Religion, culture and male involvement in the use of the Standard Days Method: evidence from Enugu and Katsina states of Nigeria.

AIM: This paper presents findings from an exploratory study on the use of the Standard Days Method® (SDM) of family planning (FP) in Katsina and Enugu states of Nigeria. BACKGROUND: Potential users of FP often do not use modern methods if its practice is in dissonance with cultural and religious values. Increasing FP options through the introduction of effective natural methods is important, as it will ensure that FP providers, particularly nurses, can provide appropriate non-hormonal methods to women who are interested in their use. This will bring about an increased contraceptive prevalence in countries with strong religious barriers to modern FP methods. METHODS: A qualitative study using focus group discussions and in-depth interviews was conducted with nurses, community FP providers and users of the SDM following the introduction of the method in two Nigerian states. DISCUSSION: Both users and providers perceive the SDM to be religiously and culturally acceptable. They found it useful particularly among women who could not use hormonal methods for medical reasons. CONCLUSION: There was no religious/cultural opposition to the use of SDM. Spousal involvement in use within localities where hormonal methods are not accepted was perceived as an important factor in making the method acceptable. It is imperative to scale up the intervention to other areas both in Nigeria and in other countries that have similar religious and cultural resistance to modern FP methods.

The impact of exposure to mass media campaigns and social support on levels and trends of HIV-related stigma and discrimination in Nigeria: tools for enhancing effective HIV prevention programmes.

People living with HIV and AIDS (PLWHAs) often face stigma and discrimination, especially in developing countries. HIV-related stigma is expressed through social ostracism, personal rejection, direct and indirect discrimination, and denial from families and friends. Consequently, it is associated with reduced adoption of preventive and care behaviours, including condom use, seeking for HIV test and care-seeking behaviour subsequent to diagnosis. Ignorance about the epidemiology of the disease on modes of transmission and prevention aggravates HIV-related stigma in Nigeria. Behaviour change communication activities through mass media have been shown to be an effective approach in improving people's knowledge about the disease. This paper monitors trends in the level of accepting attitudes towards PLWHAs in Nigeria between 2003 and 2007. It also evaluates the impact of exposure to mass media and social support on the levels of accepting attitudes towards PLWHAs. A significant and positive trend was evident between 2003 and 2007 (p<0.0001). Furthermore, exposure to mass media communications on HIV and AIDS issues and social support were significantly related to the reduced stigma and discrimination against PLWHAs (p<0.0001).

The Effect of Mass Media Campaign on the Use of Insecticide-Treated Bed Nets among Pregnant Women in Nigeria.

Background. Malaria during pregnancy is a major public health problem in Nigeria especially in malaria-endemic areas. It increases the risk of low birth weight and child/maternal morbidity/mortality. This paper addresses the impact of radio campaigns on the use of insecticide-treated bed nets among pregnant women in Nigeria. Methods. A total of 2,348 pregnant women were interviewed during the survey across 21 of Nigeria's 36 states. Respondents were selected through a multistage sampling technique. Analysis was based on multivariate logistic regression. Results. Respondents who knew that sleeping under ITN prevents malaria were 3.2 times more likely to sleep under net (OR: 3.15; 95% CI: 2.28 to 4.33; P < 0.0001). Those who listened to radio are also about 1.6 times more likely to use ITN (OR: 1.56; 95% CI: 1.07 to 2.28; P = 0.020), while respondents who had heard of a specific sponsored radio campaign on ITN are 1.53 times more likely to use a bed net (P = 0.019). Conclusion. Pregnant women who listened to mass media campaigns were more likely to adopt strategies to protect themselves from malaria. Therefore, behavior change communication messages that are aimed at promoting net use and antenatal attendance are necessary in combating malaria.