Kola A Oyediran

• PhD
• Senior Monitoring and Evaluation Advisor at John Snow Inc

This study sought to examine help-seeking behaviors among Nigerian women who had experienced intimate partner violence (IPV). Out of 3,802 women who reported that they had experienced IPV in the past year, two-thirds (67%) of the women did not seek any help, 31% sought informal help, and only 1.9% sought formal help. A multinomial regression was ru...

Context: The effect of health insurance coverage on sexual and reproductive health, especially unintended pregnancy, has scantly been researched. Using the 2014 Ghana Demographic and Health Survey, the study examined the links between women's health insurance enrolment on unintended pregnancy in Ghana. Method: The sample consisted of 9,396 women...

There is a lack of research on how global intimate partner violence (IPV) has impacted men, especially in patriarchal societies of sub-Saharan Africa (SSA). This study used data from Demographic and Health Surveys (DHS) conducted in Cameroon and Sierra Leone after 2010 to examine the prevalence and predictors of IPV victimization among married or c...

In a patriarchal and natural fertility society like Nigeria, girl-child marriage is synonymous with early sexual debut and a prolonged childbearing period, ultimately affecting fertility outcomes and behaviours. This study explored the differentials in child marriage in Nigeria across socio-economic and regional groups, and its association with fer...

Nigeria is a culturally diverse country with patriarchal norms that predispose women to inequality within the family structure, as well as the society as a whole. As such, IPV can be a common occurrence, with differences in IPV prevalence at regional and state levels due to variations in factors, such as cultural norms and modern agency that contra...

Reducing the chain of tuberculosis (TB) transmission in high-burden countries depends on timely diagnosis and treatment initiation. Therefore, understanding where bottlenecks occur during screening, diagnosis, and treatment initiation will help national TB programs and donors implement interventions to mitigate the barriers. Data from 1,604 TB pat...

The outbreak of COVID-19 threatens continued access to non-urgent healthcare including sexual and reproductive health (SRH) services. With the epicentre of the outbreak projected to shift to sub-Saharan Africa (SSA) after making a significant impact in China, Europe, the USA, and South America, it is necessary for countries in this region to begin...

This report describes findings of a qualitative study on tuberculosis (TB)-related stigma among community members from two regions in Uganda. This research is part of a broader Quality of Tuberculosis Services Assessment (QTSA) conducted in Uganda in 2019 by MEASURE Evaluation, which is funded by the United States Agency for International Developme...

Context Childbearing remains a global public health issue, posing an enormous challenge to families, communities, governments, program managers, and researchers, especially in developing countries. Objective The study examines the influence of religion on women’s experience of unintended childbearing in Nigeria. Method Using the 2018 Demographic...

According to the 2018 Global Tuberculosis Report released by the World Health Organization (WHO), tuberculosis (TB) is the tenth leading cause of death and is the leading cause of death from a single infectious agent. Heads of state committed to ambitious targets aimed at eliminating TB during the first-ever United Nations High-Level Meeting on Tub...

The Quality of Tuberculosis Services Assessment (QTSA) in Uganda was conducted with the support of five tools: the Facility Audit, the Provider Interview, the Patient Interview, the Register Review, and the Focus Group Discussion Guide. MEASURE Evaluation—a project funded by the United States Agency for International Development (USAID)—developed t...

The Quality of Tuberculosis Services Assessment (QTSA) in Uganda was conducted with the support of five tools: the Facility Audit, the Provider Interview, the Patient Interview, the Register Review, and the Focus Group Discussion Guide. MEASURE Evaluation—a project funded by the United States Agency for International Development (USAID)—developed t...

The Quality of Tuberculosis Services Assessment (QTSA) is conducted with the support of four tools: the Facility Audit, the Provider Interview, the Patient Interview, and the Register Review. MEASURE Evaluationa project funded by the United States Agency for International Development (USAID)developed these four tools with the assistance of colleagu...

Can married or cohabitating women in patriarchal societies, who are often disproportionately affected by STI/HIV infections, negotiate protective sex when perceived necessary by refusing sex or asking for condom use during sex? Protective sex negotiation was examined through measures of power relations related to whether or not a woman has a say in...

Ambitious efforts to detect and treat tuberculosis (TB) are required to reduce the burden of disease in low resource settings, and the provision of high quality TB services is critical to reaching global TB targets. The quality of TB services assessment (QTSA) is a facility-based approach aimed at identifying gaps in TB services and prioritizing in...

The study document quality of tuberculosis services assessment using the structure, process and outcome framework

Context: Early diagnosis of tuberculosis (TB) and prescription of an appropriate drug regimen contribute to patient well-being and prevention of deaths, yet cure depends upon adherence for the entire 6-months duration of treatment. Objective: To identify factors contributing to treatment outcomes for individuals enrolled in TB care and treatment ac...

Background Nigeria's national health information system (HIS) data sources are grouped into institutional and population based data that traverse many government institutions. Communication and collaboration between these institutions are limited, fraught with fragmentation and challenges national HIS functionality. Objectives The objective of thi...

Objective Duplication of effort across development projects is often the resultant effect of poor donor coordination in low and middle income countries which receive development assistance. This paper examines the persistence of duplication through a case study of health facility listing exercises in Nigeria.Methods Document reviews, key informant...

Background: Effective infection control requires a functioning surveillance system. The Integrated Disease Surveillance and Response (IDSR) strategy was developed and adopted in 1998 for Africa as a comprehensive public health approach. Subsequently, Nigeria adopted the IDSR Technical Guidelines (2013), which defined operations and procedures for r...

In order to meet the growing reproductive health needs of youth, comprehensive youth-focused health programs were initiated in different countries. Evaluations of some youth-focused contraceptive services show that these programs could have significant impact on contraceptive use by the youth if well implemented. However, it is uncertain whether th...

Multilevel logistic regression model was used to examine underlying factors influencing women’s exposure to intimate partner violence (IPV) in Nigeria. The findings show that 15.2 percent of married or cohabiting women in the survey reported to experience IPV in the year preceding the 2013 Nigeria Demographic and Health Survey (NDHS). The likelihoo...

Purpose Achieving gender equality and empowering all women and girls is the fifth Sustainable Development Goal. This continues the effort of the third Millennium Development Goal (MDG) which was “to promote gender equality and empower all women”. In Nigeria, a Gender and Equal Opportunities Bill had been under consideration in the Nigerian Senate...

This paper examines the patterns and trends in attitudes towards wife-beating among women in Nigeria and their determinants. Using the Nigeria Demographic and Health Survey datasets, a multivariate logistic regression was fitted to assess the relationships between sociocultural factors and a woman’s attitude towards being beaten by her spouse. The...

Aim To describe the process adopted to review the academic curriculum for training health information management professionals in Nigeria. Context Health information management professionals are responsible for managing patients’ health service records and hospital information systems across health facilities in Nigeria. An assessment found many a...

Introduction: The study described the effectiveness of a voucher scheme to access sexual and reproductive health and HIV services among young MSM and transgender people aged 15-24 years in Dhaka, Bangladesh, a country with HIV prevalence of less than 0.1%. Methods: Descriptive and analytical methods were used to assess the net effects of biodemo...

Decentralizing health services, including those for HIV prevention and treatment, is one strategy for maximizing the use of limited resources and expanding treatment options; yet few methods exist for systematically identifying where investments for service expansion might be most effective, in terms of meeting needs and rapid availability of impro...

The process for HIV prevalence determination using antenatal clinic (ANC) sentinel surveillance data has been plagued by criticisms of its biasness. Exploring other means of HIV prevalence determination is necessary to validate that estimates are near actual values or to replace the current system. We propose a data collection model that leverages...

Introduction: Routine Health Information Systems (RHIS) are increasingly transitioning to electronic platforms in several developing countries. Establishment of a Master Facility List (MFL) to standardize the allocation of unique identifiers for health facilities can overcome identification issues and support health facility management. The Nigeria...

The survey assessed how the logistics systems managed selected essential drug products at public health institutions. This report, presented to the Ministry of Health, includes the findings of the assessment, as well as the short- and long-term recommendations to improve the essential drug program logistics systems in Cross River State.

The use of geographic approaches in improving health outcomes, including the fight against Human immunodeficiency virus infection / acquired immunodeficiency syndrome (HIV/AIDS), is increasing; however, health ministries, AIDS coordinating agencies, and other social service ministries often lack the capacity to use geospatial data and tools such as...

We explore the spatial patterns of domestic violence and HIV prevalence between states in Nigeria using the 2008 Demographic and Health Survey and the 2010 ANC Sentinel Surveillance Survey. The analysis revealed a sizeable number of women in the country suffer physical and sexual violence which occurs across the social strata and ethnic groups in N...

Background MSM are at a high risk of HIV. Due to their risk, they are potential population for HIV vaccine trials. Nigeria conducted 2010 Integrated Biological Behavioral Surveillance Survey (IBBSS) among the high risk groups. Unfortunately, MSM had the second highest HIV prevalence after female sex workers, and some with female partners. Thus, HIV...

The Nigeria National Response Management In-formation System (NNRIMS), developed in 2004 as a framework for monitoring and evaluating the country's response to HIV, does not function at an optimum level due to several challenges, including a bewildering proliferation of vertical reporting systems, competition among sectors, and the nascent nature o...

Background Sexually transmitted infections (STI) including syphilis are associated with risks of acquiring HIV infection. Behaviours that increase STI also play important role in increasing the risk of HIV. Transport workers are highly mobile population often predisposed to STI including HIV due to the nature of their business. Similarly, they are...

This study examined the factors that influence condom-use among young never-married males in Nigeria. Such information can help improve the design of a prevention programme for young never-married, especially, males to reduce their vulnerability to sexually transmitted infections (STIs) and HIV/AIDS transmission. Data were derived from the 2003 Nig...

This study used data on currently married and cohabiting men aged 15 to 64 years from the 2003 Nigeria Demographic and Health Survey to examine the prevalence of and factors associated with extramarital sex. The results show that 16% engaged in extramarital sex in the 12 months preceding the survey and had an average of 1.82 partners. The results a...

Using the matched wife-husband (763) sample from the data collected from Ogbomoso and Iseyin towns in Oyo State, Nigeria, this paper examines factors associated with couples' fertility intention. The analysis used logistic regression models for predicting the effects of selected socioeconomic background characteristics on a couple's fertility inten...

The paper examines the correlates of husband-wife communication on fertility and family planning among the Yoruba-speaking people of south-western Nigeria. The study was undertaken in Ogbomoso and Iseyin towns in Oyo State, and both quantitative and qualitative data were collected.. The results reveal that husband-wife discussion about reproductive...

To facilitate the design of effective programmes to eliminate violence against women in Nigeria, this paper examined women's perceptions of wife beating. The data were derived from the 2003 Nigeria Demographic and Health Survey (NDHS). Both descriptive and analytical methods were used to assess the net effects of socio-demographic factors on women'...

This paper examines the determinants of sexual behaviour with special reference to the effect of household socio-economic status as a proxy for poverty. The data are derived from the Nigeria Demographic and Health Survey; the analysis is restricted to 1,831 never married females age 15-24. Both descriptive and analytical methods are used to assess...

In patriarchal societies like Nigeria, where traditional norms and practices limits women's autonomous decisions on issues that affect their lives; men exercise significant influence on household decision-making processes. However, due to the economic crisis of the early 1980s and the associated worsening poverty, men's resources are increasingly b...

This study examined the factors that influence condom use among monogamous men in Ondo State, Nigeria. Such information can help improve the design of male-involvement interventions in reproductive health and campaigns to reduce the spread of HIV among the general population. Overall, analysis was restricted to 394 men who were in their first union...

This case study of Plateau State, Nigeria, examines linkages between women’s participation in democracy and governance (DG) activities, women’s empowerment, and reproductive health (RH) behaviors. It evaluates the RH and DG activities that CEDPA implemented with its local partner, the Church of Christ in Nigeria (COCIN), under the United States Age...

African men play important roles in the decisions about family life, including fertility and family planning. However, fertility and family planning research and programmes have ignored their roles in the past, focusing only on women's behaviours. Since the 1994 International Conference on Population and Development (ICPD), interest in men's involv...

The study examines the effect of husband-wife communication about fertility and family planning on fertility desires among marital dyads in the Yoruba towns of Ogbomoso and Iseyin, in Oyo State, Nigeria. About 66% of the couples have discussed contraceptive use, and 59% have discussed the number of children. This is a fairly high level of spousal c...

This paper discusses the reproductive health knowledge of Nigerian in-school adolescents, with special reference to pregnancy occurrence at first coitus. The data were derived from an Association for Reproductive and Family Health (ARFH) survey carried out in four secondary schools in Ibadan, Nigeria, between August and October 1995. A total of 828...

This baseline research sought, among other things, to provide information on: : Sources of sexual and reproductive health information · Nature of sexual networking and reproductive health practices · Knowledge of HIV/AIDS and ways of preventing acquiring it · Knowledge of methods to avoid unwanted pregnancy · Knowledge of other STIs, their health...

To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in...

The study examines the effect of husband-wife communication about fertility and family planning on fertility desires among marital dyads in the Yoruba towns of Ogbomoso and Iseyin, in Oyo State, Nigeria. About 66% of the couples have discussed contraceptive use, and 59% have discussed number of children. This is a fairly high level of spousal commu...