Community Medicine

Permanent URI for this communityhttps://repository.ibadanedu.com/handle/123456789/12281

Browse

Now showing 1 - 4 of 4

Acceptability of Child Adoption and adoption services among civil servants in Ibadan, Nigeria
(Pan African Medical Journal (PAMJ), 2020) Nwachukwu, C. C.; Cadmus, E. O.; Nwachukwu, A. C.; Adebayo, A. M.; Owoaje, E. T.
Child adoption provides an opportunity for children to have new families and for parents to have children. Its acceptance by the society, however, may affect people’s decision to adopt. This study was conducted to determine the attitude and acceptability of child adoption and adoption services among 403 civil servants in Oyo State Secretariat, Ibadan in February and May, 2008.Self-administered questionnaire was used to collect data. Likert scale of score range 1-5 was used to measure respondents’ attitudes. Each positive attitude answer was given a score of 5, while each negative attitude answer had a score of 1. Total scores were computed for each respondent. Attitudinal scores within the range of 16-50 and 51-80 were considered negative and positive respectively. The mean age of respondents was 40.2 ± 9.7 years. Sixty five percent had tertiary education. Overall, 45.9% had positive attitude to adoption. A higher proportion of respondents who had tertiary education (56.3%) were supportive of adoption compared to the others. About 65.0% would support or encourage a relation to adopt a child while 68.5% would recommend adoption to a childless couple. Males, (57.2%), were more willing to support a relation who would like to adopt compared with females, (65.6%). The main reason for non-support of adoption by 32.4% of respondents was that they believed that the childless couples would have their biological children. Efforts should be made to improve the acceptability of adoption.
Knowledge of malaria prevention among pregnant women and female caregivers of under-five children in rural southwest Nigeria.
(PeerJ, Inc., 2015) Adebayo, A. M.; Akinyemi, O. O.; Cadmus, E. O.
Introduction. The morbidity and mortality from malaria are still unacceptably high in the developing countries, especially among the vulnerable groups like pregnant women and under-five children, despite all control efforts. The knowledge about the preventive measures of malaria is an important preceding factor for the acceptance and use of malaria preventive measures like Insecticide Treated Nets (ITN) by community members. Therefore, this study assessed the knowledge of malaria prevention among caregivers of under-five children and pregnant women in a rural community in Southwest Nigeria. Methodology. This is part of a larger malaria prevention study in rural Southwest Nigeria. A descriptive cross-sectional survey was conducted among pregnant women and caregivers of under-five children in Igbo-Ora, a rural town in Southwest Nigeria using a semi-structured, interviewer-administered questionnaire. Information was obtained on knowledge of malaria prevention, and overall composite scores were computed for knowledge of malaria prevention and ITN use. Data were analyzed using SPSS version 16. Associations between variables were tested using a Chi-square with the level of statistical significance set at 5%. Results. Of the 631 respondents, 84.9% were caregivers of under-five children and 67.7% were married. Mean age was 27.7 }6.3 years with 53.4% aged between 20 and 29 years. Majority (91.1%) had at least primary school education and 60.2% were traders. Overall, 57.7% had poor knowledge of malaria prevention. A good proportion (83.5%) were aware of the use of ITN for malaria prevention while 30.6% had poor knowledge of its use. Respondents who were younger (<30 years), had at least primary education and earn <10,000/per month had significantly poor knowledge of ITN use in malaria prevention. Majority (60.0%) respondents had poor attitude regarding use of ITNs. Conclusion. This study showed that the knowledge of malaria prevention is still low among under-five caregivers and pregnant women in rural Southwest Nigeria despite current control measures. There is a need for concerted health education intervention to improve the knowledge of rural dwellers regarding malaria prevention, including the use of ITN. This will go a long way to improving the reported low level of ownership and utilization of ITN in the rural areas.
Ownership and utilisation of insecticide-treated mosquito nets among caregivers of under-five children and pregnant women in a rural community in Southwest Nigeria
(Pacini Editore Srl., 2014) Adebayo, A. M.; Akinyemi, O. O.; Cadmus, E. O.
Introduction. Malaria still constitutes a serious public health problem in Nigeria despite control efforts. The use of Insecticide Treated Net (ITN) has been proven to be an effective preventive modality in the control of malaria but its utilisation has been shown to be low. This study assessed the ownership and utilization of ITN in Igbo-Ora, a rural community in Ibarapa Central Local Government Area (LGA) of Oyo State, Southwest Nigeria. Methods. A descriptive cross-sectional survey among female caregivers of under-five children and pregnant women was conducted using semi-structured interviewer-administered questionnaire. Data were analyzed using SPSS version 16. Results. Among 631 respondents that participated, 84.9% were caregivers of under-five children. Mean age was 27.7 ± 6.3 years with 53.4% between 20-29 age group. Majority, 91.1% had at least primary education, 60.2% were traders and 69.7% were married. Most respondents, 71.8% had at least one type of mosquito nets. Among those that had, 85.4% had window/door net, 25.2% untreated mosquito net while only 15.5% had ITN. Overall, 11.1% of the respondents had ITN among which 78.6% had ever slept under an ITN. Among those that had ever slept under an ITN, slightly less than half, 49.1% slept under an ITN the previous night. Less educated respondents were five times more likely to use ITN (95% CI = 1.24-21.28). Conclusions. This study revealed very low ownership and utilization of ITNs. There is need to improve on the knowledge of community members of the relevance of ownership and utilisation of ITN in malaria prevention.
Quality of implementation of the school health program in a rural district of Oyo State, Nigeria: a public-private comparison
(Springer Verlag GmnH, 2019) Adebayo, A. M.; Sekoni, O. O.; Uchendu, O. C.; Ojifinni, O. O.; Akindele, A. O.; Adediran, O. S.
Background There is abundant evidence that the first and only School Health Policy (SHPo) in Nigeria was adopted in 2006, but no study has since evaluated the quality of implementation (QoI) in government and privately funded schools. This study was conducted to evaluate the QoI of the School Health Program (SHP) in public and private primary schools of a rural Local Government Area in Oyo State using the SHPo framework as a guide. Subjects and methods A comparative-descriptive cross-sectional design was chosen. A two-stage sampling technique was used to select 46 primary schools in a rural area: 30 public and 16 private. An observational checklist was used to assess the five domains of the SHP, namely: School Health Services (SHS), Skills Based Health Education (SBHE), School Feeding Services (SFS), Healthful School Environment (HSE) and School, Home and Community Relationship (SHCR), as listed in the Nigerian SHPo framework. QoI was assessed by exploring the availability, suitability and functionality of basic provisions for SHP implementation. Results The majority of schools (90% public; 87.5%private) had first-aid boxes, but they had no contents in 23.3%of public and 68.8% of private schools. In only one private school was evidence of periodic medical inspection. A school meal service was present in 93.3%of public and 18.8%of private schools. Only one private school practiced medical screening. Some had gendersensitive toilets (81.3% private; 33.3% public). None of the schools had evidence of pre-employment medical and routine screening for non-communicable diseases for staff. Overall, around 50% of schools had poor QoI of the SHP (63.3% public; 25.0% private). Conclusion QoI of the SHP in selected rural public and private primary schools was generally poor, but with better quality in private than public schools.