SFH Papers


The Effect of Mass Media Campaign on the Use of Insecticide-Treated Bed Nets among Pregnant Women in Nigeria. Ankomah A, Adebayo SB, Arogundade ED, et al. The Effect of Mass Media Campaign on the Use of Insecticide-Treated Bed Nets among Pregnant Women in Nigeria. Malar Res Treat. 2014;2014:694863.

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ABSTRACT: Background. Malaria during pregnancy is a major public health problem in Nigeria especially in malaria-endemic areas. It increases the risk of low birth weight and child/maternal morbidity/mortality. This paper addresses the impact of radio campaigns on the use of insecticide-treated bed nets among pregnant women in Nigeria. Methods. A total of 2,348 pregnant women were interviewed during the survey across 21 of Nigeria’s 36 states. Respondents were selected through a multistage sampling technique. Analysis was based on multivariate logistic regression. Results. Respondents who knew that sleeping under ITN prevents malaria were 3.2 times more likely to sleep under net (OR: 3.15; 95% CI: 2.28 to 4.33; P < 0.0001). Those who listened to radio are also about 1.6 times more likely to use ITN (OR: 1.56; 95% CI: 1.07 to 2.28; P = 0.020), while respondents who had heard of a specific sponsored radio campaign on ITN are 1.53 times more likely to use a bed net (P = 0.019). Conclusion. Pregnant women who listened to mass media campaigns were more likely to adopt strategies to protect themselves from malaria. Therefore, behavior change communication messages that are aimed at promoting net use and antenatal attendance are necessary in combating malaria.

Presumptive Treatment of Malaria from Formal and Informal. Isiguzo C, Anyanti J, Ujuju C, et al. Presumptive treatment of malaria from formal and informal drug vendors in Nigeria. PLoS One. 2014;9(10):e110361. Published 2014 Oct 21.

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ABSTRACT:  Despite policies that recommend parasitological testing before treatment for malaria, presumptive treatment remains widespread in Nigeria. The majority of Nigerians obtain antimalarial drugs from two types of for-profit drug vendors-formal and informal medicine shops-but little is known about the quality of malaria care services provided at these shops.

SMS messages increase adherence to rapid diagnostic test results among malaria patients: results from a pilot study in Nigeria. Modrek S, Schatzkin E, De La Cruz A, et al. SMS messages increase adherence to rapid diagnostic test results among malaria patients: results from a pilot study in Nigeria. Malar J. 2014;13:69. Published 2014 Feb 25.

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ABSTRACT: The World Health Organization now recommends parasitological confirmation for malaria case management. Rapid diagnostic tests (RDTs) for malaria are an accurate and simple diagnostic to confirm parasite presence in blood. However, where they have been deployed, adherence to RDT results has been poor, especially when the test result is negative. Few studies have examined adherence to RDTs distributed or purchased through the private sector.

Study on the patterns and trend in contraceptive use in South-South and North-Western zones of Nigeria: 2003–2011. Ezire, Onoriode; Idogho, Omokhudu; Ajibade Theophilus; Ikani, Samuel; Obi Oluigbo. (2014).

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ABSTRACT: Nigeria is ranked 13th among countries with the highest fertility rates in the world – 5.7 births per woman on average. Age specific fertility rates are as high as 121 and 225 per 1,000 for ages 15–19 and 20–24 years, respectively. Only 9.7% of currently married women in Nigeria use modern methods of family planning (FP). This figure, however, does not reveal important age, geographical, or educational differences in Nigeria. The overall purpose of the study is to establish hidden demographic factors that enhance usage of modern methods of FP.

An Assessment of the Quality of Advice Provided by Patent Medicine Vendors to Users of Oral Contraceptive Pills in Urban Nigeria. Ujuju C, Adebayo SB, Anyanti J, Oluigbo O, Muhammad F, Ankomah A. An assessment of the quality of advice provided by patent medicine vendors to users of oral contraceptive pills in urban Nigeria. J Multidiscip Healthc. 2014;7:163?171. Published 2014 Apr 8.

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ABSTRACT:  In Nigeria about 50% of oral contraceptive pill users obtain their products from proprietary patent medicine vendors (PPMVs). This group of service providers are poorly trained and have very limited knowledge about contraception. This paper investigated the nature of the advice offered to simulated current and potential users of oral contraceptive pills. The main objective was to assess the nature and quality of advice provided by PPMVs to pill users.

Method: This study is based on findings from a ‘mystery client’ approach in which three scenarios related to contraceptive pill use were simulated. Each of the 12 mystery clients simulated one of the following three scenarios: new pill users (new to family planning or switching from condom to pills); user seeking a resupply of pills; and dissatisfied pill users intending to discontinue use. Simple random sampling was used to select 410 PPMVs from a total of 1,826 in four states in Nigeria. Qualitative study using in-depth interviews was also conducted.

Results: A majority of the PPMVs had pills in stock on the day of the survey and resupplied pills to the clients. PPMVs also understood the reason and importance of referring clients who were new adopters of oral contraceptive methods to a health facility; 30% of the PPMVs referred new adopters to a health facility. However, demand from clients who do not want to go to health care facilities (for various reasons) necessitated the provision of oral contraceptive pills to 41% of the first time users. Some PPMVs prescribed treatment to mystery clients who presented with perceived complications arising from the use of pills, while 49% were referred to a health facility.

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