|Year : 2019 | Volume
| Issue : 1 | Page : 26-30
Awareness and knowledge of sustainable development goals among health workers in Bida, north-central Nigeria
Abdulafeez Oyesola Bello1, Paul Adah Omachi1, Muhammad An Adeboye2, Abdulrasheed Olasukanmi Adegboye2
1 Department of Paediatrics, Federal Medical Centre, Bida, Niger State, Nigeria
2 Department of Paediatrics, University of Ilorin, Ilorin, Kwara State, Nigeria
|Date of Web Publication||31-Jul-2019|
Dr. Abdulafeez Oyesola Bello
Department of Paediatrics, Federal Medical Centre, Bida, Niger State
Source of Support: None, Conflict of Interest: None
Background: The sustainable development goals (SDGs) are the latest intervention focused on ensuring global development. The failures of the millennium development goal, which was the previous global strategy, have been hinged on poor awareness and knowledge of critical stakeholders among other reasons for poor performance in most developing countries. Methods: We carried out a cross-sectional study among a group of critical stakeholders (health workers) to assess their awareness and knowledge of the SDGs since its inception in 2015. We used a scoring system for some key components of the SDGs and analyzed the obtained data. Results: Of the 103 health workers that partook, 63.1% were males and 36.9% were females. Forty-eight percent of the respondents had good knowledge of the SDGs. Male gender among the participants was predictive of good knowledge whereas the professional affiliation of the participants did not significantly predict good knowledge of the SDGs. Conclusionand Recommendation: Awareness and knowledge of SDGs among participants was good. We recommend the introduction of SDGs in the curriculum of health workers with special focus for female professionals to enhance attainment of the goals.
Keywords: Development, goals, knowledge and awareness
|How to cite this article:|
Bello AO, Omachi PA, Adeboye MA, Adegboye AO. Awareness and knowledge of sustainable development goals among health workers in Bida, north-central Nigeria. J Med Trop 2019;21:26-30
|How to cite this URL:|
Bello AO, Omachi PA, Adeboye MA, Adegboye AO. Awareness and knowledge of sustainable development goals among health workers in Bida, north-central Nigeria. J Med Trop [serial online] 2019 [cited 2019 Dec 13];21:26-30. Available from: http://www.jmedtropics.org/text.asp?2019/21/1/26/263744
| Introduction|| |
Sustainable development goals (SDGs) are a collection of United Nation goals set as the successor of the millennium development goals (MDGs) that is otherwise called “agenda 2030.” It is meant to serve as reference point of collective world development agenda and it focuses on a 5P agenda, namely People, Posterity, Planet, Peace, and Partnership. The SDGs are more comprehensive when compared with the MDGs because these consist of 17 goals, 169 targets, and more than 200 indicators. Likewise, the SDGs have been expanded to include noncommunicable diseases, pollution, and road traffic accidents, thereby emphasizing the importance of the health sector to development and also demonstrating a paradigm shift from cure to prevention as key focus.
Awareness and knowledge on SDGs is important in achieving its goals and facilitating accountability. In a report aimed at assessing progress made with the MDGs in 2015, slow start of the program and poor awareness among stakeholders were attributed as cause of poor outcome of some MDGs among African countries. A similar finding was reiterated in the MDG endpoint report by the Nigerian Government. This underscores the importance of involvement of all stakeholders to achieve success with the SDGs. During the MDG era, developing countries benefitted immensely from aid flow but this had little impact on policy change especially in poorer countries making it difficult to achieve expected targets. Stakeholders are meant to be facilitators of policies to ensure expected changes, with regard to the SDGs especially the health-related goals, and health workers are key stakeholders in attaining them. Therefore, necessitating a study like this aimed at assessing the awareness and knowledge of health workers on SDGs.
| Materials and methods|| |
This study was a descriptive cross-sectional study assessing the awareness and knowledge of SDGs among health workers in Federal Medical Centre, Bida, Nigeria.
The hospital has 200 beds with about 1500 staff members, and core health workers constitute about half of this population. The hospital is the only tertiary hospital in Niger state and it serves patients in Niger state as well as neighboring states of Kwara, Kogi, Kebbi, Kaduna, and the Federal capital territory.
The focus of the study were core health workers that include doctors, nurses, pharmacist, laboratory scientist, radiographers, and health information officers. Only bonafide staff of the hospital who belong to this profession were eligible as participants. Similarly, a written consent was voluntarily obtained from each participant.
A convenience sampling method was used for the study; this was adopted because it made easier to sample the participants, although it made the sampled population less representative and therefore limited the ability for generalization of obtained results.
A semistructured questionnaire adapted from a similar study was used for the study. The questionnaire was assumed to be face validated since the previous study’s proforma had been validated by Public Health Physicians, though a pilot test was not carried out. The studied variables were awareness of SDG, their knowledge on the year of its commencement, the number of SDGs, and target and timeline for SDGs. With the aid of this five main questions, a scoring system was devised for this study. Each correctly answered question was awarded a score of 20 making the five questions to add up to 100 if all questions were answered correctly. Respondents with ≥50 were labeled as having good knowledge of SDGs, whereas those <50 were labeled as having poor knowledge of SDGs. The criteria for choosing 50 was based on it being the mid-value from 0 to 100.
Permission for the study was obtained from the Health Research and Ethics Committee of the hospital. Written consent was obtained from each participant.
The questionnaire was self-administered. Data obtained were entered into a spreadsheet and analyzed using Statistical Package of Social Sciences, version 21 (IBM Corp. Released 2012: IBM SPSS Statistics for windows version 21.0). Pertinent frequency distribution tables were generated and percentages were also expressed. Logistic regression was used to assess how a gender predicts each professional affiliation whether they have good or poor knowledge of SDGs. Level of statistical significance was set at P value of ≤0.05.
| Results|| |
Of the 103 participants, 65 (63.1%) were males and 38 (36.9%) were females. The age range of respondents was 23 to 54 years with a mean age of 34.9 ± 8.3 years. Doctors accounted for 53.4% of the participants whereas others were outlined as in [Figure 1].
Eighty-eight (85.2%) of the participants were aware of the SDG [Table 1]. The most common source of this information was through the internet (44.7%) whereas 30 (29.1%) of the participants had heard of SDG through more than two sources [Table 2]. SDGs were rightly understood to be a new developmental plan for the world by 45 (43.1%) of the respondents.
With regard to having knowledge of the number of goals, the year of commencement, and timeline for achieving the SDG, 51 (49.5%), 49 (47.6%), and 38 (36.9%), respectively, knew the correct answers [Table 2]. Only 14 (13.6%) of the participants could list up to four of the SDG goals correctly and 60 (58.3%) of the respondents believed the SDG was achievable.
Overall, 48 (46.2%) of the health workers had good knowledge of the SDGs whereas 55 (53.4%) had poor knowledge of the SDGs. Male gender among the participants was predictive of good SDG knowledge compared to female gender with P = 0.007 (confidence interval: 0.131–0.726) [Table 3]. Among the groups of health workers, none of them was predictive of good SDG knowledge on binary logistic regression analysis [Table 3].
|Table 3: Binary logistic regression analysis to predict good knowledge of SDGs|
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| Discussions|| |
The SDGs remain a comprehensive solution-focused program encompassing all nations globally; the theme “no one must be left behind” has been used to underscore this. Our findings depict an improved involvement of stakeholders with majority of our respondents being aware of the program 3 years down the line. A 2016 survey among 13 countries including Nigeria reported that 34% of their Nigerian respondents were aware of SDGs. Also compared to a 2016 study carried out in a higher institution in south-western Nigeria reported that 40% of their participants were aware of SDG; this indicates improved awareness in the present study. Although our study was among health workers and carried out for more than a year after these two studies, our findings imply a better focus with the SDGs and a possibility of improvement in attaining the goals as implied with studies on MDGs., This improved awareness that may be attributed to the Nigerian Government policy with regard to the goals such as appointment of a Presidential Special Adviser on the SDGs as well as incorporating enlightenment on SDGs as part of the compulsory orientation program of the National Youth Service Scheme.,
Most of the respondents in our study attributed their source of awareness of SDG to messages on the internet. This is contrary to the findings of Omisore et al. in which mass media (television and radio) were the main source of awareness. Internet-enhanced social media messages have become a prominent source of information dissemination globally and should be used to create awareness considering the importance of the SDGs. Although majority of our respondents identified SDGs as a world developmental program, about a third of them still opine that it is similar to MDGs. The immediate succession of the MDGs by the SDGs and the similarity in their acronym may be responsible for this.
The participants had an average knowledge of SDGs when commenced, the numbers of SDGs, and the timeline for SDGs, compared to a study among University workers in Nigeria, where 5% of their respondents had knowledge on SDGs. More than half of our respondents agree that SDGs are achievable; a similar finding was reported in a south-western Nigerian study. Although SDG has only one health-specific goal, which is the field of our participants, it, however, has other goals such as SDGs 2, 5, 6, 11, and 16 that have health-related targets. Likewise, other goals beside this six also focus on social determinants of health. This interrelated focus of the goals enhances the chance of attaining them collectively; this implies that achieving any of the goals will assist in the achievement of others.
Overall, almost half of the respondents had good knowledge of the SDGs. Male gender was predictive of good knowledge of SDGs in our population. There is a need for understanding the peculiarity of each gender in relation to health information dissemination. For instance, in a study in Saudi Arabia assessing gender preference with regard to health information, women prefer information disseminated in gatherings they belong to or during health promotion exercises whereas males preferred mass media messages. This may account for this finding especially in this era of social media although we had more male respondents than females for this study. No Health Professional Group was predictive of good knowledge of SDGs. Although this may not apply in all cases but emphasizes the fact that all healthcare workers are equal stakeholders toward achieving the SDGs and have varying roles in achieving them. The International Council of Nurses buttressed this in a recent publication outlining the role a nurse plays in attainment of each of the 17 SDGs.This study is limited by paucity of comparative data on the subject. Likewise, a convenience sampling method was employed making it difficult to generalize our findings.
| Conclusions and recommendations|| |
Our study depicts an improved level of awareness and average knowledge of the SDGs. It implies a step in the right direction and will probably lead to improved achievement with the SDGs when compared to the MDGs. To further this cause, we recommend the introduction of SDGs in the curriculum of health workers to enhance attainment of the goals. Likewise, good knowledge of SDGs was more significant among the male gender; therefore, there is a need for a concerted effort focused on educating female health workers on the program.
The authors appreciate all respondents in this study.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Fairall L. Health workers are vital to sustainable development goals and universal health coverage. BMJ 2017;356:1357.
Kenny C, Sumner A. More money or more development: what have the MDGs achieved? Centre for Global Development Working Paper; 2011. p. 278.
United Nations Economic Commission for Africa, African Union, African Development Bank and United Nations Development programme. MDG Report 2015. Assessing progress in Africa towards the MDG 2015. Available at http://www.un.org.pdf.MDG
. 2015. [Accessed May 4, 2019].
Office of the Senior Special Assistant to the President on MDG. Millenium Development Goals End-Point Report 2015, Nigeria. Available at www.ng.undp>org>dam>docs>MDG
. [Accessed May 4, 2019].
Inter-agency and Expert Group on SDG Indicators (IAEG-SDGs). Final list of proposed sustainable goal indicators 2016. Available at https://unstats.un.org
. [Accessed May 11, 2019].
Omisore AG, Babrinde GM, Bakare DP, Asekun-Olarinmoye EO. Awareness and knowledge of the sustainable development goals in a University community in South-Western, Nigeria. Ethiopia J Health Sci 2017;27:869-76.
Nashash H. Level of millennium development goals awareness among students at Princess Alia University College. Eur Sci J 2013;9:43-54.
Ogbodo JN. Nigerian public awareness and knowledge of the MDGs and the level of implementation in Nigeria. Eur Sci J 2015;11:301-16.
Premium Time: SDGs 2030: Presidency mobilizes 400 Corp members to champion implementation. 16th February 2017. Available online: https://www.premiumtines.ng.com
. [Assessed on June 21st, 2019].
SDGs 2030. Presidency mobilizes 400 corp members to champion implementation. February 16, 2017. Available at https://www.premiumtimesng.com
. [Accessed April 20, 2019].
United Nations Environment Programme. The United Nations Environment programme and the2030 Agenda. Global action for people and the planet; 2015. Available at https://www.un.org.2013/08unep.un.org
. [Accessed April 29, 2019].
Hesham IA, Naseem AA, Siddiq AAG, Ashraf AR, Adel MM. Gender differences in health education needs and preferences of Saudis attending Riyadh Military Hospital in the Kingdom of Saudi Arabia. J Fam Community Med 2012;19:172.
[Table 1], [Table 2], [Table 3]