Experiences of HIV positive clients defaulting isoniazid preventive therapy (IPT) in King Williams Town area under the Buffalo City Municipality in the Eastern Cape Province
- Authors: Williams, Nelisa Colleen
- Date: 2015
- Subjects: AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Community Nursing Science)
- Identifier: vital:11923 , http://hdl.handle.net/10353/d1020177 , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: This qualitative study using a phenomenological design, aimed at exploring and describing and exploring the experiences of HIV positive clients defaulting Isoniazid Preventive Therapy services in the Bhisho Primary Health Care Services. The emphasis was on the factors leading clients to default. An in- depth unstructured face to face interviews were done on 14 participants from 4 clinics or facilities under Bhisho Primary Health Care Services. From the respondents’ responses it can be noted that work and family related issues, ignorance of patients, side effects, and negligence of nurses and denial of HIV status were identified as reasons for defaulting. Having knowledge about the treatment and health providers’ attitudes to patients also played a role in patients defaulting their treatment.Many suggestions were then put forward by the respondents to curb defaulting among patients. These included the use of text message reminders, not to discrimination HIV patients because of their status, to use consulting rooms for privacy and also nurses and caregivers to control their attitudes when dealing with patients.
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- Authors: Williams, Nelisa Colleen
- Date: 2015
- Subjects: AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Community Nursing Science)
- Identifier: vital:11923 , http://hdl.handle.net/10353/d1020177 , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: This qualitative study using a phenomenological design, aimed at exploring and describing and exploring the experiences of HIV positive clients defaulting Isoniazid Preventive Therapy services in the Bhisho Primary Health Care Services. The emphasis was on the factors leading clients to default. An in- depth unstructured face to face interviews were done on 14 participants from 4 clinics or facilities under Bhisho Primary Health Care Services. From the respondents’ responses it can be noted that work and family related issues, ignorance of patients, side effects, and negligence of nurses and denial of HIV status were identified as reasons for defaulting. Having knowledge about the treatment and health providers’ attitudes to patients also played a role in patients defaulting their treatment.Many suggestions were then put forward by the respondents to curb defaulting among patients. These included the use of text message reminders, not to discrimination HIV patients because of their status, to use consulting rooms for privacy and also nurses and caregivers to control their attitudes when dealing with patients.
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The efficacy of revenue collection strategies in local government: the case of Yei River County, South Sudan
- Authors: Logoro, John Mogga Ezekiel
- Date: 2014
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10353/1092 , vital:26526
- Description: The study explores the Efficacy of Revenue Collection Strategies in Local Government as a Public Sector management tool for service provision in Yei River County – Republic of South Sudan. The main research question being pursued sought to find out the extent to which Revenue collection strategies can be an effective tool for public sector management and service provision in Yei River County. The study used both quantitative data (obtained through questionnaire survey) and qualitative data (through in-depth responses from County staff). The findings of the study seem to indicate that ineffective revenue collection strategies are being utilised by the local government officials. Some members of the communities and traders were still ignorant as to why they should be paying taxes which makes many of them to evade paying taxes. The study also reveals some challenges such as corrupt practices, poverty and illiteracy as some of the hindrances to effective revenue collection. However, there is a degree of success in revenue collection in the County as evidenced by the ongoing development activities such as urban road repairs which were financed by local taxes. A lot needs to be done in order to improve revenue collection in this County of Yei River County if services are to be delivered effectively and efficiently to the people. It is therefore strongly recommended that there is a need to put in place good educative measures to ensure that the citizens are informed about why they should be paying taxes to the County other than evading taxes and above all, the County need to strengthen the County Revenue Authority for better revenue collection.
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- Authors: Logoro, John Mogga Ezekiel
- Date: 2014
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10353/1092 , vital:26526
- Description: The study explores the Efficacy of Revenue Collection Strategies in Local Government as a Public Sector management tool for service provision in Yei River County – Republic of South Sudan. The main research question being pursued sought to find out the extent to which Revenue collection strategies can be an effective tool for public sector management and service provision in Yei River County. The study used both quantitative data (obtained through questionnaire survey) and qualitative data (through in-depth responses from County staff). The findings of the study seem to indicate that ineffective revenue collection strategies are being utilised by the local government officials. Some members of the communities and traders were still ignorant as to why they should be paying taxes which makes many of them to evade paying taxes. The study also reveals some challenges such as corrupt practices, poverty and illiteracy as some of the hindrances to effective revenue collection. However, there is a degree of success in revenue collection in the County as evidenced by the ongoing development activities such as urban road repairs which were financed by local taxes. A lot needs to be done in order to improve revenue collection in this County of Yei River County if services are to be delivered effectively and efficiently to the people. It is therefore strongly recommended that there is a need to put in place good educative measures to ensure that the citizens are informed about why they should be paying taxes to the County other than evading taxes and above all, the County need to strengthen the County Revenue Authority for better revenue collection.
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Modelling the impact of risk factors affecting TB treatment
- Authors: Tsuro, Urgent
- Date: 2013
- Subjects: Diseases -- Risk factors , Tuberculosis -- Epidemiology , Multidrug resistance
- Language: English
- Type: Thesis , Masters , MSc (Biostatistics and Epidemiology)
- Identifier: vital:11787 , http://hdl.handle.net/10353/d1019782 , Diseases -- Risk factors , Tuberculosis -- Epidemiology , Multidrug resistance
- Description: The Tuberculosis infection rate has been generally escalating due to poor health conditions in the Gweru district of Zimbabwe. The study therefore seeks to identify the risk factors that affect TB treatment in the Gweru district. A cross sectional study was carried out in which a questionnaire was employed for data collection on 113 respondents. A binary logistic regression model was employed for data analysis. A total of 98 TB patients were interviewed: [50 respondents (44.0%) had Multi-drug resistant Tuberculosis and 63 respondents (56.0%) had general Tuberculosis). Before being enrolled into the study, an informed consent form was given to each of the participants. The data was then put into excel and later transferred to SPSS for analysis. Out of the 14 potential risk factors of TB treatment, only 6 variables (side effects, gender, alcohol use, HIV status, smoking during the treatment period and having been pre-exposed to TB drugs) were statistically significant in their association with treatment failure.
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- Authors: Tsuro, Urgent
- Date: 2013
- Subjects: Diseases -- Risk factors , Tuberculosis -- Epidemiology , Multidrug resistance
- Language: English
- Type: Thesis , Masters , MSc (Biostatistics and Epidemiology)
- Identifier: vital:11787 , http://hdl.handle.net/10353/d1019782 , Diseases -- Risk factors , Tuberculosis -- Epidemiology , Multidrug resistance
- Description: The Tuberculosis infection rate has been generally escalating due to poor health conditions in the Gweru district of Zimbabwe. The study therefore seeks to identify the risk factors that affect TB treatment in the Gweru district. A cross sectional study was carried out in which a questionnaire was employed for data collection on 113 respondents. A binary logistic regression model was employed for data analysis. A total of 98 TB patients were interviewed: [50 respondents (44.0%) had Multi-drug resistant Tuberculosis and 63 respondents (56.0%) had general Tuberculosis). Before being enrolled into the study, an informed consent form was given to each of the participants. The data was then put into excel and later transferred to SPSS for analysis. Out of the 14 potential risk factors of TB treatment, only 6 variables (side effects, gender, alcohol use, HIV status, smoking during the treatment period and having been pre-exposed to TB drugs) were statistically significant in their association with treatment failure.
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