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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Asthma in Nigeria: Are the facilities and resources available to support internationally endorsed standards of care?
Health Policy, Volume 99, No. 3, Year 2011
Notification
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Description
Objective: The objective of this study was to assess the facilities and resources available to support internationally endorsed standards of asthma care at tertiary hospitals (University teaching, Federal Medical Centre and State specialist Hospitals) in Nigeria. Methods: This cross sectional study was conducted among 68 tertiary hospitals (TH) in Nigeria from June 2009 to December 2009. Structured standards of care questionnaires on asthma based on the Global initiative for asthma (GINA) guideline were completed by physician working in each of the TH. Results: Most TH lacked the services of respiratory physicians, internists, and pediatricians. Available basic infrastructures were asthma clinics (0%), clinic registers (20.6%), and hospital protocol (17.6%), doctor's attendance of asthma CME (8.8%) and nurse educator with a bias for asthma (14.7%). Thirty eight percent of TH had peak flow meter, 29.4% had spirometer, skin allergy test kits (15.6%), pulse oximeter (38.2%) while 17.6% had arterial blood gases analyser. Nebuliser and spacer were available in 41.2% and 20.6% of TH respectively. Oral short acting beta 2 agonist (SABA) was available in 79.4% of the hospitals, glucocorticosteroid (79.4%), theophyllines (76.5%), and SABA (metered-dose inhaler MDI: 76.5%, Nebules: 35.3%). Long acting beta 2 agonist (LABA) and steroid fixed dose combination inhaler (50%) was available in 50% of TH. Glucocorticosteroid nasal spray was available in 33.3% of TH and <10% reported the availability of anti-cholinergic and chromoglycate inhaler and oral leukotriene antagonist. Standard oxygen delivery system and self-educational support materials were available in 52.9% of TH. Conclusion: The available facilities and human resources for asthma management in Nigerian tertiary hospitals were not enough to support the standard internationally endorsed for asthma care. Provisions of deficient infrastructures and continuous training of health care personnel in asthma management are imperative to enhance the quality of care. © 2010 Elsevier Ireland Ltd.
Authors & Co-Authors
Desalu, Olufemi Olumuyiwa
Nigeria, Ilorin
University of Ilorin
Onyedum, Cajetan Chigozie
Nigeria, Naukka
University of Nigeria
Iseh, Kufre Robert
Nigeria, Sokoto
Usmanu Danfodiyo University
Salawu, Fatai Kunle
Nigeria
Federal Medical Centre Nigeria
Salami, Alakija Kazeem
Nigeria, Ilorin
University of Ilorin
Statistics
Citations: 43
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1016/j.healthpol.2010.10.006
Research Areas
Genetics And Genomics
Health System And Policy
Study Design
Cross Sectional Study
Study Locations
Nigeria