scholarly journals Social Meaning and Consequences of Infertility in Ogbomoso, Nigeria

2017 ◽  
Vol 12 (2) ◽  
pp. 63 ◽  
Author(s):  
Fehintola A O ◽  
Fehintola F O ◽  
Ogunlaja OA ◽  
Awotunde T O ◽  
Ogunlaja IP ◽  
...  
Keyword(s):  
Data Collection ◽  
Qualitative Data ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
University Teaching ◽  
Group Discussions ◽  
Cross Sectional ◽  
High Risk Sexual Behavior ◽  
Experiences Of Women ◽  
Qualitative Data Collection

<p><strong>Background:</strong> This study examined the meaning of infertility from layman's perspective, and experiences of women suffering from infertility among reproductive age women seeking care at the gynaecology unit of the Bowen University Teaching Hospital, Ogbomoso, Nigeria.</p><p><strong>Materials and Methods:</strong> It was a cross-sectional study. Quantitative and qualitative data collection methods were employed. Quantitative data collection was by the aid of a structured interviewer-administered questionnaire among 200 women seeking care for infertility at the hospital. Qualitative data collection was by Focus Group Discussions (FGDs) and Key Informant Interviews (KIIs).</p><p><strong>Result:</strong> Approximately 40% and 60% of the respondents seeking care for infertility were suffering from primary and secondary infertility respectively. Perceived meaning and   etiologies of childlessness were multidimensional, but 33% of the respondents not sure of the causal factor. Seventy-nine percent   were under pressure to become pregnant. The high premium placed on fertility within marriage has placed   a larger proportion of them under pressure from their husbands (25%), their mother-in-laws (40%), and the community (14%).</p><p><strong>Conclusion:</strong> This study concluded that women regard infertility to be caused by multiplicity of factors. Most of these etiologies were unscientific and unverifiable. Fruitful expectations also put enormous burden on those women suffering from infertility including adverse psychosexual effects. The unceasing pressure due to infertility   in this group of patients calls for urgent intervention as most of these women become susceptible to high risk sexual behavior, depression and other severe consequences.</p>

scholarly journals Concomitant Use of Herbal and Conventional Medicines among Patients with Diabetes Mellitus in Public Hospitals of Addis Ababa, Ethiopia: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Solomon Getnet Meshesha ◽  
Mariamawit Yonathan Yeshak ◽  
Gebremedhin Beedemariam Gebretekle ◽  
Zelalem Tilahun ◽  
Teferi Gedif Fenta
Keyword(s):  
Diabetes Mellitus ◽  
Data Collection ◽  
Traditional Medicine ◽  
Qualitative Data ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Thymus Vulgaris ◽  
Sectional Study ◽  
Cross Sectional

Introduction. The majority of the population in developing countries including Ethiopia still relies on traditional medicines (TMs). Patients with chronic illness like diabetes mellitus (DM) are dissatisfied with conventional medicines and thus are more likely to simultaneously use herbal medicines (HMs). However, such practice could result in potential herb-drug interaction. This study aimed to identify the commonly used HMs among patients with DM and determine the magnitude of concomitant use of herbal and conventional antidiabetic medicines. Method. A health facility-based cross-sectional study design was employed using both quantitative and qualitative data collection methods to determine the magnitude of concomitant use. Patients with DM and prescribers from four public hospitals were the study population for the quantitative and qualitative study, respectively. Simple descriptive statistics were used to describe variables for the quantitative data, and content analysis had been conducted manually for qualitative data. Result. Out of 791 respondents, 409 (51.7%) used traditional medicine at least once in their life time, and 357 (45.1%) used traditional medicine in the last six months prior to data collection. A majority (288 (80.7%)) of the respondents used HMs after starting the conventional antidiabetic medicines within the last six months. Moringa stenopetala, Thymus vulgaris, Trigonella foenum-graecum, Nigella sativa, and Allium sativum were among the frequently mentioned HMs. Prescribers were requesting patients’ HM use when they saw sign of liver toxicity and skin disease, and they were not documenting their history in the patient’s chart. Conclusion. Concomitant use of herbal and conventional antidiabetic medicines was a common practice. Cognizant of its potentially serious herb-drug interactions, efforts should be made to improve awareness and knowledge of healthcare providers about HM potential effects. Further studies on dose, frequency, duration, and modes of interaction are recommended.

scholarly journals Assessment of Chlorhexidine use for cord care at Kangundo level 4 Hospital

2019 ◽  
Author(s):  
Clarice Ambale ◽  
Brian Ngatia ◽  
Jonathan Nthusi
Keyword(s):  
Focus Group ◽  
Data Collection ◽  
Standard Operating Procedure ◽  
Cross Sectional Study ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cross Sectional ◽  
Ethical Approval ◽  
Hospital Cleaning ◽  
First Time

Abstract Background: Sepsis continues to be an important cause of morbidity and mortality in neonates. One of the most important portals of entry for infections is the umbilical cord. Proper care of the cord can prevent many of these cases of sepsis and hence reduce neonatal mortality rates. In Kenya, the use of chlorhexidine digluconate (CHX) gel was introduced to scale in 2016 and received with mixed reactions in some hospitals with reports of medication errors and ineffectiveness being received. This study sought to find out the knowledge, practices and attitude on its use in Kangundo Level 4 hospital. Methodology: The study was carried out at Kangundo level 4 hospital between June and August 2019. It was a descriptive cross-sectional study with both quantitative and qualitative components. A questionnaire was used for the quantitative data collection while focus group discussions were held for the qualitative data collection. Ethical approval was sought prior to commencement of data collection. Results: A total of 19 clients and 24 healthcare workers were interviewed and two focus group discussions held. All the 19 clients had delivered in the hospital and only three were first-time mothers. Education on how to use chlorhexidine (CHX) was given to 16/19 (84%) of the clients interviewed. Duration of application varied among clients; 4 days 5/19(26%), 7 days, 12/19 (64%) and until the stump falls off, 2/19 (10%). Twenty of the 24 HCWs (83%) interviewed advised the patients on cleaning the cord prior to application of CHX, frequency of application varied from OD 15/24 ( 62%), BD 3/24 (13%) and TID 6/24( 25%). Two FGDs were held for HCW; lack of training and clear instructions on how to use the gel as major contributors to ineffectiveness of CHX. Conclusion and recommendation: There was poor understanding on the use of CHX among both clients and HCWs at Kangundo level 4 hospital. Cleaning of the stump prior to gel application is important to prevent accumulation of the dry gel and allow contact with the wound. There is need for training and development of a standard operating procedure on use of CHX.

scholarly journals Why do married women procure abortion? Experiences from Ile-Ife, south western Nigeria

2021 ◽  
Vol 21 (1) ◽  
pp. 327-37
Author(s):  
Ibitola Eunice Ojo ◽  
Temitope Olumuyiwa Ojo ◽  
Ernest Okechukwu Orji
Keyword(s):  
Focus Group ◽  
Group Discussion ◽  
Cross Sectional Study ◽  
Induced Abortion ◽  
Married Women ◽  
Reproductive Age ◽  
Group Discussions ◽  
Cross Sectional ◽  
Unintended Pregnancies ◽  
Induced Abortions

Background: In Nigeria, about 1.25million induced abortions occur annually and the country accounts for one-fifth of abor- tion-related deaths globally. Objectives: The study aimed to assess the determinants of induced abortion among married women. Methods: A mixed methods study was conducted in Ile-Ife, Nigeria. The quantitative component employed a cross-sectional study design while the qualitative aspect comprised focus group discussions. Information on contraceptives use, unintended pregnancy and induced abortion were obtained from 402 married women (with at least one child) aged 18-49 years using a semi-structured questionnaire. Four focus group discussion sessions were conducted among women of reproductive age. Results: Majority (67.2%) of respondents had ever used a contraceptive method. However, 34.3% of the women have had un- intended pregnancies and 14.2% had induced abortion. FGD findings revealed that non-use of contraceptives and contraceptive failure were major reasons for unintended pregnancies and induced abortion. The significant predictors of induced abortion were non-use of contraceptives, age≥ 40 years and multiparity. Conclusion: Induced abortion still occur among married women particularly those not using contraceptives, aged ≥40 years and those with high parity. More emphasis should be placed on making contraceptives more accessible to married women. Keywords: Induced abortion; unwanted pregancies; married women; Nigeria.

scholarly journals Assessment of Neonatal Thermal Cares: Practices and Beliefs Among Rural Women in West Guji Zone, South Ethiopia: A Cross-Sectional Study

2020 ◽  
Author(s):  
Wako Golicha Wako ◽  
Belda Negesa Beyene
Keyword(s):  
Rural Women ◽  
Qualitative Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cross Sectional ◽  
Skin To Skin ◽  
Depth Interviews ◽  
Neonatal Hypothermia

Abstract Introduction: A newborn has limited capacity to maintain temperature when exposed to cold environments. Therefore it is important to maintain newborn in optimal thermal environment. Neonatal hypothermia carries higher case fatality rate when concurrently occurs with other neonatal problems. Neonatal hypothermia is common neonatal problem.Objectives: This study assessed neonatal thermal care practices and beliefs among rural women in west Guji Zone, south Ethiopia. Methods and Materials: A community based cross sectional study combined with qualitative study was undertaken in rural areas of west Guji Zone. Randomly selected 388 rural mothers of infants less than 6 months old were participated in quantitative study. Three focus group discussions and three in-depth interviews were conducted among mothers of infants less than 6 months old; and grandmothers and traditional birth attendants respectively. Quantitative data was collected by using structured and pretested Afaan Oromo version questionnaire adapted from relevant literatures. Qualitative data was collected by in-depth interviews and focus group discussions. The qualitative data was cleaned, coded and analyzed by SPSS version 20. Qualitative data was analyzed by thematic approach. Results: Out of 423 women planned for the study, 388 women were successfully interviewed and included into the analysis. In general rural women believe in importance of newborn thermal protection. The findings show that approximately 75% and 85% of women dried and wrapped their newborns respectively after delivery. However in study area drying and wrapping newborn are usually done after first newborn bath. Just over 84% of women bathed their newborns in less than 6 hours of delivery and majority of them used warm water for the bathing. About 69.1% and 57.7% of women put head cover to their newborns immediately after birth and initiated breast feeding within one hour of delivery respectively. Skin to skin care of newborn is non-existent in study area and perceived as odd, frightening and potential dangerous practice. Conclusion: Studied women practice some of recommended neonatal thermal care and believe in their importance in keeping newborn warm. However practice and believes about delayed first bath is against standard recommendation, whereas skin to skin care is non-existent and perceivably odd practice.

scholarly journals Clinical and sonographic features in infertile women with and without polycystic ovarian syndrome

2021 ◽  
Vol 10 (6) ◽  
pp. 2437
Author(s):  
Tenkeu A. Udofia ◽  
Faosat O. Jinadu ◽  
Abimbola T. Ottun ◽  
Ayokunle M. Olumodeji
Keyword(s):  
Polycystic Ovarian Syndrome ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
University Teaching ◽  
State University ◽  
Polycystic Ovaries ◽  
Chi Square ◽  
Cross Sectional ◽  
Infertile Women ◽  
Ovarian Syndrome

Background: Polycystic ovarian syndrome (PCOS) is the most common endocrine cause of infertility affecting about 1 in 10 women of reproductive age. This study determined the proportion of infertile women with PCOS and compared clinical and sonographic features in infertile women with PCOS and without PCOS.Methods: This was a prospective comparative cross-sectional study at the Lagos State University Teaching Hospital over a 6 month period. One hundred and fifty two infertile women were recruited and had trans-vaginal ultrasonography for the presence and absence of polycystic ovaries. The diagnosis of PCOS was made using the Rotterdam criteria with other relevant socio-demographic and clinical data noted in the study proforma. Student t and chi-square tests were used as appropriate.Results: The prevalence of PCOS among infertile women was 32.9%. The mean age of infertile women diagnosed with PCOS and without PCOS was 33±4.90 and 32.71±5.00 years, respectively. Women with PCOS had significantly higher BMI than women without PCOS. Increased ovarian volume, peripheral follicular distribution and increased stromal echogenicity were observed in 60%, 74% and 94% of women with PCOS on trans-vaginal ultrasound compared to 11.8%, 2% and 2% of women without PCOS, respectively.Conclusions: The prevalence of PCOS among infertile women is high. Clinical characteristics of women with PCOS and women without PCOS are similar except in their BMI and features that constitute the diagnostic criteria for PCOS.

Malaria Treatment Seeking Practices among Mothers in Rural Refugee Villages in Belize, Central America: A Qualitative Study

2003 ◽  
Vol 22 (1) ◽  
pp. 3-16
Author(s):  
Lorelei Cropley Dph Ches
Keyword(s):  
Data Collection ◽  
Central America ◽  
Qualitative Data ◽  
Rapid Assessment ◽  
Malaria Treatment ◽  
Treatment Seeking ◽  
Group Discussions ◽  
Treatment Practices ◽  
Appropriate Treatment ◽  
Qualitative Data Collection

Since early and appropriate treatment is an important determinant in the outcome of malaria infection in children, a study using qualitative data collection methods was conducted to investigate child malaria treatment-seeking practices among mothers in rural refugee villages in Belize, Central America. Qualitative methods, which included in-depth key informant interviews, focus group discussions, and rapid assessment interviews, were used to produce in-depth details on how mothers identified and defined fever and malaria and their behaviors relating to treatment practices. The use of multi-method qualitative data collection techniques provided important contributions that were used in designing a series of health education messages to impact child malaria treatment.

scholarly journals Prevalence of uncontrolled hypertension and associated factors among hypertensive patients attending medical outpatient clinic, Thika level 5 hospital, Kenya

2021 ◽  
Vol 8 (6) ◽  
pp. 2733
Author(s):  
Magara Monyenye Gladys ◽  
John Gachohi ◽  
Alex Muriithi
Keyword(s):  
Outpatient Clinic ◽  
Qualitative Data ◽  
Cross Sectional Study ◽  
Uncontrolled Hypertension ◽  
Group Discussions ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Care Workers ◽  
Study Participants

Background: Uncontrolled hypertension is a key risk factor for stroke and heart and kidney disease. A study was conducted to determine the factors associated with the prevalence of uncontrolled hypertension among hypertensive patients (study participants) attending a medical outpatient clinic, Thika level 5 Hospital (TL5H), Kenya.Methods: The study adopted a cross-sectional study design and a mixed-methods approach. While the quantitative arm sampled 394 study participants using systematic random sampling, purposive sampling selected 18 health care workers who served as key informant sand 35 study participants took part in focus group discussions in the qualitative arm. Uncontrolled hypertension was defined as systolic and or diastolic blood pressure ≥140 and or ≥90 in one or both previous and current readings during clinic visits. Quantitative data including socio-demographic, socioeconomic, and clinical characteristics of study subjects were collected using interviewer-administered questionnaires. Qualitative data were collected using guides and checklists. Data were analysed descriptively and inferentially using Pearson’s chi-square statistics, Fishers exact tests and regression modelling to determine associations between independent variables and uncontrolled hypertension using STATA 14. Qualitative data were organized thematically using NVIVO.Results: 48% of the study participants had uncontrolled hypertension at the time of the study.  Univariable analyses returned level of education (p=0.017), source of financing for hypertensive drugs (p=0.011), BMI (p=0.005) as significant factors.Conclusions: The study recommends community health promotion activities to increase awareness of how to modify these significant factors to reduce hypertension.

scholarly journals Attitude towards utilization of family planning services among women of reproductive age living with disability in Kajiado County, Kenya

2021 ◽  
Vol 8 (8) ◽  
pp. 3793
Author(s):  
Perrista M. Makau ◽  
Margaret N. Keraka ◽  
Jane N. Kieru ◽  
Vincet O. Matoke ◽  
Okari M. Geoffery
Keyword(s):  
Family Planning ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Vulnerable Groups ◽  
Women Of Reproductive Age ◽  
Group Discussions ◽  
Family Planning Services ◽  
Cross Sectional ◽  
Additional Information

Background: Family planning refers to practices that allow people to control the number of children and determine healthy spacing and timing of births between pregnancies. Approximately 10 percent of the world's population experience some form of disability. Worldwide, the most vulnerable groups include women with disabilities who highly need contraception most. The objective of this study was to assess the nature of attitude associated with utilization of family planning services among women living with disabilities in Kajiado County, Kenya.Methods: A descriptive cross-sectional study design was adopted with both quantitative and qualitative data collection methods applied. The study systematically sampled 316 women living with disability. Additional information was obtained from Focused Group Discussions. Required ethical clearance and permissions were sought prior to the study. Descriptive data and inferential statistics were analyzed through use of SPSS version 20.0. Results from focused group discussions were triangulated with quantitative data as direct quotes.Results: Only 32.0% of women living with disability utilized family planning in Kajiado County. About 61.2% of them had a negative attitude towards family planning. The nature of attitude (p=0.001) was significantly associated with utilization of family planning.Conclusions: The nature of attitude towards family planning among women with disability in Kajiado County was negative. Approximately 6 out of 10 women of reproductive age with disability had a negative attitude towards family planning. There is need to for policy makers and relevant stakeholders to dispel myths, misconceptions and religious beliefs associated with underutilization of family planning thus changing their nature attitude towards family planning.   

scholarly journals Missed opportunities of poor implementation of prevention with positives among HIV-positive women on treatment in Ekiti State, Southwest Nigeria

2021 ◽  
Vol 12 (4) ◽  
pp. 269-273
Author(s):  
Idowu Pius Ade-Ojo ◽  
Temitope Omoladun Okunola ◽  
Olufunke Temiloluwa Oso
Keyword(s):  
Scaling Up ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
University Teaching ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Women Living With Hiv ◽  
Prevention Interventions ◽  
Living With Hiv

Introduction: The current prevalence of HIV particularly in Nigeria does not reflect global efforts at curtailing the pandemic. One of the drivers increasing the rate of a new infection is the transmission of HIV by people already living with the virus. Scaling up prevention interventions and strategies will reverse this unwarranted trend. Method: A cross-sectional study was carried out among women living with HIV (WLHIV) receiving care at the Adult Antiretroviral Clinic (ART) of the Ekiti State University Teaching Hospital, Ado-Ekiti between February and April 2021. Results: One hundred and forty-eight eligible WLHIV participated and completed the study. The majority of the participants were married (74.3%), in a monogamous family setting (68.9%), within the reproductive age group (91.8%), and were Christians (75.7%). Only 5.4% earned all the components of prevention interventions and strategies for people living with HIV (PwP) leaving a wide gap of 94.6% missed opportunities. Conclusion: The findings that WLHIV in this study are well literate about HIV risk transmission and prevention strategies and are adherent to their HAART medications did not translate to the adequate observance of prevention interventions and strategies. Scaling up prevention with positive programs (PwP) is urgently needed to prevent the further surge in the rate of new infections.

Spectrum of Pathological Lesions in Uterine Specimens with Focus on Gestational Trophoblastic Disease in Karachi

2020 ◽  
Keyword(s):  
Hydatidiform Mole ◽  
Endometrial Stromal Sarcoma ◽  
Gestational Trophoblastic Disease ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Endometrial Polyps ◽  
Trophoblastic Disease ◽  
Proliferative Endometrium

Background: The most common benign pathological lesion in women of reproductive age is uterine leiomyoma. Gestational trophoblastic disease includes tumors and tumor like lesions originating from trophoblastic tissue. The aim of this study was to find the spectrum of molar pregnancy and uterine pathologies focusing on gestational trophoblastic disease as no study has been done in the past few years. Methods: Endometrial and uterine specimens of patients (n=436) between the ages of 15-65 years were collected from a private hospital in Karachi from December 2018 to December 2019. This cross-sectional study was carried out by pathological diagnosis of patients’ samples under light microscopy using hematoxylin and eosin staining. Stratification was done about age and nature of specimen to control the effect modifiers. The post stratification Chi square test was applied and p value <0.05 was considered significant. Results: Mean age of the patients was 36.1 years ±7.8. Total 436 uterine biopsies included 260(59.6%) hysterectomies, 56(12.8%) endometrial curetting’s, 117(26.8%) evacuation specimens and 3(0.7%) polypectomies. Common pathologies included 124(28.4%) leiomyomas, 61(14%) proliferative endometrium, 52(11.9%) adenomyosis and 32(7.3%) endometrial polyps. Gestational trophoblastic disease was seen in 9(2.06%). Seven (87.5%) were partial hydatidiform moles, one (12.5%) exaggerated placental site reaction and one choriocarcinoma. Mole was common between 26-30 years with mean age of 27.2 years and prevalence was 6/100 abortions. Conclusion: Leiomyoma was the commonest (28.4%) uterine pathology followed by proliferative endometrium (14.5%). However, endometrial stromal sarcoma and endometriosis were found 0.2% each. High prevalence of mole was seen in this study. Partial mole was most common and choriocarcinoma was least common. Keywords: Hydatidiform Mole; Pathology; Prevalence.

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