Evalution of the knowledge and skills of the professional nurses regarding IMCI service delivery, including HIV/AIDS case management in primary health care facilities in Buffalo City Sub-District, Eastern Cape Province, South Africa
- Noluvuyo, Leonelle Gosangaye
- Authors: Noluvuyo, Leonelle Gosangaye
- Date: 2013
- Subjects: Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11903 , http://hdl.handle.net/10353/d1006782 , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Description: An increase in diarrhoea and upper respiratory tract infection has been noted for the past five years and this is associated with the prevalence of Human Immune-deficiency Virus and Acquired Immune Deficiency Syndrome. HIV infection is an increasingly common cause of childhood morbidity and mortality in South Africa. In some areas of the country, like the Eastern Cape, more than 30 percent of the women attending antenatal clinics are HIV infected. Without intervention, approximately one third of the babies born to these HIV infected mothers will get infection from their mothers (WHO, 2003). Aim and Objectives of the study: The study was meant to assess the specific knowledge and skills of professional nurses at the primary health facilities regarding management and integration of childhood illnesses, evaluate the quality of training of professional nurses on aspects of IMCI including integration of HIV within IMCI programme for children under five years in Primary Health Care facilities in Mdantsane Township. Methods: A quantitative descriptive method was used for this study. The questionnaire developed by the researcher was used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all professional nurses on duty and those available at the time of data collection. A checklist for IMCI was used to collect data from Road to Health files of children who were HIV positive admitted in the pediatric ward at Cecilia Makhiwane Hospital. Results: The results of this study for all the variables examined showed that the highest score was 56 percent and the lowest was18 percent.These results indicated that the knowledge and skills of professional nurses were inadequate.
- Full Text:
- Date Issued: 2013
- Authors: Noluvuyo, Leonelle Gosangaye
- Date: 2013
- Subjects: Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11903 , http://hdl.handle.net/10353/d1006782 , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Description: An increase in diarrhoea and upper respiratory tract infection has been noted for the past five years and this is associated with the prevalence of Human Immune-deficiency Virus and Acquired Immune Deficiency Syndrome. HIV infection is an increasingly common cause of childhood morbidity and mortality in South Africa. In some areas of the country, like the Eastern Cape, more than 30 percent of the women attending antenatal clinics are HIV infected. Without intervention, approximately one third of the babies born to these HIV infected mothers will get infection from their mothers (WHO, 2003). Aim and Objectives of the study: The study was meant to assess the specific knowledge and skills of professional nurses at the primary health facilities regarding management and integration of childhood illnesses, evaluate the quality of training of professional nurses on aspects of IMCI including integration of HIV within IMCI programme for children under five years in Primary Health Care facilities in Mdantsane Township. Methods: A quantitative descriptive method was used for this study. The questionnaire developed by the researcher was used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all professional nurses on duty and those available at the time of data collection. A checklist for IMCI was used to collect data from Road to Health files of children who were HIV positive admitted in the pediatric ward at Cecilia Makhiwane Hospital. Results: The results of this study for all the variables examined showed that the highest score was 56 percent and the lowest was18 percent.These results indicated that the knowledge and skills of professional nurses were inadequate.
- Full Text:
- Date Issued: 2013
Management of HIV/AIDS programmes at the workplace: a study of selected organisations in Chris Hani District, Eastern Cape Province
- Authors: Shava, Getrude
- Date: 2013
- Subjects: Social responsibility of business -- South Africa -- Eastern Cape , Industrial hygiene -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , HIV-positive persons -- Employment -- South Africa , AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M SW
- Identifier: vital:11764 , http://hdl.handle.net/10353/d1005992 , Social responsibility of business -- South Africa -- Eastern Cape , Industrial hygiene -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , HIV-positive persons -- Employment -- South Africa , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: The aim of the study was to investigate the management of HIV /AIDS programmes at the workplace in four selected organisations in Chris Hani District, Eastern Cape Province of South Africa. Four organisations were studied, two public organisations and two private organisations. With the use of triangulation method, two hundred employees were administered a semi- structured questionnaire while for (four) managers, semi structured in-depth interviews were conducted. The major findings of this study outline that all the four organisations studied have HIV/AIDS programmes and policies for their employees. However, there were no budget allocations for these programmes to be fully implemented for effectiveness. From the data, it can be concluded that HIV/AIDS has a negative impact on organisations‟ production like high training costs, high labour turnover and high absenteeism from work. This has been as a result of managers who did not put their total commitment towards HIV/AIDS management at their workplaces in the same way they have done to other core areas of businesses of their organisations. The study therefore recommends the management of these organisations to demonstrate a clear commitment to the HIV/AIDS management strategies by fully implementing the HIV/AIDS management programmes in their workplaces. It is very crucial for employees to see this commitment in a concrete form through non-discrimination and support for the people living with HIV/AIDS. Clear unambiguous commitment will go far in developing mutual trust between employers and employees and facilitate an atmosphere where people are willing to undergo VCT and to possibly disclose their status. Furthermore, managers are recommended to hire quality service providers to carry out intensive de-stigmatisation processes. This will create a supportive environment and adequately address the fears of employees about HIV/AIDS issues at the workplace. All these recommendations will go a long way in assisting organisations achieve their strategic business objectives and reduce the negative impact of HIV/AIDS at their workplaces.
- Full Text:
- Date Issued: 2013
- Authors: Shava, Getrude
- Date: 2013
- Subjects: Social responsibility of business -- South Africa -- Eastern Cape , Industrial hygiene -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , HIV-positive persons -- Employment -- South Africa , AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M SW
- Identifier: vital:11764 , http://hdl.handle.net/10353/d1005992 , Social responsibility of business -- South Africa -- Eastern Cape , Industrial hygiene -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , HIV-positive persons -- Employment -- South Africa , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: The aim of the study was to investigate the management of HIV /AIDS programmes at the workplace in four selected organisations in Chris Hani District, Eastern Cape Province of South Africa. Four organisations were studied, two public organisations and two private organisations. With the use of triangulation method, two hundred employees were administered a semi- structured questionnaire while for (four) managers, semi structured in-depth interviews were conducted. The major findings of this study outline that all the four organisations studied have HIV/AIDS programmes and policies for their employees. However, there were no budget allocations for these programmes to be fully implemented for effectiveness. From the data, it can be concluded that HIV/AIDS has a negative impact on organisations‟ production like high training costs, high labour turnover and high absenteeism from work. This has been as a result of managers who did not put their total commitment towards HIV/AIDS management at their workplaces in the same way they have done to other core areas of businesses of their organisations. The study therefore recommends the management of these organisations to demonstrate a clear commitment to the HIV/AIDS management strategies by fully implementing the HIV/AIDS management programmes in their workplaces. It is very crucial for employees to see this commitment in a concrete form through non-discrimination and support for the people living with HIV/AIDS. Clear unambiguous commitment will go far in developing mutual trust between employers and employees and facilitate an atmosphere where people are willing to undergo VCT and to possibly disclose their status. Furthermore, managers are recommended to hire quality service providers to carry out intensive de-stigmatisation processes. This will create a supportive environment and adequately address the fears of employees about HIV/AIDS issues at the workplace. All these recommendations will go a long way in assisting organisations achieve their strategic business objectives and reduce the negative impact of HIV/AIDS at their workplaces.
- Full Text:
- Date Issued: 2013
Major spoligotype families of Mycobacterium tuberculosis strains isolated from tuberculosis patients in Port Elizabeth, Eastern Cape, South Africa
- Authors: Nqini, Babalwa J
- Date: 2012
- Subjects: Mycobacterium tuberculosis -- South Africa -- Eastern Cape , Tuberculosis -- Patients -- South Africa -- Eastern Cape , Drug resistance , Multidrug-resistant tuberculosis -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Microbiology)
- Identifier: vital:11271 , http://hdl.handle.net/10353/d1006877 , Mycobacterium tuberculosis -- South Africa -- Eastern Cape , Tuberculosis -- Patients -- South Africa -- Eastern Cape , Drug resistance , Multidrug-resistant tuberculosis -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: South Africa is burdened with tuberculosis (TB) which is aggravated by the concurrent epidemic of HIV as well as the emergence of drug resistance. In most developed countries molecular techniques have been used to look at the dynamics of the TB epidemic however, despite the prevalence that is high in sub-Saharan Africa, there is little data on strain types that are available in Port Elizabeth. This study aims to find the major clades of M. tuberculosis that are circulating in Port Elizabeth. Two hundred MDR-TB DNA samples were obtained from the National Health Laboratory Services TB laboratory in Port Elizabeth. Spoligotyping and MIRU-VNTR were used to genotype the strains. Two hundred strains were sent to the University of Stellenbosch for spoligotyping and 179 of those were typed. Spoligotype defined families were further typed by MIRU-VNTR typing, so as to further differentiate and assess clonal diversity within the spoligotype families. The Beijing family was the dominant family and the MANU family being the least dominant, with percentages of 71 percent and 0.5 percent respectively. A comparison of spoligotyping results with the international spoligotyping database (SITVIT2) showed a total of 15 shared international types. Forty four percent (44 percent) of the isolates that were typed by MIRU-VNTR showed similarities, suggesting epidemiological relatedness. Thirty eight percent of isolates from spoligotyping were from the same family, the Beijing family, with the same shared international type STI1, but when typed by 12 MIRU-VNTR they showed no epidemiological relatedness and 18 percent of the isolates showed no relatedness when typed by 12 MIRU-VNTR but spoligotyping showed that they were from the LAM family. Results from our study illustrate the effectiveness of MIRU-VNTR typing together with spoligotyping in epidemiological studies in the region of Port Elizabeth.
- Full Text:
- Date Issued: 2012
- Authors: Nqini, Babalwa J
- Date: 2012
- Subjects: Mycobacterium tuberculosis -- South Africa -- Eastern Cape , Tuberculosis -- Patients -- South Africa -- Eastern Cape , Drug resistance , Multidrug-resistant tuberculosis -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Microbiology)
- Identifier: vital:11271 , http://hdl.handle.net/10353/d1006877 , Mycobacterium tuberculosis -- South Africa -- Eastern Cape , Tuberculosis -- Patients -- South Africa -- Eastern Cape , Drug resistance , Multidrug-resistant tuberculosis -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: South Africa is burdened with tuberculosis (TB) which is aggravated by the concurrent epidemic of HIV as well as the emergence of drug resistance. In most developed countries molecular techniques have been used to look at the dynamics of the TB epidemic however, despite the prevalence that is high in sub-Saharan Africa, there is little data on strain types that are available in Port Elizabeth. This study aims to find the major clades of M. tuberculosis that are circulating in Port Elizabeth. Two hundred MDR-TB DNA samples were obtained from the National Health Laboratory Services TB laboratory in Port Elizabeth. Spoligotyping and MIRU-VNTR were used to genotype the strains. Two hundred strains were sent to the University of Stellenbosch for spoligotyping and 179 of those were typed. Spoligotype defined families were further typed by MIRU-VNTR typing, so as to further differentiate and assess clonal diversity within the spoligotype families. The Beijing family was the dominant family and the MANU family being the least dominant, with percentages of 71 percent and 0.5 percent respectively. A comparison of spoligotyping results with the international spoligotyping database (SITVIT2) showed a total of 15 shared international types. Forty four percent (44 percent) of the isolates that were typed by MIRU-VNTR showed similarities, suggesting epidemiological relatedness. Thirty eight percent of isolates from spoligotyping were from the same family, the Beijing family, with the same shared international type STI1, but when typed by 12 MIRU-VNTR they showed no epidemiological relatedness and 18 percent of the isolates showed no relatedness when typed by 12 MIRU-VNTR but spoligotyping showed that they were from the LAM family. Results from our study illustrate the effectiveness of MIRU-VNTR typing together with spoligotyping in epidemiological studies in the region of Port Elizabeth.
- Full Text:
- Date Issued: 2012
The impact of HIV/AIDS on rural children's reliance on natural resources within the Eastern Cape, South Africa
- Authors: McGarry, Dylan Kenneth
- Date: 2008
- Subjects: Natural resources -- South Africa -- Eastern Cape , AIDS (Disease) in children -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Children of AIDS patients -- South Africa -- Eastern Cape , Rural children -- South Africa -- Eastern Cape , Wild foods -- South Africa -- Eastern Cape , Food supply -- South Africa -- Eastern Cape , Children -- Social conditions -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:4759 , http://hdl.handle.net/10962/d1007149 , Natural resources -- South Africa -- Eastern Cape , AIDS (Disease) in children -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Children of AIDS patients -- South Africa -- Eastern Cape , Rural children -- South Africa -- Eastern Cape , Wild foods -- South Africa -- Eastern Cape , Food supply -- South Africa -- Eastern Cape , Children -- Social conditions -- South Africa -- Eastern Cape
- Description: The role of natural resources in the lives of rural children impacted by HIV/AIDS remains unexplored. This study highlights wild food use by rural children vulnerable to the impacts of HIV/AIDS as an important and regular activity that supplements their domestic diets. This work found that with an increase in vulnerability to HIV/AIDS, children rely more on wild foods. Through an 18 month project in the Eastern Cape, using a broad quantitative and qualitative school and non-school survey, individual interviews, food diaries, participant observation, interactive photography, and other participatory techniques, a total of 850 children's coping strategies and livelihoods were examined. The quality of children’s domestic diets was, on average, 60% lower than the Food and Agricultural Organization (FAO) guidelines. However, 62% of the children interviewed were supplementing their diets with wild foods, 30% having over half their diet supplemented with wild foods. Dietary diversity showed a 13% increase when wild food supplementation occurred. While traditionally rural children rely on reciprocal networks during times of crisis, we found that these networks were eroding from the pressures of HIV/AIDS. Begging, for some children, was replaced by wild food collection and a significantly larger proportion of children more vulnerable to HIV/AIDS relied on wild foods more than did less vulnerable children. Considering the heightened nutritional and energy needs of children, combined with the impact of HIV/AIDS on household food access, wild foods represent the last freely attainable food sources available to them. Hunting and collection of wild food is a group activity, which was found to have valuable psychosocial benefits. Commercialisation of wild foods was observed among 38% of the children, with significantly more vulnerable children selling wild foods. The use of wild foods by rural children also had positive influences on the preservation of indigenous ecological knowledge.
- Full Text:
- Date Issued: 2008
- Authors: McGarry, Dylan Kenneth
- Date: 2008
- Subjects: Natural resources -- South Africa -- Eastern Cape , AIDS (Disease) in children -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Children of AIDS patients -- South Africa -- Eastern Cape , Rural children -- South Africa -- Eastern Cape , Wild foods -- South Africa -- Eastern Cape , Food supply -- South Africa -- Eastern Cape , Children -- Social conditions -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:4759 , http://hdl.handle.net/10962/d1007149 , Natural resources -- South Africa -- Eastern Cape , AIDS (Disease) in children -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Children of AIDS patients -- South Africa -- Eastern Cape , Rural children -- South Africa -- Eastern Cape , Wild foods -- South Africa -- Eastern Cape , Food supply -- South Africa -- Eastern Cape , Children -- Social conditions -- South Africa -- Eastern Cape
- Description: The role of natural resources in the lives of rural children impacted by HIV/AIDS remains unexplored. This study highlights wild food use by rural children vulnerable to the impacts of HIV/AIDS as an important and regular activity that supplements their domestic diets. This work found that with an increase in vulnerability to HIV/AIDS, children rely more on wild foods. Through an 18 month project in the Eastern Cape, using a broad quantitative and qualitative school and non-school survey, individual interviews, food diaries, participant observation, interactive photography, and other participatory techniques, a total of 850 children's coping strategies and livelihoods were examined. The quality of children’s domestic diets was, on average, 60% lower than the Food and Agricultural Organization (FAO) guidelines. However, 62% of the children interviewed were supplementing their diets with wild foods, 30% having over half their diet supplemented with wild foods. Dietary diversity showed a 13% increase when wild food supplementation occurred. While traditionally rural children rely on reciprocal networks during times of crisis, we found that these networks were eroding from the pressures of HIV/AIDS. Begging, for some children, was replaced by wild food collection and a significantly larger proportion of children more vulnerable to HIV/AIDS relied on wild foods more than did less vulnerable children. Considering the heightened nutritional and energy needs of children, combined with the impact of HIV/AIDS on household food access, wild foods represent the last freely attainable food sources available to them. Hunting and collection of wild food is a group activity, which was found to have valuable psychosocial benefits. Commercialisation of wild foods was observed among 38% of the children, with significantly more vulnerable children selling wild foods. The use of wild foods by rural children also had positive influences on the preservation of indigenous ecological knowledge.
- Full Text:
- Date Issued: 2008
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