Publications by authors named "Olufunmilayo Fawole"

Background: The Coronavirus disease (COVID-19) pandemic caused significant morbidity and mortality in Africa, in addition to other socio-economic consequences. Across the continent, Schools of Public Health (SPHs) played several roles in supporting national, regional, and global response to the pandemic. Following a published and grey literature search, this paper reviews and analyses the contribution of SPHs in Africa during the COVID-19 pandemic.

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Article Synopsis
  • - This study investigates COVID-19 vaccine uptake among Nigerian adults across the six geopolitical zones, highlighting the low vaccination rates especially in the Northern regions, where 65.5% of respondents hadn't received the vaccine.
  • - Utilizing a cross-sectional survey of 1,148 adults, the research identifies factors influencing vaccine acceptance, such as age, sex, occupation, and region, showing that about half of the participants had not been vaccinated, while 70% of unvaccinated individuals expressed intentions to receive the vaccine.
  • - The study emphasizes the need for targeted public health strategies to improve vaccine uptake in Nigeria, considering the country’s diverse cultural and demographic landscape.
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Background: The Corona Virus Disease 2019 (COVID-19) pandemic overwhelmed health systems and disrupted the delivery of health services globally. Community Health Workers (CHWs) play a critical role in linking communities to health systems, supporting the prevention and control of diseases in many low- and middle-income countries. However, their roles, barriers, and facilitators in the response and control of the COVID-19 pandemic have not been well documented.

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Article Synopsis
  • The study investigates sex differences in COVID-19 vaccine uptake and intention to vaccinate across four African countries: DRC, Nigeria, Senegal, and Uganda, using data from mobile surveys conducted from March to June 2022.!
  • Findings show that while self-reported vaccination rates were similar between males and females, males had a significantly higher intention to vaccinate, influenced by factors like trust in health authorities and their residence type.!
  • Trust in government institutions and the perceived truthfulness of information were crucial in determining vaccine uptake and intentions for both sexes, highlighting the importance of these factors in designing effective vaccination campaigns.
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Background: The COVID-19 pandemic control strategies disrupted the smooth delivery of essential health services (EHS) globally. Limited evidence exists on the health systems lens approach to analyzing the challenges encountered in maintaining EHS during the COVID-19 pandemic. This study aimed to identify the health system challenges encountered and document the mitigation strategies and adaptations made across geopolitical zones (GPZs) in Nigeria.

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The African Union and the Africa Centers for Disease Control and Prevention issued a Call to Action in 2022 for Africa's New Public Health Order that underscored the need for increased capacity in the public health workforce. Additional domestic and global investments in public health workforce development are central to achieving the aspirations of Agenda 2063 of the African Union, which aims to build and accelerate the implementation of continental frameworks for equitable, people-centred growth and development. Recognising the crucial role of higher education and research, we assessed the capabilities of public health doctoral training in schools and programmes of public health in Africa across three conceptual components: instructional, institutional, and external.

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Article Synopsis
  • The COVID-19 pandemic greatly challenged the health workforce globally, highlighting the need for motivated health workers to maintain effective service delivery, particularly in countries like DRC, Senegal, Nigeria, and Uganda.
  • A qualitative study involving 60 key informant interviews explored the incentives and dis-incentives faced by health workers during the pandemic response in these countries, utilizing virtual methods for data collection.
  • Results indicated that financial rewards and a variety of non-financial support, including medical care and recognition, significantly motivated health workers, while dis-incentives such as insufficient protective equipment and long working hours posed serious challenges.
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Background: African countries leveraged testing capacities to enhance public health action in response to the COVID-19 pandemic. This paper describes experiences and lessons learned during the improvement of testing capacity throughout the COVID-19 response in Senegal, Uganda, Nigeria, and the Democratic Republic of the Congo (DRC).

Methods: The four countries' testing strategies were studied using a mixed-methods approach.

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Introduction: The SARS-CoV-2 (COVID-19) pandemic overwhelmed some primary health care (PHC) systems, while others adapted and recovered. In Nigeria, large, within-state variations existed in the ability to maintain PHC service volumes. Identifying characteristics of high-performing local government areas (LGAs) can improve understanding of subnational health systems resilience.

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Introduction: The COVID-19 pandemic has had a substantial negative impact on the utilisation of essential health services (EHS) globally, especially in resource-limited settings such as Nigeria. High maternal deaths associated with low access to and utilisation of EHS such as antenatal care (ANC) and skilled birth attendants (SBAs) remain a concern during the COVID-19 era. The study assessed the COVID-19 pandemic effects on ANC and SBA utilisation across regions in Nigeria.

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Article Synopsis
  • Governments worldwide closed schools during the COVID-19 pandemic to limit transmission, impacting four sub-Saharan African countries: DRC, Nigeria, Senegal, and Uganda.
  • A qualitative study involving key informants revealed both desirable outcomes (like increased use of online learning) and undesirable outcomes (such as increased sexual violence and inadequate educational continuity).
  • The overall impact of these school closures has been largely negative, with both immediate and long-term consequences for students and the educational system as a whole.
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This review's main objective is to discuss how demographic and epidemiological transitions relate to the burden of adolescent healthcare in sub-Saharan Africa (SSA). The review explicitly discussed the burden of adolescent healthcare, the current African policies on adolescent healthcare, and gaps in the African policies compared with Europe and North America. We also examined how adolescent healthcare policies evolve and documented the recommended essential part of the policy for enhancing its sustainability.

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Intimate partner violence (IPV) is a form of Gender-based violence that is a public health problem. The health outcomes of IPV have cascading effects on the family's financial, emotional, sexual, and physical wellbeing. Sub-Saharan Africa carries a significant burden of IPV.

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Article Synopsis
  • - The COVID-19 pandemic prompted non-pharmaceutical interventions (NPIs) in four African countries, including lockdowns and travel restrictions, which had both positive and negative unintended consequences across economic, psychosocial, and environmental aspects.
  • - A mixed-methods study was conducted in the Democratic Republic of Congo, Nigeria, Senegal, and Uganda, using literature reviews, secondary data analysis, and key informant interviews to identify these consequences.
  • - Positive outcomes included reduced crime rates and improved hygiene practices, while negative effects encompassed economic downturns, job losses, increased domestic violence, mental health issues, and greater waste generation.
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This study determined the past-year prevalence of physical, sexual and psychological intimate partner violence (IPV) and associated factors among young women in urban slums and non-slums of Ibadan, Nigeria.A cross-sectional study, using a multistage cluster sampling method was used to select 1050 ever-partnered young women aged between 18 and 24 years from the five Local Government Areas (LGAs) in Ibadan municipal. All localities were classified into slums and non-slums using the UN-Habitat 2003 criterion.

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Introduction: Most tobacco use begins in adolescence, causing dependence and prolonged use, and accounts for more than 8 million deaths worldwide annually. Monitoring adolescent tobacco use is critical to controlling it. Our study examined the prevalence and factors associated with tobacco use among adolescents in Nigeria.

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Introduction: As part of efforts to rapidly identify and care for individuals with COVID-19, trace and quarantine contacts, and monitor disease trends over time, most African countries implemented interventions to strengthen their existing disease surveillance systems. This research describes the strengths, weaknesses and lessons learnt from the COVID-19 surveillance strategies implemented in four African countries to inform the enhancement of surveillance systems for future epidemics on the continent.

Methods: The four countries namely the Democratic Republic of Congo (DRC), Nigeria, Senegal, and Uganda, were selected based on their variability in COVID-19 response and representation of Francophone and Anglophone countries.

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Background: The COVID-19 pandemic has impacted the world negatively with huge health and socioeconomic consequences. This study estimated the seasonality, trajectory, and projection of COVID-19 cases to understand the dynamics of the disease spread and inform response interventions.

Method: Descriptive analysis of daily confirmed COVID-19 cases from January 2020 to 12 March 2022 was conducted in four purposefully selected sub-Saharan African countries (Nigeria, Democratic Republic of Congo (DRC), Senegal, and Uganda).

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Paucity of data exists on the timing of puberty, particularly the pubarche, in developing countries, which has hitherto limited the knowledge of the timing of pubarche, and assistance offered by physicians to anxious young people in Nigeria. Factors associated with the timings of puberty and pubarche are not well documented in Nigeria. We hypothesized that the timing of pubarche in Nigeria differs by geographical regions and other characteristics.

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Purpose: The aim of this study was to explore the perceptions of male civil servants in Ibadan, Nigeria about the perpetration of IPV and to document their suggested measures to prevent IPV in our communities in Nigeria.

Methods: Four focus group discussions were conducted among 36 male civil servants selected from Oyo State Secretariat, Ibadan using purposive sampling technique. Data were transcribed and analysed using thematic approach.

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Although community screening and testing have been recommended by the World Health Organization, the extent of readiness and the associated factors among rural populations remain unknown. We investigated the factors associated with perception of the COVID-19 transmission risk and readiness for testing in rural areas of Southwest Nigeria. Using a multistage cluster sampling technique, cross-sectional data was collected from 922 adults aged 18 years and above who were resident in rural communities selected across three States in the Southwest region between June and August 2020.

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Background: Private entities play a major role in health globally. However, their contribution has not been fully optimized to strengthen delivery of public health services. The COVID-19 pandemic has overwhelmed health systems and precipitated coalitions between public and private sectors to address critical gaps in the response.

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The mode of training and work of the military personnel is different from that of civil servants and may affect their relationships with their intimate partners. This study assessed and compared the prevalence and correlates of self-reported Intimate Partner Violence (IPV) perpetration against female partners by male military personnel and civil servants in Ibadan, south-western Nigeria. A cross sectional survey of 1240 respondents, comprising 631 military personnel and 609 civilians, was conducted using a multistage sampling technique.

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Introduction: Pregnancy and childbearing among adolescents-especially younger adolescents-is associated with health complications and lost opportunities for education and personal development. In addition to established challenges adolescents and young women face in sexual and reproductive healthcare, evidence suggests that they also face mistreatment during childbirth.

Methods: This is a secondary analysis of the WHO study 'How women are treated during facility-based childbirth' cross-sectional community survey in Ghana, Guinea, Myanmar and Nigeria.

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This study explored the experience of economic vulnerability and its effect on girls' future aspirations, relationships, and financial reliance on male partners, as well as risk for intimate partner violence (IPV) and related health consequences. Thirteen Focus Group Discussions (FGDs) were conducted among 122 female adolescents aged 15-19 years. Participants reported that lack of economic resources limits girls' ability to be economically independent by reducing opportunities to receive education or enter into a trade.

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