DSpace Collection: Dissertations in Health Promotion and Education

USE OF INTERMITTENT PREVENTIVE TREATMENT OF MALARIA AMONG WOMEN ATTENDING FEE PAYING AND FREE ANTENATAL CLINICS IN SELECTED LOCAL GOVERNMENT AREAS IN PARTS OF OYO STATE

2006-09-01T00:00:00Z

Title: USE OF INTERMITTENT PREVENTIVE TREATMENT OF MALARIA AMONG WOMEN ATTENDING FEE PAYING AND FREE ANTENATAL CLINICS IN SELECTED LOCAL GOVERNMENT AREAS IN PARTS OF OYO STATE Authors: ORJI, B. C. Abstract: Malaria in pregnancy is a public health concern. Studies show that use of Intermittent Preventive Treatment(IPT) of Malaria in pregnancy using Sulphadoxine-Pyrimethamine (S.P) and Insecticide Treated Bednets (ITNs)as Roll Back Malaria(RBM)interventions can substantially reduce malaria related morbidity. RBM policy of providing every pregnant woman attending government Ante Natal Clinics (ABCs) free S-P and those with first pregnancies, free ITN as incentives exclude those attending private ANCs. Few studies have considered the malaria knowledge and benefits of chemoprophylaxis in pregnancy, constraints to IPT access and how these factors influence willingness to adopt the intervention. This study assessed the factors that influence the adoption of IPT by pregnant women attending ANCs in Akinyele, Ibadan South-East and Ibadan North Local Government Areas in Oyo State. The study was a cross-sectional survey. Three hundred and five women, who received both S-P and ITN and delivered at the fee paying and free ANCs were selected using stratified sampling technique. The study sample consists of respondents who attend fee paying 202(66%)and free ANCs 103(34%). Data collection was by means of a pre-tested, semi-structured questionnaire administered at the respondents' homes. Issues explored in the questionnaire included respondents' socio-demographic characteristics, malaria knowledge and perception, vulnerability, cost and willingness to adopt IPT, Data were analysed using SPSS 10.0 for windows. The mean age of the respondents in Fee Paying ANC and Free ANC were 28.7 years (SD 4.77) and 27.8 years (SD 4.94) respectively. Overall, 287(94%) of them were married and 242(79%) had post primary education. The mean score based on a 5-point malaria knowledge scale was 2.75 (SD 0.80). The FP-ANC group had a higher mean knowledge score of 2.67 (SD 0.89). The mean knowledge scores based on an 8 point scale relating to the benefits of chemoprophylaxis among the FP-ANC and F-ANC respondents were 2.11 (SD 0.48) and 2.18 (SD 0.46) respectively (p 0.01). Furthermore, 24 (11.9%)of the respondents from TP-ANC and three from F-ANC consistently slept under nets. 188(93%) of the respondents from FP-ANC and 16(15.5%)from F-ANC were willing to pay for S-P and ITNs during future pregnancies. Barriers to ITN use among FP-ANC respondents included lack of skill on net use 52(26%), use of other preventive measures 58(29%)and perception that ITN use is only for the sick 61(30%). The barriers among F-ANC respondents were the use of alternative preventive measures 15(15%), cost (37%)and non-availability of ITN 27(26%). Respondents' willingness to use S-P and ITN in the future was significantly related to knowledge of malaria (p 0.00), knowledge of chemoprophylaxis (p 0.04, parity (p=0.00) and occupation (p 0.00). The study shows that the respondents had a fair knowledge of malaria causation,prevention and benefits of chemoprophylaxis. Malaria programme managers should promote compliance with RBM policy regarding malaria prevention in pregnancy. They should also promote health education programmes aimed at upgrading expecting mothers' knowledge and skills relating to malaria prevention in pregnancy. Description: A Dissertation submitted in partial fulfillment of the requirement for the award of the Degree of Master of Public Health in Health Promotion and Education, Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.

KNOWLEDGE, PERCEPTION AND ATTITUDE TOWARDS ROAD SAFETY SIGNS AMONG PUBLIC SECONDARY SCHOOL STUDENTS IN IBADAN NORTH LOCAL GOVERNMENT AREA, OYO STATE, NIGERIA

2019-02-01T00:00:00Z

Title: KNOWLEDGE, PERCEPTION AND ATTITUDE TOWARDS ROAD SAFETY SIGNS AMONG PUBLIC SECONDARY SCHOOL STUDENTS IN IBADAN NORTH LOCAL GOVERNMENT AREA, OYO STATE, NIGERIA Authors: ADEYEMI, OYINDAMOLA MARY Abstract: Traffic accident is one of the critical issues killing nearly 1.3 million people every year. RTAs are the leading causes of death globally among 15-19 years and second leading cause for those in 12-14years. Child pedestrian injury rates have been found to be highest in Africa and Asia and this has been attributed to the fact that many of them walk to school. Knowledge of road safety signs is therefore essential for students walking to school so they can safely navigate traffic environments. This research was designed to investigate the knowledge, perception and attitude towards road safety signs among public secondary school students in Ibadan North Local Government.The study was a descriptive cross-sectional study carried out among a total sample of 300 public secondary school students which were selected using a four-stage sampling technique. A pretested semi-structured interviewer-administered questionnaire was used. A 17-point knowledge scale was used to assess knowledge of road safety signs; knowledge scale of <8 was rated poor knowledge, KS of ≥8<12 was considered fair and KS ≥12 was rated as good. Also, a 24-point attitude scale was used to determine the attitude towards road safety signs; attitude score of <17 was poor while a score of ≥17 was rated good. A 18-point perception scale was also used to examine the perception towards road safety signs; perception score of<13 represented poor perception while a score ≥13represented good perception. Data were analysed using descriptive and inferential statistics such as Chi square test at p<0.05 level of significance. Age of the respondents was 14.4±2.0 years. Respondents, (27.3%) were in JSS1, 26.7% were in JSS2, 24.3% in SSS1 and 21.7% in SSS2. Majority, (54.7%) of the respondents were females while 45.3% were males.Only few, (28.0%) of the respondents had previously been exposed to road traffic accident or related injury. Some (46.3%), of the respondents walked to school,33.0% of the respondents had driven a bicycle/motorcycle/car before. Only, (15.3%) had good knowledge, 44.7% had fair knowledge and 40.0% had poor knowledge of road safety signs. Majority, (78.3%) had good attitude towards road safety signs and 86.7% had good perception. Fear of injury (79.2%) was the most identified factor influencing the use of road safety signs. The most outstanding source of information on road signs among the respondents was media (85.7%). There was a significant difference between class of respondents’ and knowledge of road safety signs. Poor knowledge, good attitude and good perception were documented among the study population. Health promotion and education activities in relation to road safety signs should be strengthened to all students during school health programs. Description: A PROJECT IN THE DEPARTMENT OF HEALTH PROMOTION AND EDUCATION, SUBMITTED TO THE FACULTY OF PUBLIC HEALTH, COLLEGE OF MEDICINE, IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF PUBLIC HEALTH (HEALTH PROMOTION AND EDUCATION) OF THE UNIVERSITY OF IBADAN

KNOWLEDGE AND ATTITUDE OF MALE PARTNERS TOWARDS CAESAREAN SECTION IN IBADAN NORTH LOCAL GOVERNMENT AREA, IBADAN, OYO STATE

2021-02-01T00:00:00Z

Title: KNOWLEDGE AND ATTITUDE OF MALE PARTNERS TOWARDS CAESAREAN SECTION IN IBADAN NORTH LOCAL GOVERNMENT AREA, IBADAN, OYO STATE Authors: OBOIJAGBE, Favour Abstract: The under utilization of caesarean section poses a major problem in developing countries. Acceptance and refusal of caesarean section are both major indicators for maternal and newborn mortality and morbidity. Prevalence of caesarean section is low in Nigeria pointing to a need in the delivery of the procedure. To better understand the reason why women do or do not utilise caesarean sections, their male partners have to be factored in especially in sub Saharan Africa amongst which Nigeria is a country. Husbands in the traditional Nigerian cultures have authority over their wives and the decisions they make. This study is designed to investigate the knowledge and attitude of male partners towards caesarean section in Ibadan North Local Government Area of Oyo State. This study was a cross-sectional study design and 323 male partners were selected from 12 communities in the Local Government Area. A Multi-stage sampling technique comprising of simple random sampling and systematic sampling was applied to select the study participants. A structured interviewer-administered questionnaire was used to elicit information on the knowledge and attitude of male partners toward caesarean section. The knowledge of the respondents was assessed using an 18 point scale and scores were categorised as poor (0-6), fair (6-12), and good (>12). The attitude of respondents was also assessed using a 10-point scale and the scores were categorised as negative (≤5) and positive (>5). The data were analysed using descriptive statistics, Chi-square, Fisher's exact test and regression at p ≤ 0.05 level of significance. Mean age of the respondents was 44.8±11.4 years. The largest percentage by age was men from 40 to 60 years of age (44.0%). The predominant ethnic group was the Yoruba ethnic group (91.0%). Most of the respondents were married (91.3%) and a few others were single (5.3%), divorced (0.9%) or separated (8%) The study shows that the highest percentage of those with a positive attitude (51.3%) had tertiary education. Among the 47.7% respondents that had tertiary education, 77.9% had good knowledge about caesarean section. Most of the respondents had an average monthly income below 50,000 Naira (42.7%), while the highest number of respondents with good knowledge (88.9%) were among those who earn above 150,000 naira (5.6%). Majority of the respondents were self-employed (36.2%). Over 95% of the respondents were aware of caesarean section. The overall knowledge about caesarean section was majorly fair (57.1%) with 42.5% having good knowledge. Despite their knowledge, the attitude of the respondents was negative (54.5%). The result of the chi-square test indicates that there is a significant association between respondent’s average monthly income and their attitude towards caesarean section. Respondents had fair knowledge of caesarean section but this did not influence their attitude towards the procedure. Rather, what influenced them most were the cost of the procedure and fear of death or complications. Male involvement during pregnancy, delivery and afterwards is important to ensure male partners have the right attitude towards caesarean section and they are equipped to make decisions that will benefit the health of the woman. Description: A Project report in the Department of Health Promotion and Education, Faculty of Public Health In Partial Fulfillment of the Requirements for the Degree of MASTERS OF PUBLIC HEALTH of the UNIVERSITY OF IBADAN, Ibadan, Nigeria.

KNOWLEDGE AND PERCEPTION OF MALARIA AMONG HAUSA MARRIED MEN IN MOKOLA COMMUNITY OF IBADAN,OYO STATE, NIGERIA

2021-03-01T00:00:00Z

Title: KNOWLEDGE AND PERCEPTION OF MALARIA AMONG HAUSA MARRIED MEN IN MOKOLA COMMUNITY OF IBADAN,OYO STATE, NIGERIA Authors: MUHAMMAD, HAYATUDEEN Abstract: Malaria is endemic in most countries within the African continent and accounts for high morbidity and mortality in those countries. The Nigerian Government launched the National Malaria Strategic Plan 2014-2020 to address the high burden of malaria in the country. However, like the previous plans, this plan focused more on the vulnerable groups to malaria (i. e. pregnant women, children under five years old and people living with HIV/AIDS) as the target population for the interventions. Men being the heads of the family in most African societies make all health decisions for the family. Many intervention that did not involve men do not succeed because of the decision roles men play in the family. An understanding of the knowledge and perception of men with regards to malaria causes prevention, and management would assist in developing interventions aimed at reducing morbidity and mortality related to the disease in the community as well as achieving the Sustainable Development Goal 3.3, which focuses on Ending the Epidemic of Malaria. Therefore, this study was designed to investigate the knowledge and perception of malaria among Hausa married men in Mokola community, Ibadan. The study was a descriptive cross-sectional survey. A three-stage sampling technique was used to recruit 302 Hausa married men based in Mokola; stratified into the Hausa and Yoruba (Okesu) axis, systematic random sampling was used to select the houses and balloting was used when a house had more than one married man. A validated semi-structured interviewer-administered questionnaire was used for data collection. Knowledge, perception and preventive practices were measured on a 22-point, 26-point and 14-point scales, respectively. Knowledge scores of 1-13 and scores >13 were categorised as poor and good, respectively. Perception scores of 0-16 and scores >16 were categorised as poor and good, respectively. Preventive practice scores of 0-8 and scores ˃8 were categorised as poor and good, respectively. Data was analyzed using descriptive and inferential statistics such as Chi-square test at p˂0.05 level of significance. Respondents’ mean age was 36.4 േ 7.2 years, with trading accounting for 97.7% respondents’ occupation. Respondents whose monthly income ranged fromN30,000-N75,000 accounted for 56.0%. Monogamy was practiced by 75.5% with 73.2% having less than 5 children. Most respondents (76.2%) correctly defined malaria, with 22.2% obtaining information on malaria from the electronic media. Most (99.3%) of respondents acknowledged buying of drugs as one of the roles men should play in the treatment of malaria in their households. Most respondents, (89.1%), had good knowledge on definition of malaria with 22.2% of respondents saying they obtained information on malaria from the electronic media. Most respondents (97.0%) had a good perception towards malaria management in their families with 51.6% of respondents reporting that a family member had malaria less than a month ago. Respondents who used ITN as prevention against malaria for their families accounted for 80.8%. Overall, 78.5% of respondents practiced right preventive practice against malaria. The test of significance between level of education and knowledge of malaria showed that only knowledge on symptoms of malaria had a statistically significant difference with the respondents’ level of education (p = 0.012). Test of significance between level of education and perception of malaria revealed that perception of the respondents on causes of malaria had a statistically significant difference with their level of education (p = 0.003). The test of significance between respondents’ knowledge and perception on malaria revealed that knowledge and perception had a statistically significant difference (p < 0.001), also the test of significance between knowledge and the preventive practices of respondents showed they had a statistically significant difference (p= 0.028). Majority of respondents had good knowledge and perception of malaria and only few reported practicing malaria preventive measures involving spending money for their households with the exception of ITN use. Interventions such awareness through the electronic media and community mobilization on malaria preventive measures focusing on men should be carried out in other communities. Description: A Project in the Department Of Health Promotion and Education, Submitted to the Faculty of Public Health in partial fulfillment of the requirements for Degree Of MASTER OF PUBLIC HEALTH (HEALTH PROMOTION AND EDUCATION) of the UNIVERSITY OF IBADAN, Ibadan, Nigeria.