Browsing by Author "Adeniyi, J. D."

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Attitude of health care workers to the involvement of alternative healthcare providers in the home management of childhood malaria
(Baywood Publishing Co., inc, 2005) Falade, C. O.; Osowole, O. S.; Adeniyi, J. D.; Oladepo, O.; Oduola, A. M. J.
The attitudes of 193 healthcare workers (Nurses (35.7%), auxiliary nurses' (35.7%), followed by community health officers (26.4%) in 55 primary and secondary healthcare facilities to home management of malaria were evaluated in four local government areas in Southwestern Nigeria. Results showed that mothers and patent medicine sellers were perceived as offering useful services in home management of malaria by giving first aid and selling antimalaria drugs, respectively. Although 79% of respondents expressed the opinion that mothers are the most appropriate to give first line management to children suffering from malaria, 56% were also of the view that such children should receive definitive treatment in a formal health care facility. Furthermore, 45% of the respondents felt that only formal healthcare workers should treat children who have malaria irrespective of the location of the treatment because mothers, patent medicine sellers, and traditional healers have not been formally trained. Healthcare workers were willing to train mothers and patent medicine sellers on effective management of childhood malaria, but were not favorably disposed toward collaboration with traditional healers in the home management of malaria. There is an urgent need for formal healthcare workers to seek better understanding of traditional healers' practices as well as their cooperation for improved home management of childhood malaria among indigenous groups.
Case management of childhood fever by traditional healers in Southwest Nigeria: Identification of training and collaborative needs
(Baywood Publishing Co., inc, 2008) Fawole, O. I.; Akinboye, D. O.; Falade, C. O.; Arulogun, O. S.; Adeniyi, J. D.
Traditional healers play an important role in the provision of healthcare in many communities in Africa. This study aimed to improve home management of malaria in children by assessing the healer's knowledge and practice. A semi-structured questionnaire interview of 127 traditional healers selected by proportionate sampling technique from two rural and two urban local government areas (LGAs) of southwestern Nigeria was followed by a training program. Malaria ranked first (87%) among the illnesses managed by the healers. Diagnosis of fever was often (72%) based on client history, physical examination (24.4%), consulting oracles (18.9%), and interpretation of dreams (3.1%). Treatment of malaria was with boiled herbs ("agbo"; 72%), ground herbs ("agunmu"; 14%), and incisions and scarifications (3%). Forty-one (32.5%) healers had referred febrile children to a health facility. Younger healers and those who had at least a secondary education were more likely to refer patients (p < 0.05 in both cases). Thirty-six healers (28.4%) had previous formal training on management of fevers, most of whom were the younger (p < 0.(5), educated healers (p> 0.05), with fewer years of practice (p> 0.05). Research into traditional herbs (48%), better acknowledgment by government (23.6%); and collaboration with other health sectors were suggestions to improve practice. Traditional healers, especially the older, less-educated, and long-practicing healers, urgently require formal training and collaboration with other healthcare providers to improve knowledge and promote early referral of children with fever.
Enhancing treatment compliance in the home management of childhood malaria: The use of a participatory approach in ensuring intervention appropriateness
(Baywood Publishing Co., inc, 2004) Asa, A.wole, O. S.||Oladepo, O.; Adegbenro, C. A.; Dare, F. O.; Adeniyi, J. D.; Osowole, O. S.; Oladepo, O.
The study employs a participatory approach in ensuring intervention appropriateness and compliance with prescribed chloroquine regimen for children perceived to be suffering from malaria. The study showed that tailoring education intervention to the special needs of mothers, health workers, and patent medicine sellers and involving them in the design of interventions are some of the best ways of achieving intervetion effectiveness. It also reveals that treatments with tablets predispose to higher compliance rates than syrups. Public participation in the diagnosis of management problems and proffering of interventions has shifted the role of researchers from interventionists to a supportive role of these populations. This strategy can save cost and ensure the permanence of interventions beyond the lifespan of research
Indigenous surgical practices in rural southwestern Nigeria: implications for disease prevention
(Oxford University Press, 1995) Ajuwon, A. J.; ||Brieger, W. R.; ||Oladepo, O.; Adeniyi, J. D.
A qualitative, community-based study was conducted in the rural community of Ago Are in southwestern Nigeria to learn about indigenous surgical practices and their potential for disease transmission. Community leaders as key informants assisted in identifying two types of indigenous practitioner whose work involved blood contact, whose work was observed. The olola are surgeons who specialize in circumcision and making traditional facial-markings, while the generic term for healer, onisegun, performed gbeere, that is making incisions into which medicinal herbs are rubbed. Although the onisegun used a clean blade for his procedures, he rubbed the herbs into the cuts with his bare hands. The olola used the same knife for all operations and cleaned it simply by rinsing it in a bowl of water. The potential for HIV transmission between practitioner and clients and among clients during these procedures is discussed-as is the potential of health education for reducing the demand for female circumcision and training indigenous healers in hygienic methods.
Indigenous surgical practices in rural southwestern Nigeria: implications for disease prevention
(Oxford University Press, 1995) Ajuwon, A. J.; Brieger, W. R.; Oladepo, O.; Adeniyi, J. D.
A qualitative, community-based study was conducted in the rural community of Ago Are in southwestern Nigeria to learn about indigenous surgical practices and their potential for disease transmission. Community leaders as key informants assisted in identifying two types of indigenous practitioner whose work involved blood contact, whose work was observed. The olola are surgeons who specialize in circumcision and making traditional facial-markings, while the generic term for healer, onisegun, performed gbeere, that is making incisions into which medicinal herbs are rubbed. Although the onisegun used a clean blade for his procedures, he rubbed the herbs into the cuts with his bare hands. The olola used the same knife for all operations and cleaned it simply by rinsing it in a bowl of water. The potential for HIV transmission between practitioner and clients and among clients during these procedures is discussed-as is the potential of health education for reducing the demand for female circumcision and training indigenous healers in hygienic methods.