Background: The study assessed the intention to accept a future COVID-19 vaccine in Nigeria and associated factors. Materials and Methods: Between July 2020 and August 2020, a cross-sectional study was conducted using an online questionnaire that captured demographic data, risk perception, trust in government and public health authorities and willingness to accept a future COVID-19 vaccine. Data were analyzed using Statistical Package for Social Science version 21.0, Chi-square and logistic regression were carried out at a 95% confidence interval. Appropriate institutional ethical board approval and informed consent were obtained from all participants. Results: 1,228 responses were received over the study period. The mean age of respondents was 32.8 years (SD 10.4), 12.7% (156/1,228) were health workers, 66.9% (820/1,228) had tertiary level of education. Intention to accept a future COVID-19 vaccine was expressed by 50.2% (617/1,228) of respondents. Increasing age, male gender, trust in government, trust in public health authorities, confidence in vaccine developers, willingness to pay for and travel for a vaccine, and vaccination during an outbreak were significantly associated with COVID-19 vaccine acceptance. Healthcare workers and respondents with pre-existing medical conditions were not significantly different from non-healthcare workers and persons without medical conditions respectively with regards to the willingness to be vaccinated. Conclusion: One in two persons would accept a COVID-19 vaccine when it becomes available in the country. The government should take pro-active steps to address the factors that may potentially impact on the benefits expected from the introduction of COVID-19 vaccine and scale-up vaccine sensitization to improve potential acceptance for uptake across the country.
The COVID-19 pandemic has created mental health challenges among the public. The study objectives were to determine the prevalence of anxiety, depression and associated factors among the general public in Nigeria during the COVID-19 pandemic. The cross-sectional study was conducted between May 2020 and June 2020 using an online questionnaire that captured sociodemographic data, generalized anxiety disorder (GAD-7), depression (PHQ-9), lifestyle practices, self-rated health, and exposure to COVID-19 information through social media. Data were analysed using Statistical Package for Social Science with associations tested at 95% confidence interval. Appropriate institutional ethical board approval was obtained, and informed consent obtained from all participants. 543 adults participated, 101 (18.6%) and 131 (24.1%) respondents were classified as having depressive and anxiety disorders respectively. Females (χ 2 =11.06, p < 0.01), alcohol use (OR 5.50, p < 0.01, 95% CI 2.18-13.87) and poor self-rated health (OR 2.97, p=0.04, 95% CI 1.08-8.22) were significantly associated with GAD. Alcohol consumption (OR 4.27, p < 0.01, 95% CI 1.56-12.04), currently being on medication (OR 2.96, p < 0.01, 95% CI 1.31-6.70) and poor self-rated health (OR 4.21 p < 0.01, 95% CI 1.73-10.23) were significantly associated with depression. Increasing frequency of information on Covid-19 through social media was significantly associated with decreased anxiety and depression (χ 2 =7.95, p=0.02). A considerable proportion of respondents experienced anxiety and depression, especially persons with unhealthy lifestyles and poor health. Interventions to improve mental health should target these at-risk groups.
Nigeria contributes an estimated 19% of global pregnancy related mortalities. The involvement of men in maternal health interventions has immense implications for the uptake and thereby success of such interventions. This study assessed level of male involvement in selected maternal health interventions involving nursing mothers in Benin City, Edo State with a view to providing information to improve the implementation and success of these interventions. A descriptive facility based cross-sectional study design was carried out among two hundred and twenty nursing mothers attending selected immunization clinics in a health facility in Benin City, Edo State. Data were collected using pretested structured questionnaires and analyzed using IBM SPSS version 21.0 statistical software with statistical significance set at P<0.050. The mean (SD) age of male partners of nursing mothers studied was 38.1 (6.4) years. In relation to selected maternal interventions 205 (93.2%) registered for antenatal care (ANC), 159 (72.3%) attended postnatal care (PNC) while family planning uptake was 30 (13.6%). Furthermore, in relation to level of male involvement, 150 (68.2%) male partners paid for ANC registration, 143 (65.0%) accompanied spouse to delivery, 205 (93.2%) paid for delivery, 14 (8.8%) accompanied wife for PNC and 57 (34.5%) supported spouse uptake of family planning. The overall level of male involvement was good 113 (51.4%) among nursing mothers. This study identified that male involvement in selected maternal health interventions was good, in relation to male performance the highest being payment for delivery and least being postnatal care attendance. There is need to sustain and improve on the level of male involvement in relation to maternal health interventions to ensure better maternal and child health outcome in the study population.
Globally, postnatal care is a strategic public health intervention to aid significant reduction in maternal and neonatal morbidity and mortality especially in developing countries. This study aimed to assess the level of postnatal care (PNC) uptake and associated factors among nursing mothers for improved maternal and newborn outcomes in Benin City, Edo State. Two hundred and twenty (220) nursing mothers attending immunization clinics in University of Benin Teaching hospital, Benin City were studied using a descriptive cross-sectional study design. Data analysis was carried out using IBM SPSS version 21.0 statistical software after sorting and collating researcher administered questionnaire. Results were represented as prose, frequency tables and figures, univariate and bivariate analysis to assess postnatal care uptake and associated factors was carried out with level of significance set at P<0.050. Two hundred and five (93.2%) of the respondents studied registered and attended antenatal care (ANC) during pregnancy. One hundred and twenty-one (55.5%) of respondents studied had good knowledge of PNC, 190 (86.4%) had a positive attitude towards PNC, while 159 (72.3%) attended PNC. ANC registration (P<0.001), knowledge of PNC (P=0.002) and attitude towards PNC (P=0.013) were identified as significant factors influencing PNC among nursing mothers. Postnatal care uptake was high among study participants. ANC registration was a major determinant of postnatal care uptake in the study area, in addition to also significantly influencing knowledge of PNC and attitude towards PNC among nursing mothers studied. There is need to sustain and improve on the gains of postnatal care (PNC) uptake among nursing mothers in Benin City, by promoting sensitizations campaigns to promote ANC registration and attendance among pregnant women.
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