Papers by Akinola Oluwole
Annual Research & Review in Biology, 2016
Aim: Nomadic farming of cattle is a common practice in rural farming area of Nigeria. This study ... more Aim: Nomadic farming of cattle is a common practice in rural farming area of Nigeria. This study investigated the prevalence of gastrointestinal parasites among nomadic cattle herds in Eruwa, Oyo State, Southwestern Nigeria. Study Design: Cross-sectional. Place of Study: The study was conducted in Eruwa, Oyo State, Southwestern Nigeria. Methodology: Faecal samples were collected from 177 cattle across 6 randomly selected nomadic cattle herds in Eruwa. Faecal samples were collected and processed using the Sodium-acetate-acetic acid ether concentration method followed by microscopic examination for gastrointestinal parasites ova or larva. Questionnaires were also administered to herd's handlers to obtain Original Research Article
Annual Research & Review in Biology, 2015
International Health
Background An inclusive, localised approach to planning and implementing equitable mass drug admi... more Background An inclusive, localised approach to planning and implementing equitable mass drug administration was developed through participatory action research (PAR). This new approach aligns with principles of learning health systems (LHS). Tools were co-developed to support scaling up the new approach across two Nigerian states. Lessons are distilled here to enable learning for other programmes. Methods Observations and reports by researchers (2019–2021) from 23 meetings and workshops, 8 in-depth interviews and 8 focus group discussions (FGDs) were used. Results Nine key steps of best practice were identified to promote inclusive LHS for participatory planning and implementing: utilise participatory research methodologies to facilitate community engagement and tailor interventions; develop tools and governance structures to support learning, teamwork and sustainability; strengthen capacity for participation and collaboration with space for dialogue and shared learning; undertake p...
International Health
Background Girls and women living in endemic areas for urogenital schistosomiasis may have lifelo... more Background Girls and women living in endemic areas for urogenital schistosomiasis may have lifelong vulnerability to female genital schistosomiasis (FGS). For >2 decades, the importance of FGS has been increasing in sub-Saharan Africa, but without established policies for case detection and treatment. This research aimed to understand the level of FGS knowledge of frontline health workers and health professionals working in endemic areas and to identify health system needs for the effective management of FGS cases and prevention of further complications due to ongoing infections. Methods Workshops were conducted with health workers and stakeholders using participatory methods. These workshops were part of a quality improvement approach to develop the intervention. Results Health workers’ and system stakeholders’ knowledge regarding FGS was low. Participants identified key steps to be taken to improve the diagnosis and treatment of FGS in schistosomiasis-endemic settings, which fo...
Infectious Diseases of Poverty
Additional file 4. Demographics, means Z-score of nutritional indicators used, associated risk fa... more Additional file 4. Demographics, means Z-score of nutritional indicators used, associated risk factor of infection and correlation analysis.
Additional file 3: Figure S2. Flowchart of the study.
International Health
Background Detection and management of female genital schistosomiasis (FGS) within primary health... more Background Detection and management of female genital schistosomiasis (FGS) within primary healthcare is crucial for achieving schistosomiasis elimination, however, current technical strategies are not feasible in many settings. In Nigeria, there are currently no established standard operating procedures to support front-line health workers. This article presents an evaluation of piloting an FGS care package in two LGAs of Ogun State, Nigeria. Methods We used quantitative and qualitative analysis, including 46 interviews with patients, health workers and the quality improvement team; observations of training, learning sessions and supervision across 23 heath facilities; and records of patients detected and managed. Results Of 79 women and girls who were screened, 66 were treated and followed up. Health workers assimilated knowledge of FGS and effectively diagnosed and managed patients, demonstrating the feasibility of using symptomatic screening and treatment tools to diagnose and c...
Additional file 3. Standard Operating procedures for Neglected Tropical Disease (NTDs) Eliminatio... more Additional file 3. Standard Operating procedures for Neglected Tropical Disease (NTDs) Elimination in Nigeria
Additional file 2. Standard Operating procedure for Supply chain management for NTD medicine
Additional file 1. Nigeria NTD Multi-Year Master plan (2015-2020)
Additional file 1: Figure S1. Map of study area with study locations.
Health Policy and Planning, 2020
Global health gains can be achieved through strengthening health systems to identify and address ... more Global health gains can be achieved through strengthening health systems to identify and address implementation challenges in low- and middle-income countries. Participatory research, that promotes joint problem and solution finding between communities and different health systems actors, supports policy implementation analysis at all levels. Within the neglected tropical disease programmes in Liberia and Nigeria, we applied participatory action research (PAR) to address programmatic and health system bottlenecks with health systems strengthening embedded. This paper shares learning from 20 interviews with co-researchers, from national and sub-national levels and academic researchers who worked collaboratively to understand challenges, co-create solutions and advocate for policy change. Through analysis and reflections of existing PAR principles, we inductively identified five additional guiding principles for quality, ethical standards and ongoing learning within PAR projects that ...
PLoS neglected tropical diseases, 2015
The acceleration of the control of soil-transmitted helminth (STH) infections in Nigeria, emphasi... more The acceleration of the control of soil-transmitted helminth (STH) infections in Nigeria, emphasizing preventive chemotherapy, has become imperative in light of the global fight against neglected tropical diseases. Predictive risk maps are an important tool to guide and support control activities. STH infection prevalence data were obtained from surveys carried out in 2011 using standard protocols. Data were geo-referenced and collated in a nationwide, geographic information system database. Bayesian geostatistical models with remotely sensed environmental covariates and variable selection procedures were utilized to predict the spatial distribution of STH infections in Nigeria. We found that hookworm, Ascaris lumbricoides, and Trichuris trichiura infections are endemic in 482 (86.8%), 305 (55.0%), and 55 (9.9%) locations, respectively. Hookworm and A. lumbricoides infection co-exist in 16 states, while the three species are co-endemic in 12 states. Overall, STHs are endemic in 20 o...
Journal of Helminthology, 2011
There is an urgent need for information on schistosomiasis in preschool children, who are often e... more There is an urgent need for information on schistosomiasis in preschool children, who are often excluded in mass treatment programmes. The prevalence and intensity of Schistosoma haematobium infection were determined in preschool children aged ≤ 6 years in two rural communities in Ijebu East, south-western Nigeria. Two urine samples each were collected from 83 preschool children from the two communities, tested for microhaematuria using reagent strips and then processed and examined with a microscope for S. haematobium eggs. Focus group discussions on perceptions of the disease and water contact practices were held in the communities with their guardians, caregivers and preschool children, using an interview guide. The prevalence of S. haematobium in the two communities was 14 (16.9%), with no significant differences (P = 0.661) in infection rate between boys (18.4%) and girls (14.7%). Both prevalence and intensity of infection did not increase significantly with age in both Korede ...
Parasites & Vectors, 2010
PLOS Neglected Tropical Diseases
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Papers by Akinola Oluwole