Examining appropriate diagnosis and treatment of malaria: availability and use of rapid diagnostic tests and artemisinin-based combination therapy in public and private health facilities in south east Nigeria

<p>Abstract</p> <p>Background</p> <p>Rapid diagnostic tests (RDTs) and Artemisinin-based combination therapy (ACT) have been widely advocated by government and the international community as cost-effective tools for diagnosis and treatment of malaria. ACTs are now the first line treatment drug for malaria in Nigeria and RDTs have been introduced by the government to bridge the existing gaps in proper diagnosis. However, it is not known how readily available these RDTs and ACTs are in public and private health facilities and whether health workers are actually using them. Hence, this study investigated the levels of availability and use of RDTs and ACTs in these facilities.</p> <p>Methods</p> <p>The study was undertaken in Enugu state, southeast Nigeria in March 2009. Data was collected from heads of 74 public and private health facilities on the availability and use of RDTs and ACTs. Also, the availability of RDTs and the types of ACTs that were available in the facilities were documented.</p> <p>Results</p> <p>Only 31.1% of the health facilities used RDTs to diagnose malaria. The majority used the syndromic approach. However, 61.1% of healthcare providers were aware of RDTs. RDTs were available in 53.3% of the facilities. Public health facilities and health facilities in the urban areas were using RDTs more and these were mainly bought from pharmacy shops and supplied by NGOs. The main reasons given for non use are unreliability of RDTs, supply issues, costs, preference for other methods of diagnosis and providers' ignorance. ACTs were the drug of choice for most public health facilities and the drugs were readily available in these facilities.</p> <p>Conclusion</p> <p>Although many providers were knowledgeable about RDTs, not many facilities used it. ACTS were readily available and used in public but not private health facilities. However, the reported use of ACTs with limited proper diagnosis implies that there could be high incidence of inappropriate case management of malaria which can also increase the economic burden of illnesses. Government and donors should ensure constant availability of RDTs in both public and private facilities, so that every treatment with ACTs is accompanied with proper diagnosis.</p

‘Ugba na ngbam’ – Food Heritage of Mbaise People: Implications for Classroom-Based Ethnoscience and Sustainable National Development

The processing of ‘Ugba’ (Pentaclethra macrophylla Benth), seeds for food, is almost a ritual in Mbaise. Mbaise is a prominent enclave of the Ibo extraction of the present Imo state of South-Eastern Nigeria. Like any other people, they have prominent cultures including foods, and their preparation rituals. The ritual of preparing ‘ugba agworo agwo’(oil bean salad delicacy) has some ‘dos’ and ‘don't. It involves many stages and different handling procedures for the best effects.  This paper examined in detail, the ritual of processing oil bean seeds, the possible science of the stages, chemical compositions, nutritive and economic values of the seed, the dish and the tree. The paper ends with a look at the implications on instructions in ethnoscience  and also tries to answer the question: Is it justifiable and plausible to integrate ethnoscience into formal science classrooms as a way towards sustainability, preservation of cultural heritages  and national development? Keywords: Oil bean salad, Ugba, Mbaise, Ethnoscience, Food heritage.                                                                   DOI: 10.7176/JEP/15-1-12 Publication date: January 31st 202

Progressive review of solar drying studies of agricultural products with exergoeconomics and econo-market participation aspect

An analysis of review articles on solar drying of agricultural products is presented. The review also discusses detailed economic evaluation methods and market participation approaches for transitioning solar dryers from the workshop to the market. This study aims to serve as a model for future solar drying reviews. In addition to broad perspective reviews, most reviews focused on using thermal storage, hybrid technologies, solar greenhouses, 4E evaluations, software applications and crop quality. From most of the reviews, solar dryers with thermal storage are now a viable substitute for fossil energy source dryers and can provide the continuous temperature range of 40–60 °C required to dry food crops. When phase change material is deployed, the transition temperature should be at 5 °C above the desired drying temperature. However, all reviews included sections on types, classification, mode of airflow through the collector, and use of thermal storage in solar drying. Hence, the authors review nearly the same research material, but review gaps remain. Thus that aspect was covered by examining the economic and exergoeconomic analysis methods used in solar dryer evaluations. Again agribusiness inter-phasing between researchers and users, which will spore market participation of solar dryer fabricators lacking in the literature were presented. Therefore, for a more market-oriented development of solar thermal technologies, solar dryer producers must engage in market-oriented production. The nature of markets located at different places calls for better strategies to improve market orientation and access to solar dryers and fabricators

Relevance lost? The Petroleum Equalization Fund in Nigeria

This paper traces the origins of the Petroleum Equalization Fund (PEF) in Nigeria and describes the environment in which it has operated. The paper argues that the PEF has failed to live up to its mandate of equalizing the prices of petroleum products across the country. This is in part because such equalization schemes create arbitrage opportunities which are always prone to exploitation. The rentier nature of the Nigerian state and the prevalence of corruption in the country have added fodder to such exploitations. The consequence of the above is that PEF has simply become one of the inefficient channels of subsidizing the price of petroleum products in Nigeria. This paper therefore recommends that the starting point in the efforts by the Nigerian government to undertake petrol subsidy reform in the country should be to abolish the PEF.</p