Are Tuberculosis Patients Managed According to the National Guidelines in Lagos State Nigeria?

Adejumo, Olusola Adedeji; Daniel, Olusoji; Gidado, Mustapha; Otesanya, Andrew Folarin; Adejumo, Esther Ngozi; Jaiyesimi, Ebunoluwa; Idowu, Oluwatoyin Esther; Odusanya, Olumuyiwa O.

doi:10.4236/ijcm.2016.71003

Cited by 13 publications

(8 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At 80 ̊ C for 12 hours, 24 hours and 48 hours, bulk density values were obtained as 0.81g/ml, 0.78g/ml and 0.74g/ml. The results obtained are similar to previous report on the quality attributes of yam flour (Elubo) as affected by blanching water temperature and soaking time whose values ranges from 0.73g/ml, 0.72g/ml and 0.72g/ml for 12 hours, 24 hours and 48 hours at both 40 ̊ C, 50 ̊ C and 60 ̊ C [19,18]. Slight changes in values could be attributed to differences in blanching temperature.…”

Section: Bulk Densitysupporting

confidence: 89%

Effect of Hydrothermal Treatment on selected Properties of Cocoyam Corm (colocasia esculenta) Flour

Asema

Adejumo

2022

IFSTJ

View full text Add to dashboard Cite

The aim of this work is to evaluate the effect of hydrothermal treatment on the physicochemical properties of cocoyam flour. Harvested cocoyam (Colocasia esculenta) was sorted, peeled, washed, sliced, washed, blanched at temperature 60 ̊ C, 80 ̊ C and 100 ̊ C and soaked at different time of 12 hours, 24 hours and 48 hours after then oven dried. The dried samples were milled into flour labelled A, B, and C at three replicates (3×3×3=27) with unblanched and unsoaked sample D as control. The samples were packaged for analysis. Result showed that at temperature 60 ̊ C for soaking time 12 hours, 24 hours and 48 hours, the moisture content are 4.16 %, 3.62 % and 5.01 %, fat 5.22 %, 5.22 % and 4.72 %, crude fibre 0.98 %, 0.99 % and 0.53 %, protein 1.75 %, 1.47 % and 1.61 %. It is concluded that hydrothermal treatment of cocoyam (colocasia esculenta) can modify the physicochemical properties of flour produced. However, the minimum effect occurred at 60 ̊ C compared to 80 ̊ C and 100 ̊ C .thus, the quality of cocoyam flour can be improved using blanching temperature 60 ̊ C and 12 hours soaking time.

show abstract

Section: Bulk Densitysupporting

confidence: 89%

Effect of Hydrothermal Treatment on selected Properties of Cocoyam Corm (colocasia esculenta) Flour

Asema

Adejumo

2022

IFSTJ

View full text Add to dashboard Cite

show abstract

“…Factors attributed to this include the low priority and inadequate funding for TB prevention and control by national governments. This is reflected in the weak health systems characterised by poor infrastructure for TB care, insufficient human resources, poor diagnostic, and laboratory services [2,[5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…The WHO has developed the Service Availability and Readiness Assessment (SARA) tool which has standards for TB service readiness and countries are expected to utilise this to track the progress in health systems strengthening [ 9 ]. Several studies have been conducted in Nigeria to assess the health system, quality of TB care and management [ 7 , 8 , 10 , 11 ]. However, there is a dearth of information on the general and TB-specific service readiness for the management of tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

General and tuberculosis-specific service readiness in two states in Nigeria

Oluwasanu

Hassan

Adebayo

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: Tuberculosis is the world's deadliest infectious disease and a leading cause of death in Nigeria. The availability of a functional healthcare system is critical for effective TB service delivery and attainment of national and global targets. This study was designed to assess readiness for TB service delivery in Oyo and Anambra states of Nigeria. Methods: This was a facility-based study with a mixed-methods convergent parallel design. A multi-stage sampling technique was used to select 42 primary, secondary, and tertiary healthcare facilities in two TB high burden states. Data were collected using key informant interviews, a semi-structured instrument adapted from the WHO Service Availability and Readiness Assessment tool and facility observation using a checklist. Quantitative data were analysed using descriptive and inferential statistics while qualitative data were transcribed and analysed thematically. Data from both sources were integrated to generate conclusions. Results: The domain score for basic amenities in both states was 48.8%; 47.0% in Anambra and 50.8% in Oyo state with 95% confidence interval [− 15.29, 7.56]. In Oyo, only half of the facilities (50%) had access to constant power supply compared to 72.7% in Anambra state. The overall general service readiness index for both states was 69.2% with Oyo state having a higher value (73.3%) compared to Anambra with 65.4% (p = 0.56). The domain score for availability of staff and TB guidelines was 57.1% for both states with 95% confidence interval [− 13.8, 14.4]. Indicators of this domain with very low values were staff training for the management of HIV and TB co-infection and training on MDR-TB. Almost half (47.6%) of the facilities experienced a stock out of TB drugs in the 3 months preceding the study. The overall tuberculosis-specific service readiness index for both states was 75%; this was higher in Oyo (76.5%) than Anambra state (73.6%) (p = 0.14). Qualitative data revealed areas of deficiencies for TB service delivery such as inadequate infrastructure, poor staffing, and gaps with continuing education on TB management. Conclusions: The weak health system remains a challenge and there must be concerted actions and funding by the government and donors to improve the TB healthcare systems.

show abstract

“…Factors attributed to this include the low priority and inadequate funding for TB prevention and control by national governments. This is re ected in the weak health systems characterized by poor infrastructure for TB care, insu cient human resources, poor diagnostic and laboratory services [2,5,6,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…The WHO has developed the Service Availability and Readiness Assessment (SARA) tool which has standards for TB service readiness and countries are expected to utilise this to track the progress in health systems strengthening [9]. Several studies have been conducted in Nigeria to assess the health system, quality of TB care and management [7,8,10,11]. However; there is a dearth of information on the general and TB-speci c service readiness for the management of tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

General and Tuberculosis-Specific Service Readiness in two states in Nigeria

Oluwasanu¹,

Hassan

Adebayo³

et al. 2020

Preprint

View full text Add to dashboard Cite

Tuberculosis is the world’s deadliest infectious disease and a leading cause of death in Nigeria. The availability of a functional healthcare system is critical for effective TB service delivery and attainment of national and global targets. This study was designed to assess readiness for TB service delivery in Oyo and Anambra states of Nigeria. This was a facility-based study with a mixed-methods convergent parallel design. A multi-stage sampling technique was used to select 42 primary, secondary and tertiary healthcare facilities in two TB high burden states. Data was collected using key informant interviews, facility assessment using a semi-structured tool adapted from the WHO Service Availability and Readiness Assessment tool and facility observation using a checklist. Quantitative data were analysed using descriptive and inferential statistics while qualitative data were transcribed and analysed thematically. Data from both sources were integrated to generate conclusions. The domain score for basic amenities in both states is 48.8% (SE:2.8); 47.0% (SE:4.0) in Anambra and 50.8% (SE:3.9) in Oyo state. In Oyo, only half of the facilities (50%) have access to constant power supply compared to 72.7% in Anambra state. The overall general service readiness index for both states is 69.2% with Oyo state having a higher value (73.3%) compared to Anambra with 65.4% (P = 0.56). The domain score for availability of staff and TB guidelines is 57.1% (SE:3.4) for both states. Indicators of this domain with very low values were staff training for the management of HIV and TB co-infection and training on MDR -TB. Almost half (47.6%) experienced a stock out of TB drugs in the 3 months preceding the study. The overall tuberculosis-specific service readiness index for both states is 75%; this is higher in Oyo state (P = 0.14). Qualitative data revealed areas of deficiencies for TB service delivery such as inadequate infrastructure, poor staffing and gaps with continuing education on TB management. The weak health system remains a challenge and there must be concerted actions and funding by the government and donors to improve the TB healthcare systems.

show abstract

Are Tuberculosis Patients Managed According to the National Guidelines in Lagos State Nigeria?

Abstract: O. A. Adejumo et al.17

Cited by 13 publications

References 10 publications

Effect of Hydrothermal Treatment on selected Properties of Cocoyam Corm (colocasia esculenta) Flour

Effect of Hydrothermal Treatment on selected Properties of Cocoyam Corm (colocasia esculenta) Flour

General and tuberculosis-specific service readiness in two states in Nigeria

General and Tuberculosis-Specific Service Readiness in two states in Nigeria

Contact Info

Product

Resources

About