R e i n and Development gffirarcfy imrana UNIVERSITY OF IBADAN LIBRARY TABLE OF CONTENTS PAGES PARALLEL SESSION 1: DEMOCRACY AND INSTITUTIONAL REFORMS 1 1.1 Faboyede, Olusola Samuel Corruption and the Crisis of Institutional Reforms in Nigeria: A Forensic Accounting Perspective 2 1.2 Igwe, Dickson Ogbonnaya Institutional Reforms and Corruption 11 1.3 Waziri Babatunde Adisa The State, Judicial Sector Reforms and Judicial Corruption in Nigeria: A Sociological Perspective 22 1.4 Pius M. Mosina Democracy and Social Citizenship: Civil Society and the Democratisation Process in Cameroon 32 PARALLEL SESSION 2: HEALTH AND POPULATION (PART I) 50 2.1 Benjamin Ahule Govvon Health Sector Reforms in Nigeria: The Need to Integrate Traditional Medicine into the Health Care System, (Udluc). 51 2.2 Ajala, Adebayo and Alonge, Sunday Kolawole Health Sector Reforms: Implications for Reproductive Health 61 2.3 Peter O. Ogunjuyigbe, Bisiriyu Luqman and Ayotunde Liasu Fertility and Family Planning Practices under Islamic Religion: An Examination of Muslim Women In Zamfara State, Nigeria 73 2.4 Nwankwo, Ignatius Uche Resilience of Folk Medicine and Folk Medical Lore among the 85 Igbos of Southeast Nigeria 2.5 Bernard E. Owumi and Stanley A. Garuba Financing Mechanism and Health Care Utilization in Edo State, Nigeria 91 2.6 Amoo Emmanuel Workers Attitude towards National Health Insurance Scheme: Dilemma of Vision 2020 Attainment 110 i UNIVERSITY OF IBADAN LIBRARY PAGES PARALLEL SESSION 3: HEALTH AND POPULATION (PART II) 2.7 Ugbem, C. E. and Ikwuba, A. A. An Appraisal of the National Health Insurance Scheme (NHIS) As a Health Reform Strategy for Nigerians 120 2.8 Dominic Azuh Overcoming the Inertia on Grassroots Participation in the Current NHIS-HMOS Providers Health Project 126 2.9 Francisca C. Anyanwu and Ruth O. Adio-Moses Overpopulation and Communicable Disease Occurrence among Students in Secondary Schools in Ibadan Oyo State 136 2.10 Ishaku Usman Gadzama An Appraisal of Knowledge, Attitude and Use of Contraceptive among Female Undergraduate Students of Ahmadu Bello University, University, Zaria-Kaduna State. 140 2.11 Bernard E. Owumi and Patricia A. Jerome Traditional Medicine and National Health Care Reforms in Nigeria: Which Way 149 2.12 Omololu, O. Femi and Amzat Jimoh Towards A Community Model for Malaria Control in Sub-Sahara Africa 162 PARALLEL SESSION 4: HEALTH AND POPULATION (PART III) 2.13 IduOgbeOde Infant/Child Mortality and Fertility in the Context of Millennium Development Goals in Nigeria 179 2.14 Fasina, F. Fagbeminiyi and Matthew, A. Oluwatoyin (Mrs.) Eradicating the HIV/AIDS Menace in Nigeria: The Socio-Economic Implications 190 2.15 Wahab, Elias Olukorede Socio-Economic Correlates of Pneumonia Related Child Mortality in Nigeria 206 PARALLEL SESSION 5: LABOUR REFORMS AND EMPLOYEE WELL BEING (PART I) 3.1 Oluranti Samuel Labour Migration Via American Visa Lottery: Implications for African Human Capital Development 213 it UNIVERSITY OF IBADAN LIBRARY 3.2 Ikuomola Adcdiran Daniel Corporate Establishment Demands: The Quest for Foreign Education in Nigeria 230 3.3 Akeem Ayofe Akinwale Policies Failures and Underdevelopment of Nigerian Industries 246 3.4 Onyeonoru, I. P., Faychun, O. A. and Adeycmo, A. O Children Invisible Workers among the Elites in Ibadan, South Western, Nigeria 255 3.5 Nweke, Joshua Onuenyim Systemic Analysis of Work Relations in Formal Organizations: An Appraisal 265 3.6 Olaogun, J. A. and Fatoki, O. I. Resuscitating Cocoa Production through the Informal Financial Sector in Ekiti State 272 PARALLEL SESSION 6: LABOUR REFORMS AND EMPLOYEE WELL BEING (PART II) 3.7 Igbana Wansua Ajir The National Economic Empowerment and Development Strategy: The Implications for Workers and Economic Development in Nigeria 281 3.8 Kolawole, Taiwo Olabode Information and Communication Technology (ICT): A Tool for Industrial and National Development 291 3.9 Benjamin Ahule Gowon and Elizabeth Terngu Sugh African Americans’ Search for Slavery Reparations: Implications for Development in Africa 301 3.10 Nneka P. Oli Migration and Development: Social and Economic Implications for Nigeria 310 3.11 Olanrewaju Emmanuel Ajiboye Impacts of the 2004 Pension Reforms on the Wellbeing of the Elderly in Nigeria. 316 3.12 Olufayo-Olu-Olu Poverty, Child Labour and the Re-Emergence of Modern Slavery in Nigeria 336 PARALLEL SESSION 7: SOCIAL DIMENSIONS OF ECONOMIC REFORMS 351 4.1 Adeyemi Ezekiel O. and Amoo Emmanuel Economic Reforms, Living Conditions and Urban Violence: A Situation Analysis of Metropolitan Lagos 352 iii UNIVERSITY OF IBADAN LIBRARY 4.2 Wale Adesina Millennium Development Goals 2015: Assessing Nigeria’s Water and Sanitation-readiness in Ekiti State 372 1 ’• '■ ■ if 4..3 Omotosho, Babatunde Joshua Survival Strategies among Pensioners in Ado-Ekiti, South West, Nigeria 381 4.4 Adeniran, Adebusuyi Isaac The Needs Plan and Poverty Alleviation in Nigeria 396 I 4.5 Alongc, Sunday Kolavrole and Ajala, Adebayo Olukunle Social Implications of the Economic Reform Process in Nigeria Since 1999: A Gender Perspective 410 4.6 Ogumvale, Adcniyi John Assessment of Citizens’ Views on the Effectiveness of the Nigerian Prison System 420 4.7 Jegede, Ajibade Ebenezer Youth at Crossroads: The Challenges of Social Change In Nigeria 429 PARALLEL SESSION 8: GENDER AND SOCIAL DIMENSIONS OF REFORMS 5.1 Anyaji O. Jane and Abrifor Chiedu Akporaro Beyond Ethnicity and Inclusiveness: Women Empowerment as An Imperative for the Reform Process 440 5.2 Olabisi I. Aina, Kchindc Olayode and Abiola Afolabi-Akikoye Gender Responsive Budgeting As A Tool for Social Transformation and Macro-Economic Reforms for National Development 454 PARALLEL SESSION 9: THEORY AND METHODS IN REFORMS AND DEVELOPMENT 473 6.1 Ugal, David B. Globalisation and Theoretical Reforms in Poststructuralism and Postmodernism: The Implications for Theory Building and Education 474 6.2 Sule, Israel Dantata Globalisation and the Future of Sociology: A Critical Commentary 480 6.3 Olmvadare, Christopher and Dada Ayoola Sociological Paradigm for Human Development in the Niger-Delta, Nigeria 488 IV UNIVERSITY OF IBADAN LIBRARY OVERPOPULATION AND COMMUNICABLE DISEASE OCCURRENCE AMONG STUDENTS IN SECONDARY SCHOOLS IN IBADAN OYO STATE Dr Francisca . C Anyanwu docfrankan@vahoo.com 08036535742 and Dr. Ruth O. Adio-Moses oaboochanva@vahoo.com 08077077906 Human Kinetics and Health Education University of Ibadan Abstract Class size in every school system all over the world is very important with respect to the health status o f students in the school. In Nigeria, large classes consist o f classrooms with more than the maximum acceptable standard o f forty student par class. Large classes therefore are likely to put students at greater risk o f injury, reduce learning and increase the possibility o f contracting infectious diseases. Other conditions include nutrition, personal hygiene, environmental sanitation, the quality o f school building and health care services available in schools, that would influence the health o f students. It is however a fact that students come to school with a lot o f health problems most o f which are infectious in nature and are transmissible ‘hrough contact especially in an overpopulated classroom. The study therefore, examines the effect o f overpopulation on the occurrence o f communicable diseases in secondary schools in Ibadan, Oyo State. A sample o f one thousand (1000) respondents were used for the study. Data were collected using questionnaire while data analysis involved the use o f frequency counts and percentages. The result showed that overpopulation predisposed student to communicable diseases. The findings have implications for policy makers, educators and all stake holders interested in the health and well being o f students. 136 UNIVERSITY OF IBADAN LIBRARY Introduction The link between overpopulation and incidence of disease occurrence are well established. In Nigeria, haphazard development, lack of physical structures, dilapidated classrooms and laboratories, poverty, poor municipal solid w-aste management and uncontrollable population growth rate are few examples of human activities that degrade the environment and pose a threat to human health through increase the susceptibility to infectious disease that are life threatening in schools. Willgoose and Blank (1999) reported that the complexities of modern life and the numerous forms of environmental hazards and pollution combine to make the task of preventing illness and protecting illness school health a major challenge. The issue of overpopulation or crowded school environment is equally a threat to the health of the school- aged child. Overpopulation in schools could be explained in terms of thickly populated classrooms whose numbers clearly out weighs existing facilities in this classrooms It is evident that classroom s that are overpopulated experience the highest rates o f disease occurrence while communicable diseases and debilitating illness are higher among students who sit close to one another. Franklin (1976) noted that the public health movement of.the late 19th century identified the issues o f poverty, poor sanitation and over crowding as major predisposing factors to communicable disease. Council of Michigan Foundation (CMT) (2008) noted that bacteria and viruses that cause meningitis are spread by direct contact with nose and throat secretions, usually through kissing, coughing, sneezing and sharing drinks, cigarettes and food. They stated further that children aged under four years, adolescents and young adults aged 15-24 are at higher risk than others to Meningococcal disease. This condition could be worsened in over -populated /overcrowded classrooms where students sit closely together. It should be emphasized that our health is affected by the health of the others and the strength o f the effect depends on the scope of interactions between people. Crowded classroom will lead to high level o f person to person contact which leaves the children vulnerable to communicable diseases. Ice, Ready and Weiner (2002) stated that school size is measured in terms of total numbers o f students, while school overcrowding is measured in terms of the number of students enrolled compared to the number the facilities it was originally designed to serve. A more logical definition of overcrowding is that given by the National Center for Education statistics (NCES) (2002) which considers a school overcrowded when the number of students enrolled in the school is larger than what the school was designed to accommodate. The health of the children in such situation will be in double jeopardy. Health is undoubtedly an important factor in any human endeavour and as a matter of fact has become a major objective in education, because, if a child is to get the most benefit from his schooling, he must be healthy. But on the contrary, school and to a large extent classroom environment have become sources for epidemic spread of infectious diseases, such as measles, chickenpox, rubella and diarrheal diseases as a result of the over crowded nature of these schools / classrooms. A child needs to be healthy to learn and he that is educated knows how to stay healthy. Olaniran, Akpan, Ikpeme and Udofia (1995) observed that the quality of health enjoyed by an individual cannot be dissociated from the quality of the environment in which such an individual lives. It is therefore imperative that if an individual wants to enjoy good health he should live in a clean, safe and healthy environment. Most schools recognize their responsibilities to provide education in an environment that is safe and protects the well being of their staff and students, while others do not. They would rather admit 137 UNIVERSITY OF IBADAN LIBRARY students .in such large numbers that the facilities in school would not carry. This action unfortunately causes more harm than good, in the lives of the students by predisposing them to injuries and illness. It is however, important to note that the burden of illness is to a large extent the concern of parents in particular and societies in general. It includes not only the suffering, pain, discomfort of each sick person, the grief and anguish of relatives and friends but also the burden on the family in caring for and accommodating a sick member in the household. However, on every school day, parents send their children to school with the hopes that they will be healthy and safe to receive adequate education. A variety of environmental risks may be posed in schools that can make these students potentially unsafe and unhealthy and hinder their abilities to learn. World Health Organization (2004) pointed out that healthy school environment can directly improve children’s health and effective learning and thereby contribute to the development of healthy adults as skilled and productive members of society. Class size is an obvious factor that can make the environment unhealthy for the children and predispose them to communicable diseases. The researchers therefore, are of the view that overpopulation in class could likely be a strong indicator of communicable disease transmission. Specifically, the study provided answers to the research question: Would overcrowding predispose students to communicable disease in Ibadan. Oyo State? METHODOLOGY The study sample comprised one thousand (1000) respondents drawn from twenty (20) secondary schools using simple random sampling techniques. The instrument used in collecting data was a self developed structured questionnaire with a reliability estimate of 0.88. The instrument was administered directly to the respondents by the researchers. Data analysis involved the use of frequency counts and percentages. RESULTS AND DISCUSSION Table 1: Analysis of overpopulation as a predisposing factor to communicable disease Variable Respondent Yes % No % Total % Over population in class as a Male 380 76 120 24 500 100 predisposing factor to communicable disease Female 470 94 30 06 500 100 Table 1 showed that 380 (76%) male respondents agreed that an over populated/ crowded class could be responsible for communicable disease transmission in schools while 120 (24%) disagreed. As for females 470 (94%) agreed that over populated class could predispose the students to communicable disease while 30 (06%) disagreed. The above result shows that overpopulation in schools could affect the health of the students. Infectious disease organisms that are spread from person to person or injected into the environment can lead to outbreaks in school and childcare settings. It further confirmed that infectious diseases can spread among children in schools and child care centers due to congestion in classes. Class size is evidently linked with communicable disease spread because when the class is overcrowded with children, the class then becomes a brooding place for infectious diseases. 138 UNIVERSITY OF IBADAN LIBRARY At the lime of administering the instrument the researchers observed that in many schools students sat on the floor to receive lessons as a result of inadequate furniture. The floors were broken and not properly cemented resulting in constant dust in the air and the provision of a conducive environment for ticks and rats. The broken floors also provide a conducive habitat for ticks, rats etc which are veritable sources oi infections diseases that may likely predispose the students to skin problems. This result highly correlated with Willgoose and Blank (1999) report that the complexities of modern life and the numerous forms of environmental hazards and pollution combine to make the task of preventing illness and protecting school health a major challenge. There is potential for children to be infected at school due to overpopulation in class. Therefore, it is important to minimize children's exposure to such risk factors by enrolling only the number the school facility can accommodate. CONCLUSION It is not an understatement to say that overcrowding/overpopulation has been a serious problem in most of our public schools. A classroom environment where too many students sit together to learn is likely to predispose them to infectious and other health related problems. It is noteworthy that the number of students in a class can affect the condition of the environment of the classroom especially where proper ventilation is not possible. An apparent implication of this study, therefore, is the need for a policy that would ensure harmony between enrolment and availability of quality facilities. Parents should be encouraged to enroll their children/wards in schools with low population and better facilities. All tiers of government and private proprietors of schools should provide conducive teaching/Iearning environment for both the teachers and students. References Council of Michigan Foundation (2008) Communicable Disease and Public Health. httn://\vww.michiuaninhrief.oru. Franklin, H & Paul F. (1976) Communicable and Infectious disease. (8Ih ed.). Sain Louis: The C.V. Moshy. National Center for Education Statistics (2002). Population dynamics of infectious disease.theory and application. USA: Chapman and Hall Olaniran, N.S Akpan, E.A., Ikpeme, E.E. and Udofia, G.A. (1995). Environment and Health, Nigeria Conservation Foundation. Lagos: Macmillan Nigeria Publishing Ltd. Willgoose, C.R. and Blank T. (1999). Environment Health commitment for survival. Toronto: W.B Sunder Company. World Health Organization (WHO) (2004). The Physical School Environment. An Essential Component of a Health-Promoting School. Information Series on School Health Document 2 http://www.who.int/schoolvouthhealth.media/en/ph\sicalschen\ ironmentpdf. Assessed 21/05/2008 139 UNIVERSITY OF IBADAN LIBRARY