scholarly journals Obstetric medical care and training in South Africa

2018 ◽  
Vol 12 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Lizemarie Wium ◽  
Valerie Vannevel ◽  
Salome Bothma

Obstetric medicine as a speciality is yet to be developed in South Africa. South Africa is regarded as a developing country. The burden of HIV and metabolic syndrome creates a need for advanced maternal care. An increase has been noted in hypertension and gestational diabetes due to increasing maternal age and increasing prevalence of obesity. The South African National Committee on Confidential Enquiry into Maternal Deaths’ 2015 Saving Mothers Report identified non-pregnancy-related infections as the leading cause of maternal deaths. Obstetric medicine care includes pre-conception, antepartum and postpartum care. This article aims to highlight the importance of obstetric medicine, even in a resource-poor setting. The current internal medicine and obstetrics and gynaecology training is discussed and emphasis is placed on the opportunity to create an obstetric medicine programme.

2019 ◽  
Author(s):  
Sam Ntuli ◽  
Maboya EM ◽  
FLM Hyera ◽  
S Naidoo

Abstract Objective To review and compare underlying causes of maternal deaths in Limpopo Province (LP) using data of the National Committee of Confidential Enquiry into Maternal Deaths in South Africa (NCCEMD). Method This is a review of the findings of the causes of maternal deaths from the two trienniums 2011-2013 and 2014-2016 of the NCCEMD. When pregnancy related deaths occur a maternal death notification form is completed and submitted to the provincial Maternal, Child and Women's Health (MCWH) units. The provincial assessors assess the death and forward the report to the NCCEMD, where the data are collated and analyzed to provide summary estimates for the extent of important public-health problems. Results In the triennial 2011/13, 750 women deaths were recorded in LP of which 728 (97.1%) were maternal deaths and 22(2.9%) were coincidental deaths. While in the triennial 2014/16, of the 623 women deaths, 607(97.4%) were maternal deaths and 16 (2.6%) were coincidental deaths. In both trienniums, non-pregnancy related infections, obstetric haemorrhage, pregnancy-induced hypertensive disorders and medical and surgical disorders were the leading cause of deaths and accounted for two-thirds of maternal deaths. The number of deaths due to non-pregnancy related infections significantly decreases from 228 to 135 (p<0.05), while deaths due to medical and surgical disorders slightly increased (from 66 to 69, p>0.05). There was a marked reduction in the number of obstetric haemorrhage, pregnancy-induced hypertensive disorders, pregnancy-related sepsis, anaesthetic complications, ruptured ectopic pregnancy and acute collapse-cause unknown but the result did not reach statistical significance (p>0.05), and deaths due to miscarriage increased (p>0.05). The number of deaths due to pulmonary embolism increased significantly (p<0.05). Conclusion Although there is a reduction in the number of maternal deaths in LP, non-pregnancy related infections, obstetric haemorrhage, pregnancy-induced hypertensive disorders and medical and surgical disorders remain the major causes of maternal death and pulmonary embolism is an emerging concern.


Curationis ◽  
2000 ◽  
Vol 23 (2) ◽  
Author(s):  
T Khanyile

Recognition of Prior Learning (RPL) is a fairly new concept in South Africa, and hence different people have different views about RPL . Through this paper, an attempt is made to shed some light on the historical background as well as the philosophical and theoretical underpinnings of RPL . It is hoped that this information will help those nurse educators wishing to experiment with RPL to have a better understanding of how the concept came about. The relevance of RPL to the Unified model of nurse training proposed by the South African Nursing Council is also discussed.


1998 ◽  
Vol 23 (1) ◽  
pp. 4-7
Author(s):  
Josephine Andersen

Legislation in South Africa now provides for the inclusion of arts and culture and adult literacy in the education system and art libraries can help promote this Government initiative by distributing their resources widely. The Library of the South African National Gallery is playing an unusual and non-traditional role in helping redress past inequities. It uses visual art, with its concern with expression and communication, to encourage adult learning and stimulate articulacy by encouraging learners to ‘read’ texts from the mass media and visual artworks in order to develop skills in all kinds of literacy. SANG’s project shows how language and artworks can be linked together productively, contributing to the basic education and training of adults.


2002 ◽  
Vol 32 ◽  
pp. 19-25
Author(s):  
K. Ramsay

SummaryThe recent call from FAO to take part in the process of preparing the First Report on the State of the World Animal Genetic Resources (SoW) stressed the need to develop management capacity at country level to facilitate the preparation of country reports (CRs). A key role is played by the National Focal Points (NFPs) and the National Coordinators (NCs).A national workshop was held in South Africa in 1998 and a National Committee for Farm Animal Genetic Resources (FanGR) was established. The existing Indigenous Livestock Committee was reviewed and adapted to make it more focused on the management of FAnGR. At the same time a National Coordinator was also identified and the Animal Improvement Institute was nominated as national coordinating institute for FAnGR.The collaboration with some NGOs was strongly suggested, particularly with:a) the Farm Animal Conservation Trust (FACT), to assist with the conservation of farm animal genetic resources. This NGO was modelled on the Rare Breeds Survival Trust (RBST) in the United Kingdom and on Rare Breeds International (RBI)b) The South African Stud Book and Livestock Improvement Association (SASB) andc) many Rural Communities and National and Provincial animal genetic resource centresThe institutional frame for AnGR conservation in South Africa is briefly described, together with the aims of the South African conservation activities.


Refuge ◽  
2002 ◽  
pp. 6-11
Author(s):  
Jaya Ramji

On paper, South African law concerning detention of asylum seekers appears consistent with international standards. However, the text of the Act is vague and overly broad, permitting interpretations inconsistent with international human rights standards. Further, in practice, officials often fail to uphold even the lowest standards of the Act, in violation of South African law. In order to protect the rights of asylum seekers, the South African government should institute formal guidelines and training programs, as well as a system of strong supervision and accountability, to ensure that the Act and Regulations are interpreted in a manner consistent with international law. Such a step will enable South Africa to live up to its noble post-apartheid human rights ideals.


2000 ◽  
Vol 31 (3) ◽  
pp. 99-105 ◽  
Author(s):  
Michael Birkhead ◽  
Margaret Sutherland ◽  
Tudor Maxwell

Project management is internationally recognised as a management tool that is critical for success in the current work environment. In South Africa, initiatives are under way to produce internationally acceptable education and certification standards for the profession. The aim of this study is to identify the competencies and training needs required of project managers operating in South Africa's unique context. A questionnaire based on both previous international studies and personal interviews was administered by e-mail to members of the Project Management Institute of South Africa. Data was received from 128 respondents operating primarily in information technology, construction and engineering fields across the country. The results of the survey establish a rank ordered list of the competencies and training needs of South African project managers, and confirm that project management competencies are generic in nature. The findings are unique to South Africa, and proffer a set of core competencies which has important implications for the certification and training of South African project managers.


2019 ◽  
Vol 30 (10) ◽  
pp. 985-990 ◽  
Author(s):  
Mags Beksinska ◽  
Bongiwe Zulu ◽  
Phumla Nkosi ◽  
Zonke Mabude ◽  
Jenni Smit

South Africa (SA) has an integrated male and female condom (FC) programme. Since 2014, the programme has introduced two new FC brands. This study evaluated the early introduction of the availability of new FCs. Twenty-three sites participating in the National SA Female Condom Evaluation were included. Providers and clients completed interviewer-administered questionnaires assessing FC brand availability, length of distribution, how clients are informed about new FCs and reactions to the choice of more than one FC. A total of 55 providers and 51 clients were interviewed. Although all 23 sites reported they had distributed new FCs, only one had all three types available. Almost all providers (96%) thought it was important to increase choice, although some (27%) worried that having different FCs may confuse clients. Almost all clients (96%) felt it was important to increase the choice of FCs, and most women (80%) felt that using one type of FC would make it easy to use another type. Providers called for more brand-specific Information, Education and Communication (IEC) training for themselves and the community. Providers and clients seem to be very positive about the choice of FCs. Providers recommended more support in the form of IEC materials and training to assist in the provision of the expansion of FC brands.


2005 ◽  
Vol 34 (1) ◽  
pp. 85-101 ◽  
Author(s):  
Dinesh C. Jinabhai

With the introduction in South Africa of the Skills Development Act (1998) and the Skills Development Levies Act (1999) respectively, employer organizations are obliged to set aside a portion of their annual payroll for the internal training and development of their workforce. The function of the statutory National Skills Authority (NSA) is to implement the skills development strategy, monitor its performance and report the progress made by the Sector Education and Training Authorities (SETAs). In the South African context, training and development has only recently received attention as a means of addressing critical personnel development initiatives. The focus is now shifting towards fast tracking skills development, which is being integrated into the overall business plan of organizations. Strategies need to be initiated to harness knowledge workers as competitive resources for the new global economy and for world-class competitiveness. This article accentuates the importance of the skills development strategy and offers a systems approach to skills development for organizations. It also highlights some empirical research and its linkages to the emerging challenges of the skills development strategy in South Africa. The article concludes with implications for skills development and training and maps the way for future research.


1996 ◽  
Vol 10 (2) ◽  
pp. 207-217 ◽  
Author(s):  
Anneliese Goslin

South African society is a complex mix of first- and third-world components. Urgent socio-economic and political problems must be addressed to avoid chaos. Sport may be a key factor in bringing about change. Sport training strategies should form an integral part of affirmative action and sport development programs in South Africa. The overall aim of this research was to develop a structured scientific approach to the training and development of human resources in South African sport. The research was conducted in four phases over a 2-year period. The aims of the respective phases were to determine the current standard and scope of sport management in black developing townships, to compile a profile of competencies and training needs of sport managers, to develop an in-service training model for the aforementioned sport managers, and to design a comprehensive sport development strategy for South African sport. Research methodologies included questionnaires on general and functional managerial variables and training needs, content analysis of job descriptions, and personal interviews. Results revealed an insufficient standard of sport management in developing townships. A competency-based training and development model was proposed and positioned in an overall strategy for sport development in South Africa.


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