Quality Micro-Planning Processes - Key Strategy for Achieving High Quality LLINs Campaign: Pilot Report from Cross-River State Nigeria
Akubue Augustine Uchenna,
Nnanke Etimita,
Akubue Ngozika Peace,
Obi Ikechukwu Vincent,
Emeka Onugu,
Maureen Uchechi Ugochuku,
Ani Chinwetalu,
Koton Ewa Okoi,
Nsa Grace Bassey,
Inyang Asibong,
Joseph Bassey,
Iwara Iwara,
Cecelia Iwara,
Asuquo Ekwe,
Beta Edu,
Essienanwan Ekpenyong,
Joseph Akem Ingwu,
Igbo Uche,
Nkiru Calista Ukor,
Nwali Okata James,
Ezeugwu Peter Ogbonna,
Chine Paul Udoka,
Bala Mohammed,
Ebonyi Isaiah,
Dominic Ojiabor Abonyi
Issue:
Volume 7, Issue 2, March 2019
Pages:
32-39
Received:
5 February 2019
Accepted:
8 April 2019
Published:
15 May 2019
Abstract: Background: Nigeria is one of the two epicenters of malaria transmission across the globe and contributes to 40 percent global malaria burden. The LLINs distribution campaign is one of the significant and nationally acceptable strategic routes of delivering nets to the entire population across the country. Micro planning of the campaign has been completed in the state in readiness for LLINs 2019 distribution campaign. This study therefore tends to highlight the achievements of this concluded micro-planning processes in identifying all the campaigns needs and challenges while plan and proffer solutions to achieve the high quality campaign outcomes. Study design: This is a qualitative study involving the engagement of all RBM stakeholders. It entailed desk reviews, meetings, community engagements, development and adaptation of programme tools, quantification, estimation of all the campaign needs using the WHO standardized estimates and inauguration of formed campaign work streams required for quality LLINs campaign implementations. Average volume of a bale of 0.14cubic meter, minimum volume of 120% of expected space considering the 20% handling area within the store facility and average access door space of >2.95sq meter) were used as standards for estimation. All variables were analyzed using Microsoft excel package and Health Mappers. Results: Comprehensive Advocacy, logistic and training plans that included and defined the roles and expectations of all the many stakeholders were developed. Micro plan population of 4,251,387 for 2019 with 2,361,882 LLINs, 6.613.3 m3 and handling areas requirement of 1,322m3 were estimated. A total of 11,864 personnel with their responsibilities were identified and trained including estimated costs of NGN387,143,880 at unit operational cost of NGN 166.34 for the delivery of 1 LLIN to the household. Advocacy kits with print materials for the campaign were pre-tested by health educator and identified programme challenges were highlighted. Conclusion: This study therefore underscores the importance of good micro-planning process for high quality LLINs campaign as recommended by WHO for the achievement of LLINs universal coverage.
Abstract: Background: Nigeria is one of the two epicenters of malaria transmission across the globe and contributes to 40 percent global malaria burden. The LLINs distribution campaign is one of the significant and nationally acceptable strategic routes of delivering nets to the entire population across the country. Micro planning of the campaign has been co...
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Evaluation of Preparedness Towards Total Quality Management at Tertiary Hospital from Health Workers Perception: A Case Study
Obi Ikechukwu Vincent,
Okoronkwo Ijeoma Lewechi,
Akubue Augustine Uchenna,
Ughasoro Maduka,
Akubue Ngozika Peace,
Uche Glory Igbo,
Nnanke Etimita,
Emeka Onugu,
Emmanuel Shekarau,
Abonyi Isaiah Chimezie,
Chine Paul Udoka,
Joseph Akem Ingwu
Issue:
Volume 7, Issue 2, March 2019
Pages:
40-49
Received:
24 April 2019
Accepted:
3 June 2019
Published:
12 June 2019
Abstract: Background: Total quality management (TQM) in any organization is a major determinant of efficient management of resources. In this era where hospitals provide the same type of services, it is only hospitals that have embraced TQM techniques that will survive. The study assessed the management preparedness to the implementation of TQM at University of Nigeria Teaching Hospital (UNTH) Ituku/ Ozalla from the Health workers perceptive. Methods: This study was a cross sectional descriptive study. Structured questionnaire was used to collect information on the demographic characteristics of the randomly selected staff of the UNTH and their assessment of UNTH under five major domains: organizational, interpersonal, facilities, environmental and economic. Focus group discussion was also used conducted among selected staff. Results: On influence of educational factors on level of response, the study showed it has no influence on staff awareness (p= 0.264) but it influenced quality of personnel (0.049), sufficient supervision (p = 0.039), feedback mechanism (p = 0.005) and record department being computerized (p = 0.04). Number of years on the job has influence on the availability of adequate resources (p = 0.027), quality of services (0.040) and record department being computerized (p = 0.041). On the influence of cadre, it showed that level of awareness was affected but quality of personnel (p = 0.014), quality of services (p = 0.019) and availability of functional diagnostic equipment (p = 0.027) was influenced. Conclusions: TQM have been shown to have improved the efficient management of resources with attendant maximization of output. It is important that management demonstrates commitment and provide enabling environment for its sustainability. Specifically, management should institute periodic performance measurement system and strengthen the training program in the hospital. There is a need to raise the awareness on the concept and develop methods and procedures in updating existing TQM guidelines.
Abstract: Background: Total quality management (TQM) in any organization is a major determinant of efficient management of resources. In this era where hospitals provide the same type of services, it is only hospitals that have embraced TQM techniques that will survive. The study assessed the management preparedness to the implementation of TQM at University...
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Knowledge, Attitude and Intending Practice on Breastfeeding Among Clinical Medical Students in Bingham University Teaching Hospital, Jos
Maryam Shehu,
Hassan Shehu
Issue:
Volume 7, Issue 2, March 2019
Pages:
50-56
Received:
11 May 2019
Accepted:
6 June 2019
Published:
20 June 2019
Abstract: Background: Breastfeeding is a basic human activity, vital to infant and maternal health. A good breastfeeding advice from health professionals can influence a mother’s decision to initiate and maintain breastfeeding positively. This study is aimed at assessing clinical medical students’ knowledge, attitudes and intending practice towards breastfeeding. Method: Consecutive sampling method was used. Results: Knowledge on the definition of the term EBF was correct in 120 (69.4%) of the students, 47 (27.2%) of them got it wrong while 6 (3.45) did not known the definition of EBF. The early advantages of EBF was known by over 70% of the students and the contraindications to BF was gotten by over 60% of the students. The students’ knowledge about some false notion on not giving EBM to sick babies, cause of nipple crack and inadequacy of BF for twin deliveries were good with over 70% of them knowing the right thing concerning these. The attitude of the students towards BF was very good with over 80% of them having good attitude towards BF, however 16 (9.3%) will not BF for two years because they believe that it will make their breast to sag, while 23 (13.3) did not know if that is true and 62 (77.5%) disagree with the statement. The intending practice of BF was generally good among the students with over 90% agreeing to do initiate BF within 6 hours of delivery and practicing EBF for 6 months. The intending practice of BF was generally good among the students with over 90% agreeing to initiate BF within 6 hours of delivery and practicing EBF for 6 months. The major factors influencing decisions for EBF includes WHO recommendations 108 (48.6%) out of 222 multiple responses, closely followed by mothers who are still in school for further studies 59 (26.6%). Family advice was the least factor with only 2 (0.9%). The major factors influencing decisions for termination of breastfeeding includes WHO recommendations 75 (35.0%) out of 222 multiple responses, closely followed by mothers who are still in school for further studies 44 (20.6%. Family advice was the least factor with only 4 (1.9%). Conclusion. The knowledge, attitude and intending practice on BF by the students were good, but more needs to be done in the area of knowledge because they are the future doctors who will play an important role in educating the society on breastfeeding.
Abstract: Background: Breastfeeding is a basic human activity, vital to infant and maternal health. A good breastfeeding advice from health professionals can influence a mother’s decision to initiate and maintain breastfeeding positively. This study is aimed at assessing clinical medical students’ knowledge, attitudes and intending practice towards breastfee...
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