scholarly journals Die beskikbaarheid van verpleegkundiges vir die lewering van ’n omvattende gesondheidsdiens

Curationis ◽  
1982 ◽  
Vol 5 (4) ◽  
Author(s):  
M.C. Van Huyssteen
Keyword(s):  
South Africa ◽  
Health Care ◽  
Nursing Education ◽  
Health Service ◽  
Future Trends ◽  
Basic Training ◽  
Education Programs ◽  
New Era ◽  
Comprehensive Health ◽  
History Of

The Health Act (63 of1977) and the National Health Facilities Plan which was announced in 1980 provide a blueprint for a comprehensive health service and introduced a new era in the history of health care in South Africa. Because of her availability the nurse will have a key role in future comprehensive services and many new dimensions will be added to her role. Current statistics indicate that nursing education programs on basic and post-registration level need to be expanded and adapted to meet future trends. The time is ripe for a comprehensive basic training program which includes all four basic facets of nursing, that is, general, psychiatric, obstetric and community nursing.

Health service costs and their association with functional impairment among adults receiving integrated mental health care in five low- and middle-income countries: the PRIME cohort study

2020 ◽  
Vol 35 (5) ◽  
pp. 567-576 ◽  
Author(s):  
Dan Chisholm ◽  
Emily Garman ◽  
Erica Breuer ◽  
Abebaw Fekadu ◽  
Charlotte Hanlon ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Cohort Study ◽  
Health Service ◽  
Mental Health Care ◽  
Functional Impairment ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Service Costs

Abstract This study examines the level and distribution of service costs—and their association with functional impairment at baseline and over time—for persons with mental disorder receiving integrated primary mental health care. The study was conducted over a 12-month follow-up period in five low- and middle-income countries participating in the Programme for Improving Mental health carE study (Ethiopia, India, Nepal, South Africa and Uganda). Data were drawn from a multi-country intervention cohort study, made up of adults identified by primary care providers as having alcohol use disorders, depression, psychosis and, in the three low-income countries, epilepsy. Health service, travel and time costs, including any out-of-pocket (OOP) expenditures by households, were calculated (in US dollars for the year 2015) and assessed at baseline as well as prospectively using linear regression for their association with functional impairment. Cohort samples were characterized by low levels of educational attainment (Ethiopia and Uganda) and/or high levels of unemployment (Nepal, South Africa and Uganda). Total health service costs per case for the 3 months preceding baseline assessment averaged more than US$20 in South Africa, $10 in Nepal and US$3–7 in Ethiopia, India and Uganda; OOP expenditures ranged from $2 per case in India to $16 in Ethiopia. Higher service costs and OOP expenditure were found to be associated with greater functional impairment in all five sites, but differences only reached statistical significance in Ethiopia and India for service costs and India and Uganda for OOP expenditure. At the 12-month assessment, following initiation of treatment, service costs and OOP expenditure were found to be lower in Ethiopia, South Africa and Uganda, but higher in India and Nepal. There was a pattern of greater reduction in service costs and OOP spending for those whose functional status had improved in all five sites, but this was only statistically significant in Nepal.

scholarly journals An analysis of the meaning of integrated Primary Health Care from the KwaZulu- Natal Primary Health Care context

Curationis ◽  
2009 ◽  
Vol 32 (2) ◽  
Author(s):  
M.N. Sibiya ◽  
N.S. Gwele
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Comprehensive Health

In South Africa, integration o f services policy was enacted in 1996 with the aim of increasing health service utilization by increasing accessibility and availability of all health care services at Primary Health Care (PHC) level. Integration of PHC services continues to be seen as a pivotal strategy towards the achievement of the national goals of transformation of health services, and the attainment of a comprehensive and seamless public health system. Although the drive behind the integration of PHC services was to improve accessibility of services to the community, the problem however, arises in the implementation of integrated PHC (IPHC) as there is no agreed upon understanding of what this phenomenon means in the South African context. To date no research studies have been reported on the meaning of the integration of PHC services. Hence, there is a need for shared views on this phenomenon in order to facilitate an effective implementation of this approach. A cross-sectional study, using a qualitative approach was employed in this study in order to analyze the phenomenon, IPHC in KwaZulu-Natal and the meaning attached to it in different levels of the health system. A grounded theory was selected as it is a method known for its ability to make greatest contribution in areas where little research has been done and when new viewpoints are needed to describe the familiar phenomenon that is not clearly understood. Policy makers and co-ordinators of PHC at national, provincial and district levels as well as PHC nurses at functional level participated in the study. The data was collected by means of observations, interviews and document analysis. The sample size for interviews was comprised of 38 participants. Strauss and Corbin’s process of data analysis was used. It emerged that there were three core categories that were used by the participants as discriminatory dimensions of IPHC in South Africa. These core categories were (a) comprehensive health care, (b) supermarket approach and (c) one stop shop.

scholarly journals Views of leading nurse educators regarding the comprehensive basic nursing programme

Curationis ◽  
1995 ◽  
Vol 18 (1) ◽  
Author(s):  
N. S. Gwele ◽  
L. R. Uys
Keyword(s):  
South Africa ◽  
Health Service ◽  
Multidisciplinary Team ◽  
Cognitive Skills ◽  
Nurse Educators ◽  
Independent Learning ◽  
Comprehensive Service ◽  
Comprehensive Health ◽  
High Level ◽  
Expected Outcomes

This article describes a Delphi survey amongst nurse educators in South Africa. The aim was to describe their perceptions regarding the reasons for the comprehensive basic nursing programme (CBNP), its aims and expected outcomes. There was general agreement that the programme was necessary, and that it was designed mainly to produce a nurse who could function in a comprehensive health service. Integration of information and economic arguments were also mentioned. Making available a nurse who can deliver a comprehensive service to all people, was also seen as the main aim of the programme. Independent learning, competency in a whole range of skills, the ability to function in a multidisciplinary team and high level cognitive skills were mentioned as additional aims.

scholarly journals ‘Op die limiete’: Karel Schoeman se Verkenning (1996)

Literator ◽  
1997 ◽  
Vol 18 (3) ◽  
pp. 57-78 ◽  
Author(s):  
H. Van Vuuren
Keyword(s):  
South Africa ◽  
French Revolution ◽  
The Novel ◽  
Creative Imagination ◽  
Intercultural Relationships ◽  
Colonial Era ◽  
New Era ◽  
History Of ◽  
Late Twentieth ◽  
Late Twentieth Century

‘At the limits’: Karel Schoeman’s Verkenning (1996)Written from the postcolonial vantage point of the new South Africa, Karel Schoeman's Verkenning (Reconnaissance) deals with the colonial era of the early nineteenth century. Through metafictional commentary the reader is alerted to the provisionality and tentativeness of historical fiction, as fiction and historical facts are constantly juxtaposed. At the same time the novel can be read as an attempt to fathom the ‘darkness’ of the bygone era, and to throw ‘light’ on the nature of intercultural relationships during the period of the Batavian Republic (1803-1806). Of central importance, however, is the way in which the consciousness of a new era is suggested through the subtle functioning of numerous intertexts. These intertexts deal with various forms of transitional consciousness, such as those associated with the French Revolution. A remarkable characteristic of the novel is its historiographic metafictionality, an innovative element in Schoeman’s oeuvre. Verkenning (Reconnaissance) is a polyphonic novel in which a collage of voices is foregrounded and presented in the process of ‘exploring’. From within the politically transformed multicultural South Africa of the late twentieth century, the creative imagination explores the roots of this society in the history of almost two centuries ago. In this respect Verkenning may be characterised as a postcolonial narrative construct and thus part of "oorgangsliteratuur" or “Wendeliteratur”, a term coined for the literature produced after the political change in 1989/1990 in Germany.

scholarly journals Fluxos assistenciais e a integralidade da assistência à saúde de ribeirinhos [Care flows and comprehensiveness of health care for riverside communities] [Flujos asistenciales y la integralidad de la asistencia a la salud de ribereños]

2018 ◽  
Vol 26 ◽  
pp. e26706
Author(s):  
Maria Kamyla Da Silva Queiroz ◽  
Ivaneide Leal Ataide Rodrigues ◽  
Laura Maria Vidal Nogueira ◽  
Ingrid Fabiane Dos Santos Da Silva
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Care Organization ◽  
Care Organization ◽  
Service Users ◽  
Comprehensive Health Care ◽  
Thematic Content Analysis ◽  
Comprehensive Health ◽  
Health Service Quality ◽  
Investigación Cualitativa

Objetivos: verificar se a organização da atenção em saúde vigente na Ilha do Combú atende ao princípio da integralidade da assistência à saúde de sua população; identificar possíveis lacunas nos fluxos assistenciais que inviabilizam e interferem na continuidade do tratamento aos ribeirinhos. Método: pesquisa qualitativa utilizando o método da pesquisa-ação e a técnica do grupo focal com 30 participantes entre usuários do serviço e profissionais de saúde da Ilha. Para o tratamento dos dados, adotou-se a análise de conteúdo temático dos depoimentos. O projeto foi aprovado por Comitê de Ética em Pesquisa sob Parecer nº 1.388.689. Resultados: da análise emergiram três categorias: Serviço de saúde com qualidade; Dificuldade de acesso ao serviço de saúde; e Fluxos assistenciais e a integralidade. Conclusão: observou-se que aspectos referentes à qualidade dos serviços de saúde e os aspectos geográficos são fatores intervenientes no contexto da atenção ao princípio da integralidade, condicionado pelas características locorregionais.ABSTRACTObjectives: to ascertain whether health care organization in effect on Ilha do Combú complies with the principle of comprehensive health care for its population, and to identify possible gaps in care flows that hinder and interfere with the continuity of treatment for riverside communities. Method: this qualitative study used the action-research method and focus group technique with 30 participants from among service users and health professionals from the island. Data were treated by thematic content analysis of their accounts. The project was approved by the research ethics committee (Opinion No. 1.388.689). Results: from the analysis, three categories emerged: Health service with quality; Difficulty of access to the health service; and Care flows and comprehensiveness. Conclusion: it was observed that factors relating to health service quality and geography intervene in the context of regard for the principle of comprehensiveness, which is conditioned by local region characteristics.RESUMEN Objetivos: verificar si la organización de atención a la salud vigente en la Isla del Combú atiende al principio de la integralidad de la asistencia a la salud de su población; identificar posibles blancos en los flujos asistenciales que inviabilizan e interfieren en la continuidad del tratamiento a los ribereños. Método: investigación cualitativa utilizando el método de la investigación-acción y la técnica del grupo focal junto a 30 participantes entre usuarios del servicio y profesionales de salud de la Isla. Para el tratamiento de los datos, se adoptó el análisis de contenido temático de las declaraciones. El proyecto fue aprobado por el Comité de Ética en Investigación bajo el Dictamen nº 1.388.689. Resultados: del análisis surgieron tres categorías: servicio de salud con calidad; dificultad de acceso al servicio de salud y flujos asistenciales y la integralidad. Conclusión: se observó que aspectos referentes a la calidad de los servicios de salud y los aspectos geográficos son factores intervinientes en el contexto de la atención al principio de la integralidad, condicionado por las características locorregionales. 

scholarly journals The postnatal review: The task of the midwife

Curationis ◽  
1992 ◽  
Vol 15 (3) ◽  
Author(s):  
C.A. Benn ◽  
W.J. Kotzé ◽  
A.G.W. Nolte
Keyword(s):  
Health Care ◽  
Health Service ◽  
Women’S Health ◽  
Women's Health ◽  
Quality Care ◽  
High Quality ◽  
Actual Structure ◽  
Port Elizabeth ◽  
Comprehensive Health ◽  
The Ideal

There is growing realization that women’s health and involvement in health care are essential keys to health for all. One way in which the midwifery profession can contribute to women’s health is by providing high quality care during the six week postnatal review/checkup. A study in three provincial hospitals in the Port Elizabeth area showed that the actual structure of the postnatal review fell far short of the ideal as specified by the literature. Of all the elements included in the ideal postnatal review, only 23,5% of these were performed or supervised by the midwife. Seventy percent (70%) of these elements were not performed at all, thus emphasising the fact that a comprehensive health service is not being provided at the postnatal clinics in Port Elizabeth.

scholarly journals Clinical school partnerships: the way forward in nursing education, research and clinical practice

2008 ◽  
Vol 32 (1) ◽  
pp. 121 ◽  
Author(s):  
Deirdre Fetherstonhaugh ◽  
Rhonda Nay ◽  
Mandy Heather
Keyword(s):  
Health Care ◽  
Education Research ◽  
Nursing Education ◽  
Care Facility ◽  
Health Care Facility ◽  
School Partnerships ◽  
Acute Health Care ◽  
Nursing Education Research ◽  
History Of ◽  
The Way

This paper describes the development of a partnership between a university clinical school and a sub-acute health care facility in Melbourne, Australia. A brief history of nursing education is given to provide a background for the development of this collaborative model. The paper explores the partnership, what it has achieved and continues to achieve, as well as the challenges that have been faced along the way.

A History of Ethical Codes in South African Psychology: An Insider's View

1998 ◽  
Vol 28 (3) ◽  
pp. 135-145 ◽  
Author(s):  
Douglas R. Wassenaar
Keyword(s):  
South Africa ◽  
South African ◽  
Professional Ethics ◽  
Future Trends ◽  
Developmental History ◽  
Ethical Codes ◽  
History Of ◽  
The Relationship

The purpose of this article is to present a developmental history of formal professional ethics in psychology in South Africa. Particular emphasis is placed on the relationship between legislation governing the registration of psychologists and professional ethics. Current and future trends emphasising the need to transform professional structures in keeping with the democratic ethos of post-apartheid South Africa are also discussed.

Sign in / Sign up

Export Citation Format

Share Document