Background: Clean cord care is one of the essential newborn care practices recommended by the World Health Organisation to reduce morbidity and mortality amongst the World’s newborns. Despite this, cord infections are still prevalent in developing countries because of the high rates of unhygienic cord care practices. The study aimed to explore cord care practices in our environment and identify areas for intervention. Methods: This was a cross-sectional study carried out amongst mothers attending three primary health care facilities with their infants in Yenagoa Local Government Area of Bayelsa State, Nigeria. Simple structured questionnaires were used to obtain information concerning the ages and sexes of babies, place of antenatal care and birth, treatments applied to the umbilical cord stump and the socioeconomic status of the parents. Data were analysed using SPSS version 16.0. Results: Two hundred and twenty one mothers participated in the study. The infants were aged 0 - 6 months with a male to female ratio of 1:1. Fifty four (24.4%) of mothers were of high social class. Cord care was done by grandmothers in 107(48.4%) and mothers in 89(40.3%) of babies. Sixty four (29.0%) mothers had their babies cord cleaned with Methylated spirit alone while 138(62.4%) cleaned with Methylated spirit and then applied other substances including antibiotic ointments and herbs. Maternal education, social class of parents and place of delivery were significantly associated with application of potentially harmful substances to the cord, (p = 0.049, 0.010 and 0.030 respectively). The commonest sources of information on cord care were nurses in 99 (44.8%) and grandmothers in 44 (19.9%). Conclusion: There is still a high rate of use of potentially harmful substances for cord care. All heath workers should participate in educating, mothers and grandmothers about optimal cord care
The prevalence of smoking in adolescents in Port Harcourt is high and is associated with parental smoking and poor knowledge of cancer of the lungs as a harmful effect. We recommend that adolescent health education with an emphasis on the harmful effects of smoking be included in the curriculum of all secondary schools.
The aim of this study was to uncover barriers to childhood immunization in order to make recommendations that will address the problem in Rivers State and Nigeria. A descriptive, cross-sectional study was carried out in September 2008, among mothers and caregivers of children aged 0-5 years, to examine the various barriers to childhood immunization in the Khana Local Government Area of the State. Data was analyzed using Epi Info version 6.4d software. A total of 1560 mothers and caregivers were interviewed. Their knowledge about immunization was low. Only 15.2% was able to define immunization and mention six vaccine preventable diseases. Most children (46.8%) did not complete their immunization schedule because of frequent shortage of vaccines in the health facilities. Long-term and advance commitment by the government to vaccine manufacturers to purchase vaccines and engaging communities in dialogue over benefits of immunization is advocated to improve immunization in the State.
Hand-washing practices by mothers in Port Harcourt are poor. Extensive education of the public is required to reduce the risks of childhood infections associated with lack of hand-washing.
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