Factors affecting female condom use in Buffalo City Metropolitan, Eastern Cape, South Africa
- Authors: Bunu, Nosipho
- Date: 2019
- Subjects: Condom use -- South Africa Sexually transmitted diseases
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/12959 , vital:39411
- Description: Introduction: The female condom was introduced so many years after the male condom was introduced as an additional intervention to prevent sexually transmitted diseases and HIV/AIDS. The purpose of the study was to explore and describe the factors affecting female condom use in Buffalo City Metropolitan, Eastern Cape. Method: Quantitative descriptive and contextual research designs were used to enable the researcher to gain knowledge and insights on female condom use. The population of the study was sexually active women between ages of 15-49 years, living in Reeston community of Buffalo City Municipality in the Eastern Cape Province. Convenient sampling was used to recruit the respondents with 599-sample size and data was collected using questionnaires. Ethical considerations were considered throughout the study. Data was analysed using Statistical Package for the Social Sciences (SPSS version 22) and summarised using tables, graphs and descriptive statistics. Results: The findings of the study were minimal use of female condom because of poor marketing strategies towards female condoms despite the government intervention. The attitude of sexually active women towards female condom was positive, but minimal knowledge, inaccessibility and unavailability of female condoms hinder its use. Conclusion and Recommendation: The study recommended health education through campaigns and counselling about female condom use and their benefits to all age groups of women who are sexually active. The government and stakeholders should promote the condom uptake, accessibility and availability in every public place. Department of Health, Education should have empowered the community at large on how to promote female condom use and improve the distribution of both male/ female condoms to schools and public place.
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- Date Issued: 2019
Substance abuse effects on academic performance and professional behaviour of public nursing college students in the Eastern Cape, South Africa
- Authors: Madikizela, Zoleka
- Date: 2019
- Subjects: Substance abuse -- South Africa -- Eastern Cape Nursing students -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/11407 , vital:39069
- Description: The purpose of the study was to explore the effects of substance abuse on the academic performance and professional behaviour of students at a public nursing college in order to develop guidelines for the prevention of substance abuse. The design that was chosen as most suitable for this study was the qualitative research design. The researcher chose this method as she sought to explore the effects of substance abuse on the participants in this study. A purposive sampling method was used to select participants on the basis of their knowledge of the phenomenon.The participants who were utilised were 3rd and 4th year level students in the four year diploma in nursing. A pilot study was conducted and participants with similar characteristicsto the study population were utilised. Individual interviews were used as the means to collect data during which participants were given an opportunity to discuss issues with the intention of eliciting their views and opinions. One broad, open ended question was used to gather information from the participants and subsequent questions were used to probe further for clarity. Data were collected until saturation pointwas reached. Transcriptions were done within two days of the interview. The researcher repeatedly listened to audio recordings of the data until completely satisfied with verbatim interpretation of data. Data analysis was done manually. The researcher used the process of bracketing during data analysis and remained neutral, setting aside previous knowledge and beliefs about the phenomenon under study. The participants were allowed freedom to conduct their lives as autonomous agents, without control, coercion or exploitation. The findings revealed that: firstly, substance abuse has a negative impact of on both the academic performance and professional behaviour of the public nursing college students; secondly, that guidelines are needed for the prevention of substance abuse amongst students so as to focus on a ‘substance abuse free college environment’. vi The academic performance is negatively affected as substance abuse results in cognitive impairment, failure to meet the 85% lecture attendance requirement resulting in them repeating a year of study or being excluded from the course, and resulting in a missed opportunity to acquire scientific knowledge in nursing. The students’ academic aspirations get derailed. Students also experience strained relationships with lecturers due to drunkenness and bunking classes. Studentlecturer strained relationships are incompatible with academic achievement. Students whose professional behaviour is negatively affected by substance abuse demonstrate unethical conduct and professional misconduct in the clinical setting for experiential learning. The students fail to inculcate the values of the nursing profession and thus tarnish the image of the profession. Such students behave unprofessionally as they either absent themselves from duty, come on duty drunk or continue taking substances while on duty. They are also rude and swear at colleagues, supervisors, other staff members and patients. The students steal from colleagues and display insubordination. Their dress code is unprofessional and they are incompetent with poor standards of care towards the patients. The purpose of this study was to develop guidelines to prevent substance abuse at the college and this has been achieved. The results show that the college environment should be made substance abuse free by: firstly, identifying and mitigating the predisposing factors or reasons for substance abuse, for example: establish a proper and aesthetic infrastructure conducive to learning and teaching at the students’ residences and classrooms, set up mentorship programmes and introduce the house-mother model at residences; secondly, developing a policy on prevention of substance abuse within college premises including disciplinary measures; thirdly, developing stress management programmes for students to prevent abuse of substances as a coping mechanism, e.g. decongest the curriculum, curriculum review to be consultative, develop support groups, grant mid-year breaks and provide recreational and sporting facilities; fourthly, engage the services of a vii professional therapist for students who are already abusing substances or referral to the therapist; fifthly, clinical accompaniment should be strengthened for effective correlation of theory and practice; and, lastly, engage the services of a financial advisor to give guidance on income and expenditure with regard to student stipend instead of spending it on substances.
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- Date Issued: 2019
The experiences of student nurses regarding the negotiation of condom use at a Nursing College in the Eastern Cape Province
- Authors: Rumbu , Nosiphiwo Matshele
- Date: 2019
- Subjects: Condom use -- South Africa College students -- Sexual behavior
- Language: English
- Type: Thesis , Masters , M Cur
- Identifier: http://hdl.handle.net/10353/11396 , vital:39068
- Description: The purpose of the study was to explore and describe the experiences of student nurses regarding negotiation of condom use at Lilitha College of Nursing, East London Campus. Human Immunodeficiency Virus (HIV) infection is still one of the severe global public health problems and a considerable number of people are living with HIV and millions of these people die of Acquired Immune Deficiency Syndrome (AIDS). It has been found that women have difficulty in negotiating condom use. The study that was conducted in Tanzania revealed that when women lack selfconfidence to negotiate condom use with their sexual companions, they may be exposed to unprotected sex, thus being at danger of contracting STIs as well as HIV/AIDS and therefore being more susceptible to adverse sexual and reproductive health results (Exavery, Kanté, Jackson, Noronha, Sikustahili, Tani, Mushi, Baynes, Ramsey, Hingora and Phillips, 2012:9). A qualitative, descriptive, explorative, contextual design was used to describe the experiences of student nurses regarding negotiation of condom use and a purposive sampling method was used to select fourth year students. Eleven students participated in the study. Data was collected by means of individual face-to-face interviews with fourth year students. The interviews continued until data saturation was reached. Data analysis was done using Tesch‟s approach to open coding in qualitative research. Themes, categories and sub-categories emerged from the data analysis and were fully discussed. The results of the study indicated that students experienced difficulties in negotiation of condom use, although some participants felt that they were comfortable to negotiate. Health education and awareness campaigns were recommended as fundamental tools that could be used as strategies to enhance successful negotiation of condom use.
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- Date Issued: 2019