the study was cross sectional in design and could not establish a causal relationship among study variables . The study findings is also prone to respondents’ bias arising from the use of semi-structured questionnaire, though the data obtained was triangulated with those of FGD interviews. The study was conducted in a tertiary healthcare facility, a model of best practice in the health care sector and so; the findings might not be generalisable across levels of HCFs in Nigeria since situations elsewhere might be worse than presented in this study.