The Economic Potentials of Social Media and the Nigerian Developing Society: An Appraisal

This paper explores the economic dimension of social media; in other words, it appraises the place of social media in the society’s wealth creation and distribution endeavour. Situated within the conceptual framework of the theories of technological determinism, social construction of technology, and uses and gratification, the paper argues that social media has great potentials for economic empowerment through enhancing job creation and skill acquisition, serving as a platform for marketing and business collaboration, and offering cheap platforms for small businesses to thrive. It is, however, pointed out that the extent to which these economic potentials of social media would manifest in Nigeria would be influenced by certain elements including social media penetration, literacy/awareness and infrastructure. The paper concludes that while today’s economic sphere is increasingly coming under the influence of technology (including social media technology), this technological influence would also be moderated (determined) by the realities of the social context, just as the participants in the technology will benefit from this influence only as determined by their motives (gratifications) for using the technology. It is recommended, among others, that teaching of the economic potentials of the ICTs including the social media be integrated in the education curriculum in Nigeria as a way of preparing and mobilizing young people for harnessing social media economic potentials.   Keywords: Social Media, Economics, Appraisal, Technology, Wealth creation, and Economic Spher

A Multilevel Logit Estimation of Factors Associated With Modern Contraception in Urban Nigeria

This study aimed to estimate the multilevel determinants of modern contraceptive use among reproductive-age women living in six cities in Nigeria (Abuja, Benin, Ibadan, Ilorin, Kaduna, and Zaria). Data from cross-sectional surveys conducted between 2010 and 2011 were linked to provide information on five hierarchical levels of the Socioecological Framework. Multilevel logit models estimated the odds of modern contraceptive use among 9,473 non-pregnant married/cohabiting women aged 15–49 years living in 488 clusters. About 25 percent of the women reported using modern contraceptive methods at the time of survey. Individual-level factors found to have a positive association with modern contraceptive use were parity, family planning self-efficacy, and partner discussion about fertility desires while perception of negative attitudes from community member about contraceptive use was negatively associated with modern contraceptive use (p < 0.05). At the community level, media exposure to family planning messages and city of residence were significantly associated with modern contraceptive use in the studied sample (p < 0.05). The positive association between parity and modern contraceptive use was modified by the community’s ideal family size. The results of this study support the evidence for multilevel interventions as a way to improve the prevalence of modern contraceptive use in urban Nigeria

A Study of HIV/AIDS Media Campaigns and Knowledge of High Risk Factors among Sex Workers in South-South Nigeria

The study investigates HIV/AIDS media campaigns and knowledge of high risk factors among sex workers in South-South geo-political zone of Nigeria. The main purpose of the study is to ascertain whether the numerous media campaigns on HIV/AIDS have positive influence on sex workers’ attitude towards the high risk factors of the pandemic.  In pursuance of this objective, the following questions were formulated to provide the needed guide to the study: Do media campaign messages on HIV/AIDS have a positive influence on respondents’ attitude towards penetrative sexual intercourse? Do respondents maintain consistent condom use with paying and non-paying clients? Would respondents shun sex without condom, irrespective of the amount the client would be willing to pay for it? Would respondents be willing to quit sex work knowing that it constitutes high risk behaviour of HIV/AIDS? Anchored on the agenda-setting theory and the standpoint theory, the work adopted survey method and utilised questionnaire as instrument of data collection. The sample size was 300 sex workers drawn purposively from three cities in South-South Nigeria, namely: Asaba, Port-Harcourt and Uyo. Findings of the study revealed that sex workers still engage in high risk behaviour of the scourge. The study, therefore, concluded that media campaigns on HIV/AIDS have not been effective on sex workers in the South-South geo-political zone of Nigeria. The paper recommends re-structuring of campaign strategies in order to make them more effective. Keywords: Sex Workers, HIV/AIDS, Media Campaigns, Knowledge and High Risk Factors

Re-examining Nigeria's Contributions to the African Union and the Domestic Socio-Economic Ramifications

While there have been scholarly studies that address Nigeria’s diplomacy and contribution to the African Union (AU), many of them have failed to compare and contrast how those have added to the socio-economic development of Nigeria. We encountered a few instances where attempts were made to explain such, yet a fully-fledged analysis lacked in their conclusions. We applied documentary analysis methodology in our review and found that there is a serious misalignment between Nigeria’s diplomacy and support for the African Union on one hand and positive socio-economic development in Nigeria on the other. The study also looks at exploring how the general framework of Nigeria’s foreign policy goals and strategies in Africa can serve both its national interest and the overall development goals of Africa. We argue that for Nigeria’s role in the AU to be meaningful, the country needs to simultaneously revive its internal socio-economic condition

Gender norms and modern contraceptive use in urban Nigeria: a multilevel longitudinal study

Abstract Background Evidence suggests that gender equality positively influences family planning. However, the evidence from urban Africa is sparse. This study aimed to examine the association between changes in gender norms and modern contraceptive use over time among women in urban Nigeria. Methods Data were collected in 2010/2011 from 16,118 women aged 15–49 living in six cities in Nigeria (Abuja, Benin, Ibadan, Ilorin, Kaduna, and Zaria) and again in 2014 from 10,672 of the same women (34% attrition rate). The analytical sample included 9933 women living in 480 neighborhoods. A four-category outcome variable measured their change in modern contraceptive use within the study period. The exposure variables measured the changes in the level of gender-equitable attitudes towards: a) wife beating; b) household decision-making; c) couples’ family planning decisions; and d) family planning self-efficacy. Multilevel multinomial logistic regression models estimated the associations between the exposure variables at the individual and neighborhood levels and modern contraceptive use controlling for the women’s age, education, marital status, religion, parity, household wealth, and city of residence. Results The proportion of women who reported current use of modern contraceptive methods increased from 21 to 32% during the four-year study period. At both surveys, 58% of the women did not report using modern contraceptives while 11% reported using modern contraceptives; 21% did not use in 2010/2011 but started using by 2014 while 10% used in 2010/2011 but discontinued use by 2014. A positive change in the gender-equitable attitudes towards household decision-making, couples’ family planning decisions, and family planning self-efficacy at the individual and neighborhood levels were associated with increased relative probability of modern contraceptive use (adoption and continued use) and decreased relative probability of modern contraceptive discontinuation by 2014. No such associations were found between the individual and neighborhood attitudes towards wife beating and modern contraceptive use. Accounting for the individual and neighborhood gender-equitable attitudes and controlling for the women’s demographic characteristics accounted for 55–61% of the variation between neighborhoods in the change in modern contraceptive use during the study period. Conclusion Interventions that promote gender equality have the potential to increase modern contraceptive use in Nigerian cities

Monitoring the emergence of community transmission of influenza A/H1N1 2009 in England: a cross sectional opportunistic survey of self sampled telephone callers to NHS Direct

Objective To evaluate ascertainment of the onset of community transmission of influenza A/H1N1 2009 (swine flu) in England during the earliest phase of the epidemic through comparing data from two surveillance systems

Pediatric Bacterial Meningitis Surveillance in Niger: Increased Importance of Neisseria meningitidis Serogroup C, and a Decrease in Streptococcus pneumoniae Following 13-Valent Pneumococcal Conjugate Vaccine Introduction

Background: Meningitis is endemic in Niger. Haemophilus influenzae type b (Hib) vaccine and the 13-valent pneumococcal conjugate vaccine (PCV13) were introduced in 2008 and 2014, respectively. Vaccination campaign against Neisseria meningitidis serogroup A was carried out in 2010–2011. We evaluated changes in pathogen distribution using data from hospital-based surveillance in Niger from 2010 through 2016. Methods: Cerebrospinal fluid (CSF) specimens from children <5 years old with suspected meningitis were tested to detect vaccine-preventable bacterial pathogens. Confirmatory identification and serotyping/grouping of Streptococcus pneumoniae, N. meningitidis, and H. influenzae were done. Antimicrobial susceptibility testing and whole genome sequencing were performed on S. pneumoniae isolates. Results: The surveillance included 2580 patients with suspected meningitis, of whom 80.8% (2085/2580) had CSF collected. Bacterial meningitis was confirmed in 273 patients: 48% (131/273) was N. meningitidis, 45% (123/273) S. pneumoniae, and 7% (19/273) H. influenzae. Streptococcus pneumoniae meningitis decreased from 34 in 2014, to 16 in 2016. PCV13 serotypes made up 88% (7/8) of S. pneumoniae meningitis prevaccination and 20% (5/20) postvaccination. Neisseria meningitidis serogroup C (NmC) was responsible for 59% (10/17) of serogrouped N. meningitidis meningitis. Hib caused 67% (2/3) of the H. influenzae meningitis isolates serotyped. Penicillin resistance was found in 16% (4/25) of S. pneumoniae isolates. Sequence type 217 was the most common lineage among S. pneumoniae isolates. Conclusions: Neisseria meningitidis and S. pneumoniae remain important causes of meningitis in children in Niger. The decline in the numbers of S. pneumoniae meningitis post-PCV13 is encouraging and should continue to be monitored. NmC is the predominant serogroup causing N. meningitidis meningitis

Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study

Background: Sepsis is a leading cause of morbidity and mortality especially in low- and middle-income countries such as Nigeria. Training of health workers using digital platforms may improve knowledge and lead to better patient outcomes. Objectives: To assess the effectiveness of a digital health educational module on sepsis in improving the knowledge of medical doctors in Cross River State Nigeria on the diagnosis and management of patients presenting with sepsis. Design: Quasi-experimental analytical study. Methods:: We developed and deployed a sepsis module through an innovative application (Sepsis tutorial app) to doctors in Calabar, Nigeria. We assessed quantitative pre- and post-intervention knowledge scores for those completing the tutorial on sepsis between both assessments. A user satisfaction survey evaluated the content of the tutorial and the usability of the app. Results:: One hundred and two doctors completed the course. There were more males than females (58.8% versus 41.2%). Over half (52%) were junior doctors, a minority were general practitioners and house officers (3% and 5%, respectively), and 72.6% had practiced for periods ranging from 1 to 15 years post-qualification. Gender and age appeared to have no significant association with pre- and post-test scores. The oldest age group (61–70) had the lowest mean pre- and post-test scores, while general practitioners had higher mean pre- and post-test scores than other cadres. The majority (95%) of participants recorded higher post-test than pre-test scores with a significant overall increase in mean scores (25.5 ± 14.7%, p < 0.0001). Participants were satisfied with the content and multimodal delivery of the material and found the app usable. Conclusion:: Digital training using context-responsive platforms is feasible and may be used to close the critical knowledge gap required to respond effectively to medical emergencies such as sepsis in low- to middle-income settings

The global distribution and diversity of protein vaccine candidate antigens in the highly virulent Streptococcus pnuemoniae serotype 1

Serotype 1 is one of the most common causes of pneumococcal disease worldwide. Pneumococcal protein vaccines are currently being developed as an alternate intervention strategy to pneumococcal conjugate vaccines. Pre-requisites for an efficacious pneumococcal protein vaccine are universal presence and minimal variation of the target antigen in the pneumococcal population, and the capability to induce a robust human immune response. We used in silico analysis to assess the prevalence of seven protein vaccine candidates (CbpA, PcpA, PhtD, PspA, SP0148, SP1912, SP2108) among 445 serotype 1 pneumococci from 26 different countries, across four continents. CbpA (76%), PspA (68%), PhtD (28%), PcpA (11%) were not universally encoded in the study population, and would not provide full coverage against serotype 1. PcpA was widely present in the European (82%), but not in the African (2%) population. A multi-valent vaccine incorporating CbpA, PcpA, PhtD and PspA was predicted to provide coverage against 86% of the global population. SP0148, SP1912 and SP2108 were universally encoded and we further assessed their predicted amino acid, antigenic and structural variation. Multiple allelic variants of these proteins were identified, different allelic variants dominated in different continents; the observed variation was predicted to impact the antigenicity and structure of two SP0148 variants, one SP1912 variant and four SP2108 variants, however these variants were each only present in a small fraction of the global population (<2%). The vast majority of the observed variation was predicted to have no impact on the efficaciousness of a protein vaccine incorporating a single variant of SP0148, SP1912 and/or SP2108 from S. pneumoniae TIGR4. Our findings emphasise the importance of taking geographic differences into account when designing global vaccine interventions and support the continued development of SP0148, SP1912 and SP2108 as protein vaccine candidates against this important pneumococcal serotype

A cross-sectional national investigation of COVID-19 outbreaks in nurseries during rapid spread of the Alpha (B.1.1.7) variant of SARS-CoV-2 in England

Background: In England, the emergence the more transmissible SARS-CoV-2 variant Alpha (B.1.1.7) led to a third national lockdown from December 2020, including restricted attendance at schools. Nurseries, however, remained fully open. COVID-19 outbreaks (≥ 2 laboratory-confirmed cases within 14 days) in nurseries were investigated to assess the risk of SARS-CoV-2 infection and cumulative incidence in staff and children over a three-month period when community SARS-CoV-2 infections rates were high and the Alpha variant was spreading rapidly across England. Methods: This was a cross-sectional national investigation of COVID-19 outbreaks in nurseries across England. Nurseries reporting a COVID-19 outbreak to PHE between November 2020 and January 2021 were requested to complete a questionnaire about their outbreak. Results: Three hundred and twenty-four nurseries, comprising 1% (324/32,852) of nurseries in England, reported a COVID-19 outbreak. Of the 315 (97%) nurseries contacted, 173 (55%) reported 1,657 SARS-CoV-2 cases, including 510 (31%) children and 1,147 (69%) staff. A child was the index case in 45 outbreaks (26%) and staff in 125 (72%) outbreaks. Overall, children had an incidence rate of 3.50% (95%CI, 3.21–3.81%) and was similar irrespective of whether the index case was a child (3.55%; 95%CI, 3.01–4.19%) or staff (3.44%; 95%CI, 3.10–3.82%). Among staff, cumulative incidence was lower if the index case was a child (26.28%; 95%CI, 23.54–29.21%%) compared to a staff member (32.98%; 95%CI, 31.19–34.82%), with the highest cumulative incidence when the index case was also a staff member (37.52%; 95%CI, 35.39–39.70%). Compared to November 2020, outbreak sizes and cumulative incidence was higher in January 2021, when the Alpha variant predominated. Nationally, SARS-CoV-2 infection rates in < 5 year-olds remained low and followed trends in older age-groups, increasing during December 2020 and declining thereafter. Conclusions: In this cross-sectional study of COVID-19 outbreaks in nurseries, one in three staff were affected compared to one in thirty children. There was some evidence of increased transmissibility and higher cumulative incidence associated with the Alpha variant, highlighting the importance of maintaining a low level of community infections