Nursing
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Item Midwives’ Knowledge and Readiness to Practice Antenatal Screening and Genetic Testing in selected Hospitals in Lagos, Nigeria(Mashhad University of Medical Sciences, 2021) Asafa, K.; Ndikom, C.; Adelanwa, A.Background & aim: The burden of congenital malformation can be decreased through two major approaches‐ primary prevention of those at risk through antenatal screening and improving survival for those affected. This study was conducted to investigate the knowledge and readiness of midwives to practice antenatal screening and genetic testing for congenital abnormalities. Methods: A cross‐sectional study among randomly selected 245 midwives across five maternal and child health government hospitals within Lagos metropolis in 2017. The validated self‐administered questionnaire having 3‐section; midwife’s demographic‐characteristics, knowledge and readiness of antenatal screening and genetic testing, with 0.74 reliability coefficient, was used to obtain information within five weeks after obtaining ethical approval. The obtained information was analysed using SPSS version 22. Results: The study findings revealed that 62.9% of the midwives had inadequate knowledge of antenatal screening and genetic testing for congenital abnormalities. Up to 82.4% were ready to practice antenatal screening and genetic testing for congenital abnormalities. The midwives’ level of knowledge was not significantly associated with their readiness to practice antenatal screening and genetic testing for congenital abnormalities (p=0.74), meanwhile, professional qualification (p = 0.003) and years of experience (p < 0.001) were significantly associated with readiness to practice antenatal screening and genetic testing. Conclusion: The study recommends that midwives should improve their knowledge and skills in genetic testing by attending both local and international training workshops/seminars. Midwives should be provided with the screening devices to facilitate the practice of antenatal screening and genetic testing for congenital abnormalities.Item The health of internally displaced children in sub-Saharan Africa: a scoping review(BMJ Publishing Group Ltd, 2020) Salami, B.; Iwuagwu, S.; Amodu, O.; Tulli, M.; Ndikom, C.; Gommaa, H.; Lavin, T.; Kariwo, M.Background: Internally displaced children are those who have been forced to flee their homes due to severe unfavourable conditions (war, violence or disasters) but have not crossed international borders. Emerging research shows these children face multiple health challenges. However, we found no review focused solely on the health of such internally displaced children. Thus, this review sought to examine what is known about their health and their health concerns. Methods: A scoping review of the literature was conducted. A total of 10 databases were searched in January 2019, yielding 6602 articles after duplicates were eliminated. Two research assistants independently selected articles that met inclusion criteria. A numerical summary and thematic analysis were conducted to facilitate data extraction and data analysis. Results: A total of 25 articles met the inclusion criteria, including 16 quantitative, 6 qualitative and 3 mixed methods studies. The findings reveal elevated mental health problems and infectious diseases in this population. Findings on the nutritional status of internally displaced children as a broad group are mixed, with some studies showing poorer nutritional status among the children in this group and others showing poorer nutritional health status among host society children. Internally displaced children also experience challenges with access to health services. Premigration factors (trauma) and postmigration factors (humanitarian assistance on displacement) all contribute to the health of internally displaced children. Conclusion: Findings provide insight into the complex array of factors influencing the health of internally displaced children. More intervention studies are required to address the needs of this population.