kamilu labaran | Ahmadu Bello University, Zaria, Nigeria (original) (raw)
Papers by kamilu labaran
I am most grateful to One God; The Most Exalted and Benevolent, Who initiated my existence and pr... more I am most grateful to One God; The Most Exalted and Benevolent, Who initiated my existence and provided for me all I have especially this thesis. I am deeply indebted to my supervisor Professor Bilkisu Bello Maiha for supervising this research from proposal through writing this report. Secondly, for her motivation towards achieving this giant task, encouragement and motherly advice. Also, I am highly indebted to my cosupervisor Dr. Shafi'u Mohammed for supervising this research from conceptualisation through writing of this final report, and also for his challenging comments, which gave me more insight into the research area. I would also like to express my sincere appreciation to my co-supervisor Dr. Abdulganiyu Giwa for the attentive meetings I had with him before conceptualising this research and for providing some reference materials used in this thesis. I am thankful to my family for their prayers and encouragements. This acknowledgement would not be complete without gratitude to all the participants whose medication information was used for this research.
Background: Inappropriate antibiotic use is a public health problem worldwide. Misuse of these ag... more Background: Inappropriate antibiotic use is a public health problem worldwide. Misuse of these agents is one of the drivers of antimicrobial resistance (AMR), which is believed to be the next pandemic. Consequently, auditing antimicrobial prescription patterns can provide useful information on the scope and extent of this problem. Objective: The aim of this study was to describe outpatient antimicrobial drug prescribing at the National Health Insurance Scheme (NHIS) unit of Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Methodology: This was a descriptive drug utilization study carried out prospectively during a 2 week period in May 2015. Six objective World Health Organization (WHO) indicators were used to assess the rationality of antimicrobial prescribing at the site. Data collected on antimicrobials included type, route of administration, dose and dosing frequency as well as length of therapy. Average costs (both prescription and antibiotic) were obtained by dividing...
International Journal of Pharmacy Practice
Objective To describe outpatient medication dispensing and counselling processes in pharmacies lo... more Objective To describe outpatient medication dispensing and counselling processes in pharmacies located in eight hospitals in North-Western Nigeria. Methods An observational study was conducted from January to March 2020 in 19 hospital pharmacies located in the eight hospitals. Two types of observations were carried out, structured observations to describe the content of patient medication counselling encounters and general observations of other activities. Quantitative data were generated from the structured observations, whereas qualitative data were collected from field notes and informal discussions with dispensers. Data collected during the structured observations were descriptively analysed, whereas other data collected during the general observation periods were grouped and organized into categories. Key findings A total of 782 patient counselling encounters were observed during the structured observations. The most frequent types of information provided by the dispensers duri...
Pharmacy Practice
Background: Despite the importance of medication counselling for patients, it is common knowledge... more Background: Despite the importance of medication counselling for patients, it is common knowledge that it is often sub-optimally carried out by pharmacy staff. While some interventions have been designed to help improve counselling, no study till date has used the Capability Opportunity and Motivation behavior model (COM-B) or Theoretical Domains Framework (TDF) as a basis for identifying evidence-based intervention strategies to improve medication counselling. Objective: To understand barriers/facilitators to optimal medication counselling by conducting a behavioral analysis using the COM-B model and TDF, and use the Behavior Change Wheel (BCW) as a basis for identifying evidence-based intervention strategies and policy categories that could be used to improve outpatient medication counselling by pharmacy staff in hospital settings located within Northwest Nigeria. Methods: Semi-structured interviews were used to collect data from 25 purposively sampled pharmacy staff working at ei...
International Journal of Pharmacy Practice
Objectives Studies show that clinical pharmacy services are effective in optimizing medicines use... more Objectives Studies show that clinical pharmacy services are effective in optimizing medicines use and patients' outcomes. This study aimed to determine the clinical pharmacy services provided in public sector hospitals in Nigeria. Methods This was an online survey of 296 primary, secondary and tertiary care hospitals sampled purposively across the 36 States and Federal Capital Territory in Nigeria. Data analysis was conducted descriptively via χ 2 test and multivariate analysis of variance (MANOVA). Key findings Responses were obtained from 272 hospitals in the country with a survey completion rate of 88%. This included 55 tertiary, 72 secondary and 145 primary healthcare centres (PHCs). Pharmacists provided pharmaceutical care services in all the tertiary care hospitals, 94% of the secondary and in only 6% of the PHCs surveyed. Most of the secondary and tertiary care hospitals provided medicines information, patient education and counselling, and in-patient dispensing services ...
Tropical Medicine & International Health
Tropical Medicine & International Health
VALIDITY EVIDENCE OF ADAPTED HAUSA VERSION OF 8-ITEM MORISKY MEDICATION ADHERENCE SCALE AMONG HYPERTENSIVE PATIENTS IN NORTH-WESTERN NIGERIA, 2018
Adherence to antihypertensive medication is the cornerstone for achieving hypertension control. M... more Adherence to antihypertensive medication is the cornerstone for achieving hypertension control. Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used self-reported medication adherence measures. The aim of this study was to examine the evidence of the validity of adapted Hausa MMAS-8 in assessing adherence among hypertensive patients in North-western Nigeria. In a longitudinal interventional study of individuals with hypertension, self-reported adherence to the antihypertensive drug treatment was measured using the Morisky Medication Adherence Scale-8. We assessed the internal consistency of the Morisky Medication Adherence Scale-8 with Cronbach’s alpha, and factorial validity was assessed by identifying the underlying components using principal component analyses (PCA). A total of 130 individuals completed the study. Cronbach’s alpha was 0.79. Two components were identified. One component comprised six items: stopping medication when hypertension is under control, stopping when feeling hassled about sticking to the prescription. The second component comprised two other items that were all related to forgetfulness. A significant relationship between MMAS and diastolic blood pressure control (t = 2.2; p = .030), (χ2 = 6.6; p = .036) was found. The MMAS sensitivity and specificity, with positive and negative predictive values were 36%, 77%, 64%, and 52% respectively. The results suggest that the adapted Hausa Morisky Medication Adherence Scale-8 is a two-dimensional scale assessing intentional (first component) and unintentional (second component) nonadherence to the antihypertensive drug treatment. The findings of this validation study indicate that the Hausa version of the MMAS is a reliable and valid measure of medication adherence among hypertensive patients in North-western Nigeria.
Keywords: Adherence; Hypertension; MMAS-8; Validation
I am most grateful to One God; The Most Exalted and Benevolent, Who initiated my existence and pr... more I am most grateful to One God; The Most Exalted and Benevolent, Who initiated my existence and provided for me all I have especially this thesis. I am deeply indebted to my supervisor Professor Bilkisu Bello Maiha for supervising this research from proposal through writing this report. Secondly, for her motivation towards achieving this giant task, encouragement and motherly advice. Also, I am highly indebted to my cosupervisor Dr. Shafi'u Mohammed for supervising this research from conceptualisation through writing of this final report, and also for his challenging comments, which gave me more insight into the research area. I would also like to express my sincere appreciation to my co-supervisor Dr. Abdulganiyu Giwa for the attentive meetings I had with him before conceptualising this research and for providing some reference materials used in this thesis. I am thankful to my family for their prayers and encouragements. This acknowledgement would not be complete without gratitude to all the participants whose medication information was used for this research.
Background: Inappropriate antibiotic use is a public health problem worldwide. Misuse of these ag... more Background: Inappropriate antibiotic use is a public health problem worldwide. Misuse of these agents is one of the drivers of antimicrobial resistance (AMR), which is believed to be the next pandemic. Consequently, auditing antimicrobial prescription patterns can provide useful information on the scope and extent of this problem. Objective: The aim of this study was to describe outpatient antimicrobial drug prescribing at the National Health Insurance Scheme (NHIS) unit of Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Methodology: This was a descriptive drug utilization study carried out prospectively during a 2 week period in May 2015. Six objective World Health Organization (WHO) indicators were used to assess the rationality of antimicrobial prescribing at the site. Data collected on antimicrobials included type, route of administration, dose and dosing frequency as well as length of therapy. Average costs (both prescription and antibiotic) were obtained by dividing...
International Journal of Pharmacy Practice
Objective To describe outpatient medication dispensing and counselling processes in pharmacies lo... more Objective To describe outpatient medication dispensing and counselling processes in pharmacies located in eight hospitals in North-Western Nigeria. Methods An observational study was conducted from January to March 2020 in 19 hospital pharmacies located in the eight hospitals. Two types of observations were carried out, structured observations to describe the content of patient medication counselling encounters and general observations of other activities. Quantitative data were generated from the structured observations, whereas qualitative data were collected from field notes and informal discussions with dispensers. Data collected during the structured observations were descriptively analysed, whereas other data collected during the general observation periods were grouped and organized into categories. Key findings A total of 782 patient counselling encounters were observed during the structured observations. The most frequent types of information provided by the dispensers duri...
Pharmacy Practice
Background: Despite the importance of medication counselling for patients, it is common knowledge... more Background: Despite the importance of medication counselling for patients, it is common knowledge that it is often sub-optimally carried out by pharmacy staff. While some interventions have been designed to help improve counselling, no study till date has used the Capability Opportunity and Motivation behavior model (COM-B) or Theoretical Domains Framework (TDF) as a basis for identifying evidence-based intervention strategies to improve medication counselling. Objective: To understand barriers/facilitators to optimal medication counselling by conducting a behavioral analysis using the COM-B model and TDF, and use the Behavior Change Wheel (BCW) as a basis for identifying evidence-based intervention strategies and policy categories that could be used to improve outpatient medication counselling by pharmacy staff in hospital settings located within Northwest Nigeria. Methods: Semi-structured interviews were used to collect data from 25 purposively sampled pharmacy staff working at ei...
International Journal of Pharmacy Practice
Objectives Studies show that clinical pharmacy services are effective in optimizing medicines use... more Objectives Studies show that clinical pharmacy services are effective in optimizing medicines use and patients' outcomes. This study aimed to determine the clinical pharmacy services provided in public sector hospitals in Nigeria. Methods This was an online survey of 296 primary, secondary and tertiary care hospitals sampled purposively across the 36 States and Federal Capital Territory in Nigeria. Data analysis was conducted descriptively via χ 2 test and multivariate analysis of variance (MANOVA). Key findings Responses were obtained from 272 hospitals in the country with a survey completion rate of 88%. This included 55 tertiary, 72 secondary and 145 primary healthcare centres (PHCs). Pharmacists provided pharmaceutical care services in all the tertiary care hospitals, 94% of the secondary and in only 6% of the PHCs surveyed. Most of the secondary and tertiary care hospitals provided medicines information, patient education and counselling, and in-patient dispensing services ...
Tropical Medicine & International Health
Tropical Medicine & International Health
VALIDITY EVIDENCE OF ADAPTED HAUSA VERSION OF 8-ITEM MORISKY MEDICATION ADHERENCE SCALE AMONG HYPERTENSIVE PATIENTS IN NORTH-WESTERN NIGERIA, 2018
Adherence to antihypertensive medication is the cornerstone for achieving hypertension control. M... more Adherence to antihypertensive medication is the cornerstone for achieving hypertension control. Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used self-reported medication adherence measures. The aim of this study was to examine the evidence of the validity of adapted Hausa MMAS-8 in assessing adherence among hypertensive patients in North-western Nigeria. In a longitudinal interventional study of individuals with hypertension, self-reported adherence to the antihypertensive drug treatment was measured using the Morisky Medication Adherence Scale-8. We assessed the internal consistency of the Morisky Medication Adherence Scale-8 with Cronbach’s alpha, and factorial validity was assessed by identifying the underlying components using principal component analyses (PCA). A total of 130 individuals completed the study. Cronbach’s alpha was 0.79. Two components were identified. One component comprised six items: stopping medication when hypertension is under control, stopping when feeling hassled about sticking to the prescription. The second component comprised two other items that were all related to forgetfulness. A significant relationship between MMAS and diastolic blood pressure control (t = 2.2; p = .030), (χ2 = 6.6; p = .036) was found. The MMAS sensitivity and specificity, with positive and negative predictive values were 36%, 77%, 64%, and 52% respectively. The results suggest that the adapted Hausa Morisky Medication Adherence Scale-8 is a two-dimensional scale assessing intentional (first component) and unintentional (second component) nonadherence to the antihypertensive drug treatment. The findings of this validation study indicate that the Hausa version of the MMAS is a reliable and valid measure of medication adherence among hypertensive patients in North-western Nigeria.
Keywords: Adherence; Hypertension; MMAS-8; Validation