Dissertations / Theses on the topic 'Prostitutes – Health and hygiene – Nigeria'

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.

Background AIDS as a burden to all over the world caused serious problems in some developing regions by threatening health of the population and stability of the society, especially in cross-border areas that have a complex crowd with many migrants. The HIV/AIDS situation of cross-border FSWs in China-Burma border region is not comprehensively known so far. Only have a clearly understanding of their circumstances, can health workers provide target health services for them. Objectives In view of the increasing HIV epidemic in China-Burma border areas in the past several years, this study tries to understand the HIV prevalence among two groups of cross-border FSWs; further describe socio-demographic characteristics in each group; identify risk behaviours related to consistent condom use; interpret HIV risk factors that contribute to HIV infection in each group of FSWs; describe health services currently being provided and particular health services needs of these FSWs. Methods This cross-sectional research design comprises two parts. Part one is a questionnaire based face-to-face interview to obtain self-reported information. A total of 142 cross-border FSWs were recruited from Ruili City, China (Burmese FSWs) and Laukkai City, Burma (Chinese FSWs). Convenience sampling method was used. Risk factors that mutually adjusted were analysed in two logistic regression models regarding condom use and HIV infection in each group and odds ratios (ORs) were obtained with 95% confidence intervals (CI). Part two of this study is voluntary venous blood drawing and testing for HIV infection. 136 cross-border FSWs [6 of part one (questionnaire interview) participants refused] attended part two study. Results In general, Burmese cross-border FSWs tended to be older, lower educated and married and had higher HIV prevalence (18.8%) compared with Chinese women (5%). Frequency of condom use with the paying clients was higher than with the regular partners in both groups. After adjustment, drug users had statistically significant OR of 6.89 (95% CI: 1.12 to 42.38) for condom use frequency in last sex behaviour compare to non-users in Burmese FSWs; based on Chinese FSWs’ condom use model, the more paying clients, the higher frequency of condom use they had (OR: 0.63 with 95% CI: 0.45 to 0.9). Age (year of birth) had a significant impact with two opposite direction on HIV infection in both Burmese group and the whole study population: positively relate to HIV infection in Burmese model (OR: 1.20 with 95% CI: 1.02 to 1.41); nevertheless, when Chinese ones were added, year of birth negatively related to HIV infection with OR of 0.84 (95% CI: 0.74 to 0.96). Generally, Burmese women had proportionally higher health services acceptance proportion to Chinese women. “HIV/AIDS awareness” and “HIV counselling and testing” were the most widely provided services in Burmese and Chinese group, respectively, and “free condom distribution” was the most needed health services of both cross-border FSWs. Conclusion This study provides better understanding about cross-border FSWs working in China-Burma border areas in which little information about their demographics, HIV infection, and high-risk behaviour has been known. From public health perspective, development and implementation of public health interventions and policies can get inspiration and support from this study.
published_or_final_version
Public Health
Master
Master of Public Health

Background: The health determinant model indicates that certain sociocultural, sociodemographic, environmental, and lifestyle factors influence health status and wellbeing of any population group in any given nation (Dahlgren & Whitehead, 1991). Previous studies have suggested the need for regional and interregional comparison of health inequalities due to the interaction of these factors. However, few studies have undertaken such investigation, especially among university students in developing countries. The aim of this study was to investigate the health status and lifestyle behaviours by sex and ethnicity among university students in Nigeria. Method: The study was cross sectional. Full time university students were recruited from six universities within three ethnic groups in Nigeria for the study. Data collection was both subjective and objective. The subjective data was based on an anonymous questionnaire, while the objective data involved direct measurements of height in (m) weight in (kg), and blood pressure (mmHg). Ultimately, 1549 responses were valid, while 563 responses were rejected for various reasons including missing data especially sex and ethnicity. The variables examined were, socio-demographic, general health, mental health, cognitive resources and lifestyle behaviours. Descriptive tests, chi-square tests and analysis of variance (ANOVA) tests were conducted. Results: Regarding regional characteristics in socioeconomic status, the result indicated sex and ethnicity effects, and irrespective of ethnicity, female students had better monthly income than male students did. The result suggested that students from the Hausa ethnic group reported better monthly income than students from the other ethnic groups. There is evidence that income have a significant effect on health determinant factors. For example, income affects the choice of residential location, ability to pay for health care services, register for gym for physical activity, afford healthy lifestyles, (e.g. eating fruits and vegetables), participate in social activities and maintain positive self- esteem (WHO, 2006; Varela-Mato et al., 2012). With regard to social support, the result indicated sex*ethnicity effects, where female students from the Hausa and Igbo ethnic groups reported better social support than male students, in contrast to the Yoruba ethnic group, where male students reported better social support than females. Students from the Hausa ethnic group saw their GPs more often, had regular medications and had depression more than other ethnic groups. In addition, the result indicated higher prevalence of smoking and the use of psychotic drugs among students from the Hausa ethnic group than other groups. On the other hand, the Yoruba ethnic group had the lowest monthly income, saw their GPs few times and had less frequent medication than the other ethnic groups. In addition, students from the Yoruba ethnic group had low consumption of fruits and are more physically inactive compared to other ethnic groups. Regarding sex characteristics, the study suggested that irrespective of ethnicity female students are less healthy when compared to male students. In addition, significant sex *ethnic interaction effects (P < 0.001) were observed, in most variables examined in the study, indicating that the students health and lifestyles are both sex and ethnicity dependent. The study suggested that female students from the Hausa ethnic group reported better income and social support, compared to students from the other ethnic groups; however, they also reported regular medication, overweight or obesity, mental health problems, and poor cognitive health than female students from Igbo and Yoruba ethnic groups. In addition, the Hausa male students’ preferred smaller female body size compared to male students from the other ethnic groups. On the other hand, Igbo female students had a better cognitive health and preferred small female body size than female students from the other ethnic groups. The Yoruba female students are less overweight or obese, but had the highest preference for big female body size and are the least depressed group in the sample. With regard to male students, the result suggested that Igbo male students had regular medication and depression more than other male groups. They also preferred bigger female body size and had better cognitive health than other male groups. On the other hand, Yoruba males reported overweight or obese, than the other male groups. Conclusion: The findings indicated that the health of female students in the sample was poorer than the health of male students; with female students from the Hausa ethnic group, demonstrating the worst possible health outcome. The result also suggested that both high and low socioeconomic statuses are associated with health compromising behaviours among university students in Nigeria. The findings indicated that high cognitive health appraisal might be related to students reporting better mental health especially depression in both male and female students. This study is the first to report that there is an interaction between the different layers of health, in the health determinant model proposed by Dahlgren and Whitehead (1991). Secondly, this study has made a major contribution to the understanding that people who live among regions with conflict and violence may report poor health (both physical and mental) compared to those that live in a conflict free zones. Consequently, the results of the present study suggest that conflict and violence be included among the health determinant factors in the health determinant model proposed by Dahlgren and Whitehead (1991).

Thesis (MFamMed)--Stellenbosch University, 2015.
Background: Coronary heart disease is a global public health problem. Formerly considered rare in sub-Saharan Africa, evidence has shown that urbanization and the adoption of more affluent and sedentary lifestyle in subpopulations of this region, may result in increased prevalence. One such subpopulation is workers in the Nigerian petroleum industry and this study examines their risk factors for coronary heart disease. In addition the study compares the risk profile of onshore and offshore workers. Method: This is a descriptive cross sectional study undertaken to determine the level of risk factors for the development of cardiovascular disease in two groups of male workers of the petroleum industry in Nigeria; the onshore and the offshore workers. Four hundred workers were randomnly selected and invited to participate, with a desired sample size of 234. The data was collected by using an electronic questionnaire to explore life style factors like exercise, diet, and smoking that predispose to this disease. Anthropometric indices included body mass index, waist circumference and waist to hip ratio. Biochemical tests included lipid profile and fasting blood glucose. Systolic and diastolic blood pressure was also recorded. The prevalence of known hypertension and diabetes as well as the metabolic syndrome were determined. The questionnaire data was analysed and compared with the chi-square test using the software, Epi-info 2008 Windows Version 3.5.1 and the means of the continuous variables were determined and compared using analysis of variance (ANOVA). Results: 121 onshore and 110 offshore workers participated. Overall the cardiovascular risk profile of onshore versus offshore workers in the oil industry was worse. Onshore workers had increased waist circumference,; though there was no significant difference in the Waist-Hip Ratio, increased rates of metabolic syndrome, diabetes and hypertension and were less physically active. Dietary differences were less marked, but more beef and chicken were consumed by onshore while more fish was consumed by offshore workers. Conversely the offshore workers had a higher BMI and lower levels of protective HDL. Overall, in this population, the BMI and the umber of diabetics were higher and the HDL lower than the country figures. Conclusion The obesity profile of the two groups was comparable to that of the Western nations and could become worse. This also reflects the fact that within Nigeria there are sub-populations with cardio-metabolic profiles that depart significantly from the national average. This is most probably due to dietary factors and poor exercise habits and calls for intervention through health promotional activities
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Nigeria is one of the countries most affected by the HIV/AIDS pandemic, third only to India and South Africa. With about 10% of the global HIV/AIDS cases estimated to be in the country, the public health and socio-economic implications are enormous. This thesis has two broad aims: the first is to develop statistical models which adequately describe the spatial distribution of the Nigerian HIV/AIDS epidemic and its associated ecological risk factors; the second, to develop models that could reconstruct the HIV incidence curve, obtain an estimate of the hidden HIV/AIDS population and a short term projection for AIDS incidence and a measure of precision of the estimates. To achieve these objectives, we first examined data from various sources and selected three sets of data based on national coverage and minimal reporting delay. The data sets are the outcome of the National HIV/AIDS Sentinel Surveillance Survey conducted in 1999, 2001, 2003 and 2005 by the Federal Ministry of Health; the outcome of the survey of 1057 health and laboratory facilities conducted by the Nigerian Institute of Medical Research in 2000; and case by case HIV screening data collected from an HIV/AIDS centre of excellence. A thorough review of methods used by WHO/UNAIDS to produce estimates of the Nigerian HIV/AIDS scenario was carried out. The Estimation and Projection Package (EPP) currently being used for modelling the epidemic partitions the population into at-risk, not-at-risk and infected sub-populations. It also requires some parameter input representing the force of infection and behaviour or high risk adjustment parameter. It may be difficult to precisely ascertain the size of these population groups and parameters in countries as large and diverse as Nigeria. Also, the accuracy of vital rates used in the EPP and Spectrum program is doubtful. Literature on ordinary back-calculation, nonparametric back-calculation, and modified back-calculation methods was reviewed in detail. Also, an indepth review of disease mapping techniques including multilevel models and geostatistical methods was conducted. The existence of spatial clusters was investigated using cluster analysis and some measure of spatial autocorrelation (Moran I and Geary c coefficients, semivariogram and kriging) applied to the National HIV/AIDS Surveillance data. Results revealed the existence of spatial clusters with significant positive spatial autocorrelation coefficients that tended to get stronger as the epidemic developed through time. GAM and local regression fit on the data revealed spatial trends on the north-south and east - west axis. Analysis of hierarchical, spatial and ecological factor effects on the geographical variation of HIV prevalence using variance component and spatial multilevel models was performed using restricted maximum likelihood implemented in R and empirical and full Bayesian methods in WinBUGS. Results confirmed significant spatial effects and some ecological factors were significant in explaining the variation. Also, variation due to various levels of aggregation was prominent. Estimates of cumulative HIV infection in Nigeria were obtained from both parametric and nonparametric back-calculation methods. Step and spline functions were assumed for the HIV infection curve in the parametric case. Parameter estimates obtained using 3-step and 4-step models were similar but the standard errors of these parameters were higher in the 4-step model. Estimates obtained using linear, quadratic, cubic and natural splines differed and also depended on the number and positions of the knots. Cumulative HIV infection estimates obtained using the step function models were comparable with those obtained using nonparametric back-calculation methods. Estimates from nonparametric back-calculation were obtained using the EMS algorithm. The modified nonparametric back-calculation method makes use of HIV data instead of the AIDS incidence data that are used in parametric and ordinary nonparametric back-calculation methods. In this approach, the hazard of undergoing HIV test is different for routine and symptom-related tests. The constant hazard of routine testing and the proportionality coefficient of symptom-related tests were estimated from the data and incorporated into the HIV induction distribution function. Estimates of HIV prevalence differ widely (about three times higher) from those obtained using parametric and ordinary nonparametric back-calculation methods. Nonparametric bootstrap procedure was used to obtain point-wise confidence interval and the uncertainty in estimating or predicting precisely the most recent incidence of AIDS or HIV infection was noticeable in the models but greater when AIDS data was used in the back-projection model. Analysis of case by case HIV screening data indicate that of 33349 patients who attended the HIV laboratory of a centre of excellence for the treatment of HIV/AIDS between October 2000 and August 2006, 7646 (23%) were HIV positive with females constituting about 61% of the positive cases. The bulk of infection was found in patients aged 15-49 years, about 86 percent of infected females and 78 percent of males were in this age group. Attendance at the laboratory and the proportion of HIV positive tests witnessed a remarkable increase when screening became free of charge. Logistic regression analysis indicated a 3-way interaction between time period, age and sex. Removing the effect of time by stratifying by time period left 2-way interactions between age and sex. A Correction factor for underreporting was ascertained by studying attendance at the laboratory facility over two time periods defined by the cost of HIV screening. Estimates of HIV prevalence obtained from corrected data using the modified nonparametric back-calculation are comparable with UN estimates obtained by a different method. The Nigerian HIV/AIDS pandemic is made up of multiple epidemics spatially located in different parts of the country with most of them having the potential of being sustained into the future given information on some risk factors. It is hoped that the findings of this research will be a ready tool in the hands of policy makers in the formulation of policy and design of programs to combat the epidemic in the country. Access to data on HIV/AIDS are highly restricted in the country and this hampers more in-depth modelling of the epidemic. Subject to data availability, we recommend that further work be done on the construction of stratification models based on sex, age and the geopolitical zones in order to estimate the infection intensity in each of the population groups. Uncertainties surrounding assumptions of infection intensity and incubation distribution can be minimized using Bayesian methods in back-projection.

Meningitis and cholera have remained major health burden in Nigeria, especially in the heavily populated northwest region – which is identified as one of the “hotspots” of climate change. The strong sensitivity that both diseases exhibit to climate is raising concern that future anthropogenic climate change may exacerbate the occurrence of the diseases. This thesis aimed at modelling the influences of climate on the incidence of the selected diseases, and assessing their future risk in northwest Nigeria. The aim is achieved by first, investigating and understanding the spatial and time characteristics of both meteorological and diseases conditions in the region. This was followed by developing and validating suites of empirical statistical models capable of explaining and predicting both diseases. Models that are specifically designed for climate change studies were applied to estimate the future impact of climate change, by forcing them with simulations from an ensemble of statistically downscaled Atmosphere-ocean Global Climate Models (AOGCMs), for three different scenarios in the early and late 21st century. Results from developed models indicate the significant roles of both meteorological and socioeconomic factors on incidence of diseases. Evaluation of models developed with 1-month lagged explanatory variables suggest the potential to predict both diseases cases up to a month to aid decision making. Projection results suggest that future temperature increases due to climate change has the potential to significantly increase diseases cases in all scenarios and time slices. It is noteworthy that the projections result represents only the climatological potential for increased cases due to climate change, assuming that the present prevention strategies remain similar in the future.

The importance ascribed by a nation to the subject of occupational safety and health is reflective in the growth, sustainability and the national development of an economy. Besides the economic benefits stood to be derived from an occupational safety and health structure that is constantly nurtured, there is also the human rights issue. Less industrialised nations still grapple with fundamental challenges brought about by occupational health and safety, challenges which more advanced nations seem to effortlessly address. Nigeria falls into the former category, hence, the interest of this thesis. The knowledge of this menace has been in the consciousness of stakeholders in Nigeria particularly in the recent past years. However, no significant action has been taken to alleviate the situation. There are instruments that deal with the subject of occupational health and safety but they all seem to have their attendant issues which make them either inoperable or of insignificant benefit to the situation of workers in Nigeria. The tardy attitude of the Nigerian Law makers also does not help the situation. This thesis is therefore of the view that until the period the Nigerian Government is able to get its bearing right in designing a suitable piece of legislation that shall address the challenges caused by occupational health and safety, it is possible to seek an alternative approach that shall serve as a safety net towards the protection of workers particularly those that are most vulnerable. This alternative approach that the thesis proposes is the National Industrial Court of Nigeria (NICN), a Court that recently acquired the status of a superior court of record and conferred with extensive Constitutional powers over occupational safety and health matters amongst others. It is the anticipation of this thesis that the Court shall make a positive impact where legislation had failed to succeed in its bidding.

The 2003 to 2004 revolt against the Oral Polio Vaccine (OPV) in Nigeria provides a case study for investigating how a new scientific phenomenon becomes part of common sense in a culture with high levels of religiosity. Moscovici’s Social Representations Theory about how society familiarises itself with the unfamiliar provides a framework for the research which includes two media analyses, historical texts, online and paper administered surveys and interviews. The media analyses examine the OPV controversy and science in the media. Correspondence analysis provides a geometric tool for visualising how the variables in both media analyses position themselves for the construction of genres of science news. Factor analysis groups the attitude items in the survey while logistic regression predicts outcomes controlling for other variables. The media analyses found coverage of science in the period under review was generally positive and grew continually. The coverage of the OPV controversy was also generally positive but did not always mirror faithfully public opinion. Just as some Parisians in Moscovoci’s study likened psychoanalysis to a “symptom of an American invasion”, the initial description of the OPV by the people of northern Nigeria was a “western conspiracy against Muslims.” The survey found different levels of trust in public institutions with scientists and religious leaders similarly rated. Pessimism, fear and progress characterise the attitude variables but the association with knowledge is not linear and confirms the influence of cultural values. Interviewees also confirm survey findings in that they simultaneously have faith in religion and in science. Common sense in Nigeria is a mixture of science and religiosity and the public hold both in reverence: a phenomenon Moscovici refers to as cognitive polyphasia. The study also supports Durkheim’s view that science (in Nigeria) depends on public opinion.

Thesis (MPhil)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: The research focused on the knowledge of occupational safety by hospital managers towards HIV and other blood borne pathogens transmission in Abakaliki region in eastern Nigeria. These pathogens are easily transmissible by needle sticks and other occupational accidents. It is important to identify factors that pre-expose hospital cleaners to occupational risk exposure that can lead to the transmission of HIV, HBV and HCV. The research was conducted in 10 different hospitals. A total of 90 questionnaires were administered to the hospital cleaners that volunteered to participate in the research and 68 questionnaires were returned representing 75.6% of the total questionnaires. The mean age and standard deviation of the respondents in this study was 38.6 + or – 5.4 years. The researcher conducted a semi-structured interview with all the 10 hospital managers involved with the study and the interviews showed there was a need for an organised training on hospital work and occupational hazards, risk exposures and precautions. The questionnaires showed the knowledge of hospital cleaners on occupational safety and it was observed the majority of the hospital cleaners were not aware of post exposure prophylaxis for HIV. The workers relatively had good practices put in place to prevent HIV, HBV and HCV transmission but majority of them had not received HBV vaccine due to lack of awareness and availability. There was a significant positive correlation between the knowledge of the health workers and HIV transmission and the practice put in place by health workers to prevent HIV transmission (P<0.05). This implies as the knowledge of the health workers about HIV transmission increases, the practice put in place by health workers to prevent HIV transmission and Hepatitis B&C increases. Therefore there is need for continuous training on blood borne pathogens transmission such as HIV transmission in the hospitals and its routes of transmission. There is need for awareness creation for HBV vaccine and Post exposure prophylaxis for HIV exposure.
AFRIKAANSE OPSOMMING: Nie beskikbaar
jfl201601

This study attempts to understand prostitution from their definition of the situation. It differs in its method from other studies on prostitution in that the investigation was based on the prostitutes' own perspectives as interpreted by the researcher using the interpretative epistemological tradition. A comparative analysis of prostitution in two economically stable African Countries, namely Nigeria and Botswana was made. This study investigated society's perception of prostitutes and how it impacts upon their empowerment and emancipation as vulnerable members of the society and their participation in prevention and control of sexually transmitted infection including HIV/AIDS. Also the role of governments and individuals in creating and sustaining prostitution, an extensive insight to the modus operandi of prostitution and suggestions on how best to address prostitution in society, were discussed. A triangulated methodology of three hundred and twenty five sexworkers (325) that includes a quantitative study of two hundred and five sex workers complimented with a qualitative study of one hundred and twenty sex workers participating in focus group discussion and case studies informed the study. The findings of the research suggest that in the prostitutes' own definition of the situation; prostitutes contribute to the maintenance of societal equilibrium, the society creates and sustains prostitution. Economic need rather than lack of morals creates prostitutes and their situation of vulnerability as women is being reinforced by their status as prostitutes. Violence from partners that includes the police and the inability to reprimand their clients, are some hazards of prostitution and these result in their mobility and creates a challenge in adequately addressing the issue of prostitution in society, including their limited participation in the control of STDs. Respondents in Botswana had a very good knowledge of STI's /HIV/AIDS and had no difficulties in going to hospital in the event of any STD's as compared with Nigerian respondents. The Nigerian respondents' indulged in self-medication with antibiotics and traditional herbs mixed in local gin before and after a sexual act, rather than go to hospitals. The research findings should assist the government and international community's policies and programmes aimed at addressing prostitution and STDs/HIV/AIDS.
Sociology
D.Litt. et Phil.(Sociology)

MPH
Department of Public Health
The exchange of money or gifts for sexual relationships, also called transactional sex, is considered a sexual risk behaviour worldwide and continues to pose sexually-transmitted infections,unwanted pregnancies risks and other health complications among people engaging in these type of relationships. The aim of the study was to explore the perceptions of students regarding transactional sex and its effects on health at the University of Venda. The study utilized a qualitative, descriptive phenomenological design to understand the perceptions of students regarding transactional sex. The target populations of the study were registered students at the University of Venda. Purposive technique was used to recruit 18 participants. Data was collected using in-depth interviews and analyzed using using Tesch’s thematic analysis. The study concluded that students at the University of Venda perceive transactional sex as a material-based relationship, prostutition, immoral behaviour and abusive relationship.Students perceived socio-economic status, social classes, behavioural aspects and peer pressure to be the driving factors pushing students to engage in transactional sex. Transactional sex is common among the University community and has far-reaching public health as well as social consequences. Students at the University of Venda perceive transactional sex an a bad behavior. This calls for the University to ensure that there are enough extra-mural activities for students to engage in,which could generate some pocket money, awarenesses and educate student not to engage in transactional sex and also provide health talks through printing of pamplets communicating massages against this practie.

Work is an essential activity that provides goods or services of value to oneself and others. Paradoxically, in a bid for self-realisation, workers are seriously endangered. Work-related or induced diseases and stresses pose serious threats to workers’ health and the general well-being, hence, the need to seriously consider the issue of occupational health and safety of workers. In terms of safety at work, the experience of small and medium scale enterprises (SMSEs) worldwide is that of neglect. Their incomes are very low and uncertain, coupled with high levels of risk and hazard in their work, with little or no social protection coverage (Chen, 2008). This study therefore examines how environmental and sociological factors determine occupational health and safety of workers in SMSEs in Lagos State, Nigeria. Ulrich Beck “Risk Society” theory, Political Economy of Health framework (PEH) (Minkler et al 1994, Linnan et al, 2001) and Labour Process Theory (LPT) (Braverman, 1974; Marx, 1976; Bottome, 1991) underpinned the study. The study adopts both the qualitative and quantitative methods of data collection. The qualitative method includes field observation of the selected workplaces, six Focus Group Discussion (FGD) and eight In-depth interviews (IDIs). The quantitative involved the use of structured questionnaire. The sample survey involved 180 respondents in a multi-stage sampling technique from purposively selected sawmills, mechanic villages and blacksmith cottages in three Local Government Areas in Lagos State. The quantitative data analysis uses simple percentile and univariate analyses, while the qualitative data are content-analysed, based on the objectives of the study. The findings identified low level of education (60.5%), and poor awareness of OHS in SMSEs (86.1%). It further reveals poor physical (69.5%) and technological environment (70.5%), unavailability of OHS facilities (60.5%) and prevention methods by manager/owners (60.5%), carefree attitudes of workers/managers/owners to OHS (69.5), non-acquaintance of workers to OHS laws (86.1%), workers’ economic incapacitation to deal with issues of occupational hazard (76.1%), lack of enforcement of OHS (88.3%), and transferring knowledge on OHS (82.2%) in the selected SMSEs. The study recommends roles for managers/owners, workers, trade associations, government, non-governmental organisations to promote effective OHS in the selected SMSEs.
Sociology
D.Phil. (Sociology)

Background Plasmodium falciparum malaria during pregnancy poses a substantial risk to mother and foetus. In recent years, convincing evidence has shown that preventive methods such as the use of insecticide treated bed nets (ITNs) and intermittent preventive treatment (IPT) in pregnancy with sulphadoxine-pyrimethamine (IPTp-sp) can greatly reduce the adverse effects of malaria during pregnancy. Purpose The main purpose of the study was to assess the knowledge and use of Intermittent Preventive Treatment of Malaria among pregnant women receiving Antenatal Care at the primary health centers of the Federal Capital Territory, Abuja Nigeria. Methods A quantitative, descriptive, cross-sectional study was conducted Structured questionnaires were administered to 300 pregnant women aged between 18 and 49 years. Data was analysed using Statistical Package for Social Sciences (SPSS) 22. Results The results revealed that most of the respondents had knowledge about IPT, majority of the respondents had received IPT drugs, in the clinic, but unfortunately none of them were supervised by a health worker during taking of the drug. Few of the respondents did not take the drugs at all for fear of complication, some of them did not know exactly how many tablets were given to them and there was poor adherence to the Directly Observed Therapy (DOT) scheme. Conclusion Knowledge of malaria and IPT was good and many pregnant women received the drugs and used it, but some of them had challenges and did not use the drugs.
Health Studies
M.P.H.

The study sought to describe HIV/AIDS knowledge and attitude among teachers in Abuja, Nigeria. The study noted that teachers were knowledgeable about HIV/AIDS and poor HIV/AIDS attitude persist. Among the respondents, statistically significant relationship exist between education qualification and knowledge of MTCT of HIV during pregnancy; between geographic location and the knowledge to clarify misconception about HIV transmission; between gender and the knowledge of condom use; and between the receipt of HIV/AIDS information or training on FLHE curriculum and the procedural knowledge of discussing / teaching sexuality and HIV/AIDS issues with fellow teachers or students. However, there is no statistical significant relationship between the teachings of HIV/AIDS issues and the feeling that HIV/AIDS education promotes sexual promiscuity.
Health Studies
MA (Public Health)

Evidence of male sex work has a history as long as female sex work. There is century old evidence of male Sumarians and Greeks selling sex to other men. Men are today still selling sex to other men. This study showed that the elimination of sex work is practically impossible, and could only be accomplished by the gross denial of basic human rights. Male sex workers have not received the same attention from researchers as have their female counterparts. This is so despite the large numbers of male sex workers in cities all over the world who potentially contribute to the worldwide sexually transmitted infection rates. It is known that wherever indiscriminate sexual activities take place, the risk of transmission of infections are greater. The activities between the male sex worker and his client(s) determine the health problems they are exposed to. The purpose of this research was to determine what transpires between male sex workers and their client(s) in order to provide the sex workers with knowledge to better take care of their own health as well as the health of their clients. A qualitative research design was used to collect data by means of in-depth interviews and participant observation sessions. Research strategies that were also used included: description, ethnography, phenomenology, and the biographic methods of qualitative research. The research revealed that men who have sex with men (MSM) were exposed to forty-nine different preventable sexually transmitted infections including HIV/AIDS, trauma, violence, and alcohol and drug abuse. All these conditions relate to the lifestyle and activities of male sex workers. Recommendations were made regarding the removal of factors that hinder the delivery of programmes on safer sex to MSM. A booklet on safer sex for MSM was compiled by the researcher and distributed to all informants upon completion of the research. The neglected topic of male sex work was highlighted and health practitioners and other decision makers can now use the information in this thesis to make a contribution towards the better management of male sex work in South Africa in the interest of public health.
Health Studies
D.Litt et Phil. (Health Studies)

Quantitative, descriptive, cross-sectional study was conducted to determine the level of knowledge and extent of Computer Vision Syndrome (CVS) among computer users in the Securities and Exchange Commission (SEC), Abuja, Nigeria. Structured questionnaires were administered to 100 computer users aged between 18 and 40 years. The study findings revealed that 40 respondents (40%) were aware of CVS and 27 (27%) of them had knowledge of the disorder. 74 (74%) of the respondents experienced at least one symptom of CVS. Headache and eyestrain were the most common symptom of CVS among the population. The study also revealed that the internet (accounting for 50%) was the major source of information about CVS awareness. The study concluded that 27% knowledge level is too low and much emphasis is needed to educate the people at risk of CVS
Health Studies
M.A. (Public Health)