Adolescent/youth-friendly sexual and reproductive health services (SRHS) play a vital role in reducing morbidity and mortality associated with adolescent SRH. This review examined studies carried out on adolescent/youth-friendly SRHS with focus on availability, accessibility, utilization as well as perception of health care providers, and adolescents about the services. The study design was systematic review of empirical studies using a well-defined strategy. Online journal was searched comprehensively using Web of Science, Google Scholars databases, PubMed, Medline, and EMBASE. Other sources were identified through the scanning of references of selected sources. The articles selected were between 2016 and 2022 and had qualitative/quantitative and mixed methods. The articles that met the selection criteria were also screened using PRISMA-P guidelines and SPIDER framework for systematic review was further used for inclusion criteria based on the following concepts: sample, phenomenon of interest, design, evaluation and research type. A total number of 32 studies were included in the study and findings were reported based on the five emerging themes. The review showed that majority of the adolescents were not aware of adolescent/youth-friendly SRHS, some health care providers were not also in support of the services which accounted for low utilization of the services among adolescents. The review further showed poor accessibility and nonavailability of AYFSRHS as the only available SRHS were meant for married adults. Therefore, these findings serve as evidence for policy-makers at all the levels of healthcare delivery system to considered all the factors observed in this review and develop strategies that will make adolescent/youth-friendly SRHS available and accessible to adolescents. More so, other stakeholders, especially health care providers must improve their attitude toward provision of adolescent/youth-friendly SRHS.
Objective: This study investigates treatment satisfaction and medication adherence among hypertensive patients attending the medical outpatient clinic of a teaching hospital in Ekiti State, Nigeria. Materials and Methods: The study design was descriptive and cross-sectional using quantitative research strategy. A systematic sampling technique was used in selecting 270 participants; a structured questionnaire was used for data collection. Medication adherence was assessed using the 8-item Morisky Medication Adherence Scale, and treatment satisfaction was assessed using the 14-item Treatment Satisfaction Questionnaire for Medication. Results: The study findings revealed that majority (73.7%) of the study participants had good knowledge of hypertension, while 44.4% had a good level of treatment satisfaction. Test of association of participants' sociodemographic characteristics revealed age (χ 2 = 23.773, P = 0.003) and occupation (χ 2 = 21.251, P = 0.019) to be significantly associated with treatment satisfaction. The level of medication adherence by the participants was observed to be relatively poor (50.4%). The educational status (χ 2 = 23.914, P = 0.001) and monthly income (χ 2 = 10.406, P = 0.034) of the participants showed significant association with medication adherence. Conclusion: The study recommends that improving patients' understanding of their disease and treatment with subsidizing hypertensive medications by the government will enhance medication adherence.
Objective: This study was carried out to investigate the determinants of the practice and patronage of traditional bonesetting (TBS) in a Local Government Area of Ondo State, Nigeria. Materials and Methods: A descriptive research design approach with purposive sampling technique was used. Data collection was through the use of two set of self-developed structured questionnaire (for bonesetters and clients). The study obtained data from eight traditional bonesetters and fifty-six inpatients receiving treatments in the bonesetters' homes across the study location. Results: Findings from the study showed that the major cause of fractures were road traffic accidents while low cost of treatment was the major influence for patronizing traditional bonesetters. The study also revealed that majority of the traditional bonesetters had little or no formal education. Among the sociodemographic characteristics of the participants, only occupation showed signification relationship with reasons for patronage of TBS homes (χ 2 = 28.164, P = 0.036). Conclusion: The patronage of traditional bonesetters may be impossible to eradicate; thus, the study recommends the need for collaboration among traditional bonesetters and modern orthopedic practitioners through recognition and continuous training of the traditional bonesetters on appropriate management and referrals.
Background: Cancer is a group of diseases with different causes, manifestations, treatment, and prognosis, characterized with an uncontrolled growth of abnormal cell. In women; cancer of the breast is the second most common cancer after cervical cancer and the second leading cancer’s death following lung cancer among women in Sub-Saharan Africa. In Nigeria, it has become the most common female malignancy with a prevalence of 12.5%. However, the same treatment that offers better cure rates may also result in a serious decrease in quality of life, psychological problems, as well as provoking changes in their bodies. Societal behavior towards breast cancer patients makes a woman that is newly diagnosed with breast cancer become tearful, ashamed, and discouraged. Aims: To examine breast cancer, body image and the roles of the male partner. Methods: The data for this review paper are from published studies. Electronic databases of Medline, Scopus, PubMed, CINAHL, and Google Scholar were searched using the keywords: breast cancer, body image, roles of the male partner and literature were retrieved and screened for eligibility. The date limit considered in the literature search was from 2016-2021 to capture only the variables identified in this seminar objective. The author defined the topic of interest and the goal was to address the objective of the seminar topic. Results: Four themes (issues) emerged which are: (1) The Model of Whole-Person Caring, (2) Disturbed Body Image, (3) Psycho-Social Impact of Breast Cancer and (4) Roles of the Male Partner. Conclusion: Breast cancer poses a significant financial and psychosocial burden not only on patients, but also on their spouses, families, and broader social network. Breast cancer disease usually changes spousal roles as the women’s husbands take over their responsibilities. The disease influenced both partners and made stress a common factor shared by them. Husband plays a vital role in the lives of breast cancer patients through managing the finance, decision-making, providing emotional support, and remaining involved throughout the disease. Therefore, involving the husband in planned psycho-social interventions produces better results than merely patient-focused strategies. Male partners have a great role to play and should be encouraged and allow partaking in the treatment process of their spouses as this will positively influence their recovery.
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