Social Work-Scholarly Publications

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Browsing Social Work-Scholarly Publications by Author "Akeju, D."

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  • Item
    Open Access
    Prevalence and Determinants of Risky Sexual Behaviour among Street Children in Nigeria: Evidence from Lagos and Ibadan Metropolises
    (Unilag Press, 2019) Oyefara, J.L; Eborka, K.; Adejoh, S.O; Akeju, D.
    This study examined the prevalence and determinants of risky sexual behaviour among street children in Lagos and Ibadan metropolises, Nigeria. Many young people in the street are involved in a high level of sexual activity. In the context of lack of information and knowledge about the nature and dynamics of sexually transmitted infections (STIs) among young people, street children are particularly in grave danger because their social condition and environment make them more susceptible to the infections of Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome (HIV and AIDS) and STIs. The study aimed to understand the social forces propelling street children’s .involvement in risky sexual behaviour. A sample size of 2,000 respondents was selectedfor the quantitative study across the two locations (1,000 from each location), 50 in-depth interviews (IDIs), comprising 25 in each of the locations; and 20 focused group discussions (FGDs), consisting of 10 in Lagos and 10 in Ibadan, were conducted among street children. Results showed a high level of sexual activities among street children in both locations with 41.3% and 29.5% in Lagos and Ibadan respectively reporting that they were sexually active. Qualitative data revealed that a significant number of them were raped in their first sexualexperience. In both locations, there were high levels of irregular use of condom and involvement in same-sex sexual intercourse. Findings suggest parents’ experience of marital dissolution was significantly related to street children’s sexual activities with p<0.001. Similarly, drug and alcohol usage was found to be related to involvement in high sexual activities. As a way forward, the study recommended the introduction of programmes to reintegrate street children back to normal life, reunite those whose families are intact and relocate others to government facilities, as their needs and circumstances demand.
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    Open Access
    The role, impact, and support of informal caregivers in the delivery of palliative care for patients with advanced cancer: A multi-country qualitative study
    (Sage, 2020) Adejoh, S.O; Boele, F.; Akeju, D.; Dandadzi, A.; Nabirye, E.; Namisango, E.; Namukwaya, E.; Ebenso, B.; Nkhoma, K.; Allsop, M.J
    Background: Cancer is increasing in its prevalence in sub-Saharan Africa. Informal caregivers are key to supporting engagement and interaction with palliative care services, but limited literature on their role impedes development of supportive interventions. Aim: We aimed to understand the role, impact, and support of informal caregivers of patients with advanced cancer when interacting with palliative care services in Nigeria, Uganda, and Zimbabwe. Design: Secondary analysis of qualitative interview transcripts. The dataset was assessed for fit and relevance and framework approach was used. Setting/participants: Interview transcripts of informal caregivers included participants aged over 18 years of age recruited from palliative care services across participating countries. Results: A total of 48 transcripts were analyzed. Mean age was 37 (range 19–75) with equal numbers of men and women. Five themes emerged from the data: (1) caregivers are coordinators of emotional, practical, and health service matters; (2) caregiving comes at a personal social and financial cost; (3) practical and emotional support received and required; (4) experience of interacting and liaising with palliative care services; and (5) barriers and recommendations relating to the involvement of palliative care. Conclusions: The role of informal caregivers is multi-faceted, with participants reporting taking care of the majority of medical, physical, financial, and emotional needs of the care recipient, often in the face of sacrifices relating to employment, finances, and their own health and social life. Efforts to develop comprehensive cancer control plans in sub-Saharan Africa must take account of the increasing evidence of informal caregiver needs.