Community Health and Primary Care- Scholarly Publications

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    Open Access
    Prevalence and predictors of postpartum depression among postnatal women in Lagos, Nigeria
    (African Health Sciences, 2020-12) Adeyemo, E.O; Oluwole, E.O.; Kanma-Okafor, O.J; Izuka, O.M; Odeyemi, K.A
    Abstract Background: Globally, postpartum depression is one of the most common but often unrecognized complications of childbirth, yearly affecting about 10–15% of postnatal women. This study aimed to determine the prevalence of postpartum depression and its predictors among postnatal women in Lagos. Methods: A descriptive cross-sectional study was conducted among 250 mothers in Eti-Osa Local Government Area of Lagos State, Nigeria, attending six Primary Health Care centers for infant immunization at six weeks post-delivery. Data was collected using a pretested semi-structured interviewer administered questionnaire which included the Edinburgh Postnatal Depression Scale. Analysis was carried out using SPSS version 23TM. Chi-square and logistic regression analyses were used to determine associations and predictive relationships between various factors and the presence of postpartum depression. The level of significance was set at <0.05. Results: The prevalence of postpartum depression was 35.6%. Multiparity, delivery by cesarean section, mother being unwell after delivery, and not exclusively breastfeeding the baby were the factors linked with postpartum depression. Following multiple logistic regression, having postpartum blues (p=0.000; OR=32.77; 95%CI=7.23-148.58)., not getting help with caring for the baby (p=0.008; OR=2.64; 95%CI=1.29-5.42), experiencing intimate partner violence (p=0.000; OR=5.2; 95%CI=2.23-11.91) and having an unsupportive partner (p=0.018; OR=2.6; 95%CI=1.17-5.78) were identified as predictors of postpartum depression. Conclusion: This study revealed a high prevalence of postpartum depression, identifying both the obstetric and psychosocial predictors. Social support for women both in the pre- and postnatal periods and routine screening of women for postpartum depression should be encouraged for early detection and immediate intervention.
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    Open Access
    Job Satisfaction and Intention of Primary Healthcare Workers to Leave: A Cross-Sectional Study in a Local Government Area in Lagos, Nigeria.
    (Canadian Center of Science and Education, 2021) Adeniran, A.A; Oluwole, E.O.; Ojo, O.Y
    The increased intention of healthcare workers to leave the health sector is one of the many negative impacts of job dissatisfaction and poor working conditions among healthcare workers in Nigeria. This study assessed the level of job satisfaction and the intention of leaving the country or medical practice among primary healthcare workers in Lagos, Nigeria. The study was a descriptive cross-sectional among 235 respondents, selected using a multistage sampling method. An adapted self-administered questionnaire from the Minnesota questionnaire short form and the Job Description Index (JDI) was used for data collection. Data were analyzed with Statistical Package for Social Sciences (SPSS) version 22.0. Descriptive statistics were performed while Chi-square was used to determine the association between categorical variables and the level of significance was set at p <0.05. About half (50.6%) of the healthcare workers were satisfied with their jobs. Highest score 37.00 (32-40) for job satisfaction was found in the domain of management process; while the lowest score 16.00 (13-20) was found in the salary domain. The majority of the healthcare workers 201(85.5%) had the intention of leaving Nigeria for a better opportunity abroad. Healthcare workers were satisfied with the management process but dissatisfied with pay. Targeted interventions to improve the morale of healthcare workers at the primary healthcare level is recommended.
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    Open Access
    Development and Comparison of Three Data Models for Predicting Diabetes Mellitus Using Risk Factors in a Nigerian Population.
    (The Korean Society of Medical Informatics, 2022-01) Oluwakemi Odukoya, Solomon Nwaneri, Ifedayo Odeniyi, Babatunde Akodu, Oluwole, E.O., Gbenga Olorunfemi, Oluwatoyin Popoola, Akinniyi Osuntoki.; Odukoya, O; Nwaneri, S; Odeniyi, I; Akodu, B; Oluwole, E.O.; Olorunfemi, G; Popoola, O; Osuntoki, A
    Abstract attached
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    Open Access
    A continuous quality improvement strategy to strengthen screening practices and facilitate the routine use of intravenous iron for treating anaemia in pregnant and postpartum women in Nigeria: a study protocol
    (2023) Eboreime, E.; Thomas, A.B; Obi-Cheff, C.; Adelabu, Y; Balogun, M; Aiyenigba, A.A; Oluwole, E.O.; Akinajo, O.R; Afolabi, B.B.
    Background Pregnancy-related anaemia is a public health challenge across Africa. Over 50% of pregnant women in Africa get diagnosed with this condition, and up to 75% of these are caused by iron deficiency. The condition is a significant contributor to the high maternal deaths across the continent and, in particular, Nigeria, which accounts for about 34% of global maternal deaths. Whereas oral iron is the mainstay treatment for pregnancy-related anaemia in Nigeria, this treatment is not very effective given the slow absorption of the medication, and its gastrointestinal adverse effects which lead to poor compliance by women. Intravenous iron is an alternative therapy which can rapidly replenish iron stores, but fears of anaphylactic reactions, as well as several misconceptions, have inhibited its routine use. Newer and safer intravenous iron formulations, such as ferric carboxymaltose, present an opportunity to overcome some concerns relating to adherence. Routine use of this formulation will, however, require addressing misconceptions and systemic barriers to adoption in the continuum of care of obstetric women from screening to treatment. This study aims to test the options to strengthen routine screening for anaemia during and immediately after pregnancy, as well as evaluate and improve conditions necessary to deliver ferric carboxymaltose to pregnant and postpartum women with moderate to severe anaemia. Methods This study will be conducted in a cluster of six health facilities in Lagos State, Nigeria. The study will employ continuous quality improvement through the Diagnose-Intervene-Verify-Adjust framework and Tanahashi’s model for health system evaluation to identify and improve systemic bottlenecks to the adoption and implementation of the intervention. Participatory Action Research will be employed to engage health system actors, health services users, and other stakeholders to facilitate change. Evaluation will be guided by the consolidated framework for implementation research and the normalisation process theory. Discussion We expect the study to evolve transferable knowledge on barriers and facilitators to the routine use of intravenous iron that will inform scale-up across Nigeria, as well as the adoption of the intervention and strategies inother countries across Africa.
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    Open Access
    Youth friendly health services in a rural community of Lagos, Nigeria: are the youths receptive?
    (DE GRUYTER, 2016) Wright, K.O; Oluwole, E.O.; Adeniran, A; Kuyinu, O.G; Odusanya, O
    Background: Globally, the youths constitute a major segment of most societies particularly in developing countries. This study was undertaken to assess the perception and practices related to youth friendly health services (YFHS) by in-school adolescents in a rural community of Lagos, Nigeria. Methods: A descriptive cross-sectional survey was conducted on 400 proportionately selected consenting respondents from the senior classes of the three secondary schools in Agbowa community. A pre-tested intervieweradministered questionnaire was used for data collection and analysis was done with the aid of statistical software. Results: Most of the respondents were in the age range of 12–15 years with mean age being 15.33±1.54 years. About half (46.8%) of the respondents correctly described adolescents as persons between the ages of 10 and 19 years. The majority (83.2%) of the respondents first heard about the Youth Friendly Health facilities from parents, guardians and friends. However, only few of the respondents had ever visited a Youth Friendly Center. A good location, convenient hours and comfortable surroundings were the most appealing aspects of YFHS. The provision of a seminar room and educational materials (60.8% and 70.8%, respectively) are important to the respondents. Reproductive health (56.8%) was the most preferred health education topic chosen by the respondents. Conclusion: Sensitization of the youths in the Agbowa community about youth friendly health services and provision of such services would be useful in reducing risky practices and improving their health.