scholarly journals Lockdown babies- Birth and new parenting experiences during the 2020 Covid-19 lockdown in South Africa

2021 ◽  
Author(s):  
Elise Farley ◽  
Amanda Edwards ◽  
Emma Numanoglu ◽  
Tamsin K Phillips
Keyword(s):  
South Africa ◽  
Health Care ◽  
South African ◽  
Health Care Access ◽  
Multivariable Analysis ◽  
Financial Strain ◽  
Cross Sectional Survey ◽  
Preterm Baby ◽  
Cross Sectional ◽  
Care Access

Background Perceived birth experiences of parents can have a lasting impact on children. We explored the birth and new parenting experiences of South African parents during the Covid-19 lockdown. Methods We conducted an online cross-sectional survey with consenting parents of babies born in South Africa during 2020. Factors associated with negative birth emotions and probable depression were estimated using logistic regression. Results Most of the 520 respondents were females (n= 496, 95%) who gave birth at private hospitals (n=426, 86%). Mothers reported having overall positive birth emotions (n= 399, 80%). Multivariable analysis showed that having the baby during lockdown (adjusted odds ratio (aOR) 5.02; CI 1.28-19.66); being diagnosed with Covid-19 (aOR 3.17; CI 1.07-9.42); having negative new parenting emotions (aOR 6.07; CI 3.27-11.29); a preterm baby (aOR 3.02; CI 1.36-6.70) and lockdown related barring of preferred in hospital support (aOR 2.45; CI 1.35-4.43) were associated with mothers reporting predominately negative emotions about the birth. Having their chosen delivery method reduced the odds of negative birth emotions (aOR 0.4; CI 0.22-0.72). Multivariable analysis showed that having predominantly negative new parenting emotions (aOR 10.75; CI 5.41-21.37), breastfeeding struggles (aOR 2.16; CI 1.36-3.46); lockdown preventing health care access (aOR 2.06; CI 1.20-3.54) and creating financial strain (aOR 2.58; CI 1.08-6.18) were associated with probable minor depression Conclusions Lockdown exacerbated many birth and parenting challenges including mental health and health care access. However, overall experiences were positive and there was a strong sense of resilience amongst parents.

scholarly journals Health care access among transgender and nonbinary people in Canada, 2019: a cross-sectional survey

CMAJ Open ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. E1213-E1222
Author(s):  
Ayden I. Scheim ◽  
Todd Coleman ◽  
Nathan Lachowsky ◽  
Greta R. Bauer
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Access

scholarly journals Barriers to health care access and service utilization of refugees in Austria: Evidence from a cross-sectional survey

Health Policy ◽  
2019 ◽  
Vol 123 (9) ◽  
pp. 833-839 ◽  
Author(s):  
Judith Kohlenberger ◽  
Isabella Buber-Ennser ◽  
Bernhard Rengs ◽  
Sebastian Leitner ◽  
Michael Landesmann
Keyword(s):  
Health Care ◽  
Service Utilization ◽  
Health Care Access ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Barriers To Health Care ◽  
Care Access ◽  
Barriers To Health

scholarly journals Assessment of quality of care provided at a tertiary hospital of Sikkim by patient's degree of responsiveness

2019 ◽  
Vol 8 (9) ◽  
pp. 3710
Author(s):  
Hafizur Rahman ◽  
Ezzat Khalda
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Access ◽  
Significant Proportion ◽  
Tertiary Hospital ◽  
Similar Proportion ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Access

Background: Quality of care is concerned with the interface between provider and patients, between health services and community. The aim of the current study was to evaluate the quality of provided health care and patient experiences at a tertiary hospital based on the concept of responsiveness.Methods: This was a cross-sectional survey among reproductive women of Central Referral Hospital over a period of 5 months from August 2016 to December 2016. A pre-designed, pretested, self-administered response questionnaire on rate of service utilization using the WHO health system responsiveness modulewas used.Results: A total of 450 women were approached and requested to participate during the study period of which 374 women completed the survey. According to the evaluation of in-patient care (Table 2), "able to change doctor if wanted" showed the lowest degree of responsiveness (52.7%). A significant proportion of patients experienced discrimination for different reasons: 9.6% reported feeling they had been treated worse than others because of lack of money, while a similar proportion reported they had been discriminated for the language they speak or because they were having insurance from a company.Conclusions: Health care access in terms of prolong waiting  time in the reception and before being attended by doctor, difficulty to change doctor when wanted and discriminatory experiences were identified as priority areas for actions to improve responsiveness and patient satisfaction.

Impact of restricting access to health care services on Syrian refugees in Jordan: evidence from cross-sectional surveys

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ibraheem Khaled Abu Siam ◽  
María Rubio Gómez
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Cost ◽  
Syrian Refugees ◽  
Cross Sectional ◽  
Content Type ◽  
Care Access ◽  
Care Services

Purpose Access to health-care services for refugees are always impacted by many factors and strongly associated with population profile, nature of crisis and capacities of hosing countries. Throughout refugee’s crisis, the Jordanian Government has adopted several healthcare access policies to meet the health needs of Syrian refugees while maintaining the stability of the health-care system. The adopted health-care provision policies ranged from enabling to restricting and from affordable to unaffordable. The purpose of this paper is to identify the influence of restricted level of access to essential health services among Syrian refugees in Jordan. Design/methodology/approach This paper used findings of a cross-sectional surveys conducted over urban Syrian refugees in Jordan in 2017 and 2018 over two different health-care access policies. The first were inclusive and affordable, whereas the other considered very restricting policy owing to high inflation in health-care cost. Access indicators from four main thematic areas were selected including maternal health, family planning, child health and monthly access of household. A comparison between both years’ access indicators was conducted to understand access barriers and its impact. Findings The comparison between findings of both surveys shows a sudden shift in health-care access and utilization behaviors with increased barriers level thus increased health vulnerabilities. Additionally, the finding during implementation of restricted access policy proves the tendency among some refugees groups to adopt negative adaptation strategies to reduce health-care cost. The participants shifted to use a fragmented health-care, reduced or delayed care seeking and use drugs irrationally weather by self-medication or reduce drug intake. Originality/value Understanding access barriers to health services and its negative short-term and long-term impact on refugees’ health status as well as the extended risks to the host communities will help states that hosting refugees building rational access policy to protect whole community and save public health gains during and post crisis. Additionally, it will support donors to better mobilize resources according to the needs while the humanitarian actors and service providers will better contribute to the public health stability during refugee’s crisis.

scholarly journals Commitment and the emigration intentions of South African professional nurses

2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Jeffrey J. Bagraim
Keyword(s):  
South Africa ◽  
South African ◽  
Employee Commitment ◽  
Western Cape ◽  
Public Health Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Tertiary Hospitals ◽  
Quantitative Design ◽  
The Relationship

The emigration of skilled nurses from South Africa exacerbates the crisis in the provision of public health services. A descriptive, quantitative design was applied to investigate the relationship between intention to emigrate and employee commitment. Over 400 registered nurses (N = 419), working within public sector tertiary hospitals in the Western Cape, responded to a cross-sectional survey questionnaire. Three foci of employee commitment (organisational, professional and national) were examined but only national commitment significantly helped predict intention to emigrate from South Africa in the regression model (beta = -0.0525, p < 0.0001). The implications of the results obtained in this study are discussed.Die emigrasie van verpleegkundiges uit Suid-Afrika vererger die krisis in die verskaffing van gesondheidsorgdienste in die land. ’n Beskrywende, kwantitatiewe ontwerp is gebruik om die verwantskap tussen werknemertoewyding en die voorneme om te emigreer te ondersoek. Meer as 400 verpleegsters (N = 419) wat in openbare tersiêre hospitale in die Wes-Kaap werk, het op die vraelys gereageer. Drie fokusareas van toewyding (organisatories, professioneel en nasionaal) is gemeet, maar net nasionale toewyding het daartoe bygedra om emigrasievoorneme te voorspel (beta = -0.0525, p < 0.0001). Die implikasies van hierdie resultate word bespreek.

scholarly journals Self-perceived employability among undergraduate students at a South African university

2021 ◽  
Vol 19 ◽  
Author(s):  
Doret Botha
Keyword(s):  
South Africa ◽  
South African ◽  
Undergraduate Students ◽  
Survey Design ◽  
The Self ◽  
The South ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perceived Employability ◽  
Managerial Implications

Orientation: South Africa has been suffering from persistently high levels of unemployment since 2008. The youth is regarded as the most at-risk group in the South African labour market and unemployment amongst the youth is considered one of the most critical socio-economic problems in South Africa. Increasing one’s employability is essential to securing employment and enhancing one’s well-being.Research purpose: This study aimed to explore the self-perceived employability of undergraduate students at a South African university.Motivation for the study: Currently, there is a scarcity of published research on the self-perceived employability amongst undergraduate students at higher education institutions in South Africa.Research approach/design and method: The study was conducted within a positivistic research paradigm. A quantitative-based cross-sectional survey design was used. Convenience sampling was used to select the students who were included in the survey. Data were collected through a web-based survey, using a standardised coded questionnaire that consisted of a five-point Likert-type scale.Main findings: The results indicated that the respondents were relatively confident about their internal employability, but they were less confident about their opportunities in the external labour market.Practical/managerial implications: Understanding one’s employability and the accompanied issues creates awareness of one’s potential, skills and knowledge to become a successful citizen and employee.Contribution/value-add: The study shed light on the self-perceived employability of undergraduate students at a South African university and consequently contributes to the existing literature on employability in the South African context.

scholarly journals SASS: South African Simulation Survey – a review of simulation-based education

2019 ◽  
pp. 12-20
Author(s):  
R Swart ◽  
R Duys ◽  
ND Hauser
Keyword(s):  
South Africa ◽  
South African ◽  
Undergraduate Students ◽  
Online Survey ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool ◽  
South African Society ◽  
Simulation Based ◽  
The Impact

Background: Simulation-based education (SBE) has been shown to be an effective and reproducible learning tool. SBE is used widely internationally. The current state of SBE in South Africa is unknown. To the best of our knowledge this is the first survey that describes the use and attitudes towards SBE within South Africa. Methods: An online survey tool was distributed by email to: i) the South African Society of Anaesthesiologists (SASA) members; and ii) known simulation education providers in South Africa. The respondents were grouped into anaesthesia and non-anaesthesia participants. Descriptive statistics were used to analyse the data. Ethics approval was obtained: HREC REF 157/2017. Results: The majority of the respondents provide SBE and integrate it into formal teaching programmes. There is a will amongst respondents to grow SBE in South Africa, with it being recognised as a valuable educational tool. The user groups mainly targeted by SBE, were undergraduate students, medical interns, registrars and nurses. Learning objectives targeted include practical skills, medical knowledge, critical thinking and integrated management. Amongst anaesthesia respondents: the tool most commonly used to assess the quality of learner performance during SBE, for summative assessment, was ‘expert opinion’ (33%); the most frequent methods of evaluating SBE quality were participant feedback (42%) and peer evaluation (22%); the impact of SBE was most frequently assessed by informal discussion (42%) and learner feedback (39%). In anaesthesia SBE largely takes place within dedicated simulation facilities on site (47%). Most respondents report access to a range of SBE equipment. The main reported barriers to SBE were: finance, lack of trained educators, lack of equipment and lack of protected time. A limited number of respondents report engaging in SBE research. There is a willingness in both anaesthesia and non-anaesthesia groups (96% and 89% respectively) to collaborate with other centres. Conclusion: To the best of our knowledge this publication provides us with the first cross-sectional survey of SBE in anaesthesia and a selection of non-anaesthetic respondents within South Africa. The majority of respondents indicate that SBE is a valuable education tool. A number of barriers have been identified that limit the growth of SBE within South Africa. It is hoped that with a commitment to ongoing SBE research and evaluation, SBE can be grown in South Africa.

scholarly journals The development and investigation of the psychometric properties of a burnout scale within a South African agricultural research institution

2014 ◽  
Vol 40 (1) ◽  
Author(s):  
Doris N. Asiwe ◽  
Lené I. Jorgensen ◽  
Carin Hill
Keyword(s):  
South Africa ◽  
South African ◽  
Quantitative Research ◽  
Agricultural Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Research Institution ◽  
Significant Difference ◽  
New Instrument ◽  
Construct Equivalence

Orientation: Burnout of employees is well documented within South Africa, but researchers have adapted imported instruments with a number of limitations. Therefore there is a need to develop a new instrument suitable for use in South Africa.Research purpose: To give an overview of current burnout measures, identify gaps within the literature and develop a new burnout scale for use within South Africa. The research examined the construct validity, reliability, construct equivalence and item bias of this new scale and investigated any differences that exist in relation to demographic variables.Motivation for the study: This study aimed to address various limitations regarding existing measures by developing a reliable and valid instrument for measuring burnout in South African employees that includes cognitive, physical and emotional (affective) components.Research approach, design and method: This empirical, quantitative research study delivered a cross-sectional survey, including the burnout scale and a biographical data questionnaire, to 443 employees of an agricultural research institution. Items for the burnout scale were written based on a literature review.Main findings: Exploratory factor analysis with target rotations resulted in a three-factor burnout model. Reliability analysis showed that all three scales (1) were sufficiently internally consistent and (2) showed construct equivalence for Black and White employees and speakers of Afrikaans and African languages. A practically significant difference in burnout levels was found in relation to age.Practical/managerial implications: The scale can be used to assess burnout for different cultural groups within research-based institutions.Contribution/value-add: This study contributes to knowledge regarding the burnout levels of employees in an agricultural research institution in South Africa and provides a new burnout scale that can be utilised in similar institutions.

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