Orthodox versus unorthodox care: A qualitative study on where rural women seek healthcare during pregnancy and childbirth in Southwest, Nigeria

Introduction Utilization of orthodox health facilities for maternal health services is determined by factors operating at the individual, household, community and state level. The prevalence of small family norm is one of the identified variables operating within the community which influences the decision of where to access care (orthodox/traditional). The objective of the study was to determine the use of orthodox versus unorthodox maternity healthcare and determinants among rural women in southwest Nigeria. Methods A qualitative study was done and involved three focus group discussions. A semi-structured interview guide was used to collect information from women of reproductive age group within a rural Local Government Area in Lagos state. Results Most of the women access some form of healthcare during pregnancy, orthodox, unorthodox or both. Those who patronize both services concurrently do so to benefit from the two as each has some unique features such as herbal concoctions for traditional, ultrasound and immunization of babies for orthodox. Traditional belief exerts a strong influence on decision of where to access maternal healthcare services. Actual place of delivery is determined by individual and household factors including financial resources. Conclusion Rural women utilize one or both orthodox and unorthodox maternal health services for different reasons. Ward Development Committees should be strengthened so as to reach the communities, educate and convince women to dispel myths which limit their use of orthodox care. Training and monitoring of Traditional Birth Attendants (TBAs) are vital to eliminate harmful practices. We also recommend improved financial access to orthodox healthcare.

THE PROSPECT OF BIOGAS AMONG SMALL-HOLDER DAIRY GOAT FARMERS IN THE ULUGURU MOUNTAINS, TANZANIA

Biogas can be a clean cooking alternative where biomass is the dominant source of cooking energy and where feedstock for anaerobic digestion is available. By substituting woody biomass for energy, biogas may reduce local deforestation. Tanzania has more than 15.6 million goats. Dairy goats of different breeds are found in the mid- to high altitudes of the country. Population density has made firewood increasingly scarce and there are few energy alternatives in mountainous areas such as in the Uluguru Mountains. In Mgeta ward, Morogoro region, introduction of Norwegian dairy goats in the 1980s has improved livelihoods in the area. In this study, goat manure was assessed as feedstock for biogas and as fertilizer. Field work among small-holder dairy goat farmers in Mgeta was conducted to measure daily manure production, and to provide a basic model for prediction of the quantity of droppings which may be collected by farmers. Biogas and fertilizer potential from goat manure was compared to cow and pig manure. Buswell’s formula was used to calculate approximate methane yield. The results show that goat manure from Mgeta can yield 167 l∙kg Volatile Solids-1 (VS). Compared with other substrates approximate methane yield can be ranked as pig > guatemala grass > cow > goat. The average goat of 25 kg in Mgeta leaves 61 kg Total Solids (TS) droppings per year. It was estimated that 15 goats capita-1 would be required to meet the total cooking energy needs of small-holder households in the study location. N:P:K content in goat manure (TS) is 2:1:1, similar to cow and pig manure. Goat droppings had to be macerated to reduce particle size for anaerobic digestion. Biogas from dairy goats could be combined with the year-round irrigated horticulture production in Mgeta. Vegetable gardens in the slope below the digesters could be fertilized by gravitation with the NH4+-rich bioslurry, to save labour and increase yields.

EFFECT OF INTERMITTENT FRYING ON FATTY ACIDS, VITAMIN E, LIPID OXIDATION AND ACRYLAMIDE IN OILS AND PLANTAIN CHIPS COLLECTED FROM SMALL- SCALE PRODUCERS IN CAMEROON

Deep-fat frying is susceptible to induce the formation of undesirable products as lipid oxidation products and acrylamide in fried foods. Plantain chips produced by small-scale producers are sold to consumers without any control. The objective of this study was to evaluate the quality of plantain chips from local producers in relation to production process parameters and oils, and to identify the limiting factors for the production of acrylamide in plantain chips. Samples of frying oils and plantain chips prepared with either palm olein or soybean oil were collected from 10 producers in Yaoundé. Quality parameters determined in this study were: fatty acid composition of the oils, determined by gas chromatography (GC) of free acid methyl ester; trans fatty acids, determined by Fourier transform infra-red spectroscopy; Tocopherols and tocotrienols as markers of nutritional quality were analyzed by High Performance Liquid Chromatography in isocratic mode. Free fatty acids and acylglycerols as markers of lipid hydrolysis were analyzed by GC of trimethylsilyl derivatives of glycerides. Conjugated dienes, Anisidine value and viscosity as markers of lipid oxidation and thermal decomposition of the oils; acrylamide which is formed through Maillard reaction and identified as a toxic compound in various fried products. Asparagine content of the raw fresh plantain powder was also determined. Fatty acid composition of palm oleins was stable within a day of intermittent frying. In soybean oils, about 57% and 62.5% of linoleic and linolenic acids were lost but trans fatty acids were not detected. Soybean oils were partly hydrolysed leading to the formation of free fatty acids, monoacylglycerols and diacylglycerols. In both oils, tocopherols and tocotrienols contents decreased significantly by about 50%. Anisidine value (AV) and polymers contents increased slightly in fried palm oleins while conjugated hydroperoxides, AV and polymers greatly increased in soybean oils. Acrylamide was not detected in the chips. This is explained by the absence of asparagine in the raw plantains, the other acrylamide precursors being present. This study shows that the plantain chips prepared at the small-scale level in Yaounde with palm olein are of good quality regarding oxidation and hydrolysis parameters and the absence of acrylamide. In contrast, oxidation developed with soybean oil whose usage for frying should be questioned. Considering that asparagine is the limiting factor for the formation of acrylamide in plantain chips, its content depending on several factors such as production parameters and maturity stage should be explored.