Sociodemographic profiles and use-dynamics of Jadelle (levonorgestrel) implants in Jos, Nigeria.

Background: Contraceptive implants (including Jadelle) are highly effective, safe, and easy to use and have a long duration of action. They do not interfere with intercourse with immediate return to fertility after removal. However, disruption of the menstrual bleeding pattern is almost inevitable and coercive prescription may be a problem because insertion and removal of implants are provider dependent.

Substance abuse among antenatal patients at jos university teaching hospital, north central Nigeria.

Background: Substance use in this country, among pregnant women, is a recent phenomenon as our women embrace western culture. More worrisome is the current finding showing no 'safe' level of alcohol exposure for possible adverse effect or harm to the developing child to occur.

Aims And Objectives: To determine what substances are used and the prevalence of substance use among pregnant women attending the antenatal clinic of the Jos University Teaching Hospital, Jos, Northcentral Nigeria.

Quarter of a century of female sterilization in Jos, Central Nigeria.

The study was to assess the types and trend of female sterilization between January 1985 and December 2009 (25 years) in Jos, Central Nigeria. There were 25,313 new acceptors of modern contraceptive methods out of which 4,951 (19.6%) were female sterilizations.

Vaginal hysterectomy at jos university teaching hospital, jos, Nigeria.

Background: Hysterectomy could be performed through the abdomen, via the vagina, as an open procedure or laparoscopically. The debate on whether the uterus should be removed vaginally or abdominally was sparked off when Langenbeck first performed a successful vaginal hysterectomy in 1813. The superiority of the vaginal route was highlighted when women who underwent vaginal hysterectomy experienced significantly fewer complications when compared to the others who had abdominal hysterectomy.

The burden of vesico-vaginal fistula in north central Nigeria.

Background: Vesico Vaginal Fistula (VVF), as seen in this environment, is a major cause of severe morbidity and potential mortality, which can result in marital disruption, rejection and, eventual destitution.

Aims And Objectives: To determine the socio-demographic characteristics, fistula features, and evaluate the intervention measures in Jos, North Central Nigeria.

Setting: This study was carried out at the VVF Centre, ECWA Evangel Hospital, Jos, North Central Nigeria.

Skilled attendance: the key challenges to progress in achieving MDG-5 in north central Nigeria.

The importance of skilled attendance at delivery, as reflected in the MDG 5, is being promoted in developing countries to address the high maternal/perinatal morbidity and mortality. Evaluation of personnel skills and availability of material resources are central to elimination of barriers to delivery of basic Emergency Obstetric Care (EOC) to the community. We designed a semi-structured, interviewee-administered questionnaire for 54 certified Nurse-Midwives working in Primary Health Care (PHC) clinics in Nasarawa State, central Nigeria, and examined their knowledge and competencies in the five major areas responsible for maternal mortality in sub-Saharan Africa, including power supply, referral linkages and motivation to work.

Indications for removal of etonogestrel implant within two years of use in Jos, Nigeria.

Background: Implanon is a new long-term and reversible sub-dermal contraceptive implant in Nigeria. It is a single rod containing 68mg of etonogestrel meant to offer contraception for three years and marketed by Organon.

Objective: To determine the indications for removal of Implanon rods from clients within a two-year period.

Awareness, perception and practice of female genital mutilation among expectant mothers in Jos University Teaching Hospital Jos, north-central Nigeria.

Background: WHO estimates that some 130 million women worldwide are affected, and every year another 2 million girls and young women are at risk of undergoing the practice of FGM. Although Nigeria has a prevalence of 19% in 2003,a reduction from 25% prevalence of 1999 national survey, it still has high absolute number of cases with wide regional variation. The awareness and perception of expectant mothers may give an insight as to what awaits their unborn daughters and have a bearing on the future of the practice.

Physician use of updated anti-virus software in a tertiary Nigerian hospital.

Background: While physicians are becoming increasingly dependent on computers and the internet, highly lethal malware continue to be loaded into cyberspace. We sought to assess the proportion of physicians with updated anti-virus software in Jos University Teaching Hospital Nigeria and to determine perceived barriers to getting updates.

Methods: We used a pre-tested semi-structured self-administered questionnaire to conduct a cross-sectional survey among 118 physicians.

Risk factors for placenta praevia in Jos, north central Nigeria.

Background: Ptacento pro via, a major cause of obstetric haoemorrhage, is potentially life-threatening to the mother and frequently results in high perinatal morbidity and mortality. Several epidemiological and clinical studies report disparate data on the risk factors associated with this condition. Although several studies on risk factors for placoenta praevia have been published, data obtained from the sub-Saharan Africa remains scanty.

A critical look on condoms.

Background: To protect the public health, the practice of safer sex, promoted in a sex-positive way, is necessary. It includes saying no to unwanted sex, being faithful, having fewer partners, having sex that does not include intercourse, and using condoms. This is not just to prevent HIV and Sexually transmitted infections (STIs), but also to prevent unwanted pregnancy STI-related infertility and negative pregnancy outcomes, and cervical cancer- and most importantly to protect children and for partners to protect each other.