Exploring the role and lived experiences of people with disabilities working in the agricultural sector in northern Nigeria

It is estimated that over 75.0% of households in sub-Saharan Africa are involved in agriculture, and the majority of the poor in rural areas rely on agriculture for their livelihoods. One billion people living with disabilities in low- and middle-income countries are argued to make up the poorest of the poor, yet to our knowledge, no literature has captured the livelihood of people living with disabilities in the context of farming in Nigeria, specifically northern Nigeria where most of the households are involved in agriculture and related activities. Objectives: This article reports on findings from a study that sought to understand disability in the context of northern Nigerian farming, with a particular focus on the role and lived experiences of people living with disabilities working in the agricultural sector. Method: A survey questionnaire was developed and captured the experiences of 1067 people living with disabilities working in the agricultural sector across five states (Adamawa, Bauchi, Jigawa, Kaduna and Yobe) in northern Nigeria. Results: Findings indicate that people with disabilities are actively participating in agricultural activities for several reasons, which specifically included 'forced to and for survival'. When participants reported needing care, this was predominantly provided by family members. Findings also showed that participants with disabilities experienced several economic and sociocultural challenges because of their impairments. Conclusion: This study adds to the very limited literature on farmers living with disabilities in sub-Saharan Africa and so highlights the need for more research to be conducted with farmers living with disabilities in Nigeria, particularly female farmers living with disabilities. These will provide more evidence pertaining to the experiences of farmers living with disabilities in order to provide effective disability- and gender-inclusive agricultural and entrepreneurship programs in Nigeria. Contribution: The results of this research reveal important insights relating to the experiences of farmers living with disabilities in northern Nigeria, which can contribute to informing future developmental projects to achieve effective inclusion and actively benefit people living with disabilities.

Exploring the role and lived experiences of people with disabilities working in the agricultural sector in northern Nigeria

It is estimated that over 75.0% of households in sub-Saharan Africa are involved in agriculture, and the majority of the poor in rural areas rely on agriculture for their livelihoods. One billion people living with disabilities in low- and middle-income countries are argued to make up the poorest of the poor, yet to our knowledge, no literature has captured the livelihood of people living with disabilities in the context of farming in Nigeria, specifically northern Nigeria where most of the households are involved in agriculture and related activities. Objectives: This article reports on findings from a study that sought to understand disability in the context of northern Nigerian farming, with a particular focus on the role and lived experiences of people living with disabilities working in the agricultural sector. Method: A survey questionnaire was developed and captured the experiences of 1067 people living with disabilities working in the agricultural sector across five states (Adamawa, Bauchi, Jigawa, Kaduna and Yobe) in northern Nigeria. Results: Findings indicate that people with disabilities are actively participating in agricultural activities for several reasons, which specifically included 'forced to and for survival'. When participants reported needing care, this was predominantly provided by family members. Findings also showed that participants with disabilities experienced several economic and sociocultural challenges because of their impairments. Conclusion: This study adds to the very limited literature on farmers living with disabilities in sub-Saharan Africa and so highlights the need for more research to be conducted with farmers living with disabilities in Nigeria, particularly female farmers living with disabilities. These will provide more evidence pertaining to the experiences of farmers living with disabilities in order to provide effective disability- and gender-inclusive agricultural and entrepreneurship programmes in Nigeria. Contribution: The results of this research reveal important insights relating to the experiences of farmers living with disabilities in northern Nigeria, which can contribute to informing future developmental projects to achieve effective inclusion and actively benefit people living with disabilities

Availability and utilization of emergency obstetric care public health facilities in Zaria, Northern Nigeria

Background: Maternal mortality rates continue to soar high in Northern Nigeria despite all sorts of interventions being put in place. This has necessitated the need to emphasize on Emergency Obstetric Care (EmOC) to tackle obstetric complications which are the largest direct causes of maternal mortality. The study was conducted to assess the availability of Emergency Obstetric Care facilities in Zaria Local Government Area (LGA) located in Northern Nigeria.Methods: This was a hospital based cross- sectional descriptive study carried out in Zaria LGA. Data was collected from seven public health facilities using a structured interviewer administered questionnaire.Results: The LGA met the WHO requirement for the population served while none of the designated BEOC met the UN criteria for such designation. Only 8% of births took place in the health facilities and 0.7% of deliveries were by caesarean section. The met need for EmOC in Zaria LGA was 25.1%. Human resources were lacking in number and skills. Some key drugs and equipment needed to carry out signal function were also absent.Conclusions: Public health facilities in Zaria did not meet the requirements of the United Nations (UN) process indicators. There is need to upgrade the health facilities with the necessary human resource, equipment and facilities to enable them perform their designated EmOC functions.

Seroprevalence of Treponema pallidum Infection among Cohorts of Pregnant Women Attending a Selected Hospital at Northern Nigeria

Background: Syphilis is a multifaceted disease with serious implications for the pregnant women and the foetus. Treponema pallidum, the causative agent of syphilis has been a public health challenge for centuries. Sexually transmitted infections (STIs) among pregnant women are wide spread in the developing countries, and constitute a major public health problem in sub-Saharan Africa. Information regarding the prevalence of syphilis in pregnant women is scanty from the north-west zone of Nigeria.Aims:Evaluation of seroprevalence of Treponema palliduminfection among pregnant women attending a selected hospital at Northern Nigeria was carried out, with view to assess the socio-demographic data and predisposing factors of syphilis among the study population.Methods: Exactly 200 pregnant women, who attended antenatal clinic of the selected hospital at Northern Nigeria, from July to September, 2015 were screened for syphilis using syphilis rapid immunochromatographic test for in-vitrodiagnostic technique. Patients’ demographic data and predisposing factors of syphilis were assessed using a structured questionnaire.Results: The result showed that 2.0% of the 200 pregnant women screened were positive. Basedon age, individuals who were less than or equal 20 years had the highest prevalence of 4.1% followed by those who aged 21-30 with the prevalence of 1.1%. Family type and place of the study subjects were significantly associated with the disease (Fisher’s exact test = 0.014 and 0.008 respectively). Therefore associated risk factors were age, family type and place of residence. While, educational status, employment status, gestational age and blood transfusion were not significantly associated with syphilis in the study area. While seroprevalence of 4(5.7%) was recorded in polygamous individual; no positive case was recorded among those practicing monogamy. Urban dwellers were found to have a prevalence rate of 6.6% with no infection detected among the rural dwellers. Conclusion: Theoverall prevalence of syphilis among the study population was 2.0%. The disease is more prevalent among middle aged, rural dwelling and polygamous pregnant women. Hence in a bid to control syphilis infection, both partners should be evaluated and treated. This study has further provided information on the prevalence of Treponema palliduminfection among pregnant women at Northern Nigeria

Asssessment of some selected vitamin levels in patients with vesico - vaginal fistula in Jos, Northern Nigeria / Evaluación de niveles de vitamina seleccionados en pacientes con fístula vesico - vaginal en Jos, norte de Nigeria

Globally, about 3.5 million women are living with genitourinary fistula, a miserable condition. Obstetric Vesicovaginal fistula (VVF) is exceptionally rare in developed part of the world, where it is mostly due to gynaecological cause. The study was conducted to provide baseline data on vitamin A and vitamin E levels among Vesico - Vaginal Fistula (VVF) patients and to establish their socio-demographic characteristics. Some selected vitamin levels in patients with Vesico - Vaginal Fistula (VVF) in Jos, Northern Nigeria were investigated using spectrophotometric method. Samples were collected from VVF patients undergoing treatments at the Evangel Hospital, Jos and the controls were non pregnant but parous women of similar social status who were willing to participate in the study. A total of 97 participants made up of 67 VVF patients and 30 controls were involved in the study. The results revealed that only 1 clients (1.49%) was mulliparous, 50 (74.64%) and 16 (23.88%) clients were multiparous and grand multiparous respectively out of 67 (100%) clients. The results of social class distribution in both clients and control is in the order of 5>4>3, 2>1. The levels of vitamin A in VVF clients showed no significant change (p>0.05) when compared to control while that of vitamin E showed significant change (p<0.05). The results of viatamin A and E in respect to age, social class and parity showed significant difference (p<0.05) in the VVF patients than the control except for those with age 25 - 29 and 40 - 44 years as well as social class 1 and 5. The study therefore highlights need for determination of reference values of vitamins levels among African population

A nivel mundial, alrededor de 3,5 millones de mujeres viven con fístula genitourinaria. La fístula vesicovaginal (FVV) obstétrica es excepcionalmente rara en el mundo desarrollado, donde se debe principalmente a causas ginecológica. Este estudio se realizó para proporcionar datos de referencia sobre los niveles de vitamina A y vitamina E entre los pacientes con FVV y para establecer sus características sociodemográficas. Los niveles de vitamina A y E en pacientes con VVF en Jos, norte de Nigeria se investigaron mediante el método espectrofotométrico. Se recogieron muestras de pacientes con FVV que se sometieron a tratamientos en el Evangel Hospital, Jos y un grupo control de paciente, no embarazadas del mismo estatus socioeconómico que estaban dispuestas a participar en el estudio. Un total de 97 participantes formados por 67 pacientes con FVV y 30 controles participaron en el estudio. Los resultados revelaron que solo 1 paciente (1.49%) era nulípara, 50 (74.64%) y 16 (23.88%) de las pacientes eran multíparas y multíparas grandes, respectivamente. Los resultados de la distribución socioeconómica en el grupo de embarazadas y el control fue en orden de 5> 4> 3, 2> 1. Los niveles de vitamina A en paciente con FVV no mostraron diferencias significativas (p>0.05) en comparación con el control, mientras que los niveles de vitamina E sí mostraron diferencias significativas (p<0.05). Los resultados de la vitamina A y E con respecto a la edad, clase socioeconómica y paridad mostraron una diferencia significativa (p<0.05) en los pacientes con FVV respecto control, excepto para los de 25-29 y 40-44 años, así como para la clase social 1 y 5. Por lo tanto, el estudio destaca la necesidad de determinar los valores de referencia de los niveles de vitaminas en la población africana.

Heavy metals and mineral elements of Vernonia ambigua, Vernonia oocephala and Vernonia pupurea used in Northern Nigerian traditional medicine / Metales pesados y elementos minerales de Vernonia ambigua, Vernonia oocephala y Vernonia pupurea usados en la medicina tradicional del Norte de Nigeria

Background: Vernonia species are widely consumed as vegetables or medicinal herbs for the treatment of various human diseases in Nigeria. Nevertheless, there exists a growing concern for consumption safety of those herbal plants, due to increasing environmental pollution. This is because plants can accumulate some heavy metals that constitute a potential risk to human health. Nonetheless, also essential elements may be accumulated in plants, which provide nutrients for combating diseases and maintaining human health. Objectives: The purpose of the study was to analyze some heavy metals and mineral elements on Vernonia ambigua, V. oocephala and V. pupurea commonly used in Northern Nigerian traditional medicine. Methods: Atomic absorption spectrometry (AAS) was used to determine the major elements (calcium and magnesium), trace elements (iron and manganese) and heavy metals (copper, cobalt, chromium, cadmium, lead and zinc). Results: We found a high Ca and Fe content in V. ambigua, Mg and Co in V. oocephala, and Cu and Cr in V. pupurea; in contrast, the last specie, showed low accumulation of Pb and Cd among all studied species. Conclusion: This study revealed that toxic elements concentrations are lower than the allowed dietary intake (ADI) in all the three Vernonia species. The quantitative estimation of these elements is important to understanding the pharmacological and/or toxicological actions of medicinal plants for safe use.

Antecedentes: Las especies de Vernonia son ampliamente consumidas como verduras o hierbas medicinales, para el tratamiento de diversas enfermedades humanas en Nigeria. Sin embargo, existe una creciente preocupación por la seguridad en el consumo de dichas plantas, debido al incremento en la contaminación. Esto es debido a que las plantas pueden acumular algunos metales pesados que constituyen un riesgo potencial para la salud humana. Sin embargo, algunos elementos esenciales también pueden acumularse en las plantas proporcionando nutrientes para combatir las enfermedades y mantener una buena salud. Objetivos: El objetivo del estudio fue analizar algunos metales pesados y minerales en Vernonia ambigua, V. oocephala y V. Pupurea, comúnmente utilizadas en la medicina tradicional del norte de Nigeria. Métodos: La espectrofotometría de absorción atómica (AAS) se utilizó para determinar elementos mayores (calcio y magnesio), elementos trazas (hierro, manganeso) y elementos pesados (cobre, cobalto, cromo, cadmio, plomo y zinc). Resultados: se encontraron altos contenidos de Ca y Fe en V. ambigua, y de Mg y Co en V. oocephala. La cantidad de Cu y Cr fueron altas en V. Pupurea; en contraste, esta última reportó las cantidades más bajas de Pb (0.01200 mg/100g) y Cd (0.00670 mg / 100g) entre las tres especies de Vernonia estudiadas. Conclusión: Este estudio demostró que las concentraciones de elementos tóxicos como Pb, Cd y Co detectadas, son inferiores a la ingesta dietética permitido (ADI) en las tres especies de Vernonia. Las estimaciones cuantitativas de elementos pesados, son importantes para la comprensión de las acciones farmacológicas y/o toxicológicas de plantas medicinales para su uso seguro.

Occupational Exposure, Risk Perception and Access to Prophylaxis for HIV/AIDS Infection among Health Care Workers in Northern Nigeria.

Introduction: This study was designed to describe occupational exposure, risk perception and access to prophylaxis for HIV/AIDS among the health care workers in Northern Nigeria. Methods: This study is an analytical cross-sectional study. Multistage sampling technique was used to obtain a representative sample and a structured selfadministered questionnaire was used to collect relevant information. Results: A total of 421 health care workers were interviewed, 5.2% reported percutaneous exposure to HIV infected blood or body fluids in the workplace in the last 6 months. Predictors of risk perception were working in public facilities [OR=2.28, C.I=1.26-4.15], male gender [OR=3.42, C.I=1.59-7.36] and training on infection control [OR=1.94, C.I=1.13-3.34]. Significantly more males [OR=2.33, C.I=1.12-4.94], those in public facilities [OR=5.85, C.I=1.97-19.48], urban facilities [OR=24.99, C.I=3.67-491.82] and those in tertiary facilities [[OR=17.96, C.I=6.04-59.99] reported a greater access to prophylaxis medication. Conclusion: The study concludes that male health care workers that are young, working in public facilities and have insufficient knowledge about HIV/AIDS have a high risk perception for HIV/AIDS while those in urban and public facilities especially tertiary facilities reported a ready access to prophylaxis medication. Uneven distribution of medication and other health care resources in Northern Nigeria and similar populations may contribute to increased casualty among the health care workers.

Some socio-demographic features of mood disorders presented by patients attending a northern Nigerian tertiary health institution clinic.

The aim of this study was to document some socio-demographic features of mood disorders in a Northern Nigerian tertiary health institution clinic. A retrospective evaluation of patients’ hospital records from1st January to 31st December 2006, using structured data forms which were analyzed with SPSS. All patients diagnosed of mood disorders (n=145) were included in the study sample. Mood disorders accounted for 26.0% of all patients who attended the Psychiatry clinic during the 1-year period, second only to schizophrenia (39.8%). Depression was the most prevalent sub-type of mood disorders (54.5%) followed by bipolar affective disorders (32.4%), hypomania (9.0%) and mania (4.1%). Majority of the patients with mood disorders were female (62.1%), below thirty years of age (57.2%), married (57.2%), had tertiary education (41.8%) and were unemployed (60.7%). Other features seen were: family history of psychiatry disorders in (29.0%) and substance abuse (13.1%), non-psychiatry co-morbid physical conditions (38.0%) were more prevalent than psychiatry co-morbid disorders (27.6%). These known features of mood disorders in this tertiary health institution clinic form valuable baseline data and would contribute to the pharmacological and other managements of the patients.