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1.
West Afr J Med ; Vol. 38(11): 1101-1107, 2021 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-34922410

RESUMO

BACKGROUND: Fertility is an important component of population change and has attracted the interest of scholars and policy makers. Nigeria's population growth rate has been driven by high fertility, which has fallen in the last few decades but not as rapidly as the fall of the crude death rate. Men and their kinsmen are the decision-makers on issues relating to reproductive health such as timing of the next birth, number of children and when to stop childbearing while their women cooperate. We determined the reproductive behaviors of men in Doka community in Kaduna State Nigeria. METHODOLOGY: A cross-sectional descriptive community based study of 320 men was conducted. RESULTS: The mean age±SD of the male respondents was 40 (±14.2) years. The average age at first marriage among men was 23.32 (±4.62 years), the contraceptive use among men was 10(3.2%). Above a third 118 (37.9%) of men were in polygamous union. There was a statistically significant increase in the mean number of living children as the age of men increased (p=0.001). The mean number of children ever fathered was significantly associated with the educational status of men (p=0.03). CONCLUSION: we found a very low contraceptive use, high number of desired children as well as living children among the men. Government should enlighten married men on the importance of contraceptive use for birth control as well as the social and economic implications of having too many children.


CONTEXTE: La fertilité est une composante importante de l'évolution démographique et a suscité l'intérêt des chercheurs et des décideurs. Le taux de croissance de la population du Nigeria a été alimenté par une fertilité élevée, qui a baissé au cours des dernières décennies, mais pas aussi rapidement que la baisse du taux brut de mortalité. Les hommes et leurs proches sont les décideurs sur les questions relatives à la santé reproductive telles que le moment de la prochaine naissance, le nombre d'enfants et le moment d'arrêter la procréation, tandis que leurs femmes coopèrent. Nous avons déterminé les comportements reproductifs des hommes de la communauté de Doka dans l'Etat de Kaduna au Nigeria. MÉTHODOLOGIE: Une étude transversale descriptive basée sur la communauté a été menée auprès de 320 hommes. RÉSULTATS: L'âge moyen±SD des hommes interrogés était de 40 (±14,2) ans. L'âge moyen au premier mariage chez les hommes était de 23,32 (±4,62 ans), l'utilisation de contraceptifs chez les hommes était de 10 (3,2%). Plus d'un tiers 118 (37,9%) des hommes étaient en union polygame. Il y avait une augmentation statistiquement significative du nombre moyen d'enfants vivants à mesure que l'âge des hommes augmentait (p=0,001). Le nombre moyen d'enfants déjà engendrés était significativement associé au niveau d'éducation des hommes (p=0,03). CONCLUSION: nous avons trouvé une très faible utilisation de la contraception, un nombre élevé d'enfants désirés ainsi que d'enfants vivants parmi les hommes. Le gouvernement devrait éclairer les hommes mariés sur l'importance de l'utilisation de la contraception pour le contrôle des naissances ainsi que sur les implications sociales et économiques d'avoir trop d'enfants. MOTS CLÉS: Contraception; Fertilité; Enfants désirés; Nombre moyen d'enfants.


Assuntos
Fertilidade , População Rural , Adulto , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria
2.
J Trop Pediatr ; 65(3): 273-279, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-30085151

RESUMO

BACKGROUND: Nigeria has the highest burden of paediatric HIV infection, and the success of control efforts in the country is crucial to the global control of the HIV epidemic. However, defaults from schedules of care pose a threat to paediatric HIV control in Nigeria. This study was conducted in a pioneer facility for the implementation of the National HIV Prevention and Treatment Programmes. OBJECTIVE: The objective of this study was to explore factors that facilitate adherence to clinic appointments from perspectives of child caregivers and service providers. METHODS: This is a qualitative study using in-depth, face-to-face interviews conducted in 2016. Thirty-five participants were purposely sampled to comprise types of caregivers of HIV-exposed/infected children receiving care and from categories of service providers. The interviews were audio recorded, transcribed, thematically analysed and presented using a socioecological model. RESULTS: The themes that emerged from participants' narratives included advanced education, affluence and residing close to the clinic at the intrapersonal level. Stable family dynamics and support, HIV status disclosure and being a biologic parent or grandparent as caregiver emerged at the interpersonal level. At the community level, disclosure and support were identified, while at the health facility level, positive staff attitude, quality of healthcare and peer support group influence were factors identified to facilitate regular clinic attendance. CONCLUSION: The factors that enable retention of children in care are multidimensional and intricately connected. Programme improvement initiatives should include regular assessment of clients' perspectives to inform implementation of strategies that could reinforce caregiver confidence in the health system.


Assuntos
Antirretrovirais/uso terapêutico , Atitude do Pessoal de Saúde , Cuidadores/psicologia , Infecções por HIV/tratamento farmacológico , Pessoal de Saúde/psicologia , Apoio Social , Cooperação e Adesão ao Tratamento/estatística & dados numéricos , Adolescente , Adulto , Agendamento de Consultas , Cuidadores/estatística & dados numéricos , Criança , Pré-Escolar , Feminino , Acessibilidade aos Serviços de Saúde , Humanos , Lactente , Recém-Nascido , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Nigéria , Pesquisa Qualitativa , Estudos Retrospectivos , Estigma Social , Cooperação e Adesão ao Tratamento/psicologia
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