ABSTRACT
The authors examine mothers and decision making during childhood febrile illness in rural Nigeria in this article. Employing a cross-sectional descriptive community survey, we elicited information from four categories of caregivers with the help of structured questionnaires. Apart from sociostructural economic factors, the authors reveal how interlocking objectives and values as expressed in extended family institutions functioned to influence both behavior and decision making of mothers. We suggest expanding the target of health education in the rural areas to include the family as an extended structure.
Subject(s)
Decision Making , Family Characteristics , Fever/therapy , Health Knowledge, Attitudes, Practice , Adolescent , Adult , Attitude to Health/ethnology , Child, Preschool , Confidence Intervals , Cross-Sectional Studies , Developing Countries , Female , Health Behavior , Humans , Infant , Nigeria , Odds Ratio , Risk Assessment , Rural Population , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
The "Health for All Project" (HFAP) policy in Nigeria was complemented by the National Drug Policy to ensure constant availability of high quality drugs and medical consumables at affordable prices to citizens in public hospitals. Apart from strengthening the utilization of health services, the project also sought to improve health care delivery for the poor who could not afford the high cost of drugs in private clinics and pharmaceutical stores. Employing a survey method with stratified and systematic random techniques, the study found failed expectations in the promises of HFAP policy among the 1250 low-income women in Uyo urban. In the face of "stock out" where most drugs, pharmaceuticals, and medical supplies are consistently not available for dispensing in public hospitals and health centers poor urban women resorted to alternative health care in prayer houses, herbal homes, patent medicine vendors, health workers homes, and traditional birth attendants. The study reported that stock out in government health facilities resulted in health hazards and the relapse of illnesses as a result of nonadherence to treatment regime and exposure to fake, expired, and adulterated drugs. A renewed commitment in health care delivery in Nigeria is called for if poor women are to be really empowered.
Subject(s)
Equipment and Supplies/supply & distribution , Healthcare Disparities/organization & administration , Patient Acceptance of Health Care/statistics & numerical data , Poverty/statistics & numerical data , Prescription Drugs/supply & distribution , Adolescent , Adult , Educational Status , Family Characteristics , Female , Health Services/statistics & numerical data , Humans , Middle Aged , Nigeria , Patient Acceptance of Health Care/psychology , Public Health Administration , Recurrence , Sex Factors , Young AdultABSTRACT
SUMMARY: After coil embolization for an aneurysm, edema surrounding the aneurysm revealed by magnetic resonance imaging (MRI) is rarely seen and is usually associated with neurological symptoms. Perianeurysmal edema was found by postoperative MRI in three out of 182 patients with cerebral aneurysm, which was treated with Guglielmi Detachable Coil (GDC), and neurological symptoms developed simultaneously. In cases where neurological symptoms improved with conservative medical treatment, a temporary increase in the volume of an aneurysm, due to coil and thrombus formation, may result in edema. In cases where symptoms were not alleviated with conservative medical treatment, persistent water-hammer effect against the residual lumen of the aneurysm as well as an increase in the volume of aneurysm by hemorrhage in the aneurysmal wall may contribute to the development of perianeurysmal edema. Consideration of the mechanism of edema development by neurological symptoms, MRI findings, and angiographic findings is needed in order to select appropriate treatment.
