The Nigerian Health Journal
type: channel
description: The Nigerian Health Journal (TNHJ) is an open access, internationally peer-reviewed, English language, medical and health science journal that was established in 2000, as a publication of the Nigerian Medical Association, Rivers State Branch. The journal publishes quarterly scientific manuscripts that advance medical science or practice covering all aspects of medicine including socio-economic, political and legal perspectives related to medical practice. The journal’s scope covers medical and health science disciplines including clinical research, public health, nursing, pharmacology, laboratory practice, anatomy, physiology, physiotherapy etc. Click here for more information. Title-level DOI: https://doi.org/10.71637/ISSN.2992-345X
publisher: Nigerian Medical Association, Rivers state, Nigeria
language: en
publication name: The Nigerian Health Journal
issn: 0189-9287
copyright: The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal. This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
items: Awareness and Attitude to Media Sensitisation Messages on Lassa Fever among Residents of Selected States in Southeast, Nigeria
items: Effect of Methanol Extract of Treculia Africana Seeds on Reproductive Hormones, Thyroid Stimulating Hormone and Oxidative Stress Markers in Female Wistar Rats
items: Paediatric Admissions and Outcomes in A Digitally-Enabled Primary Health Care Facility in Southern Nigeria: A Retrospective Analysis Following EMR Deployment
items: A rare case of Aplasia Cutis Congenita type VII in a Nigerian newborn: Diagnostic and psychological challenges in a low-resource setting
items: Knowledge Attitude and Practice Regarding Antibiotic Abuse Among Students at Pamo University of Medical Sciences in Rivers State, Nigeria
items: Awareness of Preventive Practices on Childhood Killer Diseases Among Child Bearing Women in Ido-Osi Local Government Area, Southwest, Nigeria
items: Comparative Effects of L-Carnitine and T-Bhq on Reproductive Hormone Dysregulation in Alcohol-Exposed Wistar Rats
items: Role Model Caregivers Intervention for Home Management of Childhood Malaria in Rural Community of Rivers State, Nigeria: A Community-Based Study
items: Antimalarial Prescription Patterns and Adherence to the WHO 2024 Guidelines among Pregnant Women: A Case Study from a Nigerian Tertiary Hospital
items: Corrosive Injuries to the Oesophagus – Need to Stem the Tides
items: The Interplay of Traumatic Childbirth, Marital Support, and Mental Health Outcomes in Nursing Mothers in Lagos
items: Cervical Cancer Knowledge and Screening Perceptions Among Women in Keffi, Nigeria: A Facility-Based Cross-Sectional Study
items: Development, and Validation of a Triple Benefit Health Education Intervention Module and Questionnaire to Improve Adolescent Girls’ Knowledge, Attitude, and Practice Toward Malnutrition
items: Diphtheria in an Under-immunized Child in Rivers State, Nigeria: A Case Report
items: Assessing the relationship between high-sensitivity C-reactive protein and kidney function in hypertensive patients in southern part of Nigeria’’
items: Book of Abstracts of Papers Presented at the 65th Annual General Meeting and Scientific Conference of the Nigerian Medical Association, Rivers State, Port Harcourt 2025 (2nd – 9th August, 2025)
items: Knowledge and attitudes toward food safety among food handlers: A cross-sectional study in a Nigerian tertiary institution.
items: Microbiological Analysis of the Preputial Slit in Anambra State Nigeria: Why Neonatal Circumcision?
items: Knowledge, Adherence Mapping of Covid-19 Preventive Measures Among Adults in Southwest Nigeria: A Cross-Sectional Study
items: Prevalence and Factors Associated with Obesity Among Healthcare Workers in An Urban Area in Lagos State, Nigeria
items: Knowledge of Breast Cancer and Practice of Breast Self-Examination Among Female Students at Federal College of Education (Technical) Asaba, Nigeria
items: Early Sexual Debut in Karu, Nigeria: A Mixed-Methods Approach to Understanding Prevalence and Its Determinants Among Female Adolescents
items: Periodontal Disease in Premenopausal and Postmenopausal Nigerian Women: A Comparative Cross-Sectional Study
items: Knowledge and Practice of Basic Life Support Among Clinical Students in Ambrose Alli University, Ekpoma, Nigeria
items: Microvascular Changes in Primary Open-Angle Glaucoma Associated with Hypertension: A Prospective OCT-Angiography Analysis
items: Genomic Characterisation of Virulence and In Vivo Pathogenicity of Azole-Antifungal Resistant Candida from HIV/AIDS Patients in Southeast Nigeria
items: Evaluation of Endothelial Functions in Essential Hypertensive Subjects in Ekiti State
items: Knowledge, Attitudes, and Practices of AI-Assisted Diagnostics Among Students of Master of Public Health in Ahmadu Bello University, Zaria, Nigeria
items: Users’ Satisfaction with Wheeled Mobility Assistive in Kinshasa and Goma, Democratic Republic of Congo
items: Depressive Symptoms and Self-Esteem in Moroccan School Children: Public Health Implications from a Cross-Sectional Study

Awareness and Attitude to Media Sensitisation Messages on Lassa Fever among Residents of Selected States in Southeast, Nigeria
type: item
description: Background: Lassa fever is an acute viral haemorrhagic illness endemic to West Africa that is transmitted to humans through contact with food or household items contaminated by rodent excreta. This study examined awareness and attitude to media sensitisation messages regarding Lassa fever among residents of Southeast Nigeria. The research was directed by four objectives and associated research enquiries. Method: A descriptive survey design was utilised, employing a structured questionnaire to gather data from residents in the selected states. The study population comprised 15,470,975 residents of selected states in Southeast Nigeria. From this population, a purposive sample of 384 respondents was drawn to assess residents’ awareness, knowledge, and attitudes toward media sensitisation messages on Lassa fever among residents of selected states in Southeast Nigeria. The research questions were addressed using mean and standard deviation, while chi-square was utilised to evaluate the hypotheses. Results: The results showed that media sensitisation had a moderately strong effect on residents' awareness (mean = 3.00, SD = 0.56), especially when it came to hygiene (mean = 3.07). However, residents were not very aware of how vulnerable healthcare workers were (mean = 2.89). The mean awareness score was 2.91, indicating favourable awareness levels among respondents. Chi-square analysis showed a statistically significant association between residents’ awareness of Lassa fever transmission and their engagement in preventive behaviours, χ² = 802.166, p < .001. Conclusion: The study suggests ongoing and focused media campaigns, especially in rural areas with few resources, to lower the risk of transmission and improve health education.
subject: Original Articles
  topic: section
subject: Awareness
  topic: keywords
subject: Behaviour
  topic: keywords
subject: Knowledge
  topic: keywords
subject: Lassa Fever
  topic: keywords
subject: Media Sensitisation Messages
  topic: keywords
subject: Residents
  topic: keywords
subject: Practices
  topic: keywords
creator: Emmanuel Nnamani
creator: Honesta Anorue
creator: Stanley Ugboaja
creator: Omoniyi Akinsiju
creator: Uzoamaka Ogor
creator: Luke Anorue
rights: Copyright (c) 2026 Emmanuel Iyke Nnamani, Honesta Chidiebere Anorue, Stanley Uzoamaka Ugboaja, Omoniyi Moses Akinsiju, Uzoamaka Chioma Ogor, Luke Ifeanyi Anorue https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1619
ending page: 1629
doi: 10.71637/tnhj.v25i4.1264

Effect of Methanol Extract of Treculia Africana Seeds on Reproductive Hormones, Thyroid Stimulating Hormone and Oxidative Stress Markers in Female Wistar Rats
type: item
description: Background: Women in search for fertility have turn their way from orthodox medicine to herbal medicine in order to achieve pregnancy. The increasing infertility problem in modern society, which results in an emotional, psychological, cultural, and social burden that depletes couples. The aim of this study is to evaluate the effects of methanol extract of Treculia africana seeds on the reproductive hormones and oxidative stress markers in female Wistar. Method: Twenty (20) animals weighing between 160g to 180g were randomly selected in 4 groups of 5 animals per group. Administration of extract was done in 21 days and on the 22nd day, the animals were sacrificed and tissues and organs harvested. Statistically, the data obtained from the findings were analyzed using ANOVA and SPSS version 23. The results were expressed in mean and standard error deviation. P<0.05 was said to be significant. Results: There is significant increase in serum follicle stimulating hormone concentration for the medium dose extract(150mg/kg). Luteinizing hormone, estrogen significantly increases in the medium and high doses (150mg/kg and 200mg/kg), and an increase in progesterone at all doses. TSH, prolactin, total protein and final weight of the animals increase significantly. Glutathione (GSH) serum level decrease significantly for the medium dose of extract. There was a dose dependent significant decrease when compared to control for SOD and MDA and may lack antioxidant properties. Conclusion: The extract significantly increasing reproductive hormones and thyroid stimulating hormones and may enhance breast milk production in lactating mother.
subject: Original Articles
  topic: section
subject: Effect
  topic: keywords
subject: Methanol Extract
  topic: keywords
subject: Treculia africana Seeds
  topic: keywords
subject: Reproductive Hormones
  topic: keywords
subject: Oxidative Stress Markers
  topic: keywords
creator: Barinua Gbaranor
creator: Nornu Agbeb
creator: Ucheawaji Edward
creator: Sarah Enebeli
creator: Friday Sarone
creator: Blessing Ovili-Odili
creator: Imeelda Nubila
creator: Loghomemaziba Ogbanga
creator: Anthony Mbah
creator: Meka Okpokiri
rights: Copyright (c) 2026 Barinua Kekii Gbaranor, Nornu Stephen Agbeb, Ucheawaji Felicia Edward, Sarah Kelechi Enebeli, Friday Sarone, Blessing Zinab Ovili-Odili , Imeelda Nkoyo Nubila, Loghomemaziba Emmanuel Ogbanga, Anthony Uche Mbah, Meka Okpokiri https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1610
ending page: 1618
doi: 10.71637/tnhj.v25i4.1258

Paediatric Admissions and Outcomes in A Digitally-Enabled Primary Health Care Facility in Southern Nigeria: A Retrospective Analysis Following EMR Deployment
type: item
description: Background: Electronic Medical Records (EMRs) are transforming healthcare globally, by improving efficiency, documentation accuracy, and patient outcomes. In Nigeria, where primary health care (PHC) facilities often face infrastructural and staffing constraints, EMRs offer a pathway for systemic reform. Aim: To evaluate paediatric admission patterns and outcomes following EMR implementation by Renaissance Africa Energy Company (Renaissance) at Obio Cottage Hospital (OCH), Port Harcourt, and to compare these findings with published national PHC performance indicators. Methods: This retrospective observational study analyzed EMR data from all paediatric admissions between September 2024 and June 2025. Demographic, diagnostic, and outcome data were analyzed using descriptive statistics and chi-square tests. Comparative insights were drawn from published national PHC studies. Results: Of 771 admissions, 397 (51.5%) were neonates. The leading neonatal diagnoses were neonatal jaundice (66.2%) and sepsis (22.4%), while gastroenteritis (24.1%) and upper respiratory tract infections (23.5%) predominated among older children. Most patients (90.1%) were discharged, 4.2% referred, and mortality was 0.3%. Patient outcome was significantly associated with length of hospital stay (χ2 = 23.704, p = 0.000). Compared with national PHC benchmarks, OCH demonstrated superior documentation, improved referral coordination, and better patient outcomes. Conclusion: EMR implementation at OCH and enhanced financing through community-based insurance enabled by a Public-Private-People Partnership can dramatically improve paediatric outcomes in PHC settings. The OCH model demonstrates that with sufficient investment, PHC facilities can effectively manage common paediatric conditions, achieve low mortality, and contribute meaningfully to Nigeria’s child survival goals.
subject: Original Articles
  topic: section
subject: Electronic Medical Records
  topic: keywords
subject: Paediatrics
  topic: keywords
subject: Primary Health Care
  topic: keywords
subject: Nigeria
  topic: keywords
subject: Public-Private Partnership
  topic: keywords
subject: Sustainable Development Goal -3
  topic: keywords
subject: Digital health
  topic: keywords
creator: Patience Obiagwu
creator: Divine Tuboteme
creator: Olumuyiwa Ogunlaja
creator: Afiong Oku
creator: Akinwunmi Fajola
creator: Francis Ebaretonbofa
creator: Aloni Alali
creator: Osborne Osuegbu
creator: Oluwabunmi Adetula
creator: Osazuwa Gabriel
rights: Copyright (c) 2026 Patience Ngozi Obiagwu, Stevens Divine Tuboteme, Olumuyiwa Ayotunde Ogunlaja, Afiong Oku, Akinwumi Oladapo Fajola, Francis Ebiowei Ebaretonbofa, Aloni Alali, Osborne Osuegbu, Oluwabunmi Adetula, Osazuwa Gabriel https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1602
ending page: 1609
doi: 10.71637/tnhj.v25i4.1254

A rare case of Aplasia Cutis Congenita type VII in a Nigerian newborn: Diagnostic and psychological challenges in a low-resource setting
type: item
description: Background: Aplasia cutis congenita (ACC) is a rare congenital anomaly characterized by the localized absence of skin. Type VII ACC, which predominantly affects the lower limbs, is extremely rare and usually not associated with blistering, making diagnosis challenging. Case presentation: This reports a term male neonate delivered by caesarean section with normal APGAR scores and anthropometric parameters, who presented with bilaterally symmetrical areas of absent skin over both lower limbs and several smaller lesions elsewhere. The denuded areas were covered by translucent membranes with visible vasculature, and the calves appeared swollen and hypoplastic. No blisters or mucosal lesions were observed. The infant was markedly irritable on touch. Supportive wound care with warm saline-soaked gauze and breastfeeding were initiated, but the father declined referral and further investigations due to financial and cultural constraints. Partial epithelialization occurred within 24 hours, and minor lesions healed rapidly. The family discharged themselves after three days; the baby died at home 11 days later. Conclusion: This case highlights the diagnostic dilemma of extensive, symmetrical, non-blistering ACC Type VII and the challenges of managing rare congenital conditions in low-resource settings. While differential diagnoses include severe forms of epidermolysis bullosa and vascular-disruption variants, definitive classification requires histopathologic or molecular studies. Early counselling and attention to sociocultural barriers are vital to improve outcomes.
subject: Case Report and Series
  topic: section
subject: Aplasia cutis congenita
  topic: keywords
subject: Neonate
  topic: keywords
subject: Type VII ACC
  topic: keywords
subject: Vascular disruption
  topic: keywords
subject: Low-resource setting
  topic: keywords
creator: Patience Obiagwu
creator: Edikan Ayangha
creator: Divine Tuboteme
creator: Olumuyiwa Ogunlaja
creator: Afiong Oku
creator: Akinwunmi Fajola
rights: Copyright (c) 2026 Patience Ngozi Obiagwu, Edikan Ayangha Ayangha, Stevens Divine Tuboteme, Olumuyiwa Ayotunde Ogunlaja, Afiong Oku, Akinwumi Oladapo Fajola https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1596
ending page: 1601
doi: 10.71637/tnhj.v25i4.1253

Knowledge Attitude and Practice Regarding Antibiotic Abuse Among Students at Pamo University of Medical Sciences in Rivers State, Nigeria
type: item
description: Background: Antibiotic abuse is a global burden, which has led to a plethora of difficulties; including increased emergence of acquired multi drug resistance hence this study which assessed the knowledge, attitude, practices and prevalence of antibiotics abuse among medical students at Pamo University, Oyigbo, Port Harcourt. Materials and methods: The study was conducted in Oyigbo, Rivers State. A cross-sectional study design was adopted; multi-stage sampling technique was used to select 413 eligible participants for this study. Data was collected using a semi-structured questionnaire and analyzed using IBM Statistical Package for Service Solutions version 27.0. Results: The mean age of participants were 18±1.9 years, and mainly from the department of medicine and surgery 331(80.1%). Three hundred and thirty-Six (81.4%) of participants had good knowledge of antibiotic abuse, 273(66.1%) of participants had a good attitude towards antibiotic abuse. However, 279 (67.6%) participants had poor practices regarding antibiotic abuse. Findings from this study showed a very high prevalence of antibiotic abuse recorded as 400 (96.5%). Participant’s department was associated with level of knowledge on antibiotic abuse (χ² = 3.844; p ≤ 0.050) and Age was associated with the attitude towards antibiotic abuse (ꭓ2 =6.581; p≤ 0.037). Conclusion: More than half of the participants had a good knowledge and attitude regarding antibiotic abuse, but most exhibited poor antibiotic use practices. To prevent the grave consequences of antibiotic abuse, we encourage health promotion activities to adopt good antimicrobial stewardship practices, including promoting the completion of full antibiotic courses as prescribed.
subject: Original Articles
  topic: section
subject: Antibiotics
  topic: keywords
subject: Antibiotic abuse
  topic: keywords
subject: Attitude
  topic: keywords
subject: Knowledge
  topic: keywords
subject: Practices
  topic: keywords
subject: Students
  topic: keywords
creator: Blessing Jonathan
creator: Favour Lawrence
creator: Mercy Nelson
creator: Lily Nnamdi
creator: Vivian Ogbonna
rights: Copyright (c) 2026 Blessing Tamuno-belema Jonathan, Favour Lawrence , Mercy Irimagha Nelson, Lily Okechi Nnamdi, Vivian Ifeoma Ogbonna https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1583
ending page: 1595
doi: 10.71637/tnhj.v25i4.1252

Awareness of Preventive Practices on Childhood Killer Diseases Among Child Bearing Women in Ido-Osi Local Government Area, Southwest, Nigeria
type: item
description: Background: Nigeria has one of the highest under-five mortality rates in the world, with almost 750,000 children under five dying each year. Unawareness and ignorance among mothers about various childhood killer diseases including malaria, diarrhea, among others may contribute a great deal to childhood mortality and morbidity. This study aimed to identify level of awareness of preventive practices on childhood killer diseases among childbearing women. Methods: The study was a cross-sectional study conducted in Ido-Osi Local Government Area, Ekiti State. Statistical Package for Social Sciences (SPSS) version 26 was used for data analysis, p-value was set at 0.05. A sample size of 295 was calculated, self-administered questionnaire was used to collect data among child bearing women via a multistage sampling technique. Results: All (100%) of respondents were aware of one or more childhood killer diseases. A total of 77.9% (226) engaged in preventive practices. Awareness among childbearing mothers on childhood killer diseases and the portion of respondents that engaged in good preventive practice was high. Associated factors with good preventive practices include age group, level of education, occupation and income. Age greater than 35 years (AOR: 3.781, 95%CI: 1.344 – 10.639, P: 0.012), and having tertiary education (AOR: 20.703, 95%CI: 3.258 – 131.551, P<0.001) were predictors of good preventive practices. Conclusion: Awareness of childhood killer diseases among childbearing mothers was impressively high. Factors associated with good preventive practices included age group, educational level, occupation, and income. Health workers should sustain and strengthen ongoing efforts aimed at promoting prevention of childhood killer diseases.
subject: Original Articles
  topic: section
subject: Childhood
  topic: keywords
subject: Diseases
  topic: keywords
subject: Awareness
  topic: keywords
subject: Preventive
  topic: keywords
subject: Practices
  topic: keywords
creator: Opeyemi Abioye
creator: Deborah Ineh-Dumbi
creator: Bolatito Akande
creator: Oluwakanyinsola Falana
creator: Ayotunde Isiaka
creator: Olaoye Faleke
creator: Samuel Omotoso
creator: Vivian Ibezim
creator: Serifat Babalola
creator: Mojoyinola Adeosun
creator: Ademuyiwa Adetona
creator: John Ojo
creator: Richard Agbana
creator: Amen Ugbaka
rights: Copyright (c) 2026 Opeyemi Oladipupo Abioye, Deborah Adaeze Ineh-Dumbi, Bolatito Joannah Akande, Oluwakanyinsola Abimbola Falana, Ayotunde Abdulhakeem Isiaka, Olaoye Michael Faleke, Samuel Idowu Omotoso, Vivian Somtoochukwu Ibezim, Serifat Asabi Babalola, Mojoyinola Oyindamola Adeosun, Ademuyiwa Adetona, John Olujide Ojo, Richard Dele Agbana, Amen Kari Ugbaka https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1573
ending page: 1582
doi: 10.71637/tnhj.v25i4.1249

Comparative Effects of L-Carnitine and T-Bhq on Reproductive Hormone Dysregulation in Alcohol-Exposed Wistar Rats
type: item
description: Background: Reproductive dysfunction has been linked to chronic alcoholism, especially due to oxidative stress. Antioxidants like L-carnitine and tert-butylhydroquinone (tBHQ) could mitigate alcohol-induced reproductive toxicity, but their comparative effects are understudied. This study compared the effects of l-carnitine and t-BHQ on reproductive hormone dysregulation in alcohol-exposed Wistar rats. Methodology: Thirty-five male Wistar rats were divided into seven groups (n=5): control, alcohol-only, alcohol+L-carnitine, alcohol+tBHQ, alcohol+L-carnitine+tBHQ, L-carnitine-only, and tBHQ-only. Alcohol was administered orally (2 g/kg/day), L-carnitine (100 mg/kg/day), and tBHQ (50 mg/kg/day) for 60 days. At the end of the experimental period, serum testosterone, dihydrotestosterone (DHT), 5-α reductase, luteinizing hormone (LH), and follicle stimulating hormone (FSH) were assayed. Results: Alcohol exposure significantly reduced testosterone (from 10.33 ng/ mL in the control group to 1.12 ng/mL) while significantly increasing the levels of DHT (59.67 pg/Ml to 1237.67 pg/mL), 5-α reductase (91.83 pg/mL to 698.33 pg/mL), LH (26.83 mIU/mL to 64.50 mIU/mL) and FSH (2.98 mIU/mL to 18.33 mIU/mL). L-carnitine and tBHQ independently restored testosterone to above-control levels (16.67 and 17.33 ng/mL, respectively), with their co-administration yielded much more increase. Both agents significantly reduced alcohol-induced increase in DHT and 5-α reductase, with tBHQ exerting a stronger suppressive effect. Similarly, LH and FSH concentrations were normalized toward control values following treatment. Conclusion: Results shows that L-carnitine and tBHQ mitigated hormone dysregulation in male Wistar rats caused by excessive alcohol exposure. These findings suggest that L-carnitine preserves mitochondrial integrity to sustain steroidogenesis, while tBHQ more effectively modulates enzyme activity and oxidative stress in the testes.
subject: Original Articles
  topic: section
subject: Alcohol
  topic: keywords
subject: L-carnitine
  topic: keywords
subject: t-BHQ
  topic: keywords
subject: testosterone
  topic: keywords
subject: dihydrotestosterone
  topic: keywords
subject: 5-α reductase
  topic: keywords
subject: luteinizing hormone
  topic: keywords
subject: follicle-stimulating hormone
  topic: keywords
creator: Nyakno Godwin
creator: Polycarp Adie
creator: Atim Okpo-Ene
creator: Okoi Okoi
creator: Minafuro Okwejie
creator: John Okwejie
creator: Jessica Nzeadibe
creator: Victor Essien
creator: Exploit Chukwuka
rights: Copyright (c) 2026 Nyakno Asuquo Godwin, Polycarp Unim Adie, Atim Irene Okpo-Ene, Okoi Clement Okoi, Minafuro Chijindu Okwejie, John Atambell Okwejie, Jessica Tochukwu Nzeadibe, Victor Antigha Essien, Exploit Ezinne Chukwuka https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1565
ending page: 1572
doi: 10.71637/tnhj.v25i4.1248

Role Model Caregivers Intervention for Home Management of Childhood Malaria in Rural Community of Rivers State, Nigeria: A Community-Based Study
type: item
description: Background: Malaria remains a major cause of childhood morbidity and mortality in Nigeria. Despite improved access to prevention and treatment, delayed care-seeking and inappropriate home management persist. This study assessed the effect of Role Model Caregivers (RMC) training on malaria knowledge and home management practices under-fives in rural communities of Rivers State, Nigeria. Methods: A quasi-experimental study was conducted between November 2023 and February 2024 in Usokun (intervention) and Tema (control) communities. A total of 420 caregivers (210 per group) were recruited. Selected caregivers were trained as RMCs to provide malaria education. Outcomes were malaria knowledge and home management practices. Knowledge was measured using a composite score on symptoms, transmission, prevention, and treatment. At the same time, practices were assessed based on reported actions during the most recent febrile episode, including drug use, timing, and referral. Data were analysed using SPSS v27, with logistic regression used to identify predictors. Results: Most caregivers were women (95.0%), aged 20–39 years (mean 31.8 ± 7.4 years). Adequate malaria knowledge increased from 45.7% to 87.6%, and correct home management improved from 42.9% to 81.9% (p < 0.001). Predictors of correct home management were RMC training (AOR = 5.62; 95% CI: 3.21–9.83), higher education (AOR = 2.45; 95% CI: 1.18–5.11), and good malaria knowledge (AOR = 3.09; 95% CI: 1.58–6.04). Conclusion: RMC training markedly improved caregivers’ knowledge of malaria and home management, endorsing a sustainable, community-driven approach to early malaria treatment in a rural community of Rivers State.
subject: Original Articles
  topic: section
subject: Malaria
  topic: keywords
subject: Role Model Caregivers
  topic: keywords
subject: Home Management
  topic: keywords
subject: Rivers State
  topic: keywords
creator: Nduye Briggs
creator: Obeleye Tom-George
rights: Copyright (c) 2026 Nduye Christie Tobin Briggs, Obeleye Tom-George https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1555
ending page: 1564
doi: 10.71637/tnhj.v25i4.1247

Antimalarial Prescription Patterns and Adherence to the WHO 2024 Guidelines among Pregnant Women: A Case Study from a Nigerian Tertiary Hospital
type: item
description: Background: Adherence to the World Health Organization (WHO) treatment guidelines for malaria in pregnancy (MiP) is crucial for improved maternal and perinatal health outcomes. This study assessed antimalarial prescription patterns and adherence of each prescription to the WHO 2024 MiP guidelines using a Nigerian tertiary hospital as a case study. Methods: A retrospective, cross-sectional study was conducted using antenatal care (ANC) records of pregnant women who attended ANC at FMC Makurdi in 2024. A total of 1,062 eligible prescriptions were selected via systematic random sampling and analysed using R. Descriptive statistics summarized patient demographics and treatment patterns. Adherence to guidelines was subsequently assessed. Results: Among the 1,062 prescriptions analysed, the majority (96.1%) were for IPTp rather than acute treatment with most for women in their second (44.4%) or third trimester (55.0%). Overall, sulfadoxine-pyrimethamine (SP) was the most prescribed antimalarial medication during pregnancy (96.0%). Artemether-lumefantrine (AL, 92.5%) and SP (99.9%) were mostly prescribed for uncomplicated malaria and IPTp respectively. Adherence to treatment guidelines was high (99.4%); however, trimester-specific deviations were noted where most instances of non-compliance occurred in the first trimester. Conclusion: While overall adherence to MiP guidelines was high at FMC Makurdi, specific deviations—particularly regarding first-trimester prescriptions and the use of Al for prevention—were observed. These findings underscore the need for continuous education and reinforcement of guideline adherence among healthcare providers to ensure optimal and safe antimalarial management especially in malaria-endemic settings.
subject: Original Articles
  topic: section
subject: Malaria in pregnancy
  topic: keywords
subject: Intermittent preventive treatment
  topic: keywords
subject: Antimalarials
  topic: keywords
subject: Prescription patterns
  topic: keywords
subject: Adherence
  topic: keywords
subject: WHO guidelines
  topic: keywords
subject: Nigeria
  topic: keywords
creator: Joseph Michael Okwori
creator: Moses Owoicho Itodo
creator: Suleiyol Charity Abatur
creator: Shadrach Chinecherem Eze
creator: Samuel Chukwuemeka Okoye
rights: Copyright (c) 2026 Joseph Michael Okwori, Moses Owoicho Itodo, Suleiyol Charity Abatur, Shadrach Chinecherem Eze, Samuel Chukwuemeka Okoye https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1543
ending page: 1554
doi: 10.71637/tnhj.v25i4.1245

Corrosive Injuries to the Oesophagus – Need to Stem the Tides
type: item
description: Background: This study reviewed cases of corrosive oesophageal injuries that presented in our hospital, aetiological agents associated sequel and proffer ways on how the menace and its catastrophic effect could be stemmed in our locality. Methods: A 15-year cross-sectional descriptive review of patients that were managed for corrosive ingestion at UNIOSUN Teaching Hospital, Osogbo, Osun State, Nigeria between December 2009 to November 2024 Results: A total of 46 patients consisting of 36 males and 10 females with M: F ratio 3.6:1 and age ranged from 2years to 65years. Majority 39.1% were children 1 – 15 years followed by young adult 16 – 30 years 34.8%. The mode of ingestion was accidental among the children and by deliberate self-harm among the adults. Caustic soda ingestion formed the preponderance of the corrosive ingested 76.1% and majority 60.9% presented late. All the patients were admitted and managed with intravenous fluids, antibiotics, steroids, H-2 receptor blocker. Those who presented early had nasogastric tube inserted for stenting and feeding. Twelve patients (26.1%) had psychiatric illness and 30.4% developed strictures, 5 patients with short segment stricture were managed with serial oesophageal dilatation. There were 3(6.5%) mortalities secondary to oesophageal perforation Conclusion: Corrosive injuries to the oesophagus are a serious public health issue associated with high morbidity and mortality in our locality. Illiteracy, poor socioeconomic status/ economic burden, psychiatric illnesses are some factors contributing to the high incidence of this problem. Suggestions on steps to stem the tides of this menace in our locality were discussed.
subject: Original Articles
  topic: section
subject: Corrosive injuries
  topic: keywords
subject: Caustic ingestion
  topic: keywords
subject: Oesophageal stricture
  topic: keywords
subject: Dysphagia
  topic: keywords
subject: Oesophageal perforation
  topic: keywords
creator: Taiwo Adedeji
creator: Busoye Adegbosin
creator: Julius Idowu
creator: Miracle Ebuoh
creator: Olawale Ogundiran
creator: Olukemi Adedeji
rights: Copyright (c) 2026 Taiwo Olugbemiga Adedeji, Busoye Alagbe Adegbosin, Julius Adeolu Idowu, Miracle Chidinma Ebuoh, Olawale Ogundiran, Olukemi Christianah Adedeji https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1536
ending page: 1542
doi: 10.71637/tnhj.v25i4.1244

The Interplay of Traumatic Childbirth, Marital Support, and Mental Health Outcomes in Nursing Mothers in Lagos
type: item
description: Background: Postpartum depression (PPD) remains a major but under-recognised public health concern, particularly in low- and middle-income countries. Traumatic childbirth experiences and poor marital support have been identified as psychosocial factors influencing maternal mental health. Objective: To examine the interplay of traumatic childbirth experiences, marital support, and mental health outcomes among nursing mothers in Lagos, Nigeria. Methods: A descriptive cross-sectional study was conducted among 102 nursing mothers attending postnatal clinics in selected health centres within Alimosho Local Government Area of Lagos State. Respondents were selected through multistage sampling. Data were collected using a structured questionnaire which incorporated the Edinburgh Postnatal Depression Scale (EPDS). Descriptive and inferential statistics, including Chi-square and Pearson's correlation, were used to analyse the data at a 0.05 level of significance. Results: The prevalence of probable postpartum depression was 27.5%. A significant relationship was found between traumatic childbirth and postpartum depression (χ² = 8.62, p < 0.01), and between marital support and postpartum depression (χ² = 11.43, p < 0.01). Pearson's correlation showed a positive relationship between traumatic childbirth and depressive symptoms (r = 0.411, p < 0.01), and a negative correlation between marital support and depression (r = −0.352, p < 0.01). Conclusion: Traumatic childbirth significantly increases the risk of postpartum depression, while strong marital support mitigates depressive symptoms among nursing mothers. Integrating psychosocial counselling, spousal involvement, and trauma-informed maternity care into postnatal services is recommended to promote maternal mental health.
subject: Original Articles
  topic: section
subject: Postpartum depression
  topic: keywords
subject: traumatic childbirth
  topic: keywords
subject: marital support
  topic: keywords
subject: mental health
  topic: keywords
subject: nursing mothers
  topic: keywords
subject: Lagos
  topic: keywords
creator: Adenike Adedapo
creator: Stella Anyama
rights: Copyright (c) 2026 Adenike Ololade Adedapo, Stella Chinwe Anyama https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1515
ending page: 1524
doi: 10.71637/tnhj.v25i4.1239

Cervical Cancer Knowledge and Screening Perceptions Among Women in Keffi, Nigeria: A Facility-Based Cross-Sectional Study
type: item
description: Background: Cervical cancer is the second most common cancer among women globally and a leading cause of mortality in Nigeria. Women’s knowledge and perception of cervical cancer and its screening significantly affect early detection and prevention. This study assessed knowledge and perceptions of cervical cancer and screening services among women of reproductive age at Federal Medical Centre Keffi. Methods: A cross-sectional study was conducted among 384 women aged 15–49 years attending clinics at the Federal Medical Centre Keffi. Systematic random sampling was used to select participants. Data were collected using interviewer-administered structured questionnaires and analysed with Statistical Package for Social Sciences v26. Descriptive and inferential statistics were applied, with chi-square tests assessing associations between socio-demographics and knowledge/perceptions (p<0.05). Results: Most respondents (90.6%) demonstrated good knowledge of cervical cancer causes and transmission, with Human Papilloma Virus infection (44.8%) and multiple sexual partners (32.3%) recognized as major risk factors. About 81.5% had good perception of screening, with 65.9% agreeing that screening aids early detection. Misconceptions included screening being unnecessary without symptoms (41.4%), potential infertility (15.6%), and high cost (31.0%). Knowledge and perceptions were significantly associated with age, education, and marital status (p<0.05). Conclusion: Although knowledge and perception of cervical cancer screening were generally good, misconceptions and socio-cultural barriers persist. Targeted health education and community interventions are essential to improve informed decision-making in cancer screening. Therefore, experts and policy makers need to incorporate suitable culturally acceptable awareness campaigns into mainstream healthcare services in Nigeria to enhance cervical cancer screening uptake.
subject: Original Articles
  topic: section
subject: Cervical cancer
  topic: keywords
subject: knowledge
  topic: keywords
subject: perception
  topic: keywords
subject: reproductive women
  topic: keywords
subject: Nigeria
  topic: keywords
subject: screening
  topic: keywords
creator: Oluwasegun Akanni
creator: Idris Yakubu
creator: Adegoriola Ojurongbe
creator: Matthew Fijabiyi
creator: Olamide Ishola
creator: Odunayo Akanni
rights: Copyright (c) 2026 Oluwasegun Ajala Akanni, Idris Muhammad Yakubu, Adegoriola Olubisi Ojurongbe, Matthew Olusegun Fijabiyi, Olamide Ishola , Odunayo Akanni https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1525
ending page: 1535
doi: 10.71637/tnhj.v25i4.1240

Development, and Validation of a Triple Benefit Health Education Intervention Module and Questionnaire to Improve Adolescent Girls’ Knowledge, Attitude, and Practice Toward Malnutrition
type: item
description: Background: Malnutrition among adolescent girls in conflict-affected regions of Nigeria remains a pressing public health concern. Method: This study developed and validated the Triple Benefit Health Education Intervention Module and a corresponding questionnaire to improve knowledge, attitude, and practice (KAP) toward malnutrition. The questionnaire was adapted from established nutrition assessment tools and validated through expert review and face validity testing among adolescent girls. Reliability was confirmed via Cronbach’s alpha and test-retest analysis. The module underwent rigorous face and content validation, achieving a 93% content validity score. An Independent t-test (student test) was used to compare the means of two groups of continuous variables. Result: A pilot study involving 43 adolescent girls demonstrated significant improvements in knowledge, attitude, practice, information, motivation and behavioural skill scores in the post-intervention test, with mean knowledge rising from 6.3 to 26.4 (p-<0.001), attitude from 44.1 to 71.9 (p-<0.001), and practice from 35.6 to 45.0 (p-<0.001). Conclusion: These results underscore the effectiveness of the module and questionnaire in promoting nutritional awareness and behavior change. The validated tools offer a promising framework for scaling adolescent health education interventions in similar settings.
subject: Original Articles
  topic: section
subject: Triple benefit
  topic: keywords
subject: Health education
  topic: keywords
subject: Intervention
  topic: keywords
subject: Validity
  topic: keywords
subject: Questionnaire
  topic: keywords
subject: Adolescents
  topic: keywords
subject: Malnutrition
  topic: keywords
subject: Knowledge
  topic: keywords
subject: Attitude
  topic: keywords
subject: Practice
  topic: keywords
subject: Kobo Collect
  topic: keywords
creator: Ruth Charles
creator: Suriani Ismail
creator: Lim Ying
creator: Norliza Ahmad
creator: Hussaini Garba
creator: Emmanuel Mshelia
rights: Copyright (c) 2026 Ruth Shapu Charles, Suriani Ismail, Lim Poh Ying, Norliza Ahmad, Hussaini Garba, Emmanuel William Mshelia https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1444
ending page: 1455
doi: 10.71637/tnhj.v25i4.1207

Diphtheria in an Under-immunized Child in Rivers State, Nigeria: A Case Report
type: item
description: Background: Diphtheria is a potentially fatal, vaccine-preventable disease, with a recent resurgence from systematic challenges, particularly in resource-limited settings like Nigeria. This is a case report of the index case of diphtheria in the recent outbreak in Rivers State, in the Southern region of Nigeria. Case summary: A 3-year-old under-immunized girl presented with a seven-day history of fever and neck swelling at the children’s emergency unit of a tertiary health facility. Clinical evaluation, throat swab microscopy/culture, and PCR confirmed Corynebacterium diphtheriae infection. The patient’s management included antibiotics, diphtheria antitoxin, and respiratory support. Her condition rapidly deteriorated, and she died within a few days of presentation. Discussion: The fatal outcome of the index case highlights the critical role of vaccination in preventing diphtheria. Under-immunization, as in this case, underscores systemic challenges such as vaccine hesitancy, inadequate healthcare infrastructure, and limited public awareness, which contribute to the resurgence of vaccine-preventable diseases like diphtheria in Nigeria. Conclusion: Diphtheria is a life-threatening disease. Strengthening immunization programs, enhancing healthcare access, and implementing targeted public health campaigns are essential to address these gaps and prevent future outbreaks. This case serves as a reminder of the need for sustained efforts to improve vaccine coverage and public health education.
subject: Case Report and Series
  topic: section
subject: Diphtheria
  topic: keywords
subject: under-immunization
  topic: keywords
subject: Nigeria
  topic: keywords
subject: Corynebacterium diphtheriae
  topic: keywords
subject: vaccine preventable disease
  topic: keywords
creator: Hope Avundaa
creator: Eziyi Kalu
creator: Ugo Enebeli
creator: Agwu Amadi
rights: Copyright (c) 2026 Hope Owhondaa Avundaa, Eziyi Iche Kalu, Ugo Uwadiako Enebeli, Agwu Nkwa Amadi https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1510
ending page: 1514
doi: 10.71637/tnhj.v25i4.1233

Assessing the relationship between high-sensitivity C-reactive protein and kidney function in hypertensive patients in southern part of Nigeria’’
type: item
description: Background: Low-grade vascular inflammation plays an important role in the pathophysiology of hypertension and is commonly observed in individuals with impaired renal function. Hypertension, a major modifiable risk factor for cardiovascular disease, has been associated with elevated inflammatory markers and declining kidney function. This study compared serum high-sensitivity C-reactive protein (HSCRP) levels and renal function between hypertensive patients and normotensive individuals. Methods: This hospital-based case–control study included 300 participants recruited at Central Hospital, Warri, Nigeria, between January 2023 and March 2024. Participants comprised 200 adults with hypertension and 100 normotensive controls. Sociodemographic and clinical data were collected using a structured questionnaire. Serum HSCRP levels and estimated glomerular filtration rate (eGFR) were measured. Data were analysed using SPSS version 23, with statistical significance set at p<0.05. Results: Hypertensive participants were significantly older than controls (58.11 ± 13.03 vs 43.71 ± 10.67 years; p<0.001) and had a higher proportion of females (73.5% vs 47.0%; p=0.007). Impaired renal function (eGFR <60 mL/min/1.73 m²) was more prevalent among hypertensives than controls (26.5% vs 8.0%; p=0.004). Mean HSCRP levels were significantly higher in hypertensive patients (4.22 ± 3.30 vs 1.51 ± 1.48 mg/L; p<0.001). Among hypertensives, HSCRP showed a weak but significant negative correlation with eGFR (r=–0.142; p=0.044). Conclusion: Hypertensive patients exhibit increased inflammatory burden and a higher prevalence of renal impairment. The inverse association between HSCRP and eGFR suggests that inflammation may contribute to declining kidney function, underscoring the need for early detection of subclinical inflammation and renal dysfunction in hypertension.
subject: Original Articles
  topic: section
subject: Hypertension
  topic: keywords
subject: low-grade inflammation
  topic: keywords
subject: high-sensitivity C-reactive protein
  topic: keywords
subject: estimated glomerular filtration rate
  topic: keywords
subject: renal function
  topic: keywords
creator: Augustine Eguvbe
creator: Samuel Olubori
creator: Pedro Amrevwodjemu
rights: Copyright (c) 2026 Augustine Onovuakpo Eguvbe, Samuel Olubayo Olubori, Pedro Ejomafuvwe Amrevwodjemu https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1501
ending page: 1509
doi: 10.71637/tnhj.v25i4.1232

Book of Abstracts of Papers Presented at the 65th Annual General Meeting and Scientific Conference of the Nigerian Medical Association, Rivers State, Port Harcourt 2025 (2nd – 9th August, 2025)
type: item
description: Book of Abstracts of Papers Presented at the 64th Annual General Meeting and Scientific Conference of the Nigerian Medical Association, Rivers State, Port Harcourt 2024 (2nd – 9th August, 2025) Compiled by: Daprim Samuel Ogaji
subject: Abstracts
  topic: section
subject: Nigerian Medical Association
  topic: keywords
subject: NMA
  topic: keywords
subject: Scientific Conference
  topic: keywords
subject: Book of Abstracts
  topic: keywords
subject: Annual General Meeting and Scientific Conference
  topic: keywords
subject: Rivers State
  topic: keywords
subject: Nigeria
  topic: keywords
creator: Daprim Ogaji
rights: Copyright (c) 2025 Daprim Ogaji https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2025-10-18
publication date: 2025-10-18
starting page: 889
ending page: 898
doi: 10.71637/tnhj.v25i3.1231

Knowledge and attitudes toward food safety among food handlers: A cross-sectional study in a Nigerian tertiary institution.
type: item
description: Background: Foodborne diseases remain a significant public health issue, with sub-Saharan Africa bearing a disproportionate burden. In Nigeria, many students rely on institutional food services, making the safe handling of food a crucial concern. Objective: This study assessed the knowledge and attitudes of food handlers towards food safety at Babcock University, Ogun State, Nigeria. Methods: This cross-sectional survey was carried out among 80 food handlers using a multistage sampling technique. Data were collected using a pre-tested, structured, self-administered questionnaire and analysis using IBM SPSS version 24.0. Relevant descriptive and inferential statistics were calculated, with results presented in tables. The chi-square test was used to assess the associations between the independent and dependent variables. The significance level was set at a 95% confidence interval with a p-value ≤ 0.05. Results: Respondents had a mean age of 27.4 ± 7.8 years, and most were female (57.5%). Overall, 60% showed good knowledge of food safety and about 70% demonstrated a positive attitude. The level of education was significantly associated with knowledge (χ²=12.861, p=0.005), while ethnicity was associated with attitudes (χ²=12.798, p=0.005). Conclusion: Respondents generally had good knowledge and attitudes toward food safety, suggesting that training and awareness programs may be making an impact. The association between level of education and knowledge of food safety underscores the importance of continuous training programs for food handlers. The association between ethnicity and attitudes highlights the importance of culturally sensitive approaches in food safety education.
subject: Original Articles
  topic: section
subject: Food safety
  topic: keywords
subject: Food handlers
  topic: keywords
subject: Knowledge
  topic: keywords
subject: Attitudes
  topic: keywords
subject: Nigeria
  topic: keywords
creator: Ngozi Adefala
creator: Deborah Taiwo
creator: Adedolapo Owolabi
creator: Nneoma Onu
creator: Chimzurum Nat-Nwakpuda
creator: Ogemdinakachi Ephraim
rights: Copyright (c) 2026 Ngozi Adefala, Deborah Taiwo, Adedolapo Owolabi, Nneoma Onu, Chimzurum Nat-Nwakpuda, Ogemdinakachi Ephraim https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1493
ending page: 1500
doi: 10.71637/tnhj.v25i4.1227

Microbiological Analysis of the Preputial Slit in Anambra State Nigeria: Why Neonatal Circumcision?
type: item
description: Background: Circumcision is one of the most widely performed and controversial procedures globally. While often carried out for sociocultural and religious reasons, it is also promoted as prophylaxis against urinary tract infections (UTIs), sexually transmitted infections (STIs), and HIV. The role of the preputial microbiome in these indications remains debated. Objective: This study aimed to assess and characterize microbial species from the preputial sac of neonates undergoing circumcision and to determine their antibiotic susceptibility patterns. Methods: A prospective cross-sectional study was conducted at a health facility between September and November 2024. Thirty-six male neonates undergoing circumcision were recruited. Swabs from the preputial sac were cultured on selective media, and isolates were identified by Gram staining and standard biochemical tests. Antimicrobial susceptibility testing was performed using the Kirby-Bauer disc diffusion method according to CLSI guidelines. Data on neonatal and maternal factors were collected through structured proforma. Results: Eight different bacteria species were isolated, with Coagulase-Negative Staphylococcus and Escherichia coli being most common (22% each). Six samples (16.7%) showed no growth. Gentamicin exhibited the highest sensitivity (50%), while high resistance rates were recorded for ampicillin and amoxicillin-clavulanic acid (80.6%). Maternal and neonatal factors, including prior antibiotic use, maternal infection, or hospital admission, did not significantly influence microbial presence or antibiotic susceptibility. Conclusion: The preputial sac harbors primarily commensal microorganisms, with high levels of antibiotic resistance observed. Findings question the justification of neonatal circumcision as prophylaxis for UTI or STI prevention and highlight the need for reconsideration of its routine practice.
subject: Original Articles
  topic: section
subject: Microbiota
  topic: keywords
subject: preputial microbiology
  topic: keywords
subject: prepuce
  topic: keywords
subject: urinary tract infection
  topic: keywords
subject: UTI
  topic: keywords
subject: sexually transmitted infections
  topic: keywords
subject: STIs
  topic: keywords
creator: Victor Modekwe
creator: Iloduba Aghanya
creator: Nkechi Nwafor
creator: Chidimma Osuigwe
creator: Chukwudi Okani
creator: Frank Akpuaka
rights: Copyright (c) 2026 Victor Ifeanyichukwu Modekwe, Iloduba Nnaemeka Aghanya, Nkechi Euphemia Nwafor, Chidimma Chukwunonso Osuigwe, Chukwudi Onyeaghana Okani, Frank Chinedu Akpuaka https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1482
ending page: 1492
doi: 10.71637/tnhj.v25i4.1226

Knowledge, Adherence Mapping of Covid-19 Preventive Measures Among Adults in Southwest Nigeria: A Cross-Sectional Study
type: item
description: Background: COVID-19 preventive measures represent the largest public health interventions in human history. However, gap still exist in the knowledge and adherence towards the preventive measures of the disease. This study assessed the knowledge and adherence towards COVID-19 preventive measures among adults in selected communities of Ekiti state, Southwest Nigeria Methodology: This is a cross-sectional analytical study with multi-stage sampling technique. A pre-tested, structured questionnaire was used to collect data. Statistical Package for the Social Sciences version 23 and ArcGIS version 10.5 were used for data analysis and adherence mapping respectively. Level of statistical significance was set at p<0.05. Result: Majority, 593 (98.8%), knew the preventive measures of COVID-19 and more than three quarter demonstrated good knowledge, 460 (76.7%). Less than half, 269 (44.8%), had good adherence to the preventive measures of COVID-19. Age and higher educational status were found to be associated with knowledge while socio-economic status was associated with adherence (p<0.05). Marriage was found as a predictor of knowledge [(aOR=7.43 (0.85-65.01); p=0.038)] and female respondents were about twice likely than the males to have good adherence to preventive measures. [(aOR=1.78 (1.17-2.69); p=0.007)]. The rich respondents were three times more likely to adhere to preventive measures of COVID-19 [(aOR=3.15 (1.51-6.55); p=0.002)]. Conclusion: The knowledge of COVID-19 preventive measures was high, but adherence to it was poor. The government and other relevant stakeholders in the State need to institute various interventions like health awareness campaign to increase adherence to the preventive measures.
subject: Original Articles
  topic: section
subject: Knowledge
  topic: keywords
subject: Adherence
  topic: keywords
subject: Preventive measures
  topic: keywords
subject: Mapping
  topic: keywords
subject: COVID-19
  topic: keywords
subject: Nigeria
  topic: keywords
creator: Kabir Durowade
creator: Omotosho Musa
creator: Taofeek Sanni
creator: Rofiat Mudashiru
creator: Makinde Adeniyi
creator: Mojirola Fasiku
creator: Kehinde Ojo
rights: Copyright (c) 2026 Kabir Adekunle Durowade, Omotosho Ibrahim Musa, Taofeek Adedayo Sanni, Rofiat Bunmi Mudashiru, Makinde Adebayo Adeniyi, Mojirola Martina Fasiku, Kehinde Olubukola Ojo https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1467
ending page: 1481
doi: 10.71637/tnhj.v25i4.1218

Prevalence and Factors Associated with Obesity Among Healthcare Workers in An Urban Area in Lagos State, Nigeria
type: item
description: Background: Obesity is a major concern affecting millions globally. Healthcare workers are particularly at risk from high stress levels and long working hours, often disrupting healthy lifestyle habits. This study aimed to determine the prevalence and factors associated with obesity among healthcare workers in an urban area in Lagos State. Methods: The study was a descriptive cross-sectional study. A self-administered questionnaire was used to collect data, including weight and height, from 300 health workers selected using multistage sampling. Data was analyzed and presented as frequency tables. Logistic regression was used to identify factors associated with obesity with significance at p<0.05. Results: The prevalence of overweight and obesity were 25.0% and 17.3% respectively. Factors associated with obesity among the respondents, included history of diabetes (AOR = 3.319, 95%CI = 1.133 – 9.719, p = 0.029), increased consumption of processed cereals (AOR = 6.998, 95% CI = 1.748 – 28.015, p = 0.006), and workplace stress (AOR = 2.142, 95%CI = 1.058 – 4.335, p = 0.034). Conclusion: Healthcare workers have high obesity rates, emphasizing the need for workplace interventions like better working hours and wellness programs tailored to their demanding schedules.
subject: Original Articles
  topic: section
subject: Prevalence
  topic: keywords
subject: Obesity
  topic: keywords
subject: Anthropometry
  topic: keywords
subject: health personnel
  topic: keywords
subject: Body Mass Index
  topic: keywords
creator: Damilola Akinlawon
creator: Adekemi Sekoni
creator: Oluwatosin Akinsola
creator: Olasimbo Babalola
creator: Temiloluwa Odukoya
creator: Olamide Akinlawon
rights: Copyright (c) 2026 Damilola Akinlawon, Adekemi Sekoni, Oluwatosin Akinsola, Olasimbo Babalola, Temiloluwa Odukoya, Olamide Akinlawon https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1456
ending page: 1466
doi: 10.71637/tnhj.v25i4.1216

Knowledge of Breast Cancer and Practice of Breast Self-Examination Among Female Students at Federal College of Education (Technical) Asaba, Nigeria
type: item
description: Background: This study assessed the knowledge of breast cancer and practice of breast self-examination (BSE) among female undergraduate students at Federal College of Education (Technical), Asaba, Delta State, Nigeria. Methods: This descriptive cross-sectional study utilized a structured, self-administered questionnaire for data collection. IBM SPSS version 26.0 was used for data analysis. Statistical significance was set at p-value less than 0.05. Results: Four hundred students with a mean age of 23.0±4.2 years were studied. Majority 358 (89.4%) had heard of breast cancer with print/electronic media being the highest source of awareness 150 (41.9%). The students knew breast lump 163 (45.5%), breast pain/soreness 108 (30.2%) and discharge from the breast 29 (8.1%) as symptoms and signs of breast cancer, and BSE 207 (57.8%) and mammography 40 (11.2%) as early detection methods of breast cancer. Their knowledge of risk factors of breast cancer was poor, positive family history 159 (44.4%), exposure to ionizing radiation 153 (42.7%), smoking 141 (39.4%), oral contraceptives use 119 (31.8%), being a woman 114 (31.8%). Two hundred and fifteen (53.8%) had ever performed BSE, and 103 (47.9%) performed it monthly. The older students (p<0.0001), those in higher level of study (p<0.0001) and those with positive family history of breast cancer (p=0.042), statistically significantly practised BSE. Conclusion: The overall knowledge of breast cancer and its associated risk factors were poor among the students, but their practice of BSE was fair. Massive awareness campaign and advocacy for health education on breast cancer and its early prevention measures is recommended.
subject: Original Articles
  topic: section
subject: Breast Cancer
  topic: keywords
subject: Breast self examination
  topic: keywords
subject: Female undergraduate students
  topic: keywords
subject: Nigeria
  topic: keywords
subject: Asaba
  topic: keywords
creator: Ekeneam Omo
creator: Alphonsus Isara
rights: Copyright (c) 2025 Ekeneam Nkadi Omo, Alphonsus Rukevwe Isara https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2025-10-18
publication date: 2025-10-18
starting page: 1276
ending page: 1285
doi: 10.71637/tnhj.v25i3.1204

Early Sexual Debut in Karu, Nigeria: A Mixed-Methods Approach to Understanding Prevalence and Its Determinants Among Female Adolescents
type: item
description: Background: Early sexual debut among adolescents poses significant physical, social and mental health consequences. Despite increasing concern, limited data exist on its prevalence and determinants among female secondary school students in Karu Local Government Area. Objective: This study assessed students’ perceptions of early sexual debut, the proportion, prevalence, characteristics, and determinants of early sexual initiation. Methods: A cross-sectional descriptive study was conducted in 5 public and 5 private schools using a convergent parallel mixed-methods design. 265 female students (SS1-SS3) were selected through multistage sampling. Quantitative data was collected using structured questionnaires and analyzed with SPSS version 27 (descriptive statistics and ANOVA/Chi-Square), while qualitative data were thematically analyzed using NVivo. Results: 12.8% of students were sexually active, with 17.6% reporting early sexual debut. 70.6% of sexual encounters occurred with friends, and 64.7% were influenced by coercion, alcohol, or peers. Students perceived early sexual debut negatively. Major determinants included peer pressure, poor parenting, exposure to pornography, low self-esteem, and socio-economic challenges. There was significant association between prevalence of early sexual debut and types of school (public vs private) (p = 0.017). However, no significant association was found between sexual debut and students’ age (p = 0.535) or family type (p = 0.989). Conclusion: Early sexual debut prevalence is a concern and being in public school is more associated with early sexual debut than private highlighting the need for comprehensive sexuality programs. More studies are needed to unravel the main factors exposing students to early sexual debut in public schools.
subject: Original Articles
  topic: section
subject: Adolescent
  topic: keywords
subject: Reproductive Health
  topic: keywords
subject: Sex Education
  topic: keywords
subject: Cross-Sectional Studies
  topic: keywords
subject: Female
  topic: keywords
subject: Nigeria
  topic: keywords
creator: Japhet Haruna Jonah
creator: Chisom Chikwendu
creator: Samuel Danladi
creator: Ijuptil Amos
creator: Ibrahim Zira
creator: Solomon Atuman
rights: Copyright (c) 2026 Japhet Haruna Jonah, Chisom Favour Chikwendu, Samuel Sam Danladi, Ijuptil Amos, Ibrahim Zira, Solomon Atuman https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1407
ending page: 1419
doi: 10.71637/tnhj.v25i4.1191

Periodontal Disease in Premenopausal and Postmenopausal Nigerian Women: A Comparative Cross-Sectional Study
type: item
description: Background: Periodontitis is a chronic inflammatory disease which results in the destruction of connective tissue, alveolar bone, gingival bleeding, compromised aesthetics, recurrent periodontal infections, tooth mobility and eventual tooth loss. Various female hormonal alterations predispose postmenopausal women to several oral disorders. This study compared periodontal disease in premenopausal and postmenopausal Nigerian women. Methodology: A cross-sectional analytical study at the Oral diagnosis and Oral medicine clinics in a large tertiary hospital, involving 35 premenopausal and 35 postmenopausal women within the ages of 40 to 60 years using a multistage sampling method. An interviewer-administered questionnaire, and oral examination was used to determine the prevalence of periodontitis in postmenopausal women. All participants were evaluated for periodontitis using Oral Hygiene Index (OHI), Community Periodontal Index for Treatment Needs (CPITN), and severity of periodontitis. Analysis was done using IBM SPSS version 26 software. Chi-square and Fischer’s exact tests were used to test the relationship between outcome and independent variables. P-values ≤ 0.05 were statistically significant at a 95% confidence interval. Results: the mean value of CPITN was statistically higher in postmenopausal women (1.49±1.2) compared with premenopausal women (0.91±0.8). The mean value of OHI was also statistically higher in postmenopausal women (1.49 ±0.9) than premenopausal women (1.07 ±0.8). Conclusions: Postmenopausal women are more predisposed to periodontal disease compared with premenopausal women, which could be due to low oestrogen levels associated with menopause. Regular dental consultations and good oral hygiene practices are crucial in this population and will significantly influence periodontal health.
subject: Original Articles
  topic: section
subject: Periodontal diseases, Postmenopausal, Premenopausal, Oestrogen, Oral hygiene.
  topic: keywords
creator: Kehinde Ojo
creator: Patricia Ayanbadejo
creator: Olutola Eweka
creator: Damilola Akinlawon
creator: Tolulope Kolawole
creator: Oluwafunmilayo Oguntoye
creator: Foluso Owotade
rights: Copyright (c) 2026 Kehinde Olubukola Ojo, Patricia Omowunmi Ayanbadejo, Olutola Mary Eweka, Damilola Akinlawon, Tolutope Fasanmi Kolawole, Oluwafunmilayo Adenike Oguntoye, Foluso John Owotade https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1433
ending page: 1443
doi: 10.71637/tnhj.v25i4.1196

Knowledge and Practice of Basic Life Support Among Clinical Students in Ambrose Alli University, Ekpoma, Nigeria
type: item
description: Background: Basic life support (BLS) is a level of medical care used for patients with life-threatening conditions, such as cardiac arrest, until advanced medical care providers can provide full medical care. Objective: This study aimed to assess the knowledge of BLS, the attitude of respondents towards BLS, and to evaluate the practices of BLS among Clinical students of AAU, Ekpoma. Method: A cross-sectional study was conducted among 420 medical students using a structured questionnaire. Data was analysed using IBM SPSS version 22.0. Results: A total of 420 respondents were interviewed in this study. Four hundred and ten (97.6%) were aware of CPR/BLS. Two hundred and ninety-four (70%) had a good knowledge of the principles of CPR/BLS. Three hundred and ninety-one (93.1%) received a lecture of CPR/BLS, 300 (71.4%) received a hands-on simulation of CPR/BLS; only 38.6% knew the proper compressions to rescue breath to administer. Factors associated with good knowledge included: age (p=0.001), with the older respondents more knowledgeable; sex (p=0.0001), with males having better knowledge; level of study (p=0.001), progressively better in the higher levels and religion (p=0.003), which was better with Christianity. All respondents who were aware of CPR/BLS (100%) had a positive attitude towards CPR/BLS. Conclusion: Knowledge of CPR/BLS was associated with age, gender, level of study and religion. The medical curriculum of students in Nigeria should be enriched with more practical sessions and drills on CPR/BLS.
subject: Original Articles
  topic: section
subject: Ambrose Alli University
  topic: keywords
subject: Basic life support
  topic: keywords
subject: Cardiopulmonary respiration
  topic: keywords
creator: Innocent Alenoghena
creator: Irene Akhideno
creator: Aramunde Courage
creator: Azhimi Vannessa
rights: Copyright (c) 2026 Alenoghena Innocent Osi, Akhideno Irene Irenosen, Aramunde Courage, Azhimi Vannessa https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1386
ending page: 1394
doi: 10.71637/tnhj.v25i4.1183

Microvascular Changes in Primary Open-Angle Glaucoma Associated with Hypertension: A Prospective OCT-Angiography Analysis
type: item
description: Background: Primary open-angle glaucoma (POAG) is a progressive optic neuropathy associated with visual field loss and optic disc cupping. Although elevated intraocular pressure is the primary risk factor, the contribution of systemic arterial hypertension (HTN) remains uncertain. Optical coherence tomography angiography (OCT-A) enables non-invasive evaluation of retinal and peripapillary microvasculature. This study investigated the association between systemic hypertension and microvascular alterations in POAG using OCT-A. Methods: This prospective observational cohort study was conducted in a tertiary eye care setting and included 40 eyes from 40 adults with confirmed POAG receiving topical anti-glaucoma therapy. Participants were grouped as hypertensive (n=20) or normotensive (n=20). OCT-A imaging was performed using the Cirrus 5000 HD-OCT with Angioplex. Macular and peripapillary vessel density of the superficial and deep retinal capillary plexuses was quantified from 6×6 mm scans. Only high-quality images (signal strength ≥7/10, no motion or segmentation artifacts) were analyzed to minimize measurement bias. Additional assessments included visual field testing, retinal nerve fiber layer thickness, and cup-to-disc ratio. Group comparisons and correlation analyses were performed, with statistical significance set at p<0.05. Results: Hypertensive POAG patients demonstrated significantly lower macular and peripapillary vessel density compared with normotensive patients (p<0.05). In the hypertensive group, reduced vessel density was associated with progressive visual field deterioration and increased cup-to-disc ratio. These associations were less pronounced among normotensive patients. Conclusion: Systemic hypertension is associated with greater microvascular compromise in POAG, supporting a vascular contribution to glaucoma progression and highlighting the importance of blood pressure control in glaucoma management.
subject: Original Articles
  topic: section
subject: Primary open-angle glaucoma
  topic: keywords
subject: hypertension
  topic: keywords
subject: OCT-Angiography
  topic: keywords
subject: microvasculature
  topic: keywords
subject: vessel density
  topic: keywords
subject: retinal circulation
  topic: keywords
creator: Chaimaa Bardi
creator: Abir Sinnate
creator: Cheikhna Begnoug
creator: Ghita Halfi
creator: Younes Akkanour
creator: Elhassan Ebdallah
rights: Copyright (c) 2026 Chaimaa Bardi, Abir Sinnate, Cheikhna Begnoug, Ghita Halfi, Younes Akkanour, El Hassan Ebdallah https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1377
ending page: 1385
doi: 10.71637/tnhj.v25i4.1175

Genomic Characterisation of Virulence and In Vivo Pathogenicity of Azole-Antifungal Resistant Candida from HIV/AIDS Patients in Southeast Nigeria
type: item
description: Background: Oral candidiasis remains a common opportunistic infection among people living with HIV/AIDS, especially in low-resource settings. Rising antifungal resistance and systemic candidiasis complicate treatment. This study investigated the genomic features and virulence mechanisms of Candida species isolated from HIV-positive individuals in southeast Nigeria. Methods: Oral swabs (n=514) from HIV patients were collected and cultured on Chromogenic agar for Candida, with azole susceptibility assessed through the Kirby-Bauer disk-diffusion method. Representative isolates underwent whole-genome sequencing to identify virulence genes and mechanisms. A pathogenicity study was conducted on 16 rats, divided into four groups: Candida albicans, Candida glabrata, a mixed inoculum, and a non-inoculated control. Over 28 days, morbidity, mortality, weight changes, and organ infections were evaluated. Results: All sequenced strains belonged to Sequence Type 15 with conserved genomes. Key virulence genes (waaF, waaG, pilH, and pvdS) and housekeeping genes (argS, gyrB, ileS, nuoC, ppsA, recA, rpoB, rpoD) were consistently expressed, supporting biofilm formation, stress tolerance, immune evasion, and persistence mechanisms. In vivo, rats inoculated with C. albicans or mixed inoculum showed severe morbidity, high mortality (100% and 75% respectively), weight loss, and tissue necrosis, indicating systemic infection. Conclusion: Azole-resistant Candida species from HIV-infected individuals exhibit diverse genetic and phenotypic mechanisms that drive virulence and resistance. The findings emphasise their pathogenic potential and the challenges they pose for diagnosis and treatment. Genomic similarity among isolates indicates clonal expansion and potential interspecies gene exchange, underscoring the importance of integrated antifungal surveillance and stewardship in resource-limited settings.
subject: Original Articles
  topic: section
subject: Occupational health
  topic: keywords
subject: industrial noise
  topic: keywords
subject: tinnitus
  topic: keywords
subject: hearing conservation
  topic: keywords
subject: mixed methods review
  topic: keywords
creator: Irene Eze
creator: Edmund Ossai
creator: Laurence Ogbonnaya
creator: Akinwale Efunshile
creator: Chito Ekwealor
creator: Christie Oyeka
rights: Copyright (c) 2026 Irene Ifeyinwa Eze, Edmund Ndudi Ossai, Lawrence Ulu Ogbonnaya, Akinwale Michael Efunshile, Chito Clare Ekwealor, Christie Amechi Oyeka https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1420
ending page: 1432
doi: 10.71637/tnhj.v25i4.1193

Evaluation of Endothelial Functions in Essential Hypertensive Subjects in Ekiti State
type: item
description: Background: Endothelial dysfunction plays an important role in vascular complications and pathogenesis of essential hypertension marked by an imbalance between vasodilatory and vasoconstrictive factors, increased inflammatory activation, and pro-atherogenic modifications. This study assessed endothelial functions in essential hypertensive subjects in Ekiti State, Nigeria. Methodology: A total of 126 participants (63 hypertensives and 63 controls) were recruited. Social demographic information was obtained using a structured questionnaire. Height and weight were measured with a stadiometer and ZT-120 scale, and blood pressure was assessed using a digital sphygmomanometer. ET-1 and P-selectin were quantified using ELISA; nitric oxide and lipid profile using spectrophotometry, with lipid indices calculated. Data were statistically analyzed at p<0.05. Result: The results revealed that body mass index, family history of hypertension, systolic and diastolic blood pressure, Endothelin-1, Total cholesterol, Triglyceride, Low Density Lipoprotein and P-selectin levels were significantly higher in the essential hypertensive subjects compared to the healthy controls; however, Nitric oxide and High-Density Lipoprotein were significantly lower in the essential hypertensive subjects compared to healthy controls. There was no statistically significant difference in all parameters studied based on age and sex. The results also revealed that Endothelin-1 and P-selectin levels were significantly higher in drug-naive hypertensive subjects compared with those on treatment. Conclusion: The study highlights the role of endothelial biomarkers in the pathophysiology of essential hypertension, particularly ET-1 and P-selectin, which showed greater sensitivity and specificity statistically may serve as an early indicator of vascular dysfunction and potential targets for risk classification and disease management.
subject: Original Articles
  topic: section
subject: Essential hypertension
  topic: keywords
subject: Endothelial dysfunction
  topic: keywords
subject: Endothelin-1
  topic: keywords
subject: P-selectin
  topic: keywords
subject: Nitric oxide
  topic: keywords
subject: Lipid profile
  topic: keywords
creator: Olajumoke Ekundayo
creator: Adeola Oluboyo
creator: Odeyinka Odewusi
creator: Kazeem Suleman
creator: David Ajayi
rights: Copyright (c) 2026 Olajumoke A., Ekundayo, Adeola O., Oluboyo, Odeyinka O., Odewusi, Kazeem D., Suleman , David D., Ajayi https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-01-07
publication date: 2026-01-07
starting page: 1395
ending page: 1406
doi: 10.71637/tnhj.v25i4.1190

Knowledge, Attitudes, and Practices of AI-Assisted Diagnostics Among Students of Master of Public Health in Ahmadu Bello University, Zaria, Nigeria
type: item
description: Background: Integrating artificial intelligence (AI) into healthcare has transformed disease diagnostics, offering opportunities to enhance accuracy, efficiency, and accessibility. However, adopting AI-assisted diagnostics depends significantly on future public health professionals' knowledge, attitudes, and practices (KAP). This study assessed the KAP of students of Master of Public Health (MPH) at Ahmadu Bello University (ABU), Nigeria, regarding AI-assisted diagnostics in healthcare, including the gaps in the current MPH curriculum concerning AI literacy. Methods: The study adopted a quantitative cross-sectional descriptive survey design. Data from 205 ABU MPH students recruited via simple random sampling were collected using researcher-constructed 16-item questionnaires, organized into four sections, and sent via email on Google Form. KAP were measured on 3-point Likert scale. The collected data were analyzed in descriptive statistics using SPSS version 28. Results: The response rate was 99%. The findings revealed moderate levels of knowledge about AI tools (73.3%), positive attitudes toward their use (73.8%), but limited practical experience and dissatisfaction (29.5%) with the current level of AI training in the MPH curriculum. Students supported incorporating AI-related courses and experiential learning opportunities into MPH program (72.5%). Conclusion: These results highlight the need for targeted interventions to enhance AI literacy among MPH students and prepare them for the ethical and practical integration of AI technologies in healthcare. The study contributes to the discourse on modernizing public health education and provides actionable recommendations for policymakers, educators, and healthcare institutions. Future research should explore longitudinal trends and cross-cultural perspectives to inform AI adoption strategies in public health practice.
subject: Original Articles
  topic: section
subject: Artificial Intelligence
  topic: keywords
subject: Health Knowledge
  topic: keywords
subject: Attitudes
  topic: keywords
subject: Public Health
  topic: keywords
subject: Nigeria
  topic: keywords
subject: Practice
  topic: keywords
subject: Zaria
  topic: keywords
creator: Danladi Samuel
creator: Japhet Jonah
creator: Gabriel Samuel
creator: Ijuptil Amos
creator: Regina Eche
creator: Ali Makinta
creator: Hadiza Musa
rights: Copyright (c) 2025 Danladi Sam Samuel, Japhet Haruna Jonah, Gabriel Samuel, Ijuptil Amos, Regina Chimsom Eche, Ali Kime Makinta, Hadiza Musa https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2025-10-18
publication date: 2025-10-18
starting page: 1268
ending page: 1275
doi: 10.71637/tnhj.v25i3.1187

Users’ Satisfaction with Wheeled Mobility Assistive in Kinshasa and Goma, Democratic Republic of Congo
type: item
description: Background: Wheeled mobility assistive devices greatly assist individuals with disabilities. In the Democratic Republic of Congo (DRC), a country in armed conflict, no study has been conducted to describe the satisfaction with mobility assistive devices in adults with chronic spinal cord injuries (ACSCI). The aim of this study was to describe the level of satisfaction related to adult with spinal cord injury use of wheeled mobility assistive devices. Methods: This descriptive cross-sectional study involves 126 ACSCI in Goma and Kinshasa between January 2020 and June 2021. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) was used to assess the intrinsic qualities and services of wheeled mobility assistive devices. Statistical analysis included the chi-squared test or Fisher’s exact test with post-hoc Bonferroni correction. Results: Overall, participants reported being moderately satisfied with intrinsic qualities. Notably, they expressed high satisfaction with solidity (32.5%, p= 0.003) and general satisfaction with efficacy (48.3%, p= 0.036). However, there was notable dissatisfaction with dimensions and weight (equality: 33.3%, p < 0.001). Regarding services, adult with spinal cord injury participants demonstrated a significant level of dissatisfaction with the cost (54.8%, p < 0.001). Conclusion: The study highlights significant disparities in the provision and use of WMADs among ACSCIs. While users were generally moderate in their satisfaction with the intrinsic qualities of the devices, they were not satisfied with the service-related aspects. To address these issues, a user-centred national strategy is essential to ensure equitable access to affordable, locally appropriate mobility aids supported by qualified professionals.
subject: Original Articles
  topic: section
subject: Users’ satisfaction
  topic: keywords
subject: Wheeled mobility assistive devices
  topic: keywords
subject: Wheelchair
  topic: keywords
subject: Democratic Republic of Congo
  topic: keywords
creator: Maurice Mabanza
creator: M. B. Biwata
creator: O. V. P. Lofuta
creator: L. A-M Nzinga
creator: K. H. Tshongo
creator: E. G. Ntsambi
creator: R. A. Buhendwa
creator: B. K. H. Nkakudulu
rights: Copyright (c) 2025 Mabanza M. M., Biwata M. B., Lofuta O. V. P., Nzinga L. A-M, Tshongo K. H., Ntsambi EG, Buhendwa R. A., Nkakudulu B. K. H. https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2025-10-18
publication date: 2025-10-18
starting page: 1258
ending page: 1267
doi: 10.71637/tnhj.v25i3.1180

Depressive Symptoms and Self-Esteem in Moroccan School Children: Public Health Implications from a Cross-Sectional Study
type: item
description: Background: The depressive state negatively affects self-esteem, particularly among younger age groups. This study aims to explore how depression affects self-esteem in children attending a primary school in Kenitra. Objective: This study aims to examine the effects of depressive states on self-esteem, in order to better understand the complex relationship that exists between these two dimensions of mental health. Methods: Our sample included 205 students (108 boys and 97 girls), aged 8 to 14 years, ranging from 3rd to 6th grade, from a primary school in Kenitra. To assess self-esteem, the Toulouse Self-Esteem Scale (ETES) was adopted, while the Children's Depression Inventory (CDI) was used to evaluate levels of depression. Results: Results shows that the children generally hold a positive self-image, with an average self-esteem score of 206.6 out of 300 (ranging from 138 to 264). However, as children grow older, self-esteem tends to decline. Girls consistently report lower self-esteem than boys throughout the age range. In terms of depression, both boys (17.08) and girls (16.91) scored below the clinical threshold of 19. Nonetheless, girls showed slightly higher overall rates of depression. While boys exhibited marginally lower scores, we observed that their depressive symptoms often emerge through irritability or aggression rather than sadness signaling an important area for attentions. Conclusion : This research highlights the particularly adverse impact of depressive states on the self-esteem of primary school students.
subject: Original Articles
  topic: section
subject: Academic context
  topic: keywords
subject: Depressive State
  topic: keywords
subject: Public Health Implication
  topic: keywords
subject: School Children
  topic: keywords
subject: Self-Esteem
  topic: keywords
subject: Morocco
  topic: keywords
creator: Imane Jaghror
creator: Mohammed El Aameri
creator: Hafida Jaghror Jaghror
creator: Zakaria Abidli
creator: Leila Bikjdaouene
rights: Copyright (c) 2025 Imane Jaghror, Mohammed El Aameri, Hafida Jaghror, Zakaria Abidli, Leila Bikjdaouene https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2025-10-18
publication date: 2025-10-18
starting page: 1248
ending page: 1257
doi: 10.71637/tnhj.v25i3.1179