Misoprostol, Magnesium Sulphate and Anti-shock garment: A knowledge, availability and utilization study at the Primary Health Care Level in Western Nigeria
| Autor: | Ezekiel Sofela Oridota, Ifeoma P Okafor, Adeola O. Duduyemi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Nurse Midwives Science Primary health care Nigeria Midwifery Magnesium Sulfate 03 medical and health sciences 0302 clinical medicine Pregnancy Surveys and Questionnaires Statistical significance Primary health medicine Humans 030212 general & internal medicine Misoprostol Aged 030219 obstetrics & reproductive medicine Multidisciplinary Primary Health Care business.industry Retraining Mortality reduction Shock Middle Aged Checklist Shock (economics) Cross-Sectional Studies Maternal Mortality Family medicine Medicine Female business medicine.drug |
| Zdroj: | PLoS ONE, Vol 14, Iss 3, p e0213491 (2019) |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0213491 |
| Popis: | IntroductionNigeria has one of the highest maternal mortality ratios in the world. The nurses and midwives being the first point of contact play a central role in addressing these problems. This study was conducted to assess the knowledge and utilization of the technologies (misoprostol, anti-shock garment and magnesium sulphate) in the reduction of maternal mortality amongst the Primary Health Care (PHC) nurses and midwives in Lagos State, Nigeria. In addition, the availability of the technologies in the flagship Primary Health Centres (PHCs) was assessed.MethodsThis was a cross-sectional study among all the nurses and midwives at the flagship PHCs in Lagos state and a total of 230 were eventually studied. Data was collected using a self-administered, structured questionnaire and a checklist. Descriptive and inferential statistics were applied. Level of significance was set at 5% (pResultsAll the respondents were aware of the technologies but most (73.9%) had poor knowledge of them. Majority (74.8%) of the respondents had good knowledge of maternal mortality and its major causes. Most, 81.3% of the respondents have administered misoprostol, 37.0% magnesium sulphate while 52.2% have administered anti shock garment. Out of the 57 flagship PHCs, 27 (47.4%) had magnesium sulphate, 42 (73.7%) had misoprostol and 52 (91.2%) had anti-shock garments in their facilities. Respondents who were double qualified (nurse/midwife) had significantly better knowledge of maternal mortality and its major causes (p = 0.009) than the other cadres. Longer years of experience (p = 0.019), training in the use of misoprostol (p = 0.020) and training in the use of magnesium sulphate (p = 0.001) significantly improved knowledge of the technologies.ConclusionRespondents had good knowledge of maternal mortality and its major causes and poor knowledge of the technologies for maternal mortality reduction, despite the trainings attended. Of the three technologies considered, misoprostol was the most commonly used. Periodic refresher courses for the training and retraining of PHC nurses and midwives on the technologies for maternal mortality reduction is recommended. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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