How can we really improve childcare practices in Nigeria?

Adeyemi, Olutayo; Oyewole, Oyediran Emmanuel

doi:10.1093/heapro/das065

Cited by 6 publications

(15 citation statements)

References 11 publications

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“…The majority of included studies were cross‐sectional in nature ( n = 13) (Ogbonna & Daboer ; Petrie et al ; Uchendu et al ; Marais et al ; Ukegbu & Ukegbu ; Oche et al ; Abul‐Fadl et al ; Alade et al ; Ukegbu & Anyikaelekeh ; Adeyemi & Oyewole ; Danso ; Desai et al ; Onah et al ) with the remainder of studies either qualitative ( n = 7) (Murray et al ; Otoo et al ; Nankunda et al ; Ostergaard & Bula ; Ukegbu et al ; Nor et al ; Nduna et al ) or a Randomised Control Trial (RCT) ( n = 1) (Aksu et al ) (Table ). Publication dates ranged from 2007 (Ogbonna & Daboer ) to 2015 (Nduna et al ).…”

Section: Resultsmentioning

confidence: 99%

“…All studies were conducted in low and middle‐income countries (LMIC) ( n = 21), predominantly in Africa ( n = 19). A large number of studies were carried out in Nigeria ( n = 9) (Ogbonna & Daboer ; Uchendu et al ; Ukegbu & Ukegbu ; Oche et al ; Ukegbu et al ; Alade et al ; Ukegbu & Anyikaelekeh ; Adeyemi & Oyewole ; Onah et al ).…”

Section: Resultsmentioning

confidence: 99%

“…The nature of employment was not described for 13 studies (Murray et al ; Petrie et al ; Uchendu et al ; Marais et al ; Nankunda et al ; Ostergaard & Bula ; Aksu et al ; Ukegbu et al ; Nor et al ; Adeyemi & Oyewole ; Desai et al ; Onah et al ; Nduna et al ). In 13 of the studies (Ogbonna & Daboer ; Petrie et al ; Otoo et al ; Nankunda et al ; Ukegbu & Ukegbu ; Aksu et al ; Oche et al ; Abul‐Fadl et al ; Alade et al ; Ukegbu & Anyikaelekeh ; Danso ; Desai et al ; Onah et al ) all mothers had completed some form of education (primary, secondary or tertiary), but the remaining studies ( n = 8) (Murray et al ; Uchendu et al ; Marais et al ; Ostergaard & Bula ; Ukegbu et al ; Nor et al ; Adeyemi & Oyewole ; Nduna et al ) did not report on educational attainment. In one study (Abul‐Fadl et al ), however, one third of mothers had completed very little or no form of education.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies assessed EBF knowledge via questionnaires ( n = 15) (Ogbonna & Daboer ; Petrie et al ; Uchendu et al ; Marais et al ; Nankunda et al ; Ukegbu & Ukegbu ; Aksu et al ; Oche et al ; Abul‐Fadl et al ; Alade et al ; Ukegbu & Anyikaelekeh ; Adeyemi & Oyewole ; Danso ; Desai et al ; Onah et al ) and/or interviews ( n = 8) (Ogbonna & Daboer ; Marais et al ; Ostergaard & Bula ; Oche et al ; Abul‐Fadl et al ; Nor et al ; Onah et al ; Nduna et al ). Three studies (Murray et al ; Otoo et al ; Ukegbu et al ) used focus group discussions (FGD).…”

Section: Resultsunclassified

“…The vast majority had clearly defined the population ( n = 19), used appropriate methods to address the issue ( n = 20), and results and data analysis were presented ( n = 20) and were sufficiently rigorous ( n = 19). An area of weakness for the majority of studies related to subject recruitment as 11 studies (Ogbonna & Daboer ; Uchendu et al ; Marais et al ; Nankunda et al ; Ukegbu & Ukegbu ; Aksu et al ; Ukegbu et al ; Abul‐Fadl et al ; Adeyemi & Oyewole ; Desai et al ) did not explicitly state how participants were recruited or participants were not recruited in a truly random way, therefore increasing the risk of selection bias. Two studies (Murray et al ; Abul‐Fadl et al ) used convenience sampling so the findings may not be generalisable.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Mothers' understanding of the term ‘exclusive breastfeeding’: a systematic review

Still

Marais

Hollis

2016

Maternal & Child Nutrition

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There is a lack of knowledge and understanding of the term exclusive breastfeeding (EBF) among health professionals. The purpose of this review was to examine the best available literature on mothers' understanding of the term EBF. A systematic search of eight electronic databases (Medline, Embase, CINAHL, CDSR, CENTRAL, Cab Abstracts, Scopus and African Index Medicus) was conducted (Protocol registration in PROSPERO: CRD42015019402). All study designs were eligible for inclusion. Studies were included if they: (1) involved mothers aged 18 years or older; (2) assessed mothers' knowledge/understanding/awareness of the term 'EBF'; (3) used the 1991 WHO definition of EBF and (4) were published between 1988 and 2015. Two reviewers retrieved articles, assessed study quality and performed data extraction. Of the 1700 articles identified, 21 articles met the inclusion criteria. Quantitative findings were pooled to calculate a proportion rate of 70.9% of mothers who could correctly define EBF, although the range varied between 3.1 and 100%. Qualitative findings revealed three themes: (1) EBF was understood by mothers as not mixing two milks; (2) the term 'exclusive' in EBF was incorrectly understood as not giving breast milk and (3) mothers believing that water can be given while exclusively breastfeeding. Research investigating aspects of self-reported EBF may consequently be unreliable. A standardised tool to assess mothers' knowledge of EBF could provide more accurate data. Public health campaigns should emphasise EBF to target mothers, while addressing the education of health professionals to ensure that they do not provide conflicting advice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Mothers' understanding of the term ‘exclusive breastfeeding’: a systematic review

Still

Marais

Hollis

2016

Maternal & Child Nutrition

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Coordinating Nigeria's micronutrient deficiency control programs is necessary to prevent deficiencies and toxicity risks

Anjorin

Okpala

Adeyemi

2019

Annals of the New York Academy of Sciences

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Nigeria has an alarming prevalence of micronutrient deficiencies that has persisted over decades. National Micronutrient Deficiency Control (MNDC) guidelines describe several interventions to address the issue. This study identified and described currently implemented interventions, assessed coverage and coordination of the interventions, and considered the risk of overdosage and gaps. Methods included reviews of policy and program documents, key informant interviews, market, and pharmacy visits. The study found that an array of MNDC interventions were being implemented, including public health supplementation, mandatory fortification, point‐of‐use fortification, biofortification, promotion of dietary diversity, voluntary fortification, and ad hoc individual supplement use. Insufficient coordination existed for government, private, and civil society interventions within the health sector and between health and other sectors. Dosages of micronutrients supplied by different interventions were set independently of each other and target populations overlapped. Inadequate implementation of various interventions appeared to reduce the risk of excessive micronutrient intakes, but increased the risk of deficiencies. The risk of excessive intakes will likely increase with improved implementation and scale‐up. There is a need to develop effective coordination structures for MNDC in Nigeria that will critically examine the landscape, decide modalities for different interventions, and ensure that both deficiencies and risk of excessive intakes are minimized.

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Appraisal of primary health care services in federal capital territory, Abuja, Nigeria: how committed are the health workers?

Obembe¹,

Osungbade²,

Ibrahim³

2017

Pan Afr Med J

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IntroductionThe primary health care model was declared as the appropriate strategy for ensuring health-for-all. However up till date, very few studies have assessed the services provided by primary health centres in terms of its basic components. This study aimed to appraise health services provided and to estimate the commitment of the health workers in selected primary health care centres within Abuja Nigeria.MethodsA cross sectional study was utilized to obtain information from 642 health workers across 6 area councils of the Federal Capital Territory, Nigeria. Data collection was performed using pre-tested, structured, interviewer-administered questionnaires and data were analyzed at 95% level of significance using SPSS version 17.0.ResultsOur study participants were largely females (58.6%), Christians (63.2%) and aged 30-39 years (40.0%). Health services offered in centres were adequate in all components of PHC except for mental health (23.7%) and care of the elderly (43.0%). Conduct of home visits was least practiced by health workers (83.8%) compared to the use of patient appointments (96.4%) and conducting staff outreach activities (94.9%). Commitment was three times more likely when service was related to health promotion and education (OR = 2.52; CI = 1.23-5.18); nutrition education (OR = 3.13; CI = 1.13-8.68).ConclusionHealth workers in primary health centres of the federal capital territory still provide sub-optimal services with respect to mental health and care of elderly. Concerted efforts and unrelenting political will to strengthen mental and geriatric health components are recommended.

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How can we really improve childcare practices in Nigeria?

Cited by 6 publications

References 11 publications

Mothers' understanding of the term ‘exclusive breastfeeding’: a systematic review

Mothers' understanding of the term ‘exclusive breastfeeding’: a systematic review

Coordinating Nigeria's micronutrient deficiency control programs is necessary to prevent deficiencies and toxicity risks

Appraisal of primary health care services in federal capital territory, Abuja, Nigeria: how committed are the health workers?

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