Research Articles in Medicine & Surgery
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Item Prevalence and determinants of contraceptive use in rural Northeastern Nigeria: Results of a mixed qualitative and quantitative assessment(Wolters Kluwer - Medknow, 2016-02-02) Kana, M.A.; Tagurum Y.O.; Hassan Z.I.; Afolanranmi T.O.; Ogbeyi G.O.; Difa J.A.; Amede P.; Chirdan O.O.Family planning is an effective intervention for promoting maternal health, but its acceptability and utilization are impeded by many factors in Northern Nigeria. This study aims to assess the prevalence and identify determinants of contraceptive use in a rural setting. Methods: A mixed method cross-sectional descriptive study was conducted in Gumau, a rural community of Bauchi State, Northeastern Nigeria. Quantitative data were collected using an interviewer-administered questionnaire while the qualitative data were collected using focus group discussions with selected women and their husbands, and key informant interviews with family planning service providers. Results: Family planning commodities were regularly available in the community and the prevalence of current contraceptive use was 26%. The main determinants included age <35 years (odds ratio [OR] = 3.0; confidence interval [CI] = 1.0–8.9; P = 0.028), Christian religious affiliation (OR = 2.4; CI = 1.1–4.9; P = 0.025), and spousal support (OR = 55.1; CI = 16.0–189.8; P = 0.000). The qualitative data also reinforced the crucial role of sociocultural factors, especially men in decision-making and contraceptive uptake. Conclusion: Sociodemographic factors, especially spousal support is a key determinant of contraceptive use that should be considered in the design of acceptable family planning intervention.Item Sacrococcygeal teratoma: Clinical characteristics and long-term outcome in Nigerian children(Annals of African Medicine, 2009-02-02) Chirdan, L.B.; Uba, A. F.; Pam, S.D.; Edino S.T.; Mandong B.M.; Chirdan O.O.Background/Purpose: The excision of sacrococcygeal teratoma (SCT) may be associated with significant long-termmorbidity for the child. We reviewed our experience with SCT in a tertiary health care facility in a developing country with particular interest on the long-term sequelae. Methods: Between January 1990 and May 2008 inclusive, 38 consecutive children with the diagnosis of SCT were identified from the operation register and the Cancer Registry of the Jos University Teaching Hospital. Their clinical presentation, investigation, operative fi ndings, histology report, and outcome were recorded and analyzed. The long-term follow-up of some of the patients were also recorded and analyzed. Results: There were 31 females and 7 males. Twenty-three patients presented during the neonatal period with a median age at presentation of 7 days (range 1-18 days) and a median weight at presentation of 2.8 kg (range 2.0-3.6kg), 10 presented between 1 month and 12 months, while 5 were older than 1 year at presentation. Most of the patients had signifi cantly external tumors. Excision of the tumor was mainly by the sacral route, four had abdominal-sacral excision. Histology was mainly benign; four were malignant at presentation. Four children with malignant disease had chemotherapy in addition to excision of the tumor. Eight had immediate post-operative wound-related complications while three children died, two of the deaths were related to anesthesia, while one died of colostomy complications. Twenty-one (60%) were followed up for a median duration of 6 years (range 1 month–8 years). Two (9.5%) had recurrent disease after primary excision; fi ve (23.8%) had some degree of functional impairment at the follow-up. Conclusion: While SCT is usually benign, recurrence, malignant transformations in patients who present late and long- term functional sequelae are problems that must be tackled by the care givers. A multi-center study may be necessary to characterize this disease in developing countries and assess the long-term functional sequelae in survivors.