Browsing by Author "Orji, Ernest O."

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    The unmet need for contraception among Nigerian women in the first year post-partum
    (The European Society of Contraception and Reproductive Health, 2005-01-01) Adeyemi, Adebanjo B.; Ijadunola, Kayode T.; Orji, Ernest O.; Kuti, O.; Alabi, Marie M.
    To determine the level of Unmet need for Contraception among women in the first year post-delivery in Ile-Ife, Nigeria. Methods A prospective study of 256 women attending antenatal clinic of the OAUTHC, Ile-Ife, Nigeria was carried out 9–10 months post-delivery. Using a semi-structured questionnaire, the respondents were interviewed for socio-demographic characteristics; obstetric, sexual, and contraception history were also taken. The data were analyzed using descriptive and inferential statistical methods. There was a high level of unmet need (59.4%) in the sample of Nigerian women despite a high level of awareness of common methods of contraception. Education and parity had no significant effect on usage of contraception (p40.05). No reason was given for non-usage in the largest proportion (30.3%) of the non-users. Only one-third of the respondents could correctly report the ‘at-risk’ period for getting pregnant in the postpartum period. There is a need to study in more detail the social and cultural factors that determine contraceptive utilization before success can be achieved in closing the gap of unmet need, as it has become evident that increasing the awareness and knowledge of contraception is not enough to achieve the objectives of family-planning programs.
  • Thumbnail Image
    Item
    Unavailability of Essential Obstetric Care Services in a Local Government Area of South-West Nigeria
    (BioMed Central Ltd (BMC), 2007-03) Ijadunola, Kayode T.; Fatusi, Adesegun O.; Orji, Ernest O.; Adeyemi, Adebanjo B.; Owolabi, Olabimpe O.; Ojofeitimi, Ebenezer O.; Omideyi, Adekunbi K.; Adewuyi, Alfred A.
    This paper reports the findings at baseline in a multi-phase project that aimed at reducing maternal mortality in a local government area (LGA) of South-West Nigeria. The objectives were to determine the availability of essential obstetric care (EOC) services in the LGA and to assess the quality of existing services. The first phase of this interventional study, which is the focus of this paper, consisted of a baseline health facility and needs assessment survey using instruments adapted from the United Nations guidelines. Twenty-one of 26 health facilities surveyed were public facilities, and five were privately owned. None of the facilities met the criteria for a basic EOC facility, while only one private facility met the criteria for a comprehensive EOC facility. Three facilities employed a nurse and/or a midwife, while unskilled health attendants manned 46% of the facilities. No health worker in the LGA had ever been trained in lifesaving skills. There was a widespread lack of basic EOC equipment and supplies. The study concluded that there were major deficiencies in the supply side of obstetric care services in the LGA, and EOC was almost non-existent. This result has implications for interventions for the reduction of maternal mortality in the LGA and in Nigeria.