http://ir.library.ui.edu.ng/handle/123456789/545 scholarly Wed, 15 Apr 2026 17:28:08 GMT 2026-04-15T17:28:08Z http://ir.library.ui.edu.ng/handle/123456789/4760 Title: THE DEVELOPMENT OF A SCALE FOR PREDICTING MOTHERS COMPLIANCE IN THE EXPANDED PROGRAMME ON IMMUNIZATION (EPI) Authors: ADEMOLA, A. H. Abstract: The apparent high drop out rate in Expanded Programme on Immunization (EPI) is constituting a major barrier in the break-through of the child survival programme especially in developing countries of the World (Alakija, 1986). This cross-sectional, descriptive and explorative study was carried out in Obokun Local Government Area (LGA), Oyo State of Nigeria between October, 1987 and July, 1988. The study population consists of mothers who attended EPI clinics for their children’s immunization under the Expanded Programme on Immunization. Respondents were mothers whose children bad taken the first doses of diphtheria, pertussis, tetanus and Oral polio vaccines (DPT/OPV) between October 1987, and January, 1988. These mothers were classified as compliers if by the end of July, 1988 they had completed the three doses of DPT/OPV schedules. Those who had not completed these three doses were termed non-compliers. Out of 121 mothers used in the study, 65 were compilers while 56 were non-compliers. Data gathering tools used included questionnaire to explore demographic, attitudinal and cognitive factors in these mothers which may affect compliance with EPI appointment schedules. In addition, observational check-list was used to probe into factors which may affect compliance due to clinic settings or arrangements. After analysis of the data, the identified compliance factors were scored to form a predicting scale that can be used to identify those that are likely not to comply with appointment schedules among mothers in EPI Programme so that measures that will make them comply can be instituted from the start. The result showed that the respondents in both compilers and non-compilers were similar in such demographic characteristics as age, marital status and parity. They however differ significantly in demographic characteristics such as educational levels, occupation, income and religion. Also, there were more compilers among mothers who attended orthodox form of ante-natal services, those who had institutionalized deliveries and mothers who brought their children to have first contacts of immunization within their six months of lives. The risk factors that can determine non-compliance with appointments in EPI based on the findings of the study are low- educational level, low income, semi-skilled and non-occupation, non attendance of Orthodox ante-natal services in pregnancy, no immunization during pregnancy, non-institutionalized deliveries, long distance from home to EPI centres, giving herbs as protection to children, delaying the first immunization till children reached ages six months and lastly religions of mothers in which case muslims can default more than Christians. Based on the findings from the study, it is recommended that the health education approach in EPI be modified to include local communication system for rural women since effective communication is the key to implementation of health education activities. In addition future studies should focus on production of predictor scale that will enable the identification of non- compliance among urban/cities mothers. Description: A DISSERTATION IN THE DEPARTMENT OF PREVENTIVE AND SOCIAL MEDICINE SUBMITTED TO THE FACULTY OF CLINICAL SCIENCES AND DENTISTRY IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF PUBLIC HEALTH (HEALTH EDUCATION) OF THE UNIVERSITY OF IBADAN, NIGERIA Tue, 01 Aug 1989 00:00:00 GMT http://ir.library.ui.edu.ng/handle/123456789/4760 1989-08-01T00:00:00Z http://ir.library.ui.edu.ng/handle/123456789/4523 Title: POST-TRAINING ASSESSMENT OF DIARRHOEA MANAGEMENT WITH SALT SUGAR SOLUTION BY COMMUNITY-BASED DISTRIBUTION WORKERS IN AKINYELE LOCAL GOVERNMENT AREA, OYO STATE Authors: ADEKOLA, O. Abstract: Studies in a number of pilot Community Based Distribution (CBD) programmes have shown that CBD workers can deliver modern contraceptives and safe maternal and child health services (including treatment or management of common childhood diseases such as diarrhoea) in their communities (Weiss, 1985). CBD workers have been active in Akinyele Local Government Area (LGA) and a high number of diarrhoea episodes have been managed by them. Most efforts have been on the general assessment of service delivery and also certain issues such as increasing availability of contraceptives have been addressed by CBD workers. One major problem is lack of specific post-training assessment of CBD workers' skill in preparing and use of some of the innovative training packages especially the use of salt sugar solution (SSS) in the management of children diarrhoea diseases. A descriptive study was carried out in five CBD centres of Akinyele LGA between June 1990 and October 1990. All the CBD workers identified were 91 but after four visits to each home, a sample of 77 was found and was interviewed and observed. Baseline information on CBD workers who had managed diarrhoea cases were obtained from records at CBD office. The ammended final draft of the questionnaire after pretest at Ajia in Afijio Local Government Area was administered to the 77 workers. In addition observation with a checklist was used to assess workers' ability to prepare SSS. The respondents were similar in age, occupation (other than CBD work) religion. Though while all Traditional Birth Attendants (TBAs) were female and aged above 45 years, Village Health Workers (VHWs) included both male and female and some aged less than 45 years. All the workers, irrespective of either VHWs or TBAs recognised diarrhoea as a servere case and could relate the causes and management but only 9.1% (2 TBAs, 5 BHWs) could assert the correct preventive measures. All the categories of workers asserted that they have heard of SSS but 14.3% (6 VHWs, 5 TBAs) of the workers could state the correct measurements of SSS though 72.7% used it in diarrhoea management, however 27.3% workers have never used it. More than one third (36.7%) of the workers stated that SSS stops diarrhoea rather than preventing dehydration which was mentioned by only 16.3%. All the workers (100%) mentioned that the ingredients - salt and sugar are expensive though they will continue to use it in future unless there is a new technological breakthrough. However, the workers (97.4%) do not teach mothers who utilize their services. Results from observation study revealed that all the workers (100%) did not have SSS corner and sugar was readily accessible in 48.1% of the homes. The workers' preparation of SSS revealed inadequacy in the skills. The study has demonstrated that operation research can reveal hidden facts which could have been overlooked if research was on a general scope. Based on findings, the researcher recommends that workers undergo refresher training which will emphasise measurements of SSS ingredients, SSS use and preparation. Workers should also have SSS corner in their homes where they can teach mothers and should be compensated financially or in kind as this will motivate workers to be dedicated. Specifically, future study should focus on the diarrhoea occurrence among under five children in the five CBD centres of Akinyele Local Government. Description: A DISSERTATION SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR THE DEGREE OF MASTER OF PUBLIC HEALTH (HEALTH EDUCATION) AT THE DEPARTMENT OF PREVENTIVE AND SOCIAL MEDICINE, FACULTY OF CLINICAL SCIENCES AND DENTISTRY, COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN Sun, 01 Jan 1995 00:00:00 GMT http://ir.library.ui.edu.ng/handle/123456789/4523 1995-01-01T00:00:00Z http://ir.library.ui.edu.ng/handle/123456789/4499 Title: CONTRACEPTION AMONGST SENIOR SECONDARY SCHOOL STUDENTS IN IBADAN NORTH-EAST LOCAL GOVERNMENT AREA OF OYO STATE Authors: ADEGBENRO, C. A Abstract: Over the recent years, sexual activities among students in Secondary Schools in Nigeria, particularly those in urban areas, are thought to be high and increasing. The resultant unwanted pregnancies and illegal abortions among these young unmarried population are creating social and health problems (Nichols, et al, 1986). According to previous research findings, included in the causative factors responsible for this unfortunate situation, cure the problems of poor knowledge of Family Life (Sex Education) and Reproductive Health Education and Contraception, negative attitude towards contraceptive services, low and ineffective use of contraceptives due to low accessibility to family planning services. Therefore, the present Knowledge, Attitude and Practices (KAP) study was carried out in order to assess the level of contraceptive awareness and utilization amongst Students in Secondary Schools in- Ibadan North-East- Local Government Area of Oyo State. After the pretesting, a total number of 766 questionnaires were finally administered to students in the Senior Classes in four (4) Secondary Schools in the Local Government Area using a combination of proportional stratified and systematic random sampling techniques. The selected four (4) schools consists of one Boys' only, Girls' only and two mixed schools. Out of this number, a total of 744 duly completed questionnaires were subsequently analysed. The result showed that 484(65.1%) respondents had the correct knowledge of some modern methods of contraception, and out of this figure, 183(37.8%) mentioned condom as a popular method of contraception among them. Although, attitudinal disposition of the respondents towards contraceptive use was as high as 76.0%, however, the results showed a very low level of contraceptive utilization among them (15.7%), Based on these findings, it is suggested that Family Life and Reproductive Health Education including contraceptive counselling services should be introduced in the secondary schools in the L.G.A. Description: A DISSERTATION SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR THE DEGREE OF MASTER OF PUBLIC HEALTH (HEALTH EDUCATION) OF THE UNIVERSITY OF IBADAN, DEPARTMENT OF PREVENTIVE AND SOCIAL MEDICINE, COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN, IBADAN, NIGERIA. Wed, 01 Feb 1995 00:00:00 GMT http://ir.library.ui.edu.ng/handle/123456789/4499 1995-02-01T00:00:00Z http://ir.library.ui.edu.ng/handle/123456789/4414 Title: BREAST SELF-EXAMINATION (BSE) PRACTICES AMONG FEMALE STUDENTS IN HIGHER INSTITUTIONS IN IBADAN: IMPLICATIONS FOR CANCER EDUCATION Authors: ADEGOKE, F. R. Abstract: This study assessed the knowledge, attitude and existing breast self-examination practices among six hundred and ninety female students of the University of Ibadan and the Ibadan Polytechnic, Oyo State, Nigeria; using a set of questionnaire. Results showed that 66.1% had ever practiced breast self-examination. However, only 77% reportedly carried out monthly examination of their breasts in the last six (6) months, although 84.6% were aware of it and 33.3% knew that it should be carried out monthly. Knowledge of the correct sequence of breast self-examination and the symptoms to look for was low. The major source of information on breast self- examination was through the mass media. There was a generally positive attitude toward the behaviour. In light of these findings, some breast self- examination information packages and progammes are proposed for the students. In addition, suggestion regarding the examination of breast, self-examination materials for completeness, accuracy and appropriateness before dissemination to the public were made. Description: A DISSERTATION PRESENTED IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR THE DEGREE OF MASTER OF PUBLIC HEALTH (Health Education) OF THE UNIVERSITY OF IBADAN, DEPARTMENT OF PREVENTIVE AND SOCIAL MEDICINE FACULTY OF CLINICAL SCIENCES AND DENTISTRY COLLEGE OF MEDICINE UNIVERSITY OF IBADAN IBADAN, NIGERIA Wed, 01 Jan 1992 00:00:00 GMT http://ir.library.ui.edu.ng/handle/123456789/4414 1992-01-01T00:00:00Z