11 research outputs found
Multi-Media Campaigns, Interpersonal Contacts and Contraceptive Behaviour in Southwest Nigeria
Recent evidence suggests that mass media may be an effective tool for motivating people to adopt family planning. Little is known, however, about the process by which this takes place. In this exploratory study, we argue that following an exposure to mass media message(s) about family planning, interpersonal discussion of such message(s) is an important intermediate stage in the process of deciding to use or not to use contraception. If this is the case, interpersonal discussion is expected to enhance or attenuate the effects of exposure to media messages on contraceptive behaviour. Our results show that there is a significant positive relationship between exposure to media messages and contraceptive use in Southwest Nigeria. Furthermore, among women who are exposed to media messages, those who discuss the messages with other people are more likely to use contraception compared with those who did not discuss the messages
Paediatric brought-in-dead at a tertiary health facility in South western Nigeria: Patterns and drivers
Background: ‘Brought- in-dead’ (BID) refers to the demise of an individual before presentation to a health facility. This study assessed the pattern of paediatric BID cases seen at a tertiary health facility in southwest Nigeria.
Method: A cross-sectional, descriptive study was done at the Children Emergency Ward (CEW) of the hospital between January 2014 and December 2018. The patterns of BID cases and presumed causes of death were determined using a standardized checklist adapted from the WHO verbal autopsy instrument.
Results: Ninety-eight BID cases were seen during the study, constituting 2.5% of total patients seen during the period. The median (IQR) age of cases was 24.0 (8.75 – 63.0) months and 72.4% were under-fives. Most had symptoms related to the haematologic (36.7%), respiratory (24.5%) or digestive (20.4%) systems. Severe anaemia 31(31.6%), gastroenteritis 19 (19.4) and aspiration 17 (17.3%) were the most common causes of death. The median (IQR) duration of illness before presentation was 3.0 (1.0 – 7.0) days but most presented from 4 – 7 days of illness. A significant relationship was found between the duration of illness and whether or not pre-hospital treatment was received (p < 0.0001). Unprescribed drugs purchased over the counter were the most commonly used treatment in 79.1% of cases (p < 0.0001).
Conclusion: This study has highlighted the prevalence and pattern of paediatric BID in a tertiary health facility in southwest Nigeria and the factors that were associated with it. More efforts need to be geared towards community sensitization and pediatric health care to prevent factors drivingits menace
Unavailability of Essential Obstetric Care Services in a Local Government Area of South-West Nigeria
This paper reports the findings at baseline in a multi-phase project
that aimed at reducing maternal morta-lity in a local government area
(LGA) of South-West Nigeria. The objectives were to determine the
avail-ability of essential obstetric care (EOC) services in the LGA and
to assess the quality of existing services. The first phase of this
interventional study, which is the focus of this paper, consisted of a
baseline health facility and needs assessment survey using instruments
adapted from the United Nations guidelines. Twenty-one of 26 health
facilities surveyed were public facilities, and five were privately
owned. None of the facilities met the criteria for a basic EOC
facility, while only one private facility met the criteria for a
comprehensive EOC facility. Three facilities employed a nurse and/or a
midwife, while unskilled health attendants manned 46% of the
facilities. No health worker in the LGA had ever been trained in
lifesaving skills. There was a widespread lack of basic EOC equipment
and supplies. The study concluded that there were major deficiencies in
the supply side of obstetric care services in the LGA, and EOC was
almost non-existent. This result has implications for interventions for
the reduction of maternal mortality in the LGA and in Nigeria
Breast feeding, birth interval and polygyny in Nigeria
Polygyny has routinely been claimed to facilitate rules and taboos relating to postpartum sexual abstinence. However, in Nigeria polygyny cannot wholly explain length of postpartum taboo following child birth on the ground that competition among cowives to out do one another in child-bearing results in a tendency of higher fertility and hence shorter postpartum taboo in polygynous households than that in monogamous families. Economic factors have been adduced as reasons explaining the recent tendency for mothers in polygynous families to have longer postpartum abstinence than their counterparts in monogamous households. Specifically, for young mothers aged 15-34, bearing children in quick succession is no longer attractive as in essentially traditional cultures where husband's commitment to caring for children is taken for granted. Hence, the tendency for women in polygynous housholds to adhere more strictly to rules and taboos relating to postpartum abstinence could be associated to the changing roles of women as they affect their responsibility with respect to the maintenance and training of their children rather than to the institution of polygyny per se.postpartum taboo breast feeding birth interval polygyny
Multi-Media Campaigns, Interpersonal Contacts and Contraceptive Behaviour in Southwest Nigeria
Recent evidence suggests that mass media may be an effective tool for motivating people to adopt family planning. Little is known, however, about the process by which this takes place. In this exploratory study, we argue that following an exposure to mass media message(s) about family planning, interpersonal discussion of such message(s) is an important intermediate stage in the process of deciding to use or not to use contraception. If this is the case, interpersonal discussion is expected to enhance or attenuate the effects of exposure to media messages on contraceptive behaviour. Our results show that there is a significant positive relationship between exposure to media messages and contraceptive use in Southwest Nigeria. Furthermore, among women who are exposed to media messages, those who discuss the messages with other people are more likely to use contraception compared with those who did not discuss the messages
KNOWLEDGE OF POSSIBLE PREGNANCY AT FIRST COITUS: A STUDY OF IN-SCHOOL ADOLESCENTS IN IBADAN, NIGERIA
The effect of an educational intervention programme on reproductive health: decision-making among couples in south west Nigeria
Context: Decision making process in reproductive health in Sub-Saharan Africa is a complex activity dictated by the customs, religious beliefs, socio-economic factors, and cultural innovations. The central role played by men in this process gives a strong justification for health education intervention with a primary focus on men.
Objective: To find out how educational intervention programme will influence reproductive health decision making among couples.
Study Design: This is a quasi-experimental study among couples in 3 towns in Osun State (Ode-Omu, Ejigbo and Otan-Ayegbaju) of Nigeria. Ode-Omu and Ejigbo served as the intervention towns while Otan-Ayegbaju served as the control. The study had 3 phases: baseline survey lasting 3 months, intervention phase of 12 months and postintervention period of 3 months.
Interventions: Imparting information and educating members of the community on issues related to reproductive health with emphasis on the role of men using posters, handbills, public lectures, workshops and films.
Main Outcome Measures: Decision making on and timing of pregnancy, seeking of post-abortion care, and husbands' support of wives during pregnancy.
Results: After the intervention, more couples took joint decisions on timing of pregnancies; more husbands supported their wives during pregnancy and seeking of post-abortion care increased significantly in the intervention towns.
Conclusion: Enlightenment of men is a faster and effective short-term measure to improve women's utilization of reproductive health resources.
Keywords: men's role, reproductive health, decision-making
Tropical Journal of Obstetrics and Gynaecology Vol. 22(1) 2005: 4-