scholarly journals Patients experiences on the adverse effects associated with antiretroviral treatment in Piet Retief, Mpumalanga Province, South Africa

Author(s):  
Portia Simelane ◽  
Professor Achiampong Yaw Amoateng

<p>This study made use of primary data. This qualitative study draws on 20 individuals, in-depth, face-to-face interviews (individual) with both males and females patients between the ages 15-49 years enrolled at Piet Retief Wellness Centre for antiretroviral treatment (ART) between the period 2010 and 2017 were used to obtain information from patients who have defaulted treatment and those who have not defaulted treatment.</p>

2019 ◽  
Author(s):  
Portia Simelane ◽  
Professor Achiampong Yaw Amoateng

<p>This study made use of primary data. This qualitative study draws on 20 individuals, in-depth, face-to-face interviews (individual) with both males and females patients between the ages 15-49 years enrolled at Piet Retief Wellness Centre for antiretroviral treatment (ART) between the period 2010 and 2017 were used to obtain information from patients who have defaulted treatment and those who have not defaulted treatment.</p>


2021 ◽  
Vol 3 ◽  
Author(s):  
Rebecca L. West ◽  
Sheri A. Lippman ◽  
Rhian Twine ◽  
Meriam Maritze ◽  
Kathleen Kahn ◽  
...  

2020 ◽  
Author(s):  
Carolyn Audet ◽  
Elisa Gobbo ◽  
Daniel E Sack ◽  
Elise M Clemens ◽  
Sizzy Ngobeni ◽  
...  

Abstract Background: Traditional healers are frequently exposed to hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) through the widespread practice of traditional “injections”, in which the healer performs dozens of subcutaneous incisions using a razor blade to rub herbs directly into bloodied tissue. An average healer in Agincourt, a rural northeastern sub-district in Mpumalanga province, South Africa, experiences approximately 1,500 occupational blood exposures over the course of their lifetime. Healers in Agincourt have an HIV prevalence of 30% compared to 19% in the general population, and healers who report exposure to patient blood have an adjusted 2.4-fold higher odds of being HIV-positive than those with no exposure. Although research on appropriate PPE use has been well documented for allopathic care providers, little is known about the practices of traditional healers. Methods: This qualitative study was conducted with 30 traditional healers who practice in the rural Bushbuckridge sub-district of Mpumalanga province, northeastern South Africa. We elicited traditional healer attitudes towards glove use during traditional treatments – including patient baths, injections, or other treatments that exposed healers to patient blood or open sores. Results: While 90% of healers reported using latex gloves during some treatments, the majority do not use them regularly. Most employ a combination of gloves, plastic shopping bags, bread bags, paper, and sticks to prevent blood exposure. Healers reported plastic bags slipping or breaking during procedures, exposing them to patient blood. Only three healers consistently used gloves, regardless of the cost. Conclusions: Inadequate PPE use and high HIV prevalence make traditional healers particularly susceptible to contracting HIV in rural South Africa. Despite positive attitudes, consistent glove use remains low due to financial constraints and glove availability. Addressing issues of accessibility and cost of gloves for traditional healers could have a significant impact on the adherence to PPE and, in turn, reduce new HIV infections among this high-risk group.


2021 ◽  
Vol 5 ◽  
Author(s):  
Oluwaseun Samuel Oduniyi ◽  
Sibongile Sylvia Tekana

Agricultural information plays a vital role in adopting agricultural technology. The study explored if information acquisition is related to the adoption of sustainable land management practices (SLMP) and jointly decided in Mpumalanga Province of South Africa. Primary data were collected through face-to-face interviews, using a proportionate random sampling technique to get 250 smallholder farmers to participate in the survey. A seemingly unrelated bivariate probit (SUBP) model and a recursive bivariate probit (RBP) model were adopted to examine the objective. The statistical estimation of the SUBP showed that there is a relationship, an empirical association between information acquisition and SLMP; while RBP estimation showed that information acquisition was exogenous in the adoption model; thus, the decision to acquire information and adopt SLMP was not jointly decided. Therefore, the study presents the determinants of information acquisition alongside with the adoption of SLPM. The result from the SUBP model, indicated that the years spent in school; agricultural extension service; the number of extension visits and the years of farming, influenced both information acquisition and the adoption of SLMP. The cost attached positively influenced the adoption of SLMP; while gender, marital status and age only influenced the information acquisition.


2014 ◽  
Vol 6 (10) ◽  
pp. 771-778 ◽  
Author(s):  
Aigbavboa C.O.

The purpose of the paper is to investigate current challenges and problems facing small and medium size contractors (SME) in Mbombela (Nelspruit) - Mpumalanga Province of South Africa. This study was necessitated because the importance of small and medium sized enterprises in national building and economic development is of paramount importance in the South Africa economic debate. The primary data for the study was collected through a structured questionnaire survey which was distributed to Small and medium contractors within grade 1-4 of the South Africa Construction Industry Development Board. The survey results indicated that external factors such as high competition when tendering for construction jobs within the CIDB category is a major challenge the SME’s face’s in the procurement of work. Also, internal factors such as poor administrative management within the company, lack of skilled professionals and lack of capacity to deliver on certain project were the greatest challenges faced by the construction companies. The scope of this study is only focused on small and medium size contractors in Nelspruit (Mpumalanga province). In addition, the study is not focused on large established contractors in South Africa. The South African construction industry will continue to provide jobs but intervention is needed to develop the SME’s contractors who contribute a greatly to the economy.


2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Thuli G. Mthembu ◽  
Brian Van Wyk

Background: Antiretroviral treatment (ART) improves the prognosis and quality of life for HIV patients by reducing the rate of disease progression and mortality. Although ART has been available in public health centres in South Africa since 2003, adherence to treatment still remains a challenge. To date, no study has investigated adherence and the factors that influence adherence to ART in rural settings in Mpumalanga Province.Objective: This study described adherence to, knowledge and beliefs about ART and other factors associated with adherence amongst patients registered at Shongwe Hospital in Nkomazi Local Municipality.Method: A cross-sectional survey of 184 randomly selected patients on ART between ages of 15 and 65 years was conducted.Results: The respondents completed a questionnaire on self-reported adherence, knowledge and beliefs about ART and other factors associated with adherence. The majority of the respondents were female (71.2%) and unemployed (83.7%). Most respondents reported optimal ART adherence (taking 95% or more of their medication as prescribed) over the past two (92.4%) and seven (84.2%) days, respectively. The level of knowledge about ART was high and most reported positive beliefs about the effectiveness of ART. However, slightly more than half (53.3%) believed that ART was harmful for the body. The most commonly-reported reasons for missing dosages were forgetfulness, business of the daily routine, having visitors, ‘visiting a bar’ and sleeping away from home.Conclusion: Although, the study found that most ART patients at Shongwe Hospital reported optimal adherence initially, the reasons for missing dosages, some incorrect knowledge and beliefs need to be addressed to ensure long-term adherence and persistence in care. Agterground: Antiretrovirale (ARV) behandeling verbeter die prognose en lewenskwalitiet van pasiënte wat besmet is met MIV, deur ‘n remmende effek op die ontwikkeling van VIGS te bewerkstellig. Alhoewel ARVbehandeling reeds sedert 2003 in openbare gesondheidsentrums in Suid Afrika beskikbaar was, bly die volgehoue en stiptelike navolging van die behandelingsplan ‘n grootse uitdaging vir pasiënte. Daar is egter min navorsing oor die faktore wat navolging van ARV behandeling deur pasiënte in landelike gebiede in Mpumalanga gedoen.Doelwitte: Hierdie studie ondersoek pasiënte se kennis, houdings en ander faktore wat die navolging van ARV behandeling beïnvloed by Shongwe-hospitaal in die Nkomazi distrik in Mpumalanga.Metode: ‘n Bestekopname van 184 pasiënte, tussen die ouderdomme van 15 en 65 jaar, wat ARV behandeling ontvang is gedoen. Hulle is lukraak gekies en het ‘n vraelys voltooi rakende hul kennis en oortuigings ten opsigte van ARV-middels, asook die faktore wat die stiptelike gebruik van die middels beïnvloed.Resultate: Die steekproef het hoofsaaklik uit vroue (71.2%) bestaan, en die meerderheid was werkloos (83.7%). Die meeste van die deelnemers het aangedui dat hulle hul ARV-medikasie die vorige twee dae (92.4%) en sewe dae (84.2%) grotendeels (ten minste 95% van medikasie) volgens voorskrif geneem het. Die meerderheid van die studie deelnemers het redelike kennis van en positiewe houdings teenoor ARV-behandeling getoon. Vergeetagtigheid, die besigheid van normale daaglikse roetine, die ontvang van besoekers, besoeke aan kroeë asook uitslaap was die redes wat aangevoer is vir vernalating om medisyne te neem.Gevolgtrekking: Alhoewel, die meeste pasiënte in hierdie studie aanvanklik redelik goed gevaar het met die navolging van die behandelingsplan, moet die probleme wat ervaar is met die neem van medikasie aangespreek word om lang-termyn navolging van behandeling en retensie te bewerkstellig.


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