The utilization of contraceptives amongst adolescents at Stutterheim in the Eastern Cape Province
- Authors: Ntengo-Kupula, Visisa
- Date: 2022-04
- Subjects: Contraception , Birth control , Teenage pregnancy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27082 , vital:66272
- Description: Introduction Contraception has been identified as one way in which women can prevent unwanted pregnancies. Contraceptive utilization has been proved to minimize maternal mortality by lowering the risk of pregnancy and its associated life-threatening problems. Therefore, the researcher conducted a study at Stutterheim about the “utilization of contraceptives amongst adolescents at Stutterheim in Eastern Cape Province” with the intentions to explore perceptions of adolescents on utilization of contraceptives and to determine the factors that influence that contraceptive utilization. Methods This study adopted a quantitative, descriptive cross-sectional design which involved questionnaire tools completed by 436 adolescents between the ages of 14 and 19 years at Stutterheim health facilities and the surrounding schools, regardless of whether they were sexually active or not. After obtaining ethical clearance from the University ethics Committee and permission from the Department of Health the researcher visited the gatekeepers for obtaining informed consent and data collection procedures. The researcher administered the instruments herself to ensure validity and reliability of the instrument through a pilot study. The respondents of the pilot study did not participate in the major study. Any irregularities with the data instruments were corrected accordingly. Data collection took 3 weeks to complete all the sites. The raw data was captured onto an Excel spread sheet and analysed by the researcher with the assistance of a statistician. Results The data suggests that as much as the parents discuss about sex related issues and pregnancy, they are less likely to educate their adolescent girls about contraceptives probably due to the beliefs they have, lack of knowledge and the fear of introducing them into premarital sex. The 34.4percent of participants indicated that they were scared of contraceptive rumours spreading around the community as well as the stigmatization. Conclusion Due to the results of this study the Department of Health should work together with the department of education to put into effect the optimal utilization of contraceptives amongst adolescents by adding sexual, reproductive and contraceptives health education, as a subject in the school curriculum. Department of health must also make use of main media and social media since they are influential and can be the great sources of information for campaigns and more seminars on contraceptive utilization and its benefits to the adolescents, society and the State. , Thesis (MPH) -- Faculty of Health Science, 2022
- Full Text:
- Authors: Ntengo-Kupula, Visisa
- Date: 2022-04
- Subjects: Contraception , Birth control , Teenage pregnancy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27082 , vital:66272
- Description: Introduction Contraception has been identified as one way in which women can prevent unwanted pregnancies. Contraceptive utilization has been proved to minimize maternal mortality by lowering the risk of pregnancy and its associated life-threatening problems. Therefore, the researcher conducted a study at Stutterheim about the “utilization of contraceptives amongst adolescents at Stutterheim in Eastern Cape Province” with the intentions to explore perceptions of adolescents on utilization of contraceptives and to determine the factors that influence that contraceptive utilization. Methods This study adopted a quantitative, descriptive cross-sectional design which involved questionnaire tools completed by 436 adolescents between the ages of 14 and 19 years at Stutterheim health facilities and the surrounding schools, regardless of whether they were sexually active or not. After obtaining ethical clearance from the University ethics Committee and permission from the Department of Health the researcher visited the gatekeepers for obtaining informed consent and data collection procedures. The researcher administered the instruments herself to ensure validity and reliability of the instrument through a pilot study. The respondents of the pilot study did not participate in the major study. Any irregularities with the data instruments were corrected accordingly. Data collection took 3 weeks to complete all the sites. The raw data was captured onto an Excel spread sheet and analysed by the researcher with the assistance of a statistician. Results The data suggests that as much as the parents discuss about sex related issues and pregnancy, they are less likely to educate their adolescent girls about contraceptives probably due to the beliefs they have, lack of knowledge and the fear of introducing them into premarital sex. The 34.4percent of participants indicated that they were scared of contraceptive rumours spreading around the community as well as the stigmatization. Conclusion Due to the results of this study the Department of Health should work together with the department of education to put into effect the optimal utilization of contraceptives amongst adolescents by adding sexual, reproductive and contraceptives health education, as a subject in the school curriculum. Department of health must also make use of main media and social media since they are influential and can be the great sources of information for campaigns and more seminars on contraceptive utilization and its benefits to the adolescents, society and the State. , Thesis (MPH) -- Faculty of Health Science, 2022
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Experiences of caregivers of children with Cerebral Palsy (CP) in Buffalo City Metropolitan Municipality (BCMM), South Africa
- Stofile, Nolukholo Catherine, Vellem, N M
- Authors: Stofile, Nolukholo Catherine , Vellem, N M
- Date: 2021-06
- Subjects: Cerebral palsied children -- Home care , Children with disabilities -- Home care
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20131 , vital:45345
- Description: Caregivers of children with Cerebral Palsy (CP) may experience some challenges and need support in caring for these children who present with a group of neurological disorders. Cerebral Palsy has been defined as a non-progressive condition of the brain, which results from interference during its development and affects body movement, muscle coordination, including motor and cognitive impairment. The objectives of the study were; to explore, describe, and interpret the experiences of caregivers of children with CP, to interpret the meaning attached to the experiences and interpret different support for caregivers of children with CP in Buffalo City Metropolitan Municipality, South. The University of Fort Hare Ethics Committee granted ethical approval. Informed consent was obtained from the participants before data collection. Ethical principles to be followed when conducting a research study has also been discussed with participants and ensured. An Interpretive Phenomenological Analysis (IPA) was chosen for the study. Four participants were chosen purposively in this study because IPA studies use a detailed account of individual experience. The data collection method used for this study is semi-structured interviews, which were done in the participant’s comfortable environment, and lasted between 40 to 60 minutes, using an interview guide. Data analysis has been done using the 7 steps noted in IPA. The main findings of the study are lived experiences of caregivers caring for children with CP. Participants experienced financial, physical, and psychological challenges in caring for children with CP. Caregivers also received communal support from different stakeholders. Support from family, their employers, other caregivers and the government through the multi-disciplinary team and the provision of social grants. Trustworthiness was ensured by observing the principles of transferability, credibility, confirmability and dependability. , Thesis (MNurs) -- Faculty of Health Sciences, 2021
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- Authors: Stofile, Nolukholo Catherine , Vellem, N M
- Date: 2021-06
- Subjects: Cerebral palsied children -- Home care , Children with disabilities -- Home care
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20131 , vital:45345
- Description: Caregivers of children with Cerebral Palsy (CP) may experience some challenges and need support in caring for these children who present with a group of neurological disorders. Cerebral Palsy has been defined as a non-progressive condition of the brain, which results from interference during its development and affects body movement, muscle coordination, including motor and cognitive impairment. The objectives of the study were; to explore, describe, and interpret the experiences of caregivers of children with CP, to interpret the meaning attached to the experiences and interpret different support for caregivers of children with CP in Buffalo City Metropolitan Municipality, South. The University of Fort Hare Ethics Committee granted ethical approval. Informed consent was obtained from the participants before data collection. Ethical principles to be followed when conducting a research study has also been discussed with participants and ensured. An Interpretive Phenomenological Analysis (IPA) was chosen for the study. Four participants were chosen purposively in this study because IPA studies use a detailed account of individual experience. The data collection method used for this study is semi-structured interviews, which were done in the participant’s comfortable environment, and lasted between 40 to 60 minutes, using an interview guide. Data analysis has been done using the 7 steps noted in IPA. The main findings of the study are lived experiences of caregivers caring for children with CP. Participants experienced financial, physical, and psychological challenges in caring for children with CP. Caregivers also received communal support from different stakeholders. Support from family, their employers, other caregivers and the government through the multi-disciplinary team and the provision of social grants. Trustworthiness was ensured by observing the principles of transferability, credibility, confirmability and dependability. , Thesis (MNurs) -- Faculty of Health Sciences, 2021
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Exploring knowledge, attitudes and psychosocial experiences of health care workers regarding covid-19 in Bufalo City municipality
- Authors: Notununu, Zintle
- Date: 2020-03
- Subjects: COVID-19 (Disease) , Medical personnel
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27028 , vital:66231
- Description: The purpose of this study was to explore and describe the knowledge, attitude and psychosocial experiences of health care workers regarding Covid-19 in Buffalo City Municipality. Covid-19 is a disease that attacks the respiratory system and functions. It is a highly infectious disease with a lengthy 5-6 sometimes even 14-day incubation period. It is very serious condition and has killed a lot of people including the Health Care Workers A qualitative descriptive explorative contextual design was employed in this research study. The design was relevant for this study to explore and describe the knowledge, attitude, and psychosocial experiences of health workers regarding Covid-19 in Buffalo City Municipality. The non-probability sampling method was used and a convenient sampling technique was used to select the participants. Professional nurses who met the criteria and who were on duty on the day of data collection were included in the study. The researcher interviewed 15 professional nurses and stopped as the data was saturated. A semi-structured Interview guide was used as an instrument to collect data containing open-ended questions. The researcher maintained ethical principles throughout the study. Concepts of trustworthiness of the study were applied throughout the research. Tech’s eight steps approach was used to guide the data analysis process. The findings of this study indicate that health care workers have a high level of knowledge about Covid-19. They know what Covid-19 is, how it started, its signs and symptoms, how to protect themselves from it and its complications. Negative attitudes, fears were noticed from the HCWs and thus the need for psychological support was identified. Feelings of neglect and lack of motivation were also identified. Psychological support for health care workers must be provided to prevent staff burnout. Personal Protective Equipment used in the hospital premises must be left and washed in the hospital laundry to prevent the spread of infection to the families of the HCWs. It was indicated that there are health care workers who experienced chronic illnesses after being diagnosed with Covid-19. These chronic illnesses include diabetes and high blood pressure. It was brought to light that myths circulating on the social media about Covid-19 vaccines are delaying the end of Covid-19 epidemic by putting the health care workers at risk of being infected with it as they will be expected to treat patients diagnosed with Covid-19; therefore, government should develop a policy that will limit people from spreading things that they are not true and cannot prove. In conclusion, community awareness and forced vaccination are recommended to end the Covid-19 virus. Monitory incentives should be provided to motivate health care workers. Their overtime that they have worked during Covid-19 must be paid. The Department of Health and hospital managers must make sure that working conditions are improved. This includes the availability of machines to test for Covid-19. More research needs to be done to find out why some people who were diagnosed with Covid-19 end up having chronic illnesses that they never had previously. , Thesis (MPH) -- Faculty of Health Science, 2020
- Full Text:
- Authors: Notununu, Zintle
- Date: 2020-03
- Subjects: COVID-19 (Disease) , Medical personnel
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27028 , vital:66231
- Description: The purpose of this study was to explore and describe the knowledge, attitude and psychosocial experiences of health care workers regarding Covid-19 in Buffalo City Municipality. Covid-19 is a disease that attacks the respiratory system and functions. It is a highly infectious disease with a lengthy 5-6 sometimes even 14-day incubation period. It is very serious condition and has killed a lot of people including the Health Care Workers A qualitative descriptive explorative contextual design was employed in this research study. The design was relevant for this study to explore and describe the knowledge, attitude, and psychosocial experiences of health workers regarding Covid-19 in Buffalo City Municipality. The non-probability sampling method was used and a convenient sampling technique was used to select the participants. Professional nurses who met the criteria and who were on duty on the day of data collection were included in the study. The researcher interviewed 15 professional nurses and stopped as the data was saturated. A semi-structured Interview guide was used as an instrument to collect data containing open-ended questions. The researcher maintained ethical principles throughout the study. Concepts of trustworthiness of the study were applied throughout the research. Tech’s eight steps approach was used to guide the data analysis process. The findings of this study indicate that health care workers have a high level of knowledge about Covid-19. They know what Covid-19 is, how it started, its signs and symptoms, how to protect themselves from it and its complications. Negative attitudes, fears were noticed from the HCWs and thus the need for psychological support was identified. Feelings of neglect and lack of motivation were also identified. Psychological support for health care workers must be provided to prevent staff burnout. Personal Protective Equipment used in the hospital premises must be left and washed in the hospital laundry to prevent the spread of infection to the families of the HCWs. It was indicated that there are health care workers who experienced chronic illnesses after being diagnosed with Covid-19. These chronic illnesses include diabetes and high blood pressure. It was brought to light that myths circulating on the social media about Covid-19 vaccines are delaying the end of Covid-19 epidemic by putting the health care workers at risk of being infected with it as they will be expected to treat patients diagnosed with Covid-19; therefore, government should develop a policy that will limit people from spreading things that they are not true and cannot prove. In conclusion, community awareness and forced vaccination are recommended to end the Covid-19 virus. Monitory incentives should be provided to motivate health care workers. Their overtime that they have worked during Covid-19 must be paid. The Department of Health and hospital managers must make sure that working conditions are improved. This includes the availability of machines to test for Covid-19. More research needs to be done to find out why some people who were diagnosed with Covid-19 end up having chronic illnesses that they never had previously. , Thesis (MPH) -- Faculty of Health Science, 2020
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Cost cutting measures for the maintenance of hospital medical equipment in the Eastern Cape, South Africa
- Mabentsela, Bonga https://orcid.org/0000-0001-9259-849X
- Authors: Mabentsela, Bonga https://orcid.org/0000-0001-9259-849X
- Date: 2020-01
- Subjects: Finance, Public , Health services administration , Maps
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20094 , vital:45152
- Description: The Eastern Cape Department of Health is located in Bisho, Eastern Cape Province of South Africa and about 88 percent of the EC population is serviced by the public health sector. Most of the facilities are situated in remote areas and for the maintenance of medical equipment they rely on the service of the few private equipment vendors that are situated in two cities, East London and Port Elizabeth and in some instances these vendors are located in Gauteng province. The location of vendors makes it difficult and impossible for these medical equipment vendors to render the acceptable service to the Department. This study was undertaken to systematically study the cost cutting measures of medical equipment department of health, Eastern Cape. A quantitative method approach was used using exploratory and descriptive research design during the 2019-20 financial year (April 2019 to March 2020). The sample for this study was limited to managers who have the ability to provide the information about the acquisition, maintenance and management of medical equipment. The total sample size was 100. The major finding was that outsourcing is not feasible. The respondents preferred insourcing, standardisation of medical equipment and procuring equipment with comprehensive maintenance contracts. The findings from the study were that the Department will cut costs associated with medical equipment if maintenance of medical equipment is in-sourced, equipment is standardized and equipment is procured with maintenance contracts. The study recommended that the Department should revisit some of its medical equipment maintenance strategies and draw up comprehensive interventions to reduce costs associated with maintenance of medical equipment and improve service delivery in the Department. , Thesis (MPA) -- Faculty of Health Science, 2021
- Full Text:
- Authors: Mabentsela, Bonga https://orcid.org/0000-0001-9259-849X
- Date: 2020-01
- Subjects: Finance, Public , Health services administration , Maps
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20094 , vital:45152
- Description: The Eastern Cape Department of Health is located in Bisho, Eastern Cape Province of South Africa and about 88 percent of the EC population is serviced by the public health sector. Most of the facilities are situated in remote areas and for the maintenance of medical equipment they rely on the service of the few private equipment vendors that are situated in two cities, East London and Port Elizabeth and in some instances these vendors are located in Gauteng province. The location of vendors makes it difficult and impossible for these medical equipment vendors to render the acceptable service to the Department. This study was undertaken to systematically study the cost cutting measures of medical equipment department of health, Eastern Cape. A quantitative method approach was used using exploratory and descriptive research design during the 2019-20 financial year (April 2019 to March 2020). The sample for this study was limited to managers who have the ability to provide the information about the acquisition, maintenance and management of medical equipment. The total sample size was 100. The major finding was that outsourcing is not feasible. The respondents preferred insourcing, standardisation of medical equipment and procuring equipment with comprehensive maintenance contracts. The findings from the study were that the Department will cut costs associated with medical equipment if maintenance of medical equipment is in-sourced, equipment is standardized and equipment is procured with maintenance contracts. The study recommended that the Department should revisit some of its medical equipment maintenance strategies and draw up comprehensive interventions to reduce costs associated with maintenance of medical equipment and improve service delivery in the Department. , Thesis (MPA) -- Faculty of Health Science, 2021
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Factors contributing to low supervision rate in Ugu District primary healthcare clinics
- Authors: Mkhize, Ntokozo Clarice
- Date: 2018
- Subjects: Mentoring in medicine http://id.loc.gov/authorities/subjects/sh98003695 , Mentoring in nursing http://id.loc.gov/authorities/subjects/sh92002828 , Public health personnel--Supervision of
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19534 , vital:43136
- Description: Among the threats, barriers and challenges impeding access to health services in developing countries, Primary Healthcare Supervision was reported as a critical link with complex interventions that are implemented in different ways (Bosch-Capblanch & Garner, 2008:369). Among the objectives of the KwaZulu-Natal Department of Health Policy for PHC Supervision; are increasing the PHC Supervision rate from 60 percent to 85 percent; improvement of community participation and inter-sectoral collaboration to achieve improved health services in all health clinics in the Province of KwaZuluNatal (KZN Department of Health PHC Supervision Policy, 2010:9). However, currently there is no policy guiding the PHC Supervision processes in the province albeit an adapted policy document from the National Health Department and set of supervision tools are used to date. It is therefore critical to examine the strength and weaknesses of the current adapted guidelines for PHC Supervision processes including the reasons for the current low PHC Supervision rate in the province. , Thesis (MPH) -- University of Fort Hare, 2018
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- Authors: Mkhize, Ntokozo Clarice
- Date: 2018
- Subjects: Mentoring in medicine http://id.loc.gov/authorities/subjects/sh98003695 , Mentoring in nursing http://id.loc.gov/authorities/subjects/sh92002828 , Public health personnel--Supervision of
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19534 , vital:43136
- Description: Among the threats, barriers and challenges impeding access to health services in developing countries, Primary Healthcare Supervision was reported as a critical link with complex interventions that are implemented in different ways (Bosch-Capblanch & Garner, 2008:369). Among the objectives of the KwaZulu-Natal Department of Health Policy for PHC Supervision; are increasing the PHC Supervision rate from 60 percent to 85 percent; improvement of community participation and inter-sectoral collaboration to achieve improved health services in all health clinics in the Province of KwaZuluNatal (KZN Department of Health PHC Supervision Policy, 2010:9). However, currently there is no policy guiding the PHC Supervision processes in the province albeit an adapted policy document from the National Health Department and set of supervision tools are used to date. It is therefore critical to examine the strength and weaknesses of the current adapted guidelines for PHC Supervision processes including the reasons for the current low PHC Supervision rate in the province. , Thesis (MPH) -- University of Fort Hare, 2018
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