Background: Screening test for cervical cancer using visual inspection with acetic acid (VIA) has been advocated by World Health Organization as a suitable, low cost and feasible alternative modality for control of cervical cancer in resource-poor settings as compared to cytological and colposcopic screening. The need for reproducibility, accuracy and comparable efficacy will influence the acceptability of VIA as primary screening modalities for cervical cancer.Methods: A cross–sectional comparative study conducted at BUTH. Data were obtained from 318 consenting women aged 30–65 years using a systematic random sampling method and an interviewer–administered structured questionnaire. Pap smear samples were taken followed by visual inspection with acetic acid. Using Statistical Package for Social Sciences (SPSS) version 23.0, Frequencies were obtained and Chi-square test (X2) was used to compare rates and proportions with the level of statistical significance set at less than 0.05.Results: Positive results for premalignant cervical lesion was 1.3% and 4.1% for VIA and Pap smear respectively (X2=4.52; p=0.034). The sensitivity of VIA was 7.7% with positive predictive value of 25% while specificity was 99.0% with a negative predictive value of 96.2%. The prevalence of abnormal cervical lesion in the population studied was 4.1% (95% CI 2.2% – 6.9%).Conclusions: The detection rate for pre-cancerous lesions of the cervix using VIA was significantly lower than that of Pap smear in this study. There may be needed to exercise caution in adopting VIA as primary screening modality for cervical cancer.

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Background: Infertility is a major public health problem in developing countries where pelvic inflammatory disease due mainly to Chlamydia trachomatis and Neisseria gonorrhea infection have been implicated. The role of Chlamydia serology in predicting tubal factor infertility (TFI) has been demonstrated by many researchers elsewhere. However, there are limited data in our environment. This prospective cross-sectional study aims to determine the usefulness of Chlamydia Serology as a screening tool for TFI at Federal Medical Centre, Bida, North Central Nigeria.Methods: 125 women with infertility who met the inclusion criteria were enrolled into the study. Relevant information on their socio-demographic characteristics, gynaecological symptoms and risks factors for infertility were obtained. Participants had Hysterosalpingography (HSG) as part of their fertility work-up while 5ml of venous blood was withdrawn to check for Immunoglobulin G antibody to Chlamydia trachomatis using rapid test kits. The HSG findings were correlated with the result of Chlamydia serology. Data was analyzed using the computer software, Statistical Package for Social Science (SPSS) version 20. The level of significance (p value) was set at 0.05.Results: A total of 120 infertile women completed the study, 5 had incomplete investigations and were excluded from the analysis. The prevalence of TFI was 47.5%, while that of positive chlamydia serology was 36.5%. The prevalence of chlamydial seropositivity was 59.6% for patients with TFI but 15.9% for non-TFI. There was a significant association between positive chlamydia serology and TFI p< 0.05. The study revealed moderate sensitivity 59.6%, and negative predictive value 69.7% but high specificity 84.1% and positive predictive value of 77.2%. In this study the odds for diagnosing tubal infertility was 7.8.Conclusions: Chlamydia serology is useful in predicting TFI and should be incorporated in the routine work up for infertility.

Background: Postpartum depression is the most prevalent postpartum mental health problem. Risk factors for postpartum depression include psychosocial stressors. One of these psychosocial stressors could be intimate partner violence. Co-occurrence of intimate partner violence and postpartum depression is considered deadly co morbidity because it can increase the risk of homicide and suicide. The aim of this study was to determine the relationship between intimate partner violence and depression among postnatal women attending postnatal and infant welfare clinics of LAUTECH Teaching Hospital, Osogbo.Methods: A descriptive cross-sectional study was conducted among 220 postpartum women who attended postnatal and infant welfare clinics of LAUTECH Teaching Hospital in Osogbo using Composite Abuse Scale (CAS), Edinburgh Postnatal Depression Scale (EPDS) and Socio-demographic questionnaire.  Respondents that were found to be EPDS positive as well as 10% of EPDS negative respondents were further assessed with Mini International Neuropsychiatric Interview (MINI) (depression subscale) to diagnose depression.Results: Respondents that experienced intimate partner violence were five times as likely to have postpartum depression compared to those that did not experience IPV. Logistic regression showed that intimate partner violence independently predicted postpartum depression in respondents (OR 4.799, CI 1.844-12.493).Conclusions: Postpartum depression was significantly higher among women that experienced intimate partner violence. This observation has implications for mental health of women, therefore, any woman with suspected postpartum depression should be asked about IPV as this could be a pointer to IPV.