BACKGROUND: Nigeria has the highest number of maternal deaths in the world, which is a major public health problem. One of the major contributory factors is high prevalence of unskilled birth attendance from low facility delivery. However, the reasons for and against facility delivery are complex and not fully understood.
OBJECTIVE: The objective of this study was to identify the facilitators and barriers to facility based deliveries (FBD) among mothers in Kwara state, Nigeria.
METHODS: The study was carried out among 495 mothers that delivered in the five years prior to the study in three selected communities from the three senatorial districts of Kwara state using mixed methods. The study design consisted of a cross-sectional study with mixed data collection involving qualitative and quantitative methods. Multistage sampling technique was employed. Primary outcome measures were place of delivery, reasons for and against FBD.
RESULTS: Of the 495 respondents that had their last delivery during the study period, 410 respondents delivered in the hospital (83%). Common reasons for hospital delivery were ease and convenience (87.1%), safe delivery (73.6%) and faith in healthcare providers (22.4%). The common barriers to FBD included high cost of hospital delivery (85.9%), sudden birth (58.8%) and distance (18.8%). Other important barriers were availability of cheaper alternatives (traditional birth attendants and community health extension workers practising at home), unavailability of community health insurance and lack of family support. Parity, level of education of respondents and husband had significant influence on choice of delivery (p<0.05).
CONCLUSIONS: These findings provided a good insight into the reasons for and against facility delivery among Kwara women, which can assist policy makers and program interventions that can improve facility deliveries and ultimately improve skilled birth attendance, reduce maternal and newborn morbidity and mortality.
BACKGROUND: Le Nigeria compte le plus grand nombre de décès maternels au monde, ce qui constitue un problème majeur de santé publique. L’un des principaux facteurs contributifs est la forte prévalence de l’assistance à l’accouchement non qualifiée due à un accouchement dans des établissements de faible qualité. Cependant, les raisons pour et contre la prestation en établissement sont complexes et ne sont pas entièrement comprises.
OBJECTIVE: L’objectif de cette étude était d’identifier les facilitateurs et les obstacles aux accouchements en établissement (FBD) chez les mères de l’État de Kwara, au Nigeria.
METHODS: L’étude a été menée auprès de 495 mères qui ont accouché au cours des cinq dernières années précédant l’étude dans trois communautés sélectionnées des trois districts sénatoriaux de l’État de Kwara en utilisant des méthodes mixtes. La conception de l’étude consistait en un entretien avec des informateurs clés et une étude transversale avec une collecte de données mixte impliquant des méthodes qualitatives et quantitatives. La technique d’échantillonnage à plusieurs degrés a été employée. Les principaux critères de jugement étaient le lieu d’accouchement, les raisons pour et contre le FBD.
RESULTS: Parmi les 495 répondantes qui ont eu leur dernier accouchement au cours de la période d’étude, 410 répondantes ont accouché à l’hôpital (83 %). Les raisons courantes de l’accouchement à l’hôpital étaient la facilité et la commodité (87,1 %), la sécurité de l’accouchement (73,6 %) et la confiance dans les prestataires de soins de santé (22,4 %). Les obstacles courants à la FBD comprenaient le coût élevé de l’accouchement à l’hôpital (85,9 %), l’accouchement soudain (58,8 %) et la distance (18,8 %). D’autres obstacles importants étaient la disponibilité d’alternatives moins chères (accoucheuses traditionnelles et agents de vulgarisation de la santé communautaire exerçant à domicile), l’absence d’assurance maladie communautaire et le manque de soutien familial. La parité, le niveau d’éducation des répondants et le mari ont une influence significative sur le choix de l’accouchement (p<0,05).
CONCLUSIONS: Ces résultats ont fourni un bon aperçu des raisons pour et contre l’accouchement en établissement chez les femmes Kwara, ce qui peut aider les décideurs politiques et les interventions de programme qui peuvent améliorer les accouchements en établissement et, en fin de compte, améliorer l’assistance qualifiée à l’accouchement, réduire la morbidité et la mortalité maternelles et néonatales.
UNASSIGNED: Prestation en établissement; Facilitateurs; Barrières; État de Kwara; Nigeria.

UNASSIGNED: The public knowledge and adherence to the established coronavirus disease 2019 (COVID-19) precautionary measures are crucial to Nigeria\'s war against the pandemic. Public health education on its preventive practices at the grassroots level was initially crucial to achieving a lower COVID-19 incidence in Kwara State, Nigeria.
UNASSIGNED: We assessed the knowledge of, and adherence to COVID-19 precautionary measures at the community level among 795 respondents from the three senatorial zones of Kwara State.
UNASSIGNED: 54.5% (433/795) of the respondents were aged between 21 and 40 years, and 45.9% (365/795) of the respondents had a bachelor\'s degree or higher. Study participants had a good knowledge of COVID-19, its symptoms, and its mode of transmission. 91.8% of the respondents (730/795) had a positive perception of the COVID-19 preventive measures while 96.1% (763/795) of the respondents agreed that maintaining social distance was important in curbing the COVID-19 pandemic. However, only 38% (302/795) of them used face masks and only 25.7% (204/795) of the respondents used hand sanitizers. In addition, only 31.9% (253/795) of the respondents isolated themselves when they were ill. Multi-variable logistic regression analysis revealed that education, occupation, gender, and ethnicity were significantly associated with positive COVID-19 preventive practices among residents of Kwara State. Civil servants were more likely (AOR: 3.14; 95% confidence interval [CI]: 0.67 to 14.82; P = 0.034) to have positive preventive attitudes than other respondents. Study participants with tertiary education and those that were Yoruba (ethnicity) were 14.81 times more likely (95% CI: 4.29 to 51.05; P = 0.001) and 5.19 times more likely (95% CI: 1.82 to 14.84; P = 0.007) to have positive attitudes towards the laid-down COVID-19 preventive measures respectively.
UNASSIGNED: The poor community adherence to the COVID-19 preventive practices could pre-dispose Kwara to more COVID-19 cases. More community engagement activities are needed to fully curb the spread of the COVID-19. Public health education should focus on preventive measures, vaccine acceptance, and community monitoring of COVID-19.

Rhipicephalus sanguineus is the most widely reported tick in the world. Molecular characterisation is important to verify its taxonomic status in the different parts of the world. In this study, we provide information on the molecular characterisation of R. sanguineus tick of dogs collected from Nigeria. Ticks were collected from 62 of 93 sampled dogs. The collected ticks were subjected to morphological identification with the aid of appropriate entomological keys. Deoxyribonucleic acid (DNA) was extracted from the most prevalent tick species (R. sanguineus) and was subjected to further molecular characterisation protocols. The partial mitochondrial 16S rRNA gene sequences (∼300 bp) were obtained from representative specimens. Data were statistically analysed using the chi-square (χ2 ) test. Phylogenetic analysis was performed including different lineages of R. sanguineus (sl) from Africa, Asia, Europe and America, and other species belonging to the R. sanguineus \'tropical lineage\' (R. linnaei) as well as Rhipicephalus turanicus and Ixodes ricinus. Results of this study showed that R. sanguineus was the most abundant ticks of dogs with a prevalence of 61.8% (68/110; 95% CI = 52.5-70.54), followed by Amblyomma variegatum (20.0%) and Haemaphysalis leachi (18.2%). The molecular analysis shows that they are genetically different from the temperate strains but closely related to those from other West African countries. There is a need to establish the vector competence of this common Nigerian dog tick.

Parasitism is of great concern to the wellbeing, productivity and reproductivity of animals and it causes great financial loss to the economy of any nation. This study was conducted to determine the prevalence and the economic loss from carcass and viscera condemnation due to parasitic diseases in slaughtered cattle in Kwara State, North-central Nigeria. A 16 year (2003-2018) record of parasitic diseases detected in cattle slaughtered at the major abattoirs in Ilorin city was retrieved from the Kwara State Veterinary department of the Ministry of Agriculture and Natural Resources. The total prevalence as well as the yearly, monthly and seasonal prevalence of each of the documented parasitic diseases was determined. The financial losses associated with each of the parasitic diseases were estimated in Nigerian Naira (₦) and US Dollar (USD) considering the market price and weight of viscera condemned. Fasciolosis, hydatidosis, dicrocoeliosis, cysticercosis and oesophagostomiasis were the parasitic disease conditions with fasciolosis (6371/832,001) and cysticercosis (134/832,001) been the most and least prevalent disease conditions respectively. The yearly and monthly prevalence of each disease conditions showed an undefined pattern. There was a significantly difference in the prevalence of the detected parasitic conditions within seasons. The total financial loss associated with these disease conditions was 304,133.82 USD (46,161,433 Nigerian Naira). This study showed that parasitic diseases are of great financial drain to the livestock economy of Nigeria and this study will serve as baseline information on the economic losses associated with parasitic diseases of cattle at slaughter in Nigeria.

OBJECTIVE: Helminth infections inflict negatively on the production and well-being of animals including poultry. This study was carried out to determine the prevalence, species diversity, intensity, and risk factors associated with the gastrointestinal helminths of intensively raised poultry in Kwara Central senatorial district of Kwara State.
METHODS: Fecal samples were collected from 502 poultry species from 15 farms. The samples were subjected to floatation and the formalin-ethyl acetate concentration techniques of examination. The intensity of infections was determined using McMaster counting technique.
RESULTS: Seven helminth species were detected with Heterakis gallinarum (10.2%) and Ascaridia galli (6.0%) been the most prevalent, while Capillaria species was the least prevalent (0.8%). Physiological status, bird type, production purpose, farm age (years), presence of other animals in the farm, flock size (birds), farm size (acres), housing type, farm type, frequency of anthelmintic use, distance to waste area (meters), level of biosecurity, and frequency of cleaning the pen were the risk factors significantly (p<0.05) associated with the presence of helminth infections.
CONCLUSIONS: This study shows that helminth infections are endemic in the study area, as 66.7% of the sampled farms were infected with one or more helminth species. Findings from this study provide information that will assist in improving the poultry sector in Kwara State, Nigeria in general, for better production and profitability.

Coccidiosis is one of the biggest challenges faced by the global poultry industry as the protozoan is found anywhere poultry are reared. Before now, there have been no documents on the intensity and diversity of Eimeria species of poultry in Kwara State. This study aimed to determine the prevalence and intensity of Eimeria species and its species diversity among poultry in Kwara Central, North-Central Nigeria. Five hundred and two fecal samples (from four hundred and seventy two chickens and thirty turkeys) were collected from chickens and turkeys from 15 farms from December 2017 to May 2018. The samples were subjected to floatation technique. Positive samples were further subjected to the McMaster counting technique for determining the intensity of infection. Sporulation of unsporulated oocysts was carried out using 2.5% potassium dichromate (K2Cr2O7), for the purpose of identifying the different Eimeria species. Ninety five (18.9%) of the sampled population, 10 (66.7%) of the 15 sampled farms were positive for Eimeria species. The total mean oocyst per gram was 6325.0. Eight Eimeria species were detected in the study: 7 in chickens and 1 in turkeys. Eimeria tenella was the most predominant among chickens, E. meleagrimitis was the only species detected in turkeys. Age, sex, bird type, physiological status, farm age, farm size (acres), management system, frequency of anthelmintic use, frequency of anticoccidial use, distance to dumping site (meters), level of biosecurity and frequency of cleaning the pen were significantly associated (P < 0.05) with the occurrence of Eimeria infection. It is envisaged that the information obtained in this study will contribute to a clearer understanding of the epidemiology of poultry coccidiosis, for better management protocol which will improve the productivity of the sector in Kwara State and Nigeria.

OBJECTIVE: This study aimed to assess available assay methods for infectious bursal disease (IBD) diagnosis and seromonitoring in local birds. It also sought to know the prevalence of IBD antibodies among local chickens and guinea fowls in Kwara state, North Central Nigeria.
METHODS: Sera were obtained from local chickens and guinea fowls and IBD virus (IBDV) antibodies were assayed using enzyme-linked immunosorbent assay (ELISA), indirect hemagglutination (IHA) test, and agar gel immunodiffusion (AGID) test.
RESULTS: A total of 265 sera were obtained from local birds during dry and wet seasons. ELISA recorded the highest prevalence of 81.1% (215/265) while IHA and AGID detected IBDV antibodies in 183 (69.1%) and 122 (46%) birds, respectively. Significant differences were established for IBD-positive sera based on the assay method used, bird species, and seasons.
CONCLUSIONS: This study indicated that ELISA is the most sensitive and reliable assay method while AGID is the least. It also showed that there is a high prevalence of IBDV antibodies among local birds which were not vaccinated, and this implies a high IBDV activity among these bird species in the study area. This may have significant epidemiological implications on the spread of the virus to exotic bird reared in the rural areas on a commercial scale. Thus, this study suggests continuous surveillance, awareness campaign, and advocacy for vaccination of indigenous birds against IBD.