Introduction: The most effective means of reducing Mother-to-Child transmission of HIV is to provide suppressive HAART. Prevention of Mother to Child Transmission (PMTCT) directly affects the achievement of Sustainable Development goals just. The unmet need for PMTCT services in Nigeria, particularly in Enugu state, is unacceptably high. This study aimed to assess factors associated with access barriers and determinants to PMTCT services in public health facilities in Enugu, Nigeria.
Materials and Methods: The study design was a facility-based analytical cross-sectional study. HIV positive nursing mothers who were accessing PMTCT services were studied. Questionnaire was used. Chi-square test and Binary logistic regression was done to for determinants of experience of any access barrier. Level of significance was determined at a p-value of ≤ 0.05.
Results: A total of 2275 participants were reported on. A higher proportion of participants were in 30-34 years age group 124 (45.1%), attained secondary education 144(52.4%) and provided for by their husbands 174(63.3%) The major barriers identified were; long waiting time at the facility 184(66.9%), distance of facility 161(58.5%), PMTCT being far away from other units/departments 155(56.4%), Health workers talking to the clients with no respect 151(54.9%), Stigma and discrimination from friends/neighbours 163(59.3%) and from health workers 123(44.7%) as well as being too busy with household chores 130(47.3%). There were statistically significant association between experience of barriers with age in categories (χ2=11.741, p =0.008), religion (χ2=5.381, p =0.020), source of income (χ2= 8.817, p=0.032) and ethnicity (χ2=9.240, p=0.026).
Conclusion: Over ninety percent of respondents experienced a form of barrier. The major barriers include; long waiting time, distance to facility, location of PMTCT units, Health workers attitude, Stigma and discrimination from health workers as well as being too busy with household chores. There was no identified predictor of access barrier.
Background: Some workplace accidents happen because workers fail to do their work in the safest possible way. Human beings have an innate desire to be safe, and their commitment to maintaining safe work environment is imperative for occupational health. However, employees’ contributions to workplace accident and injury is underexplored.Methods: Cross-sectional quantitative study was undertaken in two beverage industries in Enugu state. In order to observe a proportion of 50% in staff compliance to safety measures with precision of 5% and confidence level of 95%, 217 full-time employees were selected from each industry. Stratified sampling technique was used to select respondents across 5 units/departments. Data was collected using pre-tested structured questionnaire and analyzed using descriptive statistics. Statistical significance was set at p<0.05.Results: Use of any form of safety device was reportedly high among respondents, 413 (97.4%). However, only 278 (67.3%) reported using them on a daily basis. Aprons 103 (24.9%), helmets 163 (39.5%), and hand gloves 197 (47.4%) were the least commonly used safety devices. The only reason reported for inconsistent use of safety devices was discomfort. Consistent use of safety devices correlates significantly with demographic characteristics such as age, sex, level of education, length of years of work and unit/department (p<0.001), as well as previous history of workplace injury (p=0.01).Conclusions: Consistent compliance with safety measures among factory workers is suboptimal and correlates significantly with demographic characteristics and previous history of workplace injury.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.