Kikelomo Ololade Wright

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Verified

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• Doctor of Medicine
• Professor at Lagos State University

Background Each year, millions of people in low—and middle-income countries such as Nigeria are forced into poverty and financial ruin due to out-of-pocket (OOP) healthcare expenses. Our study assessed the prevalence and determinants of Catastrophic Healthcare Expenditure (CHE) experienced by households in Lagos, Nigeria. Methods A descriptive com...

Introduction This study assessed health insurance uptake, and payment preferences for health insurance enrollment, and identified barriers and facilitators of the utilization of health insurance amongst residents in Lagos State. Methodology The study employed a cross-sectional survey design to gather data from 2,490 residents across four local gov...

Background: There is limited understanding of the role and effectiveness of community involvement and governance in enhancing primary healthcare (PHC) services. This study aims to assess governance structures and the availability of PHC services in Lagos State, Nigeria. Methods: A cross-sectional study was conducted from November 2022 to January 20...

Background Pregnancy and delivery deaths represent a risk to women, particularly those living in low- and middle-income countries (LMICs). This population-based survey was conducted to provide estimates of the maternal mortality ratio (MMR) in Lagos Nigeria. Methods A community-based, cross-sectional study was conducted in mapped Wards and Enumera...

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and Plas�modium species are the causative agents of coronavirus disease 2019 (COVID-19) and malaria respectively with similar clinical presentations. The objective of this study is to determine the burden of co-infection of SARS-CoV-2 and malaria in the general population. Five (5 mLs) of...

Population-based study is known to be a very essential type of study during and after a pandemic or epidemic, as it provides crucial information on the incidence, prevalence, and risk factors of the disease in question. There has been limited information about the challenges faced in conducting such surveys in Nigeria. In this paper, we will share...

Background: Coronavirus disease (COVID-19) is an infectious disease that has plagued the world beginning from 2019 when it was first discovered, laudable efforts have been made by science to produce vaccines to mitigate the effects of this disease. This study sought to assess the knowledge of COVID-19 and vaccine acceptability, hesitancy, willingne...

Introduction: In Nigeria, immunisation with coronavirus disease 2019 (COVID-19) vaccines commenced in March 2021. COVISHIELD from AstraZeneca (AZ), a viral vector vaccine, was the brand administered in the first phase of vaccinations for pre-determined eligible adults 18 years and above. As more brands of COVID-19 vaccines have been introduced in...

Background: It is predicted that the population of sub-Saharan Africa will be thrice its size by the end of the 21st century. Our study compared patterns, incentives and disincentives for the uptake of contraceptives in rural and urban communities of Lagos, Nigeria. Materials and methods: This is a population-based cross-sectional study on 1445...

Introduction There is relative neglect of rheumatic and musculoskeletal diseases (RMDs) in sub-Saharan Africa (SSA). While hospital-based reports on RMDs abound, there is a paucity of population-based reports on these conditions which are otherwise recognized to cause functional disability and reduced quality of life in the affected individuals. Th...

Population-based study is known to be a very essential type of study during and after a pandemic or epidemics, as it provides important information on the incidence, prevalence and risk factors of the disease in question. There has been limited information about challenges faced in conducting such surveys in Nigeria. In this paper, we would share o...

Introduction/ Objective: Local, national, and international health agencies have advocated multi-pronged public health strategies to limit infections and prevent deaths from SARS-CoV-2/ COVID-19. The availability of safe and effective vaccines is critical in the control of a pandemic. Several adverse events have been reported globally following the...

Introduction Prompt access to emergency obstetrical care (EmOC) reduces the risk of maternal mortality. We assessed institutional maternal mortality by distance and travel time for pregnant women with obstetrical emergencies in Lagos State, Nigeria. Methods We conducted a facility-based retrospective cohort study across 24 public hospitals in Lago...

Background : The death toll and economic disaster caused by SARS-CoV-2/ COVID-19 is still on the rise globally and in Africa with a case fatality ratio (CFR), 2.58 from 220,958 deaths out of 8,556,890 cases recorded across the continent as of 14th November 2021. Local, national and international health agencies have advocated multi-pronged public h...

Local, national, and international health agencies have advocated multi-pronged public health strategies to limit infections and prevent deaths. The availability of safe and effective vaccines is critical in the control of a pandemic. Several adverse events have been reported globally following reception of different vaccines, with limited or no da...

Methods: Using a descriptive cross-sectional study design, a total of 402 healthcare workers were selected using a probability sampling methodology and a web-based google form for data collection. Data was analyzed using SPSS version 25 software and presented as frequency tables, charts and standard deviation. Association between categorical variab...

Background: Studies have demonstrated the role of sputum as a site of severe acute respiratory syndrome-coronavirus-2 (SARSCoV-2) transmission. However, there is limited literature on the virucidal efficacy of oral antiseptics against SARS-CoV-2 virus. This study investigated the virucidal efficacy of three oral-antiseptics compared to a placebo-c...

Background The coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that was first identified in Wuhan, Hubei, China, in December 2019. It was recognized as a pandemic by the World Health Organization on 11 March 2020. Outbreak forecasting and mathematical modelling suggest that these num...

Background: Health behavior theories suggest that knowledge about the health risks of the behavior precedes behavior change. Tobacco control messages aim to promote knowledge of health risks associated with tobacco use and encourage smoking cessation behaviors such as quit attempts and intention to quit. This study assessed the relationship between...

Background: Health behavior theories suggest that knowledge about the health risks of the behavior precedes behavior change. Tobacco control messages aim to promote knowledge of health risks associated with tobacco use and encourage smoking cessation behaviors such as quit attempts and intention to quit. This study assessed the relationship between...

Background: Electronic cigarettes (e-cigarettes) have emerged in the Nigerian market, and if used without supervision, may have damaging effects on the physical and mental health of users. Therefore, there is a need to determine the patterns of use, especially among adolescents and young adults. This study aims to assess the prevalence and factors...

Objective: Dental caries as a public health concern affects people’s productivity and quality of life. A number of studies exist on caries status of children in Nigeria but same cannot be said for adults. In addition, majority of the few available studies on caries experience of adults in Nigeria have been conducted in urban locations. If scar...

Background Electronic cigarettes (e-cigarettes) have emerged in the Nigerian market, and if used without supervision, may have damaging effects on the physical and mental health of users. Therefore, there is a need to determine the patterns of use, especially among adolescents and young adults. This study aims to assess the prevalence and factors a...

The criticality of referral makes it imperative to study its patterns and factors influencing it at a health systems level. This study of referral in Lagos, Nigeria is based on health records of 4181 pregnant women who presented with obstetric emergencies at one of the 24 comprehensive emergency obstetric care (EmOC) facilities in the state between...

We estimated modern contraceptive prevalence rate (mcPR) and examined predictors of modern contraceptives utilization amongst 1,445 sampled reproductive age women in lagos (Nigeria's epicenter) during the devastating cOViD-19 pandemic. estimated mcPR was 30.8%. Women aged 20-29 years were 50% (95%ci:0.37-0.71) less likely to use modern contraceptiv...

In this paper, we investigated the patterns of use and factors associated with alcohol intake, poly-tobacco use and waterpipe smoking among adolescents and adults in Lagos, and hope that our findings will inform public health intervention measures to reduce tobacco‑induced diseases in the Nigeria.

Background: Waterpipe smoking (WPS) has been reported to have a wide range of damaging health effects on pulmonary and cardiovascular systems. Studies suggest that waterpipe tobacco smoking is associated with reduced harm perceptions, mental health problems and the use of psychoactive substances. We investigate the patterns of use and the associati...

Previous efforts to estimate the travel time to comprehensive emergency obstetric care (CEmOC) in low- and middle-income countries (LMICs) have either been based on spatial models or self-reported travel time, both with known inaccuracies. The study objectives were to estimate more realistic travel times for pregnant women in emergency situations u...

Background Lagos state is the industrial nerve centre of Nigeria and was the epicentre of the 2014 Ebola outbreak in Nigeria as it is now for the current Coronavirus Disease (COVID-19) outbreak. This paper describes how the lessons learned from the Ebola outbreak in 2014 informed the emergency preparedness of the State ahead of the COVID-19 outbrea...

Abstract Background The current pandemic of coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has shown epidemiological and clinical characteristics that appear worsened in hypertensive patients. The morbidity and mortality of the disease among hypertensive patients in Africa have yet to be we...

Introduction Lagos state remains the epicentre of COVID-19 in Nigeria. We describe the symptoms and signs of the first 2,184 PCR-confirmed COVID-19 patients admitted at COVID-19 treatment centers in Lagos State. We also assessed the relationship between patients’ presenting symptoms, sociodemographic and clinical characteristics and COVID-19 deaths...

Background The presence of COVID-19 has led to the disruption of health systems globally, including essential reproductive, maternal, newborn and child health (RMNCH) services. This study aimed to assess the challenges faced by women who used RMNCH services in Nigeria’s epicentre, their satisfaction with care received during the COVID-19 pandemic a...

Background Coronavirus disease once thought to be a respiratory infection is now recognised as a multi-system disease affecting the respiratory, cardiovascular, gastrointestinal, neurological, immune, and hematopoietic systems. An emerging body of evidence suggests the persistence of COVID-19 symptoms of varying patterns among some survivors. This...

Background Data on the comorbidities that result in negative outcomes for people with COVID-19 are currently scarce for African populations. This study identifies comorbidities that predict death among a large sample of COVID-19 patients from Nigeria. Methods This was a retrospective analysis of medical records for 2184 laboratory confirmed cases...

Background: Effective communication is critical for mitigating the public health risks associated with the COVID-19 pandemic.

Background: This study aimed to determine the antidiabetic treatment pattern and cost of treatment in Lagos State University Teaching Hospital (LASUTH), Ikeja. Methodology: A retrospective study was conducted on cases managed at the diabetic clinic in LASUTH using case notes of patients managed in two years. The total number of case notes available...

Objective: The clinical spectrum of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is still evolving. This study describes the clinical characteristics and investigates factors that predict symptomatic presentation and duration of hospitalisation in a cohort of coronavirus disease 2019 (COVID-19) patients managed in Lagos, N...

This study aimed to assess the psychological impact of the COVID-19 pandemic on frontline health care workers during the early stages and surge of the pandemic in Lagos State, Nigeria. Our findings serve as evidence to support the design and implementation of mental health services targeted at frontline health workers during the ongoing pandemic or...

Aim The aim of this study was to assess the perception and utilization of HIV services in Lagos Nigeria. Methods One focus group discussion (FGD) and three key informant interviews (KIIs) were conducted in each of the three LGAs in the state. Results A high level of awareness of HIV was observed among the participants. However, risk perception wa...

Introduction: inadequate utilization of maternal health services due to limited reproductive decision-making capacity could be contributory to high maternal mortality in developing countries. This study sought to assess nuances of reproductive decisions by women in a rural community of Lagos, Nigeria. Methods: this descriptive, cross-sectional h...

Background: The consequences of delays in travel of pregnant women to reach facilities in emergency situations are well documented in literature. However, their decision-making and actual experiences of travel to health facilities when requiring emergency obstetric care (EmOC) remains a 'black box' of many unknowns to the health system, more so in...

Background: The current pandemic of coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has shown epidemiological and clinical characteristics that appear worsened in hypertensive patients with COVID-19. The morbidity and mortality of the disease among hypertensive patients in Africa have yet to...

Background: The current pandemic of coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has shown epidemiological and clinical characteristics that appear worsened in hypertensive patients. The morbidity and mortality of the disease among hypertensive patients in Africa have yet to be well descr...

Background: The current pandemic of coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has shown epidemiological and clinical characteristics that appear worsened in hypertensive patients. The morbidity and mortality of the disease among hypertensive patients in Africa have yet to be well descr...

BACKGROUND Effective communication is critical in mitigating the public health risks associated with the COVID-19 pandemic. OBJECTIVE This study assesses the source(s) of COVID-19 Information among Nigerians, predictors and the perceived accuracy of information from these sources. METHODS We conducted an online survey on consenting adults residin...

Background Effective communication is critical for mitigating the public health risks associated with the COVID-19 pandemic. Objective This study assesses the source(s) of COVID-19 information among people in Nigeria, as well as the predictors and the perceived accuracy of information from these sources. Methods We conducted an online survey of con...

Travel of pregnant women requiring emergency obstetric care (EmOC) to health facilities remains a black box of many unknowns to the health system, more so in megacities which are fraught with wide inequalities. This in-depth study on travel of pregnant women in the largest megacity of Africa is based on interviews conducted between September 2019 a...

ABSTRACT Background: Appropriate infant feeding is critical for child’s health and survival. Studies have shown high prevalence of malnutrition in Nigeria and other developing countries and this has been attributed to poor breast and complementary feeding practices. Objective: The study assessed the knowledge and practice of infant feeding among nu...

Background: Robust and effective information management systems are critical for successful malaria control and elimination. This study was a follow up study to assess the practices of Lagos State public healthcare facilities with regards to malaria documentations and reporting to the local government authorities (LGAs) in Lagos Nigeria in 2009 and...

Introduction: Hypertension is an important and major public health concern globally. One of the major causes of sudden death worldwide is hypertension. This study is to present the morphological pattern of deaths at autopsy of those patients who were brought-in-dead (BID) and who had hypertensive heart disease (HHD) as the underlying illness. Mat...

Methods: Two reviewers systematically searched multiple databases for articles published between January 2009 and June 2018. Both screened and selected studies based on the set inclusion criteria. Following quality assessments, data on study characteristics, process of data collection and analysis and findings reported were extracted. Extracted da...

The burden of malnutrition is evident around the world and more pronounced in developing countries affecting vulnerable groups such as infants, children under five years of age and pregnant women. This study assessed the nutritional status of infants and children aged 9-59 months who visited a well-child clinic at a teaching hospital in Lagos Niger...

Background There are many cases that present to the emergency room as brought in dead (BID) and in such cases, previous medical history of the deceased is unknown. Many of the medical problems are either preventable or treatable if managed on time. This study is aimed to determine the age, gender and causes of BID. ResultsThis is a 6 year retrospec...

Background: Hypertension is a chronic disease and adherence to medication has implications ineffective treatment. This study was conducted to adherence to anti-hypertensive medication and identify any association between personality traits, personal beliefs about medication and adherence to therapy among the patients attending the Medical Outpatien...

Introduction: Family planning has been considered a “best buy” among health investments in terms of improving healthier and more economically stable societies. Uptake has, however, remained low in sub-Saharan Africa. This study assessed a 5-year trend in contraceptives uptake at the family planning clinic of a Southwest tertiary health institution...

Globally, Nigeria is the second most unsafe country to be pregnant, with Lagos, its economic nerve center having disproportionately higher maternal deaths than the national average. Emergency obstetric care (EmOC) is effective in reducing pregnancyrelated morbidities and mortalities. This mixed-methods study quantitatively assessed women’s satisfac...

Background: Despite the proven effectiveness ofinsecticide treated nets (ITNs) in controlling malaria and its widespread distribution, its level of utilization remains below expectations. Objective: This study assessed knowledge of malaria preventive practices and use of ITNs in a periurban community in Lagos, Nigeria. Methods: The study was a comm...

Background: Cervical cancer is the second most common cancer affecting women in Nigeria but utilization of screening methods has remained low. This study was carried out to evaluate the effect of an educational program on the knowledge of cervical cancer and uptake of screening among rural women in Lagos State. Methods: A quasi-experimental study w...

Background: There have been targeted efforts to increase the availability of job aids in health facilities for the effective management of malaria by health workers. Prior to now, the effect of the interventions has not been evaluated. This study had the objective of assessing the availability of malaria treatment guidelines, SOPs and job aids in p...

Limited attention has been given to opinions of women receiving emergency obstetric care in developing countries. We organized focus groups with 39 women who received this care from Lagos public facilities. Availability of competent personnel and equipment were two positive opinions highlighted. Contrarily, women expressed concerns regarding the se...

Background Indoor residual spraying (IRS) is used as part of the integrated vector management strategy for the control of malaria in Lagos, Nigeria. The purpose of this study was to compare the malariometric indices of children under 5 years old living in IRS-implementing and non-IRS-implementing communities of Lagos, Nigeria. Methods The study was...

Introduction: Hypertension has been reported as the strongest modifiable risk factor for cardiovascular morbidity and mortality. Aims: The aim of the study was to identify the most prescribed antihypertensive drugs, its patterns, comorbidities, cost of medications, and laboratory investigations. Settings and design: This study was a cross-sect...

The capacity of public health facilities to effectively manage malaria in endemic zones is often limited by inadequate facilities, equipment and skills. This study was a follow up study to assess the capacity of public health facilities in Lagos, Nigeria to diagnose and treat malaria following various interventions to improve capacity. Methodolog...

Background: Lack of timely and quality emergency obstetric care (EmOC) has contributed significantly to maternal morbidity and mortality, particularly in low- and middle-income countries (LMICs). Since 2009, the global guideline, referred to as the ‘handbook’, has been used to monitor availability, utilization, and quality of EmOC. Objective: To as...

Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines

Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines

Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines

Background: Primary Health Care is the usual entry point into the health system and has the potential to touch the lives of most people. However one of the reasons for poor uptake of health services at primary health care facilities in Nigeria is long waiting time. This study was carried out to assess client waiting time and attitude towards servic...

Globally, the youths constitute a major segment of most societies particularly in developing countries. This study was undertaken to assess the perception and practices related to youth friendly health services (YFHS) by in-school adolescents in a rural community of Lagos, Nigeria. A descriptive cross-sectional survey was conducted on 400 proportio...

Aims and objectives: This study was carried out among patients attending human immunodeficiency virus (HIV) treatment centres in Lagos to assess their sexual behaviour, conduct a health education intervention on safe sexual behaviour among the patients in the study group and re-assessing the sexual behaviour in both control and study groups. Subj...

Background: The success of the directly observed treatment short course (DOTS) strategy depends on the ability of the health-care system to identify and follow-up tuberculosis (TB) suspects. This study compared the knowledge of private and public DOTS providers in Lagos State Nigeria regarding the symptoms and management of TB. Methods: A descript...

Background: Non-adherence to drug therapy is an important cause of treatment failure among patients with chronic conditions like diabetes. Previous researches have presented associations among personality traits, medication beliefs and adherence to long-term medication treatment in individuals with different chronic diseases. However, there is limi...

Cervical ectropion (also known as cervical erosion) is a common finding on routine pelvic examination during the fertile years. The decision to treat or not remains controversial. According to studies in support of routine treatment of cervical erosion, there is a possible relationship between squamous metaplasia and squamous cell carcinoma of the...

This study assessed the knowledge and use of emergency contraception among female undergraduates of a non-residential tertiary institution in Lagos, Nigeria. It was a descriptive cross-sectional study conducted in March, 2011 amongst 363 consenting female undergraduates using pre-tested, structured questionnaires. Respondents were recruited by mult...

Background Hospitals have a role to play in supporting, protecting and promoting breastfeeding. The aim of this study was to describe hospital breastfeeding policy and practices and breastfeeding rates among mothers attending General Paediatric Outpatient Clinic at a tertiary hospital in Lagos, Nigeria. Methods This was a cross-sectional study inv...

Background. Cervical cancer prevention in developing countries is suboptimal compared with the developed world where there are fewer deaths and improved survival rates. This study describes the perception and preventive practices on cervical cancer by residents of an urban neighborhood of Lagos, Nigeria. Methods. A descriptive cross-sectional study...

Background. Priapism is a pathological condition of penile erection that persists beyond, or is unrelated to, sexual stimulation. Impotence and infertility are major problems in male sickle cell disease patients, and priapism has been implicated as a cause of impotence and infertility. The aim of this study is to determine priapism prevalence and a...

Malaria remains one of the major public health problems worldwide. It is an important cause of death and illness in children and adults in sub-Saharan Africa accounting for over a million deaths per year. The purpose of this study was to determine the perception and practices of the Lagos state residents on malaria. Materials and Methods: A descrip...