scholarly journals Nurses’ attitudes towards the implementation of the Mother-Baby Friendly Initiative in selected primary healthcare facilities at Makhuduthamaga Municipality, Limpopo province

Curationis ◽  
2019 ◽  
Vol 42 (1) ◽  
Author(s):  
Siyabulela E. Mgolozeli ◽  
Hilda N. Shilubane ◽  
Lunic B. Khoza
Keyword(s):  
Primary Healthcare ◽  
Positive Attitude ◽  
Negative Attitude ◽  
Healthcare Services ◽  
Primary Objective ◽  
Strategy Implementation ◽  
Limpopo Province ◽  
Healthcare Facilities ◽  
Positive Attitudes ◽  
The Ideal

Background: The implementation of the Mother-Baby Friendly Initiative (MBFI) strategy demonstrated its capabilities to improve global children’s health and maternal survival. However, its implementation in primary healthcare (PHC) facilities remains a challenge as many nurses are reluctant to adopt it for the improvement of child and maternal healthcare services in their respective clinics.Objectives: The primary objective of this study was to determine the attitudes of nurses towards the implementation of the MBFI in selected PHC facilities in the Makhuduthamaga Municipality, Limpopo province.Method: This study used a quantitative, descriptive design, and all respondents were conveniently sampled. A self-administered questionnaire was used to collect data. One-hundred and seventy-seven questionnaires were distributed, and 153 nurses responded and completed the questionnaire. The Statistical Package for Social Sciences version 23 was used to analyse data.Results: Results show that the majority of nurses (professional nurses [PNs] = 65, 78%; enrolled nurses [ENs] = 18, 72%; enrolled nursing auxiliaries [ENAs] = 23, 51%) had a positive attitude towards the MBFI strategy implementation as they agreed that it increased breastfeeding rates. Most PNs (n = 58, 70%) and ENs (n = 15, 60%) showed positive attitudes towards exclusive breastfeeding (EBF) as they agreed that it was the ideal feeding option for any child, and most ENAs (n = 38, 84%) showed a negative attitude as they disagreed that EBF was the ideal feeding option for any child.Conclusion: In this study, most PNs and ENs had a positive attitude in all the aspects that determined their attitudes towards MBFI strategy implementation. A concern is the fact that most ENAs showed negative attitudes in almost all the statements that were in line with the principles of MBFI, as they disagreed in most aspects. Therefore, this study recommends that on-going orientation and trainings should be offered to all nurses including ENAs to equip them with information that can assist in changing their attitudes towards MBFI implementation in PHC facilities.

scholarly journals Implementing the Ideal Clinic Program at Selected Primary Healthcare Facilities in South Africa

2021 ◽  
Vol 18 (15) ◽  
pp. 7762
Author(s):  
Livhuwani Muthelo ◽  
Faith Moradi ◽  
Thabo Arthur Phukubye ◽  
Masenyani Oupa Mbombi ◽  
Rambelani Nancy Malema ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Ethics Committee ◽  
Care Quality ◽  
Limpopo Province ◽  
Department Of Health ◽  
Study Results ◽  
Professional Nurses ◽  
The Ideal

Background: Primary healthcare (PHC) in South Africa often experiences crucial challenges that lead to patients’ negative experiences regarding their care, compromising the significant role that PHC services could play in health promotion and disease prevention. The primary purpose of implementing the Ideal Clinic (IC) in South Africa was to improve patients’ care quality at the clinics. There seems to be a paucity of studies determining professional nurses’ experiences when implementing the IC. Purpose: This study aimed to explore and describe professional nurses’ experiences regarding implementing the IC at three selected clinics in the Makhado local area. Study method: A qualitative phenomenological research design was used to explore professional nurses’ experiences regarding IC implementation. Purposive sampling was used to select 15 professional nurses working at the three selected clinics. Data were collected using semi-structured one-on-one interviews. Interviews were conducted until saturation was reached. Trustworthiness was ensured by applying Lincoln and Guba’s four criteria, i.e., credibility, transferability, dependability, and confirmability. Ethical clearance was obtained from the University of Limpopo Turfloop Research and Ethics Committee, and permission to conduct the study was obtained from Limpopo Province Department of Health Research and Ethics Committee. Thematic analysis was used to analyze data. Results: The following themes emerged from the study findings: perceived benefits of the IC on the primary healthcare services provided to the community, challenges experienced by professional nurses when implementing the IC program, and challenges related to the supply of resources for implementing the IC. The study results revealed that, although the IC aimed to improve the overburdened PHC facilities in SA, the professional nurses still experienced some challenges when implementing the IC program. Some of the challenges faced were a lack of knowledge and training in the IC program, poor infrastructure and the shortage of equipment, and inadequate provision of support by line managers, all of which resulted in poor-quality patient care. Conclusion: This study revealed that the introduction and implementation of the IC can have potential benefits to the community and the primary healthcare system. However, it was not introduced and appropriately implemented, which resulted in professional nurses experiencing several challenges. The national department of health needs to strengthen the program’s implementation through proper training, consultation, and continuous support of the nurses. Provision of quality equipment and supplies is also recommended.

scholarly journals A comparison of the levels of satisfaction with the medical services provided by primary healthcare centers in selected communes in Lubelskie Voivodeship

2016 ◽  
Vol 126 (1) ◽  
pp. 8-12
Author(s):  
Daria Przybylska ◽  
Piotr Przybylski ◽  
Bartłomiej Drop ◽  
Krzysztof Czarnocki ◽  
Wojciech Przybylski ◽  
...  
Keyword(s):  
Family Medicine ◽  
Primary Healthcare ◽  
The Elderly ◽  
Healthcare Services ◽  
Medical Services ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Primary Type ◽  
Primary Healthcare Centers

Abstract Introduction. Family medicine remains the primary type of medical services in Poland and it is supposed to treat both individual patients and the society as a whole. Due to the growing commercialization of the health service, most primary healthcare centers have transformed into non-public healthcare facilities. The public ones (called SPZOZ in Polish) account only for a small fraction of the whole number of primary healthcare facilities. The quality of medical services provided by such facilities, as patients see it, remains one of the key elements determining the development of family medicine centers. Aim. The aim of this paper was to assess patient satisfaction levels regarding the healthcare services they received in two primary healthcare institutions, both of the NZOZ and SPZOZ type, in a small town located close to Lublin. Material and methods. An anonymous survey was filled out by 30 patients of both a public and non-public healthcare center located in Niemce (Niemce Commune, Lublin District). The quality of services was assessed using an original questionnaire in the form of a poll. Results. The results obtained indicate a clear relationship between one’s trust to the physician, diagnosis accuracy and visiting the particular center again, in order to continue the treatment. For older subjects, it was nurses’ kindness and politeness that was the most important. The elderly appreciated the kindness and politeness of the nurses in particular. No significant differences were found between the institutions in respect of the overall perception of satisfaction with services. In terms of infrastructure assessment, the majority of positive feedback was provided for NZOZ. Conclusions. The findings above suggest that it is essential to conduct surveys on a regular basis, in order to check patients’ assessment of the service quality in various institutons.

scholarly journals Rehabilitation of Utopia as a Symptom of the Crisis of the Russian and Western Civilizations

2019 ◽  
Vol 62 (5) ◽  
pp. 7-26
Author(s):  
Rimma I. Sokolova
Keyword(s):  
20Th Century ◽  
21St Century ◽  
Positive Attitude ◽  
Negative Attitude ◽  
The West ◽  
System A ◽  
History Of ◽  
New Ideas ◽  
Reduction Of Uncertainty ◽  
The Ideal

The article discusses such a new phenomenon of modernity as the rehabilitation of utopia, which has not yet become widespread, but it is a serious symptom of the crisis of civilization in Russia and in the West. It is shown that attempts to rehabilitate utopia are associated with the situation of crisis, uncertainty, unpredictability caused by the ongoing transformations of the modern epoch. Under these conditions, the utopia is not only a reflection of the existing situation but also an opportunity for the formation of new ideas and the reduction of uncertainty. Many astute researchers in both the West and Russia demonstrate a positive attitude towards utopia, as they see the opportunities offered by utopia, especially in times of crisis. It is noted that in Russia there is a gradual overcoming of the negative attitude to utopia, which was associated with the collapsed socialist system. A summary history of utopia shows that utopia is a significant factor in history that accompanies the development of mankind throughout history. Despite this, in the earlier decades of the 20th century and the beginning of 21st century the “death of utopia” was declared, it was driven by ideological and political reasons and by globalization in general. Meanwhile, at present its importance is again actualized in relation to the complex international situation. Therefore, both in the West and in Russia there is a growing demand for the ideal concepts of the future of human existence in the form of utopia.

scholarly journals Prevention of mother-to-child transmission of HIV guidelines: Nurses’ views at four primary healthcare facilities in the Limpopo Province

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Barbara A. Hanrahan ◽  
Adri Williams
Keyword(s):  
Patient Education ◽  
Registered Nurses ◽  
Primary Healthcare ◽  
Limpopo Province ◽  
World Health ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Pmtct Programme ◽  
Healthcare Facilities ◽  
Mother To Child

Background: When new guidelines for existing programmes are introduced, it is often the clinicians tasked with the execution of the guidelines who bear the brunt of the changes. Frequently their opinions are not sought. In this study, the researcher interviewed registered nurses working in the field of the prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus (HIV) to gain an understanding of their perspectives on the changes introduced to the guidelines. The guideline changes in 2014 were to move from the World Health Organization (WHO) Option B to Option B + which prescribes lifelong antiretroviral therapy (ART) for all HIV-positive pregnant women regardless of CD4 cell count.Objective: To determine what the registered nurses’ perspectives are on the PMTCT programme as implemented at four PHC facilities in the Limpopo Province.Method: For this qualitative investigation, a descriptive research design was implemented. The data were collected during semi-structured interviews with nurses from four primary healthcare facilities in the Limpopo Province of South Africa. Data were analysed using thematic analysis.Results: Challenges preventing effective implementation (e.g. increased workloads, viz. staff shortages; poor planning of training; equipment and medication shortages and long lead times; poor patient education) were identified.Conclusion: In spite of the successes of the PMTCT programme, considerable challenges still prevail; lack of patient education, poor facilities management and staff shortages could potentially influence the implementation of the PMTCT guidelines negatively.

scholarly journals Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Nigeria

2018 ◽  
Vol 3 (Suppl 5) ◽  
pp. e001079 ◽  
Author(s):  
Ajibola Awotiwon ◽  
Charlie Sword ◽  
Tracy Eastman ◽  
Christy Joy Ras ◽  
Prince Ana ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Health Systems Strengthening ◽  
Added Value ◽  
Practical Approach ◽  
Continuous Learning ◽  
Healthcare Facilities ◽  
Face To Face ◽  
User Friendly

Nigeria, in its quest to strengthen its primary healthcare system, is faced with a number of challenges including a shortage of clinicians and skills. Methods are being sought to better equip primary healthcare clinicians for the clinical demands that they face. Using a mentorship model between developers in South Africa and Nigerian clinicians, the Practical Approach to Care Kit (PACK) for adult patients, a health systems strengthening programme, has been localised and piloted in 51 primary healthcare facilities in three Nigerian states. Lessons learnt from this experience include the value of this remote model of localisation for rapid localisation, the importance of early, continuous stakeholder engagement, the need expressed by Nigeria’s primary healthcare clinicians for clinical guidance that is user friendly and up-to-date, a preference for the tablet version of the PACK Adult guide over hard copies and the added value of WhatsApp groups to complement the programme of face-to-face continuous learning. Introduction of the PACK programme in Nigeria prompted uptake of evidence-informed recommendations within primary healthcare services.

scholarly journals Determinants of pregnant mothers to bypass primary health facilities and directly seek postnatal care in hospitals in Dar es Salaam region – A Community health needs assessment, Cross Sectional Study

2019 ◽  
Author(s):  
Joseph Christopher Hokororo ◽  
Eliudi S. Eliakimu ◽  
Ruth Ngowi ◽  
Mohammed A. Mohammed ◽  
Hamisi M. Malebo ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Healthcare Needs ◽  
Postnatal Women ◽  
Pregnant Mothers

Abstract Introduction Dar es Salaam is the region with a large number of Primary healthcare facilities (dispensaries and health centres) outnumber the available hospitals. Although policies on referral system are available, there is a gap in terms of compliance and adherence to the governance system. Hospitals are overwhelmed with patients as compared to primary healthcare facilities, leading to poor quality of the healthcare services. The aim was to assess the needs of community members for primary healthcare services, as well as, to identify the reasons and determinants that influence mothers to bypass primary healthcare facilities.Methodology A cross-sectional study that assessed the determinants associated with pregnant mothers to bypass primary healthcare facilities in their healthcare needs. The study was conducted in Kinondoni, Ilala, Kigamboni, Temeke and Ubungo healthcare facilities in Dar es Salaam region. It targeted all postnatal women. A consecutive sampling procedure was used and a total of 544 of respondents were involved in the study. A structured questionnaire was used to collect information on: social demographic; Clinical factors of the mother; Health services; and provider’s factors that might contribute to the observed bypass. Data were analysed in levels of univariate, bivariate and multivariate using SPSS statistical package number 20.Results A total of 544 respondents were interviewed. Mothers who bypassed the primary healthcare facilities were 94%. After adjustment it was found that, those with income more than 1USD a day were (OR=4.27, CI=1.8- 15.4, P=0.01) more likely to bypass the primary facilities and go straight to the upper levels of healthcare facilities.Conclusions This study has found postnatal women in Dar es Salaam region are at high chance of going straight to the secondary and tertiary Hospitals without passing at primary healthcare facilities. Nine in every ten postnatal women were found to have by passed the primary healthcare facilities. Findings from this study reveals a strong and urgent need to strengthen primary healthcare facilities and as well implement the referral guidelines on all clients who seek health care to reduce the bypass.

scholarly journals Attitude of Jordanian Physicians toward Biochemistry and Genetics

2019 ◽  
Vol 2019 ◽  
pp. 1-9
Author(s):  
Mahmoud A. Alfaqih ◽  
Yousef S. Khader ◽  
Nabil Bashir ◽  
Zuhair Nusair ◽  
Quteiba Nuseir ◽  
...  
Keyword(s):  
Private Sector ◽  
Positive Attitude ◽  
Clinical Teaching ◽  
Univariate Analysis ◽  
Negative Attitude ◽  
Medical Schools ◽  
School Curriculum ◽  
Integrated System ◽  
Years Of Experience ◽  
Positive Attitudes

Background. Several studies found that physicians develop a negative attitude toward biochemistry and genetics disciplines. Many medical schools adopt an integrated system-based curriculum supplemented with clinical correlations. Medical schools in Jordan switched to the integrated curriculum; however, studies that evaluate the attitude of physicians toward biochemistry and genetics are lacking. Objectives. This study aimed to evaluate the attitude of physicians toward biochemistry and genetics including the correlation of their curricula with clinical practice. Materials and Methods. A structured questionnaire consisting of 40 statements was distributed to a random sample of 616 physicians practicing in private and governmental hospitals in Jordan. Participants earned their MD or MBBS degree from Jordan or other countries and were interns, residents, or specialists. Results. More than half of the participants admitted that biochemistry and genetics are intellectually challenging and were among their least favourite subjects (59.1%); however, many of them were familiar with some of the contemporary advances in biochemistry and genetics and their translational potential (64.0%). Most of the participants felt that modifying the medical school curriculum by integrating biochemical and genetic concepts with clinical teaching will motivate the medical students (74%). In univariate analysis, residents showed the most positive attitudes and were the most knowledgeable about the biochemical changes associated with diseases and about the contemporary advances in biochemistry or genetics (P<0.05). In multivariate analysis, physicians practicing in the private sector or those with more than five years of experience generally had a more positive attitude toward biochemistry and genetics (P<0.05). Conclusion. Physicians in Jordan showed an overall positive attitude toward biochemistry and genetics. This was more evident among residents, physicians with more than five years of experience, or those practicing in the private sector.

scholarly journals Attitudes of physiotherapists in Botswana to treating people living with HIV/AIDS

2009 ◽  
Vol 65 (2) ◽  
Author(s):  
M. Kambole ◽  
P. Struthers
Keyword(s):  
Positive Attitude ◽  
Negative Attitude ◽  
People Living With Hiv ◽  
Positive Attitudes ◽  
Occupational Infection ◽  
Interview Guide ◽  
Living With Hiv ◽  
Depth Interviews ◽  
Purposive Sample ◽  
Hiv Aids

Physiotherapists are increasingly treating people living with HIV /AIDS.However, there is little information reported on either their attitudes when providingtreatment to people with HIV /AIDS, or what facilitates positive attitudes. This studyaimed to determine the attitudes of physiotherapists in Botswana towards treating people living with HIV /AIDS. A  qualitative approach was used with a purposive sample of 10 physiotherapists working in hospitals and private clinics in Gaborone and Ramotswa. In-depth interviews were conducted with individual physiotherapists, utilising an interview guide in. The results indicated that most physiotherapists had a positive attitude towards treating people living with HIV /AIDS. The positive attitude was associated with interrelated factors including their experiencewith people living with HIV /A IDS (PLW HA ); knowledge of HIV /AIDS; job satisfaction; and a belief in a duty to treatall. A  few physiotherapists had a negative attitude which was related to being judgmental and to a fear of acquiring HIVthrough occupational infection.

scholarly journals Socioeconomic Effects on Household Access to Primary Healthcare Facilities in Selected Riverine Communities, Rivers State, Nigeria

2021 ◽  
Vol 04 (05) ◽  
Author(s):  
Samuel, Dagogo ◽  
Keyword(s):  
Socioeconomic Status ◽  
Spatial Distribution ◽  
Low Socioeconomic Status ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Socioeconomic Condition ◽  
Healthcare Facilities ◽  
Mobile Healthcare ◽  
Smart Healthcare ◽  
Rivers State

Access to healthcare is complex and varies across countries, regions, communities and individuals. The study aimed to assess the socioeconomic effects on household access to Primary Healthcare (PHC) facilities in selected riverine communities in Rivers State, Nigeria. Objectives of the study are to characterise the socioeconomic condition of households in the study area; determine the spatial distribution of PHC facilities in the study area, identify the effects of the socioeconomic conditions of households to access to PHC facilities in the selected riverine communities in the study area, and suggest appropriate policy measures to improve households access to PHC facilities and services in the study area. The study employed Mixed Methods Research (MMR) approach and sequential explanatory research design for data collection and analyses. The study employed simple random and purposive sampling techniques. A total of 400 respondents (households) were interviewed including key informants (government agencies and professionals) and Geographic Information System (GIS) was used for map analysis to show spatial distribution of PHC facilities in the study area. However, 328 questionnaires were considered valid for analysis of data. The study revealed, most of the households’ occupations are fishing, artisan and petty trading characterising low socioeconomic status. The study found PHC facilities are not evenly spatially distributed in the study area which has made households to use various available transport modes to access the facilities since the area is separated by creeks, rivers and sea. This has made travel time, distance and cost economically unfavourable to households in term of accessibility since they are relatively poor economically. The study has suggested the following recommendations including improvement of the socioeconomic status of households through education and vocational training programmes that will provide better employment opportunities, government should provide Mobile Healthcare programmes and services through water vessels and ambulances to reach remoted communities, proper study should be carried out to ascertain the population and their characteristics before locating PHC facilities for optimum utilisation, Smart Healthcare Services (SHCS) should be provided through Tele-Healthcare facilities to overcome distance and time, and government should collaborate with non-governmental organisations (NGOs) and multinational to provide Mobile Healthcare services in riverine communities to reduce challenges of accessibility and cost on households.

scholarly journals Language Attitude of Sellers in Traditional Market Toward Karonese Language

2018 ◽  
Vol 11 (7) ◽  
pp. 125
Author(s):  
Siti Aisyah Ginting
Keyword(s):  
Personal Identity ◽  
Positive Attitude ◽  
Daily Life ◽  
Descriptive Analysis ◽  
Negative Attitude ◽  
Negative Attitudes ◽  
Daily Life Activities ◽  
Positive Attitudes ◽  
Traditional Market ◽  
Language Attitude

The purpose of this study was to find out the trades attitude towards the karonese language in Indonesia. Therefore, descriptive analysis research was conducted to get the relevan findings in this study. The data were collected by using interview and documentation techniques. Furthermore, the data were analyzed qualitatively on language attitude. The Finding of this study was there were 12 traders consists of 10 male traders and 2 female traders (67%) of respondents showed positive attitudes towards Karonese Language. They said that they are responsible to use Karonese Language since it is their personal identity. In addition, There was nobody using Karonese Language unless themselves. While the researcher found 6 female traders (33%) of respondents showed negative attitudes since they usually use Indonesian Language in their daily life activities because their husbands are not Karonese. In conclusion, all male gave positive attitude towards karonese language in traditional market in Indonesia and some females give negative attitude towards karonese language in traditional market in Indonesia.

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