A study of the effectiveness of the VCT service at the NMMU
- Authors: August, Yolande Margaret
- Date: 2006
- Subjects: HIV-positive persons -- Counseling of -- South Africa -- Port Elizabeth , AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Port Elizabeth , Nelson Mandela Metropolitan University , HIV infections -- South Africa -- Port Elizabeth -- Prevention , AIDS (Disease) -- South Africa -- Port Elizabeth -- Prevention
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8540 , http://hdl.handle.net/10948/470 , HIV-positive persons -- Counseling of -- South Africa -- Port Elizabeth , AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Port Elizabeth , Nelson Mandela Metropolitan University , HIV infections -- South Africa -- Port Elizabeth -- Prevention , AIDS (Disease) -- South Africa -- Port Elizabeth -- Prevention
- Description: The students are the future economic backbone of the country and it is essential that measures are taken to reduce the number of new HIV infections in this segment of the population. Free voluntary counselling and testing for HIV was introduced at the Nelson Mandela Metropolitan University as one of the prevention strategies to curb the spread of HIV. This service has grown steadily over the years but strategies need to be formulated and implemented to improve the existing service and thereby increase the utilisation of the testing service. This treatise takes the form of an investigative survey involving literature review and a survey of all the individuals who utilised the VCT service over a three month period. The author has attempted to portray the general views and best practices of experts in the field of VCT service delivery. The identified best practices were used as an assessment tool to determine to what extent the VCT service at the NMMU complies with national and international standards. The quantification of these insights must be viewed with caution since the survey sample was relatively low due to time constraints. It has been shown that the VCT service at the NMMU largely complies with national and international standards although several recommendations have been presented for consideration.
- Full Text:
- Date Issued: 2006
- Authors: August, Yolande Margaret
- Date: 2006
- Subjects: HIV-positive persons -- Counseling of -- South Africa -- Port Elizabeth , AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Port Elizabeth , Nelson Mandela Metropolitan University , HIV infections -- South Africa -- Port Elizabeth -- Prevention , AIDS (Disease) -- South Africa -- Port Elizabeth -- Prevention
- Language: English
- Type: Thesis , Masters , MBA
- Identifier: vital:8540 , http://hdl.handle.net/10948/470 , HIV-positive persons -- Counseling of -- South Africa -- Port Elizabeth , AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Port Elizabeth , Nelson Mandela Metropolitan University , HIV infections -- South Africa -- Port Elizabeth -- Prevention , AIDS (Disease) -- South Africa -- Port Elizabeth -- Prevention
- Description: The students are the future economic backbone of the country and it is essential that measures are taken to reduce the number of new HIV infections in this segment of the population. Free voluntary counselling and testing for HIV was introduced at the Nelson Mandela Metropolitan University as one of the prevention strategies to curb the spread of HIV. This service has grown steadily over the years but strategies need to be formulated and implemented to improve the existing service and thereby increase the utilisation of the testing service. This treatise takes the form of an investigative survey involving literature review and a survey of all the individuals who utilised the VCT service over a three month period. The author has attempted to portray the general views and best practices of experts in the field of VCT service delivery. The identified best practices were used as an assessment tool to determine to what extent the VCT service at the NMMU complies with national and international standards. The quantification of these insights must be viewed with caution since the survey sample was relatively low due to time constraints. It has been shown that the VCT service at the NMMU largely complies with national and international standards although several recommendations have been presented for consideration.
- Full Text:
- Date Issued: 2006
The experiences and perceptions of midwives at Provincial Hospitals in the Nelson Mandela Metropolitan Municipality regarding exclusive breastfeeding by HIV positive first-time mothers
- Authors: Moobi, Emily Keadimilwe
- Date: 2006
- Subjects: Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10016 , http://hdl.handle.net/10948/427 , Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Description: The Department of Health in South Africa, as in many countries, has developed a policy guideline and recommendations for feeding of infants of HIV positive mothers. This is aimed at providing midwives with detailed and sound information about HIV and infant feeding practices based on current understanding of HIV and exclusive breastfeeding for the first six months of the infant’s life. The policy states that breastfeeding is a significant and preventable mode of HIV transmission to infants and there is an urgent need to educate, counsel and support women and families, so that they can make decisions about how best to feed infants in the context of HIV (http://www.doh.gov.za/aids/doc/feeding/html.2005-03-07). Speaking to midwives from the Provincial Hospitals in the Nelson Mandela Metropole, the researcher became aware of the midwives’ often-expressed unhappiness about the new policy from the Department of Health on exclusive breastfeeding. Midwives complained about the dilemma with which they are faced regarding infant feeding practices. They could not understand the advocacy of exclusive breastfeeding, when breastfeeding is recognised as one of the modes of Mother-to-Child Transmission (MTCT) of HIV. The aim of the study was to help, support and encourage midwives to implement the policy of exclusive breastfeeding. The objectives of the study were to: • Explore and describe the experiences and perceptions of midwives related to promoting exclusive breastfeeding in HIV positive first-time mothers. • Make recommendations to the Department of Health regarding the support and help that can be given to midwives to encourage their implementation of the exclusive breastfeeding policy. The researcher made use of a qualitative, phenomenological, descriptive, explorative and contextual design. Permission for conducting the research was iv obtained from relevant authorities, and participants were asked to sign a consent form before the researcher proceeded with the study. Collection of data was done by means of unstructured interviews using an audiotape recorder. Once data was saturated, the interviews were transcribed verbatim and analysed, using the steps described by Tesch’s (1990 in Creswell, 1994: 153) method of descriptive analysis. Field notes were also taken to record non-verbal communication during the interviews. In order to ensure trustworthiness of the study, the ethical principles of Guba’s model (in Krefting, 1991:215), namely truth-value, applicability, consistency and neutrality were used. The services of an independent coder were utilised and a consensus meeting was held between the researcher and the independent coder in order to discuss the identified themes. Prior to the consensus meeting, the independent coder was provided with interview transcripts and a protocol to guide the data analysis. Following the data analysis, a literature control was undertaken to highlight the similarities and differences found in the data analysis. Three themes with sub-themes were identified. The participants expressed positive views on the policy of exclusive breastfeeding in HIV positive first-time mothers. They were satisfied with the policy and viewed the policy of exclusive breastfeeding as an effective contribution to feeding options of babies born of HIV positive first-time mothers. However, the participants identified several factors hindering the effective implementation of the policy of exclusive breastfeeding in HIV positive first-time mothers. Factors identified were staffshortages, lack of cooperation among staff members regarding promotion of exclusive breastfeeding, lack of information regarding the CD4 count of patients on admission in the ward, cultural beliefs, lack of training among staff members and inadequate counseling facilities to ensure privacy and confidentiality for mothers. Participants also experienced a variety of emotions related to exclusive breastfeeding such as happiness, confidence, helplessness, frustration, worry and concern, stress and exhaustion. Based on the findings of the study, guidelines were developed and recommendations made concerning nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2006
- Authors: Moobi, Emily Keadimilwe
- Date: 2006
- Subjects: Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:10016 , http://hdl.handle.net/10948/427 , Breastfeeding -- South Africa -- Port Elizabeth , Midwives -- South Africa -- Port Elizabeth -- Attitudes , HIV infections -- South Africa -- Port Elizabeth -- Prevention
- Description: The Department of Health in South Africa, as in many countries, has developed a policy guideline and recommendations for feeding of infants of HIV positive mothers. This is aimed at providing midwives with detailed and sound information about HIV and infant feeding practices based on current understanding of HIV and exclusive breastfeeding for the first six months of the infant’s life. The policy states that breastfeeding is a significant and preventable mode of HIV transmission to infants and there is an urgent need to educate, counsel and support women and families, so that they can make decisions about how best to feed infants in the context of HIV (http://www.doh.gov.za/aids/doc/feeding/html.2005-03-07). Speaking to midwives from the Provincial Hospitals in the Nelson Mandela Metropole, the researcher became aware of the midwives’ often-expressed unhappiness about the new policy from the Department of Health on exclusive breastfeeding. Midwives complained about the dilemma with which they are faced regarding infant feeding practices. They could not understand the advocacy of exclusive breastfeeding, when breastfeeding is recognised as one of the modes of Mother-to-Child Transmission (MTCT) of HIV. The aim of the study was to help, support and encourage midwives to implement the policy of exclusive breastfeeding. The objectives of the study were to: • Explore and describe the experiences and perceptions of midwives related to promoting exclusive breastfeeding in HIV positive first-time mothers. • Make recommendations to the Department of Health regarding the support and help that can be given to midwives to encourage their implementation of the exclusive breastfeeding policy. The researcher made use of a qualitative, phenomenological, descriptive, explorative and contextual design. Permission for conducting the research was iv obtained from relevant authorities, and participants were asked to sign a consent form before the researcher proceeded with the study. Collection of data was done by means of unstructured interviews using an audiotape recorder. Once data was saturated, the interviews were transcribed verbatim and analysed, using the steps described by Tesch’s (1990 in Creswell, 1994: 153) method of descriptive analysis. Field notes were also taken to record non-verbal communication during the interviews. In order to ensure trustworthiness of the study, the ethical principles of Guba’s model (in Krefting, 1991:215), namely truth-value, applicability, consistency and neutrality were used. The services of an independent coder were utilised and a consensus meeting was held between the researcher and the independent coder in order to discuss the identified themes. Prior to the consensus meeting, the independent coder was provided with interview transcripts and a protocol to guide the data analysis. Following the data analysis, a literature control was undertaken to highlight the similarities and differences found in the data analysis. Three themes with sub-themes were identified. The participants expressed positive views on the policy of exclusive breastfeeding in HIV positive first-time mothers. They were satisfied with the policy and viewed the policy of exclusive breastfeeding as an effective contribution to feeding options of babies born of HIV positive first-time mothers. However, the participants identified several factors hindering the effective implementation of the policy of exclusive breastfeeding in HIV positive first-time mothers. Factors identified were staffshortages, lack of cooperation among staff members regarding promotion of exclusive breastfeeding, lack of information regarding the CD4 count of patients on admission in the ward, cultural beliefs, lack of training among staff members and inadequate counseling facilities to ensure privacy and confidentiality for mothers. Participants also experienced a variety of emotions related to exclusive breastfeeding such as happiness, confidence, helplessness, frustration, worry and concern, stress and exhaustion. Based on the findings of the study, guidelines were developed and recommendations made concerning nursing practice, nursing education and nursing research.
- Full Text:
- Date Issued: 2006
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