Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre Study

Background: In Nigeria, violence against healthcare has adversely affected the access to and delivery of healthcare services with serious consequences for healthcare workers (HCWs). This study assessed the prevalence and patterns of violence against HCWs in areas of armed conflict, areas of other si...

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Main Authors: Alphonsus Rukevwe Isara, Zara William Wudiri, Hadiza Abigail Agbo, Luret Albert Lar, Adesuwa Queen Aigbokhaode, Nyemike Simeon Awunor, For Association of Public Health Physicians of Nigeria
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Nigerian Postgraduate Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/npmj.npmj_221_24
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author Alphonsus Rukevwe Isara
Zara William Wudiri
Hadiza Abigail Agbo
Luret Albert Lar
Adesuwa Queen Aigbokhaode
Nyemike Simeon Awunor
For Association of Public Health Physicians of Nigeria
author_facet Alphonsus Rukevwe Isara
Zara William Wudiri
Hadiza Abigail Agbo
Luret Albert Lar
Adesuwa Queen Aigbokhaode
Nyemike Simeon Awunor
For Association of Public Health Physicians of Nigeria
author_sort Alphonsus Rukevwe Isara
collection DOAJ
description Background: In Nigeria, violence against healthcare has adversely affected the access to and delivery of healthcare services with serious consequences for healthcare workers (HCWs). This study assessed the prevalence and patterns of violence against HCWs in areas of armed conflict, areas of other situation of violence and areas not affected by conflict in Nigeria. Methodology: A cross-sectional study utilising a mixed method approach comprising both quantitative survey and qualitative data collection methods. All the categories of HCWs in public healthcare facilities participated in the study. Ethical approval for this study was obtained from the respective Health and Research Ethics Committees of the respective study sites. Results: A total of 1,218 HCWs comprising Borno State, 407 (33.4%), Plateau State, 401 (32.9%) and the Federal Capital Territory 410 (43.7%) were interviewed. The overall prevalence of physical and psychological violence was 16.7% and 62.4%, respectively. Pushing and slapping were the predominant forms of physical violence. Weaponized violence with weapon was the highest in conflict areas. Verbal abuse, threats, bullying and harassment were the predominant forms of psychological violence. The major consequences of violent attacks on the HCWs were lack of job satisfaction, loss of confidence, low self-esteem, decreased productivity and post-traumatic stress disorder. Conclusions: The overall prevalence of violent attacks on HCWs was high. The perpetrators of violent attacks were mainly patient relatives and patients/clients. The factors predisposing to violent attacks were patients-related issues, service delivery, working conditions of the hospitals, expectations of patient relatives and impatience of hospital staff.
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spelling doaj-art-7e490b149e614fe68d467ebc7a50b0d02025-01-07T09:47:56ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752024-12-0131429931010.4103/npmj.npmj_221_24Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre StudyAlphonsus Rukevwe IsaraZara William WudiriHadiza Abigail AgboLuret Albert LarAdesuwa Queen AigbokhaodeNyemike Simeon AwunorFor Association of Public Health Physicians of NigeriaBackground: In Nigeria, violence against healthcare has adversely affected the access to and delivery of healthcare services with serious consequences for healthcare workers (HCWs). This study assessed the prevalence and patterns of violence against HCWs in areas of armed conflict, areas of other situation of violence and areas not affected by conflict in Nigeria. Methodology: A cross-sectional study utilising a mixed method approach comprising both quantitative survey and qualitative data collection methods. All the categories of HCWs in public healthcare facilities participated in the study. Ethical approval for this study was obtained from the respective Health and Research Ethics Committees of the respective study sites. Results: A total of 1,218 HCWs comprising Borno State, 407 (33.4%), Plateau State, 401 (32.9%) and the Federal Capital Territory 410 (43.7%) were interviewed. The overall prevalence of physical and psychological violence was 16.7% and 62.4%, respectively. Pushing and slapping were the predominant forms of physical violence. Weaponized violence with weapon was the highest in conflict areas. Verbal abuse, threats, bullying and harassment were the predominant forms of psychological violence. The major consequences of violent attacks on the HCWs were lack of job satisfaction, loss of confidence, low self-esteem, decreased productivity and post-traumatic stress disorder. Conclusions: The overall prevalence of violent attacks on HCWs was high. The perpetrators of violent attacks were mainly patient relatives and patients/clients. The factors predisposing to violent attacks were patients-related issues, service delivery, working conditions of the hospitals, expectations of patient relatives and impatience of hospital staff.https://journals.lww.com/10.4103/npmj.npmj_221_24healthcare workersnigeriaviolence against healthcare
spellingShingle Alphonsus Rukevwe Isara
Zara William Wudiri
Hadiza Abigail Agbo
Luret Albert Lar
Adesuwa Queen Aigbokhaode
Nyemike Simeon Awunor
For Association of Public Health Physicians of Nigeria
Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre Study
Nigerian Postgraduate Medical Journal
healthcare workers
nigeria
violence against healthcare
title Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre Study
title_full Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre Study
title_fullStr Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre Study
title_full_unstemmed Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre Study
title_short Assessment of the Prevalence and Patterns of Violence against Healthcare Workers in Nigeria: A Multicentre Study
title_sort assessment of the prevalence and patterns of violence against healthcare workers in nigeria a multicentre study
topic healthcare workers
nigeria
violence against healthcare
url https://journals.lww.com/10.4103/npmj.npmj_221_24
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