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UNIVERSITY OF IBADAN LIBRARY

On the I ICI scn:1cc ot Adcoyo Maternity faichlng llospttal, the counxllori !?'re lhdr m:01111ncniJa11un / tlllnlr. thtrt 1hould he training for oil htolth 1111,J .e r, lo Jmprrn

Ano11 ltJgc ulk,111 JIii' unJ Jlc.·1 WIHJ T'Mn wt nttd u day-care i,i 1/u, /oc1ltry for the

JIii' r•utltnlr, Ill' ,11111'1 IIUIII In urp I/IV pulltnll 100 lo ng In IM /(o pita/ �Lmat of

11pp11r111111\tl,: 11,jertionr, hut if Mt hln-e day ton, thtrt are tkdu:otr.d and comm nr.d sto!J

''"" CIIII tllUII tl,c plucc nitrt, ,,�, wtll alttnJ lo /Ill and AIDS <aU.J 01' �rpncJ

rtl,ydrutc cu.11•f of d11url"llHu. II will a/Jo Nip antlretrcr,1ro/ IUTicc. 50ft' cma tfa 11c1•d trtJ1uf,11ft1n 10111tuuld be uttcnd<J lo JJe also nerd r.ore CJ:O:U'Uc:'lrs,.,.

tltc J11pport ,if the gr11-rrnmtnl flfOTt titan thu (llc:ad comndlor). Ste ntaJ p,,..,.

n ur,lr, 11 � 11,rJ mort uffe, ts and COIJ7Utllmg rOOfflJ and then a:w � c,;,rrlBS/

Jhould he /n1pru1-,:d. ·"TM) should emploJ more su:if/" awJ u= w, _

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�o,·cr11mcn1 slto11fJ tl') us mud, m JJOJSlblr to In 1.R1T rom:12.-.:::::.-�'JLJ tr ajxisr.-:J � (counsellor CNO). T1tc third counsellor n:spoodcd m the- 1-1 •,c "'

stuff 111 trulnlng "TM)• should auo pn,ri,k man � Y tlet pc"cm.,a rmplt1) nrorc st<1Jf. If the J;Ol'""1ntlfl lrxna.w-, our� aaJ rn11Dr.,-i;ltii;llD - •

"ork ,11,d put mnrc cjfon, • (anothcrcounsdlor).

�.16 f'lndlnit� from ln..Jtplh lair!"\ IC',.� CCJDducUd • uh die allr'la rw aatraenal

clinic or .\IJN>) n \l11rn111, 1 nc-111•1: llospatal.' nae111., I I nln101 end f ,�nrncr

lhn:c nun,cs nnd ntldn1,n "nc tntrf'le"l:d at the M*wtiJ "'-""'

I ex hinic I lospllAI, Ycmc1u • 11:Dhn The) -..-ere • otl�

Nua ng (lffittr (:,iN(l) and a Numns <)ffi..""n 11 ('11.'0 Ill" �� d,cv t::::=:;;

nod c.r.pmc::ncc 1n IIIV tat and ,:ouru,::l

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(lhc:: C NU) IJ .. 1l I h,;J, 1,111 nJ.d" I"

•ldd11l11"'1/ !n,11,lr.lJ,¥ ,r ""' ,,,.. ' 1 lttfu, u-d IU ,1hout IM /'11• ' '"" n �

I

UNIVERSITY OF IBADAN LIBRARY

IIIV counstUlag and lallng (IICT) Hrvka

When the nurses \\'Cn: asked about lhe time lhe HC.1 scnicc:s Matted al ,\JCO)O, "/don't

k/11111•, • (the NO II). The maJonty gave idell of the time "ft ,1ur1cd a, far back uf 1005, or let 111e .,uyfi,ur to fi1·c )'Curs ago, I um not ,·cry 1urc, (the SNO) "/111006. (the CNO)

On lhc roles or lhc nurses in I ICI as the lllllcllllllll clinic or AJco)o Ma1cmi1y I losp1llll, lhc nurse �ponded, "/ counsel patients (pregnant ,,,1r,,c•1!) ufic r t�)' l un 'e been registered un 11-luu to Jo b,forc and oftcr tftln•ef); 11 hcthe r they 1/ 11111 1,J hrcU.Jtfeed or not those Wt'rt• the 1/r/11gs I J11 for tlren1, " {the CNO). "117101 IH' ,/11 tit thi-1 unt,:rwtt1I cl,nlc 11 to cou,ucl on 11 /ry thy lrt11't! tu 11nJcrgu the le.sf during prt'K"""'Y because thc n11t1 of rlrc tell ,s lo prc1·ent n 1 otl1tr- to- child 1 runsn11.sJian t/1(' 11,·n l>,1rn hob)' Jro c11ntr11,·ung tire HIV. IJ'c 11·/II c,luc//lt 1 /rcn1 on the rcwon w/�1· they lw,c to undcrxc, the t,•.u um/ n't!nfar tltc, r 01111 he<1/th, ,, {I 1ery• t:4Jtr1pu/so'}' ·"'' 111 tht· un1c11uta/ c/111,c 11.- Ju cu111uclltng. th"

tcsl/11g tf being J<111e ut thc u,bor.,tory fxp,utmc111," (lhc SNO). If 1on1thc,Jy h rcstcJ f1(1J/ll1 e, tl11•y "/II 111tUA lu: r CtUtl /rum tire ,·11u 1 ucllit1R 1 1 11it anti lmrrwt/111 1 , IJ He 1cc: ,,. 11 c

1,t/1 ch,•clc tl1t• rcJtifl and 11rltr tl,e r.-iull 11uldr thrtr car,f und "" -..,II r efer them 10

d 11 c1ur ,,, ,,c. n, .. ,. used tu huld lht" 1 r cl/11 1 ,· on ,\lorkUl)'1 "(The 1'0 II), On the numbers of rn:gnanl \\Omc:n thnl lu\c been 1csttJ In the an1cna1al chn1c so fM :ill 1hc nur.ies could not tell �pccilicall) "/ 011,m,1 trll It Is" rNJrn,ul routine he r ,• C\'l"I)' �,·g11c111 ,, oman ,., Jo the rc.11 before booking ThtJ II ill gu to 1l1r luhoratory for the It.JI A flcr that I� ,. /II h r11 ,1: th,• rcs1tlt 111 thl, place. fl!C' nu111lxr of the prtgnunt II on,.11 th.lt h..n'ft' b,-Yn trstal ure 1tnt , 11 ,,,,ublr 1, 1, 1 11, /,ai't! thc record All thf 1111111,n th.,t come hrn undcr,:o thc 10,­

Cthc NC) II). Ille) DIC $0 OWi) bc:call\C on 11411) t,a,,11 "'C don't l;,ooJ.: '= th:n "ili\l) ...,. I .. 1,

ft

I h �vn<> "'"' "' u ... ct.l. for ,o,h l>o(,tllf1/: d,n .. � cJ,.n t M'ft' ''"

..--P e ,r r c ore "" •-· " .

II u1n on� "'""''' t , co I , I I I mpul•on• 1l1cJI Ls th,• 11111,n,11ul ,/111/c hn-r, (th.: SSIJI ·

11 • .,,

On the number or po�ll1vt' anJ ncg;tll\C coseo among lhc; ioicJ rff'SJl-'Ull "vmcn. the d-• "/ ., , 1 ,_ .• 11 11,, ,,.,., lfl,. nlUIIN'r� b111 tht- '"' �,,,.. ()JJ(' ,,utnumN' r the nur&CJ n:spun ""'• """ ,.,,., , .•

,:. 1,. .• I J'6 11 the n<11///1-e and 9.)ff to the nt'gull\'ft' cwo (lhc SNO)-.rfi• JICIJ///1 <' COit' I , ,,.,u t 1�

c ma,v (NO II) from 2(1(16 111/ elate 1 /wo

"f ca,111111 It'll, bill ,,,, ,11•,:,1IIIY' 0,�. ,u

]00. hUI IM M'S'l'I\Y' ca.1r.1 UN' JCJ man1 7/,r nrgw/,'(l ,,,,,,,h,r nff>CJJII/IY' ,·111,1 h <1hc1 1 1 1

" hile po,ill\"t' "111 be ubtlul I .S (1 he- l NO) On the

"Ill C(l r r}' 11n1l1l11g /tJf 1h,m .�J "

l:!0

UNIVERSITY OF IBADAN LIBRARY

AFRICA DIGITAL HEALTH REPOSITORY PROJECT

preparation of the pregnant women in the antcnal.11 cli n ic by the nurse;, •·

1

vt' "Ill coll thl·nr togctlu:r, cu11 1 1.1cl lhtnr u11J 1,·II tlr.-n, 1l1a1 they l1111 c ,,, gu for co11nsel/ 1 ng 10 Alru11 uho111 I/II' .·1/ler the cou1ue/ll11g rl1c1r b/lH>J 1•111 ht cc,1/tctrJ. a/ltr th�· m1gh1 J"n'e ugr,:cd thci• 11•/JI be gH·c11 from to fill, unr/ 1l1<·11 th,·lr hlooJ ,, ,II b i · collccttd 77,cy colft'ct rt•\11/1 the .1un1c duy, tlrcrl: 11 o/,rO)l a port- test ca11n,cl/111g hrforl' the r e l ease of their fl'\1,/t ·· (the CNO) "/ rk / sattl before, th�rt' art· 10ml' �11plt tlw 11.Jtd to ctJ11n.h•I thl'm

all 11•e 11eeJ tu clu iljlLII to ulftnd to tlrcnr u/1<· 1 11hcyec1mc/nr antc,wte1/ booki nx Jf11e set u po1fll1·,• C<lll', 11// uc need 10 ttll tire p<rJc1n t1 111 be cnflng Mell. 111 take htr dn1gj r,•gi1l11rly """ to etin,c tu tire /ru1p11ul for regular clitck- up.

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(NO II) During CfJ11 1 uel/1 1 1g .ft ,,iu11. 11, 111/1 let tlitm rtalc:e the 1n111c1rt,111Ct of J/CT to rh.-n1 and lo their /um/I) as a 11hol« So nlrcn the C0111Utlllng h 01'tr 11WJorrty 11ill ugret to Ju the ftH "

(The S1'0), \Vhcn ...,1,.cJ obout lhc number of the prci;,wit \\-Omen "ho have n:(1L'ia.l to be 1c�11:J, they all l"C$J>OOdcJ lh:Jt there \\US none lhnt h:is ever n:fu.\CJ, ··N,,nc ut all,"

(The sr-.O) '/\' 111111/! , th ey nray r,fu,e 1,, l>ring tlrc1r rcJu/ r lfth,·, ure pos/tl\"C, (the NO II). \' 1111t · . (111c CNO). On the otli1udc or I.he prci;nAnl "vmcn 10,vurd:s HC.1. the

nur.,cs responded. ··TJrc> h,11c 11//1111� u11111"1e, p,.•rh<lp, I/ 111J.• be�-u,uc oj rlsc rouruelllng the> l,u,·c rccel\·cd or rhc fi'"' tlllll 1/ the)' r/c1n I unJcr,:o the re,1 the) ,.,11 not be /xx,J.ed, cir thc1 Ja,r ' r ,rant ro /nfetl rlre,r 1111hor11 buht<'S und the.) 11ont thc-lr bab1e.s IMl\'C.," (the C NO). "/1,cy used'" be a,aluu.1 • (tl1te ,\0 1/J ·)ou .lno 14 ul,en Wf)Mi.> hears abu111 / Ill und tl1t• 1t•.1t, the ftar ,if th, 11ut<"ome is oft< cJ), there. 11 htrl,cr It "1/1 I><- nt'gaJl\·c or /1<1\/t/,-� r lu: IIJ>prcl,cnsion 1, 1l1trc. It Is "1,.-n r hty M'<" been rowuclcJ thut r herT Is lw1,c

r1c11 If r lic ,. •• ,,,,, ii ,,. 11 1r 11 e r /iut man, ,,J them "1/f "1/m ,l,nt1� -(lhc :-;r-,:o I

On the cOci:t of I IC 1 -..::o ico al ,\dcoyt1 t,l.11cm,t) 1 c:xhl n g I losr1llll. It Iv» helped u.r I Ill' 11, .. 1 .,condJ• ..-e htnY a /01 o' b.ah,,-, thdl "'<"­

'" / re/11 t1ther, Al11J1• rl,e r ' • -· ' ·' 'J ••

Je/1\·t·rcJ 10 II/I p<nli/1-e mo//,cr:, rhaJ 11ere nc,1,"lllh� f.1yn thirrc arc so,ue n1t•thtr, rh.,t I I k/1 /II Cl elf' 1/lft t e I ll I ..,,ell

:1.

.11 r 1i-. J,n,c IKtn tcJINI pcullh't' of I/II ,1,.J <!,,•• •�J their t>ub,e,

I I --· --' nr,JKrf.JJ fi,r w M->(111,e "" ha,.,: rc.lu«d 1,ifa111 a,,J

",•re 11('g11f/1� 1 1b .r '' ,...,.,... ,-· •

I S"-'U) 71,e elfert /1 �:0&1d fr malr, t'\'('TUJM IO .lno11 IOOl ///1 IIIIJIC'f'llul m,,rrullf) (I IC ,,

/ L . "''" """"' tJUt" antcnat,-il at r eni.lant:-e 1,, IIKTC'a.te ll<row'"

e1"'1 AIDS arc r�ul hJUt'f r ,..i,

ro w l,crt (The �() II) II c ht.n'IC muJc, fN'm 1on1t1 l rcJJ /1//a/J rrjtr tllt'lr JHllfrnr,

UNIVERSITY OF IBADAN LIBRARY

reull:t•d tl,e nitedfur then, ttJ .1.nui. their lffl' Hut,u undftJr the pofitn·c 0111'.f. the; 11·111 bt able to prevvnt traron1ls.1/on t o tl11tlr bt1bfcl. It luLf uho m11dt• th,· u111cnatt1l ,1ttendonce to increase, .. (Inc CNO). The nurses ,,ere fw1her osktd about wh.11 the) obscl"'lcd about the l lC'f scr\'iccs 01 the Ad co yo Mntemity I eoching Hospital. ond they ,e�ponded. "A(�·

ubscrl'at,011 Is tl,at the progran,mc is okay Like I said. II h, fps 11.1 to handle and tolce care

11/ our patient /11 the labour raont I ll'UIII to SU)' that thi:J .1hould ll!I n crybaJy .b,o" hou·

to carry out tire tell so that it will be easier for ru, · (111e NO[/) "·II /eort 11e can score 011rsel,·t•., a p,1s.t r,1urlc/or now, b111 11c C'an stiff 1 m pro1·c If 1111,re pe o ple are dtplo,,·d 10 this tlcpar1111ent. ii II ,II l!IUICUICC our JOb betlt.'r, rn,c SNO) 'I obscn·cd that thi:

progru111n1e l.f ,ffecti1'I!, m CUI}' peoplt are no11 n11hfng 111 to kno11 their statw, (171e

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