Community Health and Primary Care- Conference Papers
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Browsing Community Health and Primary Care- Conference Papers by Author "Ladi-Akinyemi, TW"
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- ItemOpen AccessAssessment of health facilities, commodities and supplies for malaria case management at Primary Health Centres in Ogun State.(2019) Ladi-Akinyemi, TW; Daniel, OJ; Kanma-Okafor, OJ; Ogunyemi, AO; Onajole, ATIntroduction: Country-specific evidence shows that Nigeria has the largest population at risk of malaria in Africa. Primary healthcare facilities play a major role in malaria control and often provide the bulk of malaria case management services. Materials and Methods: A cross-sectional study was conducted in primary healthcare centers (PHCs) in three Local Government Areas (LGAs) of Ogun state. A pretested observational checklist adapted from the National Malaria Control Programme (NMCP) guideline was used to assess the health facilities, commodities, and supplies for malaria case management in all the PHCs. Results: A total of 75 PHCs were visited in the three LGAs. Only 32.0% of the PHCs had long lasting insecticide nets (LLINs) on the hospital beds. The majority (74.7 and 60.0%) of the PHCs distributed LLINs at antenatal care (ANC) and during immunization. The availability of sulfadoxine-pyrimethamine (SP) was good in 57.3% of the PHCs, and directly observed therapy of SP at ANC was good in 59.3% of the PHCs. Only 6.7% of the PHCs had the light microscope. There was availability of rapid diagnostic test kits in 62.7% of the PHCs. There was regular supply of artemisinin-based combination therapy in almost half of the PHCs. However, only 5.3% of the PHCs had quinine tablets available and only one of the PHCs had the correct prescription of quinine. Conclusion: There should be adequate and regular supplies of NMCP commodities in the PHCs if the country is to achieve the general objective of the current National Malaria Strategic Plan. Keywords: Commodities, Nigeria, NMCP, Ogun state, PHCs, supplies
- ItemOpen AccessKnowledge and implementation of the National Malaria Control Programme among health‑care workers in primary health‑care centers in Ogun State,(2018) Ladi-Akinyemi, TW; Amoran, OE; Ogunyemi, AO; Kanma-Okafor, OJ; Onajole, ATIntroduction: Country-specific evidence shows that Nigeria has the largest population at risk of malaria in Africa. Primary healthcare facilities play a major role in malaria control and often provide the bulk of malaria case management services. Materials and Methods: A cross-sectional study was conducted in primary healthcare centers (PHCs) in three Local Government Areas (LGAs) of Ogun state. A pretested observational checklist adapted from the National Malaria Control Programme (NMCP) guideline was used to assess the health facilities, commodities, and supplies for malaria case management in all the PHCs. Results: A total of 75 PHCs were visited in the three LGAs. Only 32.0% of the PHCs had long lasting insecticide nets (LLINs) on the hospital beds. The majority (74.7 and 60.0%) of the PHCs distributed LLINs at antenatal care (ANC) and during immunization. The availability of sulfadoxine-pyrimethamine (SP) was good in 57.3% of the PHCs, and directly observed therapy of SP at ANC was good in 59.3% of the PHCs. Only 6.7% of the PHCs had the light microscope. There was availability of rapid diagnostic test kits in 62.7% of the PHCs. There was regular supply of artemisinin-based combination therapy in almost half of the PHCs. However, only 5.3% of the PHCs had quinine tablets available and only one of the PHCs had the correct prescription of quinine. Conclusion: There should be adequate and regular supplies of NMCP commodities in the PHCs if the country is to achieve the general objective of the current National Malaria Strategic Plan. Keywords: Commodities, Nigeria, NMCP, Ogun state, PHCs, supplies
- ItemOpen AccessOral health and care among a group of rural older Nigerian. African Journal of Oral Health(2018) Akinboboye, BO; Ogunyemi, AO; Ladi-Akinyemi, TWObjectives: To determine oral health status and explore factors associated with use professional oral health care among a Nigerian rural older population. Methods: Recruitments of 400 participants aged 60 and above done by multi - stage-sampling method. Pretested structured questionnaire administered with oral examination done. Results: Mean ages of participants were 67.06+/- 8.37 years. Proportion of participants with poor oral hygiene was 49.5%, caries (17.4%), periodontal disease (16.5%), tooth loss (71.3%) and tooth replacement was done by 5.5% of this population. Majority (64.8%) had never used professional oral health care. Main reason for seeking professional care was pain (73.05%). The proportion that went for routine checkup (8.5%) was the least. Proximity to dental service (p = 0.01), presence of oral pain (<0.001), attitude to professional oral care (p = <0.001) and ability to afford professional dental care (p = 0.001) had significant association, with utilization of professional oral care. Discussion: The poor oral health and elevated tooth loss is at variance with universal access to health and the rural older population is deprived of oral health interventions. There are various factors attributed to these, such as financial constraint and negative attitude. All of these may translates to social exclusion of the rural older population. Conclusion: Oral health in the older population studied is poor with an increased tendency to tooth loss and poor utilization of professional oral care. Factors influencing professional oral care were proximity to service centre, attitude to oral health, and perception of cost. Keywords: older, care, oral health
- ItemOpen AccessPhysicians’ compliance to malaria treatment guidelines among under-fives in a secondary maternal and child care centre, Lagos.(2019) Otokpa, E; Ogunyemi, AO; Ladi-Akinyemi, TW; Onajole, ATBackground: The global malaria agenda has the ultimate goal of eliminating malaria in all countries of the world by 2030 through universal access to malaria prevention, diagnosis and treatment. Presumptive treatment of malaria with Artemisinin Combination Therapy (ACT) has been associated with the development of resistance, therefore parasitological confirmation of all fevers is crucial in the context of eliminating malaria. This study assessed physicians’ compliance with the national guidelines in the treatment of malaria among under-five (U-5) children and their prescription pattern in a Maternal and Child Care (MCC) centre in Lagos State. Methods: This was a descriptive cross-sectional study conducted as an exit interview among 427 mothers/caregivers of febrile U-5 children who were consecutively sampled.The data was collected using a pre-tested interviewer-administered questionnaire and a proforma. Epi-info version 7.2.1 was used to analyze the data and the level of significance was set as p<0.05. Results: Malaria Rapid Diagnostic Test (mRDT) was done for 75 17.6%) of the children and 37 (49.3%) was positive. Anti-malarial drugs were prescribed at consultation to 400 (93.7%) of the febrile children. Artemisinin Combination Therapy (ACT) was prescribed for 364 (91.0%) of the children. The most prescribed ACT was Artemether-Lumefantrine (AL) in 222 (60.9%). Conclusion: The physician’s compliance with malaria treatment guidelines for febrile illnesses in U-5 children was poor with regards to parasitological confirmation before treatment. However, the use of ACTs was adhered to in almost all cases. Regular training workshops are recommended for health workers to improve adherence to parasitological confirmation before treatment.
- ItemOpen AccessA rural-urban comparison of determinants of ownership and utilization of Long-Lasting Insecticide Treated Nets among pregnant mothers in Ogun State Nigeria-(2019) Ladi-Akinyemi, TW; Akinyemi, BO; Ogunyemi, AO; Oluwole, FABackground: The use of Long-Lasting Insecticide Treated Nets (LLINs) in Africa increased mean birth weight by 55g, reduced the incidence of low birth weight by 23% and decreased miscarriages/stillbirths by 33%. However, the benefit of the LLINs may be limited by the rate of ownership and utilization by pregnant women. Objective: To determine and compare the ownership and utilization of LLINs among pregnant women in urban and rural areas of Ogun State. Methods: A community-based comparative cross-sectional study on 72 and 74 pregnant women living in urban and rural areas, respectively of Ogun State was carried out. Using a multi-stage cluster sampling technique and a pretested semi-structured interviewer-administered questionnaire, information on LLINs ownership and use were obtained. Results: Ownership of LLINs was 81.1% in rural areas compared to 66.7% in urban areas. About 65% of participants in rural versus 44.4% in urban areas slept under LLINs. The predictor of ownership of LLIN was age group 15-24 years [AOR 0.10 (95%CI 0.01 - 0.56)]. The predictors of utilization of LLINs included urban residence [AOR 0.29 (95%CI 0.13 – 0.65)], age group 15-24 years [AOR 0.17 (95%CI 0.04 – 0.70)], registration of pregnancy for antenatal care [AOR 5.12 (95%CI 1.14 – 23.03)] and knowledge on prevention of malaria [AOR 4.94 (95%CI 1.51 – 16.17)]. Conclusion: Pregnant women should visit ANC clinics regularly, and health education on malaria should focus more on the prevention of malaria as well as encouraging the consistent use of the nets, particularly in the urban areas. Keywords: Comparative study, Long Lasting Insecticide Treated Nets, Malaria, Ownership, Pregnant women, Rural, Urban, Utilization.