scholarly journals Prevalence and factors associated with abdominal obesity among primary health care professional nurses in Eastern Cape, South Africa

2018 ◽  
Vol 60 (5) ◽  
pp. 146-150 ◽  
Author(s):  
Sizeka Monakali ◽  
Daniel Ter Goon ◽  
Eunice Seekoe ◽  
Eyitayo Omolara Owolabi
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Professional ◽  
Abdominal Obesity ◽  
Eastern Cape ◽  
Factors Associated ◽  
Primary Health ◽  
Primary Health Care Professional ◽  
Professional Nurses

scholarly journals Prevalence and factors associated with abdominal obesity among primary health care professional nurses in Eastern Cape, South Africa

2018 ◽  
Vol 60 (5) ◽  
pp. 53
Author(s):  
Sizeka Monakali ◽  
Daniel Ter Goon ◽  
Eunice Seekoe ◽  
Eyitayo Omolara Owolabi
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Abdominal Obesity ◽  
Eastern Cape ◽  
Height Ratio ◽  
Primary Health ◽  
Primary Health Care Professional ◽  
Waist To Height Ratio ◽  
Professional Nurses

Background: Nurses are key stakeholders in health promotion and obesity management, yet a high-risk group for obesity development. This study examined the prevalence and correlates of abdominal obesity among primary health care professional nurses (PHCPNs) in Eastern Cape, South Africa.Methods: This cross-sectional study involved 203 PHCPNs conveniently selected across 41 primary health care facilities in Eastern Cape, South Africa. The WHO STEPwise questionnaire was used for data collection. Abdominal obesity was defined according to the WHO criteria as a waist circumference ≥ 94 cm for men and ≥ 80 cm for women or waist-to-hip ratio ≥ 0.90 in men and ≥ 0.85 in women; and a waist-to-height ratio of 0.50.Results: The prevalence of abdominal obesity ranged from 50%, to 87% to 90%, using waist-to-hip ratio, waist circumference and waist-to-height ratio, respectively. Age, gender and duration of practice were significantly associated with abdominal obesity. After adjusting for potential confounders, only age 30 years (OR = 6.7; 95% CI = 2.4–18.7; p 0.001) and female sex (AOR = 7.9; 95% CI = 2.4–18.7; p 0.001) were independent predictors of obesity.Conclusion: There is a high prevalence of abdominal obesity among PHCPNs in Eastern Cape, South Africa, which was associated with female sex and ageing. This constitutes a potential risk for the healthcare workforce of the province and might be an impediment to adequate conveyance to patients of health education on healthy weight management by the affected nurses. There is an urgent need for appropriate workplace health policies targeted towards the promotion of physical activities, healthy lifestyle and ultimately weight reduction among this group.

scholarly journals Nursing Recommendations for the Management of HIV and Hypertension in a rural Primary Health Care Setting, Eastern Cape, South Africa

2021 ◽  
Vol 23 (2) ◽  
Author(s):  
Lwandile Tokwe ◽  
Joanne Rachel Naidoo
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health Education ◽  
Chronic Illnesses ◽  
Research Approach ◽  
Eastern Cape ◽  
Primary Health ◽  
Co Morbidity ◽  
Professional Nurses

South Africa has an increased number of people living with the human immunodeficiency virus (PLWH). In addition, older PLWH are prone to developing non-communicable diseases (NCDs) as co-morbid illnesses, in particular hypertension. South Africa is experiencing a dual burden of care, that being the co-morbidity of HIV and hypertension. The integration of HIV and non-communicable disease management is needed towards a synergised and comprehensive approach within primary health care (PHC) settings. This article presents nursing recommendations yielded by a descriptive phenomenological study on the management of HIV and hypertension in a rural PHC context. A qualitative research approach, using Husserl’s descriptive phenomenology, was employed, and data were gathered using semi-structured interviews. The interviews were conducted by the first author at Sakhisizwe sub-district clinics, Eastern Cape. Purposive sampling was used to select nine participants. Giorgi’s phenomenological steps underpinned data analysis. Six nursing recommendations were developed to support professional nurses in the management of the co-morbidity of HIV and hypertension: 1) disease-specific health education as opposed to generic health education; 2) utilisation of existing programmes on the integration and management of chronic illnesses; 3) creating social support platforms or spaces; 4) referral pathways; 5) surveillance and monitoring; and 6) management of disease-related stigma. Professional nurses working in PHC clinics have several guidelines to manage chronic illnesses. However, there are limited nursing recommendations on how to manage the co-morbidity of HIV and hypertension. This study focused on a smaller sample of nine participants, in one sub-district and in one district.  

scholarly journals The provision of Primary Health Care in two rural districts of the Eastern Cape Province with particular reference to human resources and accessibility - Part 2: The results and recommendations

Curationis ◽  
1998 ◽  
Vol 21 (2) ◽  
Author(s):  
M. Thipanyana ◽  
T.R. Mavundla
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Phase Iii ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Problem Statement ◽  
Rural Districts ◽  
Primary Health ◽  
Community People ◽  
Professional Nurses

Part 1 of this article dealt with the introduction, problem statement and the research methods. This article details the results and the recommendations with the aim of improving the provision of primary health care in rural districts of the Eastern Cape Province. This article is dealt with in three phases: phase I gives the results of interviews of community people, phase II deals with the results of the questionnaire administered to professional nurses and phase III entails the recommendations.

scholarly journals Community health worker perspectives on a new primary health care initiative in the Eastern Cape of South Africa

PLoS ONE ◽  
2017 ◽  
Vol 12 (3) ◽  
pp. e0173863 ◽  
Author(s):  
Katherine Austin-Evelyn ◽  
Miriam Rabkin ◽  
Tonderayi Macheka ◽  
Anthony Mutiti ◽  
Judith Mwansa-Kambafwile ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Eastern Cape ◽  
Primary Health

scholarly journals A Cross-Sectional Survey of the Prevalence and Determinants of Overweight and Obesity Among Primary Healthcare Professional Nurses In Eastern Cape, South Africa

2019 ◽  
Vol 11 (4) ◽  
pp. 53 ◽  
Author(s):  
Sizeka Monakali ◽  
Daniel Ter Goon ◽  
Eunice Seekoe ◽  
Eyitayo Omolara Owolabi
Keyword(s):  
South Africa ◽  
Healthcare Professional ◽  
Primary Healthcare ◽  
Overweight And Obesity ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Professional ◽  
Professional Nurses

There is a paucity of data on the burden of obesity among primary Health care professional nurses in Eastern Cape Province of South Africa. This study examines the prevalence and determinants of overweight and obesity among Primary Healthcare Professional nurses in Eastern Cape Province of South Africa. This workplace cross-sectional study was conducted among 203 Primary Health Care Professional nurses selected conveniently across 41 primary healthcare facilities in Eastern Cape, South Africa following a the WHO STEPwise approach and using the WHO STEPwise questionnaire for data collection. Data were expressed as mean, counts and proportions, as appropriate. We compared percentages using chi-square test. Descriptive and inferential statistics were conducted. Seventy six percent of the nurses were obese and 18% were overweight. Age, gender, marital status, duration of practice, alcohol use and smoking were significantly associated with obesity. Only age >30 years and not using alcohol were independent predictors of obesity, after adjusting for confounders. We found a high prevalence of obesity among primary healthcare professional nurses in this setting. This constitute future risk for an increased prevalence of chronic diseases among the healthcare workforce in this setting. There is a need for measures to promote healthy lifestyle behaviours and weight management among nurses in this setting.

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