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An assessment of needs of the mentally retarded in the community of district 22 (sub-district 222) KwaZulu-NatalWebster, Joyce 30 November 2003 (has links)
The system of care for persons suffering from mental retardation is in a state of upheaval. Considering the mentally handicapped as holistic beings, this study explored and assessed the needs of those residing in the community of District 22 (sub-district 222), KwaZulu-Natal, thus facilitating the planning of care and care facilities for these individuals to enable them to function optimally in the community. To accomplish this purpose, specific objectives were formulated.
A quantitative, exploratory and descriptive study based on Maslow's hierarchy of needs theory was carried out, using 167 respondents. The study revealed that despite being mentally retarded, they were still regarded as valuable members of the community, their needs did not differ from the needs of others in the rest of the world and that mental retardation is still rated low in the prioritization of health problems, hence the lack of resources and support needed for the rehabilitation of such persons. / Health Studies / M.A. (Health Studies)
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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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Cost-effective delivery of managed nurse-based primary health care in a selected medical schemeSeymore, Martha Magarieta 06 1900 (has links)
The study was aimed at furthering the health objectives of the government's Reconstruction and
Development Programme (ANC 1994b) in the area of primary health care. .
The purpose of the study was to examine the possible reduction of medical scheme claims for
cardiovascular disease by means of primary health care, so that medical scheme benefits do not
become exhausted so rapidly.
The overall outcome of the study showed that if cardiovascular disease could be diagnosed and
treated early, the financial benefits could be substantial. This was illustrated by the comparison
of primary, secondary and tertiary treatment of cardiovascular disease using case studies over a
period of one year.
Recommendations centered around nurse-based primary health care for cardiovascular disease
and the cost-effective management of the medical scheme. It was concluded that as a result of
nurse-based primary health care, costs could be contained so that medical scheme benefits
would not become exhausted so rapidly. / Health Studies / M.A. (Nursing Science)
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Voorkoms van stres by huismoeders in diens van 'n kinderhuisErasmus, Magdalena 11 1900 (has links)
The research posed two questions, namely (a) how much stress, if any, is experienced by house mothers in a childrens' home, and (b) which factors cause such stress. The methodology employed is descriptive research. It covered the total population of ten house mothers in a childres' home. Measuring instruments employed were; the Heimler scale for Social Functioning, the Glazer Stress Control Life Style Questionnaire, the Stress Questionnaire, and a self-formulated questionnaire. The results are as follows: 70% reported average to high stress, but are inclined to deny stress. 30% reported normal stress levels, Possible causes of stress are the work context of the childrens' home, age, period of service, and personality. / Die studie soek antwoorde op twee vrae, naamlik (a) hoeveel sires, indien enige, beleef huismoeders in 'n kinderhuis, en (b) wat veroorsaak sulke sires? Die metode wat gebruik was, is beskrywende navorsing. Die totale populasie van tien huismoeders in die spesifieke kinderhuis is betrek. Die klein omvang maak hierdie studie nie veralgemeenbaar nie. Die volgende meetinstrumente is benut ; die Heimlerskaal vir
Maatskaplike Funksionering, die "Glazer Stress Control Life Style Questionnaire'', die "Stress Questionnaire", en 'n selfgeformuleerde vraelys. Die resultate is soos volg: 70% van die huismoeders in die studie vermeld gemiddelde tot hoe mates van stres, maar is geneig om stres te ontken. Dertig persent van die respondente vermeld normale hoeveelhede stres. Moontlike oorsake van sires is aangetoon as: die werkskonteks binne die kinderhuis, ouderdom, tydperk van diens, en persoonlikheid / Social Work / M.A. (Social Work: Mental Health)
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Nurses' understanding and implementation of mental health screening among HIV infected in LimpopoModula, Mantji Juliah 06 1900 (has links)
The purpose of the study was to explore the understanding and implementation of the guidelines by nurses to detect mental disorders in Human Immunodeficiency Virus (HIV) management in the Limpopo Province, South Africa. The study aimed to recommend measures to strengthen implementation practices. Qualitative, exploratory and descriptive approach was conducted. Non-probability purposive sampling was used to select primary health professional nurses trained in HIV programme at primary health care facilities in Capricorn District. Data were collected through focus groups and in-depth individual interviews approach using the interview guide. The interviews started with focus group discussions as primary method and in-depth individual interviews as follow-up. Interviews were tape recorded and transcribed.
Data were analysed using Creswell’s data analysis steps. Four themes emerged from data: understanding of HIV management guidelines; implementation of the guidelines; strengthening of mental health screening and competencies required for mental health screening. The study revealed that the nurses who did not have psychiatric nursing as an additional qualification lacked confidence and skills to conduct mental health screening in HIV positive infected individuals. However, they used their background nursing knowledge to manage clients. They all experienced challenges with information provided in the guidelines to screen for mental health in HIV management.
Based on the results of this study, it was recommended that there should be integration of mental health and HIV and development of practical assessment tools for mental health screening. The study acknowledges the importance of equipping nurses with adequate skills to diagnose altered mental health states among HIV infected individuals. / Health Studies / M.A. (Nursing Science)
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Developing a laboratory based CCMT programme status reporting system in the Ekurhuleni Health DistrictCassim, Naseem 18 July 2014 (has links)
The purpose of this study was to develop a laboratory based Comprehensive Care, Management and Treatment of HIV and AIDS (CCMT) programme status reporting system using a methodological research study design. Quantitative data was collected using a request form and qualitative data was collected using structured questionnaires. For the study 1190 eligible CD4 samples were received, of which 1004 (84%) had a valid CCMT programme status. Overall 32% of the CD4 samples had a pre-ART status (n=383) and 52% had an ART status (n=621). The remaining 16% of CD4 samples (n=186) did not have a valid CCMT programme status. A pre-ART register was generated and assessed using a structured questionnaire. Based on the study findings a recommendation has been made to adopt the two-tick design for all NHLS request forms where programmatic data is collected. Additionally the CCMT programme status reporting system is recommended for rollout to other health districts / Health Studies / M.A. (Public Health with specialisation in Medical Informatics)
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Exploring the feasibility of foster care as a primary permanency option for orphansThiele, Shelley 08 1900 (has links)
In the wake of the HIV/AIDS pandemic, welfare organisations in Vryheid situated in northern KwaZulu-Natal have noted dramatic increases in requests for foster care placements for orphaned children. In many instances, orphans have lived by private arrangement with extended families for several years. However, families are increasingly overwhelmed with the burden of overextending scarce resources, forcing them to seek welfare assistance.
Community-based responses to the crisis are regarded as top priority. This study examines literature regarding child care alternatives for orphans, focussing on foster care as the primary option. A study was conducted which explored community perceptions towards the local orphan crisis and foster care in particular. Findings revealed that although the adage 'Blood is thicker than water' still applies, foster care cannot stand alone. Alternate forms of care-giving need to be found to avoid plunging orphan care into further crisis. / Social work / M.A.(Social Science (Mental Health))
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An exploration of the life-experiences of AIDS-orphans in kinship foster care in South AfricaTissiman, Lindy Michelle 04 1900 (has links)
Human Immuno-Deficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS)
have many devastating impacts, including the growing number of AIDS-orphans left without
care. In the study, semi-structured interviews, incomplete sentences and Kinetic family drawings
were used to explore the life-experiences and perceptions of AIDS-orphans living in kinship
foster care, from a Gestalt perspective. The study revealed that the majority of the AIDS-orphans
included were making good contact at the contact boundary and all the respondents were not
familiar with the term 'foster care'. The researcher therefore recommended that children are
educated about foster care at school, thus possibly increasing the awareness of foster care in
South Africa, thus possibly increasing the provision of homes for the vastly growing numbers of
AIDS-orphans in our country and perhaps make a difference in society. / Sociology / M. Diac. (Play therapy)
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The feasability of implementing community based care for moderately mentally-retarded persons in a specific centre in Port ElizabethNgcanga, Nosipho Margaret 11 1900 (has links)
The purpose of this study was to investigate the possibility of implementing community based care for moderately mentally retarded persons in a specific centre in the Port Elizabeth area. The objectives of the study were to identify • the needs of the moderately mentally retarded children. • the physical, psychosocial and vocational rehabilitation means of meeting these needs. • how involved the communities, parents and government were in the care of moderately mentally retarded children. A quantitative, exploratmy and descriptive design was used. A sample of 50 moderately mentally retarded children was utilised. Data were collected by means of questionnaires and semi-structured interviews. The major research findings indicate that community care for MMRPs could only be feasible with sufficient resources, expertise and community involvement. All these aspects appeared to be lacking in the centre where this research was conducted raising questions as to benefits which the mentally retarded children and their parents and the community could derive from these services. However recommendations were made on identified shortcomings, problems and needs. / Health Science / M.A.(Nursing Science)
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Exploring the feasibility of foster care as a primary permanency option for orphansThiele, Shelley 08 1900 (has links)
In the wake of the HIV/AIDS pandemic, welfare organisations in Vryheid situated in northern KwaZulu-Natal have noted dramatic increases in requests for foster care placements for orphaned children. In many instances, orphans have lived by private arrangement with extended families for several years. However, families are increasingly overwhelmed with the burden of overextending scarce resources, forcing them to seek welfare assistance.
Community-based responses to the crisis are regarded as top priority. This study examines literature regarding child care alternatives for orphans, focussing on foster care as the primary option. A study was conducted which explored community perceptions towards the local orphan crisis and foster care in particular. Findings revealed that although the adage 'Blood is thicker than water' still applies, foster care cannot stand alone. Alternate forms of care-giving need to be found to avoid plunging orphan care into further crisis. / Social work / M.A.(Social Science (Mental Health))
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