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   Table of Contents - Current issue
Coverpage
September-October 2018
Volume 59 | Issue 5
Page Nos. 45-58

Online since Friday, June 14, 2019

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ORIGINAL ARTICLES  

Appraisal of healthcare-seeking behavior and prevalence of workplace injury among artisans in automobile site in Abakaliki, Southeast Nigeria p. 45
Benedict Ndubueze Azuogu, Nelson Chibueze Eze, Victoria Chioma Azuogu, Cosmas Kenan Onah, Edmund Ndudi Ossai, Adaoha Pearl Agu
DOI:10.4103/nmj.NMJ_110_18  
Background: Healthcare-seeking behavior is a decision-making process governed by an individual's conduct, community norms, and expectations, as well as provider-related characteristics and manners. This study determined factors associated with healthcare seeking behavior of automobile artisans in Abakaliki. Materials and Methods: A descriptive cross-sectional survey of 380 artisans was carried out. Respondents were selected using multi-stage sampling method and semi-structured interviewer administered pretested questionnaire was used to gather information. Data were analyzed using SPSS software, and the Chi-squared test was used to test for association at 5% level of significance. Results: The mean age of the artisans was 31.3 ± 10.3 years, and the mean monthly income was N15277. Less than half of the respondents (47.7%) sought medical care in pharmacy/patent medicine stores. A significant association was found between distance to the facility for medical care and period of delay before seeking care (P = 0.01). Bruises (45.3%) and cuts (32.3%) were the most prevalent injuries sustained in the preceding 12 months. A significantly high proportion of those who had bruises and cuts traveled >6 km to seek care and less than half of the respondents (47.6%) who reside within 5 km radius to place of medical care patronized pharmacy/patent medicine shops. However, higher proportion of those with cuts (52.0%) and burns (62.5%) compared to other types of injury went to the hospitals no matter the distance. Conclusions: The artisans have poor health-seeking behavior and majority sought medical care in pharmacy/patent medicine shops rather than hospitals. However, a significant proportion of those with injuries used hospitals regardless of the distance. It is, therefore, imperative to establish healthcare facilities within 5 km radius from where they live and work.
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Qualitative assessment of cervical cancer awareness among primary health-care providers in Zaria, Nigeria p. 50
Anisah Yahya, Aliyu Tambaya Mande
DOI:10.4103/nmj.NMJ_157_18  
Background: Cervical cancer is a major cause of cancer morbidity and mortality, especially in the developing countries. Preventive measures have helped in curbing the morbidity and mortality associated with the disease in the developed countries. Primary health-care centers provide opportunity for the primary prevention of cervical cancer, especially in environments where there are no standard protocols/programs for cervical cancer prevention. Objective: This study sought to assess the awareness of cervical cancer among primary health-care providers in Zaria. Methodology: The study was qualitative. Five primary health-care centers in Zaria local government were purposively selected for the study. Focus group discussions were conducted with the health-care providers in the selected facilities. The discussions were recorded on tape recorders and were transcribed verbatim. The transcripts were then analyzed into themes. Results: All participants were aware of cervical cancer. However, only few of the participants were aware of the cause of cervical cancer and the risk factors associated with the disease. None of the participants has had any training on the prevention of cervical cancer. Conclusion: Primary health-care providers can play a critical role in the prevention of cervical cancer in our environment. However, there is a need to train them on cervical cancer prevention for effective control of the disease.
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Evaluation of the hearing test pro application as a screening tool for hearing loss assessment p. 55
Shuaib Kayode Aremu
DOI:10.4103/nmj.NMJ_160_18  
Background: Disabling hearing loss is considered a significant health problem globally with high incidence in developing countries. In Africa, different studies have shown that one in five Africans uses smartphones. This dispositive can be used to screen hearing loss. Aim: The study aims to appraise the effectiveness of Hearing Test Pro, an Android-based application, as a screening tool for hearing loss. Methods: This is a prospective study developed in the Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria, between September and December 2018. The study was approved by the institutional ethics committee. Consent of adult android users was conveniently obtained for the study. A regular audiometric test with Amplivox 260 was done after otoscopy (to exclude other ear pathology). The results were compared with the test developed by an android Hearing Test Pro app. A threshold of >40 decibels was used to determine any evidence of hearing loss at the specific frequency of 250–8000 Hz. P < 0.05 was considered statistically significant. Results: Three hundred and sixty ears of 180 patients were evaluated, of which 100 were male and 80 were female. The male-to-female ratio was 1.25:1. At lower frequency, a statistical difference between classical pure-tone thresholds recorded with the audiometer and the android phone was documented. However, this difference was not noted at higher frequencies. Conclusion: The Hearing Test Pro app effectively distinguishes between high-frequency hearing loss and thus can be useful as part of the hearing loss screening programs.
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