Hearing among children with neurological disorders

Background: Neurologic disorders are not rare in our environment but studies determining the hearing of these children are almost non- existent. This study therefore is to determine the prevalence of hearing loss in these children and also determine the care seeking attitude of the parents/guardians concerning the hearing.Methods: A hospital based descriptive study of all children attending the children neurologic clinic of university of Port Harcourt teaching hospital. A semi structured questionnaire was administered to parents / guardians who gave their consent for their children to be recruited into the study. Hearing loss in the children was taken as reported by the parents/guardians. Data collected were then entered into Microsoft Excel and then exported to the IBM Statistical Package for Social Sciences (SPSS) version 20 for statistical analysis.Results: The study comprised 49 children; 29 males and 20 females. Age range was from 8months to 18years.  Age group 1-5 years comprised the majority of the study population. Commonest neurological disorder seen was childhood epilepsy n=27, 55.1%. Prevalence of hearing loss was 26.5%. Children with childhood epilepsy had 15.4% having hearing loss while children with cerebral palsy, autistic spectrum disorder and microcephaly had 50% hearing loss recorded. Maternal illness during pregnancy was significantly related to the hearing loss with a p value = 0.045 and presence of neonatal illness with p value =0.009.  Only 7.7% was formally treated while 92.3% had no form of treatment whatsoever.Conclusions: Childhood epilepsy was the commonest type of neurologic disorder seen while highest point prevalence for hearing loss was in cerebral palsy. Majority of parents/caregivers did not seek medical care concerning the hearing loss neither were there any form of treatment given to the children.

Adolescent sex education: prevalence, sources and perspective among senior secondary school students in Obio/Akpor Local Government Area of Rivers State

Background: Adequate sex education is an essential tool for all adolescents. The purpose of this study was to determine the proportion of adolescents who have had access to sexuality education, their source and their perspective to sexuality education in Obio/Akpor local government area (LGA) of Rivers State. Methods: This is a cross sectional descriptive school based study. A multistage sampling method was used to select four secondary schools (two public and two private) in Obio/Akpor LGA of Rivers State. The study participants were recruited by simple balloting from the senior secondary classes. The study instrument was a pretested semi-structured self-administered questionnaire. Data were analysed with Epi Info version 7.2.2.16 statistical programme. In all cases, a value of P < 0.05 was statistically significant. Results: One thousand one hundred and ten participants were recruited for the study, ages ranged from 13 to 19 years with a mean age of 15.5 ± 1.6 years. Majority (91.9%) of the participants have been taught sex education. More males and students from public schools had not been taught sex education. Sources of sex education were school (58.3%) and parents (13.5%). Most (74.0%) of the students preferred a school-based sex education taught by their teachers and 96.5% supports sex education to be incorporated into the school curriculum. Furthermore, majority of the students acknowledged that sex education will help them prevent sexually transmitted infection and HIV/AIDS, pregnancy and help them relate better with the opposite sex.Conclusion: It is concluded that every child irrespective of the gender, school type be given access to adequate sex education. Parents and teachers are encouraged to ensure that the appropriate age-specific information is given to the children to prevent them from accessing wrong information from unreliable sources. There is need to incorporate sex education into the secondary school curriculum