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Stephen ADESINA

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college of HEALTH SCIENCES (COHES)
Family Medicine Programme

Dr. Stephen Adesope ADESINA teaches Family Medicine and Musculoskeletal injuries at the College of Health Sciences, Bowen University, Iwo, and Bowen University Teaching Hospital (BUTH), Ogbomoso, Nigeria. Since July 2014, he has been coordinating the BUTH SIGN Programme, a partnership between Bowen University Teaching Hospital and SIGN Fracture International (Richland, Washington, USA) on the management of musculoskeletal injuries in low-resource settings. Dr. Adesina serves on some committees of the University and the Teaching Hospital.

Education
  • MBBS (2005) Ladoke Akintola University of Technology, Ogbomoso
  • FWACP (2015) West African College of Physician (Family Medicine)
Research

While Dr. Adesina’s research efforts broadly reflect the holistic approach to healthcare delivery of a Family Physician, he has peculiar research interests in Musculoskeletal injuries and disease conditions in low-resource settings, Primary care and Family functioning. 

Musculoskeletal injuries: In many low- and middle-income countries (LMICs), musculoskeletal injuries have been turned into an epidemic by rapid urbanization, increased use of motorized vehicles and incessant violent incidents. Regrettably, high-end facilities for effective care are lacking or grossly inadequate in these low-resource settings. Hence traditional bone-setting has continued to flourish in LMICs as the first line (or the only) care for these injuries, with consequent complications. Following the training he received from SIGN Fracture International, Dr. Adesina has developed a passionate research interest in the management of musculoskeletal injuries in low-resource settings. He has several publications in high-impact journals on the adaptations of the sophisticated management approaches used in high-income countries in ways that are affordably cheaper but scientifically sound, more easily accessible and socially acceptable to the people of LMICs.

Primary care: Primary care aims to optimize population health and reduce disparities across the population by ensuring that subgroups have equal access to services. It centres on the provision of integrated, accessible healthcare services by physicians and their healthcare teams who are accountable for addressing a large majority of personal healthcare needs, developing a sustained partnership with patients, and practising in the context of family and community. It has five core functions: (i) First contact accessibility (creating a strategic entry point for and improving access to health services); (ii) Continuity (promoting the development of long-term personal relationships between a person and a health professional); (iii) Comprehensiveness (ensuring that a diverse range of promotive, protective, preventive, curative, rehabilitative, and palliative services are provided); (iv) Coordination (organizing services and care across levels of the health system and over time); (v) People-centred (ensuring that people have the education and support needed to make decisions and participate in their care). Dr. Adesina has an interest in all of these, and many of his past publications focused on them.

Family functioning: The family represents concentric circles of an individual’s social surroundings and holds immense potential for strength and support during times of health need and crisis. Family functioning refers to how the family members interact, react to, and treat other family members. It includes aspects such as the way the family communicates, how close the family members are, as well as the ability of the family to change or adapt to life events. Dr. Adesina has a keen interest in researching the relationship between family functioning and different aspects of the healthcare process. He is a published author on the influences of family functioning on health-seeking decisions, response to stressful life events and health-related quality of life.

Institutional Service
  • Departmental Examination Coordinator, Family Medicine (2015 till date)
  • Member, 2018 Medical Students Induction Committee
  • Member, Prof. S. U. Eyesan Inaugural Lecture Committee, 2018
Professional Service
  • Clinical Instructor, Distance Learning Program. MSc. Family Medicine, University of Edinburg and Christian Medical College Vellore India.
  • Clinical teaching of house officers and residents in Bowen University Teaching Hospital, Ogbomoso.
  • Public health lectures on a variety of topics in churches and other social groups.
  • Reviewer, Medical Research Council Clinician Scientist Fellowship Proposal, Apr 2023.
Selected Publications
  1. Adesina SA, Anipole OA, Eyesan SU, Ikem IC, Akinwumi AI, Bamigboye PO, Oyewusi OO. (2020). Comparing fin intramedullary nailing with standard locked intramedullary nailing in the fixation of humeral shaft fractures. Niger J Ortho Trauma. 19(2):59-64. https://doi.org/10.4103/njot.njot_23_20
  2. Adesina SA, Eyesan SU, Ikem IC, Anipole OA, Amole IO, Akinwumi AI, Bamigboye PO, Durodola AO (2021) Radiation-free interlocking intramedullary nailing of three-hundred and seventy long bone fractures in Ogbomoso, Nigeria Sci Rep 11(1):10070. https://doi.org/10.1038/s41598-021-89544-2
  3. Adesina SA, Eyesan SU, Amole IO, Awotunde OT, Akinwumi AI, Durodola AO, Ikem IC (2021) Closed reduction and locked intramedullary nailing of diaphyseal long bone fractures without intraoperative imaging and fracture table. Int Orthop 46:51–59. https://doi.org/10.1007/s00264-021-05091-5
  4. Adesina SA, Eyesan SU, Amole IO, Akinwumi AI, Awotunde OT, Durodola AO, Owolabi JI (2022) Solid locked intramedullary nailing for expeditious return of bone-setting-induced abnormal fracture union victims to work in South-western Nigeria. Sci Rep 12:21432. https://doi.org/10.1038/s41598-022-25862-3
  5. Adesina SA, Amole IO, Owolabi JI, Oyewusi OO, Adefokun IG, Eyesan SU (2023) Locked intramedullary nailing of open fractures in resource-poor settings: a prospective observational study of challenges and functional outcomes in 101 fractures at Ogbomoso, Nigeria. BMC Musculoskelet Disord 24:170. https://doi.org/10.1186/s12891-023-06271-7
  6. Adesina SA, Amole IO, Akinwumi AI, Adegoke AO, Owolabi JI, Adefokun IG, Durodola AO, Awotunde OT, Eyesan SU (2023). Infection complicating locked intramedullary nailing of open lower-extremity fractures: incidence, associated risk factors, and lessons for improving outcome in a low-resource setting. J Bone Joint Infect 8(1):71–9. https://doi.org/10.5194/jbji-8-71-2023
  7. Adesina SA, Amole IO, Oyewusi OO, Adefokun IG, Odekhiran EO, Adeniji DO, Adegoke AO, Ojo SA, Owolabi JI, Eyesan SU (2023) Locked intramedullary nailing of diaphyseal femur fractures without intraoperative fluoroscopy, fracture table and power reaming: retrograde affords greater procedural efficiency than antegrade approach. Int Orthop 47(7):1845-1853. https://doi.org/10.1007/s00264-023-05832-8
  8. Amole IO, OlaOlorun AD, Odeigah LO, Adesina SA (2011). The prevalence of abdominal obesity and hypertension amongst adults in Ogbomoso, Nigeria. Afr J Prim Health Care Fam Med. 3(1):188. https://doi.org/10.4102/phcfm.v3i1.188
  9. Amole I.O., Durodola O.A., Adeniran A., Awotunde O.T., Adesina S.A. (2015). Prevalence of pain in family medicine clinic of Bowen University Teaching Hospital, Ogbomoso, Nigeria. British Journal of Medicine and Medical Research. 9(1):1-6. https://doi.org/10.9734/BJMMR/2015/18006
  10. Awotunde O.T., Awotunde T.A., Fehintola F.O., Adesina S.A., Oladeji O.A., Fehintola A.O., Ajala D.E. (2017). Determinants of utilization of traditional birth attendant services by pregnant women in Ogbomoso, Nigeria. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 6(7):2684-2689. https://doi.org/10.18203/2320-1770.ijrcog20172894
  11. Awotunde O.T., Amole I.O., Adesina S.A., Adeniran A., OlaOlorun D.A., Durodola A.O., Awotunde T.A. (2019). Pattern of antenatal care services utilization in a mission hospital in Ogbomoso south-west Nigeria. Journal of Advances in Medical and Pharmaceutical Sciences. 21(2):1-11. https://doi.org/10.9734/jamps/2019/v21i230127
  12. Idowu A.E., Amole I.O., Durodola A.O., Adesina S.A., Adegoke A.O., Akinwumi A.I., Idowu O.A., Awotunde O.T., OlaOlorun A.D. (2022). Obesity among adult outpatients with type 2 diabetes mellitus accessing care in Bowen University Teaching Hospital (BUTH), Ogbomoso. International Journal of Tropical Disease & Health. 43(23):31-37. https://doi.org/10.9734/IJTDH/2022/v43i231371
  13. Akinwumi AI, OlaOlorun AD, Adesina SA, Durodola AO, Amole IO, Singer SR, Levine H (2022). Strong primary care services, an important feature of primary health care: What can Nigeria learn from Israel? Front Public Health. 10:1006095. https://doi.org/10.3389/fpubh.2022.1006095
  14. Idowu A.E., Amole I.O., Durodola A.O., Adesina S.A., Adegoke A.O., Akinwumi A.I., Idowu O.A., Awotunde O.T., OlaOlorun A.D. (2022). Assessment of glycaemic control among diabetic patients attending care at Bowen University Teaching Hospital, Ogbomoso. Asian Journal of Medicine and Health. 20(12):56-64. https://doi.org/10.9734/ajmah/2022/v20i12769
  15. Awotunde O.T. Amole I.O., Adeniran A., Adesina S.A., Durodola A.O., OlaOlorun A.D., Awotunde T.A. (2016). The Family Influence on the Gestational Age at Booking among Pregnant Women in Ogbomoso, Nigeria. British Journal of Medicine and Medical Research. 12(12):1-7. https://imsear.searo.who.int/handle/123456789/182420
  16. Adesina S.A., Amole I.O., Awotunde O.T., Eyesan S.U., Durodola A.O., Adeniran A., OlaOlorun A.D., (2016). Family structure and Bonesetter’s gangrene in children: a case series. International Journal of Tropical Disease & Health. 14(2):1-8. https://doi.org/10.9734/IJTDH/2016/24242
  17. Adesina S.A., Amole I.O., Adeniran A., OlaOlorun A.D., Durodola A.O., Awotunde O.T., (2016). Continued nurturing of a dead child by mother consequent upon spirituality and family dysfunction: A case report. Edorium Journal of Family Medicine. 1:1–4. https://doi.org/10.5348/F01-2016-1-CR-1
  18. Adesina S.A., Amole I.O., Durodola A.O., Awotunde O.T., OlaOlorun A.D., Adeniran A., Odeigah L.O. (2019). Family functioning of people living with HIV/AIDS accessing care at a Nigerian tertiary health centre. Asian Journal of Medicine and Health. 16(2):1-9. https://doi.org/10.9734/ajmah/2019/v16i230138