Global ETD Search

151	Review of prevention of mother to child transmission of HIV in Addis Ababa, Ethiopia Tefera Girma Negash 20 November 2014 (has links) This study aimed to identify factors affecting women’s utilisation of the prevention of mother-to-child transmission (PMTCT) of HIV, evaluate the quality of PMTCT services, describe health outcomes of mothers and infants and to identify factors that influence mother-to-child transmission (MTCT) of HIV. Structured interviews were conducted with 384 women who had utilised PMTCT services. Information was also obtained from the health records of these women and of their infants. Better educated women, who had male partners and were self-employed were more likely to use PMTCT services. Being unmarried, poor and feeling stigmatised made it difficult for women to use these services. Respondents were satisfied with PMTCT services except that clinics sometimes had no medications. The health care workers followed the Ethiopian guidelines during HIV testing and counseling but not when prescribing treatment. Although the respondents’ CD4 cell counts improved, their clinical conditions did not improve. The MTCT rate was significantly higher if infants did not receive ARVs, had APGAR scores below seven, weighed less than 2.5kg at birth, were born prematurely, and if their mothers had nipple fissures. PMTCT services could be improved if more women used these services, health care workers followed the national guidelines when prescribing ARVs, clinics had adequate supplies of medicines, all infants received ARVs, and mothers’ nipple fissures could be prevented. Antenatal care should help to avoid premature births of infants weighing less than 2.5kg and having APGAR scores below 7. Future research should compare formula feeding versus breastfeeding of infants with HIV-positive mothers / Health Studies / D. Litt. et Phil. (Health Studies) APGAR score Antenatal care (ANC) Antiretroviral therapy (ART) Antiretrorivals (ARVs) Ethiopian health care services Health Belief Model (HBM) HIV/AIDS HIV counseling and testing Infant feeding options Nipple fissures Partner testing 618.929792009633
152	Community service nurses' experiences regarding health care services at Tshwane district public hospital Nkoane, 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) Community service nurses Experiences Health care services Newly qualified nurses 362.1730968227
153	The Closure of New Orleans' Charity Hospital After Hurricane Katrina: A Case of Disaster Capitalism Ott, Kenneth Brad 18 May 2012 (has links) Abstract Amidst the worst disaster to impact a major U.S. city in one hundred years, New Orleans’ main trauma and safety net medical center, the Reverend Avery C. Alexander Charity Hospital, was permanently closed. Charity’s administrative operator, Louisiana State University (LSU), ordered an end to its attempted reopening by its workers and U.S. military personnel in the weeks following the August 29, 2005 storm. Drawing upon rigorous review of literature and an exhaustive analysis of primary and secondary data, this case study found that Charity Hospital was closed as a result of disaster capitalism. LSU, backed by Louisiana state officials, took advantage of the mass internal displacement of New Orleans’ populace in the aftermath of Hurricane Katrina in an attempt to abandon Charity Hospital’s iconic but neglected facility and to supplant its original safety net mission serving the poor and uninsured for its neoliberal transformation to favor LSU’s academic medical enterprise. Charity Hospital New Orleans Hurricane Katrina disaster capitalism medical neoliberalism LSU Health Care Services Division American Politics Bioethics and Medical Ethics Community-Based Research Economics Emergency Medicine Health and Medical Administration Health Economics Health Policy Health Services Administration Medical Education Medicine and Health Medicine and Health Sciences Mental and Social Health Policy History, Theory, and Methods Political Economy Politics and Social Change Primary Care Psychiatric and Mental Health Public Health Public Policy Race and Ethnicity Social History Social Welfare Sociology Urban Studies Urban Studies and Planning
154	A selection of legal issues relating to persons living with albinism Mswela, Mphoeng Maureen 10 1900 (has links) Despite the fact that albinism affects several South Africans, it is a condition that remains deeply misunderstood. Albinism is steeped in myth and false notions, and is perceived by many as a curse and contamination. For years, persons living with albinism have been treated with doubt and suspicion. Also in schools and in the wider community, children with albinism are subjected to violence and ridicule. In certain areas on the African continent, including Southern Africa, persons living with albinism are killed for the trade in body parts for use as sacramental medicines, or sexually assaulted as a result of the belief that raping them may offer a cure for HIV/AIDS. All of this highlights the extreme vulnerability of persons living with albinism, not to mention the many violations of their fundamental rights that follow from the manner in which they are treated. Within the social context that frames the experience of persons living with albinism, the primary purpose of this study is to highlight some of the pertinent challenges faced by persons living with albinism in South Africa which compromise the full enjoyment of their fundamental rights as enshrined in the South African Constitution. The thesis makes a number of practical recommendations that will assist in promoting the legal position of this vulnerable group, while also contributing to a better understanding of albinism in general which will ultimately change negative perceptions and debunk the myths surrounding the condition. / Jurisprudence / LL. D. Albinism Albino Disability Discrimination Colourism Muti murder Myths Stereotypes Popular culture The right to equality The right to dignity The right to life The right to health care services The right to education The right to social assistance 342.85068 Human rights Pigmentation disorders -- South Africa Right to education -- South Africa Right to health -- South Africa Right to life -- South Africa Equality -- South Africa

Page generated in 0.0733 seconds