School of Built Environment & Development Studies

PhD thesis explores barriers to smoking cessation among drug resistant TB patients

UKZN staff member Dr Zifikile Phindile Shangase received a PhD in Public Health for her study on the knowledge, attitudes and beliefs of drug resistant tuberculosis (DR-TB) patients with regard to smoking; the barriers to cessation among current smokers with DR-TB and hospital staff’s knowledge, attitudes, beliefs, and practices with regard to smoking.
Dr Zifikile Phindile Shangase

She received funding from UKZN’s School of Health Sciences, School of Built Environment and Development Studies and from the National Research Foundation that funded her sabbatical leave to conduct her research.

The study found that addiction-related barriers include smoking history, craving a cigarette, smoking as part of a daily routine, and failed attempts to quit. Non-addiction-related barriers include a lack of knowledge of quitting strategies, psychosocial stress, lack of willpower and peer influence.

Structural barriers include ineffective health education programmes, a lack of extramural activities while in hospital leading to excess spare time, lack of smoking cessation interventions and access to cigarettes within and around the hospital environment. ‘Patients expressed interest in smoking cessation and conveyed their frustration at the lack of appropriate support to do so,’ said Shangase.

The study also proposes a culturally relevant smoking cessation intervention model for DR-TB patients. It involves supportive environments, the adoption of effective public health policies, reorienting health services, developing personal skills and strengthening community action. Shangase hopes that the model will assist hospital staff to effectively address the issues confronting DR-TB patients.

‘There is a need for smoking cessation intervention to be incorporated as an integral component of DR-TB management in South Africa,’ said Shangase. ‘Many patients expressed an interest in Nicotine Replacement Therapy and psychological support to help them to quit smoking. Additionally, offering extramural activities and enforcing smoke-free policies in hospital facilities will help to reduce patients’ access to cigarettes.’

Some of the challenges that Shangase experienced were recruiting DR-TB patients and arranging suitable times for data collection with hospital staff. ‘Together with my research assistants, we also had to be vigilant of infection control measures at all times,’ she added.

Shangase thanked her family, friends and the power of prayer for support.

Offering advice to other researchers, she said, ‘Stay focused and enhance time management skills. Interacting and networking with established researchers who are involved in your field of study is a must.’

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Ms Zandile Msimango

Masters student lands top Project Management Job

Masters student in Community Development Ms Zandile Msimango has landed a top position in Project Management at Ilitha Research and Management Consultants. She will be responsible for research, project planning and management for some of the company’s clients, enabling her to put her skills to good use and to lay the foundation to achieve her goals.

Professor Brian Kearney and Ms Michele Jacobs with some of the drawings and work from the UKZN architecture archives that feature in The Berea Style publication.

UKZN Architecture drawings and work feature in The Berea Style

Curator of the UKZN Architecture library archives Ms Michele Jacobs and Emeritus Professor in the architecture discipline Brian Kearney recently exhibited prints of original and measured drawings of a vast array of KwaZulu-Natal buildings done by UKZN students and other architects.

From left: Mr Juan Solis (UKZN), Mr Lawrence Ogunsanya (UKZN), winner Mr Siyabonga Khuzwayo and Mr Chris Mungle (Corobrik Sales Manager, eThekwini).

UKZN students win top architectural awards

Architecture student Mr Siyabonga Khuzwayo was named winner of the Corobrik Regional Architecture Award. He received R10 000 in prize-money, with Master’s student Mr Kireshen Chetty taking the second prize of R8 000, and Mr Mthokozisi Sibisi receiving R6 000 for third place. A further R6 000 was awarded to Mr Mbuso Msipho for the innovative use of clay masonry in his building design.