Time interval to initiation of contraceptive methods following childbirth in a low-resource setting.

OBJECTIVES: The objectives of the study were to determine factors affecting the interval between a woman's last childbirth and the initiation of contraception. MATERIALS AND METHODS: This was a retrospective study. Family planning clinic records of the Barau Dikko Teaching Hospital Kaduna from January 2000 to March 2014 were retrieved. Information was collected on demographics, reproductive, and contraceptive history. Data were analyzed using the SPSS version 15 software, and missing responses were excluded. Chi-square was used as a test of association with significance level established at P = 0.05. RESULTS: A total of 5992 client's cards were retrieved. All were female and married. Majority were aged 25-34 years (53.1%), had completed secondary education (56%) and were Muslims (52.3%). Only 4979 cards (83.1%) had correct data on intervals and 22.1% of these clients initiated contraception within 6 months of their last childbirth. Education, religion, source of information, number of living children, desire to have more children, previous use of contraception, and type of contraception chosen were significantly associated with intervals for initiating contraception after last childbirth (P < 0.05) while the presence of complications in the last delivery was not (P > 0.05). CONCLUSIONS: Majority of women initiate contraception late after childbirth in this setting. Increased awareness on immediate/early postpartum contraception is required. Further qualitative studies will help to explore findings of this study.

Serologic evidence of infection with H5 subtype influenza virus in apparently healthy local chickens in Kaduna State, Nigeria.

A serologic survey for antibodies against H5 subtype influenza virus in 605 apparently healthy local chickens using a hemagglutination inhibition test was carried out in 12 local government areas of Kaduna state, Nigeria. An overall prevalence of 18.1% was recorded, with a higher prevalence of 27.3% in six local government areas that have not reported outbreaks of highly pathogenic avian influenza (HPAI) H5N1 virus and a lower prevalence of 7.5% in six local government areas that had reported and confirmed outbreaks of HPAI H5N1 virus between 2006 and 2007. There was association between the presence of ducks and detection of H5 antibodies (P = 0.000, odds ratio = 0.22). The implication of this finding is discussed, although a virologic investigation to verify the findings of this study is highly recommended.