General medical examination is a common form of preventive medicine. Periodic medical check-up generally involves thorough history, physical examination and screening of asymptomatic persons by physicians on a regular basis as part of a routine health care process. Periodic medical check-up is considered effective in preventing illness and promoting health and reducing morbidity and mortality. This study is therefore designed to determine the knowledge, attitude and practice of periodic medical check-up among residents of Osun, Ondo & Ekiti States of Nigeria. It is also to determine the influence of educational status on its practice and compare the outcomes in the three states. Materials & Methods: The cross-sectional survey study utilizing both qualitative and quantitative method of data collection was conducted at various locations across the three states. The locations included those of public servants, private sector workers, artisans, traders, business men/women, farmers, among others. Results: 1200 consenting residents participated in the study in each of the three states. 518 (43.2%) of the respondents in Ondo State are males while 682 (57.8%) are females. 465 (38.8%) of the respondents in Ekiti State are males while 735 (61.2%) are females. 494 (41.2%) of the respondents in Osun State are males while 706 (59.8%) are females. The mean age in Ondo, Ekiti & Osun were 43.8 ± 10.7 years, 44.6 ± 11.5 years and 41.7 ± 10.1 years respectively. 89.2%, 88.3% and 87.4% of the respondents are aware of periodic medical check-up in Ondo, Ekiti and Osun states respectively. Conclusion: There is high level of awareness of periodic medical checkup in all three states but the level of practice of routine medical checkup is low. The majority of the respondents probably don't practice it because their health insurance plan does not cover the medical checkup or due to individual/organizational financial constraints.
Background: Patient waiting time has been recognized as an important indicator for determining the quality of healthcare services offered by health facilities. Waiting time is strongly related to patients’ satisfaction with the care received at the hospital in general. Methods: This is a descriptive cross-sectional study carried out in February 2018 among new patients attending general out-patient department (GOPD) of randomly selected hospitals in South-Western Nigeria. A structured pre-tested questionnaire was used to elicit information from 223 patients who were recruited into the study using a convenience sampling method. Results: The average total clinic waiting time (TCWT) from entry to seeing a medical doctor was 137.02 ± 53.64 minutes. Only 6 (2.7%) met the Institute of Medicine (IOM) recommendation of having at least 90% of patients seen within 30 minutes of their scheduled appointment in contrast to 193 (86.5%) of respondents desiring to wait not more than 30 minutes for whatever reason before been attended to by the doctor. Although, the level of satisfaction was high (81.2%) in this study, patients who waited longer (>180 min) are more likely to be dissatisfied with services rendered in the OPDs (χ² = 20.104, df = 1, P = 0.001). Factors such as few health personnel (81/120) and having an insurance cover contributed significantly to the waiting time (χ² = 19.54, df = 1, P = 0.001). Conclusion: In a competitively managed health care environment, patient waiting time play an increasingly important role in a clinic’s ability to attract new business. Efforts therefore, should be made not only to reduce the patient waiting time, but health managers should invest in resources and activities that ensure a productive use of the time patients spend in the process of seeking healthcare services.
Background: Breast cancer is the commonest of all cancers and a leading cause of cancer deaths in women worldwide, a situation that can be predicated upon by knowledge inadequacies and fundamental cancer prevention strategies. This study was therefore carried out to determine the screening trend among female residents in SouthWestern Nigeria and determine the significant effect of education and occupation on the screening of breast cancer. Methods: This cross sectional study was carried out four SouthWestern States (Osun, Ekiti, Ogun & Lagos) in Nigeria. The target population was 20 years and above female residents of the states.
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