Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria
Background: Screening for hyperglycaemia in pregnancy (HIP) is an important component of comprehensive antenatal care. Screening practices for HIP in Nigeria and factors that influence these practices are not well understood. Objective: We examined the screening practices for HIP and their correlat...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2022-10-01
|
| Series: | African Journal of Laboratory Medicine |
| Subjects: | |
| Online Access: | https://ajlmonline.org/index.php/ajlm/article/view/1845 |
| _version_ | 1811193336256528384 |
|---|---|
| author | Lucius C. Imoh Abdulazis S. Longwap Favour E. Haruna Oghale J. Asieba Joy P. Istifanus Joy A. Imoh Mathilda E. Banwat |
| author_facet | Lucius C. Imoh Abdulazis S. Longwap Favour E. Haruna Oghale J. Asieba Joy P. Istifanus Joy A. Imoh Mathilda E. Banwat |
| author_sort | Lucius C. Imoh |
| collection | DOAJ |
| description | Background: Screening for hyperglycaemia in pregnancy (HIP) is an important component of comprehensive antenatal care. Screening practices for HIP in Nigeria and factors that influence these practices are not well understood.
Objective: We examined the screening practices for HIP and their correlates among antenatal healthcare providers (AHPs).
Methods: This descriptive cross-sectional study of AHPs providing all levels of antenatal care was conducted between August 2019 and September 2019 in Jos, Nigeria. Eligible AHPs completed a semi-structured, self-administered questionnaire, and data were analysed for adherence to recommended screening practices such as World Health Organization, International Association of Diabetes and Pregnancy Study Groups and National Institute for Health and Care Excellence guidelines.
Results: Of the 128 respondents included in the analysis, 59 (46.1%) were male and 69 (53.9%) were female. The mean participant age was 35.7 years (standard deviation: ± 8.5 years). Most (68.0%) screened all pregnant women (universal screening) for gestational diabetes mellitus. Fasting blood glucose (77.0%) and random blood glucose (55.7%) were the most common tests used. Only 27 respondents (22.1%) screened using the 75 g oral glucose tolerance test, and most were doctors, AHPs in faith-based or government institutions, tertiary institutions and facilities with availability of automated glucose analysers (p 0.05 for all).
Conclusion: Screening practices for HIP among the AHPs do not generally conform to best practices. Hence, there is an urgent need for implementation of universal guidelines and provision of regular updates and basic glucose measuring devices for AHPs at all healthcare levels. |
| first_indexed | 2024-04-12T00:07:50Z |
| format | Article |
| id | doaj.art-fc60b896a9304afab669dbb0fc31b796 |
| institution | Directory Open Access Journal |
| issn | 2225-2002 2225-2010 |
| language | English |
| last_indexed | 2024-04-12T00:07:50Z |
| publishDate | 2022-10-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Laboratory Medicine |
| spelling | doaj.art-fc60b896a9304afab669dbb0fc31b7962022-12-22T03:56:04ZengAOSISAfrican Journal of Laboratory Medicine2225-20022225-20102022-10-01111e1e910.4102/ajlm.v11i1.1845403Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, NigeriaLucius C. Imoh0Abdulazis S. Longwap1Favour E. Haruna2Oghale J. Asieba3Joy P. Istifanus4Joy A. Imoh5Mathilda E. Banwat6Department of Chemical Pathology, Faculty of Medical Sciences, University of Jos, Jos, Plateau StateDepartment of Chemical Pathology, Faculty of Medical Sciences, University of Jos, Jos, Plateau StateDepartment of Chemical Pathology, Faculty of Medical Sciences, University of Jos, Jos, Plateau StateDepartment of Chemical Pathology, Faculty of Medical Sciences, University of Jos, Jos, Plateau StateDepartment of Chemical Pathology, Faculty of Medical Sciences, University of Jos, Jos, Plateau StateDepartment of Geography and Planning, Faculty of Environmental Science, University of Jos, Jos, Plateau StateDepartment of Community Medicine, Faculty of Medical Sciences, University of Jos, Jos, Plateau StateBackground: Screening for hyperglycaemia in pregnancy (HIP) is an important component of comprehensive antenatal care. Screening practices for HIP in Nigeria and factors that influence these practices are not well understood. Objective: We examined the screening practices for HIP and their correlates among antenatal healthcare providers (AHPs). Methods: This descriptive cross-sectional study of AHPs providing all levels of antenatal care was conducted between August 2019 and September 2019 in Jos, Nigeria. Eligible AHPs completed a semi-structured, self-administered questionnaire, and data were analysed for adherence to recommended screening practices such as World Health Organization, International Association of Diabetes and Pregnancy Study Groups and National Institute for Health and Care Excellence guidelines. Results: Of the 128 respondents included in the analysis, 59 (46.1%) were male and 69 (53.9%) were female. The mean participant age was 35.7 years (standard deviation: ± 8.5 years). Most (68.0%) screened all pregnant women (universal screening) for gestational diabetes mellitus. Fasting blood glucose (77.0%) and random blood glucose (55.7%) were the most common tests used. Only 27 respondents (22.1%) screened using the 75 g oral glucose tolerance test, and most were doctors, AHPs in faith-based or government institutions, tertiary institutions and facilities with availability of automated glucose analysers (p 0.05 for all). Conclusion: Screening practices for HIP among the AHPs do not generally conform to best practices. Hence, there is an urgent need for implementation of universal guidelines and provision of regular updates and basic glucose measuring devices for AHPs at all healthcare levels.https://ajlmonline.org/index.php/ajlm/article/view/1845hyperglycaemia in pregnancygestational diabetes mellitusguidelines for gestational diabetes mellitusscreening practicesoral glucose tolerance testlow middle-income countries |
| spellingShingle | Lucius C. Imoh Abdulazis S. Longwap Favour E. Haruna Oghale J. Asieba Joy P. Istifanus Joy A. Imoh Mathilda E. Banwat Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria African Journal of Laboratory Medicine hyperglycaemia in pregnancy gestational diabetes mellitus guidelines for gestational diabetes mellitus screening practices oral glucose tolerance test low middle-income countries |
| title | Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria |
| title_full | Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria |
| title_fullStr | Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria |
| title_full_unstemmed | Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria |
| title_short | Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria |
| title_sort | practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in jos nigeria |
| topic | hyperglycaemia in pregnancy gestational diabetes mellitus guidelines for gestational diabetes mellitus screening practices oral glucose tolerance test low middle-income countries |
| url | https://ajlmonline.org/index.php/ajlm/article/view/1845 |
| work_keys_str_mv | AT luciuscimoh practicesandbarrierstoscreeningforhyperglycaemiainpregnancyamongprovidersofantenatalcareinjosnigeria AT abdulazisslongwap practicesandbarrierstoscreeningforhyperglycaemiainpregnancyamongprovidersofantenatalcareinjosnigeria AT favoureharuna practicesandbarrierstoscreeningforhyperglycaemiainpregnancyamongprovidersofantenatalcareinjosnigeria AT oghalejasieba practicesandbarrierstoscreeningforhyperglycaemiainpregnancyamongprovidersofantenatalcareinjosnigeria AT joypistifanus practicesandbarrierstoscreeningforhyperglycaemiainpregnancyamongprovidersofantenatalcareinjosnigeria AT joyaimoh practicesandbarrierstoscreeningforhyperglycaemiainpregnancyamongprovidersofantenatalcareinjosnigeria AT mathildaebanwat practicesandbarrierstoscreeningforhyperglycaemiainpregnancyamongprovidersofantenatalcareinjosnigeria |