scholarly journals Does the public antiretroviral treatment programme meet patients’ needs? A study at four hospitals in eThekwini, KwaZulu-Natal, South Africa

Author(s):  
Delarise M. Mulqueeny ◽  
Myra Taylor

Background: Patients play a major role in the success of any antiretroviral treatment (ART) programme. Hence, their needs should be articulated on a regular basis for interventional processes to promote adherence, retention and quality care.Aim: This study investigated whether patients’ needs were being met, described which needs were met, which were not and how such needs could be met.Setting: The study took place at four ART clinics in eThekwini district public hospitals.Methods: This study formed part of a larger study that utilised a sequential mixed-methods design. However, only the qualitative component is documented herein. Twelve HIV-infected patients engaged in in-depth interviews (three patients from each of the four hospitals). A socio-ecological framework divided responses into four categories, namely, the individual, interpersonal, institutional and policy. Each category presented (1) patients’ needs that are being met, (2) needs that are not being met, (3) recommendations on how they can be met and (4) researchers’ observations.Results: All 12 patients reported that all their needs were not being met. They further shared their met needs, unmet needs and made recommendations for meeting their unmet needs. These needs varied per antiretroviral clinic because of unique processes at each institution.Conclusion: To adequately address the needs of HIV-infected patients, it is imperative for all stakeholders involved in the public ART programme to gain an understanding of what constitutes ‘patients’ needs’. The results reflect patients’ willingness to be involved in their care, treatment and interventional strategies to adequately meet their needs.

Author(s):  
Mathias Herup Nielsen

This article investigates different acts of political protests currently floating from unemployed citizens who are being affected by recent retrenchment policy reforms. Whereas most of the existing literature tends to portray political protest as either collective and public or individual and private, this article attempts instead to shed light on the plurality of normative resources activated by the unemployed in a highly critical situation. Thereby the analysis moves between the collective and the individual as well as between the public and the private. Using the theoretical framework developed by Laurent Thévenot and Luc Boltanski in their joint work on justification, the article analyses a specific case, namely unemployed Danish recipients of social assistance who are affected by a new policy initiative meaning that their income has been lowered. Drawing on newspaper articles and qualitative in-depth interviews with affected citizens, the analysis unfolds and theorizes upon three very different forms of protesting: a civic, an industrial and a domestic form of resistance.


2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Nadeem Cassim ◽  
Shaun Ruggunan

Background: The aim of the present study was to identify the factors that influence the global migration of South African anatomical pathologists working in the province of KwaZulu-Natal.Objective: The present study answered the question ‘what factors influence Kwazulu-Natal-based histopathologists to emigrate out of South Africa?’, thus providing insight into an under-researched medical specialisation.Methods: A qualitative approach and purposive sampling were used. Data included 11 in-depth interviews with histopathologists working in KwaZulu-Natal (KZN), and one interview with a former KZN-based histopathologist now working in the United States. The interviews were recorded and transcribed. The data were coded for patterns, and these patterns generated themes. The processes of coding and thematic generation were iterative.Results: Six themes were discovered from the data. Of these, five themes suggested reasons for the potential emigration of histopathologists. These included: lack of recognition by clinical doctors, lack of career-pathing opportunities, the deterrent of compulsory service in the public sector upon qualifying, socio-economic and political instability in South Africa, and endemic levels of crime. A sixth theme revealed that remuneration was not a deciding factor as to whether histopathologists choose to emigrate.Conclusions: Remuneration was not revealed to be a reason for emigration, as these specialists’ salaries are commensurate with global salaries. The findings, whilst not generalisable, suggest that more work needs to be done on the human relations aspects of retention for these medical specialists. This has implications for human resources for health policy. Agtergrond: Die doel van hierdie artikel is om die faktore te identifiseer wat die globale migrasie van Suid-Afrikaanse anatomiese patoloë wat in die provinsie van KwaZulu-Natal werk, beïnvloed.Doelwit: Hierdie artikel beantwoord die vraag: ‘Watter faktore beïnvloed histopatoloë wat in KwaZulu-Natal gebaseer is om uit Suid-Afrika te migreer?’, en verskaf sodoende insig in ’n ondernagevorste mediese spesialisasie.Metodes: ’n Kwalitatiewe benadering en doelgerigte steekproefneming is gebruik. Die data het 11 diepgaande onderhoude met histopatoloë wat in KwaZulu-Natal (KZN) werk en een onderhoud met ’n voormalige KZN-gebaseerde histopatoloog wat nou in die Verenigde State werk, ingesluit. Die onderhoude is opgeneem en getranskribeer. Die data is vir patrone gekodeer en hierdie patrone het temas gegenereer. Die koderingsproses en tematiese generering was herhalend.Resultate: Ses temas is in hierdie data ontdek. Hiervan het vyf temas redes vir die moontlike migrasie van histopatoloë voorgestel. Dit sluit in gebrek aan erkenning deur kliniese dokters, gebrek aan loopbaangeleenthede, die afskrikmiddel van verpligte diens in die openbare sektor na kwalifisering, sosio-ekonomiese en politieke onstabiliteit in Suid-Afrika, en endemiese misdaadvlakke. ’n Sesde tema het aan die lig gebring dat vergoeding nie ’n beslissende faktor is in histopatoloë se keuse om te migreer nie.Gevolgtrekkings: Vergoeding blyk nie ’n rede vir migrasie te wees nie, aangesien die salarisse van hierdie spesialiste in ooreenstemming met globale salarisse is. Hoewel dit nie veralgemeenbaar is nie, stel die bevindings voor dat meer werk aan die menseverhouding-aspekte gedoen moet word om hierdie mediese spesialiste te behou. Dit het implikasies vir menslike hulpbronne in gesondheidsbeleid.


2013 ◽  
Vol 4 ◽  
Author(s):  
Ulla-Britt Eriksson ◽  
Staffan Janson

Introduction: A dramatic increase in sicknesses absence in Sweden has led to a shift in the public debate. Departing from the view of sickness absence as a result of a poor work environment and stress, the debate in the early 2000s became more concerned with the breakdown of norms and the abuse of sickness insurance. Sickness absence became the responsibility of the individual rather than of society.Aim: This study has sought to explore the consequences of being on sick leave with a musculoskeletal diagnosis, the experiences of encounters with rehabilitation professionals, and the attitudes towards sick-listing from the perspective of the sick-listed persons. Methods: Individual in-depth interviews were conducted in 2010 with eight women and nine men aged 33-60 who were on long-term sick leave (at least 60 days) with a musculoskeletal diagnosis. We analysed the data using a grounded-theory approach. Results: There was an obvious tension between work strategy as a societal norm and finding an acceptable life role when sick-listed. Four groups with partially differing experiences and perceptions crystallized out of the total population. These experiences and perceptions formed their choice of different acceptable life roles and strategies for gaining self-respect and the respect of others. Discussion: The fact that the four groups that emerged from our study experienced their sickness absence in different ways and their pathways back to work were different demonstrates the value of not considering those on sick leave with a musculoskeletal diagnosis as a homogeneous group. The results imply that rehabilitators should adopt a sensitive approach based on the sickness absentees’ wishes and views since the latter spend much of their time and thought during their period of sickness on counteracting distrust in search of an acceptable life role to regain respect.


2019 ◽  
Vol 1 (1) ◽  
pp. 80-92
Author(s):  
Rulan Permata Sari

The basic identity of academic community of UIN Imam Bonjol Padang is Muslim, with sufficient religious knowledge. This study aims to see the correlation of knowledge with behavior in maintaining environmental cleanliness. The research data collection was carried out by survey and in-depth interviews with the academic community of UIN Imam Bonjol. This study found that, first the understanding of the academic community of UIN Imam Bonjol Padang about cleanliness was quite good at the individual level originating from the hadith about cleanliness, both in text and in substance. Second, in maintaining cleanliness, UIN academics are influenced by the lack of available hygiene facilities and infrastructure and the absence of regulation. Third, there is an asymmetrical relationship between the knowledge of the UIN academic community about environmental hygiene and practice because the understanding of environmental hygiene is still in the domestic area and is private in nature, not yet entering the public space.


2017 ◽  
Vol 9 (3) ◽  
pp. 76 ◽  
Author(s):  
Grace Suk Ha Chan ◽  
Anna Chun-Hsuan Hsiao ◽  
Irini Lai Fun Tang

Hong Kong residents tend to spend their holidays by traveling overseas; hence, they reserve hotels online. Moreover, low-cost carriers have become popular and common, thereby resulting in an increase in the number of individual travelers. Accordingly, the online hotel industry can no longer ignore the potential segment of individual travelers. In addition, word of mouth (WOM) is significant in the decision-making process because of the development of Web 2.0. and Travel 3.0. Furthermore, previous studies were analyzed and only a few focus on the individual traveler perspectives on purchasing hotel reservations online. However, individual travelers have different culture and values compared with the public; the former has its own lifestyle, consumer behavior, and ego. Therefore, the investigation of individual travelers when purchasing hotel reservations online is a valuable research topic. Under all situations, WOM has become one of the crucial factors upon which individual travelers base their travel planning and decision. This study used the interpretivist approach to investigate the respondents’ experiences and views for exploring and understanding individual traveler’s perception. The current study adopted qualitative research toward the effects of WOM communication on purchasing hotel reservations online. To investigate the topic, in-depth interviews were conducted on 15 respondents who are individual travelers and travel alone. The interviews followed a semi-structured format using open-ended questions. Descriptive research was designed to gather the findings. In addition, this study provided the effects of WOM communication on purchasing hotel reservations online from the perspective of an individual traveler. New findings, effects of WOM from an individual traveler’s perspective, and recommendations are provided, thereby providing significant guidance to industrial practitioners to improve and formulate marketing strategies.


Koneksi ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 112
Author(s):  
Cervia Ferdiana ◽  
Eko Harry Susanto ◽  
Sisca Aulia

Tinder is an online dating social media that is used by the majority of young people. The presence of Tinder at the moment, has an unconscious influence on daily life. The existence of Tinder can help someone to find a friend or life partner. However, now there is a phenomenon of the function of social media online dating that is misused by the public. The purpose of this study is to find out the shift in function of social media Tinder, the choice of social media Tinder as medium to find promiscuity friends, and an increase in promiscuity among young Indonesians using social media Tinder. This study is a qualitative study with phenomenological methods. Data collection techniques in this study were in-depth interviews, participant observation, literature and the online data article. The results of this study are that there is an increase in promiscuity among young people in Indonesia using social media dating online Tinder because the majority of Tinder users has an open mindset then has high curiosity of something that has never been felt, and last because the environmental factors that support the individual to enter promiscuity. Tinder merupakan media sosial kencan daring yang digunakan mayoritas kalangan anak muda. Media sosial kencan daring Tinder dapat membantu seseorang untuk menemukan teman ataupun pasangan hidup. Namun, kini muncul fenomena fungsi media sosial kencan daring Tinder yang disalahgunakan oleh masyarakat. Tujuan dari penelitian ini ingin mengetahui adanya pergeseran fungsi dari media sosial Tinder, pemilihan media sosial Tinder sebagai sarana untuk mencari teman pergaulan bebas, dan adanya peningkatan pergaulan bebas yang terdapat di kalangan anak muda Indonesia menggunakan media sosial Tinder. Penelitian ini merupakan penelitian kualitatif dengan metode fenomenologi. Teknik pengumpulan data berupa wawancara mendalam, observasi partisipan, studi pustaka dan juga penelusuran data secara daring. Hasil dari penelitian ini adalah terdapat adanya peningkatan pergaulan bebas di kalangan anak muda Indonesia dengan menggunakan media sosial kencan daring Tinder. Hal ini karena mayoritas pengguna Tinder mempunyai pemahaman atau pola pikir yang terbuka, rasa penasaran dan keingintahuan yang tinggi untuk mencoba sesuatu yang baru, dan faktor lingkungan yang mendukung individu untuk memasuki pergaulan bebas.


2019 ◽  
Vol 12 (1-2) ◽  
pp. 13-35
Author(s):  
H. Şule Albayrak

For decades the authoritarian secularist policies of the Turkish state, by imposing a headscarf ban at universities and in the civil service, excluded practising Muslim women from the public sphere until the reforms following 2010. However, Muslim women had continued to seek ways to increase their knowledge and improve their intellectual levels, not only as individuals, but also by establishing civil associations. As a result, a group of intellectual women has emerged who are not only educated in political, social, and economic issues, but who are also determined to attain their socio-economic and political rights. Those new actors in the Turkish public sphere are, however, concerned with being labeled as either “feminist,” “fundamentalist” or “Islamist.” This article therefore analyzes the distance between the self-identifications of intellectual Muslim women and certain classifications imposed on them. Semi-structured in-depth interviews with thirteen Turkish intellectual Muslim women were carried out which reveal that they reject and critique overly facile labels due to their negative connotations while offering more complex insights into their perspectives on Muslim women, authority, and identity.


Public Voices ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 67 ◽  
Author(s):  
Sharon Mastracci

In this paper, the author examines public service as depicted in the television series Buffy the Vampire Slayer (BtVS). First, she shows how slaying meets the economist’s definition of a public good, using the BtVS episode “Flooded” (6.04). Second, she discusses public service motivation (PSM) to determine whether or not Buffy, a public servant, operates from a public service ethic. Relying on established measures and evidence from shooting scripts and episode transcripts, the author concludes Buffy is a public servant motivated by a public service ethic. In this way, BtVS informs scholarship on public service by broadening the concept of PSM beyond the public sector; prompting one to wonder whether it is located in a sector, an occupation, or in the individual. These conclusions allow the author to situate Buffy alongside other idealized public servants in American popular culture.


Author(s):  
Andrew M. Yuengert

Although most economists are skeptical of or puzzled by the Catholic concept of the common good, a rejection of the economic approach as inimical to the common good would be hasty and counterproductive. Economic analysis can enrich the common good tradition in four ways. First, economics embodies a deep respect for economic agency and for the effects of policy and institutions on individual agents. Second, economics offers a rich literature on the nature of unplanned order and how it might be shaped by policy. Third, economics offers insight into the public and private provision of various kinds of goods (private, public, common pool resources). Fourth, recent work on the development and logic of institutions and norms emphasizes sustainability rooted in the good of the individual.


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