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Item Investigation of a measles outbreak in a Rural Nigerian community – the aladura experience(Academic Journals, 2010-03) Adeoye, I. A.; Dairo, M. D.; Adekunle, L. V.; Adedokun, H. O.; Makanjuola, J.The global burden of measles has remained a public health challenge. Worldwide, measles is the fifth leading cause of death among under-five children with an estimate of 197,000 deaths in 2007. In Nigeria, measles is an important cause of childhood morbidity and mortality. Measles outbreaks have been increasingly common in the country with 30, 194 and 256 outbreaks reported in 2006, 2007 and 2008 respectively. This paper describes the investigation, findings and mitigation efforts of a measles outbreak in Ogunmakin, a rural community in South-western Nigeria from 7th January to 15th February 2009. The study design was descriptive and cross-sectional in nature. The investigation was multidisciplinary in nature performed based on the national guidelines for investigating a measles outbreak. This involved data and blood sample collection from the initial cases, notification of the local government health authority, active search and line listing of cases from other health facilities. A household survey was conducted to find additional cases as well as to define the extent of the outbreak. Qualitative techniques were also employed to explore the issues associated with the uptake of immunization in the community. A total of 29 measles cases were identified, all were less than five years old. There were two deaths giving a case fatality rate of 6.9%. Majority of the cases (96.5%) were not immunized against measles. The epidemic spanned 5 weeks with majority of the cases occurring in the 2nd week. There was a clustering of cases in one of the five quarters/settlement – Otesile. The measles immunization coverage for the community was estimated as 22.9%. The stated reasons for the poor uptake of immunization were lack of time, not regarding it as important. A total of 432 children aged 9 months to 15 years received measles antigen during the response vaccination campaign. The measles outbreak in Ogunmakin village was due to low routine immunization coverage resulting in an accumulation of susceptible children. Socio-cultural factors and weak health infrastructure contribute significantly to the low uptake of immunization. There is the need mobilized the entire community on the importance of immunization as well as strengthen the provision of routine immunization.Item Survival analysis and prognostic factors of time to first domestic violence after marriage among Nigeria, Kenya, and Mozambique women(Elsevier Ltd, 2020) Fagbamigbe, A. F.; Akintayo, A. O.; Oshodi, O. C.; Makinde, F. T.; Babalola, M.; Araoye, E. D.; Enabor, O. C.; Dairo, M. D.Objectives: How soon an ever-married woman falls a victim of domestic violence after marriage is not documented in Africa. This study sought to assess the timing of first domestic violence (FDV) against women after marriage and determined the factors associated with the timings in Nigeria, Kenya, and Mozambique. Study design: This is a cross-sectional study. Methods: Data of 29,793 ever-married women of reproductive age consisting of 21,564, 4237 and 3992 from Demographic and Health Survey conducted in Nigeria (2013), Kenya (2014) and Mozambique (2011), respectively, were used. The timing of FDV was the time interval between marriage date and date of the FDV for those with reported violence but censored as the time interval between marriage date and the survey date for those without domestic violence. Survival analysis techniques were used to assess the timing and the factors influencing the timing at (P ¼ 0.05). Results: The lifetime prevalence of domestic violence among the ever-married women in Nigeria, Kenya and Mozambique was 15.4%, 39.0% and 31.0%, respectively. The overall median time to FDV was 3 years. The risk of FDV was twice higher in Kenya (adjusted hazard ratio (aHR) ¼ 1.934; 95% confidence interval (CI): 1.729e2.132) and 15% higher in Mozambique (aHR ¼ 1.156; 95% CI: 1.156e1.223) than in Nigeria. The hazard of domestic violence was significantly higher among separated/divorced women across the three countries (aHR ¼ 1.326; 95% CI: 1.237e1.801). Other factors associated with the timing of FDV against women were respondents' education, age at first marriage, region and location of residence, religion, ethnicity, employment status, wealth quintile, spouse consuming alcohol and husbands' educational attainment. Conclusions: Domestic violence against married women by their intimate partners is prevalent across Mozambique, Nigeria and Kenya, with earlier occurrences in Kenya and Mozambique. Age at first marriage, education factors, religion, ethnicity and region of residence in each country affected the timing of the first incidence of domestic violence.