Background
Cross River State is making investments geared towards ensuring equitable distribution and improved retention of its frontline health workforce in remote and rural areas. This informed the conduct of a discrete choice experiment to determine the motivating factors supporting the retention of healthcare workers.
Methods
Study participants were 198 final year students of nursing, midwifery and community health and frontline health workers. Eight focus group discussions and 38 key informant interviews were conducted to obtain information about the dimensions of the work conditions that are important to frontline health workers when choosing to take up posting or stay in their rural work locations.
Results
Health workers are 2.7 times more likely to take up a rural posting or continue to stay in their present rural duty posts if they receive a salary increment. They are also four times more likely to take a rural job posting if a basic housing or a housing allowance is provided.
Conclusion
Improving working conditions of frontline health workers in terms of adequate staff strength, good skills mix and equipment, etc., as well as improving opportunities for career advancement will support retention in rural health posts.
Background: Contraceptive-induced menstrual changes (CIMCs) can affect family planning (FP) users’ lives in both positive and negative ways, resulting in both opportunities and consequences. Despite this, and despite the important links between FP and menstrual health (MH), neither field adequately addresses CIMCs, including in research, product development, policies, and programs globally. Methods: In November 2020, a convening of both MH and FP experts reviewed the existing evidence on CIMCs and identified significant gaps in key areas. Results: These gaps led to the establishment of a CIMC Task Force in April 2021 and the development of the Global Research and Learning Agenda: Building Evidence on Contraceptive-Induced Menstrual Changes in Research, Product Development, Policies, and Programs Globally (the CIMC RLA), which includes four research agendas for (1) measurement, (2) contraceptive research and development (R&D) and biomedical research, (3) social-behavioral and user preferences research, and (4) programmatic research. Conclusions: Guided by the CIMC RLA, researchers, product developers, health care providers, program implementers, advocates, policymakers, and funders are urged to conduct research and implement strategies to address the beneficial and negative effects of CIMCs and support the integration of FP and MH. CIMCs need to be addressed to improve the health and well-being of women, girls, and other people who menstruate and use contraceptives globally. Disclaimer: The views expressed in this article are those of the authors. Publication in Gates Open Research does not imply endorsement by the Gates Foundation.
to course objectives and administered during the pilot. Competency on the post-test was set at $70%. Tests and evaluations were analysed to guide curriculum improvements. Results Ten participants took the pre-post test; mean scores were 60.3% (46%e81%) and 76.7% (70%e83%) respectively, with a mean increase of 16.4% (1%e37.5%). On course evaluations, all participants indicated that training content was relevant to their work. Areas of improvement included the need for better guidance on improving data quality and interpreting statistical test results. Conclusion All participants demonstrated overall competency on knowledge and skills covered in training. Training will be revised and implemented among public health field workers throughout the country. We will continue to actively involve government and local partners to improve potential for sustainability. Introduction Globally, it has been documented that the population is ageing at an unprecedented rate. The issue of elder abuse has not been adequately addressed, especially in Nigeria because it has not yet been recognised as a serious matter. This study compares prevalence, patterns and factors associated with elder abuse among the elderly in a rural and an urban community in Oyo State, Nigeria. Methods A comparative cross sectional survey was conducted among the elderly in selected rural and urban Local Government Areas in Oyo state, Nigeria, using interviewer administered questionnaires. Data obtained was analysed using SPSS version 16. Results A total of 722 respondents were interviewed, 358 (49.6%) in the urban location and 364 (50.4%) in the rural area. The mean age of respondents was 70.9269.21 years (urban 70.2268.91 years: rural 71.6269.47 years p<0.05). Over half of the respondents were female (56.0%) and married (58.2%). The urban and rural prevalence of abuse are: physical abuse 21.8% vs 6.3%; emotional abuse 16.8% vs 4.1%; social abuse 27.4% vs 10.2% and financial abuse 20.9% vs 7.7% respectively. Sexual abuse (0.6%) was reported only in the urban area. The positive predictors of elder abuse were locality, living arrangements and functional impairment. Conclusion This study reveals that there is a high prevalence of all forms of elder abuse especially in the urban areas. There is a need to create awareness of the problem of elder abuse and formulate social security policies to protect the elderly.
P2-377
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