Sexual Dysfunction among Female Patients of Reproductive Age in a Hospital Setting in Nigeria

Although sexual dysfunction is an important public-health problem in Nigeria, little research has been conducted on this topic in Nigeria. This cross-sectional study was conducted to determine the prevalence of sexual dysfunction and their correlates among female patients of reproductive age using a questionnaire. Respondents were recruited from the out-patients clinics of a teaching hospital setting in Ile-Ife/Ijesa administrative health zone, Osun State, Nigeria. Of 384 female patients interviewed, 242 (63%) were sexually dysfunctional. Types of sexual dysfunction included disorder of desire (n=20; 8.3%), disorder of arousal (n=13; 5.4%), disorder of orgasm (n=154; 63.6%), and painful coitus (dyspareunia) (n=55; 22.7%). The peak age of sexual dysfunction was observed among the age-group of 26–30 years. Women with higher educational status were mostly affected. The reasons for unsatisfactory sexual life mainly included psychosexual factors and medical illnesses, among which included uncaring partners, present illness, excessive domestic duties, lack of adequate foreplay, present medication, competition among wives in a polygamous family setting, previous sexual abuse, and guilt-feeling of previous pregnancy termination among infertile women. The culture of male dominance in the local environment which makes women afraid of rejection and threats of divorce if they ever complain about sexually-related matters might perpetrate sexual dysfunction among the affected individuals. Sexual dysfunction is a real social and psychological problem in the local environment demanding urgent attention. It is imperative to carry out further research in society at large so that the health and lifestyles of affected women and their partners could be improved

Gender differences among oral health care workers in caring for HIV/AIDS patients in Osun state, Nigeria

The study investigated the relationship between gender and knowledge, attitude and practice of infection control among oral health care workers in the management of patients with HIV/AIDS in Osun State of Nigeria. It was a cross-sectional survey using 85 oral Health care workers (OHCWs) enlisted in the public dental health clinics. A self-administered questionnaire was designed and used for data collection. A total of 85 questionnaires were distributed. The response rate was 93%; 42 (53%) were males and 37 (47%) females. The majority of the respondents were in the 25-40 year old age group and the mean age was 37.3 years. This study found significant differences in gender and ability to identify HIV/AIDS oral manifestations (

Sexual Dysfunction Among Female Patients of Reproductive Age in a Hospital Setting in Nigeria

Although sexual dysfunction is an important public-health problem in Nigeria, little research has been conducted on this topic in Nigeria. This cross-sectional study was conducted to determine the prevalence of sexual dysfunction and their correlates among female patients of reproductive age using a question-naire. Respondents were recruited from the out-patients clinics of a teaching hospital setting in Ile-Ife/ Ijesa administrative health zone, Osun State, Nigeria. Of 384 female patients interviewed, 242 (63%) were sexually dysfunctional. Types of sexual dysfunction included disorder of desire (n=20; 8.3%), disor-derofarousal(n=13;5.4%),disorderoforgasm(n=154;63.6%),andpainfulcoitus(dyspareunia)(n=55; 22.7%). The peak age of sexual dysfunction was observed among the age-group of 26-30 years. Women with higher educational status were mostly affected. The reasons for unsatisfactory sexual life mainly in-cluded psychosexual factors and medical illnesses, among which included uncaring partners, present illness, excessive domestic duties, lack of adequate foreplay, present medication, competition among wives in a polygamous family setting, previous sexual abuse, and guilt-feeling of previous pregnancy termination among infertile women. The culture of male dominance in the local environment which makes women afraid of rejection and threats of divorce if they ever complain about sexually-related matters might perpetrate sexual dysfunction among the affected individuals. Sexual dysfunction is a real social and psychological problem in the local environment demanding urgent attention. It is imperative to carry out further research in society at large so that the health and lifestyles of affected women and their partners could be improved

PUBLIC HEALTH IMPORTANCE OF THE PARASITIC ZOONOSES IN WEST AFRICA.

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An approach to effective health care delivery in a developing nation: A case for Nigeria

Delivery of health care services in the developing countries is at present, yielding little or no results to the people being served due to programme structurelessness and lack of goal orientation. Those charged with programmes relating to health services have failed to identify the health problems in their communities. Even when these problems are identified, lack of planning, effective programme execution and evaluation has often brought failures. The result has been poor health for the people. If health services programmes are to be considered successful there must be guarantees that such services are at the disposal of the people wherever they are. In order to achieve complete geographical and population coverage of health services, a state should be organized into provinces, divisions, districts and sectors with the health services also organized according to levels of care (i.e. primary, secondary and tertiary levels). Thus, in any given province, we shall have a number of divisions, districts and sectors, each determined to serve a certain size of population. Also, the size of the population required for effective provision of different levels of care will increase with the complexity of the medical condition involved. Connecting these levels of care, must be referral system whereby complex cases at lower levels can be spent to the level immediately above. Since many health problems are preventable, particular attention must be paid to this area in the overall health services programme. Notably among measures to be taken are effective immunization programmes and environmental health services, both to be strongly sipported with health education. Immunization of the whole population must be the first task in the field of public health. In addition to coverage of all ages in mass immunization at the onset, a further campaign for routine childhood immunization should be essentially carried out. Another important area is environmental health. At present, a considerable number of the health problems in our society are the consequences of wide range of environmental factors. Most health hazards from the environment are those resulting from water supply, food sanitation, waste disposal, housing, inadequate rodent and insect control, pets and domestic animals, occupational source, air pollution and accidents.

Gender differences among oral health care workers in caring for HIV/AIDS patients in Osun state, Nigeria

The study investigated the relationship between gender and knowledge, attitude and practice of infection control among oral health care workers in the management of patients with HIV/AIDS in Osun State of Nigeria. It was a cross-sectional survey using 85 oral Health care workers (OHCWs) enlisted in the public dental health clinics. A self-administered questionnaire was designed and used for data collection. A total of 85 questionnaires were distributed. The response rate was 93%; 42 (53%) were males and 37 (47%) females. The majority of the respondents were in the 25–40 year old age group and the mean age was 37.3 years. This study found significant differences in gender and ability to identify HIV/AIDS oral manifestations (p<0.001) and recognition of HIV/AIDS risk factors (p<0.001). There was statistically significant gender difference and infection control practices (p=0.02) among the OHCWs. Males were more compliant to the universal cross-infection control principle than the female respondents. A significant association (p< 0.001) was found between OHCW gender and their attitude to the management of HIV/AIDS patients with males showing a better attitude towards the care of HIV/AIDS patients. This study shows that there are significant gender difference in attitudes, behaviour and practices of OHCW with males faring better than the females. National AIDS Control Programme, Health Control bodies, Health educators and other organizations should make efforts to improve the attitude and practice of oral health care workers regarding the management of patients with HIV/AIDS