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All Journal African Multidisciplinary Journal of Sciences and Artificial Intelligence African Journal of Biochemistry and Molecular Biology Research African Journal of Clinical Medicine and Pharmacy Research African Journal of Medicine, Surgery and Public Health Research
Usenobong Morgan Akpan
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Environmental Science Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Assessment of HIV/AIDS Risk Behaviors among Secondary School Students in Adamawa State Isaac John Umaru; Solomon O. Asare; Tyem Lawal Danjuma; Inemesit Samuel Essien; Ingwu Joseph Akem; Usenobong Morgan Akpan; Julius Ishaya Salman; Kwabena Owusu Amoah; Evelyn Ovenomo Tony-Enwin; Hauwa A. Umaru; Maryam Usman Ahmed
African Multidisciplinary Journal of Sciences and Artificial Intelligence Vol 3 No 1 (2026): African Multidisciplinary Journal of Sciences and Artificial Intelligence
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/amjsai.v3i1.9303

Abstract

Adolescents in Nigeria are increasingly exposed to HIV/AIDS risk behaviors due to socio-economic challenges, peer influence, and limited access to sexual health education, with secondary school students in Adamawa State particularly vulnerable to early sexual debut, multiple sexual partnerships, and inconsistent condom use. This study aimed to assess the prevalence of HIV/AIDS risk behaviors among secondary school students in Adamawa State, examine the socio-demographic factors associated with these behaviors, and evaluate students’ knowledge and perceptions of HIV/AIDS transmission and prevention. A cross-sectional survey design was employed involving 300 secondary school students selected through stratified random sampling. Data were collected using a structured questionnaire covering demographic characteristics, sexual behavior, substance use, and HIV/AIDS knowledge, and were analyzed using descriptive statistics and chi-square tests. The findings showed that 30% of students experienced peer pressure to engage in sex, 28% had already had sexual intercourse, 19% reported multiple sexual partners, 18.3% admitted inconsistent condom use, 14% used substances before sex, and 12% engaged in transactional sex. Knowledge gaps were also evident, as only 70% recognized condom use as a preventive measure and 25% incorrectly believed that HIV is curable. Socio-demographic factors, including age (18–19 years), male gender, senior class level, and single-parent family structure, were significantly associated with risky sexual behavior (p < .05). These findings underscore the urgent need for comprehensive sexual education, peer mentorship programs, and improved access to sexual health resources in secondary schools. The study contributes contextual evidence on adolescent HIV vulnerability in Adamawa State and highlights the importance of addressing socio-demographic risk factors and misconceptions about HIV/AIDS to reduce risky behaviors and promote adolescent health.
Prevalence of Malnutrition Among Children Under Five in Iware, Taraba State Isaac John Umaru; Solomon O. Asare; Tyem Lawal Danjuma; Atsu Ayi; Ingwu Joseph Akem; Usenobong Morgan Akpan; Julius Ishaya Salman; George Okra Hassan; Maryam Usman Ahmed; Hauwa A. Umaru
African Journal of Biochemistry and Molecular Biology Research Vol 3 No 2 (2026): African Journal of Biochemistry and Molecular Biology Research
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/ajbmbr.v3i2.9473

Abstract

Malnutrition remains a major public health challenge in Nigeria, particularly among children under five years of age, with serious consequences for morbidity, mortality, cognitive development, and long-term human capital. In rural communities such as Iware, Taraba State, this burden is intensified by poverty, poor feeding practices, limited access to healthcare, and low caregiver education. This study aimed to determine the prevalence of stunting, wasting, and underweight among children aged 0–59 months in Iware and to examine the associations between nutritional status and socio-economic factors, including household income, caregiver education, feeding practices, and recent illness episodes, while also assessing the coverage of exclusive breastfeeding and vitamin A supplementation. A cross-sectional design was employed, with a sample size estimated using Cochran’s formula at 200–400 children. A multistage sampling technique was used in which households were randomly selected and eligible children were stratified by age group. Data were collected through a structured questionnaire on socio-demographic characteristics, feeding practices, and household conditions, alongside anthropometric measurements of weight, height/length, and mid-upper arm circumference, with nutritional status classified according to WHO Growth Standards. Data collection was conducted over 2–4 weeks by trained enumerators following a pilot study, and the data were analyzed using SPSS and STATA through descriptive statistics, chi-square tests, and logistic regression. The findings revealed a high prevalence of malnutrition, with stunting at 35%, underweight at 30%, and wasting at 25%. Although 60% of children were exclusively breastfed and 65% had received vitamin A supplementation, 42.5% had experienced recent illness. Socio-economic findings further showed that 72.5% of households earned below ₦30,000 per month and that 20% of caregivers had no formal education. Statistical analysis indicated significant associations between malnutrition and low household income, poor caregiver education, and inadequate complementary feeding practices (p < 0.05). The study concludes that malnutrition among children under five in Iware is driven by the combined effects of chronic poverty, limited maternal education, suboptimal feeding practices, and frequent illness. These findings underscore the need for multi-sectoral interventions focused on nutrition education, economic empowerment, improved healthcare access, and community-based strategies tailored to rural populations.
Evaluating Public Awareness of Environmental Management Strategies for Malaria Control and Prevention: A Case Study of Michika Local Government Area Isaac John Umaru; Solomon O. Asare; Tyem Lawal Danjuma; Usenobong Morgan Akpan; Ingwu Joseph Akem; Emmanuel Olofu Omanchi; Julius Ishaya Salman; Kwabena Owusu Amoah; Maryam Usman Ahmed; Hauwa A. Umaru
African Journal of Clinical Medicine and Pharmacy Research Vol 3 No 2 (2026): African Journal of Clinical Medicine and Pharmacy Research
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/ajcmpr.v3i2.9305

Abstract

This study investigated malaria awareness, environmental risk factors, and preventive practices among adult residents of Michika Local Government Area, Adamawa State, Nigeria. A mixed-methods approach was employed, combining structured questionnaires, key informant interviews, and field observations to generate comprehensive data. Using a multistage sampling technique, 300 adult participants were selected across five wards to ensure representative coverage. The questionnaire was pre-tested for clarity and reliability, yielding a Cronbach’s alpha of 0.78. Quantitative data were analyzed using descriptive statistics, while qualitative data were examined through thematic analysis. The findings revealed high levels of malaria awareness, with more than 90% of respondents identifying mosquito bites as the primary mode of transmission; however, misconceptions such as attributing malaria to dirty water and contaminated food persisted. Environmental risk factors were widely recognized, particularly stagnant water, poor drainage, and open waste disposal, and field observations confirmed the presence of these conditions, especially in Michika I, which recorded the highest prevalence of stagnant water (88%) and blocked drainage (75%). Preventive practices varied across respondents, with mosquito net use emerging as the most common measure, reaching up to 80% in Michika I, whereas participation in community sanitation remained moderate. Perceptions of institutional responses were mixed, as only 50% of respondents in Michika I believed that government efforts to control malaria were adequate. These findings indicate that, despite strong individual awareness and relatively positive preventive behavior, persistent environmental challenges, limited community engagement, inadequate funding, poor infrastructure, and low participation continue to constrain malaria control efforts. The study underscores the need for integrated strategies that combine public education, environmental remediation, and multi-sectoral collaboration, and it provides an empirical basis for targeted policy interventions and future research on sustainable malaria control in Michika and comparable settings.
Evaluation of Malaria and Typhoid Coinfection Among Patients at Yola General Hospital, Adamawa State Isaac John Umaru; Ingwu Joseph Akem; Solomon O. Asare; Tyem Lawal Danjuma; Usenobong Morgan Akpan; Julius Ishaya Salman; Hauwa A. Umaru; Maryam Usman Ahmed
African Journal of Medicine, Surgery and Public Health Research Vol 3 No 2 (2026): African Journal of Medicine, Surgery and Public Health Research
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/ajmsphr.v3i2.9403

Abstract

Although malaria and typhoid fever remain highly prevalent in sub-Saharan Africa, evidence on the prevalence and clinical profile of coinfection in northeastern Nigeria remains limited. This study evaluated the burden and characteristics of malaria and typhoid coinfection among febrile patients attending Yola General Hospital in Adamawa State. A cross-sectional design was employed involving 300 patients presenting with febrile illness. Data were collected through structured questionnaires and laboratory diagnostics. Malaria was diagnosed using rapid diagnostic tests and microscopy, whereas typhoid fever was assessed using the Widal test and blood cultures. Demographic, clinical, and behavioral data were analyzed using descriptive statistics and chi-square tests to identify significant associations. The findings showed that 102 patients (34%) had malaria only, 78 (26%) had typhoid only, and 54 (18%) were coinfected. Coinfection was most prevalent among individuals aged 21–40 years (55.6%) and was slightly more common in males (55.6%) than females (44.4%). The most frequently reported symptoms among coinfected patients were fever (100%), headache (88.9%), abdominal pain (77.8%), and diarrhea (66.7%). Behavioral risk factors, including inconsistent mosquito net use, poor hand hygiene, and consumption of untreated water, were significantly associated with infection. Coinfection rates also peaked during the rainy season from June to September, accounting for 74.1% of cases. The study concludes that malaria and typhoid coinfection constitutes a substantial clinical and public health burden in Yola. These findings contribute empirical evidence on the demographic, symptomatic, behavioral, and seasonal profile of coinfected patients and highlight the need for dual diagnostic screening, improved laboratory infrastructure, and targeted health education on hygiene and vector control.
Co-Authors Atsu Ayi Emmanuel Olofu Omanchi Evelyn Ovenomo Tony-Enwin George Okra Hassan Hauwa A. Umaru Inemesit Samuel Essien Ingwu Joseph Akem Isaac John Umaru Julius Ishaya Salman Kwabena Owusu Amoah Maryam Usman Ahmed Solomon O. Asare Tyem Lawal Danjuma