Substance abuse among students in selected secondary schools of an urban community of Oyo-state, South West Nigeria: implication for policy action.

Background: Substance abuse among youths is fast becoming a global Public Health concern.

Objectives: This study assessed the prevalence and factors associated with substance abuse in selected public schools in Ogbomoso, South-West Nigeria.

Methods: Cross-sectional study design and multi-stage sampling method were utilized among 249 study participants who gave informed consent/assent.

Content of antenatal care services in secondary health care facilities in Nigeria: implication for quality of maternal health care.

Objective: To assess the contents of antenatal care and to relate the findings to the adequacy of maternal health care.

Design: Cross-sectional study.

Setting: Public secondary health-care facilities.

Cost-effectiveness of screening methods for urinary schistosomiasis in a school-based control programme in Ibadan, Nigeria.

Objective: To carry out a comparative cost-effectiveness analysis of screening methods for urinary schistosomiasis; terminal haematuria, unqualified haematuria, dysuria, visual urine examination and chemical reagent strip technique, in a school-based control programme.

Design: Estimation of costs and determination of cost-effect ratios of the screening methods applied in a school-based screening and treatment programme, from the perspective of a programme manager.

Setting: A junior secondary school in Ibadan, Nigeria.

Utilization and costs of medical services at military health facilities in Ibadan, Nigeria.

The Nigerian Army introduced user charges in its health care services in 1994. This study attempts to assess possible impact of user charges on the utilization of army health services in Ibadan, Nigeria. This is a descriptive, retrospective study and it involved the review of hospital records from 1992 to 1996 in military health facilities in Ibadan.

An assessment of national need for community physician manpower in Nigeria.

This is a study of the government policy situation in all the 19 states of Nigeria in relation to the practice of community medicine in the context of primary health care and the movement for health-for-all by the year 2000, as well as the existing mechanisms for the achievement of those policies. The result of the study, which was carried out by means of mail questionnaires to all the 19 Ministries of Health (MOH) and each of the State Health Management Boards (SHMB) or Health Councils (SHC), show that only 8 of the states have actual or assumed policy for the provision of community medical officers ("Medical Officers of Health") for each of their local government areas. Only 3 states have a mechanism for operating the said policy.