ABSTRACT
Background: Second-hand economy is a universal phenomenon. In Nigeria, it cut across many decades and all spectrums of life even in childcarepractice. The role of second-hand products in childcare practice and provisioning has been under reported in scholarly discuss in Nigeria. Hence,the prevalence of secondhand childcare products utilization, different categories of secondhand products available for childcare, the perceived health hazards and the reasons why consumers patronize secondhand products for childcareamong mothers of under five years in Ibadan Nigeria.Methods:A cross sectional concurrent mix-methods approach was used in the study. The quantitative and qualitative data weredone simultaneously. While mothers of under-five children were purposively selected for in-depth interviews, a total sampling of all consenting mothers of under-five found at immunization clinic of Primary health care centres were sampled for survey. A total number of 403 mothers of under five children participated in the survey while 50 IDIs were conducted with buyers (mothers) and traders of secondhand children's products. Qualitative data were subjected to thematic analysis, while the quantitative data were analyzed with descriptive statistics and chi-square test.Results:The mean age of mothers is ± SD 28.6 ± 5.4. Majority of respondents 209 (51.9%) had senior secondary education, 140 (34.7%) had tertiary education and only 2 (0.5%) had no formal education. About 339 (84.1%) utilized secondhand childcare products, while 64 (15.9%) never used secondhand childcare products. Mothers with at least senior secondary education 209 (51.9%) were found to be the highest users of secondhand childcare products. Procurement and utilization of secondhand childcare products was based on quality value, availability, affordability attached to constructed superiority of western civilization wrapped around provisioning in childcare. Conclusion: Many mothers of under-five children in Ibadan utilizes secondhand products in childcare. Embedding secondhand products health hazard in health talk during immunization clinics will be beneficial and help in educating mothers on reduced and safe utilization of secondhand products in childcare
Subject(s)
Humans , Child Care , Procedures and Techniques Utilization , Cities , Health RiskABSTRACT
Le système de santé de la République du Congo est caractérisé par un important gap dans l'offre des services de santé entre le milieu urbain et le milieu rural. La communauté rurale de Pondila, dans le département du Kouilou n'échappe pas à cette description, avec un faible taux de fréquentation du CSI de Pondila de 34,22%. Objectif: Cette étude avait pour objectif d'étudier les facteurs associés au faible taux de fréquentation du CSI de Pondila en 2021. Méthodologie : Il s'agit d'une étude transversale analytique qualitative et quantitative sur un échantillon probabiliste représentatif de 347 ménages dans toute l'aire de santé de Pondila. Un modèle de régression logistique a été construit par la méthode de sélection pas à pas descendante avec une probabilité d'entrée de 0,05 et IC à 95%. Résultats : 30,84% des enquêtés ont rapporté ne pas avoir consulté le CSI de Pondila dans les 03 mois précédant l'enquête dans de mauvaises conditions d'accès géographiques et financières. La régression logistique a permis d'établir le faible niveau de fréquentation du CSI et le chômage (OR=16,67 [14,67 à 18,67], p=0,000), le mauvais accueil des bénéficiaires par le personnel soignant (OR=3,15 [1,00 à 9,95], p=0,050) et l'absence de médicaments lors des consultations (OR=3,21 [0,26 à 39,24], p=0,000). Conclusion : Le faible niveau de fréquentation du CSI de Pondila est associé au chômage, au mauvais accueil et à la non disponibilité des médicaments au CSI, au coût élevé des soins et au mauvais état des routes.
Subject(s)
Catchment Area, Health , Health Centers , Cities , No-Show Patients , Telemedicine for Rural and Remote AreasABSTRACT
Milk, a nutrient-rich liquid food produced in the mammary glands of mammals, contains low bacterial counts when it leaves the udder, but it may get contaminated from the environment, exterior of udder, water, soil, milkers' hands and utensils. Contamination can serve as a source of spread of certain harmful human bacterial diseases like tuberculosis, diphtheria, salmonellosis and food poisoning if consumed in raw form. This study, therefore, was designed to evaluate bacteriological quality of milk samples collected from various localities within Ilesha metropolis. MATERIALS AND METHODS Twenty (20) samples of fresh raw milk were collected in sterilized bottles from various nomadic milk hawkers in Ilesha. Methylene blue reductase test, standard plate count on standard plate count agar and isolation of possible pathogens using selective culture media was carried out on the samples. RESULTS Of the 20 samples of raw milk collected for bacteriological analysis, 3 samples were found to be of excellent quality, 5 were very good, 4 were good, 5 were fair and 3 were of poor quality. The actual standard plate count for excellent and very good quality ranged between 33-54 and 62 - 80 colony forming units (cfu). The organisms isolated and biochemically characterized from the raw milk samples were found contaminated with Escherichia coli (4 strains), Staphylococcus aureus (8 strains), Streptococcus pyogenes (5 strains), Streptococcus agalactiae (3 strains) and Enterobacter aerogenes (5 strains). African Journal of Health Sciences Volume 34, Issue No.4, July- August 2021 476 CONCLUSION The results obtained from this study showed that the milk sold in raw form could be hazardous to human health if sold without adopting hygienic measures
Subject(s)
Humans , Bacteriological Techniques , Milk Sickness , Ill-Housed Persons , Cities , NigeriaABSTRACT
Purpose: The widespread use of non-steroidal anti-inflammatory drugs (NSAID) has meant that the adverse effects of these relatively safe drugs have become increasingly prevalent. This work examines the pattern of sale and use of NSAIDs as to call for caution in cases of misuse that may lead to renal; gastrointestinal and cardiac damage in users. Methods: 56 drug outfit managers in patent medicine store; pharmacy; hospital drug unit and market centre visited in their outlets; were evaluated with respect to years of experience; educational level and registration status. 180 NSAIDs users were also assessed based on their perception and pattern of use of the drugs in view of their personally declared previously and diagnosed ailments. Results: 86of the drug outfit managers had less than tertiary education with 59of the sampled outfits being unregistered and unlicensed. 74of the sample population procured their NSAIDs from sources where adequate pharmaceutical care is unlikely to be available in an observed situation where 79have clinical conditions likely to be worsened by NSAID misuse.11.1of the respondents who are categorized as geriatrics ingest NSAIDs daily while over 23of this class require more than two different NSAIDs at a time. Conclusion: Restriction in the sale; by way of reviewing the sale status; of NSAIDs will drastically reduce the rate at which the drugs are ingested. The possible gastrointestinal; renal and cardiac damage due to NSAID misuse requires evaluation so that the required level of caution can be exercised in the handling of the drugs