Risk Perception and Uptake of Prostate Cancer Screening Among a Population of Civil Servants in Ibadan, Nigeria

Prostate cancer (PCa) is the leading cancer in both incidences and mortality among men in Africa including Nigeria. Evidence suggest that African men present with more advanced disease, signifying that they are highly unscreened group for PCa. This study examined the risk perception and uptake of PCa screening among civil servants in Oyo state secretariat, Ibadan. This was a descriptive cross-sectional survey of 192 male staff of Oyo State Secretariat, selected by simple random sampling technique. Respondents’ risk perception and uptake of prostate cancer screening were examined using a structured questionnaire. Pearson's chi-square was used to test hypotheses at 0.05 level of significance. Mean age of respondents was 47.44±5.36 years. Up to 140(73.3%) of respondents were aware of PCa, mainly through literature (29.5%), 53.8% had good knowledge of PCa. However, 78% perceived themselves as not at risk for prostate cancer.  For 39.6%, prostate cancer is a myth. While only 15(7.9%) had ever been screened, a greater percentage (92.1%) had never been screened. There is significant association between knowledge and uptake of prostate cancer screening (χ2=3.748, p=0.05) as well as between perception of susceptibility and uptake of prostate cancer screening (χ2=26.093, p=0.00). The risk perception for Prostate Cancer is low among the study cohort. There is need for more public enlightenment to improve awareness and uptake of prostate cancer screening services

Perceived factors influencing the utilization of traditional birth attendants' services in Akinyele Local Government, Ibadan, Nigeria

Background: Studies have shown that one of the major causes of maternal death especially in developing countries is unskilled birth attendants at pregnancy and childbirth. The aim of this study is to determine the reasons for the utilization of traditional birth attendants' services among mothers in Akinyele Local Government, Ibadan, Nigeria.Methodology: The study design was cross sectional and interviewer-administered questionnaire was used to elicit information from the women who had ever given birth. Data was collected from the women who attend the postnatal and Immunization clinics in the selected health centres. A total of 130 questionnaires were retrieved and analyzed using statistical package of the social sciences (SPSS) and presented as tables and figures. Two hypotheses were tested using chi-square test p ≤ 0.05 level of significance.Results: The findings revealed that 55.4% have ever utilized the TBA. Significant reasons for patronizing of TBAs by the women were that the TBAs were more user friendly (p= 0.012), were readily accessible (p=0.000) and their belief in them (p=0.000). Poverty (p=0.988) and educational level (p =0.133) were not found to be statistically significant in this study.Conclusion: Effort should be made by care providers and policy makers to ensure that our modern health care services for mothers are more accessible, user friendly with culturally sensitive care.Keywords: Ibadan, childbirth, maternal mortality, skilled care, traditional birthattendants, utilization, wome

Predictors of the usuage of contraceptive implants among women of reproductive age in Ondo State, Southwest Nigeria.

ABSTRACT Background A major characteristic of all developing countries is rapid population growth which is due to high fertility, birth rates and poor utilization of contraceptive methods. This study therefore assessed the predictors of contraceptive implants utilization among women of reproductive age in Ondo State, Nigeria. Methods A descriptive cross sectional study design was used and a total of 230 women were selected by multi-stage sampling technique. Questionnaire administration was interviewer-based majority of the women could not read. Data analysis was conducted using SPSS version 23. Research questions and hypotheses were answered and tested with descriptive statistics (frequency, percentages), chi-square test of significance and binary logistic regression. Levels of significance was set at p ≤ 0.05. Results The prevalence of contraceptive utilization (any method) and contraceptive implant utilization were 92.2% and 31.1% respectively. Variables such as education (χ2 = 6.91, p = 0.03) and lack of counseling from providers (χ2 = 5.05, p = 0.03) were significantly associated with the utilization of contraceptive implant. These two variables were also the predictors of contraceptive implant utilization. Women with secondary and tertiary education have higher odds of utilizing contraceptive implants (OR = 1.21, 95% CI = 1.01 – 7.82, p = 0.04) and (OR = 2.53, 95% CI = 1.49 – 11.47, p = 0.03) compared to women who had primary or no education while those who claimed to be adequately counseled by providers are about two times more likely to use contraceptive implants (OR = 2.33, 95% CI = 1.08 – 5.51) Conclusion This study showed the important role of education and health workers in providing information about contraceptive implants. Therefore, health workers’ knowledge of family planning counseling and services should be constantly upgraded so as to improve their roles in educating, mobilizing, counseling the women regarding contraceptive implant insertion.                           &nbsp

La influencia de los factores socioeconómicos en la elección de lugar de alumbramiento entre mujeres embarazadas Oyigbo en el estado de Rivers, Nigeria

The English version of this text was published in: Obika-Ndiri NA, Ndikom CM and Obika OI. (2022). Influence Of Socio-Economic Factors On Choice Of Childbirth Place Among Women In Oyigbo, Rivers State, Nigeria. Journal of Midwifery. 7(2); 66-76. https://doi.org/10.25077/jom.7.2.66-76.2022La versión en inglés de este texto fue publicada en: Obika-Ndiri NA, Ndikom CM and Obika OI. (2022). Influence Of Socio-Economic Factors On Choice Of Childbirth Place Among Women In Oyigbo, Rivers State, Nigeria. Journal of Midwifery. 7(2); 66-76. https://doi.org/10.25077/jom.7.2.66-76.202

An Appraisal of Demurrage Policies and Charges of Maritime Operators in Nigerian Seaport Terminals: the Shipping Industry and Economic Implications

This research evaluated the demurrage policies and charges of selected shipping companies and terminal operators in the Lagos ports and the implications in the economy and shipping industry in Nigeria. It adopted the survey approach to gather data from the dominant container operators (carriers) and the terminal operators. Demurrage duration and categorization of the demurrage periods and charges for each period by the selected operators were collected and compared using the statistical tool of analysis of variance to determine if there are differences among the charges and charging systems. It was found that, significant differences do not exist in the average rate of demurrage charges per container per day among the shipping companies and terminal operators in Lagos seaports. The study also found that there is no significant difference in the average amount charged as demurrage among the shipping companies and terminal operators in the three differing periods of demurrage duration in Lagos ports, Nigeria. It was recommended among other things that, the Nigerian shippers’ council as the governmental body responsible for freight regulation and protection of shippers\u27 interest should by policy fix a uniform container demurrage rate for all terminal operators and carriers operating in Nigeria

Influence Of Socio-Economic Factors On Choice Of Childbirth Place Among Women In Oyigbo, Rivers State, Nigeria

Choices of childbirth places among women may influence the rate of maternal mortality which is still a major challenge especially in developing countries like Nigeria. Some of these choices could be influenced by social and economic factors and the commonest being home birth which increases maternal risks. This study aimed to find out the prevalent socio-economic factors that influence the birthplace choices among the women in a suburban community in Rivers State, Nigeria. The study utilized a descriptive, cross-sectional design. Respondents were selected through simple random sampling. A self-structured questionnaire was used to collect data for the study. The data were analyzed using frequency and percentage for descriptive statistics and chi-square for inferential statistics with the SPSS software at 0.05 level of significance. The result showed that most of the women had secondary education (57.1%) and choose health facility for childbirth (91.4%).There was significant association between distance (x²= 12.69, p= 0.005)and available finance (x²= 10.26, p= 0.016), and educational qualifications (x²= 18.75, p= 0.005)and the choices of childbirth places among the women, but there was no significant association between road access to health facility (x²= 5.47, p= 0.140)and unavailability of skilled birth personnel (x²= 6.23, p= 0.101) and income (x²= 8.38, p= 0.212) and choices of childbirth places among the women. This study has shown that there is influence of some socio-economic factors on the choices women make on childbirth places

A Scoping Review of the Health of African Immigrant and Refugee Children

Migration is a growing phenomenon around the world, including within the African continent. Many migrants, especially African children, face challenges related to health and social inclusion and can face increased health risks. A systematic scoping review of available literature on the health of African migrant children across the globe was conducted to offer insight into these health risks. The review was conducted over a 15-month period from January 2019 to April 2020, yielding 6602 articles once duplicates were removed. This search included electronic databases, reference lists of articles reviewed, and searches of libraries of relevant organisations. A total of 187 studies met the inclusion criteria, of which 159 were quantitative, 22 were qualitative, and 6 used mixed methods. The findings reveal decreased health in this population in areas of nutrition, infectious diseases, mental health, birth outcomes, sexual and reproductive health, physical and developmental health, parasitic infections, oral health, respiratory health, preventative health, endocrine disorders, health care services, and haematological conditions. The findings offer insights into factors influencing the health of African immigrant and refugee children. Further studies, especially qualitative studies, are needed to determine barriers to service access after migration and to investigate other underexplored and overlooked health concerns of African migrant children, including pneumonia and child maltreatment

Knowledge and behaviour of nurse/midwives in the prevention of vertical transmission of HIV in Owerri, Imo State, Nigeria: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Mother-to-Child Transmission (MTCT) of HIV remains the main mode of acquisition of HIV in children. Transmission of HIV may occur during pregnancy, delivery or breastfeeding. Studies have shown that some specific interventions help to reduce the transmission of the virus to the baby. In order to target safe, rational and effective intervention to reduce MTCT of HIV, it is necessary to ensure that the nurse/midwife has knowledge of the strategies for the prevention of vertical transmission of HIV.</p> <p>Method</p> <p>The cross-sectional design was utilized to determine the knowledge and behaviour of nurse/midwives in the prevention of vertical transmission of HIV in Owerri, Imo State, Nigeria. The study sample consisted of 155 nurse/midwives drawn from three selected hospitals through stratified random sampling method. Official permission was obtained from the institutions and consent from participants. Data was collected through the use of a self administered questionnaire. Information sought included respondents' demographic characteristics, knowledge about and behaviour of prevention of vertical transmission as well as factors influencing behaviour.</p> <p>Results</p> <p>Findings revealed that nurse/midwives had moderate level of knowledge with mean score of 51.4%. The mean score on behaviour was 52.5%, major factors that influence behaviour in these settings were mainly fear of getting infected, irregular supply of resources like gloves, goggles, sharp boxes, and water supply was not regular also. Hypotheses tested revealed that there is a positive relationship between knowledge and behaviour (r = 0.583, p = 0.00). Knowledge level of nurse/midwives who had educational exposure was not different from those who did not (t = 1.439, p = 0.152). There was a significant difference in the knowledge of nurse/midwives who had experience in managing pregnant women living with HIV/AIDS and those who did not (t = 2.142, p = 0.03). Also, there was a significant relationship between behaviour and availability of resources (r = 0.318, p = 0.000).</p> <p>Conclusion</p> <p>The study revealed that the nurse/midwives though moderately knowledgeable still had gaps in certain areas. Their behaviours were fairly appropriate. There is need for improved knowledge through structured educational intervention. Resources needed for practice should always be made available and the environment should be much more conducive for practice.</p

Empowering members of a rural southern community in Nigeria to plan to take action to prevent maternal mortality: a participatory action research project

Aims and objectives. To facilitate the empowerment of members of a rural community to plan to take action to prevent maternal mortality. Background. Globally, about 300,000 maternal deaths occur yearly. Sub-Saharan Africa and Southern Asia regions account for almost all the deaths. Within those regions, India and Nigeria account for over a third of the global maternal deaths. Problem of maternal mortality in Nigeria is multifaceted. About 80% of maternal deaths are avoidable, given strategies which include skilled attendants, emergency obstetric care and community mobilization. In Part One of this article presented here, a strategy of community empowerment to plan to take action to prevent maternal mortality is discussed. Part Two examines evaluation of the actions planned in Part One. Design. Participatory action research was utilized. Methods. Volunteers were recruited as co-researchers into the study through purposive and snowball sampling. Following orientation workshop, participatory data collection was undertaken qualitatively with consequent thematic analysis which formed basis of the plan of action. Results. Community members attributed maternal morbidities and deaths to superstitious causes, delayed referrals by traditional birth attendants, poor transportation and poor resourcing of health facilities. Following critical reflection, actions were planned to empower the people to prevent maternal deaths through: community education and 2 advocacy meetings with stakeholders to improve health and transportation infrastructures; training of existing traditional birth attendants in the interim and initiating their collaboration with skilled birth attendants. Conclusion. The community is a resource which if mobilized through the process of participatory action research, can be empowered to plan to take action in collaboration with skilled birth attendants to prevent maternal mortality. Relevance to clinical practice. InterventioAims and objectives. To facilitate the empowerment of members of a rural community to plan to take action to prevent maternal mortality. Background. Globally, about 300,000 maternal deaths occur yearly. Sub-Saharan Africa and Southern Asia regions account for almost all the deaths. Within those regions, India and Nigeria account for over a third of the global maternal deaths. Problem of maternal mortality in Nigeria is multifaceted. About 80% of maternal deaths are avoidable, given strategies which include skilled attendants, emergency obstetric care and community mobilization. In Part One of this article presented here, a strategy of community empowerment to plan to take action to prevent maternal mortality is discussed. Part Two examines evaluation of the actions planned in Part One. Design. Participatory action research was utilized. Methods. Volunteers were recruited as co-researchers into the study through purposive and snowball sampling. Following orientation workshop, participatory data collection was undertaken qualitatively with consequent thematic analysis which formed basis of the plan of action. Results. Community members attributed maternal morbidities and deaths to superstitious causes, delayed referrals by traditional birth attendants, poor transportation and poor resourcing of health facilities. Following critical reflection, actions were planned to empower the people to prevent maternal deaths through: community education and 2 advocacy meetings with stakeholders to improve health and transportation infrastructures; training of existing traditional birth attendants in the interim and initiating their collaboration with skilled birth attendants. Conclusion. The community is a resource which if mobilized through the process of participatory action research, can be empowered to plan to take action in collaboration with skilled birth attendants to prevent maternal mortality. Relevance to clinical practice. InterventioAims and objectives. To facilitate the empowerment of members of a rural community to plan to take action to prevent maternal mortality. Background. Globally, about 300,000 maternal deaths occur yearly. Sub-Saharan Africa and Southern Asia regions account for almost all the deaths. Within those regions, India and Nigeria account for over a third of the global maternal deaths. Problem of maternal mortality in Nigeria is multifaceted. About 80% of maternal deaths are avoidable, given strategies which include skilled attendants, emergency obstetric care and community mobilization. In Part One of this article presented here, a strategy of community empowerment to plan to take action to prevent maternal mortality is discussed. Part Two examines evaluation of the actions planned in Part One. Design. Participatory action research was utilized. Methods. Volunteers were recruited as co-researchers into the study through purposive and snowball sampling. Following orientation workshop, participatory data collection was undertaken qualitatively with consequent thematic analysis which formed basis of the plan of action. Results. Community members attributed maternal morbidities and deaths to superstitious causes, delayed referrals by traditional birth attendants, poor transportation and poor resourcing of health facilities. Following critical reflection, actions were planned to empower the people to prevent maternal deaths through: community education and 2 advocacy meetings with stakeholders to improve health and transportation infrastructures; training of existing traditional birth attendants in the interim and initiating their collaboration with skilled birth attendants. Conclusion. The community is a resource which if mobilized through the process of participatory action research, can be empowered to plan to take action in collaboration with skilled birth attendants to prevent maternal mortality. Relevance to clinical practice. InterventioInterventions to prevent maternal deaths should include community empowerment to have better understanding of their circumstances as well as their collaboration with health professionals