Brunel mood scale: South African norm study

2011 ◽  
Vol 17 (2) ◽  
pp. 11 ◽  
Author(s):  
Charles H Van Wijk
Keyword(s):  
Health Care ◽  
South African ◽  
Normative Data ◽  
Mother Tongue ◽  
Self Report ◽  
African Languages ◽  
Language Groups ◽  
African Health ◽  
Health Care Context ◽  
Mood Scale

<p><strong>Objective:</strong> The Brunel Mood Scale (BRUMS) has proved useful to assess mood states in a range of clinical settings. Its local utility is restricted by the lack of normative data from South Africa. This paper presents preliminary normative data for the use of the BRUMS in the South African health care setting. <strong></strong></p><p><strong>Method:</strong> Participants (N=2200), ranging from 18 to 59 years, employed in the public sector, and were recruited during routine occupational health surveillance, completed the 24-item self-report BRUMS. They came from all South African race and language groups, and from all nine provinces. <strong></strong></p><p><strong>Results:</strong> Significant differences were found between the scores of women and men, and their results are reported separately. Due to the language dependant nature of the BRUMS, results are also reported separately for respondents with English as first language, and those who have other South African languages as mother tongue. Norm tables with T-scores are presented for the full sample, and per gender X language groups.</p><p><strong>Conclusion:</strong> This study presents normative data for a sample of educated and employed South Africans from various backgrounds. Its brevity, and provisionally language friendly nature makes it a useful measure for screening psychological distress in the SA clinical health care context.</p>

Substantive Equality in South African Health Care: The Limits of Law

2000 ◽  
Vol 4 (2) ◽  
pp. 111-131 ◽  
Author(s):  
Charles Ngwena
Keyword(s):  
Health Care ◽  
South African ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Reforms ◽  
Structural Inequality ◽  
Care Services ◽  
Substantive Equality ◽  
African Health ◽  
Access To Health

The article considers the scope and limits of law as an instrument for facilitating equitable access to health care in South Africa. The focus is on exploring the extent to which the notion of substantive equality in access to health care services that is implicitly guaranteed by the Constitution and supported by current health care reforms, is realisable for patients seeking treatment. The article highlights the gap between the idea of substantive equality in the Constitution and the resources at the disposal of the health care sector and the country as a whole. It is submitted that though formal equality in access to health care services has been realised, substantive equality is currently unattainable, if it is attainable at all, on account of entrenched structural inequality, general poverty and a high burden of disease.

scholarly journals Policy-making for real: Politics and progress in South African health care

Curationis ◽  
1993 ◽  
Vol 16 (3) ◽  
Author(s):  
A. Fourie ◽  
H. C. J. Van Rensburg
Keyword(s):  
Health Care ◽  
South African ◽  
Policy Making ◽  
Status Quo ◽  
African Health ◽  
The Status ◽  
Policy Measures ◽  
South African Health

Problems have been accumulating in South African health care for well over three centuries yet when it comes to resolving the crisis by means of appropriate policy measures, one becomes aware of the powers at play and the interests at stake in maintaining the status quo, thus obstructing much initiative in the process of reform.

scholarly journals Funksionele meertaligheid in Suid-Afrika: 'n onbereikbare ideaal?

Literator ◽  
1998 ◽  
Vol 19 (1) ◽  
pp. 35-50 ◽  
Author(s):  
M. Verhoef
Keyword(s):  
South Africa ◽  
South African ◽  
Mother Tongue ◽  
Final Report ◽  
North West ◽  
African Languages ◽  
The North ◽  
Mother Tongue Instruction ◽  
Education Act ◽  
Regional Languages

Functional multilingualism in South Africa: an unattainable ideal? Although much has been done on an official level to establish true multilingualism in South Africa, a tendency towards English monolingualism seems to exist in the country. The aim of this article is to describe the official stipulations in pursuit of multilingualism, as they appear in the Constitution (Act 108 of 1996), the School Act (Act 84 of 1996) and the final report of Langtag. In addition to the present demands, the article also responds to previous demands for multilingualism in the South African context, particularly as stated in the Bantu Education Act of 1953. It is argued that, because of the negative connotations associated with mother-tongue instruction in the past, contemporary mother-tongue instruction will also be contaminated. Apart from the theoretical investigation into multilingualism, the article reports on empirical research that has been done in this regard in the North West Province where the attitudes and perceptions of the school population towards the regional languages were measured. Although the subjects reacted positively to the official status granted to several South African languages, they expressed a preference for English as working language because of the access it gives to personal, economic and social development and empowerment. The article concludes with brief recommendations regarding language planning opportunities that derive from this situation.

scholarly journals Consulting the South African experts in physiotherapeutic stroke rehabilitation

2001 ◽  
Vol 57 (2) ◽  
pp. 32-40 ◽  
Author(s):  
L. A. Hale ◽  
C. J. Eales
Keyword(s):  
South Africa ◽  
Health Care ◽  
South African ◽  
Stroke Rehabilitation ◽  
Delphi Technique ◽  
Rehabilitation Services ◽  
The South ◽  
Innovative Methods ◽  
African Health ◽  
South African Health

This paper presents the opinions of expert physiotherapists on what constitutes optimal stroke rehabilitation in South Africa. Data were collected by the use of the Delphi technique. Consensus was reached after two rounds, and the respondents’ views are summarised and discussed within the framework of South African health care. Results showed that physiotherapy was felt to be very important after stroke, and the survey created a profile of the skills that physiotherapists may require in order to work in this field. However, no new or innovative methods by which appropriate rehabilitation services could be delivered in South Africa were generated by the survey.The Delphi technique is described and its use in this survey considered.

South African health care in black and white

The Lancet ◽  
1998 ◽  
Vol 351 (9113) ◽  
pp. 1421-1424
Author(s):  
Gabrielle Murphy
Keyword(s):  
Health Care ◽  
South African ◽  
Black And White ◽  
African Health ◽  
South African Health

scholarly journals Perceptions and Experiences of Frontline Health Managers and Providers on Accountability in a South African Health District

2019 ◽  
Author(s):  
Fidele Kanyimbu Mukinda ◽  
Sara Van Belle ◽  
Helen Schneider
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
South African ◽  
Collective Responsibility ◽  
Care Hospital ◽  
Culture Of Learning ◽  
Primary Health ◽  
African Health ◽  
South African Health ◽  
Health Managers

Abstract Objective This study explored and described accountability as perceived and experienced by frontline health managers and providers of maternal, newborn and child health (MNCH) services in a South African health district.Methods This was a qualitative study involving in-depth interviews with a purposive sample of 58 frontline health managers and providers in the district office and in two sub-districts, examining the meanings of accountability and related lived experiences.Results Accountability was described by respondents as both an organisational mechanism of answerability and responsibility and an intrinsic professional virtue. Accountability relationships were understood to be multidirectional - upwards and downwards in hierarchies, outwards to patients and communities, and inwards to the “self”. The practice of accountability was challenged in organisational environments where impunity and unfair punishment existed alongside each other, where political connections constrained the ability to sanction and by climates of fear and blame. Accountability was enabled by open management styles, teamwork, good relationships between primary health care, hospital services and communities, investment in knowledge and skills development and responsive support systems. The interplay of these enablers and constraints varied across the facilities and sub-districts studied.Conclusions and Recommendations Providers and managers have well-established ideas about, and a language of, accountability. The lived reality of accountability by frontline managers and providers varies and is shaped by micro-configurations of enablers and constraints in local accountability ecosystems. Fairness, open leadership styles, teamwork and collaboration between primary health care and hospitals and community participation were seen as promoting accountability, enabling collective responsibility and a culture of learning rather than blame.

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