International Research Journal of Public Health


Relationship between Patients Perception of Recovery, Distance to Health Facility and Tuberculosis Treatment Default in Ebonyi State, Nigeria

Research Article of International Research Journal of Public Health Relationship between Patients Perception of Recovery, Distance to Health Facility and Tuberculosis Treatment Default in Ebonyi State, Nigeria Chikere Ifeanyi Ebirim1, Chijioke Akurunwa Agbaka2, Daniel Egbule3, Amobi Mkpuma1, Ugonma Winnie Dozie1, Judith Ezelotte 1 1Department of Public Health, Federal University of Technology Owerri, Nigeria. 2Eastern Summit Specialist Clinics, 37 Orlu Road, Amakohia Imo State 3National Agency for the Control of AIDS With the current launch of End TB Strategy by World Health Organization, this is a global call to reduce Tuberculosis death by 95percent and tuberculosis incidence by 90 percent by the year 2035. It becomes imperative to investigate some factors that may hinder the achievement of this goal and find solution to these limiting factors. The aim of this study was to determine the influence of distance to Direct Observation Treatment (DOT) centre on one hand and patients’ perception of improved prognostic outcome on tuberculosis treatment default. A random sample of 150 tuberculosis patients on treatment between May – August 2016 attending different health centers in Ebonyi State, Nigeria were interviewed. Data were collected using self-administered questionnaires from consenting TB patients. Chi-square statistical technique at 5 percent level of significance was used to test the null hypothesis of no relationship. Results indicated that 83 of the 150 TB patients defaulted in their treatment regimen, giving a default rate of 55.3 percent. Residential distance to health /DOT center was statistically associated with Tuberculosis (TB) treatment default, default increased with travel distance between patients’ residence and treatment center (X2 = 16.7003; df = 2; p < 0.001). Also, patients’ experience of disappearance of signs and symptoms as evidence of improved prognosis (perception of recovery) of TB illness was statistically associated with TB treatment default (X2 = 12.5468, df = 4, P = ...

Semblances of “aangdan (organ donation)” with “kanyadan (gift of a maiden)”under hindu marriage

Research Article of International Research Journal of Public Health Semblances of “aangdan (organ donation)” with “kanyadan (gift of a maiden)”under hindu marriage Reeta Dar (PhD Scholar) Health Education Officer, Central Health Education Bureau, DGHS, MoHFW, GOI This article seeks to draw parallels between various rituals and practices of the Indian wedding and the concept of organ donation and transplantation. The purpose of this article is to make it easier for the layman to relate to the concept of organ donation and transplantation. The article attempts to liken “Kanyadan” (giving away of a daughter in marriage) and “Aangdan” (organ donation); makes comparisons between the two using parameters of legal age, importance of love, search for a suitable match, appointment of middle men, financial investments and legal penalties etc. The article equates traditional match making on the basis of religion with the blood group matching in organ donation and transplantation. It further links the guna milap (Matching of fate lines) of the prospective bride and groom with that of Human Leukocyte Antigen (HLA) matching in organ donation and transplantation. It also highlights the significance of ensuring compatibility with internal environment irrespective of best selected matches in both the cases. The engagement ceremony to grant social approval to a marriage is equated with socio-legal approvals by “Authorization Committees” for organ donation and transplantation. Geography or spatial proximity also plays a crucial role in facilitating a marriage as well as organ transplant. The article also concludes that a combination of sadness and jubilation is common in both these events. The post-event management in both the cases is a roller coaster ride – full of apprehensions and anxieties – and needs more investments in terms of money, emotions and care. The two however differ on the infrastructure issue; while it’s easy to perform “Kanyadan” at ...

Considering Urban Aboriginal and Torres Strait Islander Conceptions of Health

Research Article of International Research Journal of Public Health My body’s getting healthy and my mind is getting healthy with it. Considering Urban Aboriginal and Torres Strait Islander Conceptions of Health. 1 Joni Parmenter, 1 Alison Nelson, 2 Emma Crawford, 1 Tabs Basit and 1Samara Dargan 1 Institute for Urban Indigenous Health, The University of Queensland. 2 The University of Queensland Drawing on the salutogenic, or ‘origins of health’ framework, this article explores the health and well-being conceptions of urban Aboriginal and Torres Strait Islander people and identifies individual and community health-enabling strategies employed to support their health and well-being. This qualitative study included 12 focus groups with 83 predominantly Indigenous Australian participants of Work It Out, a chronic disease self-management and rehabilitation program in South East Queensland. The focus groups explored meanings of health and well-being as well as strategies used to keep healthy and well. The findings indicate that urban Indigenous Australians participants view health as a balance between physical, psychological, socio-emotional and environmental factors and are active engagers in health enhancing behavior. This study provides new insights into the health and well-being conceptions of urban Indigenous Australians at risk of suffering from a chronic disease and reveals a unique view of health and well-being. Understanding how urban Indigenous Australians conceptualize health and well-being will contribute to the evidence base to inform culturally responsive public health programs and policy. Keywords: Indigenous Health, Chronic Disease Self-Management, Salutogenesis ...

Community Based Management of Malaria: exploring the capacity/performance of Community Based Agents and their motivation

Research Article of International Research Journal of Public Health Community Based Management of Malaria: exploring the capacity/performance of Community Based Agents and their motivation in Tamale, northern region of Ghana 2013 Mukaila Zankawah Mumuni1*, Korkortiakor Baba Sadique Zankawah2, Mohammed A. Soghaier3 Patrick Adam1 Iddrisu Jamaldeen Zankawah4 1Ghana Health Service, Metropolitan Health Directorate, Tamale 2National Health Insurance Authority, Claims Processing Center-Tamale, Ghana. 3 Directorate of Epidemiology & Zoonotic Diseases, Sudan Federal Ministry of Health, Khartoum, Sudan. 4Ghana Health Service, Tamale West Hospital, Tamale Background: The use of antimalarial drugs and the prevention of man and vector contact remain the major control and prevention strategy of malaria until the availability of effective and safe vaccine. In Africa, one of the major strategies to malaria control and prevention is the home based malaria strategy through which trained community drug distributors identify and provide antimalarial drugs to children under five years with fever. This research aims at exploring the capacity, performance, and motivation of CBAs in Tamale Metropolis, Northern region, Ghana Methodology: A Survey, in-depth interviews and short ethnographic techniques were conducted among 104 CBAs who were trained and given logistical support to assess and treat children less than five years with malaria presumptively at home. Participants were selected randomly and represented urban, peri-urban and rural settings. Results: 96.2% of respondents identified malaria by presence of fever while 92.3% used fever as a cardinal sign. More than 82% of participants provided early treatment in all the three location. 64.4% of participants administered the correct number of days while 32.7% administered daily doses correctly, only 24% of CBAs knew that the Antimalarial medications they use have some side effects. 77.9% knew when to repeat drug dose when child vomit or when parent forget to give the dose. Most of the participant had registers and were ...

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International Research Journal of Public Health

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