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Item Solving teenage and young mothers’ childhood immunization hesitance and non-compliance through mobile immunization friendly service for working mothers in Ibadan, Nigeria(Public Library of Science (PLOS), 2023) Omobowale, M. O.; Amodu, O. K.; Amodu, F. A.Mobile Immunization for working mothers (SheVaccs) is an intervention targeted at working mothers in the informal markets of Ibadan to address problem of vaccine hesitance and drop-out among different categories of mother. These mothers have great responsibilities – keeping their homes stable and their children healthy. But these mothers have challenges of different magnitudes that prevented them from immunizing their children, and for teenage mothers they are faced with socio-cultural and socio-economic obstacles and have not responded positively to childhood immunization. In relation to these challenges, SheVaccs intervention study provided friendly immunization, counselling services, and information around vaccination schedules to working mothers in Ibadan, Nigeria. The intervention covered adolescent and young mothers’ population in the selected markets. Mobile clinic was set up in 3 different purposively selected markets in Ibadan. Data for this were collected through qualitative methods of observation and 21 in-depth interviews with teenage mothers, and 6 key informant interviews with their significant others. All data were subjected to content analysis. The age range of others involved in the study was between 17-23 years, almost all participants had no post- secondary school education. All mothers in this study find it difficult to attend conventional immunization centers, due to stigmatization, subtle hostility and embarrassment they experienced during pregnancy and after in some of these centers. Many of them were ignorant and have also been mis-socialized into motherhood and childcare. They preferred an immunization service that is mobile, with “strangers” who are friendly, understanding and will not judge them for ‘’being anti-social’’. They preferred Mobile clinic because it does not waste time (5 to 7 minutes), which allows them to do other thing or concentrate on their job (source of survival), provide quick, friendly counselling and intervention for their immunization related worries. Friendly Mobile immunization services targeted at teenage and young mothers will remove clog of stigmatization and hostility and minimize incidence of childhood Immunization Hesitance and non-compliance to schedule.Item Intergenerational patterns of adolescents sexual activities: The Impact of the Nigerian Civil War(Women's Health and Action Research Centre (WHARC)., 2023) Ogubuike, C.; Amodu, O.K.; Omobowale, M. O.Item Utilization of secondhand childcare products and perceived health risks among mothers of under-five years Children in Ibadan Metropolis, Nigeria.(Nigerian Medical Association (NMA), Rivers State Branch, 2023) Adigun, A.; Omobowale, M. O.Background: Second-hand economy is a universal phenomenon. In Nigeria, it cut across many decades and all spectrums of life even in childcare practice. The role of second-hand products in childcare practice and provisioning has been under reported in scholarly discuss in Nigeria. Hence, the prevalence of secondhand childcare products utilization, different categories of secondhand products available for childcare, the perceived health hazards and the reasons why consumers patronize secondhand products for childcare among mothers of under five years in Ibadan Nigeria. Methods: A cross-sectional concurrent mix-methods approach was used in the study. The quantitative and qualitative data were done simultaneously. While mothers of under-five children were purposively selected for in-depth interviews, a total sampling of all consenting mothers of under-five found at immunization clinic of Primary health care centres were sampled for survey. A total number of 403 mothers of under five children participated in the survey while 50 IDIs were conducted with buyers (mothers) and traders of secondhand children’s products. Qualitative data were subjected to thematic analysis, while the quantitative data were analyzed with descriptive statistics and chi-square test. Results: The mean age of mothers is } SD 28.6 } 5.4. Majority of respondents 209 (51.9%) had senior secondary education, 140 (34.7%) had tertiary education and only 2 (0.5%) had no formal education. About 339 (84.1%) utilized secondhand childcare products, while 64 (15.9%) never used secondhand childcare products. Mothers with at least senior secondary education 209 (51.9%) were found to be the highest users of secondhand childcare products. Procurement and utilization of secondhand childcare products was based on quality value, availability, affordability attached to constructed superiority of western civilization wrapped around provisioning in childcare. Conclusion: Many mothers of under-five children in Ibadan utilizes secondhand products in childcare. Embedding secondhand products health hazard in health talk during immunization clinics will be beneficial and help in educating mothers on reduced and safe utilization of secondhand products in childcare.Item In our time we had few vaccines: Grandparenting as support and strategy towards the immunization of children below the age of five in Ibadan, Nigeria(Pan African Anthropological Association, 2023) Omobowale, M. O.; Amodu, F. A.; Amodu, O. K.The institution of grandparenthood holds an important cultural role as a significant socializing agent for younger generations. Decisions on the care and well-being of new entrants to the family are affected primarily by the views of grandparents. Grandparents’ perspectives impact decision-making on childhood immunization. This study examined grandparents' role in childhood immunization uptake in Ibadan, Nigeria. The study area and population were purposively selected, while qualitative data collection methods were deployed through non-participatory observations and in-depth interviews. A total of 26 in-depth interviews were conducted in three immunisation clinics in the Ibadan metropolis area among public health nurses, parents, and grandparents. The study reveals that grandparenting, as a social institution in Ibadan, places value on the immunisation status of grandchildren. Grandparents perform this social role by educating young parents on the importance of childhood immunisation, among other child-care tips. In many instances, grandparents directly or indirectly monitor their grandchildren’s immunisation appointments and sometimes pay for unsubsidized vaccines that are not on the routine vaccine schedule to ensure the well-being of their direct or indirect grandchildren. In conclusion, the institution of grandparenting enhances childhood immunisation uptake. Grandparents’ involvement in the education of childhood immunisation improves the demand for childhood vaccination and helps achieve timely and complete childhood vaccination. It is, therefore, essential to involve grandparents in interventions for childhood immunization among the study group.Item Embedding cultural studies in public health higher education: the role of medical anthropologists.(African Field Epidemiology Network (AFENET), 2022) Omobowale, M.O.Medical Anthropology is a body of knowledge with universal application. It bridges the gap between socio-cultural elements and public-health challenges; as a result, many medical anthropologists have raised the importance of culture in health matters. While public health pedagogy revolves around the ‘Germ Theory’ and the biomedical explanations of disease and illnesses; it is also very important to put the bio-sociocultural phenomena of health into consideration through an in-depth understanding of the social-cultural dimensions of health, healthcare and health-management. This is because ethnographic conceptions and the understanding of diseases, illnesses and wellbeing are germane to the success of public health. Embedding medical anthropological epistemology and research methods in public health higher education in Nigeria will contribute to the advancement of medical training through the use of ethnographic epistemology and methods, whereby vivid case studies of the social-cultural dimensions of public health issues would be subjected to critical discourse in the classroom. Utilizing ethnographic epistemological and methodological research cum pedagogical approaches in public health higher education will yield considerable successItem Contextual interpretation of COVID-19 pandemic among public space users in Ibadan Metropolis, Oyo State, Nigeria: An ethnographic review(Public Library of Science (PLOS), 2021) Omobowale, M. O.; Bamgboye, E. A.; Akinyode, A.; Falase, O. S.; Ladipo, T.O.; Salami, O.; Adebiyi, A.O.The COVID-19 pandemic has affected all dimensions of lives and has become a social problem as it continues to spread widely through the continuous interactions of people in public spaces where they earn a living. Curbing the spread of COVID-19 requires restrictions in these public spaces, however, the compliance to these measures depends largely on the understanding and interpretations of COVID 19 by users of these public spaces. This study examined the contextual interpretations of public space users about COVID-19 prevention in Ibadan Metropolis, Oyo State. The study was a rapid ethnographic survey in selected public spaces (markets and commercial motor parks) in Ibadan metropolis. Data were collected through participant observation, key informant interviews (3 females; 3 males) and indepth interviews (30) with, traders, head porters, clients/buyers and commercial vehicle drivers in these public spaces. Interviews conducted were transcribed, sorted into themes using Atlas-ti 7.5.7 and subjected to interpretive-content analysis. Findings revealed that some respondents felt COVID-19 was brought into Nigeria by rich frequent global voyagers, others felt it was through “uncultured” sexual life or wrath of God. Some also doubted the existence of the disease and many of the respondents perceived COVID-19 as a disease reported by the government or a political propaganda to siphon funds. The users of the public spaces in Ibadan Metropolis have variegated perception about the existence and severity of this rapidly spreading virus and this has grave implications for COVID-19 control in the State. Thus, regular interaction with public space users are essential for control effortsItem A cross-sectional study of the knowledge and screening practices of diabetes among adults in a south western Nigerian city(Pacini Editore Srl (Italy), 2021) Osiberu, A. A.; Oluwasanu, M. M.; Omobowale, M. O.; John-Akinola, Y.; Oladepo, O.Introduction. The control of diabetes depends largely on preventive actions often influenced by knowledge and awareness of the condition, its risk factors, complication, and management. This study assessed the awareness, knowledge, and practices regarding diabetes among adults in two communities in Ibadan, Nigeria. Methods. A community-based cross-sectional study was conducted among five hundred randomly selected non-diabetic respondents, aged 18 to 65 years. Data was collected using the pretested, modified version of the WHO STEPS instrument translated into Yoruba language. Data collected were analysed using descriptive and inferential analysis and the level of significance was set at p < 0.05. Results. Majority of the respondents (89.6%) had previously heard about diabetes. Of these (n = 448), 31.8% were knowledgeable about diabetes and only 28% have ever had their blood glucose level measured by a doctor or other health professionals. Sex and monthly income were statistically associated with respondents’ diabetes knowledge while age, religion, monthly income, employment status, marital status, ethnicity and level of education were statistically associated with screening practices (p < 0.05). Monthly income was found to be a significant predictor of the level of knowledge adjusted by sex. Earning N20,000 ($ 52.60) or less had higher odds of being knowledgeable compared to earning no income (OR 0.54, CI 0.35, 0.83). Conclusion. Though Diabetes awareness is high, knowledge gaps and poor screening practices is of concern. This calls for tailored multi-component, community-based, health education interventions.Item “You will not mourn your children”: spirituality and child health in Ibadan Urban Markets.(Springer, 2020) Omobowale, M.O.The urban Ibadan market is not only important for its economic value, but also for its representation of the worldview of the Yoruba people of South-Western Nigeria. Yoruba urban markets are adorned with different spiritualists who also earn their livelihood in the market space. Hence, through the employment of observations and in-depth interviews, the study examines how spirituality shapes child health and mothers’ health seeking behaviours in Ibadan urban markets.Item Wildlife market and predisposition to zoonotic disease in Ibadan, South-Western Nigeria.(Society for Public Health Professionals of Nigeria (SPHPN), 2020) Omonona, A. O.; Jubril, A. J.; Salami, K. K.; Coker, O. M.; Olumide, A. O.; Omobowale, M. O.; Azeez, A.; Adetuga, A. T.; Ayegboyin, M.; Oyetunde, O. I.Background: Recent cases of global epidemics rooted in zoonotic diseases' transmission engendered the exploration of wildlife beliefs and practices toward disease transmission among vendors in wildlife markets. Objectives: The study explored the wildlife market practices in order to understand how the markets, attitudes and behaviours of traders can potentially influence the transmission of zoonotic diseases in Nigeria. Methods: The study employed a qualitative research method, involving non-participant observation and interviews of 22 consented vendors from five wildlife markers in Ibadan, Nigeria. Results: Wildlife vendors were neither grounded about animal-human transmission of diseases, nor hardly suspected their stock as a route or gateway for zoonoses' transmission to humans. They also embraced metaphysical explanation of disease aetiology among them. Conclusion: Holistic and culturally-designed sensitisation about zoonoses targeting the wildlife vendors could facilitate the adoption of healthy practices when handling wildlife among them.Item Alcoholic Herbal Products and Health of Peasant Adolescents in Ibadan, Nigeria(Institute of Child Health, College of Medicine, University of Ibadan, Nigeria, 2020) Akpabio, O. E.; Omobowale, M. O.The proliferation of alcoholic herbal products (bitters, branded herbal beers and locally- produced herbal drinks) in the Nigerian public space and a corresponding high consumption rate among peasant1 adolescents has generated public health interest in recent times partly because of its associated increased social and health problems especially among young adults. However, while concerted efforts have been made to reduce alcohol consumption especially among adolescents, herbal alcohol use still remains a major problem in this group. Therefore, this article explores factors that promote utilization of alcoholic herbal drinks, perceived benefits and possible consequences associated with it. Qualitative method of data collection was adopted; In-depth interviews were conducted with 23 users (aged 15-19 years) and 12 vendors (aged 20-35 years) of herbal alcohol in purposively selected sites. Data were analyzed following the principles of theme identification and content analysis. Three themes identified were; drivers, benefits and likely consequences of herbal alcohol consumption and were found to operate through a system of normative behaviour, beliefs and experiences. The drivers of normative behaviour were: (sub) Cultural acceptance, as implied in the local and customized names used in the advert and promotion of herbal alcohol consumption which are blended in indigenous symbolic understandings; the relative availability, consumer purchasing power as well as functionality. The perceived benefits identified by users included sexual enhancement, treatments/cure for myriad of diseases and also recreation/sociation. The health and social consequences associated with misuse of alcoholic herbal products were largely neglected by both users and vendors. These have public health implications on the peasant adolescents, thus of significant interest to public health practitioners and policy-makers.