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Exploring the socio-economic determinants of educational inequalities in diarrhoea among under-five children in low- and middle-income countries: a Fairlie decomposition analysis
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Page will reload when a filter is selected or excluded.- Auteurs Theory 2 results 2
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- A review was carried out on the ecological effects of oil exploration in the Niger-Delta region of Nigeria. The Niger-Delta is a vast bird foot-shaped floodplain and the World’s third largest delta. It is a geographical entity situated in the central part of Southern- Nigeria that is home to the oil-producing states of Nigeria. Oil activities and its ecological effects are discussed with remediation of affected sites. Sustainable development is recommended in the sector to boost the economy and meet the environmental quality aspirations of host communities 1 results 1
- Actor network theory 1 results 1
- Adolescent substance use 1 results 1
- Adolescents 1 results 1
- Adult Learning and Education (ALE) 1 results 1
- Agenda-Setting 1 results 1
- Anthropology 1 results 1
- Antibiotic injudicious use and resistance development remains a growing public health concern globally putting the livestock industry and human health at stake, given the resulting increasing emergence of resistant strains of pathogenic bacteria. Despite this, the role of livestock owners who manage the majority of the national herds in most developing countries especially Nigeria remains largely un-investigated. We conducted a qualitative study among 216 randomly selected livestock owners in south-western Nigeria to explore their knowledge, attitudes and practices on antibiotic use and resistance development using semistructured questionnaires. Data were analysed using SPSS version 15.0. The results revealed indiscriminate use of antibiotics by the livestock owners on ready-for-sale cattle. Only 49.54% had good knowledge which was significantly associated with tertiary education (p = 0.01) and 81.02% were unaware of antibiotic withdrawal period. Also, approximately two-thirds (63.89%) had poor attitudes with only 11.11% concerned with the need to observe withdrawal periods. In addition, 91.67% claimed that their veterinarians had never advised them to observe withdrawal period and 95.37% had never observed it. Poor professional attitudes of the so-called veterinarians as well as lack o f law enforcement against uncontrolled sales of veterinary drugs were attributed to the livestock owners' poor knowledge, attitudes and practices. The role of livestock owners should be considered when designing programmes towards preventing antibiotic injudicious use and resistance development. Furthermore, efforts geared towards regulating sales of veterinary drugs as well as enforcement of veterinary professional ethics are needed to safeguard antibiotic effectiveness in both animals and humans, now and in the near future. 1 results 1
- Antisocial Behaviour 1 results 1
- Architectural practices 1 results 1
- Attitude 1 results 1
- Attitude Nigeria 1 results 1
- Background: Cervical cancer (CC) is a preventable disease yet it is one of the leading causes of death, especially in low-income countries. In Nigeria, information on CC is yet to be part of routine health talk at Postnatal Clinics (PNC) at the Primary Health Care (PHC) level. The PNC would however have been a good avenue to reach women at risk of CC. This study explored health care workers (HCWs)’ willingness to integrate CCS services (CCSS), and women’s readiness to uptake the services at PHCs in Ibadan, Nigeria. Method: A qualitative study design was employed in this study. Data were collected through four sessions of Focus Group Discussions (FGDs) among the women attending PNC, and 20 Key Informant Interviews (KIIs) for health workers in PHC facilities. The Atlas.ti software, version 8 was used for the analysis. Thematic contents from the study were presented as quotes and streams of thoughts. Results: Information on CCS is currently excluded from the list of PNC activities such that most women have never heard of the need for CCS. They were interested in receiving CCS information and services. Women pleaded for the integration of CCS information in PHC clinic activities but preferably in a free or subsidized format in order to encourage utilization of the services. Challenges identified were mainly a shortage of manpower and a lack of training on CCS. Conclusion: Health workers were willing to integrate CCS services in PHC activities, however, recommended recruitment of more hands to ensure effective service delivery in line with National health policy on PHC in Nigeria. 1 results 1
- Background: Depression is common among women in the perinatal period. Although pregnancy and motherhood among adolescents are global public health issues, little is known about how adolescents differ from adults in the occurrence and correlates of perinatal depression. Methods: Data were derived from a cluster randomized controlled trial of psychosocial interventions for perinatal depression in primary maternal care in Nigeria (the Expanding Care for Perinatal Women with Depression trial). Adolescents and adult participants recruited during pregnancy and followed up till 6-month postpartum were compared: proportions with depression [screening positive to depression on the Edinburgh Postnatal Depression Scale (score ≥ 12) and meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria using the short form of the Composite International Diagnostic Interview]; adjustment and attitude to pregnancy and motherhood (using the Maternal Adjustment and Maternal Attitudes scale); and parenting skills (measured on Infant–Toddler version of the Home Inventory for Measurement of the Environment). Infant and fetal growth were assessed by measures of weight and head circumference at birth and upper mid-upper arm circumference (MUAC) at 6 months. Results: Of 8,580 adults screened, 6.9% had major depression compared with 17.7% of 772 screened adolescents (p < 0.001). Adolescents had significantly poorer adjustment and attitudes to pregnancy, lower mean fetal gestational age at birth, and a smaller mean baby’s birth weight. At 6-month postpartum, there were no significant differences in the rates of remission from depression between adolescent and adult women (Edinburgh Postnatal Depression Scale score <6). Adolescent mothers continued to have poorer maternal attitudes and parenting skills indicated by significantly lower scores on the Infant–Toddler version of the Home Inventory for Measurement of the Environment responsivity and involvement subscales. Infants of adolescent mothers had a higher rate of undernutrition (defined as MUAC < 12.5 cm) compared with those of adult mothers: 14.8 and 6.3%, respectively (p = 0.008), with the mean MUAC remaining significantly lower for infants of adolescent mothers after adjusting for their lower birth weight (p = 0.04). Conclusion: Perinatal depression is more common and is associated with poorer maternal attitudes and parenting skills in adolescents compared with those in adults. Evidence from this exploratory study suggests that in improving outcomes in infants of adolescent mothers with perinatal depression, depression treatment may need to be supplemented with specific approaches to improve parenting skills. 1 results 1
- Background: Displaced women are affected by sexual and reproductive health (SRH) challenges, often exacerbated by poor living conditions, limited access to healthcare, and cultural norms. The aim of this study was to explore SRH issues, the effects of displacement into camps on women’s SRH, and challenges with accessing and utilizing SRH services among women in camps for the displaced in Benue State, Nigeria. Methods: A qualitative phenomenological approach was employed to gain an in-depth understanding of the women’s SRH challenges, based on 12 focus group discussions between women of different age groups and eight in-depth interviews. The data were collected using tape recorders and notes. Data analysis followed a thematic approach. Ethical approval and appropriate consent were obtained for the study. Results: The majority of research participants stated that sexually transmitted disease/human immunodeficiency virus was the most serious SRH issue in the camp. Their stay in camp enhanced the women’s vulnerability and exposed them to sex in exchange for basic needs/palliatives, increasing their SRH challenges. Access to and use of SRH services were impacted by their migratory lifestyle, cultural and religious views, lack of SRH knowledge, and other difficulties. Short-term approaches to intervention, health providers’ poor communication, and attitudes were reported to affect SRH service use. Conclusion: There is an urgent need for comprehensive interventions to address SRH challenges among women in displaced settings, including proper coordination of humanitarian services, education on transactional sex, encouragement of men to participate in SRH initiatives, and expansion of access to services, as well as the training and hiring of culturally competent healthcare providers. 1 results 1
- Background: What explains the underlying causes of educational inequalities in diarrhoea among under-five children in low- and middle-income countries (LMIC) is poorly exploited, operationalized, studied and understood. This paper aims to assess the magnitude of educational-related inequalities in the development of diarrhoea and decompose risk factors that contribute to these inequalities among under-five children (U5C) in LMIC. Methods: Secondary data of 796,150 U5C from 63,378 neighbourhoods in 57 LMIC was pooled from the Demographic and Health Surveys (DHS) conducted between 2010 and 2019. The main determinate variable in this decomposition study was mothers’ literacy levels. Descriptive and inferential statistics comprising of bivariable analysis and binary logistic multivariable Fairlie decomposition techniques were employed at p = 0.05. Results: Of the 57 countries, we found a statistically significant pro-illiterate odds ratio in 6 countries, 14 showed pro-literate inequality while the remaining 37 countries had no statistically significant educational-related inequality. The countries with pro-illiterate inequalities are Burundi (OR = 1.11; 95% CI: 1.01–1.21), Cameroon (OR = 1.84; 95% CI: 1.66–2.05), Egypt (OR = 1.26; 95% CI: 1.12–1.43), Ghana (OR = 1.24; 95% CI: 1.06–1.47), Nigeria (OR = 1.80; 95% CI: 1.68–1.93), and Togo (OR = 1.21; 95% CI: 1.06–1.38). Although there are variations in factors that contribute to pro illiterate inequality across the 6 countries, the overall largest contributors to the inequality are household wealth status, maternal age, neighbourhood SES, birth order, toilet type, birth interval and place of residence. The widest pro-illiterate risk difference (RD) was in Cameroon (118.44/1000) while the pro-literate risk difference was widest in Albania (− 61.90/1000). Conclusions: The study identified educational inequalities in the prevalence of diarrhoea in children with wide variations in magnitude and contributions of the risk factors to pro-illiterate inequalities. This suggests that diarrhoea prevention strategies is a must in the pro-illiterate inequality countries and should be extended to educated mothers as well, especially in the pro-educated countries. There is a need for further studies to examine the contributions of structural and compositional factors associated with pro-educated inequalities in the prevalence of diarrhoea among U5C in LMIC. 1 results 1
- Background: Whether left ventricular hypertrophy (LVH) is determined by similar genomic and environmental risk factors with stroke, or is simply an intermediate stroke marker, is unknown. Objectives: We present a research plan and preliminary findings to explore the overlap in the genomic and environmental determinants of LVH and stroke among Africans participating in the SIREN (Stroke Investigative Research and Education Network) study. Methods: SIREN is a transnational, multicenter study involving acute stroke patients and age-, ethnicity-, and sex-matched control subjects recruited from 9 sites in Ghana and Nigeria. Genomic and environmental risk factors and other relevant phenotypes for stroke and LVH are being collected and compared using standard techniques. Results: This preliminary analysis included only 725 stroke patients (mean age 59.1 13.2 years; 54.3% male). Fifty-five percent of the stroke subjects had LVH with greater proportion among women (51.6% vs. 48.4%; p < 0.001). Those with LVH were younger (57.9 12.8 vs. 60.6 13.4; p ¼ 0.006) and had higher mean systolic and diastolic blood pressure (167.1/99.5 mm Hg vs 151.7/90.6 mm Hg; p < 0.001). Uncontrolled blood pressure at presentation was prevalent in subjects with LVH (76.2% vs. 57.7%; p < 0.001). Significant independent predictors of LVH were age 90 mm Hg (AOR: 2.10; 95% CI: 1.39 to 3.19; p < 0.001). Conclusions: The prevalence of LVH was high among stroke patients especially the younger ones, suggesting a genetic component to LVH. Hypertension was a major modifiable risk factor for stroke as well as LVH. It is envisaged that the SIREN project will elucidate polygenic overlap (if present) between LVH and stroke among Africans, thereby defining the role of LVH as a putative intermediate cardiovascular phenotype and therapeutic target to inform interventions to reduce stroke risk in populations of African ancestry 1 results 1
- Behavioral intention 1 results 1
- Behavioral willingness 1 results 1
- Book Editing 1 results 1
- Building Information Modelling (BIM) offers an alternative and better method of handling information for integrated project delivery approach to that of the traditional fragmented method of collaboration in the built environment. This paper is aimed at assessing the awareness and the prospects of adopting BIM in the professional Architectural practices in Nigeria using Akure as a case study. The rate of urbanisation and transformation of the built environment in the face of globalisation, calls for a new direction in the processing and handling of building information. This is particularly necessary as the current business model is inadequate for maximum productivity. The field investigation focused on determining the current business model of selected Architectural practice as well as assessing their awareness of Building Information Modelling and whether or not professionals are going to adopt it soon. The findings showed that the method of collaboration among professionals remain fragmented, the use of 3D software and even BIM software is limited to just 3D visualization and plan details. The study revealed that despite a good number of respondents already conscious of the benefit of using a BIM tool; their overall approach to project delivery remains fragmented. Awareness of the concept of BIM was a little above average among respondents but BIM implementation in professional practice is very low. It was discovered that challenges faced by respondents in the adoption of BIM is predicated on the attitudinal disposition of other professionals with whom they work and exchange building information with. These professionals do not work with BIM and coupled with inadequate knowledge of staff in the adoption of BIM workflow. The paper concluded that Building Information Modelling (BIM) has greater advantage than the existing traditional practice involving 2D drafting. BIM also has the inherent ability to foster integrated project delivery by creating a common platform for all professionals to work simultaneously on a project thereby minimising costly design and construction errors 1 results 1
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