Influence of the use of Social-Media and Exposure to Pornography on the Sexual Behaviour of youths in selected tertiary institutions in Southwest Nigeria

Exposure to pornography is fraught with health and social implications. In Nigeria, there is a dearth of information on how youths have been exposed to pornography on social media (SM) and the effects of this on their sexual behaviors (SB). This study described the pattern of SM use, exposure to pornography, and the effects of this exposure on SB of young persons in southwest Nigeria. Two hundred students were randomly selected from two tertiary institutions. Data were collected using a pre-tested questionnaire that explored the respondents’ SM usage pattern, exposure to pornography, and SB. Data were analyzed using descriptive statistics, Chi-square, and logistic regression. The mean age of respondents was 21.4±2.7. The SM in which most of the respondents had accounts were WhatsApp (96.7%) and Facebook (95.3%). Major sexual-related activities undertaken on SM included watching/downloading naked pictures (7.0%) and sex videos (13.5%). A majority (92.5%) of the respondents have been inadvertently exposed to pornography, and the major sources of this exposure were SM (59.3%) and web-based Internet pages (61.5%). While only 68.0% have been intentionally exposed, the major sources of exposure were SM (42.3%) and web-based Internet pages (53.3%). About half (48.5%) have experienced sexual intercourse, out of which 17.5% reported having multiple sexual partners. Recent inadvertent (OR: 4.5, 95%CI: 1.25-16.4) and intentional (OR: 2.3, 95% CI: 1.2-4.8) exposure to pornography were significantly associated with the experience of sexual intercourse. Likewise, recent intentional pornography exposure was significantly associated with having multiple sexual partners (OR: 3.0, 95%CI: 1.1-8.6). SM use with exposure to pornography had notable effects on SB of young persons. Effective interventions should be conducted to reduce this exposure and its associated effects among the target population

Prevalence and Factors Associated with Perpetration of Non- Consensual Sex among Students of a Tertiary Institution in Ibadan, Nigeria

This cross-sectional survey explored the extent to which students of the Polytechnic, Ibadan had perpetrated Non-Consensual Sex (NCS). A total of 594 randomly selected students completed a questionnaire and three perpetrators were interviewed in-depth. Mean age of the survey respondents was 22.7±2.9 years. Twenty-two percent had ever perpetrated at least a form of NCS, out of which 75.9% reported involvement in this behaviour in the six months preceding the study. Forms of NCS perpetrated included unwanted touch of breast/back side (14.6%), unwanted kiss (9.4%), attempted rape (2.7%) and rape (1.7%). The predictors of perpetration of NCS were alcohol use (OR: 2.2; CI: 1.41-3.33) and cigarette smoking (OR: 2.5, CI: 1.13-5.56). In-depth interview revealed that peer group influence and alcohol consumption contributed to perpetration of NCS. Behavioural change interventions are recommended to prevent perpetration of NCS in this institution.Cette enquête transversale examiné la mesure dans laquelle les élèves de l'École polytechnique, Ibadan avaient perpétré des rapports sexuels non consensuels (RSNC). Un total de 594 étudiants choisis au hasard ont rempli un questionnaire et trois auteurs ont été interviewés en profondeur. L'âge moyen des interviewés était de 22,7 ± 2,9 ans. Vingt-deux pour cent avaient déjà perpétré au moins une forme de RNSC, dont 75,9% ont déclaré implication dans ce comportement dans les six mois précédant l'étude. Les formes de RNSC perpétrés comprennent les tactiles indésirables de la poitrine/des fesses (14,6%), baisers non désirés (9,4%), tentative de viol (2,7%) et le viol (1,7%). Les indices de la perpétration de RNSC ont été la consommation d'alcool (OR: 2,2; IC: 1,41 à 3,33) et le tabagisme (OR: 2,5, IC: 1,13 à 5.56). Les interviews en profondeur ont révélé que l'influence des pairs et la consommation d'alcool ont contribué à la perpétration de RNSC. Les interventions de modification de comportement sont recommandées pour prévenir la perpétration de RNSC dans cette institutio

Community acceptance, satisfaction, and support for case management of malaria of various degrees in selected rural communities in Ibadan, Oyo-State

Objectives: This study aimed to assess communities’ perception and adoption of the evidenced-based malaria diagnosis and case management intervention targeted at under-five children. The effectiveness of trained Volunteer Community Health Workers (VCHWs) to diagnose malaria among under-five children using rapid diagnostic testing kit, provide treatment using Artemisinin Combination Therapy and rectal Artesunate were assessed.Design: A qualitative evaluation study was conducted in October 2015.Setting: Communities in the 6 rural wards in Ona-Ara Local Government Area, Oyo State Nigeria.Participants: Caregivers of under-five children, community–based frontline health workers, and community leaders selected using purposively sampling.Methods: Nine Focus Group Discussions and 15 Key Informant Interviews were conducted using a pre-tested guide. Data were subjected to thematic analysis.Results: It was disclosed that VCHWs promoted people’s access to prompt and appropriate malaria treatment. The communities accepted the VCHWs; the reasons given for this included the following: effectiveness of VCHWs in case management of malaria; good inter-personal relationship with caregivers; and the positive health outcomes associated with services provided by them. In addition, community members expressed satisfaction with the VCHWs and provided them with all the support needed to function throughout the malaria case management intervention. The VCHWs considered the support as a great source of encouragement.Conclusions: The use of VCHWs to treat malaria was adjudged to be effective and considered acceptable to the communities. The adoption of the intervention and its integration into the primary health system by the government is advocated for in medically underserved rural communities

Theory-Practice Gap: The Experiences of Nigerian Nursing Students

The “disconnect†between the body of knowledge acquired in classroom settings and the application of this knowledge in clinical practice is one of the main reasons for professional fear, anxiety and feelings of incompetence among freshly graduated nurses. While the phenomenon of the theory-to-practice gap has been researched quite extensively in high-income country settings much less is known about nursing students’ experiences in a developing country context. To rectify this shortcoming, the qualitative study investigated the experiences of nursing students in their attempt to apply what they learn in classrooms in clinical learning contexts in seven sites in Nigeria. Thematic content analysis was used to analyse data gained from eight focus group discussions (n = 80) with the students. The findings reveal a multifaceted theory-practice gap which plays out along four tensions: (1) procedural, i.e. the difference between practices from education institutions and the ones enacted in clinical wards – and contradictions that emerge even within one clinical setting; (2) political, i.e. conflicts that arise between students and clinical staff, especially personnel with a lower qualification profile than the degree that students pursue; (3) material, i.e. the disconnect between contemporary instruments and equipment available in schools and the lack thereof in clinical settings; and (4) temporal, i.e. restricted opportunities for supervised practice owing to time constraints in clinical settings in which education tends to be undervalued. Many of these aspects are linked to and aggravated by infrastructural limitations, which are typical for the setting of a developing country. Nursing students need to be prepared regarding how to deal with the identified procedural, political, material and temporal tensions before and while being immersed in clinical practice, and, in so doing, they need to be supported by educationally better qualified clinical staff