Department of Nursing Sciences

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Effectiveness of Nutritional Education on Knowledge, Attitude and Food Choices among Pregnant Women in Ibadan Semi-Urban Areas, Oyo State
(Lead City University, Ibadan, 2025-12) Iyabode Olufunmike ADEKANMBI
Inadequate knowledge of pregnant women on nutrition in semi-urban Nigeria contributes significantly to adverse maternal and neonatal outcomes. This study assessed the effectiveness of a nutritional education intervention (NEI) on knowledge, attitude, and food choices among pregnant women in Ibadan Semi-urban Areas, Oyo state. A quasi- experimental pretest-posttest design was employed with 118 pregnant women (59 per group) from Primary healthcare centers in Ibadan. The experimental group received a structured Nutritional Education Intervention (NEI), while the control group received family planning education. A Statistical Package for the Social Sciences (SPSS) version 25 was used to analyze the data using descriptive statistics and inferential tests, including Analysis of Covariance (ANCOVA), to determine the effectiveness of the intervention at a significance level of p<0.05. At baseline, groups were comparable with no significant differences in Knowledge (Experimental: 16.4±2.3 vs Control: 16.2±2.3, p=0.668), Attitude (39.7±7.8 vs 39.4±6.8, p=0.803), or Food choices (41.1±7.5 vs 40.9±8.3, p=0.926). Post-intervention, the experimental group showed significant improvements. Knowledge scores increased to 18.8±1.8 versus 16.3±2.2 in controls (p<0.001). The proportion with excellent knowledge rose to 71.2% (n=42) from 20.3% (n=12). Attitude scores improved to 44.7±6.1 (p<0.001), with 91.5% (n=54) exhibiting a favourable attitude. Food choice scores increased to 48.4±5.1 (p<0.001), and 42.4% (n=25) demonstrated high adherence to healthy choices. Analysis of Covariance (ANCOVA) confirmed significant main effects of the intervention on knowledge (F=55.436, p<0.001), attitude (F=34.2, p<0.001), and food choices (F=40.872, p<0.001). The nutritional education intervention significantly enhanced knowledge, improved attitudes, and positively influenced healthier food choices among pregnant women. It is recommended that Nutritional Education should be integrated into routine antenatal care to improve maternal and child nutrition by the Government. Community Health Nurses should involve family members particularly husbands, mother - in - laws in nutritional education programmes to build a supportive home environment. Keywords: Nutritional Education, Pregnant Women, Knowledge, Attitude and Food Choices. Word Count: 290.
Effectiveness of Reproductive Educational intervention on Knowledge and Attitude of Cervical Cancer Screening among Childbearing Women in Ibadan South-East Local Government, Oyo State.
(Lead City University, Ibadan, 2025-12) Rebecca Opeolu APATA
Although an educational intervention successfully increased knowledge and improved attitudes towards cervical cancer screening among childbearing women in Ibadan South-East Local Government Area, Oyo State, Nigeria. The study found that this did not translate into a significant increase in the actual uptake of screening tests. A quasi-experimental design was employed, involving 121 participants divided into experimental and control groups. Baseline data of both groups revealed low awareness, with only 48.7% having heard of cervical cancer and 27.83% aware of screening methods. Post-intervention, significant improvements (p < 0.001) were observed in the experimental group: awareness rose to 82.61%, knowledge of HPV as a cause increased from 41.74% to 71.30%, and understanding of screening methods reached 80.87%. Despite these gains, the uptake of screening (Pap/HPV test) remained stagnant at 15.66%, indicating a persistent knowledge practice gap. The findings also highlighted the influence of socio-demographic factors, such as education, marital status, and reproductive history, on baseline knowledge and post-intervention outcomes. Women with at least secondary education demonstrated significantly better improvements in knowledge and attitudes. The intervention led to marked positive shifts in attitudes, including increased willingness to undergo screening and better understanding of the need for screening despite vaccination status. However, persistent barriers such as stigma, fear, limited access, and cultural beliefs continue to hinder screening uptake. These findings underscore the need for multi-faceted strategies that integrate education with enhanced service accessibility, cultural sensitivity, and supportive policies to improve cervical cancer screening uptake in low resource settings. In conclusion, while educational interventions effectively improved knowledge and attitudes, they were insufficient alone to drive behavioural change. Keywords: Cervical cancer, Cervical cancer screening, reproductive health education, Knowledge, Attitudes. Word Count: 276
Knowledge, Risk- Perception and Factors Influencing Substance Abuse among Public Secondary School Students in Ibadan North Local Government Area, Oyo State, Nigeria
(Lead City University, Ibadan, 2025-12) Taiwo Alice NKOM
This study examined the knowledge, risk-perception and factors influencing substance abuse among selected public secondary school students in Ibadan North Local Government Area of Oyo State. With the aim of establishing the relationship between these factors and substance abuse. The study was necessary because, despite several studies carried out on substance abuse among youth but there is increase in trend of substance abuse traceable to limited knowledge, as many secondary school students lack accurate knowledge about the risks and consequences of substance abuse which can increase their vulnerability, and this study applied the theory of social control to explain knowledge, risk-perception and factors influencing substance abuse. A descriptive cross-sectional survey design was adopted. The population comprised students across public secondary schools, and a sample of 439 respondents was selected using stratified and simple random sampling techniques. Data were collected through a structured, validated questionnaire and analysed using descriptive statistics such as frequencies and percentages, and inferential statistics of Pearson Product Moment Correlation (PPMC) and multiple linear regression analysis tests at a 0.05 level of significance. The findings revealed a significant relationship between knowledge and factors influencing substance abuse (r= 0.610, p = 0.000), risk-perception and factors influencing substance abuse (r= 0.533, p = 0.000), and joint relationship of independent variables (knowledge, risk-perception and factors influencing) on substance abuse (F (3, 435) = 377.700; R = .747, R2 = .577; p< .05). About 58% of the variation was accounted for by the independent variables. The study concluded that that knowledge, risk-perception and factors influencing were significantly influence substance abuse. The study recommended that there should be parental involvement in substance abuse prevention efforts through education and guidance. It recommended parental involvement in substance abuse prevention efforts through education and guidance. Key Words: Knowledge, risk-perception, factors influencing, substance abuse, public secondary school student Word Count: 297
Pregnant Women’s Knowledge, Perception and Utilization of Primary Health Centres in Ado Local Government Area, Ekiti State.
(Lead City University, Ibadan, 2025-12) Omolara Ibiyemi ASONIBARE
Facility delivery, defined as childbirth attended by skilled health workers within a recognized health institution, is universally acknowledged as one of the most effective interventions for preventing maternal and neonatal deaths. Despite its importance there are many factors influencing its utilisation. The overall purpose of this study was to assess the Pregnant Women’ knowledge, Perception, and Utilization of Primary Health Centers in Ado LGA, Ekiti State, Nigeria. The research was guided by Health Belief Model and Andersen’s Behavioral Model of Health Service Utilization. Descriptive survey design was adopted; data were collected using a structured, validated questionnaire. Data were analyzed using frequency counts, percentages, means, standard deviations, Chi-square tests at a 0.05 level of significance with Statistical Package for the Social Sciences (SPSS) version 26. Findings revealed that respondents demonstrated high knowledge about benefits of facility delivery (overall mean = 2.77, SD = 0.57). A majority (97.4%) affirmed that delivering in a health facility reduces maternal complications, while 89.6% recognized the dangers of home delivery. Respondents showed very positive perception toward institutional delivery, with mean scores ranging from 4.01 to 4.71. However, certain barriers persisted, over half of the women (54.5%) reported experiencing financial, transportation problems, as obstacles to using health facilities. Chi-square analyses indicated that while awareness and perception were generally high, there was no statistically significant relationship between educational level and the experience of barriers (χ² = 8.389, p = 0.754) or between perception of facility delivery and reported challenges (χ² = 12.247, p = 0.426). In conclusion, the study established that pregnant women in Ado LGA possess adequate knowledge and favorable attitudes toward facility delivery, but challenges such as cost, distance, still limit utilization. It is recommended that government, health authorities intensify community health education, subsidize delivery costs, improve access to quality maternity. Keywords: Knowledge, Perception, Facility delivery, Utilization Word Count: 295

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