scholarly journals Experiences of people affected by rabies in eThekwini District

2018 ◽  
Author(s):  
◽  
Jeffrey Mduduzi Hadebe
Keyword(s):  
South Africa ◽  
Health Care ◽  
Thematic Analysis ◽  
Family Background ◽  
Structured Interview ◽  
Notifiable Disease ◽  
Community Members ◽  
The Past ◽  
Kwazulu Natal ◽  
Data Saturation

Background Rabies is a notifiable disease which can be fatal; death is preventable if health care is sought timeously. South Africa is one of the countries in Africa adversely affected by rabies. KwaZulu-Natal has had rabies outbreaks in the past, including one in 2012 which claimed four victims in the eThekwini district. Aim of the study The aim of the study was to explore and describe the experiences of people affected by rabies in eThekwini district. Methodology The study was guided by a qualitative, exploratory, descriptive design. The sample was purposively selected and a semi-structured interview was used to collect data from people affected by rabies in eThekwini district. Data saturation was reached after 12 participants were interviewed. Data was analysed by using Tesch’s eight steps of thematic analysis. Findings Five major themes that emerged from the data analysis were a) family background and support, b) predisposing factors and risky practices, c) barriers to seeking assistance, d) knowledge about rabies and expectations from officials, and e) effect of rabies on the individuals. Conclusion It was evident in the study that community members in general were affected by rabies. Individuals who were directly affected by rabies through contact with rabid animals were expected to take responsibility for their own lives.

scholarly journals Experiences of people affected by rabies in Ethekwini district in the province of Kwazulu-Natal, South Africa

2020 ◽  
Vol 20 (1) ◽  
pp. 150-157
Author(s):  
Jeffrey Mduduzi Hadebe ◽  
Maureen Nokuthula Sibiya
Keyword(s):  
South Africa ◽  
Health Care ◽  
Structured Interview ◽  
Family Stability ◽  
Notifiable Disease ◽  
The Past ◽  
Kwazulu Natal ◽  
Data Saturation ◽  
Care Assistance ◽  
Rabies Exposure

Background: South Africa is one of the countries in Africa adversely affected by rabies, a notifiable disease which can be fatal. Fatalities can be prevented if health care is sought timeously and people are educated about the disease. The Province of Kwa- Zulu-Natal, in particular, has had rabies outbreaks in the past which have led to loss of many lives and devastation of entire families. Objective: The aim of the study was to explore the experiences of people affected by rabies in the eThekwini district of Kwa- Zulu-Natal, South Africa. Methods: The study was guided by a qualitative, exploratory, descriptive design. The sample was purposively selected, and a semi-structured interview was used to collect data from people affected by rabies in the eThekwini district. Data saturation was reached after 12 participants were interviewed. Data was analysed by using Tesch’s eight steps of thematic analysis. Results: The themes included family stability and support structures, exposure to risk factors and risky practices, factors that hindered participants from seeking health care assistance, limited knowledge about rabies and the effects of rabies. Conclusion: It was evident that participants experienced many challenges during their rabies exposure. Individuals, who were directly affected by rabies through contact with rabid animals, were expected to take responsibility for their own lives. Keywords: Rabies; South Africa; qualitative research. 

Optimizing a Halfway House to Meet Mental Health Care Users’ Occupational Needs

2021 ◽  
pp. 000841742110448
Author(s):  
Itumeleng Augustine Tsatsi ◽  
Nicola Ann Plastow
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Mental Health Care ◽  
Thematic Analysis ◽  
Unmet Needs ◽  
Participatory Action ◽  
Halfway House ◽  
Health And Wellbeing ◽  
Halfway Houses

Background. Halfway houses (HwH) may support community reintegration of mental health care users and can be effective in meeting occupational needs of residents. However, they are not optimally used in South Africa. Purpose. This study aimed to improve the functioning of a HwH so that it better meets occupational needs of the resident mental health care users. It draws on Doble & Santha; ( 2008 ) seven occupational needs. Method. A four-phase Participatory Action Research methodology was used. We conducted thematic analysis to describe met and unmet needs within PAR phases. Findings. Occupational needs of accomplishment, renewal, pleasure and companionship were being met. However, coherence, agency and affirmation needs were not being met. An additional occupational need for interdependence, based on the African ethic of Ubuntu, was identified. Implications. HwH functioning affected residents’ experiences of health and wellbeing. Engagement in collective occupations can contribute to meeting the occupational need of interdependence.

scholarly journals The vegetation of Tshanini Game Reserve and a comparison with equivalent units in the Tembe Elephant Park in Maputaland, South Africa

Koedoe ◽  
2004 ◽  
Vol 47 (1) ◽  
Author(s):  
J.Y. Gaugris ◽  
W.S. Matthews ◽  
M.W. Van Rooyen ◽  
J. Du P. Bothma
Keyword(s):  
South Africa ◽  
Natural Resources ◽  
Environmental Changes ◽  
Local Communities ◽  
Management Decisions ◽  
The Past ◽  
Kwazulu Natal ◽  
Renewable Natural Resources ◽  
Game Reserve ◽  
Northern Maputaland

The Tembe Elephant Park was proclaimed in 1983 after negotiations between the then KwaZulu Bureau of Natural Resources and the Tembe Tribal Authority in consultation with the local communities of northern Maputaland, KwaZulu-Natal, South Africa. The park boundaries were subsequently fenced and animal numbers started to increase. The fence has kept the utilisation of renewable natural resources by the local communities at bay for the past 19 years. In this period, the vegetation of the park has been utilised only by the indigenous fauna, but it has been affected by management decisions and possibly also regional environmental changes.

scholarly journals Core competencies acquired in indigenous training of traditional health practitioners in Kwazulu-Natal

1970 ◽  
Vol 19 (4) ◽  
pp. 3100-3106
Author(s):  
Mbatha Nompumelelo ◽  
Exnevia Gomo ◽  
Nceba Gqaleni ◽  
Mlungisi Ngcobo
Keyword(s):  
South Africa ◽  
Health Care ◽  
Spiritual Development ◽  
Urban Areas ◽  
Core Competencies ◽  
Sequential Data ◽  
Traditional Health ◽  
Traditional Health Practitioners ◽  
Kwazulu Natal ◽  
Health Practitioners

Introduction: Despite the recognition of Traditional Medicine systems as a critical component of health care by the WHO and the African Union, its integration into the health care mainstream remains very subdued in South Africa. This is partly due to the lack of empirical data pertinent to traditional healer training that could inform the accreditation process. Objective: To determine core competencies acquired by Traditional Health Practitioners (THP) of KwaZulu-Natal Province, South Africa during their apprenticeship. Materials and methods: Purposeful, convenient and snowballing sampling and the sequential data collection methods of questionnaires, journaling and focus groups was used to collect data from the THP tutors and their trainees in rural, peri-urban and urban areas of eThekwini and uThungulu Districts of Kwa Zulu Natal (KZN). Results: Eleven core competencies were identified: consultation, diagnoses, holistic patient care and treatment, integrative and holistic healing, application of healing procedures and cultural rituals, spiritual development, ethical competencies, problem solving, herbalism, ancestral knowledge and end of life care. Conclusion: The apprenticeship of THPs in KZN is based on eleven core competencies. These competencies are fundamental pillars for critical health care provided by THPs and are crucial for setting standards for the accreditation of traditional training in South Africa if the THP Act 22 of 2007 is to achieve its purpose of providing for the management of and control over the registration, training and conduct of the practitioners. Hence, the appointed interim THP Council should include the identified competencies when articulating bases for accreditation of the training and assessments.Keywords: Indigenous training, traditional health practitioners, Kwazulu-Natal.

scholarly journals An Analysis of the Learning Health System in Its First Decade in Practice: Scoping Review (Preprint)

2019 ◽  
Author(s):  
Jodyn E Platt ◽  
Minakshi Raj ◽  
Matthias Wienroth
Keyword(s):  
Health Care ◽  
Health System ◽  
Thematic Analysis ◽  
Scoping Review ◽  
Rapid Learning ◽  
The Past ◽  
Learning From Data ◽  
Learning Health System ◽  
Over Time ◽  
Value Of Health

BACKGROUND In the past decade, Lynn Etheredge presented a vision for the Learning Health System (LHS) as an opportunity for increasing the value of health care via rapid learning from data and immediate translation to practice and policy. An LHS is defined in the literature as a system that seeks to continuously generate and apply evidence, innovation, quality, and value in health care. OBJECTIVE This review aimed to examine themes in the literature and rhetoric on the LHS in the past decade to understand efforts to realize the LHS in practice and to identify gaps and opportunities to continue to take the LHS forward. METHODS We conducted a thematic analysis in 2018 to analyze progress and opportunities over time as compared with the initial <i>Knowledge Gaps and Uncertainties</i> proposed in 2007. RESULTS We found that the literature on the LHS has increased over the past decade, with most articles focused on theory and implementation; articles have been increasingly concerned with policy. CONCLUSIONS There is a need for attention to understanding the ethical and social implications of the LHS and for exploring opportunities to ensure that these implications are salient in implementation, practice, and policy efforts.

scholarly journals Midwives’ challenges in the management of postpartum haemorrhage at rural PHC facilities of Limpopo province, South Africa: an explorative study

2021 ◽  
Vol 21 (1) ◽  
pp. 311-9
Author(s):  
Thifhelimbilu Irene Ramavhoya ◽  
Maria Sonto Maputle ◽  
Rachel Tsakani Lebese ◽  
Lufuno Makhado
Keyword(s):  
South Africa ◽  
Health Care ◽  
Maternal Mortality ◽  
Postpartum Haemorrhage ◽  
Health Care Facilities ◽  
Limpopo Province ◽  
Successful Implementation ◽  
Data Saturation ◽  
Care Guidelines ◽  
Primary Health Care Facilities

Background: Postpartum haemorrhage is one of the causes of the rise in maternal mortality. Midwives’ experiences related to postpartum haemorrhage (PPH) management remain unexplored, especially in Limpopo. The purpose of the study was to explore the challenges experienced by midwives in the management of women with PPH. Methods: Qualitative research was conducted to explore the challenges experienced by midwives in the management of women with PPH. Midwives were sampled purposefully. Unstructured interviews were conducted on 18 midwives working at primary health care facilities. Data were analysed after data saturation. Results: After data analysis, one theme emerged “challenges experienced by midwives managing women with PPH” and five subthemes, including: “difficulty experienced resulting in feelings of frustrations and confusion and lack of time and shortage of human resource inhibits guidelines consultation”. Conclusion: The study findings revealed that midwives experienced difficulty when managing women with postpartum haemorrhage. For successful implementation of maternal health care guidelines, midwives should be capacitated through training, supported and supervised in order to execute PPH management with ease. Keywords: Midwifery in South Africa; implementation of maternal guidelines; postpartum haemorrhage; maternal mortality.

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