Kayode O. Osungbade

Content of antenatal care services in secondary health care facilities in Nigeria: implication for quality of maternal health care

OBJECTIVE To assess the contents of antenatal care and to relate the findings to the adequacy of maternal health care. DESIGN Cross-sectional study. SETTING Public secondary health-care facilities. PARTICIPANTS Pregnant women. INTERVENTIONS Three hundred and ninety consecutive pregnant women attending 12 selected secondary health facilities were recruited proportionate to the client load recorded for each facility during the year preceding the study. Interviews were conducted using the antenatal care exit interview form of the Safe Motherhood Needs Assessment package. MAIN OUTCOME MEASURES Antenatal care services provided to pregnant women in current pregnancy. RESULTS Blood pressure measurement, abdominal palpation and detection of foetal heart rate were provided to all participants. Three hundred and eighty-six (99%) were reached with at least one educational message. One hundred and sixty-seven (42.8%) had haemoglobin or packed cell volume estimated, whereas 168 (43.1%) had urine checked for protein, at least once during antenatal visits. Routine iron and folate supplements, and malaria prophylaxis were, respectively, given to 142 (36.4%) and 25 (6.4%). CONCLUSIONS The antenatal care service as provided had reasonable capacity for intervention against pre-eclampsia and some foetal problems, and could contribute to delivery in a health facility and by a health worker. Capacity to address the possible effects of severe anaemia and malaria in pregnancy was lacking. Equipping health-care facilities with capacity to detect anaemia and proteinuria as well as ensuring that iron and folate supplements, and malaria prophylaxis are given to all pregnant women would help to meet national guidelines and improve quality of service.

Evaluation of interventions to prevent gender-based violence among young female apprentices in Ibadan Nigeria.

Purpose – This intervention project targeted one vulnerable group, female apprentices in Ibadan, Nigeria, to evaluate the effectiveness of multiple interventions aimed at preventing voilence against women (VAW).Design/methodology/approach – A baseline survey was conducted through face‐to‐face interviews with 350 young women recruited from apprenticeship workshops in Ibadan. The interventions consisted of skills training workshops for apprentices (323), sensitization training for the instructors of apprentices (54), police (30) and judicial officers (25) and the development/distribution of educational materials to reduce the incidence of violence. A follow‐up survey was conducted with 203 apprentices after five months of interventions.Findings – Improvements were found at follow‐up with respect to knowledge of types of violence and sexual forms of violence (up from 89.4 to 97 percent) (p<0.05), and appreciation of vulnerability to VAW increased (from 77 to 95 percent) (p<0.05). The prevalence of beating dr...

Cost-effectiveness of screening methods for urinary schistosomiasis in a school-based control programme in Ibadan, Nigeria.

OBJECTIVE To carry out a comparative cost-effectiveness analysis of screening methods for urinary schistosomiasis; terminal haematuria, unqualified haematuria, dysuria, visual urine examination and chemical reagent strip technique, in a school-based control programme. DESIGN Estimation of costs and determination of cost-effect ratios of the screening methods applied in a school-based screening and treatment programme, from the perspective of a programme manager. SETTING A junior secondary school in Ibadan, Nigeria. MAIN OUTCOME MEASURES Cost per number of cases correctly diagnosed. RESULTS Unqualified haematuria was found to be the most cost-effective method costing N51.06 (US

Knowledge of AIDS and sexual practices of young female hawkers in truck and bus stations in Ibadan Nigeria.

2.16) to diagnose a case correctly, followed by terminal haematuria N58.91 (US

Effects of training programme on HIV/AIDS prevention among primary health care workers in Oyo State, Nigeria

2.50) and dysuria N84.24 (US

Knowledge about HIV/AIDS and sexual practices among automobile repair workers in Ibadan, Southwest Nigeria.

3.57). Despite the relatively high input costs of chemical reagent strip technique over visual urine examination (N22.12 (US

A cost analysis of road traffic injuries in a tertiary hospital in south-west Nigeria

0.94) per student vs. N6.44 (US

Users' Satisfaction with Services Provided Under National Health Insurance Scheme in South Western Nigeria

0.27) per student), it was found to be more cost effective costing N304.56 (US

Appraisal of primary health care services in federal capital territory, Abuja, Nigeria: how committed are the health workers?

12.91) to diagnose a case correctly than visual examination of urine cost of N317.58 (US

Self-referral patterns among federal civil servants in oyo state, South-Western Nigeria

13.46) per correct case diagnosed. CONCLUSION From the viewpoint of a programme manager, interview method of screening by asking for blood in the urine remains the most efficient means of screening for urinary schistosomiasis in school-based control programmes in our environment.