Health SA Gesondheid最新文献

{"title":"Challenges experienced by grandparents caring for AIDS orphans in the Western Cape province, South Africa.","authors":"Furaha Akimanimpaye, Million S Bimerew, Deliwe R Petlhu","doi":"10.4102/hsag.v29i0.2454","DOIUrl":"10.4102/hsag.v29i0.2454","url":null,"abstract":"<p><strong>Background: </strong>There is limited understanding of the difficulties and experiences faced by grandparents who assume the responsibility of caring for AIDS orphans.</p><p><strong>Aim: </strong>The objective of the study was to investigate and depict the difficulties encountered by grandparents who provide care for AIDS orphans in the Western Cape province of South Africa.</p><p><strong>Setting: </strong>The study was conducted in the City of Cape Town Metropolitan and the Overberg Municipality.</p><p><strong>Methods: </strong>The study used qualitative approach with an exploratory-descriptive design. A purposive sampling technique was utilised to select 25 grandparents. Semi-structured interviews were conducted, audio-recorded, transcribed verbatim, and analysed thematically using ATLAS.ti, version 7.</p><p><strong>Results: </strong>Financial difficulties, a lack of support, HIV and/or AIDS stigma, and dealing with rebellious teenagers were primary challenges affecting the well-being of grandparents.</p><p><strong>Conclusion: </strong>The study found that while financial challenges were significant, other factors such as poor family support contributed to the decline in the well-being of grandparents caring for AIDS orphans.</p><p><strong>Contribution: </strong>The study's results can lead to improved public health programmes that address the identified challenges and health needs of grandparents providing care to AIDS orphans and the orphans under their care.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The lived experience of South African men having a premature baby.","authors":"Jonathan Nell, Kyle Jackson, Michelle Andipatin","doi":"10.4102/hsag.v29i0.2522","DOIUrl":"10.4102/hsag.v29i0.2522","url":null,"abstract":"<p><strong>Background: </strong>Much has been written about fathers, fatherhood and premature babies. However, in the South African context, studies about the experiences of fathers having a premature baby are lacking.</p><p><strong>Aim: </strong>This study aimed to explore how South African fathers (<i>n</i> = 10) experience having a premature baby using a descriptive phenomenological approach.</p><p><strong>Setting: </strong>This research study was conducted online using various social media platforms such as WhatsApp, Google Meet and through telephonic conversations.</p><p><strong>Methods: </strong>A descriptive phenomenological approach that allowed for the distillation and elucidation of common core experiences among fathers who had a premature baby.</p><p><strong>Results: </strong>The findings demonstrated that the participants experienced intense fears regarding the survival and well-being of their children. They reported experiencing financial difficulties related to hospital bills and experienced being alienated by hospital institutions. Despite these reported barriers, these fathers were adamant in their resolve to support their children and partners during this challenging time.</p><p><strong>Conclusion: </strong>The experiences of fathers were riddled with fear, uncertainty, ambiguity and alienation, which placed them in very precarious situations when trying to navigate their role in a more sensitive and enlightened way. Having a premature infant calls into question the systems that men are positioned within as these systems to a large extent shape these events and how they are experienced.</p><p><strong>Contribution: </strong>This study is original as no other published studies seem to exist in South Africa that speaks to fathers' lived experiences of having a premature baby.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informational continuity by midwives during birth at primary care settings in the Western Cape.","authors":"Victoria J Anthony, Anneline E Robertson, Doreen K M Kaura","doi":"10.4102/hsag.v29i0.2432","DOIUrl":"10.4102/hsag.v29i0.2432","url":null,"abstract":"<p><strong>Background: </strong>Informational continuity ensures that all health and psychosocial information of the pregnant women is available at all encounters with healthcare providers. The World Health Organization recognised that ineffective informational continuity during birth contributed to fragmented care and duplication of services, which ultimately influenced the morbidity and mortality rates of the pregnant women.</p><p><strong>Aim: </strong>The aim of this study was to delve into the midwives' experiences on informational continuity approaches that enable effective care coordination during birth within the primary health care setting.</p><p><strong>Setting: </strong>The study setting was two maternity obstetric units (MOUs) in the Western Cape, South Africa.</p><p><strong>Methods: </strong>A qualitative descriptive phenomenological design was used. Participants were recruited by using purposive sampling. Interviews were audiorecorded, transcribed verbatim and analysed.</p><p><strong>Results: </strong>Three themes emerged from the findings. Theme one: adequate sharing of information with women during the intrapartum period. Theme two: efficient transition of information among midwives and other healthcare providers during the intrapartum period. Theme three: challenges to informational continuity during the intrapartum period.</p><p><strong>Conclusion: </strong>Communication with the women as well as with other healthcare providers during birth was effective. However, with minimal challenges, informational continuity was effectuated through communication among the midwives, the pregnant women and other healthcare providers.</p><p><strong>Contribution: </strong>Informational continuity approaches among the midwives, with the women and between healthcare facilities are a prerequisite to ensure continuity of care and care coordination during birth.</p>","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating traditional and allopathic child health: A healthcare transformation opportunity","authors":"E. M. Makhavhu","doi":"10.4102/hsag.v29i0.2501","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2501","url":null,"abstract":"Background: Numerous forums both domestically and internationally have discussed integration of allopathic and traditional healthcare. In South Africa, using traditional child healthcare is popular practice. If properly controlled, integrating this aspect of traditional child-health with allopathic healthcare may be advantageous to communities that use both healthcare systems. Allopathic and traditional healthcare remain separate organisations in South Africa despite efforts and discussions to integrate them.Aim: The study sought to explore the integration of traditional and allopathic child healthcare from the perspectives of children’s caregivers and traditional healthcare practitioners.Setting: The study was conducted in a semi-urban area in the city of Tshwane.Methods: An exploratory qualitative research study was conducted using semi-structured interviews to collect data from 11 traditional healthcare practitioners and 15 children’s caregivers who were sampled using snowball and convenient sampling respectively.Results: The participants expressed their understanding of the usage of traditional healthcare practitioners in the care of children as well as their support for integration, and further indicated its necessity. Religion and its effects in health-seeking behaviour were cited as a factor in why there has not been greater integration between the two healthcare systems.Conclusion: The undocumented and undisclosed use of traditional healthcare potentially hinders the delivery of therapeutic healthcare. As such, integrating the two systems is essential to ensure patients’ safety.Contribution: This article highlights understanding of culture congruence and safe child healthcare that may be brought forward by the integration of the two healthcare systems.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of mode of entry to a nursing programme and student success: A two-year retrospective multi-cohort study","authors":"Fransisco C. Ntjamba, D. O. Ashipala, Yahaya Jafaru","doi":"10.4102/hsag.v29i0.2560","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2560","url":null,"abstract":"Background: The issue of the mode of entry to nursing programmes and its effect on student success is a key concern among researchers globally. Identifying the mode of entry, which has the potential to improve academic success, decrease the failure rate and lead to the successful completion of a degree, is crucial to increase the nursing workforce.Aim: The objectives of this study were to assess the association of mode of entry to a nursing programme on student success among undergraduate students.Setting: The study was conducted at a public nursing education institution (NEIs) in the northeast of Namibia.Method: A retrospective multi-cohort study was conducted to assess the association of mode of entry on student success. Academic outcomes were analysed, observing two cohorts of nursing students.Results: Results show that 76.2% (f = 16) of mature-age entry students and 53.7% (f = 29) of direct entry students completed their programme on time. However, 42.1% (f = 8) of access students were expected to return. Female students 56.8% (f = 25) and male students 56.0% (f = 28) completed on time. There was no significant relationship between the mode of entry and completion status with p  0.05, respectively.Conclusion: A higher percentage of mature-age entry students was found to complete their studies on time than direct entry and English access entry students.Contribution: These findings could be used in the revision of student recruitment strategies to select nursing students who are more likely to achieve the best academic outcomes.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140667053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of pregnant and parenting students at a university in Gauteng province","authors":"Moroti E. Mahlangu, Tshiamo N Ramalepa, L. O. Letswalo","doi":"10.4102/hsag.v29i0.2547","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2547","url":null,"abstract":"Background: Pregnancy and parenting in tertiary institutions is a worldwide concern. The number of pregnancies among tertiary students is increasing globally. About 16 million young women between the ages of 15 years and 19 years around the world became mothers and two million girls under the age of 15 years are reported to be pregnant every year. South African universities continue to report high rates of student pregnancies, and are looking for solutions to the crisis that female students are facing.Aim: The purpose of the study was to explore the experiences of pregnant and parenting students.Setting: At a university in Gauteng province, South Africa.Methods: A qualitative, exploratory and descriptive design was used in a study that was conducted at a university in Gauteng province, South Africa. Undergraduate pregnant and parenting students were sampled purposively, and the sample size was 15 participants. Semi-structured interviews were used to collect data and data were analysed using thematic analysis.Results: The findings of the study produced four themes, namely emotional experience during pregnancy, academic challenges during parenting, experiences during antenatal care, and students’ resilience during pregnancy and parenting.Conclusion: Pregnant and parenting students require emotional, academic and social support from the university and other stakeholders. The university should offer on-campus medical services such as antenatal care and provide academic support for pregnant and parenting students to help them achieve their academic objectives.Contribution: This study highlights the importance of developing support programmes that focus on pregnant and parenting students in universities.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140677473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mixed methods study on continuity and care coordination based on the obstetric near miss approach","authors":"Samuel M. Mulongo, Doreen Kaura, Bob Mash","doi":"10.4102/hsag.v29i0.2421","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2421","url":null,"abstract":"Background: The near-miss approach assumes that mothers facing life-threatening conditions such as severe pre-eclampsia and postpartum haemorrhage share common risk factors. Among these women, those who survive (near-miss cases) can offer insights into the determinants, providing valuable lessons for understanding underlying factors.Aim: To investigate elements of continuity and coordination leading to obstetric near misses.Setting: A major referral hospital and its referral pathway in Kenya.Methods: Explanatory sequential mixed-methods design.Results: Near-miss survivors had lower continuity and coordination of care indices during antenatal visits (COCI = 0.80, p = 0.0026), (modified continuity of care index [MCCI] = 0.62, p = 0.034), and those with non-life-threatening morbidity in the first trimester were more likely to experience a near miss (aOR = 4.34, p = 0.001). Facilities in the western region had a higher burden of near misses compared to the Eastern region. Qualitatively, three deductive themes were identified: sequential coordination, parallel coordination and continuity, along with factors classified as access. In mixed integration, poor continuity indices were explained by quality of interpersonal relationships and woman centredness. Poor coordination was explained by inadequate teamwork between providers in referring and referral facilities and between primary health facilities and the community. Higher near-miss rates in the western region resulted from differences in human and physical resources.Conclusion: Promoting woman-centred care, teamwork, improving communication and introducing innovative coordination roles like case and care managers can enhance continuity and coordination of maternal healthcare.Contributions: This study contributes to our understanding of the challenges of continuity and coordination in maternal healthcare in resource-poor settings by applying the WHO operationalisation of continuity and coordination using mixed methodology.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140676662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ experiences of self-management support for adults with tuberculosis and human immunodeficiency virus coinfection","authors":"Eric Tornu, Portia J. Jordan, Michael McCaul","doi":"10.4102/hsag.v29i0.2546","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2546","url":null,"abstract":"Background: Professional nurses provide self-management support to adults (18 years and older) living with tuberculosis (TB) and human immunodeficiency virus (HIV) coinfection to enable them to mitigate its impact on their lives. However, the experiences of professional nurses providing self-management support to adults with TB-HIV coinfection remain unclear.Aim: This study explored and described the experiences of professional nurses on the provision of self-management support to adults living with TB-HIV coinfection in Greater Accra, Ghana.Setting: Three public primary health facilities in Greater Accra, Ghana.Methods: An exploratory, descriptive qualitative design was used. Twenty-two purposively sampled professional nurses were interviewed face-to-face individually using an interview guide. Interviews were recorded with participants’ permission, transcribed and analysed thematically using MAXQDA software.Results: The three themes generated revealed that the: (1) self-management problems of adults living with TB-HIV coinfection included their recurring physical, mental and social problems, (2) the support provided to adults with TB-HIV coinfection included symptom, nutritional, medication and psychosocial self-management support, (3) the factors related to providing self-management support showed that self-management support was influenced by patient, nurse and health facility-related factors but was feasible, equitable and acceptable to patients and stakeholders.Conclusion: Professional nurses’ self-management support practice entailed improvising limited resources to address the recurring problems of adults living with TB-HIV coinfection. Nurses require adequate resources to provide comprehensive self-management support.Contribution: The contextual evidence provides insight into the self-management problems of adults with TB-HIV coinfection and the factors influencing professional nurses’ self-management support.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140683148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for dementia and associated factors in older adults from low socioeconomic communities in iLembe, KwaZulu-Natal","authors":"X. P. Mfene, B. Pillay","doi":"10.4102/hsag.v29i0.2437","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2437","url":null,"abstract":"Background: Dementia is one of the leading non-communicable causes of disability and mortality in older adults, with recent research showing that it is increasing in low-middle-income countries compared to high-income countries. As such, multidisciplinary efforts are needed to effectively reduce the prevalence and risk of dementia through quick screening, diagnosis, and management of those with dementia and those at risk.Aim: The study’s objectives were to estimate the prevalence of dementia and measure the sociodemographic and clinical risks in older adults in low socioeconomic communities.Setting: The study was conducted among older adults aged ≥ 60 years from the iLembe district in South Africa.Methods: This cross-sectional, one-phased, household study was conducted to screen for dementia over 8 months between October 2018 and October 2019. Demographic and clinical data were collected using a semi-structured questionnaire. In addition, the Mini-Mental Status Exam, Ascertain Dementia Eight-item questionnaire and Instrumental Activities of Daily Living Scale were administered to a multi-stage cluster sample of 320 participants to ascertain dementia prevalence. Frequencies and multivariate logistic regression were conducted to determine risk factors correlated with dementia.Results: The prevalence of dementia was 13.4%. Participants aged 80 years and above were 2.73 times more likely to develop dementia than participants younger than 80 years. Those with an education level of Grade 1–7 had a 69% less chance of developing dementia than those without formal education. Single participants showed an almost seven-fold increase in dementia. Lastly, depression increased the risk of dementia by two-fold.Conclusion: Dementia was probable in over one-sixth of the sample. Dementia risk factors were both modifiable and non-modifiable.Contribution: Dementia prevalence in South Africa is increasing and therefore it is crucial to develop a dementia plan that is specific to the South African context which will include strategies for early identification of the disease, reducing modifiable risks and strategic management of dementia associated medical conditions such as depression and vascular diseases.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregivers’ experiences and practices for malnourished children undergoing tuberculosis treatment in Eswatini","authors":"Bhekisisa S. Tsabedze, D. Habedi","doi":"10.4102/hsag.v29i0.2349","DOIUrl":"https://doi.org/10.4102/hsag.v29i0.2349","url":null,"abstract":"Background: Eswatini is one of the countries affected by malnutrition and tuberculosis (TB) and some cases remained untreated. These two conditions are major public health problems.Aim: This study aimed to explore and describe caregivers’ experiences and practices of children’s nutrition during treatment.Setting: Baylor College of Nursing Children’s Foundation – Eswatini (BCMCF-SD).Methods: A qualitative study following a narrative design used purposive sampling to identify 12 caregivers of malnourished children and informed consent obtained. In-depth interview used semi-structured interview guide and digital voice recorder. Field notes were taken, transcribed, translated and analysed using NVivo version 11.Results: Two themes emerged as home’s nutritional situation and health facility’s nutritional support. The study found that most of the caregivers gave children unbalanced diet, while those less than a year were mixed-fed. Some caregivers reported experience of lost breadwinners, unemployment and high number of children than what the family could afford. The caregivers’ practices around food by prescription included inadequate supply of the ready-to-use therapeutic food and sharing of prescribed food supplies with other healthy children.Conclusion: During treatment, children’s caregivers need short health education and support. The Ministry of Health in Eswatini should consider using some comic books to guide that. Moreover, upscale vocational training promotes entrepreneurship and agricultural activities.Contribution: Association of malnutrition and TB outcomes has provided evidence-based information for more comprehensive integration between nutrition programmes and tuberculosis programmes. The study’s findings contributed to the growing body of knowledge about the association between malnutrition and diagnosed drug-susceptible TB among children aged from 0 – 15 years.","PeriodicalId":45721,"journal":{"name":"Health SA Gesondheid","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140739759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}