No abstract

Teenage pregnancy is a social menace and common public health problem. It is detrimental to both mother and child because teenage mother is not physically, psychologically and economically ready to bear a child. This phenomenon has multiple adverse consequences on maternal health, child health and overall wellbeing of the society. This study investigated the perception and attitudes of parents towards teenage pregnancy in a rural community in Akpabuyo Local Government Area. The objectives included: to determine parents' perception on teenage pregnancy and to determine parents' attitudes towards teenage pregnancy. A null hypothesis was stated to test the association between demographic characteristics of parents and their attitude towards teenage pregnancy. Descriptive survey was used and data were collected through self administered questionnaire to a sample of 309 respondents selected through purposive sampling. SPSS version 21.0 was utilized for data analysis. The findings included that 93% of parents claimed that a pregnant teenager outside wedlock is a social deviant and 85.8% said teenage pregnancy is a sign of parental failure. Their attitudinal behaviour showed that the affected girl would be sent away from the family (32.7%), parents would stop her education (49.8%) and that the girl would be abandoned to the man/boy responsible for the pregnancy. Sociodemographic characteristics of parents depicted by gender, education and religion were significantly associated with the attitudes of parents towards teenage pregnancy. Conclusion was made that gaps exist in parental perception and attitudes towards teenage pregnant girls. Therefore, it is recommended that parents should reappraise and strengthen their obligations towards their adolescent/teenage daughters to enable them achieve their full potentials through prevention of teenage pregnancies.

Interventions to prevent maternal deaths should include community empowerment to have better understanding of their circumstances as well as their collaboration with health professionals.

Background/Aims Malaria in pregnancy is a major public health problem in Nigeria, along with high maternal morbidity, and fetal and neonatal mortality rates. Strategies for the control of malaria include the use of insecticide-treated bed nets (ITNs). Although some agencies distribute ITNs free of charge, some nets are not being used appropriately by pregnant women and other women of childbearing age. This study sought to empower pregnant women and women of childbearing age to take action to prevent malaria through the proper use of ITNs. Methods An action research design was used, which comprises cycles of fact-finding, planning and action, and reflection and evaluation. In collaboration with the action research group, 26 pregnant women or women of childbearing age were interviewed to gain an understanding of their perception of malaria and their use of ITNs. Seven community health extension workers and two primary health care coordinators were also interviewed. Observation sessions were held with eight women in their vegetable farms. Two focus group discussions were held with eight midwives and seven husbands. A total of 71 general participants and 13 action research group members were involved in the study. Data were thematically analysed and emphasis was laid on data that would promote learning and change. Conclusions The study revealed poor knowledge of the cause of malaria, non-compliance with the proper use of ITNs, diversionary use of ITNs and poor health intervention monitoring. Actions undertaken to empower the women towards the effective use of ITNs included community education, prenatal education, and advocacy discussions with government and relevant non-governmental agencies. Experiences gained from the study were reviewed and consolidated, and sustainability of actions planned.

Background: The primary aim of Community Pharmacists’ participation in immunization is to contribute towards mitigating deaths associated with vaccine preventable diseases as well as expanding access to immunisation services. However, with the increasing Nigerian population, the global targets of reducing child mortality can significantly be achieved by periodically reviewing health systems performance to identify and address existing gaps. Objective: The general objective of the study is to identify the challenges encountered by Community Pharmacists in providing immunisation services in Calabar Metropolis of Cross River State. Method: A descriptive cross sectional study design was adopted for the study. Data were collected using a pre-tested semi-structured questionnaire from 68 community pharmacists which were selected using the purposive sampling technique. Data generated were synthesised and analysed using SPSS (version 20.0) and results were presented in frequency tables and charts. Fisher Exact test was used to test for association between variables at 0.05 alpha level. Results: Results showed that most community pharmacies have the resources to participate in immunization, only a few however had immunization administration record sheets 7(11.3%) and immunization record cards for patients 4 (6.5%). The finding also showed that lack of training 55 (88.7%); low awareness by the public of immunization services provided by the community pharmacist 44 (70.9%) and storage of vaccines 39 (62.9%) were the prominent perceived challenges to providing immunization in the community pharmacy. The association between lack of time (p =1.000, Fisher’s Exact test) and provision of immunization services was statistically not significant. Conclusion: Addressing identified challenges is pivotal to increasing and expanding accessibility and utilisation of immunisation services especially amongst the populace in resource limited settings.