scholarly journals Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas

2020 ◽  
Vol 17 (20) ◽  
pp. 7463
Author(s):  
Peter M. Mphekgwana ◽  
Nancy Malema ◽  
Kotsedi D. Monyeki ◽  
Tebogo M. Mothiba ◽  
Mpsanyana Makgahlela ◽  
...  
Keyword(s):  
South Africa ◽  
Blood Pressure ◽  
Rural Communities ◽  
Urban Area ◽  
Rural Women ◽  
Health Workers ◽  
Limpopo Province ◽  
Multivariate Logistic Regression Model ◽  
Fruit Intake ◽  
Salty Food

The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 years in semi-urban and rural communities (1187 semi-urban and 1106 rural). Trained community health workers administered the INTERHEART Risk Score tool and performed blood pressure assessments using the MEDIC Pharmacists Choice Blood Pressure Monitor. Hypertension was defined to be a systolic blood pressure (BP) ≥ 140 mmHg and diastolic BP ≥ 90 mmHg. A multivariate logistic regression model was used to identify factors and determine their relationship with hypertension. The prevalence of hypertension amongst semi-urban and rural communities was 21% with no gender difference. In the semi-urban area, physical activity, family history, fruit intake, salty food, and eating meat were significantly associated with the odds of hypertension among women, whereas only the waist-to-hip ratio (WHR), diabetic status, and salty food were the predictors for rural women. Factors such as fried food and low fruit intake were significantly associated with the odds of hypertension among men in the semi-urban area, whereas only the WHR was significant among men in the rural area. Hypertension was found to be prevalent among semi-urban and rural adults in Limpopo Province, South Africa.

scholarly journals Exploring the Effects of Adult and Community Education and Training on Economic Development of Women, in South Africa

2017 ◽  
Vol 13 (22) ◽  
pp. 94 ◽  
Author(s):  
Sampson Tawiah
Keyword(s):  
South Africa ◽  
Economic Development ◽  
Rural Communities ◽  
Rural Women ◽  
Community Education ◽  
Real Life ◽  
Education And Training ◽  
Study Data ◽  
Educationally Disadvantaged ◽  
And Training

In South Africa, Adult and Community Education and Training (ACET) is established to cater for the educationally disadvantaged individuals, especially rural women, hence, ACET programmes are running in the country nationally. One of the aims of ACET is to open economic opportunities for women; however, the majority of rural women are still performing poorly economically. This empirical study aimed to explore the effect of ACET on the economic development of women in the Lusikisiki district of South Africa. A qualitative approach in the form of a case study design was used for the study to help the researcher relate to the real life circumstances of the women. Purposive sampling was used to select 35 participants from a population of 115. The participants were selected because they had wealth of information and could explain better the phenomenon under study. Data collection instruments used were face to face individual interviews which were audio recorded with the consent of participants. The major findings of the investigation include the following: inadequate learning resources available to women; inadequate skills development programmes provided and skeptical perception of the economic benefit of ACET to women. The study suggested that the programmes of ACET should be restructured and skills driven to meet the needs of women, especially in rural communities.

scholarly journals Contextual factors affecting the integration of community health workers into the health system in Limpopo Province, South Africa

2019 ◽  
Vol 12 (4) ◽  
pp. 281-286 ◽  
Author(s):  
Geoffrey Jobson ◽  
Nireshni Naidoo ◽  
Nthabiseng Matlakala ◽  
Gert Marincowitz ◽  
Jean Railton ◽  
...  
Keyword(s):  
South Africa ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Limpopo Province ◽  
Community Members ◽  
Middle Income ◽  
Factors Affecting ◽  
Challenges And Opportunities ◽  
Decision Making Processes

Abstract Background Community health workers (CHWs) are an essential cadre in the health systems of many low- and middle-income countries. These workers provide a wide variety of services and are key to ongoing processes of task shifting within human immunodeficiency virus programmes in particular. Ward-based outreach teams (WBOTs) are South Africa’s latest iteration of the CHW programme and have been introduced as part of the National Department of Health’s Primary Health Care Re-engineering programme. Methods In order to assess the perceived effectiveness of the WBOTs in supporting the ongoing rollout of antiretroviral therapy, tuberculosis care and patient support, we conducted a qualitative investigation focusing on the perceived successes and challenges of the programme among CHWs, community leaders, healthcare workers and community members in the Mopani district, Limpopo province, South Africa. Results The CHW programme operates across these contexts, each associated with its own set of challenges and opportunities. Conclusions While these challenges may be interrelated, a contextual analysis provides a useful means of understanding the programme’s implementation as part of ongoing decision-making processes.

scholarly journals Climate Change and Food Insecurity Dynamics in the Rural Limpopo Province of South Africa

2018 ◽  
Vol 10 (1(J)) ◽  
pp. 22-32
Author(s):  
Abiodun Olusola Omotayo
Keyword(s):  
Climate Change ◽  
South Africa ◽  
Sustainable Development ◽  
Rural Communities ◽  
Food Insecurity ◽  
Sustainable Development Goals ◽  
Limpopo Province ◽  
The Sustainable Development ◽  
Development Goals ◽  
Household Heads

In the developing nations of the world, poor gross domestic product growth has shown serious vacuum to be filled in order to achieve the sustainable development goals. In that regard, this research article intends to contribute to the sustainable development goals of the United Nation’s goal by explaining the rural food insecurity in the light of climate change dynamic in some selected rural communities of Limpopo Province, South Africa. The data employed in the study were collected from 120 randomly selected rural household heads. Data were analysed with descriptive (frequency, mean etc.) and inferential statistics (Principal component Analysis (PCA), Tobit and Probit Regression) which were properly fitted (P<0.05) for the set research objectives. Descriptive results indicate that the average age of the respondents was 52 years with 60% of the household heads being married and a mean household size of 5.The study concluded that there is climate change effect and food insecurity in the study area and therefore recommended among others that the government of South Africa should endeavour to implement a more rural focused food securityclimate change policies in order to relieve the intensity of food insecurity situations among these disadvantaged rural dwellers of the province as well as to entrench a policy of long term development of agriculture. Finally, the study emphasized that the rural farming households should be enlightened through proper extension services to carry out climate change adaptation and mitigation measures in alleviating the food insecurity situation in the rural communities of the province. 

The Plight of Women and Children

2014 ◽  
Vol 652 (1) ◽  
pp. 106-126 ◽  
Author(s):  
Carol Bower
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Rural Women ◽  
Poor Quality ◽  
Gender Based Violence ◽  
Women And Children ◽  
Gender Based ◽  
And Gender ◽  
Education Justice

Despite South Africa having ratified several international and regional women’s and children’s rights treaties, and having one of the most admired constitutions in the world, the plight of women and children after 20 years of democracy remains, in many respects, dire—especially in rural communities. South Africa is a deeply conservative and patriarchal society, with high levels of violence in general and gender-based violence in particular. It has failed to create sufficient employment opportunities and to sustainably address intergenerational poverty, the latter of which impacts most severely rural women and children. HIV/AIDS has wreaked its most adverse effects on women and children. This context is exacerbated by breakdowns in the health, education, justice, and security sectors; the relative inaccessibility of services (such as health care, schooling, and housing); and the frequently poor quality of services when they are available.

scholarly journals Factors influencing the uptake of contraception services by Vatsonga adolescents in rural communities of Vhembe District in Limpopo Province, South Africa

2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Rachel T. Lebese ◽  
Sonto M. Maputle ◽  
Dorah U. Ramathuba ◽  
Lunic B. Khoza
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Health Beliefs ◽  
Target Population ◽  
Limpopo Province ◽  
Negative Attitudes ◽  
Comprehensive Knowledge ◽  
Data Saturation ◽  
Open Coding ◽  
Vhembe District

The aim of the study was to determine the factors that influence the uptake of contraception services by adolescents in the Vhembe district of Limpopo Province, South Africa. A qualitative research method which is explorative, descriptive and contextual in nature was used to investigate the phenomenon from the adolescents’ perspective. The target population comprised of adolescents residing in one of the six villages of Vhembe District. Data was collected through six focus group discussions until data saturation was achieved. Data was analysed using an open coding method. The findings revealed that adolescents are aware of the availability of contraceptive services. However, they lack a comprehensive knowledge about contraception and contraceptives, which led to negative attitudes towards using the services. Cultural health beliefs and attitudes were also identified as a barrier to the uptake and use of contraceptives. Recommendations were made on interventions to increase the uptake of contraception services amongst adolescents.Die doel met die studie was om te bepaal watter faktore beïnvloed adolessente in die Vembe distrik van Limpopo Provinsie, Suid Afrika se besluit om voorbehoedmiddels te gebruik. ’n Kwalitatiewe navorsingsmetode wat eksploratief, beskrywend en kontekstueel van aard is, is gebruik om die fenomeen vanuit die perspektief van die adolessent te ondersoek. Data is ingewin deur ses fokusgroepbesprekings todat ’n punt van dataversadiging bereik is. Data is met behulp van oop kodeering geanaliseer. Bevindinge het getoon dat die adolessente wel bewus is van die beskikbaarheid van voorbehoeddienste, alhoewel hulle kennis van voorbehoeding en voorbehoedmiddels gebrekkig is, en dit het tot ’n negatiewe houding jeens die gebruik van die dienste gelei. Kulturele en kulturele gesondheidsgelowe gelowe en houdings is ook geidentifiseer as ’n hindernis tot die gebruik van voorbehoedmiddels. Aanbevelings is gemaak ten opsigte van intervensies om die gebruik van voorbehoeddienste onder adolessente te bevorder.

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