Browsing by Author "Fatiregun, A."

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A community-based intervention for improving utilization of medical services by rape survivors in refugee camps in Zambia
(2019) Oladeji, O.; Owoaje, E.; Oladeji, B.; Fatiregun, A.
Background: Rape is the most common form of violence in conflict and refugee situations but because of the associated stigma few cases are reported. This study assessed the outcome of an intervention targeted at women groups on the utilization of medical services by rape survivors in refugee camps in Zambia. Methods: A prospective quasi-experimental community-based intervention study was carried out in two refugee camps allocated into intervention and comparison areas. The intervention was participatory education sessions for women groups. Data was collected using the clinic records and the main outcome was the number of rape survivors who utilized and completed medical services provided at the camp clinics. Univariate, bivariate and multivariate analyses were carried out with level of significance set at 5%. Results: The proportion of the rape survivors who accessed medical care within 72 hours increased significantly from 41.2% to 84.8% in the intervention area but from 31.1% to 38.9% in the comparison area, (p=0.005). Those who completed their medical treatment and the follow-up visits increased significantly from 42.8% to 94.8% in intervention area but reduced from 38.5% to 21.4% in the comparison area, (p=0.002). Being resident in the intervention area predicted the utilization of medical services, [OR: 3.15; 95%CI: 1.955-5.681], p=0.002. Conclusion: Community-based intervention using participatory women’s group discussion had a significant impact on increasing the utilization of medical services by rape survivors and should be considered for scaling up as a key intervention for increasing utilization of medical services for rape survivors especially in refugee situations.
Epidemiology of rubella disease in south-west Nigeria: trends and projection from measles case-based surveillance data
(AOSIS, 2014) Fatiregun, A.; Fagbamigbe, A. F.; Adebowale, A.
Although surveillance for rubella does not exist in Nigeria, a measles case-based surveillance system was introduced in 2005 as one of the strategies for measles morbidity control, and included laboratory testing for confirmation of the disease. In this report, we provide the epidemiological distribution of rubella-confirmed cases reported from the south-west zone of the country, and predict the expected number of cases in the ensuing years. A descriptive analysis was carried out of rubella cases reported in the measles case-based surveillance data from the south-west zone of Nigeria for the period 2007-2012. Using an additive time series model, we predicted the expected number of cases until the year 2015. Four hundred and thirty-eight (5.4%) rubella cases were confirmed from 8 046 suspected measles cases. Cases were confirmed from all six states within the zone. The majority (87.3%) were individuals < 15 years of age and 40.9% were female. Seasonal variation existed, with peaks of infection in the first and third triannual periods of the year, while annual trends showed peaks in 2007 and 2010. Based on projections, there was a reduction in the number of expected cases. Rubella testing, in parallel with measles case-based surveillance, provides understanding of the epidemiology of rubella infection in south-west Nigeria.