Papers by Abimbola Oduola
BACKGROUND Antiretroviral therapy (ART) has transformed HIV from a fatal illness to a chronic dis... more BACKGROUND Antiretroviral therapy (ART) has transformed HIV from a fatal illness to a chronic disease. HIV programs employ a range of approaches to support individuals in adherence to ART and in reengaging those who interrupt treatment. These interventions can often be time consuming and costly, and thus providing for all may not be sustainable. OBJECTIVE To describe our early experiences in developing a machine learning (ML) model to predict interruption in treatment (IIT) at 30 days among people living with HIV (PLHIV) newly enrolled on ART in Nigeria and our experiences integrating the model into the routine information system. To ascertain health worker perceptions and use of the model’s outputs for case management. METHODS Routine program data collected from January 2005 through February 2021 was used to identify individual characteristics associated with interruption in treatment (IIT) among PLHIV receiving ART and to develop a ML model (boosting tree and extreme gradient boos...
Research and Reviews on Healthcare: Open Access Journal, 2018
Background: The poor utilization of data generated from the RHIS in RH/FP has made it difficult t... more Background: The poor utilization of data generated from the RHIS in RH/FP has made it difficult to address some of the challenges associated with the uptake of RH/FP services. Objectives: The literature on health information systems in FP is replete with complaints of the neglect of existing information, yet remarkably little is known regarding the factors that influence acting on routine health information generated in family planning services in Nigeria. The following are the research Questions; what are the factors that facilitate the use of routine health information in FP services and What are the factors that hinder the use of routine health information in FP service? Methods: This was a prospective cross sectional mixed method study carried out over a period of 12 months in three Local government areas in Lagos, southwest Nigeria. Results: There was a very high level (n=374, 88%) of awareness on RHI indicators among the respondents. Over 90% of the respondents reported that Integrating FP into other health interventions, such as HIV, immunizations, deliveries, and post-abortion care (n=388, 91.3%), availability of staff skilled in record-keeping (n=403, 94.8%), management or supervisor's interest in data quality and data use (n=394, 92.7%), receiving feedback from higher levels on reports sent with collected FP data (n=399, (93.9%) .The commonest hindrances to the use of RHI include poor quality data (n=396; 93.2%), incomplete data (n=399; 93.9%), noninvolvement of policy makers in data collection (n=391; 92.0%) and lack of feedback from higher levels on how data generated has been put to use (n=423; 93.6%). Conclusion: It is hoped that promoting the factors identified as facilitators of RHI and removing those categorized as hindrances in this study would encourage the use of routine health information and ultimately improve family planning services in the state and the nation as a whole.
International Journal of Sciences, 2017
As at the end of 2009, Nigeria accounted for 30% of the global burden of mother to child transmis... more As at the end of 2009, Nigeria accounted for 30% of the global burden of mother to child transmission of HIV. Only 13% of pregnant women in Nigeria accessed HIV testing and counseling in the context of PMTCT (Prevention of mother to child transmission of HIV) as at the end of 2008 and about 12% of those positive accesses ARV prophylaxis for PMTCT. Reasons for this low coverage include the non-availability of the PMTCT services at all maternity or birthing centers in the country and the failure of pregnant women and nursing mother to enroll at formal conventional health facilities where their chances of accessing PMTCT services is very high.As Nigeria is a signatory to the global call to eliminate mother to child transmission of HIV, there is need for a current mapping of health facilities for PMTCT services, as this will provide us with gaps that need to be filled towards the universal coverage of PMTCT services in the country. Hence this study done to map the availability of PMTCT ...
Research and Reviews on Healthcare: Open Access Journal, Dec 4, 2018
Background: The poor utilization of data generated from the RHIS in RH/FP has made it difficult t... more Background: The poor utilization of data generated from the RHIS in RH/FP has made it difficult to address some of the challenges associated with the uptake of RH/FP services. Objectives: The literature on health information systems in FP is replete with complaints of the neglect of existing information, yet remarkably little is known regarding the factors that influence acting on routine health information generated in family planning services in Nigeria. The following are the research Questions; what are the factors that facilitate the use of routine health information in FP services and What are the factors that hinder the use of routine health information in FP service? Methods: This was a prospective cross sectional mixed method study carried out over a period of 12 months in three Local government areas in Lagos, southwest Nigeria. Results: There was a very high level (n=374, 88%) of awareness on RHI indicators among the respondents. Over 90% of the respondents reported that Integrating FP into other health interventions, such as HIV, immunizations, deliveries, and post-abortion care (n=388, 91.3%), availability of staff skilled in record-keeping (n=403, 94.8%), management or supervisor’s interest in data quality and data use (n=394, 92.7%), receiving feedback from higher levels on reports sent with collected FP data (n=399, (93.9%) .The commonest hindrances to the use of RHI include poor quality data (n=396; 93.2%), incomplete data (n=399; 93.9%), noninvolvement of policy makers in data collection (n=391; 92.0%) and lack of feedback from higher levels on how data generated has been put to use (n=423; 93.6%). Conclusion: It is hoped that promoting the factors identified as facilitators of RHI and removing those categorized as hindrances in this study would encourage the use of routine health information and ultimately improve family planning services in the state and the nation as a whole.
International Journal of Sciences, 2017
Introduction: In Nigeria, the annual number of pregnancies is estimated at over 6 million. Of thi... more Introduction: In Nigeria, the annual number of pregnancies is estimated at over 6 million. Of this number, about 58% of pregnant women attended antenatal care at least once while 45% visited antenatal clinics at least 4 times. Also only about 35% of births occurred in health facilities (20% and 15% in public and private sector facilities respectively). About 62% of births occur outside the health facility, majority of which are in the rural areas. Overall, 39% of births are delivered by skilled personnel, 41% by Traditional Birth attendants (TBAs) and relatives while 20% had unassisted delivery). Traditional Birth attendants are traditional, independent (of the health system), non-formally trained and community-based providers of care during pregnancy, childbirth, and the postnatal period. When trained, TBAs can augment their traditional function of conducting delivery with risk assessment in the prenatal period and referring mothers to health centers if complications are anticipated or in emergency. Trained TBAs can also perform deliveries and cord care hygienically and use appropriate methods to prevent and control post-partum haemorrhage. This study was conducted to show the presence or absence of some essential components ANC care at TBA and use their availability to measure the quality of care available at the TBA centers. Methods: This was a cross sectional questionnaire-based study conducted in 3 southern Nigerian states over a 6 months period. Data were collected from 450 TBAs using interviewer-administered questionnaires. The data analysis was done using statistical package for the social sciences (SPSS) for windows version 20.0 software (SPSS Inc; Chicago, IL, USA). Frequency counts were generated for all variables and statistical test of significance was performed with chi-square test. Significance was fixed at P < 0.05 and highly significance if P < 0.01. Results: There was wide gap in the accessibility of pregnant women attending care at TBA to blood investigations. These gaps ranged from as high as 92% for Hepatitis B test, 87% for blood genotype, 80% for Packed Cell volume(PCV),74% for syphilis infection test(VDRL) to as low as 50% for HIV antibody blood rapid test and 30% for blood group investigation. Tetanus toxoid immunization service was also very low at 38% availability among the TBAs. The commonest service among the TBA was referral services, which was provided by about 94% of the TBAs.Other less common service were group health talks, monitoring of blood pressure, weight measurement , antimalarial prophylaxis and local concoction mixture.
Recommendations: There is need to work with TBAs to plug the gaps in the quality of services they provide to their clients.
As at the end of 2009, Nigeria accounted for 30% of the global burden of mother to child transmis... more As at the end of 2009, Nigeria accounted for 30% of the global burden of mother to child transmission of HIV. Only 13% of pregnant women in Nigeria accessed HIV testing and counseling in the context of PMTCT (Prevention of mother to child transmission of HIV) as at the end of 2008 and about 12% of those positive accesses ARV prophylaxis for PMTCT. Reasons for this low coverage include the non-availability of the PMTCT services at all maternity or birthing centers in the country and the failure of pregnant women and nursing mother to enroll at formal conventional health facilities where their chances of accessing PMTCT services is very high.As Nigeria is a signatory to the global call to eliminate mother to child transmission of HIV, there is need for a current mapping of health facilities for PMTCT services, as this will provide us with gaps that need to be filled towards the universal coverage of PMTCT services in the country. Hence this study done to map the availability of PMTCT services at all the registered health facilities in the Ondo and Ekiti states, southwest Nigeria. Availability of HIV counseling and testing in antenatal clinic was far below universal coverage at 35% in Ondo state and 60% in Ekiti state and averagely at 44% in both states combined. Comprehensive PMTCT service was however present in just 25% health facilities in Ondo state and 15% of facilities in Ekiti state .The average PMTCT coverage for both states was 20%; which was above the national coverage of 13%.. More public hospitals (52%-57%) provide HIV counseling and testing services in antenatal clinic than private hospitals (38%-52%). Similarly, more public hospitals (21%-24%) offer comprehensive PMTCT service than private hospitals (1%-4%) in both states. There is an urgent need for a rapid scale up of HIV counseling and testing service and PMTCT services in the two southwestern states and the country as a whole to achieve universal coverage of PMTCT service in the country.
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Papers by Abimbola Oduola
Recommendations: There is need to work with TBAs to plug the gaps in the quality of services they provide to their clients.
Recommendations: There is need to work with TBAs to plug the gaps in the quality of services they provide to their clients.