Access and utilization of reproductive health services among adolescents in Kaduna North local governemnt, Kaduna State North-West, Nigeria

Magister Public Health - MPH (Public Health)A considerable proportion of adolescents in Nigeria are sexually active and involved in unprotected sexual activities with multiple partners. Consequently, these adolescents suffer high rates of sexually transmitted diseases, unintended pregnancy, and unsafe abortions. Many adolescents in Nigeria lack comprehensive knowledge about sexual and reproductive health (SRH) and face significant barriers to accessing quality sexual and reproductive health services (SRHS).This study was conducted because of paucity in information on the factors influencing access to and utilization of reproductive health services (RHS) among adolescents in Nigeria. The study aimed to explore the factors influencing adolescents" access to and utilization of RHS in Kaduna North local government area, North-Western Nigeria

Barriers to adolescents' access and utilisation of reproductive health services in a community in north-western nigeria: A qualitative exploratory study in primary care

There is a dearth of qualitative studies exploring in-depth barriers that adolescents face in accessing and utilising reproductive health services (RHS) in Nigerian primary healthcare centres. Aim: This study explored the barriers hindering adolescents' access to and utilisation of RHS in primary healthcare centres. Setting: This study was conducted in three primary healthcare centres in Kaduna North Local government area, Nigeria. Methods: This study used an exploratory descriptive qualitative design. Fourteen adolescents and three RHS providers were selected and interviewed. The data collection methods included individual in-depth interviews with adolescents and key informant interviews with service providers. Interviews were conducted between January 2017 and April 2017. Thematic content analysis was used to analyse the data. Results: This study identified three thematic barriers to adolescent's utilisation of RHS. These included individual, social and health system barriers. Individual factors included the following: inadequate knowledge about RHS and poor attitudes of adolescents towards RHS; social factors such as parental influence, community and religious norms, financial constraints and stigma; and health system factors such as poor attitudes of service providers and inconvenient health facility opening hours hindered adolescents from utilising RHS

Hepatitis B and C: An assessment of risk exposure and prevalence among preclinical medical students in northwestern Nigeria

Background: The risk of transmission of hepatitis B and C (HBV and HCV) infection is of particular concern among medical students training in high endemic regions. In this study,we investigated the risk and prevalence of hepatitis B and C viruses among preclinical medical students in a government-owned medical school in northwestern Nigeria.Methods: We employed a cross-sectional studytargeting the whole population of preclinical medical students of Kaduna State University, Kaduna State northwestern Nigeria. Data were collected usinga self-administered, semi-structured questionnaire and blood testing for HBsAg and HCV antibodies using rapid screening kits.Data were analyzed using SPSS version 22.Results: A total of 133 students participated, and 79.7% of them had a previous risk exposure to injuries by sharps. The seroprevalence for HBV and HCV was 0.8% for both infections. Complete HBV vaccination uptake (3 doses)before enrolment in medical school was 18.8%. The knowledge that HBV infection is preventable was a significant determinant for the previous testing for hepatitis B and C.Conclusion: Risk exposure to injuries by sharps was high in preclinical students. But their seroprevalence for both hepatitis B and C were low. Keywords: Hepatitis B and C viruses;prevalence; medical students;sharp injurie

Forced Displacement in Conflict Scenarios : Ethics and Human Rights Perspectives

This book reflects fruitful exchanges, debates, and collaborations in different times and settings, highlighting the relevance of interdisciplinary work, open to broadening the horizon of knowledge through multiple perspectives and the always different, and therefore, enriching view from the other. It is a testimony of the collaborative work developed from an ethical and evidence-based perspective, fundamental characteristics of the bioethical view that encouraged us to publish it.Bogot