scholarly works
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Item Attitude and decisions regarding personal healthcare: the case of women under microfinancein Edo state, Nigeria(Department of Sociology, Faculty of the Social Sciences, Ekiti State University, Ado-Ekiti, 2020-12) Taiwo, P. A.The paper examined women’s attitude towards their personal health using the Health Belief Model as theoretical framework. Questionnaire was administered to 750 purposively selected respondents consisting of 400 from 3 branches of a microfinance banks (MBs) with integrated health services (IHS), and 350 from 3 other MBs without IHS in Edo state Nigeria. Key Informant Interviews (KIIs) were conducted with 20 microfinance officials. Questionnaire was administered to 750 purposively selected respondents consisting of 400 from 3 branches of a microfinance banks (MBs) with integrated health services (IHS), and 350 from 3 other MBs without IHS in Edo state Nigeria. Twenty Key Informant Interviews (KIIs) were conducted with microfinance officials. Women displayed positive attitude towards their personal health with mean score for clients in both MBs with IHS and without IHS being 63.9±8.2 and 47.9±5.6 respectively (where mean score for positive attitude is ≥ 40). Furthermore, although 62.0% agreed “they cannot take their health for granted no matter what”, those who agreed and were undecided that “they won’t make decisions about their health without their spouses” were 47.8% and 32.8% respectively. Women’s roles as caregivers and dependants on their spouses make them prioritize their household needs and spouses’ decision over their personal health. Enlightening women on the relevance of prioritizing their personal healthcare is recommended to reduce poor health conditions among women.Item Perceived health implications of female genital mutilation on women in Ibadan, Oyo state(Department of Social Work University of Ibadan, Nigeria, 2020-06) Taiwo, P. A.; Kingsley, I.Female genital mutilation (FGM) is still practised in Nigeria despite its adverse effects on the emotional, psychological and reproductive wellbeing of women. Studies have focused on prevalence and attitude towards FGM, with negligible attention on its implications on women’s health. The study, therefore, examined the perceived health implications of FGM on women in Ibadan. A cross-sectional survey of 400 randomly selected respondents was conducted to elicit information on reasons for practising FGM, procedures for sterilizing instruments for circumcision and the health implications. Qualitative data were elicited from 8 ln-Depth Interviews (IDIs) with 4 married and unmarried circumcised females and 6 Key Informant Interviews (KIIs) with 2 doctors, nurses and traditional circumcisers each. Quantitative data were analyzed using the statistical package for social sciences (SPSS) and presented using descriptive statistics (frequencies and percentages) and bar charts, while qualitative data were content analyzed. Findings revealed that FGM was practiced mainly for cultural reasons (82.6%), to keep women's virginity (33.1%), control promiscuity (44.9%) among others. The procedure for sterilizing instruments for circumcision in order to prevent infection, included use of methylated spirit (4.3%>), washing with hot water (11.8%) and treating with anti-bacterial substance (1.5%). The poor hygiene practice and sterilization in the procedures of FGM negatively affected the health of circumcised females who sometimes came down with infection and other reproductive health problems. Thus, the practice of FGM has adverse implications for women’s health and, therefore, requires that women be more informed, enlightened and empowered to resist FGM and avert the consequences.Item Underdeveloping the disadvantaged: the dilemma of globalization on women in a developing country(2019-04) Taiwo, P. A.Globalization in its meanings and focus is a phenomenon with anticipated promises and possibilities whose impact can be highly felt and appreciated in the face of gender equality. Achieving such may remain an insurmountable brick wall in a developing country like Nigeria. This is especially so when we consider the disadvantage women experience due to the patriarchal nature of the Nigerian system, high level of poverty, increased marginalization and segregation, invisibility and experienced limitations and difficulty in participating and succeeding in power relations, participation in unpaid and less paid jobs (coupled with the devaluation of the Nigerian currency), inability to move and grow in their career pursuit at the same pace with men due to reproductive health issues, socialization of children, women’s “seemingly” unappreciated loss of identity to the men (through marriage) and the general orientation that women are meant to be at the “background”. Conceptualizing globalization from Anderson’s view point and hinged on the theory of feminism, this paper addresses the effect of these disadvantages on women’s lives and opportunities in the Nigerian society at a critical point as this when the country is undergoing economic recession. It concludes that women are more likely to experience underdevelopment despite the possibilities and promises of globalization. It recommends a holistic approach which will involve revisiting some policies, passing some bills, educating, enlightening, re-orientating the necessary stake holders as well as empowering women and re-enforcing gender mainstreaming in all facets of the society in order to reduce the effect of these experiences on their development in the Nigerian society.Item Delay factors in the treatment of measles among residents of Osogbo, Osun state, Nigeria(Association for Sustainable Development and Communities Integration of Nigeria, 2019-06) Taiwo, P. A.; Alabi, T.Measles accounts for one of the vaccine preventable deaths among children in the world. Nigeria is one of the countries with a very high burden of measles where cases can even be under-reported partly due to delay in seeking health care. Utilizing the health belief model, the paper examines the delay factors in seeking prompt and accurate care when children have measles. The study utilized both qualitative and quantitative methods of data collection, using 400 self-administered copies of questionnaire to elicit information on delay factors and reliance of parents on use of herbs in the treatment of measles. Also, four sessions oj Focus Group discussions (FGDs) were conducted with parents. Data were analyzed and presented, using descriptive statistics such as percentages and chi-square. Findings revealed a significant relationship between socio-demographic factors and perceived treatment patterns of measles atX2(9) = 12.162, P=.0204. Furthermore, a significant level of association existed between parents ’ perceived traditional cause of measles, beliefs in-home remedy and use of herbs at X2 (16) =127.1, P=.000. Qualitative data revealed that most parents considered measles as a disease that can be managed at home, hence, they visit patent medicine stores to get drugs or use herbs and consequently visit hospitals when the child fails to recover. It concluded that parents ’ perceived causes and treatment practices in measles is far from adequate and hence, efforts should be geared towards sensitizing parents on how to reduce mortality and morbidity resulting from measles.Item Perceived effects and coping mechanisms of rape victims among University of Ibadan undergraduates(2018-09) Taiwo, P. A.; Emechebe, B.The Prevalence of rape and its associated consequences in the Nigerian society has attracted global and scholarly attention. Several studies on rape have focused on the act of rape itself, the consequences, characteristics of Perpetrators and legal implication of rape. Few however, have focused on the perceived effects of rape and the Coping mechanisms adopted by victims especially in Oyo state. This necessitated the focus of this study. Differential Association theory and Social bond/control theory formed the theoretical frame work for the study. Quantitative data were elicited from 499 respondents selected using LeslieKish’s formula, while qualitative data Were elicited from 4 case studies, 5in-depth interviews (IDI) and one key informant interview (KII).Quantitative Data were analyzed using descriptive statistics such as percentages, chart s and cross-tabulation, while qualitative Data were content analyzed A huge proportion (93%) reported that rape adversely affects the victims. The most perceived effects of rape were psychological (92.4%), with low self esteem, mood swings, depression, and perpetual Anger being reported by 87.2%, 81.0% and 77.0% respectively. Health effect such as HIV (87.6%), Sexual Transmitted Diseases (STDs) (88.0%), pregnancy (82.6%), abortion (62.3%), damages of reproductive organs (62.9%), and death (66.7%) were reported by respondents respectively. Seeking psychological and medical help to Live a normal life and voicing out for the police to look into was suggested by 89.0% and about 60.0% as the coping Methods victims adopted. There is need for collective enlightenment of women in all sectors on the menace and effects of rape.Item Reviving healthcare delivery: context-based issues for revamping primary healthcare in Nigeria(2019) Owumi, B. E.; Taiwo, P. A.; Kolo, V. R.The relationship between health and sustainable development have long been established. Hence the need to rigorously pursue strategies to improve the health status of a nation’s citizenry through functionally effective and efficient delivery systems. However, health and healthcare delivery is a major problem confronting developing nations like Nigeria. In August 1987, Primary healthcare (PHC) was adopted as the cornerstone of health care and health policy in Nigeria. About three decades after, studies have shown that health and healthcare in Nigeria have not significantly improved; and the delivery of health services have become a perennial problem, defying the various solutions that had been advanced to solving it over time. In the face of dwindling economic reality in Nigeria, reviving primary healthcare becomes a viable alternative that will not only produce healthy and productive citizens, thereby generating national wealth; but will also reduce the cost of health care delivery to the average Nigerian. This paper presents a theoretical diagnosis of the state of affairs of healthcare delivery in Nigeria focusing on PHC as the hub of health policy. It examines the problems of PHC, identifying gaps within it that militates against successful implementation and outcomes. The paper concluded that certain deficits in the scope and policy process of PHC in Nigeria accounted for the programme’s incapacitation. It however recommended a thorough situation analysis as a prelude to a bottom-up policy approach, inclusion of the informal health sub-sector especially the traditional health care practitioners as a viable as well as cost effective strategy for the revamping of primary health care in Nigeria.Item Sexual violence and sexuality education for the vulnerable sex: evidence from rural south-eastern Nigeria(2019-03) Ani, J. I.; Taiwo, P. A.; Isiugo-Abanihe, U. C.Violence against children is one of the violations of human rights. Although studies have been done on sexual violence against female children, there are gaps in understanding of this phenomenon particularly in Nigeria. Conducted in Ngwo, a rural community in Enugu State, South-eastern Nigeria, the study presents evidence on the reality and extent of violence experienced by the girlchild in this setting. Findings revealed that sexual violence in this area and typically goes unreported. It was also found that knowledge of sexuality education was lacking in breadth and depth. Although more studies are needed to associate lack of sexuality education and experiences of sexual violence, the study concludes that female children are highly vulnerable to sexual violence. We suggest that comprehensive sexuality education can be an important factor in curbing sexual violence. Together with increased awareness and advocacy that target parents, teachers and the society at large, governmental intervention with regards to adequate sanction for perpetrators, introduction of structures for reporting sexual violence and rehabilitation of victims of sexual violence are also critical to dealing with this problem.Item Socio-cultural factors influencing immunization of children in Ekiti State, Nigeria(2018-03) Agbana, R. D.; Kunle-Olowu, A. O.; Taiwo, P. A.Several studies have been conducted to urge efforts at reducing the rate of infant morbidity and mortality throughout the world. Scientific innovations and research for efficient immunization has been able to reduce the spread of poliomyelitis across the world and make this vaccine preventable disease a history. One hundred nursing mothers were interviewed on Socio cultural factors influencing immunization of children. Knowledge of immunization was observed to be average among the study population. Identified factors that limit immunization coverage include; attitude, culture, beliefs, religions, politics, economy, conspiracies, boycotts and human suspicions. Despite reasonable knowledge on immunization and its role in disease prevention, there is a need to improve availability of information on the importance of immunization and to chage parents’ negative beliefs and attitudes towards achieving total immunization coverage.Item Perception and awareness of preventive practices against breast cancer among women in Ibadan, Oyo State, Nigeria(2018) Taiwo, P. A.; Bamidele, R.; Agbana, R. D.The prevalence of breast cancer which is the second deadly disease in the world, has affected the peace of women as the vulnerable group in the society, thus has attracting more global and scholarly attention.While researches have focused largely on the symptoms and consequences of breast cancer among women, few have focused on women’s perception and awareness about the preventive practices of this disease especially in Oyo state. This forms the focus of this paper. Marxist feminist theory formed the framework of the study. A descriptive survey was conducted among 400 women selected from two local governments in Ibadan through multi stage sampling. Ten in-depth interviews were also conducted among women. Quantitative data was analyzed using inferential statistics such as percentages and chi-square, while the qualitative data were content analyzed. The study revealed that women’s perception of breast cancer was based on poor knowledge and the ‘belief’ that breast cancer is not only caused by supernatural forces but can be cured by it (God/gods) even without medical intervention. Eightythree (83) percent were aware of breast self-examination, 66% were aware of clinical breast examination and 28% of mammography. However, awareness about other preventive practices like exercise, avoidance of alcohol intake, weight loss and diet was low and awareness was significantly related to women’s level of education with X2=44.0, P = 0.00. There is need for awareness programs and health education on breast cancer to reduce the myth about breast cancer and encourage early detection and treatment of this deadly disease.Item Motherhood and the practice of grand multiparity: responses from grand multiparous women in Ibadan, Nigeria(0331-3158, 2017) Oshodi, K. O.; Salami, K. K.; Taiwo, P. A.Grand Multiparity (GMP), having five or more pregnancies and deliveries, has contributed to high population growth in Nigeria. While the quality of life of children and the health risks associated with GMP have dominated scholarly discourse, dearth of information exists on perception of Grand Multiparity (GMP) and its practices. This study therefore focused on the Perception of Grand Multiparous Women in Grand Multiparity Practices in Ibadan, Oyo State, Nigeria. With Health belief model as framework in this study, questionnaire was administered to 422 randomly selected GMP women identified through snowballing, while 12 Key Informant Interviews were conducted with four healthcare practitioners each from western, traditional, and faith-based patterns. Six sessions of focus group discussions were also held with GMP mothers and husbands. The age of the respondents was 43.3 years ±1.2. About 41% and 19% had secondary and tertiary education respectively. Ninety per cent of the respondents were between their 5th and 7th pregnancies. Majority (67.0%) of GMP women were influenced by: couples` desire for more children (23.8%), non-use of contraception (22.6%) and desire for male children (19.5%). The GMP was significantly associated with respondents’ level of education (χ2=365.85). The GMP was rooted in the cultural values of the respondents, hence, inevitable. Conclusion: Grand multiparous practice and its attendant health-risks still exist in the rural area of Ibadan, Oyo-State, Nigeria, due to its socio-cultural influence.