Browsing by Author "Ngwibete, A."

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Displaced women and sexual and reproductive health services: exploring challenges women with sexual and reproductive health face in displaced camps of Nigeria.
(Hamadan University of Medical Sciences., 2023) Ngwibete, A.; Ogunbode, O.O.; Mangalu, M.A.; Omigbodun, A.O.
Background: Displaced women are affected by sexual and reproductive health (SRH) challenges, often exacerbated by poor living conditions, limited access to healthcare, and cultural norms. The aim of this study was to explore SRH issues, the effects of displacement into camps on women’s SRH, and challenges with accessing and utilizing SRH services among women in camps for the displaced in Benue State, Nigeria. Methods: A qualitative phenomenological approach was employed to gain an in-depth understanding of the women’s SRH challenges, based on 12 focus group discussions between women of different age groups and eight in-depth interviews. The data were collected using tape recorders and notes. Data analysis followed a thematic approach. Ethical approval and appropriate consent were obtained for the study. Results: The majority of research participants stated that sexually transmitted disease/human immunodeficiency virus was the most serious SRH issue in the camp. Their stay in camp enhanced the women’s vulnerability and exposed them to sex in exchange for basic needs/palliatives, increasing their SRH challenges. Access to and use of SRH services were impacted by their migratory lifestyle, cultural and religious views, lack of SRH knowledge, and other difficulties. Short-term approaches to intervention, health providers’ poor communication, and attitudes were reported to affect SRH service use. Conclusion: There is an urgent need for comprehensive interventions to address SRH challenges among women in displaced settings, including proper coordination of humanitarian services, education on transactional sex, encouragement of men to participate in SRH initiatives, and expansion of access to services, as well as the training and hiring of culturally competent healthcare providers.
Maternal and pregnancy outcomes following PMTCT cohort registration in a displaced setting - A retrospective study.
(2024) Ngwibete, A.; Oluwasola, T. A. O.; Popoola, V. O.
BACKGROUND/AIM: This study assessed maternal and pregnancy outcomes following the Prevention of Mother-to-Child Transmission (PMTCT) cohort registration in a displaced setting. RESULTS: Of the 223 HIV-positive pregnant women, 201 were enrolled in the program. However, only 186 maternal records met the inclusion criteria. Registration for the PMTCT program occurred primarily during the prenatal period, between the ages of 26 and 30, with a mean gestational age of 15.2 weeks. Only 5.95 reported facility delivery, and up to 70% had over 4 PMTCT follow-up visits before delivery (χ2 = 6.825, P = 0.03). The retention rate among the cohort was 98.4%, with 62 % of the women being active throughout the program and over 86% having a live birth. Most miscarriages occurred during the first trimester. Bivariate analysis suggested that aside from maternal age, similar factors affected maternal and pregnancy outcomes. These factors include maternal prior PMTCT experience, total number of visits, and the place of delivery. CONCLUSIONS: Active follow-up and documentation constitute an effective strategy to improve PMTCT maternal retention in care and improve patient outcomes. Ensuring that women are active in PMTCT care by engaging community health workers in service delivery will create positive outcomes in the program.
Prevalence of precancerous lesions and other cervical abnormalities among internally displaced women in Benue State Nigeria
(Pan African Medical Journal(PAMJ), 2024) Ngwibete, A.; Ogunbode, O.; Swende, L. T.; Agbada, M. M.; Omigbodun, A.
Introduction: visual inspection is a low-cost screening strategy that can be used to prevent cervical cancer in women. These techniques can improve screening health outcomes for internally displaced women (IDW) who have poor sexual and reproductive health and rights' behaviors and outcomes. This study aimed to determine the prevalence of precancerous lesions and other clinical features using a visual inspection with acetic acid (VIA) technique during a cervical cancer screening campaign in two internally displaced people (IDP) camps in Benue State, Nigeria. Methods: this was a cross-sectional study of 166 IDW who voluntarily participated in the study during a VIA cervical cancer screening campaign in two IDP camps in Benue State, Nigeria the screening was done by a group of qualified and trained healthcare workers and data was collected using a structured, pretested questionnaire. Results: a total of 99(60%) of the women had a first sexual experience at 16 years, while 78(47%) had more than 5 full-term pregnancies. Although only 72(43.4%) of the women acknowledged having more than one sexual partner, over 70% of the women stated that their sexual partner had another sexual partner. The prevalence of precancerous lesions among women was 10.8%. Smoking(p=0.003), age at menarche (p≤ 0.001) and sexual behaviors (p=0.009, p=0.004) were factors that had a statistically significant relationship with the presence of a precancerous lesion among the IDW. The study also highlights the high rate (95%) of cervicitis among the women and the relatively high rate (5.4%) of leukoplakia. Conclusion: the majority of IDW had sociodemographic and lifestyle characteristics that predisposed them to developing cervical cancer More targeted interventions aimed at improving the sociodemographic and lifestyle characteristics of IDW are recommended. In addition, there is a need to create awareness about cervical cancer among IDW and make screening available in camp facilities for early detection and management.
Provision of sex-related education to children in Camps for internally displaced people in Benue State, Nigeria: mothers’ attitudes and practices.
(2023) Ngwibete, A.; Oluwasola, T.
Mothers continue to be a major source of sex education for their children. This study explored the attitudes and practices of internally displaced mothers in providing sex-related education to their chil-dren in a camp settlement in Nigeria. A qualitative approach was used, and data were elicited from women in three focus group discussions. A thematic approach was adopted for data analysis. Mothers had a positive attitude towards the provision of sex educa-tion, primarily to the female child. The content of sex education as they understood included health and hygiene, changes in the repro-ductive health system, and susceptibility to reproductive tract infec-tions, while they excluded education on nutrition and the art of sex. Despite reports of sexual and gender-based violence in the camps, less information was provided to the children on prevention and options for care. Mothers’ delivery of sex education seemed affected by their level of education and multiple socio-cultural factors. Overall, there were gaps in the provision of sex-related education to the children of internally displaced mothers in Benue State. There is an urgent need to improve access to sex educational content while empowering mothers with strategies to facilitate the provision of age-appropriate sex education in these settlements.
Reproductive health challenges among women in internally displaced camps in Benue State: A protocol for a community-based health education interventional study.
(2023) Ngwibete, A.; Ogunbode, O.; Oluwasola, T.; Omigbodun, A.
Sexual and reproductive health (SRH) services are a necessity for marginalized persons such as the displaced. The protocol describes an intervention that can contribute to overcoming challenges associated with SRH service delivery of three selected reproductive health (RH) services: HIV/AIDS, contraception, and cervical cancer screening. A pre-and post-intervention approach will be used to evaluate the effect of an intervention with trained Community-Based Reproductive Health Personnel (CBRHP) and/or mHealth technology within the selected IDP camps. Three (3) months of health education through the CBRHP and/or via mHealth technology will be provided. Using a questionnaire, interviews, and Focus Group Discussion (FGD) guide, the researcher will assess the suitability of this intervention to attain the objectives. Data analysis will be done with SPSS version 26. Univariate analysis will include mean and standard deviation, bivariate analysis will include a chi-square test of goodness for the association of variables, and McNemer’s test to evaluate the effect of the intervention by comparing consistency in response across the variables under study. Multivariate analysis will be used to assess if sociodemographic, knowledge and health service impacts access and use of RH services. For qualitative analysis, findings will be grouped into themes. The outcomes of each theme will be used to complement the findings of the quantitative analysis. The primary outcome measures will include the level of knowledge of SRH, the number of people who want to access RH services and which RH services are most sought by the respondents. If the use of CBRHP is successful, there will be an increase in knowledge and use of HIV/AIDS, contraception and cervical cancer services. Challenges associated with access and uptake of RH services will also be assessed.
Reproductive health challenges among women in internally displaced camps in Benue State: a protocol for a community-based health education interventional study.
(Women's Health and Action Research Centre (WHARC), 2023-10) Ngwibete, A.; Ogunbode, O.O.; Oluwasola, T. A. O.; Omigbodun, A. O.
Sexual and reproductive health (SRH) services are a necessity for marginalized persons such as the displaced. The protocol describes an intervention that can contribute to overcoming challenges associated with SRH service delivery of three selected reproductive health (RH) services: HIV/AIDS, contraception, and cervical cancer screening. A pre-and post-intervention approach will be used to evaluate the effect of an intervention with trained Community-Based Reproductive Health Personnel (CBRHP) and/or mHealth technology within the selected IDP camps. Three (3) months of health education through the CBRHP and/or via mHealth technology will be provided. Using a questionnaire, interviews, and Focus Group Discussion (FGD) guide, the researcher will assess the suitability of this intervention to attain the objectives. Data analysis will be done with SPSS version 26. Univariate analysis will include mean and standard deviation, bivariate analysis will include a chi-square test of goodness for the association of variables, and McNemer’s test to evaluate the effect of the intervention by comparing consistency in response across the variables under study. Multivariate analysis will be used to assess if sociodemographic, knowledge and health service impacts access and use of RH services. For qualitative analysis, findings will be grouped into themes. The outcomes of each theme will be used to complement the findings of the quantitative analysis. The primary outcome measures will include the level of knowledge of SRH, the number of people who want to access RH services and which RH services are most sought by the respondents. If the use of CBRHP is successful, there will be an increase in knowledge and use of HIV/AIDS, contraception and cervical cancer services. Challenges associated with access and uptake of RH services will also be assessed. (Afr J Reprod Health 2023; 27 [10]: 133-144).