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  1. Article ; Online: Public perception of COVID-19 management and response in Nigeria

    Obinna Oleribe / Princess Osita-Oleribe / Olatayo Olawepo / Anddy Omoluabi / Michael Fertleman / Babatunde L Salako

    BMJ Open, Vol 10, Iss

    a cross-sectional survey

    2020  Volume 10

    Abstract: Objectives A study designed to assess the public perception of the response of government and its institutions to the COVID-19 pandemic in Nigeria.Setting Self-selecting participants throughout Nigeria completed a self-administered questionnaire through ... ...

    Abstract Objectives A study designed to assess the public perception of the response of government and its institutions to the COVID-19 pandemic in Nigeria.Setting Self-selecting participants throughout Nigeria completed a self-administered questionnaire through an online cross-sectional survey.Participants 495.Results The majority of respondents were married (76.6%), were males (61.8%), had tertiary level education (91.0%), were public servants (36.8%), Christians (82.6%), and resident either in the Federal Capital Territory (Abuja) (49.1%) or in the South-East Region of Nigeria (36.6%). Over 95% of the respondents had heard of COVID-19 (98.8%) and knew it is a viral disease (95.4%). The government and its institutions response to the pandemic were rated as poor, with the largest rating as poor for Federal President’s Office (57.5%). Communication (50.0%) and prevention messages (43.7%) received the highest perception good rating. Female respondents and those less than 40 years generally rated the governmental responses as poor.Conclusions/recommendations It is recommended that as a public–private partnership approached was efficiently used to more effectively disseminate public health communication and prevention messages, the Nigerian Government should expand this collaboration to improve the quality of services provided in other areas of COVID-19 outbreak management.
    Keywords Medicine ; R ; covid19
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Individual and socioeconomic factors associated with childhood immunization coverage in Nigeria

    Obinna Oleribe / Vibha Kumar / Adebowale Awosika-Olumo / Simon David Taylor-Robinson

    The Pan African Medical Journal, Vol 26, Iss

    2017  Volume 220

    Abstract: Introduction: Immunization is the world most successful and cost-effective public health interventions as it prevents over 2 million deaths annually. However, over 2 million deaths still occur yearly from Vaccine preventable diseases, the majority of ... ...

    Abstract Introduction: Immunization is the world most successful and cost-effective public health interventions as it prevents over 2 million deaths annually. However, over 2 million deaths still occur yearly from Vaccine preventable diseases, the majority of which occur in sub-Saharan Africa. Nigeria is a major contributor of global childhood deaths from VPDs. Till date, Nigeria still has wild polio virus in circulation. The objective of this study was to identify the individual and socioeconomic factors associated with immunization coverage in Nigeria through a secondary dataset analysis of Nigeria Demographic and Health Survey (NDHS), 2013.
    Keywords immunization ; nigeria ; nigerian demographic and health survey (ndhs) ; Medicine ; R
    Language English
    Publishing date 2017-04-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Klamath Tribal Response to the Pandemic of COVID-19 Among Klamath Tribal Community in Oregon, USA

    Obinna Oleribe DrPH, FRCP, MBA / Rachel Miller BSN, RN / Misty Wadzeck RN, BSN / Nikowa Mendez BSN, MHA / Joseph Tibay MS, RDN / Timothy Langford PharmD, BCPS / Anjanette Devine DNP / Simon D Taylor-Robinson MD, FRCP, FWACP

    Global Advances in Health and Medicine, Vol

    2021  Volume 10

    Abstract: Introduction Socially-disadvantaged populations are more at risk of contracting COVID-19 than those with access to better medical facilities. We looked at responses of Klamath Tribes in Oregon, USA to mitigate spread of COVID-19 in a community with a ... ...

    Abstract Introduction Socially-disadvantaged populations are more at risk of contracting COVID-19 than those with access to better medical facilities. We looked at responses of Klamath Tribes in Oregon, USA to mitigate spread of COVID-19 in a community with a higher incidence of obesity, diabetes and coronary heart disease, compared to the general US population. This study reports on Klamath Tribes response to COVID-19 March -September 2020. Methods Klamath Tribes Tribal Health and Family Services established a COVID-19 Incident Management Team (IMT), instituting creative programs including a Walk-In Testing Center, implementing strict infection control protocols and regular sharing of information on the pandemic and prevalence of COVID-19 amongst Klamath Tribes. All COVID-19 tests were documented with positive cases isolated and people with high risk exposures quarantined and provided with wrap-around medical and social services until recovered or past quarantine time period. Results A total of 888 (12%) tribal members were tested for COVID1-19 between March to September 2020; 50 were found positive for COVID-19, giving a test positivity rate of 5.6% (Male – 6.3%; Female – 5.2%). No deaths have been reported amongst the local Klamath Tribes and other American Indians/Alaska Native (AI/AN) population served by the tribe. Conclusion Despite the fact that structural inequities including income disparities have shaped racial and ethnic impact of epidemics around the world, the timely response, establishment of partnerships and proactive control of the epidemic resulted in minimal impact among the Klamath Tribal and other AI/AN populations served by the tribal facilities.
    Keywords Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Subject code 306
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Opportunities and challenges to integrating mental health into HIV programs in a low- and middle-income country

    Echezona E. Ezeanolue / Theddeus Iheanacho / Isaac A. Adedeji / Ijeoma Uchenna Itanyi / Babayemi Olakunde / Dina Patel / Patrick Dakum / Prosper Okonkwo / Timothy Akinmurele / Michael Obiefune / Hadiza Khamofu / Bolanle Oyeledun / Muyiwa Aina / Andy Eyo / Obinna Oleribe / John Oko / Ayodotun Olutola / Ibrahim Gobir / Muktar H. Aliyu /
    Gambo Aliyu / Godfrey Woelk / Gregory Aarons / George Siberry / Rachel Sturke / Nigeria Implementation Science Alliance

    BMC Health Services Research, Vol 20, Iss 1, Pp 1-

    insights from the Nigeria implementation science Alliance

    2020  Volume 10

    Abstract: Abstract Background In Nigeria, there is an estimated 1.9 million people living with HIV (PLHIV), 53% of whom utilize HIV care and services. With decreasing HIV-related deaths and increasing new infections, HIV with its associated comorbidities continue ... ...

    Abstract Abstract Background In Nigeria, there is an estimated 1.9 million people living with HIV (PLHIV), 53% of whom utilize HIV care and services. With decreasing HIV-related deaths and increasing new infections, HIV with its associated comorbidities continue to be a key public health challenge in Nigeria. Untreated, comorbid mental disorders are a critical but potentially modifiable determinant of optimal HIV treatment outcomes. This study aimed to identify the challenges and opportunities related to integrating mental health care into existing HIV programs in Nigeria. Method Attendees at the Nigeria Implementation Science Alliance (NISA)‘s 2019 conference participated in nominal group technique (NGT) exercise informed by the “Exploration, Preparation, Implementation, and Sustainment (EPIS)” framework. The NGT process was conducted among the nominal groups in two major sessions of 30-min phases followed by a 30-min plenary session. Data analysis proceeded in four steps: transcription, collation, theming and content analysis. Results The two major theoretical themes from the study were – opportunities and challenges of integrating mental health treatment into HIV services. Three sub-themes emerged on opportunities: building on health care facilities for HIV services (screening, counseling, task-sharing monitoring and evaluation frameworks), utilizing existing human resources or workforce in HIV programs (in-service training and including mental health in education curriculum) and the role of social and cultural structures (leveraging existing community, traditional and faith-based infrastructures). Four sub-themes emerged for challenges: double burden of stigma and the problems of early detection (HIV and mental health stigma, lack of awareness), existing policy gaps and structural challenges (fragmented health system), limited human resources for mental health care in Nigeria (knowledge gap and burnout) and dearth of data/evidence for planning and action (research gaps). Conclusions Potential for integrating ...
    Keywords Mental health ; Nigeria ; Low and middle-income countries ; HIV ; Mental health policy ; Health services integration ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Challenges and Strategies for Improving Training of Mid-Level Research Personnel in Nigeria

    Echezona E. Ezeanolue / Theddeus Iheanacho / Dina V. Patel / Shatabdi Patel / Nadia Sam-Agudu / Michael Obiefune / Patrick Dakum / Prosper Okonkwo / Ayodotun Olutola / Hadiza Khamofu / Bolanle Oyeledun / Sani Aliyu / Muyiwa Aina / Andy Eyo / John Oko / Timothy Akinmurele / Obinna Oleribe / Usman Gebi / Muktar H. Aliyu /
    Rachel Sturke / George Siberry

    Annals of Global Health, Vol 85, Iss

    2019  Volume 1

    Abstract: Background: Contextual research evidence is needed to reduce morbidity and mortality due to chronic but preventable diseases in low- and middle-income countries. Nigeria, Africa’s most populous country, is particularly burdened by these diseases despite ... ...

    Abstract Background: Contextual research evidence is needed to reduce morbidity and mortality due to chronic but preventable diseases in low- and middle-income countries. Nigeria, Africa’s most populous country, is particularly burdened by these diseases despite its academic and research infrastructure. A major impediment to developing robust evidence on sustainable disease prevention and treatment strategies is the lack of skilled research personnel. Objective: This study aimed to identify (1) training barriers for research assistants and coordinators and (2) potential strategies to counter these barriers using a Nominal Group Technique (NGT) exercise conducted at the 2017 conference of the Nigeria Implementation Science Alliance (NISA). Method: A one-hour NGT exercise was conducted with 26 groups of 2–9 persons each (N = 134) drawn from conference attendees. Group members were presented with questions related to the two objectives. Each member was asked to generate, list, discuss and vote on ideas that were eventually ranked by the group. Qualitative Thematic Analysis (QTA) was conducted for the collated responses. Findings: The QTA identified 166 training gaps and 147 potential solutions, out of which 104 were ranked. Themes that emerged for gaps included: 1) inadequate mentorship; 2) inadequate training/ lack of organized curriculum; 3) limited access to opportunities for training and employment; 4) lack of government funding; 5) lack of interest, motivation; and 6) lack of research culture. Themes for potential strategies to address the gaps were: 1) trainings/curriculum development; 2) research modules implemented in secondary and tertiary institutions; 3) creating a sustainable forum for research-related questions and answers; and 4) advocating for and accessing more government funding for research training. Conclusion: This study identified actionable strategies that reflect practical realities in implementation research in Nigeria, which can guide government agencies, policy makers, research organizations, and ...
    Keywords Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2019-06-01T00:00:00Z
    Publisher Ubiquity Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Gaps and strategies in developing health research capacity

    Echezona E. Ezeanolue / William Nii Ayitey Menson / Dina Patel / Gregory Aarons / Ayodotun Olutola / Michael Obiefune / Patrick Dakum / Prosper Okonkwo / Bola Gobir / Timothy Akinmurele / Anthea Nwandu / Hadiza Khamofu / Bolanle Oyeledun / Muyiwa Aina / Andy Eyo / Obinna Oleribe / Ikoedem Ibanga / John Oko / Chukwuma Anyaike /
    John Idoko / Muktar H. Aliyu / Rachel Sturke / Nigeria Implementation Science Alliance

    Health Research Policy and Systems, Vol 16, Iss 1, Pp 1-

    experience from the Nigeria Implementation Science Alliance

    2018  Volume 6

    Abstract: Abstract Background Despite being disproportionately burdened by preventable diseases than more advanced countries, low- and middle-income countries (LMICs) continue to trail behind other parts of the world in the number, quality and impact of scholarly ... ...

    Abstract Abstract Background Despite being disproportionately burdened by preventable diseases than more advanced countries, low- and middle-income countries (LMICs) continue to trail behind other parts of the world in the number, quality and impact of scholarly activities by their health researchers. Our strategy at the Nigerian Implementation Science Alliance (NISA) is to utilise innovative platforms that catalyse collaboration, enhance communication between different stakeholders, and promote the uptake of evidence-based interventions in improving healthcare delivery. This article reports on findings from a structured group exercise conducted at the 2016 NISA Conference to identify (1) gaps in developing research capacity and (2) potential strategies to address these gaps. Methods A 1-hour structured group exercise was conducted with 15 groups of 2–9 individuals (n = 94) to brainstorm gaps for implementation, strategies to address gaps and to rank their top 3 in each category. Qualitative thematic analysis was used. First, duplicate responses were merged and analyses identified emerging themes. Each of the gaps and strategies identified were categorised as falling into the purview of policy-makers, researchers, implementing partners or multiple groups. Results Participating stakeholders identified 98 gaps and 91 strategies related to increasing research capacity in Nigeria. A total of 45 gaps and an equal number of strategies were ranked; 39 gaps and 43 strategies were then analysed, from which 8 recurring themes emerged for gaps (lack of sufficient funding, poor research focus in education, inadequate mentorship and training, inadequate research infrastructure, lack of collaboration between researchers, research-policy dissonance, lack of motivation for research, lack of leadership buy-in for research) and 7 themes emerged for strategies (increased funding for research, improved research education, improved mentorship and training, improved infrastructure for research, increased collaboration between academic/research institutions, greater engagement between researchers and policy-makers, greater leadership buy-in for research). Conclusions The gaps and strategies identified in this study represent pathways judged to be important in increasing research and implementation science capacity in Nigeria. The inclusion of perspectives and involvement of stakeholders who play different roles in policy, research and implementation activities makes these findings comprehensive, relevant and actionable, not only in Nigeria but in other similar LMICs.
    Keywords Research capacity ; Implementation science ; Collaborative research ; Health ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2018-02-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Field Epidemiology and Laboratory Training Programs in sub-Saharan Africa from 2004 to 2010

    Peter Nsubuga / Kenneth Johnson / Christopher Tetteh / Joseph Oundo / Andrew Weathers / James Vaughan / Suzanne Elbon / Mufuta Tshimanga / Faustine Ndugulile / Chima Ohuabunwo / Michele Evering-Watley / Fausta Mosha / Obinna Oleribe / Patrick Nguku / Lora Davis / Nykiconia Preacely / Richard Luce / Simon Antara / Hiari Imara /
    Yassa Ndjakani / Timothy Doyle / Yescenia Espinosa / Ditu Kazambu / Dieula Delissaint / John Ngulefac / Kariuki Njenga

    The Pan African Medical Journal, Vol 10, Iss

    need, the process and prospects

    2011  Volume 24

    Abstract: health workforce that can operate multi-disease surveillance and response systems. ...

    Abstract health workforce that can operate multi-disease surveillance and response systems.
    Keywords Field epidemiology ; laboratory management ; multi-disease surveillance and response systems ; public health workforce capacity building ; Medicine ; R
    Language English
    Publishing date 2011-10-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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