UISpace
Welcome to UISpace, The University of Ibadan Institutional Repository. A collection of theses, articles, books, videos, images, lectures, papers, data sets and all types of digital content originating from the University of Ibadan Nigeria. This repository is managed by the Kenneth Dike Library University of Ibadan, Nigeria.
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Immunization of children in Africa: strides and challenges
(Wolters Kluwer - Medknow, 2023-06) Olawuyi, D. A.; Esanju, D. O.; Olowolayemo, S. A.; Asogwa, C. S.; Salako, O. O.; Kolajo, A. E.; Akano, O. S.; Ibekwe, J. P.; Mbey, A. N.; Raji, A. H.
Background: The African continent is behind by a wide margin in the childhood vaccination race which contributes significantly to the high childhood morbidity and mortality rate from vaccine-preventable diseases in the continent. Some African countries are still struggling to achieve routine immunization coverage for all recommended expanded program on immunization vaccines. Aim: In this study, we aimed to identify the barriers hindering childhood immunization in Africa and to identify the remarkable progress made so far. Materials and Methods: Peer-reviewed articles published in English that focused on the barriers to childhood immunization in Africa and the progress made so far was reviewed. This was achieved by searching relevant search terms in PubMed, Google Scholar, Wiley Online Library, and CINAHL databases dating back from January 2000 to June 2022. Result: A total of 30 papers were reviewed. The barriers include parents’ education status, economic status, and gender/age; place of birth and place of residence; cultural beliefs and religious affiliations; fear of contracting diseases and lack of trust in health public institutions; vaccine awareness and delivery; and dose-specific delays. The achievements include international support and oriented actions, plans for technological integration and its implementation, and domestic immunization-oriented actions and research work. Conclusion: Childhood immunization is still low in Africa with the majority of the countries yet to realize the global immunization targets. Technologies and immunization-related interventions have been implemented to support Africa but more concerted effort and aid are required to reduce vaccine-preventable deaths to the bare minimum.
Ocular morbidity among orphans and vulnerable children living in shelters in Ibadan metropolis
(Wolters Kluwer - Medknow, 2024) Ajetunmobi, B. S.; Ugalahi, M. O.; Uchendu, O. C.; Baiyeroju, A. M.
Globally, orphans and vulnerable children (OVC) represent a significant population at risk of poor health as well as a high risk of developing ocular disorders. These ocular disorders could lead to childhood visual impairment or blindness if left undetected or untreated. This study therefore focuses on ocular morbidity among OVC living in shelter facilities to provide relevant data for planning eye care interventions. Methods: A descriptive, cross-sectional study was conducted among OVC ages 5–16 years living within shelter facilities in Ibadan, Oyo State. Sociodemographic characteristics were obtained. Ocular examinations, including visual acuity measurements, colour vision test, Hirschberg test, anterior and posterior segments assessment, and cycloplegic refraction were conducted. Descriptive and inferential analysis was done with IBM SPSS Statistics version 24. All analyses were at 5% level of statistical significance. Results: A total of 497 eligible OVC participated in the study. The mean age was 11 ± 3.4 years, and 263 (52.9%) were males. The prevalence of ocular morbidity was 18.1%. The most common types of ocular morbidity were refractive errors 47 (9.5%) and allergic conjunctivitis 18 (3.6%), with more females affected by both conditions, 28 (59%) and 11 (61%), respectively. Ocular morbidity was most common (28.3%) among the 14–16 years age group (P=0.001). Conclusion: Refractive errors and allergic conjunctivitis, which are treatable ocular conditions, were the most common ocular morbidities among these children. Regular eye screening as well as the provision of quality and affordable eye care services is advocated for this vulnerable population of children.
Ocular injuries in a paediatric population at a child eye health tertiary facility, Ibadan, Nigeria
(Elsevier, 2023) Ugalahi, M. O.; Adebusoye, S. O.; Olusanya, B. A.; Baiyeroju, A.
Purpose: To determine the pattern, causes and risk factors for ocular injuries amongst children presenting to a tertiary facility in Ibadan, southwest Nigeria Methods: A retrospective review of clinical records of patients aged 16 years and below who presented with ocular injuries to the eye emergency unit between May 2010 and April 2016. Information extracted includes patient’s demography, location and circumstances of injury, clinical findings, and management. Data was analysed using IBM SPSS Statistics for Windows, Version 26.0. Descriptive and inferential statis- tics were calculated. Odds ratio were derived from regression models adjusted for confounders. Significance was set at a P-value of 0.05. Results: A total of 109 children were studied. Majority were boys (male to female ratio = 2.9:1). The median age at presentation was 9 years. Injury occurred at home in 67 (61.5%) children, and at school in 30 (27.5%). More than half of the children were injured during play, 18 (16.5%) during corporal punishment, and 34 (31.2%) by accidents during domestic/schoolwork. Majority (73.4%) were closed globe injuries. The odds of injury with sharp objects and ocular trauma score of 4 or less was were 3.2 times (95% Confidence interval {CI}: 1.3–7.7) and 3.9 times (95% CI:1.4–11.4) higher in children aged 0–5 years respectively. The odds of open globe injury was 9.8 times (95% CI: 3.4–28.6) higher in injury from sharp objects. Wood/stick, cane, stone, broomstick and fist/palm/finger were the agents responsible for two- thirds of injuries. Conclusion: This study revealed that children predominantly sustain ocular injuries at home and younger children have greater odds of severe injuries with profound implications for visual disability. Health education, adult supervision and the application of appropriate measures necessary for reducing the incidence and severity of childhood ocular trauma are advocated.
Patrons and Clients Godfathers and the Democratization Process in Nigeria’s Fourth Republic
(2023) Lukqman,S; Busari,
Godfatherism as a phenomenon has been in existence since time immemorial and continues to feature in many human endeavors. It is a sui gener is practice that depicts political might, political survival and power sustenance. In Nigeria, it indicates political relevance and significance that guarantees meteoric rise in political careers. This dominant political culture has been sustained by a privileged few that have held sway over the political directions and fortunes within Nigeria’s polity. Drawing case studies from Northern and Southern Nigeria, this study explores the characteristics of presumed godfathers in Nigeria’s political sphere. It details the basic information about godfathers, their ideology, the goals that inform their kind of politics and their primor¬dial engagements with the phenomenon. The study has major policy implications for the seemingly uneven gradation that party politics has assumed in Nigeria.
Diaspora grand-mothering in Nigeria
(2022) Busari,D.A; Adebayo,K.O
Leaving children in the care of grandparents is a fairly common practice in close knit societies such as Nigeria. This service of providing childcare by grandmothers is however taking a transnational form with the exportation of grandmothers from Nigeria to care for grandchildren whose parents, out of economic necessity, must work fulltime. This article explores the dynamics of Nigerian grandmothers providing childcare to grandchildren in the diaspora, using twenty-five grandmothers selected in Ibadan,Southwest Nigeria based on their experience of this phenomena. Study found that participants were motivated to undertake diaspora childcare out of empathy for the younger couples, the feeling of a sense of duty, perceived knowledge of childcare, selffulfilment, cultural norms, and the need to minimize the cost of childcare for couples in the diaspora. The sense of being ‘available’ played a significant role in participants’ decision to provide childcare abroad. The study equally showed that the practice had both emotional and social impact on the grandmothers involved. The research advances the significance of diaspora grandmother child care services as a critical part of the broader debate on companionship and gender roles in old age,especially in Africa, where elders remain key transmitters of societal norms and values.