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The expectations of mothers regarding community participation in antenatal care at the Chinamhora Clinic in Goromonzi District, ZimbabweChitambo, Beritha Ruth 02 1900 (has links)
Community participation has been hailed as the panacea for most community programmes.
Community participation at high levels empowers communities, increases self-reliance, selfawareness
and confidence in self-examination of problems and seeking solutions for them
Behavioural changes are promoted and utilisation and support of services is facilitated, which is
of great importance in antenatal care and generally in this present day of HIV/AIDS. The
purpose of this study was to determine the extent to which women were participating in the
provision of antenatal care. Secondly, the study sought the pregnant women's perceptions and
expectations regarding their participation in the provision of antenatal care and to find out at
what level if any, the women wanted to be involved in the provision of antenatal care.
The theoretical model guiding this study was Rifkin' s model for evaluating community
participation. A guided interview was conducted with 30 conveniently selected pregnant
mothers residing in the area of the Chinamhora clinic. The results indicated limited participation
in the five process indicators of community participation.
However, all the women regarded community participation as being important. The majority of
the women wished to be involved at high levels of participation.
The results of this study should be valuable to health care professionais in formulating strategies
and modifying existing programmes to enhance community participation, with the
decentralisation of health services in Zimbabwe. / Health Studies / M.A. (Advanced Nursing Sciences)
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Vigs-voorkoming as 'n funksie van primêre gesondheidsorgKellerman, Anso 06 1900 (has links)
Text in Afrikaans / Summaries in Afrikaans and English / VIGS is 'n gesondheidsprobleem wat 'n impak uitoefen op alle gebiede in die samelewing. Voorkoming is die enigste vorm van bekamping. As gevolg hiervan, word VIGS-voorkoming binne die funksies van primere gesondheidsorg geplaas. Die persoon wat die funksies van primere gesondheidsorg uitoefen, is die gemeenskapsgesondheidswerker. Binne hierdie raamwerk is die terme primere gesondheidsorg, gemeenskapsgesondheidswerker en VIGS bespreek en die onderlinge interaksie is aangetoon. Die opleiding wat die gemeenskapsgesondheidswerker op VIGS-gebied ondergaan, is meegemaak. Die prioriteite wat op
nasionale, provinsiale en plaaslike vlak bestaan is deur middel van onderhoude nagevors. Die effektiwiteit van die VIGS-voorkomingsboodskap soos oorgedra deur die gemeenskapsgesondheidswerker is tydens 'n inligtingsessie van hoerskoolleerlinge bepaal. Gevolgtrekkings en aanbevelings is in elk van bogenoemde gevalle gemaak. VIGS-voorkomingsinisiatiewe is nog in die kinderskoene in Suid-Afrika, maar het 'n belangrike rol te speel. / AIDS is a health problem that impacts on all societal spheres. Prevention is the only form of combat. Therefore, AIDS prevention falls within the functions of primary health care. The person performing these functions is the community health worker. Within this framework the terms primary health care, community health worker and AIDS were discussed and their interrelatedness illustrated. A session during which community health workers
received training in aspects of AIDS was attended. Priorities existing at national, provincial and local levels were researched through interviews. The effectiveness of the community health worker in spreading the AIDS prevention message was determined during an information session for secondary school pupils. Conclusions and recommendations were made in each of these cases. AIDS prevention initiatives are still in its infancy in South Africa, but has an important role to play. / Health Studies / M.A. (Ontwikkelingsadministrasie)
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Collaboration between traditional healers and nurse practitioners in primary health care in Maseru Health Service Area - LesothoMakoa, E. T. 02 1900 (has links)
The purpose of the study was to explore and describe the existing relationship between
traditional healers and nurse practitioners in Maseru Health Service Area in Lesotho and
also to determine why people consult traditional healers. Qualitative and quantitative
methods were used to investigate the relationship between traditional healers and nurse
practitioners and also to determine why people utilize the services of traditional healers.
The study was limited to Maseru Health Service Area in Lesotho. Data was collected
from twenty-seven (27) nurses from nineteen (19) clinics and from thirty (30) traditional
healers from the same health service area. Data from traditional healers was collected
using semi-structured interviews while nurse practitioners were given a questionnaire to
complete. The study revealed that there was no formal relationship between traditional healers and
nurse practitioners. Support for traditional healers was revealed to be limited, for
example, only four (14.8%) nurses had a programme for traditional healers while twenty
( 66.7%) traditional healers did not have any contact with nurse practitioners.
Involvement of traditional healers in primary health care at grassroots level has therefore
been very minimal.
The reasons why people utilize traditional healers were found to be as follows:
• When people think they have been bewitched.
• Traditional healers can tell the actual cause of disease
• Failure of modern practice
• For social problems
According to the study, both traditional healers and nurse practitioners felt that
collaboration between traditional healers and nurse practitioners was essential because it
would enable planned referral of patients from one group to another where necessary; it
would also facilitate exchange of ideas and knowledge for the benefit of the people
served. Recommendations on collaboration and on support systems are given in Chapter
Six. / Health Studies / D. Litt. et Phil. (Nursing Science)
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HIV, AIDS and gender issues in Indonesia : implications for policy : an application of complexity theoryDamar, Alita P. 08 1900 (has links)
The aim of the study was to offer solutions for the enhancement of Indonesia’s HIV
and AIDS policy and to suggest future possibilities. In the process, the gendered
nature of the epidemic was explored. In light of the relatively lower rates of
employment among Indonesian women, this study also sought to gain insights into
the possible reasons for many women appearing to be attached to domesticity.
In the first phase of the study, interviews with stakeholders in HIV and AIDS
prevention were conducted, followed by a Delphi exercise involving 23 HIV and
AIDS experts. In the second phase, 28 women from various ethnicities were
interviewed, including those in polygamous and contract marriages. The overall
results were interpreted through the lens of complexity theory.
Fewer than half of the proposed objectives were approved by the experts in the
Delphi round. These were interventions mainly aimed at the risk groups while most
objectives relating to education about HIV and AIDS and safer sex for the general
public failed to obtain consensus. Reasons for the lack of consensus were
differences in perceptions associated with human rights, moral reasoning, the
unfeasibility of certain statements and personal conviction about the control of the epidemic. Emphasis on men’s and women’s innate characteristics; men’s role as
breadwinner; women’s primary role as wife, mother and educator of their children;
and unplanned pregnancies emerged as major themes from the qualitative phase.
While the adat and Islam revival movements may have endorsed the ideals of the
New Order state ideology, Javanese rituals regarded as violating Islam teachings
were abandoned. Ignorance about safer sex and HIV and AIDS was also established. Interpretation of the results through the lens of complexity theory revealed that the
national HIV and AIDS policy needs to encompass interventions for the general
population, which would include comprehensive sex education in schools and
media campaigns focusing on women. It was found that women’s vulnerability to
HIV and their penchant for domesticity appear to be associated with their
perceived primary role as wife and mother, as promoted by the adat-based New Order state ideology. / Sociology / D. Litt. et Phil. (Sociology)
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An exploration of the psychosocial needs of orphans and vulnerable children affected by HIV and AIDS in Gokomere, Masvingo Province, ZimbabweBande, Evidence 02 1900 (has links)
The study explored the psychosocial needs of Orphans and Vulnerable Children (OVCs) affected by HIV and AIDS in Gokomere, a rural area of Masvingo Province, Zimbabwe. The participants of the study included OVCs, caregivers and members of non-governmental organisations (NGOs) and faith-based organisations (FBOs). The data was gathered using semi-structured in-depth interviews and a focus group discussion. The audio-taped data was transcribed, coded and interpreted to generate themes, categories and sub-categories. The main psychosocial needs of OVCs affected by HIV and AIDS were found to be the need for relationships, succession planning, social protection and emotional and spiritual support. Kinship care emerged to be the most important form of care for OVCs while home-based care and child-headed households emerged as new forms of care for OVCs. This study recommends that coordinated efforts by the government, NGOs/FBOs/CBO and the community at large is needed to address the challenges facing OVCs affected by HIV and AIDS. / Health Studies / M.A. (Social Behaviour Studies in HIV/AIDS)
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Community service nurses' experiences regarding health care services at Tshwane district public hospitalNkoane, Naomi Lorrain 07 1900 (has links)
Text in English / The aim of this study was to gain understanding of community service nurses’ experiences of health care services at Tshwane district public hospital. This qualitative study followed an Interpretative Phenomenological Analysis (IPA) approach to explore the community services nurses’ experiences of health care services at Tshwane district public hospital. Data were collected from 11 purposively selected community service nurses using a semi-structured interview format. Data was analysed using Interpretative Phenomenological Analysis framework for data analysis. Four super-ordinates emerged from data analysis: (1) Resources, (2) Work environmental relations, (3) Supervision and support and, (4) Impact of community service experiences. The study revealed that the health care services rendered at the hospital studied are substandard. Community service nurses reported several challenges experienced during their placement in the hospital under study. Lack of human and material resources, supervision and support contributed to hindrance of smooth acquisition of their clinical skills and experience. These challenges resulted in the psychological and emotional drain of the participants. There is a need for development of guidelines to ensure constant and adequate support to all the community service nurses placed at Ratanang Hospital. / Health Studies / M.A. (Nursing Science)
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From being in charge of a child-headed household to being placed in kinship foster care : the experiences and expectations of orphans previously in charge of child-headed householdsMathebula, Thandy Shirley 16 April 2014 (has links)
Placement of orphans under kinship foster care is a common occurrence in social work practice, especially around Bushbuckridge in Mpumalanga Province. Social workers are facing the challenge of an alarming increase in foster care cases due to the HIV and AIDS pandemic in the area. Thus the social workers are trapped in a situation of having to place orphans in kinship foster care, without adequate preparation nor the opportunity to explore the feelings and experiences of being in a child-headed household.
This study aimed at exploring and describing the experiences and expectations of orphans who were in charge of child-headed households, regarding their preparation for being placed in kinship foster care and their subsequent placement in such care. Research findings revealed that some orphaned children who had previously been heading a child-headed household and were now placed in kinship foster care were continuing to head the households despite the fact that an order had been issued by the children’s court for them to be under the care and guidance of kin foster parents. The non-involvement of orphaned heads of households in any decisions that affect them emerged in the findings of the study as a critical issue.
Another important finding was that some orphaned children in kinship foster care experienced the abuse of the foster care grant by their kin foster parents. The research study has made provision for conclusions and recommendations to all role-players responsible for placing child-headed households in kinship foster care in order to enhance the efficacy of kin foster care placement. / Department of Social Work / M.A. (Social Science (Mental Health))
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HIV, AIDS and gender issues in Indonesia : implications for policy : an application of complexity theoryDamar, Alita P. 08 1900 (has links)
The aim of the study was to offer solutions for the enhancement of Indonesia’s HIV
and AIDS policy and to suggest future possibilities. In the process, the gendered
nature of the epidemic was explored. In light of the relatively lower rates of
employment among Indonesian women, this study also sought to gain insights into
the possible reasons for many women appearing to be attached to domesticity.
In the first phase of the study, interviews with stakeholders in HIV and AIDS
prevention were conducted, followed by a Delphi exercise involving 23 HIV and
AIDS experts. In the second phase, 28 women from various ethnicities were
interviewed, including those in polygamous and contract marriages. The overall
results were interpreted through the lens of complexity theory.
Fewer than half of the proposed objectives were approved by the experts in the
Delphi round. These were interventions mainly aimed at the risk groups while most
objectives relating to education about HIV and AIDS and safer sex for the general
public failed to obtain consensus. Reasons for the lack of consensus were
differences in perceptions associated with human rights, moral reasoning, the
unfeasibility of certain statements and personal conviction about the control of the epidemic. Emphasis on men’s and women’s innate characteristics; men’s role as
breadwinner; women’s primary role as wife, mother and educator of their children;
and unplanned pregnancies emerged as major themes from the qualitative phase.
While the adat and Islam revival movements may have endorsed the ideals of the
New Order state ideology, Javanese rituals regarded as violating Islam teachings
were abandoned. Ignorance about safer sex and HIV and AIDS was also established. Interpretation of the results through the lens of complexity theory revealed that the
national HIV and AIDS policy needs to encompass interventions for the general
population, which would include comprehensive sex education in schools and
media campaigns focusing on women. It was found that women’s vulnerability to
HIV and their penchant for domesticity appear to be associated with their
perceived primary role as wife and mother, as promoted by the adat-based New Order state ideology. / Sociology / D. Litt. et Phil. (Sociology)
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Motivations and expectations of a locally specific group of volunteer home based carers serving people with HIV/AIDS in the Mariannhill regionMahilall, Ronita 31 January 2006 (has links)
South African health systems are struggling to cope with the HIV/AIDS pandemic. Home based care has become an invaluable resource that relieves overburdened and under-resourced hospitals. Home based carers provide basic nursing care and support to patients and their families, in the patient's home.
Little is know about what motivates home based carers. Minimal research has been undertaken to investigate the expectations and experiences of these noble voluntary helpers. This study was conducted with a sample of home based carers at Community Outreach Centre, St Mary's, Mariannhill. Being field focused it used a qualitative research approach and participatory action research methodology. Focus group discussions were conducted with home based carers to explore their needs, motivations and expectations of Community Outreach Centre.
The study enlightens us about issues related to home based care that directly affect them. Despite the painful realities of their lives, they appeared positive about serving as volunteer home based carers. / Social work / M.A. Social Science (Social Work)
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An evaluation of the development process of the Young Workers' Campaign Programme in South AfricaTshabalala, Muziwakhe Alfred 30 June 2006 (has links)
The study was about the process evaluation of the development of the YOUNG
WORKERS CAMPAIGN (YWC) Programme to document and analyses the
involvement and participation of stakeholders in the development process.
The purpose of the study was on the assessment of stakeholder participation and
involvement in the development of the YWC to maximise the effectiveness,
acceptability and sustainability of the intended programme.
Informant interviews, focus group interviews and document analysis were the
primary means of collecting data for this research study.
The main findings are as follows: Few of the stakeholders were involved in the
conceptualisation phase of the YWC Programme and their roles in the
development process were not clearly described. Stakeholder analysis was not
done and their involvement in decision-making was limited.
In order to address the problem of participation, YWC stakeholders should pass
through a process of stakeholder analysis, that is, they should be assessed in
terms of contribution and value-adding to the development process. / Sociology / M.A. (Social Behaviour Studies HIV/AIDS)
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