Browsing by Author "Ladipo, O."

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Community based distribution agents’ approach to provision of family planning information and services in five Nigerian States: A mirage or a reality?
(African Online Scientific Information Systems (AOSIS), 2011-01-11) Fayemi, M.; Momoh, G.; Oduola, O.; Delano, G.; Ladipo, O.; Adebola, O.
Background: Reducing maternal mortality in Nigeria has received continuous attention both nationally and internationally. Objectives: This article highlights the outcome of an intervention which sought to address maternal mortality reduction through increasing contraceptive uptake in 10 rural local government areas (LGAs)in five Nigerian states. Method: The community based distribution (CBD) approach was used in the implementation of a three year intervention that targeted 10 LGAs. Two hundred and fifty community members were trained as community based distribution agents (CBDA) to provide information on reproductive health, provide non-prescriptive family planning (FP) commodities, treat minor aliment and make referrals to primary health centres within the communities. Results: Final evaluation revealed an increase in the proportion of community members who had utilised FP commodities at all, from 28% at baseline to 49%, and an increase in the proportion of current contraceptive users from 16% at baseline to 37%. An average of 50% increase in clientele patronage was also observed in the 10 LGAs’ primary health care centres. Most (96%) of the interviewed CBDA agents reported that a drug-revolving system was in place to ensure that drugs and commodities were available. On-the-spot assessment of the service forms revealed that 86% of them had their activities regularly recorded in their worksheets. Some of the challenges faced by CBDA were discrimination and misconception of community members about family planning (38%), inadequate financial support (14%), and transportation problems (8%). Conclusion: This study has demonstrated that the CBD approach played a critical role in enhancing access to Reproductive Health and Family Planning information and services in the project communities.
Sexual behavior and experience of sexual coercion among secondary school students in three states in North Eastern Nigeria
(2006-12) Ajuwon, A.J.; Olaleye, A.; Faromoju, B.; Ladipo, O.
Background: Interest in the reproductive health of adolescents continues to grow throughout the world. Few studies had explored the reproductive health knowledge, sexual behavior and experience of sexual coercion among secondary school students in North Eastern states of Nigeria. The objectives of this descriptive survey were to collect data to plan appropriate interventions that meet the reproductive health knowledge, service and skills needs of students in Bauchi, Borno and Gombe states. Methods: Face-to-face interviews were conducted for 624 consenting students who were randomly selected from eighteen secondary schools using an 83-item structured questionnaire. Data were collected on demographic profile, reproductive health knowledge, sexual behavior and experience of sexual coercion. Results: The mean age of the respondents was 16.5 years. There were slightly more males (52%) than females (48%). Students' knowledge about, reproductive health was generally low even though girls had better knowledge than boys. Thirteen percent of the entire students had sexual experience; significantly more males (19%) than females (6%) had done so (p < 0.001). Among boys the age at sexual debut ranged from 10-26 with a mean of 15.7 and median of 16. By contrast, the age at first sex among girls ranged from 10 to 18 years with a mean and median of 16.1 and 17 years respectively. Only 24% of those who were sexually active used a condom during their last sexual encounter. Overall 11% of the students reported that they had been tricked into having sex, 9% had experienced unwanted touch of breast and backside, and 5% reported rape. Conclusion: Students low reproductive health knowledge and involvement in risky sexual activities predispose them to undesirable reproductive health outcomes.
Sexual behavior and experience of sexual coercion among secondary school students in three states in North Eastern Nigeria
(2006-12) Ajuwon, A.J.; Olaleye, A.; Faromoju, B.; Ladipo, O.
Background: Interest in the reproductive health of adolescents continues to grow throughout the world. Few studies had explored the reproductive health knowledge, sexual behavior and experience of sexual coercion among secondary school students in North Eastern states of Nigeria. The objectives of this descriptive survey were to collect data to plan appropriate interventions that meet the reproductive health knowledge, service and skills needs of students in Bauchi, Borno and Gombe states. Methods: Face-to-face interviews were conducted for 624 consenting students who were randomly selected from eighteen secondary schools using an 83-item structured questionnaire. Data were collected on demographic profile, reproductive health knowledge, sexual behavior and experience of sexual coercion. Results: The mean age of the respondents was 16.5 years. There were slightly more males (52%) than females (48%). Students' knowledge about, reproductive health was generally low even though girls had better knowledge than boys. Thirteen percent of the entire students had sexual experience; significantly more males (19%) than females (6%) had done so (p < 0.001). Among boys the age at sexual debut ranged from 10-26 with a mean of 15.7 and median of 16. By contrast, the age at first sex among girls ranged from 10 to 18 years with a mean and median of 16.1 and 17 years respectively. Only 24% of those who were sexually active used a condom during their last sexual encounter. Overall 11% of the students reported that they had been tricked into having sex, 9% had experienced unwanted touch of breast and backside, and 5% reported rape. Conclusion: Students low reproductive health knowledge and involvement in risky sexual activities predispose them to undesirable reproductive health outcomes.