Browsing by Author "Young, A. M."

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Exploration of the need for integration of cervical cancer Information into postnatal services at primary health care centers in Ibadan Nigeria.
(2023) Ndikom, C. M.; Oluwatosin, O. A.; Salami, K. K.; Owolabi, G. O.; Oluwasola, T. A. O.; John-Akinola, Y. O.; Akpa, M. O.; Barton-Burke, M.; Ayegboyin, M.; Adedimeji, A.; Adebisi, T.; Young, A. M.
Background: Cervical cancer (CC) is a preventable disease yet it is one of the leading causes of death, especially in low-income countries. In Nigeria, information on CC is yet to be part of routine health talk at Postnatal Clinics (PNC) at the Primary Health Care (PHC) level. The PNC would however have been a good avenue to reach women at risk of CC. This study explored health care workers (HCWs)’ willingness to integrate CCS services (CCSS), and women’s readiness to uptake the services at PHCs in Ibadan, Nigeria. Method: A qualitative study design was employed in this study. Data were collected through four sessions of Focus Group Discussions (FGDs) among the women attending PNC, and 20 Key Informant Interviews (KIIs) for health workers in PHC facilities. The Atlas.ti software, version 8 was used for the analysis. Thematic contents from the study were presented as quotes and streams of thoughts. Results: Information on CCS is currently excluded from the list of PNC activities such that most women have never heard of the need for CCS. They were interested in receiving CCS information and services. Women pleaded for the integration of CCS information in PHC clinic activities but preferably in a free or subsidized format in order to encourage utilization of the services. Challenges identified were mainly a shortage of manpower and a lack of training on CCS. Conclusion: Health workers were willing to integrate CCS services in PHC activities, however, recommended recruitment of more hands to ensure effective service delivery in line with National health policy on PHC in Nigeria.
The need for integration of cervical cancer screening into family planning services among women in Ibadan, Nigeria: A cross sectional study.
(2024) Ndikom, C. M.; Saka, A. O.; Oluwasola, T. A. O.; Oluwatosin, O. A.; Young, A. M.; Barton-Burke, M.; Adedimeji, A.
Cervical cancer screening (CCS) access has remained a major challenge in developing countries. Integration of CCS into family planning services (FPS) is one strategy that could increase access and uptake of CCS services (CCSS). There are limited data on the integration of CCS into FPS, in Ibadan; hence, this study assessed the need for integration of CCS into FPS in Ibadan, Nigeria. This cross-sectional study was conducted among 202 female family planning clinic attendees selected using purposive sampling technique. A structured interviewer-administered questionnaire was used for data collection. Quantitative data were analyzed using descriptive and inferential statistics at 0.05 level of statistical significance. Mean age of the women was 32.7±6.5 years, 74.3% had poor knowledge of cervical cancer 80.2% had positive perception of the integration of CCS into FPS, 7.4% had utilized CCS, 76.2% were willing to uptake CCSS. There was also a significant association between educational level and knowledge on CCS (p= 0.000); also with the perception of inclusion of CCS into FPS and willingness to utilize CCSS (p= 0.000). The need for integration was evident as the respondents had positive perception of integration of CCS into family planning services.