Female infertility was reported to account for about 55% of infertility cases, male factor accounted for about 30% to 40% of infertility cases and unexplained infertility accounted for the remaining 5 percent to 15 percent of cases. In Africa, infections resulting in tubo-peritoneal factor and oligo-azoospermia (low sperm count) are the most common causes of infertility. Infertility is widespread in Sub-Saharan Africa ranging from 13–17 in most countries with pockets of high prevalence at 32%. The general objective of this study is to assess the knowledge, attitude, and perception of Assisted Reproductive Technology among patients attending health clinics within the prevailing fragile health infrastructure in Nigeria. The aims of study, therefore, are to assess the knowledge of Assisted Reproductive Technology (ART) among patients attending BUTH health clinics, to ascertain the attitudes of BUTH patients towards ART as a treatment method for infertility, and to ascertain the perception of ART among patients attending clinics at BUTH. It was observed that the overall level of awareness in this study was high but with a fair knowledge level that can be attributed to the rise in social media use. Both men and women were able to correctly describe the major causes of infertility. Most importantly was the visible change in narrative against the previous belief of ART being majorly for female causes of infertility to both male and female causes. However, many participants had a negative attitude towards the use of ART and gamete donation. These findings have implications for the planning and implementation of infertility-related programmes that will help to tackle inherent challenges undermining the full utilization of ART services in Nigeria.

Background: A comprehensive medical care system is required for effective healthcare delivery to people who need it. Even though exact configuration of healthcare services varies from country to country, a sturdy mechanism comprising of a robust financing, a well-trained and adequately paid workforce; research, policy recommendation and implementation is needed for a well-maintained system to deliver effective healthcare services. Methods: This is a descriptive study conducted on 100 Nigerian trained physicians with at least 1-year practice experience. The online questionnaire was administered to participants through social media platforms such as WhatsApp, Facebook and twitter using purposive sampling method. Data analysis was done using Microsoft excel 2010 version. Results: The response rate was 100%. Ninety six percent (96%) and 99% of surveyed physicians think their monthly salary and the amount of money budgeted to the health sector is grossly inadequate. It was also noted that poor enumeration and/or low income 82/330 (25%) and poor medical facilities 70/330 (21%) are the commonest reasons they believe physicians  emigrate from Nigeria while problem identification (20.2%), provision of leadership, healthcare service delivery (13.5%), policy making and implementation (12.9%) and research and development (10.4%) are the commonest roles for physicians identified by study participants. Conclusion: The Nigerian physician is poorly enumerated, and the healthcare budget is poor. This accounts to large part why leave Nigeria.  There is need for better funding of the healthcare system in Nigeria and more involvement of physicians in leadership, research and policy development.

Asthma is a long-term heterogeneous inflammatory condition of the airways. It is marked by shortness of breath, wheezing, intermittent cough and bronchial hyperreactivity. It has several phenotypes and people living with asthma have atopy. Asthma can occur at any age. However, it is more common in males before puberty; then, has equal sex ratio by adulthood.