Publications by authors named "Madubueze U"

Background: Maternal mortality remains a significant challenge in Nigeria, where 28.5% of global maternal deaths occur. Barriers such as weak policy environments and lack of product availability hinder the implementation of life-saving interventions.

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Introduction: Knowledge and uptake of maternal vaccination has been reported to be low in low- and middle-income countries.

Objectives: To determine the knowledge, uptake and determinants of uptake of maternal vaccination among women of child-bearing age.

Methods: A cross sectional study was done among 607 women of childbearing age selected from rural communities in Ebonyi State using multi-staged sampling technique.

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Aim: Antimicrobials are among the most widely prescribed therapeutic agents among paediatric population. Irrational use of these agents increases the risk of antimicrobial resistance. We described the prevalence and pattern of antimicrobial use among paediatric inpatients from 2017 to 2019.

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Background: Isoniazid preventive therapy is recommended as part of a comprehensive HIV and AIDS care strategy. IPT is used as prophylaxis to reduce the incidence of TB in HIV-infected persons. However, its implementation has been very slow and has been influenced by several factors.

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Introduction: identifying risk factors for SARS-CoV-2 infection and disease severity is critical to developing measures to protect vulnerable groups. We aimed to identify risk factors for SARS-CoV-2 infection and severe disease.

Methods: this was an unmatched case-control study that recruited participants in the country from April to July 2020.

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Prevention of mother-to-child transmission (PMTCT) of HIV programme provides antiretroviral treatment to HIV-positive pregnant women to reduce the likelihood of transmission to their infants. Despite concerted efforts to scale-up PMTCT services in Nigeria, coverage and uptake of the services by Antenatal Care (ANC) attendees is below the acceptable. Private health facilities provide ANC services to large number of women, but they are sparingly involved in PMTCT capacity enhancement interventions.

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Background: A good understanding of the demand for malaria rapid diagnostic test (MRDT), malaria health care-seeking behavior, and drug use among community members is crucial to malaria control efforts. The aim of this study was to assess the demand (use and/or request) for MRDT, health care-seeking behavior, and drug use, as well as associated factors, among rural community members (both children and adults) with fever or malaria-like illness in Ebonyi state, Nigeria.

Methods: A cross-sectional household survey was conducted between October 1st and November 7th, 2018, in 18 rural geographical clusters.

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Background: Indiscriminate antimicrobial use is one of the greatest contributors to antimicrobial resistance. A low level of asepsis in hospitals and inadequate laboratory support have been adduced as reasons for indiscriminate use of antimicrobials among surgical patients. At present, there are no guidelines for presumptive antibiotic use in Nigeria and sub-Saharan Africa.

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Article Synopsis
  • Despite WHO's recommendation in 2010, diagnostic testing for malaria remains low in Nigeria, prompting a study to assess interventions aimed at increasing demand for malaria rapid diagnostic tests (MRDTs).
  • The study involved a three-part, randomized trial in Ebonyi state, comparing a control group with one receiving education and sensitization on MRDTs and another receiving that plus provider training on health communication.
  • The primary focus was on measuring the proportion of children and adults who received MRDTs before and after the interventions, with results analyzed at the cluster level to determine the effectiveness of each approach.
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Background: Family planning is a cost-effective strategy for achieving population development. Family planning uptake is low in sub-Saharan Africa, including Nigeria. We assessed the perception, pattern of use, partner support and determinants of uptake of family planning methods among married women of reproductive age in rural communities of Ebonyi state.

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Article Synopsis
  • A 2010 World Health Organization recommendation for universal malaria testing has led Nigeria to improve access to malaria rapid diagnostic tests (MRDT), but community usage remains low.
  • This study plans to assess how social group education and training for healthcare providers can boost MRDT demand in Ebonyi state among individuals with fever or malaria-like symptoms.
  • Using a three-arm randomized design, the study will compare typical MRDT service provision with interventions aimed at community awareness and healthcare provider communication, monitoring outcomes through household surveys.
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Background: Antimicrobial resistance presents a growing concern worldwide. Medical students are potential antimicrobial prescribers and stewards following graduation as doctors. The aim of this study was to assess the knowledge regarding antibiotic use and resistance among pre-final year and final year medical school students of Ebonyi State University, Nigeria.

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Introduction: family planning programmes have helped in increasing the prevalence of contraceptive use and reducing total fertility rate in developing countries from six to three births per woman. However, its uptake is lower in the rural areas compared to urban areas. This study seeks to elucidate the effect of community mobilisation on awareness, approval and use of family planning among women of reproductive age in the rural areas of Ebonyi state, Nigeria.

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Article Synopsis
  • HIV testing and counselling (HTC) is crucial for controlling HIV/AIDS and helping people understand their status, particularly in Africa where many remain unaware of their infection.
  • A study conducted in south-east Nigeria utilized on-site intervention strategies, such as training counselors and hosting awareness events, resulting in a significant increase in HTC service uptake and improved knowledge about HIV among military community members.
  • The results showed a dramatic rise in HTC uptake from 41.1% to 81.1% and HIV knowledge from 35.4% to 98.8%, suggesting that these interventions can effectively enhance awareness and alter risky sexual behaviors in high-risk populations.
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Objectives: Antimicrobial prescribing practices and use contribute to the growing threat of antimicrobial resistance (AMR) to global health. Information on antimicrobial prescribing and use are lacking in most developing countries, including Nigeria. This information is crucial for antimicrobial stewardship programmes, an effective tool in minimising AMR.

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