Getting children vaccinated amidst prevailing barriers to immunisation has been challenging in both developed and developing countries. To address these problems, studies on parental reminder strategies were conducted to improve immunisation outcomes in children. These led to the development of different parental reminder interventions. This review systematically reviews different parental interventions and their cost implication for improved immunisations. Five online databases; Medline Complete, the Cumulative Index for Nursing and Allied Health Literature [CINAHL], Academic search premier, SPORTDiscus, and Health Source Nursing/Academic were searched using search terms. A total of 24 articles that met the inclusion criteria were included in this review. Studies that provided sufficient information were included for meta-analysis using Comprehensive Meta-Analysis version three, while narrative synthesis was used for the other studies. Results indicate that a heterogeneous and low-quality certainty of evidence on parental voice calls (OR 4.752, 95% CI 1.846–12.231, p = 0.001) exists in improving immunisation coverage. Regarding immunisation timeliness, a high-quality certainty of evidence on Short Message Services (SMS)-delivered health education messages (OR 2.711 95% CI 1.387–5.299, p = 0.004) had more effect on timely immunisation uptake. The average cost of SMS-delivered parental reminder interventions for improved immunisation outcomes was USD 0.50. The study concludes that mobile technology is a promising, cost-effective strategy for improved immunisation outcomes.

Objective: The aim of the study is to assess the physical, financial, emotional and social impact of breast cancer on women in North east Nigeria. Methods: A qualitative transcendental phenomenological study design was adopted, using face-to face unstructured interview to collect data from 22 respondents who were recruited via purposive non-probability sampling technique. The interviews were recorded, transcribed verbatim and further analyzed using thematic analysis method into themes and sub-themes. Results: The result revealed excruciating pains that does not abate completely as the main physical impact, expensive cost of treatment as the major financial impact and crying as the major emotional impact of breast cancer on women. However, been diagnosed with breast cancer had no any consequences on participants’ relationship with spouse or family members. Conclusion: Breast cancer causes pain, makes women to cry and the treatment is very expensive but it does not cause relationship problems. There is therefore the need for Government and Non-governmental policies to be geared towards supporting women with breast cancer to overcome these challenges.

Cardiopulmonary Resuscitation (CPR) is a vital lifesaving intervention for cardiac arrest. The systematic review is to investigate CPR knowledge, attitude, self-efficacy, and influencing factors among health professionals. This review analyzed cross-sectional studies published from 2019 to 2024 using data sources from PubMed, Scopus, and Google Scholar. The result revealed a good knowledge ranging from 11.9% to 89.5%. Approximately 65.0% had positive attitudes, and 89.4% positive self-efficacy. Affecting factors include age, work experience, CPR training, specialty area, and exposure to cardiac arrest cases. The findings highlight the importance of standardized and frequent CPR training, leading to improved quality of care.

Background: Flood disasters, alongside prolonged conflict and socio-economic hardship in Maiduguri, Borno State, Nigeria, have heightened the psychological vulnerability of children. This study examined the prevalence of psychological distress and explored the coping mechanisms employed by children affected by flooding in the region. Method: Children aged 7–17 years from flood-affected areas in Maiduguri were included in the study. Psychological distress was measured using the parent version of the Strengths and Difficulties Questionnaire (SDQ-13), and coping mechanisms were assessed using the Kidcope Parent Version. Multivariate and ordinal logistic regression examined factors associated with psychological distress and coping mechanisms. Results: A total of 374 children participated in the study. 63.6% experienced abnormal psychological distress. Moderate and high levels of maladaptive coping were significantly associated with greater odds of psychological distress (Odds Ratio [OR] = 1.72, 95% CI: 1.25 - 2.36; OR = 2.43, 95% CI: 1.46 - 4.04). Similarly, moderate adaptive coping was associated with higher odds of distress compared to poor coping (OR = 1.90, 95% CI: 1.38 - 2.61). In unadjusted models, age, female gender, higher education, Christian religion, and higher household income were associated with increased psychological distress. However, these were not significant in the adjusted model. Ordinal logistic regression showed no significant predictors of either maladaptive or adaptive coping levels. Conclusion: A high proportion of flood-affected children in Maiduguri experience psychological distress, with maladaptive coping playing a key role. The findings indicate the need for targeted psychosocial interventions to improve adaptive coping skills in flood-affected children.