Physicians’ Response on Haemophilia Care in South Western Nigeria
W. A. Shokunbi
Department of Haematology, College of Medicine, University of Ibadan / University College Hospital, Ibadan, Nigeria.
O. W. Aworanti *
Department of Haematology, College of Medicine, University of Ibadan / University College Hospital, Ibadan, Nigeria.
P. O. Olatunji
Department of Haematology, Obafemi Awolowo College of Health Sciences, Sagamu, Nigeria.
M. D. Dairo
Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
E. S. Fakunle
Blood Transfusion Unit, Bermuda Hospital Board, Bermuda.
O. T. Ojo
Department of Haematology, Obafemi Awolowo College of Health Sciences, Sagamu, Nigeria.
Saleh Yuguda
Gombe State University/Federal Teaching Hospital, Gombe, Nigeria.
Leke Ibijola
Federal Teaching Hospital, Ido Ekiti, Ekiti State, Nigeria.
Kapona Iwara
National Health Insurance Agency, Abuja, Nigeria.
C. I. Ajuba
Department of Haematology, Nnamdi Azikwe University, Awka, Nigeria.
F. A. Fehintola
Department of Pharmacology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Haemophilia is a rare inherited bleeding disorder that affects predominantly male because it is an X chromosome linked disorder. The severity of the disease is determined by the percentage of Factors VIII and IX activity in the individuals with Haemophilia.
Objective: The objective of this study was to determine the extent of haemophilia care in the southwestern part of Nigeria. This forms part of a nationwide survey in 2016, focusing especially on whether or not physicians in specific hospitals in the states in south west had ever managed a haemophiliac.
Methods: A self-administered questionnaire titled “Survey on Haemophilia Care in Nigeria” was developed for physicians in order to assess their experience on Haemophilia care in Nigeria. The responses from the Doctors were entered into SPSS (version 23) using the Data Dictionary (on survey of haemophilia) coded table prepared along with the questionnaire.
Results: The self-administered questionnaires were retrieved from 215 physicians in south west, Nigeria. Most of the respondents are from Oyo state, no respondent from both Osun and Ondo states. Also, about two-thirds of the respondents work in a teaching hospital, with majority having Bachelor of Medicine, Bachelor of Surgery (MBBS) as the highest qualification.
Conclusion: The care of haemophiliacs in the south western part of Nigeria needs to be standardized as the study showed that most physicians have no contact with Haemophiliacs.
Keywords: Haemophilia, Physicians’ response, multidisciplinary treatment
How to Cite
Downloads
References
WA Shokunbi, BJ Brown, MO Okunola, TS Akingbola and OW Aworanti4. Mid Shaft Femoral Fracture in a Young Haemophilia A Patient - A Case Report. International Journal of Research and Reports in Hematology 2019; 2(2):1-5.
Coppola A, Capua MD, Dario Di Minno ND, Di Palo M, Marrone E, Lerano P, et al. Treatment of hemophilia: A review of current advances and ongoing issues. J Blood Med. 2010;1:183-195.
Srivastata A, Brewer AK, MauserBunschoten EP, Key NS, Kitchen S, Linas A, et al. World federation of haemophilia guidelines for the management of hemophilia. 2nd Edition. USA. Blackwell; 2012.
Lee CA, Berntorp EE. Textbook of Haemophilia London: Wiley Blackwell; 2010.
Stonebraker JS, Bolton-Maggs PHB, Michael Soucie J, Walker I, Brroker M A study of variations in the reported Haemophilia; A prevalence around the world. Haemophilia. 2010;16(1):20-32.
Fakunle EE, Shokunbi WA, Shittu OB Incidence of factor viiic deficiency in live male infants undergoing circumcision in South West, Nigeria. Haemophilia. 2007; 13(5):567-569.
Massimo Morfini, Antonio Coppola, Massimo Franchini, and Giovanni Di Minno. Clinical use of factor VIII and factor IX concentrates. Blood Transfus. 2013; 11(4):s55–s63.
Pier Mannuccio Mannucci. Hemophilia therapy: the future has begun. Haematologica. 2020; 105(3): 545–553.
Escobar, MA, Brewer, A, Caviglia, H, A Forsyth, V Jimenez-Yuste, L Laudenbach et al. Recommendations on multidisciplinary management of elective surgery in people with haemophilia. Haemophilia. 2018; 24: 693-702.
Franchini, M, Mannucci, PM Past, present and future of hemophilia: a narrative review. Orphanet J Rare Dis 2012;7:24.
Jean St-Louis 1, Pratima Chowdary 2, Gerry Dolan 3, Dawn Goodyear 4, Karen Strike 5, Debra Pollard 2, Jerry Teitel. Multidiscipli-nary team care of patients with hemophilic arthropathy: A qualitative assessment of contemporary practice in the UK and Canada: Canada/UK: MDT Practices for Hemophilia Clin Appl Thromb Hemost. 2022; 28:10760296211070002.
Kanjaksha G, Kinjalka G Management of Haemophilia in Developing countries: Challenges and Options. Indian J Hematol Blood Transfus 2016; 32(3):347-355.
Available:https://www.oyostate.gov.ng
Available:https://www.britannica.com/topic/Yoruba