AKINLUSI MOTUNRAYO FATIMAT

Obstetrics and Gynaecology

At the Obstetrics And Gynaecology department office

Appointment on Visitation important

Topic: Eliminating Genito-urinary Fistula In Females Undergoing Reproductive Tract Surgeries: A Pilot Interventional Study In Lagos, Nigeria

Description:

There is an increasing incidence of iatrogenic fistulae following caesarean deliveries and common gynaecological surgeries. This study aims to identify surgical settings and surgical care providers for women with new iatrogenic fistulae; assess surgeons’ knowledge of preventive practices for iatrogenic fistula; and provide surgical training in prevention, recognition, and treatment of iatrogenic fistula.

Methods: This study will be conducted in Lagos State, Nigeria, as a mixed-method prospective study involving a convenience sample of 20 surgical care providers of women diagnosed with new iatrogenic fistulae.  Cases of iatrogenic fistulae will be identified from the departmental registers; information on the health facilities and contact details of surgical care providers will be obtained and used by the research team for enrolment. 

Participants will complete a surgical practice questionnaire and participate in focus group discussions or in-depth interviews. Intervention (Training): Common surgical video demonstrations and live surgeries will be used to improve participants’ surgical expertise over six months. After the training, participants will be re-assessed.

It is expected that this study will reveal knowledge gaps in reproductive surgical care and improve surgeons' competencies in preventing iatrogenic fistulae. This intervention will subsequently be scaled up for a larger impact.

#	Certificate	School	Year
1.	Ph.D (Urogynaecology In view)	Department of Obstetrics and Gynaecology, University of Ibadan, Oyo state	2026

Lagos State Verbal and Social Autopsy Sample Registration System of Maternal Deaths and Stillbirths as Impact Prototype (LVASA-SRS)

Aim: To establish a state-wide SRS, generate reliable estimates for maternal deaths and stillbirths in Lagos State, Nigeria and to determine both the common causes of maternal deaths and the contributory factors in Lagos State, Nigeria

Objectives: To estimate the total number of births that occurred across all LGAs in Lagos State, the annual MMR and still birth rate all within the one year before the survey start date of April 2024 (retrospective) and one year following the survey start date (prospective); To identify the causes of maternal mortality and determine the social, cultural, and health system factors that contribute to them in Lagos State. Participants were enrolled using a multi-stage sampling strategy; the state was the sampling frame, each LGA a cluster, and enumeration areas were randomly selected within each LGA. The modified WHO VASA tool was used to collect quantitative data. The qualitative supplement tools developed by JHU/IIP captured data through in-depth interviews, key informant interviews, and focused-group discussions.

The study mapped 127,039 households across 1,911 enumeration areas. Overall Crude Maternal Mortality Ratio in Lagos State was estimated as 872 (95% CI: 871-873) per 100,000 live births; Based on the verbal autopsy findings, the commonest causes of maternal death were obstetric hemorrhage (36%), hypertensive disorders (22%), unsafe abortion (10%), and uterine rupture (8.5%); Crude Still birth Rate (SBR) in Lagos State was estimated as 30 (95% CI: 30-30) per 1,000 total births. Crude SBR varied significantly across LGAs. These findings were collated into a policy brief and disseminated. 

The next phase will focus on integrating the SRS in the Lagos State MPDSR system and on testing how elements of the SRS can be integrated into routine systems while ensuring data quality, institutional ownership, and evidence utility.

AKINLUSI FATIMAT is a Associate Professor / Reader at the Department of Obstetrics and Gynaecology

AKINLUSI has a Ph.D in Urogynaecology In view from Department of Obstetrics and Gynaecology, University of Ibadan, Oyo state