Oladimeji A Bolarinwa | University of Ilorin, Ilorin Kwara State Nigeria (original) (raw)

Papers by Oladimeji A Bolarinwa

Frontiers in Endocrinology

BackgroundType 2 diabetes mellitus (T2DM) is a disease of public health importance globally with ... more BackgroundType 2 diabetes mellitus (T2DM) is a disease of public health importance globally with an increasing burden of undiagnosed pre-diabetes and diabetes in low- and middle-income countries, Nigeria in particular. Pre-diabetes and diabetes are established risk factors for cardiovascular complications. However, data are scanty on the current prevalence of these conditions in Nigeria, based on haemoglobin A1c (HbA1c) diagnosis as recommended by the WHO in 2009. We aimed to determine the prevalence of pre-diabetes, diabetes, and undiagnosed diabetes among the adult population of Nigeria using HbA1c.MethodologyA cross-sectional, multi-site population study was carried out in selected states in Nigeria (namely, Ekiti, Lagos, Osun, Oyo, and Kwara states) involving 2,708 adults (≥18 years) in rural and urban community dwellers, without prior diagnosis of pre-diabetes or diabetes. Participants with ongoing acute or debilitating illnesses were excluded. Data were collected using an inte...

ANC, antenatal care; EOC, essential obstetric care; distr: probability distribution spec... more ANC, antenatal care; EOC, essential obstetric care; distr: probability distribution specified for each parameter in the Monte Carlo simulations; ref, reference; rr, relative risk; OL, obstructed labour; HTD, hypertensive disorder. Beta distributions are specified by mean (standard deviation); uniform distributions by minimum and maximum values; triangular distributions by average (minimum and maximum).*Own calculation (<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0139048#pone.0139048.s001" target="_blank">S1 File</a>).Input parameters for cost-effectiveness analyses.</p

SoC, standard of care; KSHI, Kwara state health insurance; DALY, disability-adjusted lif... more SoC, standard of care; KSHI, Kwara state health insurance; DALY, disability-adjusted life year; ICER, incremental cost-effectiveness ratio; HIF, health insurance fund; CS, cost saving. Scenario 1 of the standard of care (SoC1) refers to an increased utilization of the standard of care clinics; scenario 2 of the standard of care (SoC2) refers to an increased cost and quality of care improvement in the standard of care clinics (ie access to EOC if delivery in a health facility and access to preventive treatment of hypertensive disorder complications if access to ANC); and scenario 3 of the standard of care (SoC3) refers to increased utilization, cost and quality of care improvement in the standard of care clinics.Cost-effectiveness of KSHI program (US$ 2012).</p

The Global Health Network Collections

Scale up scenarios refer to scenarios where the access to the insurance program is scale... more Scale up scenarios refer to scenarios where the access to the insurance program is scaled up to 60, 80 or 100% of the population in need.</p

ANC, antenatal care.</p

SoC, standard of care; KSHI, Kwara state health insurance; ANC, antenatal care; EOC, ess... more SoC, standard of care; KSHI, Kwara state health insurance; ANC, antenatal care; EOC, essential obstetric care; PPH, post-partum heamorrhage; HTD, hypertensive disorders; OL, obstructed labour; n, number.*death among complicated deliveries only.Cohort distribution and outcomes.</p

Cost-effectiveness of KSHI program (US$ 2012).</p

Outcomes in costs (US$ 2012) and DALYs averted for a cohort of 10,000 individuals.</p

Input parameters for cost-effectiveness analyses.</p

Structure of the Markov model.</p

Abstract: Introduction: Non-adherence to treatment has been one of the main obstacles to the cont... more Abstract: Introduction: Non-adherence to treatment has been one of the main obstacles to the control of tuberculosis. The objective of this study is to investigate the rate of adherence to medication among Tuberculosis (TB) patients. Methodology: This study was a descriptive, cross-sectional survey with analysis of the observed variables in tuberculosis patients. All adults aged 18years and above who were accessing treatment for tuberculosis at the chest clinic of the University of Ilorin Teaching Hospital, Kwara Statewere recruited for the study until the desired sample size of 544 was obtained. The sample size was determined using Fisher’s Formula. Structured, pre-tested interviewer – administered questionnaire was used for data collection and data were analyzed using SPSS version 16. Frequency tables and cross-tabulation of variables were done and p- value <0.05 was used to determine statistical significance. Result: Respondents who had taken Anti-Tuberculosis drugs for 3-6 mo...

International Journal of Tropical Medicine

The Pan African medical journal, 2014

Lack of access to information and knowledge about mother and child health was identified as a maj... more Lack of access to information and knowledge about mother and child health was identified as a major contributor to poor maternal and child health in Nigeria. The Partnership for Maternal, Newborn and Child Health (PMNCH) has recognized mapping the knowledge management of Maternal Newborn and Child Health (MNCH) as one of the major strategies to be deployed in improving the health of these vulnerable groups. The main aim of this study is to map the knowledge management resources of Maternal, Newborn and Child Health (MNCH) in rural and urban settings of Ilorin West LGA of Kwara state Nigeria. It is a descriptive cross-sectional study with a comparative analysis of findings from urban and rural settings. Epi-mapping was used to carve out the LGA and map responses. The p-value of less than 0.05 was considered significant at 95% confidence level. The study showed that traditional leader was responsible for more than half of the traditional way of obtaining information by rural (66.7%) a...

Medical Journal of Zambia

Background: Cardiopulmonary Resuscitation (CPR) is an emergency life-saving care to restore blood... more Background: Cardiopulmonary Resuscitation (CPR) is an emergency life-saving care to restore blood circulation following cardiac arrest. Nurses are often the closest when cardiac arrest occurs, thus their competence and initiation of CPR could be life-saving. Aim: To evaluate the knowledge, attitude and willingness to initiate CPR among nurse practitioners. Methods: A cross-sectional study was conducted; participants were nursing staff at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Nursing students and other healthcare workers were excluded from the study. Multistage sampling method was used and all participants completed a self-administered questionnaire after informed consent. Data analysis was with SPSS version 21.0 and p<0.05 was significant. Results: Among the 220 participants, 35(15.9%) were ≤5years post-qualification, 100(45.5%) had sub-specialty training, awareness about CPR was 100%, 66(30%) showed good knowledge on the practice of CPR, 154(70%) had forma...

P, probability; y, year; mo, month; US$, US dollar. Blue bars represent the change in IC... more P, probability; y, year; mo, month; US$, US dollar. Blue bars represent the change in ICER when a parameter is varied to a lower value than the base case estimate. Red bars represent the change in ICER when a parameter is varied to a higher value than the base case estimate. All values for the parameters tested in this sensitivity analysis and the resulting ICERs are given in additional results (<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0139048#pone.0139048.s001" target="_blank">S1 File</a>).</p

Pan African Medical Journal

PLOS Global Public Health

Willingness and ability to pay for insurance that would cover primary healthcare services has not... more Willingness and ability to pay for insurance that would cover primary healthcare services has not been evaluated consistently in different African communities. We conducted a cross-sectional community health survey and examined willingness and ability to pay in 3676 adults in seven communities in four countries: Nigeria, Tanzania, Uganda and Kenya. We used an open-ended contingency valuation method to estimate willingness to pay and examined ability to pay indirectly by calculating the ratio of healthcare expenditure to total household income. Slightly more than three quarters (78.8%) of participants were willing to pay for a health insurance scheme, and just a little above half (54.7%) were willing to pay for all household members. Across sites, median amount willing to pay was $2 per person per month. A little above half (57.6%) of households in Nigeria were able to pay the premium. The main predictors of likelihood of being unwilling to pay for the health insurance scheme were in...

Background: Social health insurance has been widely proposed as a key strategy to improve access ... more Background: Social health insurance has been widely proposed as a key strategy to improve access to healthcare and provide nancial protection. The Kwara Community Health Insurance Programme (KCHIP) in Nigeria was temporarily suspended in 2016 in anticipation of the roll-out of a statewide health insurance scheme. This article reports the adverse consequences of the scheme's suspension on enrollees' healthcare utilization and the associated factors with the ability to pay for care. Methods: A mixed-methods study was carried out in Kwara State, Nigeria, in 2018 using a semiquantitative cross-sectional survey amongst 600 former KCHIP clients, and in-depth interviews with 24 clients and 29 participating public and private healthcare providers in the program. Quantitative data was analyzed using Statistical Package for Social Science (SPSS) version 22 while qualitative data was analyzed thematically. Results: Most of former enrollees (95.3%) kept utilizing programme facilities after the suspension, mainly because of the high quality of care. However, majority of the enrollees (95.8%) reverted to out-of-pocket (OOP) payment while 67% reported constraints in payment for healthcare services after suspension of the program. In the absence of insurance, the most common coping mechanisms for healthcare payment were personal savings (63.3%), donations from friends and families (34.7%) and loans (11.8%). Being a male enrollee (OR=1.61), living in a rural community (OR=1.77), exclusive usage of KCHIP prior to suspension (OR=1.94) and suffering an acute illness (OR=3.38) increased the odds of being nancially constrained in accessing healthcare. Expectedly, the wealthy respondents were less likely (OR = 0.78) to be constrained by the suspension of the programme. All healthcare facilities in the study sample experienced a reduced patient load after suspension of the scheme. Seventeen of 29 healthcare facilities recorded a decrease in revenue, more noticeable among private facilities. Conclusion: After the suspension of the KCHIP, many enrollees and health facilities experienced nancial constraints. These underscore the importance of sustainable health insurance schemes as a risk-pooling mechanism to sustain access to good quality health care and nancial protection from catastrophic health expenditures. Moreover, the ndings highlight the importance of effective processes to smooth the transition policy from community-to statewide health insurance schemes. Background The progress towards Universal Health Coverage (UHC) involves setting ambitious goals for expanding access to quality health services based on establishing a greater reliance on risk-pooling and prepayment mechanisms to nance health, stimulating investments in healthcare infrastructure and quality, and building human resources and skills for health. The World Health Organization (WHO) estimates that more than half the world's population does not have access to the health services they need, and 100 million people suffer nancial catastrophe every year due to out-of-pocket (OOP) expenditures for unexpected healthcare (1). Introduction of a health insurance programme is one of the ways to enhance

PloS one, 2016

High blood pressure is a leading risk factor for death and disability in sub-Saharan Africa (SSA)... more High blood pressure is a leading risk factor for death and disability in sub-Saharan Africa (SSA). We evaluated the costs and cost-effectiveness of hypertension care provided within the Kwara State Health Insurance (KSHI) program in rural Nigeria. A Markov model was developed to assess the costs and cost-effectiveness of population-level hypertension screening and subsequent antihypertensive treatment for the population at-risk of cardiovascular disease (CVD) within the KSHI program. The primary outcome was the incremental cost per disability-adjusted life year (DALY) averted in the KSHI scenario compared to no access to hypertension care. We used setting-specific and empirically-collected data to inform the model. We defined two strategies to assess eligibility for antihypertensive treatment based on 1) presence of hypertension grade 1 and 10-year CVD risk of >20%, or grade 2 hypertension irrespective of 10-year CVD risk (hypertension and risk based strategy) and 2) presence of ...