RESUMEN
BACKGROUND: Ubuntu, a Nguni Bantu term meaning "humanity towards other", embodies a philosophy of collectivism, interconnectedness and mutual respect, which is deeply ingrained in South African culture. Ubuntu led community-based collaborative projects enhance community engagement of several stakeholders to ensure improved health outcomes for the mothers and children in the region. Similarly, collaborations between universities are required to co-create evidence-based interventions with healthcare systems and communities to achieve healthcare objectives. This paper explores maternal and child healthcare (MCH) projects in South African communities through the Ubuntu lens, using an appreciative inquiry approach. METHODS: A Qualitative approach based on the 5-cycle of Appreciative Inquiry (AI) as proposed by Cooperrider and Srivastava were applied. A purposive sampling method was used to select participants (n = 14) who are members of the Ubuntu MCH project. Data was gathered through workshop group discussions. The interviews were audiotaped and transcribed verbatim. Data analysis followed the six steps of narrative analysis. RESULTS: Three main themes were identified: Academic growth of personnel; professional empowerment and Ubuntu mentorship. CONCLUSION: This study confirms that the Ubuntu principles emphasises solidarity, cohesion, and collaboration. The study recommends leveraging on Ubuntu principles to strengthen maternal and child healthcare services, suggesting that such this approach can lead to more sustainable and impactful health improvements in South African communities.
RESUMEN
Background: Despite different interventions to curb unwanted pregnancies, repositioning Family Planning and post-abortion care services as critical priorities in health programme in Kwa-Zulu Natal, women are still admitted with induced abortion complications. Aim: The aim was to explore challenges experienced by women who are accessing post-abortion care services at selected public hospitals. Methods: A qualitative explorative, descriptive, and contextual approach was used. The population comprised all women who presented with incomplete abortion and had accessed PAC services in the selected hospitals. Purposive convenience sampling was used to select the 23 participants. Data were collected through in-depth interviews with all participants on discharge and analysed through open-coding method. Trustworthiness was ensured, by considering the criteria of credibility, dependability, applicability, and transferability. Ethical considerations were secured by requesting consent and permission to conduct the study. All interviews were voluntarily conducted following the ethically approved informed consent, anonymity and confidentiality were maintained. Findings: Three themes emerged reflecting challenges from women's perspectives on accessing post abortion care. These themes were: transportation barriers, stigma, and mistreatment (lack of analgesics, early discharge). Conclusion: Conclusion showed the description of perceived barriers and experiences related to accessing, seeking and care received during the process of PAC. Inaccessibility to PAC was due to poor road, poor mode, lack of transport and long distance from the community to the hospital, long waiting queues, stigma, and discrimination. The PAC services should be accessible with the increased number of facilities and adequately trained staff with functional equipment and guidelines. Value clarification workshops for health professionals are essential.
Asunto(s)
Aborto Inducido , Aborto Espontáneo , Servicios de Planificación Familiar , Femenino , Humanos , Embarazo , Investigación Cualitativa , SudáfricaRESUMEN
Despite the fact that condoms are very effective against Sexually Transmitted Infections (STIs) and Human Immunodeficiency Virus transmission (HIV); many people who are at risk do not use them. Latex condoms provide an essentially impermeable barrier to particles the size of HIV and other STI pathogens. The primary aim of this study was to determine the perceptions of youth on the use of condoms for HIV prevention in the Capricorn District of the Limpopo Province; South Africa. A qualitative; exploratory and descriptive design was used. The population included all youth from the ages of 15 to 19 years who attended two primary health care clinics in the Capricorn District. A non-probability purposive sampling method was used. Purposive sampling was used to include participants to participate in the study. Data were collected through unstructured interviews from 15 participants. Interviews were conducted until data saturation was reached; after which the data obtained were analysed qualitatively by open-coding method. Findings revealed four themes; namely; paradoxical attitudes towards consistent condom use related to fear of sexual intercourse and a need to prevent HIV transmission; casual usage of condoms perceived as having positive and negative results; responsibilities of youth to insist on condom use during sexual intercourse; and programme available to help youth with consistent use of condoms. Health education themes that should be included in the programme for educating the youth on the use of condoms for HIV prevention were recommended
Asunto(s)
Adolescente , Condones/estadística & datos numéricos , Infecciones por VIH/prevención & control , Educación en Salud , Percepción , SudáfricaRESUMEN
HIV-positive mothers who practise infant feeding of their choice at Mankweng clinic in the Limpopo province are experiencing specific problems with various feeding methods. This study was undertaken with the aim to explore and describe the socioeconomic and cultural experiences of HIV-positive mothers who practise infant feeding of their choice. The research design was exploratory, descriptive, qualitative and contextual in nature. A phenomenological approach was adopted to focus on the lived experiences of HIV-positive mothers. The study sample was purposely selected. Ten HIV-positive mothers volunteered to participate in the study. Data were collected through in-depth unstructured interviews. All participants responded to an open-ended question: "Could you please tell me, in detail, your experience on infant feeding of your choice?" Interviews were conducted until saturation, as was reflected in repeating themes, was reached. The model of trustworthiness, as outlined in Guba and Lincoln (1985:301-318), to ensure credibility and dependability, was used in this study. The study adhered to the ethical standards as set by DENOSA (1998:2.3.2-2.3.4). Data were analysed according to Tesch's method, as outlined in Creswell (2003:192) and De Vos (1998:343). Literature control was performed to verify the results. Two main categories that emerged were guided by options for infant feeding; namely those that chose formula feeding for their babies and those participants who opted to breast-feed their babies. The study proposed to recommend guidelines for the development of relevent content for inclusion in health education programmes of registered midwives who, in turn, can use such information to educate mothers.
Asunto(s)
Lactancia Materna/etnología , Infecciones por VIH/etnología , Educación en Salud/métodos , Enfermería Maternoinfantil/métodos , Enfermería Transcultural/métodos , Adolescente , Adulto , Niño , Femenino , Humanos , Lactante , Recién Nacido , Sudáfrica , Adulto JovenRESUMEN
A model for woman-centred childbirth was developed through four phases in accordance with the objectives of the study; namely; a description of mothers' experiences of childbirth and that of attending midwives of managing mothers during childbirth concept analysis of woman-centred care; model development; and an evaluation phase. The identified concepts and sub-concepts were classified and developed into in a conceptual model within the six elements of the practice theory; as outlined by Dickoff; James and Wiedenbach's (1968:423) survey list cited by Madela-Mntla (1999:69) in Tlakula (1999:119). These elements are recipient; agent; context; procedure; purpose and dynamic. The relational statements derived after conceptualisation of each of the six concepts were inferred through the process of deductive analysis and synthesis. The development of the woman-centred childbirth model contained six components; namely; goals; concepts; definitions; relationships; structures and assumptions; as outlined in Chinn and Jacobs (1987:116). The model was evaluated in accordance with Chinn and Kramer's (1995:134-135) method and refined by experts in midwifery practice and model generation. Limitations were recognised and recommendations made
Asunto(s)
Enfermería , Parto , MujeresRESUMEN
The HIV and AIDS epidemic in South Africa has reached serious proportions. Over 5, 5 million South Africans are infected with HIV (Department of Health, 2004: 10). Mother to Child Transmission (MTCT) is a well-established mode of HIV transmission and these infections may occur during pregnancy, labour, delivery and breastfeeding. According to the Department of Health (2000: 2), breastfeeding constitutes a significant risk of MTCT HIV transmission. Studies in Africa have also shown that breast-feeding increases the risk of MTCT by 12%-43% (Department of Health, 2000: 13; Department of Health, 2000:3). Since breastfeeding is a significant and preventable mode of HIV transmission to infants, there is an urgent need to educate, counsel and support women and families to make informed decisions about how best to feed their infants in the context of HIV. To achieve a reduction in MTCT, there is an urgent need to empower women with information on MTCT for informed decision-making. However, cultural factors and the stigma associated with HIV and AIDS might contribute to limited knowledge about MTCT through breastfeeding. The aim of the study was to determine pregnant women's knowledge about MTCT of HIV/AIDS infection through breastfeeding. Findings of the study will be used to update the existing health education programmes in the field of Maternal and Child Health. The design was a descriptive research survey. The population consisted of 100 pregnant women. Convenience sampling was used to select mothers during antenatal visits at a particular clinic at Polokwane municipality. Self-constructed questionnaires were translated into Northern Sotho and distributed to the women. Data analysis used descriptive statistics. The findings of the study revealed a high level of awareness of HIV and AIDS and a low level of knowledge about MTCT of HIV and AIDS infection through breastfeeding. Based on the conclusions, a revised health education programme was proposed for the Maternal and Child Health field.
Asunto(s)
Actitud Frente a la Salud/etnología , Lactancia Materna/efectos adversos , Infecciones por VIH/transmisión , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Evaluación de Necesidades/organización & administración , Mujeres Embarazadas , Adolescente , Adulto , Lactancia Materna/etnología , Toma de Decisiones , Evaluación Educacional , Femenino , Infecciones por VIH/etnología , Infecciones por VIH/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Humanos , Lactante , Transmisión Vertical de Enfermedad Infecciosa/estadística & datos numéricos , Consentimiento Informado , Investigación en Educación de Enfermería , Investigación Metodológica en Enfermería , Educación del Paciente como Asunto/organización & administración , Embarazo , Mujeres Embarazadas/etnología , Atención Prenatal/organización & administración , Factores de Riesgo , Apoyo Social , Sudáfrica/epidemiología , Estereotipo , Encuestas y Cuestionarios , Sexo Inseguro/etnología , Sexo Inseguro/prevención & controlRESUMEN
The purpose of the study was to explore and describe experiences of mothers during childbirth in a tertiary hospital in the Limpopo Province. This was achieved through a qualitative research study which was exploratory; descriptive; contextual and inductive in nature. A sample of 24 mothers participated in this study. Data obtained from unstructured in-depth interviews were analysed according to the protocol by Tesch (1990; cited in Cresswell; 1994:155). Five themes were identified; namely mutual participation and responsibility sharing; dependency and decision-making; information sharing and empowering autonomy and informed choices; open communication and listening; accom -modative /non-accommodative midwifery actions; and maximising human and material infrastructure. The themes indicated experiences that foster or promote dependency on midwifery care. Guidelines on how to transform this dependency into a mother-centered care approach during childbirth are provided
Asunto(s)
Parto Obstétrico , Partería , Madres , Parto , Derivación y ConsultaRESUMEN
The purpose of this study was firstly to explore and describe the experiences of teenage mothers of first pregnancy. Secondly, to develop guidelines of a support programme that is contextual and relevant to the needs of teenage mothers. The guidelines are aimed at assisting midwives in meeting the needs of teenage mothers. An exploratory, descriptive, contextual and qualitative design was used. The phenomenological approach was implemented to collect and analyze data from a purposively selected sample of fourteen (14) teenage mothers who were pregnant for the first time. The model of Guba and Lincoln (1985: 301-318) was implemented to ensure trustworthiness in this qualitative study. Five themes emerged from the analysis of the data. Guidelines and recommendations for support programme were developed.
Asunto(s)
Partería , Madres/psicología , Guías de Práctica Clínica como Asunto , Embarazo en Adolescencia/psicología , Atención Prenatal , Adolescente , Femenino , Humanos , Evaluación de Necesidades , Embarazo , Apoyo Social , SudáfricaRESUMEN
UNLABELLED: The purpose of this study was to determine the current and patterned care life ways of mothers from diverse cultural groups that deliver their babies at level III hospital in Limpopo Province. Knowledge from the findings will be used to develop guidelines that will attempt to enhance the inco-operation of culture-sensitivity into midwifery practice. DESIGN AND METHOD: An exploratory, descriptive, contextual and qualitative design was used. The ethnographic approach was used. Semi-structured interviews and unstructured conversations were conducted with 24 mothers who are from diverse ethnic groups. Mothers were purposively selected. To analyse data, Mile's and Huberman's (1994) approach was adopted. This approach consists of three linked sub-processes, namely, data reduction, data display and conclusion drawing/ verification. To ensure trustworthiness in qualitative research, Lincoln and Guba's Model (1985) was implemented. FINDINGS: Four (4) themes emerged from the analysis of data, namely, expectations and experiences of midwifery care; meaning and value of childbirth; beliefs and cultural practices during childbirth and coping strategies used during childbirth. The guidelines were developed and fitted within the Sunrise Model Theory (Leininger, 1991:41) that includes the three modes, namely, culture care preservation and /or maintenance; culture care accommodation and/ or negotiation and culture care repatterning and/or restructuring.