Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1989-3-31
pubmed:abstractText
A community-based prospective study was carried out in the city of Ibadan, Nigeria, to determine the epidemiology of rotavirus infection and diarrhoea among children in the first two years of life. Implementation of the proposed study methods was hindered by a number of factors common to large urban areas in developing Africa. These factors included difficulties in recruiting the study sample because of maternal fears, cultural beliefs, and lack of paternal consent. Following recruitment, longitudinal surveillance was made difficult by inefficient telecommunications, a haphazard house numbering system, transportation difficulties, mobility of the population, and lack of incentive for continued participation. Despite these difficulties, 73% of the recruited newborns remained in the study until they reached the age of 12 months. The drop-out rate in the second year of study was higher, largely because fewer incentives could be provided during the second year. This paper reviews the operational considerations of implementing a longitudinal study protocol under these conditions, and discusses the potential impact of these problems and the measures taken to overcome them on the results of this study.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Africa, http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara, http://linkedlifedata.com/resource/pubmed/keyword/DIARRHEA, http://linkedlifedata.com/resource/pubmed/keyword/Data Collection--complications, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Diarrhea, Infantile, http://linkedlifedata.com/resource/pubmed/keyword/Diseases, http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa, http://linkedlifedata.com/resource/pubmed/keyword/Follow-up Studies, http://linkedlifedata.com/resource/pubmed/keyword/Methodological Studies, http://linkedlifedata.com/resource/pubmed/keyword/NIGERIA, http://linkedlifedata.com/resource/pubmed/keyword/Obstacles, http://linkedlifedata.com/resource/pubmed/keyword/Organization And Administration, http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology, http://linkedlifedata.com/resource/pubmed/keyword/Studies, http://linkedlifedata.com/resource/pubmed/keyword/Western Africa
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0300-5771
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
903-7
pubmed:dateRevised
2006-11-15
pubmed:otherAbstract
PIP: A review of the methodology and experiences in an epidemiological survey of infant diarrhea in Ibadan, Nigeria is discussed. The survey successfully recruited 131 babies for a study on rotavirus diarrhea. Of those 131 babies, 740 samples were actually collected and 7704 visits were made. Although the actual number of samples, visits and participants was less than anticipated, the survey was considered an achievement in that it was one of very few community-based diarrhea studies in Africa. Those who participated appeared to be less tied to traditions and more educated. Incentives, particularly the distribution of free drugs (antimalarials and haematinics), were important in motivating participation. The reasons for non-participation given by mothers includes: belief and taboos, the influence of their relatives or husbands and lack of education. Despite incentives, zeal and surveillance, only 75% of the babies remained in the study for up to 12 months, obscuring a complete epidemiological picture. Many operation obstacles and compromises occur when a community-based study in a large unplanned population such as this one is attempted.
pubmed:meshHeading
pubmed:year
1988
pubmed:articleTitle
An epidemiological study of rotavirus diarrhoea in a cohort of Nigerian infants: I. Methodology and experiences in the recruitment and follow-up of patients.
pubmed:affiliation
Department of Preventive and Social Medicine, University College Hospital, Ibadan, Nigeria.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't