Prevalence, Pattern and Effect of Intimate Partner Violence against Women in Abeokuta, South West Nigeria.

BACKGROUND: The world over, women are victims of violence in close and intimate relationships where they are expected to be safe and protected. Intimate partner violence (IPV) significantly impacts the physical and mental well-being of those affected. This study assessed the prevalence, pattern and effects of IPV amongst women in Abeokuta South Local Government Area (LGA) of Ogun State, South West Nigeria. MATERIALS AND METHODS: This community-based cross-sectional study was carried out in Abeokuta - South LGA in Ogun State. Data were collected from 339 women in intimate relationships using a structured interviewer-administered questionnaire. Ethical approval (HPRS/381/471) was obtained from the Ogun State Ministry of Health Ethical Review Committee. Analysis was done using IBM® SPSS version 23, and results were presented in frequencies and proportions using tables and charts. RESULTS: About three-quarters (73.2%) of the 339 respondents had experienced one form of IPV. Psychological/emotional violence, 224 (66.1%), and physical violence, 161 (47.5%), were the study's most commonly reported forms of violence. Amongst those affected, 186 (54.9%) were 'insulted', 87 (25.7%) were 'embarrassed in public' and another 124 (36.6%) were slapped. The effects of IPV reported were bruises/lacerations, unwanted pregnancies, sexually transmitted infections and attempted suicide. CONCLUSION: The prevalence of IPV of all forms were high in the studied population. Therefore, the government needs to create more awareness of the problem and promote investments in women's empowerment to reverse this trend.

Mixed-methods evaluation of integrating female genital schistosomiasis management within primary healthcare: a pilot intervention in Ogun State, Nigeria.

BACKGROUND: Detection and management of female genital schistosomiasis (FGS) within primary healthcare is crucial for achieving schistosomiasis elimination, however, current technical strategies are not feasible in many settings. In Nigeria, there are currently no established standard operating procedures to support front-line health workers. This article presents an evaluation of piloting an FGS care package in two LGAs of Ogun State, Nigeria. METHODS: We used quantitative and qualitative analysis, including 46 interviews with patients, health workers and the quality improvement team; observations of training, learning sessions and supervision across 23 heath facilities; and records of patients detected and managed. RESULTS: Of 79 women and girls who were screened, 66 were treated and followed up. Health workers assimilated knowledge of FGS and effectively diagnosed and managed patients, demonstrating the feasibility of using symptomatic screening and treatment tools to diagnose and care for women or girls with suspected FGS. Challenges included establishing a referral pathway to tertiary care for patients with complications, insecurity, gender norms that limited uptake and sensitization, the limited capacity of the workforce, conflicting priorities and praziquantel acquisition. CONCLUSIONS: Simple tools can be used in primary healthcare settings to detect and manage women and girls with FGS. Contextual challenges must be addressed. Sustainability will require political and financial commitments.

Human immunodeficiency virus, tuberculosis and malaria service readiness at the primary healthcare centers in Ekiti State, Nigeria.

Introduction: access to services encompasses three components: availability, affordability, and acceptability. The physical presence of service delivery, which includes health infrastructure, core health staff, and aspects of service use, is referred to as service availability. This study was conducted to inform the health service availability and preparedness to deliver HIV, TB, and malaria prevention and control services in Ekiti State. Methods: this is a descriptive cross-sectional study conducted among all the Primary Health Centres (177) in Ekiti State Nigeria between August and October 2020. Data were collected with the use of the World Health Organization Service Availability and Readiness Assessment tool and were analyzed using STATA SE 12. Results: close to half (49%) of them had a condom in supply. More than 90% of them provided diagnosis and treatment of malaria. The HIV-specific service readiness index was approximately 40/0%. Only 26.6% of health facilities were ready to offer TB prevention and control services. Malaria specific service readiness index was 61.9%. There was a statistically significant difference in the HIV and TB-specific service readiness of facilities in the urban compared to rural locations. Health facilities located in the urban areas had higher mean readiness scores compared to those in the other residential areas (P=0.014). Conclusion: it is evident that HIV and TB-specific service readiness is very poor among PHCs in Ekiti State. Malaria Service Readiness was fair. Ekiti State government needs to expand investments in PHCs by strengthening the diagnostic services, commodities and medicine supply, adequate equipment and staff training.