scholarly journals Behaviour and Socioeconomic Factors of Undocumented Migrants Missing Antiretroviral Therapy Clinic Appointments in Limpopo Province

2021 ◽  
Vol 14 (1) ◽  
pp. 345-351
Author(s):  
Mygirl Pearl Lowane ◽  
Rachel Tsakani Lebese
Keyword(s):  
Antiretroviral Therapy ◽  
Socioeconomic Factors ◽  
Reliability And Validity ◽  
Healthcare Services ◽  
Limpopo Province ◽  
Undocumented Migrants ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Significant Group ◽  
Therapy Clinic

Background: Global migration is increasingly driven by socioeconomic and political unrest, raising a potentially challenging burden for healthcare systems. A significant group of non-South African citizens present in the country are undocumented migrants and have not restricted access to healthcare services. Objectives: This study explored the behaviour and socioeconomic factors of undocumented migrants missing Antiretroviral Therapy clinic appointments. Methods: A qualitative cross-sectional approach was used. Semi-structured interviews, observations, and document analysis of 17 undocumented migrants, who missed more than four appointments in the first 12 months since antiretroviral therapy initiation, were conducted. Thematic analysis and coding categorised the findings into themes. Reliability and validity were ensured through intercoder agreement, audio recording, triangulation, bracketing, and member checking. Results: The finding revealed that registering to more than one healthcare facility, self-transfer to another facility, and job hunting resulted in clients missing their scheduled appointments. Conclusion: The conclusion drawn from this study is that the Electronic Patient Management System must improve to control the number of clients missing clinic appointments.

scholarly journals AGEING IN PLACE FRAMEWORK AS REFERENCE GUIDE FOR HOUSING IN MALAYSIA: LANDED PROPERTY

2018 ◽  
Vol 16 (5) ◽  
Author(s):  
Siti Uzairiah Mohd Tobi ◽  
Mohamad Syazli Fathi ◽  
Dilanthi Amaratunga
Keyword(s):  
Urban Areas ◽  
Cognitive Mapping ◽  
Senior Citizens ◽  
Group Discussion ◽  
Healthcare Services ◽  
Housing System ◽  
Ageing Population ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Ageing In Place

The increasing ageing population due to improved quality of life from better healthcare services and lifestyle as well as development in technology calls for better support in the ageing process. Even though the aged population dramatically increases globally, surprisingly the construction sector and the housing system seem slow in adapting to the changing needs of the ageing population. Increasing evidence show that population ageing is a pervasive and unparalleled global phenomenon which presents many challenges towards social and economic growth. Therefore, this research focuses on the provision of better support services and facilities of landed property, as well as the creation of sustainable environment that is age-friendly and safe. Data were collected using semi-structured interviews, focus group discussion and document reviews. Findings from cross sectional content analysis and cognitive mapping could enhance the standard of living for senior citizens in Malaysia in the context of ageing in place. A foundation for developing a comprehensive guideline for elderly, particularly in the urban areas, is proposed to improve the health and welfare of senior citizens in Malaysia through the provision of better services, facilities and development in landed properties.

scholarly journals Risk factors for visual impairment and blindness amongst black adult diabetis receiving treatment at Government healthcare facilitis in Mopani District, Limpopo province, South Africa

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Raymond G. Mabaso ◽  
Olalekan A. Oduntan
Keyword(s):  
Risk Factors ◽  
Visual Impairment ◽  
Systemic Disease ◽  
Health Centre ◽  
Limpopo Province ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
South Africans ◽  
Common Causes

Background: Diabetes mellitus (DM) is a common systemic disease amongst Black South Africans. It may lead to diabetic retinopathy (DR), a common cause of visual impairment (VI) and blindness. DR may signifiantly increase the prevalence of VI and blindness.Aim: To assess risk factors for VI and blindness amongst a black diabetic South African population aged ≥ 40 years.Setting: The study was conducted in seven Government healthcare facilities (two hospitals, four clinics and one health centre) in Mopani District, Limpopo province, South Africa.Methods: This was a cross-sectional health facility-based quantitative study. Structured interviews were used to obtain information, which included sociodemographic profie, knowledge about DM and its ocular complications, presence of hypertension and accessibility to health facilities. Subsequently participants were examined for VI and blindness using an autorefractor, pinhole disc, ophthalmoscope and logMAR visual acuity chart. Anthropometric measurements (height, weight and waist) were also taken. Associations between 31 risk factors and VI as well as blindness were statistically examined.Results: Participants (N = 225) included 161 women and 64 men aged 40–90 years (mean 61.5 ± 10.49 years); 41.3% of them had VI and 3.6% were blind. Cataracts (76.8%) and DR (7.1%) were the common causes of compensated VI and blindness. Risk factors that were associated with VI and blindness were age, monthly income, compliance with losing weight and physical activity.Conclusion: Findings suggest that lifestyle intervention and appropriate eyecare programmes may reduce VI and blindness in this population.

Stakeholder expectations of performance in public healthcare services

2017 ◽  
Vol 25 (1) ◽  
pp. 136-157 ◽  
Author(s):  
Joseph Phiri
Keyword(s):  
Service Delivery ◽  
Healthcare Services ◽  
Macro Level ◽  
Public Healthcare ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Stakeholder Expectations ◽  
Content Type ◽  
Economic Context ◽  
Facility Level

Purpose The purpose of this paper is to explore stakeholder expectations of performance within public healthcare services from a less-developed economic context – Zambia in this case. The study emerges from extant literature indicating potential variations in stakeholder conceptions and expectations of performance within public services. Design/methodology/approach The paper draws on institutional and structuration theories to investigate cross-sectional stakeholder expectations of performance together with power relations embedded within public healthcare performance expectations. Empirical data are drawn from semi-structured interviews with 33 stakeholders including legislators, policymakers, regulators of health services, healthcare professionals and health facility managers. Findings The findings not only reiterate the constructed and multi-dimensional nature of performance but also highlight the hierarchical configuration of stakeholder expectations linking macro-level health outcomes with micro facility-level service delivery processes. Practical implications The study points towards the need of harmonising the national performance measurement (PM) framework to ensure that macro-level goals are suitably cascaded and translated into micro-level service delivery processes through bottom-up structuration linkages. Originality/value In addition to filling the gap of explicating public healthcare PM practices in a less-developed economic context, the paper integrates insights from institutional and structuration theories to depict stakeholder expectations of performance through a multi-level and hierarchical framework.

scholarly journals AGEING IN PLACE FRAMEWORK AS REFERENCE GUIDE FOR HOUSING IN MALAYSIA: LANDED PROPERTY

2018 ◽  
Vol 16 ◽  
Author(s):  
Siti Uzairiah Mohd Tobi ◽  
Mohamad Syazli Fathi ◽  
Dilanthi Amaratunga
Keyword(s):  
Urban Areas ◽  
Cognitive Mapping ◽  
Senior Citizens ◽  
Group Discussion ◽  
Healthcare Services ◽  
Housing System ◽  
Ageing Population ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Ageing In Place

The increasing ageing population due to improved quality of life from better healthcare services and lifestyle as well as development in technology calls for better support in the ageing process. Even though the aged population dramatically increases globally, surprisingly the construction sector and the housing system seem slow in adapting to the changing needs of the ageing population. Increasing evidence show that population ageing is a pervasive and unparalleled global phenomenon which presents many challenges towards social and economic growth. Therefore, this research focuses on the provision of better support services and facilities of landed property, as well as the creation of sustainable environment that is age-friendly and safe. Data were collected using semi-structured interviews, focus group discussion and document reviews. Findings from cross sectional content analysis and cognitive mapping could enhance the standard of living for senior citizens in Malaysia in the context of ageing in place. A foundation for developing a comprehensive guideline for elderly, particularly in the urban areas, is proposed to improve the health and welfare of senior citizens in Malaysia through the provision of better services, facilities and development in landed properties.

scholarly journals Accessibility, affordability and use of health services in an urban area in South Africa

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Ethelwynn L. Stellenberg
Keyword(s):  
South Africa ◽  
Health Services ◽  
Reliability And Validity ◽  
Healthcare Services ◽  
Western Cape ◽  
Residential Areas ◽  
Chi Square ◽  
Cross Sectional ◽  
Population Groups ◽  
Use Of Health Services

Background: Inequalities in healthcare between population groups of South Africa existed during the apartheid era and continue to exist both between and within many population groups. Accessibility and affordability of healthcare is a human right.Objectives: The aim of the study was to explore and describe accessibility, affordability and the use of health services by the mixed race (coloured) population in the Western Cape, South Africa.Method: A cross-sectional descriptive, non-experimental study with a quantitative approach was applied. A purposive convenient sample of 353 participants (0.6%) was drawn from a population of 63 004 economically-active people who lived in the residential areas as defined for the purpose of the study. All social classes were represented. The hypothesis set was that there is a positive relationship between accessibility, affordability and the use of health services. A pilot study was conducted which also supported the reliability and validity of the study. Ethics approval was obtained from the University of Stellenbosch and informed consent from respondents. A questionnaire was used to collect the data.Results: The hypothesis was accepted. The statistical association between affordability (p = < 0.01), accessibility (p = < 0.01) and the use of health services was found to be significant using the Chi-square (χ²) test.Conclusion: The study has shown how affordability and accessibility may influence the use of healthcare services. Accessibility is not only the distance an individual must travel to reach the health service point but more so the utilisation of these services. Continuous Quality Management should be a priority in healthcare services, which should be user-friendly.

Barriers and enablers to nurse prescribing in primary care

2020 ◽  
Vol 2 (3) ◽  
pp. 142-146
Author(s):  
Judith Magowan
Keyword(s):  
Professional Development ◽  
Primary Care ◽  
Continuing Professional Development ◽  
Healthcare Services ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Barriers And Enablers ◽  
Ovid Medline ◽  
Nurse Prescribing

Non-medical prescribing has seen rapid growth in recent years in the United Kingdom. It has been shown to be beneficial to patients and healthcare services. There are advantages for practitioners who choose to take on this extended role, however, some nurse independent prescribers only use their prescribing qualification in a limited way and others not at all. This literature review will consider the barriers and enablers for nurse prescribers who work in primary care. Five papers were selected from a database search of Ovid Medline, PubMed, Cinahl, and Google Scholar: two meta-syntheses, one systematic review, a national cross-sectional survey and a qualitative study using semi-structured interviews. The results showed that key areas of continuing professional development, support, and organisational factors could affect prescribing in either a positive or negative way and that these areas were often interrelated. There was little difference in these issues between primary care and the acute sector. Ensuring access to continuing professional development, the provision of ongoing clinical and managerial support and improvement to infrastructure along with further research are recommended to ensure nurse independent prescribers advance and fully utilise their prescribing qualification and that this vital service continues to develop and expand.

scholarly journals Knowledge and practices related to diabetes mellitus among adults with diabetes in the Mopani District, Limpopo Province, South Africa

2016 ◽  
Vol 75 (1) ◽  
Author(s):  
Raymond G. Mabaso ◽  
Olalekan A. Oduntan
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
South Africa ◽  
Health Care Facilities ◽  
Limpopo Province ◽  
Structured Interviews ◽  
Cross Sectional ◽  
South Africans ◽  
Special Diet ◽  
Black South Africans

Background: Diabetes mellitus (DM) among black South Africans is on the increase because of population ageing, unhealthy lifestyles, and obesity. Knowledge about DM and appropriate practices related to DM are keys to its proper management.Aim: To assess the knowledge and practices related to DM among black South Africans aged 40 years and older with DM.Setting: The study was conducted in seven government health care facilities in the Mopani District.Method: This was a health facility-based cross-sectional quantitative study. Structured interviews were used to obtain information which included socio-demographic profiles as well as knowledge about DM and its ocular complications.Results: Participants (N = 225) included 161 (71.6%) women and 64 (28.4%) men aged 40–90 years (mean and standard deviation of 61.5 ± 10.49 years). Many (68.3%) did not know the types of DM and only 32.4% knew the type of DM they had. Many knew about the importance of special diet (84.5%) and physical activity (64.4%) in DM management; however, only 52% knew about the importance of losing weight. Many (71.5%) followed a special diet as advised, only 29.1% always tried to lose weight, and 48.3% engaged in physical activity. Many (82.6%) knew that DM could cause vision problems, but only 49.3% have had their eyes examined. Most (99.5%) of those on oral medication and those on insulin (93.1%) reported using their treatment as prescribed.Conclusion: The knowledge and practices related to DM among the participants were good in certain aspects but poor in others, suggesting the need for programmes on DM awareness in this population.Keywords: Knowledge; practices; diabetes mellitus; Mopani District; South Africa

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