Master of Philosophy (M.Phil.) Theses and Dissertations

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    Characteristics and Determinats of Shared Sanitation Among low in-come households in Ogbomosho North LGA, oyo state, Nigeria
    (Department of Community Healty, Falcuty of Clinical Science, Obafemi Awolowo University, Ile-Ife Nigeria., 2023) FAMIYESIN, Olatokunbo Wilson
    This study assessed households' perception on the cleanliness of shared sanitation in Ogbomosho North LGA, Oyo State, Nigeria; identified the challenges and factors associated with its use and maintenance; and explored the relationship among sociodemographic characteristics and faeco oral related health evidences associated with the use of shared sanitation services. These were with the view to providing information that might be useful in designing adequate sensitization on hygienic utilisation and maintenance of shared sanitation facilities among households. The study was a descriptive, cross-sectional survey that utilised mixed method of data collection. Multistage sampling technique was used to select 308 household-heads that used shared sanitation facilities. Ethical approval was obtained from the Ethics and Research Committee, Institute of Public Health, Obafemi Awolowo University and the LGA Water and Environmental department. Quantitative data were collected using a semi-structured interviewer-administered questionnaire, while the qualitative data were collected from nine household-heads who were purposively selected and interviewed using in-depth interview guide. Observational checklist was used to assess the condition of shared sanitation facilities. The quantitative data were analysed using SPSS version 24; descriptive and inferential statistics were employed. The level of significance is determined at p<0.05. The qualitative data were transcribed, coded and analysed using thematic content analysis. The mean age of household-heads was 51.8±14.1years, 78.4% of the participants were female and 95.7% of the participants used shared sanitation facility. Ninety percent had good knowledge of the health impact associated with the use of shared toilet facilities. On-site observation and the perception of participants revealed the facilities were unclean and not in good condition based on users’ attitudes and practice towards cleanliness and maintenance of those facilities. Some xxi households’ belief it’s a taboo to use toilet, since the days of their fore-fathers they’ve been defecating on dumpsites which attract the spirit of their ancestors to visit and eat those deposits at night which in-turn help household members in their endeavour. Study revealed 58.9% of households have positive attitude towards shared latrine access and utilization; sixty-four percent have negative attitude towards sanitation and health promotion and forty-three percent clean the shared toilet once a week. Attitudes toward sanitation and health promotion were found to be statistically significant with marital status (p= 0.001), house ownership (p= 0.040), and years of living in the house (p= 0.010), which implies taking ownership of the shared sanitation facility influences cleanliness and maintenance. Cleanliness satisfaction was significantly associated with their marital status (p = 0.020). Contributory factors to unhygienic conditions of shared toilets include; cultural influence, community norms, nonchalant attitude of users, ignorance and lack of monitoring. The study revealed household members were twice more likely to contract disease (OR = 1.865, CI = 0.0889–39.155) and two times more likely to get sick (OR = 1.724, CI = 0.555–5.349) if filthy shared toilets are used. Diarrhoea, cholera, malaria, and dysentery are resultant health impacts of using unhygienic shared toilets. The study concluded that poor maintenance and households’ attitude influenced the unclean condition of shared sanitation facilities and their utilization.
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    Open Access
    Gait characteristics and balance performance in hemiparetic stroke survivors.
    (Department of Medical Rehabilitation, Obafemi Awolowo University, 2010) Adebimpe Olayinka OBEMIBE
    The purpose of this study was to assess the gait characteristics [gait speed, cadence, stride length, step length, step width and foot angle] balance performance [balance confidence and functional reach distance] and walking ability of hemiparetic stroke survivors and to determine the effects of gender, type of stroke and laterality on these variables. This was carried out with a view of improving the gait and balance assessments and retraining of stroke survivors.