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An investigation of the challenges and coping mechanisms of home-based caregivers for patients living with HIV in MamelodiMabusela, Mmalesiba Dorothea 11 1900 (has links)
HIV/AIDS is a global challenge and its impact is evident. This places a burden on hospitals and health professionals. To ease this burden there are home-based care programmes which, through home-based caregivers, provide patients living with HIV/AIDS with physical and palliative care.
However, these HBCGs face various challenges such as poverty, discrimination and stigma when caring for PALHIV, and their own emotional strain, which becomes burdensome without sufficient support from the home-based care centre.
The qualitative study undertaken investigates the challenges and coping mechanisms of the HBCGs. Thirteen research participants were drawn from a centre in Mamelodi.
Data was gathered through interviews and observations, categorised into themes and analysed. Major findings revealed that social challenges faced by HBCGs include poverty, stigmatisation and discrimination. Emotions experienced by HBCGs include guilt, anger, hopelessness, but they have spiritual reliance through prayer as one of their coping mechanisms. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS)
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The schooling experiences of secondary school learners from child- headed households in Thulamahashe Circuit, Bushbuckridge District, Mpumalanga Province, RSAChidziva, Verna Nyaradzo 28 March 2014 (has links)
school learnersChild-headed household is a phenomenon that is growing in South Africa. As such, it is imperative to uncover the realities of children in this situation. This study explores and describes the schooling experiences of secondary school learners from child-headed households. This qualitative study included a sample of 20 grade 10 and 11 learners from four secondary schools. Data were collected through structured interviews and document analysis. The Interpretative Phenomenological Analysis (IPA) was used to analyze the data. The findings suggest that secondary school learners from child-headed households live in poverty and encounter experiences such as absenteeism, psychological trauma, gender-based discrimination, lack of adequate food and scholastic materials, drug abuse and teenage pregnancy. These experiences impact negatively on their schooling. The study recommends that learners from child-headed households should get more care and support from educators and other stakeholders. / Science and Technology Education / M.A. (Socio-Education)
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Social learning processes of HIV/AIDS women caregivers on their use of traditional foods and medicinal plants : the case of Raphael Centre and Keiskamma Art and Health Centre communities of practice, Eastern Cape Province, South AfricaShonhai, Venencia F January 2009 (has links)
The scale of people being infected by HIV/AIDS (Human Immunodeficiency Virus /Acquired Immune Deficiency Syndrome) has meant that the family and the community have had to become involved in caring for the sick (Van Dyk, 2005). This has inevitably led to the emergence of informal caregivers in the form of family members caring for their relatives (Kipp, Nkosi, Laing & Jhangri, 2006). The research investigated the social learning of women caregivers looking after people living with HIV/AIDS, with emphasis on caregiving practices related to how they use traditional foods and medicinal plants. The research was undertaken in Grahamstown at the Raphael Centre and in Hamburg at Keiskkamma Health Centre and Art Project, Eastern Cape, South Africa. Data was collected using interviews, focus group discussions and diaries written by participants. The data was analyzed in two phases: the first phase involved reading the interview transcripts and collating the responses into analytical memos that were captured into broad categories, while the second phase made use of the community of practice analytical framework to further analyze the data to get better understanding of the social learning processes. This study reveals that participating in a community of practice like Raphael Centre and Keiskamma Health Centre enables caregivers to learn about caregiving. It also reveals that within these communities of practice there are varied learning processes that take place, such as observational and collaborative learning. The research also revealed that caregivers learn from the communities from which they come, for example caregivers learn about traditional food and medicinal plants which they use from their family members, friends, other caregivers as well as non governmental organizations. The research found that caregivers are influenced in their learning and practices by a number of factors which include their own experiences, ambivalent messages from different stakeholders concerned with fighting HIV/AIDS and exposure to new information. The research recommends that diverse learning processes in a community of practice and outside a community of practice should be encouraged and strengthened. It also recommends that HIV/AIDS caregiving options should be strengthened by drawing on experience and knowledge of caregivers. Caregivers should be encouraged to be selfsustaining to improve their caregiving practices. Stakeholders in the field of HIV/AIDS should be alert to and address ambivalence on use of medicinal plants. Existing programmes that enable women to learn about new information on HIV/AIDS should be strengthened.
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Educational needs and assets of home-based caregivers for home-bound chronic patients: a case studyChuene, Dayce Makakole January 2015 (has links)
Thesis (M.A. Education (Community and Continuing Education)) -- University of Limpopo, 2015 / This report describes the research conducted at Kgotlelelang Basadi Home-based
Care centre, in the Capricorn District Limpopo Province of South Africa. The centre
serves four villages: Ngwanamago, Makata, Matobole and Thaba.
Statement of the problem
It seems the home-based caregivers of chronic patients at Kgotlelelang Basadi HBC
centre do not have the necessary qualifications, knowledge, skills, and health care and
protective resources such as gloves, thermometers and masks. It looks like the homebased
caregivers are not adequately and continuously trained as there are always new
discoveries and developments with regard to the treatment of diseases. It apprears
they perform their duties without sufficient support by relevant institutions like clinics
and hospitals. Furthermore, it appears the home-based caregivers are not recognised,
and are also undermined.
The aim of the study is to explore the educational needs and assets of home-based
caregivers for homebound chronic patients at Kgotlelelang Basadi Home-based Care
centre. After establishing the educational needs and assets of home-based caregivers I
recommended the formulation of possible relevant educational programmes. In an
attempt to achieve the said aims, the following research questions were formulated and
put forward in chapter 1.
Objectives
To establish the existing qualifications of home-based caregivers for home-bound
chronic patients at Kgotlelelang Basadi HBC Centre.
To determine the relevancy of the existing educational programmes of home-based
caregivers for home-bound chronic patients.
To contribute towards formulating relevant educational programmes of home-based
caregivers for home-bound chronic patients.
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Challenges faced by Community-Based Rehabilitation Caregivers for person with disabilities in Vhembe District, South AfricaMaphutha, Murendeni 18 May 2017 (has links)
MPH / Department of Public Health / Background: Globally, more than one billion people, or approximately 15% of the
world’s population are living with some form of disability and 80% of them are found in
developing countries. There are different types of disability; these include sensory,
neurological, physical, intellectual, cognitive and psychiatric disabilities. Persons with
disabilities may require specialized care, resources and commitment which place a very
high demand of time and responsibilities on the one caring for them. Therefore,
Community-Based Rehabilitation (CBR) was promoted by the World Health
Organisation (WHO) as a strategy to respond to the needs of persons with disabilities,
through the provision of basic services at community level, particularly in developing
countries with limited resources.
Methodology: The purpose of this study was to explore and describe the challenges
faced by Community-Based Rehabilitation caregivers for persons with disabilities in
Vhembe District, South Africa. A qualitative phenomenological design was used to
explore and develop an in-depth understanding of the CBR caregiver’s challenges. The
study was conducted in three Community-Based Rehabilitation centres located within
Vhembe District with a sample size of six caregivers who were purposively selected. An
interview guide was developed as an instrument for data collection. Data was collected
through in-depth individual interviews and analyzed using thematic analysis.
Results: Six main themes emerged from the data which shed light on the CBR
caregiver’s challenges, namely; Poor relationships between caregivers, government
v
department and families, unavailability of material and human resources, poor funding
system, caregivers’ well-being, education and training and the coping strategies of CBR
caregivers
Conclusion: This study pointed out that there is a need for intervention from different
stakeholders such as government departments, family members of persons with
disability, and the community members as well for CBR caregiver’s challenges to be
resolved or minimized.
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The influence of caregivers nutrition knowledge and feeding practices on the nutritional status of children 2 to 5 years old in the Makhuduthaga Municipality, South Africa.Motebejana, Tubake Tinny 18 May 2018 (has links)
MSCPNT / Department of Nutrition / Malnutrition is a problem facing virtually every country in the world.
Inappropriate feeding practices such as bottle feeding, early introduction of
weaning foods, lack of variety in the diet are a known major cause of the onset
of malnutrition in young children. Lack of nutrition knowledge, particularly
about feeding practices, is critical as it affects the nutritional status of children.
The purpose of this study was to determine the influence of caregivers’
nutrition knowledge and feeding practices on the nutritional status of 2 to 5
years old children in the Makhuduthamaga Municipality, South Africa. A crosssectional
study with an analytical component was carried out in the
Makhuduthamaga Municipality in the Limpopo Province, South Africa. One
hundred and twenty children aged 2 to 5 years and their caregivers were
conveniently sampled from four villages. A validated questionnaire was used
to gather demographic information, caregivers’ nutritional knowledge and
feeding practices. Anthropometric measurements taken were weight, height
and mid-upper arm circumference (MUAC) of the children as well as weight
and height of the caregivers. Descriptive and inferential statistics were utilized.
Chi-square was used to determine the influence of caregiver’s nutrition
knowledge and feeding practices on the nutritional status of children. The
significance level was set at p< 0.05.
Most caregivers (66.7%) were between the ages of 19 and 35 years. More
than half (54.2%) of the children were male. Most of the caregivers (70%) had
attended school up to secondary level and only 4.2% had obtained a tertiary
qualification. Most of the caregivers (85%) were unemployed. Children were
mostly (70.2%) cared for by their biological mothers. Some caregivers
reported not to have any source of nutrition education (41.7%), while 43.3%
reported that health professionals were their source of nutrition education.
Both nutrition knowledge and feeding practices were not satisfactory in the
current study. Almost all children (94.2%) were breastfed at some stage in
their lives. However, 47.5% were given infant formula while they were still less
than six months old. It was found that more than half of the caregivers (62.5%)
introduced solids foods before 6 months.
Maize meal soft porridge was reported as the main solid food first introduced
to 66.7% of the children, followed by infant cereals (25%). Stunting was found
in 41.7% of children. Prevalence of overweight and obesity was observed
amongst both caregivers and children. Overweight and obesity prevalent of
caregivers was at 30.8%. No significant correlation was observed between the
caregivers’ nutrition knowledge, the feeding practices and the nutritional status
of children. However, family income showed positive correlation with the
nutritional status of children. Nutrition education strategies intertwined with
economic empowerment of mothers should be enforced to capacitate
caregivers to voluntarily make proper feeding practices. / NRF
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Challenges and coping mechanisms of home based care givers for people living with HIV/AIDS in Xikundu community, South AfricaTshabalala, Tintswalo Portia 18 September 2017 (has links)
MPH / Department of Public Health / See the attached abstract below
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Challenges experienced by community home-based caregivers caring for people living with HIV/AIDS: A case of Tsianda Village in Makhado Municipality, South AfricaMahlophe, M. 21 August 2018 (has links)
MPH / Department of Public Health / Human Immune Deficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS)
place a significant burden on the caregivers for people living with HIV/AIDS (PLWHA). Caring
for PLWHA is usually carried out by community members who are recruited from the same
community as the PLWHA. These community members are trained to provide services as
volunteer caregivers. The caregivers face various challenges in the process of giving care to
PLWHA, often inadequately assisted by relatives, friends, neighbours, private individuals,
grassroots traditional and political leaders. This results in caregivers being overwhelmed by
their responsibilities, making their coping process even more difficult. The aim of this study
was to explore the challenges experienced by community home-based caregivers (CHBCGs)
caring for people living with HIV/AIDS at Tsianda Village, in Makhado Municipality, South
Africa. This study adopted a qualitative explorative design. The population for this study were
all CHBCGs caring for PLWHA. Non probability purposive sampling was used to select the
community home-based caregivers working at Tsianda Community Home-based care
organisation. In-depth interviews, using a semi-structured interview guide, was conducted by
the researcher and a voice recorder were used to record data from participants. Data
saturation was reached at the 11th participant. This is when the participants were no longer
giving new information. The data collected from the study were analysed thematically. The
following themes emerged from data analysis: Challenges for community home-based
caregivers, perceived support for community home-based caregivers, coping strategies for
community home-based caregivers. Measures to ensure trustworthiness and the code of
ethics to protect the rights of the participants was applied and observed. The findings of the
study revealed that community home-based caregivers experience various challenges which
have a negative impact on their personal life, as well as their physical and psychological wellbeing.
Community home-based care also uses different strategies to cope with these
challenges. It was concluded that the community home-based caregivers are experiencing
serious shortages of personal protective equipment, which makes them work with the fear of
being infected with the diseases. It is recommended that the DOH should take it into
consideration to provide the CHBCG’s organization with enough personal protective
equipment for their safety and working without fear of being infected with deadly viruses. / NRF
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Caring for children with cerebral palsy: experiences of caregivers in Vhembe District, Limpopo ProvinceManyuma, Duppy 16 May 2019 (has links)
MPH / Department of Public Health / Cerebral palsy is a condition which affects the normal functioning of children. Most
children with this condition rely on other people for the execution of basic skills on a
daily basis. The study aim was to explore the experiences of caregivers for children
with cerebral palsy in Vhembe District, Limpopo Province. A qualitative approach
using explorative, descriptive, and contextual design was used for this study. Simple
random sampling was used to sample eight caregivers. Data was collected using
semi-structured in-depth individual interviews which were pre-tested in Vhembe
District, using two caregivers who did not form part of the study. Data was analysed
using thematic analysis approach. Credibility, dependability, conformability and
transferability were upheld to ensure trustworthiness of the study. Ethical
considerations were adhered to throughout the study. Two main themes emerged
during data analysis, namely: positive experiences of caregivers and challenges
faced by caregivers. The study recommends: development of a model to support
caregivers in caring for children with cerebral palsy; and the investigation of the
prevalence of back-pain amongst caregivers of children with cerebral palsy in
Vhembe District. / NRF
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Perceptions of caregivers regarding factors contributing to malnutrition among children under five years in this Vhembe District, Limpopo ProvinceMakhubele, Takalani Eldah 18 May 2019 (has links)
MCur / Department of Advanced Nursing Science / Malnutrition is globally considered the key risk factors of illness and death which affect over 90 million children under the age of five. The study aim was to determine the perception of caregivers regarding factors contributing to malnutrition in children under 5 years in the Vhembe District of the Limpopo province. A qualitative approach, explorative, descriptive and contextual design was used in the study. Nine participants were sampled through simple random sampling. Data was collected through in- depth individual interview and was analysed through Tesch‘s analytical approach. Measures to ensure trustworthiness and ethical consideration were adhered to throughout the study. Three themes emerged from study, namely: caregivers perceived contributory factors to malnutrition, financial difficulties and help that were sought from various available resources. In conclusion, feeding practices to most of the participants was a challenge, they had financial difficulties since they were not working and depended on social and child grants for living, and the study recommends the development of strategies to assist caregivers in preventing malnutrition in children. / NRF
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