Attitude of Final Year Medical Students Towards Community Medicine in Ahmadu Bello University; Zaria; Nigeria

Background: Several studies were conducted in the past in Nigerian Universities to determine undergraduate medical students' attitudes; aspirations and career preference but none was conducted in Ahmadu Bello University (ABU); Zaria. This study was undertaken to determine final year medical students' attitudes toward Community Medicine. Methodology: The study was cross-sectional and descriptive in design. A total of 94 graduating medical students during the 2006/2007 academic session were invited to participate in the study. All the 94 students were given self-administered structured and closed-ended questionnaire. We collected information on socio-demographic characteristics of the respondents; general and specific attitudes towards Community Medicine (CM); class attendance in Community Medicine; and choice of CM as a field for future specialization. Result: Seventy-two students (76.7) have made up their minds to specialize in a chosen field of Medicine while fourteen (14.4) were undecided. Thirty-five (48.69) students said they could specialize in CM while 19(26.4) cannot. Of the clinical discipline for possible specialization in the future by the whole class; 32(34.0) respondents declared to specialize in Obstetrics et Gynecology; 18(19.1) in Community Medicine 11 (11.7) in surgery. Conclusion: Our finding demonstrated that final year medical student favorably perceived community medicine as a future career

Insecticide-Treated Nets Usage and Malaria Episodes among Boarding Students in Zaria; Northern Nigeria

Background : Despite malaria being the largest public health problem in Africa South of Sahara with over one million associated deaths each year, there has been little progress in its prevention/control during the past decades. Therefore, this study was conducted to determine the knowledge, attitude, use of insecticide-treated nets (ITNs), and the prevalence of malaria episodes among boarding secondary school pupils in Zaria, Nigeria. Methods : A multi-stage sampling technique was used to sample five (5) secondary schools within Zaria, from which six classes (JSS 1 - 3 and SS 1- 3) of respondents were then randomly selected. Structured, closed-ended self-administered questionnaires were used to collect information on demographic characteristics, knowledge, attitude, and use of ITNs, reasons for non-use and malaria episodes in last 12 months. Results : A total of 150 students from the five (5) boarding secondary schools were interviewed, majority were in the age group 15-17 (53.3%) with a mean (x) +- SD of 16.8 +- 0.8 years. Males were 60% and females 40% of respondents. Majority of the respondents (87.3%) knew about and had actually seen an ITN; only 43.3% were current users. Most of the current users of ITN noticed a significant reduction in malaria episodes in the last 12 months. This was statistically significant (P=0.004). Cost and availability were reasons sited by non-ITN users. Conclusion : There is urgent need on the part of all the three tiers of Government for public health awareness campaigns through information, education and communication (IEC) to create positive ITN culture and usage. It is also suggested that ITN usage among boarding school pupils should be incorporated into school health service

Evaluation of Occupational Health Services and Hazards in a Car Assembly Plant in Kaduna; Nigeria

Background: The provision of occupational health services in most industries of the developing world has been very rudimentary. Various factors have been adduced to be responsible for this, none availability of protective devices, non-compliance by workers and managerial problems among others. Therefore this study was conducted to evaluate occupational hazards and the provision of occupational health services at Peugeot Automobile Nigeria (PAN), Kaduna.Aim: To assess the extent of occupational hazards and the occupational health services provided by the industry (PAN). Methods: This was a cross sectional descriptive study in which cluster sampling technique was used to sample respondents. Structured, interviewer administered questionnaires with close ended questions were used to collect data.Results: One hundred and ten respondents participated in the study with a mean age of 32.7±2.8 years. Use of protective devices by respondents was: boots 96.3%, hand gloves 100%, and ear plugs 58% respectively. Pattern of occupational hazards were: exposure to chemical fumes 6.4%, noise pollution 40.9%, and chemical burns 9.1% respectively. Conclusion: Occupational hazards and injuries among PAN workers are a frequent occurrence. There is need for sustained public awareness campaigns among the workers and management on the importance of occupational safety to guide against injuries/ accidents at work sites and compliance to the use of protective devices. It is also recommended that the Inspectorate Division of Federal Ministry of Industries should pay periodic monitoring visits to industries in order to ensure a conducive and a safe working environment and also with the facility Act and related laws so as to curtail the rate of accidents and injures in Nigerian industries

Prevalence of psychoactive substance use among commercial motorcyclists and its health and social consequences in Zaria, Nigeria

Background: In recent years commercial motorcyclists (Okada riders) have come to bridge the huge public transport gap in most cities across the country. However, this is not without the dangers they pose to themselves, passengers and to other road users. It is claimed that some of these Okada riders operate under the influence of drugs and other substances. But there are few community-based studies that have investigated the problem in this part of Nigeria. Therefore, this study was conducted to determine the prevalence, health and social consequences of psychoactive substance use among commercial motorcyclists (Okada) in Zaria, northern Nigeria. Method: Multi-stage sampling technique was used to sample commercial motorcyclists registered with commercial motorcyclists union in Zaria city, Kaduna state, Nigeria. Structured, closed ended and interviewer administered questionnaires were used to collect information on socio-demographic characteristics, factors influencing psychoactive substance use, impact on health status, motor cycle riding experience and work performance. Results: Two hundred commercial motor cyclists were interviewed, majority of them were in the age group 21-25 years (55.5%) with a mean age of 25.4 ± 3.9 years. All the motorcyclists were male, (60.5%), had no formal education, (79.5%) are of Hausa extraction and (69%) worked for more than 10 hours per day. A high prevalence of 59.5% of road traffic accident that was associated with the use of psychoactive drugs was found among the motorcyclists. Commonly identified psychoactive substance/drugs used were: marijuana [Indian hemp] 25.8%, solution 24.5%, caffeine (Kola) 15.8%, and coffee 4.8%. Keeping awake, suppression of fatigue, and peer group effect were the identified factors influencing psychoactive substance use. The commonest types of injuries sustained were bruises and lacerations (62.5%) and fractures of upper and lower limbs (10.5%). Conclusion: Road traffic accidents among commercial motorcyclists are a frequent occurrence in this part of the country. There is need for public awareness campaigns on road safety education and health consequences of psychoactive substance use among commercial motorcyclists. It is further recommended that law enforcement agencies (NAFDAC, NDLEA and FRSC) need to work in tandem so as to curb the problem of substance abuse in our society and reduce the rate of accidents on Nigerian roads