The burden of stroke has been projected to increase in low-and middle-income countries due to the ongoing epidemiological transition. However, community-based stroke prevalence studies are sparse in sub-Saharan Africa particularly in Nigeria. This study aimed to provide a comparative estimate of the prevalence of stroke survivors in the rural Niger Delta region. A three-phased door-to-door survey was conducted using WHO modified instruments. In the first-phase, 2028 adults (≥18 years) participants randomly selected from two rural communities were screened by trained health research assistants for probable stroke. In the second phase, suspected cases were screened with stroke-specific tool. Positive cases were made to undergo complete neurological evaluation by two study neurologist in phase-three.Stroke diagnosis was based on clinical evaluation using WHO criteria. Overall, 27 (8 firstever and 19 recurrent cases) stroke survivors with crude prevalence of 13.31/1000 (95% CI, 8.32-18.31) and a non-significant difference in prevalence between the two study communities were found, (P= 0.393I). In addition, age-adjusted prevalence of stroke survivors was 14.6/1000 person, about 7-folds higher than previous estimates outside the Niger Delta region. The prevalence increases significantly with advancing in age, P<0·001.Among others, hypertension (92.59%) was the commonest risk factor and comorbidity found.Improved stroke surveillance and care, as well as better management of the underlying risk factors, primarily undetected or uncontrolled high blood pressure, remains a public health priority.
The results suggested that exposure to oil/gas pollution may be associated with an increased risk of hypertension. Our findings need to be further investigated in longitudinal studies.
Aims: To assess the awareness and knowledge of tetanus toxoid (TT) immunization among women in Alakahia, a community in Obio/Akpor LGA, Rivers State in the Niger Delta region of Nigeria. Study Design: This was a cross-sectional descriptive study Place and Duration of Study: This study was carried out in August 2016 among 276 pregnant women and women who had given birth in the last one year in Alakahia community, Rivers State. Methodology: A cluster sampling method was used and respondents were recruited and interviewed with a pretested interviewer-administered questionnaire divided in two sections. Section A was on awareness of TT immunization structured from the WHO cluster form for TT immunization and section B was on knowledge of TT immunization. Descriptive statistical analysis was done Original Research Article
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