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Kikelomo Ololade Wright

Kikelomo Ololade Wright
Lagos State University College of Medicine & Lagos State University Teaching Hospital · Community Health & Primary Health Care

Professor

About

95
Publications
33,493
Reads
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796
Citations
Additional affiliations
October 2019 - present
Lagos State University
Position
  • Professor
October 2007 - present
Lagos State University Teaching hospital (LASUTH)
Position
  • Consultant
February 2002 - April 2007
Lagos University Teaching Hospital (LUTH)
Position
  • Registrar
Description
  • - Teaching - Supervision of medical students dissertations - Administrative assistant to Chief Medical Director - Supervision of Clinics: Reproductive health, child welfare, Endemic diseases, geriatric care & adolescent care Journal Club
Education
March 2018 - September 2018
Boston University School of Medicine (BUSM) / MedInscribe
Field of study
  • Paediatric Nutrition
May 2002 - May 2007
National Postgraduate Medical College of Nigeria
Field of study
  • Public Health and Community Medicine (Fellowship)
September 1999 - August 2000
University of Lagos
Field of study
  • Public Health

Publications

Publications (95)
Article
Full-text available
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...
Preprint
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Conference Paper
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
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.
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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 desc...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Background: Effective communication is critical for mitigating the public health risks associated with the COVID-19 pandemic.
Article
Full-text 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...
Article
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Preprint
Full-text available
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...
Preprint
Full-text available
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...
Preprint
Full-text available
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...
Preprint
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...
Article
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...
Preprint
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Data
Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines
Data
Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines
Data
Assessing emergency obstetric care provision in low- and middle-income countries: a systematic review of the application of global guidelines
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...