scholarly journals Factors influencing uptake of schistosomiasis research findings in ingwavuma area, uMkhanyakude District, Kwazulu-Natal, South Africa

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Tafadzwa Mindu ◽  
Moses J. Chimbari
Keyword(s):  
South Africa ◽  
Rural Areas ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Primary School Children ◽  
Factors Influencing ◽  
Kwazulu Natal ◽  
Research Uptake ◽  
Research Findings ◽  
Sub Saharan

Background: Research uptake is concerned with spreading ideas across multiple levels of the community. Barriers such as poverty, lack of infrastructure, illiteracy and culture prevent information sharing in arid rural areas of sub-Saharan Africa. Objective: This study explores the factors influencing schistosomiasis research uptake and the available channels for the uptake of research findings from a transdisciplinary and eco-health research project on schistosomiasis in Ingwavuma area, uMkhanyakude district, KwaZulu-Natal province in South Africa. Methods: This case study conducted in 2017 involved 78 primary school children and 73 heads of household recruited through convenience and purposive sampling. Data were collected through focus group discussions, then transcribed and analysed by the researcher using thematic analysis. Results: Factors such as poor knowledge, water and sanitation problems, and lack of sufficient health workers hindered the uptake of schistosomiasis research findings. Participants recommended several platforms to share schistosomiasis research findings with the community, including: door to door visits; social gatherings such as sports events, talent shows, and religious gatherings; mass media platforms such as radio and television; social media platforms such as WhatsApp, Facebook and Twitter; and printed media such as posters, booklets and pamphlets. Conclusions: There is a need to train health workers and peer educators in this area of South Africa to educate people about schistosomiasis infection, screening and treatment through home visits or social events. Schistosomiasis research findings must be synthesised and packaged in different forms for dissemination via multimedia media-based communication channels.

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

scholarly journals 1673. Gendered Patterns of HIV, TB, and Other Primary Care Referrals in Rural South Africa

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S612-S613
Author(s):  
Koeun Choi ◽  
Anthony Moll ◽  
Sheela Shenoi
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Health Care ◽  
Community Health ◽  
Health Workers ◽  
Hazardous Drinking ◽  
Sub Saharan Africa ◽  
Running Water ◽  
Health Concerns ◽  
Sub Saharan

Abstract Background Men’s lack of engagement in healthcare hinders HIV efforts in sub-Saharan Africa. Masculine norms and lack of accessibility in a female-dominated healthcare system deter male health-seeking behavior. Community interventions combat the gender gap. In South Africa (SA), alcohol-based venues (ABV) are common locales for men. We created an ABV community health screening to determine the need. Methods Community Health Workers targeted ABV in rural SA, offering screenings for HIV, TB, Isoniazid Preventive Therapy, STI, hypertension, diabetes, circumcision, with referral to primary care services (PCS) for any positive screenings. Participants completed questionnaires, including socioeconomic (SE), healthcare use, and alcohol use evaluated by AUDIT scores. Multivariable logistic regression identified factors associated with referral to PCS. Results From July 2018 to March 2019, 1356 were screened, 74% were men, median age was 30 (IQR 22–46), 26% employed and 30% had running water. Men are more likely to have never gone to a PCS compared with women (15.9% vs. 9.7%, P = 0.004) and have lengthier time since the last clinic visit (1.4 years vs. 0.6 years, P < 0.001). Men are significantly more likely than women to report hazardous drinking (49% vs. 28%, P < 0.001) Overall, positive screenings were noted in 537 (53.9%) community members, and χ 2 analysis show men more likely to require referrals after screening (P = 0.08). Multivariate analysis shows among men, referrals were associated with older age, hazardous drinking, any health concerns; while higher SE was protective. For women, only age and health concerns were associated with referral. Similarly, alcohol contributed to HIV and TB referrals for men, while higher SE was protective of TB referrals for men (Table 1). Conclusion ABV males in this rural community, although disengaged from health care, required more referrals than women. HIV, TB, and any referrals for men screened at ABV in rural SA were associated with lower SE and hazardous drinking, highlighting the challenges that this population faces in seeking health care. Differentiated and targeted community-based services may facilitate care for these hard to reach men in sub-Saharan Africa. Next steps include determining clinical outcomes of referrals. Disclosures All authors: No reported disclosures.

scholarly journals Occurrence of Theileria parva and other haemoprotozoa in cattle at the edge of Hluhluwe-iMfolozi Park, KwaZulu-Natal, South Africa

2010 ◽  
Vol 81 (1) ◽  
Author(s):  
S. B.A.S. Yusufmia ◽  
N. E. Collins ◽  
R. Nkuna ◽  
M. Troskie ◽  
P. Van Den Bossche ◽  
...  
Keyword(s):  
South Africa ◽  
Buffy Coat ◽  
Babesia Bovis ◽  
Sub Saharan Africa ◽  
Significant Finding ◽  
Theileria Parva ◽  
Mortality And Morbidity ◽  
Kwazulu Natal ◽  
Pcr Rflp ◽  
Sub Saharan

Theileria parva, the most important bovine theilerial species in sub-Saharan Africa, causes widespread mortality and morbidity in endemic areas. A survey was conducted using buffy-coat specimens from 60 apparently healthy adult communally herded Nguni-type cattle at the northeastern edge of the Hluhluwe-iMfolozi Park to determine, by means of PCR and Reverse Line Blot (RLB) hybridisation, the occurrence of Theileria and Babesia species. The presence of Trypanosoma species was determined using PCR-RFLP. Results showed that 6.7 % of the specimens were positive for Theileria parva. This significant finding suggests that cattle in South Africa, and not only African buffaloes (Syncerus caffer), may be subclinical carriers of T. parva. Other species identified were T. mutans (83.3 %), T. velifera (70.0 %), Theileria sp. (sable) (46.8 %) and T. taurotragi (1.7 %). Two specimens (3.3 %) were positive for Babesia bovis and single specimens (1.7 %) positive for B. bigemina and B. rossi, respectively. Mixed infections, of up to 4 species, were common (65.0 %). Only 1 specimen was found to be positive for Trypanosoma vivax, and 2 for T. theileri, of which only the first species is pathogenic.

scholarly journals The psychosocial well-being of orphans in Southern Africa: the perception of orphans and teachers

2010 ◽  
Vol 6 (2) ◽  
Author(s):  
M W De Witt ◽  
A C Lessing
Keyword(s):  
Developing Countries ◽  
Southern Africa ◽  
Rural Areas ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Life World ◽  
Personal Experiences ◽  
Research Findings ◽  
Sub Saharan ◽  
Developing Settings

The escalation in numbers of orphans in Sub-Saharan Africa has become a human catastrophe. If governments do not deal with this phenomenon as a priority it might spiral beyond control. Very few studies have been done to investigate the psychosocial impact of orphanhood on children and communities in developing countries. Very little is known about the life world of orphans in developing countries and even less is known about factors in these children’s lives which can affect their mental health. The researchers decided to undertake research in three areas in Southern Africa to investigate the psychosocial well-being of orphans and to compare the findings with existing research findings. A survey was done in three rural areas to determine the perceptions of orphans regarding their own personal experiences and emotional feelings which may reflect on psychosocial well-being, as well as the perceptions of teachers working with these orphans. Except for depression, the findings with regard to most of the psychosocial aspects were in accordance with the literature. The most important findings were that bereavement practices and approaches fit for developed communities might be of little value in developing settings. We are, however, more than aware that orphans from developed counties or even urban settings might differ from those of developing or deep rural areas.Keywords: Orphans; psychosocial well-being; bereavement; poverty; stigmatisation 

scholarly journals Community-orientated primary care: a scoping review of different models, and their effectiveness and feasibility in sub-Saharan Africa

2019 ◽  
Vol 4 (Suppl 8) ◽  
pp. e001489 ◽  
Author(s):  
Bob Mash ◽  
Sunanda Ray ◽  
Akye Essuman ◽  
Edu Burgueño
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Scoping Review ◽  
Health Workers ◽  
Historical Analysis ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Scoping Reviews ◽  
Study Characteristics ◽  
Sub Saharan

IntroductionCommunity-orientated primary care (COPC) is an approach to primary healthcare (PHC) that originated in South Africa and contributed to the formulation of the Declaration of Alma-Ata 40 years ago. Despite this, PHC remains poorly developed in sub-Saharan African countries. There has been a resurgence of interest in strengthening PHC systems in the last few years and identifying key knowledge gaps. COPC has been an effective strategy elsewhere, most notably Brazil. This scoping review investigated COPC in the sub-Saharan African context and looked for evidence of different models, effectiveness and feasibility.MethodsDatabases were systematically searched using a comprehensive search strategy to identify studies from the last 10 years. A methodological guideline for conducting scoping reviews was followed. A standardised template was used to extract data and compare study characteristics and findings. Studies were grouped into five categories: historical analysis, models, implementation, educational studies and effectiveness.ResultsA total of 1997 publications were identified and 39 included in the review. Most publications were from the last 5 years (n = 32), research (n = 27), from South Africa (n = 27), focused on implementation (n = 25) and involving case studies (n = 9), programme evaluation (n = 6) or qualitative methods (n = 10). Nine principles of COPC were identified from different models. Factors related to the implementation of COPC were identified in terms of governance, finances, community health workers, primary care facilities, community participation, health information and training. There was very little evidence of effectiveness of COPC.ConclusionsThere is a need for further research to describe models of COPC in Africa, investigate the appropriate skills mix to integrate public health and primary care in these models, evaluate the effectiveness of COPC and whether it is included in training of healthcare workers and government policy.

Molecular detection of natural infection ofLymnaea(Pseudosuccinea)columella(Gastropoda: Lymnaeidae) withFasciola gigantica(Digenea: Fasciolidae) from two provinces of South Africa

2019 ◽  
Vol 94 ◽  
Author(s):  
M.P. Malatji ◽  
S. Mukaratirwa
Keyword(s):  
South Africa ◽  
Intermediate Host ◽  
Molecular Detection ◽  
Natural Infection ◽  
Wide Distribution ◽  
Sub Saharan Africa ◽  
Snail Species ◽  
Eastern Cape ◽  
Kwazulu Natal ◽  
Sub Saharan

AbstractThe main intermediate host ofFasciola giganticain sub-Saharan Africa isLymnaea(Radix)natalensis.Lymnaea(Pseudosuccinea)columellais capable of transmitting bothF. giganticaandF. hepaticaand has been reported to be present in South Africa. To date, no natural infection withF. giganticahas been reported despite the wide distribution of the snail. The aim of this study was to confirm whetherL.(P.)columellawas transmittingF. giganticaand/orF. hepaticain selected locations of KwaZulu-Natal and Eastern Cape provinces of South Africa.Lymnaea(Pseudosuccinea)columellasnails were collected from two locations in two provinces of South Africa and screened for cercariae shedding. This was followed by humanely sacrificing the screened snails, and whole tissue of each individual snail was homogenized and amplified using primers designed to amplify the ITS-1 region ofFasciolaspp. No cercariae were shed from the screened snails and molecular analysis showed that snails from the two locations were infected withF. gigantica. This study confirms natural infection ofL.(P.)columellawithF. giganticain South Africa, whereF. giganticaandF. hepaticahave already been reported to coexist. AlthoughL.(P.)columellais able to transmit the two species, surprisingly no infection withF. hepaticawas detected from the screened snails. The natural intermediate host ofF. giganticain southern Africa, including South Africa, isLymnaea(Radix)natalensisand comparative studies are needed to determine the competence of the two snail species in the transmission ofF. gigantica.

scholarly journals Emergence of rabies in the Gauteng Province, South Africa: 2010–2011

2013 ◽  
Vol 84 (1) ◽  
Author(s):  
Claude T. Sabeta ◽  
Jacqueline Weyer ◽  
Peter Geertsma ◽  
Debra Mohale ◽  
Jacobeth Miyen ◽  
...  
Keyword(s):  
South Africa ◽  
Sub Saharan Africa ◽  
Domestic Dog ◽  
Eastern Cape ◽  
Gauteng Province ◽  
Canine Rabies ◽  
The Past ◽  
Outbreak Period ◽  
Kwazulu Natal ◽  
Sub Saharan

Canine rabies is enzootic throughout Sub-Saharan Africa, including the Republic of South Africa. Historically, in South Africa the coastal provinces of KwaZulu-Natal and Eastern Cape were most affected. Alarmingly, outbreaks of canine rabies have been increasingly reported in the past decade from sites where it has previously been under control. From January 2010 to December 2011, 53 animal rabies cases were confirmed; these were mostly in domestic dogs from southern Johannesburg, which was previously considered to be rabies free. In addition, one case was confirmed in a 26-month old girl who had been scratched by a pet puppy during this period. The introduction of rabies into Gauteng Province was investigated through genetic analysis of rabies positive samples confirmed during the outbreak period. In addition, the nucleotide sequences of incidental cases reported in the province for the past ten years were also included in the analysis. It was found that the recent canine rabies outbreak in the Gauteng Province came from the introduction of the rabies virus from KwaZulu-Natal, with subsequent local spread in the susceptible domestic dog population of southern Johannesburg. The vulnerability of the province was also highlighted through multiple, dead-end introductions in the past ten years. This is the first report of a rabies outbreak in the greater Johannesburg area with evidence of local transmission in the domestic dog population.

scholarly journals Temperature at conception and pregnancy loss in rural KwaZulu-Natal Province, South Africa: Implications for climate change policy in sub-Saharan African settings

2021 ◽  
Author(s):  
Yoshan Moodley ◽  
Frank Tanser ◽  
Andrew Tomita
Keyword(s):  
South Africa ◽  
Global Warming ◽  
Reproductive Health ◽  
South African ◽  
Pregnancy Loss ◽  
Sub Saharan Africa ◽  
Kwazulu Natal ◽  
Sub Saharan ◽  
Women’S Reproductive Health ◽  
Women's Reproductive Health

AbstractBackgroundGlobal warming is projected to cause a substantial rise in temperatures with serious health implications across sub-Saharan Africa. Although South African policy makers have drafted a climate change adaptation plan, potential health threats posed by increasing temperatures on women’s reproductive health are overlooked due to the lack of local population-based evidence. We sought to address the gap in the evidence around global warming and women’s reproductive health in sub-Saharan Africa by using one of the continent’s largest prospective cohorts from rural KwaZulu-Natal Province, South Africa to investigate the relationship between temperature at conception and pregnancy loss.MethodsOur study sample consisted of 36341 pregnancies from 16765 women from the uMkhanyakude District of KwaZulu-Natal, South Africa between 2000-2017. Average monthly temperatures for the study locale during the study period were obtained from the South African Weather Services. An adjusted logistic regression model was used to investigate the relationship between temperature at conception and pregnancy loss (miscarriage or stillbirth).ResultsThe rate of pregnancy loss in the study sample was 1.9 (95% Confidence interval [CI]: 1.7-2.0) per 100 pregnancies. We observed a 4% higher odds of pregnancy loss for each 1°C increase in temperature (Adjusted Odds Ratio: 1.04, 95% CI: 1.01-1.08).ConclusionThere is a clear relationship between temperature and pregnancy loss in our sub-Saharan African setting. The effects of global warming will likely exacerbate the existing challenges for women’s reproductive health in this region. Pregnancy outcomes should be given adequate attention when sub-Saharan African governments draft policies in response to global warming.

scholarly journals Large age shifts in HIV-1 incidence patterns in KwaZulu-Natal, South Africa

2021 ◽  
Vol 118 (28) ◽  
pp. e2013164118
Author(s):  
Adam Akullian ◽  
Alain Vandormael ◽  
Joel C. Miller ◽  
Anna Bershteyn ◽  
Edward Wenger ◽  
...  
Keyword(s):  
South Africa ◽  
Antiretroviral Therapy ◽  
Hiv Risk ◽  
Large Scale ◽  
Sub Saharan Africa ◽  
Voluntary Medical Male Circumcision ◽  
Hiv Incidence ◽  
Kwazulu Natal ◽  
Sub Saharan ◽  
Hiv 1

Recent declines in adult HIV-1 incidence have followed the large-scale expansion of antiretroviral therapy and primary HIV prevention across high-burden communities of sub-Saharan Africa. Mathematical modeling suggests that HIV risk will decline disproportionately in younger adult age-groups as interventions scale, concentrating new HIV infections in those >age 25 over time. Yet, no empirical data exist to support these projections. We conducted a population-based cohort study over a 16-y period (2004 to 2019), spanning the early scale-up of antiretroviral therapy and voluntary medical male circumcision, to estimate changes in the age distribution of HIV incidence in a hyperepidemic region of KwaZulu-Natal, South Africa, where adult HIV incidence has recently declined. Median age of HIV seroconversion increased by 5.5 y in men and 3.0 y in women, and the age of peak HIV incidence increased by 5.0 y in men and 2.0 y in women. Incidence declined disproportionately among young men (64% in men 15 to 19, 68% in men 20 to 24, and 46% in men 25 to 29) and young women (44% in women 15 to 19, 24% in women 20 to 24) comparing periods pre- versus post-universal test and treat. Incidence was stable (<20% change) in women aged 30 to 39 and men aged 30 to 34. Age shifts in incidence occurred after 2012 and were observed earlier in men than in women. These results provide direct epidemiological evidence of the changing demographics of HIV risk in sub-Saharan Africa in the era of large-scale treatment and prevention. More attention is needed to address lagging incidence decline among older individuals.

Youth’s participation in agriculture: A fallacy or achievable possibility? Evidence from rural South Africa

2021 ◽  
Vol 24 (1) ◽  
Author(s):  
Unity Chipfupa ◽  
Aluwani Tagwi
Keyword(s):  
South Africa ◽  
Agricultural Sector ◽  
Youth Unemployment ◽  
Rural Youth ◽  
Sub Saharan Africa ◽  
Agricultural Cooperatives ◽  
Kwazulu Natal ◽  
Questionnaire Form ◽  
Sub Saharan ◽  
Rural South Africa

Background: The realisation of more youth involvement in the agricultural sector has proved to be elusive, so the question of the possibility of a youth-led agriculture needs further investigation.Aim: The aim of the study was to assess whether there is potential for the rural youth to participate in agriculture by employing the typology formulation approach.Setting: The study is premised on recent calls for strategies to reduce youth unemployment in sub-Saharan Africa by involving and enhancing the agricultural sector.Method: A survey in questionnaire form was conducted with 224 youths from two districts in KwaZulu-Natal, South Africa. The Principal Components Analysis and K-Means Clustering were performed to determine the youth typologies and assess their potential.Results: Five typologies were identified. Most youths (59.3%) were found in Typology 1 (those that see no benefits in farming) and in Typology 2 (older, experienced and with access to land). Typology 5 (male youths in agricultural cooperatives) had the lowest proportion of youths (5.7%). Participants in typologies 2, 3 and 5 were deemed to have high to moderate potential for successful engagement in farming. The highest potential was found in the typology with the least percentage of youths.Conclusions: The typologies showed that youths have varying perceptions and aspirations regarding agriculture. While some show an interest and have the potential to participate in farming, others do not. Therefore, the blanket notion of the youth’s lack of interest in agriculture should be qualified as it does not always hold. The heterogeneity in characteristics among the youths in these typologies, including their potential to participate in agriculture, expresses the differences in the kinds of support needed to increase their participation.

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