Antiretroviral therapy in a South African public health care setting – facilitating and constraining factors
- Authors: Ruud, K W , Srinivas, Sunitha C , Toverud, E-L
- Date: 2009
- Language: English
- Type: text , Article
- Identifier: vital:6453 , http://hdl.handle.net/10962/d1006831
- Description: The objective of the study was to identify and document facilitating and constraining factors in the antiretroviral therapy (ART) programme in a public health care setting in the Eastern Cape, South Africa. Observations for the study were carried out in a district hospital and two down-referral clinics in Makana Local Services Area in the Eastern Cape Province. Two discussion groups with key stakeholders were conducted to gather information about opinions and experiences among the health care providers (HCPs). It was found that the operating ART programme in this setting has been integrated in the existing down-referral health care system, based on follow-up in primary health care (PHC) clinics. Treatment is provided free of charge. The treatment programme provides the patients with access to counselling, nutritional assistance, psychosocial support and social welfare evaluation. However, increasing patient numbers and lack of human resources leads to a heavy workload for the HCPs involved with the ART programme. The need for additional, educated health workers is a major constraint for progress in provision of health care to patients who have accepted their HIV status, and are enrolled, or waiting to be enrolled, on the ART. However, delegation of work tasks among available HCPs and good communication between HCPs in the different clinics is a facilitating factor that ensures efficient use of the human resources available. Conclusion: Taking into account the challenges in a resource-constrained setting, this programme shows potential for functioning well as a provider of ART for those who are able and willing to access it. Considering an already heavy workload for HCPs, limitations and challenges still exist in reaching out with adequate treatment to a greater number of people who need ART.
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Obesity: a preliminary report of an introductory service-learning course on the role of pharmacy students in health promotion
- Authors: Srinivas, Sunitha C , Wrench, Wendy W , Karekazi, Catherine W , Radloff, Sarah E , Daya, Santylal
- Date: 2009
- Language: English
- Type: text , Article
- Identifier: vital:6454 , http://hdl.handle.net/10962/d1006833
- Description: Lifestyle diseases such as obesity have been neglected in developing countries partly due to a more urgent focus on infectious diseases in these countries. The incidence of obesity is on the increase in developing countries, with a marked rise in childhood obesity. A health promotioning service-learning principles required final year pharmacy students to prepare a pilot-tested computer-based quiz, using a pre- and post-intervention test design, along with other learning material, for participants at the 2007 Sasol National Festival of Science and Technology (SciFest). Interactive models, posters and information leaflets were used in explaining the prevention and control of obesity to learners. The results showed that the pre-existing knowledge of the participants was good. There was a further improvement after the educational intervention. Activities such as this are important in heightening awareness of obesity in learners as it is likely to reduce the incidence of obesity later in life. Furthermore, the activity also served to increase awareness of the role of pharmacists in the prevention of lifestyle diseases such as obesity.
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