An intervention for high-risk type 2 diabetic clients during preconception and internatal in re-engineering of primary health care
- Authors: Ngoma, Siphokazi Amanda
- Date: 2018
- Subjects: Diabetes Diabetes Mellitus, Type 2
- Language: English
- Type: Thesis , Masters , (MCur) Nursing
- Identifier: http://hdl.handle.net/10353/10199 , vital:35375
- Description: The South African disease profile has changed significantly and has increasing prevalence of overweight and obesity in relation to body mass index. Type 2 diabetes mellitus is greatly associated with increased body mass index and poses a great health concern for women of childbearing age. Complications of type 2 diabetes mellitus in pregnancy has life-threatening for the mother and baby. South African women have a tendency of avoiding and neglecting routine screening before pregnancy, that is part of preconception care or internatal care. The aim of the study sought to identify women of childbearing age with predisposing factors of type 2 diabetes, in order to intervene, using a lifestyle modification to delay and prevent the occurrence of type 2 diabetes. A quantitative intervention study using parallel group randomized control trials was used. One hundred and forty-six women of childbearing age (18-45 years) were recruited and assigned to either control (n=73 + 9) or experimental group (n=73 +9). using a computer software randomizer application to avoid bias in selection of participants by the researcher. Both groups received health education from the researcher and the dietician from hospital. The control group had no intervention done, whereas the experimental group attended physical activity sessions which were administered by a hired lay coach. The findings showed that both groups are at risk of developing type 2 diabetes although they both groups lose weight. The weight loss of the control group was owed to education during recruitment. Vegetable consumption was minimal to the younger age group than the older age groups. Waist circumference above 105cm consumed less vegetables, a higher waist circumference is associated with insulin resistance. There was also minimal exercises and knowledge about the preconception care. Diabetes prevention is vital for the women of childbearing age as it affects both mother and child. The study recommends lifestyle modification (exercise and healthy diet) to prevent and delay of type 2 diabetes and gestational diabetes mellitus. The study also recommends Preconception care and Re- engineering of Primary health care uses community health care workers for screening high risk women during home visits.
- Full Text:
- Date Issued: 2018
- Authors: Ngoma, Siphokazi Amanda
- Date: 2018
- Subjects: Diabetes Diabetes Mellitus, Type 2
- Language: English
- Type: Thesis , Masters , (MCur) Nursing
- Identifier: http://hdl.handle.net/10353/10199 , vital:35375
- Description: The South African disease profile has changed significantly and has increasing prevalence of overweight and obesity in relation to body mass index. Type 2 diabetes mellitus is greatly associated with increased body mass index and poses a great health concern for women of childbearing age. Complications of type 2 diabetes mellitus in pregnancy has life-threatening for the mother and baby. South African women have a tendency of avoiding and neglecting routine screening before pregnancy, that is part of preconception care or internatal care. The aim of the study sought to identify women of childbearing age with predisposing factors of type 2 diabetes, in order to intervene, using a lifestyle modification to delay and prevent the occurrence of type 2 diabetes. A quantitative intervention study using parallel group randomized control trials was used. One hundred and forty-six women of childbearing age (18-45 years) were recruited and assigned to either control (n=73 + 9) or experimental group (n=73 +9). using a computer software randomizer application to avoid bias in selection of participants by the researcher. Both groups received health education from the researcher and the dietician from hospital. The control group had no intervention done, whereas the experimental group attended physical activity sessions which were administered by a hired lay coach. The findings showed that both groups are at risk of developing type 2 diabetes although they both groups lose weight. The weight loss of the control group was owed to education during recruitment. Vegetable consumption was minimal to the younger age group than the older age groups. Waist circumference above 105cm consumed less vegetables, a higher waist circumference is associated with insulin resistance. There was also minimal exercises and knowledge about the preconception care. Diabetes prevention is vital for the women of childbearing age as it affects both mother and child. The study recommends lifestyle modification (exercise and healthy diet) to prevent and delay of type 2 diabetes and gestational diabetes mellitus. The study also recommends Preconception care and Re- engineering of Primary health care uses community health care workers for screening high risk women during home visits.
- Full Text:
- Date Issued: 2018
The contribution of small scale livestock farming to rural household income in the King William's Town area
- Authors: Mbangcolo, Nomalungisa
- Date: 2018
- Subjects: Farms, Small Livestock farms Rural poor
- Language: English
- Type: Thesis , Masters , MAgric
- Identifier: http://hdl.handle.net/10353/13018 , vital:39432
- Description: The Eastern Cape Province have high numbers of livestock but high poverty rates remain very high. This study therefore, aimed to determine the contribution of smallscale livestock farming to rural household income in the King William’s Town area in five rural areas. Literature shows that the livestock sector contributes 40 percent of global value of agricultural output and supports the livelihoods and food security of almost a billion people. The data collected for this research were both quantitative and qualitative and cross-section design was employed for the research. The study used both simple random sampling and availability sampling to select 125 sample households, 25 respondents from each village. Descriptive statistics was used in the analysis of demographic and socio economic characteristics of households where graphs and tables were used to present the relevant information. Probit regression model was used to determine factors influencing the decision to practice livestock production and marginal analysis was calculated to determine the effect of changes of individual variables. For the assessment of the contribution of small-scale livestock farming to household income Propensity Score Matching (PSM) model was fitted. Results show that the highest percentage of livestock kept by households in 5 villages is 56 percent for poultry and the lowest percentage is 2 percent for pig. The main source of income for many households in the study area was the income from pensions and grants but livestock farming is also contributing to household’s income through income generated from sales of livestock for customary events such as traditional rituals and celebrations, lobola, funerals and weddings. Many of the households have secondary education and the reason might simply be that in olden days’ parents had no money to pay school fees of their children and that limited children to go further with their studies. The results of the marginal effects estimates for the probit model suggest that changes in the number of livestock sold would have important effects on household incomes. There are various challenges that livestock producers are facing in their production and the major challenge that households are facing is parasites and diseases as they decrease number of livestock kept by households. Parasites and diseases suck blood, causing the animals to become weak and sometimes resulting in high mortality rate. It is recommended that livestock producers should be made aware of the impacts of various challenges that affect livestock farming through awareness creation programmes and suggest solutions to overcome those challenges.
- Full Text:
- Date Issued: 2018
- Authors: Mbangcolo, Nomalungisa
- Date: 2018
- Subjects: Farms, Small Livestock farms Rural poor
- Language: English
- Type: Thesis , Masters , MAgric
- Identifier: http://hdl.handle.net/10353/13018 , vital:39432
- Description: The Eastern Cape Province have high numbers of livestock but high poverty rates remain very high. This study therefore, aimed to determine the contribution of smallscale livestock farming to rural household income in the King William’s Town area in five rural areas. Literature shows that the livestock sector contributes 40 percent of global value of agricultural output and supports the livelihoods and food security of almost a billion people. The data collected for this research were both quantitative and qualitative and cross-section design was employed for the research. The study used both simple random sampling and availability sampling to select 125 sample households, 25 respondents from each village. Descriptive statistics was used in the analysis of demographic and socio economic characteristics of households where graphs and tables were used to present the relevant information. Probit regression model was used to determine factors influencing the decision to practice livestock production and marginal analysis was calculated to determine the effect of changes of individual variables. For the assessment of the contribution of small-scale livestock farming to household income Propensity Score Matching (PSM) model was fitted. Results show that the highest percentage of livestock kept by households in 5 villages is 56 percent for poultry and the lowest percentage is 2 percent for pig. The main source of income for many households in the study area was the income from pensions and grants but livestock farming is also contributing to household’s income through income generated from sales of livestock for customary events such as traditional rituals and celebrations, lobola, funerals and weddings. Many of the households have secondary education and the reason might simply be that in olden days’ parents had no money to pay school fees of their children and that limited children to go further with their studies. The results of the marginal effects estimates for the probit model suggest that changes in the number of livestock sold would have important effects on household incomes. There are various challenges that livestock producers are facing in their production and the major challenge that households are facing is parasites and diseases as they decrease number of livestock kept by households. Parasites and diseases suck blood, causing the animals to become weak and sometimes resulting in high mortality rate. It is recommended that livestock producers should be made aware of the impacts of various challenges that affect livestock farming through awareness creation programmes and suggest solutions to overcome those challenges.
- Full Text:
- Date Issued: 2018
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