Women’s perception on rights during pregnancy and childbirth

Background: The Nigerian health system as a whole has been plagued by problems associated with the quality of service, including but not limited to unfriendly staff attitudes to patients, inadequate skills, decaying infrastructures, and chronic shortages of essential drugs. Approximately two-thirds of all Nigerian women deliver outside of health facilities and without the presence of medically skilled attendants.  The study was carried out to assess the awareness and knowledge of women regarding their rights during pregnancy and childbirth, and to explore the extent to which women’s rights were respected during pregnancy and childbirth.Methods: This descriptive study was conducted among randomly selected 140 women at Mother and Child Hospital, Akure, Ondo state, Nigeria. Data was collected with a pretested questionnaire and was analysed using Statistical Packages for Social Sciences (SPSS) version 21.Results: Findings revealed that majority (76.9%) of the women had a fair knowledge of their rights in pregnancy and childbirth, with the source of knowledge majorly from their friends. Right to information, informed consent and refusal, even distribution of healthcare services, maintenance of attainable level of health regarding proper monitoring were fairly observed by the health care providers. Right of women against verbal and physical abuse, privacy, treatment with dignity and respect were least accorded to women.Conclusions: Respective Maternity Care remains a challenge that demands policy interventions in most public health facilities to enhance positive endorsement and utilisation of maternal and health care services

Sedimentation, depositional environments, and hydrocarbon potential of the Maastrichtian-Paleocene Araromi Formation, eastern Dahomey (Benin) Basin, southwestern Nigeria

The Cretaceous sediments in southwestern Nigeria are host to one of the largest bitumen deposits in the world. In the current paper, an integrated study on sedimentology, palynology, and applied petroleum geochemistry of the Maastrichtian-Paleocene Araromi Formation was used to determine the depositional environments and hydrocarbon potentials of the formation on the eastern Dahomey Basin. Four sedimentary lithofacies were identified from core samples, namely, lower limestone (F$_{1}$); medium to coarse-grained sandstone (F$_{2}$); lower loosely consolidated sandstone (F$_{3}$); and shale and siltstone (F$_{4}$). Sedimentation in the eastern Dahomey Basin occurred mainly in fluvial and shallow-marine (shelf) environments. The palynological assemblages of the Araromi Formation reflect deposition in coastal through brackish water to shallow shelf environment with periods of localized wind-induced storms. The shale and siltstone samples of the Araromi Formation are characterized by total organic carbon (TOC) values of up to 2.50 wt % and S$_{2}$ (hydrocarbon-generating potential) values ranging from 0.26 to 0.70 mgHC/g rock, indicating poor source rocks. Shales show poor quality and thermally immature organic matter at shallow depth and could neither have generated liquid hydrocarbon nor contributed to the heavy oil occurrence on the bitumen and tar-sand belt of eastern Dahomey (Benin) Basin

Packages of Care for Epilepsy in Low- and Middle-Income Countries

In the second in a series of six articles on packages of care for mental health disorders in low- and middle-income countries, Caroline Mbuba and Charles Newton discuss treatment for epilepsy

Cognitive Effects Of Anti-Epileptic Drugs In Nigerians With Epilepsy

Background Epilepsy is particularly highly prevalent in developing African countries and has been associated with cognitive disturbances, but more importantly is the contribution of the anti-epileptic drugs (AEDs). Objective This study aimed at comparing the effects of AEDs on the cognitive functions of Nigerian epileptic patients. Methods This is a prospective study of 55 consecutive patients with epilepsy, aged 14 years and above, over a two year period (October 2000 to October 2002), recruited from the Neurology Clinic of the University Teaching Hospital, Benin City, Nigeria. Anti-epileptic treatment with either carbamazepine (19 patients), phenytoin (18 patients), or phenobarbitone (18 patients) which was randomly assigned constituted the interventional measure. Cognitive testing, using the Iron Psychology (FePsy) a computerized neuro-psychological test battery, measured the visual and auditory reaction times, the continuous performance test and the recognition memory test to assess the mental speed, attention and memory respectively. Results The effect of the individual drug on cognitive performance revealed significant impairment of mental speed (p0.05). Carbamazepine did not significantly affect the verbal (Words section) memory scores (p>0.05) implying better performance in tasks of verbal memory (