scholarly works

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Author: search.filters.author.Ndikom, C. M.Has files: Yes

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    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.
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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.
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    Determinants of cervical cancer screening uptake among women attending selected family planning clinics in Ibadan, Oyo State, Nigeria.
    (2020) Ndikom, C. M.; Ajibade, A. B.; Oluwasola, T. A. O.
    Background: Cervical cancer screening (CCS) continuously has low awareness and is poorly utilized in developing countries despite higher incidence of cervical cancer (CC). Increasing incidence of CC has been associated with late reporting of symptoms, ignorance about the disease, and its preventive measures. This study was conducted to further investigate the determinants of CCS uptake among women attending selected family planning clinics in Ibadan, Nigeria. Materials and Methods: Adopting a cross‑sectional design, 205 consenting respondents attending family planning clinics were interviewed using an interviewer‑administered questionnaire. The data collected were analyzed using Statistical Package for the Social Sciences version 21. The hypotheses were tested using Chi‑square, odds ratio, and logistic regression at P < 0.05. Results: The mean age of the respondents was 33 ± 8 years; 176 (85.9%) were married and 72 (35.1%) had tertiary education. Although 71% of the respondents were aware of CC, only 37.1% had good knowledge and 16.1% had previously utilized CCS. About two‑thirds (68.8%) of the respondents were willing to uptake CCS, except for perceived barriers such as lack of understanding of the disease and inadequate information about the services coupled with limited availability of the CCS services. There was a significant association between uptake of CCS and knowledge (χ2 = 17.944, P < 0.001), education (χ2 = 7.724, P < 0.024), and income (χ2 = 32.22, P < 0.001). On logistic regression, the uptake CCS remained influenced mainly by income of >40,000 Naira (OR = 5.355, CI = 1.678–17.083) and knowledge (OR = 3.112, CI = 1.247–7.768). Conclusion: Family planning clinics are readily available centers for increasing the knowledge base of the women on the need for regular CCS. This needs to be duly incorporated into our routine services.