Reasons and experiences of home and hospital deliveries among women in Kano, North Western Nigeria

Background: In developing countries most women deliver at home for some reasons and such deliveries are not attended by a skilled birth attendant. In Nigeria 63% of births occurred at home. Objective: To determine the reasons and experiences of home and hospital deliveries among women in Kano, Nigeria. Methods: The study was a comparative cross-sectional study. The study employed a mixed method study. A total of 614 women were selected by multistage sampling technique and enrolled for the study. Focus group discussions with a group of women and husbands as well as key informant interviews with health care workers were conducted in the communities. Quantitative data was analysed using Minitab V17 software. Thematic content analysis was performed for the qualitative data. Data was gathered and analysed using triangulation methods. Results: The questionnaires response rate was of 96.7%. The mean age of respondents was 32.6 ± 6.5 years for home delivery group, and 28.1 ± 5.6 years for the hospital delivery group. Reasons for home deliveries were custom (24.5%), unfriendly attitude of health workers (17.5%), financial barriers (15.5%), and safety was the main reason for hospital delivery (56.7%). Determinants of choice of place of delivery were lower age at first pregnancy AOR=4.06 95%CI (1.633-10.076) and higher education AOR=2.70 95%CI (1.927-3.792) respectively. Conclusion: Mothers have different reasons and experiences with regard to choice of delivery location. Hospital deliveries should be encouraged

Prevalence of Diabetes in a Semi-Urban Community in Northern Nigeria

Background: Diabetes mellitus is a growing public health problem both in developing and developed nations. The prevalence of diabetes globally is projected to rise from 2.8in 2000 to 4.4in 2030.This study was conducted to assess the prevalence of diabetes in Dakace village; near Zaria Method: This study was part of a larger study to assess the prevalence of cardiovascular disease risk factors among adults in Dakace village; near Zaria. Out of a total of 492 eligible respondents for the study; a subsample of 199 persons was recruited using a systematic sampling technique had their fasting blood glucose levels determined. Body mass indices of the participants were also determined. Results: A total of 199 subjects (94 males and 105 females) participated in this segment of the study. Three subjects had fasting blood glucose (FBG) of more than 7.0mmol/L; one participant a previously known diabetic on medication had a good glycaemic control. The overall prevalence of diabetes was 2.0.Five participants (2.5) had impaired fasting glucose (IFG). Among the diabetics; one was overweight (BMI= 27.43Kg/m2) and one was obese (BMI=31.55Kg/m2); while among those with impaired fasting glucose two were overweight. Fortythree subjects (21.6) were overweight and 15 (7.5) were obese. Conclusion: The prevalence of diabetes mellitus in this semi-urban community is keeping with what had been reported earlier from across the country