scholarly journals Health beliefs and prescription medication compliance among diagnosed hypertension clinic attenders in a rural South African hospital

Curationis ◽  
2004 ◽  
Vol 27 (3) ◽  
Author(s):  
K. Peltzer

This study examines the relationship between health beliefs and the use of both prescribed medication and alternative healing agents among at least one year diagnosed hypertensives attending an hypertension out-patient clinic in a rural South African hospital. The sample included 33 men and 67 women, in the age range of 31 to 81 years, (M=60.7 years, SD=9.8 years). Main outcome measures included causative beliefs, health beliefs, and quality of the health care provider patient interaction. From the 100 patients studied 35% were not compliant with prescription medication. Most patients (almost 80%) had taken something else for their high blood pressure apart from prescription medication, especially those who had been non-compliant with prescription medication. Most popular were the use of home remedies and faith healing, followed by traditional healing and over-the-counter drugs. Non-compliant behaviour was associated with the use of alternative healing agents, the belief of curability of hypertension by traditional and faith healers, perceived benefits and barriers of antihypertensive medication and some items of the quality of the practitioner-patient relationship such as not explaining medical problems. Results are discussed in view of improving culturally sensitive compliance behaviour among hypertensive patients.

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Surona Visagie ◽  
Elsje Scheffler ◽  
Marguerite Schneider

Background: Wheelchairs allow users to realise basic human rights and improved quality of life. South African and international documents guide rehabilitation service delivery and thus the provision of wheelchairs. Evidence indicates that rehabilitation policy implementation gaps exist in rural South Africa.Objectives: The aim of this article was to explore the extent to which wheelchair service delivery in a rural, remote area of South Africa was aligned with the South African National Guidelines on Provision of Assistive Devices, The United Nations Convention on the Rights of Persons with Disabilities and The World Health Organization Guidelines on Provision of Wheelchairs in Less-Resourced Settings.Method: Qualitative methods were used. Data were collected through semi-structured interviews with 22 participants who were identified through purposive sampling. Content analysis of data was preformed around the construct of wheelchair service delivery.Results: Study findings identified gaps between the guiding documents and wheelchair service delivery. Areas where gaps were identified included service aspects such as referral, assessment, prescription, user and provider training, follow up, maintenance and repair as well as management aspects such as staff support, budget and monitoring. Positive findings related to individual assessments, enthusiastic and caring staff and the provision of wheelchairs at no cost.Conclusion: The gaps in policy implementation can have a negative impact on users and the service provider. Inappropriate or no wheelchairs limit user function, participation and quality of life. In addition, an inappropriate wheelchair will have a shorter lifespan, requiring frequent repairs and replacements with cost implications for the service provider.


2002 ◽  
Vol 5 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Mieke Faber ◽  
Sonja L Venter ◽  
AJ Spinnler Benadé

AbstractObjectives:To determine vitamin A intake of children aged 2–5 years in a rural South African community one year after the implementation of a home-based food production programme targeting β-carotene-rich fruits and vegetables.Design:Dietary intake of children aged 2–5 years was determined during a cross-sectional survey before and one year after the implementation of a home-based food production programme.Setting:A low socio-economic rural African community, approximately 60 km north-west of the coastal city of Durban in kwaZulu-Natal, South Africa.Subjects:Children aged 2–5 years (n=100); 50 children from households with home-gardens producing β-carotene fruits and vegetables (project gardens), and 50 children from households without project gardens.Results:As compared with baseline data, there was a significant increase in vitamin A intake in children from households with project gardens as well as in children from households without project gardens. However, children from households with project gardens had a significantly higher vitamin A intake than children from households without project gardens. The increased vitamin A intake in those children from households without project gardens can be attributed to the availability of butternuts in the local shop (as a result of the project), and because the mothers negotiated with project garden mothers to obtain these fruits and vegetables for their children.Conclusion:A home-based food production programme targeting β-carotene-rich fruits and vegetables can lead to an increase in vitamin A intake.


1960 ◽  
Vol 58 (1) ◽  
pp. 109-117 ◽  
Author(s):  
V. Bokkenheuser ◽  
N. J. Richardson

1. Faeces from rural, outwardly healthy Bantu school children from a Native Reserve region have been bacteriologically examined seven times at regular intervals over a period of one year.2. Of 75 children, 44·0% experienced at least one salmonella infection and 29·3% one shigella infection; considering the infections together, salmonellae or shigellae were recovered from 72·0% of the individuals. The observations are discussed and the view is expressed that over a period of one year, practically all children experience one, and many of them several, attacks by these pathogens.3. In the majority of cases, the infections appeared to be subclinical and of short duration. There was no evidence proving the existence of chronic carriers.4. Salmonelloses showed a seasonal dependence with the highest incidence in early summer, i.e. December. Shigelloses was distributed evenly throughout the year.5. The recovered salmonellae were of twenty types. Salm. typhi, Salm. paratyphi A, B and C were not isolated. Members of all shigella groups were encountered.6. All the recovered strains from the Tlaseng area were sensitive to streptomycin, chioromycetin, terramycin, achromycin and neomycin, and most of them to aureomycin and erythromycin. In comparison, salmonella strains isolated from the Johannesburg urban area showed signs of increased resistance to the same antibiotics.7. Water was probably implicated in the conveyance of the infections.We should like to express our thanks to the Director of this Institute, Prof. E. H. Cluver, for permission to publish this paper; to Mr R. G. Robinson for assessing the micro-organisms' sensitivity/resistance to antibiotics; to Dr P. A. Christensen for statistical advice; and to Dr A. R. P. Walker (of the Human Biochemistry Research Unit, Council for Scientific and Industrial Research), who incurred the major portion of the expenses of transport by permitting us to accompany him during his investigation on bilharziasis and nutritional state in the Bantu school children.


REVITALISASI ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 56
Author(s):  
Dessy Kusuma Wardani ◽  
Edy Swasono

This study aims to identify the dominant factors of the successful implementation of benchmarking on the performance of contracting companies and test the significance of the application of benchmarking on the performance of contracting companies. The research sample was saturated samples of 65 qualified contractor companies. The method and type of research used were correlational methods of multiple regression analysis using SPPS. The results of the study concluded that 1.Benchmarking significantly influences the performance of contracting companies in the Blitar City DPUPR; 1. The ranking of success factors for the Blitar City contractor companies in the process of implementing benchmarking (1) planning, (2) data collection, (3) acception and action and (4) analysis; 2.Benchmarking has proven to significantly improve company performance as measured by increasing (1) Corporate Finance (2) Company productivity, (3) DPUPR Consumer Satisfaction, (4) Community Satisfaction, (5) Quality of the company's construction technical personnel, (6) Satisfaction employee work, (7) Project acquisition rate in one year, (8) Effective completion of construction work, (9) Construction product quality.


2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  

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