Acceptability and affordability of point-of-care test in determining  ABO and Rhesus D blood group of pregnant women at EkuGeneral Hospital, EKU, DeltaState, Nigeria

Authors

  • Angela A Okolo Department of Paediatrics,
  • Efe Aboloje Department of Paediatrics,
  • Patrick Ekpebe Department of Paediatrics,
  • Harrison Abedi Department of Obstetrics & Gynaecology,

Keywords:

Point-of-care, Bloodgroup test, Acceptability, Affordability

Abstract

Introduction: The ease of access to blood group testing for pregnant women at ANC in remote communities can reduce pregnancy and perinatal complications.
Objective: To determine the acceptability and affordability of point-of-care Eldon Card blood group -testing kit among pregnant women in a secondary level hospital.
Method: A cross-sectional descriptive study at the Ante Natal clinic (ANC) of a secondary health facility in a peri-urban setting was conducted. Institutional Ethical approval and participants’ informed consent was obtained. Participants’ blood group was determined with the ELDON Card
point of care test kit and the affordability and Acceptability of this test kit was evaluated by means of a structured questionnaire administered sequentially to the clients. The data was recorded and transcribed to the Excel spreadsheet. Frequencies, means, and standard deviations were calculated. Levels of confidence was set at 95% CI;(values of p<0.05). Results: Of the 175 pregnant  women recruited 153 (87.4%) were < 35 years; 89 (50.9%) were primigravida and 147 (84.0%) were of the middle social class. Eight-two (46.9%) reported that there were very satisfied with the
time it took to perform the test, 172 (98.3%) preferred the point-of-care kit to the routine laboratory test. 102 (58.3%) were satisfied with the outcome and 128 (73.1%) reported that a 500 Naira(0.5$)fee was affordable for the point-of-care test.
Conclusion: Pont-of-care ABO/Rh blood group test kit is acceptable
method with limited affordability.

Author Biographies

  • Angela A Okolo, Department of Paediatrics,

    Department of Paediatrics,
    Delta State University Teaching
    Hospital, Oghara, Delta State,
    Nigeria

  • Efe Aboloje, Department of Paediatrics,

    Department of Paediatrics,
    Delta State University Teaching
    Hospital, Oghara, Delta State,
    Nigeria

  • Patrick Ekpebe, Department of Paediatrics,

    Department of Paediatrics,
    Delta State University Teaching
    Hospital, Oghara, Delta State,
    Nigeria

  • Harrison Abedi, Department of Obstetrics & Gynaecology,

    Department of Obstetrics &
    Gynaecology, Delta State University
    Teaching Hospital, Oghara, Delta
    State, Nigeria

References

Osaro E, Charles AT. Rh isoimmunization in sub-Saharan Africa indicates need for universal access to anti-RHD immunoglobulin and effective management of D-negative pregnancies. Int J Women’s Health. 2010;2(1):429–37.

Schols AM, Dinant GJ, Cals JWC. Point-of-care testing in general practice: just what the doctor ordered? Br J Gen Pr. 2018;68(673):362–3.

Junker R, Schlebusch H LP. Point-of-care testing in hospitals and primary care. Dtsch Arztebl Int. 2010;107(33):561–7.

Bienek DR CD. Accuracy of user-friendly blood typing kits tested under simulated military field conditions. Mil Med. 2011;174(4):454–60.

T S Akingbola, S Yuguda, O O Akinyemi, S Olomu. Awareness and distribution of ABO, Rhesus blood groups and haemoglobin phenotypes among medical undergraduates in a Nigerian university. Afr J Med Med Sci 2016 Sep;45(3):275-280.

Gharoro EP IA. Antenatal care: some characteristics of the booking visit in a major teaching hospital in the developing world. Med Sci Monit. 2000;6 (3):519–22.

Oyedeji GA. Socio-economic background of hospitalised children in Ilesha. Niger J Paediatr [Internet]. 1985;12(4):111–7. Available from: https://www.njpaediatrics.com/1985/v12n4/2Socio economic and Cultural Background of Hospitalized Children in Ilesha.pdf

Olujimi A. Olatunbosun, Aniekan M. Abasiattai, Emem A. Bassey, Robert S. James, Godwin Ibanga AM. Prevalence of Anaemia among Pregnant Women at Booking in the University of Uyo Teaching Hospital, Uyo, Nigeria. Biomed Res Int [Internet]. 2014;2014

Negash WD, Kefale GT, Belachew TB, Asmamaw DB. Married women decision making autonomy on health care utilization in high fertility sub-Saharan African countries: A multilevel analysis of recent Demographic and Health Survey.

PLoS One. 2023;18(7):e0288603.

Tran DB, Pham TDN, Nguyen TT. The influence of education on women’s wellbeing: Evidence from Australia. PLoS One. 2021;16(3 March):1–15.

Abolodje E. Neonatal mortality: morbidity pattern and risk factors in a resource limited center in North Central Nigeria. Sri Lanka J Child Heal. 2021;50(3).

National Population Commission/ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF; 2019

Christian SG, Eze EM, Chijioke A, Ezimah U, et al. Rhesus E , Rhesus D and ABO Blood Groups Distribution among Indigenes of Ogoni Ethnic Group of Rivers State , Nigeria. 2020:3;1-7

Muktar .I., Abdulkadir A. Frequencies of ABO and Rhesus (D) blood group phenotypes among pregnant women attending antenatal clinic at Murtala Muhammad Specialist Hospital, Kano, Nigeria. J Medicine in the Tropics 2019.

: 31-36 DOI:10.4103/jomt.jomt_4_19

Hassan A, Babadoko AA, Ahmed AJ, Isa HA SA. The pattern of distribution of ABO blood groups in Northwestern Nigeria. Ann Niger Med [Internet]. 2005;1(2):17–8.

Clerc O, Greub G. Routine use of point-of-care tests: Usefulness and application in clinical microbiology. Clin Microbiol Infect. 2010;16(8):1054–61.

Aregbeshola BS, Khan SM. Out-of-pocket payments, catastrophic health expenditure and poverty among households in Nigeria 2010. Int J Heal Policy Manag. 2018;7(9):798–806.

Aregbeshola BS. Out-ofpocket payments in Nigeria. Lancet. 2016;387 (10037):2506.

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Published

2024-05-05

How to Cite

Acceptability and affordability of point-of-care test in determining  ABO and Rhesus D blood group of pregnant women at EkuGeneral Hospital, EKU, DeltaState, Nigeria. (2024). JOURNAL OF AFRICAN NEONATOLOGY, 2(1), 10-14. https://janeonatology.org/index.php/jan/article/view/59

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