scholarly journals Paving the Path: Preparing for Microbicide Introduction—Report of a Qualitative Study in South Africa

2004 ◽  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Hiv Transmission ◽  
National Level ◽  
Urban Site ◽  
Western Cape ◽  
Care Providers ◽  
Aids Epidemic ◽  
Critical Issues

With recently accelerated support for the development of microbicides to prevent HIV transmission and the urgency of the global AIDS epidemic, it is important to begin to identify strategies for introducing a microbicide once it is proven safe and effective and is approved for use. This report presents results from a qualitative study that explored a range of issues likely to influence microbicide introduction—positively or negatively—at three levels: community, health service, and policy. The study, which identified critical issues to be addressed in building support for microbicides and facilitating a smooth introduction, was conducted between September 2002 and September 2003 in Langa, a peri-urban site in the Western Cape Province of South Africa, and at national and provincial levels. Through in-depth interviews and focus group discussions, this study explored and identified issues that could facilitate or undermine access to and use of microbicides. Respondents included community members, health care providers and managers, provincial- and national-level government officials, and representatives from national and provincial nongovernmental organizations and health professional bodies that influence policy.

scholarly journals Paving the Path: Preparing for Microbicide Introduction—Report of a Qualitative Study in South Africa [Executive Summary]

2004 ◽  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Hiv Transmission ◽  
National Level ◽  
Urban Site ◽  
Western Cape ◽  
Care Providers ◽  
Executive Summary ◽  
Critical Issues

With recently accelerated support for the development of microbicides to prevent HIV transmission and the urgency of the global AIDS epidemic, it is important to begin to identify strategies for introducing a microbicide once it is proven safe and effective and is approved for use. This executive summary presents results from a qualitative study that explored a range of issues likely to influence microbicide introduction at the community, health service, and policy levels. The study, which identified critical issues to be addressed in building support for microbicides and facilitating a smooth introduction, was conducted between September 2002 and September 2003 in Langa, a peri-urban site in the Western Cape Province of South Africa, and at national and provincial levels. Through in-depth interviews and focus group discussions, this study explored and identified issues that could facilitate or undermine access to and use of microbicides. Respondents included community members, health care providers and managers, provincial- and national-level government officials, and representatives from national and provincial nongovernmental organizations and health professional bodies that influence policy.

scholarly journals Training primary care nurses to conduct alcohol screening and brief interventions in South Africa

Curationis ◽  
2006 ◽  
Vol 29 (2) ◽  
Author(s):  
K Peltzer ◽  
P Seoka ◽  
T Babor ◽  
I Obot
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Health Care Providers ◽  
World Health Organisation ◽  
Alcohol Screening ◽  
World Health ◽  
Rural Site ◽  
Urban Site ◽  
Care Providers ◽  
Screening And Brief Intervention

Although progress has been made in developing a scientific basis for alcohol screening and brief intervention (SBI), training packages are necessary for its widespread dissemination in primary care settings in developing societies. Using a training package developed by the World Health Organisation 121 nurses from one rural site (29 clinics in Vhembe District) and one urban site (3 clinics and 6 mobile clinics in Polokwane/ Seshego) in South Africa were compared before and after SBI training regarding knowledge and attitudes, and the subsequent practice of SBI in routine clinical practice. Although the training effects were at times moderate, all changes were in a direction more conducive to implementing SBI. Health care providers significantly increased in knowledge, confidence in SBI and higher self-efficacy in implementing SBI at followup after 9 months after receiving the training. When delivered in the context of a comprehensive SBI implementation programme, this training is effective in changing providers’ knowledge, attitudes, and practice of SBI for at-risk drinking.

scholarly journals The perceptions and perspectives of patients and health care providers on chronic diseases management in rural South Africa: a qualitative study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Eric Maimela ◽  
Jean-Pierre Van Geertruyden ◽  
Marianne Alberts ◽  
Sewela EP Modjadji ◽  
Herman Meulemans ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Qualitative Study ◽  
Chronic Diseases ◽  
Health Care Providers ◽  
Care Providers ◽  
Rural South ◽  
Rural South Africa

THE CHALLENGES OF OFFERING PUBLIC SECOND TRIMESTER ABORTION SERVICES IN SOUTH AFRICA: HEALTH CARE PROVIDERS' PERSPECTIVES

2011 ◽  
Vol 44 (2) ◽  
pp. 197-208 ◽  
Author(s):  
J. HARRIES ◽  
N. LINCE ◽  
D. CONSTANT ◽  
A. HARGEY ◽  
D. GROSSMAN
Keyword(s):  
South Africa ◽  
Health Care Providers ◽  
Service Providers ◽  
Team Building ◽  
Physical Space ◽  
Western Cape ◽  
Second Trimester ◽  
Care Providers ◽  
Trimester Abortion ◽  
Second Trimester Abortion

SummaryAround 25% of abortions in South Africa are performed in the second trimester. This study aimed to better understand what doctors, nurses and hospital managers involved in second trimester abortion care thought about these services and how they could be improved. Nineteen in-depth interviews with abortion-related service providers and managers in the Western Cape Province, South Africa, were undertaken. Data were analysed using a thematic analysis approach. Participants expressed resistance to the dilation and evacuation (D&E) procedure, as this required more active provider involvement. Medical abortion was preferred as it required less provider involvement in the abortion process. A shortage of providers willing to perform D&E resulted in most public sector services being outsourced to private sector doctors. Respondents noted an increased demand for services and a concomitant lack of infrastructure, physical space and personnel to respond to these demands, sometimes resulting in fragmented or poor quality care. At medical induction sites, most thought introducing the combined mifepristone–misoprostol regimen would improve service capacity, although they were concerned about cost. Improving contraceptive services was also seen as a much-needed intervention to improve care and prevent abortion. Ongoing training, including values clarification, as well as emotional support and team-building for providers are needed to ensure sustainable, high-quality second trimester abortion services.

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