Assessing the implementation of long-acting reversible contraceptive implant, Implanon NXT, roll out in East London, Eastern Cape, South Africa.
- Authors: Mdingi, Mildred Mandisa
- Date: 2020
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18452 , vital:42267
- Description: Background: In 2014, South African Department of Health (SADOH) initiated use of Implanon NXT, a type of implant in addition to long-acting reversible contraceptives available in the country to expand contraceptives options for women of reproductive age. After its introduction, there were reports on early removals and frequent side effects. It is therefore vital to identify how successful the implementation of this method was in particular in East London area. Objectives: The purpose of this study was to evaluate how successful the implementation of Implanon NXT roll out was in East London, Eastern Cape. Additionally, the study also aimed to understand the views health care providers have of the Implanon NXT. Methods: A retrospective crosssectional design using existing data from family planning registers and distribution of questionnaires to Health Care Providers responsible for insertion and removal of the method (HCP). Results: February 2014 to March 2019, 1238 Implanon NXT insertions were done and only 266 removals in one study site. Out of the 266 participants, 67.7% of the participants removed the Implanon for reasons other than ill health (side effects), while the remaining 32.3% had experienced side effects and opted for early Implanon removal. Bleeding was the most common side effect reported by 44 of 266 (16.5%) participants. The health care providers who completed questionnaires for this study were overall confident in providing the Implanon NXT services. Conclusion: Implementation of a new contraceptive method requires clear standardised policies and guidelines on counselling and management of side effects. Findings of this study are reassuring that Implanon NXT had a role to play in prevention of unintended pregnancies. Implementation and rollout in one site reviewed has been demonstrated to be successful. The respondents in this study possesses knowledge about the Implanon NXT.
- Full Text:
- Date Issued: 2020
- Authors: Mdingi, Mildred Mandisa
- Date: 2020
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18452 , vital:42267
- Description: Background: In 2014, South African Department of Health (SADOH) initiated use of Implanon NXT, a type of implant in addition to long-acting reversible contraceptives available in the country to expand contraceptives options for women of reproductive age. After its introduction, there were reports on early removals and frequent side effects. It is therefore vital to identify how successful the implementation of this method was in particular in East London area. Objectives: The purpose of this study was to evaluate how successful the implementation of Implanon NXT roll out was in East London, Eastern Cape. Additionally, the study also aimed to understand the views health care providers have of the Implanon NXT. Methods: A retrospective crosssectional design using existing data from family planning registers and distribution of questionnaires to Health Care Providers responsible for insertion and removal of the method (HCP). Results: February 2014 to March 2019, 1238 Implanon NXT insertions were done and only 266 removals in one study site. Out of the 266 participants, 67.7% of the participants removed the Implanon for reasons other than ill health (side effects), while the remaining 32.3% had experienced side effects and opted for early Implanon removal. Bleeding was the most common side effect reported by 44 of 266 (16.5%) participants. The health care providers who completed questionnaires for this study were overall confident in providing the Implanon NXT services. Conclusion: Implementation of a new contraceptive method requires clear standardised policies and guidelines on counselling and management of side effects. Findings of this study are reassuring that Implanon NXT had a role to play in prevention of unintended pregnancies. Implementation and rollout in one site reviewed has been demonstrated to be successful. The respondents in this study possesses knowledge about the Implanon NXT.
- Full Text:
- Date Issued: 2020
Contraceptive use and Sex Education among Teenagers in Mdantsane Township, Eastern Cape
- Authors: Ibikunle, Kehinde Olaoye
- Date: 2020
- Subjects: Sex instruction Primary Health Care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18411 , vital:42263
- Description: Uptake of contraceptives to prevent unwanted pregnancy among sexually active teenagers in South Africa remains low as evidenced by the high prevalence of unwanted pregnancy and unsafe abortions among adolescents. This is happening despite the wide availability of contraceptives which are also offered free of charge and in a context where comprehensive sexuality education is provided from primary school level. There is limited evidence regarding contraceptive use among teenagers in South Africa, which limits the decision making on targeting for promoting use of contraceptives. To address this gap, a quantitative cross sectional study of women aged 13 and above was conducted in Mdatsane Township to investigate the factors associated with contraceptive use among teenagers and compare this with young women aged 20 and above, as well as to assess if there are any associations in the use of contraceptives between the demographic characteristics of the teenagers and their caregivers. The study findings showed that non-use of contraceptives was 53.3%. Teenagers were significantly less likely to use contraceptives, OR 0.31, 95% CI (0.18 – 0.530), more likely to use injectables OR 3.48 95% CI 1.99 – 6.08, more likely to identify partner issues being reason for not using condoms OR 10.60, 95 % CI (2.01 – 55.94). Teenager were more likely to have Termination of unwanted pregnancy on the past (TOP), OR 2.13 95% CI (1.03 – 4.38), and would likely choose Depo/Petogen even if it increases HIV transmission OR 3.65, 95% CI (1.98 – 6.73). Teenagers were more likely to have been exposed to sex education and less likely to have a close relationship with caregivers OR 0.49 95% CI (0.27 – 0.90). In view of these findings it is logical to argue that although teenagers have accessed CSE they have not been able to translate it into action. Hence the need to develop the strategies that can help facilitate behaviour change. Further in-depth studies must be conducted to establish which types of contraceptives are preferred and acceptable to teenagers. Promote self-efficacy of teenagers to be empowered to make own decisions and not put their partners’ preferences on use of contraceptives and continue promoting primary and secondary abstinence while also encouraging delayed sexual debut
- Full Text:
- Date Issued: 2020
- Authors: Ibikunle, Kehinde Olaoye
- Date: 2020
- Subjects: Sex instruction Primary Health Care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18411 , vital:42263
- Description: Uptake of contraceptives to prevent unwanted pregnancy among sexually active teenagers in South Africa remains low as evidenced by the high prevalence of unwanted pregnancy and unsafe abortions among adolescents. This is happening despite the wide availability of contraceptives which are also offered free of charge and in a context where comprehensive sexuality education is provided from primary school level. There is limited evidence regarding contraceptive use among teenagers in South Africa, which limits the decision making on targeting for promoting use of contraceptives. To address this gap, a quantitative cross sectional study of women aged 13 and above was conducted in Mdatsane Township to investigate the factors associated with contraceptive use among teenagers and compare this with young women aged 20 and above, as well as to assess if there are any associations in the use of contraceptives between the demographic characteristics of the teenagers and their caregivers. The study findings showed that non-use of contraceptives was 53.3%. Teenagers were significantly less likely to use contraceptives, OR 0.31, 95% CI (0.18 – 0.530), more likely to use injectables OR 3.48 95% CI 1.99 – 6.08, more likely to identify partner issues being reason for not using condoms OR 10.60, 95 % CI (2.01 – 55.94). Teenager were more likely to have Termination of unwanted pregnancy on the past (TOP), OR 2.13 95% CI (1.03 – 4.38), and would likely choose Depo/Petogen even if it increases HIV transmission OR 3.65, 95% CI (1.98 – 6.73). Teenagers were more likely to have been exposed to sex education and less likely to have a close relationship with caregivers OR 0.49 95% CI (0.27 – 0.90). In view of these findings it is logical to argue that although teenagers have accessed CSE they have not been able to translate it into action. Hence the need to develop the strategies that can help facilitate behaviour change. Further in-depth studies must be conducted to establish which types of contraceptives are preferred and acceptable to teenagers. Promote self-efficacy of teenagers to be empowered to make own decisions and not put their partners’ preferences on use of contraceptives and continue promoting primary and secondary abstinence while also encouraging delayed sexual debut
- Full Text:
- Date Issued: 2020
Exploring challenges in implementing a health referral system in the Buffalo city metropolitan municipality in the Eastern Cape Province”
- Authors: Matolengwe, Aseza
- Date: 2020
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18441 , vital:42266
- Description: The purpose of the study is to explore and describe challenges experienced by health professionals regarding implementation of the referral system used in Buffalo City Metropolitan Municipality (BCMM) in the Eastern Cape Province. A referral system in health care can be defined as a method whereby a health worker with insufficient skills and less resources in the primary health care setting, who has fewer remedies or options to manage medical conditions, seeks assistance from a more senior practitioner in a tertiary setting with better resources to provide guidance in managing the patient or to take over the management of the patient (Eastern Cape Department of Health, 2007:7). A qualitative descriptive explorative contextual design was used to explore and describe the challenges pertaining to the implementation of a referral system in the public health sector in Buffalo City Metropolitan Municipality (BCMM) in the Eastern Cape. A purposive sampling technique was employed with an inclusion criteria of health care professionals who are doctors, professional nurses, pharmacists and specialists. After obtaining ethical clearance from the respective departments, steps for data collection were implemented. Individual interviews were conducted using an interview guide that was prepared by the researcher. Findings in the study indicate that there are challenges in implementing a referral system in relation to infrastructure, workforce capacity, equipment, transport and drug availability. The participants provided suggestions according to their experiences on what they felt the Department of Health in BCMM could do to strengthen the referral system in place. The researcher then provided recommendations to the Department of Health of BCMM. The health referral system in BCMM needs to be strengthened through provision of adequate infrastructure, improving workforce capacity, and availability of medicines and equipment. A monitoring and evaluation plan must be affected by the Eastern Cape Department of Health. Education and training are needed for the health care workers and the community through their involvement in stakeholder meetings
- Full Text:
- Date Issued: 2020
- Authors: Matolengwe, Aseza
- Date: 2020
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18441 , vital:42266
- Description: The purpose of the study is to explore and describe challenges experienced by health professionals regarding implementation of the referral system used in Buffalo City Metropolitan Municipality (BCMM) in the Eastern Cape Province. A referral system in health care can be defined as a method whereby a health worker with insufficient skills and less resources in the primary health care setting, who has fewer remedies or options to manage medical conditions, seeks assistance from a more senior practitioner in a tertiary setting with better resources to provide guidance in managing the patient or to take over the management of the patient (Eastern Cape Department of Health, 2007:7). A qualitative descriptive explorative contextual design was used to explore and describe the challenges pertaining to the implementation of a referral system in the public health sector in Buffalo City Metropolitan Municipality (BCMM) in the Eastern Cape. A purposive sampling technique was employed with an inclusion criteria of health care professionals who are doctors, professional nurses, pharmacists and specialists. After obtaining ethical clearance from the respective departments, steps for data collection were implemented. Individual interviews were conducted using an interview guide that was prepared by the researcher. Findings in the study indicate that there are challenges in implementing a referral system in relation to infrastructure, workforce capacity, equipment, transport and drug availability. The participants provided suggestions according to their experiences on what they felt the Department of Health in BCMM could do to strengthen the referral system in place. The researcher then provided recommendations to the Department of Health of BCMM. The health referral system in BCMM needs to be strengthened through provision of adequate infrastructure, improving workforce capacity, and availability of medicines and equipment. A monitoring and evaluation plan must be affected by the Eastern Cape Department of Health. Education and training are needed for the health care workers and the community through their involvement in stakeholder meetings
- Full Text:
- Date Issued: 2020
Indigenous Knowledge on Birthing Practices and the Use of Uterotonic Medicinal Plants to Prevent and Treat Postpartum Haemorrhage: A Mixed Methods Approach
- Authors: Kovane, Gaotswake Patience
- Date: 2020
- Subjects: Medicinal plants Uterine hemorrhage
- Language: English
- Type: Thesis , Doctoral , PhD (Nursing)
- Identifier: http://hdl.handle.net/10353/11385 , vital:39067
- Description: There is a dearth of publications on women’s use of TMPs during the perinatal period. (Nergard et al., 2015). It is recommended that “plants used by pregnant women need to be better known in order to ensure that pregnant women receive effective treatment, to identify potentially unsafe use, and also to preserve valuable information about medicinal plants for women’s reproductive health for the future” (Nergard et al., 2015). Tripathi, Stanton and Anderson (2013:16) conclude that “[f]urther research is needed on the uterotonic efficacy of traditional preparations and on interventions to address the use [of TMPs] during labour”. Gruber and O’Brien (2011:218) support the statement and argue that the search for a “novel cyclotide-producing plant…may eventually lead to the development of novel uterotonic …drugs”. Pharmacological evidence of TMPs may promote the safe use of TMPs by IKHs during birth and the postpartum period. Kaingu, Oduma and Kanui (2011:495) emphasized that TBAs still have a crucial role to play in society, by assisting labouring women in rural communities and their “knowledge on medicinal plants is equally important and should be preserved for posterity”.
- Full Text:
- Date Issued: 2020
- Authors: Kovane, Gaotswake Patience
- Date: 2020
- Subjects: Medicinal plants Uterine hemorrhage
- Language: English
- Type: Thesis , Doctoral , PhD (Nursing)
- Identifier: http://hdl.handle.net/10353/11385 , vital:39067
- Description: There is a dearth of publications on women’s use of TMPs during the perinatal period. (Nergard et al., 2015). It is recommended that “plants used by pregnant women need to be better known in order to ensure that pregnant women receive effective treatment, to identify potentially unsafe use, and also to preserve valuable information about medicinal plants for women’s reproductive health for the future” (Nergard et al., 2015). Tripathi, Stanton and Anderson (2013:16) conclude that “[f]urther research is needed on the uterotonic efficacy of traditional preparations and on interventions to address the use [of TMPs] during labour”. Gruber and O’Brien (2011:218) support the statement and argue that the search for a “novel cyclotide-producing plant…may eventually lead to the development of novel uterotonic …drugs”. Pharmacological evidence of TMPs may promote the safe use of TMPs by IKHs during birth and the postpartum period. Kaingu, Oduma and Kanui (2011:495) emphasized that TBAs still have a crucial role to play in society, by assisting labouring women in rural communities and their “knowledge on medicinal plants is equally important and should be preserved for posterity”.
- Full Text:
- Date Issued: 2020
Knowledge of drowning risks amongst adolescents in the Nelson Mandela Metropole, Eastern Cape Province, South Africa
- Authors: Isaacs, Imeraan
- Date: 2020
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18422 , vital:42264
- Description: The purpose of this research study was to explore and describe the knowledge and the level of awareness of drowning risks amongst adolescents in the Nelson Mandela Metropole, Eastern Cape Province, and South Africa. Drowning is defined as the “process of experiencing respiratory impairment from either submersion or immersion into a water medium” (van Beeck et al 2005:853). Global statistics place drowning as being the third foremost cause of unintentional death worldwide (WHO 2013). The World Health Organization reports that more than 90% of the estimated 370 000 drowning fatalities recorded in 2012 occurred in low and middle income countries (WHO 2014). A qualitative descriptive explorative contextual design was employed in this research study. A non-probability convenience sampling method was used. Adolescents aged 10- 13 years old who attend a public primary school and model C primary school in Nelson Mandela Metropole area in the Eastern Cape Province were the target population who had the specific characteristics of interest and significance to the research phenomenon (Asiamah et al 2017). Four focus group interviews were conducted. The groups consisted of five to ten participants grouped together to discuss the matter. Field notes were also taken by the researcher on what was heard, observed, thought and experienced during the interview process (Streubert & Carpenter 2007). Ethical principles were maintained as well as the concepts of trustworthiness were applied throughout this study.Data analysis was done using Tesch’s approach to open coding in qualitative research. A total of six themes and seven sub-themes arose during the analysis of the data and were completely discussed. The findings suggest that most of the participants are quite aware and knowledgeable of the potential risks that predispose an individual to drowning. The consequences of what happens when a victim is exposed to drowning, however, requires more insight. The risk of being unsupervised as well as not being able to swim was echoed in most of the group interviews. vii A noteworthy finding was the fact that the participants who were involved with some form of water safety programme/s at school were very articulate in their responses to the questions. It was recommended that educational programmes ought to be aligned with current evidence which is reflective of the region’s demographics and dynamics. Even though all researchers do not share the sentiments that swim proficiencies heighten the safety of the individual in and around water, the need for ongoing research initiatives is a significant stimulus that will generate new evidence and inform current preventive strategies. Identification and awareness of drowning risks require a foundation of comprehension in order to better understand and interpret the consequences of these risks. Learn to swim or swim orientation initiatives could potentially assist at primary school level with the safety levels of learners.
- Full Text:
- Date Issued: 2020
- Authors: Isaacs, Imeraan
- Date: 2020
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18422 , vital:42264
- Description: The purpose of this research study was to explore and describe the knowledge and the level of awareness of drowning risks amongst adolescents in the Nelson Mandela Metropole, Eastern Cape Province, and South Africa. Drowning is defined as the “process of experiencing respiratory impairment from either submersion or immersion into a water medium” (van Beeck et al 2005:853). Global statistics place drowning as being the third foremost cause of unintentional death worldwide (WHO 2013). The World Health Organization reports that more than 90% of the estimated 370 000 drowning fatalities recorded in 2012 occurred in low and middle income countries (WHO 2014). A qualitative descriptive explorative contextual design was employed in this research study. A non-probability convenience sampling method was used. Adolescents aged 10- 13 years old who attend a public primary school and model C primary school in Nelson Mandela Metropole area in the Eastern Cape Province were the target population who had the specific characteristics of interest and significance to the research phenomenon (Asiamah et al 2017). Four focus group interviews were conducted. The groups consisted of five to ten participants grouped together to discuss the matter. Field notes were also taken by the researcher on what was heard, observed, thought and experienced during the interview process (Streubert & Carpenter 2007). Ethical principles were maintained as well as the concepts of trustworthiness were applied throughout this study.Data analysis was done using Tesch’s approach to open coding in qualitative research. A total of six themes and seven sub-themes arose during the analysis of the data and were completely discussed. The findings suggest that most of the participants are quite aware and knowledgeable of the potential risks that predispose an individual to drowning. The consequences of what happens when a victim is exposed to drowning, however, requires more insight. The risk of being unsupervised as well as not being able to swim was echoed in most of the group interviews. vii A noteworthy finding was the fact that the participants who were involved with some form of water safety programme/s at school were very articulate in their responses to the questions. It was recommended that educational programmes ought to be aligned with current evidence which is reflective of the region’s demographics and dynamics. Even though all researchers do not share the sentiments that swim proficiencies heighten the safety of the individual in and around water, the need for ongoing research initiatives is a significant stimulus that will generate new evidence and inform current preventive strategies. Identification and awareness of drowning risks require a foundation of comprehension in order to better understand and interpret the consequences of these risks. Learn to swim or swim orientation initiatives could potentially assist at primary school level with the safety levels of learners.
- Full Text:
- Date Issued: 2020
Knowledge, attitudes and behaviours of food preparers regarding food preparation in East London, South Africa
- Fundam, Thembeka, van Niekerk, Firstnames
- Authors: Fundam, Thembeka , van Niekerk, Firstnames
- Date: 2020
- Subjects: Primary health care Food service management
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18400 , vital:42262
- Description: Background: Food preparers and food handlers seem to face difficulties in identifying activities that render food unsafe as a result of food contamination during food preparation. Research has shown that food preparation is a global problem and a potential health risk which can result in food-borne diseases as a result of a lack of knowledge on the principles of hygienic practices and negative attitudes when handling food. Aim: This study aims to determine the knowledge, attitudes and behaviours that motivate food preparers in safe food preparation. Method: Building on existing work in understanding this phenomenon it asks: A purposive sample of male and female participants who prepare food at home were asked to complete a questionnaire. The questionnaire items were developed through focus group interviews and after a pilot study, presented to participants to complete. The items were subjected to principal component analysis (factor analysis), yielding a six-factor solution. The factor means, standard deviations were calculated and reliability was determined for each factor using Cronbach’s alpha as a measure of internal consistency. Group differences were determined through independent samples t-tests and anova. Results: The quantitative analysis demonstrated that food preparers have a fair knowledge and perception of how to prevent contamination. However, their behaviour is various aspects of food preparation might at times put them at risk for contamination. With regards to attitude, when comparing groups, people who prepare food with love and care demonstrated a more positive attitude towards food preparation than those who are less passionate to prepare food. On this basis, hygiene education should focus on the perceived threat to health as cues to action in changing attitudes and adherence to recommendations on hygiene. Conclusion: Further research is required to solicit the views of respondents below the age of 18 with regard to food-handling practices in pre-prepared food to ascertain and prevent further contamination and ensure food safety.
- Full Text:
- Date Issued: 2020
- Authors: Fundam, Thembeka , van Niekerk, Firstnames
- Date: 2020
- Subjects: Primary health care Food service management
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/18400 , vital:42262
- Description: Background: Food preparers and food handlers seem to face difficulties in identifying activities that render food unsafe as a result of food contamination during food preparation. Research has shown that food preparation is a global problem and a potential health risk which can result in food-borne diseases as a result of a lack of knowledge on the principles of hygienic practices and negative attitudes when handling food. Aim: This study aims to determine the knowledge, attitudes and behaviours that motivate food preparers in safe food preparation. Method: Building on existing work in understanding this phenomenon it asks: A purposive sample of male and female participants who prepare food at home were asked to complete a questionnaire. The questionnaire items were developed through focus group interviews and after a pilot study, presented to participants to complete. The items were subjected to principal component analysis (factor analysis), yielding a six-factor solution. The factor means, standard deviations were calculated and reliability was determined for each factor using Cronbach’s alpha as a measure of internal consistency. Group differences were determined through independent samples t-tests and anova. Results: The quantitative analysis demonstrated that food preparers have a fair knowledge and perception of how to prevent contamination. However, their behaviour is various aspects of food preparation might at times put them at risk for contamination. With regards to attitude, when comparing groups, people who prepare food with love and care demonstrated a more positive attitude towards food preparation than those who are less passionate to prepare food. On this basis, hygiene education should focus on the perceived threat to health as cues to action in changing attitudes and adherence to recommendations on hygiene. Conclusion: Further research is required to solicit the views of respondents below the age of 18 with regard to food-handling practices in pre-prepared food to ascertain and prevent further contamination and ensure food safety.
- Full Text:
- Date Issued: 2020
Challenges of the primigravida’s in accessing antenatal care early and regularly in Buffalo city Metropolitan Municipality, Eastern Cape Province, South Africa
- Seakamela, Khomotso Precious
- Authors: Seakamela, Khomotso Precious
- Date: 2019
- Subjects: Maternal health services Prenatal care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16803 , vital:40775
- Description: According to National Department of Health (NDOH National :2015), antenatal care is free in South Africa’s public health system and nearly all pregnant women and girls attend an antenatal clinic at least once during their pregnancy. However, most pregnant women do not access antenatal care until the later stage of pregnancy. Such delays have been linked to nearly a quarter of avoidable maternal deaths in South Africa. According to World Health Organisation (WHO, 2016; 11), maternal mortality and morbidity are some of the most important global health issues facing the world today. Worldwide, approximately 1000 women die each day from pregnancy and childbirth related causes (WHO, 2016; 11). In addition, 99% of these maternal deaths occur in the developing world, with sub-Saharan Africa accounting for over half of these deaths. The international community has committed to improving maternal health by 2015 with Millennium Development Goal (MDG) number five, which aimed to reduce maternal mortality by three quarters and reach universal access to reproductive health care (www.worldbank.org/mdgs/). Even with this commitment, many countries like South Africa have failed to implement effective programs to reduce maternal mortality and morbidity, and women around the world continue to die and suffer from the complications of pregnancy and childbirth. According to NDOH (2015; 2), women who suspect that they might be pregnant should schedule a booking and visit to their clinic and begin antenatal care as soon as possible. These visits include a physical examination, which includes blood pressure checks, weight checks, providing a urine sample, testing for sexually transmitted infections and checking for tuberculosis. Depending on the stage of the pregnancy, healthcare providers may also do blood tests and examination, which includes an ultrasound. The purpose of the study was to to investigate the challenges of Primigravida’s in accessing antenatal care early and regularly in Buffalo City Metropolitan (BCM) and to assist in formulating recommendations for improving factors that are perceived as obstacles to the utilisation of antenatal care services in the BCM District. vii The study was conducted in five facilities at BCM (Dimbaza Community Health Centre, Empilweni Gompo Clinic, Moore Street Clinic, Central Clinic and Notyatyambo Clinic). BCM is one of the seven districts of Eastern Cape Province of South Africa. The seat of BCM is East London. The data was collected using cross-sectional, self-administered questionnaires that were conducted in selected health facilities of Buffalo City Metropolitan. In this study, the population consisted of primigravida’s between the ages of 18-35 who start clinic attendance in the second trimester of pregnancy at five facilities, Buffalo City Metropolitan. Findings: The biggest challenges, as expressed by the participants, were lack of money, unsuitable clinic times, work commitments, delays at clinic and family control. Most of the participants had good experiences of antenatal care. The timing of antenatal clinic attendance is not influenced by age, education, residential zone, employment status and proximity of clinic
- Full Text:
- Date Issued: 2019
- Authors: Seakamela, Khomotso Precious
- Date: 2019
- Subjects: Maternal health services Prenatal care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16803 , vital:40775
- Description: According to National Department of Health (NDOH National :2015), antenatal care is free in South Africa’s public health system and nearly all pregnant women and girls attend an antenatal clinic at least once during their pregnancy. However, most pregnant women do not access antenatal care until the later stage of pregnancy. Such delays have been linked to nearly a quarter of avoidable maternal deaths in South Africa. According to World Health Organisation (WHO, 2016; 11), maternal mortality and morbidity are some of the most important global health issues facing the world today. Worldwide, approximately 1000 women die each day from pregnancy and childbirth related causes (WHO, 2016; 11). In addition, 99% of these maternal deaths occur in the developing world, with sub-Saharan Africa accounting for over half of these deaths. The international community has committed to improving maternal health by 2015 with Millennium Development Goal (MDG) number five, which aimed to reduce maternal mortality by three quarters and reach universal access to reproductive health care (www.worldbank.org/mdgs/). Even with this commitment, many countries like South Africa have failed to implement effective programs to reduce maternal mortality and morbidity, and women around the world continue to die and suffer from the complications of pregnancy and childbirth. According to NDOH (2015; 2), women who suspect that they might be pregnant should schedule a booking and visit to their clinic and begin antenatal care as soon as possible. These visits include a physical examination, which includes blood pressure checks, weight checks, providing a urine sample, testing for sexually transmitted infections and checking for tuberculosis. Depending on the stage of the pregnancy, healthcare providers may also do blood tests and examination, which includes an ultrasound. The purpose of the study was to to investigate the challenges of Primigravida’s in accessing antenatal care early and regularly in Buffalo City Metropolitan (BCM) and to assist in formulating recommendations for improving factors that are perceived as obstacles to the utilisation of antenatal care services in the BCM District. vii The study was conducted in five facilities at BCM (Dimbaza Community Health Centre, Empilweni Gompo Clinic, Moore Street Clinic, Central Clinic and Notyatyambo Clinic). BCM is one of the seven districts of Eastern Cape Province of South Africa. The seat of BCM is East London. The data was collected using cross-sectional, self-administered questionnaires that were conducted in selected health facilities of Buffalo City Metropolitan. In this study, the population consisted of primigravida’s between the ages of 18-35 who start clinic attendance in the second trimester of pregnancy at five facilities, Buffalo City Metropolitan. Findings: The biggest challenges, as expressed by the participants, were lack of money, unsuitable clinic times, work commitments, delays at clinic and family control. Most of the participants had good experiences of antenatal care. The timing of antenatal clinic attendance is not influenced by age, education, residential zone, employment status and proximity of clinic
- Full Text:
- Date Issued: 2019
Competencies of Qualified Primary Health Care professional nurses in Assessing, Diagnosing and Managing clients in health facilities in Buffalo City Metro”
- Authors: Falati, Patience Yoliswa
- Date: 2019
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters/Doctoral , MPH
- Identifier: http://hdl.handle.net/10353/16716 , vital:40766
- Description: The study investigated the competencies of qualified PHC professional nurses in assessing, diagnosing and managing clients in the facilities. Aim: The study aimed to explain the competences of qualified PHC professional nurses in assessing, diagnosing and managing clients in the facilities. The research study followed a descriptive and qualitative design. Data was collected from qualified PHC professional nurses in 79 clinics (both urban and rural), 4CHC’s and 4 hospital casualties. A structured questionnaire with closed ended questions was used. Data analysis was done by means of descriptive statistics. The study showed that the overall percentage of 90% denotes that these PHC professional nurses are competent in all the aspects of competences. Assessing competences of qualified PHC professional nurses in assessing, diagnosing and managing clients in the facilities is of vital importance for quality health care/ improving service delivery and client satisfaction. Recommendation were made to influence the implementation of policies and guidelines for quality service delivery
- Full Text:
- Date Issued: 2019
- Authors: Falati, Patience Yoliswa
- Date: 2019
- Subjects: Primary health care
- Language: English
- Type: Thesis , Masters/Doctoral , MPH
- Identifier: http://hdl.handle.net/10353/16716 , vital:40766
- Description: The study investigated the competencies of qualified PHC professional nurses in assessing, diagnosing and managing clients in the facilities. Aim: The study aimed to explain the competences of qualified PHC professional nurses in assessing, diagnosing and managing clients in the facilities. The research study followed a descriptive and qualitative design. Data was collected from qualified PHC professional nurses in 79 clinics (both urban and rural), 4CHC’s and 4 hospital casualties. A structured questionnaire with closed ended questions was used. Data analysis was done by means of descriptive statistics. The study showed that the overall percentage of 90% denotes that these PHC professional nurses are competent in all the aspects of competences. Assessing competences of qualified PHC professional nurses in assessing, diagnosing and managing clients in the facilities is of vital importance for quality health care/ improving service delivery and client satisfaction. Recommendation were made to influence the implementation of policies and guidelines for quality service delivery
- Full Text:
- Date Issued: 2019
Efficacy, acceptability and feasibility of mhealth technology in promoting adherence to anti-diabetic therapy and glycaemic control among diabetic patients in Eastern Cape, South Africa”
- Authors: Owolabi, Eyitayo Omolara
- Date: 2019
- Subjects: Diabetes
- Language: English
- Type: Thesis , Doctoral , PhD (Nursing)
- Identifier: http://hdl.handle.net/10353/16792 , vital:40774
- Description: Background: Diabetes mellitus is a disease of a significant public health concern and a leading cause of death and disability worldwide. In Africa, South Africa ranks second among countries with the highest burden of diabetes, and with a poor level of glycaemic control. mHealth technology is an innovative and cost-effective measure of promoting health and the use of text messaging for fostering health is evolving. In South Africa, there is hardly any study involving the use of mobile health technology, including text messaging for promoting health among diabetic patients. Purpose: The aim of this study was to determine the efficacy, feasibility and acceptability of mHealth in promoting adherence and glycaemic control among diabetic patients in resource-poor settings of the Eastern Cape Province of South Africa. Also, the study assessed the impact of text messaging on knowledge, selfmanagement behaviour, self-efficacy and health-related quality of life. Methodology: The study adopted a multi-centre, two-arm, parallel, randomised controlled trial design. Participants were randomly assigned to the intervention (n=108) and control arm (n=108). Participants’ socio-demographic information was obtained using the widely validated WHO STEPwise questionnaire, and a selfdeveloped questionnaire, including previously validated measurement scales were used to obtain information on adherence, self-management behaviour, self-efficacy and health-related quality of life. Participants in the intervention arm received daily text messages related to diabetes management and care for six months. Data were collected at baseline and six months post-intervention. Blood glucose, blood pressure and anthropometric measurements followed standard procedure. Mixed-model analysis was used to assess the impact of the SMS on random blood glucose while xi | P a g e linear and bivariate logistic regression were used to assess for effect on other clinical outcomes. Results: The mean age of the participants was 60.64 (SD± 11.58) years. The majority of the study participants had secondary level of education (95.3%) and earned 1500 to 14200 Rand per month (67.7%). For both the intervention and the control group, majority never used tobacco (98.10% vs 94.40%) or alcohol (88.00% vs 87.00%). Both arms of the study showed improvement in the primary outcome (blood glucose level), with no significant difference, the mean adjusted difference in blood glucose from baseline to six months post-intervention was 0.26 (-0.81 to 1.32), p=0.634. Also, the intervention did not have a significant effect on the secondary outcomes (knowledge, medication adherence, dietary adherence, adherence to physical activity, healthrelated quality of life, self-management behaviour and diabetes distress). Similarly, the intervention did not have any significant effect on secondary clinical outcomes such as weight (p=0.654), body mass index (p=0.439), systolic (p=0.610) and diastolic blood pressure (p=0.535). An overwhelming majority of the participants (90.74%) were pleased with the intervention and felt it was helpful. Of those who took part in the intervention, 91% completed the follow-up study after six months. Conclusion: The use of SMS is a highly acceptable and feasible adjunct to standard clinical care in the promotion of health among diabetic patients in this study setting. Although there was a little improvement, the efficacy of a unidirectional text messaging in promoting health outcomes in this study setting is still doubt
- Full Text:
- Date Issued: 2019
- Authors: Owolabi, Eyitayo Omolara
- Date: 2019
- Subjects: Diabetes
- Language: English
- Type: Thesis , Doctoral , PhD (Nursing)
- Identifier: http://hdl.handle.net/10353/16792 , vital:40774
- Description: Background: Diabetes mellitus is a disease of a significant public health concern and a leading cause of death and disability worldwide. In Africa, South Africa ranks second among countries with the highest burden of diabetes, and with a poor level of glycaemic control. mHealth technology is an innovative and cost-effective measure of promoting health and the use of text messaging for fostering health is evolving. In South Africa, there is hardly any study involving the use of mobile health technology, including text messaging for promoting health among diabetic patients. Purpose: The aim of this study was to determine the efficacy, feasibility and acceptability of mHealth in promoting adherence and glycaemic control among diabetic patients in resource-poor settings of the Eastern Cape Province of South Africa. Also, the study assessed the impact of text messaging on knowledge, selfmanagement behaviour, self-efficacy and health-related quality of life. Methodology: The study adopted a multi-centre, two-arm, parallel, randomised controlled trial design. Participants were randomly assigned to the intervention (n=108) and control arm (n=108). Participants’ socio-demographic information was obtained using the widely validated WHO STEPwise questionnaire, and a selfdeveloped questionnaire, including previously validated measurement scales were used to obtain information on adherence, self-management behaviour, self-efficacy and health-related quality of life. Participants in the intervention arm received daily text messages related to diabetes management and care for six months. Data were collected at baseline and six months post-intervention. Blood glucose, blood pressure and anthropometric measurements followed standard procedure. Mixed-model analysis was used to assess the impact of the SMS on random blood glucose while xi | P a g e linear and bivariate logistic regression were used to assess for effect on other clinical outcomes. Results: The mean age of the participants was 60.64 (SD± 11.58) years. The majority of the study participants had secondary level of education (95.3%) and earned 1500 to 14200 Rand per month (67.7%). For both the intervention and the control group, majority never used tobacco (98.10% vs 94.40%) or alcohol (88.00% vs 87.00%). Both arms of the study showed improvement in the primary outcome (blood glucose level), with no significant difference, the mean adjusted difference in blood glucose from baseline to six months post-intervention was 0.26 (-0.81 to 1.32), p=0.634. Also, the intervention did not have a significant effect on the secondary outcomes (knowledge, medication adherence, dietary adherence, adherence to physical activity, healthrelated quality of life, self-management behaviour and diabetes distress). Similarly, the intervention did not have any significant effect on secondary clinical outcomes such as weight (p=0.654), body mass index (p=0.439), systolic (p=0.610) and diastolic blood pressure (p=0.535). An overwhelming majority of the participants (90.74%) were pleased with the intervention and felt it was helpful. Of those who took part in the intervention, 91% completed the follow-up study after six months. Conclusion: The use of SMS is a highly acceptable and feasible adjunct to standard clinical care in the promotion of health among diabetic patients in this study setting. Although there was a little improvement, the efficacy of a unidirectional text messaging in promoting health outcomes in this study setting is still doubt
- Full Text:
- Date Issued: 2019
experiences of female sex workers in Buffalo City Metropolitan Municipality, Eastern Cape
- Authors: Gcina, Boniswa Letticia
- Date: 2019
- Subjects: Prostitutes
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16730 , vital:40768
- Description: The phenomenon of female sex workers in South Africa is yet to be understood from both the cultural and legal perspectives. This gap leads to various challenges experienced by female sex workers in the country. The purpose of this study was to explore the experiences of female sex workers in Buffalo City Metropolitan, Eastern Cape Province. A descriptive phenomenological design was used to gain in-depth understanding and knowledge on the experiences of female sex workers’ in reality and social context. The study targeted female sex workers aged between 18-49 years for interviews. Purposive sampling technique was used to recruit female sex workers and four focus groups of five members in each group were interviewed to collect data. Due to the sensitivity of the research topic, ethical approvals were sought and granted by University of Fort Hare Research Ethics Committee and the Eastern Cape Department of Health. Further, informed consent was obtained from study participants before data collection begun. Data analysis was done by using Tesch’ method steps. The findings indicated that in Buffalo City Metropolitan the female sex workers were experiencing human rights violation, stigma and discrimination, they were at risk of contracting HIV due to the nature of their work, and they were at risk of being in conflict with the law due to the nature of sex work in South Africa. The study recommends on the decriminalization of sex work in order to decrease rate of violence, rape and exploitation of female sex workers; the closure of all Illegal brothels as they promote drugs and substance abuse among this vulnerable group; and provision of counselling sessions for female sex workers by the Department of Social Welfare. The study concludes that peer educators training and embarking on campaigns in the community, media and social networks to promote ‘Anti-violence against sex workers’ is necessary. Therefore, the female sex workers need to be protected by police from any form of abuse and violence by the community, clients and pimps. This can address the psychological stress displayed by female sex workers in the studydomain
- Full Text:
- Date Issued: 2019
- Authors: Gcina, Boniswa Letticia
- Date: 2019
- Subjects: Prostitutes
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16730 , vital:40768
- Description: The phenomenon of female sex workers in South Africa is yet to be understood from both the cultural and legal perspectives. This gap leads to various challenges experienced by female sex workers in the country. The purpose of this study was to explore the experiences of female sex workers in Buffalo City Metropolitan, Eastern Cape Province. A descriptive phenomenological design was used to gain in-depth understanding and knowledge on the experiences of female sex workers’ in reality and social context. The study targeted female sex workers aged between 18-49 years for interviews. Purposive sampling technique was used to recruit female sex workers and four focus groups of five members in each group were interviewed to collect data. Due to the sensitivity of the research topic, ethical approvals were sought and granted by University of Fort Hare Research Ethics Committee and the Eastern Cape Department of Health. Further, informed consent was obtained from study participants before data collection begun. Data analysis was done by using Tesch’ method steps. The findings indicated that in Buffalo City Metropolitan the female sex workers were experiencing human rights violation, stigma and discrimination, they were at risk of contracting HIV due to the nature of their work, and they were at risk of being in conflict with the law due to the nature of sex work in South Africa. The study recommends on the decriminalization of sex work in order to decrease rate of violence, rape and exploitation of female sex workers; the closure of all Illegal brothels as they promote drugs and substance abuse among this vulnerable group; and provision of counselling sessions for female sex workers by the Department of Social Welfare. The study concludes that peer educators training and embarking on campaigns in the community, media and social networks to promote ‘Anti-violence against sex workers’ is necessary. Therefore, the female sex workers need to be protected by police from any form of abuse and violence by the community, clients and pimps. This can address the psychological stress displayed by female sex workers in the studydomain
- Full Text:
- Date Issued: 2019
Factors affecting female condom use in Buffalo City Metropolitan, Eastern Cape, South Africa
- Authors: Bunu, Nosipho
- Date: 2019
- Subjects: Condom use -- South Africa Sexually transmitted diseases
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/12959 , vital:39411
- Description: Introduction: The female condom was introduced so many years after the male condom was introduced as an additional intervention to prevent sexually transmitted diseases and HIV/AIDS. The purpose of the study was to explore and describe the factors affecting female condom use in Buffalo City Metropolitan, Eastern Cape. Method: Quantitative descriptive and contextual research designs were used to enable the researcher to gain knowledge and insights on female condom use. The population of the study was sexually active women between ages of 15-49 years, living in Reeston community of Buffalo City Municipality in the Eastern Cape Province. Convenient sampling was used to recruit the respondents with 599-sample size and data was collected using questionnaires. Ethical considerations were considered throughout the study. Data was analysed using Statistical Package for the Social Sciences (SPSS version 22) and summarised using tables, graphs and descriptive statistics. Results: The findings of the study were minimal use of female condom because of poor marketing strategies towards female condoms despite the government intervention. The attitude of sexually active women towards female condom was positive, but minimal knowledge, inaccessibility and unavailability of female condoms hinder its use. Conclusion and Recommendation: The study recommended health education through campaigns and counselling about female condom use and their benefits to all age groups of women who are sexually active. The government and stakeholders should promote the condom uptake, accessibility and availability in every public place. Department of Health, Education should have empowered the community at large on how to promote female condom use and improve the distribution of both male/ female condoms to schools and public place.
- Full Text:
- Date Issued: 2019
- Authors: Bunu, Nosipho
- Date: 2019
- Subjects: Condom use -- South Africa Sexually transmitted diseases
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/12959 , vital:39411
- Description: Introduction: The female condom was introduced so many years after the male condom was introduced as an additional intervention to prevent sexually transmitted diseases and HIV/AIDS. The purpose of the study was to explore and describe the factors affecting female condom use in Buffalo City Metropolitan, Eastern Cape. Method: Quantitative descriptive and contextual research designs were used to enable the researcher to gain knowledge and insights on female condom use. The population of the study was sexually active women between ages of 15-49 years, living in Reeston community of Buffalo City Municipality in the Eastern Cape Province. Convenient sampling was used to recruit the respondents with 599-sample size and data was collected using questionnaires. Ethical considerations were considered throughout the study. Data was analysed using Statistical Package for the Social Sciences (SPSS version 22) and summarised using tables, graphs and descriptive statistics. Results: The findings of the study were minimal use of female condom because of poor marketing strategies towards female condoms despite the government intervention. The attitude of sexually active women towards female condom was positive, but minimal knowledge, inaccessibility and unavailability of female condoms hinder its use. Conclusion and Recommendation: The study recommended health education through campaigns and counselling about female condom use and their benefits to all age groups of women who are sexually active. The government and stakeholders should promote the condom uptake, accessibility and availability in every public place. Department of Health, Education should have empowered the community at large on how to promote female condom use and improve the distribution of both male/ female condoms to schools and public place.
- Full Text:
- Date Issued: 2019
Resilience towards adverse childhood experiences among public secondary school students in Alice, South Africa
- Authors: Obisesan , Matthew Tobiloba
- Date: 2019
- Subjects: Child development Child psychology
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16769 , vital:40772
- Description: Adverse childhood experiences (ACEs) are of great concerns in public health. They are traumatic experiences that occur during childhood. ACEs include various forms of abuse and maltreatment which can be emotional, physical, verbal and sexual, different degrees of household dysfunction such as growing up with substance abuse like drugs and alcohol, witnessing domestic violence, mental illnesses, crime in the home and parental disharmony. Although childhood adversities and traumatic experiences occur before the individual is 18 years of age, the effects of such experiences can last a lifetime causing mental and chronic medical illnesses. Resilience is perceived as an antidote to the detrimental effect of ACEs. It is a situation in which an individual displays a high level of effectiveness after a significant misfortune or adversity. This study was conducted to assess the level of resilience towards adverse childhood experiences among public secondary school children in Alice. Data were collected with the aid of a wellstructured questionnaire from 418 public high school students using Convenience sampling method. Factors influencing resilience among the learners were examined. Consequently, the data collected were analyzed using descriptive statistics and ordered logit regression model. From the results, it is observed that the majority of the learners live with their grandparents and the most prevalent form of ACEs is emotional abuse, followed by sexual abuse while community violence is the least common childhood adversity. This study further reveals that some of the respondents experienced more than one form of adverse childhood experience. In addition, irrespective of what the students have been through, they are largely observed to be resilient. Analysis from the ordered logit regression model shows that age, class in school, gender, religion, race and who the student lives with are significantly related to resilience. The study, therefore, recommends a functional counseling unit in the schools while student-teacher relationship must be encouraged
- Full Text:
- Date Issued: 2019
- Authors: Obisesan , Matthew Tobiloba
- Date: 2019
- Subjects: Child development Child psychology
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16769 , vital:40772
- Description: Adverse childhood experiences (ACEs) are of great concerns in public health. They are traumatic experiences that occur during childhood. ACEs include various forms of abuse and maltreatment which can be emotional, physical, verbal and sexual, different degrees of household dysfunction such as growing up with substance abuse like drugs and alcohol, witnessing domestic violence, mental illnesses, crime in the home and parental disharmony. Although childhood adversities and traumatic experiences occur before the individual is 18 years of age, the effects of such experiences can last a lifetime causing mental and chronic medical illnesses. Resilience is perceived as an antidote to the detrimental effect of ACEs. It is a situation in which an individual displays a high level of effectiveness after a significant misfortune or adversity. This study was conducted to assess the level of resilience towards adverse childhood experiences among public secondary school children in Alice. Data were collected with the aid of a wellstructured questionnaire from 418 public high school students using Convenience sampling method. Factors influencing resilience among the learners were examined. Consequently, the data collected were analyzed using descriptive statistics and ordered logit regression model. From the results, it is observed that the majority of the learners live with their grandparents and the most prevalent form of ACEs is emotional abuse, followed by sexual abuse while community violence is the least common childhood adversity. This study further reveals that some of the respondents experienced more than one form of adverse childhood experience. In addition, irrespective of what the students have been through, they are largely observed to be resilient. Analysis from the ordered logit regression model shows that age, class in school, gender, religion, race and who the student lives with are significantly related to resilience. The study, therefore, recommends a functional counseling unit in the schools while student-teacher relationship must be encouraged
- Full Text:
- Date Issued: 2019
Role of Nurse Managers in Ensuring Client Satisfaction within the Primary Health Care Clinics in Buffalo City Health District
- Authors: Yiba,Theodora Nomboniso
- Date: 2019
- Subjects: Primary health care Nurse administrators
- Language: English
- Type: Thesis , Masters , M. CUR
- Identifier: http://hdl.handle.net/10353/16825 , vital:40777
- Description: In Primary Health Care system there are different categories of nurses that have different roles to play within their facilities, such as registered nurses, enrolled nurses and enrolled nursing assistants, operational managers at functional level within the Primary Health Care Clinics and also overall supervisors. The study focus was on operational managers as they are the key role players in quality client care within Primary health Care clinics, King William’s Town in Buffalo City Health District in Eastern Cape Province. The aim of the study was to describe the role of nurse managers in ensuring client satisfaction within the Primary Health Care Clinics at Buffalo City Health District in order to ensure effectiveness of Health Core Standards. The research questions were: The research questions that was addressed in this study Main question: “What is the role of nurse managers in ensuring client satisfaction within Primary Health Care Clinics at Buffalo City Health District?” Sub questions: How do you ensure client safety in your facility? How do you monitor client waiting time in your facility? What strategies can assist in the improvement of client satisfaction in Primary Health care clinics? The objectives were to explore and describe role of nurse managers in ensuring client satisfaction regarding safety within the Primary health Care clinics in Buffalo City Heath District, explore and describe role of nurse managers in client satisfaction about waiting time within Primary Health Care Clinics and to recommend strategies to improve client satisfaction within the Primary Health Care clinics in order to improve client satisfaction. A descriptive, explorative, qualitative, contextual design was used to describe and explore the role of operational manager in ensuring client satisfaction regarding client safety and waiting time within Primary Health Care Clinics. Purposive sampling method was used to select seven operational managers. Six operational managers participated in the study as one of them was bereaved during the interview period. One on one interviews with operational managers was used to collect the data. Data was collected until it reached saturation. Data collected was analyzed using Tesch’s steps of data analysis for qualitative research. vi The results were that the operational managers are performing their roles, but find it difficult to fully satisfy clients as they experience some roles’ related challenges in ensuring client satisfactory services. Related roles’ challenges were unavailability of enough nursing staff to cover all the programmes due to shortage of staff, poor infrastructure in some of the clinics, lack of support and appreciation from some of their supervisors, absenteeism of staff that negatively affect operational manager’s planning and organisation role, failure to deliver medication in time. They recommended some strategies regarding improvement of client satisfaction within the Primary Health Care clinics. The recommendations were, the department of health to fill in nurses and staff vacant posts, facilitation of prompt delivery of medication to Primary Health Care Clinics, the department to attend to poor infrastructure, District office to consider staff satisfactory survey, commitment of clinic supervisors in their monthly visits and the study findings be used when conducting further studies related to ensuring client satisfaction regarding safety and waiting time
- Full Text:
- Date Issued: 2019
- Authors: Yiba,Theodora Nomboniso
- Date: 2019
- Subjects: Primary health care Nurse administrators
- Language: English
- Type: Thesis , Masters , M. CUR
- Identifier: http://hdl.handle.net/10353/16825 , vital:40777
- Description: In Primary Health Care system there are different categories of nurses that have different roles to play within their facilities, such as registered nurses, enrolled nurses and enrolled nursing assistants, operational managers at functional level within the Primary Health Care Clinics and also overall supervisors. The study focus was on operational managers as they are the key role players in quality client care within Primary health Care clinics, King William’s Town in Buffalo City Health District in Eastern Cape Province. The aim of the study was to describe the role of nurse managers in ensuring client satisfaction within the Primary Health Care Clinics at Buffalo City Health District in order to ensure effectiveness of Health Core Standards. The research questions were: The research questions that was addressed in this study Main question: “What is the role of nurse managers in ensuring client satisfaction within Primary Health Care Clinics at Buffalo City Health District?” Sub questions: How do you ensure client safety in your facility? How do you monitor client waiting time in your facility? What strategies can assist in the improvement of client satisfaction in Primary Health care clinics? The objectives were to explore and describe role of nurse managers in ensuring client satisfaction regarding safety within the Primary health Care clinics in Buffalo City Heath District, explore and describe role of nurse managers in client satisfaction about waiting time within Primary Health Care Clinics and to recommend strategies to improve client satisfaction within the Primary Health Care clinics in order to improve client satisfaction. A descriptive, explorative, qualitative, contextual design was used to describe and explore the role of operational manager in ensuring client satisfaction regarding client safety and waiting time within Primary Health Care Clinics. Purposive sampling method was used to select seven operational managers. Six operational managers participated in the study as one of them was bereaved during the interview period. One on one interviews with operational managers was used to collect the data. Data was collected until it reached saturation. Data collected was analyzed using Tesch’s steps of data analysis for qualitative research. vi The results were that the operational managers are performing their roles, but find it difficult to fully satisfy clients as they experience some roles’ related challenges in ensuring client satisfactory services. Related roles’ challenges were unavailability of enough nursing staff to cover all the programmes due to shortage of staff, poor infrastructure in some of the clinics, lack of support and appreciation from some of their supervisors, absenteeism of staff that negatively affect operational manager’s planning and organisation role, failure to deliver medication in time. They recommended some strategies regarding improvement of client satisfaction within the Primary Health Care clinics. The recommendations were, the department of health to fill in nurses and staff vacant posts, facilitation of prompt delivery of medication to Primary Health Care Clinics, the department to attend to poor infrastructure, District office to consider staff satisfactory survey, commitment of clinic supervisors in their monthly visits and the study findings be used when conducting further studies related to ensuring client satisfaction regarding safety and waiting time
- Full Text:
- Date Issued: 2019
Short regimen in the management of multi drug resistant tuberculosis in Buffalo City Metropolitan, Eastern Cape, South Africa
- Somfongo, Nomawethu Constance
- Authors: Somfongo, Nomawethu Constance
- Date: 2019
- Subjects: Tuberculosis Disease management
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16814 , vital:40776
- Description: Tuberculosis is an epidemic disease which is regarded as the tenth leading cause of death in the world (World Health Organization, 2014). New 580 000 cases of multidrug resistant tuberculosis have been reported by WHO (2014). Patients diagnosed with rifampicin/multi-drug resistant tuberculosis were usually treated for 18-24 months if they convert within the designated period of 4-6 months. Several trials were conducted in other countries like Burundi, Cameroon, Central African Republic, etc. on the use of short regimen of 9-12 months. Short regimen was introduced in January 2017 in South Africa and it has not been evaluated for its effectiveness in Buffalo City Metropolitan, South Africa. This study was conducted to examine RR/MDR TB outcomes following the introduction of a short regimen and the outcomes were based on the set target of 50% MDR TB success rate and 5.4% TB client lost to follow up rate as per the Annual Performance Plan (APP) of 2017/18. The conversion rate was also examined though the target was not set in APP. A retrospective study using a descriptive design was used to collect data at Nkqubela TB and Duncan Village Day hospitals which are in Buffalo City Metropolitan. The population of the study were all records of patients diagnosed, registered and initiated on rifampicin/multi-drug resistant TB in a short regimen in Nkqubela TB Hospital and Duncan Village Day Hospital between January 2017 and July 2017. All 118 patient records that met the inclusion criteria were enrolled in the study therefore convenience sampling was used. Ethical approval was obtained from the University of Fort Hare (ethical clearance number: MUP101SSOM01). Approval to conduct the study was also approved by the Eastern Cape Department of Health Ethics, BCM Health District Manager and two public hospitals. Two research assistants and one data capture signed oath of confidentiality prior data extraction. Unique codes were used to ensure anonymity and privacy and all data was treated in a confidential manner. Data was collected using a self-designed structured questionnaire which was tested for validity and reliability through pilot study. Data analysis was done by a statistician using Statistical Packages for Social Sciences version 24. RR/MDR TB outcomes of participants who were initiated on short regimen between January and July 2017 were examined between January and July 2018 at the end of 12 months. Findings showed that the majority of the affected age group was between the ages of 36-45 years in both genders (34.7%) with males (n=71) being highly affected than females (n=47). Bisho/King William’s Town sub-district was the most affected in Buffalo City Metropolitan (n=61). The majority of participants that were affected were the Africans (98.3%), unemployed (51.7%), people living with HIV/AIDS (62.7%) and those previously treated for TB (57.6%). Records revealed that participants living with HIV had a mean CD4 count of 194.5 and 202.4 and mean viral load of 203183.0 and 651888.7. Smokers and alcohol users were higher in males (20.3% and 16.9% respectively) than in females (2.5% and 5.1% respectively). Two patient records were missing and other four patient records were incompletely recorded to determine data on smoking and alcohol consumption. Findings revealed a smear conversion rate of 68.5% excluding 47 participants who had negative baseline smear results and one participant who had extra-pulmonary TB. Twenty one percent of the participants did not have consecutive smear results during the intensive phase. TB client lost to follow up rate was 13.5% (n=16) and 10 of all TB clients lost to follow up interrupted treatment for ≥5 months. Eleven TB clients lost to follow up were from Buffalo City Municipality Metropolitan. TB client lost to follow up was high in males (n=13). Rifampicin/multidrug resistant TB treatment success rate was 72.9% with mean response to treatment of 17.2 weeks. Weight (p0.005 and CI 2.750, 15.189) and body mass index (p0.004 and CI 1.232, 6.242) as well as duration of treatment interruption (p0.000 and CI -14.785, -8. 644) and duration of treatment (p0.001 and CI -65.385, -16.403) were statistically significant to treatment success. Based on these findings, it is therefore concluded that short regimen is effective in the management of RR/MDR TB despite high TB client lost to follow up rate. Decentralisation of drug resistant TB management; primary health care reengineering; use of NIMDR-trained nurses; tracing of TB interrupters; HIV management; electronic patient management system and review of how EDR register works; proper record keeping and proper recording; extensive and ongoing counselling, patient support, health education and patient monitoring; and political involvement; is recommended. Further research is recommended to identify patient and service related factors that affect TB treatment outcomes.
- Full Text:
- Date Issued: 2019
- Authors: Somfongo, Nomawethu Constance
- Date: 2019
- Subjects: Tuberculosis Disease management
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16814 , vital:40776
- Description: Tuberculosis is an epidemic disease which is regarded as the tenth leading cause of death in the world (World Health Organization, 2014). New 580 000 cases of multidrug resistant tuberculosis have been reported by WHO (2014). Patients diagnosed with rifampicin/multi-drug resistant tuberculosis were usually treated for 18-24 months if they convert within the designated period of 4-6 months. Several trials were conducted in other countries like Burundi, Cameroon, Central African Republic, etc. on the use of short regimen of 9-12 months. Short regimen was introduced in January 2017 in South Africa and it has not been evaluated for its effectiveness in Buffalo City Metropolitan, South Africa. This study was conducted to examine RR/MDR TB outcomes following the introduction of a short regimen and the outcomes were based on the set target of 50% MDR TB success rate and 5.4% TB client lost to follow up rate as per the Annual Performance Plan (APP) of 2017/18. The conversion rate was also examined though the target was not set in APP. A retrospective study using a descriptive design was used to collect data at Nkqubela TB and Duncan Village Day hospitals which are in Buffalo City Metropolitan. The population of the study were all records of patients diagnosed, registered and initiated on rifampicin/multi-drug resistant TB in a short regimen in Nkqubela TB Hospital and Duncan Village Day Hospital between January 2017 and July 2017. All 118 patient records that met the inclusion criteria were enrolled in the study therefore convenience sampling was used. Ethical approval was obtained from the University of Fort Hare (ethical clearance number: MUP101SSOM01). Approval to conduct the study was also approved by the Eastern Cape Department of Health Ethics, BCM Health District Manager and two public hospitals. Two research assistants and one data capture signed oath of confidentiality prior data extraction. Unique codes were used to ensure anonymity and privacy and all data was treated in a confidential manner. Data was collected using a self-designed structured questionnaire which was tested for validity and reliability through pilot study. Data analysis was done by a statistician using Statistical Packages for Social Sciences version 24. RR/MDR TB outcomes of participants who were initiated on short regimen between January and July 2017 were examined between January and July 2018 at the end of 12 months. Findings showed that the majority of the affected age group was between the ages of 36-45 years in both genders (34.7%) with males (n=71) being highly affected than females (n=47). Bisho/King William’s Town sub-district was the most affected in Buffalo City Metropolitan (n=61). The majority of participants that were affected were the Africans (98.3%), unemployed (51.7%), people living with HIV/AIDS (62.7%) and those previously treated for TB (57.6%). Records revealed that participants living with HIV had a mean CD4 count of 194.5 and 202.4 and mean viral load of 203183.0 and 651888.7. Smokers and alcohol users were higher in males (20.3% and 16.9% respectively) than in females (2.5% and 5.1% respectively). Two patient records were missing and other four patient records were incompletely recorded to determine data on smoking and alcohol consumption. Findings revealed a smear conversion rate of 68.5% excluding 47 participants who had negative baseline smear results and one participant who had extra-pulmonary TB. Twenty one percent of the participants did not have consecutive smear results during the intensive phase. TB client lost to follow up rate was 13.5% (n=16) and 10 of all TB clients lost to follow up interrupted treatment for ≥5 months. Eleven TB clients lost to follow up were from Buffalo City Municipality Metropolitan. TB client lost to follow up was high in males (n=13). Rifampicin/multidrug resistant TB treatment success rate was 72.9% with mean response to treatment of 17.2 weeks. Weight (p0.005 and CI 2.750, 15.189) and body mass index (p0.004 and CI 1.232, 6.242) as well as duration of treatment interruption (p0.000 and CI -14.785, -8. 644) and duration of treatment (p0.001 and CI -65.385, -16.403) were statistically significant to treatment success. Based on these findings, it is therefore concluded that short regimen is effective in the management of RR/MDR TB despite high TB client lost to follow up rate. Decentralisation of drug resistant TB management; primary health care reengineering; use of NIMDR-trained nurses; tracing of TB interrupters; HIV management; electronic patient management system and review of how EDR register works; proper record keeping and proper recording; extensive and ongoing counselling, patient support, health education and patient monitoring; and political involvement; is recommended. Further research is recommended to identify patient and service related factors that affect TB treatment outcomes.
- Full Text:
- Date Issued: 2019
Substance abuse effects on academic performance and professional behaviour of public nursing college students in the Eastern Cape, South Africa
- Authors: Madikizela, Zoleka
- Date: 2019
- Subjects: Substance abuse -- South Africa -- Eastern Cape Nursing students -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/11407 , vital:39069
- Description: The purpose of the study was to explore the effects of substance abuse on the academic performance and professional behaviour of students at a public nursing college in order to develop guidelines for the prevention of substance abuse. The design that was chosen as most suitable for this study was the qualitative research design. The researcher chose this method as she sought to explore the effects of substance abuse on the participants in this study. A purposive sampling method was used to select participants on the basis of their knowledge of the phenomenon.The participants who were utilised were 3rd and 4th year level students in the four year diploma in nursing. A pilot study was conducted and participants with similar characteristicsto the study population were utilised. Individual interviews were used as the means to collect data during which participants were given an opportunity to discuss issues with the intention of eliciting their views and opinions. One broad, open ended question was used to gather information from the participants and subsequent questions were used to probe further for clarity. Data were collected until saturation pointwas reached. Transcriptions were done within two days of the interview. The researcher repeatedly listened to audio recordings of the data until completely satisfied with verbatim interpretation of data. Data analysis was done manually. The researcher used the process of bracketing during data analysis and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under study. The participants were allowed freedom to conduct their lives as autonomous agents, without control, coercion or exploitation. The findings revealed that: firstly, substance abuse has a negative impact of on both the academic performance and professional behaviour of the public nursing college students; secondly, that guidelines are needed for the prevention of substance abuse amongst students so as to focus on a ‘substance abuse free college environment’. vi The academic performance is negatively affected as substance abuse results in cognitive impairment, failure to meet the 85% lecture attendance requirement resulting in them repeating a year of study or being excluded from the course, and resulting in a missed opportunity to acquire scientific knowledge in nursing. The students’ academic aspirations get derailed. Students also experience strained relationships with lecturers due to drunkenness and bunking classes. Studentlecturer strained relationships are incompatible with academic achievement. Students whose professional behaviour is negatively affected by substance abuse demonstrate unethical conduct and professional misconduct in the clinical setting for experiential learning. The students fail to inculcate the values of the nursing profession and thus tarnish the image of the profession. Such students behave unprofessionally as they either absent themselves from duty, come on duty drunk or continue taking substances while on duty. They are also rude and swear at colleagues, supervisors, other staff members and patients. The students steal from colleagues and display insubordination. Their dress code is unprofessional and they are incompetent with poor standards of care towards the patients. The purpose of this study was to develop guidelines to prevent substance abuse at the college and this has been achieved. The results show that the college environment should be made substance abuse free by: firstly, identifying and mitigating the predisposing factors or reasons for substance abuse, for example: establish a proper and aesthetic infrastructure conducive to learning and teaching at the students’ residences and classrooms, set up mentorship programmes and introduce the house-mother model at residences; secondly, developing a policy on prevention of substance abuse within college premises including disciplinary measures; thirdly, developing stress management programmes for students to prevent abuse of substances as a coping mechanism, e.g. decongest the curriculum, curriculum review to be consultative, develop support groups, grant mid-year breaks and provide recreational and sporting facilities; fourthly, engage the services of a vii professional therapist for students who are already abusing substances or referral to the therapist; fifthly, clinical accompaniment should be strengthened for effective correlation of theory and practice; and, lastly, engage the services of a financial advisor to give guidance on income and expenditure with regard to student stipend instead of spending it on substances.
- Full Text:
- Date Issued: 2019
- Authors: Madikizela, Zoleka
- Date: 2019
- Subjects: Substance abuse -- South Africa -- Eastern Cape Nursing students -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/11407 , vital:39069
- Description: The purpose of the study was to explore the effects of substance abuse on the academic performance and professional behaviour of students at a public nursing college in order to develop guidelines for the prevention of substance abuse. The design that was chosen as most suitable for this study was the qualitative research design. The researcher chose this method as she sought to explore the effects of substance abuse on the participants in this study. A purposive sampling method was used to select participants on the basis of their knowledge of the phenomenon.The participants who were utilised were 3rd and 4th year level students in the four year diploma in nursing. A pilot study was conducted and participants with similar characteristicsto the study population were utilised. Individual interviews were used as the means to collect data during which participants were given an opportunity to discuss issues with the intention of eliciting their views and opinions. One broad, open ended question was used to gather information from the participants and subsequent questions were used to probe further for clarity. Data were collected until saturation pointwas reached. Transcriptions were done within two days of the interview. The researcher repeatedly listened to audio recordings of the data until completely satisfied with verbatim interpretation of data. Data analysis was done manually. The researcher used the process of bracketing during data analysis and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under study. The participants were allowed freedom to conduct their lives as autonomous agents, without control, coercion or exploitation. The findings revealed that: firstly, substance abuse has a negative impact of on both the academic performance and professional behaviour of the public nursing college students; secondly, that guidelines are needed for the prevention of substance abuse amongst students so as to focus on a ‘substance abuse free college environment’. vi The academic performance is negatively affected as substance abuse results in cognitive impairment, failure to meet the 85% lecture attendance requirement resulting in them repeating a year of study or being excluded from the course, and resulting in a missed opportunity to acquire scientific knowledge in nursing. The students’ academic aspirations get derailed. Students also experience strained relationships with lecturers due to drunkenness and bunking classes. Studentlecturer strained relationships are incompatible with academic achievement. Students whose professional behaviour is negatively affected by substance abuse demonstrate unethical conduct and professional misconduct in the clinical setting for experiential learning. The students fail to inculcate the values of the nursing profession and thus tarnish the image of the profession. Such students behave unprofessionally as they either absent themselves from duty, come on duty drunk or continue taking substances while on duty. They are also rude and swear at colleagues, supervisors, other staff members and patients. The students steal from colleagues and display insubordination. Their dress code is unprofessional and they are incompetent with poor standards of care towards the patients. The purpose of this study was to develop guidelines to prevent substance abuse at the college and this has been achieved. The results show that the college environment should be made substance abuse free by: firstly, identifying and mitigating the predisposing factors or reasons for substance abuse, for example: establish a proper and aesthetic infrastructure conducive to learning and teaching at the students’ residences and classrooms, set up mentorship programmes and introduce the house-mother model at residences; secondly, developing a policy on prevention of substance abuse within college premises including disciplinary measures; thirdly, developing stress management programmes for students to prevent abuse of substances as a coping mechanism, e.g. decongest the curriculum, curriculum review to be consultative, develop support groups, grant mid-year breaks and provide recreational and sporting facilities; fourthly, engage the services of a vii professional therapist for students who are already abusing substances or referral to the therapist; fifthly, clinical accompaniment should be strengthened for effective correlation of theory and practice; and, lastly, engage the services of a financial advisor to give guidance on income and expenditure with regard to student stipend instead of spending it on substances.
- Full Text:
- Date Issued: 2019
The aggressive behaviour among student athletes in collision, contact and noncontact sport
- Authors: Nkqoli , Likhona
- Date: 2019
- Subjects: Sports -- Psychological aspects Aggressiveness
- Language: English
- Type: Thesis , Masters , M Health.Sci.(Human Movement Science)
- Identifier: http://hdl.handle.net/10353/16758 , vital:40771
- Description: Aggressive behaviour among student athletes is often expressed dramatically in both males and females participating in sports. This expression of aggression may have a negative effect on their game during play as well as their psychological well-being. Being either verbally aggressive or physically aggressive during sports has social, economic and psychological consequences, which include changes in character. However, very few international studies and no South African study could be found during a literature search that addressed group differences in the life- and sport aggression among student athletes in contact, non-contact, and collision sports, and gender groups, particularly among varsity sport athletes. Consequently, the aim of this study was to investigate the differences between life- and sport aggression among student athletes in five different sports codes, categorised as collision sport (rugby), contact sport (soccer), and non-contact sports (cricket, netball, basketball), as well as gender differences at a rural university in the Eastern Cape Province, South Afric
- Full Text:
- Date Issued: 2019
- Authors: Nkqoli , Likhona
- Date: 2019
- Subjects: Sports -- Psychological aspects Aggressiveness
- Language: English
- Type: Thesis , Masters , M Health.Sci.(Human Movement Science)
- Identifier: http://hdl.handle.net/10353/16758 , vital:40771
- Description: Aggressive behaviour among student athletes is often expressed dramatically in both males and females participating in sports. This expression of aggression may have a negative effect on their game during play as well as their psychological well-being. Being either verbally aggressive or physically aggressive during sports has social, economic and psychological consequences, which include changes in character. However, very few international studies and no South African study could be found during a literature search that addressed group differences in the life- and sport aggression among student athletes in contact, non-contact, and collision sports, and gender groups, particularly among varsity sport athletes. Consequently, the aim of this study was to investigate the differences between life- and sport aggression among student athletes in five different sports codes, categorised as collision sport (rugby), contact sport (soccer), and non-contact sports (cricket, netball, basketball), as well as gender differences at a rural university in the Eastern Cape Province, South Afric
- Full Text:
- Date Issued: 2019
The experiences of student nurses regarding the negotiation of condom use at a Nursing College in the Eastern Cape Province
- Authors: Rumbu , Nosiphiwo Matshele
- Date: 2019
- Subjects: Condom use -- South Africa College students -- Sexual behavior
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/11396 , vital:39068
- Description: The purpose of the study was to explore and describe the experiences of student nurses regarding negotiation of condom use at Lilitha College of Nursing, East London Campus. Human Immunodeficiency Virus (HIV) infection is still one of the severe global public health problems and a considerable number of people are living with HIV and millions of these people die of Acquired Immune Deficiency Syndrome (AIDS). It has been found that women have difficulty in negotiating condom use. The study that was conducted in Tanzania revealed that when women lack selfconfidence to negotiate condom use with their sexual companions, they may be exposed to unprotected sex, thus being at danger of contracting STIs as well as HIV/AIDS and therefore being more susceptible to adverse sexual and reproductive health results (Exavery, Kanté, Jackson, Noronha, Sikustahili, Tani, Mushi, Baynes, Ramsey, Hingora and Phillips, 2012:9). A qualitative, descriptive, explorative, contextual design was used to describe the experiences of student nurses regarding negotiation of condom use and a purposive sampling method was used to select fourth year students. Eleven students participated in the study. Data was collected by means of individual face-to-face interviews with fourth year students. The interviews continued until data saturation was reached. Data analysis was done using Tesch‟s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed. The results of the study indicated that students experienced difficulties in negotiation of condom use, although some participants felt that they were comfortable to negotiate. Health education and awareness campaigns were recommended as fundamental tools that could be used as strategies to enhance successful negotiation of condom use.
- Full Text:
- Date Issued: 2019
- Authors: Rumbu , Nosiphiwo Matshele
- Date: 2019
- Subjects: Condom use -- South Africa College students -- Sexual behavior
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/11396 , vital:39068
- Description: The purpose of the study was to explore and describe the experiences of student nurses regarding negotiation of condom use at Lilitha College of Nursing, East London Campus. Human Immunodeficiency Virus (HIV) infection is still one of the severe global public health problems and a considerable number of people are living with HIV and millions of these people die of Acquired Immune Deficiency Syndrome (AIDS). It has been found that women have difficulty in negotiating condom use. The study that was conducted in Tanzania revealed that when women lack selfconfidence to negotiate condom use with their sexual companions, they may be exposed to unprotected sex, thus being at danger of contracting STIs as well as HIV/AIDS and therefore being more susceptible to adverse sexual and reproductive health results (Exavery, Kanté, Jackson, Noronha, Sikustahili, Tani, Mushi, Baynes, Ramsey, Hingora and Phillips, 2012:9). A qualitative, descriptive, explorative, contextual design was used to describe the experiences of student nurses regarding negotiation of condom use and a purposive sampling method was used to select fourth year students. Eleven students participated in the study. Data was collected by means of individual face-to-face interviews with fourth year students. The interviews continued until data saturation was reached. Data analysis was done using Tesch‟s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed. The results of the study indicated that students experienced difficulties in negotiation of condom use, although some participants felt that they were comfortable to negotiate. Health education and awareness campaigns were recommended as fundamental tools that could be used as strategies to enhance successful negotiation of condom use.
- Full Text:
- Date Issued: 2019
Tuberculosis knowledge, attitudes and health-seeking behaviour among tuberculosis patients in Nelson Mandela Bay Municipality, sub district C, South Africa
- Authors: Onyango, Peggy
- Date: 2019
- Subjects: Tuberculosis
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16780 , vital:40773
- Description: The aim of this study was to examine the knowledge and attitude of Tuberculosis (TB) patients regarding TB disease, causes, treatment adherence and health seeking behaviour in Nelson Mandela Bay, sub district C, South Africa. A cross-sectional study was done in three community health centres in Nelson Mandela Bay Municipality sub district C, South Africa. It involved 327 respondents aged eighteen years and above who were on TB treatment for more than one month who were conveniently selected from the three clinics. 54.1% of the patients were males and 45.9% of the patients were females. A structured questionnaire was used to collect data. Frequency counts and percentages were used to analyse the data. Multivariate logistic regression analysis was used to examine the influence of demographic variables on the knowledge, attitude and health seeking behaviour towards TB. None of the demographic variables was statistically significant to determine the TB patients’ knowledge and attitude of TB disease, causes, treatment and adherence. Only housing was statistically significant (p<0.05) as a variable determining the knowledge of TB causes, treatment and adherence. Compared with the reference group (informal housing scheme), the knowledge of TB patients with formal housing scheme were 0.556 (95% CI: 0.316-0.977) higher to determine the correct knowledge. Spearman correlation was used to determine the statistical significance between knowledge-attitude (K-A), Knowledge-Health seeking behaviour (K-HSB) and attitude-health seeking behaviour (A-HSB). There was statistical significance association among the variables. Results show that TB knowledge was generally good amongst the TB clients. However, there was misconception that TB is caused by cold air, dust and that TB disease can change into HIV. More than half of the respondents felt that TB treatment is difficult, takes a long time, unpleasant and interferes with work /marriage. Health seeking behaviour was fair amongst the participants.
- Full Text:
- Date Issued: 2019
- Authors: Onyango, Peggy
- Date: 2019
- Subjects: Tuberculosis
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16780 , vital:40773
- Description: The aim of this study was to examine the knowledge and attitude of Tuberculosis (TB) patients regarding TB disease, causes, treatment adherence and health seeking behaviour in Nelson Mandela Bay, sub district C, South Africa. A cross-sectional study was done in three community health centres in Nelson Mandela Bay Municipality sub district C, South Africa. It involved 327 respondents aged eighteen years and above who were on TB treatment for more than one month who were conveniently selected from the three clinics. 54.1% of the patients were males and 45.9% of the patients were females. A structured questionnaire was used to collect data. Frequency counts and percentages were used to analyse the data. Multivariate logistic regression analysis was used to examine the influence of demographic variables on the knowledge, attitude and health seeking behaviour towards TB. None of the demographic variables was statistically significant to determine the TB patients’ knowledge and attitude of TB disease, causes, treatment and adherence. Only housing was statistically significant (p<0.05) as a variable determining the knowledge of TB causes, treatment and adherence. Compared with the reference group (informal housing scheme), the knowledge of TB patients with formal housing scheme were 0.556 (95% CI: 0.316-0.977) higher to determine the correct knowledge. Spearman correlation was used to determine the statistical significance between knowledge-attitude (K-A), Knowledge-Health seeking behaviour (K-HSB) and attitude-health seeking behaviour (A-HSB). There was statistical significance association among the variables. Results show that TB knowledge was generally good amongst the TB clients. However, there was misconception that TB is caused by cold air, dust and that TB disease can change into HIV. More than half of the respondents felt that TB treatment is difficult, takes a long time, unpleasant and interferes with work /marriage. Health seeking behaviour was fair amongst the participants.
- Full Text:
- Date Issued: 2019
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