Impact of Microfinance Banks on Poverty Alleviation in Selected Local Government Areas of Oyo State, Nigeria

The study examined the impact of microfinance banks on poverty alleviation in selected Local Government Areas of Oyo State. Standard of living of the respondents was examined; relationship between size of loans and standard of living and the extent to which women has benefitted from microfinance bank activities were also evaluated. The study was carried out in three Local Government Areas which were selected using stratified and purposive sampling techniques. 150 customers of microfinance banks were selected. Primary data were analyzed using Foster Greer Thorbecke; Matching Framework Analysis and Partial Correlation. The results revealed that poverty index of the respondents reduced from 0.1668 to 0.1551 after collection of loans which implied that microfinance banks has impacted positively on their living standards. The extent at which women has benefitted from microfinance banks ranges from 65% to 74% between 2007 and 2010. The result indicated that women are increasingly benefitting from microfinance activities in contrast to yester years when there was gender disparity skewed against women. Moreover, the relationship between size of loan, asset acquisition and profit after loan were positive and significant with P = 0.085 and r = 0.152, this revealed that as the size of loan increases, asset acquisition and profit also increases. It was recommended that the size of loans given to customers should be increased in order to enhance their standard of living and consequently alleviate poverty. Microfinance banks should encourage formation of cooperative societies through which they can give out loans to customers. Keywords: Microfinance bank, Poverty, Living standard, Nigeri

Audit of Open Pediatric Tracheostomies at the University College Hospital, Ibadan

Background: Tracheostomy is the creation of a communication between the trachea and the overlying skin, maintained by a tube. This is done either by an open or percutaneous technique. Anatomical and physiological variation of the paediatric trachea and adjoining structures necessitates finite skills and consistent competence in performing pediatric tracheostomies, lack of which may cause higher mortality and morbidity outcome in tracheostomies in the pediatric age group. Objectives: There are inadequate local data on the outcomes of pediatric tracheostomies; therefore, we conducted a local audit of pediatric tracheostomy to describe our experience. Methods: A retrospective study of pediatric patients who had tracheostomies from June 2011 to December 2017 was done. Results: Thirty‑four patients were identified, all of whom had an open tracheostomy. The age range was 3 weeks to 16 years; M: F ratio was 2.4:1. Indications for surgery were obstructive (88.2%) and prolonged‑assisted intubation (11.8%). Recurrent respiratory papillomatosis, retropharyngeal abscess, and foreign‑body aspiration were the main obstructive causes. Three patients (8.8%) had repeat procedures, and these patients were initially discharged on tracheostomy tube and instructions were given for home care. Conclusion: Despite the evolving local challenges peculiar to clinical practice in developing countries, the outcome of pediatric tracheostomy in our hospital is good. Keywords: Audit, pediatric, tracheostom

Modeling of Lightning Strike Events, and it’s Correlational with Power Outages in South-West Coast, Nigeria

This paper aimed to model lightning strike events and evaluate its correlation with power outages in a Nigerian power distribution system. A specified coastal distribution network of southwest Nigeria was selected as a case study. Zone-specific records of cloud-to-ground lightning strikes for 84 months were obtained from the Nigerian Meteorological Agency (NiMet); records of power outage frequencies and durations for 36 months were obtained at the substations of the selected distribution network. Using numerical statistical analysis techniques, lightning activity in the system area were characterized in relative frequency terms, and correlation statistics were evaluated and analyzed for power outages and lightning events on the 11kV, 33kV, and 132kV voltage levels. An analysis of the results shows that the modelled lightning strike events patterns are closely related but the expected frequencies vary from one zone to another; and there is correlation between lightning strike and power outages in the distribution networks, which is strong and positive at the 33 kV and 132 kV circuits. In essence, the results provided salient information, useful for power systems lightning protection review, management and planning in the area

Travel Behaviour of Rural People in Developing Countries.

Travel patterns in rural areas of developing countries are dominated by trips required to access basic needs and services. Studies revealed that the time spent on such travel is relatively constant throughout the year. Any community with less than 20,000 people is said to be rural, while settlement with population of over 20,000 people is regarded as an urban centre. In many developing countries, national transport policies do not address the travel needs of rural people. This is either due to lack of awareness or total ignorance of government. In some countries, after the construction of rural roads, travel behaviour of rural communities change in order to meet their day-to-day basic needs. The rural travel is usually done with goods. The perspective of rural transportation planning in developing countries has changed from a ‘road-and-car’ approach to a ‘needs-led’ approach. This paper examines the travel pattern of rural dwellers in developing countries through review of literature on the subject, in order to suggest measures to enhance the travel behaviour of the rural dwellers. Keywords: Travel, trips, community, rural, behaviour, planning, population, developin

The value of including families in the treatment of anorexia nervosa

The aim of this paper is to consider family and wider carer involvement in the treatment of anorexia nervosa, and how this can be used to add value to services. We discuss widely adopted interventions involving the family that have been manualised and studied in trials that have outcome measures that are of relevance to illness costs. The therapeutic targets of these interventions range from a focus on feeding to the wellbeing of the whole family. The theoretical models that underpin interventions involving the family/wider carers include both intra and interpersonal processes, with the exception of family-based therapy, which in its original form holds an agnostic stance towards aetiology. Although formal evaluation of the cost effectiveness of these interventions is minimal, there is evidence that involving the family can reduce bed use and improve the wellbeing of both patients and family members. Moreover, for the most part, these interventions are acceptable to patients and carers. Finally, we consider how these approaches can be disseminated and scaled up more widely into services

Readiness of Nigerian Health‑Care Workers to Work during COVID‑19 Pandemic

Introduction: Health‑care professionals of all cadres are the utmost valuable resource during pandemics and maintaining an adequateworkforce of health professionals during an emergency is critical to ensure uninterrupted provision of services that are essential for patient care. Aim: Examine readiness of health‑care workers (HCWs) to provide service in the course of the COVID‑19 pandemic and the factors influencing their decision. Methodology: This was a cross‑sectional study of Nigerian health sector workers HCWs in the course of the COVID‑19 pandemic. The respondents were recruited using HCWs focus groups on WhatsApp and Telegram social medial platforms. Results: A total of 481 HCWs were recruited, consisting of 288 females and 193 males (M: F, 1:1.5), mean age = 30.71 ± 5.9 years. MostHCWs (97.3%) showed a willingness to provide service during the pandemic; 73.3% of the HCWs were willing to work if supplied with adequate personal protective equipment (PPE) although 5.8% were less willing to work without proper PPE. Factors supporting  unwillingness to work during the pandemic were: concerns about the lack of adequate testing for COVID‑19 (48.9%), lack of disability insurance plan (40.1%), fear of being infected (47.2%), and the risk of infection in family members (24.5%). The readiness to work was related to the job cadres of the HCWs (P = 0.001), while the provision of additional incentives and a change in the working conditions would influence the readiness of the HCWs to work. Conclusion: HCWs were ready to provide service in the course of the COVID‑19 pandemic if there was a safe work environment, although the availability of PPE and other personal factors would influence their willingness to work, while improvement in working conditions would motivate HCWs to work. Keywords: COVID‑19, health‑care workers, pandemic, personal protective equipmen

Regional Imbalances and Inequalities in Nigeria: Causes, Consequences and Remedies

Regional inequality and polarization of activities have persisted in most developing countries despite their quest over many decades for socio-economic and political development and modernization. This condition contributes to serious distributional problems such as hyper-urbanization, spatial concentration of population and modern activities, unemployment and underemployment, income inequality and poverty, persistent food shortages, deteriorating material conditions of farm populations, and external dependency. This paper seeks to evaluate the causes and consequences of regional imbalances and inequalities in Nigeria, and attempt the strategies that can be employed in correcting the imbalances. It thereafter, recommends remedies such as special government policies, legislative measures, urban development planning, integrated rural development planning, and strict adherence to the principle of federal character as entrenched in the constitution of the country. It also recommends massive concentration of industrial development in rural areas across the nooks and crannies of the country as a way of reducing the imbalances. Keywords: Region, imbalance, poverty, planning, development, causes, consequences, remedie

In vitro antioxidant activities of African birch (Anogeissus leiocarpus) leaf and its effect on the α-amylase and α-glucosidase inhibitory properties of acarbose

Objective This study sought to determine the antioxidant activities of African birch leaf, to assess its interaction with key enzymes relevant to type 2 diabetes (α-amylase and α-glucosidase) and to evaluate its effect on acarbose in vitro. Methods One milligram per milliliter of aqueous extract of African birch and acarbose were separately prepared. At the same time, both the African extract and acarbose solution (50:50 v/v) were thoroughly mixed until homogeneity was attained. The phenolic phytoconstituents and antioxidant properties of African birch leaf were subsequently determined. Finally, the effects of African birch extract, acarbose solution and a mixture of acarbose and African birch extract on α-amylase and α-glucosidase activities were assessed in vitro. Results The results showed that African birch extract demonstrated a remarkable antioxidant effect, as exemplified by its radical scavenging abilities, Fe2+ chelating ability and prevention of lipid peroxidation. Acarbose had significantly (p < 0.05) higher α-amylase (IC50 = 11.77 μg/ml) and α-glucosidase (IC50 = 9.05 μg/ml) activities compared to African birch extract [α-amylase (IC50 = 242.17 μg/ml); α-glucosidase (IC50 = 196.35 μg/ml)]. However, the combination of acarbose and African birch extract showed an additive effect on α-amylase inhibition, while a resultant synergistic action was observed against α-glucosidase inhibition. Conclusion The additive and synergistic actions of the combination of African birch extract and acarbose solution suggest effective, complementary and alternative strategies towards the management/treatment of hyperglycaemia associated with type 2 diabetes

High prevalence of hepatitis B virus among female sex workers in Nigeria

Hepatitis B virus (HBV) infection is endemic in Nigeria and constitutes a public health menace. The prevalence of HBV infection in many professional groups has been described in Nigeria. However, literature on HBV infection among female sex workers (FSW) in Nigeria is scanty. FSW in Nigeria are not subjected to a preventive control of HBV infection. This study assesses the extent of spread of HBV among FSW in Nigeria. Seven hundred and twenty (n = 720) FSW (mean age = 26.7 years) were tested for hepatitis B surface antigen (HBsAg) by a double antibody sandwich ELISA method. The overall HBV prevalence among the FSW was 17.1%. FSWs between the ages of 31-35 year (20.5%) and those with 'age-at-first-sex' below 10 years of age (28%) were most affected. This high prevalence of a vaccine preventable disease is unacceptable, therefore, vaccination of this high risk HBV reservoir group should be considered worthwhile.A hepatite pelo vírus B (HBV) é infecção endêmica na Nigéria e constitui problema de saúde pública. A prevalência da infecção HBV em muitos grupos profissionais foi descrito na Nigéria. No entanto, a literatura da infecção HBV entre trabalhadoras do sexo feminino (FSW) na Nigéria é escasso. FSW na Nigéria não são submetidas a um controle preventivo de infecção de HBV. Este estudo avalia a extensão da disseminação de HBV entre FSW na Nigéria. Setecentos e vinte (n = 720) FSW (média de idade = 26,7 anos) foram testadas para antígeno de superfície da hepatite B (HBsAg) pelo método ELISA usando sandwich de duplos anticorpos. A prevalência total de HBV entre o FSW foi 17,1%. FSWs entre as idades de 31-35 anos (20,5%) e abaixo de 10 anos de idade (28%) foram mais afetadas. Esta alta prevalência de doença evitável pela vacinação é inaceitável, portanto, vacinação deste grupo de alto risco de HBV deve ser considerada fundamental

Website and Television Broadcasting of National Parks: A Perceived Possibility of Promoting and Marketing National Parks in Nigeria

The current coronavirus outbreak has made several organizations such as schools churches real estate consultants tourist attraction centres begin to exploit the benefits of information technology to ensure the continuous running of their operation through website and television broadcast The need for National Park in the developing countries to showcase their flora fauna and environment through website and television broadcast intervention WTBI are not farfetched It is believed WTBI could market and promote national parks in developing countries to potential tourists because through website and television broadcast intervention WTBI the developed countries have achieved high operational efficiency and income to increase National Park Visitation Intention NPVI of tourists As such they have generated so much income through tourism to their national parks The study utilized online survey to evaluate the adequacy of current WTB intervention puts in place by management of national parks in Nigeria and the consequent effects of improving on current WTBI to market and promote national parks in Nigeri