1. Presented by: Olayinka Afolake Odumosu
PATIENT’S PERCEPTION ON THE QUALITY OF PATIENT NAVIGATOR’S SERVICES AT LAGOS UNIVERSITY TEACHING HOSPITAL, NIGERIA
Presented by: Olayinka Afolake Odumosu
Odumosu O *, ,Alabi AO**, Lawal AO**, Mbanugo E * Nicholas Irurhe NK **, Yakubu CI **, Nwige C.I.**, Sowunmi AC **, Habeebu MYM ** Fatiregun Olamijulo ** Prof Daramola Olukiran GE**

2. Introduction
A patient Navigator is a member of the health care system who help patients ‘’navigate’’ the health care system and get timely care by breaking barriers to treatment
A patient navigator help coordinate patients care, connect patients with resources and help patient understand the healthcare system.
Patient navigators work in many areas of healthcare, many have one chronic disease focus area such as cancer , diabetes , heart disease

3. Lack of access to care, funding limitations, cultural, and social barriers are challenges that have led to adverse cancer outcomes amongst breast cancer patients in Nigeria. An increasingly popular approach to improving cancer care outcomes has been navigator programs.
The first patient navigator program was introduced by Dr Harold Freeman, a breast surgeon at the Harlem Hospital in New York City. He observed a pattern of late stage presentation in breast cancer patients where the primary barrier to early, effective treatment was the inability to access medical care in a timely manner.

4. A Patient navigator is a member of the community who has a clear understanding of the local social and cultural issues and is simultaneously aware of the functioning of the health care system.
Patient navigators have established contacts with the medical team as well as other support services.
The navigator accomplishes this most effectively through one-on-one contact with the patient from the time of initial suspicion of cancer diagnosis

5. AIM
To evaluate the perception of breast cancer patients on the quality of patient navigator services at the one-stop Breast Clinic, Lagos University Teaching Hospital(LUTH), Idi-Araba.  

6. Materials and Methods
This was a prospective study done over a period of one month in the one-stop breast clinic, LUTH. Convenience sampling method was used to collect data from patients randomly through a self administered questionnaire including age, marital status, gender, educational status and patients’ perception of patient navigator services. Ethics approval was obtained from LUTH HREC. Data was analysed using SPSS version 21.0

7. Results A total of 60 patients were reviewed for the study.
58(96.7%) were female and 2(33.3%) were male with a F:M ratio of 29 : 1 
The mean age was 44years.
30 (50%) of the patients were married while 13(21.7%) were single.
21 (35%) had primary school education while 13 (21.6%) had tertiary education.
All patients rated reception by patient navigator as excellent (n=60).
They also all accepted that the patient navigator was consistent in service delivery (n=60).
All patients rated good level of communication and interaction by patient navigator as excellent (n=60) and also agreed that they got help from PN in difficulties (n=60).

8. RESULTS CONTD
5 (8.3%) stated that they have difficulties with their mobile network when communicating with the patient navigator via her mobile phone.
Majority, 59(99.5%) of the surveyed patients rated their overall satisfaction with the patient navigator services as excellent.
They all reported that they would use the patient navigator services again and recommend to others

9. Graphical representation of result

10. MARITAL STATUS

11. EDUCATIONAL STATUS

12. Discussion
The past 3 years in other countries have produced a quantity of work in the cancer patient navigation literature on patient perception of patient navigator’s service to that of the previous years combined. No study on this yet in Nigeria
Previous literature review, has revealed that patient navigator service was provided by professionals with multiple types of training and lay persons, and to multiple medically underserved and general medical populations.
Although these articles reported patient perspectives and cancer care outcomes, none discussed the implications of patient navigation in terms of organizational outcomes. For example, the opportunity for organizations to pursue patient navigation among well-insured patient populations as a means to improve organizational outcomes such as increased market share and profit margin is clearly obvious, but the literature to date is silent in this regard in Nigeria

13. recommendation
All institutions and oncology canters in Nigeria should embrace the patient navigation system.
There is a need for more collaborations amongst various NGO’S in order get support for diagnostics and treatment cost
Online support groups should be created for all patients via what’s app etc

14. Conclusion
Patient navigator’s service is relatively new in Nigeria and its impact on reducing morbidity and mortality among cancer patients cannot be overemphasized. It is a valuable service in helping patients navigate their way through the often scary and overwhelming treatment of cancer.

20. THANK YOU