<p class="abstract">For more than two decades, there have been efforts to include men in family planning programmes. Male involvement was first echoed on a global scale at the International Conference on Population and Development (ICPD) plan of action, Cairo 1994.<strong> </strong>This article is aimed at highlighting the importance of male involvement in increasing contraceptive prevalence in Sub-Saharan Africa.<strong> </strong>A literature search using Google, Google scholar, PubMed, Hinary, Medical textbooks and related journals. Relevant articles were extracted and used for this review.<strong> </strong>Majority of the literature assessed showed alienation of men in family planning and other reproductive health services despite the declaration made at the International Conference on Population and Development in Cairo, 1994. Findings also showed significant level of awareness of modern family planning methods amongst men but very low support for its use by themselves and/or their spouses or partners. Some of the reasons for such apathy include fears of side effects, non-availability, high cost and ignorance. The importance of involving men in family planning services cannot be over stressed. There are overwhelming evidence that with male support, there would be greater uptake and sustained use of family planning. This will lead to improved maternal and child health indices especially in our setting where the burden of the morbidity and mortality of maternal and child health is greatest.</p>
Background: Children and adolescent people go through many changes as they move from childhood into physical maturity. At this time secondary sexual characteristics develop, menstruation begins and the psychological outlook of the female child changes as she develops a more adult aspect of herself. These periods might be attended by different gynaecological disorders. Objective: This study was designed to determine the common childhood and adolescent gynaecological disorders that presented at the gynaecologic clinic of the Federal Teaching Hospital Abakaliki. Method: This was a retrospective study of all cases of childhood and adolescent gynaecologic presentations seen in the gynaecology clinic. Emergency cases seen at the Accident and Emergency clinic were excluded. The study spanned 3 years and 8 months -April 2012 to December 2015. Data was extracted from case notes retrieved from the central records department and analysed. Results: Children and adolescents constituted 5.4% of the 1,622 new gynaecologic presentations seen during the review period. They presented mainly with menstrual disorders (36.8%), ovarian tumor (11.5%), PID (10.3%), Infertility (6.9%), sexual assault (4.6%), Urethral prolapse (3.4%), and abortion (2.3%). Other disorders such as bartholin cyst, PCOS, galactorrhoea, uterine fibroid, hydatidiformmole, fibroadenoma of breast, vaginal mass, traumatic injury to the perineum and uterovaginal prolapse were also seen. Conclusion:Gynaecological disorders in children and adolescents constitute a significant number of gynaecological presentations. It is imperative that clinicians acquaint themselves with the pattern of presentation of these disorders and be equipped to treat this patient population with empathy and expertise.
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