Psychiatric morbidity among pregnant and non pregnant women in Ibadan, Nigeria

A comparative cross-sectional study was conducted among 991 pregnant and 674 non-pregnant women of reproductive age attending healthcare facilities in Ibadan, Nigeria using the General Health Questionnaire-12 (GHQ), and WHO self-reporting questionnaire (SRQ). Logistic regression analysis was conducted to identify predictors of psychiatric morbidity at p < 0.05. A significantly higher proportion of pregnant women experienced psychological distress on the GHQ (51.8%) and psychiatric morbidity on SRQ (33.3%) compared with 28.6% and 18.2% of non-pregnant women, respectively. Predictors of psychiatric morbidity among pregnant women were the type of facility, poor satisfaction and communication with partners, the experience of violence in the home, previous abortions, and previous history of depression. Psychiatric morbidity among non-pregnant women was predicted by younger age, previous history of depression, poor satisfaction and communication with partners. There is a need for early identification of psychiatric morbidity among women of reproductive age, to ensure early interventions and prevent long-term disability.Impact statementWhat is already known on this subject? Psychiatric morbidity has immense effects on a woman's quality of life, social functioning, obstetric outcome, and economic productivity.What do the results of this study add? Psychiatric morbidity among women of reproductive age is high. Pregnant women when compared to non-pregnant women had significantly higher rates of psychiatric morbidity. This high prevalence of psychiatric morbidity in both groups was predicted by poor satisfaction and communication with partners, and a previous history of depression.What are the implications of these findings for clinical practice and/or further research? Simple screening for women of reproductive age attending healthcare facilities may help with the early identification of psychiatric morbidity leading to prompt interventions, and preventing long-term disability.

Occupational Safety and Health Staging Framework for Decent Work

The 2030 United Nations Goal 8 for sustainable development focuses on decent work. There is utility in identifying the occupational safety and health aspects of Goal 8, as they pertain to the four pillars of decent work: job creation, social protection, rights of workers, and social dialogue. A workgroup of the International Commission on Occupational Health and collaborators addressed the issue of decent work and occupational safety and health (OSH) with the objective of elaborating a framework for guidance for practitioners, researchers, employers, workers, and authorities. This article presents that framework, which is based on an examination of the literature and the perspectives of the workgroup. The framework encompasses the intersection of the pillars of decent (employment creation, social protection, rights of workers, and social dialogue) work with new and emerging hazards and risks related to various selected determinants: new technologies and new forms of work; demographics (aging and gender); globalization; informal work; migration; pandemics; and OSH policies and climate change. The OSH field will need an expanded focus to address the future of decent work. This focus should incorporate the needs of workers and workforces in terms of their well-being. The framework identifies a starting point for the OSH community to begin to promote decent work.

Perception and intention to use reproductive life plan among female final year undergraduates of the University of Ibadan, Nigeria

A descriptive cross-sectional study was conducted to assess perception (of) and intention to use reproductive life plan among 500 female final year undergraduates of the University of Ibadan, Nigeria. Only 22% of the respondents were aware of RLP and 63% had good perception of RLP. Most (85.1%) had the intention to plan their pregnancy and 64.5% intended to use RLP as a tool for planning pregnancy. More respondents (85.8%) who were aware of family planning methods had intention to plan their pregnancy compared to those that were not (61.5%; p = .015). Similarly, 65.8% of respondents who were aware of family planning methods had intention to use RLP compared to 23.1% of those who were not (p = .002). Respondents' awareness of the concept of RLP was poor and majority agreed to use RLP as a tool for planning pregnancy. Awareness of family planning methods was associated with intention to use RLP.Impact StatementWhat is already known on this subject? Reproductive life plan (RLP) is a tool for setting goals in terms of childbearing. It outlines personal goals about pregnancy which includes having the desired number of children, avoiding unintended pregnancies and avoiding ill health that may threaten reproduction. RLP is a useful tool in preconception and the tool can adequately prepare young unmarried girls for motherhood, thus reducing the high rate of unintended pregnancy which remains a public health and social challenge especially in low income settings including Nigeria.What do the results of this study add? This study has been able to bridge an existing gap in knowledge because no study has been conducted to assess the perception of RLP and intention to use it as a preconception tool in Nigeria. The results provided new information on the perception and intention to use reproductive life plan among female final year undergraduate students of University of Ibadan, Nigeria.What are the implications of these findings for clinical practice and/or further research? The use of RLP serves as health promotion strategy to improve the health of each woman prior to conception by planning their pregnancies, identifying risk factors, providing education and stabilising medical conditions so as to optimise maternal and foetal outcomes.

Spatial Distribution of Heavy Metals and Pollution of Environmental Media Around a Used Lead-acid Battery Recycling Center in Ibadan, Nigeria

BACKGROUND

Heavy metals are usually present in trace amounts in various environmental media such as water, soil, and air, and many are poisonous to human health even at very low concentrations.

OBJECTIVES

To assess the risk of heavy metal contamination of water, soil, and plants around a used lead acid battery (ULAB) recycling center in Ibadan, Nigeria.

METHODS

Environmental samples (water, soil, and plants) were collected using standard methods and concentrations of arsenic (As), cadmium (Cd), antimony (Sb), chromium (Cr), copper (Cu), manganese (Mn), nickel (Ni), lead (Pb), selenium (Se), and zinc (Zn) were determined using inductively coupled plasma-optical emission spectrometry at the International Institute of Tropical Agriculture, Ibadan, Nigeria.

RESULTS

The concentration of metals detected in water samples were higher than permissible limits at more than 50% of the sampling locations. In contrast, heavy metals in soil were within permissible limits. Most of the heavy metals except Pb were found to be present in the plant within permissible limits. Lead levels in water and plants from all locations exceeded the permissible limits. The contamination degree and pollution load index of water sources around the ULAB recycling center indicate a high degree of pollution of water sources with heavy metals, while soil samples were within the normal baseline levels. The transfer factor of Pb from soil to Amaranthus viridis was 1.92. This has implications for human health as the plant is often harvested and for sale in local markets as a source of food and medicine.

CONCLUSIONS

The present study recommends improved technology for ULAB recycling and adequate treatment of effluent/runoff from recycling centers before discharge.

COMPETING INTERESTS

The authors declare no competing financial interests.

Universal health coverage and intersectoral action for health: key messages from Disease Control Priorities, 3rd edition

The World Bank is publishing nine volumes of Disease Control Priorities, 3rd edition (DCP3) between 2015 and 2018. Volume 9, Improving Health and Reducing Poverty, summarises the main messages from all the volumes and contains cross-cutting analyses. This Review draws on all nine volumes to convey conclusions. The analysis in DCP3 is built around 21 essential packages that were developed in the nine volumes. Each essential package addresses the concerns of a major professional community (eg, child health or surgery) and contains a mix of intersectoral policies and health-sector interventions. 71 intersectoral prevention policies were identified in total, 29 of which are priorities for early introduction. Interventions within the health sector were grouped onto five platforms (population based, community level, health centre, first-level hospital, and referral hospital). DCP3 defines a model concept of essential universal health coverage (EUHC) with 218 interventions that provides a starting point for country-specific analysis of priorities. Assuming steady-state implementation by 2030, EUHC in lower-middle-income countries would reduce premature deaths by an estimated 4·2 million per year. Estimated total costs prove substantial: about 9·1% of (current) gross national income (GNI) in low-income countries and 5·2% of GNI in lower-middle-income countries. Financing provision of continuing intervention against chronic conditions accounts for about half of estimated incremental costs. For lower-middle-income countries, the mortality reduction from implementing the EUHC can only reach about half the mortality reduction in non-communicable diseases called for by the Sustainable Development Goals. Full achievement will require increased investment or sustained intersectoral action, and actions by finance ministries to tax smoking and polluting emissions and to reduce or eliminate (often large) subsidies on fossil fuels appear of central importance. DCP3 is intended to be a model starting point for analyses at the country level, but country-specific cost structures, epidemiological needs, and national priorities will generally lead to definitions of EUHC that differ from country to country and from the model in this Review. DCP3 is particularly relevant as achievement of EUHC relies increasingly on greater domestic finance, with global developmental assistance in health focusing more on global public goods. In addition to assessing effects on mortality, DCP3 looked at outcomes of EUHC not encompassed by the disability-adjusted life-year metric and related cost-effectiveness analyses. The other objectives included financial protection (potentially better provided upstream by keeping people out of the hospital rather than downstream by paying their hospital bills for them), stillbirths averted, palliative care, contraception, and child physical and intellectual growth. The first 1000 days after conception are highly important for child development, but the next 7000 days are likewise important and often neglected.

The Ibadan glaucoma study

To obtain epidemiological data on the prevalence and risk factors for open angle glaucoma in hospital workers of African origin, and investigate appropriate methods of a rapid, cost-effective screening procedure for glaucoma. A cross-sectional study of workers in the University College Hospital (UCH) Ibadan, using a structured questionnaire for data collection. The variables available for data analysis include workers demographic characteristics, visual acuity, pupil status, intraocular pressure, cup-disc ratio, central visual fields, family history of glaucoma, chronic diseases such as hypertension and diabetes. The data was analysed with EPI-INFO version 6.02 for simple analysis, while the SPSS package was used for multivariate analysis. A total of two thousand, one hundred and nine (2,109) UCH workers participated in the screening exercise for glaucoma. A high majority of the workers 1794 (85.1%) were negative to the diagnosis of glaucoma, while the remaining 315 (14.9%) were suspected to have glaucoma out of which 57 (2.7%) were confirmed as definite glaucoma cases. The prevalence of glaucoma among UCH workers was 27 per 1000, 95%, confidence interval = 20 per 1000, 35 per 1000. Factors associated with glaucoma were relative afferent pupillary defect, cup-disc ratio greater than 0.7, intraocular pressure, family history of glaucoma and the presence of chronic diseases such as diabetes. The left eye appears to have a higher probability of ocular problems compared with the right eye. The prevalence of glaucoma among hospital workers was 2.7% The cup-disc ratio appears to be a better diagnostic tool for glaucoma since it gives the best positive predictive value (with a cut-off point of 0.7) than all other variables.