| 1 |
Author(s):
lgwe, Justina Ngozi, Nzeadibe, Augustina Chinyere, Ugwuanyi, Christian Sunday.
Page No : 5001-5012
|
Education for inclusion: numeracy intervention in second chance education of market women in rural Nigeria
Abstract
Background: A second chance education intervention was initiated for market women in rural Nigeria,
who previously missed opportunity for formal education in their younger ages, with the aim of
acquiring and improving basic numeracy skills for inclusion of the women.
Data source and methods: Thirty (30) questionnaires on hands-on activity were administered on 30
women purposively selected from the membership list of the association of marl‹et women, while 15
other women were similarly sampled to form the control group, giving a total of 45 questionnaires.
In- depth interviews, and two focus group discussions (FGDs) comprising 1 2 volunteer women each
were also conducted. The qualitative data were content analysed while mean, standard deviation,
Chi-square and Analysis of covariance (ANCOVA) were used to analyse the quantitative data.
Results: Participants have similar socio-demographic characteristics. Over 70% of the respondents
were aged less than 40 years while over 50% of the respondents attained primary education.
Similarly, 64.4% of the rural women had no opportunity for formal education as adults. Results
showed that there were significant effects of hands-on activities on mean ability of rural women in
giving balance and stock taking.
Conclusions: The second chance education initiative provided an avenue for peer learning and more
inclusive and equitable numerical skill development of marl‹et women, thus enhancing the prospect
of contributing to AU Agenda 2063 and the 4th goal of the post-2015 development agenda.
Keywords: second chance education, sustainable development goals, numeracy, market women, inclusion
| 2 |
Author(s):
Aurélien Dasré, Véronique Hertrich.
Page No : 5013-5033
|
Addressing religious practices in Sub-Saharan Africa: Insights from a longitudinal study in rural Mali
Abstract
Background: In censuses and demographic surveys, religion is recorded as a variable of state,
assuming that individuals' religious affiliation is unique and definitive. However, in sub-Saharan
Africa, pluralism are commonplace. In this paper, we discussed the relevance and feasibility of a
statistical approach to religious practices, taking into consideration their complexity and
variability over an individual's lifetime.
Data Source and methodes: We used longitudinal data collected since 25 years in the south-east of
Mali, among a population where traditional and Christian religions coexist. We compared the results
of a classic cross-sectional approach with those obtained via a longitudinal approach that tal‹es
into consideration individuals' religious trajectories.
Résultats: Plurality and variability in religious practices are confirmed. Most individuals, at
some point in their lives, become affiliated with different religions. Mobility and reversibility
in religious affiliation are common.
Conclusion: The relevance of cross-sectional data on religious affiliation for demographic analysis
is therefore questionable.
Keywords: religion, religious pluralism, religious affiliation, Africa, Mali
| 3 |
Author(s):
Yacine Boujija, Laetitia Douillot, Valérie Delaunay, Simona Bignami, John Sandberg.
Page No : 5034-5049
|
Préférences de fécondité et perception de la planification familiaJe des migrants temporaires â Dakar
Abstract
Contexte: De nombreux travaux ont étudié la fécondité des migrants internationaux en les comparant
aux non-migrants au lieu de destination. Peu se sont attardés aux migrations internes en
définissant les populations d'origine comme référence. Une telle approche est pourtant pertinente
dans un contexte od les migrants, plus souvent circulaires, naviguent entre deux communautés od les
comportements démographiques différent.
Données et méthodes: En nous attardant sur la zone rurale de Nial‹har, nous utilisons les données
d'une enquéte sur les réseaux sociaux, pratiques et croyances individuelles afin d'observer si les
préférences de fécondité des migrants temporaires â Dal‹ar différent de celles de la population
d'origine
Résultats: Les résultats indiquent peu de différences pour la connaissance et l'acceptabilité de la
planification familiale. Toutefois, les migrants ont un nombre ideal d'enfants plus faible en
moyenne que les non-migrants.
Conclusion: Nos modéles multivariés suggérent que ces differences s'expIiquent principalement par
les hypothéses de sélection et d'adaptation.
| 4 |
Author(s):
Aloysius Chukwuma Obiwulu, Josephine Ngozi Akah, Anthony Chinaemerem Ajah.
Page No : 5050-5061
|
Traditional religious worldview as persistent driver of healthcare practices in Southeast Nigeria
Abstract
Background: Worldviews define reality and stipulate the specific attitudes towards each component
of reality. This study assessed how traditional religious worldview in southeast Nigeria has
persisted as a driver of healthcare practices in the region. The study was carried out in southeast
Nigeria, particularly, Enugu and Anambra States.
Data Source and Methods: Data for the study were collected using a six-item questionnaire
administered to 400 respondents, and analyzed using simple percentages.
Results: Most of the respondents see ailments as curses from gods/deities, or malicious
machinations from evil forces. The predominant initial healthcare practice for ailments such as leg
ulcer is to go to a dibia (6 I%) or to a faith healing home (29%).
Conclusion: For health-interventions to succeed in southeast Nigeria, there is need for pre-
intervention campaigns. There is also urgent need to proscribe faith healing homes in the region.
Keywords: Traditional Religion, Worldview, Driver, Healthcare, Nigeria
| 5 |
Author(s):
Mahouli Mireille-Marie Mintogbé, Mouftaou Amadou Sanni, Victorien Dougnon, Bilampoa Gnoumou, Clément Ahoussinou.
Page No : 5062-5081
|
Dynamics of onset of fertile life among adolescent girls in Benin, 1996-20l 7
Abstract
Background: The issue of early onset of fertile life among adolescent girls remains very current.
However, theoretical predictions predict event decline, particularly with the young generations.
This study aims to analyse trends and explanatory factors of early onset of fertile life among
adolescent girls aged 15 to 19 years in Benin.
Data and methods: The study uses Demographic and Health Surveys (DHS). The Kaplan Meier
method and the Cox proportional risk model were used.
Findings: Early onset of fertile life has experienced saw tooth variations between 1996 and 2017.
The main risk factors are: education level, age at first sexual intercourse, and socio-economic
standard of living.
Conclusion: Interventions need to be strengthened and/or reoriented to effectively contribute to
reducing the incidence of early onset of fertile life. This will enhance adolescent girls
l‹nowledge and skills enabling them to live a healthy, responsible and timely sexual and
reproductive life.
Keywords: Fertility, adolescent girls, Benin.
| 6 |
Author(s):
Dorothy N Ononokpono, Bernard Baffour, Alice Richardson.
Page No : 5082-5105
|
Mapping maternal healthcare access in selected West African Countries
Abstract
Background: The Sustainable Development Goal (SDG) three emphasizes the need to improve maternal
and newborn health, and reduce global maternal mortality rate to less than 70 per 100 000 live
births by 2030. Achieving the SDG goal 3. I target will require evidence based data on the
distribution of maternal health outcomes and their linl‹age to healthcare access.
Data and Methods: This study used WorldPop data derived from an integration of satellite, census
and household survey. Exploratory spatial analysis techniques were used to examine and visualize
the spatial distribution of women of reproductive age ( I 5-19 and 40- 44), live births and
pregnancies at subnational level in three “poor resource” West African countries: Mali, Guinea and
Liberia. Buffer analysis was used to quantify the number of pregnancies within user-defined
distances of a health facility.
Findings: Results showed wide variations in the distribution of maternal health outcomes across the
countries of interest and districts of each of the countries. There was also clustering of maternal
health outcomes and health facilities at the urban capital cities of Bamako, Conal‹ry, and Greater
Monrovia. A considerable number of pregnancies in most districts of northern Mali, northern and
forest regions of Guinea and counties in south eastern Liberia were not within 50km distance of a
healt facility, indicating inadequate access to health facilities.
Conclusion: To bridge the gap in inequity in healthcare access, and improve maternal and newborn
health in the study countries, there is need for equitable distribution of health resources and
infrastructure within and across the disadvantaged districts.
Keywords: Maternal health, districts, West Africa, mapping, geospatial analysis, buffer analysis.
| 7 |
Author(s):
Prince Chiagozie Ekoh, Elizabeth George, Chukwuemeka Ejimkaraonye.
Page No : 5106-5114
|
Nigeria demographic report: the effect of overpopulation on life expectancy
Abstract
Background: Nigeria is considered the most populous country in Africa with an estimated population
of 18 I million and a median age of I 7.9. Nigeria's young population indicates that fertility rate
may l‹eep increasing with the total population increasing exponentially. However, life expectancy
in Nigeria is very low accompanied by high mortality rate.
Data Source and methods: This study aimed at analysing Nigeria's demographic data and presenting
how Nigeria's overpopulation is contributing to its low life expectancy. Secondary quantitative
data from United Nations Population Division was analysed for the study.
Results: Findings showed increasing population growth from I 08,0 I I ,465 recorded in 1995 to
200,963,599 recorded in 2020, high fertility, high mortality rate and low life expectancy at 53
years.
Conclusion: The study made recommendations on policies to regulate Nigeria's population growth and
increase life expectancy of the country.
Keywords: Demography, Life expectancy, Birth rate, Death rate, overpopulation
| 8 |
Author(s):
Michael O. Ukonu, Chidiebere A. Nwachukwu , Olanrewaju A. Mgboji.
Page No : 5115-5131
|
Evaluation of Doctor-patient communication outcomes in two public hospitals in Enugu and Ebonyi States, Nigeria
Abstract
Background: Patient-doctor communication is a critical success factor in ensuring accurate
diagnosis and treatment. A patient's satisfaction with such interaction can have positive impact on
health outcomes. This study evaluated patient-doctor communication in two tertiary hospitals in two
states in southeast Nigeria.
Data Source & Methods: Data were collected with a structured questionnaire from 300 patients in two
teaching hospitals. Data were analysed using simple percentages, chi-square test of independence,
binary logistic regression and factor analysis.
Results: Results indicated low level of satisfaction of patients with the quality of communication
with their doctors, the main contributor to their dissatisfaction being ‘doctors’ authoritarian
communication style’. Factors that positively predicted patients’ satisfaction were ‘doctors’
communication sl‹iIls’ (p=.000), ‘patients’ religious, cultural and language anxiety influence on
communication’ (p=.000), and ‘democratic communication’ (p=.009). Doctors adopted the paternalistic
approach in interacting with patients.
Conclusion: Patients reported low level of satisfaction with their doctors’ communicative
behaviour. This would necessitate a shift from the paternalistic to the patient-centred
communication approach in the two hospitals.
Keywords: Communication, patient satisfaction, health outcomes, hospitals, doctors
| 9 |
Author(s):
Modelling time-to-discontinuation of exclusive breastfeeding: analysis of infants and under-2 survival in Nigeria, Adeniyi Francis Fagbamigbe, Olusola Ayeni.
Page No : 5132-5142
|
Modelling time-to-discontinuation of exclusive breastfeeding: analysis of infants and under-2 survival in Nigeria
Abstract
Modelling time-to-discontinuation of exclusive breastfeeding: analysis of infants and under-2
survival in Nigeria
| 10 |
Author(s):
Asiime John Bosco, Edmond Muyingo, Wilson Nyegenye.
Page No : 5143-5159
|
Trends and determinants of neonatal mortality in Uganda: Analysis of the Uganda demographic and health surveys
Abstract
Background: Uganda's neonatal mortality has stagnated at 27 deaths per I ,000 live births over the
past
decade. Studying consistent factors could inform policy to reduce it.
Data Source and Methods: We used Uganda Demographic and Health Surveys (200 I to 2016) in
analyses.
Results: Children who were not put on breast milk immediately after birth and children of mothers
with multiple maternal risk factors were associated with higher odds (3. I and 2.0 respectively) of
neonatal deaths in 2016. The maternal risk factors include: young mothers, too old, short birth
intervals or many children. Neonatal deaths was also higher among male compared to female newborns.
Conclusion: There is a need to raise awareness about the importance of breastfeeding newborns
immediately after birth. Interventions to reduce maternal risl‹ factors are critical to reducing
neonatal mortality in Uganda. Programmes need measures that can reduce more neonatal deaths among
male than female.
Keywords: Neonatal, mortality, Uganda, children, trends
| 11 |
Author(s):
Michel Garenne.
Page No : 5160-5170
|
Estimating the median age at menarche with a Logit model: Application to African DHS surveys
Abstract
Abstract
Background: The study investigates the median age at menarche in African countries.
Data Source and Methods: DHS surveys provided information on the proportion ever-menstruating among
women age I 5- 19. A linear-logistic regression model was used to derive the median age at menarche
(statu quo method). Some 139 DHS surveys were analysed, for a total of 304,826 women. Results:
Results show a wide range of variations of the median age at menarche among the 35 countries
investigated, from 13. I to I 5.2 years.
Conclusion: Country variations were correlated with various variables indicating the level
of development (Income per capita; Caloric intal‹e; Urbanization; Child mortality; Fertility; Age
at marriage). Two variables were particularly important: food intake and urbanization.
Keywords: Age at menarche; Logit model; Socio-economic correlates; DHS surveys; Sub-Saharan
Africa.
