Background: The Covid-19 pandemic has posed enormous challenges and has become a burden of morbidity and mortality while severely disrupting economic activities around the world. Vaccines for the disease has been discovered; however, there exists misconceptions and mistrusts among health workers which may constitute barriers to Covid-19 uptake. Aim: The study aimed to determine the knowledge and acceptability of the Covid-19 vaccine among health care provider and to determine the association between the socio-demographic variables and Covid-19 acceptability. Study Design: A snowball sampling technique was relied upon in the distribution of the questionnaires. Place and Duration: Online questionnaires sent in the form of a link through social media outlets such as Whatsapp, Facebook and emails within four weeks interval. Methodology: Health care providers in Nigeria aged 18 years and above participated in this study.The analysis was performed using the Statistical Software Package SPSS version 22.0.Four hundred and forty-five respondents filled the questionnaire from the six geopolitical zones of the country. Results: There was a good knowledge of the Covid-19 vaccination as 411(92.4%) knew about the vaccine. However, only 53.5% of respondents were willing to get vaccinated against the disease. The most identified perceived barrier to covid-19 vaccine acceptance was fear of side effects 309 (69.4%) and there was no association between socio-demographic characteristics and covid-19 vaccine acceptability. Conclusion: Healthcare providers recommendation and confidence in a vaccine plays an influential role in their patients’ vaccination behaviour. They serve as an important source of information for the general populace and their consultation can also be a key factor in patients’ decision to get vaccinated or not.

Introduction: While there has been a steady decline in the rate of under-five mortality globally, sub-Saharan Africa still remains the region with the highest under-five mortality rate in the world, with 1 in 13 children dying before his or her fifth birthday. With the advent of the corona virus pandemic, the dynamism in the childhood morbidity pattern is certain. The objective of this study was to determine the morbidity patterns and outcomes of children seen in selected health care facilities in South-eastern Nigeria from March to October 2020. Methodology: This study was a hospital-based retrospective study carried out in some health care facilities in South-eastern Nigeria. The study instrument was hospital records which were retrieved and relevant variables were collected from the records. The study population were children who were five years and below who had been admitted in the health facilities within the past eight months, from March-October, 2020. The data was analyzed using the Statistical Package for Social Science version 25. Descriptive analysis was computed whereby proportion/percentages and frequency was also calculated. Result: The study found out among other childhood illnesses that; malaria, sepsis and PEM were the top three morbidities that led to hospitalization while 23.1% of children who were non-compliant with their immunization schedule, presented with bronchial pneumonia. The relationship between the age and trends in childhood illness was significant with p-value ≤0.05. Conclusion: Malaria still remains a major cause of hospitalization for children under the ages of five. Notwithstanding, the rate of admission of children into hospitals dropped significantly due to sanitary measures and awareness towards combating the spread of COVID-19 in its early days. Key words: under 5 children, pandemic, trends, childhood illnesses.

Introduction: In middle and low income regions of the world, there are approximately 90% of cervical cancer deaths. Factors contributing to the striking disproportionate cancer burden in the developing countries as opposed to the developed countries may include lack of effective large scale preventive interventions such as Cytology based screening programs, Visual Inspection with acetic acid (VIA) that emphasize patient education, accessible diagnostic treatment centres and established vaccination programs especially among Most at risk populations like female sex workers (FSWs). Methodology: The study was conducted in Calabar, South-Southern Nigeria. Calabar is a port city near the Cameroon border. This is a cross sectional retrospective study among 124 Human Immune Virus (HIV)Positive female sex workers receiving ART services, in which secondary data was obtained from the Clinic Data repository for a periodspanning from October 2018- October 2019. Data analysis was done using Statistical Package for Social Sciences (SPSS) version 22. Result: 36.30% of the respondents are between the ages of 21-30 years, 78.20% had 0-4 sexual partners, and 76.60% of the respondents use condom. 89.50% were virally suppressed while 3.20% of the study population tested positive to cervical cancer. In the regression analysis, there were non-significant negative correlation linking Age, Parity groups and viral suppression to cervical cancer, and a positive non-significant correlation linking sex partners, smoking, previous STI and educational status to cervical cancer. However, a positive significant correlation was noted between family planning method and risk of cervical cancer. Conclusion: HIV-positive Nigerian FSWs are at marginally increased risk for cervical pre-cancer and cancer. The ‘screen and treat approach’ using VIA had been shown to be effective for the detection of cervical pre-cancer and cancer, and has shown to reduce loss to follow-up. This should be rapidly incorporated into HIV-treatment programs in resource-constraint settings.

Background: Uterine dehiscence is a separation of uterine musculature with intact uterine serosa. It can be encountered at the time of cesarean delivery, suspected on obstetric ultrasound or diagnosed in-between pregnancies. The antenatal diagnosis may occasionally elude the Obstetricians. This particular case demonstrates an intra-operative diagnosis of uterine dehiscence with missed antenatal ultrasound diagnosis in an asymptomatic woman. Case presentation: She was a 32-year-old Nigerian second gravida who booked for antenatal care at 32 weeks of gestation following a referral from her attending Obstetrician from a neighboring state due to relocation. She had 3 antenatal visits and 2 antenatal ultrasound investigations without uterine scar thickness report. She subsequently had elective Cesarean section (CS) at a gestational age of 38 weeks plus 2 days due to persistent breech presentation on a background of a previous lower segment CS scar. There was no previous uterine curettage prior to or after the previous lower segment CS scar and there was no labor pains prior to the elective CS. The surgery was successful with intra-operative findings of moderate intra parietal peritoneal adhesions with rectus sheath and obvious uterine dehiscence along the line of the previous CS scar. The fetal outcomes were normal. Immediate post-operative condition was satisfactory and the woman was discharged on a third-day post operation. Conclusion: Obstetricians are charged to maintain a high index of suspicion when managing pregnant women with history of emergency CS in order to avert the adverse consequences of uterine rupture from asymptomatic uterine dehiscence. Based on this report, it may be useful to routinely assess the lower uterine segment scar of women with previous emergency CS using the available ultrasound facilities. However, more studies are needed before advocating for routine antenatal uterine scar thickness testing following emergency lower segment CS in low and middle-income settings.

Introduction: LBP is the most common cause of activity restriction and work absence in much parts of the world, putting a heavy financial burden on people. This study is aimed at determining the management practices and the knowledge and utilization of physiotherapy services among commercial motorcycle riders in Nnewi north. It is very essential with the long-term objective of increasing the level of knowledge of physiotherapy and promote its utilization among motorcycle riders and general public. Methodology: This was a cross-sectional study that involved commercial motorcycle riders that ply within the four major villages of Nnewi town in Nnewi-North local government area of Anambra state. An interviewer based semi-structured questionnaire was administered to the respondents at their muster points. Results: One hundred and fifty-four riders were recruited and all were male. 76% of the respondent for their low back pain is pain relief (drugs) such as Paracetamol 15.6%, while 44.2% of the respondent used drugs unknown to them, 19.5% reported that only stretching was their home management for their pain, majority 96.8% had never utilized their services, most 68.8% accepted to utilize it if the need arises. Conclusion: Our study suggests that only few riders sought proper medical care for their low back pain. Majority chose over-the-counter medications while others went for other home management for pain such as stretching, use of ointments etc. Also, most of the riders lack a good knowledge of physiotherapy and their roles in pain management. Although, majority had never utilized their services, most accepted to utilize it if the need arises.