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- ItemAdherence to Antiretroviral therapy among Human Immunodeficiency Virus infected patients at the University of Ilorin Teaching Hospital, Ilorin, Nigeria.(2015) Olagunju FA; Odeigah LO; Suleiman ZA; Issa YF; Akanbi II A; Raji HA; Adesina KT; Saidu R; Ayeni OM; Jimoh AAGBackground: When people living with HIV/AIDS (PLHAs) are able to meet its challenging adherence requirements, highly active antiretroviral therapy (HAART) can be a nearly miraculous drug regimen that drastically reduces viral replication and damage to the immune system, restores daily functioning and well being. Objectives: The study sought to determine the rate and sociodemographic factors affecting adherence to antiretroviral therapy. Also to find associations between adherence and some clinical parameters among HIV infected patients attending lentiviral clinic at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Methods: The study was a descriptive cross-sectional survey of a randomly selected 250 HIV infected adult patients who were on antiretroviral therapy for a minimum of three months under the Federal Government of Nigeria’s free drugs programme. Self-reported adherence and other data were collected using an interviewer-administered questionnaire. Results: Adherence rate to antiretroviral therapy among HIV-infected patients was 90%. Knowledge of respondents about adherence and the increase in CD4 counts were significantly associated with adherence level. An assessment of the relationship between rate of adherence and socio-demographic factors revealed that there were no statistically significant associations. Conclusion: The high rate of adherence was largely attributed to free drugs provided by the clinic, free CD4 counts and other investigations, regular health talk and adherence counseling provided by a high level man-power.
- ItemWillingness to Pay for Community Health Financing: An Approach to Financing and Sustainability of Integrated Community Case Management of Childhood Illness in Rural Communities in Niger State(2021) Sheshi IM; Ahmed A; Sanni MD; Issa YF; Agbana, BEIntroduction: Community based health financing mechanism is referred to as a process whereby household in a community finance or co finance the recurrent and capital cost associated with a given set of health services thereby also include management of financial scheme and organization of health services. Iccm as a strategy to providing integrated case management services for two or more illness including diarrhea, malaria, pneumonia among children from two to upto five years. It is a community approach where lay persons are trained on management of the three diseases. This approach is being funded by foreign donor. However, there was stipulated period in which this support would elapsed and the support from the state Government may not be feasible. In an attempt to source for financing of iccm, this study aim at determining the willingness of the caregiver to use Community financing approach through payment of Premium to finance this community intervention (iccm). The concept of willingness to pay is maximum price a consumer is willing to pay for a given product or services. Materials and Methodology: A descriptive Cross sectional study was carried out among four hundred respondents that were selected using Multi stage sampling technique. Data was collected, coded and entered into a computer. Analysis was carried out using SPSS. Chi Square and logistic regression was used as a test of significance. Level of significance was set at Pvalue less than 0.05. Results: Twenty two percent of the respondents had good knowledge of iccm activities. Less than half of the respondents 41.3% were satisfied with iccm activities. Majority of the respondents 93.3% were willing to pay. Out of this, half of them 50.0% said they could only afford to pay less than 1000 naira per annum and 72.8% said the convenient time to pay was during the harvesting time. Factors influencing willingness to pay include Age, marital status and income level ( Pvalue <0.05). Knowledge and level of satisfaction were not influencing factors. The predictor of willingness to pay are aged 38-47 years and income of less than 5000 naira. Conclusion and Recommendation: There was willingness of the respondents to contribute for financing and sustainability of iccm in Niger State but the amount the majority of them were willing to pay was less than 1000 naira which might not able to sustain the iccm activities. There may be need for further research to determine amount needed for the annual activities and hence sustainability of iccm. The Government should show much responsibilities toward financing of iccm. Bi-apartite arrangement could be made between State Government and the Communities with iccm in place on how to share some responsibilities of iccm activities.
- ItemSkin Lightening Among Young Adults in Ilorin West, Nigeria: Health Risks, Societal Pressures, and the Pursuit of Fairness.(2025-03-01) Olaolu Oyinlola Bilewu *1, Morufu Olalekan Raimi 2, Oyeniyi Adegboyegba1, Ige Taiye1, Saka Bolakale Sulayman1, Idowu David Alake 3Skin-lightening practices are increasingly common among young adults, influenced by societal beauty standards, cultural traditions, and economic factors. However, these practices pose serious health risks, including skin damage and psychological distress. Limited awareness of these dangers, coupled with regulatory gaps, exacerbates the issue, necessitating targeted interventions. This study investigates the health risks and socio-demographic factors influencing skin-lightening practices among young adults in Ilorin West, Nigeria. A cross-sectional survey was conducted with 450 participants, primarily aged 18–23 years. Structured questionnaires captured data on socio demographic characteristics, product usage, health effects, and influencing factors. Statistical analyses, including chi-square tests, were used to assess associations between socio-demographic variables and skin-lightening prevalence. Findings indicate a high prevalence (65.3%) of skin-lightening, particularly among young, single, female students with secondary education. Reported adverse effects include skin irritation (37.8%) and hyperpigmentation (25.3%). Alarmingly, 76.2% of respondents were unaware of the long-term health risks. Cultural and economic factors significantly influenced behavior, with affordability and tribal norms playing key roles. The Hausa ethnic group exhibited the highest prevalence (73.5%), while usage was highest among individuals aged 21–23 years. These findings underscore the urgent need for public health interventions. Raising awareness through culturally sensitive education campaigns, enforcing stricter regulations on harmful products, and engaging social influencers can help reshape societal beauty norms. Policymakers must implement stronger controls on the production and sale of hazardous skin-lightening products. Additionally, promoting self-acceptance and healthier beauty ideals through community-based advocacy can reduce reliance on harmful practices. This study highlights the critical health risks associated with skin-lightening among young adults. Addressing the cultural and societal drivers of these behaviors can improve physical and mental health outcomes, fostering a healthier perception of beauty.
- ItemImpact of Malaria Parasiteamia and Haematologic parameters in Ilorin metropolis, North central Nigeria(World Journal of Advanced Research and Reviews, 2025-02-25) Jimoh Abdulraheem Olayemi; Oluwasogo Olalubi; Sunday AweBackground: Malaria is main cause of cause of Anaemia and thrombocytopenia and those with platelet counts less than 150,000/µL have a 12–15 times higher risk of contracting malaria than those with counts greater than 150,000/µL. Methodology: A prospective crossectional study was employed in this study. 331 patients at the University of Ilorin Teaching Hospital, Kwara State University Teaching Hospital, Sobi Specialist Hospital, Okelele Comprehensive Health Centre and Civil service Clinics in Ilorin Metropolis with age range 1-60 years who presented with malaria were recruited. While those on antimalaria drugs, those with cases of complicated malaria, pregnant women and those that refused consent were excluded from the study. Ethical clearances were obtained from both the state Ministry of Health (MOH/KS/EU/777/493) and The University of Ilorin Teaching Hospital Ilorin, (UITH PAN/2022/12/0223). The study followed ethical code of conduct 2019 (Helsinki). Blood samples were collected from all the participants, both thick and thin blood films were made, stained with diluted Giemsa 1:10 and these were then confirmed by Polymerase Chain Reaction (PCR). Blood counts were carried out using the Haematology Analyzer BC-5200 following manufacturer instructions, Results: Out of 331 patients screened, 103 (31.6%) were positive for parasitaemia and parasites density of >120000 was detected in 8 participants, P. falciparum was the only species detected. The mean values of Hb, Hct, platelet, WBC, lymphocytes and RBC were significantly low in malaria patients compared to non-infected controls and the difference is statistically significant.
- ItemEffect of alcohol and narcotic drug intake among undergraduates of Kwara State University Malete, Nigeria(2024) 3. Barakat Olajumoke Kolawole; Yusuf Funsho Issa; Sulaiman Taofik Oluwatobi; Adebayo Oluwaseyi Mercy; Hamzat Ayodeji Sorunke; Amarachi Henrietta Okoronkwo; Abubakar Umar; Darlington Chukwuma UgwuBackground: Alcohol and narcotic drug use have a long history together. Students in postsecondary institutions frequently use alcohol along with other substances like cannabis, nicotine, tramadol, codeine, and other amphetamines. These substances have detrimental effects on both the user and society at large, so it is absolutely essential to discover what is causing the continued use of these substances. Aim: To determine the effect of alcohol and narcotic intake among undergraduates of Kwara state university, Malete, Nigeria Method: This study is a descriptive cross-sectional study, designed to assess the effect of alcohol and narcotic intake among undergraduates in Kwara State University, malete using a qualitative method of data collection. The questionnaire was administered to determine the sample size using a simple random technique to get the desired sample size from the study population Result: Relationship between the social demographic response of the participants regarding their knowledge, effects of narcotic drugs and alcohol on the body and types of narcotic commonly used by undergraduates and factors motivating the use of narcotic drugs alcohol. Using Chi-Square set with the level of significance p< 0.05, which shows that it is significant, thereby rejecting the null hypothesis. Considering the relationship between the age of the respondents and the knowledge, 17-18 years were 40 (20%), 19- 20years were 80(40%) while 21 and above were 80(40%) with P-value = 0.00 < 0.05 indicating that it is significant, thereby rejecting the null hypothesis. Also, regarding the relationship between religion and their knowledge about knowledge, 100(50%) of the respondents were Muslims, 60(40%) were Christians, while 20(10%) were traditional. P-value = 0.00 < 0.05 meaning that it is significant, thereby rejecting the null hypothesis. Conclusion: On our campus, there is an urgent need for preventive public health measures. It is recommended to launch more awareness efforts about the harmful effects of alcohol and narcotic medications. The use of alcohol and other drugs presents a serious threat to our future generations. Every single person ought to be discouraged by it.