Browsing by Author "Ijadunola, Macellina Y."

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    College students in Nigeria underestimate their risk of contracting HIV/AIDS infection
    (Taylor & Francis, 2009-07-06) Ijadunola, Kayode T.; Abiona, Titilayo C.; Odu, Olusola O.; Ijadunola, Macellina Y.
    To assess the perceptions of personal risk of acquiring HIV/AIDS infection among students of selected tertiary institutions in Osun State, Nigeria and to determine the correlates of perceptions of personal risk of infection.
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    Correlates of physicians' attitudes toward communication with HIV/AIDS patients in Ile-Ife, Nigeria
    (Taylor & Francis, 2007-01-01) Ijadunola, Kayode T.; Ijadunola, Macellina Y.; Abiona, Titilayo C.; Odu, Olusola O.; Akinyemi, Akanni A.
    Objectives The study assessed physicians' perceptions of HIV/AIDS patients and identified the determinants of physicians' attitudes toward communication with HIV/AIDS patients in Ile-Ife, Nigeria. Methods A semi-structured questionnaire was used to elicit information from 110 physicians in a cross-sectional survey, while in-depth interviews were conducted with 10 people living with HIV/AIDS (PLWHA) who had been previously admitted under the care of the physicians. Univariate, bivariate and multivariate analyzes were conducted. Results Although most physicians perceived PLWHA positively and 58% of them displayed a positive attitude toward communication with PLWHA under their care, the expectations of the patients concerning HIV/AIDS communication were not being met. Only 43% of physicians expressed any degree of comfort engaging PLWHA in lengthy discussions or communicating the diagnosis of HIV to patients. The strongest correlates of physicians' positive attitude were previous exposure to HIV/AIDS counseling, the number of HIV/AIDS patients treated per month, the number of years spent in the care of PLWHA, and the gender of the physicians (p < 0.05). Conclusions Physicians in Ile-Ife, Nigeria are not adequately equipped by way of training to effectively meet the expectations of their patients concerning HIV/AIDS communication. The large number of PLWHA in the country calls for urgent attention to address this important aspect of care. Key words: Physicians' attitudes, HIV/AIDS, Communication with people living with HIV/AIDS, Nigeria
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    Male Involvement in Family Planning Decision Making in Ile-Ife, Osun State, Nigeria
    (Women’s Health and Action Research Centre (WHARC), 2010-12) Ijadunola, Macellina Y.; Abiona, Titilayo C.; Ijadunola, Kayode T.; Afolabi, Olusegun T.; Esimai, Olapeju A.; OlaOlorun, Funmilola M.
    This study assessed men’s awareness, attitude, and practice of modern contraceptive methods, determined the level of spousal communication, and investigated the correlates of men’s opinion in family planning decision making in Ile-Ife, Nigeria. Quantitative methodology was employed in this cross-sectional descriptive design using a structured household questionnaire to collect information from 402 male study participants. A multistage sampling procedure was employed. Eighty-nine percent of men approved of the use of family planning while only about 11 percent disapproved of it. Eighty percent of men had ever used contraception while 56 percent of them were current users. Spousal communication about family planning and other family reproductive goals was quite poor. The socio-demographic correlates of men’s opinions included religion, marriage type, educational attainment, and occupation (p<0.05). The study concluded that male involvement in family planning decision making was poor and their patronage of family planning services was low (Afr J Reprod Health 2010; 14[4]: 45-52).
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    New paradigm old thinking: the case for emergency obstetric care in the prevention of maternal mortality in Nigeria
    (BMC Women's Health, 2010-02-17) Ijadunola, Kayode T.; Ijadunola, Macellina Y.; Esimai, Olapeju A.; Abiona,Titilayo C.
    The continuing burden of maternal mortality, especially in developing countries has prompted a shift in paradigm from the traditional risk assessment approach to the provision of access to emergency obstetric care services for all women who are pregnant. This study assessed the knowledge of maternity unit operatives at the primary and secondary levels of care about the concept of emergency obstetric care (EmOC) and investigated the contents of antenatal care (ANC) counseling services they delivered to clients. It also described the operatives' preferred strategies and practices for promoting safe motherhood and averting maternal mortality in South-west Nigeria. The study population included all the 152 health workers (doctors, midwives, nurses and community health extension workers) employed in the maternity units of all the public health facilities (n = 22) offering maternity care in five cities of 2 states. Data were collected with the aid of a self-administered, semi-structured questionnaire and non-participant observation checklist. Results were presented using descriptive statistics. Ninety one percent of the maternity unit staff had poor knowledge concerning the concept of EmOC, with no difference in knowledge of respondents across age groups. While consistently more than 60% of staff reported the inclusion of specific client-centered messages such as birth preparedness and warning/danger signs of pregnancy and delivery in the (ANC) delivered to clients, structured observations revealed that less than a quarter of staff actually did this. Furthermore, only 40% of staff reported counseling clients on complication readiness, but structured observations revealed that no staff did. Only 9% of staff had ever been trained in lifesaving skills (LSS). Concerning strategies for averting maternal deaths, 70% of respondents still preferred the strengthening of routine ANC services in the health facilities to the provision of access to EmOC services for all pregnant women who need it. We concluded that maternity unit operatives at the primary and secondary care levels in South-west Nigeria were poorly knowledgeable about the concept of emergency obstetric care services and they still prioritized the strengthening of routine antenatal care services based on the risk approach over other interventions for promoting safe motherhood despite a global current shift in paradigm. There is an urgent need to reorientate/retrain the staff in line with global best practices.