Browsing by Author "Folayan, Morenike Oluwatoyin"
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- ItemOpen AccessAssociations between Forced Sexual Initiation, HIV Status, Sexual Risk Behavior, Life Stressors, and Coping Strategies among Adolescents in Nigeria.(PLOS ONE, 2016) Folayan, Morenike Oluwatoyin; Harrison, Abigail; Brown, Brandon; Odetoyinbo, Morolake; Stockman, Jamila K; Ajuwon, Ademola J; Cáceres, Carlos FSome individuals experience their first sexual intercourse through physically forced sex, which affects the way they experience and cope with stress. We examined differences in sexual risk behavior, experience of stressors, and use of stress-coping strategies among adolescents in Nigeria based on their history of forced sexual initiation and HIV status. We analyzed data from 436 sexually active 10-19-year-old adolescents recruited through a population-based survey from 12 Nigerian states. Using Lazarus and Folkman's conceptual framework of stress and coping, we assessed if adolescents who reported forced sexual initiation were more likely to report HIV sexual risk practices, to report as stressors events related to social expectations, medical care and body images, and loss and grief, and to use more avoidance than adaptive coping strategies to manage stress. We also assessed if HIV status affected experience of stressors and use of coping strategies. Eighty-one adolescents (18.6%) reported a history of forced sexual initiation; these participants were significantly more likely to report anal sex practices (OR: 5.04; 95% CI: 2.14-11.87), and transactional sex (OR: 2.80; 95% CI: 1.56-4.95). Adolescents with no history of forced sexual initiation were more likely to identify as stressors, life events related to social expectations (OR: 1.03; 95% CI: 0.96-1.11) and loss and grief (OR: 1.34; 95% CI: 0.73-2.65), but not those related to medical care and body images (OR: 0.63; 95% CI: 0.34-1.18). They were also more likely to use adaptive responses (OR: 1.48; 95% CI: 0.62-3.50) than avoidance responses (OR: 0.90; 95% CI: 0.49-1.64) to cope with stress, though these differences were not significant. More adolescents with a history of forced sexual initiation who were HIV positive identified as stressors, life events related to medical care and body images (p = 0.03) and loss and grief (p = 0.009). Adolescents reporting forced sexual initiation and HIV-negative status were significantly less likely to use religion as a coping strategy (OR: 0.28; 95% CI: 0.09-0.83). History of forced sexual initiation and HIV status affected perception of events as stressors and use of specific coping strategies. Our study findings could inform best practice interventions and policies to prevent and address forced sexual initiation among adolescents in Nigeria and other countries.
- ItemOpen AccessChallenges with study procedure fidelity when conducting household survey: reports from the field.(BMC Research Notes, 2019-08-07T00:00:00Z) Folayan, Morenike Oluwatoyin; Alade, Micheal O; Oziegbe, Elizabeth OThe aim of the study was to identify reasons for protocol deviations during conduct of large epidemiological surveys despite training of field workers, validating clinicians, and providing field supervisory support. Enquiries focused on breaches of recruitment procedures, privacy, confidentiality, and informed consent. The case study was a household survey conducted in Ile-Ife, Nigeria.
- ItemOpen AccessCommunity Inclusion in PrEP Demonstration Projects: Lessons for Scaling Up.(plos one, 0201) Reza-Paul, Sushena; Lazarus, Lisa; Jana, Smarajit; Ray, Protim; Mugo, Nelly; Ngure, Kenneth; Folayan, Morenike Oluwatoyin; Durueke, Florita; Idoko, John; Béhanzin, Luc; Alary, Michel; Gueye, Daouda; Sarr, Moussa; Mukoma, Wanjiru; Kyongo, Jordan K; Bothma, Rutendo; Eakle, Robyn; Dallabetta, Gina; Presley, Josie; Lorway, RobertPre-exposure prophylaxis (PrEP) has emerged as a new HIV prevention strategy. A series of demonstration projects were conducted to explore the use of PrEP outside of clinical trial settings. Learning from the failures in community consultation and involvement in early oral tenofovir trials, these PrEP projects worked to better engage communities and create spaces for community involvement in the planning and roll out of these projects. We describe the community engagement strategies employed by seven Bill & Melinda Gates Foundation-funded PrEP demonstration projects. Community engagement has emerged as a critical factor for education, demand generation, dispelling rumors, and supporting adherence and follow up in the PrEP demonstration project case studies. The increasing global interest in PrEP necessitates understanding how to conduct community engagement for PrEP implementation in different settings as part of combination HIV prevention.
- ItemOpen AccessCommunity stakeholder engagement during a vaccine demonstration project in Nigeria: lessons on implementation of the good participatory practice guidelines.(Pan African Medical Journal, 2019) Folayan, Morenike Oluwatoyin; Durueke, Florita; Gofwen, Wika; Godo-Odemijie, Godwin; Okonkwo, Chuks; Nanmak, Bali; Osawe, Sophia; Okporoko, Evaezi; Abimiku, Alash'leTo report on the successes and challenges with implementing the good participatory practice guidelines for the Nigerian Canadian Collaboration on AIDS Vaccine (NICCAV) project. An open and close ended questionnaire was administered to 25 randomly selected community stakeholders on the project. The questions sought information on perception about the community entry, constitution and function of the community advisory board (CAB) and community based organization (CBO), media engagement process, and research literacy programmes. The quantitative and qualitative data were analysed and findings triangulated. The project exceeded its targets on CBO engagement and community members reached. Stakeholders had significant improvement in knowledge about HIV vaccine research design and implementation (p=0.004). All respondents felt satisfied with the community entry, CAB constitution process, function and level of media engagement; 40% were satisfied with the financial support provided; 70% felt the community awareness and education coverage was satisfactory; and 40% raised concerns about the study site selection with implications for study participants' recruitment. The NICCAV community stakeholder engagement model produced satisfactory outcomes for both researchers and community stakeholders. The inclusion of an advocacy and monitoring plan enabled it to identify important challenges that were of ethical concerns for the study.
- ItemOpen AccessCOVID-19 pandemic and the widening oral health inequality in Nigeria.(Pan African Medical Journa, 2022) Oluwatola, Toluwani Ifeoluwa; Olowookere, Oluwapelumi Micheal; Folayan, Morenike OluwatoyinThe inequality in access to oral health care in Nigeria is driven by the low numbers of trained health care workers, disproportionate distribution of oral health facilities, low level of oral health awareness, and the challenge associated with out-of-pocket expenditures. The COVID-19 pandemic disrupted oral health care delivery, access to oral health care services, thereby further entrenched inequality by increasing the out-of-pocket expenditure for health due to COVID-19 associated increased cost of medical services; high risk of worsening oral health care needs by patients who have routine and special oral health care needs; increased risk for oral health care needs by persons worse affected by COVID-19; and the high risk for general health problems by those whose access to routine and special health care needs were disrupted by the pandemic. The pandemic has however, also created opportunities to reduce the inequalities in the oral health care sector through adoption of teledentistry; integrated oral and general health care; improving oral health insurance coverage for the informal sector; and increasing public financing for health.
- ItemOpen AccessCOVID-19 pandemic and the widening oral health inequality in Nigeria.(Pan African Medica, 2022) Oluwatola, Toluwani Ifeoluwa; Olowookere, Oluwapelumi Micheal; Folayan, Morenike OluwatoyinThe inequality in access to oral health care in Nigeria is driven by the low numbers of trained health care workers, disproportionate distribution of oral health facilities, low level of oral health awareness, and the challenge associated with out-of-pocket expenditures. The COVID-19 pandemic disrupted oral health care delivery, access to oral health care services, thereby further entrenched inequality by increasing the out-of-pocket expenditure for health due to COVID-19 associated increased cost of medical services; high risk of worsening oral health care needs by patients who have routine and special oral health care needs; increased risk for oral health care needs by persons worse affected by COVID-19; and the high risk for general health problems by those whose access to routine and special health care needs were disrupted by the pandemic. The pandemic has however, also created opportunities to reduce the inequalities in the oral health care sector through adoption of teledentistry; integrated oral and general health care; improving oral health insurance coverage for the informal sector; and increasing public financing for health.
- ItemOpen AccessDebating Ethics in HIV Research: Gaps between Policy and Practice in Nigeria.(Developing world, 2015-12-01T00:00:00Z) Folayan, Morenike Oluwatoyin; Peterson, Kristin; Haire, Bridget; Brown, Brandon; Audu, Kadiri; Makanjuola, Olumide; Pelemo, Babatunde; Marsh, VickiHIV prevention is a critical health issue in Nigeria; a country that has one of the worst HIV epidemic profiles in the world. With 270,000 new infections in 2012, Nigeria is a prime site for HIV prevention research. One effect of the HIV epidemic has been to revolutionalise ethical norms for the conduct of research: it is now considered unethical to design and implement HIV related studies without community engagement. Unfortunately, there is very little commensurate effort in building the capacity of local persons to engage actively with researchers, and there is no existing platform to facilitate dialogue between researchers and communities engaged in research in Nigeria. In an effort to address this gap, we undertook a series of three community dialogues (Phase One) and two community-researcher interface meetings (Phase Two) in Nigeria. This paper aims to give an empirical account of the dialogue from these community engagement processes and provide a resulting critique of the implementation of research ethics practices in Nigeria. It is anticipated that the outputs will: (i) support researchers in designing community-based research protocols; (ii) inform ethics committees of key considerations during research protocol reviews from a community perspective; and (iii) inform policy makers and research sponsors about issues of primary concern to communities with respect to HIV research.
- ItemOpen AccessHIV sexual risk behavior and preferred HIV prevention service outlet by men who have sex with men in Nigeria.(BMC Health Services Research, 2019-04-27T00:00:00Z) Emmanuel, Godwin; Folayan, Morenike Oluwatoyin; Ochonye, Bartholomew; Umoh, Paul; Wasiu, Bashiru; Nkom, Mercy; Iorwa, Apera; Anenih, JamesThe study objectives were to identify differences in HIV sexual risk behavior of men who had sex with other men (MSM) resident in urban and rural Nigeria, their perspectives on need for HIV prevention services and perceived barriers and facilitators to access of HIV prevention services in private, public and peer-led health facilities.
- ItemOpen AccessValidation of maternal report of early childhood caries status in Ile-Ife, Nigeria.(2020-11-25T00:00:00Z) Folayan, Morenike Oluwatoyin; Alimi, Peter; Alade, Micheal O; Tantawi, Maha El; Adeniyi, Abiola A; Finlayson, Tracy LTo determine the validity of maternal reports of the presence of early childhood caries (ECC), and to identify maternal variables that increase the accuracy of the reports.