Background: Among the screening methods for the early detection of breast abnormalities that could lead to breast cancer, Breast self-examination is the basic, simplest, cost effective, self-administered and very important technique. It allows women to get acquainted with the nature of their breasts and therefore allows them to discover any deviation. Early detection goes a long way in successful treatment of BC and this is easily come by with good and adequate knowledge, good attitude towards and excellent skill to administer BSE. Consequently, we drew out the data on BSE knowledge, attitudes and practice among Nigeria women. Methods: A systematic review was done among studies conducted in Nigeria using Arskey and O’Malleys’ framework as a guide. The databases searched include PubMed, Google, Google Scholar, Jstor, Intech Open, Proquest and PubMed Central for relevant studies on women’s knowledge, attitude and practice on BSE. Studies included in the review were from thirteen states in Nigeria. The articles reviewed in this systematic review were journals published between August 2012 to July 2022, a 10-year systematic review. Results: Sixty-three (63) articles were firstly extracted to be eligible for review; thirty-seven (37) were excluded due to duplication of content, lack of focus on the concept and incomplete content. Another nine (9) were discarded for muddling up result with another concept and for not involving at least two of the variables, i.e., knowledge, attitude and practice of breast self-examination. The seventeen (17) articles were conducted in thirteen states of which two (2) were conducted in Osun State as well as Sokoto State and three in Oyo State while one (1) each in other ten states, namely Benin, Kano, Imo, Akwa-Ibom, Ekiti, Ebonyi, Abia, Ondo, Awka, and Lagos States. Twelve (12) studies reported evidence on BSE knowledge, attitude and practice; three (3) on knowledge and practice; and two (2) reported on attitude and practice of BSE. The findings of this study submit varying knowledge levels on BSE though—averagely good knowledge but poor practice among women in Nigeria. Conclusion/Recommendation: The findings from these studies show that the knowledge of BSE among women folk in Nigeria is averagely low though women’s attitude seems good. Similarly, the practice of BSE among women in Nigeria is poor. Therefore, proactive measures need to be taken to increase the level of knowledge of BSE through educational programs among every category of women to reduce morbidity and mortality from breast cancer in Nigeria in the nearest future.
Half a million women are estimated to die each year from pregnancy and childbirth. Greater than half of maternal and child deaths occur in Africa. Most of these deaths are caused by complications during or just after delivery and most of the complications are avoidable. Also, when reimbursement and performance policy is becoming a thing of need, patient experience and satisfaction is one of the ways of assessing and measuring the quality of care received in the health facility. This study attempted to explore patients’ satisfaction with intrapartum care provided by nurse-midwives in Civil Service Hospital, in Ilorin, Kwara State, Nigeria. This is to enhance understanding of patients’ perception and values of pregnant women during delivery, as well as factors influencing their satisfaction in other to guide nurse-midwives in providing quality care. Hence, working towards health-related Sustained Development Goals (SDGs) to reduce child mortality by two-thirds. The study employed a qualitative research design and a purposive sampling technique was used to select 16 mothers who just delivered in Civil Service Hospital, Ilorin, Kwara State. A semi-structured interview guide was used to collect the data. In-depth Interviews were done which comprised 16 participants. A qualitative method (thematic analysis) was used to analyse the data. Findings from the discussions revealed that the majority of the women said that they are highly satisfied with the provided by the nurse-midwives because of the type of care received from the competent nurses. it was also discovered that expectation is highly linked with satisfaction. Based on the findings; the participants recommended that the toilet facility, labour rooms and hospital beds should be renovated; electricity and water supply should be improved.
Clients’ satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Quality is considered good when adequate infrastructure, supplies, and equipment are in place. This study therefore assessed clients’ satisfaction with quality of maternity care services in selected Primary Health Care Centres in Ijebu- Ode LGA of Ogun State. A quantitative design adopting a descriptive, cross-sectional approach was utilized in the study. It was carried out among a total of 309 respondents, adopting a total enumeration method. A structured self-administered questionnaire and an adopted observational checklist was used for data collection and data analysis was done using descriptive statistics in the form of tables of frequencies, percentages, median and Standard deviation to analyze the research questions, while the inferential statistics of T-test was used to analyze the hypotheses. The findings of the study on the services of maternity care received by clients revealed that all the examined maternity care services (ANC services, Childbirth/ Delivery service, PNC service, Counselling service (PMTCT of HIV/AIDS), Obstetric emergency care and Laboratory and imaging (ultrasound scan)) are received in the sampled PHC facilities. Result also shows that clients are highly satisfied with the six (6) examined maternity care services rendered in the PHCs, as discussed (ANC services- 97.5%, PNC- 88.7%, DELIVERY- 92.3%, Counselling (PMTCT of HIV/AIDS) - 80.9%, Obstetric Emergency Care - 73.4% and Laboratory/Imaging- 73.8%). The findings also revealed that all the facilities were adequately equipped with essential items needed for the management of labour. Italapo has the highest number of essential items (91%), Ita-osu, Iwade-oke and Itantebo PHC facilities has 89% each in adequacy of essential items, while Oke-oyinbo PHC facility has 66% in adequacy of essential items for management of labour.. The finding also shows there is no significant association between maternity care services available at each PHC facility and clients’ level of satisfaction. Although, the clients who were satisfied with the services received at PHC facilities were more than those who were less satisfied, the influence of availability of services on their level of satisfaction were not statistically significant; p-value > 0.05. The result also shows that the population of women who booked for ANC service is far more than the population of women who returned for child birth in each centre. The mean difference being 74.6. This was found to be statistically significant. In conclusion, the findings of this study revealed that the six (6) maternity care services examined in this study were received in the 5 sampled PHCs. Also, on the average, larger percentage of the respondents were satisfied with all the six (6) maternity care services rendered in the 5 selected PHC facilities. Although, the population of women who booked for ANC service is far more than the population of women who returned for child birth in each facility. It is therefore recommended that there should be continuous training of healthcare providers, especially the maternity care service providers so as to improve their performance and consequently raise the level of quality of care. KEYWORDS: Clients’ satisfaction, Ma
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