Dissertations / Theses: 'Namibia health and hygiene'

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Nwagboso, Goodluck Chinyere. "An evaluation of the nutritional status of refugee children in Namibia." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The worsening humanitarian situation in Angola and the great lakes due to protracted wars, led to an influx of refugees in Namibia since 1992. The peak of the influx was between 1999-2002 when the camp population reached 25,000 people. Among the many challenges faced by these refugees was their health and nutrition. Malnutrition accounted for high levels of morbidity and mortality among the refugees. This study covered a review of health and nutritional situation of children less than five years of age in Osire refugee camp. It proposed that prevalence of malnutrition among this age group is a proxy for the nutritional status of the refugee population. It also considered the factors prevalent in the camp that affect the nutrition of the children.

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Woldeselassie, Berhe Hailemariam. "Pre-eclampsia and its outcome (maternal and neonatal morbidity and mortality) in two referral hospitals (Windhoek Central and Katutura), Namibia." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Pre-eclampsia is a multi-organ system disorder that occurs after the 20th week of gestation in pregnancy and is characterized by hypertension and proteinuria with or with out oedema. It is a major cause of morbidity and mortality for the woman and her child. Based on surveillance data, pre-eclampsia is one of the leading causes of maternal mortality in Namibia. However, there is no depth study done in Namibia that looks at the extent of confirmed pre-eclampia and its contribution to maternal and perinatal morbidity and mortality. There is also no standard management protocol currently recommended in Namibia. The aim of this study was to evaluate the outcomes and quality of care given to pre-eclamptic patients treated in Windhoek Central and Katutura referral hospitals in Namibia within the period of January 2003 to December 2004.

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Grötzinger, Elsabé. "Employee knowledge, attitude and practices relating to HIV/AIDS at [a] mining company in Namibia." Thesis, University of the Western Cape, 2006. http://hdl.handle.net/11394/2284.

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Magister Artium (Social Work) - MA(SW)
A global prospecting and mining leader recognizes HIV/AIDS as a threat to the company and its employees. The management has committed them to have a proactive approach trying to minimize the impact of this killing disease by putting in place effective workplace programmes. However, programmes can only be successful if the employees’ needs regarding knowledge, attitudes and sexual practices have been thoroughly researched identified. The aim of this study was to do an explorative descriptive study of the knowledge, attitudes, perceptions and behaviours of the employees of a mining company in Namibia on HIV/AIDS. The objectives were: diams; To measure the overall knowledge levels as well as attitudes and sexual practices of DBMN employees on HIV and STD's. diams; To determine whether there was a difference in the knowledge levels, attitudes and sexual practices of employees in different job categories, age groups, marital status, religion and education level. diams; To measure risky sexual behaviours of participants. All employees (550) of this mining company were invited to participate in the survey and 226 employees responded. A self-constructed questionnaire was used to collect data administered in a group setting. The questionnaire was regarded as having content validity and the SPSS program was be utilized for descriptive statistics. Utilizing the ratio data developed through the indexes, an analysis of variance (ANOVA) was conducted to determine significant difference between the means of the groups in comparison. Because multiple comparisons were done, a post hoc test (Fisher LSD) was used to determine significant differences between group means.
South Africa

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Izaaks, Christo Delme. "Prevalence of HPV induced lesions of the cervix among gynaecological clinic attendees in Namibia :association of risk factors and cytomorphologic findings." Thesis, Cape Peninsula University of Technology, 2011. http://hdl.handle.net/20.500.11838/1472.

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Thesis (MTech (Biomedical Technology))--Cape Peninsula University of Technology, 2011
Introduction: A prospective study was conducted across the spectrum of cervical aberrancies with the aim of assessing the distribution of HPV relating to the degree of cervical abnormalities using polymerase chain reaction (PCR) and P16INK4A assay as a marker for cervical disease progression. Patient demographics including their sexual, contraceptive and screening history were evaluated to determine whether subsidiary risk factors contribute towards the development of cervical lesions among Namibian women. Methods: From Feb 2006 to March 2007, 187 women with abnormal cervical cytology were examined. Cervical smears were immunostained using the P16INK4A assay (Dakocytomation, Heidelberg, Germany). Brown discolourisation of the nucleus and/or cytoplasm of abnormal cells were considered positive for P16 immunoexpression. Absence of brown decolourisation in the nucleus or cytoplasm of abnormal cells was considered negative for P16 immunoexpression. DNA was successfully extracted from 182 specimens, and the respective samples were subjected to PCR using GP5+/6+ primers. Type-specific (HPV types 16 and 18) PCR were also applied. Patients’ sociodemographics, sexual and reproductive history, HIV status, contraceptive use and Pap smear history were all recorded.

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Mulondo, Michael. "Participatory action research approach to address the poor water, sanitation and hygiene conditions in an informal urban settlement in Windhoek, Namibia." University of Western Cape, 2020. http://hdl.handle.net/11394/7684.

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Philosophiae Doctor - PhD
Water, sanitation and hygiene (WASH) are fundamental to health and are regarded as a fundamental human right for survival, dignity, productivity, reproductive health and happiness. In low socio-economic communities and settings, especially those who are residing in informal urban settlements, where appropriate WASH interventions are not in place, the risks of mortality and morbidity from especially infectious disease are high. A participatory action research (PAR) study was conducted to address the poor WASH conditions in the Havana informal urban settlement in Windhoek, Namibia. The study comprises of four phases.

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Engelbrecht, Fredrika. "The antimicrobial susceptibility and gene-based resistance of Streptococcus Agalactiae (group B Streptococcus) in pregnant women in Windhoek (Khomas region), Namibia." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/2238.

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Thesis (MTech (Biomedical Sciences))--Cape Peninsula University of Technology, 2015.
BACKGROUND AND OBJECTIVES: Group B Streptococci (GBS) can asymptomatically colonise the vagina and rectum of women. Studies have shown that this bacterium is the leading cause of septicemia, meningitis and pneumonia in neonates. In Namibia no known studies have investigated GBS colonisation and the antibiotic resistance profile of GBS isolates in pregnant women. This study accessed the GBS colonisation rate amongst the pregnant women who attended the Windhoek Central Hospital Antenatal Clinic (Khomas region), in Namibia for a period of 13 months. Furthermore, using the VITEK 2 system, the GBS isolates were tested against the following antimicrobial substances; benzylpenicillin, ampicillin, clindamycin, erythromycin, tetracycline, vancomycin, cefotaxime, ceftriaxone, linezolid and trimethoprim/sulfamethoxazole. Penicillin G is the drug of choice in the majority of studies, and seems to be the most effective drug for intrapartum antibiotic prophylaxis (IAP). All the GBS isolates found in this study were also analysed for the presence of selected genes known to be associated with resistance to key antibiotics using specific primers within a polymerase chain reaction (PCR).

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Namandje, Teopolina Ndanyengwa. "Health foreign aid and health outcomes in Namibia." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/97474.

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Thesis (MDF)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: The role of health foreign assistance in explaining health outcomes remains an unending debate. The study assessed the relationship between foreign health aid and three selected health indicators of interest: infant mortality rate, under-five mortality rate and life expectancy, with control variables such as government expenditure on health and general medical clinics and public health services in Namibia. The data used was from 1990 to 2013 although there was some missing data. It was found that all health indicators improve with an increase in foreign health aid except that it is more impactful (statistically significant) in the case of infant mortality rate. The regression analysis shows that a one percent increase in heath aid will result in a 0.03 decrease in infant mortality rate but this is statistically insignificant. A one percent increase in health aid will result in a 0.01 decline in under-five mortality. A one percent increase in health aid will result in 0.53 increase in life expectancy. The Granger causality test revealed a uni-causal relationship among most variables. An increase in government expenditure to health is accompanied by a decline in all indicators. Overall, based on correlation coefficients, aid is linearly related to health outcomes in Namibia. The study gives a tentative conclusion that foreign health aid slightly improves health outcomes in Namibia.

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Thopil, Alex. "Risk factors associated with early childhood caries: an epidemiological survey in Mariental, Namibia." Thesis, University of the Western Cape, 2013. http://hdl.handle.net/11394/4537.

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Magister Scientiae Dentium - MSc(Dent)
Early Childhood Caries (ECC) is a public health problem both in developing and developed countries. Its widespread prevalence among children makes it ideal for assessing the risk factors and identifying specific strategies that could be implemented to prevent the disease. The aim of the present study was to determine the risk factors associated with early childhood caries among 5 – 48 month children in Mariental, Namibia. The objectives were to determine (i) the prevalence and severity of early childhood caries in 5 – 48 months old children (ii) the risk of early childhood caries associated with feeding practices, social and cultural behaviour, sugar consumption, dental health awareness, fluoride and risk behaviour. The study design used was cross-sectional and descriptive. A convenience sample was used as mothers visited the post-natal clinic or the hospital for treatment of other ailments or problems. The sample size comprised 230 mothers and their children and only mothers and their biological children in the age range 5- 48 months were included in the survey. Data was collected by using an open- and closed-ended questionnaire that included questions regarding the child‘s dietary and nutritional habits, oral hygiene habits, socio-economic status and beliefs. Mothers and their biological children were examined for presence or absence of dental caries and the findings were recorded on a modified WHO data sheet. The mean age of the children was 24 months, the mean deft 1.5 and the Significant Caries Index (SiC) was 4.5. There was an increase in caries prevalence (add caries prevalence) with increasing age both among girls and boys. The mean DMFT of the mothers was 7.1, their SiC was 17.11 and more than three quarters had at least one tooth missing which was extracted due to caries and just under a quarter had one or more decayed teeth. Despite the fact that most of the mothers reported knowing the importance of good oral hygiene, brush their own teeth and cleaning their children‘s mouth both mothers and their children had high DMFT or deft indices. This is due to a multiplicity of factors – the majority of the mothers were both uneducated and unemployed and have difficulty in making or taking appropriate choices conducive to healthy lifestyles in turn affecting their behaviours and oral hygiene practices.

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Wallace, Marion. "Health and society in Windhoek, Namibia, 1915-1945." Thesis, University of London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.266100.

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Nangolo, L. H. N. "Violence against women and its mental health consequences in Namibia." Thesis, University of Limpopo, 2002. http://hdl.handle.net/10386/2046.

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Thesis ((M.A. (Clinical Psychology)) --University of the North, 2002
Violence against women ts a manifestation of historically unequal power relations between men and women, which has led to the domination of women by men and to the prevention of the full advancement of women. It is an old phenomenon that was kept secret, and people pretended that the problem did not exist. It wasn't until the feminist activists openly addressed the issue of inequality that included women's lack of rights and low status within marriage and society as well as battering that the taboo topic was changed into a subject extensively investigated. Extensive research on the topic now exists. As is the case in many developing countries, research on violence against women in Namibia is relatively rare. Research regarding the mental health consequences of abuse is virtually non-existent. It is to this area of research that the present study addressed itself. This study aimed at describing and determining the mental health consequences of battering to which Namibian women are subjected. The study followed both qualitative and quantitative research approaches. Qualitative research used in-depth interviews based on a semi-structured questionnaire. The measures utilized was an Abuse Disability Questionnaire (ADQ). A demographic questionnaire identifying battered women variables was also utilized. A total of 60 battered women were surveyed and all 60 women completed the questionnaires. In quantitative methods, data were analysed in terms of descriptive statistics. In qualitative methods, closely related data were grouped together under specific titles to serve as categories. The results indicated that Namibian battered women endure physical, emotional, sexual and financial abuse. The results has shown that age, education, religion, employment status and marital status do not matter. Women are still being battered. The results also indicated that Namibian battered women are indeed subjected to various negative mental health consequences.

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Shivute, Meke Iyaloo. "The use of information and communication technology for health service delivery in Namibia." Thesis, Cape Peninsula University of Technology, 2007. http://hdl.handle.net/20.500.11838/1358.

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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2007
Understanding the use of information and communication technology (ICT) in the Namibian's health sector is important in the global information society It is not clear how ICT is being deployed to support the delivery of health services to the Namibian patients. Health service providers (HSP) in both private and pUblic health sector must be aware of ICT use patterns because this may influence how they deliver services to their patients in the future. This study thus seeks to investigate how ICT have been used in the delivery of health services to patients in the Khomas and Oshana regions of Namibia. Based on the literature review and data collected from the HSP and patients, a 'generic' health service delivery landscape for Namibia was developed and regional landscapes for the Khomas and Oshana regions were further derived from it. The landscapes depicted health service provision to patients in the different health sectors in Namibia. After mapping the health landscapes primary data was collected from the health service providers (HSP) in private, mission and public health institutions using a questionnaire A second structured questionnaire was administered on the patients A total of 21 and 134 HSP patients respectively, responded to the survey questionnaire. Results from the descriptive analysis indicate a relatively high ICT use by both HSP and patients.

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Lukolo, Linda Ndeshipandula. "Adolescent sexual health in a selected region of Namibia." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52077.

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Thesis (MCur)--Stellenbosch University, 2001.
ENGLISH ABSTRACT: Informal discussions and the work experience of the researcher in the field of health care raised concerns about the problems regarding the sexual health of adolescents. This demonstrated the need for an integrated health care system to promote adolescent sexual health. Against this background the study was undertaken to: • Identify the attitudes of adolescents towards sexual health. • Determine their knowledge of sexual health • Determine what the practice of sexual health by adolescents entail. • Provide recommendations where applicable. Triangulation, which is a combination of qualitative and quantitative research methods, was used. The findings reflected the following: • A positive attitude towards sexual health, but adolescents are involved in high risk sexual behaviour. • Sub-optimal knowledqë regarding sexual issues. • A need for sexual education by parents and health workers, especially nurses. The following recommendations, are proposed: • Sex education should start at an age as early as possible, at home, by parents. • Health workers should be trained to give proper information and advice to adolescents about their sexual health. • Condoms should be freely available and accessible to all the people of Namibia. • Adolescents should be actively involved in the promotion of their own sexual health. Keywords: Prevention of teenage pregnancy I Sexually transmitted diseases I HIV I AIDS and Sex education.
AFRIKAANSE OPSOMMING: Informele besprekings en praktiese ervaring van die navorser in die gesondheidsorgveld het probleme rakende die seksuele gesondheid van adolessente uitgewys. Dit het gedui op die behoefte aan 'n geïntegreerde gesondheidsorgsisteem ten einde die seksuele welsyn van adolessente te bevorder. Teen dié agtergrond is die studie onderneem om: • Die houding van adolessente teenoor seksuele welsyn te bepaal. • Die kennis van adolessente omtrent seksuele welsyn te bepaal. • Te bepaal wat die praktyk van seksuele welsyn van adolessente behels. • Aanbevelings soos van toepassing te maak. Die metode van triangulasie, wat 'n kombinasie van 'n kwalitatiewe en kwantitatiewe navorsingsmedotiek is, is gebruik. Die bevindings reflekteer die volgende: • 'n Positiewe houding jeens seksuele gedrag, maar adolessente is betrokke by riskante seksuele ged rag. • Suboptimale kennis ten opsigte van seksuele kwessies. • 'n Behoefte aan seksuele onderrig deur ouers en gesondheidswerkers, veral verpleegkundiges. Die volgende aanbevelings word voorgestel: • Onderrig ten opsigte van seksuele gedrag moet op die jongste moontlike ouderdom deur die ouers tuis gedoen word. • Gesondheidswerkers moet opgelei word om die regte en relevante advies en inligting aan adolessente oor te dra rakende hul seksuele gesondheid. • Kondome moet vrylik beskikbaar en bekombaar wees vir alle inwoners van Namibië.Adolessente moet aktief betrokke wees in die bevordering van hul eie seksuele welsyn. Sleutelwoorde: Voorkoming van tienerswangerskappelseksueel oordraagbare siektes I MIV I VIGS en seksuele voorligting.

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Udjombala, Hilka Tuyenikelao. "Malaria in Namibia : a community study." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52329.

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Thesis (Mcur)--Stellenbosch University, 2001.
ENGLISH ABSTRACT: The researcher has identified several problems in the North West Health Directorate community of Namibia regarding malaria and malaria related deaths. Against this background the study was undertaken to: • Identify the attitude(s) of the community towards malaria. • Determine the community's knowledge of malaria. • Determine the prevention strategies the community employed to guard against malaria. • Make recommendations. Methodological triangulation was used to obtain data and the findings reflected the following: • Lack of knowledge about malaria, its causes, management and prevention due to lack of adequate health information. • Socio-cultural factors have an influence on the community's knowledge of malaria, their attitudes towards malaria and on strategies employed by the community to prevent malaria. Recommendations included provision of proper and adequate health information to the community by health workers, increasing community participation in order to enhance attitude change and co-ordination and collaboration between traditional healers and the Ministry of Health and Social Services. Keywords: malaria I community I prevention I knowledge I attitudes
AFRIKAANSE OPSOMMING: Die navorser het verskeie probleme rakende malaria en malaria verwante sterftes in die gemeenskap van die Noordwes Gesondheidsdirektoraat van Namibië geïdentifiseer. Teen hierdie agtergrond is die studie gedoen om: • Die houding van die gemeenskap teenoor malaria te identifiseer. • Die gemeenskap se kennis omtrent malaria te bepaal. • Die voorkomende strategieë wat die gemeenskap toepas om malaria te voorkom te bepaal. • Aanbevelings te maak. Metodologiese triangulasie is gebruik om data te verkry en die bevindinge het die volgende gereflekteer: • Gebrek aan kennis aangaande malaria, die oorsake, hantering en voorkoming van malaria as gevolg van 'n gebrek aan voldoende gesondheidsinligting. • Sosio-kulturele faktore beïnvloed die gemeenskap se kennis van malaria, hul houding teenoor malaria en die strategieë wat hul toepas om malaria te voorkom. Aanbevelings sluit in die voorsiening van korrekte en voldoende gesondheidsinligting aan die gemeenskap deur gesondheidswerkers, verhoging van gemeenskapsdeelname om houdingsveranderinge teweeg te bring asook om die koërdinasie en samewerking tussen tradisionele helers in die Ministerie van Gesondheid en Welsyn te verbeter. Sleutelwoorde: malaria I gemeenskap I voorkoming I kennis I houding.

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LeBeau, Debie. "Seeking health: the hierarchy of resort in utilisation patterns of traditional and western medicine in multi-cultural Katutura, Namibia." Thesis, Rhodes University, 1999. http://hdl.handle.net/10962/d1002666.

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This thesis examines health care choices patients make when illness and misfortune occur. Research on health seeking behaviour was conducted in Katutura (the African township outside of Windhoek in Namibia) during 1996 and 1997. Due to the availability of a wide range of health care options from both the western and the traditional medical systems, utilisation of traditional medicine represents a conscious choice by patients and is not due to a lack of other alternatives. The use of traditional medicine can therefore be attributed to social, cultural, and personal factors rather than access, cost, and distance to modern health care facilities. A set of theoretical postulates is constructed to explain health seeking behaviour, including western and African concepts of ill health, which integrates both macro and micro-level analysis. Through macro-level analysis, this model postulates that western and traditional medical systems are able to exist within a single society due to the presence of co-existing ideologies (Medical Systems Theory). This model further postulates that social change is a significant attribute of post-colonial Namibian society (Post-colonial Theory). Rapid social change causes social disequilibrium leading to insecurities within the population which increase traditional health care utilisation, especially due to witchcraft accusation. Thus, macro-level theories are used to explain the existence and form of health care alternatives in Katutura; while micro-level analysis is used to examine how people make rational health care choices based on individualised variables within the enabling and constraining umbrella of Namibia's social structure. These variables include the individual's means, goals, desires, and environment of physical and social objects. Health seeking behaviour is influenced by the individual's previous experiences (history), personal constraints, and access to information. Based on data from the 1996 Tradition and Health Survey administered as part of the research for this dissertation, a model for health seeking behaviour is developed to guide the analysis of qualitative data. This model postulates that different patterns of utilisation depend on perceived causes, reasons and origins (aetiology) as well as manifestations of illness. Some illnesses are perceived of as clearly African and some are seen to be clearly western (both of these perceptions result in a single utilisation pattern). Some illnesses have a social/spiritual aetiology but universally recognised manifestations (resulting in a simultaneous utilisation pattern), and some illnesses are of indeterminate aetiology until treatment begins (resulting in a multi-faceted utilisation pattern). In addition to a utilisation pattern based on the aetiology and manifestation of illness, previous health seeking experiences influence, to a certain extent, subsequent health care choices; whereby the failure of one medical system to produce satisfactory results can cause health seekers to shift to another treatment regimen. In Katutura choices patients make are also influenced, to a certain extent, by the urban nature of the health seeking environment. Urban patients seek traditional medicine for a range of social/spiritual aetiologies, due to rapid social change and the experience of new and threatening situations. Urban patients also have more knowledge and experience with the western concept of contagious transmission as opposed to the traditional concept of social/spiritual contamination. In addition, health seeking patterns vary slightly between the different ethnic groups in Katutura. Traditional aetiological beliefs of the different ethnic groups in Katutura are reflected in current cultural beliefs about the cause of illness.

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Berger, Brittany. "Hand Hygiene Perceptions of Student Nurses." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/honors/176.

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Compliance with hand hygiene is widely recognized as the most important factor in preventing transmission of infection to patients in healthcare settings (Haas and Larson, 2007). Hand hygiene dramatically decreases the potential pathogens on hands and is considered the first measure for decreasing the risk of transmitting organisms to patients, healthcare professionals, and family members. Noncompliance with hand hygiene practices has been shown to increase healthcare-associated infections, costing hospitals $35.7-$45 billion each year (Centers for Disease Control and Prevention [CDC], 2012). Education about hand hygiene starts in school and should transfer into the real world of nursing. The purpose of this research is to determine how student nurses in a baccalaureate nursing program in northeastern Tennessee perceive hand hygiene and the importance of conducting the act of hand washing. Students who do not perceive it as important, or do not have the correct information, are unlikely to use principles of good hand hygiene in their practice. Few studies were found assessing nursing school students’ perception of the importance of hand hygiene.

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Chisha, Zunda. "The impact of smoking on individual health expenditures: a case study of Namibia." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25006.

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Background: The increased smoking prevalence in some parts of the world, particularly in Low and Middle Income Countries (LMICs) is a major concern among tobacco control advocates and governments. The higher smoking-related disease prevalence associated with this is expected to fall among the sub-populations least able to pay for healthcare services in LMICs. This, in turn, will perpetuate the vicious cycle of poverty and disease. The current study contributes to developing an understanding of the socioeconomic disparities in smoking in Namibia and their potential association with per capita health-related expenditures. Method: Data from the Namibia 2013 Demographic and Health Survey, a nationally representative survey, are used in the study. Three main variables for healthcare costs are constructed, namely out-patient disease (OPD) costs, inpatient disease (IPD) costs and total out of pocket (OOP) payments. Concentration curves and indices are estimated for all three variables as well as for smoking intensity and smoking prevalence. Further, three Tobit regression models are run to examine the associations of the different healthcare costs with smoking intensity. Results: The concentration index of smoking prevalence is estimated at -0.05 compared to -0.18 for smoking intensity. Thus, both smoking prevalence and smoking intensity, in relation to their socioeconomic status, are concentrated among the poor. In contrast, the concentration index of OPD healthcare costs is calculated at 0.34 compared to 0.65 for IPD healthcare costs reflecting disproportionately higher healthcare costs among the rich. The concentration index of the overall total annual OOP payments is 0.55. Tobit regression analysis, however, does not find any statistically significant relationship between the smoking intensity and the amount spent on health care costs, regardless of whether these were IPD, OPD healthcare costs or total OOP payments. Conclusion: Namibia's current policies on demand reducing tobacco control policies can be strengthened by these findings. Smoking is an important determinant of several non-communicable diseases and has the potential to exacerbate health care costs across socioeconomic strata. Understanding the socioeconomic disparities in smoking is imperative for developing appropriate interventions against smoking.

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Ngula, Asser Kondjashili. "Women's perception on the under utilization of intrapartum care services in Okakarara district, Namibia." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Maternal health care services are one of the health interventions to reduce maternal and infant morbidity and mortality. The health of mothers of childbearing age and of the unborn babies is influenced by many factors some of which include the availability and accessibility of health services for pregnant women. Low quality of health services being provided, and limited access to health facilities is correlated with increases maternal morbidity and mortality. This situation is caused by long distances between facilities as well as the people's own beliefs in traditional practices. This study was about the assessment of the women's knowledge on benefits of delivery in a hospital, the barriers to delivery services, and the perception of the delivery services rendered in the maternity ward of Okakarara hospital.

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Burger, Helga. "Exploring evidence-based practice in Namibia - a co-operative inquiry." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/10231.

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Includes bibliographical references.
Since no scientifically obtained information existed on engagement in EBP by Namibian-based occupational therapists, the researcher set out to explore the usefulness and feasibility of evidence-based practice (EBP) for occupational therapists in Namibia. An action research, specifically co-operative inquiry was chosen as methodology. This enabled the researchers to simultaneously raise awareness of and disseminate information reading EBP and collect experience based data from co-researchers. Purposive sampling, in particular maximum variation sampling, promised a wide yield of data; this was collected from participants' experiences as they engaged in and reflected on retrieving evidence and participation in focus group meetings. A qualitative content analysis and coding of verbatim transcriptions of focus group meetings together with written reflections of participating occupational therapists (co-researchers) revealed three themes. Co-researchers reported mixed feelings about the possibilities of evidence-based practice; they observed shifts in their understanding and skills base of EBP; and they provided suggestions on how EBP could be implemented in Namibia. An interpretation of the findings of the study suggest, however, that intent to change and gain knowledge and skills do not necessarily lead to changed behaviour; social structures, including hegemonies related to lack of access to evidence, are shown to impact negatively on implementing EBP in Namibia. It is suggested that a group approach with agreed upon targets, incorporating monitoring of attitudes and intention to perform, broadening and deepening knowledge and skills, while addressing structural constraints and bad habits, could deliver positive results.

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Barrion, Irene M. "Exploring risk factors associated with potential hearing loss in Namibian Class A mines." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96821.

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Thesis (MAud)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: In developing countries, like Namibia, there is limited data pertaining to the number of individuals with hearing loss and its associated factors. This study aimed to determine the prevalence of potential hearing loss in Namibian Class A mines and to describe the extrinsic and intrinsic factors associated with hearing loss. A cross-sectional design was utilised and data were collected from 132 respondents (mining employees) from five different Class A mines throughout the country. A questionnaire and a retrospective review of respondents’ medical records were utilised to determine the risk factors. The most recent audiogram found in the respondents’ records was used to determine the presence of potential hearing loss. Three definitions of potential hearing loss were used in this study and included all major frequency hearing loss (AFHL), high frequency hearing loss (HFHL) and low frequency hearing loss (LFHL). Potential hearing loss was identified when the pure tone average (PTA) of 0.5, 1, 2, & 4kHz, 0.5, 1 & 2kHz and 4 & 8kHz respectively was greater than 25dBHL in either one or both ears. Chi-square measurements or, where necessary, Fisher’s exact tests, as well as Odds Ratios were used for the analysis of data. In general a significance level of 5% was applied for all analyses. Results indicated the prevalence of potential hearing loss in Namibian mining employees to be 27% and that both extrinsic and intrinsic factors were associated with hearing loss. The extrinsic factors significantly associated with potential hearing loss were both occupational and medical. The occupational factors found to be significant were the number of years employed in whole life >10 years (p=0.012; OR=3.1, 95% CI=1.3-7.9), the number of years employed in current job > 10 years (p=0.01; OR=3.9, 95% CI1.7-8.8) and the non-availability of formal training in prevention of hearing loss (p=0.022; OR=0.3, 95% CI (0.1-0.9). Diabetes was the sole significant extrinsic medical factor (p=0.035, OR=5, 95% CI 1.1-22.1). The only intrinsic factor which was found to be significantly associated with hearing loss was Age, specifically being older than 40 years (p=0.002; OR=3.5, 95% CI 1.6-7.8) and 50 years (p=0.001, OR=5.5, 95% CI1.9-15.8). A multiple logistic regression model of all significant factors found that only no formal training of prevention of hearing loss was found to be significant in the presence of all other factors (p=0.036, OR=0.036, 95% 0.1-0.92). Findings from this study suggest that multiple factors may be associated with potential hearing loss and not just the exposure to hazardous occupational conditions. Recommendations for future research and clinical practice should, therefore, include thorough investigations into the aetiology of hearing loss. As this study focused on Class A mines, it is recommended that future research be conducted in other mines that are not categorised as Class A mines. Keywords: prevalence, extrinsic factors, intrinsic factors, extrinsic occupational factors, extrinsic social factors, extrinsic medical factors, potential hearing loss, mining industry, Class A mine, Namibia.
AFRIKAANSE OPSOMMING: In ontwikkelende lande, soos Namibië, is daar beperkte data met betrekking tot die aantal individue met gehoorverlies en sy verwante faktore. Hierdie studie het gepoog om die voorkoms van gehoorverlies in Namibiese Klas A myne te bepaal en die ekstrinsieke en intrinsieke faktore wat verband hou met potensiale gehoorverlies te beskryf. 'n Deursnee-ontwerp is gebruik en data is ingesamel uit 132 respondente (mynbou werknemers), uit vyf verskillende Klas A myne regdeur die land. 'n Vraelys en 'n retrospektiewe oorsig van die respondente se mediese rekords is gebruik om die risiko faktore te bepaal. Die mees onlangse oudiogram wat in die respondente se rekords gevind is, is gebruik om die teenwoordigheid van potensiale gehoorverlies te bepaal. Drie definisies van potensiale gehoorverlies is gebruik in hierdie studie, ingesluit al die groot frekwensie gehoorverliese (AFHL), hoë frekwensie gehoorverlies (HFHL) en 'n lae frekwensie gehoorverlies (LFHL). ‘n Gehoorverlies was teenwoordig wanneer die suiwer toon gemiddelde (PTA van 0.5 , 1 , 2, & 4kHz , 0.5, 1 & 2kHz en 4 & 8kHz onderskeidelik , groter was as 25dBHL in een of albei ore. Chi -square metings of, waar nodig, Fisher se presiese toetse, asook kans verhoudings is gebruik vir die ontleding van data. In die algemeen is 'n beduidendeidsvlak van 5% gebruik en toegepas vir al die ontledings. Resultate het aangedui die voorkoms van gehoorverlies in Namibiese mynbouwerknemers tot 27 % was en dat beide ekstrinsieke en intrinsieke faktore ‘n verband toon met potensiaal gehoorverlies. Die ekstrinsieke faktore wat ‘n beduidende verband getoon het met gehoorverlies was albei beroeps- en mediese faktore. Die beroepsfaktore wat betekenisvol was, was die aantal jare diens in hele lewe > 10 jaar ( p = 0,012 ; OR = 3.1 , 95 % CI = 1.3-7.9) , die aantal jare in huidige pos> 10 jaar diens (p = 0,01 ; OF = 3.9 , 95 % CI1.7-8.8 ) en die onbeskikbaarheid van formele opleiding in die voorkoming van potensiaal gehoorverlies (p = 0,022 ; OF = 0,3 , 95 % CI ( 0,1-0,9 ). Diabetes was die enigste beduidende ekstrinsieke mediese faktor (p = 0,035 , OR = 5 , 95 % CI 1,1-22,1 ). Die enigste intrinsieke faktor watbeduidend was en verband hou met gehoorverlies was ouderdom, spesifiek om ouer as 40 jaar ( p = 0,002 ; OF = 3.5 , 95 % CI 1,6-7,8 ) en 50 jaar ( p = 0.001 , OR = 5.5 , 95 % CI1.9-15.8 ) te wees. 'n Veelvuldige regressie model van alle beduidende faktore het bevind dat slegs geen formele opleiding in die voorkoming van gerhoor verlies beduidende was in die teenwoordigheid van al die ander faktore ( p = 0,036 , OR = 0,036 , 95 % 0,1-0,92 ) . Bevindinge van hierdie studie dui daarop dat verskeie faktore geassosieer kan word met gehoorverlies en nie net die blootstelling aan gevaarlike beroepstoestande nie. Aanbevelings vir toekomstige navorsing en kliniese praktyk moet dus 'n grondige ondersoek na die etiologie van gehoorverlies uitvoer. Aangesien hierdie studie gefokus het op die Klas A- myne , word dit aanbeveel dat toekomstige navorsing gedoen word in ander myne wat nie gekategoriseer is as Klas A myne nie. Sleutelwoorde: Voorkoms, ekstrinsieke faktore, instrinsieke faktore, ekstrinsieke beroepsfaktore, ekstrinsieke sosiale faktore, ekstrinsieke mediese faktore, potensiale gehoorverlies, Klas A myn, Namibië.

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Ubah, Veronica. "Re-educating Healthcare Providers on Hand Hygiene Practice." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10279506.

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The Centers for Disease Control (CDC) and the World Health Organization (WHO) estimate that there are approximately 1.4 million cases of hospital acquired infections (HAIs) at any given time worldwide. Recent reports indicate that 722,000 patients acquire HAIs, with 75,000 or more succumbing to the infections and dying. This quality improvement project focused on the value of re-educating practicing nurses on hand hygiene practices as an approach to reduce the incidence of HAIs. Pre-intervention rates of HAIs were compared with post-intervention rates of HAIs across 2 units (Unit A and Unit B) in an acute care setting to determine if re-educating nurses about hand hygiene was a plausible strategy in reducing HAIs in the acute care setting. The pre-intervention mean rate of Unit A was 0.146% and the post-mean rate was 0.00%. A Wilcoxon signed-rank test showed that the educational intervention did not elicit a statistically significant change in infection rates (z = -1.63, p > 0.05). Similarly, the pre-intervention mean rate of Unit B was 0.12% and the post-mean rate was 0.00%. A Wilcoxon signed-rank test showed that the educational intervention did not elicit a statistically significant change in infection rates (z = 1.732, p > 0.05). Despite the lack of statistical significance, there was a reduction in the mean rate to 0.00% following the educational intervention. The results of this quality improvement project suggest a value in re-educating nurses on the importance of hand hygiene as a strategy to reduce and prevent HAIs in health care organizations in order to promote positive patient outcomes.

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Bunten, A. "The application of health psychology to public health." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/20309/.

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Background: There is strong evidence linking obesity to health issues and long term conditions such as high blood pressure, type II diabetes, heart disease and some cancers (NICE, 2006). Despite this growing evidence base, the prevalence of obesity continues to rise and rates have more than doubled in England in the last 25 years (Public Health England, 2014). Currently 26% of adults are obese (Health Survey for England, 2014), and the proportion of women that are classified as overweight and obese has risen to 57% (Health Survey for England, 2014). Weight loss can reduce the risk of an individual developing these conditions and can increase their healthy life expectancy. It is estimated that approximately one in every two adults in England are actively trying to lose weight, the majority of which are over-weight or obese women (Piernas, Aveyard and Jebb, 2016). This indicates that over-weight and obese women are motivated to lose weight but are struggling to achieve or maintain a healthy weight. To-date potentially effective weight management interventions have been identified as long term multi-component interventions including diet and exercise components along with behavioural strategies. However, weight changes have been small and weight regain has been found to be very common (Loveman, Frampton, Shepherd, Picot, Cooper et al, 2011; Dombrowski, Knittle, Avenell, Araújo-Soare & Sniehotta, 2014). Despite the primary focus on weight loss being to improve health, research suggest that people’s prime motivation to lose weight is unrelated to health (Piernas, Aveyard and Jebb, 2016). Aim: This study aims to improve the understanding of the challenge of achieving and maintaining a healthy weight in overweight and obese young women. In particular, it aims to i) better understand the barriers and facilitators to achieving and maintaining a healthy weight as experienced by these young women, ii) further understand the relationships and influences of these factors, to iii) inform and develop a new theoretical framework in which to capture this social phenomena and societal challenge. Recruitment: This study recruited 14 female participants aged 18- 35 years, with a BMI over 30 (or 28 with co-morbidity), actively seeking support to lose weight. Participants were recruited through purposive sampling in two primary care practices in East London as part of the ‘Peer Support Weight Action Programme’ (SWAP). This was a Randomised Controlled Trial run by Barts Health NHS Trust and Queen Mary’s School of Medicine and Dentistry, funded by the National Institute for Health Research, Health Technology Assessment fund. Design: The research is qualitative in design utilising in-depth semi-structured interviews. Interviews took place with women recruited to take part in a weight loss programme before commencing the intervention, and follow up interviews took place approximately six months after completion of the weight management programme. Grounded Theory Analysis was used to analyse the data. Results and Findings: An overarching theoretical framework is presented from the findings of the data analysis of the pre and post weight loss attempt interviews. A new ‘Emotion and Mindset’ model is presented to explain the challenge of achieving and maintaining a healthier weight in young women. It includes the core categories of sense of self, emotion and mindset, self-efficacy, and stress and conflicting priorities and has been theoretically framed around the concept of Finding the Health Enhancing Equilibrium - maintaining a positive sense of self whilst generating action to achieve and maintain a healthy weight. It describes the balancing act required between these key contributing elements to engage in positive health behaviour which contributes to achieving and maintaining a healthy weight. Recommendations: Based on the findings from this study, and supported by previous findings (Cochrane, 2008), weight management interventions targeting young women need to build in coping strategies to support individuals cognitively, behaviourally and emotionally. These should include building self-efficacy (NOO, 2011; Ashford, Edmunds, French, 2010), sense of self and re-aligning identity (West & Brown, 2013). Individuals need to be taught how to identify, address and re-orient dysfunctional thoughts, to identify potential stressors such as triggers and environmental cues to prevent relapse. Consideration needs to be given to weight loss maintenance and ongoing tailored support. Further research is needed to identify what type and method of support is most effective and for whom.

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22

Said, Dina. "Effect of Hand Hygiene Procedures on Skin Biomarkers." University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1146608923.

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23

Wythe, Helena Fleur. "Meeting food hygiene challenges in older people : mobilising health assets for health promotion." Thesis, University of the West of England, Bristol, 2016. http://eprints.uwe.ac.uk/25538/.

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Background: Listeriosis is a serious foodborne infection with significant rates of morbidity and mortality in the older population. The majority of food safety research has focused on food behaviour, practices and perceptions of 'risk'; isolating actions from their social and health context and historical significance. The alternative, positive and novel approach presented in this dissertation is to identify the accumulated resources, or health 'assets', that older people draw upon in daily life at home to protect themselves against foodborne illness informing future health promotion interventions. This research will also further the theoretical development of the 'asset model' and its contribution to health promotion theory and practice. Methods: There were three chronological phases to the study. Phase I: Sought to gather contextual information about the older people recruited in Phase II through the collection of socio-demographic, health and summary current food hygiene asset related data collected through a researcher completed questionnaire at i) five AgeUK lunch clubs ii) one County Council-run lunch club and iii) via a 'University of the Third Age' webpage advert across Buckinghamshire and Hertfordshire. Fifty respondents were recruited via self-selection (20 men, 30 women, mean age of 78.98 years (SD 8.82) mean Visual Analogue Scale of subjective health, 6.89 cm/10cm). Quantitative data were analyzed using SPSS. Phase II: Fifteen semi-structured interviews with older people selected via purposive sampling from the questionnaire cohort to seek their accounts of how food is acquired, stored and cooked and the historical events and influences that shaped these practices (7 men and 8 women, mean age 77.87 (SD 8.06) years, mean Visual Analogue Scale of subjective health, 6.62cm/10cm). Phase III: Three semi-structured interviews with sheltered housing staff in Buckinghamshire recruited via snow-ball sampling. Qualitative data were analyzed using a Grounded Theory approach with NVivo software. Results and Discussion: All of the data indicated that older people have a multiplicity of external food hygiene assets through which to acquire 'safe' and 'fresh' food. Differences in the frequency and type of external asset utilisation were identified between men and women and those reporting severe restrictions in activities of daily living recorded by the EQ5D Quality of Life tool from the questionnaire employed in Phase I. The qualitative data from Phases II and III indicated that food hygiene assets were contextdependent, many being accumulated through the life course and fulfilling non-food related purposes. A number of historically formed internal assets were also identified which served to either facilitate or hinder access to the external food hygiene assets. Members of the social network, specifically the family, were identified as being the principal food hygiene asset throughout the life course from all data sources, fulfilling the newly conceptualised role of 'foodcarers' in the lives of (older) people in a context-dependent manner. Conclusions: The cause of foodborne infections in the older population may be influenced by complex historical factors beyond specific food hygiene knowledge and practice. Current competing or allied concerns in daily life may also serve to motivate or demotivate the employment of 'safe' food hygiene practice. Strategies aimed to reduce the incidence of foodborne illness in the older population could be addressed by placing health promotion within the home setting through the mobilisation of the social network. The contextdependent nature of asset mobilisation has called in to question the validity of some sections of the asset model for use in negotiated small-scale health promotion initiatives and whether the model can serve as a coherent whole.

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Goss-Bottorff, Barbara. "Hand hygiene compliance in the emergency department| A project report." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527943.

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The purpose of this project was to demonstrate whether a multifaceted quality improvement intervention program would improve hand hygiene compliance of healthcare providers (HCPs) in the Emergency Department (ED). A descriptive design with an observational approach was used with a convenience sample of ED healthcare personnel at a large, 500 bed community hospital. Seven hundred and fifty-eight hand hygiene compliance direct observations were collected during 3 time periods (baseline, pre-intervention and post-intervention observation periods). Descriptive and inferential statistics were used to analyze differences in hand hygiene compliance across the observation periods and by HCP job category.

The results indicated a statistically significant increase in hand hygiene compliance among all groups combined after a multifaceted intervention program was implemented. Efforts to change behavior, lifestyle and the environment must be varied and the target audience must be involved to be effective. This model can be applied to HCPs in other healthcare settings to improve compliance with hand hygiene, a fundamental infection prevention practice to prevent healthcare acquired infections.

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Chakare, Rejoice Sesedzai. "Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79966.

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Thesis (MPhil)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Health statistics on adolescents in Namibia indaicate high incidences of teenage unwanted pregnancies, unsafe abortions, baby dumping, maternal ill health, early marriages and STIs including HIV. These are indicators of underutilisation of adolescent friendly health services (AFHS) by adolescents as education on these problems are covered in it. Although Government has made some strides to esure implementation starts, there is a recognisable lack of its adoption by health workers. The aim of this study was to establish the reasons for the slow adoption of AFHS practices by health workers at Katutura Health Centre. A quantitative non-experimental cross-sectional descriprive research approach was used in this study. Evidence using both primary data collected in the field through self-administered semi-structured questionnaires (with both open and closed questions) and secondary data collected in the literature review was employed . A census of the entire population of health workers was prefered over sampling. A total of 56 health workers accepted to participate in the study and the questionnaire, 46 of which returned it within a stipulated three weeks data collection period. Descriptive statistics was utilised together with frequencies, mean and basic collection. Eighty two percent of the sample participated in the study of which 67% respondents were female and 33% were male. The majority of the respondents (78.3%) had tertiary education. The results indicated: AFHS were not known to the majority of health workers; there is slow adoption of AFHS; and the programme introduction could have been done better. Factors significantly associated with adoption of AFHS are knowledge of such services, sex, level of education, job position, work experience and effective implementation of the programme. A probability value of p<0.05 was adopted. The programme is well appreciated despite concerns of lack of training and proper implementation. Key recommendations were on staff recruitment, retention and training of health workers; creation of space for implementing AFHS and marketing the programme. The system is in place, what is left is to tighten some loose ends and programme is up and running.
AFRIKAANSE OPSOMMING: Gesondheid statistieke oor die jeug in Namibië verwys na hoë voorkoms van ongewenste tiener swangerskappe en onveilige aborsies, weg gooi van babas, swak moederlike gesondheid, vroeë huwelike en seksueel oordraagbare siektes, insluitend MIV. Dit is aanwysers van die onderbenutting van jeug vriendelike gesondheidsdienste (AFHS) deur die jeug, as die onderwys op hierdie probleme gedek word. Hoewel die regering 'n paar implementerings begin het, is daar 'n beduidende gebrek van aanneming deur gesondheidswerkers. Die doel van hierdie studie was om die redes vas te stel vir die stadige aanvaarding van AFHS praktyke deur gesondheidswerkers by Katutura Gesondheids Sentrum. 'n Kwantitatiewe, nie-eksperimentele navorsingsbenadering is gebruik in hierdie studie. Bewyse uit beide primêre data wat ingesamel is in die veld deur middel van self-geadministreerde semi-gestruktureerde vraelyste (met beide oop en geslote vrae) en sekondêre data wat ingesamel is in die literatuuroorsig was gebruik. 'n Sensus van die hele bevolking van gesondheidswerkers is verkies in plaas van steekproefneming. 'n Totaal van 56 gesondheidswerkers het aanvaar om deel te neem aan die studie en die vraelys, waarvan 46 teruggedien is binne die vasgestelde tydperk van drie weke se data-invorderingstermyn. Beskrywende statistiek is gebruik saam met frekwensies, gemiddelde en basiese versameling. Tagtig en twee persent van die steekproef het deelgeneem aan die studie, waarvan 67% respondente vroulik en 33% manlik was. Die meerderheid van die respondente (78,3%) het tersiêre opleiding. Die resultate het aangedui: AFHS is nie bekend aan die meeste van gesondheidswerkers nie, en daar is stadige aanneming van AFHS; en die program inleiding kon beter gedoen gewees het. Faktore wat beduidend verband hou met die aanneming van AFHS is kennis van sodanige dienste, geslag, vlak van onderwys, werk posisie, werkervaring en doeltreffende implementering van die program. 'n Waarskynlikheid waarde van p <0,05 is aangeneem. Die program is goed waardeer ten spyte van kommer aan 'n gebrek van opleiding en behoorlike implementering. Belangrikste aanbevelings was op die personeel werwing, behoud en die opleiding van gesondheidswerkers; skepping van ruimte vir die implementering van AFHS en bemarking van die program. Die stelsel is in plek, wat oorbly om gedoen te word, is om 'n paar los punte te versterk en die program is aan die gang.

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26

Ubah, Veronica Ihuoma. "Re-educating Healthcare Providers on Hand Hygiene Practice." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3641.

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The Centers for Disease Control (CDC) and the World Health Organization (WHO) estimate that there are approximately 1.4 million cases of hospital acquired infections (HAIs) at any given time worldwide. Recent reports indicate that 722,000 patients acquire HAIs, with 75,000 or more succumbing to the infections and dying. This quality improvement project focused on the value of re-educating practicing nurses on hand hygiene practices as an approach to reduce the incidence of HAIs. Pre-intervention rates of HAIs were compared with post-intervention rates of HAIs across 2 units (Unit A and Unit B) in an acute care setting to determine if re-educating nurses about hand hygiene was a plausible strategy in reducing HAIs in the acute care setting. The pre-intervention mean rate of Unit A was 0.146% and the post-mean rate was 0.00%. A Wilcoxon signed-rank test showed that the educational intervention did not elicit a statistically significant change in infection rates (z = -1.63, p > 0.05). Similarly, the pre-intervention mean rate of Unit B was 0.12% and the post-mean rate was 0.00%. A Wilcoxon signed-rank test showed that the educational intervention did not elicit a statistically significant change in infection rates (z = 1.732, p > 0.05). Despite the lack of statistical significance, there was a reduction in the mean rate to 0.00% following the educational intervention. The results of this quality improvement project suggest a value in re-educating nurses on the importance of hand hygiene as a strategy to reduce and prevent HAIs in health care organizations in order to promote positive patient outcomes.

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27

Delport, S. V. "Health and health care of the preschool child in Hout Bay." Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/27215.

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At present not enough is known about the health of preschool children in the poorer communities of Cape Town. This study, was undertaken to assess the health and health care of preschool children in one such community: that of the Hout Bay harbour township. A clinic and community-based surveillance programme was devised to make this assessment. Data were obtained by monitoring the records at the Community Health Centre in the township. A study sample of 214 children from the community was also selected by random stratified cluster sampling. This sample was assessed by means of a questionnaire and a full physical examination. Analysis of data was performed on the IBM main-frame computer. A large number of medical problems were identified on screening the community sample. Most of these problems were minor ones and could be managed appropriately at the Health Centre. On the basis of the referral patterns and the small number of newly diagnosed functionally important health problems, the provision of health care in-the area was considered to be adequate. The high immunisation rate in the preschool children and the excellent attendance figures at the child health clinics indicates that the services provided are well utilised by the population. Dental caries was found to be a major health problem in the area. A strong case for the introduction of a dental health educational programme and for the fluoridisation of drinking water can made on the basis of these findings. An ongoing health screening programme would be beneficial. It could be accomplished by utilising appropriately trained nursing personnel.

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Sprague, Daniel Alexander. "Modelling health behaviour." Thesis, University of Warwick, 2015. http://wrap.warwick.ac.uk/77458/.

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Many diseases can be prevented or mitigated through behaviour change, but we lack a quantitative model that can accurately predict these changes and inform policies designed to promote them. Here we introduce a quantitative model of health behaviour that takes into account individual-level barriers, the health system, and spread between individuals. We investigate limits of the model where each of these determining factors is dominant, and use them to predict behaviour from data. We apply the model to individual-level geographic barriers to mothers giving birth in a health facility, and find evidence that ease-of-access is a major determinant of delivery location. The geographic barriers allow us to explain the observed spatial distribution of this behaviour, and to accurately predict low prevalence regions. We then apply the model to the role of the health system in determining health facility usage by mothers of sick children. We show that local health facility quality does predict usage, but that this predictive power is significantly less than that gained by including unaccounted-for spatial correlation such as social influence. We also show evidence that results-based funding, rather than traditional input-based funding, increases usage. We develop a psychologically-motivated ‘complex contagion’ model for social influence and incorporate it into a general model of behaviour spread. We apply this model to short-lived behavioural fads, and show that ‘nudges’ can be very eﬀective in systems with social influence. We successfully fit the model to data for the online spread of real-world behaviour, and use it to predict the peak time and duration of a fad before the peak occurred. Finally, we discuss ways to incorporate disease state into the model, and to relax the limits used in the rest of the thesis. We consider a model which links health behaviour to disease, and show that complex contagion leads to a feature that is not present in traditional models of disease: the survival of an epidemic depends non-trivially on the initial fraction of the population that is infected. We then introduce two possible models that include both social influence and an inhomogeneous population, and discuss the type of data that might be required to use them predictively. The model introduced here can be used to understand and predict health behaviours, and we therefore believe that it provides a valuable tool for informing policies to combat disease.

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Waterkeyn, Juliet Anne Virginia. "Cost-effective health promotion and hygiene behaviour change through community health clubs in Zimbabwe." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2006. http://researchonline.lshtm.ac.uk/682348/.

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Although safe sanitation and hygiene is critical for improving family health, rural communities in Sub Saharan Africa have shown little inclination to change their traditional behaviour, and sanitation coverage has now dropped to 47% (Cairncross 2003). With the Millennium Development Goals seeking to halve the 2.4 billion people without sanitation by the year 2015, there is an urgent need to find cost-effective health promotion strategies that will actively engage rural householders in modifying risky hygiene behaviour. This thesis evaluates an approach, developed over the past ten years in Zimbabwe, in which Community Health Clubs have successfully galvanised rural communities into active behaviour change leading to a strong demand for sanitation. In Tsholotsho District, after six months of weekly hygiene promotion sessions, at the cost of US 35c per beneficiary, good health knowledge of nine different topics was 47% higher in the intervention than for the control, and latrine coverage rose to 43% contrasted to 2% in the control area, with the remaining 57% members without latrines practicing faecal burial, a method previously unknown (p>0.0001). Spot observations of 736 Health Club households in two districts was contrasted to 172 in a control group, and showed highly significant changes in 17 key hygiene practices (p>0.0001) including hand washing. The study demonstrates that if a strong community structure is developed and the norms of a community are altered by peer pressure from a cyclical to linear world view, hygiene behaviour change will ensue and a demand for sanitation can be created. Maslow's Hierarchy of Needs (1954) is adapted to a rural context to analyse the qualitative data, providing some insight into the socio-cultural mechanisms at work. Despite adverse socio-economic conditions in Zimbabwe over the past five years, Health Clubs have flourished, providing a sustainable and cost-effective case study.

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Sáenz, de Miera Juárez Belén. "The expansion of public health insurance in Mexico : health, financial and distributional effects." Thesis, London School of Economics and Political Science (University of London), 2017. http://etheses.lse.ac.uk/3685/.

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During the past decade, the Mexican government launched an ambitious expansion of public health insurance through the Seguro Popular programme (SP). As a result, health care access was legislated as citizens’ entitlement, a generous benefit package was offered, and public health expenditure was significantly increased. In 2011, the programme had reached 52 million affiliates. However, there is limited evidence on its effects on a number of outcomes and their distribution. This thesis analyses three aspects that are key to evaluate health system performance. Specifically, using quasi-experimental methods and recent distributional measures of pure health, it examines the effect of universal insurance coverage on infant mortality, non-medical consumption, and health inequalities. Drawing on municipality-level data, the first article finds that the programme led to a 3.9 per cent decrease in infant and neonatal mortality. These reductions were concentrated in more populated, urban, and less marginalised municipalities, however, probably because this type of municipalities have been traditionally better equipped and are thus better prepared to offer all the interventions from the benefit package. Based on data from the Mexican Family Life Survey (MxFLS), the second article shows that unexpected health events such as accidents and deterioration in physical capacity are associated with large declines in non-medical consumption. Social security seems to provide protection against both types of shocks, but endogeneity-corrected estimates show that the SP only protects consumption against accidents. This suggests that income losses associated with disability shocks for which the programme does not offer protection, are likely larger than medical care expenditures, and poses the question of whether other social security benefits, such as disability insurance, should also be extended. Finally, the third article analyses the distribution of health in the context of the SP implementation. Unlike traditional studies, pure health inequality and mobility are analysed using a recently developed class of indices appropriate for categorical data. If a downward-looking definition of status is employed, the distribution of health appears stable, but if an upward-looking definition is adopted, a significant increase in inequality is observed. Evidence of strong persistence in health was also found. This lack of improvement in the health distribution suggests that factors other than health insurance coverage, such as institutional performance, are more important determinants of health inequalities. Overall, this thesis finds important health effects from extending health insurance coverage but limited effects on economic welfare and the distribution of health status across the entire population.

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Chao, Chung-yee Josephine, and 趙仲儀. "Systematic review on breakfast skipping among children and adolescent: associated factors and interventions." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45170927.

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Wade, Mark T. "Effectiveness of a Posture Education Program to Increase Teacher Knowledge on Postural Hygiene." Thesis, Capella University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10750146.

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Maintenance of appropriate posture is essential for the prevention of various musculoskeletal disorders. Postural stress is a common issue in elementary school children. The literature review indicated that schoolteachers have inadequate and improper postural knowledge. Based on such concepts, elementary schoolteachers in this present study implemented a postural awareness education program designed by the American Posture Institute. The present study indicated that postural awareness amongst schoolteachers was significantly low before the start of the program and was significantly increased after implementing the program (p < 0.01). Moreover, the program results seemed to match the expectations of the posture awareness program. However, the analysis also indicated that teachers failed to achieve requisite postural knowledge on all postural concepts (p < 0.01). Hence, the study necessitated the need for improving the postural awareness program (which was designed and developed by API). The study participants failed to develop a holistic knowledge on postural concepts and could not correlate different postural concepts with one another (p > 0.05). The study necessitated the need for sensitizing schoolteachers on different aspects of physiology and anatomy before implementing a postural education program.

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Hüntelmann, Axel C. "Hygiene im Namen des Staates : das Reichsgesundheitsamt 1876-1933 /." Göttingen : Wallstein, 2008. http://d-nb.info/988532948/04.

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Pinehas, Lusia N. "Health care needs of displaced women living in Osire refugee camp in Namibia." Thesis, University of Pretoria, 2014. http://hdl.handle.net/2263/46028.

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The aim of the study was to explore the experiences of displaced women living in the Osire refugee camp in Namibia about their health care needs, and to develop health care guidelines that will help to address the identified health care needs of displaced women. A descriptive phenomenological study was used, using face-to-face interviews with participants in response to one question. The following question was asked: What are the health care needs of displaced women living in Osire refugee camp and how should they be addressed? Ten women were interviewed. Their ages ranged between 18 and 58 years. The duration of displacement was longer than 6 months. Interviews were conducted in Osire Refugee Camp in Namibia. Displaced women were invited to participate in the study on a voluntary basis. The interviews were tape recorded and transcribed verbatim. During the analysis the essence substantiated by the constituents of their experiences regarding their health care needs were identified. The findings of the health care needs of displaced women living in Osire refugee camp reflect that they have a need for restoration of hope and human dignity. A thorough literature review was done and the constituents were re-phrased to form guidelines on how to address the health care needs of displaced women. The guidelines were refined through a Delphi study.
Thesis (PhD)--University of Pretoria, 2014.
tm2015
Nursing Science
PhD
Unrestricted

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Maparura, Loreen. "Challenges experienced by hospitalised forensic state patients regarding mental health services in Namibia." Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/65578.

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For years, mental health has not been a priority in both developing and developed countries and this is seen in low budgets, if at all, allocated to various mental health sectors worldwide. Recent studies show that one in three countries has a budget dedicated to mental health. This is further compounded by a shortage of infrastructure and mental health staff. Consequently, this has a huge impact on forensic state patients (FSPs) who receive fragmented services from various stakeholders. Namibia has a shortage of mental health staff and only has one fully fledged centre offering mental health services. Whilst FSPs experience a wide array of challenges, there is a dearth of studies that particularly explore these challenges from a Namibian perspective. This user-led research sought to inform mental healthcare workers on these challenges. The goal of the study was to explore and describe the challenges experienced by hospitalised FSPs regarding mental health services in Namibia. The study utilised a qualitative approach and was applied in nature. It employed a collective case study design and utilised purposive sampling to intentionally select a sample of hospitalised FSPs. A sample of 12 participants was drawn from a population of 75 hospitalised FSPs at the Mental Health Care Centre of the Windhoek Central Hospital. The study?s findings show that participants faced challenges such as lack of access to mental health treatment prior to their admission, stigmatising attitudes, and lengthy stays in both holding institutions and at the forensic unit. The study proposes the training of all staff on the Patient Charter (Ministry of Health and Social Services, 2016) and the utilisation of a patient-centred approach to treatment of FSPs. It also proposes granting leave of absence to FSPs so as to prepare them for eventual discharge.
Mini Dissertation (MSW)--University of Pretoria, 2017.
Social Work and Criminology
MSW
Unrestricted

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36

Hoskin, Pauline Loretta Arnott, and University of Lethbridge Faculty of Education. "The health of nurses : their subjective well-being, lifestyle/preventive practices and goals for health." Thesis, Lethbridge, Alta : University of Lethbridge, Faculty of Education, 1987, 1987. http://hdl.handle.net/10133/18.

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Although promotion of health and healthy lifestyles are accepted tasks of registered nurses, the assessment of nurses' own health and health behaviours has rarely been assessed. In this study questionnaire responses from 59 female registered nurses and interviews with ten nurses employed full-time in south-west Alberta were analyzed. The questionnaire consisted of items taken and adapted from the Canada Health Survey (Health & Welfare Canada, 1981) on subjective well-being (Affect Balance Scale and Health Opinion Survey) and certain lifestyle practices (pap test, breast examination, alcohol consumption, cigarette smoking and seat belt use). A question on leisure time physical activity was take from Godin, Jobin and Bouillon (1986). Questions assessing self-reported immune status and perception of self as a health role model for others were designed by the researcher. Data from the questionnaires were described in narrative, frequency counts and percentages. Comparisons were made among responses in various parts of the questionnaire as well as with the results of the Canada Health Survey. Interview questions designed by the researcher assessed the ways in which the nurse participants thought about health and their goals for health; transcribed interview responses were categorized according to themes; further interpretation was done on three main themes (maintenance of health as a goal, perceived lack of nurses' self-care and nurses' expectations of themselves). The nurses' scores on the Affect Balance Scale and the Health Opinion Survey place them toward the positive end of a positive-negative continuum of subjective well-being (Okun, Stock, Haring & Witter, 1984). Comparison of the participants' responses regarding lifestyle and preventive practices with the Canada Health Survey suggests that these nurses had relatively adequate health practices with the possible exception of participation in vigorous physical activity. A majority of the participants perceived themselves as role models of health, particularly non-smokers and those with post-RN education. The ten interviewed nurses generally gave maintenance of health as their primary present and future goal for health. Lack of self-care was associated by participants with nurses' and women's traditional concern for others before themselves. The participants seemed to have generally high expectations for themselves and other nurses. This descriptive and exploratory study may provide a baseline for future study of nurses' health, an indication of areas for health promotion programs for nurses and a discussion point for nurses to continue to assess their own health and the factors affecting their own health and goals for health.
x, 149 p. ; 28 cm

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Dommestrup, Pierre. "The relationship between collegiate athletic participation and future health and quality of life." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1027115.

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This study examined the relationship between former collegiate athletes and former college students who did not participate in intercollegiate athletics to determine if there is any correlation between athletic participation and future health. Two groups of Ball State University faculty (42 former athletes and 32 non-athletes) were selected for this research, and the variables of quality of life and well-being were investigated through the Quality of Life Index and TestWell wellness inventory. Former athletes were found to have a higher level of wellness. Similarly, as a group, athletes were found to have a higher quality of life than former non-athletes. These findings do not support the quality of life findings by Morgan and Montoye (1984).
Fisher Institute for Wellness

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Peters, Eleanor. "Young women's health and well-being : a qualitative study." Thesis, University of Gloucestershire, 1997. http://eprints.glos.ac.uk/6176/.

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This thesis is concerned with young women's health and well-being, with a specific focus on young women's beliefs, behaviours and attitudes towards smoking, substance use, sexual health, diet and exercise and well-being. These issues are identified as priorities in 'The Health of the Nation: a Strategy for Health in England', (Department of Health, 1992). This document which was published by a previous (Conservative) government in July 1992,set objectives and targets relating to health status to be met by the year 2000. (There are similar separate documents for both Wales and Scotland.) It identified five key areas for action: coronary heart disease and stroke; cancers; mental illness; HIV/AIDS and sexual health and accidents. Some of its targets apply specifically to young women. Informed by a feminist theory and using ethnographic and qualitative research techniques, this study examines young women's health-related beliefs and behaviours within the context of their day-to-day lives.

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Getschman, Benjamin John. "Evaluation of the validity of the inhalable and "total" dust concentration ratio." Thesis, University of Iowa, 2013. https://ir.uiowa.edu/etd/2500.

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Industrial hygienists can compare "total" dust concentrations to higher inhalable concentrations using a value called the performance ratio. A commonly used performance ratio of 2.5 is used for dusts found in the workplace, after results from multiple studies were compiled. The objective of this study was to evaluate the "total" and inhalable dust performance ratio over a range of conditions to investigate whether the commonly used value of 2.5 varies between: (1) dust type (2) IOM and Button inhalable samplers and (3) distance from the dust source. Dust concentrations were generated in a still air chamber using three dust types; sawdust, flour, and glass microbeads. The IOM, Button, and CFC samplers were used to measure concentrations at four locations increasing in distance from the source. Linear regressions in the form of [Inhalable mg m-3] = S x ["Total" mg m-3] were used to calculate the appropriate performance ratio, S. The intercept of this regression was forced through the origin. Linear regression was also used to examine whether the effect of distance on S was significant and a distance factor (β1) was calculated. The calculated performance ratios, S, differed between sawdust, flour, and glass microbeads, and were 1.62, 2.82, and 2.97 respectively when comparing IOM concentration to CFC concentration. Performance ratios computed for the Button sampler for sawdust, flour, and glass microbreads were 0.82, 1.04, and 0.57 respectively. Performance ratios were significantly different (p=0.049) between the two inhalable sampler types. The IOM/CFC performance ratio for all three dusts averaged 2.47 (SD=0.74), whereas the Button/CFC performance ratio for the three dusts averaged 0.81 (SD=0.24). Only the IOM/CFC performance ratio had a statistically significant distance factor at α=0.05. The authors caution against using a single performance ratio of 2.5 for all dusts due to the large variance involved with dust sampler and dust type. Distance from the source did not significantly affect the performance ratios computed under laboratory conditions. Industrial hygienists are advised to perform side by side sampling with inhalable and "total" dust samplers to create specific performance ratios appropriate for tasks found in the workplace.

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Thedell, T. Aron. "Comparisons of a novel industrial hygiene filter material, wash solutions, and extraction methods in the detection and quantification of influenza virus." Thesis, University of Iowa, 2017. https://ir.uiowa.edu/etd/5862.

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The collection and quantification of influenza virus is important in determining exposure, and in the control of infection. There are a number of bioaerosol samplers and analytical methods available to do this, however few researchers have been able to detect influenza virus in the environment. Therefore, new samplers and methods should be considered. This study compared influenza virus recovery from three filter types (PTFE, PVC, and PS) treated with sampling air or no air, using HBSS or PBS as wash buffers, and the QIAamp Viral RNA Mini Kit or Trizol method in the extraction of viral RNA. Twenty, 30-minute laboratory trials were completed in a sampling chamber designed to control RH at 50%. Samples were analyzed using RT-qPCR. Viral recovery for each filter type was significantly different (p-value < .0001), with the new PS filter material resulting in the recovery of the most viral RNA. Treating filters with simulated sampling air did not affect the recovery of viral RNA from the filter materials (Kit, HBSS: Air vs. No Air p-value = 0.615; Trizol, HBSS: Air vs. No Air p-value = 0.947; Kit, PBS: Air vs. No Air p-value = 0.224; Trizol, PBS: Air vs. No Air p-value = 0.1122). Using HBSS and PBS as a filter wash buffer resulted in viral recoveries that were significantly different, depending on the RNA extraction method used (Kit, Air or No: HBSS vs. PBS p-value = 0.0001, 0.0001; Trizol, Air or No: HBSS vs. PBS p-value = 0.0322, 0.499). Viral RNA counts were significantly different when using the Kit and Trizol extraction methods for all comparisons (HBSS, Air or No-Air: Kit vs. Trizol p-value = 0.0021, 0.0013; PBS, Air or No-Air: Kit vs. Trizol p-value = 0.0001, 0.0002). Our results demonstrated that the novel PS filter material resulted in the highest counts of extracted RNA compared to the commonly used PTFE and PVC, and that sampling air did not have a significant effect on viral recovery. Also, that the combination of HBSS with QIAamp Viral RNA Mini Kit, and PBS with the Trizol method, resulted in the highest counts of RNA extracted.

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Cheung, King-chung Alex. "Assessing and explaining the health and hygiene performance of apartment buildings." Click to view the E-thesis via HKUTO, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36723812.

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Cheung, King-chung Alex, and 張勁松. "Assessing and explaining the health and hygiene performance of apartment buildings." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B36723812.

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Cravens, Cedric A. "Tr?-Vigil, LLC, a hand hygiene company for health care organizations." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10167528.

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Nosocomial infections are a significant medical burden to every health care setting in the United States. Also known as health-associated infections or hospital-acquired infections (HAIs), they are infections that people acquire while they are receiving treatment for another condition in a health care setting. To decrease rates of HAIs, Tr?-Vigil, LLC will provide health care facilities with point-of-care hand hygiene capability in the form of portable hand sanitizers that clip onto lab coats or scrubs, along with a monitoring system that tracks medical staff usage of the sanitizers. This business plan will demonstrate how Tr?-Vigil intends to deliver a vital health care service, while being a sustainable and profitable company.

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Klingenberg, Sanette. "Standards for the hand hygiene of food handlers / Sanette Klingenberg." Thesis, North-West University, 2008. http://hdl.handle.net/10394/3734.

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Globally, investigations into food-borne illnesses show that the majority of cases involve poor hand hygiene of the food handler. The challenge of providing safe food therefore requires new strategies for evaluating cross-contamination of pathogenic micro-organisms on the food handler's hands, which might be detrimental or hazardous to the health of the patient Although food-borne diseases may be multifactorial in aetiology, no standards or evaluation systems, such as an occupational health surveillance programme, are available to monitor and ensure that food is free of pathogens. The formulation and implementation of standards may contribute to ensuring that food handlers comply with hand hygiene practices during food handling. Such practices guarantee that food reaching the patient is safe. The objectives in this research project originated from the occupational health practice and gave direction of the empirical research project. The literature was reviewed to discover what is currently known concerning the food handlers' hand hygiene during food handling and food-borne illnesses and the theoretical framework gave direction and guidance to the survey design of the empirical research, which was quantitative, explorative, descriptive and contextual in nature. The food handlers from the food preparation sections of the four major healthcare services in Potchefstroom, in the North West Province, South Africa, were the target population and the sampling method was all-inclusive (n=110). Eighty (75.47%) food handlers participated in the research project. The design entailed three steps. The first was conducted with a questionnaire, to identify the food handlers' compliance with hand hygiene during food handling. The second step involved determining the prevalence of Escherichia coli and Staphylococcus aureus on the food handlers' hands. The results were used for the formulation of standards for the hand hygiene of food handlers. Finally, recommendations for practice, education and research were made. The implementation of these recommendations could contribute knowledge to the body of nursing and promote good hand hygiene practices in the healthcare service.
Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2009.

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Zhang, Yan, and 张琰. "Relationship between family members' oral health behaviours andstatus." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hub.hku.hk/bib/B50662284.

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Introduction: Oral diseases such as dental caries and periodontal diseases are among the most common diseases in Hong Kong. Family as a basic societal unit has an important role to play in shaping the individual member’s behaviours and health status. However, most dental research studies focus on modifiable risk factors of individuals rather than those of a family. Objectives: 1. to describe the oral health behaviours and oral health status of family members in a selected sample of families in Hong Kong; 2. to assess the relationships between oral health behaviours and oral health status amongst the family members; 3. to assess the influence of socio-economic factors, lifestyle factors and oral health knowledge, attitudes, and behavioural factors on oral health status of the spouses; and 4. to assess the influence of parental factors on the child’s oral health behaviours and status. Methods: A cross-sectional survey using a combination of a random household and a purposive sampling was conducted. The study population was 5 to 7-year-old children and their parents in Hong Kong. A clinical examination and a questionnaire survey were conducted on the core family members (parents and children) of the recruited families. Structural Equation Modeling (SEM) was employed to test the hypothesized multivariate models which tried to investigate the complex relationships among different risk factors and oral health status. Results: A total of 432 families with targeted children, 373 fathers and 424 mothers were recruited. The mean DMFT/dmft score of the father, the mother, and their children were 7.2, 6.2, and 2.6, respectively. Around half (52%) of the fathers and one-third (35%) of the mothers had periodontal probing pocket(s) deeper than 3mm. In the structural equation models, strong positive correlations were found between the oral health behaviours of fathers and mothers (∅=0.98, p<0.05), mothers and children (∅=0.79, p<0.05), and fathers and children (∅=0.74, p<0.05). Positive correlations were also found between the oral health status of fathers and mothers (∅=0.43, p<0.05), mothers and children (∅=0.33, p<0.05), and fathers and children (∅=0.30, p<0.05). Fathers’ oral health status was directly affected by their oral health behaviours and smoking habit, and indirectly affected by their socio-economic status and oral health knowledge and attitudes. The explained variance of fathers’ oral health status was 47%. The mothers’ oral health status was only directly affected by their oral health behaviours and indirectly by their socio-economic status and oral health knowledge and attitudes. The explained variance of mothers’ oral health status was 53%. Children’s oral health status was only directly affected by their oral health behaviours and indirectly by their mother’s socio-economic status, mother’s oral health knowledge and attitudes, and mother’s oral health behaviours. The explained variance of children’s oral health status was 26%. Conclusion: Oral health behaviours and status are correlated among family members. Children’s oral health status is affected by their oral health behaviours, which may be affected by parents’ socio-economic status, oral health knowledge, attitudes, and behaviours.
published_or_final_version
Dentistry
Doctoral
Doctor of Philosophy

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Iwar, Vivian. "Hygiene Beliefs, Attitudes, and Practices of Suya Producers in Nigeria." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3786.

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The street food sector continues to grow in Nigeria in a largely unregulated environment. The lack of regulation poses a significant public health risk for consuming unsafe street foods such as suya. Quantitative research has revealed high levels of microbiological contamination of suya, despite qualitative findings that suggest that food handlers are knowledgeable about safe food handling practices. This discrepancy reveals a gap in understanding about what influences safe food handling practices besides knowledge. This qualitative study was therefore designed to gain a deeper understanding of the beliefs and attitudes that influence hygienic practices among suya producers. Guided by the social cognitive theory, a phenomenological design was used to investigate and describe the hygiene phenomenon. Ten suya operators were recruited in Abuja, the Federal Capital Territory of Nigeria, to participate in the study. Data were collected from interviews and observation of participants. Semistructured, open-ended questionnaires were used in face-to-face interviews to elicit participants' views on hygiene. Hygiene practices among participants were also observed. Information gathered was recorded, stored, transcribed, and analyzed using the NVivo software and based on emerging themes. The findings revealed that participants' understanding of hygiene was related to popular culture rather than science. Furthermore, findings also revealed that family, religious, and cultural beliefs, as well as environmental factors such as consumer attitude influenced their hygiene practices. These findings may provide evidence-based guidance for public health interventions for safer suya production processes with positive social change implications for improved consumer health.

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Wong, Wing-tung Tony, and 黃永通. "A study on the health status of the single elderly persons in Kwai Chung District." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31978381.

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Tsang, Chiu-yee Luke, and 曾昭義. "Prisoners' primary healthcare: healthful or harmful?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45174246.

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Hardy, Terri L. "Weight control and media exposure in young adolescent girls." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1345340.

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This study investigates the relationship between media consumption and weight control, using data from a nationally representative study on adolescent health to examine differences between younger and older females (N=2,519). No relationship was found between television viewing and weight control for the sample as a whole; however, a negative association was noted for younger girls when the ages were split. There was no significant finding for the relationship between TV hours and negative body image for either age group. Positive relationships were noted for both groups in terms of negative body image and weight control. These results do not support the hypothesis that media use is predictive of weight control behaviors. Though a connection between negative body image and weight control was supported, no link was found between body image and media consumption. These results underscore the need for further research on weight control that can lead to eating disorders.
Department of Sociology

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Alfailakawi, Noor Khaled. "The effectiveness of a knowledge-based health promotion intervention on multiple health behaviours in adolescent females." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8184/.

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Background: Kuwaiti female adolescents have a substantial prevalence of physical inactivity and unhealthy diet leading to epidemic proportions of obesity. Additionally, rates of tobacco smoking and substance abuse are increasing among them. There is a lack of health promoting interventions to deter such behaviours in this population and therefore a knowledge-based intervention in a school setting was investigated. Methods: The study included 128 adolescent females between the ages of 14 and 18. They were randomly selected and allocated to an intervention group (n= 64) and a control group (n= 64). The intervention consisted of six educational sessions for each of the following: physical activity (PA), healthy nutrition, prevention of tobacco smoking, prevention of substance abuse, bone health, and sun protection. Both groups were assessed before and after the intervention in weight measurements, physical fitness, PA by accelerometry in a subsample, and self-reported behaviours. The self-reported behaviours included PA, dietary behaviours, tobacco smoking, substance abuse, and sun exposure and protection. In addition, the knowledge of each health topic was assessed immediately before the session and a week after. A mixed model repeated measures analysis of variance (ANOVA) was used for analysis following an intention-to-treat approach. Results: Physical fitness including flexibility, abdominal muscles strength, body balance and cardiorespiratory endurance (VO2max) were significantly improved in the intervention group compared to the control group. The intervention group also had significantly increased energy expenditure, light PA, walking time, moderate PA, and moderate-to-vigorous PA, while had decreased sedentary time and elevator use. They also had improved a range of dietary practices by increasing consumption of breakfast, dairy, and water. Furthermore, their health knowledge of each topic was significantly increased. Weight measurements did not show any significant change. Tobacco smoking and substance abuse were scarcely reported which could be due to cultural sensitivity. Conclusion: A health promotion intervention in school was successful in increasing physical activity and physical fitness, and improving dietary practices in adolescent females in Kuwait. Thus, such interventions are promising and should be invested in and expanded in this population. These interventions should also be supported by socio-environmental changes including families, youth organisations, and health policies.

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Dissertations / Theses on the topic 'Namibia health and hygiene'

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