scholarly journals Compliance with the primary health care treatment guidelines and the essential medicines list in the management of sexually transmitted infections in correctional centres in South Africa: findings and implications

2017 ◽  
Vol 15 (10) ◽  
pp. 963-972 ◽  
Author(s):  
Tammy B. Matsitse ◽  
Elvera Helberg ◽  
Johanna C. Meyer ◽  
Brian Godman ◽  
Amos Massele ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Infections ◽  
Treatment Guidelines ◽  
Essential Medicines ◽  
Sexually Transmitted ◽  
Essential Medicines List ◽  
Primary Health ◽  
Health Care Treatment

scholarly journals Exploration of knowledge, attitudes and percepions regarding sexually transmitted infections among patients attending a primary health care clinic in Gauteng - Part 1

Curationis ◽  
2007 ◽  
Vol 30 (4) ◽  
Author(s):  
T.J. Molapo ◽  
T.M.M. Maja ◽  
S.C.D. Wright
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Infections ◽  
Major Public Health Problem ◽  
Care Clinic ◽  
Sexually Transmitted ◽  
Primary Health Care Clinic ◽  
Primary Health

Sexually transmitted infections are a major public health problem in South Africa. The high incidence and prevalence of sexually transmitted infections in South Africa pose a serious threat to public health for two main reasons. Firstly, the long-term consequences of these infections are a major cause of loss of health or life, and secondly, sexually transmitted infections are important co-factors in driving the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic. The control and prevention of sexually transmitted infections has become an urgent priority. At a primary health care clinic, the nursing personnel experienced an increasing number of persons daily seeking treatment for sexually transmitted infections. The purpose of the study was therefore to investigate the knowledge, attitudes and perceptions of people seeking treatment at Stanza Bopape Clinic regarding sexually transmitted infections. The study was a contextual, quantitative survey. The population was all patients (15 years and older) who visited the clinic for a health-related problem during November 2004 to January 2005. The sampling method was convenient. The data gathering method was self-report using a structured questionnaire basic on current knowledge. The data analysis was done with descriptive statistics.

scholarly journals Evaluating the implementation of the standard treatment guidelines (STGs) and essential medicines list (EML) at a public South African tertiary institution and its associated primary health care (PHC) facilities

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Tashni Govender ◽  
Fatima Suleman ◽  
Velisha Ann Perumal-Pillay
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Standard Treatment ◽  
Treatment Guidelines ◽  
Essential Medicines ◽  
Tertiary Institution ◽  
Essential Medicines List ◽  
Primary Health ◽  
Retrospective Audit ◽  
Standard Treatment Guidelines

Abstract Background The standard treatment guidelines (STGs) and essential medicines list (EML) were a policy option recommended in the National Drug Policy for South Africa in 1996 to address the irrational and bloated medicines procurement list. STGs/EML serve as a tool to promote cost-effective use of medicines; rational prescribing; and improve accessibility to medicines for all citizens. The purpose of this study was to evaluate the use and implementation of the STGs/EML by prescribers at a public tertiary institution and its associated Primary Health Care (PHC) facilities in the uMhlathuze subdistrict of KwaZulu Natal. The study aimed to provide feedback and to make recommendations to policy makers to improve the use and implementation of the STGs/EML and to inform National Health Insurance (NHI) policy development. Method An observational quantitative descriptive research design was used. A retrospective audit of prescriptions was conducted, and questionnaires were utilized to collect data from prescribers and the facilities to evaluate the utilization of the STGs/EML and the rational use of medicines. All descriptive analyses were presented as counts with percentages, and Fisher’s exact test was used to compare results. The data was summarized, reduced, and analysed using SAS statistics software. Results 107 medical doctors (97%) responded to the questionnaire at hospital level and 98 nurses (98%) responded to the questionnaire at the PHC level. Results revealed that the majority of doctors, 94.4%, had access to the latest STGs/EML compared with only 41.8% of nurses. 70.3% and 78.3% of doctor’s and nurse’s prescriptions, respectively, adhered to the guidelines. 94.9% of nurses requested training on the use of STGs/EML as most of them had not received formal training on its use. Conclusion This study showed suboptimal adherence to STGs/EML by all prescribers, in contrast to previous research amongst nurses when hardcopies were available. Training on the use of the STGs/EML is needed at PHC level and improved monitoring of STGs/EML compliance is necessary. This study may be replicated for a wider population to paint a national picture and to periodically assess the extent of the implementation of the STGs/EML.

scholarly journals Assessment in the primary care of the State of São Paulo, Brazil: incipient actions in sexual and reproductive health

2017 ◽  
Vol 51 ◽  
Author(s):  
Mariana Arantes Nasser ◽  
Maria Ines Battistella Nemes ◽  
Marta Campagnoni Andrade ◽  
Rogério Ruscitto do Prado ◽  
Elen Rose Lodeiro Castanheira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Sexually Transmitted ◽  
Primary Health

OBJECTIVE The objective of this study is to assess performance in sexual and reproductive health of primary health care services of the Brazilian Unified Health System, in the State of São Paulo, Brazil. METHODS An evaluative framework was built for sexual and reproductive health with the categorization of 99 indicators in three domains: sexual and reproductive health promotion (25), sexually transmitted infections/AIDS prevention and care (43), and reproductive health care (31). This framework was applied to assess the services responses to the questionnaire of Quality Evaluation of Primary Health Care in the Municipalities of São Paulo State (QualiAB), in 2010. Percentages were calculated for positive responses to indicators and performance in the sexual and reproductive health dimension, according to domains, and their contribution to the overall score in sexual and reproductive health (Friedman), relative participation (Dunn), and correlation (Spearman) was verified. RESULTS Overall, 2,735 services participated in the study. They were located in 586 municipalities (distributed throughout the 17 regional health departments of São Paulo), of which 70.6% had fewer than 100,000 inhabitants. The overall average performance of these services for sexual and reproductive health is 56.8%. The actions are characterized by: prenatal with adequate beginning and exams, better organization for immediate rather than for late postnatal care, and selective reproductive planning for some contraceptives; prevention based on specific protection, limitations in the prevention of congenital syphilis, in the treatment of sexually transmitted infections, and in the screening of cervical and breast cancer; specific educational activities, with a restricted vulnerability approach, focus on sexuality over reproduction. The domain of reproductive health has greater participation in the overall score, followed by prevention/care and promotion. The three domains are correlated; the domain of prevention/care has the highest correlation with the other ones. CONCLUSIONS The implementation of sexual and reproductive health in primary health care in the services studied is incipient. The revision of the purpose of the work, the dissemination of technologies, and the investing in permanent education are needed. The evaluative framework built can be used by the sexual and reproductive health program services and management in primary health care, thereby contributing to their actions.

scholarly journals Guidelines to reduce sexually trasmitted infections at primary health care centres - Part 2

Curationis ◽  
2007 ◽  
Vol 30 (4) ◽  
Author(s):  
S.T.J. Molapo ◽  
T.M.M. Maja ◽  
S.C.D. Wright
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Diseases ◽  
Health Clinic ◽  
Structured Interviews ◽  
Care Clinic ◽  
Professional Nurse ◽  
Sexually Transmitted ◽  
Primary Health

Sexually transmitted diseases are the second highest cause of death among women aged 15-44 years. The incidence and prevalence of sexually transmitted diseases is on the increase at many health care centres despite their dreadfulness and many preventative measures. According to the Scope of Practice of registered professional nurses working in a community health clinic, the registered professional nurse has a responsibility to prevent disease and promote health as well as do research. This paper aims to describe guidelines to reduce sexually transmitted infections at primary health care centres based on research done to investigate the community specific knowledge, attitudes and perceptions regarding sexually transmitted infections. Structured interviews were used to collect data from 1694 participants (males and females) who were consulted at a primary health care clinic in Mamelodi, Gauteng province. Existing patients’ records were also utilised to calculate the incidence rate of sexually transmitted infections. Data were computerised and analysed quantitatively to reflect the results in frequencies and percentages as reported in Part 1 of this research. Guidelines to direct the practice of registered professional nurse were developed based on the findings of the results. These guidelines must underpin community specific interventions to reduce the incidence of sexually.

scholarly journals Sexually transmitted infections associated syndromes assisted in the primary health care in Northeast, Brazil

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Elani Graça Ferreira Cavalcante ◽  
Maria Alix Leite Araújo ◽  
Marli Teresinha Gimeniz Galvão ◽  
Heber José de Moura ◽  
Ana Paula Soares Gondim ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Infections ◽  
Northeast Brazil ◽  
Sexually Transmitted ◽  
Primary Health

Evaluation of the Quality of Care for Sexually Transmitted Infections in Primary Health Care Centres in South Africa

2002 ◽  
Vol 32 (4) ◽  
pp. 33-40 ◽  
Author(s):  
Nokuthula Shabalala ◽  
Anna Strebel ◽  
Tammy Shefer ◽  
Leickness Simbayi ◽  
Tanya Wilson ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Health Providers ◽  
Sexually Transmitted ◽  
Primary Health ◽  
Depth Interviews

Sexually transmitted infections (STIs) are one of the most common illnesses among adolescents and adults in developing countries. While research from other countries indicates that a lack of financial, infra-structural and human resources are central determinants of the quality of care for STIs, South African studies suggest that there are also problems in health workers' interactions with STI patients. This study investigates the quality of care for STIs at 24 primary health care (PHC) centres in four provinces of South Africa (SA). Semi-structured interviews were conducted with STI patients and health providers. In addition, in-depth interviews were conducted with a sample of STI patients, and focus group discussions were held with diverse community groupings. Simulated patients also completed questionnaires on the care they received at the centres. Frequencies were computed on close-ended questions in order to describe patterns and trends in the data. Cross-tabulations were calculated to check for gender, provincial and urban-rural differences. Composite scores were also generated for the purpose of comparing quality of care across the different participating groups. Finally, the depth interviews and focus groups were analysed thematically. The results show that PHC centres in SA are relatively well-resourced. However, problems were found in the actual encounter between health workers and STI patients, which severely undermines the quality and effectiveness of treatment. It is strongly recommended that attention be given to health providers, in particular through the provision of further training and support in relation to effective STI management.

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