Background: The establishment of Childcare Centres (CCs) has increased as several parents leave their homes to work and need a place to keep their children. CCs are expected to make available equipment and materials for infection prevention. Objective: To assess the facilities for infection prevention in CCs and the occurrence of common infections among children attending CCs. Methods: Quantitative research approach was used. The study was conducted among care providers in CCs in Sagamu Local Government Area, Ogun State, Nigeria. The data were obtained using an observation checklist and a validated questionnaire with Cronbach’s alpha coefficient of 0.831. Result: The mean age of the care providers was 35.3±9.4 years. Most (92.4%) care providers worked at private school-owned CCs. The features of infection commonly exhibited by the children included running nose (73.3%), blocked nose (49.6%), cough (66.8%), and sneezing (53.1%). Most (238; 90.8%) of the CCs had suitable structures, while 160 (61.0%) had none of the required essential structures. There was a significant positive relationship between the availability of essential structures in CCs and the occurrence of infection in the children (r = -0.153; p < 0.001) and a significant positive relationship between the availability of essential equipment and the occurrence of infection in CCs (r = 0.313; p < 0.001). Conclusion: Emphasis should be placed on providing more infection prevention measures in CCs. This should include relevant policies, guidelines and monitoring mechanisms.
Background: Social integration is a multidimensional construct that is thought to include both the behavioral component of active engagement in a wide range of activities and/or social relationships and the cognitive component of a sense of communality and identification with one's social roles. Patients with schizophrenia have been described as being 'in the community but not of the community'. Although patients with schizophrenia have adequate social networks, their level of engagement is low. Aim:To determine the social integration of patients with schizophrenia using the Social Integration Scale, and to determine the feasibility of using the Social Integration Scale in a non-western country.Methods: This study was conducted among outpatients with schizophrenia attending the Out-Patient Clinic of the Neuropsychiatric Hospital, Abeokuta, Nigeria, aged 18-65 years. MINI-PLUS, PANSS, WHOQOL-BREF and SIS were administered to consenting participants. Results:The mean (SD) age of participants were 40.9 (9.0) years, 52% were males, 42% were single, the mean (SD) age of onset of illness was 29.1 (8.8) years, 48% of them had greater than 10 years of illness duration, and 90% has had multiple episodes. PANSS shows a mean (SD) PANSS positive scale score of 8.46 (2.94), mean (SD) overall QOL score of 3.88 (1.15) and mean (SD) general health score of 4.02 (1.08). The Cronbach's alpha of the SIS was 0.86, and factor analysis yielded 4 factors: 1) community participation, 2) giving and receiving help; 3) connectedness, and 4) initiation of social interactions. Conclusion:The SIS is a valid measure of social integration among patients with schizophrenia in Nigeria.
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