A survey on the knowledge, attitude and acceptance of male sterilzation among men in Ogbomoso, South West Nigeria

Background: Traditionally, majority of the family planning services and campaigns focus on women without much consideration given to their male partners. In our society, there is bias, myth and misconception about vasectomy, this has resulted in a significant reduction in the willingness of men to seek vasectomy as a means of family planning. This study aims to identify the level of awareness and acceptance of male sterilization among men in Ogbomoso, south west Nigeria.Methods: This study was a cross sectional survey carried out among men in Ogbomoso, participation was voluntary and three hundred men had the questionnaires complete and suitable for analysis.Result: This study revealed a high level of awareness of family planning methods among men in Ogbomoso. However, less than half of these men agreed that men should be involved in family planning despite a higher number of the respondents being aware of vasectomy as a means of contraception. The common reasons for not accepting of vasectomy varied from preference for other methods of contraception, cultural taboos, religious sentiments, similarity to castration , fear for surgery and surgical complications.Conclusion: Renewed effort has to be made which will be aimed at improving the level of information about vasectomy in the public domain especially by the media and health care workers. This effort should also be targeted at religious organizations, clerics and traditional institutions this is because most of these misconceptions have deep rooted religious and cultural sentiments. This can also be achieved by ensuring synergy between government, non governmental organizations,advocacy groups,traditional and religious rulers.Keywords: knowledge, attitude, acceptance, vasectomy, male sterilizatio

Self-reported symptoms of uninvestigated dypepsia among University staff in Ilorin, Nigeria

Objectives: Dyspepsia is a common gastrointestinal (GI) symptom which impacts negatively on quality of life, workplace efficiency and overall productivity. Many studies on dyspepsia in our environment are hospital based, but being a complaint frequently treated first by self-medication before presentation to the hospital, such studies may underestimate its prevalence. The objective of the study was to determine the prevalence of the dyspepsia and its associated factors among administrative staff of the College of Health Sciences, University of Ilorin, Nigeria.Methods: This was a cross-sectional study. Pretested structured, close-ended, interviewer-administered questionnaires were administered to 53 administrative staff selected across the different units by stratified random sampling. The questionnaire obtained information about subject's experiences of dyspeptic symptoms and presence of associated factors such as family history, non-steroidal anti-inflammatory drugs (NSAIDS), tobacco and alcohol use, and presence of diabetes mellitus (DM).Results: The prevalence of uninvestigated dyspepsia among the respondents was 37.5%. Age was significantly predictive of the occurrence of dyspepsia among the subjects Odds Ratio- 1.46, 95% Confidence Interval (1.042-2.045) P=0.03. Use of NSAIDS, presence of DM, family history and tobacco use were not predictive of occurrence of dyspepsia.Conclusion: The prevalence of dyspepsia is high among respondents in the study.Keywords: Dyspepsia, prevalence, university, Nigeri

Delivery Pattern and Perinatal Outcome in a Nigerian Tertiary Health Institution: A Five Year Review

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Knowledge and uptake of Human Papilloma Virus vaccine for prevention of cervical cancer among secondary school females in Ogbomoso, South West Nigeria

Cervical Cancer is a major public health problem globally, with majority of cases occurring in the developing world especially sub-Saharan Africa. This region is also affected by the burden of ignorance, poverty and poor access to basic education which has further worsened the fate of those affected by cervical cancer. This was a cross-sectional descriptive study carried out among senior secondary school females in Ogbomoso, South west Nigeria.  Information was obtained using pretested questionnaires. One hundred and twelve (36.5%) of the three hundred and seven respondents have heard about cervical cancer, sixty three (20.5%) have heard about cervical cancer vaccine while twenty (6.5%) of the respondents have received human papilloma virus (HPV) vaccine for prevention of cervical cancer prior to the conduct of the study. Awareness of cancer of the cervix, HPV infections and HPV vaccine is low among female secondary school students in Ogbomoso. Hence, improvement in knowledge and uptake of HPV vaccination of our young girls will go a long way in prevention of cervical cancer.Keywords: Cervical cancer, Human papilloma virus, Vaccin

Massive bleeding from colonic diverticular disease in an elderly Nigerian: A case report

Colonic diverticular disease is one of the most common and costly gastrointestinal disorders among industrialized countries. The disease was thought to be rare in the African population, but is being increasingly diagnosed with the advent of modern imaging techniques and colonoscopy. Diverticular bleeding is a common cause of lower gastrointestinal (GI) haemorrhage and patients typically present with massive and painless rectal haemorrhage. Reports of massive bleeding from colonic diverticular disease are rare in Nigeria. We report a case of massive bleeding from multiple colonic diverticuli in a 70 year old Nigerian male who was admitted due to haematochezia and dizziness and was transfused with 8 units of blood. There was spontaneous resolution of bleeding in spite of the absence of facilities for therapeutic intervention at our institution.Keywords: Colonic diverticular disease, colonoscopy, haematochezia, massive bleeding, gastrointestinal disorder

Unmet needs for assistance with activities of daily living among elderly in rural and urban areas in Kwara State Central Senatorial District, Nigeria

Objective: The elderly usually require assistance and sometimes have unmet needs for assistance with activities of daily living. This study assessed the unmet needs for assistance with activities of daily living among the elderly in rural and urban areas in Kwara Central Senatorial District, Nigeria.Methods: Cross-sectional data were collected using pre-tested semi-structured interviewer-administered questionnaires from 300 elderly using the multistage sampling technique. The Statistical Package for Social Sciences 20 was used to analyze data, and the level of significance was predetermined at a p-value less than 0.05.Results: Overall, 60% of the elderly in the urban than rural group (46%) had unmet needs for assistance with activities of daily living. The prevalence of unmet needs for assistance with basic activities of daily living in the rural areas ranged from 0.0% (eating) to 70.8 % (bathing) and 0.0% (eating) to 68.8 % (transferring) in the urban areas. The prevalence of unmet needs for instrumental activities of daily living ranged from 16.7% (handling finances) to 59.3 % (cooking) for those in the rural areas. However, the range was from 33.3% (transportation) to 75.0% (taking medications) in the urban areas. The urban respondents had higher unmet needs for assistance with telephone use than rural respondents. (p=0.004*).Conclusion: The elderly in the urban areas had a higher prevalence of unmet needs for assistance with activities of daily living. The government must address the needs of the elderly through a policy to prevent unmet needs for assistance with activities of daily living

Unmet needs for assistance with activities of daily living among elderly in rural and urban areas in Kwara State Central Senatorial District, Nigeria

Objective: The elderly usually require assistance and sometimes have unmet needs for assistance with activities of daily living. This study assessed the unmet needs for assistance with activities of daily living among the elderly in rural and urban areas in Kwara Central Senatorial District, Nigeria.Methods: Cross-sectional data were collected using pre-tested semi-structured interviewer-administered questionnaires from 300 elderly using the multistage sampling technique. The Statistical Package for Social Sciences 20 was used to analyze data, and the level of significance was predetermined at a p-value less than 0.05.Results: Overall, 60% of the elderly in the urban than rural group (46%) had unmet needs for assistance with activities of daily living. The prevalence of unmet needs for assistance with basic activities of daily living in the rural areas ranged from 0.0% (eating) to 70.8 % (bathing) and 0.0% (eating) to 68.8 % (transferring) in the urban areas. The prevalence of unmet needs for instrumental activities of daily living ranged from 16.7% (handling finances) to 59.3 % (cooking) for those in the rural areas. However, the range was from 33.3% (transportation) to 75.0% (taking medications) in the urban areas. The urban respondents had higher unmet needs for assistance with telephone use than rural respondents. (p=0.004*).Conclusion: The elderly in the urban areas had a higher prevalence of unmet needs for assistance with activities of daily living. The government must address the needs of the elderly through a policy to prevent unmet needs for assistance with activities of daily living

The knowledge and attitude of students of a Nigerian tertiary institution about peptic ulcer disease

Objectives: This study was aimed at assessing the knowledge and attitude of students of a tertiary institution in North-Central Nigeria about peptic ulcer disease (PUD)Methodology: Three hundred students of the Kwara State Polytechnic, Ilorin, were recruited using a multistage sampling method. Asemi-structured questionnaire was used to obtain socio-demographic data and assess their knowledge about and attitude towards PUD.Results: Two hundred and thirty-four (78.0%) of respondents had heard about PUD before. Two hundred and fifty (83.3%) of the respondents thought PUD was a gastrointestinal disease whereas 40 (13.3%) thought it was a disease of the heart. Only one (0.3%) of the respondents knew Helicobacter pylori as a cause of PUD, and only 17.3% believed drugs could treat PUD. Students of Science-based courses were twice as likely as non-Science based students to have had a prior knowledge of PUD (OR: 1.98, CI: 1.054- 3.717, P=0.034).Conclusion: Though majority of respondents had heard about PUD, their knowledge of its aetiology, symptoms and treatment was poor. This reflects the need to strengthen public health education about PUD because of its potential for causing morbidity and mortality. Key words: Peptic ulcer disease, gastrointestinal disease, Helicobacter pylori, knowledg

Characteristics of patients with acute heart failure in North Central Nigeria

Objectives: Heart failure (HF) is an important cause of hospital admission in Nigeria. HF is increasingly prevalent because the population is aging and HF epidemiology is changing. We aimed at profiling the socio-demographic, clinical and echocardiographic (Echo)  characteristics of patients admitted for acute HF. This is one of the largest cohorts of HF patients profiled in Nigeria so far. Methods: Cross sectional design. Socio-demographic, clinical and Echo data were collected from 455 patients admitted for AHF at University of Ilorin Teaching Hospital, North central, Nigeria. Results: Mean age of patients was 58.9± 15.7years, (men were older than women, P= 0.006). 265(58.2%) were males, most patients were aged >60 years, 4.8% had pre-existing Type2 Diabetes mellitus. 53.2% of patients presented in New York Heart Association Stages III and IV. Median duration of admission was 11days (IQR, 6-17), intrahospital mortality- 11.6%. Hypertension was the commonest aetiological factor (62.4%), followed by dilated cardiomyopathy 17.6%, rheumatic heart disease (6.6%), Peripartum cardiomyopathy (5.3%), and others. Conclusion: AHF patients in our study are older than those in previous studies in Nigeria and sub-Saharan Africa. Hypertension is main driver of AHF, and patients largely present with clinically advanced disease necessitating stronger public health education about risk factors and early presentation. &nbsp

Barriers to Placenta Donation for Bio-Medical Reasearch Purposes Among Pregnant Women in a Tertiary Health Institution in Nigeria

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