scholarly journals Registered Nurses’ Lived Experiences of HIV Counselling and Testing in Rural Primary Healthcare Clinics in Eastern Cape, South Africa

2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Agrenette Nomboniso Madolo
Keyword(s):  
South Africa ◽  
Registered Nurses ◽  
Primary Healthcare ◽  
Lived Experiences ◽  
Immune Deficiency Syndrome ◽  
Healthcare Services ◽  
Eastern Cape ◽  
Structured Interviews ◽  
Contextual Design ◽  
Hiv Counselling And Testing

The increase in the global rates of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) has had far reaching effects on healthcare services around the world. The aim of the study was to explore and describe the lived experiences of registered nurses (RNs) involved in daily implementation of HIV counselling and testing (HCT) in rural primary healthcare (PHC) clinics in Eastern Cape, South Africa. The researcher used a qualitative, descriptive and contextual design. Purposive sampling was used to select the participants. A total of 19 semi-structured interviews were conducted with the RNs until data saturation was achieved. The findings revealed that the RNs experienced HCT to be overwhelming. They also showed signs of stress, frustration, despair and sadness because most of the tested clients had positive results and the number of clients testing positive was increasing. Thus, it is recommended that all professionals working with HCT should be made aware of the emotional outcomes of working in HCT services. Furthermore, it is recommended that a programme to support RNs to cope better with HCT should be developed through further research.

Experiences of Persons Living with Severe and Persistent Mental Illness

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Dalena Van Rooyen ◽  
Kegan Topper ◽  
Nontembeko Grycelda Shasha ◽  
Juanita Strümpher
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Mental Illness ◽  
Rural Communities ◽  
Primary Healthcare ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Eastern Cape ◽  
Healthcare Facilities ◽  
Persistent Mental Illness

The mental healthcare needs of individuals suffering from mental illness, especially those with severe and persistent mental illness, are neglected and often misunderstood in South African rural communities. The purpose of the study was to explore and describe experiences of persons living with severe and persistent mental illness and those of their families in respect of mental health services provided by primary healthcare facilities in rural Eastern Cape, South Africa. A qualitative, descriptive, exploratory research design was utilised. Convenience sampling was used to select primary healthcare facilities in the rural Emalahleni sub-district of the Chris Hani Health District in the Eastern Cape. Purposive sampling was used to recruit persons living with severe and persistent mental illness (n = 18) and their family members (n = 11). A total of 29 in-depth, unstructured individual interviews were conducted using an audio recorder. Tesch’s thematic analysis was used to identify themes from the data. Two central themes emerged from the data, namely the challenges in accessing primary healthcare services, and the inadequate provision of mental healthcare. Primary healthcare in rural South Africa needs to be better prioritised by national government to deal with mental healthcare. Improvements in infrastructural and staff capacity are needed to improve access and availability of mental healthcare services in rural communities. Nursing education programmes should better integrate mental healthcare into curricula, especially rural mental healthcare. Cost-effective, evidence-based, culturally-sensitive mental health innovations focusing on the mental health needs throughout the person’s life course should be implemented.

scholarly journals Views and experiences of family physicians about Syrian refugee patients in Turkey: a qualitative research

2021 ◽  
Vol 22 ◽  
Author(s):  
Duygu Ayhan Baser ◽  
Özge Mıhcı ◽  
Meltem Tugce Direk ◽  
Mustafa Cankurtaran
Keyword(s):  
Primary Healthcare ◽  
Asylum Seekers ◽  
Health Care Services ◽  
Qualitative Methodology ◽  
Healthcare Delivery ◽  
Family Physicians ◽  
Healthcare Services ◽  
Free Access ◽  
Structured Interviews ◽  
Syrian Refugee

Abstract Aim: The aim of this study was to describe the attitudes, views and solution proposals of family physicians (FPs) about primary healthcare problems of Syrian refugee patients. This study would be the very first study for Turkey that evaluates the attitudes, views and solution proposals of FPs about primary healthcare problems of Syrian refugee patients. Background: Following the anti-regime demonstrations that started in March 2011, the developments in Syria created one of the biggest humanitarian crises in the world and the largest number of asylum seekers continue to be hosted in Turkey. There are some studies evaluating asylum seekers’ access to healthcare services in Europe, and the common result is that refugees have free access to primary healthcare services in most countries; however, they face many obstacles when accessing primary healthcare services. While there are studies in the literature evaluating the situation of access to primary healthcare services from the perspective of asylum seekers; there are few studies evaluating the opinions/views of FPs. Methods: A qualitative methodology informed by the grounded theory was used to guide the research. A total of 20 FPs were interviewed face to face through semi-structured interviews, using 12 questions about their lived experience and views caring of refugee population. Interviews were analysed thematically. Finding: The following themes were revealed: Benefiting from Primary Health Care Services, Benefiting from Rights, Differences Between the Approach/Attitudes of Turkish Citizens and Refugees, Barriers to Healthcare Delivery, Training Needs of Physicians, Solution proposals. FPs reported that there is a need for support in primary care and a need for training them and refugees in this regard and they specified refugee healthcare centres are the best healthcare centres for refugees; however, the number of these and provided services should be increased.

scholarly journals Exploring the pregnant women’s perspective of late booking of antenatal care services at Mbekweni Health Centre in Eastern Cape, South Africa

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Ramprakash Kaswa ◽  
George F.D. Rupesinghe ◽  
Benjamin Longo-Mbenza
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Antenatal Care ◽  
Integrated Management ◽  
Health Centre ◽  
Poor Quality ◽  
Eastern Cape ◽  
Structured Interviews ◽  
Care Services ◽  
Late Booking

Background: Antenatal care (ANC) services are the gateway for integrated management of several conditions that adversely affect the mother and foetus. More stillbirths than neonatal deaths in South Africa are a reflection of poor quality ANC services. Aim: The primary aim of this study was to explore the reasons for late booking, and also to determine pregnant women’s knowledge, perceptions and attitude towards antenatal care services they receive in Mthatha area in Eastern Cape, South Africa. Setting: This was a qualitative study, conducted at Mbekweni Health Centre in the King Sabata Dalindyebo (KSD) subdistrict municipality of the Eastern Cape Province. Methods: This qualitative study consisted of selected pregnant women who presented after 19 weeks of gestation at Mbekweni Health Centre. Data were collected through two different methods, namely, semi-structured interviews and focus group discussions were used until saturation of the themes were reached. The interviews were transcribed verbatim and thematic analyses were undertaken. Results: Twenty women participated in the study. They were diverse in terms of age 18–41 years, gravidity 1–6 and time of ANC booking 20–28 weeks. The interviews identified a variety of personal, service and organisational reasons for late ANC booking. The themes identified for late ANC bookings were: health care system related issues, socio-economic factors, women’s perceptions and knowledge, and failure of family planning services. Conclusions: Women’s beliefs, knowledge and perceptions regarding antenatal services outweigh the perceived benefit of early ANC visit. The majority of women had lack of knowledge of contraception, early signs of pregnancy, purpose, timing and benefits of ANC visit.

scholarly journals Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Nigeria

2018 ◽  
Vol 3 (Suppl 5) ◽  
pp. e001079 ◽  
Author(s):  
Ajibola Awotiwon ◽  
Charlie Sword ◽  
Tracy Eastman ◽  
Christy Joy Ras ◽  
Prince Ana ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Health Systems Strengthening ◽  
Added Value ◽  
Practical Approach ◽  
Continuous Learning ◽  
Healthcare Facilities ◽  
Face To Face ◽  
User Friendly

Nigeria, in its quest to strengthen its primary healthcare system, is faced with a number of challenges including a shortage of clinicians and skills. Methods are being sought to better equip primary healthcare clinicians for the clinical demands that they face. Using a mentorship model between developers in South Africa and Nigerian clinicians, the Practical Approach to Care Kit (PACK) for adult patients, a health systems strengthening programme, has been localised and piloted in 51 primary healthcare facilities in three Nigerian states. Lessons learnt from this experience include the value of this remote model of localisation for rapid localisation, the importance of early, continuous stakeholder engagement, the need expressed by Nigeria’s primary healthcare clinicians for clinical guidance that is user friendly and up-to-date, a preference for the tablet version of the PACK Adult guide over hard copies and the added value of WhatsApp groups to complement the programme of face-to-face continuous learning. Introduction of the PACK programme in Nigeria prompted uptake of evidence-informed recommendations within primary healthcare services.

scholarly journals Health-Promoting Lifestyle Behaviours Among Primary Healthcare Professional Nurses in Eastern Cape Province, South Africa

2018 ◽  
Vol 11 (1) ◽  
pp. 92 ◽  
Author(s):  
Sizeka Monakali ◽  
Daniel Ter Goon ◽  
Eunice Seekoe ◽  
Eyitayo Omolara Owolabi
Keyword(s):  
Physical Activity ◽  
South Africa ◽  
Primary Healthcare ◽  
Healthy Lifestyle ◽  
Physical Activities ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Lifestyle Behaviours ◽  
Primary Health ◽  
Professional Nurses

Nurses play significant roles in health promotion and health education about healthy lifestyle practices and are considered role models of healthy lifestyle behaviours. It is unclear if their knowledge of healthy lifestyle choices translate to practice. This study assessed the lifestyle behaviours of primary healthcare professional nurses in the Eastern Cape Province, South Africa. This descriptive, cross-sectional study involved 203 purposively selected primary healthcare nurses in Eastern Cape Province, South Africa. We utilised the WHO STEPwise questionnaire to assess the lifestyle behaviour (smoking, alcohol use and physical activity) of the nurses. Descriptive and inferential statistics were carried out at a significance level of p<0.05. The participants’ mean age was 45.17 (Standard Deviation±11.26) years. Of all the participants, 27% had ever taken alcohol, and 18% currently use alcohol. Only 8% had ever smoked and of these, 3% currently smoke. Of all the participants, 33% do not engage in physical activities, and only 29% of them met the WHO recommendation for being active. Most of them were aware of the benefits of physical activities. Majority of the participants cited lack of time (74%) and lack of commitment (63%) as barriers to physical activity and few of them cited health challenges (3.9%). Among the primary health care professional nurses in this setting, we found a high prevalence of alcohol use and low prevalence of smoking and physical activity among primary health care nurses in this setting. There is a need to implement effective workplace strategies and wellness programmes that will foster healthy lifestyle practices among the nurses.

scholarly journals Medicinal Plants Used by the Inhabitants of Alfred Nzo District Municipality in the Eastern Cape Province, South Africa

2019 ◽  
Vol 9 (3) ◽  
pp. 157-166
Author(s):  
Zingisa Thinyane ◽  
Alfred Maroyi
Keyword(s):  
South Africa ◽  
Medicinal Plants ◽  
Plant Species ◽  
Primary Healthcare ◽  
Biological Activities ◽  
Herbal Medicines ◽  
Pharmaceutical Products ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Snowball Sampling

Plant species used as herbal medicines play an important in the provision of primary healthcare in several rural communities. The current study was aimed at documenting medicinal plants used by the inhabitants of Alfred Nzo District Municipality in the Eastern Cape province, South Africa. Information on medicinal plants used for primary healthcare was collected through open-ended interviews with a sample of 124 participants selected via snowball-sampling technique between April 2017 and May 2018. A total of 34 plant species and one fungus species representing 20 families were used in the treatment of 13 different human diseases. The major diseases treated by the documented species included respiratory system, pain, sores and wounds, infections and infestations, digestive system, blood and cardiovascular system, fever and malaria, general ailments, reproductive system and sexual health and mental disorders. Popular herbal medicines with relative frequency citation (RFC) values exceeding 0.50 included Bulbine frutescens, Clivia miniata var. miniata, Elephantorrhiza elephantina, Centella asiatica, Hypoxis hemerocallidea, Dicerothamnus rhinocerotis, Leonotis leonurus, Agapanthus africanus and Datura stramonium. Such repository of medicinal plants and fungi reinforces the need for an evaluation of their biological activities as a basis for developing future medicines and pharmaceutical products.

scholarly journals A Cross-Sectional Survey of the Prevalence and Determinants of Overweight and Obesity Among Primary Healthcare Professional Nurses In Eastern Cape, South Africa

2019 ◽  
Vol 11 (4) ◽  
pp. 53 ◽  
Author(s):  
Sizeka Monakali ◽  
Daniel Ter Goon ◽  
Eunice Seekoe ◽  
Eyitayo Omolara Owolabi
Keyword(s):  
South Africa ◽  
Healthcare Professional ◽  
Primary Healthcare ◽  
Overweight And Obesity ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Professional ◽  
Professional Nurses

There is a paucity of data on the burden of obesity among primary Health care professional nurses in Eastern Cape Province of South Africa. This study examines the prevalence and determinants of overweight and obesity among Primary Healthcare Professional nurses in Eastern Cape Province of South Africa. This workplace cross-sectional study was conducted among 203 Primary Health Care Professional nurses selected conveniently across 41 primary healthcare facilities in Eastern Cape, South Africa following a the WHO STEPwise approach and using the WHO STEPwise questionnaire for data collection. Data were expressed as mean, counts and proportions, as appropriate. We compared percentages using chi-square test. Descriptive and inferential statistics were conducted. Seventy six percent of the nurses were obese and 18% were overweight. Age, gender, marital status, duration of practice, alcohol use and smoking were significantly associated with obesity. Only age >30 years and not using alcohol were independent predictors of obesity, after adjusting for confounders. We found a high prevalence of obesity among primary healthcare professional nurses in this setting. This constitute future risk for an increased prevalence of chronic diseases among the healthcare workforce in this setting. There is a need for measures to promote healthy lifestyle behaviours and weight management among nurses in this setting.

scholarly journals Impact of COVID-19 on routine primary healthcare services in South Africa

2021 ◽  
Vol 111 (8) ◽  
pp. 714
Author(s):  
Y Pillay ◽  
S Pienaar ◽  
P Barron ◽  
T Zondi
Keyword(s):  
South Africa ◽  
Primary Healthcare ◽  
Healthcare Services

scholarly journals The role of the registered nurse in the marketing of primary healthcare services, as part of health promotion

Curationis ◽  
2006 ◽  
Vol 29 (1) ◽  
Author(s):  
M Rail ◽  
SM Meyer
Keyword(s):  
Registered Nurses ◽  
Primary Healthcare ◽  
Human Subjects ◽  
Health Sector ◽  
Healthcare Services ◽  
Primary Research ◽  
Product Price ◽  
The Right ◽  
Behaviour Changes

Existing literature on the marketing of primary healthcare services was reviewed to determine the role of registered nurses in this regard. The systematic review included “— five searches and ensured wide coverage of the results of available primary research studies on the topic. The results were summarised and the role of registered nurses in the marketing of primary healthcare services was identified. Primary research sources on the topic included textbooks on marketing by experts in the field and relevant journal articles by authorities on healthcare marketing. The data were analysed and four main categories identified. To ensure the trustworthiness of the research, Lincoln and Guba’s (1981:215-216) criteria, as explained by Krefting (1991:217), were applied. Because the population consisted of only literature, ethical considerations concerning human subjects were irrelevant. Results indicated that the basic commercial marketing principles (the so-called 4Ps - product, price, place, and promotion) could be adapted for the health sector. The conclusion was that registered nurses could contribute to the marketing of primary healthcare services by communicating with the community (promotion) and by ensuring effective service (product) delivery at the right price and place. Registered nurses could influence the community’s perceptions of health care and facilitate behaviour changes, thereby promote health. The implementation of the findings and recommendations of this research could create a new awareness among registered nurses of their role in the marketing of primary healthcare services in South Africa and improve their skills in this regard.

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