Browsing by Author "Oladimeji, K. E."

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    Factors associated with treatment success among pulmonary tuberculosis and HIV co-infected patients in Oyo State, South West-Nigeria
    (Nigerian Medical Association, Rivers State Branch., 2013) Oladimeji, O. O.; Obasanya, J. O.; Daniel, O. J.; Gidado, M.; Akolo, C.; Oladimeji, K. E.; Atilola, O.; Ajayi, T.; Adeyinka, A. D.; Osman, E.; Odusote, T.; Awe, A.; Lawalu, O.; Omoniyi, A.; Dairo, D. M.; Adedokun, B. O.; Adeoye, I. A.; Igodekwe, F. C.; Hassan, A.; Onoja, M. A.
    BACKGROUND The co-existence of Tuberculosis (TB) and Human immunodeficiency Virus (HIV) is known to increase morbidity and mortality in patients. The determinants of treatment success in TB- HIV co-infection are not yet well studied. Such information can help optimise treatment and reduce morbidity and mortality. OBJECTIVE To determine factors associated with anti- tubercular treatment success among TB /HIV coinfected patients. METHODS A cross sectional study was carried out in fifty three DOT clinics and treatment centres using tuberculosis patient’s records from January 2009 to December 2010 in Oyo state, Nigeria. The study population consisted of 7905 tuberculosis patients. Information on variables of interest were obtained with the use of data extraction forms. Chi-square and logistic regression were used to test the relationship between TB/ HIV co- infection and socio-demographic variables, clinical characteristics and treatment success. RESULTS Prevalence of TB /HIV co-infection was found to be 14.2%. Patients with TB-HIV co-infection were younger and more likely to be females. There were statistically significant association between treatment success and gender, marital status and patient point of care. After adjusting for other variables, it was found that patients receiving treatment in private facilities were independently less likely to be successfully treated compared with those receiving care in Public facilities. Female patients were also independently more likely to have better treatment outcome than male. CONCLUSION In addition to patients’ point of care, gender of the patients can adversely impact on their treatment success. Efforts from the government to strengthening the private public mix, health education and media awareness on adherence to treatment to improve treatment success should be intensified in the country.
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    Utilisation of modern contraceptive among women of childbearing age in resource constraint setting: evidence from 2008 national demographic and health survey in Nigeria
    (Scientific & Academic Publishing, 2014) Igbodekwe, F. C.; Oladimeji, O. O.; Oladimeji, K. E.; Adeoye, I. A.; Akpa, O. M.; Lawson, L.
    Nigerian women are known to have high fertility rates and a low utilization of modern contraceptives. Understanding the factors affecting the use of contraceptives using a nationally representative data is crucial to tackling the low prevalence of contraceptive use in Nigeria. Methods: Secondary dataset of 33,385 women aged 15-49 years, who participated in the 2008 National Demographic and Health Survey was analysed. We calculated contraceptive prevalence rates for various population sub-groups, and examined the association between socio-demographic characteristics and current modern contraceptive use, using multiple logistic regressions. Results: Mean age of the respondents was 31.1±8.8 years. Current contraceptive prevalence rate was 13.2%, while that of modern methods was 9.4%. The significant factors associated with the utilization of contraceptives were urban residence (OR=1.22, 95%CI=1.11-1.35), being a working class woman (OR=1.22, 95%CI=1.11-1.35), being educated (OR=1.22, 95%CI=1.11-1.35), parity (OR=1.22, 95%CI=1.11-1.35), being wealthy (OR=2.62, 95%CI=2.14-3.21). Importantly, the likelihood utilization varied across the gradient of wealth. Women in richest (OR=2.62, 95%CI=2.14-3.21), richer (OR=2.44, 95%CI=2 .02-2.94), and middle (OR=1.78, 95%CI=1.48-2.14) wealth quintiles were more likely to use modern method compared to women in the poorest category. Conclusions: Prevalence rates were very low across virtually all segments of the population. Concerted efforts are required to increase use of modern methods of contraception.