast Nigeria
Nkoli P Uguru, Obinna E Onwujekwe, Nnenna G Tasie, Benjamin S Uzochukwu, Uche E Ezeoke
BMC Public Health , 2010, DOI: 10.1186/1471-2458-10-7
Abstract: This study was undertaken in Anambra state, Southeast Nigeria in three rural and three urban areas. A total of 2,250 randomly selected householders were interviewed using a pre tested interviewer administered questionnaire. Preferences were elicited using both a rating scale and ranking of different treatment provision sources by the respondents. A socio-economic status (SES) index was used to examine for SES differences, whilst urban-rural comparison was used to examine for geographic differences, in preferences.The most preferred source of provision of malaria treatment services was public hospitals (30.5%), training of mothers (19%) and treatment in Primary healthcare centres (18.1%). Traditional healers (4.8%) and patent medicine dealers (4.2%) were the least preferred strategies for improving malaria treatment. Some of the preferences differed by SES and by a lesser extent, the geographic location of the respondents.Preferences for provision of improved malaria treatment services were influenced by SES and by geographic location. There should be re-invigoration of public facilities for appropriate diagnosis and treatment of malaria, in addition to improving the financial and geographic accessibility of such facilities. Training of mothers should be encouraged but home management will not work if the quality of services of patent medicine dealers and pharmacy shops where drugs for home management are purchased are not improved. Therefore, there is the need for a holistic improvement of malaria treatment services.Malaria is a major cause of mortality and morbidity in Nigeria, and is responsible for 30% of childhood mortality, 11% of maternal mortality and more than 60% of out-patient visits [1]. This disease has also impacted negatively on the Nation's economy so much so that Nigeria loses about 132 billion Naira annually to the disease [2]. One of the key strategies endorsed by the Abuja meeting was to take actions to ensure that by 2005 at least 60% of those su
Willingness to pay for rapid diagnostic tests for the diagnosis and treatment of malaria in southeast Nigeria: ex post and ex ante
Benjamin SC Uzochukwu, Obinna E Onwujekwe, Nkoli P Uguru, Maduka D Ughasoro, Ogochukwu P Ezeoke
International Journal for Equity in Health , 2010, DOI: 10.1186/1475-9276-9-1
Abstract: WTP for RDT for Malaria was assessed by the contingent valuation method using a bidding game approach in rural and urban communities in southeast Nigeria. The ex post WTP was assessed at the health centers on 618 patients immediately following diagnosis of malaria with RDT and the ex ante WTP was assessed by household interviews on 1020 householders with a prior history of malaria.For the ex ante WTP, 51% of the respondents in urban and 24.7% in rural areas were willing to pay for RDT. The mean WTP (235.49 naira) in urban is higher than WTP (182.05 Naira) in rural areas. For the ex post WTP, 89 and 90.7% of the respondents in urban and rural areas respectively were WTP. The mean WTP (372.30 naira) in urban is also higher than (296.28 naira) in rural areas. For the ex post scenario, the lower two Social Economic Status (SES) quartiles were more willing to pay and the mean WTP is higher than the higher two SES while in the ex ante scenario, the higher two SES quartiles were more WTP and with a higher WTP than the lower two SES quartile. Ex ante and ex post WTP were directly dependent on costs.The ex post WTP is higher than the ex ante WTP and both are greater than the current cost of RDTs. Urban dwellers were more willing to pay than the rural dwellers. The mean WTP should be considered when designing suitable financial strategies for making RDTs available to communities.Malaria is highly endemic in Nigeria and it remains one of the major public health problem in Nigeria and a leading cause of morbidity and mortality in the country [1]. With a prevalence rate of 919/100,000, it accounts for 40% of disease burden reported at the public health facilities, 30% of all childhood deaths and 11% of maternal deaths. The loss to the economy as a direct result of malaria infections has been estimated as 132 billion Naira (US$1.01 billion at an exchange rate of 130 Naira = US$1.00) [2].In most endemic countries, the diagnosis and treatment of malaria has traditionally relied on
Treatment of uncomplicated malaria at public health facilities and medicine retailers in south-eastern Nigeria
Lindsay J Mangham, Bonnie Cundill, Ogochukwu Ezeoke, Emmanuel Nwala, Benjamin SC Uzochukwu, Virginia Wiseman, Obinna Onwujekwe
Malaria Journal , 2011, DOI: 10.1186/1475-2875-10-155
Abstract: A cross-sectional cluster survey of 2,039 respondents exiting public health centres, pharmacies and patent medicine dealers was undertaken in urban and rural settings in Enugu State, south-eastern Nigeria.Although 79% of febrile patients received an anti-malarial, only 23% received an ACT. Many patients (38%) received sulphadoxine-pyrimethamine (SP). A further 13% of patients received an artemisinin-derivative as a monotherapy. An estimated 66% of ACT dispensed was in the correct dose. The odds of a patient receiving an ACT was highly associated with consumer demand (OR: 55.5, p < 0.001).Few febrile patients attending public health facilities, pharmacies and patent medicine dealers received an ACT, and the use of artemisinin-monotherapy and less effective anti-malarials is concerning. The results emphasize the importance of addressing both demand and supply-side influences on malaria treatment and the need for interventions that target consumer preferences as well as seek to improve health service provision.Malaria remains a major cause of death and illness in children and adults in tropical settings. An integrated strategy is recommended which ensures access to treatment with effective anti-malarials, while also undertaking preventative measures that target vector control [1]. ACT became the recommended treatment for uncomplicated malaria, as resistance emerged to conventional monotherapies, including sulphadoxine-pyrimethamine (SP), chloroquine and amodiaquine, thereby reducing their therapeutic efficacy. Over the last decade, countries have revised their national malaria treatment policies to adopt ACT as the first-line recommended treatment for uncomplicated malaria. Although these policies are now well established, there are persistent problems with their implementation.Evidence from several settings on malaria case management report problems with the choice of treatment, showing that ACT is often underused and many patients continue to receive less effective a
Non-fistulous urinary leakage among women attending a Nigerian family planning clinic
Ijaiya MA, Raji HO, Aboyeji AP, Adesina KT, Adebara IO, Ezeoke GG
International Journal of Women's Health , 2011, DOI: http://dx.doi.org/10.2147/IJWH.S23179
Abstract: n-fistulous urinary leakage among women attending a Nigerian family planning clinic Original Research (1907) Total Article Views Authors: Ijaiya MA, Raji HO, Aboyeji AP, Adesina KT, Adebara IO, Ezeoke GG Video presented by Munir ¢a a ¢deen A Ijaiya Views: 67 Published Date December 2011 Volume 2011:3 Pages 409 - 413 DOI: http://dx.doi.org/10.2147/IJWH.S23179 Munir'deen A Ijaiya1, Hadijat O Raji1, Abiodun P Aboyeji1, Kike T Adesina1, Idowu O Adebara2, Grace G Ezeoke1 1Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Ilorin, Nigeria; 2Department of Obstetrics and Gynaecology, Federal Medical Centre, Ido-Ekiti, Nigeria Abstract: Urinary leakage is an important gynecological challenge, which has a substantial impact on quality of life. The aim of this study was to determine the prevalence and types of non-fistulous urinary leakage among women attending the family planning clinic of the University of Ilorin teaching hospital, Ilorin, Nigeria. The study was a cross-sectional study carried out between January 3 and April 25 2009. One hundred and two women experienced urinary leakage out of 333 women interviewed, giving a prevalence rate of 30.6%. Stress incontinence was the most common urinary leakage (prevalence rate 12.0%). This is followed by urge incontinence (10.8%), urinary incontinence (4.8%), and overflow incontinence (3.0%). None of the women afflicted sought medical help. Conclusively, this study has demonstrated that non-fistulous urinary leakage is a common problem among women of reproductive age in this environment.
Exploring health providers’ and community perceptions and experiences with malaria tests in South-East Nigeria: a critical step towards appropriate treatment
Ezeoke Ogochukwu P,Ezumah Nkoli N,Chandler Clare CI,Mangham-Jefferies Lindsay J
Malaria Journal , 2012, DOI: 10.1186/1475-2875-11-368
Abstract: Background The adoption of ACT as the first line treatment for uncomplicated malaria in Nigeria has concentrated attention on the role of testing in appropriate malaria treatment. There are calls at both national and global level for malaria treatment to be based on test result, but it is still unclear how testing can be incorporated into treatment-seeking and practices of health providers. This study explored community members and health providers’ perceptions and experiences with malaria tests in south east Nigeria. Methods The study was conducted in urban and rural areas of Enugu state in south-eastern Nigeria. A total of 18 focus group discussions with 179 community members including sub-groups of primary caregivers, adult men and adult women aged 15 years and above. Twenty- six (26) In-depth interviews were held with public and private health providers involved in prescribing medicines at public and private health facilities in the study area. Results Both providers and community members were familiar with malaria tests and identified malaria tests as an important step to distinguish malaria from other illnesses with similar symptoms and as a means of delivering appropriate treatment. However, the logic of test-directed treatment was undermined by cost of test and a lack of testing facilities but above all concerns over the reliability of negative test results, with community members and providers observing inconsistencies between results and symptoms, and providers attributing inaccurate results to incompetencies of technicians. Recognition of malaria symptoms was deemed most important in determining the use of antimalarial drugs rather than the result of a malaria test. Conclusion The results highlight important areas of intervention to promote appropriate malaria treatment. If tests are to play a role in patient management, demand and supply side interventions are needed to change people’s attitude towards malaria test results.
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