Primary health care providers knowledge of dementia and cognitive assessment tools for elderly populations in Southeast Nigeria: A pilot survey.

Journal: SAGE open medicine

Volume: 11

Issue: 

Year of Publication: 

Affiliated Institutions:  Comprehensive Health Center, Nnamdi Azikiwe University Teaching Hospital Neni, Neni, Anambra, Nigeria. Mental Health Unit, Department of Medicine, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nnewi, Anambra, Nigeria. Biostatistics and Epidemiology Department, University of California San Francisco, San Francisco, CA, USA. Family Medicine Department, Nnamdi Azikiwe University Teaching Hospital Neni, Neni, Anambra, Nigeria. School of Public Health, University of Port-Harcourt, River State, Nigeria. Global Brain Health Institute, University of California San Francisco, San Francisco, CA, USA.

Abstract summary 

Primary health care remains the widely available first point of medical care in Nigeria and in other low- and middle-income countries. Recognizing the rising prevalence of dementia in these settings, primary healthcare providers should be trained on cognitive assessment. However, little is known about the current Nigerian primary healthcare providers' knowledge of dementia, cognitive assessment tools, and use in elderly populations. The aim of this study was to evaluate primary healthcare providers' knowledge of dementia and cognitive assessment tools in Southeast Nigeria in preparation for the introduction of digital tablet-based assessment tool.This is a cross-sectional mixed method descriptive pilot survey carried out in a comprehensive healthcare center affiliated with Nnamdi Azikiwe University Teaching Hospital. Fifty healthcare workers participated. Convenience sampling was employed involving all consenting primary healthcare providers in comprehensive healthcare center-Nnamdi Azikiwe University Teaching Hospital. A structured questionnaire was distributed for generation of both qualitative and quantitative data.The mean age of the 50 primary healthcare providers was 36.6 years, with females constituting 80%. Mean practice duration was 10.8 years. Their response on the mean age at which patients may need a cognitive assessment was reported as 52.8 years. Primary healthcare providers reported that dementia is associated with memory loss and can be genetically inherited. None of the respondents were familiar with Montreal cognitive assessment, or any form of tablet-based cognitive assessment tool. Most (86%) knew about the mini mental state examination.Primary healthcare providers are deficient in knowledge of dementia Alzheimer's or cognitive assessment tools, and so they do not routinely carryout cognitive screening in elderly patients during clinic visits. It is important to train all cadres of primary healthcare staff on the use and benefit of cognitive assessment using culturally validated user-friendly tool to improve quality of care for the elderly population.

Authors & Co-authors:  Ogbuagu Chukwuanugo C Uwakwe Richard R Kahn James G JG Ogbuagu Ekenechukwu E Emelumadu Obiageli O Okereke Uzoma U Okeke Irene I Chigbo Godswill G Okoye Obiora O

Study Outcome 

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Citations :  Olalubi OA, Bello IS. Community-based strategies to improve primary health care (PHC) services in developing countries. Case study of Nigeria. J Prim Health Care Gen Pract 2020; 4(1): 30.
Authors :  9
Identifiers
Doi : 20503121231204224
SSN : 2050-3121
Study Population
Females
Mesh Terms
Other Terms
Nigeria;Primary healthcare;cognitive assessment tool;dementia;elderly
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Quantitative,Qualitative,Mixed Methods
Country of Study
Niger
Publication Country
England