2024-03-29T05:24:55Zhttps://uir.unisa.ac.za/oai/requestoai:uir.unisa.ac.za:10500/98242022-05-23T11:55:59Zcom_10500_14526com_10500_14512com_10500_13602com_10500_1com_10500_3752col_10500_14546col_10500_3753col_10500_14519
2013-06-06T07:54:54Z
urn:hdl:10500/9824
The 2009 RCN International Nursing Research Conference : celebrating 50 years of nursing research : looking back, moving forward : report : conference attended in Cardiff, Wales : 24-27 March 2009
Ehlers, Valerie Janet, 1948-
Nursing research
Health studies
Conference reports
The Royal College of Nursing (RCN), a trade union organisation for nurses and midwives from the United Kingdom (UK) hosts an annual International Nursing Research Conference at different venues throughout the UK. The theme for the 2009 conference was ''Celebrating 50 years of nursing research: looking back, moving forward''. This conference, hosted in the Cardiff city hall 24-27 March 2009, was attended by 420 delegates from 22 countries. A keynote address was presented every morning. During the course of the conference six symposia, 60 posters, and more than 200 concurrent papers were presented. Specific issues were also addressed by specialist panels during early morning breakfast sessions, lunch time sessions and late afternoon sessions. It became quite a challenge to decide which sessions to attend every day, with so many concurrent events going on at the same time.
2013-06-06T07:54:54Z
2013-06-06T07:54:54Z
2009
Article
Ehlers, V.J. (2009)The 2009 RCN International Nursing Research Conference : celebrating 50 years of nursing research : looking back, moving forward : report : conference attended in Cardiff, Wales : 24-27 March 2009. Africa Journal of Nursing and Midwifery 11(1) pp. 137-139
1682-5055
http://hdl.handle.net/10520/EJC19311
http://hdl.handle.net/10500/9824
en
Copyright of an article will be assigned to the AJNM if the article is published. Copyright covers
the exclusive right to reproduce
© 2009 AJNM
Department of Advanced Nursing Sciences, Unisa
oai:uir.unisa.ac.za:10500/278292021-08-20T12:55:45Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-20T10:07:19Z
urn:hdl:10500/27829
Self-Leadership in a Critical Care Outreach Service for Quality Patient Care
Prinsloo, Carine
critical care outreach
patient deterioration
quality patient care
self-leadership
The deterioration of patients in general wards could go unnoticed owing to the intermittent monitoring of vital data. The delayed or missed recognition of deteriorating patients results in serious adverse events in general wards. These challenges have resulted in the development of a critical care outreach service. Australia was the first country to establish critical care outreach services in 1990. In South Africa, critical care outreach services were implemented in 2005 at a private hospital in Pretoria. The researcher has noticed certain phenomena supported by literature such as a hesitancy of nurses working in general wards to escalate a patient to a critical care outreach service, and incorrect interpretation of modified early warning scores and this could cause delays in patients being referred to outreach nurse experts. In this study, nurses’ (professional, staff and auxiliary nurses) experiences in respect of their self-leadership in critical care outreach services were explored. To this end, a qualitative phenomenological research approach was followed. Focus groups were held with the nurses (all nurse categories) working in a South African private hospital that provides critical care outreach services. It is recommended that nurses be granted access to training, workshops and information to provide appropriate nursing care. Nurses should be encouraged to focus on the positive outcomes of providing nursing care and to “applaud themselves mentally” when they have successfully assisted or cared for their patients. Nurses also need to identify and correct negative assumptions about their competence.
2021-08-20T10:07:19Z
2021-08-20T10:07:19Z
2020-11
Article
Prinsloo, C. 2020. "Self-Leadership in a Critical Care Outreach Service for Quality Patient Care." Africa Journal of Nursing and Midwifery 22(2) https://doi.org/10.25159/2520-5293/7542
http://hdl.handle.net/10500/27829
en
Africa Journal of Nursing and Midwifery
oai:uir.unisa.ac.za:10500/272782021-04-30T13:02:40Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-04-30T11:12:07Z
urn:hdl:10500/27278
Determinants of Non-Adherence to Treatment Among Patients with Type 2 Diabetes in Kenya: A Systematic Review
Masaba, Brian Barasa
Mmusi-Phetoe, Rose M.
diabetes mellitus, humans, hypoglycemic agents, Kenya, medication adherence, type 2
Introduction: Non-adherence to the prescribed treatment regimen in patients with type 2
diabetes mellitus is quite high. Furthermore, it has been associated with higher rates of
hospital admissions, suboptimal health outcomes, increased morbidity and mortality, and
increased health care costs. The present systematic review study aimed to explore the
determinants that contribute to non-adherence to treatment among patients with type 2
diabetes mellitus in Kenya.
Methods: A systematic review of studies conducted in Kenya on the present research
problem published in English between December 2013 and May 2020. The databases
included Scopus, Web of Science, Science Direct, Cochrane Library, PUBMED, OVID
and Google Scholar. The following were the key words used in the search: “Nonadherence Diabetes Patients”, “Determinants of Non-adherence Diabetes Patients” AND
“Health Facilities” AND “Kenya”. Qualitative analysis was used to present data under
thematic domains.
Results: The search generated 17,094 articles of which only 15 met the inclusion criteria.
The major determinants were presented under three thematic domains: 1) Cost – income,
insurance, distance, bills of drugs and food; 2) Patient characteristics – perception of
(efficacy, severity, effects of non-adherence), knowledge, co-morbidity, family support, self
unfounded beliefs; and 3) Health system – health education, multiple drugs, evaluations and
support, guidelines, poor perception of system.
Conclusion: A multitude of factors including unaffordable care, patient’s poor knowledge
on the disease process, less family support in patient’s daily self-care management, complex drug regimen and unsatisfactory health messages from the health providers were observed to be associated with non-adherence. Implementing integrated care programs will help in reducing levels of non-adherence among type 2 diabetes mellitus patients.
2021-04-30T11:12:07Z
2021-04-30T11:12:07Z
2021-01
Article
Masaba BB, Mmusi-Phetoe RM. Determinants of Non-Adherence to Treatment Among Patients with Type 2 Diabetes in Kenya: A Systematic Review. Journal of Multidisciplinary Healthcare, vol. 13, Dove Press, 2020, p. 2069–2076
http://hdl.handle.net/10500/27278
en
Journal of Multidisciplinary Healthcare
oai:uir.unisa.ac.za:10500/277722021-08-07T13:46:29Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-06T15:11:02Z
urn:hdl:10500/27772
Working in partnership with communities to improve health and research outcomes. Comparisons and commonalities between the UK and South Africa
Wilson, Patricia
Mavhandu-Mudzusi, Azwihangwisi Helen
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS
Research Subject Categories::SOCIAL SCIENCES
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS
Community and public participation and involvement is an underpinning principle of primary
health care, an essential component of a social justice-orientated approach to health care and a
vehicle to improving health outcomes for patients, public and communities. However, influenced
by history and context, there are intrinsic issues surrounding power imbalance and other
barriers to partnerships between communities, public, policy makers and researchers. It is
important to acknowledge these issues, and through doing so share experiences and learn from
those working within very different settings.
In South Africa, community participation is seen as a route to decolonisation. It is also integral
to the core functions of South African Higher Education Institutes, alongside teaching and
research. In the UK, there has also been a history of participation and involvement as part
of a social rights movement, but notably public involvement has become embedded in publicly
funded health research as a policy imperative.
In this paper, we draw on our respective programmes of work in public and community
participation and involvement. These include a South African community engagement project
to reduce teenage pregnancy and HIV infection working through a partnership between
teachers, students and university academics, and a national evaluation in England of public
involvement in applied health research. We begin by highlighting the lack of clarity and terms
used interchangeably to describe participation, engagement and involvement. Frameworks for
partnership working with relevance to South Africa and the UK are then analysed, suggesting
key themes of relationships, working together, and evaluation and monitoring. The South
African project and examples of public involvement in English primary and community care
research are examined through these themes. We conclude the paper by mapping out common
enablers and barriers to partnership working within these very different contexts.
2021-08-06T15:11:02Z
2021-08-06T15:11:02Z
2019-08-05
Article
Wilson P, Mavhandu- Mudzusi AH. (2019) Working in partnership with communities to improve health and research outcomes. Comparisons and commonalities between the UK and South Africa. Primary Health Care Research & Development 20(e129): 1–9. doi: 10.1017/S1463423619000677
. doi: 10.1017/S1463423619000677
http://hdl.handle.net/10500/27772
en
Cambridge University Press
oai:uir.unisa.ac.za:10500/277912021-08-10T09:54:43Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-10T06:29:04Z
urn:hdl:10500/27791
Citizenship rights, discrimination, and stigmatisation of LGBTI students by health care services at a South African rural-based university
Mavhandu-Mudzusi, Azwihangwisi Helen
citizenship rights
discrimination
LGBTI students
health care
Please access the full-text of the article on the publisher's website via the doi link at the top of this record
Lesbian, gay, bisexual, transgender and intersex (LGBTI) individuals experience stigmatisation and discrimination in their everyday lives. These experiences are noted in South Africa, even though its constitution of 1996 is recorded as the first constitution in the world to explicitly provide for non-discrimination against people based on gender and sexual orientation. This article highlights the findings of an interpretative phenomenological analysis study conducted in a South African rural university. The purpose of the study was to gain an in-depth understanding of the experiences of LGBTI individuals with regard to utilisation of the health care services in a South African rural university. The findings of the study focus on citizenship rights and the discrimination that LGBTI students experience in accessing health care services. The main forms of discrimination reported are the heterocentric nature of services and treatment at the campus health clinic and the heteronormative prejudice held by university health care personnel. Recommendations are made to address the problematic social exclusion that arises from heterocentric delivery of health services and highlight the equal rights of LGBTI students to health care that addresses all students’ needs, regardless of sex, gender, sexual orientation and gender identity, in a South African rural university.
2021-08-10T06:29:04Z
2021-08-10T06:29:04Z
2016-06-03
Article
Azwihangwisi Helen Mavhandu-Mudzusi (2016) Citizenship rights, discrimination and stigmatisation of LGBTI students by health care services at a South African rural-based university, Agenda, 30:1, 104-111,
2158-978X (online)
1013-0950 (print)
https://doi.org/10.1080/10130950.2016.1187904
http://hdl.handle.net/10500/27791
en
Taylor & Francis Online
oai:uir.unisa.ac.za:10500/291882022-11-24T07:26:02Zcom_10500_26439com_10500_14512com_10500_13602com_10500_1col_10500_26440col_10500_14519
2022-08-01T03:17:18Z
urn:hdl:10500/29188
The converging influence of social, economic and psychological factors on public responsiveness to the COVID-19 pandemic in South Africa
Swart, Lu-Anne
Taliep, Naiema
Ismail, Ghouwa
Van Niekerk, Ashley
Abstract
Background
This study assessed the influence of social, economic, and psychological factors on South African’s responsiveness to the COVID-19 pandemic. Although the South African government responded quickly to manage the pandemic, the strict lockdown placed a significant burden on the population. Understanding the converging influence of social, economic, and psychological factors on the population’s responsiveness is important for improving people’s cooperation in controlling COVID-19 and for supporting individuals and communities during the ongoing and future pandemics.
Methods
Using data collected from a national telephonic survey (December 2020 to March 2021), we assessed whether selected social, economic and psychological factors were related to: 1) adoption of COVID-19 behavioural measures (hand hygiene, wearing of face masks, and physical distancing), and 2) adherence to government restrictions on movement.
Results
South Africans were highly responsive to the pandemic with respondents generally reporting that they very often engaged in the protective behaviours and often to very often adhered to government restriction on movement. However, those from the white population group; with a higher education; living in uncrowded households; who perceived less vulnerability to contracting COVID-19; supported the measures; trusted the scientists; thought the measures by government were implemented fairly and fairly enforced by the police; felt more anxious, sad, hopeless, isolated, angry or had trouble sleeping; inclined to engage in coping behaviour, were more likely to adopt COVID-19 protective behaviours. Furthermore, females, those with a lower education, those less likely to have experienced poverty since the beginning of lockdown; who perceived greater vulnerability to COVID-19, trusted government, and were more supportive of the behavioural measures were more likely to adhere to the restrictions of movement.
Conclusions
Strengthening the South African population’s responsiveness to the pandemic requires supporting those living in poor socioeconomic circumstances, promoting trust in the scientific evidence, and ensuring that the measures by government are perceived to be fairly implemented and fairly enforced by the police. Due to the impact on livelihoods, restrictions of movement should only be considered if necessary, and this will require trust and confidence in government and strategies to support those experiencing financial hardship.
2022-08-01T03:17:18Z
2022-08-01T03:17:18Z
2022-07-30
2022-08-01T03:17:18Z
Journal Article
BMC Public Health. 2022 Jul 30;22(1):1451
https://doi.org/10.1186/s12889-022-13845-y
https://hdl.handle.net/10500/29188
en
The Author(s)
oai:uir.unisa.ac.za:10500/292532022-08-17T10:49:23Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T10:49:23Z
urn:hdl:10500/29253
The discourse on the intersectionality of religion and HIV and AIDS with specific reference to Thulamela municipality, Limpopo province
Netshapapame, Tshifhiwa S
Mavhandu-Mudzusi, Azwihangwisi Helen
Ndou, Anza
HIV and AIDS
preaching
discourse
moralisation
religion
religio-cultural beliefs
communities and Christian communities
The human immunodeficiency virus (HIV) since its genesis has continued to affect a large
number of the population in the African region and has caused exponential deaths. At the same time, new infections have been reported in South Africa. However, religion as a vehicle of change through the institution of the church has been acting on the contrary, since it discourages the use of condoms (one of the most effective ways to prevent HIV) and moralising the pelvic area in its characterisation against the commandment of God. Such a perspective has largely been drawn from the Christian doctrine(s). We argue that in its condemnation and moralisation of the virus, the church, through its pastors, engaged in biblical discourse (preaching). Contribution: The article applies a qualitative phenomenological approach and system theory as theoretical lenses. Furthermore, the article locates the study within Christian communities located in Thulamela Municipality, Limpopo province. It proposes Christian practices that can be useful in combating the virus.
2022-08-17T10:49:23Z
2022-08-17T10:49:23Z
2021-11-30
Article
Netshapapame, T.S., Mavhandu-Mudzusi, A. & Ndou, A., 2021, ‘The discourse on the intersectionality of religion and HIV and AIDS with specific reference to Thulamela municipality, Limpopo province’, HTS Teologiese Studies/ Theological Studies 77(1), a6951. https://doi.org/ 10.4102/hts.v77i1.6951
2072-8050
https://hdl.handle.net/10500/29253
en
AOSIS
oai:uir.unisa.ac.za:10500/280542021-09-22T12:10:13Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2021-09-22T12:10:12Z
urn:hdl:10500/28054
De-ideologization, liberation psychology, and the place of contradiction
Malherbe, Nick
Collective resistance
Contradiction
De-ideologization
Ideology
Liberation psychology
In following Marxist and psychoanalytic theory, we can understand ideologies as social processes that obscure the contradictions (i.e., how an object is not at one with itself) inherent to individual subjectivity and social structures. Despite claiming to be non-ideological, mainstream psychology has, throughout its history, served the ideological interests of elite classes (e.g., by pathologizing political resistance). Working within the liberation psychology paradigm, I attempt in this article to elaborate on the notion of de-ideologization (i.e., the politically committed retrieval of people's experiences beyond the ideological reference points of elite classes) through a consideration of contradiction. To do this, I explore how de-ideologization can connect with contradiction through processes of re-symbolization, solidarity-making, and mobilizing progressive ideologies. Considered together, these three processes allow us to use contradiction to understand interlocking currents of oppression, divergent visions of emancipation, the development of insurgent subjectivities, and the building of an intersectional socialist politics. In conclusion, I consider some of the directions that theoretical and praxis-oriented work on de-ideologization may take, as well as some paths it may wish to avoid.
2021-09-22T12:10:12Z
2021-09-22T12:10:12Z
2021-09-04
Article
Malherbe, N. (2021). De-ideologization, liberation psychology, and the place of contradiction. Journal for the Theory of Social Behaviour, 1–17.
https:// doi.org/10.1111/jtsb.12322
https://hdl.handle.net/10500/28054
en
Wiley
oai:uir.unisa.ac.za:10500/284472022-02-02T11:45:48Zcom_10500_23650com_10500_3752com_10500_14512com_10500_13602com_10500_1com_10500_8549com_10500_8544col_10500_23651col_10500_3753col_10500_14519col_10500_8550
2022-01-18T15:32:36Z
urn:hdl:10500/28447
Signifying Islamic Psychology as a Paradigm: A Decolonial Move
Seedat, Mohamed
Islam
(de)coloniality
freedom
liberation
humanization
Recognizing the fluidity around the definitions and boundaries of Islamic psychology (IP), I propose that the assumption of decolonial thought may help IP reimagine its vision, orientation, and directions. Distinguished by three fundamentals – epistemic freedom, liberation, and humanization – paradigmatic IP may harvest psycho-spiritual, cognitive, and affective resources as well as methodological, ethical, and metaphysical substance through the creation of an archive of Islamic humanism to speak back to all areas of psychology and cognate disciplines focused on human behavior. The espousal of decolonial thought locates IP within larger bodies of solidarity and decolonizing scholarship committed to pluriversal and transformatory enactments of knowledge.
2022-01-18T15:32:36Z
2022-01-18T15:32:36Z
2020-07-09
Article
Seedat, M. (2021). Signifying Islamic psychology as a paradigm: A decolonial move. European Psychologist, 26(2), 131–141. https://doi.org/10.1027/1016-9040/a000408
https://doi.org/10.1027/1016-9040/a000408
https://hdl.handle.net/10500/28447
en
oai:uir.unisa.ac.za:10500/200582016-03-24T13:04:06Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2016-03-24T13:04:05Z
urn:hdl:10500/20058
Factors influencing the health of men in polygynous relationship
Makua, Thuledi
Affluence, experiences, interventive, health, polygyny.
The research was conducted to explore factors that influence the health experiences of men in polygynous relationships.A descriptive and interpretive phenomenological research methodology was used to gather data through personal in-depth interviews. This ledto an understanding of the phenomena within the naturalistic context of occurrence – the natural social and cultural context.The findings of this study revealed that the health of participants in polygynous relationships is influenced by religion and culture. The participants believe that the church guides them as far as their health at home is concerned, and that traditional healers have answers to their health concerns. There is a general myth that a polygynous relationship is riddled with ill-health. There is a strong need to promote culture and religion among this group of the population so as to meet their health needs. The need to maintain their cultural practices was palpable throughout the narrations of their health-seeking behaviours.
2016-03-24T13:04:05Z
2016-03-24T13:04:05Z
2015-06-15
Article
Makua, T. (2015). Factors influencing the health of men in polygynous relationship. African Journal for Physical, Health Education, Recreation and Dance, June (Supplement 1), 12-21.
11174315
http://hdl.handle.net/10500/20058
en
Supplement;1
African Journal for Physical, Health Education, Recreation and Dance (AJPHERD)
oai:uir.unisa.ac.za:10500/272802021-04-30T12:56:09Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-04-30T11:12:52Z
urn:hdl:10500/27280
Factors affecting the availability of the prevention of mother-to- child transmission of HIV programme at rural health care facilities of Madibeng sub-district
Habedi, Debbie SK
Nolte, AGW
Temane, Mmasethunya A
availability, human immunodeficiency virus, prevention of mother-to-child transmission, programme
The study determined the factors influencing the availability of the prevention of mother-to-child transmission (PMTCT) programme of the Human Immunodeficiency Virus (HIV) in positive pregnant women at the rural health care facilities of the Madibeng sub-district. A qualitative, explorative and descriptive research was conducted. Non-probability purposive sampling technique was utilized to identify research participants. Data were collected through semi-structured individual interviews. Data were analyzed using Tesch’s steps. Emerging themes from data analysis were lack of and shortage of resources. Results revealed that HIV positive pregnant women experienced PMTCT programme services that were poor and of low standard. Lack of resources results in low standard service. Recommendations were made for HIV-positive pregnant women to receive PMTCT programme services in the rural health care facilities.
2021-04-30T11:12:52Z
2021-04-30T11:12:52Z
2016
Article
Habedi, D.S., Nolte, A.G. and Temane, A.M. 2016. FACTORS AFFECTING THE AVAILABILITY OF THE PREVENTION OF MOTHERTO- CHILD TRANSMISSION OF HIV PROGRAMME AT RURAL HEALTH CARE FACILITIES OF MADIBENG SUB-DISTRICT. Africa Journal of Nursing and Midwifery. 18, 1 (Jul. 2016), 91-102. DOI:https://doi.org/10.25159/2520-5293/397.
1682-5055
http://hdl.handle.net/10500/27280
en
UNISA press
oai:uir.unisa.ac.za:10500/294002022-09-22T11:45:49Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-09-22T11:45:49Z
urn:hdl:10500/29400
Knowledge, attitude and barriers to kidney donation in Limpopo province, South Africa
Maboe, Kefiloe Adolphina
Mojapelo, Makhutsisa Rosina
Donation
Health care
Kidney
Knowledge
Background: The mortality rates of clients on the transplant waiting list for kidney donations, raised concerns. Members of their families could have saved their lives by donating one of their kidneys. A need was therefore identified to explore and describe the study participants’ knowledge with regard to kidney donation.
Aim: The purpose of this article was to explore the knowledge of clients at a health care facility, as regard to kidney donation.
Method: A quantitative, explorative, cross-sectional design was used. Simple random sampling was used. The data analysis was done using the Statistical Package for Social Sciences (SPSS) computer software version 25. The respondents were all clients visiting outpatient department at an urban health care facility in Limpopo province,
South Africa. Data were collected using a structured pre-tested questionnaire. Of the 317 questionnaires distributed face-to-face, 300 were deemed valid and considered for the study.
Results: The study revealed inadequate knowledge and understanding of renal donation among clients at an urban health care facility in Limpopo province. Barriers that prevented the respondents from volunteering to donate a kidney were diseases such as diabetes and hypertension, their cultural beliefs and an HIV-positive status. The study found that the respondents believed kidney donation might change their bodies posttransplant,
and were thus unwilling to donate.
Conclusion: The respondents’ knowledge of kidney donation was inadequate. Their religion was not against kidney donation however, they preferred to die with their intact body parts. The most barrier against kidney donation was cultural beliefs. The results will be presented to the Limpopo Department of Health in South Africa,
with a view to promoting effective measures aimed at educating people regarding the importance of kidney donation.
2022-09-22T11:45:49Z
2022-09-22T11:45:49Z
2021
Article
Mojapelo, M.R. and Maboe, K.A., 2021. Knowledge, attitude and barriers to kidney donation in Limpopo province, South Africa. International Journal of Africa Nursing Sciences, 15, p.100316.
https://hdl.handle.net/10500/29400
en
oai:uir.unisa.ac.za:10500/277752021-08-07T13:44:05Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-07T10:22:19Z
urn:hdl:10500/27775
Paramedic students’ confidence and satisfaction with clinical simulations of an emergency medical care programme in South Africa: A cross-sectional study
Sandy, Peter
Meyer, John
Oduniyi, Oluwaseun
Mavhandu-Mudzusi, Azwihangwisi Helen
Research Subject Categories::MEDICINE
Research Subject Categories::MEDICINE
Research Subject Categories::MEDICINE
Research Subject Categories::HUMANITIES and RELIGION
Research Subject Categories::HUMANITIES and RELIGION
Background: There has been an increase in the use of clinical simulations as instructional
tools in healthcare education. This is because of their role in ensuring patients’ safety
and quality-care provision.
Aim: This study investigated the paramedic students’ satisfaction and self-confidence in the
clinical simulation of an emergency medical care programme.
Setting: The study was conducted at the Durban University of Technology in the KwaZulu-
Natal Province of South Africa. The paramedic students’ satisfaction and self-confidence in the
clinical simulation of an emergency medical care programme were the focus of the study.
Methods: The study used a cross-sectional research design. A convenience sampling method
was used to select the 83-paramedic students who participated in the study. Data were collected
between July and September 2017 using a structured questionnaire. Descriptive statistics
(frequencies and percentages and Spearman’s rank-order correlation coefficient) and an
inferential test, ordinal logistic regression analysis, were used for data analysis.
Results: High levels of paramedic students’ satisfaction and self-confidence in simulation activities
were reported. Generally, the paramedic students’ demographics were associated with the
satisfaction and self-confidence variables with p-values ≤ 0.04. Emergency medical care training
undertaken by the paramedic students was significantly associated with self-confidence (p = 0.00).
Conclusion: Clinical simulation can bridge the theory-practice gap for paramedic students.
It is a hands-on approach that promotes students learning of clinical skills through reflection.
2021-08-07T10:22:19Z
2021-08-07T10:22:19Z
2021-04-28
Article
Sandy, P.T., Meyer, J.T., Oduniyi, O.S. & Mavhandu- Mudzusi, A.H., 2021, ‘Paramedic students’ confidence and satisfaction with clinical simulations of an emergency medical care programme in South Africa: A cross-sectional study’, Health SA Gesondheid 26(0), a1522. https://doi.org/10.4102/ hsag.v26i0.1522
(Online) 2071-9736
http://hdl.handle.net/10500/27775
en
Health SA Gesondheid
oai:uir.unisa.ac.za:10500/297512023-06-13T09:53:37Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2023-02-01T04:42:41Z
urn:hdl:10500/29751
Semiparametric modelling of diabetic retinopathy among people with type II diabetes mellitus
Yirdaw, Bezalem E.
Debusho, Legesse K.
Abstract
Background
The proportion of patients with diabetic retinopathy (DR) has grown with increasing number of diabetes mellitus patients in the world. It is among the major causes of blindness worldwide. The main objective of this study was to identify contributing risk factors of DR among people with type II diabetes mellitus.
Method
A sample of 191 people with type II diabetes mellitus was selected from the Black Lion Specialized Hospital diabetic unit from 1 March 2018 to 1 April 2018. A multivariate stochastic regression imputation technique was applied to impute the missing values. The response variable, DR is a categorical variable with two outcomes. Based on the relationship derived from the exploratory analysis, the odds of having DR were not necessarily linearly related to the continuous predictors for this sample of patients. Therefore, a semiparametric model was proposed to identify the risk factors of DR.
Result
From the sample of 191 people with type II diabetes mellitus, 98 (51.3%) of them had DR. The results of semiparametric regression model revealed that being male, hypertension, insulin treatment, and frequency of clinical visits had a significant linear relationships with the odds of having DR. In addition, the log- odds of having DR has a significant nonlinear relation with the interaction of age by gender (for female patients), duration of diabetes, interaction of cholesterol level by gender (for female patients), haemoglobin A1c, and interaction of haemoglobin A1c by fasting blood glucose with degrees of freedom
$$3.2, 2.7, 3.6, 2.3 \, \text{ and }\, 3.7$$
3.2
,
2.7
,
3.6
,
2.3
and
3.7
, respectively. The interaction of age by gender and cholesterol level by gender appear non significant for male patients. The result from the interaction of haemoglobin A1c (HbA1c) by fasting blood glucose (FBG) showed that the risk of DR is high when the level of HbA1c and FBG were simultaneously high.
Conclusion
Clinical variables related to people with type II diabetes mellitus were strong predictive factors of DR. Hence, health professionals should be cautious about the possible nonlinear effects of clinical variables, interaction of clinical variables, and interaction of clinical variables with sociodemographic variables on the log odds of having DR. Furthermore, to improve intervention strategies similar studies should be conducted across the country.
2023-02-01T04:42:41Z
2023-02-01T04:42:41Z
2023-01-09
2023-02-01T04:42:41Z
Journal Article
BMC Medical Research Methodology. 2023 Jan 09;23(1):7
https://doi.org/10.1186/s12874-022-01794-4
https://hdl.handle.net/10500/29751
en
The Author(s)
oai:uir.unisa.ac.za:10500/280622021-09-22T12:50:11Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2021-09-22T12:50:11Z
urn:hdl:10500/28062
Considering love: Implications for critical political psychology
Malherbe, Nick
Love
Political psychology
Love knowledges
Love ethic
Collective resistance
Within psychology, love is typically understood in fundamentally psychological terms. Even those critical psychologists who have interrogated the sociopolitical dimensions of love seem unable to break from conceptions of love as romantic, familial, and/or private. In this article, I argue that in understanding love as a disposition, rather than a feeling, political psychologists are able to bring nuance to mainstream psychology’s engagement
with the emancipatory potentialities of love while, simultaneously, instating a critical reorientation of political psychology. To this end, I offer two pathways through which political psychologists can work with love: rooting counter-hegemonies in the love ethic, and enunciating love knowledges across contexts. I conclude by reflecting on future directions for critical political psychologists who are concerned with a multifaceted, materialist, psychopolitical and contextually-bound notion of love.
2021-09-22T12:50:11Z
2021-09-22T12:50:11Z
2021-04
Article
Malherbe, N. (2021). Considering love: Implications for critical political psychology. New Ideas in Psychology, Volume 61, 2021,100851, 1–8.
0732-118X
https://doi.org/10.1016/j.newideapsych.2020.100851
https://hdl.handle.net/10500/28062
en
Elsevier
oai:uir.unisa.ac.za:10500/291892022-11-24T07:19:49Zcom_10500_26439com_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_26440col_10500_3753col_10500_14519
2022-08-01T03:17:20Z
urn:hdl:10500/29189
Decision support-tools for early detection of infection in older people (aged> 65 years): a scoping review
Masot, Olga
Cox, Anna
Mold, Freda
Sund-Levander, Märtha
Tingström, Pia
Boersema, Geertien C.
Botigué, Teresa
Daltrey, Julie
Hughes, Karen
Mayhorn, Christopher B.
Montgomery, Amy
Mullan, Judy
Carey, Nicola
Abstract
Background
Infection is more frequent, and serious in people aged > 65 as they experience non-specific signs and symptoms delaying diagnosis and prompt treatment. Monitoring signs and symptoms using decision support tools (DST) is one approach that could help improve early detection ensuring timely treatment and effective care.
Objective
To identify and analyse decision support tools available to support detection of infection in older people (> 65 years).
Methods
A scoping review of the literature 2010–2021 following Arksey and O’Malley (2005) framework and PRISMA-ScR guidelines. A search of MEDLINE, Cochrane, EMBASE, PubMed, CINAHL, Scopus and PsycINFO using terms to identify decision support tools for detection of infection in people > 65 years was conducted, supplemented with manual searches.
Results
Seventeen papers, reporting varying stages of development of different DSTs were analysed. DSTs largely focussed on specific types of infection i.e. urine, respiratory, sepsis and were frequently hospital based (n = 9) for use by physicians. Four DSTs had been developed in nursing homes and one a care home, two of which explored detection of non- specific infection.
Conclusions
DSTs provide an opportunity to ensure a consistent approach to early detection of infection supporting prompt action and treatment, thus avoiding emergency hospital admissions. A lack of consideration regarding their implementation in practice means that any attempt to create an optimal validated and tested DST for infection detection will be impeded. This absence may ultimately affect the ability of the workforce to provide more effective and timely care, particularly during the current covid-19 pandemic.
2022-08-01T03:17:20Z
2022-08-01T03:17:20Z
2022-07-01
2022-08-01T03:17:20Z
Journal Article
BMC Geriatrics. 2022 Jul 01;22(1):552
https://doi.org/10.1186/s12877-022-03218-w
https://hdl.handle.net/10500/29189
en
The Author(s)
oai:uir.unisa.ac.za:10500/280532021-09-22T11:21:49Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2021-09-22T11:21:49Z
urn:hdl:10500/28053
Caregivers’ and interventionists’ perceptions of a child-centered home visitation intervention
Ismail, Ghouwa
Isobell, Deborah Louise
Arendse, Najuwa
Suffla, Shahnaaz
Seedat, Mohamed
Caregivers
Child safety
Community
Home visitors
Intervention
Home visitation is an intervention approach for families at risk of poor child outcomes. Negative outcomes include malnutrition, the risk of unintentional injuries, and child maltreatment, to mention a few. The effectiveness, appropriateness, and feasibility of Home Visitation Programmes (HVPs) remain under-researched in middle- to low-income settings. This study constitutes one component of a formative evaluation of a child-centred home visitation intervention in a low-income South African community. The aim of the study was to explore caregivers’ and interventionists’ perceptions of the content and delivery of the intervention. To this end the study employed qualitative methods, which included seven focus groups with caregivers and interventionists. The data were thematically analysed upon which four themes emerged namely human agency, accessibility to the intervention, attributes of the intervention, and safety-health behaviour, and are presented according to the Process–Person–Context–Time model. This study contributes to the science and praxis on conducting evidence-based home visitation interventions in a resource-constrained setting.
2021-09-22T11:21:49Z
2021-09-22T11:21:49Z
2021
Article
Ismail, G., Isobell, D., Arendse, N., Suffla, S., & Seedat, M. (2021). Caregivers’ and interventionists’ perceptions of a child-centered home visitation intervention. Community Psychology In Global Perspective, 7(2), 60-80. doi:10.1285/i24212113v7i2p60
https://hdl.handle.net/10500/28053
en
oai:uir.unisa.ac.za:10500/284482022-03-31T08:45:50Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1com_10500_8549com_10500_8544col_10500_3753col_10500_14519col_10500_8550
2022-01-18T15:33:33Z
urn:hdl:10500/28448
“Give Her a Slap or Two . . . She Might Change”: Negotiating Masculinities Through Intimate Partner Violence Among Rural Ghanaian Men
Dery, Isaac
Ghana
Masculinities
Intimate partner violence
controlling behaviour
gender norms
Critical studies on men and masculinities have gained significant momentum in feminist scholarship in the past decades. The growing interest in feminist scholarship has focused broadly on how male-bodied people construct, negotiate, and express masculine identities. Despite this growing interest, insufficient attention has explored how rurally based Ghanaian men construct and negotiate their masculinities in intimate relationships. Situated within critical discursive psychology and drawing on 16 semi-structured in-depth interviews and 6 focus group discussions with adult men in northwestern Ghana, the results show that dominant notions of masculinity provide a broad context through which participants’ narratives, negotiations, and experiences on intimate partner violence could be understood. Findings suggest that various cultural narratives and metaphors were deployed to support men’s controlling behaviors and/or intimate violence against women. The implications of how harmful masculine ideologies could frustrate efforts that target the development and promotion of a socially just and less oppressive society are presented and discussed.
2022-01-18T15:33:33Z
2022-01-18T15:33:33Z
2019-08-19
Article
https://doi.org/10.1177/0886260519869066
https://hdl.handle.net/10500/28448
en
Sage Publishing
oai:uir.unisa.ac.za:10500/295282022-11-18T08:26:21Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-11-01T04:20:24Z
urn:hdl:10500/29528
Respectful maternity care in health centers of Addis Ababa city: a mixed method study
Abebe, Amaha H.
Mmusi-Phetoe, Rose
Abstract
Objective
The study aims to assess quality of obstetric and newborn care including respectfulness of the maternity care.
Design
The study used explanatory sequential mixed methods design .
Setting
This study was conducted in 50 health centres in Addis Ababa city administration January 25 to April 31, 2021.
Methods
During the quantitative phase 500 women in postpartum period were interviewed using structured questionnaire. In the second phase in-depth interview was conducted with 20 midwives and 13 health centre managers. The quantitative data was analysed using Statistical Package for Social Sciences (SPSS). The qualitative data was analysed using Colaizzi’s seven step process.
Results
Only 24.6% of women had respectful maternity care (RMC). Only 46% of women had effective communication during child birth. Only 9.6% of women had emotional support during child birth. Majority of women were encouraged to mobilize, take food and be on labor position of their choice. However, only 22.4 and 18.8% of women respectively had a companion of choice and any pharmacologic pain relief during child birth. One in seven women (15%) had one form of disrespect and abuse during child birth.
Conclusion
Ensuring respectful maternity care needs strong policy direction to health facilities, public education on their right to respectful maternity care, training of care givers and monitoring care through engagement of frontline staff and clients.
2022-11-01T04:20:24Z
2022-11-01T04:20:24Z
2022-10-26
2022-11-01T04:20:24Z
Journal Article
BMC Pregnancy and Childbirth. 2022 Oct 26;22(1):792
https://doi.org/10.1186/s12884-022-05129-5
https://hdl.handle.net/10500/29528
en
The Author(s)
oai:uir.unisa.ac.za:10500/288312022-05-11T07:13:05Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-05-11T07:13:05Z
urn:hdl:10500/28831
Transgender student experiences of online education during COVID-19 pandemic era in rural Eastern Cape area of South Africa: A descriptive phenomenological study
Mavhandu-Mudzusi, Azwihangwisi Helen
Mudau, Tshimangadzo Selina
Shandu, Thulile
Ndou, Mthombeni Dorah
COVID-19
Descriptive phenomenology
Online education
Transgender students
COVID-19 affected education in many ways. As a response, various strategies were introduced to ensure students’ access to education, including online education. For most of the students, fulltime online education brought diverse challenges. This descriptive phenomenological study explored the experiences of transgender students regarding online education during the COVID-19 pandemic in Buffalo City Metro Municipality, South Africa. Data were collected by means of individual telephonic interviews with eight purposively selected transgender students using the snowballing technique. Data were thematically analysed using the interpretative phenomenological analysis framework for data analysis. The findings indicate that transgender students faced barriers in accessing online education, including (i) limited interaction, (ii) unconducive home environment because of stigmatisation, abuse and disruptions, and (iii) lack of access to the internet owing to the centralisation of internet access points, the unaffordability of data, unstable internet connections and an intermittent electricity supply. The findings further highlighted that transgender students face stigmatisation and abuse which hinder their learning. The situation is exacerbated by a lack of sources of income for transgender students, especially those who must make means for money to buy educational resources such as data for internet connection needed for online classes. Based on the findings, the researchers recommend continuous support for transgender students to ensure their
continued engagement in online education, amidst the challenges they face. To this end,
educational institutions should ensure that students have alternative means of accessing
education so that those from diverse populations, settings and socioeconomic statuses are reached.
2022-05-11T07:13:05Z
2022-05-11T07:13:05Z
2021
Article
2468-6891
https://hdl.handle.net/10500/28831
en
Institute of educational Sciences
oai:uir.unisa.ac.za:10500/250622018-11-23T01:00:28Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2018-11-22T07:12:36Z
urn:hdl:10500/25062
Verpleegkundige beraming van die behoeftes van moeders met voortydse babas
Roets, Liseth
Premature labour
Nurses
Mothers
Neonatal intensive care
Post natal ward
Premature labour is and remains an actual problem. There will always be mothers
that undergo the crisis of having a premature baby.
The unique needs ofthese mothers remains unfutfliled. Possible reasons fo r this are
that the nurse, working in the neonatal intensive carei special care units or in the
post natal ward, does not do a complete assessment o f the mother.
Nurses are set on the physical needs o f the mother and baby during hospitalization
arui pay more attention to these needs than to others. Those needs which are in fact
neglected, are those which are SoWucial and importanti concerning the mother.
In this siUdy , it is needs, other than physical needs, which are emphasized.
2018-11-22T07:12:36Z
2018-11-22T07:12:36Z
1995
Article
Roets, L. (1995).Verpleegkundige beraming van die behoeftes van moeders met voortydse babas. Curationis,18(3), Augustu.s 1995.
2223-6279
http://hdl.handle.net/10500/25062
Afrikaans
oai:uir.unisa.ac.za:10500/290882022-07-12T10:41:34Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-07-12T10:32:12Z
urn:hdl:10500/29088
Challenges encountered by human immunodeficiency virus positive pregnant women on taking antiretrovirals in a public health unit of the Manzini region, Swaziland
Mbatha, Trusty L
Habedi, Debbie SK
Challenges, HIV, positive pregnant mothers, antiretrovirals, health unit, Swaziland
DOI: 10.29063/ajrh2022/v26i5.4
In Swaziland, the Ministry of Health adopted the prevention of mother-to-transmission (PMTCT) Option A as a feasible and less costly way to expand the PMTCT services nationwide. Despite major success since the programme started, some barriers, such as the challenge of follow-up care for human immunodeficiency virus (HIV)-positive pregnant mothers still exist. The present study aimed to describe the challenges that HIV-positive pregnant mothers encountered on taking antiretrovirals (ARVs) in a health unit of the Manzini region, Swaziland. A qualitative, exploratory and descriptive research design was used, and data were collected through semi-structured individual interviews and field notes. Purposive sampling was used to select the study site and the population. Permission was requested from the participants to record the interviews. The study population were HIV-positive pregnant mothers, aged between 18 and 40 years, which were enrolled in the PMTCT B+ programme. The PMTCT B+ programme was perceived as preventing the transfer of HIV transmission from mother to child. It boosts the mother’s immune system, prevents opportunistic infections and prolongs life. Challenges of taking ARVs emerged as a theme. The participants displayed knowledge and understanding of the programme, yet discrimination and no support from families and partners were mentioned. (Afr J Reprod Health 2022; 26[5]: 41-49).
2022-07-12T10:32:12Z
2022-07-12T10:32:12Z
2022-05
Article
Mbatha, T.L. and Habedi, D.S., 2022. Challenges encountered by human immunodeficiency virus positive pregnant women on taking antiretrovirals in a public health unit of the Manzini region, Swaziland. African Journal of Reproductive Health, 26(5).
https://hdl.handle.net/10500/29088
en
oai:uir.unisa.ac.za:10500/269412020-12-07T15:30:48Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2020-12-07T15:30:48Z
urn:hdl:10500/26941
Barriers to and Opportunities for Male Partner Involvement in Antenatal Care in Efforts to Eliminate Mother-to-child Transmission of Human Immuno-deficiency Virus in Kenya: Systematic Review
Masaba, Brian Barasa
Mmusi-Phetoe, Rose M
Child, Male, Humans, Female, Infectious disease, Transmission, Vertical, Kenya, Sexual partners, Human immunodeficiency virus infections
Introduction:
Men’s involvement in antenatal care (ANC) is intended to encourage husbands to support women’s care and associated interventions, including
prevention of mother-to-child transmission from pregnancy to delivery, and throughout the postnatal period. The present study aimed to
systematically review the barriers and opportunities for male partner involvement in antenatal care in efforts to eliminate mother-to-child
transmission of Human Immunodeficiency virus (HIV) in Kenya.
Methods:
A systematic search of articles was from the following databases; Scopus, Science Direct, PUBMED, OVID, and Google scholar. The reference
list of included studies was manually searched for possible additional eligible articles. The searches were conducted from May 2019 to April 2020.
Qualitative analysis was done and data were presented in thematic domains.
Results:
The search generated 2208 articles, of which only 19 met the inclusion criteria. The major findings were discussed under two thematic domains: 1)
Barriers: Knowledge, Social-cultural/economic factors, Institutional factors, and Age. 2) Opportunities: Skilled Birth Attendant, Human
Immunodeficiency virus-free infant and Human Immunodeficiency virus testing.
Conclusion:
The review notes that the main barriers to male partner involvement in antenatal care in efforts to eliminate mother-to-child transmission of Human
Immunodeficiency virus in Kenya include; socio-cultural factors, the low maternal-child health education by the male partner, and institutional
factors. It further provides insight on the opportunities associated with male partner involvement in antenatal care/prevention of mother-to-child
transmission, which includes; having Human Immunodeficiency virus-free infants and increased, skilled birth deliveries. The review strongly calls
out for sustainable initiatives to incorporate males into the antenatal care/prevention of mother to child transmission programs.
2020-12-07T15:30:48Z
2020-12-07T15:30:48Z
2020-11-20
Article
Masaba, B.B. and Mmusi-Phetoe, R.M., 2020. Barriers to and Opportunities for Male Partner Involvement in Antenatal Care in Efforts to Eliminate Mother-to-child Transmission of Human Immuno-deficiency Virus in Kenya: Systematic Review. The Open Nursing Journal, 14(1).
http://hdl.handle.net/10500/26941
en
The Open Nursing Journal
oai:uir.unisa.ac.za:10500/96852018-08-14T11:27:59Zcom_10500_14526com_10500_14512com_10500_13602com_10500_1com_10500_3752col_10500_14547col_10500_3753col_10500_14519
2013-05-23T07:10:56Z
urn:hdl:10500/9685
Malaria preventive measures implemented by parents of by parents of under-five children in Bukumbi, Tanzania
Dinho, A.E.
Van der Merwe, M.M.
Ehlers, V.J.
Malaria
Malaria control
Malaria morbidity
Malaria mortality
Malaria prevention
Tanzania
Tropical diseases
Under five-year-old malaria control
A quantitative, explorative, descriptive contextual study was conducted to determine to what extent the malaria control measures proposed by the Tanzanian government had been implemented by parents of children aged 0-5 who lived in Bukumbi village. Structured interviews were conducted with 40 parents of children who had been admitted for malaria treatment during 2007. Although respondents had a basic knowledge of malaria preventive measures they did not implement actions preventing the anopheles mosquitoes' breeding in this tropical area. The vicious cycle of poverty, malaria episodes and lack of proper malaria health education hampered the implementation of control measures such as the spraying of houses with insecticides, and clearing pools of stagnant water. Although the government of Tanzania subsidises insecticide treated bed nets the respondents did not maintain these nets and did not renew the insecticide treatment of these nets. The incidence of malaria is unlikely to decline in the Bukumbi village unless all identified factors are addressed.
2013-05-23T07:10:56Z
2013-05-23T07:10:56Z
2009
2009
Article
Dinho, A.E.; Van der Merwe, M.M.; Ehlers, V.J. (2009) Malaria preventive measures implemented by parents of by parents of under-five children in Bukumbi, Tanzania. Africa Journal of Nursing and Midwifery 11(2) pp. 85-97
16825055
http://hdl.handle.net/10520/EJC19325
http://hdl.handle.net/10500/9685
en
Copyright of an article will be assigned to the AJNM if the article is published. Copyright covers
the exclusive right to reproduce and distribute the article in any medium. Articles published by
the AJNM, will be available from the institutional repository of the University of South Africa
(http://uir.unisa.ac.za). Submitting any article to the AJNM, implies that it presents original,
unpublished work, and is not considered for publication elsewhere. Without such a declaration no
article will be sent to reviewers. The corresponding author needs to sign the following agreement
to this effect. It remains the right of the AJNM to submit any article to the “Turn-it-in” computer
program to determine its extent of non-original information.
© 2009 AJNM
oai:uir.unisa.ac.za:10500/309282024-03-07T11:04:23Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-07T11:04:23Z
urn:hdl:10500/30928
Self-monitoring of blood pressure for preeclampsia patients: Knowledge and attitudes
Munyungula, Johanna
Shakwane, Simangele
Blood pressure
patients
preeclampsia
pregnant
self-monitoring
Background: Preeclampsia is one of the causes of maternal deaths and is also responsible for
complications such as premature births worldwide. In South Africa, hypertensive disorders
cause 14% of all maternal deaths. Evidence indicates that it may be beneficial to empower
women to monitor their blood pressure (BP) in the comfort of their homes.
Objectives: The purpose of this study was to explore and describe preeclampsia patients’
knowledge and attitudes towards the self-monitoring of their BP.
Method: An exploratory, descriptive and contextual qualitative research study was conducted.
Fourteen preeclampsia patients were purposively sampled and participated in the study.
In-depth semi-structured interviews were used to collect data. Data were analysed using the
thematic analytic approach.
Results: The knowledge and attitudes towards the self-monitoring of blood pressure (SMBP)
were explored. Four themes emerged, namely understanding of hypertension disorders
during pregnancy, openness on self-monitoring at home, its hindrances and benefits. The
participants portrayed limited understanding and knowledge of preeclampsia, yet they had
positive attitudes towards monitoring BP themselves and were open and willing to do self monitoring at home.
Conclusion: The use of SMBP may relieve overcrowding in public healthcare institutions.
Encouraging patients to participate in self-monitoring could promote active participation and
a positive outlook on their pregnancies. The unavailability and unaffordability of the
equipment may pose a challenge to women with a low socioeconomic status.
2024-03-07T11:04:23Z
2024-03-07T11:04:23Z
2021-09-21
Article
Munyungula, J. & Shakwane, S., 2021, ‘Self-monitoring of blood pressure for preeclampsia patients: Knowledge and attitudes’, Curationis 44(1), a2195. https://doi.org/10.4102/ curationis.v44i1.2195
2223-6279
https://hdl.handle.net/10500/30928
en
AOSIS
oai:uir.unisa.ac.za:10500/309262024-03-07T10:49:34Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-07T10:48:07Z
urn:hdl:10500/30926
Demystifying sexual connotations: A model for facilitating the teaching of intimate care to nursing students in South Africa
Shakwane, Simangele
Mokoboto-Zwane, Sheila
intimate care
touch
teaching
model development
patients
nursing students
Background. The concept of intimate care is not freely used in nursing education and practice. Nursing students provide basic nursing care that requires
physical and psychological closeness to diverse patients. During the execution of some basic nursing care, patients’ body parts that are considered
intimate, private and sexual, are exposed and touched. This encounter with a patient’s naked body may bring about feelings of anxiety, embarrassment
and discomfort for nursing students and patients.
Objective. To develop and describe a model for facilitating the teaching of intimate care to nursing students in South Africa.
Methods. The study was conducted at two nursing education institutions (NEIs) in Gauteng Province. A qualitative, theory-generating, research design
that is explorative, descriptive and contextual in nature was used to develop a model for facilitating the teaching of intimate care to nursing students. A
combination of stages of theory-generating approaches was used to identify and define the main concept. The structure and process of the model were
visually portrayed and described.
Results. The findings of this study demonstrate that intimate care is not facilitated in NEIs and nursing students are not well prepared and supported to provide
intimate care to diverse patients competently, confidently and comfortably. Facilitating the teaching of intimate care to nursing students was identified as the main
concept. Based on this, a model to facilitate the teaching of intimate care to nursing students was therefore proposed, described and visually illustrated.
Conclusion. The developed model will assist nurse educators in facilitating the teaching of intimate care in NEIs and in providing continuous support to
nursing students. It will empower students to implement intimate care competently, comfortably and confidently, enabling them to establish nurse-patient
intimate care relationships based on trust, respect and dignity.
2024-03-07T10:48:07Z
2024-03-07T10:48:07Z
2020-10-16
Article
Afr J Health Professions Educ 2020;12(3):103-108. https://doi.org/10.7196/AJHPE.2020.v12i3.1367
2078-5127
https://doi.org/10.7196/AJHPE.2020.v12i3.1367
https://hdl.handle.net/10500/30926
en
SOUTH AFRICAN MEDICAL ASSOCIATION
oai:uir.unisa.ac.za:10500/293992022-09-22T11:43:19Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-09-22T11:43:19Z
urn:hdl:10500/29399
Use of online interactive tools in an open distance learning context: Health studies students' perspective
Maboe, Kefiloe Adolphina
Discussion forum
Online
Open distance learning
Lecturer
Students
Background: Open distance learning (ODL) institutions provide educational challenges with specific reference to the training of nurses. They have adopted online technologies to
facilitate teaching and learning. However it is observed that most nurses do not use or
minimally use tools such as a discussion forum for online interaction to facilitate teaching
and learning.
Objective: The purpose of this study was to determine how the discussion forum as an
online interactive tool be used in an ODL institution to enhance student-to-student and
student-to-lecturer online interactions. Design: Quantitative and descriptive in nature.
Method: No sampling was done. An online questionnaire was sent to all 410 second and
third years Health Services Management students around the world registered with a
specific ODL institution during the second semester. Eighty seven students responded to
the questionnaire. Data analysis was done quantitatively and descriptively in the form of
diagrams.
Results: The findings indicated that 84.9% of students own computers, and 100% own
cellular phones, but only 3.8% participated in online discussion forum. Some students
indicated that they were technologically challenged. Some lecturers interact minimally
online and are not supportive to them. The institution does not give them the support they
need to acquire the necessary skills to utilise these technologies. Conclusion: The article suggests that lecturers, active interaction in an online discussion forum as a way of supporting students, are fundamental to effective teaching and learning.
The university should consider providing intensive mentoring to students to enable them
to utilise the available technologies optimally.
2022-09-22T11:43:19Z
2022-09-22T11:43:19Z
2017
Article
Maboe, K.A., 2017. Use of online interactive tools in an open distance learning context: Health studies students' perspective. health sa gesondheid, 22, pp.221-227.
https://hdl.handle.net/10500/29399
en
oai:uir.unisa.ac.za:10500/285132022-02-08T10:46:51Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1com_10500_8549com_10500_8544col_10500_3753col_10500_14519col_10500_8550
2022-02-07T08:39:51Z
urn:hdl:10500/28513
Introduction to the Special Issue: In Dialogue with Fanonian and Southern Thought
Ratele, Kopano
Suffla, Shahnaaz
Seedat, Mohamed
Fanon Mendes France, Mireille
Maldonado-Torres, Nelson
Against the backdrop of the global pandemic, which has deepened existing
global struggles against coloniality and racist, heteropatriarchal, and capitalist
social formations, this special issue focuses on Fanon, Southern Theory, and
Psychoanalysis: Dialogues on Race, Gender, and Sexuality. In dialogue with the
work of Frantz Fanon—a key figure in thinking on colonialism and decolonization—
and other critical thinkers from the Global South, the contributors raise
important questions about the place and relevance of psychoanalysis in contemporary
thought and practice. The special issue invites readers to consider
the creative and liberatory possibilities for psychoanalysis within and without
its epistemic and clinical norms and traditions. This article introduces the
special issue and summarizes the nine contributions included here.
2022-02-07T08:39:51Z
2022-02-07T08:39:51Z
2021-12-17
Article
Kopano Ratele, Shahnaaz Suffla, Mohamed Seedat, Mireille Fanon Mendès France & Nelson Maldonado-Torres (2021) Introduction to the Special Issue: In Dialogue with Fanonian and Southern Thought, Studies in Gender and Sexuality, 22:4, 237-242, DOI: 10.1080/15240657.2021.1996716
https://doi.org/10.1080/15240657.2021.1996716
https://hdl.handle.net/10500/28513
en
Routledge Taylor & Francis Group
oai:uir.unisa.ac.za:10500/277892021-08-10T15:08:09Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-10T06:18:40Z
urn:hdl:10500/27789
Being a female adolescent on antiretroviral therapy at eThekwini district, South Africa: a phenomenographic study
Mahomed, Farhana
Mavhandu-Mudzusi, Azwihangwisi Helen
Adherence
antiretroviral treatment
female adolescents
phenomenography
HIV
antiretroviral therapy
Adherence to antiretroviral treatment is an important strategy to reduce the spread of the Human Immunodeficiency Virus (HIV). However, most female adolescents living with HIV are unable to adhere to antiretroviral treatment. This phenomenographic study explores various experiences of HIV-positive female adolescents on antiretroviral therapy at eThekwini District, South Africa. In-depth individual interviews were conducted with 15 purposively selected adolescent living with HIV. Data were analysed guided by the
phenomenographic framework for data analysis. Findings indicate that female adolescents' experiences vary regarding disclosure of HIV status, adherence to therapy, response to living with HIV, and taking treatment. The varied experiences have an impact on adherence to treatment, which, in turn, affects the adolescents’ quality of life. Based on the findings, researchers recommend the development of individualised support and relevant information to female adolescents on ART by healthcare professionals, family members, and teachers to promote adherence.
2021-08-10T06:18:40Z
2021-08-10T06:18:40Z
2020
Article
Gender & Behaviour, 18(3), December 2020
1596-9231
http://hdl.handle.net/10500/27789
en
LIfe Centre for Psychological Studies/Services, Nigeria
oai:uir.unisa.ac.za:10500/292712022-08-17T14:21:09Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T14:02:41Z
urn:hdl:10500/29271
Challenges faced by healthcare workers at a central hospital in Zimbabwe after contracting COVID-19: An interpretive phenomenological analysis study
Moyo, Idah
Ndou-Mammbona, Avhatakali A
Mavhandu-Mudzusi, Azwihangwisi Helen
COVID-19
healthcare workers
IPA
phenomenology
psychosocial challenges
support system
Background: Healthcare workers play a critical role in the delivery of healthcare services.
Because of the high risk of exposure to healthcare workers, the emergence of coronavirus
disease 2019 (COVID-19) has had a significant impact as they struggled to contain the
pandemic. The purpose of this study was to explore and describe the challenges they faced after contracting COVID-19. Methods: An interpretative phenomenological analysis (IPA) design was employed to gain insight into the lived experiences of healthcare workers who contracted COVID-19 in the course of their duties. This study involved participants who were healthcare workers based at a central hospital in Bulawayo, Zimbabwe. Data were collected through in-depth interviews that were audio recorded. A sample size of ten was reached based on data saturation. Results: The study showed that healthcare workers lacked psychosocial support, experienced economic challenges as they incurred diagnostic and treatment costs. The study also found that the healthcare workers experienced stigma and discrimination both at work and in the community. Findings also indicate that healthcare workers did not receive institutional support. The study demonstrated lack of preparedness at the institution evidenced by inadequate testing for COVID-19 and shortage of personal protective equipment. Conclusion: This study’s findings will be critical for health authorities, programmers and policymakers to facilitate planning and preparedness for pandemics. The researchers recommend setting up a differentiated service delivery support system for healthcare workers to cater for their mental health and well-being and that of their families
2022-08-17T14:02:41Z
2022-08-17T14:02:41Z
2022-03-29
Article
Moyo I, Ndou-Mammbona AA, Mavhandu-Mudzusi AH. Challenges faced by healthcare workers at a central hospital in Zimbabwe after contracting COVID-19: An interpretive phenomenological analysis study. S Afr Fam Pract. 2022;64(1), a5428. https://doi.org/10.4102/safp. v64i1.5428
2078-6204
https://doi.org/10.4102/safp.v64i1.5428
https://hdl.handle.net/10500/29271
en
AOSIS
oai:uir.unisa.ac.za:10500/277662021-08-06T14:01:52Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2021-08-06T14:01:52Z
urn:hdl:10500/27766
The needs and expectations of staff and students living with HIV and AIDS in a South African Rural University
Mavhandu-Mudzusi, Azwihangwisi Helen
expectations
needs
preparedness
rural-based university
staff and students living with HIV and Aids
HIV and Aids are making an impact in institutions of higher education. Studies have revealed that though few students and staff have been recorded as suffering from HIV/Aids, more have become ill and some have died in ways that signal the impact of HIV/Aids. Universities can contribute to addressing the needs and expectations of staff and students living with HIV and Aids. The purpose of this study was to explore and describe the preparedness of a South African rural-based university in addressing the needs and expectations of staff and students living with HIV and Aids. A qualitative study design was followed, with one South African rural based university as the case setting. Qualitative interviews were conducted stemming from the central research question, ‘How is the university addressing the needs and expectations of staff and students living with HIV and Aids?’ Following an open coding method of data analysis, three themes emerged relating to how the needs and expectations of staff and students living with HIV and Aids were addressed: persistence stigma and discrimination, limited assurance to confidentiality, and inadequate treatment, care and support. Recommendations were made for improvement of service delivery to address the needs and expectations of staff and students living with HIV and Aids and further research should be conducted on a large scale to determine other needs and expectations of staff and students living with HIV and Aids at other South African rural-based universities and how they are addressed.
2021-08-06T14:01:52Z
2021-08-06T14:01:52Z
2014-01-01
Article
Mavhandu-Mudzusi, Azwihangwisi Helen (2014)The needs and expectations of staff and students living with HIV and AIDS in a South African rural-based university. Africa Journal of Nursing and Midwifery 16 (2) 2014 pp. 30–43
1682-5055
http://hdl.handle.net/10500/27766
en
Unisa Press
oai:uir.unisa.ac.za:10500/200592016-03-24T13:04:13Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2016-03-24T13:04:13Z
urn:hdl:10500/20059
Reduced adherence to antiretroviral therapy in Polokwane, Limpopo province, South Africa
Makua, Thuledi
Adherence to ART, antiretroviral therapy, factors associated, HIV, multidrug resistance.
The purpose of this study was to explore the determining factors for reduced adherence to antiretroviral therapy (ART) for HIV positive patients on ART residing in Polokwane, in Limpopo Province of South Africa. This study made use of the generic qualitative research design and in-depth qualitative interviews to collect data from a purposive sample of patients who did not adhere to ART. Thematic content analysis was used to analyse the data collected from the 18 patients from four clinics in Polokwane offering ART to patients. The participants attributed their reduced adherence to service delivery, patients’ socio-economic status and family factors. The socio-economic status such as unemployment and abuse of alcohol leading to forgetfulness to take ART was among the factors cited by participants. Failure to disclose the health status to the family was indicated as the reason for reduced adherence to the treatment. None or partial adherence can lead to the development of drug-resistant strains of the virus. Health education on ART would assist the patients with managing the stigmatisation. In order to increase the understanding of the effects of alcohol on the ART, a lot of efforts need to be put on educating the patients about such interaction.
2016-03-24T13:04:13Z
2016-03-24T13:04:13Z
2015-07-20
Article
Makua, T. (2015). Reduced adherence to antiretroviral therapy in Polokwane, Limpopo province, South Africa. African Journal for Physical, Health Education, Recreation and Dance, June (Supplement 1), 107-114.
11174315
http://hdl.handle.net/10500/20059
en
African Journal for Physical, Health Education, Recreation and Dance (AJPHERD)
oai:uir.unisa.ac.za:10500/278792022-05-25T06:33:37Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-09-01T03:27:08Z
urn:hdl:10500/27879
A critical cartography of domestic violence policies in Mozambique
Jetha, Eunice
Keygnaert, Ines
Seedat, Mohamed
Nhampoca, Joaquim, 1976-
Sidat, Mohsin
Roelens, Kristien
Domestic violence
Policies
Mozambique
Background: Domestic violence (DV) afects millions of people worldwide, especially women impacting their health
status and livelihoods. To prevent DV and to improve the quality of victims’ lives, Mozambican governmental and nongovernmental entities are making eforts to develop adequate policies and legislation and to improve the accessibility
of services for victims of DV.
However, a critical review of whether or not current policies and legislation concerning DV in Mozambique are in
agreement with international guidelines has yet to be examined. Therefore, this paper aims to map the Mozambican
legislative and policy responses to DV. It also strives to analyse their alignment with international treaties and conventions and with each other.
Methods: Through a critical cartography, documents were selected and their content analysed. Some of these
documents were not available online, printed versions were not available on the feld and some were not up to date.
Therefore, we had to search for them via physical ofce visits at governmental institutions with a responsibility to
deal with DV aspects. These documents were listed and analysed for key content applying a framework inquiring on
recommendations of international agencies such as World Health Organization. Subsequently, we compared these
policies with international conventions and treaties of which Mozambique is signatory and with each other to identify
discrepancies.
Results: Overall, six institutions were visited assuring identifcation of all available information and policy documents
on DV. We identifed a total of ffteen national DV documents of which fve were on laws, one on policy and nine institutional strategic/action plans. Most of the national DV documents focused on strategies for assistance/care of victims
and prevention of DV. Little focus was found on advocacy, monitoring and evaluation.
Conclusions: Mozambique has demonstrated its commitment by signing several international and regional treaties
and conventions on DV. Despite this, the lack of consistency in the alignment of international treaties and conventions with national policies and laws is remarkable. However, a gap in the reliable translation of national policies and
laws into strategic plans is to be found particularly in relation to naming type, benefciaries, main strategies and multisectorial approach.
Plain language summary: Domestic violence (DV) which involves physical, sexual and psychological threats, is a Mozambican public health problem that compromises the quality of life of the victims and their families. In extreme cases, such abuse can result in fatalities.
In response to DV, the Mozambican government has adopted international treaties and conventions to design national DV prevention and containment policies and laws.
This article aims to describe how national policies, laws and strategic plans define DV, and align with international treaties and conventions as well as with each other. The analysis indicates that the country’s policies, laws and strategic plans do not meet all recommendations of international guidelines. These include those proposed by the United Nations (UN) and the Pan American Health Organization (PAHO).
While strategic plans propose measures directed at preventing the occurrence of DV and providing victim assistance, they make no reference to monitoring and evaluation, data management and advocacy. Given these mixed findings it is proposed that synergy be obtained among legislation, policy and strategic planning documents and that these documents be revised to incorporate a focused multisectoral approach and monitoring and evaluation.
2021-09-01T03:27:08Z
2021-09-01T03:27:08Z
2021-08-09
2021-09-01T03:27:08Z
Article
Jethá, E., Keygnaert, I., Seedat, M. et al. A critical cartography of domestic violence policies in Mozambique. Reproductive Health 18(1):169 (2021)
https://doi.org/10.1186/s12978-021-01215-7
http://hdl.handle.net/10500/27879
en
http://creativecommons.org/licenses/by/4.0/
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder
oai:uir.unisa.ac.za:10500/282222022-03-31T11:27:02Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-11-01T09:45:39Z
urn:hdl:10500/28222
Findings from a novel and scalable community-based HIV testing approach to reduce the time required to complete point-of-care HIV testing in South Africa
Mabuto, Tonderai
Setswe, Geoffrey
Mshweshwe-Pakela, Nolundi
Clark, Dave
Day, Sarah
Molobetsi, Lerato
Pienaar, Jacqueline
Abstract
Background
Mobile HIV testing approaches are a key to reaching the global targets of halting the HIV epidemic by 2030. Importantly, the number of clients reached through mobile HIV testing approaches, need to remain high to maintain the cost-effectiveness of these approaches. Advances in rapid in-vitro tests such as INSTI® HIV-1/HIV-2 (INSTI) which uses flow-through technologies, offer opportunities to reduce the HIV testing time to about one minute. Using data from a routine mobile HTS programme which piloted the use of the INSTI point-of-care (POC) test, we sought to estimate the effect of using a faster test on client testing volumes and the number of people identified to be living with HIV, in comparison with standard of care HIV rapid tests.
Methods
In November 2019, one out of four mobile HTS teams operating in Ekurhuleni District (South Africa) was randomly selected to pilot the field use of INSTI-POC test as an HIV screening test (i.e., the intervention team). We compared the median number of clients tested for HIV and the number of HIV-positive clients by the intervention team with another mobile HTS team (matched on performance and area of operation) which used the standard of care (SOC) HIV screening test (i.e., SOC team).
Results
From 19 to 20 December 2019, the intervention team tested 7,403 clients, and the SOC team tested 2,426 clients. The intervention team tested a median of 442 (IQR: 288–522) clients/day; SOC team tested a median of 97 (IQR: 40–187) clients/day (p<0.0001). The intervention team tested about 180 more males/day compared to the SOC team, and the median number of adolescents and young adults tested/day by the intervention team were almost four times the number tested by the SOC team. The intervention team identified a higher number of HIV-positive clients compared to the SOC team (142 vs. 88), although the proportion of HIV-positive clients was lower in the intervention team due to the higher number of clients tested.
Conclusions
This pilot programme provides evidence of high performance and high reach, for men and young people through the use of faster HIV rapid tests, by trained lay counsellors in mobile HTS units.
2021-11-01T09:45:39Z
2021-11-01T09:45:39Z
2021-10-29
2021-11-01T09:45:40Z
Journal Article
BMC Health Services Research. 2021 Oct 29;21(1):1176
https://doi.org/10.1186/s12913-021-07173-x
https://hdl.handle.net/10500/28222
en
The Author(s)
oai:uir.unisa.ac.za:10500/288222022-05-11T07:08:30Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-05-11T07:08:30Z
urn:hdl:10500/28822
How do you expect us to survive? Lamentation of female sex workers in Zimbabwe during COVID-19 lockdown
Mavhandu-Mudzusi, Azwihangwisi Helen
Moyo, Idah
COVID-19
descriptive phenomenology
emotional challenges
female sex workers
survival strategies
The restrictive measures taken to curb and mitigate the spread of the corona virus of 2019 (COVID-19) had negative implications on the vulnerable populations. The most severely affected group among the vulnerable population were sex workers, whose work venues and customers were locked down. This descriptive phenomenological study explored effects of COVID-19 on female sex workers in Bulawayo, Zimbabwe. Snowballing sampling was used to recruit participants. Data were collected through in-depth face-to-face individual interviews with ten female sex workers. The sample size was determined by data saturation. Colaizzi's seven-step content analysis approach was followed to guide data analysis. Rigour was ensured by adhering to Guba and Lincoln's trustworthiness criteria. The study found that the lockdown measures impacted negatively on sex workers’ income, making it difficult for them to get money for food and rentals. In order to survive, sex workers adopted innovative entrepreneurship. Others engaged in risky sexual behaviours, further aggravating their situation emotionally and psychologically. It is recommended that the government and policy makers provide psychosocial and economic support to protect the rights of female sex workers in order to maintain the gains made in HIV response.
2022-05-11T07:08:30Z
2022-05-11T07:08:30Z
2022
Article
2131-3606
https://hdl.handle.net/10500/28822
en
WOMEN'S HEALTH AND ACTION RESEARCH CENTRE [WHARC].
oai:uir.unisa.ac.za:10500/289882022-06-20T07:29:54Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2022-06-20T07:23:02Z
urn:hdl:10500/28988
Assessment of Follow-Up Care Received by Patients with Hypertension at Primary Health Care Facilities in Tshwane District of Gauteng Province, South Africa
Monyelo, Julia
Habedi, Debbie SK
assessment
follow-up care
hypertension
primary health care
Lifestyle and Epidemiology the double Burden of Poverty and Cardiovascular Diseases in African Populations
Edited by Kotsedi Daniel Monyeki and Han C.G. Kemper
10.5772/intechopen.92932
To extend the life expectancy of all South Africans to at least 70 years by 2030,
hypertension follow-up care needs to be strengthened so that patients do not
develop complications while in care. The aim of this study was to evaluate the
follow-up care received by patients with hypertension at primary health care (PHC)
facilities in Tshwane district. The study setting was ten PHC facilities in the aforesaid
district. Quantitative, descriptive and retrospective methods were adopted,
and simple random sampling was used to select ten PHC facilities from which ten
files were conveniently sampled. Data were captured in Microsoft Excel 2010 and
exported to IBM Statistical Package for the Social Sciences (SPSS) software version
21 in which data coding, outlier detection, missing value analysis and statistical data
analysis were performed. In line with the study aim, frequency tables in SPSS were
used to produce frequency statistics, and the chi-square test was used to test for the
presence of association between compliance by nurses to clinical guidelines and
categories of attributes, and further determine if there was a significant difference
between adherence and non-adherence. The study found a significant proportion
(93.4%) of non-adherence to hypertension guidelines among consulting nurses at
selected PHC facilities.
2022-06-20T07:23:02Z
2022-06-20T07:23:02Z
2021-08
Book
Manyelo, J. and Habedi, D., 2021. Assessment of Follow-Up Care Received by Patients with Hypertension at Primary Health Care Facilities in Tshwane District of Gauteng Province, South Africa. Lifestyle and Epidemiology: The Double Burden of Poverty and Cardiovascular Diseases in African Populations, p.227.
978-1-83962-745-3
978-1-83962-737-8
10.5772/intechopen.92932
https://hdl.handle.net/10500/28988
en
IntechOpen
oai:uir.unisa.ac.za:10500/88912019-03-07T07:37:00Zcom_10500_14526com_10500_14512com_10500_13602com_10500_1com_10500_3752col_10500_14552col_10500_3753col_10500_14519
2013-04-09T14:03:53Z
urn:hdl:10500/8891
HIV/AIDS knowledge of secondary school learners in Sefhare, Botswana
Adenuga, Babafunso Aderemi
Ehlers, Valerie
Botswana's HIV/AIDS school programme
HIV/AIDS knowledge
Prevention of HIV infection
Secondary school learners' sexual behaviour
Quantitative, descriptive research, using self-completion questionnaires, was conducted to determine
the level of HIV/AIDS knowledge of 92 secondary school learners in Sefhare, Botswana.
Of the 92 respondents, about half could explain what HIV/AIDS was, but only 13.6% said AIDS
is caused by HIV and only 4.5% said AIDS is an incurable disease. The ABC of protecting oneself
against HIV (abstain from sex, be faithful to one sex partner, use condoms) was mentioned by
merely 57.6% of the learners.
The learners’ lack of knowledge should be addressed by school HIV/AIDS programmes offered
in Botswana. As 81.5% of the learners were willing to be tested for HIV, this service should be
made available with simultaneous confidential personal HIV/AIDS education, irrespective of the
HIV test results. Teachers’ and parents’ HIV/AIDS knowledge should also be updated regularly
2013-04-09T14:03:53Z
2013-04-09T14:03:53Z
2012
Article
Adenuga, B.A.; Ehlers, V.J(2012) HIV/AIDS knowledge of secondary school learners in Sefhare, Botswana. Africa Journal of Nursing and Midwifery 14(1) pp 16-27 2012
16825055
http://hdl.handle.net/10520/EJC124896
http://hdl.handle.net/10500/8891
en
© 2012 AJNM
Unisa
oai:uir.unisa.ac.za:10500/299972023-05-04T07:39:00Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2023-05-04T07:39:00Z
urn:hdl:10500/29997
Self-leadership of nurses in a critical care outreach service: The development of a conceptual framework.
Prinsloo, Carine
Jooste, Karien
leadership
self-leadership
critical care outreach service
conceptual framework
nurses
Globally, critical care outreach services (CCOS) were implemented in health care
facilities; however, compliance with guidelines is poor. The authors have noticed that a gap
exists in the literature on how self-leadership might influence nurses’ implementation of
CCOS. Self-leadership is about leadership applied to oneself. Critical care outreach services
assist nurses with the nursing care of a patient whose health is declining. Leadership is needed
for the successful implementation of CCOS.
2023-05-04T07:39:00Z
2023-05-04T07:39:00Z
2022
Article
Prinsloo C., Jooste, K., 2022, ‘Self-leadership of nurses in a critical care outreach service: The development of a conceptual framework, Health SA Gesondheid 27(0), a1965. https://doi.org/ 10.4102/hsag.v27i0.1965
2071-9736
1025-9848
https://doi.org/ 10.4102/hsag.v27i0.1965
https://hdl.handle.net/10500/29997
en
Health SA Gesondheid
oai:uir.unisa.ac.za:10500/86832022-05-31T11:38:33Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2013-02-18T12:24:33Z
urn:hdl:10500/8683
Acceptance and uptake of voluntary HIV testing among healthcare workers in a South African public hospital
Zungu, L. (Lindiwe)
Sanni, B. A.
Acceptance
Uptake
Voluntary HIV testing
Healthcare workers
Public hospital
South Africa
Background: Healthcare workers are seen as being at the centre of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) management. They are also at risk of HIV infection from occupational exposure to blood-borne pathogens during their daily work activities. Although many studies on HIV/AIDS and its management have been carried out globally, only a few address HIV counselling and testing among healthcare workers. The aim of this study is to determine factors associated with the acceptance and uptake of voluntary HIV testing among healthcare workers in a public hospital in KwaZulu-Natal.
Method: A cross-sectional quantitative descriptive survey was conducted among healthcare workers in a public hospital, by means of self-administered questionnaires. Written informed consent was obtained from each participant prior to participation in the study.
Results: A response rate of 239 (59.4%) was achieved from a targeted population of 402 healthcare workers. Of the 239 participants, 208 (87.0%) indicated that they would accept having an HIV test, while 217 (90.7%) reported having had HIV counselling and testing. There were positive associations between participants’ having had HIV counselling and testing and having a close relative living with HIV/AIDS (p-value = 0.032), previous accidental exposure to blood-borne pathogens (p-value = 0.003) and the number of years of their work experience (p-value = 0.0006). No significant associations were noted between participants who reported having undergone HIV counselling and testing in the previous year, and their demographic variables, such as age (0.766), gender (0.876), marital status (0.715), and knowledge of hospital policy on post-exposure prophylaxis (0.5669).
Conclusion: The findings of this study showed high levels of acceptance (208, 87.0%) and uptake (217, 90.7%) of HIV counselling and testing among healthcare workers in the designated public hospital. Several factors influenced this.
2013-02-18T12:24:33Z
2013-02-18T12:24:33Z
2011-09
Article
Zungu LI & Sanni BA. Acceptance and uptake of voluntary HIV testing among healthcare workers in a South African public hospital. S Afr Fam Pract 2011; 53(5):488-494
2078-6204
http://hdl.handle.net/10500/8683
https://doi.org/10.1080/20786204.2011.10874139
en
By submitting manuscripts to SAFP, authors of original articles are assigning copyright to the SA Academy of Family Practice/Primary Care. Copyright of review articles are assigned to the Publisher, Medpharm Publications (Pty) Ltd, unless otherwise specified. Authors may use their own work after publication without written permission, provided they acknowledge the original source. Individuals and academic institutions may freely copy and distribute articles published in SAFP for educational and research purposes without obtaining permission
OpenJournals Publishing
oai:uir.unisa.ac.za:10500/264242020-06-02T08:35:00Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2020-06-01T03:16:52Z
urn:hdl:10500/26424
Scaling up malaria elimination management and leadership: a pilot in three provinces in Zimbabwe, 2016–2018
Chung, Amanda M
Case, Peter
Gosling, Jonathan
Gosling, Roland
Madinga, Munashe
Chikodzore, Rudo
Hove, Macdonald
Viljoen, Greyling
Chitapi, Precious
Gumbi, Matsiliso
Mnguni, Peliwe
Murungu, Joseph
Dube, Busisani
Dhliwayo, Patience
Mberikunashe, Joseph
Abstract
Background
Focus for improved malaria programme performance is often placed on the technical challenges, while operational issues are neglected. Many of the operational challenges that inhibit malaria programme effectiveness can be addressed by improving communication and coordination, increasing accountability, maintaining motivation, providing adequate training and supervision, and removing bureaucratic silos.
Methods
A programme of work was piloted in Zimbabwe with one malaria eliminating province, Matabeleland South in 2016–2017, and scaled up to include two other provinces, Matabeleland North and Midlands, in 2017–2018. The intervention included participatory, organization development and quality improvement methods.
Results
Workshop participants in Matabeleland South reported an improvement in data management. In Matabeleland North, motivation among nurses improved as they gained confidence in case management from training, and overall staff morale improved. There was also an improvement in data quality and data sharing. In Midlands, the poorly performing district was motivated to improve, and both participating districts became more goal-oriented. They also became more focused on monitoring their data regularly. Participants from all provinces reported having gained skills in listening, communicating, facilitating discussions, and making presentations. Participation in the intervention changed the mindset of malaria programme staff, increasing ownership and accountability, and empowering them to identify and solve problems, make decisions, and act within their sphere of influence, elevating challenges when appropriate.
Conclusions
This pilot demonstrates that a participatory, organization development and quality improvement approach has broad ranging effects, including improving local delivery of interventions, tailoring strategies to target specific populations, finding efficiencies in the system that could not be found using the traditional top-down approach, and improving motivation and communication between different cadres of health workers. Scale-up of this simple model can be achieved and benefits sustained over time if the process is imbedded into the programme with the training of health staff who can serve as management improvement coaches. Methods to improve operational performance that are scalable at the district level are urgently needed: this approach is a possible tactic that can significantly contribute to the achievement of global malaria eradication goals.
2020-06-01T03:16:52Z
2020-06-01T03:16:52Z
2020-05-20
2020-06-01T03:16:53Z
Journal Article
Malaria Journal. 2020 May 20;19(1):185
https://doi.org/10.1186/s12936-020-03255-z
http://hdl.handle.net/10500/26424
en
The Author(s)
oai:uir.unisa.ac.za:10500/278062021-08-13T09:07:55Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-13T09:07:53Z
urn:hdl:10500/27806
Being Lesbian, Gay, Bisexual, Transgender, and Intersex (LGBTI) students in a South African university: Implications for HIV prevention
Mavhandu-Mudzusi, Azwihangwisi Helen
Ganga-Limando, M
homophobia
sexual orientation
stigma and discrimination
higher education
Negative attitudes towards Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) communities exist in South Africa, regardless of constitutional provision and anti-discriminatory policies. Cases of violence against LGBTI persons due to their sexual orientation have been reported in the media and scientific journals. This study focused on LGBTI students at a rural university. It explored and described their experiences in interacting with members and structures of the university community.
A qualitative descriptive, exploratory, and contextual design was used and data were collected through individual, face-to-face, in-depth interviews. Interviews were conducted with 20 participants, who were selected through the snowballing technique. Thematic content analysis was used to analyse data.
Stigma and discrimination were the main themes that emerged from the analysis of the interviews. Four subthemes and various categories were derived from the main theme. Despite the constitutional provisions and the core values guiding any university, LGBTI students are still being stigmatised and discriminated against because of their sexual orientation. Stigma and discrimination issues should be incorporated in all HIV-prevention activities in universities in South Africa.
2021-08-13T09:07:53Z
2021-08-13T09:07:53Z
2014-01-01
Article
Africa Journal of Nursing and Midwifery 16 (2) 2014 pp. 125–138
1682-5055
http://hdl.handle.net/10500/27806
en
Sabinet African Journals
oai:uir.unisa.ac.za:10500/288262022-05-11T07:10:32Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-05-11T07:10:32Z
urn:hdl:10500/28826
The discourse on the intersectionality of religion and HIV and AIDS with specific reference to Thulamela municipality, Limpopo province
Netshapapame, Tshifhiwa Sinky
Mavhandu-Mudzusi, Azwihangwisi Helen
Ndou, Anza
HIV/AIDS
preaching
discourse
moralisation
religion
religio-cultural beliefs
communities and Christian communities
The human immunodeficiency virus (HIV) since its genesis has continued to affect a large number of the population in the African region and has caused exponential deaths. At the same time, new infections have been reported in South Africa. However, religion as a vehicle of change through the institution of the church has been acting on the contrary, since it discourages the use of condoms (one of the most effective ways to prevent HIV) and moralising the pelvic area in its characterisation against the commandment of God. Such a perspective has largely been drawn from the Christian doctrine(s). We argue that in its condemnation and moralisation of the virus, the church, through its pastors, engaged in biblical discourse (preaching).
2022-05-11T07:10:32Z
2022-05-11T07:10:32Z
2021-11-30
Article
2072-8050 (ONLINE)
https://hdl.handle.net/10500/28826
en
African Online Scientific Information Systems
oai:uir.unisa.ac.za:10500/272842022-05-23T09:12:58Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-04-30T11:21:14Z
urn:hdl:10500/27284
15th National Nurse Education Conference 2014 : changing boards
Habedi, Debbie Kgomotso
Nurse education
Virtual boards
Technology
The 15th National Nurse Education Conference 2014 was held at the Adelaide Convention Centre, North Terrace in Adelaide, South Australia from 30 April 2014 to 2 May 2014. The conference was hosted by the Australian Nurse Teachers Society (ANTS), Southern Australia branch.
2021-04-30T11:21:14Z
2021-04-30T11:21:14Z
2016
Article
Habedi, D.S.K., 2014. CONFERENCE REPORT-15th National Nurse Education Conference 2014: Changing Boards. Africa Journal of Nursing and Midwifery, 16(2), pp.155-157.
1682-5055
http://hdl.handle.net/10500/27284
https://hdl.handle.net/10520/EJC169751
en
Copyright © 2014, UNISA Press:All rights reserved
UNISA Press
oai:uir.unisa.ac.za:10500/277622021-08-07T13:55:55Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-06T08:28:47Z
urn:hdl:10500/27762
Factors determining coordination of HIV/AIDS programmes in Ugu District Municipality of KwaZulu-Natal Province, South Africa
Mnguni, M.B
Sandy, Peter Thomas
Mavhandu-Mudzusi, Azwihangwisi Helen
Community based organisations
Coordination
District municipality
effective coordination
HIV/AIDS Programmes
There is poor coordination of Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) programmes in Ugu District Municipality. The purpose of this study was to explore factors that determine effective co-ordination of HIV/AIDS programmes in Ugu District Municipality. A cross-sectional study of 239 respondents from community-based organisations responded to structured questionnaires. Results indicate limited knowledge of existing programmes for HIV/AIDS coordination, varied periods of operation on HIV/AIDS services, inconsistencies in receiving information and updates about HIV/AIDS programmes, varied educational qualifications of HIV/AIDS programme managers and limited skills and experiences related to chairing of HIV/AIDS meetings. All these resulted in ineffective co-ordination of HIV/AIDS programmes in Ugu District Municipality. There should be relevant support structures, policies and processes to ensure effective coordination of HIV and AIDS responses in municipalities in South Africa.
2021-08-06T08:28:47Z
2021-08-06T08:28:47Z
2015-12
Article
Mnguni, M.B., Sandy, P.T. & Mavhandu-Mudzusi, A.H. (2015). Factors determining coordination of HIV/AIDS programmes in Ugu District Municipality of KwaZulu-Natal Province, South Africa. African Journal for Physical, Health Education, Recreation and Dance, December (Supplement 1).
http://hdl.handle.net/10500/27762
en
oai:uir.unisa.ac.za:10500/309312024-03-07T14:18:59Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-07T14:18:59Z
urn:hdl:10500/30931
Degendering Male Nursing Students’ Intimate Care Provision: A South African Perspective
Shakwane, Simangele
basic nursing care
cultural issues
intimate care
male nursing students
touch
Background: Male nursing students remain a minority group in nursing education and training programmes. They are thought to have
diverted from their prescribed roles as men, leading to professional stereotypes and fear of providing intimate care. In addition, the
lack of role models and support for male nurses adds to their frustration during clinical placement. The aim of this study was thus to
understand male nursing students’ experiences when providing intimate care to diverse patients during clinical placement. Methods: A
descriptive phenomenology design was employed. Male nursing students from two nursing education institutions in Gauteng province,
South Africa, were purposively sampled based on their experiences and their exposure to providing basic nursing care requiring physical
closeness and touch. Twelve (12) male nursing students participated in individual semi-structured interviews. Data were analysed
using phenomenological analysis of horizontalisation, creating meaning and essence of intimate care experiences. Results: Four themes
emerged from intimate care experiences, which were (1) helping others with basic physical care; (2) cultural issues related to touching
naked bodies of diverse patients; (3) adherence to basic nursing care principles; and (4) discomforting reactions during intimate care and
touch. Conclusions: Male nursing students are willing to provide quality care to diverse patients. However, some do not accept intimate
care and touch based on gender. For male nursing students to be competent in caring for patients, they must be able to provide intimate
care to diverse patients confidently and comfortably. Thus, degendering intimate care provision is essential for male nursing students—to
provide care without fear of being stereotyped and misinterpreted as sexual predators. Instead, they must be accepted as nurses who are
helping patients with their physical needs.
2024-03-07T14:18:59Z
2024-03-07T14:18:59Z
2022-10-26
Article
Shakwane, Simangele. 2022. Degendering Male Nursing Students’ Intimate Care Provision: A South African Perspective. In: Journal of Men's Health, 2022, 18(10), 208
1875-6859
https://hdl.handle.net/10500/30931
en
IMR Press
oai:uir.unisa.ac.za:10500/285142022-02-08T10:49:24Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1com_10500_8549com_10500_8544col_10500_3753col_10500_14519col_10500_8550
2022-02-07T08:40:25Z
urn:hdl:10500/28514
Fanon’s Decolonial Transcendence of Psychoanalysis
Maldonado-Torres, Nelson
Fanon Mendes France, Mireille
Suffla, Shahnaaz
Seedat, Mohamed
Ratele, Kopano
Coloniality continues to invade the psychomaterial lives of the condemned. Invoking psychoanalysis and phenomenology to engage with modern psychopathologies and race, gender, and sexuality, Fanon developed seminal ideas on social suffering in the context of colonial violence on psychic life. In reading Fanon, we discern two challenges: the decolonial transcendence of psychoanalysis as a theoretical framework, and the decolonial transcendence of psychoanalysis as a practice. These challenges are integral to the transcendence of disciplines and healing practices, and the requirement to develop a “multidimensional investigation” of human beings in the face of alterity and sociality in human reality. Fanon’s decolonial turn in psychoanalysis offers the makings of a decolonial and Fanonian oath for healing, of which decolonial love is a central principle. Our instantiation of transcendence of practice orients toward the provisions for a decolonial and Fanonian oath for healing, animated through epistemic agency, politicoaffectivity, actional consciousness, and radical relationality.
2022-02-07T08:40:25Z
2022-02-07T08:40:25Z
2021-12-17
Article
Nelson Maldonado-Torres, Mireille Fanon Mendès France, Shahnaaz Suffla, Mohamed Seedat & Kopano Ratele (2021) Fanon’s Decolonial Transcendence of Psychoanalysis, Studies in Gender and Sexuality, 22:4, 243-255, DOI: 10.1080/15240657.2021.1996727
https://doi.org/10.1080/15240657.2021.1996727
https://hdl.handle.net/10500/28514
en
Routledge Taylor & Francis Group
oai:uir.unisa.ac.za:10500/90762022-05-30T09:24:05Zcom_10500_14526com_10500_14512com_10500_13602com_10500_1com_10500_3752col_10500_14549col_10500_3753col_10500_14519
2013-04-23T10:08:28Z
urn:hdl:10500/9076
Adolescent mothers' non-utilisation of contraceptives in Zimbabwe
Ehlers, Valerie Janet, 1948-
Adolescent mothers
Condoms
Contraceptives
Emergency contraception
Sexual debuts in Zimbabwe
Adolescent pregnancies are high-risk obstetric occurrences with far-reaching implications for these mothers' education, employment, general wellbeing and health. Adolescent motherhood could imply lifelong poverty. With available contraceptives, pregnancies can be postponed until the adolescents have completed their schooling and can care for their babies.
The purpose of the study was to identify factors that influenced adolescent mothers' failure to use contraceptives effectively, and to make recommendations to address these factors. A quantitative descriptive research design was adopted, and structured interviews were conducted with 43 adolescent mothers who visited the postnatal or well baby clinics in Marondera district.
Factors that contributed to adolescent mothers' non-utilisation of contraceptives included their lack of timely sex education, lack of knowledge about contraceptives, fears of infertility after the utilisation of contraceptives, lack of knowledge about and the inaccessibility of emergency contraceptives and termination of pregnancy services in the Marondera district.
Adolescents need more knowledge about accessible contraceptives. The possibility of providing emergency contraceptives to women in Zimbabwe should be investigated. Even in the absence of termination of pregnancy services, the accessibility of contraceptives and emergency contraceptives could help adolescents to delay childbearing, providing adolescents with more power to plan their own futures - and those of their future children.
2013-04-23T10:08:28Z
2013-04-23T10:08:28Z
2010
Article
Ehlers, V.J. (2010) Adolescent mothers' non-utilisation of contraceptives in Zimbabwe. Africa Journal of Nursing and Midwifery (12)2 pp. 14-26
16825055
http://hdl.handle.net/10520/EJC19356
http://hdl.handle.net/10500/9076
en
Unisa
oai:uir.unisa.ac.za:10500/281292021-10-05T08:13:31Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-10-05T08:09:20Z
urn:hdl:10500/28129
Developing a model for reducing maternal mortality in South Africa
Mmusi-Phetoe, Rose Maureen Makapi
Masaba, Brian Barasa
antenatal care • contraception • maternal mortality • model • sexual and reproductive health
Objective: High maternal mortality ratios (MMRs) remain a concern in many parts of the world, especially in developing countries like
South Africa. Different models have been developed, tried, and tested worldwide, in the hope that they will reduce maternal mortality,
but without much success.
Methods: A qualitative approach was used to conveniently select a sample of 10 women attending an antenatal clinic in a rural area, in
one of the districts of KwaZulu-Natal (KZN) Province. Data were collected by means of interviews with the women. Data were analyzed
employing Burnard’s content analysis approach.
Results: Four themes emerged: (1) age at first pregnancy; (2) birth intervals, risks in pregnancy and hospitalization; (3) the use of
contraception; and (4) HIV status. All themes that emerged revealed inattention to reproductive health (RH) needs, resulting in poor
RH outcomes as an area of concern.
Conclusions: Greater emphasis needs to be placed on meeting the sexual and reproductive health (SRH) needs of South African
women, if maternal mortality rates are to be reduced. An alternative model for reducing maternal mortality in South Africa is proposed.
2021-10-05T08:09:20Z
2021-10-05T08:09:20Z
2021-09
Article
Mmusi-Phetoe, Rose Maureen Makapi and Masaba, Brian Barasa. "Developing a model for reducing maternal mortality in South Africa" Frontiers of Nursing, vol.8, no.3, 2021, pp.269-277. https://doi.org/10.2478/fon-2021-0028
https://hdl.handle.net/10500/28129
en
Frontiers of Nursing
oai:uir.unisa.ac.za:10500/288292022-05-11T07:11:46Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-05-11T07:11:46Z
urn:hdl:10500/28829
High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care programme
Nigusso, Fikadu Tadesse
Mavhandu-Mudzusi, Azwihangwisi Helen
Food security
nutrition
HIV/AIDS
integration
people
people living with HIV
Background: Food insecurity and malnutrition has been reported to have a strong connection with human immunodeficiency viruses (HIV); this is more pervasive in Sub Saharan Africa including Ethiopia. In this study, we examined the predictors of food insecurity and factors associated with malnutrition among people living with HIV (PLHIV) in Benishangul Gumuz Regional State, Ethiopia. Methods: We conducted a cross sectional study at outpatient antiretroviral therapy (ART) clinics. Data were collected using participant interview, anthropometry, and participants’ chart review. Interviews were carried out with 390 PLHIVs who were on antiretroviral treatment follow-up. Four robust multivariate linear regression models were used to identify predictors of food insecurity and factors associated with malnutrition. Results: The prevalence of food insecurity and malnutrition among PLHIV were found to be 76% and 60%, respectively. The predictors of food insecurity were: urban residence; household dependency; average monthly income below 53.19 USD; poor asset possession; CD4 count below 350 cell/mL; and recurrent episodes of opportunistic infections
(OIs). Correspondingly, malnutrition among PLHIV was found strongly associated with: female gender; urban residence; income below 53.19 USD; poor asset possession; duration of less than one year on ART; and recurrent episodes of OIs. Conclusion: The study findings suggest that the higher prevalence of food insecurity and malnutrition among PLHIV underscore: the need for economic and livelihood intervention; addressing contextual factors including the gender dimensions; adoption of nutrition-specific and sensitive interventions; and integration of food and nutrition security with HIV treatment and care programmes.
2022-05-11T07:11:46Z
2022-05-11T07:11:46Z
2020-11-11
Article
2
https://hdl.handle.net/10500/28829
en
SAGE
oai:uir.unisa.ac.za:10500/265042022-04-20T11:44:51Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2020-07-01T05:16:19Z
urn:hdl:10500/26504
Enablers of psychosocial recovery in pediatric burns: perspectives from the children, parents and burn recovery support staff
Van Niekerk, Ashley
Jacobs, Roxanne
Hornsby, Nancy
Singh-Adriaanse, Robyn
Sengoelge, Mathilde
Laflamme, Lucie
Abstract
Background
Pediatric burn injuries are a major cause of death and injury, occurring mainly in resource poor environments. Recovery from burns is widely reported to be constrained by physical, psychological, relationship and reintegration challenges. These challenges have been widely described, but not the enablers of psychosocial recovery. This is especially true in pediatric burn research, with few multi- perspective studies on the recovery process.
Methods
This qualitative study involved 8 focus group discussions (four with 15 children post-burn injury, four with 15 caregivers) and 12 individual interviews with staff working in pediatric burns that explored the psychosocial needs of children after a burn and the enablers of their recovery. Purposive sampling was utilized and recruitment of all three categories of participants was done primarily through the only hospital burns unit in the Western Cape, South Africa. The interviews focused on factors that supported the child’s recovery and were sequentially facilitated from the child and the family’s experiences during hospitalization, to the return home to family and friends, followed by re-entry into school. Thematic analysis was used to analyze verbatim interview transcripts.
Results
The recovery enablers that emerged included: (i) Presence and reassurance; indicating the comfort and practical help provided by family and close friends in the hospital and throughout the recovery process; (ii) Normalizing interactions and acceptance; where children were treated the same as before the injury to promote the acceptance of self and by others especially once the child returned home; and (iii) Sensitization of others and protection; signifying how persons around the child had assisted the children to deal with issues in the reintegration process including the re-entry to school.
Conclusions
This study indicates that the psychosocial recovery process of children hospitalized for burns is enabled by the supportive relationships from family members, close friends and burn staff, present during hospitalization, the return home, and school re-entry. Support included comfort and physical presence of trusted others and emotional support; affirmation of the child’s identity and belonging despite appearance changes; and the advocacy and protection for the re-entry back into the school, and more generally the community.
2020-07-01T05:16:19Z
2020-07-01T05:16:19Z
2020-06-09
2020-07-01T05:16:20Z
Journal Article
Van Niekerk, A., Jacobs, R., Hornsby, N., Singh-Adriaanse, R., Sengoelge, M., & Laflamme, L. (2020). Enablers of psychosocial recovery in pediatric burns: perspectives from the children, parents and burn recovery support staff. BMC pediatrics, 20(1), 289. https://doi.org/10.1186/s12887-020-02180-z
https://doi.org/10.1186/s12887-020-02180-z
http://hdl.handle.net/10500/26504
en
The Author(s)
oai:uir.unisa.ac.za:10500/292592022-08-17T14:36:47Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T12:40:03Z
urn:hdl:10500/29259
High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme
Nigusso, Fikadu Tadesse
Mavhandu-Mudzusi, Azwihangwisi Helen
Food security
nutrition
human immunodeficiency viruses (HIV)/acquired immunodeficiency syndrome (AIDS)
intergration
people
people living with HIV
Background: Food insecurity and malnutrition has been reported to have a strong connection with human immunodeficiency viruses (HIV); this is more pervasive in Sub-Saharan Africa including Ethiopia. In this study, we examined the predictors of food insecurity and factors associated with malnutrition among people living with HIV (PLHIV) in Benishangul Gumuz Regional State, Ethiopia. Methods: We conducted a cross-sectional study at outpatient antiretroviral therapy (ART) clinics. Data were collected using participant interview, anthropometry, and participants’ chart review. Interviews were carried out with 390 PLHIVs who were on antiretroviral treatment follow-up. Four robust multivariate linear regression models were used to identify predictors of food insecurity and factors associated with malnutrition. Results: The prevalence of food insecurity and malnutrition among PLHIV were found to be 76% and 60%, respectively. The predictors of food insecurity were: urban residence; household dependency; average monthly income below 53.19 USD; poor asset possession; CD4 count below 350 cell/mL; and recurrent episodes of opportunistic infections (OIs). Correspondingly, malnutrition among PLHIV was found strongly associated with: female gender; urban residence; income below 53.19 USD; poor asset possession; duration of less than one year on ART; and recurrent episodes of OIs. Conclusion: The study findings suggest that the higher prevalence of food insecurity and malnutrition among PLHIV underscore: the need for economic and livelihood intervention; addressing contextual factors including the gender dimensions; adoption of nutrition-specific and sensitive interventions; and integration of food and nutrition security with HIV treatment and care programmes.
2022-08-17T12:40:03Z
2022-08-17T12:40:03Z
2020-11-11
Article
Fikadu Tadesse Nigusso and Azwihangwisi Helen Mavhandu-Mudzusi (2020) High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme. Nutrition and Health 1–10
https://hdl.handle.net/10500/29259
en
SAGE
oai:uir.unisa.ac.za:10500/252972020-03-18T12:16:22Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2019-03-01T06:06:53Z
urn:hdl:10500/25297
Factors associated with prelacteal feeding practices in Debre Berhan district, North Shoa, Central Ethiopia: a cross-sectional, community-based study
Argaw, Mesele D
Asfaw, Maeza M
Ayalew, Mekonen B
Desta, Binyam F
Mavundla, Thandisizwe R
Gidebo, Kassa D
Frew, Aynalem H
Mitiku, Aychiluhim D
Desale, Alebel Y
Abstract
Background
Prelacteal feeding is one of the major harmful newborn feeding practices and is top on the list of global public health concerns. The practice deprives newborns of valuable nutrients and protection of colostrum and exposes them to preventable morbidity and mortality. Studying the prevalence and factors influencing the prelacteal feeding practice of mothers will help program managers and implementers to properly address broad major public health problems. Therefore, this study aims to investigate the prevalence of prelacteal feeding practices and its associated factors among mother-infant dyads in the Debre Berhan district of North Shoa administrative zone, central Ethiopia.
Methods
A community-based cross-sectional study design was conducted from January through to April 2014 among 634 mother-infant dyads. The data were entered into EPI Info version 3.5.1. (CDC, Atlanta, Georgia). All statistical analysis was conducted using Statistical Package for Social Sciences (SPSS) research IBM version 20.0. The prevalence of prelacteal feeding was determined using the ‘recall since birth’ method. Multi-variable logistic regression analysis was employed to control confounders in determining the association between prelacteal feeding practices and selected independent variables. Adjusted Odds Ratio (AOR), with 95% Confidence Interval (CI) and P < 0.05 was used to claim statistical significance.
Results
The prevalence of prelacteal feeding practice was 14.2% (95% CI: 11.00–17.00%). Slightly greater than half, 48 (53.3%) of prelacteal fed newborns were given butter. Home delivery was a major risk factor for practicing prelacteal feeding. Mothers who delivered their indexed infant at home practiced prelacteal feeding over four folds more than mothers who delivered in a health institution (Adjusted Odds Ratio (AOR) 4.70; 95% CI: 2.56–8.60, p-value = 0.001). Mothers who did not initiate breastfeeding within an hour were six times more likely to practice prelacteal feeding (AOR 5.58; 3.21–9.46, p-value = 0.001). Similarly, with regards to the occupation of mothers, farmers practiced prelacteal feedings (AOR 4.33; 95% CI: 1.73–10.81, p-value = 0.002) up to four folds more than their counterpart housewives. Mothers who can read and write are 54% less likely to practice prelacteal feeding than their counterpart, illiterate mothers, with (AOR 0.46; 95% CI: 0.22–0.98, p-value = 0.044).
Conclusions
In the Debre Berhan town of North Shoa administrative zone, central Ethiopia, almost one-sixth of mothers practiced prelacteal feeding. Therefore, improving access to information about appropriate newborn feeding practices, encouraging mothers to deliver their babies in health institutions and inspiring them to initiate breastfeeding within an hour of birth is recommended.
2019-03-01T06:06:53Z
2019-03-01T06:06:53Z
2019-02-15
2019-03-01T06:06:53Z
Article
BMC Nutrition. 2019 Feb 15;5(1):14
https://doi.org/10.1186/s40795-019-0277-8
http://hdl.handle.net/10500/25297
en
The Author(s).
oai:uir.unisa.ac.za:10500/292602022-08-17T14:35:26Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T12:44:16Z
urn:hdl:10500/29260
Hospital-based evaluation of palliative care among patients with advanced cervical cancer: a cross-sectional study
Kebebew, Tolcha
Mosalo, Annah
Mavhandu-Mudzusi, Azwihangwisi Helen
Cervical cancer
Home care
Hospital care
Pain
Social care
Supportive care
Background: Palliative care is among the standards of care in cancer treatment that should be provided to those in need within the existing healthcare system. In Ethiopia, patients with cervical cancer experience a long wait for curative radiotherapy, while the level of palliative care delivery is unknown. In this study, we aimed to evaluate the practice
of palliative care among women diagnosed with advanced cervical cancer. Methods: A hospital-based cross-sectional study was conducted. Using a structured questionnaire, face-to-face interviews were made with randomly selected patients with advanced cervical cancer. Information on patient characteristics, medical records, and knowledge, attitude and practice of palliative care was captured, analysed, and presented. Data collection was conducted following ethical standards after obtaining approval from the hospital.
Results: A total of 385 patients were interviewed, most of whom were over 50 years and illiterate. The patients had poor knowledge regarding comprehensive palliative care, a good attitude, and poor practices. Most patients either do not know about palliative care or consider it solely as a pain treatment. The patients expressed a good attitude towards palliative care; however, their attitude towards talking about suffering, death, and dying was poor. Almost all patients have received some form of palliative care. However, poor pain control, inadequate education and counselling, and poor social, economic, and spiritual supports were documented. Conclusions: Patients with advanced cervical cancer expressed a good attitude but had poor knowledge and practice of comprehensive palliative care. The palliative care delivery needs to address the communication, psychosocial, economic, and spiritual components of the comprehensive palliative care.
2022-08-17T12:44:16Z
2022-08-17T12:44:16Z
2022-08-03
Article
Tolcha Kebebew , Annah Mosalo and Azwihangwisi Helen Mavhandu‑Mudzusi (2022) Hospital-based evaluation of palliative care among patients with advanced cervical cancer: a cross-sectional study. BMC Palliative Care (2022) 21:140
1472-684X
https://doi.org/10.1186/s12904-022-01030-2
https://hdl.handle.net/10500/29260
en
Springer
oai:uir.unisa.ac.za:10500/280662022-02-07T09:00:32Zcom_10500_23650com_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_23651col_10500_3753col_10500_14519
2021-09-23T05:30:59Z
urn:hdl:10500/28066
An invitation to decoloniality in work on (African) men and masculinities
Ratele, Kopano
Coloniality
Decoloniality
Masculinities
Men
(non)masculinity
(non)men
Seeing masculinity is, according to Raewyn Connell, ‘a place in gender relations’, what is the place accorded to males once considered property in men and masculinities studies,
how are the practices of these ‘former properties’ fathomable as men’s, and what masculinities emanate from the place these ‘non-beings’ occupy? This article, which emerges from being seized with thinking on coloniality, pursues the question about the possible place/s of men once regarded as property from within masculinities studies.
A distinction is introduced in the way work on men and masculinities in the wake of colonialism is undertaken, the intention being to present an invitation to decoloniality.
2021-09-23T05:30:59Z
2021-09-23T05:30:59Z
2020-06-24
Article
Kopano Ratele (2020): An invitation to decoloniality in work on (African) men and masculinities, Gender, Place & Culture
https://doi.org/10.1080/0966369X.2020.1781794
https://hdl.handle.net/10500/28066
en
Routledge Taylor & Francis Group
oai:uir.unisa.ac.za:10500/273192021-05-13T13:16:12Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-05-13T13:16:12Z
urn:hdl:10500/27319
The experiences of nurse educators in implementing evidence-based practice in teaching and learning
Mthiyane, Gloria N
Habedi, Debbie SK
Evidence-based practice, experiences, implementation, nurse educators, teaching, learning, research, student/learner
Background: Nurse educators have a vital role to mentor student nurses in relation to
developing evidence-based practice (EBP) skills, accessing research products and
participating in research projects. This requires more innovative teaching approaches that
promote active participation, creativity and critical thinking in students such as online
teaching and learning, accessing electronic resources, video conferencing and researchbased
teaching and learning.
Aim: To determine the nurse educators’ experiences in implementing EBP in teaching and
learning, and to describe the importance and benefits of EBP teaching and learning to the
nursing profession, especially for nurse educators and student nurses.
Setting: Two chosen campuses from Umgungundlovu Health District under the KwaZulu-
Natal College of Nursing (KZNCN) and offering a 4-year R425 training programme.
Methods: Qualitative research design and methods were followed in conducting the study. A
non-probability purposive sampling technique was used to access the sample of 12 nurse
educators. Data were collected using semi-structured interviews, the interview guide, and the
digital voice recorder.
Results: Data were analysed manually, following a content thematic approach and two themes
emerged as challenges experienced by nurse educators with the implementation of EBP in
teaching and learning and benefits and value of EBP in teaching and learning. Findings
revealed that, although most of the nurse educators are supportive and displayed a positive
attitude towards implementing EBP in teaching and learning, the level of knowledge and
skills was questionable. This was coupled with a lack of motivation and commitment towards
research.
Conclusions: Evidence-based practice has an essential potential role to play through
incorporating more practice-based evidence of nurse educators in teaching and learning
implementation. The nurse educators should use EBP to ensure that student nurses receive
high-quality nursing education.
2021-05-13T13:16:12Z
2021-05-13T13:16:12Z
2018-11-29
Article
Mthiyane, G.N. & Habedi, D.S., 2018, ‘The experiences of nurse educators in implementing evidencebased practice in teaching and learning’, Health SA Gesondheid 23(0), a1177. https://doi.org/10.4102/ hsag.v23i0.1177
2071-9736
1025-9848
http://hdl.handle.net/10500/27319
en
AOSIS
oai:uir.unisa.ac.za:10500/267862020-11-06T07:22:34Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2020-11-01T04:36:36Z
urn:hdl:10500/26786
Why do women not use skilled birth attendance service? An explorative qualitative study in north West Ethiopia
Shiferaw, Biruhtesfa Bekele
Modiba, Lebitsi M
Abstract
Background
Having a birth attendant with midwifery skills during childbirth is an effective intervention to reduce maternal and early neonatal morbidity and mortality. Nevertheless, many women in Ethiopia still deliver a baby at home. The current study aimed at exploring and describing reasons why women do not use skilled delivery care in North West Ethiopia.
Methods
This descriptive explorative qualitative research was done in two districts of West Gojjam Zone in North West Ethiopia. Fourteen focus group discussions (FGDs) were conducted with pregnant women and mothers who delivered within one year. An inductive thematic analysis approach was employed to analyse the qualitative data. The data analysis adhered to reading, coding, displaying, reducing, and interpreting data analysis steps.
Results
Two major themes client-related factors and health system-related factors emerged. Factors that emerged within the major theme of client-related were socio-cultural factors, fear of health facility childbirth, the nature of labour, lack of antenatal care (ANC) during pregnancy, lack of health facility childbirth experience, low knowledge and poor early care-seeking behaviour. Under the major theme of health system-related factors, the sub-themes that emerged were low quality of service, lack of respectful care, and inaccessibility of health facility.
Conclusions
This study identified a myriad of supply-side and client-related factors as reasons given by pregnant women, for not giving birth in health institution. These factors should be redressed by considering the specific supply-side and community perspectives. The results of this study provide evidence that could help policymakers to develop strategies to address barriers identified, and improve utilisation of skilled delivery service.
2020-11-01T04:36:36Z
2020-11-01T04:36:36Z
2020-10-19
2020-11-01T04:36:36Z
Journal Article
BMC Pregnancy and Childbirth. 2020 Oct 19;20(1):633
https://doi.org/10.1186/s12884-020-03312-0
http://hdl.handle.net/10500/26786
en
The Author(s)
oai:uir.unisa.ac.za:10500/271342021-08-07T14:40:13Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-03-01T04:20:00Z
urn:hdl:10500/27134
Health-related quality of life of people living with HIV/AIDS: the role of social inequalities and disease-related factors
Nigusso, Fikadu T.
Mavhandu-Mudzusi, Azwihangwisi Helen
Abstract
Background
Health-related quality of life (HRQoL) serves as a direct measure of individuals’ health, life expectancy and the impact that the utilization of health care has on quality of life. The purpose of this study is to assess the HRQoL of people living with HIV (PLHIV), and to ascertain its association with the social inequalities and clinical determinants among people living with HIV in Benishangul Gumuz Regional State, Ethiopia.
Methods
A cross-sectional study was conducted between December 2016 and February 2017; 390 people at two referral hospitals and three health centers participated in the study. The Patient-Reported Outcomes Measurement Information System Global Health Scale (PROMIS Global 10) was used to measure key HRQoL domains. Global Physical Health (GPH) and Global Mental Health (GPH) summary scores were employed. GPH and GMH summary scores below 50 (the standardized mean score) were determined as poor HRQoL. Bivariate and multivariate logistic regression analyses were used to identify factors associated with GPH and GMH summary scores.
Results
This study included 259 (66.4%) females and 131 (33.6%) males. The GPH summary scores ranged from 16.2 to 67.7 with a mean of 48.8 (SD = 8.9). Almost 44.6% of the study population has a GPH summary score of below 50; the GMH summary scores ranged from 28.4 to 67.6 with a mean of 50.8 (SD = 8.1). About 41.8% of the study population has a GMH summary score of below 50. Unemployment, household food insecurity and comorbidities with HIV were associated with both poor GPH and poor GMH summary scores. Age below 25 years and being a member of Christian fellowship were inversely associated with poor GPH. The least wealth index score and CD4 count below 350 cells/mL were also associated with poor GMH.
Conclusion
Overall, socioeconomic inequalities and HIV-related clinical factors play an important role in improving the HRQoL of PLHIV. Many of these determinants are alterable risk factors. Appropriate strategies can improve the holistic management of chronic HIV care and maximize PLHIVs’ HRQoL. Such strategies require the adoption of comprehensive interventions, including policies and programmes that would improve the health, wellbeing and livelihood of PLHIV.
2021-03-01T04:20:00Z
2021-03-01T04:20:00Z
2021-02-25
2021-03-01T04:20:01Z
Journal Article
Health and Quality of Life Outcomes. 2021 Feb 25;19(1):63
https://doi.org/10.1186/s12955-021-01702-2
http://hdl.handle.net/10500/27134
en
The Author(s)
oai:uir.unisa.ac.za:10500/309302024-03-07T11:30:55Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-07T11:30:54Z
urn:hdl:10500/30930
Quality Maternity Care: Implementation of the Guidelines for Hypertensive Disorders in Pregnant Teenagers in KwaZulu-Natal, South Africa
ZWELIHLE BLESSING, SHONGWE
Shakwane, Simangele
hypertension
hypertensive disorders in pregnancy
morbidity and mortality rate
pregnancy
teenager
The government of a country is responsible and accountable for the provision of quality healthcare services to its citizens. Teenage pregnancy and its complications occur worldwide. Hypertensive disorders in pregnancy (HDP) are considered the third leading cause of maternal mortality in South Africa. The current study investigated the implementation of the 2016 Department of Health Guidelines for Maternity Care in South Africa for HDP in teenagers. A retrospective quantitative research design was used. A sample of 173 maternity records of pregnant teenagers diagnosed with hypertension were systematically sampled from the period of January 2019 to December 2019 in six district hospitals and one community health centre in one district in KwaZulu-Natal (KZN), South Africa. The respondents were aged between 13 and 19 years. A pretested structured checklist was used to record the data. The Social Sciences Statistics Software IBM SPSS version 26.0 was used to analyse the data, and simple descriptive statistics to present the findings. The findings revealed that maternity care for pregnant teenagers with hypertension was not implemented according to the prescribed GMCSA. None of the pregnant teenagers received aspirin as prophylaxis against the development of hypertension; 82% were not assessed for oedema during the initial visit; and 90.17% were not assessed during antenatal care (ANC) periods. Mental state assessment was done on only 1.7% of the pregnant teenagers. The study found discrepancies in the implementation of the GMCSA for HDP, compromising maternity care among teenagers. Strategies for improving the quality of maternity care for pregnant teenagers are deemed necessary.
2024-03-07T11:30:54Z
2024-03-07T11:30:54Z
2022-11-01
Article
Zwelihle B. Shongwe and Simangele Shakwane, 2022. Quality Maternity Care: Implementation of the Guidelines for Hypertensive Disorders in Pregnant Teenagers in KwaZulu-Natal, South Africa. In: Africa Journal of Nursing and Midwifery
2520-5293
https://hdl.handle.net/10500/30930
en
Unisa Press
oai:uir.unisa.ac.za:10500/277882021-08-10T15:01:35Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-10T06:11:01Z
urn:hdl:10500/27788
Human Rights Violation: its impact on the mental well-being of LGBTI students in a South African rural-based University
Mavhandu-Mudzusi, Azwihangwisi Helen
Sandy, Peter
human rights
mental well-being
non-heterosexual
phenomenology
university
students
This article reports on human rights violation, and its impact on the mental well-being of lesbian, gay, bisexual, transgender and intersex students in a South African rural-based university. A qualitative multi-method approach was adopted, underpinned by interpretative phenomenological analysis. Data were collected using semi-structured individual interviews (N=20) and focus group interviews (n=4x5). The data were analysed thematically using interpretative phenomenological analysis. The results of the study indicate that university employees and heterosexual students violate lesbian, gay, bisexual, transgender and intersex students` human rights. Violation of the Human Rights has implications for the mental well-being of the studied population.
2021-08-10T06:11:01Z
2021-08-10T06:11:01Z
2017
Article
South African Journal of Higher Education Volume 31 | Number 4 | 2017 | pages 325‒340
1753-5913
http://dx.doi.org/10.20853/31-4-892
http://hdl.handle.net/10500/27788
en
Sabinet African Journals
oai:uir.unisa.ac.za:10500/293372022-11-01T10:45:46Zcom_10500_14512com_10500_13602com_10500_1com_10500_18562col_10500_14519col_10500_18564
2022-09-01T03:26:28Z
urn:hdl:10500/29337
Hospital-based evaluation of palliative care among patients with advanced cervical cancer: a cross-sectional study
Kebebew, Tolcha
Mosalo, Annah
Mavhandu-Mudzusi, Azwihangwisi H.
Abstract
Background
Palliative care is among the standards of care in cancer treatment that should be provided to those in need within the existing healthcare system. In Ethiopia, patients with cervical cancer experience a long wait for curative radiotherapy, while the level of palliative care delivery is unknown. In this study, we aimed to evaluate the practice of palliative care among women diagnosed with advanced cervical cancer.
Methods
A hospital-based cross-sectional study was conducted. Using a structured questionnaire, face-to-face interviews were made with randomly selected patients with advanced cervical cancer. Information on patient characteristics, medical records, and knowledge, attitude and practice of palliative care was captured, analysed, and presented. Data collection was conducted following ethical standards after obtaining approval from the hospital.
Results
A total of 385 patients were interviewed, most of whom were over 50 years and illiterate. The patients had poor knowledge regarding comprehensive palliative care, a good attitude, and poor practices. Most patients either do not know about palliative care or consider it solely as a pain treatment. The patients expressed a good attitude towards palliative care; however, their attitude towards talking about suffering, death, and dying was poor. Almost all patients have received some form of palliative care. However, poor pain control, inadequate education and counselling, and poor social, economic, and spiritual supports were documented.
Conclusions
Patients with advanced cervical cancer expressed a good attitude but had poor knowledge and practice of comprehensive palliative care. The palliative care delivery needs to address the communication, psychosocial, economic, and spiritual components of the comprehensive palliative care.
2022-09-01T03:26:28Z
2022-09-01T03:26:28Z
2022-08-03
2022-09-01T03:26:28Z
Journal Article
BMC Palliative Care. 2022 Aug 03;21(1):140
https://doi.org/10.1186/s12904-022-01030-2
https://hdl.handle.net/10500/29337
en
The Author(s)
oai:uir.unisa.ac.za:10500/289892022-09-09T09:16:33Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-06-20T07:25:41Z
urn:hdl:10500/28989
High school teenage girls’ perceptions of human immunodeficiency virus and acquired immune deficiency syndrome in Gauteng Province, South Africa: Age-mixing sexual partnerships
Chadyiwanembwa, Noliwe
Habedi, Debbie SK
Acquired immune deficiency syndrome; high school; human immunodeficiency virus; perceptions; risky behaviours and teenage girls
DOI: 10.29063/ajrh2022/v26i2.8
Age-disparity relationships between High School teenage girls and adults’ male partners above 21 years were transactional in nature and believed to be spreading human immunodeficiency virus (HIV). Teenage girls lacked the capacity to negotiate condom use due to lack of autonomy, coupled with sexual violence. This resulted in HIV transmission and an increase in teenage pregnancies. The study explored and described the risky behaviours of High School teenage girls with regard to HIV and acquired immune deficiency syndrome (AIDS) transmission in Gauteng Province, South Africa. A non-experimental descriptive design was used in this study. The 109 respondents between 15 and 19-years were studied using modified, self-administered, structured questionnaire. Data analysis was done using Statistical Package for Social Sciences version 23. The 90% of the 19-year-old respondents had multiple concurrent sexual relationships and condom use was low. High School teenage girls had a low perception of HIV risk because they were involved in concurrent multiple sexual relationships with low condom use. (Afr J Reprod Health 2022; 26[2]: 80-87).
2022-06-20T07:25:41Z
2022-06-20T07:25:41Z
2022-02
Article
Chadyiwanembwa, N. and Habedi, D.S., 2022. High school teenage girls’ perceptions of human immunodeficiency virus and acquired immune deficiency syndrome in Gauteng Province, South Africa: Age-mixing sexual partnerships. African Journal of Reproductive Health, 26(2), pp.80-87.
https://hdl.handle.net/10500/28989
en
oai:uir.unisa.ac.za:10500/295272022-11-21T12:28:25Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-11-01T04:20:21Z
urn:hdl:10500/29527
Qualitative exploration of perceived barriers of exclusive breastfeeding among pregnant teenagers in the Greater Accra Region of Ghana
Acheampong, Angela K.
Ganga-Limando, Makombo
Aziato, Lydia
Abstract
Background
The World Health Organization endorses exclusive breastfeeding for the first six months of every child’s life since exclusive breastfeeding has the potential of saving thousands of infants’ lives. The global exclusive breastfeeding rate among mothers is sub-optimal. This predisposes infants born to teenage mothers to all types of ailments. Therefore, this study explored the factors that inhibit the practice of exclusive breastfeeding as perceived by pregnant teenagers in the Greater Accra Region of Ghana which is an urban area.
Methods
The study used techniques in qualitative descriptive exploration to collect data from 30 pregnant teenagers through focus group discussions. Six focus group discussions were conducted and each group was made up of five participants. Informed consent was obtained from participants who were 18 years and above as well as parents of participants below 18 years while informed assent was obtained from participants below 18 years after purposive sampling. Interviews were audiotaped, transcribed and data were analysed through content analysis.
Results
Two major themes and eight sub themes emerged from the data after analysis. Personal related barriers (negative emotional feelings, irrational thinking, perceived health risks to the baby and perceived self-inefficacy) and social related barriers (provider-client interaction, disapproval of exclusive breastfeeding by close relatives, unfriendly workplace policies and social myths) were the perceived factors that discouraged exclusive breastfeeding among teenage mothers.
Conclusion
Health professionals should be trained to provide culturally sensitive care to teenage mothers in order to promote exclusive breastfeeding. The media, religious leaders and politicians should help debunk misconceptions about breastfeeding expressed by participants in the study.
2022-11-01T04:20:21Z
2022-11-01T04:20:21Z
2022-10-10
2022-11-01T04:20:21Z
Journal Article
BMC Public Health. 2022 Oct 10;22(1):1885
https://doi.org/10.1186/s12889-022-14277-4
https://hdl.handle.net/10500/29527
en
The Author(s)
oai:uir.unisa.ac.za:10500/278112021-08-13T13:29:10Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-13T13:29:09Z
urn:hdl:10500/27811
Deconstructing matula(taboo), a multi-stakeholder narrative about LGBTI
Netshandama, V. O
Mavhandu-Mudzusi, Azwihangwisi Helen
Matshidze, P
Bisexual
Cultural
Gay
Intersex
Lesbian
Matula (taboo)
Transgender
This article reports on a multi-stakeholder narrative about the lesbian, gay, bisexual, transgender and intersex (LGBTI) community in Venda in relation to the concept matula (taboo). We used a narrative enquiry design and collected data at a South African rural university using individual, face-to-face interviews with 15 participants (heterosexual and LGBTI individuals), and two focus group discussions with participants from the university and the community. Five themes emerged following narrative analysis, namely: (1) a definition of culture and matula; (2) the construction of the concept of matula, (3) Christian values, interpretations and influence; (4) the tendency to sexualise identity and (5) the knowledge of people about the salient reality of many truths. As there is a tendency of denialism in rural communities, the stories told provide the evidence needed of the presence of LGBTI individuals. We suggest the initiation of culturally congruent LGBTI advocacy programmes in rural areas.
2021-08-13T13:29:09Z
2021-08-13T13:29:09Z
2017
Article
Netshandama, V., Mavhandu-Mudzusi, A., & Matshideze, P. (2017). Deconstructing matula (taboo), a multi-stakeholder narrative about LGBTI. South African Journal of Higher Education, 31(4), 307-324.
1753-5913
http://dx.doi.org/10.20853/31-4-1328
http://hdl.handle.net/10500/27811
en
Sabinet African Journals
oai:uir.unisa.ac.za:10500/292492022-08-17T14:50:24Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T10:37:56Z
urn:hdl:10500/29249
Utilisation of HIV services by female sex workers in Zimbabwe during the COVID-19 pandemic: a descriptive phenomenological study
Moyo, Idah
Tshivhase, Livhuwani
Mavhandu-Mudzusi, Azwihangwisi Helen
COVID-19
descriptive phenomenology
female sex workers
HIV services
livelihood
utilisation
This study focuses on female sex workers as a key population group that suffers a degree of vulnerability according to the World Health Organisation (WHO). Key populations refer to people at heightened risk of contracting the human immunodeficiency virus (HIV) due to specific behaviours and social and legal environments which increase their vulnerability to the virus. Key populations are disproportionately affected by HIV, yet they have less access to HIV services compared to the general population. The coronavirus (COVID-19) lockdown and its restrictive measures have further widened the inequalities and gaps in accessing HIV services for this group. A descriptive phenomenological study was undertaken to explore female sex workers’ experiences of utilisation of HIV services during COVID-19. The study setting was the Bulawayo Metropolitan Province, Zimbabwe. Data were collected through in-depth individual interviews with 10 female sex workers. Purposive sampling coupled with snowballing was utilised for recruiting participants. Data were analysed guided by the seven-step Colaizzi technique. Rigour was ensured through adhering to Lincoln and Guba’s trustworthiness criteria. The study found that the COVID-19 pandemic adversely affected the livelihoods of sex workers and their utilisation of HIV services. There was limited access to HIV services due to an initial lack of travel authorisation letters and financial challenges experienced by study participants. In addition, the quality of care in health care facilities was further compromised by poor screening processes and reduced provider-client interactions. Maintaining access to HIV services for female sex workers during pandemics is critical for the country to attain HIV epidemic control.
2022-08-17T10:37:56Z
2022-08-17T10:37:56Z
2022-07-28
Article
Idah Moyo, Livhuwani Tshivhase & Azwihangwisi Helen Mavhandu-Mudzusi (2022) Utilisation of HIV services by female sex workers in Zimbabwe during the COVID-19 pandemic: a descriptive phenomenological study, African Journal of AIDS Research, 21:2, 183-193, DOI: 10.2989/16085906.2022.2101934
1608-5906
https://doi.org/10.2989/16085906.2022.2101934
https://hdl.handle.net/10500/29249
en
Taylor & Francis
oai:uir.unisa.ac.za:10500/274472021-06-08T09:44:00Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-06-07T14:13:05Z
urn:hdl:10500/27447
Women’s utilisation of prevention of mother-to-child transmission of human immunodeficiency virus services in Addis Ababa, Ethiopia
Negash, Tefera G
Ehlers, Valerie J
Acquired immune deficiency syndrome (AIDS)
Antenatal care (ANC)
Antiretrovirals (ARVs)
HIV testing and counselling (HTC)
Human immunodeficiency virus (HIV)
Mother-to-child transmission of HIV
Prevention of mother-to-child transmission (PMTCT)
Background: Human immunodeficiency virus (HIV) mother-to-child transmission (MTCT) can be prevented when HIV-positive pregnant women use effective prevention of mother-to-child transmission (PMTCT) of HIV services. Approximately 50% of HIV-positive pregnant women used free PMTCT services in Ethiopia. Aim: This study attempted to identify factors influencing women’s utilisation of PMTCT services. Addressing such factors could enable more Ethiopian women to use PMTCT services. The study investigated whether women’s utilisation of services was affected by sociodemographic issues, their partners’ known HIV status, disclosure of their HIV-positive status, stigma and discrimination, and satisfaction with services. Setting: Prenatal clinics in Addis Ababa, Ethiopia. Methods: A quantitative, cross-sectional study design was used and 384 questionnaires were completed by women who used PMTCT services in Addis Ababa. Results: No socio-demographic characteristic prevented women’s utilisation of PMTCT services, nor did stigma, discrimination or disclosure of their HIV-positive status. Most respondents’ partners with unknown HIV status did not know that the respondents used PMTCT services. Most women were satisfied with the PMTCT services. Conclusions: Prevention of mother-to-child transmission services should remain accessible to all HIV-positive women in Ethiopia. Concurrent HIV partner testing should be encouraged with appropriate counselling. HIV-positive pregnant women should be encouraged to disclose their status to their partners so that they need not use PMTCT services secretly. Patients’ high levels of satisfaction with PMTCT services are a good indicator for rolling out PMTCT initiatives at other facilities. Future research should focus on HIV-positive pregnant women who do not use PMTCT services.
2021-06-07T14:13:05Z
2021-06-07T14:13:05Z
2018-08-27
Article
Negash,T.G., Ehlers, V.J., (2018), ‘Women’s utilisation of prevention of mother-tochild transmission of human immunodeficiency virus services in Addis Ababa, Ethiopia’, Health SA Gesondheid 23(0), a1145. https://doi.org/10.4102/ hsag.v23i0.11452018, ‘Women’s utilisation of prevention of mother-tochild transmission of human immunodeficiency virus services in Addis Ababa, Ethiopia’, Health SA Gesondheid 23(0), a1145. https://doi.org/10.4102/ hsag.v23i0.1145
https://doi.org/10.4102/ hsag.v23i0.11452018, ‘Women’s utilisation of prevention of mother-tochild transmission of human immunodeficiency virus services in Addis Ababa, Ethiopia’, Health SA Gesondheid 23(0), a1145. https://doi.org/10.4102/ hsag.v23i0.1145
http://hdl.handle.net/10500/27447
en
AOSIS
oai:uir.unisa.ac.za:10500/277462021-08-20T14:44:51Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-01T03:17:48Z
urn:hdl:10500/27746
The association of household and child food insecurity with overweight/obesity in children and adolescents in an urban setting of Ethiopia
Biadgilign, Sibhatu
Gebremariam, Mekdes K.
Mgutshini, Tennyson
Abstract
Background
Existing evidence on the association between food insecurity and childhood obesity is mixed. In addition, literature from developing countries in general and Ethiopia in particular on the nexus and impact of household and child food insecurity on childhood obesity in the context of urbanization remains limited. The objective of this study was to explore the association between household and child food insecurity and childhood obesity in an urban setting of Ethiopia.
Methods
An observational population based cross-sectional study was conducted in five sub-cities of Addis Ababa. Multi-stage sampling techniques were employed to identify the study unit from the selected sub-cities. Multivariable logistic regression models with robust estimation of standard errors were utilized to determine the associations. Interactions by age and sex in the associations explored were tested.
Results
A total of 632 children and adolescents-parent dyads were included in the study. About 29.4% of those in food secure households and 25% of those in food insecure households were overweight/obese. Similarly, 29.8% of food secure children and 22% of food insecure children were overweight/obese. Household and child food insecurity status were not significantly associated with child and adolescent overweight or obesity in the final adjusted models.
Conclusions
Household and childhood food insecurity status were not associated with child and adolescent overweight/obesity in the study setting. Interventions aimed at combating overweight and obesity in the study setting should target children and adolescents irrespective of their food security status.
2021-08-01T03:17:48Z
2021-08-01T03:17:48Z
2021-07-07
2021-08-01T03:17:49Z
Journal Article
BMC Public Health. 2021 Jul 07;21(1):1336
https://doi.org/10.1186/s12889-021-11392-6
http://hdl.handle.net/10500/27746
en
http://creativecommons.org/licenses/by/4.0/
The Author(s)
oai:uir.unisa.ac.za:10500/296482023-01-24T09:55:36Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-12-01T04:42:01Z
urn:hdl:10500/29648
Adherence of healthcare providers to malaria case management guidelines of the formal private sector in north-western Ethiopia: an implication for malaria control and elimination
Argaw, Mesele D.
Mavundla, Thandisizwe R.
Gidebo, Kassa D.
Desta, Binyam F.
Damte, Heran D.
Mebratu, Wondwosen
Edossa, Wasihun
Dillu, Dereje
Mitiku, Aychiluhim D.
Desale, Alebel Y.
Abstract
Background
Malaria is an infectious disease which has been globally targeted for elimination in at least 35 of 90 endemic countries by 2030. Most successful malaria elimination country programmes have engaged the private health sector in an effort to identify, document, investigate, provide effective treatment, and follow-up cases. However, there has been limited rigorous research showing evidence of adherence among healthcare providers of the formal private health sector to national malaria diagnosis and treatment guidelines in Ethiopia, starting from malaria control to elimination phases. The aims of this study were to investigate and explain the level of adherence to malaria diagnosis and treatment guidelines among healthcare providers working in formal private health facilities in north-western Ethiopia.
Methods
An explanatory sequential mixed method design was conducted in the West Gojjam Zone of Ethiopia. Quantitative data were extracted from 1650 medical records of adult uncomplicated malaria outpatients served in 11 private-for-profit health facilities. In addition, using a qualitative approach, 33 in-depth interviews (IDIs) with healthcare providers were conducted. All interviews were audio-recorded, transcribed verbatim, and analysed using eight steps.
Results
Of 1650 suspected malaria cases in adult outpatients, 80.6% (1330/1650) were screen tested using microscopy and the remainder 19.4% (320/1650) were tested using multispecies rapid diagnosis tests (RDTs). Hence, the results revealed that private healthcare providers universally adhered to diagnosis guidelines. In addition, after following-up and excluding other causes of fever, 4.1% (56/1376) patients were clinically diagnosed with uncomplicated malaria. Despite this, the proportion of private healthcare provider adherence with confirmed malaria case treatment guidelines was 20.9% (69/330). In addition, 1320 (95.9%) of adult outpatients with negative laboratory results were not treated. Some of the identified determinant factors for sub-optimal adherence of healthcare providers to malaria guidelines were interruptions in supply and lack of availability of recommended anti-malarial drugs, lack of availability of quality assured laboratory supplies, and poor knowledge of the recommendations of the national standards.
Conclusions
Private healthcare providers adhered to universal parasitological diagnosis, providing comprehensive counseling, and linking patients with community health workers. In addition, almost all laboratory negative patients were not treated with anti-malarial drugs. However, only one-fifth of confirmed patients were treated in line with national guideline recommendations. Malaria control and elimination efforts across Ethiopia could be improved through establishing a collaborative function of a win-win public private mix partnership model. In addition, including the data of the private health sector in the health information system could show real malaria burden and use the information to improve the adherence to malaria diagnosis, treatment, and reporting standards within the targeted era of elimination. Therefore, building the capacity of private healthcare providers and ensuring the availability of all nationally recommended drugs and supplies in private health sector facilities is recommended to improve the quality of services.
2022-12-01T04:42:01Z
2022-12-01T04:42:01Z
2022-11-21
2022-12-01T04:42:01Z
Journal Article
Malaria Journal. 2022 Nov 21;21(1):347
https://doi.org/10.1186/s12936-022-04379-0
https://hdl.handle.net/10500/29648
en
The Author(s)
oai:uir.unisa.ac.za:10500/288232022-05-11T07:09:04Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-05-11T07:09:04Z
urn:hdl:10500/28823
Challenges faced by healthcare workers at a central hospital in Zimbabwe after contracting COVID-19: An interpretive phenomenological analysis study
Moyo, Idah
Ndou-Mammbona, Avhatakali
Mavhandu-Mudzusi, Azwihangwisi Helen
COVID-19
healthcare workers
IPA
phenomenology
Psychosocial challenegs
support system
Background
Healthcare workers play a critical role in the delivery of healthcare services. Because of the high risk of exposure to healthcare workers, the emergence of coronavirus disease 2019 (COVID-19) has had a significant impact as they struggled to contain the pandemic. The purpose of this study was to explore and describe the challenges they faced after contracting COVID-19.
Methods
An interpretative phenomenological analysis (IPA) design was employed to gain insight into the lived experiences of healthcare workers who contracted COVID-19 in the course of their duties. This study involved participants who were healthcare workers based at a central hospital in Bulawayo, Zimbabwe. Data were collected through in-depth interviews that were audio recorded. A sample size of ten was reached based on data saturation.
Results
The study showed that healthcare workers lacked psychosocial support, experienced economic challenges as they incurred diagnostic and treatment costs. The study also found that the healthcare workers experienced stigma and discrimination both at work and in the community. Findings also indicate that healthcare workers did not receive institutional support. The study demonstrated lack of preparedness at the institution evidenced by inadequate testing for COVID-19 and shortage of personal protective equipment.
2022-05-11T07:09:04Z
2022-05-11T07:09:04Z
2022-03-29
Article
(Online) 2078-6204
https://hdl.handle.net/10500/28823
en
South African Family Practice (SAFP)
oai:uir.unisa.ac.za:10500/309292024-03-07T11:08:16Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-07T11:08:16Z
urn:hdl:10500/30929
Journey less travelled: Female nursing students’ experiences in providing intimate care in two nursing education institutions in Gauteng province, South Africa
Shakwane, Simangele
female nursing students
intimate care
nursing care
nursing education
nursing profession
patients
touch
Background: Intimate care is not facilitated in South African nursing education and training.
Nursing students encounter it for the first time in clinical practice, where they see and touch
the naked bodies of patients. The societal segregation of gender roles has led to the feminisation
of the nursing profession, suggesting that women are more caring and maternal and that
intimate care implementation comes more easily to them than to their male counterparts.
Aim: This study explored female nursing students’ experiences of intimate care for diverse
patients.
Setting: The study was conducted in two nursing education institutions in Gauteng province,
South Africa.
Methods: Descriptive phenomenology was used to describe the lived experiences of
participants. Seventeen female nursing students were purposively sampled. Data were
collected using semi-structured interviews and analysed using Moustakas’ (1994) eight steps.
Results: Four themes emerged: intimate care comprehension, preparedness for providing
intimate care, reactions in providing intimate care and coping mechanisms when providing
intimate care to diverse patients.
Conclusion: Intimate care forms a basis on which nursing students prioritise the physical
needs of patients by providing care that exposes their bodies and requires touch. The students
were taught to provide care with respect, maintaining patient autonomy and nursing
professionalism. Unfortunately, age and gender barriers create feelings of discomfort and
embarrassment. More needs to be done to support and empower nursing students in providing
intimate care to diverse patients competently, confidently and comfortably.
Contribution: Understanding the experiences of participants in providing intimate care to
diverse patients will assist nurse educators in intimate care facilitation and support. The
female nursing students will be empowered and trained to execute intimate care in a manner
that is culturally, religiously and ethically acceptable.
2024-03-07T11:08:16Z
2024-03-07T11:08:16Z
2022-02-25
Article
Shakwane, S., 2022, ‘Journey less travelled: Female nursing students’ experiences in providing intimate care in two nursing education institutions in Gauteng province, South Africa’, Health SA Gesondheid 27(0), a1778. https://doi. org/10.4102/hsag.v27i0.1778
2071-9736
https://hdl.handle.net/10500/30929
en
AOSIS
oai:uir.unisa.ac.za:10500/279762021-09-16T09:37:52Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-09-16T07:44:42Z
urn:hdl:10500/27976
A model for enhancing prevention of mother to child HIV transmission in a low resource setting
Moyo, Idah
Mavhandu-Mudzusi, Azwihangwisi Helen
Effective utilisation
Prevention of mother-to-child transmission
Model
PMTCT services
Systems theory
The prevention of mother-to-child transmission (PMTCT) programmes plays a significant role in the reduction of human immunodeficiency virus (HIV) infections in the under-five age group and maternal mortalities. A phenomenological study on the experiences of HIV-positive women who utilised the PMTCT services identified challenges affecting the use of those services. An enabling environment is required for the effectiveness of the PMTCT programme.
2021-09-16T07:44:42Z
2021-09-16T07:44:42Z
2021-08-29
Article
Moyo, Idah & Mavhandu-Mudzusi, Azwihangwisi Helen (2021) A model for enhancing prevention of mother to child HIV transmission in a low resource settingInternational Journal of Africa Nursing Sciences Volume 15, 2021, 100359
https://doi.org/10.1016/j.ijans.2021.100359
https://hdl.handle.net/10500/27976
en
http://creativecommons.org/licenses/by-nc-nd/4.0/
© 2021 The Author(s). Published by Elsevier Ltd.
Elsevier
https://creativecommons.org/licenses/by-nc-nd/4.0/
oai:uir.unisa.ac.za:10500/269682020-12-21T13:13:02Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2020-12-21T13:09:26Z
urn:hdl:10500/26968
Strategies for Nurses in Antiretroviral Clinics to Mitigate Symptoms of Compassion Fatigue.
Tellie, Mercia Jane
Leech, Ronell
Van Wyk, Neltjie
antiretroviral clinics
collegial support
compassion fatigue
managerial support
psychological support
self-care strategies
antiretroviral clinics
collegial support
compassion fatigue
managerial support
psychological support
self-care strategies
Compassion fatigue has a negative impact on the well-being of healthcare professionals. Compassion fatigue affects nurses physically, emotionally and psychologically, as well as their behaviour towards others. Factors that increase nurses’ risk to develop compassion fatigue include an overwhelming workload, being a secondary witness to their patients’ traumatic experiences, emotional involvement with patients, especially children, lack of managerial support, and dealing with the deaths of their patients. The purpose of this paper is to describe strategies that nurses who work in antiretroviral (ARV) clinics use to mitigate the symptoms of compassion fatigue. A qualitative single embedded case study, utilising semi-structured interviews to collect data in ARV clinics in a tertiary hospital in the Gauteng province of South Africa was used. The process of content analysis as described by Elo and Kyngäs was utilised to analyse the data. The knowledge gained from the research findings contributed towards the identification of strategies that nurses use to prevent and manage compassion fatigue ‒ strategies such as debriefing, management support, psychological support, self-care, collegial support, and celebrating patients’ lives. If compassion fatigue is not recognised early and managed properly, it will have a negative impact on the quality of care and can result in an increase in the turnover rate of staff ‒ therefore the need for strategies that will mitigate the symptoms of compassion fatigue.
2020-12-21T13:09:26Z
2020-12-21T13:09:26Z
2019
Article
Tellie, Mercia Jane; Leech, Ronell; Van Wyk, Neltjie (2019) Strategies for Nurses in Antiretroviral Clinics to Mitigate Symptoms of Compassion Fatigue. Africa Journal of Nursing and Midwifery Volume 21 | Number 1
https://doi.org/10.25159/2520-5293/4907
http://hdl.handle.net/10500/26968
en
© Unisa Press
oai:uir.unisa.ac.za:10500/299982023-05-04T07:50:08Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2023-05-04T07:50:08Z
urn:hdl:10500/29998
Experiences of nurses practising mindfulness during self-leadership in delivering a rapid response system for general wards in a private hospital in Gauteng
Prinsloo, Carine
Jooste, Karien
critical care
general wards
mindfulness
rapid response system
rapid response team
self-leadership
private hospital
The increased complexity of the nursing care needs of patients and acuity in
general wards present nursing care challenges for nurses. Self-led nurses are attentive,
taking responsibility for activating the rapid response service when a patient is starting to
deteriorate.
2023-05-04T07:50:08Z
2023-05-04T07:50:08Z
2022
Article
Prinsloo, C.J. & Jooste, K., 2022, ‘Experiences of nurses practising mindfulness during self-leadership in delivering a rapid response system for general wards in a private hospital in Gauteng’, Curationis 45(1), a2298. https://doi.org/10.4102/ curationis.v45i1.2298
2223-6279
0379-8577
https://doi.org/10.4102/ curationis.v45i1.2298
https://hdl.handle.net/10500/29998
en
Curationis
oai:uir.unisa.ac.za:10500/309412024-03-11T14:57:51Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-11T14:57:51Z
urn:hdl:10500/30941
Transition Possibilities for Adolescents with Intellectual Disabilities into Adulthood
Malapela, Rakgadi Grace
Thupayagale-Tshweneagae, Gloria
adolescents
adulthood
intellectual disabilities
transition and possibility
10.5772/intechopen.86684
Transition possibilities for adolescents with intellectual disabilities into adulthood remain a complex issue and often neglected by the healthcare system and non-healthcare system. Given the responsibilities and roles that the healthcare system, non-healthcare system and families have to fulfil to address the transition possibility issue, the lack of knowledge, skills and resources negatively impacts on the transition possibility. In favour of situating adolescents with intellectual disabilities into adulthood, the provision and development of working skills need to be prioritised. Transition possibilities are to be considered to all adolescents with intellectual disabilities.
2024-03-11T14:57:51Z
2024-03-11T14:57:51Z
2019-11-28
Book chapter
Malapela, R.G. and Thupayagale-Tshweneagae, G., 2019. Transition Possibilities for Adolescents with Intellectual Disabilities into Adulthood. In Learning Disabilities-Neurological Bases, Clinical Features and Strategies of Intervention. IntechOpen.
978-1-83880-839-6
978-1-83880-838-9
https://hdl.handle.net/10500/30941
en
IntechOpen
oai:uir.unisa.ac.za:10500/285112022-02-08T10:47:53Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1com_10500_8549com_10500_8544col_10500_3753col_10500_14519col_10500_8550
2022-02-07T08:20:20Z
urn:hdl:10500/28511
Mbeki’s ‘I am an African’ Speech: Mobilising Psycho-Political Resources for Political Reconstitution of Post-Apartheid South Africa
Seedat, Mohamed
Suffla, Shahnaaz
Ndlovu-Gatsheni, Sabelo J
Mbeki
psycho-politics
onto-epistemological
epistemic agency
relational ontology
identity
Africa
We offer a critical reading of Thabo Mbeki’s ‘I am an African’ speech to illustrate how he foregrounded humaning, namely ontoepistemological recovery, as a key dimension of psycho-political reconstruction. Mbeki’s speech, delivered on the occasion of the adoption of South Africa’s democratic Constitution, was inherent to the larger quest to (re)imagine South Africa and (South)Africanness and assert independent Black intellectual thought. Positioning himself as an epistemic agent, Mbeki historicised that moment of adopting the Constitution and attempted to raise critical consciousness about the protracted struggle for democracy. He mobilised marginalised knowledge about the anti-colonial struggle to challenge forgetfulness and limited interpretations of South Africa’s negotiated settlement.
Mbeki also invoked the idea of a relational ontology and hermeneutic love to effect an inclusive Africanity constituted of multiple histories and ‘races’. Mbeki, resisting Afro-pessimism, referenced the making of an inclusive Africanity against Africa as a generative place despite the colonial encounter, African humanism and South Africa’s aspirations for reconciliation as articulated by the ANC and the Constitution. Notwithstanding the psycho-political import of Mbeki’s speech, the process of humaning remains incomplete.
2022-02-07T08:20:20Z
2022-02-07T08:20:20Z
2021-12-16
Article
Mohamed Seedat, Shahnaaz Suffla & Sabelo Ndlovu-Gatsheni (2021) Mbeki’s ‘I am an African’ Speech: Mobilising Psycho-Political Resources for Political Reconstitution of Post- Apartheid South Africa, African Studies, 80:3-4, 451-465, DOI: 10.1080/00020184.2021.2012754
https://doi.org/10.1080/00020184.2021.2012754
https://hdl.handle.net/10500/28511
en
Routledge Taylor & Francis Group
oai:uir.unisa.ac.za:10500/288282022-05-11T07:11:19Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2022-05-11T07:11:18Z
urn:hdl:10500/28828
The intersectionality of religion, race and gender at the time of COVID-19 pandemic: A South African reflection
Mothoagae, Itumeleng Daniel
Mavhandu-Mudzusi, Azwihangwisi Helen
colonial matrix of power
religion
gender
race
spiritual epistemicide
colonial matrix of power
coloniality of power
coloniality of being
This paper presents the intersectionality of religion, race, and gender during the COVID-19 pandemic from a South African perspective. Though COVID-19 has affected every area in South Africa, the intersectionality of religion, race, gender class has begun to be interrogated by scholars, NGOs, and faith-based organizations. The interpretative phenomenological analysis study was conducted at a South African rural-based hospital, which is comprised of black personnel who serve only black people from impoverished villages. The data were collected from 11 nurses who had suffered from COVID-19. Following Pietkiewicz and Smith's (2014:7) steps of thematic data analysis, results indicated that nurses who suffered from COVID-19 had faced the dilemma of administering Western medicine or traditional African medicine. In other words, the universality of western medicine as effective and scientific created an epistemological dilemma for those that viewed traditional African medicine as an alternative to western medicine. As such, this was also necessitated by the view that Western medicinal treatments were not as effective in comparison to traditional African medicine. This
view indicates the effectiveness of perception. Succinctly put, the social and epistemic location of the participants functioned as an epistemological discourse in engaging the notion of the ‘supremacy’ of Western medicine and the choice of administering both Western and traditional medicinal treatments. The choice of opting to administer both medicinal treatments was also necessitated by the scarce resources and access to hospital facilities. At the same time, the notion that traditional administration of medicines to treat COVID-19 was also viewed as an act of heathenism, based on religious belief. The intersectionality of religion and class became evident as illustrated in the findings that surrendering one's life to God through prayer was important and central for those infected and affected by COVID-19 instead of administering traditional African medicines. While there appears to be no objection to administering Western medicines, suggesting the convergence of both epistemologies as superior to the traditional epistemologies. Applying a decolonial analysis, the paper seeks to argue that there is a need to decolonise religion (western Christianity) in order to deconstruct the notion of traditional epistemologies as heathenism. This is in order to the delink so as to advance the notion of pluriversality and broader-thinking.
2022-05-11T07:11:18Z
2022-05-11T07:11:18Z
2021
Article
2414-3324 online
https://hdl.handle.net/10500/28828
en
Pharosjot
oai:uir.unisa.ac.za:10500/278322021-08-20T13:42:25Zcom_10500_26439com_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_26440col_10500_3753col_10500_14519
2021-08-20T13:41:43Z
urn:hdl:10500/27832
Guidance on self-isolation for non-hospitalised COVID-19 infected persons: Limitation on movement and contact with other persons
Prinsloo, Carine
Covid-19
Self-isolation
2021-08-20T13:41:43Z
2021-08-20T13:41:43Z
2021
Other
http://hdl.handle.net/10500/27832
en
oai:uir.unisa.ac.za:10500/68352018-08-14T11:25:53Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2012-10-20T13:18:12Z
urn:hdl:10500/6835
Analysis of referrals received by a psychiatric unit in a general hospital Part2: analysis and discussion of research results
Dor, M.
Ehlers, V.J.
Van der Merwe, M.M.
psyhiatric unit
psychiatric referrals
referral sources
psychiatric health care team
The study sought to analyse the referrals received by a psychiatric unit in a general hospital in the Western Cape by studying the referral letters and the referral responses. Part 1 of the report reviewed the need to analyse these referrals and described the research design adopted to study this phenomenon.The study sought to determine which departments were referring patients and which patients were being referred. The completeness and the appropriateness of the referrals were also studied. This secnd part of the research report will present and discuss the resarch results. The major inferences drawn form this study are that healh care workers have a poor concept of what information the psychiatric unit needs and about the scope and function of the unit. The poor feedback from the psychiatric unit to the referral source is indicative of the poor communication amongst the health care team members.
2012-10-20T13:18:12Z
2012-10-20T13:18:12Z
2002
Article
1025 9848 Health SA Gesondheid
http://hdl.handle.net/10500/6835
en
AOSIS OpenJournals
oai:uir.unisa.ac.za:10500/278782022-03-31T11:44:17Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-09-01T03:27:04Z
urn:hdl:10500/27878
Analysing and quantifying the effect of predictors of stroke direct costs in South Africa using quantile regression
Matizirofa, Lyness
Chikobvu, Delson
Abstract
Background
In South Africa (SA), stroke is the second highest cause of mortality and disability. Apart from being the main killer and cause of disability, stroke is an expensive disease to live with. Stroke costs include death and medical costs. Little is known about the stroke burden, particularly the stroke direct costs in SA. Identification of stroke costs predictors using appropriate statistical methods can help formulate appropriate health programs and policies aimed at reducing the stroke burden. Analysis of stroke costs have in the main, concentrated on mean regression, yet modelling with quantile regression (QR) is more appropriate than using mean regression. This is because the QR provides flexibility to analyse the stroke costs predictors corresponding to quantiles of interest. This study aims to estimate stroke direct costs, identify and quantify its predictors through QR analysis.
Methods
Hospital-based data from 35,730 stroke cases were retrieved from selected private and public hospitals between January 2014 and December 2018. The model used, QR provides richer information about the predictors on costs. The prevalence-based approach was used to estimate the total stroke costs. Thus, stroke direct costs were estimated by taking into account the costs of all stroke patients admitted during the study period. QR analysis was used to assess the effect of each predictor on stroke costs distribution. Quantiles of stroke direct costs, with a focus on predictors, were modelled and the impact of predictors determined. QR plots of slopes were developed to visually examine the impact of the predictors across selected quantiles.
Results
Of the 35,730 stroke cases, 22,183 were diabetic. The estimated total direct costs over five years were R7.3 trillion, with R2.6 billion from inpatient care. The economic stroke burden was found to increase in people with hypertension, heart problems, and diabetes. The age group 55–75 years had a bigger effect on costs distribution at the lower than upper quantiles.
Conclusions
The identified predictors can be used to raise awareness on modifiable predictors and promote campaigns for healthy dietary choices. Modelling costs predictors using multivariate QR models could be beneficial for addressing the stroke burden in SA.
2021-09-01T03:27:04Z
2021-09-01T03:27:04Z
2021-08-17
2021-09-01T03:27:05Z
Journal Article
BMC Public Health. 2021 Aug 17;21(1):1560
https://doi.org/10.1186/s12889-021-11592-0
http://hdl.handle.net/10500/27878
en
The Author(s)
oai:uir.unisa.ac.za:10500/252332022-05-26T07:53:39Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2019-02-01T04:57:33Z
urn:hdl:10500/25233
A semi-parametric mixed models for longitudinally measured fasting blood sugar level of adult diabetic patients
Tafere Tilahun Aniley
Wondwosen Kassahun Yime
Zelalem Mehari Nigusie
Yimer, Belay Birlie
Legesse Kassa Debusho
Diabetes mellitus
Fasting blood sugar
Linear mixed model
Semi-parametric mixed model
Background: At the diabetic clinic of Jimma University Specialized Hospital, health professionals provide regular
follow-up to help people with diabetes live long and relatively healthy lives. Based on patient condition, they also
provide interventions in the form of counselling to promote a healthy diet and physical activity and prescribing
medicines. The main purpose of this study is to estimate the rate of change of fasting blood sugar (FBS) profile
experienced by patients over time. The change may help to assess the effectiveness of interventions taken by the
clinic to regulate FBS level, where rates of change close to zero over time may indicate the interventions are good
regulating the level.
Methods: In the analysis of longitudinal data, the mean profile is often estimated by parametric linear mixed effects
model. However, the individual and mean profile plots of FBS level for diabetic patients are nonlinear and imposing
parametric models may be too restrictive and yield unsatisfactory results. We propose a semi-parametric mixed
model, in particular using spline smoothing to efficiently analyze a longitudinal measured fasting blood sugar level of
adult diabetic patients accounting for correlation between observations through random effects.
Results: The semi-parametric mixed models had better fit than the linear mixed models for various variance structures
of subject-specific random effects. The study revealed that the rate of change in FBS level in diabetic patients, due to
the clinic interventions, does not continue as a steady pace but changes with time and weight of patients.
Conclusions: The proposed method can help a physician in clinical monitoring of diabetic patients and to assess the
effect of intervention packages, such as healthy diet, physical activity and prescribed medicines, because
individualized curve may be obtained to follow patient-specific FBS level trends.
2019-02-01T04:57:33Z
2019-02-01T04:57:33Z
2019-01-10
2019-02-01T04:57:33Z
Article
Aniley, T., Debusho, L., Nigusie, Z. et al. A semi-parametric mixed models for longitudinally measured fasting blood sugar level of adult diabetic patients. BMC Medical Research Methodology 19(1):13 (2019)
https://doi.org/10.1186/s12874-018-0648-x
http://hdl.handle.net/10500/25233
en
http://creativecommons.org/licenses/by/4.0/
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License(http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
oai:uir.unisa.ac.za:10500/278802022-03-31T11:41:34Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-09-01T03:27:10Z
urn:hdl:10500/27880
Women’s perspectives on the measures that need to be taken to increase the use of health-care facility delivery service among slums women, Addis Ababa, Ethiopia: a qualitative study
Sendo, Endalew G.
Chauke, Motshedisi E.
Ganga-Limando, M.
Abstract
Background
Global strategies to target high maternal mortality ratios are focused on providing skilled attendance at delivery along with access to emergency obstetric care. Research that examines strategies to increase facility-based skilled birth attendance among slum residents in Addis Ababa, Ethiopia, is limited.
Objective
The study aimed to explore women's perspectives on the measures that need to be taken to increase the use of the facility—delivery service among slums women, Addis Ababa, Ethiopia
Methods
Qualitative exploratory and descriptive research designs were used. Participants in the study were women in the reproductive age group (18–49 years of age) living in the slum areas of Addis Ababa, Ethiopia. A purposive sampling strategy was used to select study participants. Potential participants' names were gathered from health facilities and followed to their homes for the study. Four audio-recorded focus group discussions [FGDs] were conducted with 32 participants from the three public health centers and one district hospital. The number of participants in FGDs was between 6 and 10 women. Data were analyzed simultaneously with data collection. Thematic analysis was used in data analysis, which entails three interconnected stages: data reduction, data display, and data conclusion. In addition, thematic analysis entailed evaluating the structure and content of textual data, identifying data themes, coding the themes, and then interpreting the structure and content of the themes. A codebook was first devised, discussed, and adopted by the writers before they could use this technique. Using the codebook, the theme codes were then manually produced. To explain the study results, verbatim excerpts from participants were given. The researcher used Techs' eight steps of qualitative data analysis method for analyzing the data. A multi-level life-course framework of facility-based delivery in low- and middle-income countries (LMICs) developed by Bohren et al. was used to frame the current study and link the findings of the study to the body of knowledge.
Results
The FGDs included a total of 32 participants. The mean age of the overall sample was 32.6 years (± SD = 5.2). Participants' educational characteristics indicate that the majority (24 out of 32) was found to have no formal education, and two-thirds of participants were found to have one to five children. Three-fourths of them attended the ANC twice and they all gave birth to their last child at home. Two themes emerged from the analysis of focus group data, namely provision of quality, respectful and dignified midwifery care, and lack of awareness about facility delivery. These themes were described as a rich and comprehensive account of the views and suggestions made by focused antenatal care [FANC] participants on measures required to improve the use of the facility-delivery services. The findings of the study raise concerns about the effectiveness of FANC in encouraging facility-deliveries since FANC participants had not used health facilities for their last childbirth. According to the findings of the focus groups, women who took part in this study identified measures required to increase the use of health facility-delivery services among FANC participants in Addis Ababa's slum residents. It is to be expected that diligent counseling during antenatal care about birth plans would facilitate prompt arrival at facilities consistent with the desires of women.
Plain language summary
Global strategies for targeting high maternal mortality levels are based on ensuring eligible delivery attendance along with access to obstetric emergency care. Research examining strategies to increase facility-based skilled birth attendance among slum residents in Addis Ababa, Ethiopia, is minimal. The study aimed to examine women's perspectives on measures needed to improve the use of health facility-based delivery services.
A qualitative research design, both exploratory and descriptive, was used. Women in the reproductive age group (18–49 years of age) living in the slum areas of Addis Ababa, Ethiopia, participated in the study. The study used a purposeful sampling method. Four audio-recorded focus group discussions [FGDs] were conducted with 32 participants. In FGDs, the number of participants was between 6 and 10 women. Data were analyzed in conjunction with data collection. For the research, thematic analysis was performed.
Two issues arose from the review of data from focus group interviews, namely quality care provision, respectful and dignified midwifery care, and lack of awareness about facility delivery. These themes were identified as a detailed and comprehensive account of the views and suggestions of focused antenatal care [FANC] participants on steps needed to enhance the use of health facility-based delivery services. According to the results of the focus groups, among FANC participants in the slum residents of Addis Ababa, women who took part in this study identified steps needed to increase the use of health facility-based delivery services. It is to be expected that diligent counseling during antenatal care about birth plans would facilitate prompt arrival at facilities consistent with the desires of women.
2021-09-01T03:27:10Z
2021-09-01T03:27:10Z
2021-08-23
2021-09-01T03:27:10Z
Journal Article
Reproductive Health. 2021 Aug 23;18(1):174
https://doi.org/10.1186/s12978-021-01221-9
http://hdl.handle.net/10500/27880
en
The Author(s)
oai:uir.unisa.ac.za:10500/309272024-03-07T10:58:28Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-07T10:54:24Z
urn:hdl:10500/30927
Promoting intimate care facilitation in Nursing Education Institutions in South Africa
Shakwane, Simangele
Mokoboto-Zwane, Sheila
Intimate care
Simulation
Patient
Nursing student
Teaching strategies
Background: Basic nursing care includes intimate care that requires a nurse and a patient to be in close physical
and psychological proximity. The patient's body parts are exposed, and his/her fragile body is seen and touched
by a nurse, who is a stranger. The nurse and patient need to establish a relationship based on respect and trust. In
South Africa, nursing education institutions use simulation to teach intimate clinical procedures. However, intimate
care is not effectively facilitated, and nursing students are not supported when providing such care to
diverse patients.
Purpose: Explore nurse educators’ understanding and experiences of the teaching of intimate care to undergraduate
nursing students.
Method: A qualitative phenomenology research approach and a social interactionism theory were merged to
explore nurse educators' understanding and experiences of teaching intimate care to undergraduate nursing
students. Eleven nurse educators working in the selected Nursing Education Institutions in Gauteng Province
were purposively sampled. Data were collected using individual in-depth interviews and a focus group. Data
were analysed using Moustakas' (1994) phenomenological data analysis method.
Results: Four major themes emerged: the care provided by nurses, facilitation of intimate care, intimate care
guidance and support, and intimate care challenges.
Conclusion: Intimate care should be promoted in NEIs and should form part of the curriculum that promotes
caring. It must be facilitated using reality simulation to allow nursing students to experience intimate care
realities in a safe environment. This will empower them to be competent, comfortable and confident in providing
intimate care to diverse patients.
2024-03-07T10:54:24Z
2024-03-07T10:54:24Z
2020-07-16
Article
Simangele Shakwane, Sheila Mokoboto-Zwane . 2020 Promoting intimate care facilitation in Nursing Education Institutions in South Africa In: International Journal of Africa Nursing Sciences 13 (2020) 100
2214-1391
https://hdl.handle.net/10500/30927
en
Elsevier
oai:uir.unisa.ac.za:10500/272222021-06-09T06:22:49Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-04-01T05:00:43Z
urn:hdl:10500/27222
Community and healthcare providers’ perceptions of quality of private sector outpatient malaria care in North-western Ethiopia: a qualitative study
Argaw, Mesele D
Mavundla, Thandisizwe R
Gidebo, Kassa D
Abstract
Background
Malaria is one of the most important public health problems in Ethiopia contributing to significant patient morbidity and mortality. Prompt diagnosis and effective malaria case management through public, private and community health facilities has been one of the key malaria prevention, control and elimination strategies. The objective of this study was to evaluate adult malaria patients and healthcare providers’ perception of the quality of malaria management at private sector outpatient facilities.
Methods
An exploratory, descriptive, contextual and qualitative research methodology was conducted with 101 participants (33 in-depth interviews (INIs) and ten focus group discussions (FGDs) with 68 participants). All interview and focus group discussions were audio recorded, transcribed verbatim and analysed, using eight steps of Tesch.
Results
During data analysis a single theme, two categories and six sub-categories emerged, namely (1) perceived quality of malaria management at outpatient facilities; (a) essential resources; (a1) safe outpatient services; (a2) anti-malarial drugs and supplies; (a3) health workers; (b) factors influencing service utilization; (b1) physical accessibility; (b2) “art of care’’; and (b3) efficient malaria diagnosis and treatment services. Both FGDs and INIs participants had a positive perception of the quality of malaria outpatient services at private health facilities. The positive perceptions include safe and clean facility; availability of supplies and comprehensive services; convenient working hours; short waiting hours and motivated, competent and compassionate health workers. However, some participants raised their safety concerns due to perceived poor infection control practices, small working areas, interruption of anti-malarial supplies and inefficient malaria diagnosis and treatment services.
Conclusion
Both community members and healthcare providers had more positive perceptions towards outpatient malaria services offered at private health facilities. However, positive behaviour must be maintained and concerns must be dealt with by enhancing functional public private partnership for malaria care services to improve private sector malaria case management; build the service providers’ capacity; ensure uninterrupted anti-malarial supplies and empower the community with early health-seeking behaviour.
2021-04-01T05:00:43Z
2021-04-01T05:00:43Z
2021-03-17
2021-04-01T05:00:45Z
Journal Article
Malaria Journal. 2021 Mar 17;20(1):153
https://doi.org/10.1186/s12936-021-03694-2
http://hdl.handle.net/10500/27222
en
The Author(s)
oai:uir.unisa.ac.za:10500/278132021-08-13T13:44:22Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-13T13:35:49Z
urn:hdl:10500/27813
Condom use amongst students requesting emergency contraceptive pills at tertiary institutions
Mavhandu-Mudzusi, Azwihangwisi Helen
Netshandama, Vhonani Olive
condom use
emergency contraceptive
HIV and AIDS
safer sex
Students tend to request emergency contraceptive pills after they have had sexual intercourse without using a condom. This is a cause for concern as condom use is central to the management of HIV and AIDS. It is a strategy to encourage safe sex practices amongst youth in tertiary education institutions. This study reports on the investigation of condom use by students requesting emergency contraceptives in a tertiary institution. A total of 1252 female students seeking for Emergency Contraceptive Pills completed the pre-emergency contraceptive questionnaires to identify reasons for not using condoms as a means of contraception. The reasons pointed to students‘ use of condoms during the previous sexual intercourse when they requested the pill. Results show that while some respondents never attempted to use condoms when having sexual intercourse for some reasons, others used or were intending to use a condom during their sexual intercourse but experienced problems. A considerable number of respondents (43.5%) indicated that they did not have a definite reason for not using a condom during sex; that it just happened that they ended up having sex without putting on a condom. Reasons given for not using a condom during sex included that they blamed the male partner. Risky sexual behavior with regard to sexually transmitted diseases (STIs) and Acquired Immune Deficiency Syndrome (AIDS) was prevalent among students and age and place of residence were associated with condom use. Some recommendations are made regarding investigation into students‘ attitudes towards male and female condom use and their perceptions towards safer sex practices
2021-08-13T13:35:49Z
2021-08-13T13:35:49Z
2011
Article
A. Helen Mavhandu-Mudzusi V.O. Netshandama A.P. Kutame (2011) Condom use amongst students requesting emergency contraceptive pills at tertiary institutions. Journal of Educational StudiesVol. 10, No. 1
http://hdl.handle.net/10500/27813
en
U
oai:uir.unisa.ac.za:10500/292482022-08-17T14:51:27Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T10:36:29Z
urn:hdl:10500/29248
WhatsApp as a Qualitative Data Collection Method in Descriptive Phenomenological Studies
Mavhandu-Mudzusi, Azwihangwisi Helen
Moyo, Idah
Mthombeni, Andile
Ndou, Anza
Mamabolo, Lucas
Ngwenya, Thembinkosi
Marebane, Tlhomaro
Netshapapame, Tshifhiwa S
Descriptive phenomenology
gender
LGBTIQ+ individuals
sexually diverse groups
vulnerable populations
WhatsApp
This article presents WhatsApp as a means of data collection among vulnerable populations, reporting on a study conducted in South Africa and Zimbabwe, to determine the terminology used for and among different genders and sexually diverse individuals. 19 LGBTIQ+ individuals, recruited through a modified snowballing technique, participated in the study. Using WhatsApp text-based information, the interview questions and information regarding the study and ethics-related information were forwarded from one participant to another. The same approach was used for data-collection purposes, where responses (either voice notes or written texts) were forwarded until they reached the initial two participants and/or the principal investigator. Data were analysed using Collazi’s steps for data analysis. As the study focus was on the data collection technique, the paper highlights the ethical implications related to using WhatsApp as a data collecting tool. The study also indicates the advantages and disadvantages of using this platform and further emphasises that voice note WhatsApp messages yielded higher quality and more in-depth responses than text messages. The limitations of using WhatsApp, and ways of enhancing its use as a means of data collection among vulnerable populations, are also addressed.
2022-08-17T10:36:29Z
2022-08-17T10:36:29Z
2022-06-28
Article
Azwihangwisi Helen Mavhandu-Mudzusi, Idah Moyo, Andile Mthombeni, Anza Ndou, Lucas Mamabolo, Thembinkosi Ngwenya, Tlhomaro Marebane, and Tshifhiwa Netshapapame (2022) WhatsApp as a Qualitative Data Collection Method in Descriptive Phenomenological Studies. nternational Journal of Qualitative Methods Volume 21: 1–9
https://hdl.handle.net/10500/29248
en
SAGE
oai:uir.unisa.ac.za:10500/292572022-08-17T14:43:44Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T12:25:48Z
urn:hdl:10500/29257
Psycho-emotional challenges experienced by COVID-19 infected healthcare workers: A phenomenological study
Moyo, Idah
Tshivhase, Livhuwani
Mavhandu-Mudzusi, Azwihangwisi Helen
COVID-19
healthcare workers
psycho-emotional challenges
phenomenological
The emergence of the coronavirus disease 2019 (COVID-19) has had a negative impact on the psychological and mental wellbeing of healthcare workers. The purpose of this study was to explore and describe the psychological and emotional challenges that healthcare workers experienced when they contracted COVID-19.An interpretative phenomenological approach was undertaken. In-depth interviews were used to collect data virtually from ten purposefully sampled healthcare workers. The findings of the study revealed that participants experienced negative emotions, overwhelming stress as a result of poor communication of COVID-19 results, self-blame in contracting the infection, fear of dying from COVID-19, infecting others, and reinfection. Furthermore, psychological distress related to uncertainty regarding COVID-19 infection/recovery, uncertainty worsened by lack of institutional support resulting in stress, confusion, shock and frustration. Lastly, stigma and discrimination related to COVID-19 infection were common experiences and were evidenced by rejection by colleagues, stigmatisation of families, and fear of disclosure of the positive COVID-19 results. In conclusion, emphasis is placed on providing comprehensive, differentiated psychosocial support to the healthcare
workers who have contracted COVID-19 to enhance their mental wellbeing during
and after the pandemic.
2022-08-17T12:25:48Z
2022-08-17T12:25:48Z
2022-06-14
Article
Idah Moyo, Livhuwani Tshivhase & Azwihangwisi Helen Mavhandu Mudzusi | (2022) Psycho-emotional challenges experienced by COVID-19 infected healthcare workers: A phenomenological study, Cogent Psychology, 9:1, 2087827, DOI: 10.1080/23311908.2022.2087827
https://doi.org/10.1080/23311908.2022.2087827
https://hdl.handle.net/10500/29257
en
Taylor & Francis
oai:uir.unisa.ac.za:10500/90862022-05-24T08:35:06Zcom_10500_14526com_10500_14512com_10500_13602com_10500_1com_10500_3752col_10500_14549col_10500_3753col_10500_14519
2013-04-23T12:46:05Z
urn:hdl:10500/9086
8th International Conference on Information Communication Technologies in Health : Samos Island, Greece : 15-17 July 2010 : report
Maboe, Kefiloe Adolphina
Information communication technologies
Health
The theme of the conference focused on information communication technologies in health. The organisers of the conference included the Research and Training Institute of the East Aegean (INEAG), Greece; National and Kapodistrian University of Athens - Faculty of Nursing, Greece; University of Health Sciences, Medical Informatics and Technology, Austria; Institute of Biomediacal Engineering, Bogazici University, Turkey; and the Greek Health Information Association (GHIA).
2013-04-23T12:46:05Z
2013-04-23T12:46:05Z
2010
Article
Maboe, K.A. (2010) 8th International Conference on Information Communication Technologies in Health : Samos Island, Greece : 15-17 July 2010 : conference reports. Africa Journal of Nursing and Midwifery (12)2 pp. 107-108
1682-5055
http://hdl.handle.net/10520/EJC19348
http://hdl.handle.net/10500/9086
en
Copyright © 2010, UNISA Press:All rights reserved
Department of Advanced Nursing Sciences, Unisa
oai:uir.unisa.ac.za:10500/262542020-02-07T10:10:58Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2020-02-01T04:38:39Z
urn:hdl:10500/26254
LEVEL (Logical Explanations & Visualizations of Estimates in Linear mixed models): recommendations for reporting multilevel data and analyses
Monsalves, Maria J
Bangdiwala, Ananta
Thabane, Alex
Bangdiwala, Shrikant I
2020-02-01T04:38:39Z
2020-02-01T04:38:39Z
2020-01-06
2020-02-01T04:38:39Z
Journal Article
BMC Medical Research Methodology. 2020 Jan 06;20(1):3
https://doi.org/10.1186/s12874-019-0876-8
http://hdl.handle.net/10500/26254
en
The Author(s).
oai:uir.unisa.ac.za:10500/292722022-08-17T14:16:35Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T14:06:01Z
urn:hdl:10500/29272
Caregivers’ satisfaction with cervical cancer care in Ethiopia
Kebebew, Tolcha
Mosalo, Annah
Mavhandu-Mudzusi, Azwihangwisi Helen
Caregivers
Caregiver stress index
Caregivers' satisfaction
Cervical cancer
FAMCARE
Palliative care
Background and purpose Cervical cancer is the second most common cancer among African women, following breast cancer. Palliative care is among the standards of care in cancer management. While caregivers play key roles in palliative care, their satisfaction with the care influences treatment outcomes and patients’ quality of life. This study evaluated caregivers’ satisfaction with the care provided to patients with advanced cervical cancer. Method A cross-sectional evaluation of caregivers’ satisfaction with patient care was conducted at a tertiary hospital in Ethiopia. The study tool included the 20-item family satisfaction with advanced cancer care (FAMCARE) and caregiver stress index (CSI). Using binary logistic regression, we identified factors associated with caregivers’ satisfaction. Result A total of 360 caregivers were interviewed. Most of the caregivers were male (58.1%), below the age of 35 years (60.8%), and educated to the high school level or less (64.4%). The average FAMCARE score was 77.7 out of the maximum 100. High satisfaction was observed among subscales “availability of treatment and care” and “psychosocial care,” while low satisfaction was observed with “physical patient care” and “provision of information.” Caregivers’ stress and time dedicated to the caregiving were associated with caregivers’ satisfaction. Conclusion Overall, high satisfaction with advanced care at the tertiary hospital was documented. However, the caregivers also bore high burden of strain. Management of caregivers’ strain, prompt treatment of patients’ symptoms, and provision of adequate information to the caregivers could further improve caregivers’ satisfaction
2022-08-17T14:06:01Z
2022-08-17T14:06:01Z
2022-06-08
Article
Kebebew, Tolcha; Mosalo, Annah; Mavhandu-Mudzusi, Azwihangwisi Helen (2022) Caregivers’ satisfaction with cervical cancer care in Ethiopia. Supportive Care in Cancer https://doi.org/10.1007/s00520-022-07201-4
https://doi.org/10.1007/s00520-022-07201-4
https://hdl.handle.net/10500/29272
en
Springer
oai:uir.unisa.ac.za:10500/277782021-08-07T14:13:17Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-07T14:01:56Z
urn:hdl:10500/27778
Nurses knowledge, attitudes and practices towards patients with HIV and AIDS in Kumasi, Ghana
Boakye, Dorothy Serwaa
Mavhandu-Mudzusi, Azwihangwisi Helen
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS
Research Subject Categories::SOCIAL SCIENCES
Research Subject Categories::SOCIAL SCIENCES::Social sciences::Education
Research Subject Categories::SOCIAL SCIENCES::Social sciences::Education::Nursing education
Research Subject Categories::SOCIAL SCIENCES::Social sciences::Education::Nursing education
Background: Studies on knowledge, attitudes and practices among health care workers involved in HIV and AIDS
care have often revealed the lack of knowledge about HIV and AIDS. Nurses’ knowledge may compromise the
quality of care and attitudes towards patients living with HIV/AIDS. Special nursing knowledge and skills have
been suggested as prerequisite for taking care of patients with HIV.
Purpose: The purpose of this study is to assess nurses’ knowledge, attitudes and practices towards patients with
HIV and AIDS in Kumasi, Ghana.
Methods: A quantitative cross-sectional study was conducted among 247 nurses at five selected health facilities
in the Kumasi Metropolis. Data was collected by means of structured self-administered questionnaire and analysed
using SPSS version 23.0. Results were presented using charts and tables.
Results: Knowledge on HIV and AIDS was satisfactory but some still hold erroneous beliefs and misconception
about HIV transmission. A majority demonstrated favourable attitudes. Nurses had fears of contracting the virus,
which resulted in the display of negative attitudes by some. Their practice of universal precautions was satisfactory;
however there was evidence of non-compliance among some of them.
Conclusion: The need for continuous in-service training of nurses on HIV and AIDS is a key contributing factor to
promoting knowledge, correcting a misconception, favourable attitude and improve compliance to universal
precautions and other preventive practices such as uptake of PEP.
2021-08-07T14:01:56Z
2021-08-07T14:01:56Z
2019-05-25
Article
International Journal of Africa Nursing Sciences
Volume 11, 2019, 100147
2214-1391
https://doi.org/10.1016/j.ijans.2019.05.001
http://hdl.handle.net/10500/27778
en
https://creativecommons.org/licenses/by-nc-nd/4.0/
Open access under Creative Commons License
Elsevier
oai:uir.unisa.ac.za:10500/288252022-05-11T07:10:10Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-05-11T07:10:09Z
urn:hdl:10500/28825
Experiences of Nurse Managers during the COVID-19 Outbreak in a Selected District Hospital in Limpopo Province, South Africa
Moyo, Idah
Mgolozeli, Siyabulela Eric
Risenga, Patrone Rebecca
Mboweni, Sheila Hlamalani
Tshivhase, Livhuwani
Mudau, Tshimangadzo Selina
Ndou, Nthomeni Dorah
Mavhandu-Mudzusi, Azwihangwisi Helen
COVID-19
nurse managers
Experiences
challenges
The South African health care system was hard hit by the second wave of Coronavirus
disease (COVID-19), which affected nurse managers as healthcare facilities became overwhelmed due to an increased workload emanating from the overflow of admissions. Therefore, this study sought to explore and describe the nurse managers’ experiences during COVID-19 in order to identify gaps and lessons learnt. A descriptive phenomenological research approach was used to explore the experiences of ten nurse managers who were purposively selected from different units of a selected
district hospital. Data was collected through telephonic unstructured individual interviews and
analysed using Colaizzi’s seven steps method. The study revealed that nurse managers experienced human resource related challenges during COVID-19, worsened by the fact that vacant posts were frozen. It also emerged that there was a shortage of material resources that affected patient care. Nurse managers also indicated that COVID-19 brought a lot of administrative duties plus an additional duty of patient care. Also, nurse managers who had previously contracted COVID-19 experienced stigma and discrimination. The government needs to address resource related challenges in rural
public hospitals and provide continuous support to nurse managers, particularly during a pandemic like COVID-19.
2022-05-11T07:10:09Z
2022-05-11T07:10:09Z
2021-12-31
Article
1
https://hdl.handle.net/10500/28825
en
MDPI
oai:uir.unisa.ac.za:10500/292582022-08-17T14:37:43Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-08-17T12:31:00Z
urn:hdl:10500/29258
How do you expect us to survive? Lamentation of female sex workers in Zimbabwe during COVID-19 lockdown
Mavhandu-Mudzusi, Azwihangwisi Helen
Moyo, Idah
COVID-19
economic impact
descriptive phenomenology
emotional challenges
female sex workers
survival strategies
The restrictive measures taken to curb and mitigate the spread of the corona virus of 2019 (COVID-19) had negative implications on the vulnerable populations. The most severely affected group among the vulnerable population were sex workers, whose work venues and customers were locked down. This descriptive phenomenological study explored effects of COVID-19 on female sex workers in Bulawayo, Zimbabwe. Snowballing sampling was used to recruit participants. Data were collected through in-depth
face-to-face individual interviews with ten female sex workers. The sample size was determined by data saturation. Colaizzi's seven-step content analysis approach was followed to guide data analysis. Rigour was ensured by adhering to Guba and Lincoln's
trustworthiness criteria. The study found that the lockdown measures impacted negatively on sex workers’ income, making it difficult for them to get money for food and rentals. In order to survive, sex workers adopted innovative entrepreneurship. Others engaged in risky sexual behaviours, further aggravating their situation emotionally and psychologically. It is recommended that the government and policy makers provide psychosocial and economic support to protect the rights of female sex workers in order to
maintain the gains made in HIV response.
2022-08-17T12:31:00Z
2022-08-17T12:31:00Z
2022-06-03
Article
Azwihangwisi Helen Mavhandu-Mudzusi, Idah Moyo (2022) How do you expect us to survive? Lamentation of female sex workers in Zimbabwe during COVID-19 lockdown. African Journal of Reproductive Health March 2022; 26 (3):104
1118-4841
https://hdl.handle.net/10500/29258
en
Women's Health and Action Research Centre (WHARC)
oai:uir.unisa.ac.za:10500/278142021-08-13T13:42:58Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-13T13:41:09Z
urn:hdl:10500/27814
Factors that predispose South African rural university students with disabilities to HIV infections
Mavhandu-Mudzusi, Azwihangwisi Helen
HIV/AIDS
risky sexual behaviours
rural university
South Africa
students with disabilities
While there is a reduction in the incidence and prevalence of HIV among general population, studies indicate the opposite among people with disabilities. The possible causes for the increase in HIV among this population were attributed to limited knowledge related to HIV/AIDS information and untargeted services to address the HIV/AIDS related needs for people with disabilities. The greatest challenge is that the picture among people with disabilities in general population, is also the same with what is happening in the institutions of higher education. The purpose of this study was to explore the factors which predispose South African rural university students with disabilities to HIV infection. A qualitative, interpretative phenomenological analysis study was conducted. Sixteen students with various physical disabilities, purposively recruited using snowballing techniques participated in the study. Data were collected using semistructured individual interviews and analysed using interpretative phenomenological analysis framework for data analysis. The following themes emerged from the data analysis: (1) Psychosocial needs of students with disabilities, (2) economic status of ‘abled’ students, (3) university culture, and (4) limited information regarding HIV/AIDS of students with disabilities. This study recommends the use of a multi-pronged approach to address the involvement of students with disabilities in risky sexual behaviours. The approach should target the provision of information, communication and educational HIV/AIDS materials relevant to students with disabilities, addressing sexual abuse of students.
2021-08-13T13:41:09Z
2021-08-13T13:41:09Z
2016-03
Article
African Journal for Physical Activity and Health Sciences (AJPHES), Vol. 22 (1:2), March 2016, pp. 182-194.
http://hdl.handle.net/10500/27814
en
Sabinet African Journals
oai:uir.unisa.ac.za:10500/309322024-03-07T14:24:35Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-07T14:24:34Z
urn:hdl:10500/30932
Men in the service of humanity: Sociocultural perceptions of the nursing profession in South Africa
Shakwane, Simangele
men
humanity
service
perceptions
male nurses
touch
intimate care
Background. The classification of nursing as a female-gendered profession, along with patriarchally determined cultural gender roles, makes it difficult
for men to select nursing as a career and to excel in their caring capacity as nurses.
Objective. To gain in-depth insights into and an understanding of male nursing students’ perceptions of the nursing profession.
Methods. A generic qualitative approach, which was explorative, descriptive and contextual, was used to conduct the study. Sixteen male nursing students
at two nursing education institutions in KwaZulu-Natal Province, South Africa, were purposively sampled to participate in the study. Data were collected
using semi-structured interviews and unstructured observation. Thereafter, thematic analysis was used to analyse the data.
Results. Three main themes were developed from the interview data. The participants perceived nursing as the extension of women’s work, with low
social status ‒ nursing is not considered to be a profession for men. During the provision of nursing care, feelings of discomfort and embarrassment were
experienced. They feared misinterpretation of their care, especially when caring for the naked body when alone with a patient. They resorted to the use
of cautious caring, where they do not provide physical care alone, but seek support, especially from female nurses.
Conclusion. Male nursing students require role models to support them in their academic journey towards becoming competent practitioners.
A male-friendly environment should be created to enable them to provide quality nursing care to all patients. The society needs to be empowered in
understanding that men choose the nursing profession to provide care, and that they are capable of caring for the sick
2024-03-07T14:24:34Z
2024-03-07T14:24:34Z
2022-11-23
Article
Shakwane, S. 2022. Men in the service of humanity: Sociocultural perceptions of the nursing profession in South Africa, Afr J Health Professions Educ 2022;14(4):177-181. https://doi.org/10.7196/AJHPE.2022.v14i4.1546
2078-5127
https://doi.org/10.7196/AJHPE.2022.v14i4.1546
https://hdl.handle.net/10500/30932
en
SOUTH AFRICAN MEDICAL ASSOCIATION
oai:uir.unisa.ac.za:10500/295532022-11-07T11:29:54Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2022-11-07T11:26:39Z
urn:hdl:10500/29553
The effectiveness and efficiency of student support services in open distance learning institutions in Africa: a desktop review
Shabani, Dr Omari
Maboe, Kefiloe
Efficiency
Effectiveness
Open Distance Learning Institutions
Student
Support Services
Today, most higher education (HE) institutions throughout the world are shifting towards an Open Distance Learning (ODL) system. The emergence of the Covid-19 pandemic has also prompted conventional institutions to move towards this system. This shift requires a greater investment in student support services, especially if the institution strives to attract new students, retain current ones, improve their overall performance, increase students’ progression rates and employability. A desktop review was conducted to ascertain the effectiveness and efficiency of these services and establish any possible direct or indirect association with students’ academic achievements. Studies conducted between 1990 and 2020 were examined using Google and Google Scholar, Scopus, EBSCOhost, ProQuest, Science Direct, Sabinet and the National Research Foundation. The review
revealed that student support services’ effectiveness and efficiency in ODL institutions in Africa are measured by the success, failure, dropout and attrition rates at these institutions. The effectiveness and efficiency of these services cannot be measured in isolation, but in terms of the philosophical and educational perspectives underpinning the education system. Moreover, dropout rates should be viewed in light of economic and educational landscapes. There is a dearth of literature supporting a direct association between the effectiveness and efficiency of student support services and students’ academic outcomes. The researchers recommend that empirical
studies be conducted to provide more evidence-based information instead of speculation in the absence of empirical facts. Student support services’ effectiveness and efficiency need to be planned and implemented at the level of pedagogy and practice, while policy could offer an environment for planning.
2022-11-07T11:26:39Z
2022-11-07T11:26:39Z
2021
Article
Shabani, O. and Maboe, K.A., 2021. The effectiveness and efficiency of student support services in open distance learning institutions in Africa: a desktop review. African Perspectives of Research in Teaching and Learning, 5(2), pp.25-44.
2521-0262
https://www.ul.ac.za/aportal/application/downloads/Article%203_5_2_nov_2021.pdf
https://hdl.handle.net/10500/29553
https://www.ul.ac.za/aportal/application/downloads/Article%203_5_2_nov_2021.pdf
en
oai:uir.unisa.ac.za:10500/255322019-06-22T01:00:22Zcom_10500_14512com_10500_13602com_10500_1col_10500_14519
2019-06-21T07:39:08Z
urn:hdl:10500/25532
Needs of children affected by HIV and AIDS: Mangaung in the Free State
Roets, Lizeth
Chakalane-Mpeli, R.M.
The terminal illness or death of a parent due to HIV and AIDS has a disastrous effect
on the surviving children. The purpose of this study was to explore and describe the
needs of HIV and AIDS orphans and pre-orphans. A qualitative method using indepth
interviews with 10 children affected by their parent’s illness or death was carried
out. Results indicate that there was a marked reduction in financial capital paving the
way for basic physical needs such as food, clothing, fuel and shelter. Lack of school
fees, uniforms and transport money together with biased teachers and rigid school
policies were affecting school attendance and performance. On the psychosocial
level needs expressed were for family and community support, friendship, acceptance
by the group as well as love and belonging. It seems as if stigmatisation and resulting
ostracism by important-others is a drawback at all levels of interaction for AIDS orphans
and pre-orphans.
2019-06-21T07:39:08Z
2019-06-21T07:39:08Z
2007
Article
Chakalane-Mpeli, R.M; Roets, Lizeth 2007 Roets, Lizeth Curationis September2007
http://hdl.handle.net/10500/25532
en
oai:uir.unisa.ac.za:10500/309372024-03-11T14:34:42Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2024-03-11T14:34:42Z
urn:hdl:10500/30937
What's holding back youth-friendly health services in Blantyre, Malawi? A qualitative exploration
Sibande, Grace Charity
Malapela, Rakgadi Grace
adolescent
barriers
youth
youth friendly health services
utilization
The use of Youth Friendly Health Services remains sub-optimal in Sub-Saharan Africa despite global agreements on the same. The
aim of this study was to explore barriers to utilization of Youth Friendly Health Services in Blantyre, Malawi. This was a qualitative
study drawing on three focus group discussions of youths aged 10 to 24 (N=24) and individual interviews with Youth Friendly
Health Service providers from four health facilities (N=6). Thematic analysis by Braun and Clark 2006 was used to analyse collected data. Seven themes emerged from the findings: frequent stockouts of medical supplies, lack of entertainment, sporting activities and supporting equipment, lack of dedicated space for Youth Friendly Health Services, lack of knowledge, financial constraints, misconceptions, and distance to the health facilities. Addressing these barriers would increase the utilization of Youth Friendly Health Services and, in turn, increase contraceptive uptake, hence reducing unintended pregnancies and their associated complications.
2024-03-11T14:34:42Z
2024-03-11T14:34:42Z
2023-09
Article
Sibande, G.C. and Malapela, R.G., 2023. What's holding back youth-friendly health services in Blantyre, Malawi? A qualitative exploration. African Journal of Reproductive Health, 27(9), pp.57-64.
1118-4841
2141-3606
10.29063/ajrh2023/v27i9.6
https://hdl.handle.net/10500/30937
en
oai:uir.unisa.ac.za:10500/281222022-02-02T09:45:30Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1com_10500_8549com_10500_8544col_10500_3753col_10500_14519col_10500_8550
2021-10-04T09:49:26Z
urn:hdl:10500/28122
Discourses of Gender and Political Violence in South Africa
Cornell, Josephine
Malherbe, Nick
Seedat, Mohamed
Suffla, Shahnaaz
Politically violent women are regularly muted or made exceptional. Yet, underplaying women’s involvement in political violence obscures the systemic nature of such violence. We employ a discursive psychology analysis of an in-depth interview with a South African woman who has been involved in decades of political activism, and identified two discourses: Gendering Politically Violent Symbols and Enactments, where political violence was wielded as a symbol, and Gendering Political Organizing, wherein feminist agencies were directed against political structures. Together, these discourses indicate how gender identity is simultaneously consistent and at odds with political identity and how gender intersects with political violence.
2021-10-04T09:49:26Z
2021-10-04T09:49:26Z
2021-04-07
Article
Josephine Cornell, Nick Malherbe, Mohamed Seedat, Shahnaaz Suffla, Discourses of Gender and Political Violence in South Africa, Social Politics: International Studies in Gender, State & Society, 2021;, jxab005, https://doi.org/10.1093/sp/jxab005
https://doi.org/10.1093/sp/jxab005
https://hdl.handle.net/10500/28122
en
© The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com
Oxford Academic
oai:uir.unisa.ac.za:10500/283532022-03-31T11:29:28Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-12-01T05:32:25Z
urn:hdl:10500/28353
Unmet need for family planning and factors associated among women living with HIV in Oromia regional state, Ethiopia
Demissie, Dereje B.
Bulto, Gizachew A.
Mmusi-Phetoe, Rose
Abstract
Objectives
The purpose of this study was to determine the prevalence of the unmet need and identifying factors associated with the unmet need among women of reproductive age living with HIV in Oromia regional state, Ethiopia. One critical component of both a full range of contraceptives and satisfying demand for family planning with HIV services all women living with HIV is the appropriate model for HIV therapy, HIV prevention, and care with family planning services in a resource-limiting area like Ethiopia.
Methods
Health facility-based cross-sectional study design was conducted among women living with HIV attending ART clinics in the special zone of, Oromia regional state, by simple random sampling was used to select 654 respondents. Both bivariate and multivariable logistic regressions analysis was used to identify at adjusted odds ratio (AOR) with 95% CI in the final model.
Result
The study assessed the magnitude of demand for family planning among HIV-infected women and established that the demand was 630 (96.3%), of which 100 (16%) of women of reproductive age living with HIV had unmet needs for family planning while attending monthly ART clinic drug refilling and follow up. This study identified that factors found to be associated with met needs for family planning among women of reproductive age living with HIV attending ART/PMTC were discussions with healthcare providers (AOR = 4.33, 95% CI 2.56–7.32), previous pregnancy (AOR = 3.07, 95% CI 1.84–5.12); future fertility desire (AOR = 2.15, 95% CI 1.31–3.51); having sexual partners (AOR = 5.26, 95% CI 1.79–15.5) and the number of the sexual partner (one) (AOR = 7.24, 95% CI 1.82–28.74) were identified independent predictors of met needs for family planning.
Conclusion
The overall demand for family planning was 96% among the women living with HIV, and that 16% of women had an unmet need for family planning. The authors conducted a logistic regression and find various dependent variables that are associated with the met need for family planning services, such as having discussions with healthcare providers, having a partner and previous pregnancy; future fertility desire, the last pregnancy being intended. These results are interpreted to suggest that clear policy implications of family planning must be better integrated into ART clinics.
Plain Language summary
The overall demand for family planning was 96% among the women living with HIV, and that 16% of women had an unmet need for family planning. The authors conducted a logistic regression and find various dependent variables that are associated with the met need for family planning services, such as having discussions with healthcare providers, having a partner and previous pregnancy; future fertility desire, the last pregnancy being intended. It was established that high met need demand for family planning among HIV-infected women. These results are interpreted to suggest that clear policy implications of family planning must be better integrated into ART clinics an important conclusion of this study result. Policymakers would be better considers the future developments of national guidelines/strategies and training modules of family planning and HIV would be integrated family planning services into facility-based care for women living with HIV should consider these identified factors to increase the availability of family planning among women of reproductive age living with HIV. After the implementation of the final strategic plan, the integration of family planning and HIV services should lead to an increase in the utilization of family planning, dual contraceptive methods, the need for family planning being met, prevent repeated unwanted pregnancy, and offer HIV services. This will ultimately improve the quality of life of reproductive-aged women, the community, and families at large. Policymakers would better establish women-centered integrated family planning with HIV service could facilitate that the met need demand for family planning services of reproductive age women living with HIV.
2021-12-01T05:32:25Z
2021-12-01T05:32:25Z
2021-11-13
2021-12-01T05:32:25Z
Journal Article
Reproductive Health. 2021 Nov 13;18(1):227
https://doi.org/10.1186/s12978-021-01280-y
https://hdl.handle.net/10500/28353
en
The Author(s)
oai:uir.unisa.ac.za:10500/250612018-11-23T01:00:29Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2018-11-22T07:06:29Z
urn:hdl:10500/25061
Keeping record of the postoperative nursing care of patients
Roets, Liseth
Aucamp, M.C.
De Beer, H.
Niemand, M.
postoperative
record
nursing
patients
care
The aim of this research project was to evaluate the recordkeeping
of postoperative nursing care. A total of 186 randomly
selected patient records were evaluated in terms of
a checklist that included the most important parameters
for postoperative nursing care. All the patients underwent
operations under general anaesthetic in one month in a
Level 3 hospital and were transferred to general wards
after the operations.
The data collected was analysed by means of frequencies.
One finding was that the neurological status of most patients
was assessed but that little attention was paid in the
patient records to emotional status and physical comfort.
The respiratory and circulatory status of the patients and
their fluid balance were inadequately recorded. The patients
were well monitored for signs of external haemorrhage,
but in most cases haemorrhage was checked only
once, on return from the theatre. Although the patients’
pain experience were well-monitored, follow-up actions
after the administration of pharmacological agents was
poor. The surgical intervention was fully described and,
generally speaking, the records were complete and legible,
but the signatures and ranks of the nurses were illegible.
Allergies were indicated in the most important
records.
The researchers recommend that a comprehensive and
easily usable documentation form be used in postoperative
nursing care. Such a form would serve as a checklist
and could ensure to a large degree that attention is given
to the most important postoperative parameters. Errors
and negligence could also be reduced by this means
2018-11-22T07:06:29Z
2018-11-22T07:06:29Z
2002
Article
Roets, L.;Aucamp MC.;De Beer H &Niemand M (2002).Keeping record of the postoperative nursing care of patients.Curatinis, November, 25(4):38-46.
2223-6279
http://hdl.handle.net/10500/25061
en
University of the Free State
oai:uir.unisa.ac.za:10500/277922021-08-10T09:50:17Zcom_10500_3752com_10500_14512com_10500_13602com_10500_1col_10500_3753col_10500_14519
2021-08-10T06:37:58Z
urn:hdl:10500/27792
The prevalence of risky sexual behaviours amongst undergraduate students in Jigjiga University, Ethiopia
Mavhandu-Mudzusi, Azwihangwisi Helen
Asgedom, Teka tesfay
Condom use
Risky sex
Sexual behaviour
Sexual partners
Students
Young adults including university students are at high risk of acquiring HIV due to their risky sexual practices. The aim of this study was to determine the prevalence of risky sexual behaviours amongst regular undergraduate students in Jigjiga University. The researcher used a quantitative, univariate cross-sectional descriptive study. Two hundred and thirty six (236) students were selected using a simple random sampling technique. Data were collected using a standardised structured questionnaire. The study revealed that 70.53% of respondents were sexually experienced. Majority (54.8%) of the sexually experienced respondents were sexually active within 3 months of the study. Up to 30.14% of sexually experienced respondents have had sex with a person other than their current partner in the past 12 months. Only 59.6% of the sexually experienced respondents used condom in their most recent sexual engagement. The findings of this study showed that university students are involved in sexual behaviours that may increase their risk of contracting HIV infection. Based on the above results, researchers recommended the designing of interventions which are contextually relevant to Jigjiga University to mitigate risky sexual practices amongst university students.
2021-08-10T06:37:58Z
2021-08-10T06:37:58Z
2015-11-02
Article
Health SA Gesondheid | Vol 21 | a950
https://doi.org/10.4102/hsag.v21i0.950
http://hdl.handle.net/10500/27792
en
http://creativecommons.org/licenses/by-nc-nd/4.0/
This work is licensed under CC Attribution 4.0
© 2016 Azwihangwisi H. Mavhandu-Mudzusi, Teka T. Asgedom
Elsevier
didl///col_10500_14519/100