Department of Health Policy & Management http://adhlui.com.ui.edu.ng/jspui/handle/123456789/57 2026-04-04T13:16:45Z 2026-04-04T13:16:45Z THOMAS, J. Y. http://adhlui.com.ui.edu.ng/jspui/handle/123456789/907 2019-04-30T11:19:19Z 2015-09-01T00:00:00Z

Title: PATIENTS' SATISFACTION WITH CLINICAL LABORATORY SERVICES IN A SECONDARY HEALTH CARE FACILITY, ONDO WEST LOCAL GOVERNMENT AREA, NIGERIA Authors: THOMAS, J. Y. Abstract: Patients' satisfaction with clinical laboratory services is essential as laboratory service play a key role in patient management. Under-utilisation which could be due to dissatisfaction of clinical laboratory services can contribute to a worsened state of morbidity or mortality among patients. Information on satisfaction and clinical laboratory services is essential for policy and development of interventions to improve patient's satisfaction. This study was therefore conducted to assess patients' satisfaction with the clinical laboratory services in a secondary health care facility in Ondo West Local Government Area, Ondo State. Using a cross-sectional study design, 426 patients utilising clinical laboratory services of the General Hospital, Ondo were recruited, using a systematic sampling technique. Respondents' information was collected using pre-tested, semi-structured, interviewer-administered questionnaire. The questionnaire was used to obtain information on socio-demographic characteristics and satisfaction with the domains on clinical laboratory services (accessibility, hygiene of the environment, patient waiting time, patient-provider communication, availability of requested test, and availability of laboratory space, competence and attitude of laboratory staff). Using the 50% percentile as cut-off, patients were classified as satisfied if scored 50th percentile and above, while those scoring less than the 50th percentile were classified as dissatisfied. Chi-square test was used to determine the relationship between independent variables (sex, marital status, educational level) and the level of patients' satisfaction. Logistic regression was used to determine predictors of patients' satisfaction with the clinical laboratory services; level of significance was set at 5%. Respondents' mean age was 34.7±12.4 years. Most of the respondents were females (62.4%), currently married (59.4%), Christians (87.1%), had secondary education (70.4%) and self employed (51.4%). Majority of the respondents were satisfied with the confidentiality attached to the result of their tests (89.7%), the cost of the laboratory test (67.6%), competence of the laboratory staff (78.0%), patient waiting time (81.9%) and the environmental hygiene of the laboratory (68.1%). Respondents also expressed satisfaction with the availability of space in the laboratory (84.5%), the availability of required rests (87.9%), patient-provider communication (77.2%), the respect and courtesy shown by laboratory staff (82.6%) and accessibility of the laboratory (71.8%). Overall, 79.0% of the patients were satisfied with clinical laboratory services. A significantly higher proportion of respondents who were males (61.6%), not married (64.6%) and had tertiary education (70.4%) were satisfied with the clinical laboratory services. Being male was found to be a predictor of patients' overall satisfaction with clinical laboratory services (OR: 2.1; 95% CI: 1.1-4.3). Other predictors were, not married (OR: 2.6; 95% Cl: 1.2-4.1) and having a tertiary education (OR; 4.3, 95% CI: 2.1-6.5). Patients' satisfaction with clinical laboratory services in the secondary health care facility was high. Subsiding the cost of laboratory tests, and improving the environmental hygiene of the laboratory could further improve patients' satisfaction. Description: A Dissertation in the Department of Health Policy and Management, submitted to the Faculty of Public Health in partial fulfillment of the requirements for the Degree of Master of Health Services Administration (MHSA) of the University of Ibadan, Ibadan, Nigeria.

2015-09-01T00:00:00Z GBADAMOSI, I. A. http://adhlui.com.ui.edu.ng/jspui/handle/123456789/893 2019-04-30T11:20:30Z 2015-09-01T00:00:00Z

Title: QUALITY OF INTRA-PARTUM CARE RECEIVED BY PARTURIENT DURING ACTIVE PHASE OF FIRST STAGE OF LABOUR AT UNIVERSITY COLLEGE HOSPITAL, IBADAN, NIGERIA Authors: GBADAMOSI, I. A. Abstract: Skilled care at labour and delivery is a strategy for the reduction of maternal mortality ratio In developing countries. The importance of quality intra-parturm care cannot be over-emphasized. Studies on intra-parturm care in Nigeria have focused on the second and third stages of labour. There is paucity of information on the quality of intra-partum care during active phase of first stage of labour. Therefore, this study examined intra-partum care during active phase of first stage of labour at University College Hospital (UCH), Ibadan, Nigeria. A descriptive cross-sectional study was conducted among the parturient who had spontaneous vaginal deliveries (SVDs) in the labour ward of UCH, Ibadan between June and September, 2013. Sample size of 345 was estimated and parturient who had SVDs during the period of study were consecutively recruited. A pre-tested self-administered questionnaire was used to obtain data on socio-demographic characteristics and frequency of psychosocial support received by parturient during active phase of first stage of labour. Labour records of parturient were reviewed for frequency of hourly blood pressure monitoring, hourly pulse rate monitoring, four-hourly vaginal examination, half-hourly fetal heart rate monitoring conducted on the parturient and timely documentation of progress of active phase of first stage of labour on pantogram as recorded on a checklist. The checklist and questionnaire were scored in percentage using 50% point, a score of ≥ 50% was rated as quality/optimal intra-partum care. Data were analysed using descriptive statistics and Chi-Square test, Logistic regression was set at p=0.05. Mean age of the respondents was 30.4±3.8 years. Few (38.3%) respondents were nulliparous patients while 48.4% and 13.3% have had 2 and 3-5 deliveries in the past respectively. Most (84.3%) of the respondents were booked patients and 60.6% had tertiary education. About 41.4% parturient had their blood pressure monitored hourly, 41.2% had their pulse rate monitored hourly, 85.2% had vaginal examination conducted four-hourly and 61.4% had fetal heart rate monitored half-hourly. Progress report of active phase of first stage of labour was not documented on the partograms in 65.2% of parturient. Most (89%) of the respondents received optimal psychosocial support during the active phase of first stage of labour. Quality of intra-partum care was optimal during the active phase of first stage of labour at labour ward of University College Hospital, lbadan Nigeria. Description: A Dissertation in the Department of Health Policy and Management submitted to the Faculty of Public Health in partial fulfillment of the requirements for the Degree of Master of Health Services Administration of the University of Ibadan, Nigeria.

2015-09-01T00:00:00Z OJEZELE, S. O. http://adhlui.com.ui.edu.ng/jspui/handle/123456789/881 2019-03-25T16:46:58Z 2015-11-01T00:00:00Z

Title: WILLINGNESS TO PAY FOR VOLUNTARY CONTRIBUTOR SOCIAL HEALTH INSURANCE AMONG RURAL DWELLERS IN ERUWA, OYO STATE IN NIGERIA Authors: OJEZELE, S. O. Abstract: The National Health Insurance Scheme (NHIS) was introduced in Nigeria to provide social protection and reduce health expenditures. Despite its promising objectives, the scheme is faced with challenges of poor coverage and unwillingness to participate and pay particularly among the informal sector. In Nigeria, there is paucity of information about the feasibility of voluntary health insurance and people's willingness to pay for it. This study was designed to identify the factors that influence willingness to pay for the Voluntary Contributor Social Health Insurance by rural dwellers in Eruwa, Oyo State. This descriptive cross-sectional study was carried out between September and November, 2014. Two hundred and sixteen out of 255 communities and 360 households out of 2160 households were selected using systematic random sampling from the six wards. Data were collected using a validated, pre-tested, interviewer-administered questionnaire to elicit information on socio-demographics, most recent types of sickness, payment coping mechanism, knowledge of health insurance and willingness to pay. Willingness to pay appraisal based on the Contingent Valuation Method was used to elicit the amount to be paid. Each respondent was presented with an initial bid amount of (N1500) and if the respondent accepts to pay this amount, the interviewer revises this amount upwards by N200 each time until a ceiling is reached where respondents were asked to state the maximum amount they were willing to pay. On the other hand, if the respondent refuses the initial bid of (1500), this is further lowered by N200 each time. A negative response will require the respondent to state the minimum amount he/she will be willing to pay. Data were analysed using descriptive statistics and probit regression. Age of respondents was 38.2±2.7 years with majority (94.7%) of the household heads being males and 82.6% were married. Trading (32.3%) was the commonest occupation and 51.4% attended at most secondary school education. Fever was the predominant complaint (35.5%) in the households in the past one month. Out-of-pocket payment constituted the mode of payment for treatment in 86.2% of participants. Most (71.3%) had not heard about health insurance and 77.2% of the household heads were willing to pay an average amount of N360 (range of N200-N500) per person per month. Financial constraint was the main reason why majority (60.5%) would not be willing to pay for health insurance. Household size, health status, living standard and food expenses significantly influenced their willingness to pay positively. There is high enthusiasm to pay for the voluntary contributor health insurance among rural dwellers; though, the agreed amount was low. It is therefore imperative for the government to provide subsidy to rural dwellers that may not be able to access health care services given their low level of income and vulnerability to diseases. Description: A Dissertation in the Department of Health Policy and Management, submitted to the Faculty of Public Health in partial fulfillment of the requirements for the Degree of Master of Public Health of the University of Ibadan, Nigeria.

2015-11-01T00:00:00Z OJEZELE, S.O http://adhlui.com.ui.edu.ng/jspui/handle/123456789/829 2019-04-30T11:21:35Z 2015-11-01T00:00:00Z

Title: WILLINGNESS TO PAY FOR VOLUNTARY CONTRIBUTOR SOCIAL HEALTH INSURANCE AMONG RURAL DWELLERS IN ERUWA, OYO STATE, NIGERIA Authors: OJEZELE, S.O Abstract: The National Health Insurance Scheme (NHIS) was introduced in Nigeria to provide social protection and reduce health expenditures. Despite its promising objectives, the scheme is faced with challenges or poor coverage and unwillingness to participate and pay particularly among the informal sector. In Nigeria, there is paucity of information about the feasibility of voluntary health insurance and people’s willingness to pay for it. This study was designed to identify the factors that influence willingness to pay for the Voluntary Contributor Social Health Insurance by rural dwellers in Eruwa, Oyo State. This descriptive cross-sectional study was carried out between September and November, 2014. Two hundred and sixteen out of 255 communities and 360 households out of 2160 households were selected using systematic random sampling from the six wards. Data were collected using a validated, pre-tested, interviewer-administered questionnaire to elicit information on socio-demographics, most recent types of sickness, payment coping mechanism, knowledge of health insurance and willingness to pay. Willingness to pay approach based on the Contingent Valuation Method was used to elicit the amount to be paid. Each respondent was presented with an initial bid amount (N1500) and if the respondent accepts to pay this amount, the interviewer revises this amount upwards by N200 each time until a ceiling is reached where respondents were asked to state the maximum amount they were willing to pay. On the other hand, if the respondent refuses the initial bid (N1500), this is further lowered by N200 each time. A negative response will require the respondent to state the minimum amount he/she will be willing to pay. Data were analysed using descriptive statistics and probit regression. Age of respondents was 38.2±2.7 years with majority (94.7%) of the household heads being males and 82.6% were married. Trading (32.3%) was the commonest occupation and 51.4% attended at most secondary school education. Fever was the predominant complaint (35.5%) in the households in the past one month. Out-of-pocket payment constituted the mode of payment for treatment in 86.2% of participants. Most (71.3%) had not heard about health insurance and 77.2% of the household heads were willing to pay an average amount of N360 (range of N200 – N500) per person per month. Financial constraint was the main reason why majority (60.5%) would not be willing to pay for health insurance. Household size, health status, living standard and food expenses significantly influenced their willingness to pay positively. iii There is high enthusiasm to pay for the voluntary contributor health insurance among rural dwellers; though, the agreed amount was low. It is therefore imperative for the government to provide subsidy to rural dwellers that may not be able to access health care services given their low level of income and vulnerability to diseases. Description: A dissertation in the department of Health Policy and Management, submitted to the faculty of Public Health in partial fulfilment of the requirements for the degree of Master of Public Health of the University of Ibadan

2015-11-01T00:00:00Z