Search or add a thesis

Advanced Search (Beta)
Home > An Assessment of Whether Medical Doctors Have the Knowledge That Would Enable Them to Competently Deliver Tobacco Cessation Services

An Assessment of Whether Medical Doctors Have the Knowledge That Would Enable Them to Competently Deliver Tobacco Cessation Services

Thesis Info

Author

Khamonya, Miriam Miima

Department

Family Medicine (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2014

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728036678

Similar


Background: Tobacco use is the leading cause of preventable morbidity and mortality globally. The international community recognizes this epidemic and compelling evidence exists on the significant contribution of the health care provider in propagating the success of tobacco cessation. The World Health Organization highlights minimal implementation of tobacco control policies by Tanzania despite a rise in tobacco use prevalence. Medical doctors’ competence is a reflection on our commitment to tobacco cessation service delivery. Main Objectives: To assess whether medical doctors have the knowledge that would enable them to competently deliver tobacco cessation services. Specific Objectives 1. To assess medical doctors’ core knowledge on tobacco use and it`s harmful effects. 2. To assess medical doctors’ knowledge on tobacco screening. 3. To determine medical doctors’ awareness on brief tobacco cessation advice. Design: Facility based cross-sectional study. Setting: Public and private health facilities in Dar es Salaam, Tanzania. Participants: Medical doctors in active clinical practice Site: Multicenter study from October 2013 to January 2014. Sample size: 320 medical doctors. Measurement: A 48 item validated questionnaire was used to assess whether medical doctors have the knowledge that would enable them to competently deliver tobacco cessation services; 35 items were scored and each item scored 1 point, two items were nullified because nicotine replacement therapy has not yet been legalized, while 11 items explored participant’s recommendation on tobacco. Competence was defined as an overall score above 25 (71%) of the 35 items. Results: 320 questionnaires were analyzed. Only 21 doctors (7%) attained acceptable level of competence; which was insignificant p=0.4 (significant p< 0.05) and 62 doctors (19%) reflected satisfactorily on tobacco cessation services. Conclusion: The level of acceptable knowledge for competent delivery of tobacco cessation services was low. Doctors affirm that they need further training. Enforcing sustainable ways of integrating comprehensive and evidence based tobacco education and cessation services in our local health care systems are recommended to improve competence in tobacco cessation service delivery.
Loading...
Loading...

Similar Books

Loading...

Similar Chapters

Loading...

Similar News

Loading...

Similar Articles

Loading...

Similar Article Headings

Loading...

آزاد

  آزاد

سکندر عباسی

لوگ اسے مینٹل کیس کہہ کر بلاتے تھے۔، کیونکہ اس کا مزاج کسی سے بھی نھیں ملتا تھا۔ وہ بھیڑ میں بھی تنھا رہتا تھا۔ اس کی عادتیں عجیب تھیں۔ اس کی سوچ سماجی سانچے میں ڈھل نھیں پاتی تھی۔ اس کے خیالات بنا پروں کے پرواز رکھتے تھے۔ اس کا طرز حیات عام دنیا سے ہٹ کے تھا۔ دنیا سے باغی دماغ میں وہ انیک سوالوں کے انبار لیٸے پھرتا تھا۔ اس کی سوچوں کے سمندر میں الجھے الجھے سوالات سیپیوں کی مانند چمکتے رہتے تھے جو اسے ہمہ وقت بے سکون رکھتے تھے۔ گھر والوں نے اس کا نام تو کچھ اور ہی رکھا تھا مگر وہ خود کو آزاد کہلواتا تھا۔ یہ ہی وجہ تھی کہ وہ آزاد کے نام سے بدنام تھا کیونکہ لوگ اس کا ذکر مضحکہ خیز انداز میں کرتے تھے۔

آزاد کو بے ترتیبی سے عشق تھا جسکو وہ اپنے لیٸے آ کسیجن گردانتا تھا۔ اس کو خوف تھا کہ اگر یہ بے ترتیبی اس کی زندگی سے بیدخل ہوٸی تو اس کا کی سانسوں کی ڈور ٹوٹ جاٸیگی۔ اسی باعث آزاد کی حیات کا ہر ایک صفحہ بے ترتیب اور بکھرا ہوا تھا۔ اس کے خواب بلکل ایسے معصوم تھے جیسے پرندوں کے خواب ہوتے ہیں۔ وہ قید سے کتراتا تھا، غلامی سے اسے سخت نفرت تھی ، پابندیاں اس کو پسند نھیں تھیں .

آزاد کبھی بھی استری کئے ہوئے  کپڑے نھیں پہنتا تھا ، شکن آلود کپڑے اسے زندگی کی علامت محسوس ہوتے تھے۔ وہ کبھی بالوں کو کنگھی نھیں کرتا تھا اس کے خشک اور بکھرے ہوٸے بال اس کے خیالوں کی طرح ہر قید و بند آزاد تھے۔جدید زمانے میں بھی اس کے پاس موباٸیل فون نھیں...

سنت ترکیہ کی شرعی حیثیت: ایک تحقیقی مطالعہ

Sunnat-e- Tarkia is a specific term. It refers to the deeds of Prophet Muhammad ﷺ which he willingly gave up due to certain aims of Shariah. According to Islamic Shariah, in the chapter of worship, Sunnat-e-Tarkia is as significant and compulsory worship as the other deeds and commands of Prophet Muhammadﷺ. It is not possible to follow commands and prohibitions of Muhammad ﷺ until we understand Sunnat-e-Tarkia and Sunnat-e- Fa'ilia. So, both of these are required in Islamic Shariah, none of these can be ignored. So it is necessary to elaborate the legal value of Sunnate-Tarkia in Islam.

Improving Classroom Practice Through Curriculum Enrichment

In this study I have researched the curriculum enrichment process. By enriching the curriculum I mean enhancing, deepening, improving and developing not only the syllabus but also other phases of curriculum objectives, like the teaching methodology, and the development of resources. Enriching the curriculum is a never-ending process; during the process I reflected critically on the implementation of the curriculum. The process progresses from evaluating the existing teaching practice in the classroom, to designing an effective teaching, to implementing new teaching practices and back to evaluating the revised teaching practice. I worked with one teacher from a government school in Karachi, Pakistan. My work experience has been in the government sector schools, so I believed it would be better if my personal experiences were included in developing the education system. If I enhanced my studies through research in enriching the curriculum in the government school, I would be able to develop my own context, as the focus of my research is the process of curriculum enrichment and its effects on teachers' classroom practice. Another reason for selecting a government school was that government sector teachers have been teaching mathematics using the traditional methods. Also the existing system of the assessment in schools is product-oriented examinations. Teachers have to complete the syllabus irrespective of whether they comprehend the content. On the basis of my experience as a teacher and teacher educator, I realized that teaching mathematics effectively in the classroom has been neglected, therefore mathematics curriculum needs to be enriched in such a way that students understand the problem, take interest, and solve it cognitively, not by rote memorizing. The data is qualitative in nature. I used observations of classroom teaching learning process, semi structured interviews, and pre and post conferences with the teacher. My research findings show the curriculum enrichment is a complicated interconnected process. It has a positive effect on the teacher's classroom practice. The findings also reveal significant factors, which act as barriers to curriculum enrichment factors.