scholarly journals PRIVATE LIVES, PUBLIC ISSUES: CHILDBEARING EXPERIENCES OF ADOLESCENT MOTHERS IN THE ERA OF HIV AND AIDS IN BHAMBAYI, KWAZULU-NATAL, SOUTH AFRICA

2014 ◽  
Vol 47 (3) ◽  
Author(s):  
Tanusha Raniga ◽  
Sibonsile Mathe
Keyword(s):  
South Africa ◽  
Adolescent Mothers ◽  
Hiv And Aids ◽  
Public Issues ◽  
Private Lives ◽  
Kwazulu Natal

scholarly journals “I have to provide for another life emotionally, physically and financially”: understanding pregnancy, motherhood and the future aspirations of adolescent mothers in KwaZulu-Natal South, Africa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Desiree Govender ◽  
Saloshni Naidoo ◽  
Myra Taylor
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Healthcare Services ◽  
Early Childbearing ◽  
Body Experience ◽  
Future Aspirations ◽  
Healthcare Needs ◽  
Kwazulu Natal

Abstract Background Adolescent pregnancy and motherhood has been a controversial and much disputed subject within the field of public health. Early childbearing is not only characterized as a physical body experience but also embodies the experiences and perceptions of the social norms, discourses, conflict and moral judgement. There is an increasing concern that the psychosocial challenges facing adolescent mothers remains in the background since research in this field has mainly focused on the medical and physical complications of early childbearing. The aim of this qualitative study was to explore adolescent pregnancy and motherhood in order to understand this phenomenon from the perspective of adolescent mothers and to gain insight into their future aspirations. Methods This descriptive qualitative study was based on data from four focus group discussions with adolescent mothers utilising healthcare services at a district hospital in Ugu district, KwaZulu Natal, South Africa. The data were audio-recorded and transcribed verbatim, then analysed using thematic analysis. Results Some adolescent mothers’ partners were in denial and rejected them and the child while others’ partners were happy and supported them during their pregnancy. Families’ reactions to the pregnancies ranged between anger and disappointment to abandonment, the silent treatment, and acceptance and forgiveness. The psychological issues experienced by some of the adolescent mothers included suicidal ideation, guilt, loneliness, anxiety, and stress. They also experienced financial constraints, difficulty in returning to school, and stigmatisation in society. The participants envisioned completing their education, focusing on their dream careers, and contributing positively to society. Conclusion Experiences of adolescent pregnancy and parenting are multifaceted and the healthcare needs of pregnant and parenting adolescents extend beyond information and knowledge. A multidisciplinary approach is required in the care of adolescent mothers. A key policy priority should encompass the collaboration of different professionals from various healthcare sectors to assist adolescent mothers in achieving better health and psychosocial and socio-economic outcomes as steps to securing a better future for them.

scholarly journals Nurses perceptions about their behavioural counselling for HIV/AIDS, STIs and TB in eThekwini Municipality clinics KwAZulu-Natal, South Africa

2017 ◽  
Vol 22 ◽  
Author(s):  
Margaret N. Mntlangula ◽  
Nelisiwe Khuzwayo ◽  
Myra Taylor
Keyword(s):  
South Africa ◽  
Cross Sectional Study ◽  
Hiv And Aids ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Potential Barriers ◽  
Kwazulu Natal ◽  
Negative Perceptions ◽  
Nurses Perceptions ◽  
Quantitative Descriptive

Background: HIV and AIDS, sexually transmitted infections (STIs) and tuberculosis (TB) are common co-infections in South Africa, and constitute major public health problems. Nurses have frequent contact with HIV positive and TB co-infected patients, their counselling behaviour being influenced by knowledge about counselling as well as their beliefs, attitudes and perceptions about barriers to counselling.Purpose: The purpose of the survey was to assess the knowledge, attitude and beliefs of nurses about behavioural counselling for HIV and AIDS, STIs and TB (HAST) in three areas of the eThekwini Municipality.Results: This was a quantitative descriptive cross sectional study, with stratified sampling being used to select 87 nurses from 24 PHC facilities who completed self-administered questionnaires. The most significant factors associated with the knowledge, attitude and beliefs of nurses about counselling behaviour were their age and level of education. Nurses were well informed about counselling behaviour (mean scores 4.1/5). However, the potential barriers to implementing effective counselling behaviour included their negative perceptions about counselling in HAST.Conclusion: There is an urgent need for further studies to explore barriers to counselling behaviour and how these can be addressed by the nurses and their managers.

scholarly journals Minibus taxi drivers’ sexual beliefs and practices associated with HIV infection and AIDS in KwaZulu- Natal, South Africa

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Busisiwe Ncama ◽  
Gugu Mchunu ◽  
Joanne Naidoo ◽  
Sisana Majeke ◽  
Padmini Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
High Risk ◽  
Hiv Infection ◽  
Risk Groups ◽  
Hiv And Aids ◽  
Convenience Sample ◽  
Taxi Drivers ◽  
Beliefs And Practices ◽  
Sexual Beliefs ◽  
Kwazulu Natal

Risky sexual behaviours in South Africa are a major contributing factor to the spread of HIV infection and AIDS. HIV infection amongst minibus taxi drivers is a concern, because these people belong to an occupational group that exhibits risky behaviours due to the demands of their work. Given the high vulnerability of minibus taxi drivers, exploring the sexual beliefs and health-related sexual practices of this group will assist in planning targeted interventions.The objectives of this study were to assess the level of knowledge, beliefs and practices regarding HIV infection and AIDS amongst minibus taxi drivers. An exploratory descriptive study was conducted using a pre-tested questionnaire to explore and describe sexual beliefs and practices associated with HIV infection and AIDS in a convenience sample of 175 minibus taxi drivers. Permission to undertake the study was obtained from the KwaZulu-Natal Taxi Alliance and individuals who participated in the study. Data analysis were analysed using the Statistical Package for Social Sciences 13.0. The study revealed that minibus taxi drivers are one of the high- risk groups in the spread of HIV infection and AIDS; they lack necessary education and need attention in relation to control and prevention of the spread of HIV and AIDS. Multiple sexual partners are relatively common amongst the minibus taxi drivers. Violence against women and even forceful sexual intercourse in the belief that women should tolerate it to keep the family together was reported. There is a need for intervention programmes with a focus on minibus taxi drivers and similar high-risk groups. Prevention activities should incorporate the distribution of condoms amongst this group and HIV prevention educational programmes, as well as creating mechanisms for accessing circumcision by the minibus taxi drivers.

“I have to provide for another life emotionally, physically and financially”: Understanding pregnancy, motherhood and the future aspirations of adolescent mothers in KwaZulu-Natal, South Africa

2019 ◽  
Author(s):  
Desiree Govender ◽  
Saloshni Naidoo ◽  
Myra Taylor
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Healthcare Services ◽  
Future Aspirations ◽  
Healthcare Needs ◽  
Kwazulu Natal ◽  
Policy Priority ◽  
Returning To School

Abstract Background Adolescent pregnancy and adolescent parenting have been controversial and much disputed subjects in the field of public health. There are increasing concerns that the psychosocial challenges that adolescent mothers face may remain in the background because research in this field has mainly focused on the medical complications of early childbearing. Aim The aim of this qualitative study was to explore adolescent pregnancy and motherhood in order to understand this phenomenon from the perspective of adolescent mothers and to gain insight into their future aspirations. Methods This descriptive qualitative study utilised data that were generated from focus group discussions with adolescent mothers who utilised healthcare services at a hospital in the Ugu district in KwaZulu-Natal, South Africa. The data were analysed using thematic analysis. Results Adolescent mothers reported a range of positive and negative experiences. Some adolescent mothers’ partners were in denial and rejected them and the child, while others’ partners were happy and supported them during their pregnancy. Families’ reactions to the pregnancies ranged between anger and disappointment to abandonment, the “silent treatment”, and acceptance and forgiveness. The psychological issues experienced by some of the adolescent mothers included suicidal ideation, guilt, loneliness, anxiety, and stress. They also experienced financial constraints, difficulty in returning to school, and stigmatisation by society. The participants envisioned completing their education, focusing on their dream careers, and contributing positively to society. Conclusion Experiences of adolescent pregnancy and parenting are multifaceted and the healthcare needs of pregnant and parenting adolescents extend beyond information and knowledge. A multidisciplinary approach is required in the care of adolescent mothers. A key policy priority should encompass the collaboration of different professionals from various healthcare sectors to assist adolescent mothers in achieving better health and psychosocial and socio-economic outcomes as steps to securing a better future for themselves and their children.

The Impact of an HIV and AIDS Life Skills Program on Secondary School Students in KwaZulu–Natal, South Africa

2006 ◽  
Vol 18 (4) ◽  
pp. 281-294 ◽  
Author(s):  
Shamagonam James ◽  
Priscilla Reddy ◽  
Robert A.C. Ruiter ◽  
Ann McCauley ◽  
Bart van den Borne
Keyword(s):  
South Africa ◽  
Secondary School ◽  
Life Skills ◽  
Secondary School Students ◽  
Hiv And Aids ◽  
School Students ◽  
Kwazulu Natal ◽  
The Impact ◽  
Life Skills Program

scholarly journals The willingness of private-sector doctors to manage public-sector HIV/AIDS patients in the eThekwini metropolitan region of KwaZulu-Natal

2010 ◽  
Vol 2 (1) ◽  
Author(s):  
Panjasaram Naidoo ◽  
Champaklal C. Jinabhai ◽  
Myra Taylor
Keyword(s):  
South Africa ◽  
Public Sector ◽  
Private Sector ◽  
Hiv And Aids ◽  
Metropolitan Region ◽  
P Value ◽  
Binary Logistic Regression Model ◽  
Aids Patients ◽  
The Public ◽  
Kwazulu Natal

Background: South Africa is severely affected by the AIDS pandemic and this has resulted in an already under-resourced public sector being placed under further stress, while there remains a vibrant private sector. To address some of the resource and personnel shortages facing the public sector in South Africa, partnerships between the public and private sectors are slowly being forged. However, little is known about the willingness of private-sector doctors in the eThekwini Metropolitan (Metro) region of KwaZulu-Natal, South Africa to manage public-sector HIV and AIDS patients.Objectives: To gauge the willingness of private-sector doctor to manage public-sector HIV and AIDS patients and to describe factors that may infuence their responses.Method: A descriptive cross-sectional study was undertaken among private-sector doctors, both general practitioners (GPs) and specialists, working in the eThekwini Metro, using an anonymous, structured questionnaire to investigate their willingness to manage public-sector HIV and AIDS patients and the factors associated with their responses. Chi-square and independent t-tests were used to evaluate associations. Odds ratios were determined using a binary logistic regression model. A p value < 0.05 was considered statistically significant.Results: Most of the doctors were male GPs aged 30–50 years who had been in practice for more than 10 years. Of these, 133 (77.8%) were willing to manage public-sector HIV and AIDS patients, with 105 (78.9%) reporting adequate knowledge, 99 (74.4%) adequate time, and 83 (62.4%) adequate infrastructure. Of the 38 (22.2%) that were unwilling to manage these patients, more than 80% cited a lack of time, knowledge and infrastructure to manage them. Another reason cited by five doctors (3.8%) who were unwilling, was the distance from public-sector facilities. Of the 33 specialist doctors, 14 (42.4%) indicated that they would not be willing to manage public-sector HIV and AIDS patients, compared with only 24 (17.4%) of the 138 GPs (p < 0.01).Conclusion: Many private-sector doctors are willing to manage public-sector HIV and AIDS patients in the eThekwini Metro, potentially removing some of the current burden on the public health sector.

scholarly journals HIV-Infected Adolescent Mothers and Their Infants: Low Coverage of HIV Services and High Risk of HIV Transmission in KwaZulu-Natal, South Africa

PLoS ONE ◽  
2013 ◽  
Vol 8 (9) ◽  
pp. e74568 ◽  
Author(s):  
Christiane Horwood ◽  
Lisa M. Butler ◽  
Lyn Haskins ◽  
Sifiso Phakathi ◽  
Nigel Rollins
Keyword(s):  
South Africa ◽  
High Risk ◽  
Adolescent Mothers ◽  
Hiv Transmission ◽  
Hiv Services ◽  
Kwazulu Natal ◽  
Low Coverage

Adverse Events Reporting System as Experienced by Critical-Care Nurses in KwaZulu-Natal, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Thusile Mabel Gqaleni ◽  
Busisiwe Rosemary Bhengu
Keyword(s):  
South Africa ◽  
Critical Care ◽  
Adverse Events ◽  
Patient Care ◽  
Family Involvement ◽  
Reporting System ◽  
Legal Framework ◽  
Critical Care Nurses ◽  
Kwazulu Natal ◽  
Life Threatening

Critically ill patients admitted to critical-care units (CCUs) might have life-threatening or potentially life-threatening problems. Adverse events (AEs) occur frequently in CCUs, resulting in compromised quality of patient care. This study explores the experiences of critical-care nurses (CCNs) in relation to how the reported AEs were analysed and handled in CCUs. The study was conducted in the CCUs of five purposively selected hospitals in KwaZulu-Natal, South Africa. A descriptive qualitative design was used to obtain data through in-depth interviews from a purposive sample of five unit managers working in the CCUs to provide a deeper meaning of their experiences. This study was a part of a bigger study using a mixed-methods approach. The recorded qualitative data were analysed using Tesch’s content analysis. The main categories of information that emerged during the data analysis were (i) the existence of an AE reporting system, (ii) the occurrence of AEs, (iii) the promotion of and barriers to AE reporting, and (iv) the handling of AEs. The findings demonstrated that there were major gaps that affected the maximum utilisation of the reporting system. In addition, even though the system existed in other institutions, it was not utilised at all, hence affecting quality patient care. The following are recommended: (1) a non-punitive and non-confrontational system should be promoted, and (2) an organisational culture should be encouraged where support structures are formed within institutions, which consist of a legal framework, patient and family involvement, effective AE feedback, and education and training of staff.

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