Unit Managers’ Perceptions of Implementation of National Core Standards in Tertiary Hospitals

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Winnie Thembisile Maphumulo ◽  
Busisiwe Bhengu
Keyword(s):  
South Africa ◽  
Human Resources ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Working Environment ◽  
Staff Retention ◽  
Cross Sectional ◽  
Services Delivery ◽  
Kwazulu Natal ◽  
Tertiary Hospitals

Globally, all healthcare systems face challenges in improving the quality of healthcare services delivery. In South Africa, the National Department of Health introduced the National Core Standards (NCS) tool in 2011 as affirmation of what is predicted to deliver decent, safe and high-quality care in healthcare establishments. The study presented in this paper aimed to determine unit managers’ perceptions of the implementation of the NCS in tertiary hospitals in KwaZulu-Natal, South Africa. This was a cross-sectional, descriptive survey. A purposive sampling technique was used to select hospitals offering secondary and tertiary services in KwaZulu-Natal. A census method was used to recruit all unit managers in the study. A census method is an attempt to list all elements or to use every unit in a group and to measure one or more characteristics of those elements. Out of the 169 population of unit managers counted in these hospitals, only 95 participated in the study. The collected data were analysed using SPSS Statistics version 25. The study showed that the participants’ perceptions were positive about the availability of material resources. However, a shortage of human resources in terms of numbers, skills, and skills mix was noted. The results also revealed that the participants’ perceptions of the availability of a positive working environment were negative. This study recommends that the healthcare authorities develop a strategic approach to manage scarce human resources by attracting, sourcing, selecting, training, developing, and retaining healthcare workers. This includes creating a positive working environment to promote staff retention.

Evaluation of Healthcare Services: Cross-sectional Case in KwaZulu-Natal, South Africa

2015 ◽  
Vol 52 (1-2) ◽  
pp. 32-38
Author(s):  
Peggy Gumede ◽  
Paul Green ◽  
Bongani Dlamini
Keyword(s):  
South Africa ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Kwazulu Natal

scholarly journals The Interaction between HIV and Intestinal Helminth Parasites Coinfection with Nutrition among Adults in KwaZulu-Natal, South Africa

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
B. T. Mkhize ◽  
M. Mabaso ◽  
T. Mamba ◽  
C. E. Napier ◽  
Z. L. Mkhize-Kwitshana
Keyword(s):  
South Africa ◽  
Nutritional Status ◽  
Transferrin Saturation ◽  
Intestinal Helminth ◽  
Helminth Parasites ◽  
Probit Regression ◽  
Cross Sectional ◽  
Care Clinic ◽  
Comprehensive Primary Health Care ◽  
Kwazulu Natal

In South Africa few studies have examined the effects of the overlap of HIV and helminth infections on nutritional status. This cross-sectional study investigated the interaction between HIV and intestinal helminths coinfection with nutritional status among KwaZulu-Natal adults. Participants were recruited from a comprehensive primary health care clinic and stratified based on their HIV, stool parasitology, IgE, and IgG4 results into four groups: the uninfected, HIV infected, helminth infected, and HIV-helminth coinfected groups. The nutritional status was assessed using body mass index, 24-hour food recall, micro-, and macronutrient biochemical markers. Univariate and multivariate multinomial probit regression models were used to assess nutritional factors associated with singly and dually infected groups using the uninfected group as a reference category. Biochemically, the HIV-helminth coinfected group was associated with a significantly higher total protein, higher percentage of transferrin saturation, and significantly lower ferritin. There was no significant association between single or dual infections with HIV and helminths with micro- and macronutrient deficiency; however general obesity and low micronutrient intake patterns, which may indicate a general predisposition to micronutrient and protein-energy deficiency, were observed and may need further investigations.

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 Hearing healthcare gaps in LMICS: snapshot from a semi-urban community in Nigeria

2021 ◽  
Vol 21 (2) ◽  
pp. 912-918
Author(s):  
Adebolajo Adeyemo ◽  
Segun Ogunkeyede ◽  
Oluyinka Dania
Keyword(s):  
Hearing Loss ◽  
Urban Communities ◽  
Healthcare Delivery ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Traditional Healers ◽  
Medical Intervention ◽  
Cross Sectional ◽  
Ear Diseases

Background: Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to pre- ventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality. Objectives: This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community. Methods: A cross-sectional study of households selected by multistage random sampling technique. Seventy-four partici- pants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined. Results: All participants reported recent occurrence of ear complaints or gave similar history in a household member. Com- mon complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse. Conclusion: Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcare. Keywords: Hearing loss; healthcare delivery; disease burden; ear diseases; developing countries.

scholarly journals THE USE OF MARKETING AS A TOOL FOR COMPETITIVE ADVANTAGE AMONG POTENTIAL AND PROFESSIONAL FOOTBALL CLUBS IN KZN, SOUTH AFRICA

2020 ◽  
Vol 8 (4) ◽  
pp. 319-335
Author(s):  
Joseph Kolawole Abon ◽  
Keyword(s):  
South Africa ◽  
Competitive Advantage ◽  
Sampling Technique ◽  
Research Approach ◽  
Professional Football ◽  
Mixed Method Research ◽  
Football Clubs ◽  
Kwazulu Natal ◽  
Marketing Activities ◽  
Marketing Actions

Football, as the most popular sport amongst other sports, is a household name in the world and South Africa particularly. This study examines the use of marketing in improving competitive advantage among potential and professional football clubs in KwaZulu-Natal, South Africa. Several sponsorship opportunities that could serve as an impetus to disseminate various club projects are noted to be undermined. Arguably, some of the clubs’ activities are seasonal, and the applicability of marketing by football clubs in the KZN province could not be tactically emphasized. Therefore, the amount of marketing activities in clubs’ seasonal operations is unidentified which poses a challenge in achieving club objectives. This paper argues that it is of importance for the club marketing managers to consider features of each specific season and corporate marketing activities for the development of appropriate marketing actions that could serve as competitive advantages. This study adopts a mixed-method research approach, and a convenient sampling technique with responses from 80 questionnaires were retrieved. Five (5) coaches, 5 club owners, 5 managers, 5 supporters, and 5 players from five football clubs each located in KwaZulu-Natal province were interviewed to extract their understanding of the use of marketing to gain competitive advantage. Findings from the study state that using marketing correctly could improve the chances of potential professional football clubs’ popularity and increase financial gains. Most respondents emphasized that when clubs use a proper marketing strategy with appropriate use of marketing mix, it could position the clubs in the hearts of their supporters and public.

scholarly journals Analysis of Patients Complaints Reviewed from Human Resources Factors, Health and Private Facilities Services

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Danang Sasongko ◽  
Sentot Imam Suprapto ◽  
Indasah Indasah
Keyword(s):  
Health Services ◽  
Human Resources ◽  
Research Design ◽  
Inpatient Care ◽  
Sampling Technique ◽  
Statistical Test ◽  
Influential Factor ◽  
Observational Research ◽  
Cross Sectional ◽  
Patient Complaints

Services provided by hospitals sometimes cause dissatisfaction, dissatisfaction can be conveyed through patient complaints, patient complaints can be caused by factors of human resources, health services or available facilities. The purpose of this study was to determine the factors that influence patient complaints in the Inpatient Room of the Caruban Hospital Pavilion in Madiun Regency. In this study, researchers used an observational research design with a Cross Sectional approach. The sample in this study amounted to 80 respondents. Purposive sampling technique. The research instrument uses a questionnaire with ordinal regression statistical test with α = 0.05. Most respondents 57.9% (113 people) stated that Human Resources in the Inpatient Room were good. Most respondents 53.8% (105 people) stated that health services in the Inpatient Room were good. Almost half of the respondents 46.2% (90 people) stated that the factors of facilities and infrastructure in the Inpatient Room were good. The majority of respondents 53.8% (103 people) showed patient complaints in the low inpatient room. There was an influence of Human Resources with complaints from patients in the Inpatient Hospital of Caruban Hospital in Madiun Regency, p = 0040. there was no influence of health services with complaints of patients in the Inpatient Room of the Caruban Hospital of Madiun District, p = 0.193. There is an influence of facilities and infrastructure with patient complaints in the Inpatient Care Unit of Caruban Hospital in Madiun Regency, p = 0.048. The most influential factor on patient complaints in the Inpatient Pavilion is a factor of human resources and facilities and infrastructure factors because with good resources the service will be excellent supported by the existing facilities and infrastructure.

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 Coital frequency and condom use in age-disparate partnerships involving women aged 15 to 24: evidence from a cross-sectional study in KwaZulu-Natal, South Africa

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e024362 ◽  
Author(s):  
Gavin George ◽  
Brendan Maughan-Brown ◽  
Sean Beckett ◽  
Meredith Evans ◽  
Cherie Cawood ◽  
...  
Keyword(s):  
South Africa ◽  
Condom Use ◽  
Young Women ◽  
Hiv Risk ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Coital Frequency ◽  
Cross Sectional ◽  
Kwazulu Natal

ObjectiveThis study examines the role of age-disparate partnerships on young women’s HIV risk by investigating coital frequency and condom use within age-disparate partnerships involving women aged 15 to 24.DesignA community-based, cross-sectional study was conducted.SettingParticipants were randomly selected using a two-stage random sampling method in uMgungundlovu district, KwaZulu-Natal, South Africa, between June 2014 and June 2015.ParticipantsA total of 1306 15–24-year-old women in an ongoing heterosexual partnership were included in the analysis. Participants had to be a resident in the area for 12 months, and able to provide informed consent and speak one of the local languages (Zulu or English).Primary and secondary outcome measuresSexual frequency was assessed by asking participants how many times they had sex with each partner in the past 12 months. The degree of condomless sex within partnerships was assessed in the survey by asking participants how often they used a condom with their partners.ResultsAge-disparate partnerships were associated with a higher order category (once, 2–5, 6–10, 11–20, >20) of coital frequency (adjusted OR (aOR) 1.32, p<0.05, 95% CI 1.02 to 1.71) and with sex on more than 10 occasions (aOR 1.48, p<0.01, 95% CI 1.12 to 1.96) compared with age-similar partnerships. Age-disparate partnerships were also more likely to involve sex on more than 10 occasions with inconsistent condom use (aOR 1.43, p<0.05, 95% CI 1.04 to 1.96) in the previous 12 months.ConclusionThe finding that increased sexual activity is positively associated with age-disparate partnerships adds to the evidence that age-disparate partnerships pose greater HIV risk for young women. Our study results indicate that interventions to reduce risky sexual behaviour within age-disparate partnerships remain relevant to reducing the high HIV incidence rates among adolescent girls and young women.

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