Résumé
Background and Aims of Study: Malaria in pregnancy remains one of the infectious diseases threatening the health of pregnant women and the unborn child in Africa. The use of Sulphadoxine-Pyrimethamine (SP) as intermittent preventive treatment of malaria in pregnancy (IPTp) has been shown to greatly reduce the impact of malaria in pregnancy and its complications when administered appropriately according to set protocol. The aim of this study is to ascertain the appropriate use of SP among pregnant women who received ante-natal care (ANC) and determine its relationship with feto-maternal outcome. Place and Duration of Study: Daughters of charity Primary Health Center, Kubwa, Abuja, between January 2010 and June 2011. Methodology: A retrospective study of 200 pregnant women, who attended ANC, delivered and followed-up to post-natal clinic at Daughters of Charity primary health centre and was administered SP between January 2010 and June 2011. Ante-natal records were retrieved and socio-demographic variable, number of doses of SP received as well as feto-maternal outcome were collected and analyzed. Results: The use of IPTp among pregnant women in this facility is low, accounting for only 6% of the study population, while 79% were not administered IPTp throughout their pregnancy. Majority of the primigravida (61 out of 70) who were more vulnerable to malaria in pregnancy did not receive any dose of IPTp. Conclusion: More effort is required to increase IPTp coverage in the community. This may be achieved by improving the awareness of IPTp among health care workers, pregnant women and the entire community at large.
Résumé
Background: Occupation may affect health seeking behaviour. Very little is known about this behaviour in labourers. This study assessed the health-seeking behaviour of the female manual labourers to fever in Jos; Nigeria. Methods: A community-based cross-sectional survey was conducted among 300 female manual labourers from a randomly selected cluster in Jos; using a pre-tested interviewer-administered semistructured questionnaire. Data was analyzed using Epi info. Results: Fever episode was reported by 85 percent of respondents during the last one month before the survey. Forty-seven percent `observed' the fever and hoped for self resolution. Home treatment was reported as the first response to fever by 23and 49of the labourers sought treatment for fever within the first 24 hours of onset. Early treatment-seeking pattern was reported among those who self-medicate; followed by those that visited pharmacy stores. Cost was the major reason for delay in seeking timely and appropriate care
Sujets)
Fièvre , Acceptation des soins par les patients , FemmesRésumé
BACKGROUND:Secondary school students are a high risk group for HIV transmission. They could also be easily reached with health education interventions. There is as yet no global consensus on the nature, content and effectiveness of this intervention among this group. It is also not known how effective this intervention is in reducing sexual risk behaviour among secondary school students in our environment. The aim of the study was to find out the impact of HIV/AIDS health education intervention on the sexual risk behaviour of secondary school students.METHODS:This was an interventional follow-up study among senior secondary school students with controls selected from similar schools. The students' sexual risk behaviour was assessed at baseline followed by a HIV/AIDS health education intervention. The risk behaviour was then re-assessed 6 months after the intervention.RESULT: Students who lived in urban areas and those who lived with both parents were less likely to have experienced sexual intercourse at baseline than those who lived in the rural areas (but school in Jos during school sessions), and those who lived with single parents and other relations. Health education delayed sexual debut among students who were sexually naïve but had no effect on the sexual activity of those who were already sexually experienced.CONCLUSION:Health Education intervention has a place in reducing secondary school students' sexual risk behaviourif commenced before their sexual debut