Background: Menstruation can be associated with dysmenorrhea that may affect daily activities. This study aimed to determine the prevalence of dysmenorrhea, effects on school activities, and associated school absenteeism among secondary school girls in Ibadan, Nigeria. Materials and Methods: This cross-sectional study was among 460 students from all girls' only secondary schools in Ibadan, Nigeria, using a cluster sampling method. Data were collected using questionnaires and focus group discussions. The severity of dysmenorrhea was categorized as mild, moderate, and severe. Data collected were analyzed using descriptive statistics and Chi-square tests performed to determine significant associations. Level of statistical significance was set at 5%. Results: Prevalence of dysmenorrhea and school absenteeism was 73% and 13.1%, with the severity of dysmenorrhea being 37.5%, 43.8%, and 18.8% for mild, moderate, and severe dysmenorrhea. Other school activities affected were as follows: class concentration, class participation, social, and sports activities (17.6%, 12.2%, 10.9%, and 4.6%). Main sources of medication for pain relief were family (15.8%) and self (13.7%). Age and duration of menstruation predicted dysmenorrhea (odds ratio [OR] =3.5, confidence interval [CI] = 1.2–9.7, P = 0.019), (OR = 1.7, CI = 1.1–2.6, P = 0.022), whereas severe dysmenorrhea predicted school absenteeism (OR = 4.2, CI = 1.7–9.9, P = 0.001). Respondents opined that analgesic drugs should be available in school to prevent school absenteeism. Conclusion: Prevalence of dysmenorrhea was high and severe dysmenorrhea played a role in school absenteeism. Health education should be provided to address the dangers of self-medication while drugs for pain relief should be available in schools.

IntroductionEffective diseases surveillance remains an important operational tool in countries with recurrent epidemic prone diseases (EPDs). In Nigeria, insufficient knowledge among Health Care Workers (HCWs) on Integrated Disease Strategy and Response Strategy (IDSR) have been documented. This study assessed knowledge and attitude of HCWs towards IDSR strategy for EPDs at the Primary Health Care (PHC) level in Oyo State, Nigeria.MethodsA cross-sectional facility based study using an interviewer-administered questionnaire was used to obtain information from 531 HCWs. In addition, 7 Key Informant Interviews was conducted. Discrete data were summarized as proportions while chi-square test was used to assess association between variables. A logistic regression model was used to assess predictors of knowledge of HCWs. All statistical significance was set at 5%.ResultsMean age of respondents was 42 ± 8.1 years with female preponderance (86.1%). Community Health Extension Workers (CHEWs) (36.9%) constituted the highest proportion of HCWs. About 70% and 90% of HCWs had good knowledge of EPDs and IDSR surveillance data flow respectively. Majority of HCWs 333(67.3%) knew how to use IDSR form 003 but less than 10% knew how to use other IDSR forms. The majority of HCWs {492(99.4%) and 345(69.7%)} agreed that reporting EPDs is necessary and IDSR tools are simple to use. Number of years post basic qualification was a predictor of HCWs' knowledge (AOR: 1.6; 95% CI: 1.0-2.3).ConclusionThis study showed poor knowledge on the use of IDSR forms although majority of HCWs had good knowledge and positive attitude towards IDSR strategy for EPDs. Thus, regular evaluation of health workers' knowledge and attitude towards IDSR strategy as a performance function of the surveillance system is recommended.

Objective: Patients' satisfaction is a useful measure of the quality of service. An expression of satisfaction or dissatisfaction is also the patients' judgment on the quality of service in all its aspects. This study examined the effect of health workers sensitization on mothers' satisfaction with immunization service provided in health care facilities in a state in North Central Nigeria.Methods: This is a quasi-experimental study involving sensitization of health workers on quality health service provision at the study site, Alanamu Health Centre, Ilorin. The control group was at Okelele Health Centre, Ilorin. One hundred and fifty mothers were recruited from each of the facilities and the total population of mothers bringing their children (0-14 weeks old) for immunization was recruitedconsecutively for the study.Results: Less than 80% of respondents in the study group and the control group (73.3% and 77.3% respectively) were satisfied with the waiting time at the pre-intervention stage. At post-intervention, there was a significant increase in the proportion of mothers in the study group that were satisfied with the waiting time, seat provision and information received on immunization (p<0.05) while there were no significant changes in satisfaction among mothers in the control group regarding these measures (p>0.05). Age and level of education had significant influence on mothers' satisfaction (p<0.05). Conclusion:Mothers became more satisfied with various aspects of immunization service received after sensitization of health workers on quality health service. Sensitization of health workers towards quality health service may be necessary to generate options in service provision and improve client satisfaction.

Background: Intimate partner violence (IPV) is a significant public health problem. Despite being a phenomenon that occurs globally, few studies have reviewed the issue of intimate partner violence among pregnant women as it relates to disclosure of abuse. This study sets out to determine the prevalence and pattern of disclosure of intimate partner violence among pregnant women attending antenatal clinic in Oyo East Local Government of Oyo State. Methods: A descriptive cross-sectional study among pregnant women aged 18–49 years. A total of 350 pregnant women in the sole secondary health care facility and 3 out of the 18 primary health care facilities randomly selected by balloting were consecutively recruited. A pre-tested semi-structured questionnaire adapted from the WHO Multi-Country Study on Women’s Health and Domestic Violence was used to collect data. Data were analysed with SPSS® version 16. Results: Of 252 (72.0%) women who had been exposed to violence by their partner in pregnancy, 72 (28.6%) disclosed their IPV experience. The experience was disclosed to relatives, friends and religious leaders. Of the 72 that disclosed their IPV experience, 31 (43.1%) reported for the purpose of seeking redress through religious or local leaders, healthcare professionals and law enforcement agencies. Conclusion: Intimate partner violence is common among pregnant women, but a culture of silence still persists, making identification of the exposed difficult. These data may encourage healthcare providers to include screening for IPV in the curriculum of the antenatal care. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1272245

Background The nature of training and work of the military personnel and civil servants may affect their relationships with their intimate partners in different ways. Objectives The objective of this study was to assess and compare the prevalence and correlates of intimate partner violence (IPV) against female partners among male military personnel and civil servants in Ibadan, South-western Nigeria. Methods A cross sectional study was carried out using a multi-stage sampling technique. A self administered questionnaire was used in data collection. χ 2 test was used to assess association between categorical variables and predictors of perpetration of IPV were determined using logistic regression at level of significance of 5%. Result A total of 1240 respondents, 631 in the military and 609 in the civil service were interviewed. About 75% were currently married. The prevalence of perpetration of any form of IPV in the last 12 months of the study was 77.8% and 66% among the respondents in the military and civil service, respectively. Significantly higher proportions of respondents in the military had perpetrated various types of IPV except sexual violence. The predictors of perpetrating any form IPV include being a military personnel, childhood exposure to parental IPV, having a negative attitude towards wife beating and use of alcohol. Civil servants were more likely to perpetrate sexual violence against their female partners. Significance Intimate partner violence was quite prevalence in both groups but significantly more among the military personnel. There is a need for educating these men through multidisciplinary approach and different strategies in the two groups. A178Inj Prev 2012;18(Suppl 1):A1-A246