Category Archives: NURSING SCIENCE PROJECT TOPICS

FACTORS INFLUENCING UTILIZATION OF PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMTCT) SERVICES AMONG PREGNANT WOMEN ATTENDING ANTE-NATAL CLINIC

ABSTRACT

This study sought to assess the factors influence the utilization of PMTCT services among pregnant women in antenatal clinic in University of Calabar Teaching Healthcare (UCTH), Calabar. The specific Objectives of the Study were: to assess the level of knowledge about PMTCT services, determine the socio-economic factors influencing utilization of PMTCT services and to identify the cultural/religion factors influencing utilization of PMTCT services among pregnant women in UCTH. Three research questions were raised and a hypothesis formulated to guide the study as follows: There is no significant relationship between level of knowledge and utilization of PMTCT services among women. The study was a descriptive research where 85 pregnant women who attended antenatal clinic in UCTH were selected through the purposive sampling technique. Data were collected by administering questionnaire. Data were analyzed using frequency tables and percentages, the findings of the study revealed that: Majority of the respondents have good knowledge about PMTCT services. The socio-economic factors influencing utilization of PMTCT services among pregnant women were: stigmatization and discrimination by healthcare personnel; dependence of women on their husbands to make healthcare decisions; distance to PMTCT facilities; unavailability of PMTCT services and attitude of health personnel (nurses) towards people living with HIV. Cultural/religious beliefs do not hinder utilization of PMTCT services. The hypothesis was tested for significance at 0.05 level and 1 degree of freedom, using the Chi-Square (X2) analysis. The result showed that the calculated value 55.45 is higher than the critical value (3.84). Thus, the null hypothesis was rejected, indicating that there is significant relationship between level of knowledge and utilization of PMTCT services among women. Based on the findings, conclusion was drawn. It was recommended amongst others that: there is need for involvement of the stakeholders in the healthcare system in bridging the gap between knowledge and utilization of PMTCT services among women.

Table of Contents

Title page    –        –        –        –        –        –        –        –        –        –        i

Certification-        –        –        –        –        –        –        –        –        –        ii

Dedication- –        –        –        –        –        –        –        –        –        –        iii

Acknowledgement-        –        –        –        –        –        –        –        –        iv

Abstract      –        –        –        –        –        –        –        –        –        –        v

Table of contents- –        –        –        –        –        –        –        –        –        vi

List of tables-       –        –        –        –        –        –        –        –        –        ix

CHAPTER ONE

INTRODUCTION

1.1            Background of the study-        –        –        –        –        –        –        –        -1

1.2     Statement of problems   –        –        –        –        –        –        –        -2

1.3     Purpose of the study-    –        –        –        –        –        –        –        -3

1.4     Objectives of the study- –        –        –        –        –        –        –        -3

1.5     Research questions-       –        –        –        –        –        –        –        -4

1.6     Hypothesis-          –        –        –        –        –        –        –        –        –        -4

1.7     Scope of the study –       –        –        –        –        –        –        –        -4

1.8       Significance of the study-      –        –        –        –        –        –        -4

1.9     Limitations-          –        –        –        –        –        –        –        –        –        -5

1.10   Operational definition of terms-        –        –        –        –        –        –        -5

CHAPTER TWO

LITERATURE REVIEW    

2.1Theoretically-       –        –        –        –        –        –        –        –        -6

2.1.2 Knowledge about prevention of mother to child transmission (PMTCT)   among pregnant women- –        –        –        –        –        –        –        -10

2.1.3  Factors influencing utilization of PMTCT-          –        –        –        –         12 2.2         Conceptual framework- –        –        –        –        –        –        –        -19

CHAPTER THREE

METHODOLOGY

3.1Research design-          –        –        –        –        –        –        –        –        -22

3.2      Research setting- –        –        –        –        –        –        –        –        -22

3.3     Research population-    –        –        –        –        –        –        –        -23

3.3.1  Target population-        –        –        –        –        –        –        –        –        -23

3.3.2   Accessible population- –        –        –        –        –        –        –        -23

3.4.1   Sample Size-       –        –        –        –        –        –        –        –        -23

3.4.2    Sampling technique-    –        –        –        –        –        –        –        -23

3.5     Instruments for data collection-        –        –        –        –        –        –        -24

3.6.1 Validity of the instrument-      –        –        –        –        –        –        -24

3.6.2  Reliability of the instrument-  –        –        –        –        –        –        -24

3.7   Method of Data Collection-     –        –        –        –        –        –        -25

3.8   Method of data analysis- –        –        –        –        –        –        –        -25

3.9   Ethical considerations-    –        –        –        –        –        –        –        -25

CHAPTER FOUR

DATA ANALYSIS AND RESULTS

4.1     Socio-Demographic Variables-         –        –        –        –        –        –        -26

4.2 Results for Research Questions- –        –        –        –        –        –        -28

4.3 Result of Research Hypothesis-  –        –        –        –        –        –        -34

CHAPTER FIVE

DISCUSSION OF FINDING

5.1     Discussion of Findings-          –        –        –        –        –        –        –        -36

5.1.1 The knowledge of pregnant women in UCTH about prevention and control of HIV/AIDS.-          –        –        –        –        –        –        –        –        –        -36

5.1.2  Socio-economic factors influencing utilization of PMTCT services among pregnant women.-      –        —       –        –        –        –        –        –        -37

5.1.3  Cultural/religion factors influencing utilization of PMTCT services among

pregnant women in UCTH.-    –        –        –        –        –        –        -38

5.1.4  Relationship between level of knowledge and utilization of PMTCT services among women-       –        –        –        –        –        –        –        -39

5.2                      Summary-   –        –        –        –        –        –        –        –        –        -39

5.3 Conclusion-    –        –        –        –        –        –        –        –        –        -41

5.4 Recommendations-  –        –        –        –        –        –        –        –        -41

REFERENCES

APPENDIX i (QUESTIONNAIRE)

APPENDIX ii (LETTER OF INTRODUCTION)

LIST OF TABLES

Table 1: Socio-Demographic Data

Table 2: Level of knowledge about PMTCT services among pregnant women in          UCTH

Table 3: Socio-economic factors influencing utilization of PMTCT service in     UCTH

Table 4: Cultural/ religious factors influencing utilization of PMTCT service in UCTH

Table 5: chi-square (X2 ) Analysis of the relationship between level of      knowledge and utilization of  PMTCT service

CHAPTER ONE

INTRODUCTION

1.2            Background of the study

The greatest challenge to human kind in the 21st century is the epidemic of Acquired immune Deficiency Syndrome (AIDS).Human Immune Deficiency Virus (HIV) is the causative organism of AIDS which was first discovered in the year 1981. Despite years of campaigns, advocacy, control programmes and awareness exercises taken to curb HIV/AIDS spread, there is still a worrisome rate of increase of the infection. According to UNAIDS (2006), about 33.3 million people are estimated to live with Human immune Deficiency virus globally; 22.5 million of this population are from the sub-Saharan Africa.

Over 55% of these people living with HIV are women of reproductive age who become pregnant. HIV infection in women of reproductive age increase the epidemic of peri-natal HIV (UNAIDS, 2006). About 2.5million children live with HIV globally and 1.8million are from sub-Saharan Africa. Worldwide, over 1700 children become infected with HIV daily (UNAIDS 2006).

In Nigeria, about 69,400 children became infected with HIV through mother-to-child transmission in 2011. This has led to a rise in the total number of children living with HIV in the country to an unprecedented 440,000 (UNAIDS, 2012).

Majumali, (2011), opined that, Virtually all HIV infection in children occurs following mother to child transmission during the antenatal period (pregnancy), intranatal period (labour/delivery) and the post-natal period. Mother-to-child transmission of HIV is about 5-10% during pregnancy, 10-20% during labour and 10-15% during breastfeeding.

There is an estimation of about 20-45% chances of a baby born to an HIV positive mother to become infected without effective interventions to prevention of mother-to-child transmission. With effective interventions, such as use of antiretroviral drugs both for mother formula feeding etc., the risk of mother to child transmission has been shown to reduce by 5%. Primary preventive measures (prevention of new infections in parents, avoiding new pregnancies in HIV infected women) and secondary preventive measures (preventing transmission of HIV from an infected mother to her infant) are the three approaches in reducing mother to child transmission (MTCT) promoted by the World Health  Organisation (WHO), (McIntyres $ Gray 2004).New approaches in preventing MTCT to <2% includes use of combined anti-retroviral prophylaxis, elective caesarean section and by avoiding prolonged breastfeeding or  mixed feeding.

In Nigeria, despite these preventives measures of mother to child transmission, research has shown poor utilization of these services. Thus, the need for this study.

1.2     Statement of problems

Mother to child transmission of HIV has a lot of impact on the health of the mother and infant including the economy of the country. MTCT increases the prevalence of HIV in infants thereby resulting in increased infant and maternal morbidity and mortality.

Despite the introduction of improved preventive services of MTCT of HIV over the years, HIV infections via MTCT (vertically/ perinatal transmission) is still on the increase in Nigeria. In 2011, about 440,000 infants were infected with HIV (UNAIDS, 2012).

During the researcher’s clinical experience in the antenatal clinic UCTH, it was observed that despite availability of this prevention of MTCT services, very few women utilized the services. For this reason, this pertinent question formed the birth rock of this study: What then are the factors that influence the utilization of prevention of mother to child transmission services?

1.3     Purpose of the study

The purpose of the study is to ascertain the factors influencing the utilization of PMTCT services among pregnant women in antenatal clinic in UCTH.

1.4     Objectives of the study

The specific objectives of the study are:

1.     To assess the level of knowledge about PMTCT services among pregnant women in UCTH.

2.     To determine the socio-economic factors influencing utilization of PMTCT services among pregnant women in UCTH.

3.     To ascertain the cultural/religion factors influencing utilization of PMTCT services among pregnant women in UCTH.

1.5     Research questions

1.     What is the level of knowledge about PMTCT services among pregnant women in UCTH?

2.     To what extent do socio-economic factors influencing utilization of PMTCT services among pregnant women in UCTH?

3.     What are the cultural/religion factors influencing utilization of PMTCT services among pregnant women in UCTH?

1.6     Hypothesis

There is no significant relationship between level of knowledge and utilization of PMTCT services among women.

1.7     Scope of the study

The study is delimited to pregnant women that attended antenatal clinic in University of Calabar Teaching Hospital.

1.8       Significance of the study

It is very important that factors influencing the utilization of PMTCT services in a resource poor setting should be studied. It is important in the context of cross river state where health resources are unevenly distributed between rural and urban areas including distribution of health care providers.

Practically: The findings of this study will be handy for cancelling purposes in ensuring increased utilization of PMTCT services.

Research: The result of this study will increase the existing knowledge on utilization of PMTCT services and will also serve as research as a resource material for further research work.

Nurse/midwife: The findings of this study will help to improve the attitude of Nurses in delivery of PMTCT services to ensure its utilization by pregnant women thereby decreasing the rate of MTCT.

Government: The findings of this study will help improve policies on findings and distribution of PMTCT services in both rural and urban areas to ensure its utilization.

1.9     Limitations

Major limitation was encountered during this study because the Teaching Hospital was on strike and many patients were not (accessed) reached. Also some respondents refused to divulge their information for confidential purposes.

1.10   Operational definition of terms

Factors: are variables that influence utilization of PMTCT services

Utilization: refers to the process of using PMTCT services

PMTCT services: are  services that aims at offering preventive measures towards mother to child transmission.

Ante natal: refers a period from conception to the onset of labour

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The effect of doctor-nurse relationship on patient care

ABSTRACT

This study seeks to examine the effect of doctor-nurse relationship on patient care in Federal Medical Centre Owerri, Imo State. The null hypotheses were formulated to guide the study. They are: Medical teamwork; hospital administrative structure; and doctor-nurse value orientation. In order to generate data for testing these hypotheses, a 42 item questionnaire was developed by the researcher and validated by the supervisor. Survey research design was adopted while data collected from 200 randomly selected respondents (male & female). Purposive, stratified and simple random sampling procedures were variously applied at appropriate stages of the study. The generated data was statistically tested using chi-square analysis procedure. The analysis revealed that: there is a significant relationship between medical team work and patient care, hospital administrative structure, doctor-nurse value orientation and patient care. It was however recommended that collaborative work relationship between doctors and nurses should be encouraged for effective health care delivery system.

TABLE OF CONTECT

Title page

Certification

Dedication

Acknowledgement

Abstract

Table of contents

List of tables

List of figures

CHAPTER ONE: INTRODUCTION

1.1    Background of the study

1.2    Statement of the problem

1.3    Research questions

1.4    Research hypotheses

1.5    Objectives of the study

1.6    Significance of the study

1.7    Scope of the study

1.8    Definition of concepts

1.9    Brief history of Federal Medical Centre, Owerri Imo State

CHAPTER TWO: LITERATURE REVIEW AND THEORETICAL                         FRAMEWORK

2.1    Literature review

2.1.1 The effect of doctor-nurse relationship on patient care

2.1.2 Medical team work and patient care

2.1.3 Hospital administrative structure and patient care

2.1.4 Value orientation and patient care

2.1.5 Health care delivery system in Nigeria

2.1.6 Mortality rate in Nigeria

2.1.7 The health status of Nigerians

2.1.8 Motivation and work relationship among medical staff

2.2    Theoretical framework

2.2.1 Neo-functionalism theory

2.2.2 Role Theory

2.2.3 Conflict Theory

CHAPTER THREE: RESEARCH METHODOLOGY

3.1    Research design

3.2    Research setting/area

3.3    Population of the study

3.4    Sample

3.5    Sampling procedure

3.6    Instrument of data collection

3.6.1 Validity of the instrument

3.6.2 Reliability of the instrument

3.7    Procedure of data collection

3.8    Method of data analysis

CHAPTER FOUR: DATA PRESENTATION, ANALYSIS AND                                                         DISCUSSION OF FINDINGS

4.1    General description of variables

4.2    Socio-economic features of respondents

4.3    Data presentation and interpretation of results

4.4    Discussion of findings

CHAPTER FIVE: SUMMARY, CONCLUSION AND RECOMMENDATION

5.1    Summary of the study

5.2    Conclusion

5.3    Recommendation

5.4    Suggestions for further research

References

Appendix

LIST OF TABLES

Table 1:     Frequency distribution of respondents by sex

Table 2:     Frequency distribution of respondents by age

Table 3:     Distribution of respondents by marital status

Table 4:     Distribution of respondents by educational qualification

Table 5:     Distribution of respondents by religion

Table 6:     Chi-square analysis of the relationship between medical                             team           work and patient care

Table 7:     Contingency table showing the relationship between                          medical team work and patient care.

Table 8:     Chi-square analysis showing the relationship between                       hospital administrative structure and patient care

Table 9:     Contingency table showing the relationship between                          hospital administrative structure and patient care.

Table 10:   Chi-square analysis showing the doctor-nurse value                          orientation           and patient care.

Table 11:   Contingency table showing the relationship between                          doctor-nurse value orientation and patient care.

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Nursing Science Project Topics for students in Nigeria

We provide recent Project Topics and Materials in Nursing Science in Nigeria, Nursing and Nursing Science Project Topics, Nursing Science Project Materials, Projects from the School of Nursing and Midwifery, project topics in nursing profession, seminar topics in nursing profession in Nigeria, project topics for nursing students in Nigeria, current midwifery project topics to help students in achieving grade a result in project writing. Best and reliability is our standard. Below is list of Nursing / Nursing Science Project & Research Works

 

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  6. Altitude Of Men Towards Family Planning And Implication For Their Involvement In Oghara-Efe Community
  7. Perception Of Post-Natal Mother About Midwives Attitude During Labour At Central Hospital Sapele, Delta State
  8. Knowledge And Practice Of Contraceptives Among Female Students In Delta State University, Abraka
  9. Mothers’ Nutrtional Knowledge And Infant Feeding Practices Of Children (0-24 Months) In Orerokpe Community Okpe L.G.A Of Delta State
  10. Investigating Nursing Student Performance Of Delta State University
  11. The Effects Of Socio Economic Factors On The Nutritional Status Of Pregnant Women Attending Ante Natal Clinic In Amukpe Community, Sapele,L.G.A

 

 

 

 

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