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HIV/AIDS:  We Prefer TBAs To Healthcare Providers -Pregnant Women

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In the face of growing low coverage in pediatric HIV in Rivers State, some pregnant women have explained why they prefer Traditional Birth Attendants (TBAs).
The Tide’s investigation during a recent monitoring visit to recognised TBAs in the State by a tripartite breakthrough partnership project comprising UNICEF, Society for Family Health (SFH), and Elizabeth Pediatrics AIDS Foundation (EPAF), revealed that most HIV positive pregnant women opt to patronise the TBAs rather than the orthodox health care providers due to issues relating to stigma and ill-treatment.


One of such women, who spoke on condition of anonymity, said while the orthodox healthcare providers treat them with contempt, the TBAs treat them with love and care.
According to her, she opted for the “Apostolic Church Assembly Home” in Bodo, Gokhana Local Government Area because their attendants at the TBA home are more accommodative.
“When I visited the hospital to register for Ante-Natal Care (ANC), I was diagnosed of HIV. Immediately the nurses saw that the result was positive, their attitude towards me became negative.
“They started treating me as if I was a prostitute (sex worker). So, after my second visit, when I knew I was positive, I was treated disrespectfully, I decided to patronize a TBA. That’s how I came to this home”, she stated.
At the “Mama Comfort Umuwaria Home”, in Oyigbo LGA, another HIV positive pregnant woman simply said she prefers the home to the hospital because it is cheaper, and she gets the best of attention from the attendants.
“When the owner of this place referred me to the hospital for enrollment for Prevention of Mother-To-Child Transmission (PMTCT) of HIV/AIDS, I did as instructed.
“But after my first visit, I stopped going because of the bills I was asked to pay, nonchalance and degrading treatment from healthcare providers.
“Here, I’m charged #5,000, out of which I’ve only paid #1,500, but they treat me  as a human being anytime I come, and allow me to pay the balance at my pace, but before I deliver”, she said.
At the “Confidence Maternity Favour Home” in ONELGA, Mrs. Faith Eke, who is not HIV positive, said she prefers the TBAs because they make her more comfortable in general terms.
This, she said, include cheaper charge, homeliness, attention, mutual relationship, with attendance an regular communication, even during irregular hours of the day outside the home, and as situation warrants.
Explaining the reason for the monitoring visits to TBAs to ascertain how they relate with pregnant women in terms of sensitization on HIV, Aisha Dadi of the SFH, stated that it is as a result of low viral load coverage for children in Rivers State.
Dadi, who also said Nigeria has a low PMTCT coverage, stated that Rivers State had about 18% low viral load coverage in 2021.
“So, we felt that we need to move focus in finding children who are HIV positive, and also pregnant women, who are HIV positive, so that we can prevent the unborn child from contracting HIV”, she said.
Explaining further, an expert in PMTCT with UNICEF, Dr. Abiola Davies, said the essence of monitoring visits to TBA homes in Rivers State is based on the revelation that a lot of pregnant women patronize TBAs more than health facilities, thus making it difficult to have accurate data on pediatric HIV and positive mothers.

“We know that one of the major challenges we have is that a lot of our women do not go to health facilities, and that they mainly patronize the TBAs.

“Why we need to reach out to the TBAs is that the women go there, and because they go there, they are not coming to the health facilities.

“So, we must go and find them. Every single woman is important, every single pregnancy is important for us to get to the point that no child in Nigeria is born with HIV”, she stated.

By: Sogbeba Dokubo

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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