DSpace Community: FACULTY OF PUBLIC HEALTH

KNOWLEDGE, PRACTICES AND FACTORS INFLUENCING REPORTING OF NOTIFIABLE DISEASES AMONG HEALTH WORKERS IN TWO SELECTED RURAL AND URBAN LOCAL GOVERNMENT AREAS OF OYO STATE, NIGERIA

2024-09-04T10:13:42Z

Title: KNOWLEDGE, PRACTICES AND FACTORS INFLUENCING REPORTING OF NOTIFIABLE DISEASES AMONG HEALTH WORKERS IN TWO SELECTED RURAL AND URBAN LOCAL GOVERNMENT AREAS OF OYO STATE, NIGERIA Authors: GBADAMOSI, O.A. Abstract: Reporting of notifiable diseases is essential for control and prevention of outbreak of diseases. In Nigeria, reporting of Notifiable Diseases by health workers has not been adequately documented. This study was conducted to assess health workers knowledge, practices, and factors influencing disease reporting in urban and rural communities in Oyo State, Nigeria. A cross-sectional survey was carried out among the 210 health workers who were responsible for disease reporting at their health facilities. The 33 local government Areas (LGA) of Oyo State were stratified into rural and urban, out of which one rural (Afijio LGA) and one urban (Ibadan North LGA), were randomly selected. All the health facilities in Afijio (39) and Ibadan North (171) were included in the study. One respondent at each health facility (focal person) was then selected and interviewed. A semi-structured, self- administered questionnaire was used to obtain information on knowledge, practices, pattern and factors affecting reporting. The list of diseases included: immediate, routine, international and occupationally notifiable diseases. Knowledge was assessed on a scale of 50 points with score ≥30 as good. Data were analyzed using descriptive statistics; Chi square, t-test and linear regression. Community Health Officers (30.1%), Nurses (26.0%) and Physicians (16.3%), constituted the majority of the respondents. Seventy-two percent (rural- 14.8% and urban- 57.1%) were aware of the existence of disease notification system while 26.5% knew the current strategy for reporting. Mean knowledge score for notifiable diseases among respondents was 27.6±8.4 with group means for rural and urban being 32.0±8.6 and 26.7±8.2 (p<0.001) respectively. About eleven percent (11.2%) of the respondents had good knowledge of the notifiable diseases. Majority (82.8%) of the respondents forwarded their routine health facilities reports to their respective LGA while 17.1% sent theirs to the Ministry of Health. Fifty-six percent of respondents sent reports through their staff while the rest had their facilities report collected by staff from State Ministry of Health and LGA. Main reasons for non-reporting included: lack of training on reporting (84.0%), absence of legal enforcement (58.0%), ignorance of reporting requirements (50.0%) lack of supervision (48.0%) and lack of reporting forms and telephone facilities (38.0%). Health workers that were aware of notification system were five times likely to comply with reporting than those that were not aware. (OR=5.0, 95% C.I = 1.5-17.5). Reporting of notifiable diseases was poor among the health workers at the Local Government level in Oyo State. Lack of training on reporting, absence on legal enforcement and ignorance on reporting requirements were major influencing factors. Regular training, effective supervision and logistic support to all notifiable diseases reporting health workers are recommended. Description: A THESIS IN DEPARTMENT OF EPIDEMIOLOGY AND MEDICAL STATISTICS, SUBMITTED TO THE FACULTY OF PUBLIC HEALTH, COLLEGE OF MEDICINE, IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF PUBLIC HEALTH IN EPIDEMIOLOGY.UNIVERSITY OF IBADAN, NIGERIA

HYGIENE FACTORS INFLUENCING OPPORTUNISTIC INFECTIONS AMONG PEOPLE LIVING WITH HUMAN IMMUNODEFICIENCY VIRUS AND ACQUIRED IMMUNE DEFICIENCY SYNDROME IN ABUJA, NIGERIA

2024-09-04T09:10:00Z

Title: HYGIENE FACTORS INFLUENCING OPPORTUNISTIC INFECTIONS AMONG PEOPLE LIVING WITH HUMAN IMMUNODEFICIENCY VIRUS AND ACQUIRED IMMUNE DEFICIENCY SYNDROME IN ABUJA, NIGERIA Authors: ARCHIBONG, O.E. Abstract: Acquired Immune Deficiency Syndrome (AIDS) is one of the most devastating global health pandemics. The immune suppression of infected persons predisposes them to opportunistic infections resulting in high morbidity and mortality. Factors influencing HIV/AIDS in Nigeria are known; however, the influences of physical environmental factors on People Living with HIV and AIDS (PLWHAs) in Nigeria have not been fully explored. This study was therefore designed to investigate the association between these factors and the occurrence of Opportunistic Infections (OIs) among PLWHAs in Abuja. A case control study was conducted. PLWHAs in Abuja Municipal Area Council (AMAC) were randomly selected from the six area councils in FCT. Two health facilities were randomly selected by balloting from the nine that provides special services to PLWHAs in AMAC. Systematic random sampling was used to recruit 66 cases and 68 controls from the facilities. Cases were defined as HIV positive clients with OIs while controls were defined as confirmed HIV positive clients not manifesting OIs. Opportunistic Infections considered were Tuberculosis (TB), persistent diarrhea, oral thrush and herpes. The controls were matched by sex, age and residential area. Respondents’ demographic characteristics, level of knowledge and hygiene practices were assessed using a validated questionnaire. The level of knowledge of Environmental Influence on Health (EIH) was determined using 40 point scale. Observational checklist was used to assess the prevailing environmental conditions in households. Bacteriological examination of drinking water sources of 25.0% of cases and controls was conducted using standard methods as described by the American Public Health Association. Descriptive statistics, Chi-square and t-test were used for data analysis. Respondents’ mean age was 35.9 ± 6.7years for cases and 34.4 ± 7.0years for controls. About 48.6% and 51.4% of cases and controls respectively were females. The OIs manifested by cases were TB (56.6%), oral thrush (77.4%), persistent diarrhea (69.8%) and herpes (11.3%). The mean knowledge scores on EIH of cases and controls were 31.7 ± 8.9 and 29.0± 13.1 with no significant different. Majority of the cases (75.8%) and control (70.6%) washed their hands with soap after toilet use. Also 66.7% of cases and controls (68.7%) used water closets for excreta disposal. About twenty four percent of cases as against nine percent of controls obtained drinking water from contaminated sources (OR: 3.25; 95%CI: 1.09 – 10.14). Bacteriological analysis of client drinking water sources indicated that 76.0% of samples for cases and 64.3% for controls contained total coliform, while E.coli was detected in 21.4%, and 15.4% of samples for cases and controls respectively. The occurrence of water borne opportunistic infections among the cases may be attributable to contaminated drinking water sources. Provision of water especially potable water supply and continuing health education on hygiene practices are highly advocated. Description: A THESIS SUBMITTED TO THE DEPARTMENT OF EPIDEMIOLOGY, MEDICAL STATISTICS AND ENVIRONMENTAL HEALTH FACULTY OF PUBLIC HEALTH, COLLEGE OF MEDICINE, IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE AWARD OF DEGREE OF MASTER OF PUBLIC HEALTH (ENVIRONMENTAL HEALTH) UNIVERSITY OF IBADAN, NIGERIA.

PREVALENCE AND DETERMINANTS OF INTIMATE PARTNER VIOLENCE TOWARDS FEMALE STUDENTS OF THE UNIVERSITY OF IBADAN, NIGERIA.

2024-09-02T14:07:16Z

Title: PREVALENCE AND DETERMINANTS OF INTIMATE PARTNER VIOLENCE TOWARDS FEMALE STUDENTS OF THE UNIVERSITY OF IBADAN, NIGERIA. Authors: UMANA, J.E. Abstract: Intimate Partner Violence (IPV) is pervasive, but under-reported by victims because of the associated stigma and fear of reprisals. In Nigeria, there is paucity of information on IPV burden among female university students. This study was therefore designed to assess the prevalence and determinants of IPV experienced by female students in the University of Ibadan, Nigeria. The study was cross-sectional in design. A four-stage sampling technique was used in selecting the female halls (two undergraduate and one postgraduate), blocks, rooms, and an occupant selected by balloting in each room. A total of 1,100 undergraduate and 255 postgraduate female students were selected. A 43-item self-administered structured questionnaire was used to collect data on the sociodemographic characteristics, prevalence, types, determinants, awareness, and health consequences of IPV. Data were analysed using descriptive statistics and logistic regression at p = 0.05. The mean age of the respondents was 22.8±3.9 years (postgraduate mean: 24.3±3.2 years; undergraduate mean: 20.1±3.2 years) and majority (93.8%) were single. Respondents comprised Yoruba (61.7%), Igbo (24.6%), Hausa (3.6%) and others (10.1%). The proportions of respondents who smoked, consumed alcohol and had a family history of IPV were 6.6%, 22.8% and 26.9% respectively. The life-time prevalence of IPV was 42.3% (postgraduate: 34.5%; undergraduate: 44.1%) and those for psychological, physical and sexual IPV were 41.8%, 7.9% and 6.6% respectively. Majority (61.9%) of the respondents who were aware of IPV did not experience it. Respondents who were less likely to have experienced IPV were postgraduate (OR= 0.64; 95% CI: 0.46-0.87), and married (OR= 0.53; 95% CI: 0.35-0.78) students. Life-time prevalence of IPV was higher among the undergraduates (OR=3.82; 95% CI: 1.08-13.40); smokers (OR= 2.46; 95% CI: 1.58-3.83); alcohol consumers (OR= 2.36; 95% CI: 1.82- 3.06 ); and those with family history of IPV (OR= 2.40; 95% CI: 1.88- 3.07). Recent experience (within the last one year) of violence was also more frequently reported by respondents who had a previous history of physical (62.5%) (OR= 2.65; 95% CI: 2.02-3.49) and sexual (53.2%) (OR= 1.63; 95% CI:1.12-2.35) violence. Injuries were sustained by sixty (4.4%) of the IPV victims and these included minor abrassions (60.7%), sprains (17.9%), and facial injuries (15.4%). Adverse effects of IPV on academic performance were reported by 10.3% of victims and these included loss of concentration (71.4%), interruption of studies (17.9%), loss of self-esteem (6.4%) and school absenteeism (4.3%). Majority (60.9%) of the victims of IPV did not seek help. Those who sought help went mainly to religious leaders (12.5%), hospitals (10.5%) and family members (4.9%). The prevalence of intimate partner violence among the female students of the University of Ibadan was high, and the major predicting factors were low level of awareness, family history and previous history of physical and sexual violence. There is the need to design interventions to address modifiable risk factors like smoking and alcohol consumption, and encourage health seeking in order to reduce vulnerability and related health consequences. Description: A THESIS SUBMITTED TO THE DEPARTMENT OF EPIDEMIOLOGY, MEDICAL STATISTICS AND ENVIRONMENTAL HEALTH, FACULTY OF PUBLIC HEALTH, COLLEGE OF MEDICINE, IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE AWARD OF MASTER OF PUBLIC HEALTH (MPH) DEGREE IN FIELD EPIDEMIOLOGY UNIVERSITY OF IBADAN, NIGERIA.

PREVALENCE AND CORRELATES OF VIOLENCE AGAINST FEMALE SEX WORKERS (FSWs) IN ABUJA, NIGERIA

2024-09-02T13:12:15Z

Title: PREVALENCE AND CORRELATES OF VIOLENCE AGAINST FEMALE SEX WORKERS (FSWs) IN ABUJA, NIGERIA Authors: ABOSEDE, D.T. Abstract: Violence against women (VAW) is a major public health problem affecting women globally. In addition to causing injuries and eroding women’s self esteem, violence increases the risk of reproductive health problems. However, only little is known about the magnitude and determinants of violence in female sex workers (FSWs) in Nigeria. This study assessed the prevalence and the risk factors that contribute to violence against FSWs in Abuja A descriptive cross-sectional study design was adopted. Three hundred and five brothel-based FSWs were selected using stratified random sampling and proportional allocation techniques. One hundred and ten FSWs from the high, 63 from the middle and 132 from the low income areas were interviewed using a semi-structured questionnaire. Information on occurrence of violence and predisposing factors was obtained from the respondents. In-depth interviews were conducted on 10 FSWs to obtain better insight into their recent experiences of violence. Data were analyzed using descriptive statistics, Chi-square tests and logistic regression analysis. Mean age of the respondents was 27+5.7 years. Seventy five percent had at least secondary education and majority (69.5%) were single. The prevalence of violence experienced by FSWs in the last six months was 52.8% of which 61% had been abused between once and thrice at some point in their lives. The forms of violence experienced among respondents included physical (38.7%), sexual (43.3%), psychological (32.5%) and economic (29.2%). The main perpetrators of violence were clients (47.5%), brothel managers/ owners (38.2%), local thugs (8.0%) and police men (4.0%). Bi-variate analysis showed that respondents below 30 years were less prone to physical violence than their older counterparts (P-value= 0.00). FSWs from who never attended school experienced sexual violence than those who ever attended school (p-value= 0.02). The FSWs with no formal education and those with over 10 years work experience in the sex industry were at a higher risk of psychological violence than those with formal education and with less than 10 years work experience (OR=2.6, 95% C.I= 1.37-5.08 and OR=2.3, 95%CI=1.26-4.31 respectively). Respondents with over 10 years experience in sex work were more vulnerable to economic violence than those with less than 10 years sex work experience (OR=1.9, 95%CI=1.01-3.52). Major health consequences reported were physical injury (14.1%), HIV infection (4.3%) and 10.5% reported ever had STI. Sixty percent accessed services at health facilities while 29.3% used traditional healing homes after they experienced violence. The results from the in-depth interviews showed that violence was a common experience among the respondents with clients and policemen being the main perpetrators. The prevalence of violence against FSWs in Abuja was high. Therefore, there is need to educate FSWs on their sexual rights and how to protect themselves from violence. In addition, FSWs require educational and economic empowerment to enable them move on to other more socially acceptable vocations. Description: A THESIS SUBMITTED TO THE DEPARTMENT OF EPIDEMIOLOGY, MEDICAL STATISTICS AND ENVIRONMENT HEALTH (EMSEH) FACULTY OF PUBLIC HEALTH COLLEGE OF MEDICINE IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR THE AWARD OF MASTERS OF PUBLIC HEALTH (FIELD EPIDEMIOLOGY) UNIVERSITY OF IBADAN.