ABSTRACT
Background: The objective of this study was to determine the frequency, skills level of health care service providers; to identify complications and difficulties related to the implementation of AMTPC/GATPA.Methods: It was about prospective study, descriptive of 6 months (1st March to 31st August 2014) carried out in the maternity hospitals of Faranah, Kindia, Mamou and Nzérékoré. It concerned the parturient women who had recently given birth and the personnel that carried out AMTPC/GATPA in these hospitals.Results: During the study period of 1,254 out of 1,305 births had benefited of AMTPC/GATPA, a frequency of 96.1%. The midwives were the most represented personnel in the implementation of GATPA (44.1%). In 46.4% of the cases, the health care service providers acquired this competence from the initial training. The release was obtained in the first trial in 64.9% cases. The duration of implementation of GATPA was less than 5 minutes in 72.6% cases. The different stages were respected in 91.5% cases. Complications were dominated by retention of placental fragments (10.2%). Lack of oxytocin was the main difficulty (36.6%).Conclusions: The sustainability of this achievement would depend on the systematic and correct implementation of AMTPC/GATPA at all childbirth attendants and the effective management of oxytocin.
ABSTRACT
Aim: This study was aimed at determining the number of children infected in relation to study population. Study Design: Cross sectional Place and Duration of Study: This study was conducted among school children in Gadabuke and Garagwa LGEA Primary schools in Toto Local Government Area of Nasarawa State, Nigeria between October-December, 2012. Materials and Methods: A total of 250 samples were collected comprising 192 urine and 58 faecal samples. Samples were investigated using standard World Health Organisation guidelines for identification of parasites. Samples were analysed macroscopically and microscopically. Results: Out of the 192 children screened. Gadabuke LGED primary school had a prevalence of 58.1% while Garagwa LGED primary school had a prevalence of 22.7% and the overall prevalence of urinary schistosomiasis in the two schools is 44.3%. There was no significant difference in prevalence rate of urinary schistosomiasis between Gadabuke and Garagwa primary schools (P>0.05). On the other hand, Gadabuke had a prevalence of 5.3% for S.mansoni and 0% prevalence for Garagwa LGED. On the whole, the prevalence of S. mansoni was 3.4% in the study area. Children of age group (8 – 14) were more infected with urinary schistosomiasis. Male had higher prevalence of urinary schistosomiasis 50 (50%) than the female 35 (35%). Statistically there was significance difference in prevalence infection of Schistosoma haematobium among males and females investigated. Children whose parents are farmers and fishermen had the highest prevalence infections, followed by Artisan, civil servant and the businessmen. Conclusion: Urinary schistosomiasis in some selected primary schools in Gadabuke district of Toto LGA in Nasarawa State have been documented.