http://adhlui.com.ui.edu.ng/jspui/handle/123456789/62 Theses in Nursing Sat, 04 Apr 2026 13:13:15 GMT 2026-04-04T13:13:15Z http://adhlui.com.ui.edu.ng/jspui/handle/123456789/902 Title: NURSE-LED HEALTH EDUCATION AND SUPPORTIVE SUPERVISION OF HOME MANAGEMENT AND PREVENTION OF MALARIA AMONG UNDER-FIVES' MOTHERS IN EGBEDORE LOCAL GOVERNMENT, OSUN STATE NIGERIA Authors: ADEYEMO, M.O.A Abstract: Malaria contributes significantly to under-five mortality in Nigeria. Home management and prevention of malaria are key interventions for its control. However, effectiveness of these interventions require mothers's adequate knowledge and appropriate skills. The 2011 Disease surveillance and notification report of Osun state showed that the under-five malaria burden in Egbedore Local Government Area (LGA) was more than one third of the total in the state for all age groups in 2008, 2009 and 2010. This study was designed to assess effects of nurse-led health education and supportive supervision on knowledge and practice of home management and prevention of malaria by mothers of under-fives in the LGA. The study utilised quasi-experimental design. A four-stage sampling technique was used to select 837 mothers of under-fives in seven out of ten wards of the LGA .The mothers were randomly assigned into one Control Group (CG) and two intervention groups: Health Education Group (HEG) and Health Education and Supportive Supervision Group (HESSG). The study instruments were 11-item observation checklist to assess the structure of home environment and a 46-item structured questionnaire on knowledge and practice of home management and prevention of malaria. Data collection was at pre- (P1) and post-interventions at one month (P2), three months (P3) and six months (P4). Minimum and maximum scores obtainable for knowledge were 0 and 86 while practices were 0 and 58 respectively. Data were analysed using descriptive statistics, Chi square test and ANOVA at p = 0.05. Mothers' ages (years) were 31.9±5.6 (CG), 32.2±10.0 (HEG) and 31.2.±7.0 (HESSG). Married respondents per group were 91.0%, 92.5% and 94.6% for CG, HEG and HESSG respectively. There were no significant differences in their age, household size and number of under-fives across the study groups. The home environment significantly influenced home management and prevention of malaria. At PI, that were significant differences in overall knowledge scores of the study groups (CG: 38.34±4.4, HEG: 37.8± 5.0 and HESSG: 40.1±6.4). At P2, the differences in overall knowledge scores for the groups were significant (CC; 45.3±7.7, HEG:66.9±6.3 and HESSG: 73.3±5.1). At P3, the scores were significantly different (CG: 45.9±7.7, HEG: 74.6±4.7 and HESSG:73.6±5.8). At P4, there were also significant differences in the overall scores within the groups (CG: 45.8±7.7, HEG: 71.0±6.7 and HESSG: 74.1±5.8). The overall practice scores at P1 for the respondents were significantly different (CG: 18.6±4.2, HEG: 18.9±4.7 and HESSG: 20.9±4.6). At P2, the scores were significantly different (CG: 25.2±5.6, HEG: 34.9±4.1 and HESSG: 39.8±5.6). At P3, there were significant differences in the scores within the groups (CG: 25.2±5.6, HEG: 40.7 ± 6.1, and HESSG: 40.5±6.4). At P4, scores were also significantly different (CG: 25.1±5.6, HEG: 38.9±5.6 and HESSG: 40.8±5.0). Nurse-led health education and supportive supervision improved knowledge and practice of home management and prevention of malaria in Egbedore LGA. These approaches are therefore recommended. Description: A Thesis in the Department of Nursing, submitted to the Faculty of Clinical Sciences, College of Medicine in partial fulfillment of the requirements for the Degree of Doctor of Philosophy of the University of Ibadan Sun, 01 Nov 2015 00:00:00 GMT http://adhlui.com.ui.edu.ng/jspui/handle/123456789/902 2015-11-01T00:00:00Z http://adhlui.com.ui.edu.ng/jspui/handle/123456789/697 Title: EFFECTS OF MOBILE HEALTH NURSING INTERVENTION ON MATERNAL HEALTH SERVICES UPTAKE AMONG ANTENATAL CLINIC ATTENDEES IN OYO SOUTH SENATORIAL DISTRICT, OYO STATE Authors: ODETOLA, T. D. Abstract: Compliance with Antenatal Care (ANC) and Postnatal Care (PNC) regimen is a known determinant of pregnancy outcomes. In most developing countries, access to Skilled Birth Delivery (SBD) and Childhood Immunisation (CIm), socio-cultural beliefs, physical and financial barriers significantly influence perinatal health outcome. Mobile health (M.Health) is an emerging strategy for improving healthcare utilisation and compliance but the extent to which it may influence uptake of available maternal and infant welfare services in Nigeria is not documented in literature. Nurses are the fulcrum for maternal healthcare but their knowledge and roles in the use of M-Health are not known in Nigeria. This study was designed to assess the effects of M-health Nursing intervention (MHNI) on uptake of maternal health services in Oyo South Senatorial District. This quasi-experimental study involved four out of nine local government areas randomly selected and allocated into Experimental (EG) and Control (CG) groups [a semi-urban and an urban each]. All the 12 Primary Health Care facilities which had nursing personnel were purposively selected. Forty-eight nurses (EG: 21 nurses; CG:27 nurses) and 383 literate pregnant women (EG:191 women; CG:192 women) at gestational age of 4-6 months, registered at the PHC were recruited consecutively. Experimental group nurses were trained on M-health and mobile telephones were given to nurses and registered pregnant women to facilitate communication. Over an 8-month period, pregnant women received free voice calls and health promotion text messages from nurses. At baseline, 3-month and 6-month, nurses' knowledge about MHNI was assessed in EG and CG using a non-weighted 42-item pretested questionnaire. Outcome evaluation checklist was used to document utilisation and completion of the following six indices among pregnant women: ANC, PNC attendance, SBD, Intermittent Preventive Treatments in pregnancy (IPTp), Tetanus Toxoid (TT), and CIm within 6 weeks of birth. Data were analysed using descriptive statistics, Chi-square, repeated measures ANOVA and logistic regression at p= 0.05. In the EG, knowledge score significantly increased from 21.9±4.5 at baseline to 23.6±4.6 and 23.2±5.6 at three-month and six-month respectively while there was no significant difference in knowledge score among CG over the study period. Comparing EG with CG, significant differences were documented ANC attendance (66.8% versus 53.1%; OR:1.7, Cl: 1.2-2.7), uptake of IPTp (47.6% versus 18.4%; OR:1.7, CI: 1.2-2.7), Clm (62.6% versus 46.9%; OR:I.9, Cr: 1.3-2.8) and TT (64.5% versus 54.1%; OR:1.02, CI: 0.5- 1.9). SBD (69.8% versus 36.3%; OR: 1.0, CI: 0.6-1.6), PNC (69.0% versus 51.0%; OR :2.1, Cl: 1.4-3.2). Significantly more women in the EG who completed ANC had IPTp (OR: 14.9, CI: 6.3-35.7);TT (OR: 8.2 CI: 1.7-39.9) and SBD (OR: 2.3. CI: 1.2-4.5) than those who did not. Likewise in CG, more women who completed ANC had IPTp (OR: 21.9, CI: 5.1-94.1) and SBD (OR: 2.0, CI: 1.1-3.8). Mobile health nursing intervention improved uptake of maternal health services among pregnant women. Policy makers need to consider the adoption of mobile health to enhance uptake of maternal health services and improve pregnancy outcome. Description: A Thesis in the Department of Nursing submitted to the Faculty of Clinical Sciences in partial fulfillment of the requirement for the Degree of Doctor of Philosophy of the University of Ibadan Fri, 01 Aug 2014 00:00:00 GMT http://adhlui.com.ui.edu.ng/jspui/handle/123456789/697 2014-08-01T00:00:00Z http://adhlui.com.ui.edu.ng/jspui/handle/123456789/692 Title: EFFECTS OF EDUCATIONAL INTERVENTION FOR NURSES ON WOMEN'S KNOWLEDGE AND WILLINGNESS TO UPTAKE CERVICAL SCREENING SERVICES IN SELECTED HEALTH FACILITIES IN IBADAN Authors: NDIKOM, C. M. Abstract: Cervical cancer (CC) is a major cause of cancer mortality among women especially in developing nations. Low uptake of Cervical Cancer Screening (CCS) has been implicated. Countries with established screening programmes have recorded reduction in CC. Uptake of CCS depends largely on information available to women and nurse are in vantage position to provide this information. Few CCS pregames have been developed in Nigeria: however, the effects of educational interventions directed at nurses on women's uptake of screening have not been assessed. This study evaluated the effects of an educational intervention (EI) for nurses on women's knowledge and willingness to uptake CCS services. This quasi experimental study was conducted in purposively selected four primary and four secondary health facilities in Ibadan. These were randomly divided into four different facilities each in intervention and control groups. A total of 133 consented nurses who had more than a year experience [60 in the Intervention Group (IG) and 73 in the Control Group (CG) participated. Nine hundred and four women attending antenatal clinics in the facilities were also selected using systematic random sampling as baseline and same number at Post-Intervention (PI). Baseline data were collected from nurses and women using different validated structured questionnaires. Five modules El were conducted for the four in the IG at weekly intervals for three weeks. The nurses were followed up monthly, for six months and activities related to information dissemination for women were observed. Post-test questionnaires were administered to the nurses and women in IG and CG. Data were analysed using Chi square, t-test and logistic regression at p=0.05. Nurses' mean age was 41.6± 9.1 years while those of the women were 27.9±5.8 years at baseline and 28.0±5.3 )ears at PI. Majority of the women, IG; 94.9%; CG: 94.6% were married at baseline. The nurses' knowledge scores for the IG (11.8±3.3) and CG ( 11.7±3.3) were comparable at baseline. Post intervention knowledge score was significantly higher among nurses in the IG (14.6±3.1) than those in CG (12.7±3.5). The women's mean knowledge score was comparable at baseline IG (2.9±1.3) and CG (2.9±1.9). Post intervention knowledge score was significantly higher among women in the IG (3.4±3.2) than CG (2.0±3.1). Willingness to utilise CCS services also significantly increased from 75.0% (IG) and 70.0% (CG) bawline to 90.0% (IG) and 85.3% (CG) at PI. Uptake of CCS increased from 1.4% at baseline to 3.6% in the IG and 2.1% to 2.3% in the CG. The major factors that influenced uptake among women despite their willingness at PI were non-availability of CCS services (OR=0.481, CI=0.353-0.659) and lack of information on CCS (OR=1.919, CI=1.149-2.477). Cervical cancer screening uptake was low but improved slightly with the intervention. Educational intervention is a useful tool for improving knowledge and uptake of Cervical Cancer Screening. Nurses at all levels of healthcare should be trained to provide this information to women. Government and health related agencies should provide information and empower nurses to render cervical cancer services at all levels. Description: A Thesis in the Department of Nursing submitted to the Faculty of Clinical Sciences in partial fulfillment of the degree of Doctor of Philosophy of the University of Ibadan. Sun, 01 Jun 2014 00:00:00 GMT http://adhlui.com.ui.edu.ng/jspui/handle/123456789/692 2014-06-01T00:00:00Z http://adhlui.com.ui.edu.ng/jspui/handle/123456789/690 Title: EFFECTS OF COMMUNITY-BASED NURSING INTERVENTION ON ROUTINE CHILDHOOD IMMUNISATION COMPLETION IN IBADAN OYO STATE Authors: BROWN, V. B. Abstract: Vaccine Preventable Diseases (VPDs) account for high morbidity and mortality among under -five children in low-income countries, infant immunisation is considered essential for the prevention of VPDs to improve child survival. In Nigeria, despite the different immunisation strategies adopted, compliance, with immunisation schedule and completion is still low, hence many children die of VPDs. The use of Reminder/Recall (R/R) system has been proven as one of the effective ways of improving immunisation rates in developed countries. However, there is dearth of information on its use in Nigeria. This study was designed to evaluate the individual and combined effects of cell phone R/R and Primary Health Care Immunisation Providers' Training (PHCIPT) intervention on routine childhood immunisation completion among children aged 0-12 months in lbadan, Oyo state. The study design was a group randomised controlled trial with Local Government Area (LGA) being the unit of randomisation. Using ballot system, two LGAs from the urban area and two LGAs from the sub-urban areas were randomly selected out of the eleven LGAs in lbadan. The four selected LGAs were then allocated into three intervention groups of R/R group (A). PHCIPT group (B); combination of R/R and PHCIPT group (C) and control group (D). One ward was selected by ballot from each LGA and one PHC facility was purposely selected from each ward. A total of 605 children aged 0-12 weeks at their first immunization visits were consecutively recruited into the study within a period of 15 weeks. The primary outcome measure was the percentage of routine childhood immunisation completion and incompletion among the children at 12 months old. Immunisation knowledge and Practice were also assessed among the PHC immunisation providers using questionnaire and checklist. Analyses were done using linear mixed effects logistic regression model, paired t-test and repeated measure ANOVA at p=0.05 The children were lost to follow up hence 59 children were evaluated. Two hundred and eighty nine (43.6%) were male and 306 (50.6%) were female, mean age was 18.3 ± 16.6 days at baseline. At the study endpoint, immunisation completion rates were; group A, 98.6%; group B, 70%; group C, 97.3% and group D, 57.3%. After adjusting for socio-demographic characteristics such as family type, religion, maternal education and place of delivery as covariates, participants in groups A (OR 46.60. 95% CI 10.92-198.9) and group C (OR 31.38, 95% CI 10.57- 93.17) were more likely to complete immunisation than those in group D. However, the difference between groups B (OR 1.58, 95% CI; 0.96- 2.59) and D was not significant. The mean total knowledge and practice scores among immunisation providers in the two training intervention groups B and C improved significantly between time points. The use of cell phone reminder/recall was effective in improving routine childhood immunisation completion. The need for policy makers to consider the adoption of the strategy on a large scale to enhance immunisation completion is recommended. Description: A Thesis in the Department of Nursing, submitted to the Faculty of Clinical Sciences, College of Medicine in partial fulfillment of the requirements for the degree of Doctor of Philosophy of the University of Ibadan Fri, 01 Aug 2014 00:00:00 GMT http://adhlui.com.ui.edu.ng/jspui/handle/123456789/690 2014-08-01T00:00:00Z