3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item Prevalence and patterns of tobacco use among woman in Benin city, Nigeria(2006-11-20T10:04:18Z) Okwuolise, Ogheneruemu VincentBackground: Tobacco use is one of the single biggest causes of preventable deaths and is increasingly affecting developing countries and men and women alike. Tobacco use is historically more common in men but is becoming more common among women. In the absence of population-based health information in many dev eloping countries and sub- Saharan Africa in particular, public health planning and priority setting is in disarray. Most of the prevalence studies on tobacco have concentrated on smoked tobacco and men in particular. This cross-sectional study design looked at the prevalence, patterns and determinants of tobacco use among women in Benin City, an urban area in Nigeria. Methods: 491 face-to-face interviews were conducted in 45 enumeration areas randomly sampled in Oredo LGA in Benin City, Nigeria. Twelve households were randomly sampled in each EA and eligible woman over the age of 18 years was identified in each household. Results: The prevalence of tobacco use was 8.8% comprising of smoking (3.3%) and smokeless (5.5%) initiation occur during the teenage years mostly. Smoking cigarettes was more common among the younger, more educated women and Tabba (a mixture of powdered dry tobacco leaf and sodium bicarbonate) used mostly by older less educated women (RR = 3.10, CI = 1.01 - 9.48). The participants perceived friends using tobacco as a reason for their starting to use tobacco. Determinants of tobacco use were education, exposure to tobacco advertising and / or promotions which occurs almost unrestricted despite some tobacco control legislations. Dr. OV Okwuolise; 0209663K/2005 Page 2 of 2 Conclusions: The findings suggest that tobacco use is going on unhindered and unless something is done to curtail the activities of the tobacco industry, a major public health catastrophe is looming.Item Factors associated with drug shortages in PHC facilities in the Mopani district of the Limpopo province(2006-11-10T11:58:10Z) Matse, Patrick MuziMost leading causes of death and disability in developing countries can be prevented, treated, or at least alleviated with cost effective essential drugs. However, hundreds of millions of people do not have regular access to essential drugs despite the fact that essential drugs can prevent many deaths. The aim of this study was to determine factors associated with essential drugs shortages in Primary Health Care (PHC) facilities (i.e. clinics and community health centres) in Mopani District in the Limpopo Province. Forty-five facilities were selected by means of stratified (by sub-district) random sampling. Forty-five professional nurses, who were in charge of the facility on the day of the interviews, were interviewed. A structured questionnaire was used for the data collection. Six pharmacists, from the six hospitals that supply drugs to the PHC facilities, were interviewed using a structured questionnaire. A one-on-one informal interview was held with 2 Hospital Superintendents and the Acting Provincial Chief Pharmaceutical Director. The study was both a retrospective and prospective observational study based on review of historical data, interviews with key players and direct observation of current practice. The tools used to collect and analyse the data were based on those developed by the World Health Organisation (WHO) and the Health Systems Trust (HST) with some adjustments and adaptation. The District STI Quality of Care (DISCA) Tool was used in the other thirty-six facilities, at which the structured questionnaire was not administered, to test prescribing indicators in relation to diagnosis, the correctness of and dosage of drugs dispensed and also drugs availability.