Publications by authors named "E C Aniwada"

Introduction: Housing remains a strategic social determinant of health. In Sub-Saharan Africa, most urban dwellers live in slums with attendant health implications. This study assessed the housing conditions of the slums of Enugu metropolis and the public health implications.

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  • Successful treatment of tuberculosis (TB) requires patients to stick to their medication regimen, but adherence levels are often low even with directly observed therapy (DOT); digital adherence technologies (DATs) present a potential solution.
  • A study conducted in Nigeria with healthcare workers (HCWs) showed that nearly all participants found DATs helpful for supporting and counseling patients, although some faced challenges like poor network connectivity and power outages.
  • The findings suggest that DATs not only assist HCWs in real-time tracking of patients' medication adherence but also present a viable alternative to traditional DOT, contributing to better patient outcomes and support in reaching TB treatment goals.
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Article Synopsis
  • - Poor adherence to TB treatment is a major public health challenge, and Digital Adherence Technologies (DATs) offer a more patient-centered and less resource-intensive alternative to traditional directly observed treatment methods.
  • - In a study in Nigeria, most TB patients owned personal phones and had access to airtime and internet, with 83.7% stating that phone reminders were helpful in remembering to take their medication.
  • - Overall, DATs were found to be acceptable among patients, but successful implementation must tackle access issues, technical difficulties, and avoid extra costs for patients.
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Introduction: although onchocerciasis is rarely a life-threatening disease, it causes chronic morbidity which ultimately leads to disability due to late detection and treatment of the infected people. Disability in Onchocerciasis results in activity limitation and social exclusion of the affected individuals through stigma. This study aimed at assessing the level of disability and its determinants among persons with onchocerciasis.

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Background: This was a study on national TB data.

Objective: To assess improvement in TB case notification and treatment coverage through improved data use for action in Nigeria.

Design: We analysed pre- and post-intervention secondary TB programme data comprising data on increased supervisory visits, incentives for health workers, DOTS expansion, outreaches and geo-code monitoring.

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