he Alma Ata declaration puts responsibilities on the community as an important stakeholder, including making decisions on planning, organizing, and implementation of health services at primary level. The University of Medical Sciences Ondo (UNIMED) operates a unique and innovative model of Primary Health Care to deliver “Health For All”. The objective of this research was to assess the relationship between stakeholders’ engagement and community involvement and utilization of maternal and child health services in selected communities of Ondo State in Southwestern Nigeria. The UNIMED model involved a top-bottom approach to community participation and engagement that dovetailed to the selection of 3 local governments, communities and comprehensive health centers.

Generally, the mean age at menarche appears to be falling, and many girls attained menarche unprepared. This study assessed the preparedness of female secondary school students in Ile-Ife in Osun State towards menarche. This cross–sectional descriptive study was carried out among 797 female students selected through multistage sampling method. Semi-structured, self-administered pretested questionnaires were used as research instrument. Data was analyzed using the Statistical Package for Social Sciences software version 23.0. Mean age of respondents was 18.4 ± 2.7 years. A total of 89.6% (714) of all the respondents were informed about menarche before its onset; 73.2% (527) of them were informed by their mothers. About 69.3% of the respondents had good knowledge score of menarche while only 65.9% of them were scored as prepared for menarche. Predictors of being prepared for menarche include higher age at menarche, and being pre- informed about menarche. There is still need to fill the existing knowledge gap among the respondents through adequate school health education program.