RESUMEN
Background: The uptake of exclusive breastfeeding (EBF) is low globally including Nigeria despite its benefits and interventions. This study aimed to assess the prevalence and predictors of EBF among mothers in a semiurban Nigerian community. Methods: We conducted a cross-sectional study among nursing mothers attending the immunization clinic at the Federal Medical Centre, Owo, Ondo State. A semi-structured questionnaire containing the World Health Organization's indicators for assessing breastfeeding practices was used for data collection. Results: A total of 386 mothers were recruited with a mean age of 30.8 ± 5.0 years. Among them, 149 (36.8%) were below 30 years, 345 (89.4%) have had ANC visit at least four times, and 259 (67.1%) had initiated breastfeeding immediately after delivery. The prevalence of EBF was 52.6%. Natural feeds were the common feeds introduced after 6 months among 159 (78.3%) mothers. One hundred and forty-four (62.1%) nursing mothers aged 30 years or older practiced EBF compared to 72 (48.3%) persons below 30 years (X2 = 6.290, p = 0.012). Also, 38 (70.3%) mothers who have delivered four or more children practiced EBF compared to 180 (54.2%) with fewer children (X2 = 5.437, p = 0.020). Nursing mothers aged 30 years or older had 36% higher odds of practicing EBF compared to younger persons (Adjusted Odds Ratio = 1.358, 95%CI = 0.886 - 2.081, p = 0.160). Conclusion: To achieve the WHO recommended target of ensuring that 90% of nursing mothers practice EBF, advocacy and health education must be intensified.
RESUMEN
INTRODUCTION: The role of Medical Audit in patient care needs to beexplored. This study aimed to determine doctors' knowledge and practice of Medical Audit in a tertiary health facility in South West Nigeria. METHODS: Across-sectional study of 115 consenting doctors at Federal Medical Centre Owo was conducted. A semi-structured, self-administered questionnaire was used. Data was analyzed using SPSS version 21. Descriptive statistics were presented using frequency tables and bar chart, age and year of practice were summarized as mean and standard deviation. Chi square-test was used to compare sociodemographic variables with doctor's knowledge of MedicalAudit. Level of statistical significant was 5%. RESULT: The mean age of the respondents was 32.5 ± 5.8 years. Males were 78%, and 61.7% were married. The mean duration of practice was 3.3 ± 2.2 years. Adequate knowledge of Medical Audit was found in 79% of the respondents while only 53% had practiced it. Formal training on Medical Audit has not been received by 91.3% of the respondents, 80.9% requested for training on Medical Audit. In all, 88.0% who had ≥ 3-years of practice had adequate knowledge compared with only 72.3% of those who had less than three years of practice (p = 0.040). CONCLUSION: Practice of MedicalAudit is low though adequate knowledge exist.Training of doctors on Medical Audit is required.