East African journal of public health
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East Afr J Public Health · Jun 2010
Clinical audit of knowledge and practice of epidural labour analgesia amongst obstetricians in south-west Nigeria.
Epidural analgesia (EA) is the most ideal method for pain relief during labour. We sought to highlight the current knowledge and practice of the obstetricians regarding epidural labour analgesia (ELA). ⋯ Though 37.8% and 53.3% of respondents are of the opinion that there is interference with labour and increased incidence of instrumentation following epidural analgesia in labour respectively, however 84.4% agreed that the technique is not associated with adverse neonatal or maternal outcome and 97.8% will prefer their patients having epidural labour analgesia. We are of the opinion that education regarding ELA, both during and after obstetric speciality training, be improved, and well-established interpersonal relationship between obstetricians and anaesthetists will be needed to achieve this.
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East Afr J Public Health · Jun 2010
Evaluating the opinions of staff and health care service provision of an STD/HIV clinic in Africa: indications for recovery.
Zimbabwe has an incidence of STD/HIV infection and measures are needed to explore the efficiency of clinics in providing adequate patient care. To explore the views or opinions of the currently employed staff of an STD/HIV clinic, and suggest a means for improvement thereof. ⋯ Operational research needs to be conducted. There is little or no direct communication between committee members and decision makers with the staff and power-distance relationships are great.