scholarly journals Care-seeking during fatal childhood illness in rural South Africa: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043652
Author(s):  
Jessica Price ◽  
Merlin Willcox ◽  
Vuyiswa Dlamini ◽  
Audrey Khosa ◽  
Phindile Khanyile ◽  
...  
Keyword(s):  
South Africa ◽  
Decision Making ◽  
Focus Group ◽  
Childhood Illness ◽  
Care Seeking ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Rural South ◽  
Depth Interviews ◽  
Rural South Africa

ObjectivesThis study aimed to better understand reasons why children in South Africa die at home, including caregivers’ care-seeking experiences, decision-making, choice of treatment provider and barriers to accessing care during a child’s final illness.DesignThis qualitative study included semi-structured in-depth interviews and focus group discussions with caregivers of children who died below the age of 5 years. Data were thematically analysed, and key findings compared with the Pathways to Survival Framework—a model frequently used in the study of child mortality. An adapted model was developed.SettingTwo rural health and demographic surveillance system (HDSS) sites in South Africa—the Agincourt HDSS and the Africa Health Research Institute.ParticipantsThirty-eight caregivers of deceased children (29 participated in in-depth interviews and 9 were participants in two focus group discussions). Caregivers were purposively sampled to ensure maximum variation across place of death, child age at death, household socioeconomic status, maternal migration status and maternal HIV status.FindingsAlthough caregivers faced barriers in providing care to children (including insufficient knowledge and poor transport), almost all did seek care from the formal health system. Negative experiences in health facilities did not deter care-seeking, but most respondents still received poor quality care and were not given adequate safety-netting advice. Traditional healers were only consulted as a last resort when other approaches had failed.ConclusionBarriers to accessing healthcare disrupt the workings of previously accepted care-seeking models. The adapted model presented in this paper more realistically reflects care-seeking experiences and decision-making during severe childhood illness in rural South Africa and helps explain both the persistence of home deaths despite seeking healthcare, and the impact of a child’s death on care-seeking in future childhood illness. This model can be used as the basis for developing interventions to reduce under-5 mortality.

scholarly journals Applying the Three Delays Model to understand emergency care seeking and delivery in rural Bangladesh: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042690
Author(s):  
Bansari Shah ◽  
Nandita Krishnan ◽  
Stephen R. Kodish ◽  
Gayane Yenokyan ◽  
Kaniz Fatema ◽  
...  
Keyword(s):  
Focus Group ◽  
Emergency Care ◽  
Healthcare Providers ◽  
Care Seeking ◽  
Community Members ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Rural Bangladesh ◽  
Three Delays ◽  
Depth Interviews

ObjectivesThe Three Delays Model has been commonly used to understand and prevent maternal mortality but has not been systematically applied to emergency medical conditions more generally. The objective of this study was to identify delays in emergency medical care seeking and delivery in rural Bangladesh and factors contributing to these delays by using the Three Delays Model as a framework.DesignA qualitative approach was used. Data were collected through focus group discussions and in-depth interviews using semistructured guides. Two analysts jointly developed a codebook iteratively and conducted a thematic analysis to triangulate results.SettingSix unions in Raiganj subdistrict of Bangladesh.ParticipantsEight focus group discussions with community members (n=59) and eight in-depth interviews with healthcare providers.ResultsDelays in the decision to seek care and timely receipt of care on reaching a health facility were most prominent. The main factors influencing care-seeking decisions included ability to recognise symptoms and decision-making power. Staff and resource shortages and lack of training contributed to delays in receiving care. Delay in reaching care was not perceived as a salient barrier. Both community members and healthcare providers expressed interest in receiving training to improve management of emergency conditions.ConclusionsThe Three Delays Model is a practical framework that can be useful for understanding barriers to emergency care and developing more tailored interventions. In rural Bangladesh, training community members and healthcare providers to recognise symptoms and manage acute conditions can reduce delays in care seeking and receiving adequate care at health facilities.

scholarly journals We Have Come to Stay and We Shall Find All Means to Live and Work in this Country: Nigerian Migrants and Life Challenges in South Africa

2016 ◽  
Vol 9 (2) ◽  
pp. 371 ◽  
Author(s):  
Adediran Daniel Ikuomola ◽  
Johan Zaaiman
Keyword(s):  
South Africa ◽  
Focus Group ◽  
South African ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cultural Challenges ◽  
Economic Disparity ◽  
Life Challenges ◽  
The Social ◽  
Depth Interviews

In recent times many Nigerians have been singled out when it comes to criminal activities and xenophobic attacks in South Africa, which leads to disruption of the hitherto cordial relationship between South African host communities and Nigerian migrants. Nevertheless, the rate of Nigerians migrating to South Africa keeps soaring. Studies of migration between Nigeria and South Africa, have been scanty, often limited to the study of traditional economic disparity between the two countries with less emphasis on the social-cultural challenges facing Nigerian migrants in the host communities.This paper thus examined the socio-economic and cultural challenges facing Nigerian migrants in selected communities in Johannesburg, South Africa. Data for the study were collected through in-depth interviews and focus group discussions with Nigerian migrants in Hillbrow, Braamfontein and Alexandra suburbs in Johannesburg, South Africa.

scholarly journals Perceived Impact of Border Closure due to Covid-19 of Intending Nigerian Migrants

2021 ◽  
Vol 9 (1) ◽  
pp. 207-215
Author(s):  
Lawan Cheri
Keyword(s):  
Decision Making ◽  
Focus Group ◽  
Focus Group Discussions ◽  
African Countries ◽  
Group Discussions ◽  
Travel Restrictions ◽  
Global Presence ◽  
Perceived Impact ◽  
In Transit ◽  
Depth Interviews

With few exceptions, the European Council closed Europe for non-citizen travellers on 17 March 2020 because of the Covid-19 pandemic. Many African countries, including Nigeria, have placed travel restrictions on or completely shut their borders to both travellers who want to enter the country and citizens who want to leave. These decisions affect many intending migrants seeking a way to reach Europe. Health and socioeconomic uncertainties related to lockdowns, border closure, and in some cases travel restrictions directly affect the dynamics of decision-making by migrants. This article employs in-depth interviews and focus group discussions to explore the perception of Nigerians who intend to migrate considering the influence of Covid-19. The study focuses on Nigerian migrants but touches on Nigerians in transit who are trapped in Niger en route to Europe through Libya and Morocco. While border closure by most of the sending and receiving countries led to a decrease in the intention of migrants to travel, Covid-19 as a pandemic does not significantly influence migrants’ decisions primarily because of its global presence, merely leading to delays. In conclusion, after border reopening, intercontinental migration is expected to increase in both volume and intensity.

scholarly journals National Insights and Youth Political Attitudes in Rural Lampung Against Negative Campaigns

2021 ◽  
Vol 5 (2) ◽  
pp. 184
Author(s):  
Hertanto Hertanto ◽  
Handi Mulyaningsih ◽  
Asep Nurjaman
Keyword(s):  
Social Media ◽  
Focus Group ◽  
Political Attitudes ◽  
Rural Youth ◽  
Election Campaigns ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Rural South ◽  
Direct Elections ◽  
Depth Interviews

Indonesia is a heterogeneous country that requires an inclusive and tolerant attitude to live in harmony. However, with the implementation of direct elections in Indonesia, there are many hoaxes and black campaigns through the mass media. The purpose of this study is to examine the national insight and political attitudes of rural youth in social media-based election campaigns. The method used is in-depth interviews through structured focus group discussions (FGD) with young students in rural South Lampung. The results showed that Lampung rural youth realized the importance of Pancasila as a unifying tool for the nation. Furthermore, the youth of Lampung strongly disapprove of hoaxes and black campaigns in the general election. This finding is very important to maintain harmony in Indonesia and can serve as a model  Indonesia merupakan negara heterogen yang membutuhkan sikap inklusif dan toleran agar dapat hidup rukun. Namun, dengan diterapkannya pemilihan langsung di Indonesia, banyak bermunculan hoax dan kampanye hitam melalui media massa. Tujuan penelitian ini adalah untuk mengkaji wawasan kebangsaan dan sikap politik pemuda pedesaan dalam kampanye pemilu berbasis media sosial. Metode yang digunakan adalah wawancara mendalam melalui diskusi kelompok terfokus (FGD) terstruktur dengan mahasiswa generasi muda di pedesaan Lampung Selatan. Hasil penelitian menunjukkan bahwa pemuda pedesaan Lampung menyadari pentingnya Pancasila sebagai alat pemersatu Bangsa. Lebih lanjut, pemuda Lampung sangat tidak setuju dengan hoaks dan kampanye hitam dalam pemilihan umum. Temuan ini sangat penting untuk menjaga kerukunan di Indonesia dan dapat menjadi model bagi daerah lain di Indonesia. 

scholarly journals Nairobi Early Childcare in Slums (NECS) Study Protocol: a mixed-methods exploration of paid early childcare in Mukuru slum, Nairobi

2020 ◽  
Vol 4 (1) ◽  
pp. e000822
Author(s):  
Robert C Hughes ◽  
Patricia Kitsao-Wekulo ◽  
Sunil Bhopal ◽  
Elizabeth W Kimani-Murage ◽  
Zelee Hill ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Early Years ◽  
Epidemiological Methods ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Early Childcare ◽  
Depth Interviews ◽  
Childcare Providers

IntroductionThe early years are critical. Early nurturing care can lay the foundation for human capital accumulation with lifelong benefits. Conversely, early adversity undermines brain development, learning and future earning.Slums are among the most challenging places to spend those early years and are difficult places to care for a child. Shifting family and work structures mean that paid, largely informal, childcare seems to be becoming the ‘new normal’ for many preschool children growing up in rapidly urbanising Africa. However, little is known about the quality of this childcare.AimsTo build a rigorous understanding what childcare strategies are used and why in a typical Nairobi slum, with a particular focus on provision and quality of paid childcare. Through this, to inform evaluation of quality and design and implementation of interventions with the potential to reach some of the most vulnerable children at the most critical time in the life course.Methods and analysisMixed methods will be employed. Qualitative research (in-depth interviews and focus group discussions) with parents/carers will explore need for and decision-making about childcare. A household survey (of 480 households) will estimate the use of different childcare strategies by parents/carers and associated parent/carer characteristics. Subsequently, childcare providers will be mapped and surveyed to document and assess quality of current paid childcare. Semistructured observations will augment self-reported quality with observable characteristics/practices. Finally, in-depth interviews and focus group discussions with childcare providers will explore their behaviours and motivations. Qualitative data will be analysed through thematic analysis and triangulation across methods. Quantitative and spatial data will be analysed through epidemiological methods (random effects regression modelling and spatial statistics).Ethics and disseminationEthical approval has been granted in the UK and Kenya. Findings will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content.

Kinship construction variability among Nigerian international migrants: The context of contemporary Diaspora

Human Affairs ◽  
2011 ◽  
Vol 21 (4) ◽  
Author(s):  
Olayinka Akanle ◽  
Olanrewau Olutayo
Keyword(s):  
Focus Group ◽  
Life Histories ◽  
First Century ◽  
Primary Data ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Kinship Networks ◽  
Methodological Triangulation ◽  
International Migrants ◽  
Depth Interviews

AbstractUnderstanding the selves, situations and actions of Africans can never be comprehended outside kinship. Local and foreign worldviews are first pigeonholed into culture and defined within kinship realities in Nigeria and Africa. There have been studies on kinship in Africa. However, the findings from such studies portrayed the immutability of African kinship. Thus, as an important contribution to the on-going engagement of kinship in the twenty-first century as an interface between the contemporary Diaspora, this article engaged kinship within international migration. This is a major behavioural and socio-economic force in Nigeria. Methodological triangulation was adopted as part of the research design and primary data were collected through in-depth interviews (IDIs), and life histories of international migrants were documented and focus group discussions (FGDs) were held with kin of returnees. The article found and concluded that while returnees continued to appreciate local kinship infrastructures, the infrastructures were liable to reconstruction primarily determined by dominant support situations in the traditional African kinship networks.

scholarly journals Setting the global research agenda for community-based HIV service delivery through the faith sector

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Martha T. Ndlovu-Teijema ◽  
Maarten O. Kok ◽  
Sabine L. van Elsland ◽  
Hilleen Smeets ◽  
David Barstow ◽  
...  
Keyword(s):  
South Africa ◽  
Focus Group ◽  
Research Agenda ◽  
Primary Research ◽  
Focus Group Discussions ◽  
Online Questionnaire ◽  
Group Discussions ◽  
Community Based ◽  
Faith Leaders ◽  
Global Research

Abstract Background While leading AIDS organizations expect faith and health collaborations to play a crucial role in organizing and scaling up community-based HIV services, it is unclear how this can be realized. Little primary research has been conducted into which strategies for collaboration and service provision are most effective, efficient, scalable and sustainable. Seeking to align research with urgent needs, enhance coordination and increase the likelihood that results are used, this study aimed to set an inclusive global research agenda that reflects priority research questions from key stakeholders at the intersection of HIV healthcare and faith. Methods In order to develop this global research agenda, we drew from document analyses, focus group discussions, interviews with purposively selected key informants from all continents (policy-makers, healthcare providers, faith leaders, academics and HIV activists), an online questionnaire, and expert meetings at several global conferences. We carried out focus group discussions and interviews with faith leaders in South Africa. Other stakeholder focus groups and interviews were carried out online or in person in France, Switzerland, the Netherlands and South Africa, and virtual questionnaires were distributed to stakeholders worldwide. Respondents were purposively sampled. Results We interviewed 53 participants, and 110 stakeholders responded to the online questionnaire. The participants worked in 54 countries, with the majority having research experience (84%), experience with policy processes (73%) and/or experience as a healthcare provider (60%) and identifying as religious (79%). From interviews (N = 53) and questionnaires (N = 110), we identified 10 research themes: addressing sexuality, stigma, supporting specific populations, counselling and disclosure, agenda-setting, mobilizing and organizing funding, evaluating faith-health collaborations, advantage of faith initiatives, gender roles, and education. Respondents emphasized the need for more primary research and prioritized two themes: improving the engagement of faith communities in addressing sexuality and tackling stigma. Conclusions A wide range of respondents participated in developing the research agenda. To align research to the prioritized themes and ensure that results are used, it is essential to further engage key users, funders, researchers and other stakeholders, strengthen the capacity for locally embedded research and research uptake and contextualize priorities to diverse religious traditions, key populations and local circumstances.

Islamic Discourses of Environmental Change on the Swahili Coast of Southern Tanzania

2021 ◽  
Vol 80 (1) ◽  
pp. 49-60
Author(s):  
Justin Raycraft
Keyword(s):  
Focus Group ◽  
Social Science ◽  
Environmental Change ◽  
Belief System ◽  
Social Suffering ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Swahili Coast ◽  
Making Sense ◽  
Depth Interviews

This paper addresses how Makonde Muslim villagers living on the Swahili coast of southern Tanzania conceptualize and discuss environmental change. Through narratives elicited during in-depth interviews and focus group discussions, I show that respondents associate various forms of environmental change—ecological, climatic, political, and socioeconomic—with God’s plan. Respondents had a sound grasp of the material workings of their lived realities and evoked religious causality to fill in the residual explanatory gaps and find meaning in events that were otherwise difficult to explain. Such narratives reveal both a culturally engrained belief system that colors people’s understandings of change and uncertainty and a discursive idiom for making sense of social suffering. On an applied note, I submit that social science approaches to studying environmental change must take into account political and economic contexts relative to local cosmologies, worldviews, and religious faiths, which may not disaggregate the environment into distinct representational categories.

scholarly journals Endogenous conflict resolution mechanisms of the San people at Platfontein

2014 ◽  
Vol 10 (4) ◽  
Author(s):  
M Y Gebregeorgis
Keyword(s):  
South Africa ◽  
Conflict Resolution ◽  
Focus Group ◽  
Thematic Analysis ◽  
The State ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
The Impact ◽  
Inductive Thematic Analysis

The objective of this study was to explore the endogenous conflict resolution mechanisms and practices of the San people at Platfontein, South Africa. To this end, data were collected from 304 interviews and 26 focus group discussions. The collected data were analysed through Inductive Thematic Analysis. The findings show that the San people have endogenous conflict resolution mechanisms which basically aim at restoring peace and harmony within the community. The endogenous mechanisms were found to be fairly participatory and supplementary to the state machineries that work for justice, peace and harmony. However, the conflict resolution mechanisms of the San people are currently weakening due to the impact of modernisation and the leadership dispute among the sub-groups of the community.

scholarly journals Persepsi Ibu Terhadap Iklan Vaksin Measles Rubella (MR)

2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Muslimah Muslimah ◽  
Dian Ayubi
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Focus Group ◽  
Data Collection ◽  
Qualitative Study ◽  
Electronic Media ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Data Collection Process ◽  
Depth Interviews

Measles and Rubella (MR) is a disease that is highly contagious and usually occurs in children aged 9 months until the age of 15 years. One effort that can be done to reduce the incidence of the disease is through health promotion about the importance of immunization. Purpose the promotion was packaged in the form of advertisements on electronic media with the aim of building perceptions that the importance of immunization for public health. Methods this research was a qualitative study with a method of collecting in-depth interviews and focus group discussions. The number of informants in this study was 19 mothers who had children aged 0.9 to 15 years in one of the Puskesmas work areas in Merangin District, Jambi Province. Before the data collection process, all informants were asked to see two MR immunization advertisements. Results that immunization advertisements are interesting and contain humor. Meanwhile, informants who did not give MR immunization to their children tended to be negative towards MR immunization advertisements and tended to ignore the effects that arose if they did not give immunizations to their children. The recommendation that MR immunization advertisements should avoid using the fear arousal method and use the pay off idea method in those ads

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