Simon Peterside Onuche Akogu

• BmBch MHM FWACS
• Professor (Associate) at Prince Abubakar Audu university/ Prince Abubakar Audu university Teaching Hospital, Anyigba, Nigeria

Hepatitis B and C viruses coinfection in HIV positive pregnant women is a common public health problem and recognized worldwide. The consequences of this problem in our poor resource setting with the risk of mother to child transmission is obvious with increased morbidity and mortality in our environment. To determine the prevalence of coinfection...

Menopause alters the physiological, biochemical and psychological environment of a woman. Thus the knowledge and perception of its symptomatology is invaluable to enable appropriate adjustment to this natural phenomenon. The objective of this study was to determine the knowledge and perception of menopause and climacteric symptoms among a sample of...

Background: HIV/AIDS has over the past two decades become a significant public health challenge in Nigeria and it is necessary to address these challenges and strengthen the national response towards ensuring we reach our set national response targets. This paper therefore presents achievements and implication of HIV prevention programme among the...

Introduction: Eclampsia is defined as the occurrence of convulsion with the syndrome of preeclampsia. Pre-eclampsia is a multi-systemic disease typified by raised blood pressure and proteinuria [1, 2, 3, 20]. This study reviewed Eclampsia management protocols including patients care instructions, oxygen administration, use of antihypertensive, anti...

Background The reduction of maternal mortality rate has been the top priority of global health, yet its persistently high rate in Africa is a severe issue that requires the attention of both the individual and policymakers. Objective To determine the maternal mortality rate by applying the sisterhood method in six local government areas in Oyo Sta...

Background: In the practice of obstetrics and gynecology, the ABO and Rhesus factor (Rh) blood type are important. Blood typing for blood transfusion of compatible blood is very common in emergency and routine care. There is a scanty literature on the distribution of ABO and Rhesus blood types in Anyigba, (North central) Nigeria. Objective: Thi...

Introduction: We used the WHO building blocks of Health Care Strengthening to assess the perception of Health care services providers and managers of HSS interventions by International Development Organizations (ID) and International Non-governmental organization (NGOs) carried out over a 5 year in a state in Northcentral Nigeria. Methodology: This...

Background: Transplacental congenital malaria is a vertical transplacental transmission of malaria parasites from the mother to the baby in utero or perinatally during labor. Cord blood that conveys oxygen and nutrients from mother to fetus and return with carbon dioxide and other waste materials can transmit malaria pathogen. This study aims to es...

Aim: This study aimed to compare family planning (FP) services in urban and rural health facilities in Nigeria. Materials and Methods: The study is a cross‑sectional study conducted in 204 rural and 198 urban health facilities comprising 182 primary and 216 secondary facilities in Nigeria. A FP client was randomly selected from each of the faciliti...

Introduction: Cesarean Section is the delivery of a fetus through a surgical incision made at the lower anterior abdomen and the uterus. It is one of the commonest Obstetrics interventions to save the life of a parturient and/or her baby. It could be elective or emergent. The World Health Organization recommends a Cesarean Section rate not exceedin...

Background: Neonatal mortality refers to the death of a live-born babies within the first 28 days of life remains a global public health challenge. Cord blood being the medium of communication, transmission of nutrients and wastes between mothers and fetus can reflect the health status of baby at birth if properly utilized. Owing to multiple factor...

Introduction:COVID-19 is a viral disease that was first seen in Wuhan China in December 2019. Nigeria had its first case of COVID 19 in February 2020. Healthcare workers in obstetrics and gynecology clinics are front line health workers because while they are providing reproductive health services, they are prone to encountering persons with transm...

Background: Management of Family planning (FP) commodities is a significant problem that is not limited to compromising the quality of FP services but also results in economic burden especially in developing countries. Some facilities may have ample FP commodities while others have a shortage if FP logistics are managed poorly. Hence, assessing the...

Background: The use of information communication and technology (ICT) in Nigeria has been proven to have changed how the treatment is provided for both in-patients and outpatients in health facilities. Yet, information about their availability is rare. This study aimed to determine the availability of ICTs in Nigerian healthcare facilities. Methodo...

For close to 28 years I have had close contacts with delivering babies and families of those who died giving birth, I have been involved in learning and mentoring people who assist women to deliver and take care of their new born babies. I have witnessed the ugly scenario of maternal deaths, new born deaths and complications from delivery that are...

Background: Maternal mortality is a major global health challenge and very common in sub‑Saharan Africa and usually occurs due to complications during pregnancy and childbirth. This study aimed to determine the maternal mortality ratio (MMR) in six local government areas (LGAs) of Ondo State using the sisterhood method. Methodology: The study was a...

Introduction: Trauma to the fetal vulva and perineum is an infrequent and life-threatening complication of breech presentation. The objective of this case report is to highlight the possibility of such injury, need for proper training of health personnel, and draw attention to the issue of malpractice and litigation.

This is a case report of a 41 year old multipara with human immunodeficiency virus (HIV) infection with an interesting history. She was initially commenced on a regimen of antiretroviral which included nevirapine in her non pregnant state. A change of drugs to replace nevirapine with efavirenz was instituted when skin rash was noticed. Unfortunatel...

Background: Perspectives on the pioneering work of Electronic Health Recording (EHR) system in Nigeria was studied. Objectives: To determine health workers perception, challenges, motivation and satisfaction with EHR. Methodology: This was a descriptive cross sectional study using structured questionnaire to assess health workers perspective o...

Endometriosis affects mainly menstruating women. We present a case of endometriosis complicated by a tortuous diagnostic course and intestinal obstruction in a 28 year old nulliparous woman who had three laparotomies on account of two wrong diagnosis in a resource limited setting. Introduction Endometriosis is the growth of endometrial tissue in ot...

Introduction: Every Gynecologist knows that managing infertility goes with great expectations from the client thus identifying the cause and addressing it promptly reduces anxiety and despair. Infertility affects affect 14 to 15% of married couples and between 60 to 80 million couples worldwide [1, 4]. 30% of infertility is due to male factors, 35%...

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The International Conference on primary health care was held in Alma-Ata, USSR on the twelfth day of September in the year Nineteen Hundred and Seventy-eight. Primary health care is the first level of contact of individuals, the family and the community with the national health system. Primary health care addresses the main health problems in the c...

Background: Despite increasing availability HIV counseling and testing (HCT) services in Nigeria, uptake among women of reproductive age has remained significantly low. Although, women are at greater risk of HIV infection many of them do not access HCT services. This intervention therefore designed to promote HIV prevention among women of reproduct...

Examination of haematological profile is useful for baseline assessment, treatment monitoring and prognostic evaluation in Hiv/AIDS management. The objectives of the study was to assess the haematological profile of HIV seropositive HAART naive patients who attended Kogi State University Teaching Hospital, Anyigba, Kogi State, Nigeria between Janua...

CD4 lymphocyte cells are the primary targets of Human immune-deficiency virus (HIV). Enumeration of CD4 T lymphocytes in the peripheral blood is used in the assessment of disease clinical stage, risk of opportunistic infections, evaluation of prognosis and guide decision on the commencement of antiretroviral therapy. The objective was to determine...

CD4 lymphocyte cells are the primary targets of Human immune-deficiency virus (HIV). Enumeration of CD4 T lymphocytes in the peripheral blood is used in the assessment of disease clinical stage, risk of opportunistic infections, evaluation of prognosis and guide decision on the commencement of antiretroviral therapy. The objective was to determine...

1.Alabi, O. J.; 2.Akogu, S.P.O.;. 3Akpa, M.; 4 Ukeje, V.; 5Okpanachi P.O; 6 Agama O.G; 7Gideon, S.; 8Adegboro, B. ABSTRACT: Examination of haematological profile is useful for baseline assessment, treatment monitoring and prognostic evaluation in Hiv/AIDS management. The objectives of the study was to assess the haematological profile of HIV serop...

BACKGROUND: As a result of alteration in the physiological, biochemical and psychological environment of a woman due to menopause, there may be need for hormone replacement therapy (HRT). This concept is new in our poor resource setting, thus the knowledge and perception of HRT will be invaluable to appropriate adjustment to menopausal period. OBJ...

As a result of alteration in the physiological, biochemical and psychological environment of a woman due to menopause, there may be need for hormone replacement therapy (HRT). This concept is new in our poor resource setting, thus the knowledge and perception of HRT will be invaluable to appropriate adjustment to menopausal period. The objective of...

Leiomyomatosis peritonealis disseminata (LPD) is a rare condition. A 48-year-old multiparous woman was referred because of an incidental ultrasound finding suggestive of LPD. She had a 6-year past history of use of combined oral contraceptive pills. LPD was also suspected at laparotomy and confirmed by histology. She had total abdominal hysterectom...

BACKGROUND: Hepatitis B and C viruses coinfection in HIV positive pregnant women is a common public health problem and recognized worldwide. The consequences of this problem in our poor resource setting with the risk of mother to child transmission is obvious with increased morbidity and mortality in our environment. OBJECTIVE: To determine the pr...

The objective of this study was to determine the waiting time to conception among a sample of pregnant Igbo women resident in an urban area of South-east Nigeria. This was a cross-sectional questionnaire study of antenatal clinic attendees at four major health institutions within Enugu, South-eastern Nigeria. The time to conception showed a pattern...

The objective of this study was to determine the waiting time to conception among a sample of pregnant Igbo women resident in an urban area of South-east Nigeria. This was a cross-sectional questionnaire study of antenatal clinic attendees at four major health institutions within Enugu, South-eastern Nigeria. The time to conception showed a pattern...

The study reviewed the state of maternal health care and maternal mortality in Kogi state, north central Nigeria, between January 2005 and December 2007.

A book about HIVAIDS and prevention strategies.