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Search Results: 1 - 10 of 540 matches for " WO Adebimpe "
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Challenges Facing Early Infant Diagnosis of HIV among Infants in Resource Poor Settings
WO Adebimpe
African Journal of Reproductive Health , 2013,
Abstract: The number of children who have HIV continues to grow. Studies have confirmed dramatic survival benefits and mortality reduction for infants confirmed and managed as early as possible after diagnosis. With the advent of the Polymerase Chain Reaction technology, early infant diagnosis of HIV among children is easier and more reliable worldwide. Most HIV programmes in developing countries are donor dependent with less encouraging moves towards sustainability drive by the local health authority. The health systems also face a lot of challenges while implementing these programmes that would promptly identify HIV exposed babies as well as enrolment into care. This review examined challenges facing early infant diagnosis of HIV among infants in Nigeria. Résumé Le nombre d'enfants qui sont atteints du VIH ne cesse de s’accroitre. Des études ont confirmé les avantages de survie dramatiques et la réduction de la mortalité pour les nourrissons confirmés et gérés le plus t t possible après le diagnostic. Avec l'avènement de la technologie de Réaction en Chaine de Polymérase, le diagnostic précoce du VIH chez les enfants à travers le monde est plus facile et plus fiable. La plupart des programmes du VIH dans les pays en développement sont dépendent des bailleurs de fonds avec des tentatives moins encourageantes vers la durabilité d'entra nement par l'autorité sanitaire locale. Les systèmes de santé font face également à de nombreux défis lors de l'exécution de ces programmes qui identifieraient rapidement les bébés exposés au VIH ainsi que leur inscription dans les soins. Ce compte rendu a étudié les défis auxquels fait face le diagnostic précoce du VIH chez les nourrissons au Nigeria.
Sexual Risk Behaviour Among In-School Adolescents in Public Secondary Schools in a Southwestern City in Nigeria
AI Olugbenga- Bello, WO Adebimpe, OL Abodunrin
International Journal of Health Research , 2009,
Abstract: Purpose: Several studies have documented the high sexual activities and risky sexual behaviours among adolescents in most parts of the world thus putting them at high risk of contacting the HIV infection and other complications. This study aimed to determine sexual risk factors among adolescents in secondary schools in urban areas of Osogbo in South western Nigeria. Methods: A descriptive cross sectional study was done among 521 public secondary school students in Osogbo, Southwestern Nigeria, using multistage sampling technique and semi-structured administered questionnaire. Data were analyzed using the SPSS software package version 15. Results: Appreciable number (31.5%) of the respondents have had sexual intercourse (the mean age of sexual debut being 15.2+1 yr). Some of them (14.6%) had had more than one sexual partners, 17 (3.3%) had visited commercial sex workers before, 33 (6.3%) had been raped previously while 25 (4.8%) had been treated for STIs symptoms in the past. Most respondents were aware of common modes of transmission of the HIV virus. Less than half (32.8%) of the respondents were prepared to be screened for HIV infection. Conclusion: Many adolescents studied were sexually active, and taking a lot of risky sexual behaviours that could facilitate transmission of HIV. Advocacy programme that will make adequate information about sexual health available to the adolescents needs to be intensified.
Knowledge and attitude of civil servants in Osun State, Southwestern Nigeria towards the national health insurance
AI Olugbenga-Bello, WO Adebimpe
Nigerian Journal of Clinical Practice , 2010,
Abstract: In Nigeria, inequity and poor accessibility to quality health care has been a persistent problem. This study aimed to determine knowledge and attitude of civil servants in Osun state towards the National Health Insurance Scheme (NHIS). This is a descriptive, cross sectional study of 380 civil servants in the employment of Osun state government, using multi stage sampling method. The research instruments was pre-coded, semi structured, self administered questionnaires. About 60% were aware of out of pocket as the most prevalent form of health care financing, while 40% were aware of NHIS, television and billboards were their main sources of awareness, However, none had good knowledge of the components of NHIS, 26.7% knew about its objectives, and 30% knew about who ideally should benefit from the scheme. Personal spending still accounts for a high as 74.7% of health care spending among respondents but respondents believed that this does not cover all their health needs. Only 0.3% have so far benefited from NHIS while 199 (52.5%) of respondents agreed to participate in the scheme. A significant association exists between willingness to participate in the NHIS scheme and awareness of methods of options of health care financing and awareness of NHIS (P<0.05) Poor knowledge of the objectives and mechanism of operation of the NHIS scheme characterised the civil servants under study. The poor knowledge of the components and fair attitude towards joining the scheme observed in this study could be improved upon, if stakeholders in the scheme could carry out adequate awareness seminars targeted at the civil servants.
A descriptive job analysis of doctors as primary health care co-ordinators in south western Nigeria
MD Dairo, AO Oke, AO Olowu, WO Adebimpe, BJ Adekunle
Annals of Ibadan Postgraduate Medicine , 2006,
Abstract: No Abstract.
Prevalence of hypertension in the rural adult population of Osun State, southwestern Nigeria
Asekun-Olarinmoye EO,Akinwusi PO,Adebimpe WO,Isawumi MA
International Journal of General Medicine , 2013,
Abstract: EO Asekun-Olarinmoye,1 PO Akinwusi,2 WO Adebimpe,1 MA Isawumi,3 MB Hassan,3 OA Olowe,4 OB Makanjuola,4 CO Alebiosu,2 TA Adewole51Department of Community Medicine, 2Department of Medicine, 3Department of Surgery, 4Department of Microbiology, 5Department of Chemical Pathology, College of Health Sciences, Osun State University, Osogbo, Osun State, NigeriaBackground: The purpose of this study was to determine the prevalence of hypertension in two rural communities of Osun State, Nigeria.Methods: A consenting adult population of the Alajue and Obokun rural communities in southwestern Nigeria that presented for the screening exercise participated in this community-based cross-sectional descriptive study. Two hundred and fifty-nine respondents aged older than 18 years completed a standardized, pretested, structured questionnaire as part of activities celebrating World Kidney Day and World Glaucoma Day in 2011. Anthropometric data and blood pressure were recorded, and the data were analyzed using the Statistical Package for Social Sciences version 17.Results: The mean age of the respondents was 49.7 ± 1.6 years, 100 (38.6%) were males, 84 (32.4%) were farmers, and 111 (42.9%) were traders. The prevalence of hypertension was 13.16% (present in 34 respondents). Seventeen (6.6%) had isolated systolic hypertension, while 11 (4.2%) had isolated diastolic hypertension. Two hundred and thirty-six (91.1%) undertook daily exercise lasting at least 30 minutes and 48 (18.5%) had ever taken antihypertensive drugs on a regular basis. Four respondents (1.6%) claimed a family history of hypertension. The average body mass index (BMI) among respondents was 23.4 ± 4.9 kg/m2, 51 (19.6%) had a BMI of 25.0–29.9, and 30 (11.5%) had a BMI ≥ 30. A significant association existed between age older than 40 years and having hypertension (P < 0.05), while no relationship existed between age and BMI or between gender and hypertension (P > 0.05). Rates of older age and high BMI were significantly higher among hypertensives than among normotensives. Respondents with BMI < 25 had at least a three times greater likelihood of developing hypertension than those with BMI < 25 (odds ratio 2.9, 95% confidence interval 0.007–0.056, P = 0.011).Conclusion: The prevalence of hypertension is high in this study population and we recommend scaling up primary prevention efforts to reduce this in Nigerian communities.Keywords: prevalence, hypertension, anthropometry, body mass index, rural community
Treatment Outcomes among Human Immunodeficiency Virus and Tuberculosis Co-Infected Pregnant Women in Resource Poor Settings of South-western Nigeria
WO Adebimpe, EO Asekun-Olarinmoye, AO Hassan, OL Abodunrin, S Olarewaju, AA Akindele
Sierra Leone Journal of Biomedical Research , 2011,
Abstract: The complex interactions between Human Immunodeficiency Virus (HIV) and Tuberculosis (TB) infections may be magnified, in the presence of another potentially stressful condition like pregnancy. Though co-infection among pregnant women is rare, treatment outcomes may depend on accessibility to comprehensive treatment modalities. The objective of this study is to determine treatment outcomes among pregnant HIV and TB co-infected pregnant women in Lagos, South-western Nigeria. This retrospective, analytical study was carried out among ninety four (94) eligible pregnant women co-infected with HIV and TB at selected health-care facilities in Lagos state between January, 2008 and December, 2009. A standard checklist for data collection was used and analysis was carried out using the EPI info software. Mean age of respondents was 30.8 (±3.9) years. Sixteen (17.1%) TB cases were clinically diagnosed for tuberculosis. Among tuberculosis cases identified through sputum microscopy, 60(63.8%) were acid fast bacilli (AFB) positive and 21(22.3%) were identified in the first trimester. The mean percentage adherence to anti-retroviral drugs was 95.9% (±5.3). None of the participant smoked cigarette. Seventy three {73 (77.7%)} had contact with TB infected or suspected person in the last three months. Treatment outcome in mother showed that 74(78.7%) were cured, 8(8.5%) relapsed while 12 (12.8%) had treatment failures. Among the babies, 83(88.3%) were born alive. Women with both poor adherence (<90%) and with positive TB contact, but neither factor alone, were half-fold less likely to be cured compared with women with both good adherence (>95%) and no TB contact (OR=0.59, CI=0.45-0.95 and p=0.014). Cure rate was substantially lower in this study. This calls for extra strategies such as routine TB screening in antenatal clinics, strict adherence to national guidelines in the treatment of HIV/TB co-infections, focused antenatal care and comprehensive Prevention of Mother to Child Transmission (PMTCT) care and treatment.
Emergency contraception: an untapped resource among sexually active college students in Osogbo metropolis, Nigeria
Asekun-Olarinmoye EO,Adebimpe WO,Adeomi AA,Olugbenga-Bello AI
Open Access Journal of Contraception (OAJC) , 2013,
Abstract: Esther O Asekun-Olarinmoye,1 Wasiu O Adebimpe,1 Adeleye A Adeomi,2 Adenike I Olugbenga-Bello2 1Department of Community Medicine, Osun State University, Osogbo, Nigeria; 2Department of Community Medicine, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Nigeria Introduction: Unwanted pregnancies and unsafe abortions result in the death of thousands of women, while millions suffer from permanent or temporary disabilities, problems that the use of emergency contraception can ameliorate. This study was therefore carried out to assess the knowledge, attitude, and practice of emergency contraception (EC) among college students in Osogbo metropolis. Materials and methods: This descriptive cross-sectional study was carried out among 594 college students in Osogbo metropolis in Osun State, Nigeria, using pretested, semistructured questionnaires. Respondents were selected by multistage sampling. Data were analyzed using SPSS software, version 15. Results: The mean age of the respondents was 23.45 ± 3.63 years. Mean age at first sexual exposure was 19.34 ± 4.34 years. Awareness about EC was fairly high among the respondents, (403, 67.8%), with categorized scoring of outcome variables showing that 60.8% of respondents had good general knowledge and only 27.9% had a positive attitude towards EC. However, only 66 (29.9%) of the sexually active respondents had ever used EC before the study, while 26 (21.5%) of the 121 sexually active female respondents admitted to having had an abortion. Bivariate analysis revealed that respondents’ knowledge of, and attitude towards, EC were significantly related to age (P < 0.00000001), respondents’ course of study (P < 0.00000001), and their level in college (P = 0.0000002), while the use of EC among the sexually active students was significantly related to respondents’ knowledge of EC (P = 0.017). Conclusion: Fairly high awareness, good general but poor comprehensive knowledge, negative attitudes, and poor use characterized the practice of EC among our study population. There is therefore a need for health-education initiatives about EC, addressing specific areas of poor knowledge and clarification of common misconceptions. Keywords: knowledge, attitude, practice, college students, emergency contraception
Engineering Economy Analysis on the Production of Iron Ore in Nigeria  [PDF]
R. A. Adebimpe, J. M. Akande
Geomaterials (GM) , 2011, DOI: 10.4236/gm.2011.11002
Abstract: In line with the Federal government decision to attract direct foreign investment to the solid mineral sector and to further diversify the Nigerian economy; this study used the discounted cash flow micro-economic as-sessment to evaluate large-scale iron ore production in Nigeria. The iron ore project has an initial investment cost of US$ 73.934 m, annual expenditure and benefit of US$ 48.128 m and US$ 270 m respectively .The net present value (NPV), internal rate of return (IRR) and payback period of financial analysis at 100% ca-pacity utilizations are US$ 833.10 m, 444.36% and 6 years respectively. The economic assessment also shows a positive NPV at both 75% and 60% capacity utilizations. The study further show that the iron ore project has good economic potential and will also guide potential investor(s) in making decision on whether or not to commit resources to the project.
Climate Change Related Disasters and Vulnerability: An Appraisal of the Nigerian Policy Environment
Raheem Usman Adebimpe
Environmental Research Journal , 2012, DOI: 10.3923/erj.2011.97.103
Abstract: Nigeria is a disaster prone country. The disasters which often result into environmental emergencies like flooding are worsened by the degradation of the country s environment and natural resources. Floods, rainstorms and droughts affect households each year in Nigeria and contribute to endemic poverty in most parts. Global climate change and anticipated increases in extreme weather events will exacerbate this. Country level policies affect institutional preparedness and eventual adaptation options available during extreme weather events. One of the major challenges of dealing with climate change issues in developing countries is how to address, simultaneously, the different dimensions of vulnerability of human population that are exposed during a single disaster event. There are for instance, gender and livelihood based vulnerabilities, etc. In such cases, the mandates of existing frameworks are over stretched to address even issues outside their scope. This study attempts an overview of disasters and emergencies in Nigeria with a view to identifying their spatial and temporal dimensions. The study posits using data from government and primary sources that the nature of institutional framework available to deal with emergencies are inadequate and are poorly focused given the fragile nature of peoples livelihood and infrastructures in the country. The study concludes on the need to design local and national emergency response systems that are broad based and capable of addressing the needs of different human groups that may be vulnerable during extreme weather events. Finally, the study draws lessons for developing countries and how some of the recommendations may be replicated in third world countries.
ICT and E-governance at the Grassroots: Devising an Enabling Law
Adebimpe Umoren,Samuel Faboyede
Manager , 2012,
Abstract: The innovation of e-governance enhances good governance, strengthens the democratic process, facilitates access to information, improves citizen participation and the quality of life, using the instrument of Information and Communications Technology (ICT). There is growing concern that e-governance at the local government level can: improve the quality of services to its constituents, improve efficiency, effectiveness, transparency of government operations, build the capacity of civil society to participate in the government policy, reduce corruption and foster accountability. This paper discusses the concept, benefits, state and challenges of e-governance in developing countries, using the empirical analysis of a local government in Ogun State, Nigeria. Findings show that there is real need for harvesting the potential to streamline administrative systems and improve the delivery of government services. It concludes that although e-governance holds great prospects across Nigeria, vast majority of local governments in Nigeria are miles away from e-governance and recommends, amongst others, that local governments should be mandated under law to use electronic means in their operations.
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