Adherence to pre-selected infant feeding practices among mothers on the prevention of mother-to-child transmission (PMTCT) of HIV/AIDS programme in the Amathole region, Eastern Cape
- Authors: Yako, Elizabeth Matseliso
- Date: 2011
- Subjects: Child care -- South Africa -- Eastern Cape , Child health services -- South Africa -- Eastern Cape , Mother and infant -- South Africa -- Eastern Cape , Parenteral feeding of children -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape , HIV infections -- Children -- Transmission -- Prevention , Maternal health services -- South Africa -- Eastern Cape , AIDS (Disease) in pregnancy -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11891 , http://hdl.handle.net/10353/d1001091 , Child care -- South Africa -- Eastern Cape , Child health services -- South Africa -- Eastern Cape , Mother and infant -- South Africa -- Eastern Cape , Parenteral feeding of children -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape , HIV infections -- Children -- Transmission -- Prevention , Maternal health services -- South Africa -- Eastern Cape , AIDS (Disease) in pregnancy -- South Africa -- Eastern Cape
- Description: Infant feeding in the context of HIV/AIDS poses a challenge among mothers. The implementation of UNICEF guidelines on infant feeding, which state that “when replacement feeding is acceptable, feasible, affordable, sustainable and safe, avoidance of all breastfeeding by HIV-infected mothers is recommended” (WHO, 2003:12) are not easy to meet. In more developed countries, where these criteria are met, almost all HIV-infected mothers have ceased to breast feed. Consequently, infants of mothers in these countries are less likely to be infected with HIV postnatally. In South Africa, more specifically in the Eastern Cape, infant feeding is a challenge as a number of UNICEF criteria cannot be met. The Eastern Cape is one of the poorest Provinces in South Africa, with a number of rural communities. Earlier studies have shown that, if mothers select either exclusive breast feeding or exclusive formula feeding, this reduces mother-to-child transmission of HIV. A limited number of studies on adherence to the method of infant feeding selected before delivery were found in the literature, hence the need for the current study. The purpose of the study was to explore adherence to exclusive breast feeding and exclusive formula feeding among mothers with HIV infection and to determine the problems that mothers may be facing in implementing their pre-selected methods.
- Full Text:
- Date Issued: 2011
- Authors: Yako, Elizabeth Matseliso
- Date: 2011
- Subjects: Child care -- South Africa -- Eastern Cape , Child health services -- South Africa -- Eastern Cape , Mother and infant -- South Africa -- Eastern Cape , Parenteral feeding of children -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape , HIV infections -- Children -- Transmission -- Prevention , Maternal health services -- South Africa -- Eastern Cape , AIDS (Disease) in pregnancy -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11891 , http://hdl.handle.net/10353/d1001091 , Child care -- South Africa -- Eastern Cape , Child health services -- South Africa -- Eastern Cape , Mother and infant -- South Africa -- Eastern Cape , Parenteral feeding of children -- South Africa -- Eastern Cape , Motherhood -- South Africa -- Eastern Cape , HIV infections -- Children -- Transmission -- Prevention , Maternal health services -- South Africa -- Eastern Cape , AIDS (Disease) in pregnancy -- South Africa -- Eastern Cape
- Description: Infant feeding in the context of HIV/AIDS poses a challenge among mothers. The implementation of UNICEF guidelines on infant feeding, which state that “when replacement feeding is acceptable, feasible, affordable, sustainable and safe, avoidance of all breastfeeding by HIV-infected mothers is recommended” (WHO, 2003:12) are not easy to meet. In more developed countries, where these criteria are met, almost all HIV-infected mothers have ceased to breast feed. Consequently, infants of mothers in these countries are less likely to be infected with HIV postnatally. In South Africa, more specifically in the Eastern Cape, infant feeding is a challenge as a number of UNICEF criteria cannot be met. The Eastern Cape is one of the poorest Provinces in South Africa, with a number of rural communities. Earlier studies have shown that, if mothers select either exclusive breast feeding or exclusive formula feeding, this reduces mother-to-child transmission of HIV. A limited number of studies on adherence to the method of infant feeding selected before delivery were found in the literature, hence the need for the current study. The purpose of the study was to explore adherence to exclusive breast feeding and exclusive formula feeding among mothers with HIV infection and to determine the problems that mothers may be facing in implementing their pre-selected methods.
- Full Text:
- Date Issued: 2011
Women's perceptions and experiences of antenatal care rendered by midwives
- Authors: Mxoli, Winnifred Nonkonzo
- Date: 2007
- Subjects: Prenatal care -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Maternal health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10041 , http://hdl.handle.net/10948/575 , Prenatal care -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Maternal health services -- South Africa -- Eastern Cape
- Description: The general health status of pregnant women depends largely on the quality of the antenatal services available to them. The provision of good antenatal services ensures early detection and prompt management of any complication or disease that may adversely affect pregnancy outcome. In order to ensure high quality care, antenatal services need to be evaluated at regular intervals, both from provider and client perspective, to ensure their effectiveness in improving the health status of pregnant women. The midwife, as the first contact person for most pregnant women attending antenatal clinics in South Africa, has the potential to play a major role in improving the health status of these women. However, for the midwife to be effective in achieving this, antenatal services need to be effectively utilized by women. One of the factors that affect utilization of any service is client satisfaction with the service being rendered. This study, therefore, explores the perceptions that pregnant women have of the care that they receive from midwives at the selected antenatal clinics. The objectives of the study are to: {u100083} Explore and describe the perceptions and experiences of pregnant women attending antenatal clinic regarding the care they receive from midwives. {u100083} Make recommendations to assist registered midwives in optimizing the accompaniment of women during the antenatal period. A qualitative, descriptive, exploratory and contextual design was used for the study. The sample was chosen from the target population by means of purposive sampling and data was collected through unstructured interviews with the participants. Before data collection, permission was obtained from the Eastern Cape Department of Health and the Nursing Service Manager of the Gateway clinic, in the district hospital where the research was conducted. The Nursing Service Manager was acting as a Medical Superintendent at the time of the study. Written, informed consent was obtained from all participants before conducting interviews. Trustworthiness was ensured by means of Guba’s model throughout the study, and the aspects of truth value, applicability, consistency and neutrality were considered. Tesch’s eight steps of data analysis were used to analyze the data collected, and four main themes were identified namely: • Women perceive midwives as considerate and knowledgeable • Women perceive midwives as lazy and rude • Women experience mixed emotions about the care they receive from midwives • Though their experiences, women identified certain needs in the services and care they received at the clinic. Conclusions were drawn and recommendations for midwifery practice made based on the results of the study, with the aim of improving antenatal services rendered to pregnant women.
- Full Text:
- Date Issued: 2007
- Authors: Mxoli, Winnifred Nonkonzo
- Date: 2007
- Subjects: Prenatal care -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Maternal health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10041 , http://hdl.handle.net/10948/575 , Prenatal care -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Maternal health services -- South Africa -- Eastern Cape
- Description: The general health status of pregnant women depends largely on the quality of the antenatal services available to them. The provision of good antenatal services ensures early detection and prompt management of any complication or disease that may adversely affect pregnancy outcome. In order to ensure high quality care, antenatal services need to be evaluated at regular intervals, both from provider and client perspective, to ensure their effectiveness in improving the health status of pregnant women. The midwife, as the first contact person for most pregnant women attending antenatal clinics in South Africa, has the potential to play a major role in improving the health status of these women. However, for the midwife to be effective in achieving this, antenatal services need to be effectively utilized by women. One of the factors that affect utilization of any service is client satisfaction with the service being rendered. This study, therefore, explores the perceptions that pregnant women have of the care that they receive from midwives at the selected antenatal clinics. The objectives of the study are to: {u100083} Explore and describe the perceptions and experiences of pregnant women attending antenatal clinic regarding the care they receive from midwives. {u100083} Make recommendations to assist registered midwives in optimizing the accompaniment of women during the antenatal period. A qualitative, descriptive, exploratory and contextual design was used for the study. The sample was chosen from the target population by means of purposive sampling and data was collected through unstructured interviews with the participants. Before data collection, permission was obtained from the Eastern Cape Department of Health and the Nursing Service Manager of the Gateway clinic, in the district hospital where the research was conducted. The Nursing Service Manager was acting as a Medical Superintendent at the time of the study. Written, informed consent was obtained from all participants before conducting interviews. Trustworthiness was ensured by means of Guba’s model throughout the study, and the aspects of truth value, applicability, consistency and neutrality were considered. Tesch’s eight steps of data analysis were used to analyze the data collected, and four main themes were identified namely: • Women perceive midwives as considerate and knowledgeable • Women perceive midwives as lazy and rude • Women experience mixed emotions about the care they receive from midwives • Though their experiences, women identified certain needs in the services and care they received at the clinic. Conclusions were drawn and recommendations for midwifery practice made based on the results of the study, with the aim of improving antenatal services rendered to pregnant women.
- Full Text:
- Date Issued: 2007
- «
- ‹
- 1
- ›
- »