Morbidity Pattern among Adult Patients in the General Out-Patient Clinic of an Urban Tertiary Hospital in North Central Nigeria.

Background: The general outpatient clinic of a tertiary institution provides primary care to patients whose disease profile could give an insight into the pattern of disease in that community. In developing countries, urbanization and adoption of western lifestyle have influenced changes in disease pattern. Data generated of such changing patterns are useful in planning and administering healthcare services. Objectives: To illustrate the pattern of disease and highlight the commonest ones in the adult population of the General Out-patient Department clinic(GOPD) of Jos University Teaching Hospital (JUTH), Plateau State, Nigeria. Methods: We carried out a cross sectional, descriptive survey on 519 systematically recruited adults presenting to the clinic. Their ailments were diagnosed by primary care physicians at clinical consultations and classified using the International Classification of Primary Care version 2 (ICPC-2). Epi info version 7 statistical software package was used to analyse data. Results: A total of 1073 diagnoses were made; 70% of the patients had multiple diagnoses. The top 5 classes of morbidities were cardiovascular: 346 patients (66.7%), endocrine/metabolic: 249 patients (48%), Digestive: 87 patients (16.8%), Musculoskeletal: 70 patients (13.5 %) and Psychological: 59 (11.4%) patients. Social problems were the least encountered; 1patient (0.19%). The commonest disease entity was hypertension: 295 patients (56.8%). Conclusion: There exists a predominance of non-communicable diseases among this group of adult patients. This finding is useful for planning and upgrading primary care training programs and services.

[1]  P. Vounatsou,et al.  Malaria risk in Nigeria: Bayesian geostatistical modelling of 2010 malaria indicator survey data , 2015, Malaria Journal.

[2]  T. SogunleP,et al.  Clinic encounters: Disease classification in primary care using NHIS Patients at federal medical centre Abeokuta. , 2015 .

[3]  Stefan Kohler,et al.  Urbanization and health in developing countries: a systematic review. , 2014, World health & population.

[4]  K. Iregbu,et al.  Urinary tract infections in a Tertiary Hospital in Abuja, Nigeria , 2013 .

[5]  M. Rosendal,et al.  Psychological and social problems in primary care patients - general practitioners’ assessment and classification , 2013, Scandinavian journal of primary health care.

[6]  C. Ekpenyong,et al.  Double Burden, Non-Communicable Diseases And Risk Factors Evaluation In Sub-Saharan Africa: The Nigerian Experience. , 2012 .

[7]  L. Fairall,et al.  A Morbidity Survey of South African Primary Care , 2012, PloS one.

[8]  Gurjeet Kaur,et al.  CHANGING DIETARY PATTERN AND LIFESTYLE ON DISEASES , 2012 .

[9]  O. Mimi,et al.  A comparison of morbidity patterns in public and private primary care clinics in malaysia. , 2011, Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia.

[10]  E. Owoaje,et al.  Morbidity pattern amongst elderly patients presenting at a primary care clinic in Nigeria , 2011, African Journal of Primary Health Care & Family Medicine.

[11]  L. Odeigah,et al.  The prevalence of abdominal obesity and hypertension amongst adults in Ogbomoso, Nigeria , 2011, African Journal of Primary Health Care & Family Medicine.

[12]  C. Agyemang,et al.  Tackling Africa's chronic disease burden: from the local to the global , 2010, Globalization and health.

[13]  O. Ani,et al.  Prevalence of Urinary Tract Infections (UTI) in sexually active women of Abakaliki, Ebonyi State, Nigeria , 2009 .

[14]  I. Bougmiza,et al.  Morbidity patterns in general practice settings of the province of Sousse, Tunisia , 2009, The Pan African medical journal.

[15]  J. Critchley,et al.  Sub Saharan Africa: TB and Diabetes Mellitus, HIV and Metabolic Syndrome, and the impact of globalization , 2009 .

[16]  A. Osibogun,et al.  ICPC-2-defined pattern of illnesses in a practice-based research network in an urban region in West Africa , 2009, African Journal of Primary Health Care & Family Medicine.

[17]  R. Nugent.  Chronic Diseases in Developing Countries , 2008, Annals of the New York Academy of Sciences.

[18]  Abdesslam Boutayeb,et al.  International Journal for Equity in Health the Burden of Non Communicable Diseases in Developing Countries , 2005 .

[19]  Julie O'Halloran,et al.  Defining chronic conditions for primary care with ICPC-2. , 2004, Family practice.

[20]  Sarah Jane Marshall,et al.  Developing countries face double burden of disease. , 2004, Bulletin of the World Health Organization.

[21]  G. Nantel,et al.  Globalization of food systems in developing countries: impact on food security and nutrition. , 2004, FAO food and nutrition paper.

[22]  J. Stephenson,et al.  Pelvic inflammatory disease epidemiology: what do we know and what do we need to know? , 2000, Sexually transmitted infections.

[23]  J. Dickinson,et al.  The work by the developing primary care team in China: a survey in two cities. , 2000, Family practice.

[24]  P. Hjortdahl,et al.  Morbidity and health care utilisation among elderly people in Mmankgodi village, Botswana , 2000, Journal of epidemiology and community health.

[25]  N. D. de Silva,et al.  One-day general practice morbidity survey in Sri Lanka. , 1998, Family practice.

[26]  B. Bentsen.  International classification of primary care. , 1986, Scandinavian journal of primary health care.