Browsing by Author "Owumi, B. E."

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Changing family structures/values and the incidence of human trafficking in Edo State
(2007) Owumi, B. E.; Jerome, P. A.
This paper attempts to unravel the underpinning factors that account for the upsurge of human trafficking in Edo State, Nigeria. The discourse is hinged on the Mertonian concept of innovation which explains the circumvention of societal mainstream values and employed as a circuit and routes to achieving societies collectively subscribed goals. The aims and objectives of the study include: identifying the changes in family structures that predispose parents to trafficking their children; examining the changes in family values that predispose parents to trafficking ;discussing the perception o parents about trafficking their children and finally explaining the reasons for the persistence of human trafficking despite attempts to curb it. Focus Group Discussion (FGD) and in-depth interview methods were used in collecting data. The study revealed that parents are predisposed to trafficking their children due to poverty, unemployment, greed, ignorance, illiteracy, polygyny, distortion of social values, dysfunctional families among others.
Changing family structures/values and the incidence of human trafficking in Edo State
(2007) Owumi, B. E.; Jerome, P. A.
This paper attempts to unravel the underpinning factors that account for the upsurge of human trafficking in Edo State, Nigeria. The discourse is hinged on the Mertonian concept of innovation which explains the circumvention of societal mainstream values and employed as a circuit and routes to achieving societies collectively subscribed goals. The aims and objectives of the study include: identifying the changes in family structures that predispose parents to trafficking their children; examining the changes in family values that predispose parents to trafficking; discussing the perception of parents about trafficking their children and finally explaining the reasons for the persistence of human trafficking despite attempts to curb it. Focus group discussion (FGD) and in-depth interview methods were used in collecting data. The study revealed that parents are predisposed to trafficking their children due to poverty, unemployment, greed, ignorance, illiteracy, polygyny, distortion of social values, dysfunctional families among others
Complementary and alternative medicine in the management of hypertension in an urban Nigerian community
(2010) Osamor, P. E.; Owumi, B. E.
Hypertension is a common non communicable condition worldwide. In developing countries (including Nigeria), the use of complementary and alternative medicine (CAM) is common. This study investigated the frequency and factors associated with use of CAM among hypertensive subjects in an urban Nigerian community. Perspectives about the management of hypertension were obtained from CAM practitioners in the community. Methods: Four hundred and forty hypertensive subjects in Idikan community, Ibadan, were interviewed using a semi-structured survey instrument. Association between categorical variables was tested using the chi-square test. Logistic regression analysis was done to identify independent predictor variables of CAM use, with CAM use as the outcome variable and the demographic and belief items as predictor variables. In-depth interviews were conducted with all known CAM practitioners in the community on issues relating to their beliefs, knowledge, practice and experiences in managing patients with hypertension in the community. Results: In the study sample, 29% used CAM in the management of their hypertension. Among those using CAM, the most common forms used were herbs (63%) and garlic (21%). Logistic regression analysis revealed that four variables were independent predictors of CAM use: being male (OR 2.58, p < 0.0001), belief in supernatural causes of hypertension (OR 2.11, p = 0.012), lack of belief that hypertension is preventable (OR 0.57, p = 0.014) and having a family history of hypertension (OR1.78, p = 0.042). Other factors such as age, educational level and occupation were not independent predictors of CAM use. Interviews with CAM practitioners revealed that they believed hypertension was caused by evil forces, stress or "too much blood in the body". They also thought they could cure hypertension but that reduced costs (compared to hospitals) was one of the reasons most of their clients consult them. Conclusions: The use of CAM is common among hypertensive subjects in this urban Nigerian community. Men were more than twice as likely to use CAM and belief in supernatural causes of hypertension was the most notable belief predicting CAM use. Interviews with CAM practitioners yielded useful perspectives about the role they play in hypertension management in the community. This study adds to the small but growing literature about the use of CAM in hypertension in sub Saharan Africa. Further studies in hypertension and other non communicable disease are needed.
Contemporary and alternative medicine in the management of hypertension in an urban Nigerian community
(2010) Osamor, P. E.; Owumi, B. E.
Hypertension is a common non communicable condition worldwide. In developing countries (including Nigeria), the use of complementary and alternative medicine (CAM) is common. This study investigated the frequency and factors associated with use of CAM among hypertensive subjects in an urban Nigerian community. Perspectives about the management of hypertension were obtained from CAM practitioners in the community. Methods: Four hundred and forty hypertensive subjects in Idikan community, Ibadan, were interviewed using a semistructured survey instrument. Association between categorical variables was tested using the chi-square test. Logistic regression analysis was done to identify independent predictor variables of CAM use, with CAM use as the outcome variable and the demographic and belief items as predictor variables. In-depth interviews were conducted with all known CAM practitioners in the community on issues relating to their beliefs, knowledge, practice and experiences in managing patients with hypertension in the community. Results: In the study sample, 29% used CAM in the management of their hypertension. Among those using CAM, the most common forms used were herbs (63%) and garlic (21%). Logistic regression analysis revealed that four variables were independent predictors of CAM use: being male (OR 2.58, p < 0.0001), belief in supernatural causes of hypertension (OR 2.11, p = 0.012), lack of belief that hypertension is preventable (OR 0.57, p = 0.014) and having a family history of hypertension (OR1.78, p = 0.042). Other factors such as age, educational level and occupation were not independent predictors of CAM use. Interviews with CAM practitioners revealed that they believed hypertension was caused by evil forces, stress or "too much blood in the body". They also thought they could cure hypertension but that reduced costs (compared to hospitals) was one of the reasons most of their clients consult them. Conclusions: The use of CAM is common among hypertensive subjects in this urban Nigerian community. Men were more than twice as likely to use CAM and belief in supernatural causes of hypertension was the most notable belief predicting CAM use. Interviews with CAM practitioners yielded useful perspectives about the role they play in hypertension management in the community. This study adds to the small but growing literature about the use of CAM in hypertension in sub Saharan Africa. Further studies in hypertension and other non communicable disease are needed.
Employee, satisfaction with national health insurance scheme at the University of Ibadan
(Faculty of Business and Social Sciences University of Ilorin, 2014-10) Owumi, B. E.; Omorogbe, C. E.; Rapheal, S. U.
"The study investigated the factors that lead to employees' satisfaction with the services of the University health services as vendors of the National Health Insurance Scheme (NHS) in the University of Ibadan, Nigeria. A descriptive survey research design was used for the study. The study population was made up of both academic and non-academic staff of the University. A sample size of 225 was selected though simple random sampling technique. Data was collected by the use of questionnaire and in-depth interviews. The questionnaire which comprised of open and closed ended questions were administered to the respondents. A total of 8 in-depth interviews were conducted across eight randomly selected areas for the study. The quantitative data generated through the questionnaire were analyzed at the univariate and bivariate levels employing frequency distribution and percentages. The resulting qualitative data was analyzed using manual content analysis to enhance the explanatory clarity of the findings. Findings show that there was heightened awareness of the scheme amount the employees. Majority of the employees claimed that they were satisfied with the Health Care Service provided under NHIS. The study revealed that the employees encountered some challenges with the scheme such as long waiting time before obtaining their registration cards and also before consultation with the doctors. The study also showed that there was need for improvement in the services provided to the enrollees in the benefit package of the scheme. In order to maintain satisfactory health care service for the employees, it was recommended that government should organize stakeholder's forum where joints needs assessment could be done. This will go a long way in ensuring that the employees continue to enjoy satisfactory health care services. "
Employees' satisfaction with National Health Insurance Scheme at the University of Ibadan
(Faculty of Business and Social Sciences, University of Ilorin., 2014) Owumi, B. E.; Omorogbe, C. E.; Rapheal, S. U.
The study investigated the factors that lead to employees' satisfaction with the services of the University health services as vendors of the National Health Insurance Scheme (NHS) in the University of Ibadan, Nigeria. A descriptive survey research design was used for the study. The study population was made up of both academic and non-academic staff of the University. A sample size of 225 was selected though simple random sampling technique. Data was collected by the use of questionnaire and in-depth interviews. The questionnaire which comprised of open and closed ended questions were administered to the respondents. A total of 8 in-depth interviews were conducted across eight randomly selected areas for the study. The quantitative data generated through the questionnaire were analyzed at the univariate and bivariate levels employing frequency distribution and percentages. The resulting qualitative data was analyzed using manual content analysis to enhance the explanatory clarity of the findings. Findings show that there was heightened awareness of the scheme amount the employees. Majority of the employees claimed that they were satisfied with the Health Care Service provided under NHIS. The study revealed that the employees encountered some challenges with the scheme such as long waiting time before obtaining their registration cards and also before consultation with the doctors. The study also showed that there was need for improvement in the services provided to the enrollees in the benefit package of the scheme. In order to maintain satisfactory health care service for the employees, it was recommended that government should organize stakeholder's forum where joints needs assessment could be done. This will go a long way in ensuring that the employees continue to enjoy satisfactory health care services.
An evaluation of the impacts of the National Health Insurance Scheme on the employees' health status at the University of Ibadan
(2013) Owumi, B. E.; Omorogbe, C. E.; Raphael, S. C.
This study examines employees’ health care status and provision of health care services under the National Health Insurance Scheme (NHIS) at the University of Ibadan, Nigeria. Data were collected from 383 randomly selected respondents through survey method. Eighteen in-depth interviews (IDIs) were conducted among nine male and female respondents each to reflect gender balance. The data generated through the questionnaire were analyzed using content analysis. The findings revealed a high level of awareness of the scheme among the employees while employees perceived their health status as good following the usage of the health care services under the scheme. The findings revealed the influence of NHIS on the perception of employees’ health status at the University of Ibadan. It is recommended that necessary steps be taken to occupy employees while waiting for consultation with doctor such as provision of informative and educational materials.
An evaluation of the impacts of the National Helath Insurnace Scheme on the employees' health status at the university of Ibadan
(Sacha International Academic Journals, 2013) Owumi, B. E.; Omorogbe, C. E
"Traditional Birth Attendants have been assisting the pregnant women and children mostly in the rural 14 areas. This study intended to explore the impact of traditional birth attendants on maternal and child health in Ikole LGA 15 of Ekiti State, Nigeria. The study adopted the use of functionalist theory and Social Action theory in explaining the impact of TBAs on maternal and child health and the factors influencing the utilization of TBAs facilities respectively. A descriptive research design was employed for the study, using both quantitative and qualitative methods of data collection. The sample size was selected through random sampling technique and a total of 250 questionnaires were distributed to the pregnant women and mothers with children ≤ 5 years old, who were currently attending antenatal and/or postnatal with TBAs and were resident in the Ikole Local Government Area. Findings revealed that 90.4% of the pregnant women and nursing mothers had exclusively utilized TBAs facility. Also, majority of the respondents believed that TBAs have helped them solved their health problems and ensured safe delivery. Consequently, the outcome of the study indicates that some women resort to TBAs assistance because they believe in the efficacy of the TBAs especially for spiritual assistance. Generally, the TBAs should be given more training to be aware that they are not “illegal,” so that their work does not go underground and becomes dangerous. There should be an integration of TBAs and the health centers as it is practiced in China to deal with the spiritual aspect of health care delivery which makes many people patronize TBAs. "
Factors associated with treatment compliance in Hypertension in Southwest Nigeria
(International Centre for Diarrhoeal Disease Research, Bangladesh, 2011) Osamor, P.E; Owumi, B. E.
"Hypertension is an important condition among adults, affecting nearly one billion people worldwide. Treatment with appropriate medication is a key factor in the control of hypertension and reduction in associated risk of complications. However, compliance with treatment is often sub-optimal, especially in developing countries. The present study investigated the factors associated with self-reported compliance among hypertensive subjects in a poor urban community in southwest Nigeria. This community-based crosssectional study employed a survey of a convenience sample of 440 community residents with hypertension and eight focus-group discussions (FGDs) with a subset of the participants. Of the 440 hypertensive respondents, 65.2% were women, about half had no formal education, and half were traders. Over 60% of the respondents sought care for their condition from the hospital while only 5% visited a chemist or a patent medicine vendor (PMV). Only 51% of the subjects reported high compliance. Factors associated with high self-reported compliance included: regular clinic attendance, not using non-Western prescription medication, and having social support from family members or friends who were concerned about the respondent’s hypertension or who were helpful in reminding the respondent about taking medication. Beliefs about cause of hypertension were not associated with compliance. The findings of the FGDs showed that the respondents believed hypertension is curable with the use of both orthodox and traditional medicines and that a patient who ‘feels well’ could stop using antihypertensive medication. It is concluded that treatment compliance with antihypertensive medication remains sub-optimal in this Nigerian community. The factors associated with high self-reported compliance were identified. More research is needed to evaluate how such findings can be used for the control of hypertension at the community level."
Factors associated with treatment compliance in hypertension in Southwest Nigeria
(2011) Osamor, P. E.; Owumi, B. E.
Hypertension is an important condition among adults, affecting nearly one billion people worldwide. Treatment with appropriate medication is a key factor in the control of hypertension and reduction in associated risk of complications. However, compliance with treatment is often sub-optimal, especially in developing countries. The present study investigated the factors associated with self-reported compliance among hypertensive subjects in a poor urban community in southwest Nigeria. This community-based cross sectional study employed a survey of a convenience sample of 440 community residents with hypertension and eight focus-group discussions (FGDs) with a subset of the participants. Of the 440 hypertensive respondents, 65.2% were women, about half had no formal education, and half were traders. Over 60% of the respondents sought care for their condition from the hospital while only 5% visited a chemist or a patent medicine vendor (PMV). Only 51% of the subjects reported high compliance. Factors associated with high self-reported compliance included: regular clinic attendance, not using non-Western prescription medication, and having social support from family members or friends who were concerned about the respondent’s hypertension or who were helpful in reminding the respondent about taking medication. Beliefs about cause of hypertension were not associated with compliance. The findings of the FGDs showed that the respondents believed hypertension is curable with the use of both orthodox and traditional medicines and that a patient who ‘feels well’ could stop using antihypertensive medication. It is concluded that treatment compliance with antihypertensive medication remains sub-optimal in this Nigerian community. The factors associated with high self-reported compliance were identified. More research is needed to evaluate how such findings can be used for the control of hypertension at the community level.
Factors Influencing infant immunization uptake in the Yoruba community of Southwestern Nigeria
(2013) Jegede, A. S.; Owumi, B. E.
Background: The recurrent incidence of immunizable diseases is an indication that the current immunization campaign is failing. This paper, therefore, examined the factors affecting the use of immunization and how Yoruba parents perceive immunization in the relation to beliefs and practices about child protection. Methods: A variety of qualitative methods of data collection were used to obtain information in two Yoruba communities (Moniya and Onidudu). Eight (8) Focus Group Discussions (FGDs) and 10 Key Informants Interviews (KIIs) were conducted, while special cases were observed during the study using unstructured observation technique. Content analytical approach was adopted to explain the data. Results: Data showed that though there was high patronage of immunization services, some mothers still defaulted because of delay in vaccine supply, clashes of immunization days with the economic activities of mothers, especially the market days, and the negative attitude of some clinic staff members. Perceived side effect of vaccine did not have strong negative influence on the patronage of immunization. Mothers reported that delay occurred as a result of time it takes to receive immunization supplies from the central store in Ibadan and lack of assurance of getting supply at all. Conclusion: It is, therefore, concluded that attitude towards immunization uptake has improved tremendously with high demand for it over the years when data were compared with the earlier findings in the same study location a decade ago. However, this enthusiasm was still being discouraged by supply-related factors. Hence, it is recommended that sustainable cold chain system should be maintained in the local communities, using freezers powered by solar energy. Also, public engagement is necessary to address the need of the mothers. Finally, there is need to train the clinic staff in clinical ethics to be able to relate well with patients.
Factors influencing utilization of birth attendants' services by pregnant women and nursing mothers in Ikole LGA of Ekiti State, Nigeria
(2012) Owoseni, J. S.; Owumi, B. E.
Women and children die everyday from the scourge of maternal and infant/ mortality due to the poor primary health care system in most rural communities and as such, this study intends to explore factors influencing utilisation of traditional birth attendants' services by pregnant women and nursing mothers with children ≤5 years old in Ikole LGA of Ekiti State, Nigeria in a typical rural Yoruba community. A descriptive research design was employed for the study, using both quantitative and qualitative methods of data collection. The sample size was selected through random sampling technique and a total of 250 questionnaires were distributed to the pregnant women and mothers with children ≤5 years old, who were currently attending antenatal and/or postnatal with TBAs and were resident in the Ikole Local Government Area. 25 TBAs were interviewed in five selected communities in-Ikole Local Government-Area of Ekiti State for the study. Findings revealed that majority of the pregnant women and nursing mothers had exclusively utilized. TBAs facility while only. Consequently, the outcome of the study indicates that some women resort to TBAs assistance for spiritual reasons. Generally, the TBAs should be given more training to be aware that they are not “illegal” so that their work does not go underground and becomes dangerous. There should be an integration of TBAs and the health centres as it is practiced in China to deal with the spiritual aspect of health care delivery which makes many people patronize TBAs.
Forms and age at circumcision: some psychological implications for women's fertility
(The Network of Psychological Studies of Women Issues, 1994) Owumi, B. E.
The paper attempts to examine the forms and age at circumcision with the goal of highlighting the psychological implication of the procedure for women's fertility. The findings are a product of a survey involving a randomly selected sample of 214 women conducted in two local government areas (Okpe and Sapele) of Delta state in Nigeria. The results revealed that circumcised women experience some degree of fear and anxiety states because of the practice and this has some implications for women's sexual behaviour. It also revealed that the period of recovery from the operation also tends to affect the mental image of women and by extension sexual relationships. Arising from the observed adverse effects, the paper concludes by calling for the eradication of the practice in our society.
Group methodology and women’s access to soft loans in selected microfinance institutions in Edo state, Nigeria
(2017) Taiwo, P. A.; Owumi, B. E.; Oyekanmi, O. O.
Group methodology has been identified as one of the key elements that differentiates microfinance from other conventional banks. While financial sustainability remains a necessary goal in microfinance bank, the role of group methodology in contributing to microfinance capital, clients’ access to loans and repayment seem to receive negligible attention. The paper seeks to examine the role of group influence in clients’ access to loans and repayment of loans in Edo state in the bid to experience poverty alleviation. Data were collected using qualitative and quantitative method. This included a survey of 750 purposively selected female clients from six selected microfinance banks in the state, 20 key informant interviews, 14 In-depth interviews and 8 Focus Group discussions (FGDs.) Ninety-eight percent of the respondents revealed that they accessed loans through the microfinance banks and repaid through weekly contributions in their “unions”. Qualitative reports revealed that clients experienced increased solidarity and consistently paid back loans through group influence and sometimes covered up for themselves by paying on behalf of those who default for some unforeseen reasons and get paid among themselves later in other to avoid been disqualified from accessing loans. Key informant interviews revealed that group methodology reduced cost and stress, aided recruitment and training of new members and contributed to finances that serve as loans from potential loanees. Harnessing the potentials of the group to improve business skills and combatt other factors that aggravate the effect of poverty is recommended to make microfinance intervention more impactful
The Hospital Work Environment : A Study of Occupational hazards associated with nursing as an occupation
(Friedrich Ebert Foundation, Lagos and Reproductive, Occupational and Mental Health Network, University of Ibadan, Nigeria, 1995) Owumi, B. E.
Household strategies for coping with the financial costs of healthcare in Edo State, Nigeria
(2016-11) Garuba, S. A.||Owumi, B. E.; Owumi, B. E.
The cross-sectional survey design was used in the 'Study to elicit "data in Edo State, Nigeria to assess the strategies employed by households to cope with the financial costs of healthcare. Questionnaire data were collected from 508 household respondents in three randomly-selected Local Government Areas of the state including Esan-west, Etsako-west and Egor. Twelve Focus Group Discussions complemented survey data. The main strategies to cope with the financial costs' of health care were mobilization of cas1i and savings (40.5%), and sale of produce and assets (16.0%). Level of income was a significant factors, affecting the ability to mobilize cash and savings to cope with the financial costs of health care (X2 = 31.787, 4df, p<0.05, critical value = 9.49). Diversion of money intended for food, education; -and clothes to cope with the financial costs of health care was common, relatively, to respondents with low income level (X2 = 13.050, 4df, p<0.05, critical value = 9.94). The findings of the study indicate that urban households have the ability to cope with the financial costs of health care, than rural households. It is therefore imperative that government should not only make healthcare facilities available but should also alleviate poverty in society to enable people defray the cost of healthcare with minimal effort.
Household strategies for coping with the financial costs of healthcare in Edo State, Nigeria
(2015) Garuba, S. A.; Owumi, B. E.
The cross-sectional survey design was used in the 'Study to elicit "data in Edo State, Nigeria to assess the strategies employed by households to cope with the financial costs of healthcare. Questionnaire data were collected from 508 household respondents in three randomly-selected Local Government Areas of the state including Esan-west, Etsako-west and Egor. Twelve Focus Group Discussions complemented survey data. The main strategies to cope with the financial costs' of health care were mobilization of cas1i and savings (40.5%), and sale of produce and assets (16.0%). Level of income was a significant factors, affecting the ability to mobilize cash and savings to cope with the financial costs of health care (X2 = 31.787, 4df, p<0.05, critical value = 9.49). Diversion of money intended for food, education; -and clothes to cope with the financial costs of health care was common, relatively, to respondents with low income level (X2 = 13.050, 4df, p<0.05, critical value = 9.94). The findings of the study indicate that urban households have the ability to cope with the financial costs of health care, than rural households. It is therefore imperative that government should not only make healthcare facilities available but should also alleviate poverty in society to enable people defray the cost of healthcare with minimal effort.
The impact of price reform on the health and productivity of rural women in southern Nigeria
(A publication of NISER/SSCN national Research Netwrok on Liberalization Policies in Nigeria supported by International Development Research Centre, Canada, 1996) Isamah, A. N; Owumi, B. E.; Adewumi, F.; Okunola, R.
The impact of traditional birth attendants on maternal and child health in Ikole LGA of Ekiti State, Nigeria
(The Journal of Obstetrics and Gynecology of India, 2013) Owoseni, J. S.; Owumi, B. E.
"Traditional Birth Attendants have been assisting the pregnant women and children mostly in the rural 14 areas. This study intended to explore the impact of traditional birth attendants on maternal and child health in Ikole LGA 15 of Ekiti State, Nigeria. The study adopted the use of functionalist theory and Social Action theory in explaining the impact of TBAs on maternal and child health and the factors influencing the utilization of TBAs facilities respectively. A descriptive research design was employed for the study, using both quantitative and qualitative methods of data collection. The sample size was selected through random sampling technique and a total of 250 questionnaires were distributed to the pregnant women and mothers with children ≤ 5 years old, who were currently attending antenatal and/or postnatal with TBAs and were resident in the Ikole Local Government Area. Findings revealed that 90.4% of the pregnant women and nursing mothers had exclusively utilized TBAs facility. Also, majority of the respondents believed that TBAs have helped them solved their health problems and ensured safe delivery. Consequently, the outcome of the study indicates that some women resort to TBAs assistance because they believe in the efficacy of the TBAs especially for spiritual assistance. Generally, the TBAs should be given more training to be aware that they are not “illegal,” so that their work does not go underground and becomes dangerous. There should be an integration of TBAs and the health centers as it is practiced in China to deal with the spiritual aspect of health care delivery which makes many people patronize TBAs. "
Integrating health services into Microfinance operations for sustainable poverty alleviation: The case of female clients in Edo State
(2014-10) Taiwo, P. A.; Owumi, B. E.
Microfinance role in women empowerment and poverty alleviation has received a lot of focus with negligible attention on health implications. This paper-focuses on microfinance and health integration services as pathway for sustainable poverty alleviation, using cross-sectional survey of 750 purposively selected respondents (400 from microfinance banks (MBs), with integrated health-related services (IHS) and 350 from MBs without IHS in Benin, Ugbowo, Iruekpen, Auchi, Jattu and Ekpoma. Fourteen In-depth interviews and 20 Key Informant Interviews were conducted. Respondents (60.3%) from MBs with IHS, who attached high importance to their health, doubled those from MBs without IHS (30.3%). IHS enabled clients practice preventive health behaviour and payment for health services. IHS helps women value their health and reduces health-risks. MBs should be encouraged and funded to integrate health-related services in their operations.