Browsing by Author "Asuzu, M. C."
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Item Comparative effectiveness of two psychological techniques in the management promiscuity among adolescents in Ibadan(Department of Guidance and Counselling, University of Ibadan, 2003) Asuzu, C. C.; Nwagwu, H.; Ohaeri, J. U.; Asuzu, M. C.The study was designed to investigate the effect of covert self-control and assertiveness training in the management of promiscuity as a vital risk factor in the transmission of sexually transmitted infections and human immunodeficiency virus and acquired immune deficiency syndrome (STIs/HIV/AIDS). A pre- and post-test experimental- control group design was employed. Three' local government areas (LGAs) out of the five in Ibadan metropolis, were selected by simple random sampling, and used for the study. One school was selected from each LGA similarly for the two treatment groups and for the control group respectively with forty promiscuous students in each group. The two experimental groups were exposed to a twenty week treatment while the control group received no treatment. Both the treatment programmes were effective in reducing promiscuity in the adolescents. Covert self-control was found to be more effective than assertiveness training. Commendation was received for the free but value-base of the training by the students. Based on the findings, it was recommended that family life education should be implemented in the secondary schools in such a way as to meet the specific value base needs and to adequately control promiscuity among the school children.Item Cost-effectiveness analysis of mectizan treatment programme for onchocerciasis control: operational experiences in two district of Southern Nigeria(Dept. of Physiology, College of Medicine of the University of Lagos, Lagos, 2009) Osungbade, K. O.; Olumide, E. A. A.; Lawanson, A. O.; Asuzu, M. C.Objectives: This study analyze the operational costs of two Mectizan treatment strategies in relation to their effectiveness. Methods: The study was conducted in 24 communities located in Irewole and Egbeda districts of Osun and Oyo State, Nigeria respectively. Cost-effectiveness analysis included retrospective analysis of cost of treatment, review of records of distributors, estimation of overall cost-effectiveness ratio of treatment and distribution, calculation of mean cost-effectiveness ratios and statistical comparison of the mean cost-effectiveness ratios. Results: Overall cost of treatment per person through mobile distribution was N27.39 (USD1.16) while the corresponding overall cost through community-directed distribution was N14.35 (USD0.61). Overall cost of distribution per tablet through mobile distribution was N20.97 (USD0.89) while the corresponding overall cost through community-directed distribution was N8.39 (USD0.36). The difference between the mean cost-effectiveness ratios for treatments through mobile distribution, 56.79, and community directed distribution, 32,53, was not statistically significant (p=0.120265). Similarly, the difference between the mean cost-effectiveness ratios for distribution of tablets through mobile distribution, 40.83, and community-directed distribution, 19.17, was not statistically significant (p=0.167249). Treatment coverages were 59% and 80%, and 2,376 and 4,148 tablets were respectlveIy distributed, Conclusion: Distribution of Mectizan tablets by community-directed distributors was more cost-effective than by mobile health staff, but the differences in cost ere not statistically significant. However, this could ensure self-reIiance and sustainability of treatment programmes, which are prerequisites for decision making on treatment strategies.Item Curriculum development for health professional service training in NFP and its related services(Mike and Rita Marker, 1989) Asuzu, M. C.; Odor, O. E.; Asuzu, C. C.Item Health educational needs assessment and curriculum development for formal adolescent education in human sexuality and family life(Association of Community Physicians of Nigeria, 1989-10) Asuzu, M. C.; Odor, O. E.; Asuzu, C. C.; Oyejide, C. O.The experiences from various social and health service centres in Nigeria indicate a rising incidence of sex-related disorders among our youths. Evidence suggest that at the basis of these problems are both ignorance on the part of the youths as well as other deficiencies in adolescent youth development caused by the current industrial ‘development in the country, with is attendant effect on the stability of family life and the erstwhile established (traditional) child upbringing patterns. This study assesses the programme developed over the proceeding 4 years by the authors in response to the above problems in adolescent development in Nigeria. It shows that the present programme meets 88.7% of the sex educational needs of these youths studied, this being 92.5% of all those who answered this particular question in the study. The historical development of the curriculum, programme format, course content and other findings of the study are presented and discussed. Based on the findings, recommendations are made towards the development of locally relevant sex education programmes for the Nigerian and other sociologically similar groups of youths.Item Needs assessment of onco-radiotherapy Patients for psycho-therapeutic counselling care at the University College Hospital, Ibadan(Association of Applied Psychology and Human Performance, 2010) Asuzu, C. C.; Campbell, O. B.; Asuzu, M. C.This is a descriptive study aimed at assessing a new programme in order to improve on the psychological care of the patients. The study consists of an interviewer-administered survey instrument of 171 consecutive patients seen at the centre from the onset of the exercise. The study instrument was a questionnaire constructed by the researchers and validated in this hospital. The coefficient of reliability was ascertained to be 0.74. The subjects consisted of 33 males and 138 females, 22 or 13% of whom were unemployed at the time of the study. Stigmatization because of their disease as well as other negative reports which would benefit from counselling services was reported by 29 (18.8%) of 154 clients. Many patients and their family members need additional information and counseling about their cancer and the treatment. Research findings also reflect limited access to cancer treatment in Nigeria, which needs to be addressed via capital investment in its oncology infrastructure. The findings from this study serve to advocate for improved access to care and for the further development of psychotherapeutic interventions for cancer patients receiving treatment at University College Hospital.Item A pilot study of cancer patients’ use of traditional healers in the radiotherapy department, University College Hospital, Ibadan, Nigeria.(Wiley Online Library, 2015) Asuzu, C. C.; Elumelu-Kupoluyi, T.; Asuzu, M. C.; Campbell, O. B.; Akin-Odanye, E. O.; Lounsbury, D.Objective: This descriptive cross-sectional study assessed cancer patients’ use of traditional healers, the association between delay in coming to this clinic and patients’ use of traditional healers, reasons cancer patients use western medicine after trying traditional treatment and the cost of obtaining traditional treatment. Methods: Participants were made of 400 consecutive and consenting new patients in the Department of Radiotherapy, University College Hospital (UCH), Ibadan. A validated interviewer-administered semi-structured questionnaire was used for data collection. Data was analyzed using descriptive and inferential statistics. Focus group discussions were held with some of the clients as well as the traditional healers. Results: It showed that 34.5% of the patients patronized traditional healers, while 65.5% used only hospitals. The most common reason given among patients who patronized traditional healers for doing so was their desire to be healed and to be rid of pains (45.9%), while the most common reason they opt for western medicine afterwards was lack of improvement in their health condition (70.1%). The cost of traditional treatment for cancer ranged between no cost to N5,000 (that is approximately $31.25 @ $1 = N160) to be treated. The cost of orthodox care would range from a minimum of N40,000 to several millions of naira. Conclusions: Patients patronize traditional healers to be rid of pains; hence physicians should endeavor to control cancer-related symptoms, especially pains as the patients await diagnosis. Also, the low cost of obtaining traditional treatment, regular assurance of cure and other assistances given to them, could be an enticing factor in its use.Item Psycho-sexual characteristics of youths attending a voluntary family life education programme in Ibadan(Association of Community Physicians of Nigeria, 1995-12) Asuzu, M. C.; Odor, O. E.; Asuzu, C. C.Public family life and sex education programmes have remained a rather controversial issue all over the world. The controversy has usually concerned the value base on which such programmes are designed, as well as the value base of those who will deliver the programmes; and therefore, the psychosocial and moral impact that such programmes may have on their recipients who usually are from different religious, moral or ethical backgrounds. In order to overcome these misgivings, an annual public and voluntary family life education programme was developed in Ibadan based on free, multiple but individually clear value based, as the ethical and religious background of the attenders indicate. The socio-demographic characteristics and the attitudes and practices of the youths in relation to two of the topics covered in the 1991 programme- drugs and sexual intercourse are reported in this paper. Reported sexual experience among the youths was 18.4% with an indication that regardless of previous experience, 65.5% of them would want to limit sexual intercourse in the future to marriage only. Experience of the youthsItem A rural-urban comparison of client-provider interactions in patent medicine shops in South West, Nigeria.(Baywood Publishing Company, 2012) Fajola, A.; Asuzu, M. C.; Owoaje, E. T.; Asuzu, C. C.; Ige, O. K.; Oladunjoye, O. O.; Asinobi, A.The increasing prominence of patent medicine vendors (PMVs) in healthcare provision makes information about how they operate of interest. This study assessed consumers' behavior and PMVs' performance in the treatment of childhood illnesses in rural and urban communities in South West Nigeria. Non-participatory observations were carried out in 163 licensed patent medicine stores in Oyo State, Nigeria. Many PMV shops (70.6% rural and 6l.9% urban; p = 0.141); stocked non proprietary drugs. Clients often requested for drugs by name (75.4% urban versus 62.2% rural; p = 0.002) and PMVs mostly sold drugs as requested without questions (65.3% urban 57.8% rural; p = 0.07). Inappropriate treatment practices and invasive procedures were observed more often in urban PMVs shops (p < 0.001). PMVs functioned mostly as sales persons supplying clients' drug requests. Strategies to improve PMV treatment practices should include caregiver education to be effective.Item Sexual maturation among school teenagers and implications for family life(School of Science and Technology, Babcock University, 2004) Asuzu, C. C.; Asuzu, M. C.There appears to be an observed progressive drop in the age of sexual maturation among Nigerian adolescents. There is also progressive urbanization, industrialization and diffusion of western values into the culture, especially in relation to sexual morals and behaviour. The extent to which these changes may affect the sexual maturation processes, and their implications for health and the adolescents’ family life education and counselling were studied. A cross-sectional evaluation of the age of the attainment of secondary sexual characteristics among secondary> school students in Ibadan North Local Government Area, using a questionnaire study instrument was undertaken. The results show that the mean ages have not changed much for the general population when compared with previous studies. The values ranged from 12.2 years for the rapid growth spurt to 15.4 years for the sexual awakening. Mean age of the menarche was 13.2 years, similar to existing data. However, the interval between the onset of platonic heterosexual interest and sexual awakening was 0.9 and 0.4 years intervals in the boys and girls respectively. The obvious implications of the later for adequate sexual health and family life education for the youths are discussed.