Browsing by Author "Onayade, Adedeji A."

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    Acceptability, feasibility and affordability of infant feeding options for HIV-infected women: a qualitative study in south-west Nigeria
    (Blackwell Publishing Ltd, 2006-06-01) Abiona, Titilayo C.; Onayade, Adedeji A.; Ijadunola, Kayode T.; Obiajunwa, Perpetua O.; Aina Olabisi I.; Thairu, Lucy N.
    The objective of this study was to explore the acceptability, feasibility, affordability, safety and sustainability of replacement feeding options for HIV-infected mothers in Ile-Ife, in south-westNigeria. Six focus group discussions were conducted with a purposive sample of mothers, fathers and grandmothers. The HIV status of all participants was unknown to investigators. All text data were analysed using the Text-based Beta Software program. With regard to the acceptability of replacement feeds, respondents perceived the stigma associated with not breastfeedingto be an important consideration. In this community, breastfeeding is the norm – even though is not necessarily exclusive. For infected mothers who choose to breastfeed exclusively and then to wean their infants before 6 months of age, respondents did not anticipate early cessation of breastfeeding to be problematic. Respondents noted that acceptable replacement foods included infant formula, soy milk and cow’s milk. Barriers to replacement feeding that werementioned included: the high costs of replacement foods and fuel for cooking; an unreliable supply of electrical power; poor access to safe water; and poor access to storage facilities. The research confirms the difficulty of replacement feeding for HIV-infected mothers in subSaharan Africa. The results also provide the basis for new issues and hypothesis for future research in other communities with similar socio-cultural and economic characteristics.
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    Vulnerability to HIV infection among adolescent girls and young women in Nigeria
    (Taylor & Francis, 2022-01-22) Arije, Olujide O.; Udoh, Ekerette E.; Ijadunola, Kayode T.; Afolabi, Olusegun T.; Aransiola, Joshua O.; Omoregie, Godpower; TomoriAdeleye, Oyebukola; Ukeme-Edet, Obiarairiuku; Fajemisin, Oluwole; Alaba, Oluwatoyin; Onayade, Adedeji A.
    Adolescent girls and young women (AGYW) account for a disproportionate number of new HIV infections among young people living with HIV. This study identified factors associated with the vulnerability of AGYW to HIV infection in Nigeria. We conducted a cross-sectional survey of AGYW aged 15–24 years in three states (Akwa-Ibom, Kaduna, and Oyo) and the Federal Capital Territory (FCT) Abuja in Nigeria. We collected information on sociodemographic characteristics, risky sexual behaviors, practices, attitudes, perceptions of HIV, and related socio-cultural experiences from 4320 respondents. We identified twelve vulnerability factors and used a modified Delphi technique to assign relative weights to each. Composite vulnerability score was calculated by adding the weighted scores on all factors for each respondent and dichotomized using k-median analysis. Higher scores corresponded to higher vulnerability to acquiring HIV. More than 43% had a high vulnerability to HIV infection. Being older, of lower educational status, married, in a lower wealth quintile, and having low self-esteem were statistically significantly associated with being more vulnerable to acquiring HIV. Being knowledgeable about HIV prevention was protective but not statistically significant. We conclude that sociodemographic characteristics and self-esteem are important determinants of vulnerability to acquiring HIV among young women in Nigeria. Interventions targeted to reduce vulnerability to HIV among young women must address social-demographic and psychological risk factors. KEYWORDS: Adolescent girls and young womenHIV vulnerability factorsNigeria