Health and Environment

Background: To maintain the good mental health of a population, the primary healthcare delivery system must be enhanced to provide mental healthcare services (MHS). This study was thus aimed at assessing the adequacy of manpower, equipment, and material resources for providing mental healthcare services in primary healthcare (PHC) facilities in Rivers State, Nigeria.
Methods: This study employed a descriptive cross-sectional design and was conducted in 123 Model Primary Health Care (MPHC) facilities in Rivers State, Nigeria. The heads of facilities provided responses on the availability of manpower, equipment, and material resources necessary for the provision of MHS. Data were collected using an adapted manpower, equipment, and materials checklist, after which evaluation was performed using laid-down PHC standards to determine the adequacy of the assessed resources.
Results: Regarding the manpower working at the health facilities, it was identified that 56 (45.5%) facilities had no doctors and 38 (30.9%) had no nurses, one community health officer (CHO) in 31 (25.2%), among other workers. The various cadres of workers in the PHC facilities were also identified as grossly inadequate. An assessment of equipment and material adequacy, using a 50% cutoff to classify availability as “adequate” or “inadequate”, showed that most facilities (64, 52.0%) experienced inadequacies in these equipment and materials.
Conclusion: The manpower, equipment, and material resources required for the provision of MHS in PHC facilities in Rivers State was found to be inadequate and inequitably distributed. It was thus recommended that the relevant healthcare stakeholders in the State should work to strengthen the capacity of PHC facilities to provide quality MHS to the Rivers populace, thereby improving health outcomes.

Childhood ocular morbidity encompasses a spectrum of eye diseases that negatively impact mental development, educational attainment, and quality of life. This study aimed to assess the prevalence and pattern of paediatric ocular morbidities in Rivers State between 2019 and 2023. A retrospective design was employed, including all cases of ocular morbidity recorded at Rumuokwurusi Model Primary Health Centre and Obio Cottage Hospital in Obio Akpor Local Government Area (LGA), Rivers State, from 2019 to 2023. Data were analyzed using IBM Statistical Package for the Social Sciences (SPSS) version 23. The findings revealed a prevalence of paediatric ocular morbidity of 94.9% (n = 167). The most common conditions included eye irritation (75%), conjunctivitis (43%), red eye (41%), near vision impairment (40%), refractive errors (37%), and far vision impairment (32%). Significant associations were observed between age and specific ocular morbidities, including conjunctivitis (p < 0.001), far vision impairment (p = 0.030), near vision impairment (p = 0.030), and refractive errors (p = 0.010). A significant association was also identified between sex and dry eye syndrome (p = 0.025). These results indicate that paediatric ocular morbidity constitutes a major public health concern in Rivers State and demands appropriate interventions to address the ocular health needs of the population. Improved eye health service delivery is recommended, including the integration of eye care services into school health programs and the primary healthcare system in Rivers State to ensure accessible and adequate ocular healthcare for children.