A comprehensive support programme for professional nurses performing HIV counselling and testing at primary health care clinics in the rural Eastern Cape
- Authors: Madolo, Agrinette Nomboniso
- Date: 2019
- Subjects: HIV-positive persons -- Counseling of , AIDS (Disease) -- Patients -- Counseling of , Primary health care -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DCur
- Identifier: http://hdl.handle.net/10948/40746 , vital:36232
- Description: The increase in global rates of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) has had far reaching effects on healthcare services around the world. According to the 2017 statistics released by UNAIDS, South Africa has the largest HIV epidemic in the world. The South African Department of Health provides an HIV counselling and testing (HCT) service to patients in order that they may know their HIV status and endeavours to educate patients so that they may adapt their behaviours and lifestyles. The goal of this study is to develop a support programme for nurses to assist them in coping emotionally with their day-to-day activities when providing HCT services to patients attending primary healthcare clinics. The paradigm used as a lens to view the phenomenon is Kinlaw’s cyclical growth of empowerment theory. The researcher used a qualitative,explorative, descriptive and contextual design. The study involves three phases: (a) empirical research that explores nurses’ experiences of performing HCT in primary healthcare rural clinics, (b) the development of a conceptual framework for a support programme using the survey list of Dickoff et al. (1968:427). (c) the formalisation of the Comprehensive Support Programme to help nurses to cope emotionally with working with HCT on a long-term basis. Chinn and Kramer (2005118) were used to evaluate the programme. . The empirical findings revealed registered nurses experienced HCT both positively and negatively. They felt overwhelmed by the expectation that all patients attending primary healthcare clinics should be offered HCT routinely and the time constraints involved. They described how the emotional trauma attached to HCT affected their work patterns, leading to low productivity, and affected them outside work, leading to stress and sleep disturbances. They feltl disturbed that even when informed, people choose not to adopt safer sex practices and that how patients responded to a positive diagnosis cannot be predicted. Participants showed signs of stress, frustration, despair and sadness because most tested clients show positive test results and the number of clients testing positive is increasing. While participants felt helpless to improve the situation, at the same time, HCT was experienced as rewarding because it enabled diagnosis of medical conditions of which people weree not aware. The goal of the study was achieved with the development and formalisation of an extensive, relevant and applicable Comprehensive Support Programme for implementation for registered nurses to enable them cope emotionally when conducting HCT based on the empirical findings.
- Full Text:
- Date Issued: 2019
- Authors: Madolo, Agrinette Nomboniso
- Date: 2019
- Subjects: HIV-positive persons -- Counseling of , AIDS (Disease) -- Patients -- Counseling of , Primary health care -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Doctoral , DCur
- Identifier: http://hdl.handle.net/10948/40746 , vital:36232
- Description: The increase in global rates of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) has had far reaching effects on healthcare services around the world. According to the 2017 statistics released by UNAIDS, South Africa has the largest HIV epidemic in the world. The South African Department of Health provides an HIV counselling and testing (HCT) service to patients in order that they may know their HIV status and endeavours to educate patients so that they may adapt their behaviours and lifestyles. The goal of this study is to develop a support programme for nurses to assist them in coping emotionally with their day-to-day activities when providing HCT services to patients attending primary healthcare clinics. The paradigm used as a lens to view the phenomenon is Kinlaw’s cyclical growth of empowerment theory. The researcher used a qualitative,explorative, descriptive and contextual design. The study involves three phases: (a) empirical research that explores nurses’ experiences of performing HCT in primary healthcare rural clinics, (b) the development of a conceptual framework for a support programme using the survey list of Dickoff et al. (1968:427). (c) the formalisation of the Comprehensive Support Programme to help nurses to cope emotionally with working with HCT on a long-term basis. Chinn and Kramer (2005118) were used to evaluate the programme. . The empirical findings revealed registered nurses experienced HCT both positively and negatively. They felt overwhelmed by the expectation that all patients attending primary healthcare clinics should be offered HCT routinely and the time constraints involved. They described how the emotional trauma attached to HCT affected their work patterns, leading to low productivity, and affected them outside work, leading to stress and sleep disturbances. They feltl disturbed that even when informed, people choose not to adopt safer sex practices and that how patients responded to a positive diagnosis cannot be predicted. Participants showed signs of stress, frustration, despair and sadness because most tested clients show positive test results and the number of clients testing positive is increasing. While participants felt helpless to improve the situation, at the same time, HCT was experienced as rewarding because it enabled diagnosis of medical conditions of which people weree not aware. The goal of the study was achieved with the development and formalisation of an extensive, relevant and applicable Comprehensive Support Programme for implementation for registered nurses to enable them cope emotionally when conducting HCT based on the empirical findings.
- Full Text:
- Date Issued: 2019
Implementing primary health care services at an urban clinic: perceptions of key stakeholders in Ginsberg and Sweetwaters clinics, King William’s Town, South Africa
- Authors: Mokoena, Nomangaliso Eunice
- Date: 2018
- Subjects: Primary health care -- South Africa -- Eastern Cape , Clinics -- South Africa -- Eastern Cape Nurses -- South Africa -- Eastern Cape -- Attitudes
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10948/32284 , vital:32003
- Description: The purpose of this study was to develop a deeper understanding on how health care personnel deal with a certain policy and to explore and describe the experiences of staff working at clinics in King William’s Town (Eastern Cape) regarding Primary Health Care delivery. The objective was to explore health care personnel’s perceptions on how the implementation of the Primary Health Care policy has influenced the provision of Primary Health Care Services. To propose recommendations that can be used to improve service delivery at the clinics. Methods used were semi structured interviews were used to clarify concepts, problems and allow for the establishment of a list of possible answers or solutions to the problems experienced by the health care personnel. Analysis began with open coding where transcribed interviews were read and coded line by line to identify descriptions of thoughts and actions. A systematic coding framework was developed; this included grouping the data into key themes. The study concluded that although the challenges that exist in implementing primary health care are clearly understood, Primary Health Care nurses should be well equipped with the tools and equipment they need to successfully execute their duties. The improvement of their working conditions is of paramount importance
- Full Text:
- Date Issued: 2018
- Authors: Mokoena, Nomangaliso Eunice
- Date: 2018
- Subjects: Primary health care -- South Africa -- Eastern Cape , Clinics -- South Africa -- Eastern Cape Nurses -- South Africa -- Eastern Cape -- Attitudes
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10948/32284 , vital:32003
- Description: The purpose of this study was to develop a deeper understanding on how health care personnel deal with a certain policy and to explore and describe the experiences of staff working at clinics in King William’s Town (Eastern Cape) regarding Primary Health Care delivery. The objective was to explore health care personnel’s perceptions on how the implementation of the Primary Health Care policy has influenced the provision of Primary Health Care Services. To propose recommendations that can be used to improve service delivery at the clinics. Methods used were semi structured interviews were used to clarify concepts, problems and allow for the establishment of a list of possible answers or solutions to the problems experienced by the health care personnel. Analysis began with open coding where transcribed interviews were read and coded line by line to identify descriptions of thoughts and actions. A systematic coding framework was developed; this included grouping the data into key themes. The study concluded that although the challenges that exist in implementing primary health care are clearly understood, Primary Health Care nurses should be well equipped with the tools and equipment they need to successfully execute their duties. The improvement of their working conditions is of paramount importance
- Full Text:
- Date Issued: 2018
The experiences of men who have sex with men (MSM) in accessing public primary health care services in the Eastern Cape province, South Africa
- Authors: Kose, Zamakayise Zukisa
- Date: 2016
- Subjects: Primary health care -- South Africa -- Eastern Cape , Gay men -- South Africa -- Eastern Cape , Discrimination -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4698 , vital:20652
- Description: Background: Research has shown that men who have sex with men (MSM) experience stigma, discrimination, negative and judgmental attitudes and homophobia when accessing health care services. This has resulted in limited uptake of existing HIV and AIDS services. Further, the experiences serve as barriers to seeking and accessing public primary health care services. Negative psychological outcomes and in unique cases, adverse mental health outcomes have resulted from these experiences. Aim: The study aimed to explore and describe the experiences of a sample of MSM when accessing public health care services in Nelson Mandela Bay Municipality (NMBM). Method: A purposive sample of twenty-one MSM aged 22 to 30+ years, mainly black who lived in NMBM participated in semi-structured in-depth interviews. The study used the exploratory-descriptive qualitative design and thematic analysis was used to summarize findings. Findings: Findings from the study showed that MSM experience internalized stigma, perceived stigma, experienced stigma and HIV related stigma, resulting in minority stress. Experiences with health care services included long waiting time, lack of supplies, being attended to by different health care providers, health care provider insensitivity, comfort with health care provider and a need for integrating health services for MSM with general health services. Effects of stigma expressed by the men were non-disclosure of sexual orientation, reluctance to use public health facilities, negative mental health outcome and conformity to society. Conclusion: The study suggests that MSM public health services need to be improved and barriers to health access among MSM need to be addressed. Lastly, there is a need to address the health, psychological and social effects of stigma suffered by MSM.
- Full Text:
- Date Issued: 2016
- Authors: Kose, Zamakayise Zukisa
- Date: 2016
- Subjects: Primary health care -- South Africa -- Eastern Cape , Gay men -- South Africa -- Eastern Cape , Discrimination -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/4698 , vital:20652
- Description: Background: Research has shown that men who have sex with men (MSM) experience stigma, discrimination, negative and judgmental attitudes and homophobia when accessing health care services. This has resulted in limited uptake of existing HIV and AIDS services. Further, the experiences serve as barriers to seeking and accessing public primary health care services. Negative psychological outcomes and in unique cases, adverse mental health outcomes have resulted from these experiences. Aim: The study aimed to explore and describe the experiences of a sample of MSM when accessing public health care services in Nelson Mandela Bay Municipality (NMBM). Method: A purposive sample of twenty-one MSM aged 22 to 30+ years, mainly black who lived in NMBM participated in semi-structured in-depth interviews. The study used the exploratory-descriptive qualitative design and thematic analysis was used to summarize findings. Findings: Findings from the study showed that MSM experience internalized stigma, perceived stigma, experienced stigma and HIV related stigma, resulting in minority stress. Experiences with health care services included long waiting time, lack of supplies, being attended to by different health care providers, health care provider insensitivity, comfort with health care provider and a need for integrating health services for MSM with general health services. Effects of stigma expressed by the men were non-disclosure of sexual orientation, reluctance to use public health facilities, negative mental health outcome and conformity to society. Conclusion: The study suggests that MSM public health services need to be improved and barriers to health access among MSM need to be addressed. Lastly, there is a need to address the health, psychological and social effects of stigma suffered by MSM.
- Full Text:
- Date Issued: 2016
Client satisfaction with midwifery services rendered at Empilweni Gompo and Nontyuatyambo community health centres in the Eastern Cape, South Africa
- Authors: Mfundisi, Nokwamkela Pearl
- Date: 2013
- Subjects: Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11908 , http://hdl.handle.net/10353/d1006902 , Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Description: The aim of this study was to investigate whether patients were satisfied with midwifery services rendered at the two Community Health Centres in the Eastern Cape Province.The study sites were Empilweni Gompo and Nontyatyambo Community Health Centres. Descriptive quantitative study design was employed, using a questionnaire with closed and open ended questions as the data collecting tool. Likert Scale was used to measure the following variables: quality care variables to measure level of satisfaction with midwifery services rendered and to determine positive and negative perceptions regarding quality of care received during antenatal, labour and postnatal period. Non-random convenience sampling of sixty pregnant women, thirty from each Community Health Centre, with two or more antenatal subsequent visits and forty postpartum women, twenty from each health facility, six hours after delivery if there were no complications. Out of 60 participants interviewed n=60 (100 percent) agreed that individual counseling and importance of HIV testing was explained.The majority of participants n=53(88 percent) disagreed that they were educated about focused antenatal visits. Out of 60 participants interviewed n=41(68 percent) agreed that delivery plan formed part of their ANC visits and n=18 (30 percent) disagreed. Of the 60 participants interviewed n=11(18 percent) agreed that they were told that they had the right to choose labour companions and n=48 (80 percent) disagreed.Out of 60 participants interviewed n=23 (38 percent) stated that they waited a long period of time without being attended to by midwives. In general, the study revealed high satisfaction level with intrapartum and postnatal care due to functional accessibility of both Community Health Centres. Both health centres delivered normal healthy babies and mothers. However, the participants were dissatisfied with antenatal care rendered at the two facilities. The researcher’s recommendations were based on the closing of gaps that were identified with regard to the implementation of Basic Antenatal Care; birth companions: health education deficiency; community involvement and participation.
- Full Text:
- Date Issued: 2013
- Authors: Mfundisi, Nokwamkela Pearl
- Date: 2013
- Subjects: Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11908 , http://hdl.handle.net/10353/d1006902 , Primary health care -- South Africa -- Eastern Cape , Community health services -- South Africa -- Eastern Cape , Community health nursing -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape
- Description: The aim of this study was to investigate whether patients were satisfied with midwifery services rendered at the two Community Health Centres in the Eastern Cape Province.The study sites were Empilweni Gompo and Nontyatyambo Community Health Centres. Descriptive quantitative study design was employed, using a questionnaire with closed and open ended questions as the data collecting tool. Likert Scale was used to measure the following variables: quality care variables to measure level of satisfaction with midwifery services rendered and to determine positive and negative perceptions regarding quality of care received during antenatal, labour and postnatal period. Non-random convenience sampling of sixty pregnant women, thirty from each Community Health Centre, with two or more antenatal subsequent visits and forty postpartum women, twenty from each health facility, six hours after delivery if there were no complications. Out of 60 participants interviewed n=60 (100 percent) agreed that individual counseling and importance of HIV testing was explained.The majority of participants n=53(88 percent) disagreed that they were educated about focused antenatal visits. Out of 60 participants interviewed n=41(68 percent) agreed that delivery plan formed part of their ANC visits and n=18 (30 percent) disagreed. Of the 60 participants interviewed n=11(18 percent) agreed that they were told that they had the right to choose labour companions and n=48 (80 percent) disagreed.Out of 60 participants interviewed n=23 (38 percent) stated that they waited a long period of time without being attended to by midwives. In general, the study revealed high satisfaction level with intrapartum and postnatal care due to functional accessibility of both Community Health Centres. Both health centres delivered normal healthy babies and mothers. However, the participants were dissatisfied with antenatal care rendered at the two facilities. The researcher’s recommendations were based on the closing of gaps that were identified with regard to the implementation of Basic Antenatal Care; birth companions: health education deficiency; community involvement and participation.
- Full Text:
- Date Issued: 2013
Evalution of the knowledge and skills of the professional nurses regarding IMCI service delivery, including HIV/AIDS case management in primary health care facilities in Buffalo City Sub-District, Eastern Cape Province, South Africa
- Noluvuyo, Leonelle Gosangaye
- Authors: Noluvuyo, Leonelle Gosangaye
- Date: 2013
- Subjects: Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11903 , http://hdl.handle.net/10353/d1006782 , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Description: An increase in diarrhoea and upper respiratory tract infection has been noted for the past five years and this is associated with the prevalence of Human Immune-deficiency Virus and Acquired Immune Deficiency Syndrome. HIV infection is an increasingly common cause of childhood morbidity and mortality in South Africa. In some areas of the country, like the Eastern Cape, more than 30 percent of the women attending antenatal clinics are HIV infected. Without intervention, approximately one third of the babies born to these HIV infected mothers will get infection from their mothers (WHO, 2003). Aim and Objectives of the study: The study was meant to assess the specific knowledge and skills of professional nurses at the primary health facilities regarding management and integration of childhood illnesses, evaluate the quality of training of professional nurses on aspects of IMCI including integration of HIV within IMCI programme for children under five years in Primary Health Care facilities in Mdantsane Township. Methods: A quantitative descriptive method was used for this study. The questionnaire developed by the researcher was used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all professional nurses on duty and those available at the time of data collection. A checklist for IMCI was used to collect data from Road to Health files of children who were HIV positive admitted in the pediatric ward at Cecilia Makhiwane Hospital. Results: The results of this study for all the variables examined showed that the highest score was 56 percent and the lowest was18 percent.These results indicated that the knowledge and skills of professional nurses were inadequate.
- Full Text:
- Date Issued: 2013
- Authors: Noluvuyo, Leonelle Gosangaye
- Date: 2013
- Subjects: Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11903 , http://hdl.handle.net/10353/d1006782 , Nurses -- Rating of -- South Africa -- Eastern Cape , Nursing -- Ability testing -- South Africa -- Eastern Cape , Nursing -- Standards -- South Africa -- Eastern Cape , Nurses -- In-service training -- South Africa -- Eastern Cape , Nurses -- Supervision of -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , Prenatal diagnosis -- South Africa -- Eastern Cape , Primary health care -- South Africa -- Eastern Cape
- Description: An increase in diarrhoea and upper respiratory tract infection has been noted for the past five years and this is associated with the prevalence of Human Immune-deficiency Virus and Acquired Immune Deficiency Syndrome. HIV infection is an increasingly common cause of childhood morbidity and mortality in South Africa. In some areas of the country, like the Eastern Cape, more than 30 percent of the women attending antenatal clinics are HIV infected. Without intervention, approximately one third of the babies born to these HIV infected mothers will get infection from their mothers (WHO, 2003). Aim and Objectives of the study: The study was meant to assess the specific knowledge and skills of professional nurses at the primary health facilities regarding management and integration of childhood illnesses, evaluate the quality of training of professional nurses on aspects of IMCI including integration of HIV within IMCI programme for children under five years in Primary Health Care facilities in Mdantsane Township. Methods: A quantitative descriptive method was used for this study. The questionnaire developed by the researcher was used for data collection. The items on the questionnaire were divided into four (4) subsections. The questionnaire was administered to all professional nurses on duty and those available at the time of data collection. A checklist for IMCI was used to collect data from Road to Health files of children who were HIV positive admitted in the pediatric ward at Cecilia Makhiwane Hospital. Results: The results of this study for all the variables examined showed that the highest score was 56 percent and the lowest was18 percent.These results indicated that the knowledge and skills of professional nurses were inadequate.
- Full Text:
- Date Issued: 2013
An investigation into the implementation of the basic antenatal care programme by midwives in Mdantsane clinics
- Authors: Dyeli, Nolwando
- Date: 2011
- Subjects: Primary health care -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Childbirth -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Pregnancy -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Pregnant women -- Health and hygiene -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11897 , http://hdl.handle.net/10353/425 , Primary health care -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Childbirth -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Pregnancy -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Pregnant women -- Health and hygiene -- South Africa -- Eastern Cape
- Description: Basic Antenatal Care (BANC) is a way of training or upgrading the knowledge and skills of all nurses, midwives and doctors involved in antenatal care at the primary health care level so that the minimum care can be provided effectively. This study was conducted to investigate the implementation of the BANC program by midwives in the Mdantsane clinics during February 2009. Methods: A descriptive study design was undertaken targeting midwives providing antenatal care to pregnant women, in 14 clinics of Mdantsane. Data was collected from 25 midwives in the clinics, and from 140 ANC cards of women attending ANC on the day of their visit to the clinic. Results: The majority of midwives providing BANC in Mdantsane clinics were not trained in BANC. There were 10 trained midwives and 15 not yet trained. A total of twenty five midwives were involved in the study. The number of visits according to the BANC schedule was well known by the midwives in the study. The content of the visits was well known for the first visit, but for subsequent visits, the participating midwives could not state exactly what they do on these visits. They perceived BANC as something beneficial for both midwives and pregnant women with 24 of the participating midwives rating BANC as advantageous. In completing an ANC card, the midwives scored between 48 percent and 100 percent. Under examination, they scored between 52 percent and 100 percent. Lastly on interpretation and decision making, they scored between 0 percent and 92 percent. This could have troubling consequences for the health status of the mother and baby. Weaknesses in providing antenatal care identified in the study included participating midwives failing to fill in the last normal menstrual period (LNMP) and the estimated date of delivery (EDD), which was a worrying observation. Plotting of the gestational age at first visit was also not carried out well as only 47 percent of the midwives in the study did this, meaning that there would be a miscalculation of the gestational age thereafter throughout the pregnancies. The body mass index (BMI) was not calculated as the maternal height and weight were not written on the ANC card. This should be completed in order to check the nutritional status of the pregnant woman to help supplement, if malnourished, and educate on diet, if overweight. Only 17 percent of the midwives in the study plotted the foetal presentation. Failure to plot foetal presentation could lead to complications during delivery because women with abnormal presentations could end up delivering in a clinic instead of the hospital.Conclusion: This study showed that even though midwives are implementing BANC among pregnant women, it is not being carried out correctly. Therefore the programme will not be as beneficial as it would be if put into practice correctly. This is highlighted by the lack of knowledge from the untrained midwives regarding the content of care on subsequent visits. Thus there is an urgent need for BANC training to be conducted and monitored at various sites.
- Full Text:
- Date Issued: 2011
- Authors: Dyeli, Nolwando
- Date: 2011
- Subjects: Primary health care -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Childbirth -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Pregnancy -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Pregnant women -- Health and hygiene -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11897 , http://hdl.handle.net/10353/425 , Primary health care -- South Africa -- Eastern Cape , Midwifery -- South Africa -- Eastern Cape , Childbirth -- South Africa -- Eastern Cape , Midwives -- South Africa -- Eastern Cape , Pregnancy -- South Africa -- Eastern Cape , Prenatal care -- South Africa -- Eastern Cape , Pregnant women -- Health and hygiene -- South Africa -- Eastern Cape
- Description: Basic Antenatal Care (BANC) is a way of training or upgrading the knowledge and skills of all nurses, midwives and doctors involved in antenatal care at the primary health care level so that the minimum care can be provided effectively. This study was conducted to investigate the implementation of the BANC program by midwives in the Mdantsane clinics during February 2009. Methods: A descriptive study design was undertaken targeting midwives providing antenatal care to pregnant women, in 14 clinics of Mdantsane. Data was collected from 25 midwives in the clinics, and from 140 ANC cards of women attending ANC on the day of their visit to the clinic. Results: The majority of midwives providing BANC in Mdantsane clinics were not trained in BANC. There were 10 trained midwives and 15 not yet trained. A total of twenty five midwives were involved in the study. The number of visits according to the BANC schedule was well known by the midwives in the study. The content of the visits was well known for the first visit, but for subsequent visits, the participating midwives could not state exactly what they do on these visits. They perceived BANC as something beneficial for both midwives and pregnant women with 24 of the participating midwives rating BANC as advantageous. In completing an ANC card, the midwives scored between 48 percent and 100 percent. Under examination, they scored between 52 percent and 100 percent. Lastly on interpretation and decision making, they scored between 0 percent and 92 percent. This could have troubling consequences for the health status of the mother and baby. Weaknesses in providing antenatal care identified in the study included participating midwives failing to fill in the last normal menstrual period (LNMP) and the estimated date of delivery (EDD), which was a worrying observation. Plotting of the gestational age at first visit was also not carried out well as only 47 percent of the midwives in the study did this, meaning that there would be a miscalculation of the gestational age thereafter throughout the pregnancies. The body mass index (BMI) was not calculated as the maternal height and weight were not written on the ANC card. This should be completed in order to check the nutritional status of the pregnant woman to help supplement, if malnourished, and educate on diet, if overweight. Only 17 percent of the midwives in the study plotted the foetal presentation. Failure to plot foetal presentation could lead to complications during delivery because women with abnormal presentations could end up delivering in a clinic instead of the hospital.Conclusion: This study showed that even though midwives are implementing BANC among pregnant women, it is not being carried out correctly. Therefore the programme will not be as beneficial as it would be if put into practice correctly. This is highlighted by the lack of knowledge from the untrained midwives regarding the content of care on subsequent visits. Thus there is an urgent need for BANC training to be conducted and monitored at various sites.
- Full Text:
- Date Issued: 2011
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