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Papers by Clementina Nwankwo

The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among H... more The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. Recommendations: Health care providers or mentor mothers in the health care facilities should give more attention to the HIV positive pregnant women working in the informal sector and unemployed than the women working in the formal sector in regards to their adherence to ART.

African Journal of Infectious Diseases, May 6, 2022

Background: Healthcare providers have been at the Front line the response to the COVID-19 disease... more Background: Healthcare providers have been at the Front line the response to the COVID-19 disease. Many of them have contracted the disease, and some of them already dead. This study assessed the knowledge, compliance with preventive measures and determined the relationship between knowledge and practice of preventive strategies to COVID-19 among nurses working in a selected hospital in South-South Nigeria. Materials and methods: A cross-sectional descriptive design guided the study. Census method guided the recruitment of all the 378 nurses in the hospital who met the study's inclusion criteria. Results: Majority (360 [95.2%]) of the nurses had good knowledge of the preventive measures to COVID-19 and 311 (82.4%) of the nurses adhere strictly to practice of the preventive strategies to COVID-19. Educational level and years of experience are determinants of knowledge about preventive measures to COVID-19 (p<0.05 respectively) while knowledge, sex, level of education, years of experience, and unit of practice are determinants of compliance to preventive measures to COVID-19 among the nurses (p<0.001). Female nurses (p=0.012), RN/RM qualified nurses (p=0.037), nurses with more than five years of experience, and those in children ward (p=0.020) and maternity complex (p=0.003) significantly comply more to the preventive measures for COVID-19 as shown by their adjusted odds ratios. Conclusion: As knowledge of COVID-19 preventive strategies continues to increase among health workers, there is a need to translate this knowledge into adequate practice in order to minimise the hazardous effect of the pandemic on the health workers especially nurses.

Cerebro vascular accident “CVA or stroke refers to any functional abnormality of the central nerv... more Cerebro vascular accident “CVA or stroke refers to any functional abnormality of the central nervous system that occurs when the normal blood supply to the brain is disrupted. Stroke is a major cause of morbidity and mortality in the world and has become a threat to human survival; hence this paper discusses the role ofnurses in provision of information on stroke, its prevention and self care. Some recommendations were also proffered by the writers to help minimize the occurrence of stroke and the amount of lives lost through it.

International journal of medical science and health research, 2022

This study focused on the utilization of intermittent preventive treatment of malaria in pregnanc... more This study focused on the utilization of intermittent preventive treatment of malaria in pregnancy in rural areas of Enugu State Methods: A descriptive survey was conducted among booked pregnant women (younger & older) in thirteen (13) rural Local Government Areas of Enugu State. Data were collected using a self-structured questionnaire titled "Predictors of Utilization of Intermittent Preventive Treatment of Malaria in Pregnancy Questionnaire (PUIPTPQ)".The research questions were answered using mean scores and standard deviations. In testing the hypotheses at.05 level of significance set for this study, z-test statistic was used. Results: The responses of the respondents on how parity predicts utilization of IPTp showed that the cluster mean was 2.80 with a corresponding standard deviation of 0.82.The responses of the respondents on how level of education predicts utilization of IPTp showed that their cluster mean was 3.02 with a corresponding standard deviation of .83. The responses of the respondents on how employment predicts utilization of IPTp showed that their cluster mean was 3.00 with a corresponding standard deviation of .81.The responses of the respondents on how marital status predicts utilization of IPTp showed that their cluster mean was 3.03 with a corresponding standard deviation of .82. The responses of the respondents on how antenatal visits predict utilization of IPTp showed that their cluster mean was 2.91 with a corresponding standard deviation of .80. The responses of the respondents on how gestational age at booking predicts the utilization of IPTp showed that their cluster mean was 2.95 with a corresponding standard deviation of .83. Conclusion: The study concluded that factors like parity, level of education, employment status, marital status, scheduled antenatal visits and gestational age at booking affect the utilization of intermittent preventive treatment of malaria among pregnant women in rural areas in Enugu State. Also the hypothesis tested showed that there is no significant difference between the mean ratings of younger and older pregnant women in rural areas of Enugu State on the utilization of

Zenodo (CERN European Organization for Nuclear Research), May 4, 2023

The study evaluated the perception towards preceptorship as measure to improve clinical performan... more The study evaluated the perception towards preceptorship as measure to improve clinical performance among student nurses in Anambra state and also determined the association between some demographic variables and their perception towards preceptorship. Descriptive cross-sectional design was adopted for the study. The participants were 315 nursing students who were selected by simple random sampling technique. Instrument used for data collection were the researcher's demographic questionnaire and an adapted CLES+T evaluation scale/questionnaire. Data were analyzed using SPSS software version 23. Descriptive statistics was presented in frequency tables and percentages, some were weighted using the five-point likert-like scale, while inferential statistics of chi-square was used to determine the association between the variables in the hypotheses at p-value <0.005 significance level. Findings showed that the level of perception of the students towards preceptorship was good-88.9%. It was revealed that the class level (X 2 = 4.70:p=0.195); gender (X 2 = 0.06: p=0.808), and nursing program (X 2 = 0.26: p=0.871) of the students had no significant relationship with their level of perception towards preceptorship. Evaluation of the perception of the student nurses towards preceptorship program is a great asset in nursing education. The knowledge and practice could help the nursing institutions, preceptors and the professional body to make better and productive plans; knowing the students' potentials and weaknesses, and finding best ways to maximize and lay focus respectively. Individual evaluation of the student nurses should be considered, where possible and evaluative collaboration between hospital management and nursing institutions are recommended.

American Journal of Health, Medicine and Nursing Practice

Purpose: The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART... more Purpose: The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. Methodology: A cross-sectional descriptive design was adopted in conducting the study among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. A sample size of one hundred and forty six (146) HIV positive pregnant women was selected by purposive and convenience sampling techniques. Adult AIDS Clinical Trial Group (AACTG) standardized questionnaire was used in data collection which were analyzed with IBM SPSS software database (version 25). Chi square was used for test of hypotheses at p < 0.05 level of significance. Findings: Results revealed that the women with parity less than 4 (105(89%) were more adherent to ART; the women with primary education as highest level of education (13(92.9%) were more adherent to ART; th...

Advances in Health and Behavior

The study was a cross-sectional survey, aimed at assessing the level of perceived stress, common ... more The study was a cross-sectional survey, aimed at assessing the level of perceived stress, common sources of perceived stress, physio-psycho-social responses and coping strategies to stress among student nurses undergoing training in Anambra State, Nigeria. A multistage sampling technique method was adopted for the study in which 183 student nurses from 4 different institutions were surveyed. Perceived stress scale (PSS) was used to determine the respondent’s level of stress and sources of stress. Physio-psycho-social response scale (PPSRS) was used to ascertain the respondent’s physio-psycho-social well-being, while coping behaviour inventory (CBI) was used to assess the respondents coping strategies. Results showed that 77.66 % of the participants had moderate level of perceived stress (mean score range 1.34-2.66), while 8.83 % had high level of stress (mean score range 2.67-4.00) and 13.51 % low stress level (mean score range 0-1.33). The major source of stress for most of the stu...

GSC Advanced Research and Reviews, Jan 30, 2023

Anthropometric indices are commonly used to assess nutritional status, health, and development of... more Anthropometric indices are commonly used to assess nutritional status, health, and development of children as well as the whole population. Nutritional status depends on dietary intake of food, nutrients, diseases and overall health status, and health care practices, which indirectly affects the educational performances. This study focused on anthropometric indices and academic performance of primary school pupils in rural and urban area of Enugu South Local Government Area, Enugu State, Nigeria. The objectives of the study were to determine the anthropometric indices (height-forage , weight-forage and body mass index (BMI-forage) among primary school pupils, assess the academic performance of primary School pupils and to determine the association of anthropometric indices (nutritional status) of primary school pupils in Enugu South Local Government Area of Enugu State with their academic performance. Descriptive cross sectional research design was utilized for the study; a sample of 434 respondents (from 5 public primary schools in rural and urban areas) was selected through multistage sample technique. 420 copies of questionnaire were completely returned giving a response rate of 96.7%. Data were collected using researcher's structured questionnaire on anthropometric indices and academic performance of primary school children. Data collected were analyzed using frequencies, percentages, mean, standard deviation and chi square with the use of SPSS Version 23.0 at P< 0.01. The results showed that a lesser proportion of primary school pupils were moderately stunted (2.1%) regarding heightfor-age, moderately underweight (19.8%) regarding weight-forage and moderately thin (3.8%) regarding BMI-forage. Higher proportion of pupils in Schools in rural area were moderately thin, stunted and underweight than those in Urban areas (13.8%, 9.2% and 21.8%) respectively. 28.1% of the respondents had low score of < 50%, 41.7 % had average score of 50 %-74 % and 30.2 % had high score of >75 % in their academic performance. A greater proportion of the pupils were rated as average. Higher proportion of pupils in rural area had low academic performance (29.9 %).There was significant association between anthropometric indices and academic performance (P < 0.01). Health promotion and nutritional information should be disseminated as a matter of urgency to parents and caregivers of the children because they play a great role in meeting the nutritional needs of the children as well as determining their nutritional status.

American journal of health, medicine and nursing practice, Apr 27, 2022

American Journal of Health, Medicine and Nursing Practice

Purpose: This study determined factors influencing the use of oral rehydration solution among mot... more Purpose: This study determined factors influencing the use of oral rehydration solution among mothers with children below five years of age attending Holy Rosary Specialist Hospital and Maternity Waterside in Onitsha North LGA, Anambra State. Methodology: A cross-sectional descriptive design was adopted in conducting the study among mothers with children under five years attending Rosary Specialist Hospital and Maternity, Waterside in Onitsha North Local Government Area, Anambra State. A sample size of one hundred and fifty (150) women was selected by convenience sampling techniques. A self-structured questionnaire with a reliability coefficient of 0.98 was used in gathering the necessary data suitable for the study which were analysed with SPSS version 20.0. Findings: It was discovered that majority of the women 141(94.6%) have heard of ORS and they have adequate understanding of the solution, the two different types of oral rehydration solutions (that is solution from oral rehydra...

African Journal of Infectious Diseases

Background: Healthcare providers have been at the Front line the response to the COVID-19 disease... more Background: Healthcare providers have been at the Front line the response to the COVID-19 disease. Many of them have contracted the disease, and some of them already dead. This study assessed the knowledge, compliance with preventive measures and determined the relationship between knowledge and practice of preventive strategies to COVID-19 among nurses working in a selected hospital in South-South Nigeria. Materials and methods: A cross-sectional descriptive design guided the study. Census method guided the recruitment of all the 378 nurses in the hospital who met the study's inclusion criteria. Results: Majority (360 [95.2%]) of the nurses had good knowledge of the preventive measures to COVID-19 and 311 (82.4%) of the nurses adhere strictly to practice of the preventive strategies to COVID-19. Educational level and years of experience are determinants of knowledge about preventive measures to COVID-19 (p<0.05 respectively) while knowledge, sex, level of education, years of...

International Journal of Midwifery Nursing, Apr 14, 2021

World Journal of Advanced Research and Reviews, 2022

The increase demand for healthcare, technology advancement and knowledge explosion has necessitat... more The increase demand for healthcare, technology advancement and knowledge explosion has necessitated a paradigm shift from nursing practice which was based on intuition and tradition to evidence-based practice in nursing. EBP is a concept that has not been widely utilized by most nurses working in clinical setting in Nigeria according to previous documentation. Therefore, this study aimed to explore and describe the perception and utilization of evidence-based practice among nurses working in Federal Teaching Hospital in Edo state. A cross sectional descriptive survey design was adopted to assess the perception and utilization of evidence-based practice among nurses working in tertiary hospitals in Nigeria; Irrua Specialist Teaching Hospital and University of Benin Teaching Hospital both in Edo State. A sample size of 334 nurses working in the two teaching hospitals in Edo state was obtained using a proportionate sampling technique. The instrument used for data collection was a stand...

Infection during pregnancy is one of the leading causes of maternal mortality. This study was aim... more Infection during pregnancy is one of the leading causes of maternal mortality. This study was aimed to determine the infection preventive health behaviours during pregnancy among pregnant mothers attending Antenatal clinic in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, using a descriptive survey approach. A ten item self-structured questionnaire with a reliability coefficient of 0.99 was used as instrument of data collection from a sample size of 120 randomly selected using a convenient sampling technique. The direct service system was employed to ensure 100% return of instrument. The data collected were presented in frequency tables and chart. Analysis was done using simple percentage distribution table and the hypothesis was tested using chi square analysis technique at the alpha level of 0.05 with the aid of social science statistical package. The findings obtained revealed that the perceived predisposing factors to infection during pregnancy among women of...

International Journal of Studies in Nursing, 2020

Exclusive breastfeeding (EBF) plays a pivotal role in determining the optimal health and developm... more Exclusive breastfeeding (EBF) plays a pivotal role in determining the optimal health and development of infants with reduction in infant mortality. This study focuses on those factors which place nursing mothers in the likelihood of not adopting and practicing EBF. It is a descriptive study that utilized a multi-stage sampling technique. A structured questionnaire, mean and standard deviation were used. The result shows that the EBF practice among nursing mothers is high with a grand mean and standard deviation of 2.75 (0.61). Those with secondary qualification and below had 3.10(0.37) while tertiary had 2.23 (0.41). Mothers aged 25 and below had 3.39 (0.14) and above age 25 had 2.57(0.52).Parity of 1-4 had 2.93 (0.47) while parity of 5 and above had 1.93 (0.34). Married and single mothers had 2.75 (0.61) and 1.26 (0.05) respectively. Effective EBF education is needed to reduce socio-demographic factors that hinder mothers’ practice of EBF.

Clinics in Mother and Child Health, 2018

Introduction: Weaning is a time during which the mother and her new born baby are expected to adj... more Introduction: Weaning is a time during which the mother and her new born baby are expected to adjust to the emotional and nutritional demands of life processes including weaning food required for growth and development. The purpose of this study was to determine the weaning practices of breastfeeding mothers attending Postnatal and Child Welfare services in rural communities of Enugu North Local Government Area of Enugu State-Nigeria. Methods: A descriptive research design was used. A convenient sample of 221 mothers was used. Interview guide was the instrument used for data collection. Results: Result revealed that only 5.0% of mothers had no formal educations. 50.2% of mothers were civil servants; 12.2% were students; 24.4% were traders. Only 11.8% were full time house wife. Only 40.7% actually know the real meaning of weaning. Sources of information include: Health workers; parent/sisters in laws; printed materials. All mothers breast fed their infants. Weaning was started as early as less than two months by 4.5% of mothers, while up to 82.4% started between 7-9 months of age. Discussion: Adult diet were introduced as early as the first two months of life; major sources of information were health workers, parents, husband and significant others. Weaning was started at less than two months of age but majority started from seven months and above. Reasons weaning the infant are varied: mother being pregnant, insufficient breast milk, wish of husband, mother and relations were the main reasons provided for starting weaning infants. Conclusion: Mothers were health educated on proper meaning of weaning, timing; and suitable local food mixes to use, as well as implications for poor weaning.

The International Journal of Aging and Society, 2017

Journal of Nursing Education and Practice, 2020

Background: Nigeria records high maternal deaths despite available antenatal care services in the... more Background: Nigeria records high maternal deaths despite available antenatal care services in the country. This review aims to synthesise literature on barriers affecting access to midwife-led antenatal care (ANC) among pregnant women in Nigeria.Methods: This is a systematic literature review and involved searching of studies done in Nigeria and published between 2007 and 2018. MEDLINE 1946 to present, CINAHL, JBI, and Pubmed Central were electronically searched to identify studies on barriers affecting access to midwife-led ANC among pregnant women in Nigeria. Reference lists were hand-searched, Grey literature; Google scholar, and NuSearch e-dissertation were also searched. Citation chaining was also used. Twenty articles met the inclusion and exclusion criteria while only seven out of the twenty were included in the review after quality appraisal.Results: The data synthesis of the literature review showed disproportionate absence of the use of midwife-led ANC in this population....

The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among H... more The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. Recommendations: Health care providers or mentor mothers in the health care facilities should give more attention to the HIV positive pregnant women working in the informal sector and unemployed than the women working in the formal sector in regards to their adherence to ART.

African Journal of Infectious Diseases, May 6, 2022

Background: Healthcare providers have been at the Front line the response to the COVID-19 disease... more Background: Healthcare providers have been at the Front line the response to the COVID-19 disease. Many of them have contracted the disease, and some of them already dead. This study assessed the knowledge, compliance with preventive measures and determined the relationship between knowledge and practice of preventive strategies to COVID-19 among nurses working in a selected hospital in South-South Nigeria. Materials and methods: A cross-sectional descriptive design guided the study. Census method guided the recruitment of all the 378 nurses in the hospital who met the study's inclusion criteria. Results: Majority (360 [95.2%]) of the nurses had good knowledge of the preventive measures to COVID-19 and 311 (82.4%) of the nurses adhere strictly to practice of the preventive strategies to COVID-19. Educational level and years of experience are determinants of knowledge about preventive measures to COVID-19 (p<0.05 respectively) while knowledge, sex, level of education, years of experience, and unit of practice are determinants of compliance to preventive measures to COVID-19 among the nurses (p<0.001). Female nurses (p=0.012), RN/RM qualified nurses (p=0.037), nurses with more than five years of experience, and those in children ward (p=0.020) and maternity complex (p=0.003) significantly comply more to the preventive measures for COVID-19 as shown by their adjusted odds ratios. Conclusion: As knowledge of COVID-19 preventive strategies continues to increase among health workers, there is a need to translate this knowledge into adequate practice in order to minimise the hazardous effect of the pandemic on the health workers especially nurses.

Cerebro vascular accident “CVA or stroke refers to any functional abnormality of the central nerv... more Cerebro vascular accident “CVA or stroke refers to any functional abnormality of the central nervous system that occurs when the normal blood supply to the brain is disrupted. Stroke is a major cause of morbidity and mortality in the world and has become a threat to human survival; hence this paper discusses the role ofnurses in provision of information on stroke, its prevention and self care. Some recommendations were also proffered by the writers to help minimize the occurrence of stroke and the amount of lives lost through it.

International journal of medical science and health research, 2022

This study focused on the utilization of intermittent preventive treatment of malaria in pregnanc... more This study focused on the utilization of intermittent preventive treatment of malaria in pregnancy in rural areas of Enugu State Methods: A descriptive survey was conducted among booked pregnant women (younger & older) in thirteen (13) rural Local Government Areas of Enugu State. Data were collected using a self-structured questionnaire titled "Predictors of Utilization of Intermittent Preventive Treatment of Malaria in Pregnancy Questionnaire (PUIPTPQ)".The research questions were answered using mean scores and standard deviations. In testing the hypotheses at.05 level of significance set for this study, z-test statistic was used. Results: The responses of the respondents on how parity predicts utilization of IPTp showed that the cluster mean was 2.80 with a corresponding standard deviation of 0.82.The responses of the respondents on how level of education predicts utilization of IPTp showed that their cluster mean was 3.02 with a corresponding standard deviation of .83. The responses of the respondents on how employment predicts utilization of IPTp showed that their cluster mean was 3.00 with a corresponding standard deviation of .81.The responses of the respondents on how marital status predicts utilization of IPTp showed that their cluster mean was 3.03 with a corresponding standard deviation of .82. The responses of the respondents on how antenatal visits predict utilization of IPTp showed that their cluster mean was 2.91 with a corresponding standard deviation of .80. The responses of the respondents on how gestational age at booking predicts the utilization of IPTp showed that their cluster mean was 2.95 with a corresponding standard deviation of .83. Conclusion: The study concluded that factors like parity, level of education, employment status, marital status, scheduled antenatal visits and gestational age at booking affect the utilization of intermittent preventive treatment of malaria among pregnant women in rural areas in Enugu State. Also the hypothesis tested showed that there is no significant difference between the mean ratings of younger and older pregnant women in rural areas of Enugu State on the utilization of

Zenodo (CERN European Organization for Nuclear Research), May 4, 2023

The study evaluated the perception towards preceptorship as measure to improve clinical performan... more The study evaluated the perception towards preceptorship as measure to improve clinical performance among student nurses in Anambra state and also determined the association between some demographic variables and their perception towards preceptorship. Descriptive cross-sectional design was adopted for the study. The participants were 315 nursing students who were selected by simple random sampling technique. Instrument used for data collection were the researcher's demographic questionnaire and an adapted CLES+T evaluation scale/questionnaire. Data were analyzed using SPSS software version 23. Descriptive statistics was presented in frequency tables and percentages, some were weighted using the five-point likert-like scale, while inferential statistics of chi-square was used to determine the association between the variables in the hypotheses at p-value <0.005 significance level. Findings showed that the level of perception of the students towards preceptorship was good-88.9%. It was revealed that the class level (X 2 = 4.70:p=0.195); gender (X 2 = 0.06: p=0.808), and nursing program (X 2 = 0.26: p=0.871) of the students had no significant relationship with their level of perception towards preceptorship. Evaluation of the perception of the student nurses towards preceptorship program is a great asset in nursing education. The knowledge and practice could help the nursing institutions, preceptors and the professional body to make better and productive plans; knowing the students' potentials and weaknesses, and finding best ways to maximize and lay focus respectively. Individual evaluation of the student nurses should be considered, where possible and evaluative collaboration between hospital management and nursing institutions are recommended.

American Journal of Health, Medicine and Nursing Practice

Purpose: The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART... more Purpose: The study ascertained determinants of adherence to option B+ antiretroviral therapy (ART) among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. Methodology: A cross-sectional descriptive design was adopted in conducting the study among HIV positive pregnant women attending antenatal clinics at tertiary health institutions in Anambra state. A sample size of one hundred and forty six (146) HIV positive pregnant women was selected by purposive and convenience sampling techniques. Adult AIDS Clinical Trial Group (AACTG) standardized questionnaire was used in data collection which were analyzed with IBM SPSS software database (version 25). Chi square was used for test of hypotheses at p < 0.05 level of significance. Findings: Results revealed that the women with parity less than 4 (105(89%) were more adherent to ART; the women with primary education as highest level of education (13(92.9%) were more adherent to ART; th...

Advances in Health and Behavior

The study was a cross-sectional survey, aimed at assessing the level of perceived stress, common ... more The study was a cross-sectional survey, aimed at assessing the level of perceived stress, common sources of perceived stress, physio-psycho-social responses and coping strategies to stress among student nurses undergoing training in Anambra State, Nigeria. A multistage sampling technique method was adopted for the study in which 183 student nurses from 4 different institutions were surveyed. Perceived stress scale (PSS) was used to determine the respondent’s level of stress and sources of stress. Physio-psycho-social response scale (PPSRS) was used to ascertain the respondent’s physio-psycho-social well-being, while coping behaviour inventory (CBI) was used to assess the respondents coping strategies. Results showed that 77.66 % of the participants had moderate level of perceived stress (mean score range 1.34-2.66), while 8.83 % had high level of stress (mean score range 2.67-4.00) and 13.51 % low stress level (mean score range 0-1.33). The major source of stress for most of the stu...

GSC Advanced Research and Reviews, Jan 30, 2023

Anthropometric indices are commonly used to assess nutritional status, health, and development of... more Anthropometric indices are commonly used to assess nutritional status, health, and development of children as well as the whole population. Nutritional status depends on dietary intake of food, nutrients, diseases and overall health status, and health care practices, which indirectly affects the educational performances. This study focused on anthropometric indices and academic performance of primary school pupils in rural and urban area of Enugu South Local Government Area, Enugu State, Nigeria. The objectives of the study were to determine the anthropometric indices (height-forage , weight-forage and body mass index (BMI-forage) among primary school pupils, assess the academic performance of primary School pupils and to determine the association of anthropometric indices (nutritional status) of primary school pupils in Enugu South Local Government Area of Enugu State with their academic performance. Descriptive cross sectional research design was utilized for the study; a sample of 434 respondents (from 5 public primary schools in rural and urban areas) was selected through multistage sample technique. 420 copies of questionnaire were completely returned giving a response rate of 96.7%. Data were collected using researcher's structured questionnaire on anthropometric indices and academic performance of primary school children. Data collected were analyzed using frequencies, percentages, mean, standard deviation and chi square with the use of SPSS Version 23.0 at P< 0.01. The results showed that a lesser proportion of primary school pupils were moderately stunted (2.1%) regarding heightfor-age, moderately underweight (19.8%) regarding weight-forage and moderately thin (3.8%) regarding BMI-forage. Higher proportion of pupils in Schools in rural area were moderately thin, stunted and underweight than those in Urban areas (13.8%, 9.2% and 21.8%) respectively. 28.1% of the respondents had low score of < 50%, 41.7 % had average score of 50 %-74 % and 30.2 % had high score of >75 % in their academic performance. A greater proportion of the pupils were rated as average. Higher proportion of pupils in rural area had low academic performance (29.9 %).There was significant association between anthropometric indices and academic performance (P < 0.01). Health promotion and nutritional information should be disseminated as a matter of urgency to parents and caregivers of the children because they play a great role in meeting the nutritional needs of the children as well as determining their nutritional status.

American journal of health, medicine and nursing practice, Apr 27, 2022

American Journal of Health, Medicine and Nursing Practice

Purpose: This study determined factors influencing the use of oral rehydration solution among mot... more Purpose: This study determined factors influencing the use of oral rehydration solution among mothers with children below five years of age attending Holy Rosary Specialist Hospital and Maternity Waterside in Onitsha North LGA, Anambra State. Methodology: A cross-sectional descriptive design was adopted in conducting the study among mothers with children under five years attending Rosary Specialist Hospital and Maternity, Waterside in Onitsha North Local Government Area, Anambra State. A sample size of one hundred and fifty (150) women was selected by convenience sampling techniques. A self-structured questionnaire with a reliability coefficient of 0.98 was used in gathering the necessary data suitable for the study which were analysed with SPSS version 20.0. Findings: It was discovered that majority of the women 141(94.6%) have heard of ORS and they have adequate understanding of the solution, the two different types of oral rehydration solutions (that is solution from oral rehydra...

African Journal of Infectious Diseases

Background: Healthcare providers have been at the Front line the response to the COVID-19 disease... more Background: Healthcare providers have been at the Front line the response to the COVID-19 disease. Many of them have contracted the disease, and some of them already dead. This study assessed the knowledge, compliance with preventive measures and determined the relationship between knowledge and practice of preventive strategies to COVID-19 among nurses working in a selected hospital in South-South Nigeria. Materials and methods: A cross-sectional descriptive design guided the study. Census method guided the recruitment of all the 378 nurses in the hospital who met the study's inclusion criteria. Results: Majority (360 [95.2%]) of the nurses had good knowledge of the preventive measures to COVID-19 and 311 (82.4%) of the nurses adhere strictly to practice of the preventive strategies to COVID-19. Educational level and years of experience are determinants of knowledge about preventive measures to COVID-19 (p<0.05 respectively) while knowledge, sex, level of education, years of...

International Journal of Midwifery Nursing, Apr 14, 2021

World Journal of Advanced Research and Reviews, 2022

The increase demand for healthcare, technology advancement and knowledge explosion has necessitat... more The increase demand for healthcare, technology advancement and knowledge explosion has necessitated a paradigm shift from nursing practice which was based on intuition and tradition to evidence-based practice in nursing. EBP is a concept that has not been widely utilized by most nurses working in clinical setting in Nigeria according to previous documentation. Therefore, this study aimed to explore and describe the perception and utilization of evidence-based practice among nurses working in Federal Teaching Hospital in Edo state. A cross sectional descriptive survey design was adopted to assess the perception and utilization of evidence-based practice among nurses working in tertiary hospitals in Nigeria; Irrua Specialist Teaching Hospital and University of Benin Teaching Hospital both in Edo State. A sample size of 334 nurses working in the two teaching hospitals in Edo state was obtained using a proportionate sampling technique. The instrument used for data collection was a stand...

Infection during pregnancy is one of the leading causes of maternal mortality. This study was aim... more Infection during pregnancy is one of the leading causes of maternal mortality. This study was aimed to determine the infection preventive health behaviours during pregnancy among pregnant mothers attending Antenatal clinic in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, using a descriptive survey approach. A ten item self-structured questionnaire with a reliability coefficient of 0.99 was used as instrument of data collection from a sample size of 120 randomly selected using a convenient sampling technique. The direct service system was employed to ensure 100% return of instrument. The data collected were presented in frequency tables and chart. Analysis was done using simple percentage distribution table and the hypothesis was tested using chi square analysis technique at the alpha level of 0.05 with the aid of social science statistical package. The findings obtained revealed that the perceived predisposing factors to infection during pregnancy among women of...

International Journal of Studies in Nursing, 2020

Exclusive breastfeeding (EBF) plays a pivotal role in determining the optimal health and developm... more Exclusive breastfeeding (EBF) plays a pivotal role in determining the optimal health and development of infants with reduction in infant mortality. This study focuses on those factors which place nursing mothers in the likelihood of not adopting and practicing EBF. It is a descriptive study that utilized a multi-stage sampling technique. A structured questionnaire, mean and standard deviation were used. The result shows that the EBF practice among nursing mothers is high with a grand mean and standard deviation of 2.75 (0.61). Those with secondary qualification and below had 3.10(0.37) while tertiary had 2.23 (0.41). Mothers aged 25 and below had 3.39 (0.14) and above age 25 had 2.57(0.52).Parity of 1-4 had 2.93 (0.47) while parity of 5 and above had 1.93 (0.34). Married and single mothers had 2.75 (0.61) and 1.26 (0.05) respectively. Effective EBF education is needed to reduce socio-demographic factors that hinder mothers’ practice of EBF.

Clinics in Mother and Child Health, 2018

Introduction: Weaning is a time during which the mother and her new born baby are expected to adj... more Introduction: Weaning is a time during which the mother and her new born baby are expected to adjust to the emotional and nutritional demands of life processes including weaning food required for growth and development. The purpose of this study was to determine the weaning practices of breastfeeding mothers attending Postnatal and Child Welfare services in rural communities of Enugu North Local Government Area of Enugu State-Nigeria. Methods: A descriptive research design was used. A convenient sample of 221 mothers was used. Interview guide was the instrument used for data collection. Results: Result revealed that only 5.0% of mothers had no formal educations. 50.2% of mothers were civil servants; 12.2% were students; 24.4% were traders. Only 11.8% were full time house wife. Only 40.7% actually know the real meaning of weaning. Sources of information include: Health workers; parent/sisters in laws; printed materials. All mothers breast fed their infants. Weaning was started as early as less than two months by 4.5% of mothers, while up to 82.4% started between 7-9 months of age. Discussion: Adult diet were introduced as early as the first two months of life; major sources of information were health workers, parents, husband and significant others. Weaning was started at less than two months of age but majority started from seven months and above. Reasons weaning the infant are varied: mother being pregnant, insufficient breast milk, wish of husband, mother and relations were the main reasons provided for starting weaning infants. Conclusion: Mothers were health educated on proper meaning of weaning, timing; and suitable local food mixes to use, as well as implications for poor weaning.

The International Journal of Aging and Society, 2017

Journal of Nursing Education and Practice, 2020

Background: Nigeria records high maternal deaths despite available antenatal care services in the... more Background: Nigeria records high maternal deaths despite available antenatal care services in the country. This review aims to synthesise literature on barriers affecting access to midwife-led antenatal care (ANC) among pregnant women in Nigeria.Methods: This is a systematic literature review and involved searching of studies done in Nigeria and published between 2007 and 2018. MEDLINE 1946 to present, CINAHL, JBI, and Pubmed Central were electronically searched to identify studies on barriers affecting access to midwife-led ANC among pregnant women in Nigeria. Reference lists were hand-searched, Grey literature; Google scholar, and NuSearch e-dissertation were also searched. Citation chaining was also used. Twenty articles met the inclusion and exclusion criteria while only seven out of the twenty were included in the review after quality appraisal.Results: The data synthesis of the literature review showed disproportionate absence of the use of midwife-led ANC in this population....