Objective: To document our experience on the use of Jadelle/Implanon contraceptives that was recently introduced into Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria. It is pertinent to generate data on the experiences in the use of this contraceptive in a cross sectional study within Zaria, Northern Nigeria. Method: Data on consecutive clients that accepted Jadelle/ Implanon from June 2009 to November 2013 at ABUTH were extracted from their cards and analyzed using SPSS version 17. Out of a total of 11,502 clients that were for contraception during the period under review, 798 accepted Jadelle/Implanon accounting for 7% of the total clients. All the clients were married. About 67.8% were Muslims while 27.2% were Christians and 5% belong to other sect. 4140 (36%) had tertiary education. Most of the client has been on one form of modern contraception; only 16% were first time users who accepted implant after counselling. 37% of the clients are full time housewives. The discontinuation rate was found to be 26% for Jadelle and 19% for Implanon. No pregnancy was recorded during this period. Conclusion: Jadelle/Implanon account for 7% of contractive uptake and a high discontinuation rate was found among the users.

Objective: It sought to determine the prevalence of Cardiometabolic risk factor clusters (CMRFCs) and their association with uncontrolled hypertension among urban hypertensive subjects who responded to a free health screening radio announcement. Methods: This cross-sectional epidemiologic study randomly selected 200 previously diagnosed hypertensive subjects aged ≥ 30 years. CMRFCs included hypertension in addition to obesity, prediabetes/diabetes, smoking and alcohol intake. Independent Student's t-test determined the difference in numerical variables between sexes. Cardiometabolic risk associations were determined via Binary Logistic Regression analysis. Results: Of the 180 who met inclusion, 72.2% were females with mean age of 50.4±9.3 years. About 1 in every 4 subjects (22.2%) had diabetes of which 62.5% were undiagnosed. Almost 2 of every 5 subjects (38.9%) had prediabetes. Almost half (42.2%) had BMI ≥30 kg/m 2 with central obesity identified in 78.3%. The mean SBP was 145.7±18.4 mmHg with DBP of 91.8±12.1 mmHg. Uncontrolled hypertension was found in 90.6% and 73.3% for systolic and diastolic respectively. Most (71.7%) had >1 CMRFC associated with uncontrolled systolic hypertension while almost half (42.2%) had same associated with uncontrolled diastolic hypertension. The overall mean prevalence of CMRFC was 49.6%. Significant association was found between male sex (p=0.01) and systolic/diastolic hypertension; prediabetes/diabetes (p=0.01), overweight/obesity (p=0.04) with diastolic hypertension and alcohol intake (p=0.02) with systolic hypertension. Conclusion: This study shows that there is a high prevalence of cardiometabolic risk factor clusters amongst hypertensive urban-dwellers in Northern-Nigeria. Combined overweight/obesity, prediabetes/diabetes, male sex and alcohol were significantly associated with uncontrolled hypertension.

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