Morbidity Profile of Adolescents Seen at a Secondary Missionary Healthcare Facility in Southern Nigeria: A 2-Year Review
| International Journal of Medical Science |
| © 2018 by SSRG - IJMS Journal |
| Volume 5 Issue 10 |
| Year of Publication : 2018 |
| Authors : Iyanam, Victory Edet, Udoh, S.B, Motilewa, O.O and Udonwa, N.E |
10.14445/23939117/IJMS-V5I10P104
How to Cite?
Iyanam, Victory Edet, Udoh, S.B, Motilewa, O.O and Udonwa, N.E, "Morbidity Profile of Adolescents Seen at a Secondary Missionary Healthcare Facility in Southern Nigeria: A 2-Year Review," SSRG International Journal of Medical Science, vol. 5, no. 10, pp. 13-20, 2018. Crossref, https://doi.org/10.14445/23939117/IJMS-V5I10P104
Abstract:
Background: Adolescent transition stage of development is associated with several dramatic, peculiar and sometimes chaotic changes with resultant health challenges. The health challenges of adolescents are further aggravated by paucity of data on adolescent health and non-existence/non-implementation of adolescent health policies in most countries, especially the least developed countries. Objective: This study described the morbidities distribution among adolescents who presented at a secondary missionary healthcare facility in Abak, Akwa Ibom State South – South Nigeria. Method: This was a review of morbidity profile of adolescents who presented at Mercy Hospital, Abak, Akwa Ibom State due to one morbidity or the other between January 2016 and December 2017. The case notes of all the adolescents (10-19 years) who presented at the out-patient clinics, emergency rooms and the wards were carefully sorted out. Their gender, age, diagnoses, causes of admission and admission outcomes were extracted, collated and entered into Microsoft excel for analysis. Results: Out of 465 adolescent seen during the period of the study, 187 (40.22%) were males while 278 (59.78%) were females, giving male to female ratio of 0.7:1.The mean and standard deviation of ages of male and female adolescents were 13.84+ 2.40 and 15.18+ 2.43 years respectively. About 63% of the males were young adolescent (10-14 years) while 64% of females were in their late teens (15-19 years). Out of the 516 morbidities presented, 70.35% were caused by infections while haemoglobinopathy accounted for 0.39%. Also 125 cases were admitted giving admission rate of 24.22%, complicated malaria was the highest cause of admission (24.80%). Most of the admitted cases, (89.60%) were successfully treated and discharged; 3.2% died while 1.6% left against medical advice (LAMA) within the review period. Conclusion: Most of the morbidities among adolescents in the study were caused by infections and other preventable morbidities. This is a reflection of poverty, ignorance, illiteracy, lack of information on health education and access to preventive healthcare among the adolescent population. The need therefore to improve social-economic conditions of the populace including those of adolescents, enhance information on health education and provide ready access to preventive healthcare among adolescents which will optimize their health with resultant future healthy adult population, is recommended.
Keywords:
Morbidity, profile, adolescents, Southern Nigeria
References:
[1] Chakraberty S, Ram F. Pattern and differentials of morbidity among adolescents and youths in India.Academia, Available at: www.academia.edu. Accessed on 3/10/2018/
[2] Shinha S, Gupta P, Jacham B, Kumaris A (2007) A study on the morbidity pattern in adolescent school girls. Med Pub Health Doi 10.18203/2394-6040.
[3] WHO. Maternal, newborn, child and adolescent health. Available at: apps.who.int.Accessed on 3/10/2018.
[4] WHO. Adolescents: Health risks and solution. Available at: www.who.int. Accessed on 8/10/2018.
[5] Offiong UM, Meiriga F (2017) Morbidity and mortality pattern among young adolescents at emergency pediatric unit of a tertiary carefacility in Abuja, Nigeria. Nigeria Journal of Clinical Research 6: 26-30.
[6] Evan U (2017) Review article on morbidity pattern in adolescentgirls. International Journal of Engineering Science Research and Technology 6 1: 453-455.
[7] Dianelson CK, Holmes MM (2004) Adolescent sexual assault. Current Opinion in Obstetric and Gynecology 16 5: 383-388.
[8] Chambers CV, McManus PK. Childhood and adolescence (2002) In: Rakel RE(Ed.) Textbook of family practice, 6th edition.WB Saunders Company, Philadephia. 622-632.
[9] Levy S. Introduction to problems in adolescence. Available at: http://www.msdmanuals.com. Accessed on 13/9/2018.
[10] Csikszentmihalyi M. Adolescence. Available at: htt-://www/britanica.co. Accessed on 13/9/2018.
[11] Ojukwu JU, Ogbu CN (2005) Morbidity pattern in adolescents attending the ambulatory care unit in Abakiliki. The Niger J Paediatr 32 2: 33-39.
[12] Hussaini SB, Validevi PS (2017) Morbidity pattern of hospital admissions among rural adolescents. IOSR Journal of Development and Medical Sciences 16 5: 47-49.
[13] FMOH Nigeria. National Strategic Framework on the Health and Development of Adolescents and Young People. Available at:www.health.gov.ng.
[14] Sivagurunatham C, Gopalakrishnan S, Umadevi R, Kumar PM (2015) Morbidity profile of adolescents reported to an urban health centre in Kancheepuran district of Tamid Nadu, India. International Journal Community Medicine and Pub Health 2 4: 587-591.
[15] Al-Eissa EI (2000) The morbidity pattern among adolescents visiting primary healthcare centres. Saudi Medical Journal 2 10: 934-937.
[16] Ezeonwu BU, Chima OU, Nwafor I (2014) Morbidity and mortality pattern of childhood illnesses seen at the children emergency unit of Federal Medical Center, Asaba, Nigeria. Annal Medical and Health Sciences and Research 4 3: 239-244.
[17] STATS SA. Demographic profile of adolescents in South Africa. Available at: www.statssa.gov.za/publications/....oo.../Report%2. Accessed on 18/10/2018.
[18] Sule SS (2003) Childhood morbidity and treatment pattern at multipurpose Health Centre, Ilesa, Nigeria. Nigeria Journal of Medicine 40 3: 232-237.
[19] Elusiyan JBE, Obijunwa PO, Adejuyiabe EA, Olowu WA, Adeodu OO, Owa JA (2009) Pattern of morbidity and mortality among children hospitalized at Obafemi Awolowo University Teaching Hospital, Ile-Ife. Nigeria Journal of Paediatrics 36: 22-28.
[20] Anjum Q, Alam E, Usman J, Shaikh S, Ahmed Y (2006) Morbidity pattern and utilization of a primary healthcare centre in a low socioeconomic area of Karachi. Journal of Pakistan Medical Association 56:13.
[21] Syed S, Gangam S, Roa R (2015) Morbidity pattern and its associated factors among school children of urban slum in Hyderabad, India. International Journal of Medical Science and Public Health 4 9: 1278-1281.
[22] Sad YM, Hayatu A, Al-mustapha H, Hauwa MU (2015) Morbidity and mortality of childhood illnesses at the emergency paediatric unit of tertiary hospital North East Nigeria. Sahel Medical Journal 18: 1-7.
[23] Anyanwu OU, Ibekwe RC, Ojinnaka NC (2016) Pattern of substance abuse among adolescent secondary school students in Abakiliki. Cogent Medicine 3:1.
[24] Duru C, Peterside O, Akinbami F (2013) Pattern and outcome of admission as seen in the pediatric emergency ward of the Niger Delta University Teaching Hospital, Bayelsa State. Nigeria Journal of Medicine 40 3:232-232.
[25] UNDP. Sustainable Development Goals. Available at:www.undp.org. Accessed on 14/10/2018/