scholarly journals Nutritional well-being of young children in Duncan Village, East London, South Africa: accessibility of primary health care clinics

2005 ◽  
Vol 8 (5) ◽  
pp. 520-532 ◽  
Author(s):  
Anniza de Villiers ◽  
Kholeka Koko-Mhlahlo ◽  
Marjanne Senekal
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Focus Group ◽  
Young Children ◽  
Service Delivery ◽  
Data Retrieval ◽  
Well Being ◽  
Primary Health ◽  
Heavy Workload

AbstractObjectiveThe aim was to contribute to the nutritional well-being of young children living in Duncan Village by investigating factors that influence clinic attendance of mothers and to formulate recommendations for optimisation of accessibility of primary health care (PHC) clinics in the area.DesignPHC clinic accessibility was evaluated by assessing the experiences of mothers who attended clinics in the area as well as the experiences of health care workers (HCWs) in these clinics of service delivery and its recipients (mothers/children), using the focus group technique. The ATLAS/ti program was used to analyse the data in the following steps: preparation and importing of the data, getting to know and coding the data, retrieval and examination of codes and quotations, creation of families and creation of networks.SettingDuncan Village, a low socio-economic urban settlement in East London, South Africa.SubjectsFocus group discussions (four to seven participants per group) were conducted with four groups of mothers who do not attend PHC clinics, six with mothers who do attend the clinics (including pregnant women) and four groups of HCWs.ResultsFour networks that provide a summary of all the major trends in the data were created. The results clearly indicate that mothers in Duncan Village perceive and/or experience serious problems that make it difficult for them to attend clinic and even prevent them from doing so. These problems include both the way they are treated at the clinics (especially the problem of verbal abuse) as well as the actual services delivered (no medicines, no help, disorganised, long waiting periods, being turned away). The main problem experienced by the HCWs with service delivery seems to be a heavy workload, as well as the fact that many mothers do not come for follow-up visits.ConclusionEfforts to increase the accessibility of PHC clinics in Duncan Village should focus on improving the relationship between mothers and HCWs and the heavy workload experienced by these workers.

scholarly journals Cost Evaluation of Reproductive and Primary Health Care Mobile Service Delivery for Women in Two Rural Districts in South Africa

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0119236 ◽  
Author(s):  
Kathryn Schnippel ◽  
Naomi Lince-Deroche ◽  
Theo van den Handel ◽  
Seithati Molefi ◽  
Suann Bruce ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Cost Evaluation ◽  
Mobile Service ◽  
Rural Districts ◽  
Primary Health

scholarly journals Challenges to HIV treatment adherence amongst adolescents in a low socio-economic setting in Cape Town

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Brian E. Van Wyk ◽  
Lee-Ann C. Davids
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Focus Group ◽  
Service Delivery ◽  
Hiv Treatment ◽  
Life Goals ◽  
Urban Setting ◽  
Care Clinic ◽  
Household Dynamics ◽  
Primary Health

Background: Despite the successful rollout of anti-retroviral therapy (ART) and steep declines in HIV incidence in South Africa, this has not been the case for adolescents (10–19 years). Adolescents on HIV treatment have lower rates of viral load suppression and adherence compared to adults and children.Objectives: This article reports on the adherence challenges faced by adolescents receiving ART in a primary health care clinic in a low socio-economic urban setting in Cape Town.Method: An exploratory qualitative design was employed where data were collected through four focus group discussions with adolescents (n = 15) who received ART at a primary health care clinic in a low socio-economic urban setting in Cape Town and followed up with eight individual, semi-structured interviews with two adolescents from each focus group. Two key informant interviews were conducted with health workers at the clinic. Audio data were digitally recorded and transcribed verbatim. Data were analysed using content analysis.Results: School commitments, strained teacher–learner relationships, negative household dynamics and ill treatment by non-biological caregivers were reported as major barriers to adherence. In addition, poor service delivery, missing or misplaced files and long waiting times came under major criticism. Fear of unintended disclosure of HIV status, stigma and discrimination, treatment fatigue and having unstructured lives negatively influenced adherence. Having a strong social support system and having life goals and ambitions were motivators to remain adherent.Conclusion: This study highlighted the complexity of ART adherence in the midst of juggling school, home life and personal life goals and aspirations. Interventions to improve adherence should address psychosocial factors such as treatment fatigue, disclosure and family and household dynamics, in addition to streamlining service delivery between the school and clinic.

Primary health care service delivery in South Africa

2008 ◽  
Vol 21 (6) ◽  
pp. 611-624 ◽  
Author(s):  
Nancy Phaswana‐Mafuya ◽  
George Petros ◽  
Karl Peltzer ◽  
Shandir Ramlagan ◽  
Nkululeko Nkomo ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Primary Health Care Service ◽  
Primary Health ◽  
Health Care Service Delivery

scholarly journals The provision of speech, language and hearing services in a rural district of South Africa

1992 ◽  
Vol 39 (1) ◽  
Author(s):  
Judith A. McKenzie
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Rural Area ◽  
Theoretical Background ◽  
Community Based ◽  
Primary Health ◽  
Community Based Rehabilitation ◽  
Hearing Therapy

In this paper the delivery of a speech, language and hearing therapy (SLHT) service in a rural area is discussed. In the light of the need to relate the delivery of this service to principles of primary health care (PHC) and community based rehabilitation (CBR), a brief theoretical background is given. Obstacles to service delivery are then presented, followed by a description of some attempts to implement principles of PHC and CBR. The author concludes that many challenges need to be faced in providing SLHT services that will benefit the majority of the population of South Africa.

scholarly journals Experiences of Fast Queue health care users in primary health care facilities in eThekwini district, South Africa

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Dudu G. Sokhela ◽  
Nonhlanhla J. Makhanya ◽  
Nokuthula M. Sibiya ◽  
Kathleen M. Nokes
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Focus Group ◽  
Health Care Facilities ◽  
Infection Prevention And Control ◽  
Care Providers ◽  
Convenience Sample ◽  
Health Service Provision ◽  
Primary Health

Background: Comprehensive Primary Health Care (PHC), based on the principles of accessibility, availability, affordability, equity and acceptability, was introduced in South Africa to address inequalities in health service provision. Whilst the Fast Queue was instrumental in the promotion of access to health care, a major goal of the PHC approach, facilities were not prepared for the sudden influx of clients. Increased access resulted in long waiting times and queues contributing to dissatisfaction with the service which could lead to missed appointments and non-compliance with established treatment plans. Objectives: Firstly to describe the experiences of clients using the Fast Queue strategy to access routine healthcare services and secondly, to determine how the clients’ experiences led to satisfaction or dissatisfaction with the Fast Queue service.Method: A descriptive qualitative survey using content analysis explored the experiences of the Fast Queue users in a PHC setting. Setting was first identified based on greatest number using the Fast Queue and geographic diversity and then a convenience sample of health care users of the Fast Queue were sampled individually along with one focus group of users who accessed the Queue monthly for medication refills. The same interview guide questions were used for both individual interviews and the one focus group discussion. Five clinics with the highest number of attendees during a three month period and a total of 83 health care users of the Fast Queue were interviewed. The average participant was female, 31 years old, single and unemployed.Results: Two themes with sub-themes emerged: health care user flow and communication, which highlights both satisfaction and dissatisfaction with the fast queue and queue marshals, could assist in directing users to the respective queues, reduce waiting time and keep users satisfied with the use of sign posts where there is a lack of human resources.Conclusion: Effective health communication strategies contribute to positive experiences by health care users and these can be effected by: (1) involvement of health care providers in planning the construction of health facilities to give input about patient flow, infection prevention and control and provision of privacy, (2) effective complaints mechanisms for users to ensure that complaints are followed up and (3)encouraging users to arrive at the facility throughout the day, rather than the present practice where all users arrive at the clinic early in the morning. 

scholarly journals Problem-Orientated Antenatal Notekeeping: A Useful Primary Health Care Tool

Curationis ◽  
1978 ◽  
Vol 1 (3) ◽  
Author(s):  
J.V. Larsen
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Significant Risk ◽  
Obstetric Care ◽  
Antenatal Screening ◽  
Primary Health ◽  
Risk Patients

It has recently been demonstrated that about 56 percent of patients delivering in a rural obstetric unit had significant risk factors, and that 85 percent of these could have been detected by meticulous antenatal screening before the onset of labour. These figures show that the average rural obstetric unit in South Africa is dealing with a large percentage of high risk patients. In this work, it is hampered by: 1. Communications problems: i.e. bad roads, long distances. and unpredictable telephones. 2. A serious shortage of medical staff resulting in primary obstetric care being delivered by midwives with minimal medical supervision.

Quality of life and adherence to mediterranean diet among type 2 diabetes mellitus patients of a primary health care clinic in Hebron city, Palestine

2021 ◽  
pp. 1-10
Author(s):  
Manal Badrasawi ◽  
May Hamdan ◽  
Mohammad Al Tamimi
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Mediterranean Diet ◽  
Well Being ◽  
Care Clinic ◽  
Primary Health Care Clinic ◽  
Primary Health

BACKGROUND: Diabetes mellitus (DM) is a lifelong metabolic disease with a high rate of mortality and morbidity. Uncontrolled and untreated diabetes results in serious complications that subsequently cause patients’ quality of life (QoL) to deteriorate. Adherence to Mediterranean diet (MD) may relieve the complications of diabetes, thereby improving the quality of life for these patients. OBJECTIVE: The aim of this study was to assess the QoL of DM patients who adhered to MD. METHODS: In this cross-sectional study, we examined the QoL and MD data of 106 DM II patients being treated at a primary health care clinic in Hebron. We used the SF-36 questionnaire to measure the patients’ QoL and the MEDAS tool to assess their MD adherence. We also recorded their anthropometric measurements, abdominal obesity, lifestyle habits and blood biochemical results. RESULTS: The sample comprised male and female DM II patients between the ages of 35 and 72, with their mean age being 55.8±10.24. Patients’ QoL scores showed a significant relationship with three BMI categories, i.e., total QoL score, physical function, and pain domains (p <  0.05). In terms of diet, high adherence to MD had a positive impact on all domains and on patients’ total QoL with significant differences in physical functioning, emotional well-being, social functioning and pain domains. CONCLUSION: Patients’ QoL domains were relatively low and highly affected by DM II. Patients with greater MD adherence reported higher scores in all QoL domains. Significantly higher scores were noted for the physical, social and pain domains. Hence, MD is a recommended dietary pattern for DM II patients to achieve a better QoL.

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