Adolescent mothers’ breastfeeding experiences in Nelson Mandela Bay health district
- Authors: Fordjour Afriyie, Vera
- Date: 2017
- Subjects: Breastfeeding -- South Africa -- Eastern Cape , Children -- Nutrition -- South Africa -- Port Elizabeth , Teenage mothers -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/13879 , vital:27316
- Description: Rationale: There is limited research available in South Africa that explores the breastfeeding experience among adolescent mothers; most of the studies were conducted in developed countries. One such study relating to the above mentioned developed countries stated that social and commitment factors influence the decision to breastfeed by adolescents. Furthermore, while adolescent mothers appreciate the benefits of breastfeeding, pain, public exposure and perceived complexities related to breastfeeding create barriers for them. The researcher was unable to ascertain if similar ambiguities exist among adolescent mothers in South Africa, and in the Eastern Cape (EC) in particular with its high rates of adolescent pregnancy. In order to attempt to develop age appropriate recommendations to assist adolescent mothers with their breastfeeding journey, the researcher undertook this research study to answer the following question: What are the breastfeeding experiences of adolescent mothers in the Nelson Mandela Bay Heath District (NMBHD)? Aim: The research aim was to determine the experiences of adolescent mothers regarding breastfeeding in NMBHD. Methods: The study implemented a qualitative research approach. To enhance the design, the researcher utilised an explorative, descriptive and contextual research design. The ethical principles that guided this study were autonomy, nonmaleficence, beneficence and justice. Fourteen adolescent mothers, attending PHC facilities in the NMBHD participated in the study. Participants were chosen from a purposive sampling technique and data were collected from semi-structured interviews, compromising of individual interviews. The researcher analysed the data using the using the eight steps of the Tesch analysis technique. Data was also analysed by an independent coder. Results obtained from the Tesch approach were compared to that of the independent coder results. Thereafter, the major themes and sub-themes that related to the study objectives were identified. Results: Three themes and 10 sub-themes were identified. Lack of knowledge and poor adherence to EBF, perceived breastmilk insufficiency, as well as incorrect infant feeding advice given by maternal mothers and grandmothers were associated with early introduction of complementary feeding. Most participants were motivated to breastfeed due to its economic and bonding benefits, as well as seeing their infant‟s progress in growth. Challenges of breastfeeding mentioned by the participants include: lack of support from the fathers of their infants and from health care providers, breast milk leakage, and the foul smell associated with the leaking of breast milk. The participants of the study also had suggestions to help improve the support given to adolescent mothers by health care providers in PHC facilities. Conclusions and recommendations: In conclusion, this study‟s findings revealed that adolescent mothers may need extra age appropriate education and support to assist them in breastfeeding successfully at PHC facilities, the community and schools. Maternal mothers and grandmothers were found to be the primary source of a support network for most adolescent mothers as opposed to health care providers who were categorised as being the secondary source of support. Thus, breastfeeding promotion tailored at maternal mothers and grandmothers would be beneficial in improving their knowledge about the recommended infant feeding practices and consequently aid in providing appropriate support and advice to adolescent mothers. Additionally, training and attitude modification of health care providers is needed to provide adolescent mothers with age-appropriate, effective and sensitive care and counselling.
- Full Text:
- Date Issued: 2017
- Authors: Fordjour Afriyie, Vera
- Date: 2017
- Subjects: Breastfeeding -- South Africa -- Eastern Cape , Children -- Nutrition -- South Africa -- Port Elizabeth , Teenage mothers -- South Africa -- Port Elizabeth
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/13879 , vital:27316
- Description: Rationale: There is limited research available in South Africa that explores the breastfeeding experience among adolescent mothers; most of the studies were conducted in developed countries. One such study relating to the above mentioned developed countries stated that social and commitment factors influence the decision to breastfeed by adolescents. Furthermore, while adolescent mothers appreciate the benefits of breastfeeding, pain, public exposure and perceived complexities related to breastfeeding create barriers for them. The researcher was unable to ascertain if similar ambiguities exist among adolescent mothers in South Africa, and in the Eastern Cape (EC) in particular with its high rates of adolescent pregnancy. In order to attempt to develop age appropriate recommendations to assist adolescent mothers with their breastfeeding journey, the researcher undertook this research study to answer the following question: What are the breastfeeding experiences of adolescent mothers in the Nelson Mandela Bay Heath District (NMBHD)? Aim: The research aim was to determine the experiences of adolescent mothers regarding breastfeeding in NMBHD. Methods: The study implemented a qualitative research approach. To enhance the design, the researcher utilised an explorative, descriptive and contextual research design. The ethical principles that guided this study were autonomy, nonmaleficence, beneficence and justice. Fourteen adolescent mothers, attending PHC facilities in the NMBHD participated in the study. Participants were chosen from a purposive sampling technique and data were collected from semi-structured interviews, compromising of individual interviews. The researcher analysed the data using the using the eight steps of the Tesch analysis technique. Data was also analysed by an independent coder. Results obtained from the Tesch approach were compared to that of the independent coder results. Thereafter, the major themes and sub-themes that related to the study objectives were identified. Results: Three themes and 10 sub-themes were identified. Lack of knowledge and poor adherence to EBF, perceived breastmilk insufficiency, as well as incorrect infant feeding advice given by maternal mothers and grandmothers were associated with early introduction of complementary feeding. Most participants were motivated to breastfeed due to its economic and bonding benefits, as well as seeing their infant‟s progress in growth. Challenges of breastfeeding mentioned by the participants include: lack of support from the fathers of their infants and from health care providers, breast milk leakage, and the foul smell associated with the leaking of breast milk. The participants of the study also had suggestions to help improve the support given to adolescent mothers by health care providers in PHC facilities. Conclusions and recommendations: In conclusion, this study‟s findings revealed that adolescent mothers may need extra age appropriate education and support to assist them in breastfeeding successfully at PHC facilities, the community and schools. Maternal mothers and grandmothers were found to be the primary source of a support network for most adolescent mothers as opposed to health care providers who were categorised as being the secondary source of support. Thus, breastfeeding promotion tailored at maternal mothers and grandmothers would be beneficial in improving their knowledge about the recommended infant feeding practices and consequently aid in providing appropriate support and advice to adolescent mothers. Additionally, training and attitude modification of health care providers is needed to provide adolescent mothers with age-appropriate, effective and sensitive care and counselling.
- Full Text:
- Date Issued: 2017
Intake of salt and sugar in grade five learners at underprivileged schools in Port Elizabeth compared to the intake at underprivileged schools in Johannesburg
- Authors: Straub, Alycia
- Date: 2018
- Subjects: Children -- Nutrition -- South Africa -- Port Elizabeth , Children -- Nutrition -- South Africa -- Johannesburg , Hypertension , Obesity in children
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/33261 , vital:32614
- Description: The literature clearly indicates that excessive amounts of salt and sugar, compared to the recommended amounts, are consumed by young children, leading to the earlier presentation of lifestyle diseases such as obesity, diabetes mellitus type 2 and hypertension (Lichtenstein et al., 2006; Grimes et al., 2013). The problem to address is that there is insufficient information available on the intake of sugar and salt in South African children, and more specifically in the Johannesburg and Port Elizabeth areas; this information is necessary to determine which prevention strategies should be developed. The aim of this study was to determine the current intake of salt and sugar of grade five learners at a sample of quintile three schools in Johannesburg and Port Elizabeth and to investigate whether there was a relationship between the sugar and salt intake and the BMI (kg/m2) and blood pressure (mmHg) of these learners. A baseline exploratory, quantitative, descriptive, cross-sectional study design was used. A non-random, convenient sampling method was used with a sample size of 220 consenting learners of Johannesburg and 350 of Port Elizabeth. A semi-quantitative adapted food frequency questionnaire was used to determine the current intake of salt and sugar in the learners. The data was analysed using the SPSS version 22 programme. Ethical clearance was obtained from the relevant bodies. The results were as follows: no significant differences were found between the frequency of consumption of any of the food items that were chosen to represent salt and sugar intake and blood pressure and BMI within either Johannesburg or Port Elizabeth. Therefore, no associations between salt and sugar intake and blood pressure and BMI were found within either area. When comparing the learners of Johannesburg with those in Port Elizabeth a few significant differences were found; mostly showing a weak association. However, there was a moderate association for sugar in tea/ coffee between the underweight and overweight/obese learners of Johannesburg compared to Port Elizabeth. Preferences, peer influence and food culture are suggested reasons for this significant difference. Recommendations of the study were the South African Food-based Dietary Guidelines “Use salt and foods high in salt sparingly” and “Use food and drinks that contain sugar sparingly and not between meals” should continue to be encouraged.
- Full Text:
- Date Issued: 2018
- Authors: Straub, Alycia
- Date: 2018
- Subjects: Children -- Nutrition -- South Africa -- Port Elizabeth , Children -- Nutrition -- South Africa -- Johannesburg , Hypertension , Obesity in children
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/33261 , vital:32614
- Description: The literature clearly indicates that excessive amounts of salt and sugar, compared to the recommended amounts, are consumed by young children, leading to the earlier presentation of lifestyle diseases such as obesity, diabetes mellitus type 2 and hypertension (Lichtenstein et al., 2006; Grimes et al., 2013). The problem to address is that there is insufficient information available on the intake of sugar and salt in South African children, and more specifically in the Johannesburg and Port Elizabeth areas; this information is necessary to determine which prevention strategies should be developed. The aim of this study was to determine the current intake of salt and sugar of grade five learners at a sample of quintile three schools in Johannesburg and Port Elizabeth and to investigate whether there was a relationship between the sugar and salt intake and the BMI (kg/m2) and blood pressure (mmHg) of these learners. A baseline exploratory, quantitative, descriptive, cross-sectional study design was used. A non-random, convenient sampling method was used with a sample size of 220 consenting learners of Johannesburg and 350 of Port Elizabeth. A semi-quantitative adapted food frequency questionnaire was used to determine the current intake of salt and sugar in the learners. The data was analysed using the SPSS version 22 programme. Ethical clearance was obtained from the relevant bodies. The results were as follows: no significant differences were found between the frequency of consumption of any of the food items that were chosen to represent salt and sugar intake and blood pressure and BMI within either Johannesburg or Port Elizabeth. Therefore, no associations between salt and sugar intake and blood pressure and BMI were found within either area. When comparing the learners of Johannesburg with those in Port Elizabeth a few significant differences were found; mostly showing a weak association. However, there was a moderate association for sugar in tea/ coffee between the underweight and overweight/obese learners of Johannesburg compared to Port Elizabeth. Preferences, peer influence and food culture are suggested reasons for this significant difference. Recommendations of the study were the South African Food-based Dietary Guidelines “Use salt and foods high in salt sparingly” and “Use food and drinks that contain sugar sparingly and not between meals” should continue to be encouraged.
- Full Text:
- Date Issued: 2018
Parents’ perceptions of the content of pre-school lunch boxes following a nutritional programme in Nelson Mandela Bay
- Authors: Midigo, Odwour Erich
- Date: 2020
- Subjects: Children -- Nutrition
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46429 , vital:39587
- Description: Rationale: Lunchboxes that parents prepare for preschool children have been noted to fall short of the recommended paediatrics dietary standards. No research has been done in Nelson Mandela Bay (NMB) to describe the perceptions of parents preparing the lunch boxes, particularly in underprivileged communities, and if nutrition education strategies can improve these practices. This study answered the following research question: How can nutrition education programmes play a role in parents’ perceptions about the content of the lunchboxes of children attending early childhood development centres (ECD) in underprivileged communities of NMB metropole? Aim: The research aimed at describing and exploring parents’ perceptions of the content of pre-school children’s lunch boxes following a nutrition programme.Methods: This descriptive, explorative study adopted a qualitative approach. Twenty-five participants were selected conveniently while five pre-schools were purposively sampled. Following the nutrition programme, data was collected through five Focus Group (FG) discussions and five interviews and was thematically analysed. The ethical principles that guided the study included justice, beneficence and autonomy. Results and Discussion: Five major themes and seventeen sub-themes emerged (1) Participants described the typical foodstuff in children’s lunch boxes which included both high quality and lower-quality foods and fluids; (2) Participants provided views (such as food preferences) on lunch box choices; (3) Principals appraised lunch box rules and the significance of revised rules to improve the lunch boxes;(4) Challenges such as poverty limited healthy food choices; (5) Participants commented on initiatives noted following the nutrition training; for instance, some schools commenced the cultivation of vegetable gardens. Conclusion and Recommendations: The study highlights that specific parent programmes helped to improve healthy lunch box choices in the study population. There is a need for parent programmes tailored to fathers. Dieticians and nutritionists in NMB can train practitioners as change agents in their respective schools.
- Full Text:
- Date Issued: 2020
- Authors: Midigo, Odwour Erich
- Date: 2020
- Subjects: Children -- Nutrition
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46429 , vital:39587
- Description: Rationale: Lunchboxes that parents prepare for preschool children have been noted to fall short of the recommended paediatrics dietary standards. No research has been done in Nelson Mandela Bay (NMB) to describe the perceptions of parents preparing the lunch boxes, particularly in underprivileged communities, and if nutrition education strategies can improve these practices. This study answered the following research question: How can nutrition education programmes play a role in parents’ perceptions about the content of the lunchboxes of children attending early childhood development centres (ECD) in underprivileged communities of NMB metropole? Aim: The research aimed at describing and exploring parents’ perceptions of the content of pre-school children’s lunch boxes following a nutrition programme.Methods: This descriptive, explorative study adopted a qualitative approach. Twenty-five participants were selected conveniently while five pre-schools were purposively sampled. Following the nutrition programme, data was collected through five Focus Group (FG) discussions and five interviews and was thematically analysed. The ethical principles that guided the study included justice, beneficence and autonomy. Results and Discussion: Five major themes and seventeen sub-themes emerged (1) Participants described the typical foodstuff in children’s lunch boxes which included both high quality and lower-quality foods and fluids; (2) Participants provided views (such as food preferences) on lunch box choices; (3) Principals appraised lunch box rules and the significance of revised rules to improve the lunch boxes;(4) Challenges such as poverty limited healthy food choices; (5) Participants commented on initiatives noted following the nutrition training; for instance, some schools commenced the cultivation of vegetable gardens. Conclusion and Recommendations: The study highlights that specific parent programmes helped to improve healthy lunch box choices in the study population. There is a need for parent programmes tailored to fathers. Dieticians and nutritionists in NMB can train practitioners as change agents in their respective schools.
- Full Text:
- Date Issued: 2020
Development and assessment of azithromycin paediatric suppository formulations
- Authors: Mollel, Happiness
- Date: 2006
- Subjects: Azithromycin , Pediatrics , Clinical pharmacology , Pharmacokinetics , Suppositories , Drugs -- Dosage forms
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:3774 , http://hdl.handle.net/10962/d1003252 , Azithromycin , Pediatrics , Clinical pharmacology , Pharmacokinetics , Suppositories , Drugs -- Dosage forms
- Description: The use of the oral route of administration for the treatment of young children with antibiotics can at times be problematic since, factors such as nausea, vomiting, taste and/or smell, in addition to the challenges associated with the administration of suspensions, may contribute to poor patient compliance. In such cases, the use of the rectal route of administration may be appropriate. Therefore, suppositories containing 250 mg azithromycin (AZI) were manufactured and assessed for potential as an antibiotic suppository dosage form. Suppositories, containing AZI dihydrate were manufactured by the fusion method, using different grades of PEG, Witepsol® and Suppocire® bases. The rate and extent of AZI release was evaluated using USP apparatus I, and samples were analyzed using a validated HPLC method. Differences in the rate and extent of AZI release were observed with the greatest amount of AZI being released from PEG formulations. The rate and extent of AZI release from formulations manufactured using fatty bases were influenced by physicochemical properties, such as melting rate and hydroxyl value, of the bases. In addition drug partitioning appeared to favor the lipid phase and had a negative impact on AZI release characteristics. Two different formulation approaches were used in an attempt to increase the rate and extent of AZI release from fatty base formulations. The use of surfactants significantly increased AZI release from formulations manufactured with fatty bases with high hydroxyl values. The use of urea or Povidone K25 in combination with AZI as a physical mixture or solid dispersion did not increase the rate and extent of AZI release from the fatty suppositories, to any significant extent. The mechanism of drug release was evaluated using several mathematical models, including the Higuchi, Korsmeyer- eppas, Zero and, First order models. In addition, in vitro dissolution profiles were characterized by the difference and similarity factors, f1 and f2 and by use of the Gohel similarity factor, Sd. AZI release kinetics were best described by the Higuchi and Korsmeyer-Peppas models and the values of the release exponent, n, revealed that drug release was a consequence of the combined effects of AZI diffusion, rate of melting of the base and partitioning of the drug which can be considered to be anomalous release.
- Full Text:
- Date Issued: 2006
- Authors: Mollel, Happiness
- Date: 2006
- Subjects: Azithromycin , Pediatrics , Clinical pharmacology , Pharmacokinetics , Suppositories , Drugs -- Dosage forms
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:3774 , http://hdl.handle.net/10962/d1003252 , Azithromycin , Pediatrics , Clinical pharmacology , Pharmacokinetics , Suppositories , Drugs -- Dosage forms
- Description: The use of the oral route of administration for the treatment of young children with antibiotics can at times be problematic since, factors such as nausea, vomiting, taste and/or smell, in addition to the challenges associated with the administration of suspensions, may contribute to poor patient compliance. In such cases, the use of the rectal route of administration may be appropriate. Therefore, suppositories containing 250 mg azithromycin (AZI) were manufactured and assessed for potential as an antibiotic suppository dosage form. Suppositories, containing AZI dihydrate were manufactured by the fusion method, using different grades of PEG, Witepsol® and Suppocire® bases. The rate and extent of AZI release was evaluated using USP apparatus I, and samples were analyzed using a validated HPLC method. Differences in the rate and extent of AZI release were observed with the greatest amount of AZI being released from PEG formulations. The rate and extent of AZI release from formulations manufactured using fatty bases were influenced by physicochemical properties, such as melting rate and hydroxyl value, of the bases. In addition drug partitioning appeared to favor the lipid phase and had a negative impact on AZI release characteristics. Two different formulation approaches were used in an attempt to increase the rate and extent of AZI release from fatty base formulations. The use of surfactants significantly increased AZI release from formulations manufactured with fatty bases with high hydroxyl values. The use of urea or Povidone K25 in combination with AZI as a physical mixture or solid dispersion did not increase the rate and extent of AZI release from the fatty suppositories, to any significant extent. The mechanism of drug release was evaluated using several mathematical models, including the Higuchi, Korsmeyer- eppas, Zero and, First order models. In addition, in vitro dissolution profiles were characterized by the difference and similarity factors, f1 and f2 and by use of the Gohel similarity factor, Sd. AZI release kinetics were best described by the Higuchi and Korsmeyer-Peppas models and the values of the release exponent, n, revealed that drug release was a consequence of the combined effects of AZI diffusion, rate of melting of the base and partitioning of the drug which can be considered to be anomalous release.
- Full Text:
- Date Issued: 2006
An intergrated continuous flow system for the manufacture of biodiesel from waste cooking oil using a heterogeneous acid catalyst and homogeneous base catalyst
- Authors: Mathe,Francis Matota
- Date: 2017
- Subjects: Biodiesel fuels industry , Catalysis , Vegetable oils as fuel
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/44460 , vital:37837
- Description: The continuous flow production of biodiesel from waste cooking oil (WCO) was investigated in this study. Two different methods of biodiesel production were investigated. The first method involved the acid esterification of free fatty acids (FFAs). In the biodiesel community, the esterification of FFAs in WCO is usually regarded as the pre-treatment stage of biodiesel production using low-quality feedstock.The second method involved the transesterification of triglycerides in WCO. Homogeneous catalysts (NaOH or H2SO4) and heterogeneous catalysts (NaOH/ZnO, Sn/ZnO, Amberlyst-15, Amberlite-IRA 904, Fe/Bentonite and Amberlite IRN 78) were evaluated in the transesterification reaction. Catalyst screening was done using a batch reactor. NaOH gave a high úME content of 96.7% and was chosen as the optimum catalyst for the reaction.The main aim of the project was to make an integrated system that incorporates the esterification and transesterification reaction in the flow production of biodiesel using WCO. The system was developed using the conditions obtained from optimum studies of the separate reactions. Slight adjustments based on further experimental work were made to create an efficient system. The effect of excess methanol from the first step on the concentration of NaOH in the second phase was investigated. It was shown that the excess methanol decreases the concentration of the NaOH and this decreases the úMEs in the final mixture of biodiesel.
- Full Text:
- Date Issued: 2017
- Authors: Mathe,Francis Matota
- Date: 2017
- Subjects: Biodiesel fuels industry , Catalysis , Vegetable oils as fuel
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/44460 , vital:37837
- Description: The continuous flow production of biodiesel from waste cooking oil (WCO) was investigated in this study. Two different methods of biodiesel production were investigated. The first method involved the acid esterification of free fatty acids (FFAs). In the biodiesel community, the esterification of FFAs in WCO is usually regarded as the pre-treatment stage of biodiesel production using low-quality feedstock.The second method involved the transesterification of triglycerides in WCO. Homogeneous catalysts (NaOH or H2SO4) and heterogeneous catalysts (NaOH/ZnO, Sn/ZnO, Amberlyst-15, Amberlite-IRA 904, Fe/Bentonite and Amberlite IRN 78) were evaluated in the transesterification reaction. Catalyst screening was done using a batch reactor. NaOH gave a high úME content of 96.7% and was chosen as the optimum catalyst for the reaction.The main aim of the project was to make an integrated system that incorporates the esterification and transesterification reaction in the flow production of biodiesel using WCO. The system was developed using the conditions obtained from optimum studies of the separate reactions. Slight adjustments based on further experimental work were made to create an efficient system. The effect of excess methanol from the first step on the concentration of NaOH in the second phase was investigated. It was shown that the excess methanol decreases the concentration of the NaOH and this decreases the úMEs in the final mixture of biodiesel.
- Full Text:
- Date Issued: 2017