Background: Despite public health policies aimed at providing universal access to reproductive health care services, the reproductive health needs of women living with Human Immunodeficiency Virus (WLHIV) are not adequately met. This study assesses the reproductive plans and utilization of contraceptives among WLHIV. Methods: This was a cross sectional descriptive study, which adopted a mixed method approach. A total of 400 respondents were recruited from two tertiary health institutions in Nigeria using systematic sampling technique. A validated structured self-administered questionnaire developed by the researcher was used to collect quantitative data for the study. The questionnaire consists of close ended questions related to study objectives. Quantitative data collected were coded and analyzed using Statistical Package for Social Sciences (SPSS) windows version 22 and statistical significance was set at p <0.05. The qualitative aspect of the study utilized focus group discussion for data collection. Results: The mean and standard deviation (SD) age of enrolled respondents was 37.42
Maternal mortality has been reported to be a challenge globally, with the highest maternal mortality in Africa. However, the first target for the third Sustainable Development Goal (SDG) is to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030. To achieve this goal, pregnant women's knowledge of birth preparedness and complication readiness (BPCR) is a key. Therefore, this study set out to assess knowledge of birth preparedness and complication readiness among pregnant women attending antenatal classes. This pilot study adopted a descriptive cross-sectional study design using quantitative approach. Structured questionnaire was used to generate data from 46 respondents after obtaining ethical approval for the study. All data collected were adequate for data analysis. The mean age is 27.71 years with a standard deviation of 5.85, the average booking time was 4.69 months. Among the respondents who had given birth before, the average number of children was two children (1.8571). After categorizing the knowledge scores, 52.2% of the women have good knowledge of obstetric danger signs, 20 (43.5%) of the women have poor knowledge of BPCR and 32 (69.6%) of the respondents have good knowledge of skilled birth attendants. In conclusion, there is a need to formulate policies and strategies that will help to improve pregnant women's knowledge of BPCR if the first target of the third SDG will be achieved.
Background/Aims: In developing countries, such as Nigeria, the risk of maternal death is 1 in 48 births. This is in part due to a skilled birth attendant not being available during childbirth. The majority of maternal deaths are avoidable and can be prevented if births are conducted by a skilled birth attendant, such as a midwife. A descriptive cross-sectional study was carried out to examine factors influencing women's choice of place to give birth. Methods: Random sampling was employed to select health facilities and purposive sampling was used to recruit participants (n=400). A self-reported structured questionnaire was administered to generate data. Results: The majority of respondents were aware of health facilities offering maternity services where they lived, with 313 respondents (79.2%) indicating their preferred place of birth was the hospital. Several factors influenced women's choice of place of birth, particularly level of education, parity and religion. Conclusions: Birth outside health facilities in Nigeria is unlikely to involve a skilled birth attendant, which contributes to maternal and neonatal mortality. Health professionals involved in maternal and child health in developing countries should promote awareness on the importance of hospital birth.
Background/Aims An increasing prevalence rate of gestational diabetes mellitus has been recorded in developing countries including Nigeria, yet it is largely a preventable condition. There is a lack of literature on the perception of risk and prevention of gestational diabetes among pregnant women in Ibadan, Nigeria. The aim of this study was to determine perception of risk and knowledge of preventative measures among pregnant women in Ibadan, Nigeria. This will inform health professionals on possible improvements to the education available on diabetes and preventive measures. Methods A descriptive survey was used to study 182 purposively selected pregnant women. A self-administered questionnaire was used to collect data on participants' knowledge of diabetes and their perception of the risk of developing diabetes. The chi-squared test was used to test the association between knowledge of diabetes and perception of risk. Results The majority (56%) of participants had poor knowledge of gestational diabetes. The majority (55.5%) of respondents thought themselves to be at low risk of developing gestational diabetes. The majority (59.9%) of pregnant women also had poor knowledge of preventive measures against gestational diabetes. There was a significant association between knowledge of gestational diabetes and perception of increased risk (P<0.000). There was a significant association between education level and knowledge of preventive measures for gestational diabetes (P=0.030). Conclusions There is poor knowledge of diabetes and preventive measures against it among pregnant women in Ibadan, Nigeria. Health professionals should improve women's knowledge of gestational diabetes, predisposing factors, risks and preventive measures against gestational diabetes by including education on this subject in the antenatal education provided.
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