Needs Assessment in Intervention Programs for Rural Development

This paper offers an essential and précis introduction to the subject matter: needs assessment and practice. It expounded the term needs assessment, and showed the indispensable nature of the process and why it must beundertaken for success of government or donor funded intervention and projects that have relevance to rural development in all sphere. The article also delved into germane subtopics as: when and why to conduct a needs assessment; methods to conducting a needs assessment; stages involved in carrying out needs assessment; and models of needs assessment. Italluded to the fact that needs assessments have impacted positively to the success of most agricultural development cum rural development projects, but advocated for it to be complemented with other relevant project management processes in light of present realities. The authors suggest that governments, project sponsors, development partners, and other relevant bodies make it obligatory for implementing agencies to conduct credible, verifiable, and inclusive needs assessment before releasing funds for Projects and intervention purposes.Keywords: Needs assessment, Intervention, Rural development,  Technology needs, Training Need

TECHNICAL AND VOCATIONAL EDUCATION: A SOLUTION TO PRECARIOUS YOUTH UNEMPLOYMENT IN NIGERIA

Unemployment is one of the most serious problems facing Nigeria like many other countries in the world. Nigeria is becoming a predominantly youth society with high rate of unemployment. The development of youth is critical to economic survival and vibrancy of any nation. In order for a country to achieve her development aspiration, the youths need to have access to education that will enable them to enhance their standard of living and gain competitive skills that will be in high demand in the labour market. Young people that lack skills that are valued in global and local economies face limited job opportunities and income growth. The changing nature of work today is placing increased pressure on the youths to acquire technical and vocational education skills. With the youths among the big losers of the recent economic crisis, technical and vocational education is often seen as the silver bullet to the problem of youth joblessness.  Article visualizations

Appreciating green radio communication network systems in a problem-oriented project-based learning environment. A theoretical framework

The aim of this article was to present a POPBL theoretical framework for the teaching, learning and research in Green Radio Communication Network Systems. To this effect, a content analysis and synthesis of related scientific literature, models and frameworks was carried out based on the research tittle and key words. The article analyses and syntheses centred on the importance of green radio communication, principal factors in green communication as well as the process components. Also in the content analysis and synthesis are the POPBL elements, processes and related theories with the resulting instructional benefits. The resulting framework has the potentials of developing the generic skills like problem solving, team work, creativity, critical thinking and continues learning which have the potentials of achieving the goals of GRCNS

Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: Cross-sectional results from the Hypertension Treatment in Nigeria Program

BACKGROUND: Hypertensive disorders of pregnancy, including hypertension, are a leading cause of maternal mortality in Nigeria. However, there is a paucity of data on pregnant women with hypertension who receive care in primary health care facilities. This study presents the results from a cross-sectional analysis of pregnant women enrolled in the Hypertension Treatment in Nigeria Program which is aimed at integrating and strengthening hypertension care in primary health care centres. METHODS: A descriptive analysis of the baseline results from the Hypertension Treatment in Nigeria Program was performed. Baseline blood pressures, treatment and control rates of pregnant women were analysed and compared to other adult women of reproductive age. A complete case analysis was performed, and a two-sided p value \u3c 0.05 was considered statistically significant. RESULTS: Between January 2020 to October 2022, 5972 women of reproductive age were enrolled in the 60 primary healthcare centres participating in the Hypertension Treatment in Nigeria Program and 112 (2%) were pregnant. Overall mean age (SD) was 39.6 years (6.3). Co-morbidities were rare in both groups, and blood pressures were similar amongst pregnant and non-pregnant women (overall mean (SD) first systolic and diastolic blood pressures were 157.4 (20.6)/100.7 (13.6) mm Hg and overall mean (SD) second systolic and diastolic blood pressures were 151.7 (20.1)/98.4 (13.5) mm Hg). However, compared to non-pregnant women, pregnant women had a higher rate of newly diagnosed hypertension (65.2% versus 54.4% p = 0.02) and lower baseline walk-in treatment (32.1% versus 42.1%, p = 0.03). The control rate was numerically lower among pregnant patients (6.3% versus 10.2%, p = 0.17), but was not statistically significant. Some pregnant patients (8.3%) were on medications contraindicated in pregnancy, and none of the pregnant women were on aspirin for primary prevention of preeclampsia. CONCLUSIONS: These findings indicate significant gaps in care and important areas for future studies to improve the quality of care and outcomes for pregnant women with hypertension in Nigeria, a country with the highest burden of maternal mortality globally

Using mid-level cadres as substitutes for internationally mobile health professionals in Africa. A desk review

BACKGROUND: Substitute health workers are cadres who take on some of the functions and roles normally reserved for internationally recognized health professionals such as doctors, pharmacists and nurses but who usually receive shorter pre-service training and possess lower qualifications. METHODS: A desk review is conducted on the education, regulation, scopes of practice, specialization, nomenclature, retention and cost-effectiveness of substitute health workers in terms of their utilization in countries such as Tanzania, Malawi, Mozambique, Zambia, Ghana etc., using curricula, evaluations and key-informant questionnaires. RESULTS: The cost-effectiveness of using substitutes and their relative retention within countries and in rural communities underlies their advantages to African health systems. Some studies comparing clinical officers and doctors show minimal differences in outcomes to patients. Specialized substitutes provide services in disciplines such as surgery, ophthalmology, orthopedics, radiology, dermatology, anesthesiology and dentistry, demonstrating a general bias of use for clinical services. CONCLUSIONS: The findings raise interest in expanding the use of substitute cadres, as the demands of expanding access to services such as antiretroviral treatment requires substantial human resources capacity. Understanding the roles and conditions under which such cadres best function, and managing the skepticism and professional turf protection that restricts their potential, will assist in effective utilization of substitutes

A Randomised Trial to Compare the Safety, Tolerability and Efficacy of Three Drug Combinations for Intermittent Preventive Treatment in Children

BACKGROUND: Results from trials of intermittent preventive treatment (IPT) in infants and children have shown that IPT provides significant protection against clinical malaria. Sulfadoxine-pyrimethamine (SP) given alone or in combination with other drugs has been used for most IPT programmes. However, SP resistance is increasing in many parts of Africa. Thus, we have investigated whether SP plus AQ, SP plus piperaquine (PQ) and dihydroartemisinin (DHA) plus PQ might be equally safe and effective when used for IPT in children in an area of seasonal transmission. METHODS: During the 2007 malaria transmission season, 1008 Gambian children were individually randomized to receive SP plus amodiaquine (AQ), SP plus piperaquine (PQ) or dihydroartemisinin (DHA) plus PQ at monthly intervals on three occasions during the peak malaria transmission season. To determine the risk of side effects following drug administration, participants in each treatment group were visited at home three days after the start of each round of drug administration and a side effects questionnaire completed. To help establish whether adverse events were drug related, the same questionnaire was administered to 286 age matched control children recruited from adjacent villages. Morbidity was monitored throughout the malaria transmission season and study children were seen at the end of the malaria transmission season. RESULTS: All three treatment regimens showed good safety profiles. No severe adverse event related to IPT was reported. The most frequent adverse events reported were coughing, diarrhoea, vomiting, abdominal pain and loss of appetite. Cough was present in 15.2%, 15.4% and 18.7% of study subjects who received SP plus AQ, DHA plus PQ or SP plus PQ respectively, compared to 19.2% in a control group. The incidence of malaria in the DHA plus PQ, SP plus AQ and SP plus PQ groups were 0.10 cases per child year (95% CI: 0.05, 0.22), 0.06 (95% CI: 0.022, 0.16) and 0.06 (95% CI: 0.02, 0.15) respectively. The incidence of malaria in the control group was 0.79 cases per child year (0.58, 1.08). CONCLUSION: All the three regimens of IPT in children were safe and highly efficacious TRIAL REGISTRATION: ClinicalTrials.gov NCT00561899

Two Strategies for the Delivery of IPTc in an Area of Seasonal Malaria Transmission in The Gambia: A Randomised Controlled Trial

Bojang and colleagues report a randomized trial showing that delivery of intermittent preventive treatment for malaria in children by village health workers is more effective than delivery by reproductive and child health trekking clinics

Phytochemical and antimicrobial studies of Commiphora africana root extracts

ABSTRACT The crude ethanolic extract of Commiphora africana root was partitioned with n-hexane, chloroform; water and 10% aqueous methanol and screened for chemical constituents and antimicrobial activity. The n-hexane fraction, which was the most bioactive was chromatographed on a column silica gel to give a number of purified components. The components from the nhexane were found to be active against Staphylococcus aureus, E. coli and C. albicans. S. aureus (ATCC 13709) was susceptible to fractions C 1 -C 11 giving zonal inhibition of between 1-3 mm. Ethanolic crude root extract (2000 µg mL -1 ) proved highly active against C. albicans, while 10% aqueous methanol was the most active against E. coli. Though C. africana root crude extracts, fractions and components showed promising in-vitro antimicrobial activity, it was not as high as that of the standard antibiotics used for comparison