PUBLIC RELATION ANAYLSIS AND DISCUSSION

According to Edward Louis Bernays who was is consider the founder father of public relation along with Ivy Lee in 1900’s PR is analyses and defined as a management function which tabulate public attitudes, defines the policies, procedure and interests of an organisations followed by executing a programme of action to earn public understanding and acceptance.
public relations is still not properly considered or neither well examine in the area of health sector in Nigeria, especially in the northern part of Nigeria kano state due to their cultural background, religion, norms and believes.
This study determined the role of PR at the Aminu Kano teaching hospital (AKTH) in fostering the visibility of its programs and service, and internal management.
From the above explanations and analysis, one can explain the role of public relation in respect of vesico vagina fistula (vvf) in Aminu kano teaching hospital.

PUBLIC RELATION, EARLY MARRIAGE AND OBSTETRIC FISTULA
Existing data indicate that a substantial proportion of the nearly 500.00 women who die globally during childbirth occur sub-Saharan African. For each of maternal death, nearly ten thousand suffer sever morbidity associated with damage to the reproductive tracts of women and long term suffering. The most dramatic of these is obstetric fistula also called vesico-vagina fistula(VVF) characterised by the prolong and continuous leakage of urine through the vagina.
let is estimated that 800.000 cases of obstetric fistula currently, exist in Nigeria along principally in the Northern part of country and that department of obstetrics and gynaecology in Aminu kano teaching hospital has recorded many of such cases.
According to the PR department of the hospital, much awareness is not known on the effect of the vvf especially significant to escalating the problems. As mention earlier, both traditional and religion belief plays a major role in these recorded cases, most especially where a girl who is barely twelve years is given out in marriage. It is belief religiously in kano and other Northern states that a girl should experience her first menstrual period in her husband hose. The early marriage syndrome is mostly among the low level in come earner and illiterates both in kano city and villages
According to the information available to me, atypical village girl is given out in marriage at the age of ten to eleven years to a male child who is around fourteen to fifteen of age. These practices is along standing one in the part of kano state

PUBLIC RELATIONS VARIOUS APPROACHES
1. Public targeting
a fundamental technique used in public is to identify the target audience and to tailor every message to appeal to that audience, it can be general, nationwide or world wide, but it is more often a segment of a population like in the cases of Kano state where people that are affected with the cases of vvf are young girl in the urban centre and villages. In addition to audiences, there are usually stakeholders, literally, people who have a “stake” in a given issue. For example, a charity commission or PR agency or department to create advertising campaign to raise money to find cure for disease.

2. LOBBY GROUP
This can be established to influence the policy of government or the opinion of the public on the disease.

CASES OF VESICO-VAGINAL FISTULA
The cases of vesico- vagina fistula occur as it was obtained in the department of obstetrics and Gynaecology in Aminu Kano Teaching Hospital is due to bad obstetric practices and the adverse socio-economic and cultural context under which women become pregnant and give birth. Significant of women may labour for days without the help of skilled birth attendant especially those women who are resident in the villages where there is lack of good health facilities
The resultant pressure of the fatal head compressing the bladder and the vagina behind the pelvic bone courses prolonged loss of blood supply, tissue death sloughing and the formation of pertinent passage between the bladder and the vagina. In some cases, a passage may also be created between the rectum and vagina resulting in recto-vagina –fistula and the permanent passage of faces through the vagina.