Conceptual and Contextual Paradigm of the Family as a Unit of Care

Inem, AV; Ayankogbe, OO; Obazee, M; Ladipo, MM; Udonwa, Ndifreke E; Odusote, Kayode

doi:10.4314/nmp.v45i1.28694

Cited by 15 publications

(25 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We opine that a clinic policy which rewards staff for assisting with patients’ ARV refills may encourage clinic personnel to demonstrate better support. The predominance of family members over friends as ARV refill intermediaries in our study corroborates reports about the supportive role of the African family in times of crisis (Inem, Ayankogbe, Obazee, Ladipo, Udonwa, & Odusote, 2004). Among a Ugandan cohort, “medicine companions” (treatment supporters who remind ART patients to take their medications on schedule) were predominantly family members of patients (Foster, Nakamanya, Kyomuhangi, Amurwon, Namara, and Amuron, 2010).…”

Section: Discussionsupporting

confidence: 91%

Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria

et al. 2016

View full text Add to dashboard Cite

In sub-Saharan Africa areas where antiretroviral drugs are not available through community pharmacies, clinic-based pharmacies are often the primary source of antiretroviral drug refills. Social pressure is mounting on treatment providers to adjust antiretroviral (ARV) refill services towards user-friendly approaches which prioritize patients’ convenience and engage their resourcefulness. By this demand, patients may be signalling dissatisfaction with the current provider-led model of monthly visits to facility-based pharmacies for ARV refill. Mobile phones are increasingly popular in sub-Saharan Africa, and have been used to support antiretroviral treatment goals in this setting. A patient-centred response to on-going social pressure requires treatment providers to view antiretroviral refill activities through the eyes of patients who are negotiating the challenges of day-to-day life while contemplating their next refill appointment. Using focus groups of five categories of adult patients receiving combination antiretroviral therapy, we conducted this cross-sectional qualitative study to provide insight into modifiable gaps between patients’ expectations and experiences of the use of mobile phones in facility-based antiretroviral refill service at a public HIV clinic in Nigeria. A notable finding was patients’ preference for harnessing informal social support (through intermediaries with mobile phones) to maintain adherence to ARV refill appointments when they could not present in person. This evolving social support strategy also has the potential to enhance defaulter tracking. Our study findings may inform the development of ARV refill strategies and the design of future qualitative studies on client-provider communication by mobile phones in under-resourced HIV treatment programs.

show abstract

Section: Discussionsupporting

confidence: 91%

Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The prospects of curtailing the morbidity and mortality from severe malaria among the under-five children, therefore, lie on the epidemiological characteristics of the proximal context of the child's family which constitute a unit of care. [2227] This study has, therefore, demonstrated that malaria disease is still an issue of serious medical importance in rural Nigeria. Despite the years of formulation and implementation of malaria control intervention programs such as RBMI,[28] the impact of program targets on under-five morbidity and mortality has been below expectation especially in rural Nigerian families.…”

Section: Discussionmentioning

confidence: 95%

Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria

Iloh

Chuku

Amadi

et al. 2013

J Family Med Prim Care

View full text Add to dashboard Cite

Background:Malaria threatens the life of under-five in rural Nigerian families. Although, factors that influence malaria in under-five are manifold. However, family biosocial factors may contribute to the variability of the clinical picture.Aim:To determine proximate family biosocial variable associated with severe malaria among under-five children in a resource-poor setting of a rural hospital in Eastern Nigeria.Materials and Methods:A cross-sectional study carried out on the families of under-five managed for malaria. Data extracted included family biosocial variables and diagnosis. An under-five child was defined to have malaria if the mother gave complaints of fever, vomiting, and other symptoms suggestive of malaria, had body temperature exceeding 37.5°C with the asexual forms of Plasmodium falciparum detected on the peripheral blood film. Severe malaria is the malaria that presents with life-threatening features like severe anemia and cerebral malaria.Results:The prevalence of severe malaria was 31.8% The family biosocial variables significantly associated with severe malaria were maternal low level of education (P = 0.031), family size >4 (P = 0.044), low social class of the family (P = 0.025), nonliving together of parents (P = 0.011), and poor access to health facilities (P = 0.038). The most significant predictor of severe malaria was nonliving together of parents (P = 0.000, odds ratio = 3.08, confidence interval = 1.64-5.10).Conclusion:This study has demonstrated that some family biosocial variables are associated with severe malaria. These families should constitute at risk families that could be targeted for malaria interventional programs.

show abstract

“…22 Most respondents studied were in polygamous marriages, which is a reflection of the culture with polygamy being a common practice in Nigeria. 10 More of the respondents lived in extended family units. In Africa, high values are placed on kinship ties with extended families found to be the traditional social-welfare security.…”

Section: Family Demographics and Support Systemmentioning

confidence: 99%

“…9 The structure and quality of the family relationship can influence what chronically ill patients do to manage their illness as well as how they perceive their physical, mental and emotional health. [10][11][12] Marriage is an example of a socially defined structure that has long been linked with health and illness; for instance married adults have a lower prevalence of illness and are more likely to recover faster than unmarried adults. 13 Social support can be defined as those social interactions or relationships that provide individuals with the actual assistance or a feeling of attachment to a person or group that is perceived as caring or loving.…”

Section: Introductionmentioning

confidence: 99%

Knee osteoarthritis and perceived social support amongst patients in a family medicine clinic

Ilori

Ladipo

Ogunbode

et al. 2016

South African Family Practice

View full text Add to dashboard Cite

Conceptual and Contextual Paradigm of the Family as a Unit of Care

Cited by 15 publications

References 0 publications

Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria

Mobile phone use for a social strategy to improve antiretroviral refill experience at a low-resource HIV clinic: patient responses from Nigeria

Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria

Knee osteoarthritis and perceived social support amongst patients in a family medicine clinic

Contact Info

Product

Resources

About