Browsing by Author "Bimerew, Million"
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Item Adequacy and sustainability of undergraduate midwifery programmes training course materials(African Association for Health, Physical Education, Recreation, Sport and Dance (AFAHPER-SD), 2014) Bimerew, Million; Mbombo, NomafrenchThe purpose of the study was to determine the adequacy and sustainability of Undergraduate midwifery programmes training course materials. A quantitative survey method was employed to collect sustainability data from lecturers and clinical supervisors (N=33) and data on adequacy of the training course materials from graduated professional nurses doing their community service (N=34). The data was analyzed using SPSS programme for frequency distributions and percentages. More than 90% of the participants stated that the integrated PMTCT training course materials were sustainable. Participants stated that they were unlikely or very unlikely to exclude PMTCT competencies from the undergraduate midwifery programme: PICT (provider-initiated counselling and testing)/HCT (HIV counselling and testing) course unlikely (60.61%) and very unlikely (30.3%); antiretroviral therapy (ART) course unlikely (33.33%) and very unlikely (60.61%); PCR testing course unlikely (48.48%) and very unlikely (39.39%); and infant-feeding management course unlikely (27.27%) and very unlikely (66.67%). The course was regarded as very adequate or fairly adequate: PICT/HCT very (59%) and fairly adequate (49.2%); antiretrovirals/ART very (64.7%) and fairly adequate (32.4%); polymerase chain reaction training very (52.9%) and fairly adequate (41.2%); and infant-feeding options very (73.5%) and fairly adequate (26.5%). The results of this study show that PMTCT competency-based course materials were adequately provided to undergraduate midwifery students to equip them with necessary knowledge and skills in management of the PMTCT client. The PMTCT course was regarded as sustainable, which influences its continuation in the midwifery programme after the end of the PMTCT project.Item Barriers to community mental health users’ access to information needed to deal with mental health problems, Western Cape, South Africa(African Association for Physical, Health Education, Recreation and Dance, 2015) Bimerew, Million; Adejumo, Oluyinka; Korpela, MikkoThe most important advancement in the healthcare industry in the 21st century is the application of information technology (IT) in health care. While integrated IT is critical in transforming mental health care, IT infrastructure in mental health lags behind other sectors. This study explored community mental health users’ barriers to accessing information in dealing with mental health problems. Semi-structured individual interviews were conducted with 11 mental health users and their family members, and two focus group discussions were held with eight mental health consumers and family members of each. Major barriers to accessing information were long waiting times for services; inadequate mental health education and information sessions; and lack of a support club to share information and experiences with people with similar mental problems. Empowering mental health users with adequate and appropriate mental health information helps to improve their care. Use of IT such as tele-health communication, email and text messages using computers was proven to improve access to information and quality of care provision.Item Challenges in the use of information technology in processing health information in resource limited settings: a comprehensive systematic review(UNISA Press, 2015) Bimerew, MillionThe use of information technology in processing and utilising health information has significant health care outcomes. Its use in the assessment, diagnosis and management of health problems through access to relevant health information is crucial. The aim of this review was to identify the use of information technology in processing and utilising health information in low resource settings. A comprehensive systematic review focusing on resource limited settings was conducted. The review identified the following challenges in the use of information technology in resource limited settings: lack of health information system and networking; limited knowledge and skills; lack of information users’ participation; unavailability of standardised health indicators and poor quality information processing. Combining manual and technology assisted information processing system in less resource settings is essential in transforming and promoting the utilisation of health information. The capacity development training, involvement of community professional nurses and midwives in the design and development of health information system for processing and utilisation, and creating an enabling environment could help overcome the challenges in the use of information technology in low resource settings.Item Developing strategies to improve support for grandparents caring for aids orphans in the western cape(University of Western Cape, 2021) Akimanimpaye, Furaha; Phetlhu, Deliwe René; Bimerew, MillionLiterature evidence on challenges facing the grandparents caring for AIDS orphaned children has shown inaccessibility to health care services, inability to afford basic needs, absence of social security provisions (with the exception of the pension scheme) and lack of attention from the government and Non-Government Organizations (NGOs). In South Africa, there is insufficient documented evidence of available sustainable approaches to supporting grandparents caring for AIDS orphans in all health dimensions. This study aimed to develop strategies to improve support for grandparents caring for AIDS orphans in the Western Cape Province of South Africa.Item Developing strategy to improve the implementation of comprehensive sexuality education policy in Oyo state secondary schools in Nigeria(University of the Western Cape, 2022) Yinyinola, Makinde Olufemi; Bimerew, MillionSexuality education is a globally emerging social issue leading to discourse among stakeholders in the school system and public health arena. Comprehensive sexuality education (CSE) has emerged as an effective method of preventing teenage pregnancy. However, attempts to implement CSE policy in Nigeria since 2002 have not been successful. Teenage pregnancy is increasing in Oyo State, leading to rising school dropout rates. The aim of this study was to develop strategy to improve implementation of the CSE policy aimed at reducing teenage pregnancy at secondary schools in three LGAs in Oyo State, Nigeria. An explanatory sequential mixed methods design was employed to conduct data collection and analysis in Phase One. Target populations for survey were learners, parents and teachers.Item Development of a protocol for nurses to reduce stigma towards mental health care users at primary health care services in the Western Cape(2023) John James Musafiri; Bimerew, MillionBackground: Nearly one in eight individuals across the world lives with a mental disorder. Mental disorders contribute to the global burden of disease, and are the third largest contributor to the overall disease burden in South Africa. The availability of mental health services at primary health care level should reduce the burden of mental disorders. It was found that several studies have revealed that stigma prevents people from seeking mental health care which contributes to delays in their recovery. Consequently, it deprives them of their basic human rights and excludes them from society. Mental health stigma has been reported among nurses and other health care providers.Item District facility managers’ perspectives of mental health information processing and utilisation at primary care level in the Western Cape(AFAHPER-SD, 2014) Bimerew, Million; Korpela, Mikko; Adejumo, OluyinkaDistrict health facility managers play a significant role in provision of primary health care (PHC) services, particularly in integration of mental health services into the PHC level and developing a district health information system, which includes an integrated mental health information system (MHIS). The aim of the study was to explore the views and involvement of district health facility managers in the mental health information processing and utilization in improving mental health service delivery within the context of PHC. The study employed a qualitative research approach. Fourteen facility mangers were recruited using purposive sampling techniques, and interviews were conducted in 2012 and 2013. The interview data were analysed using thematic content analysis. The study identified that mental health information processing systems are fragmented and inadequate for decision making, and it was not known how to use mental health information. Lack of knowledge in information processing and utilization, as well as poor information infrastructure and networking was associated with poor understanding about mental health, not considering mental health as one of the priorities within the district health services, and lack of higher officials’ interest in the mental health development programme. Also notable were the attitudes towards mental illness, which were a major problem. These findings have major implications, such as behavioral /attitudinal risk factors of higher officials, policy makers, and the community for MHIS development and interventions in the reduction of mental health problems in South Africa.Item Experiences of community nurses in management of a district-based mental health information system in the Western Cape, South Africa(Africa Association for Health, Physical Education, Recreation, Sport and Dance, 2014) Bimerew, Million; Adejumo, Oluyinka; Korpela, MikkoThe aim of this study was to explore the experiences of community nurses in the management of a mental health information system (MHIS). A purposive convenient sampling method was employed to select 23 community mental health nurses from 23 community health facilities for the study. Individual semi-structured interviews were used, and the data were analysed for themes. The main findings of the study were categorised into the themes of information gathering tools and contents, information processing, and challenges of mental health information processing. Subthemes which emerged were information gathering tools, head count information content, knowledge and skills, computer technology, information flow and sharing, resources, and feedback in information processing. Information processing in terms of data gathering, compiling, analysing, getting feedback, and sharing information were the major concerns. There were inadequate knowledge and skills in information systems, no standard information collection tools designed for mental health, and lack of infrastructure, such as a mental health information network system across the health facilities and up to the higher level. Mental health requires a responsible person that deals with the MHIS in terms of reporting, analysing and getting feedback from the results of analysis back to the people at ground level for implementation. The amount of mental health information being collected and processed was inadequate and of poor quality. This has resulted in having few data available for the decision making process and/or planning mental health services.Item Health information officers’ views of mental health information processing and utilisation within an integrated primary healthcare service in Cape Town, South Africa(African Association for Health, Physical Education, Recreation, Sport and Dance, 2015) Bimerew, Million; Adejumo, Oluyinka; Korpela, MikkoHealth facility information officers have significant roles in gathering and processing health information and communicating it for utilisation. The purpose of this study was to explore the views of health information officers in processing and utilisation of mental health information within the context of primary health care. Fourteen health information officers were selected using purposive sampling techniques; they were interviewed, and data were grouped into themes. The study revealed a lack of structured information validation and feedback systems to improve the quality of information processing, and facility-level mental health information processing was fragmented and not used to improve service outcomes. Staff involved in health information recording and processing had limited skills to fulfill these tasks, and there were barriers to collecting and processing mental health information. These findings have major implications in improving mental health services within the integrated primary mental healthcare services, and in developing a sound and strong mental health information system.Item Integrating prevention of mother to child HIV transmission competencies into the nursing curriculum: Methodological lessons from a university-based undergraduate programme(Oasis OpenJournals, 2012) Mbombo, M.; Bimerew, MillionSouth Africa (SA) has the highest number of women infected with HIV and AIDS during pregnancy, which results in more than 70 000 infected babies being born each year AIDS is the major contributor to maternal and child morbidities and mortalities in the country. To combat this, the SA government has developed a national policy to prevent mother-to-child HIV transmission (PMTCT). However, for effective implementation of this policy, there is a dire need for a competent, skilled health worker to render the service. In response to this, the School of Nursing at the University of the Western Cape has integrated PMTCT competencies into the undergraduate Bachelor of Nursing Science curriculum. In this paper, we described teaching and learning approaches used to integrate PMTCT competencies, including the skills laboratory methodology and case-based learning, as well as a portfolio of evidence assessment tool. A quantitative descriptive design was used to analyse data collected from students in regard to assessment of PMTCT competencies achieved. The study used the conceptual framework of Lenburg’s competency outcomes and performance assessment model, which focuses on competency development and assessment in a clinical environment. HIV competencies, including PMTCT, should be integrated both theoretically and at service delivery into other nursing and midwifery competencies, including assessment strategies. Provincial policies in provision of antiretrovirals by nurses and midwives become barriers to successful implementation of PMTCT, resulting in limited learning opportunities for students to practice PMTCT competencies. Further research is required to assess an attribute, affect, which is another prong for competencies.Item Knowledge, attitudes and barriers of nurses on benefits of the quality of patient record-keeping at selected public district hospitals in Burundi(Elsevier, 2021) Bizimana, Edison; Bimerew, MillionThe study examined the patient record-keeping knowledge, attitudes and barriers of nurses on benefits of the quality of patient record-keeping in two hospitals in Burundi. A quantitative descriptive survey design with a selfadministered questionnaire was used to collect data from 121 nurses at two public district hospitals. The results show 82.6% (n = 100) of nurses scored > 80% on the scale of knowledge indicating adequate knowledge; 17.4% (n = 21) of nurses scored < 80%, indicating insufficient knowledge. Regarding attitudes, 64% (n = 78) of nurses scored > 80% on the attitudes scale, while 36% (n = 43) scored < 80%, indicating negative attitudes. Barriers contributing to poor quality of patient record-keeping were lack of training on record-keeping (81.3%, n = 99), excessive work load, demotivation (81.3%, n = 99), lack of time (46, n = 38%), and poor support by administrative policies (55.4%, n = 67). The Chi-square test show statistically there was a significant association between years of experience and respondents’ knowledge on benefits of the quality of patient record-keeping (χ2 = 19.182, p = .000724). On the attitudes scale the Chi-square test shows that level of education was significantly associated with respondents’ attitudes on benefits of the quality of patient record-keeping (χ2 = 22.674, p = .001). The study demonstrated that although there was adequate knowledge and positive attitudes on benefits of the quality of patient record-keeping, there were barriers contributed to poor quality of patient record-keeping in the selected hospitals. Gender, and years of experience as well as level of education was significantly associated with nurse’s knowledge on benefits of the quality of patient record-keeping. Implications of the findings were discussed.Item Nurses’ knowledge of tuberculosis, HIV, and integrated HIV/TB care policies in rural Western Cape, South Africa(Elsevier, 2018) Phetlhu, Deliwe Rene; Bimerew, Million; Marie-Modeste, Regis R.; Naidoo, Mogasweri; Igumbor, JudeHIV and tuberculosis (TB) co-infection remain the leading causes of mortality in many developing countries. Several policies for their prevention and management exist; however, progress to meet the World Health Organization’s indicators is slow. As nurses in rural areas are the main health care professionals responsible for the implementation of policies, questions arose about nursing knowledge regarding TB and HIV policies. A concurrent mixed method research approach was used to investigate this issue in a rural area of the Western Cape in South Africa. After a two-step sampling process, data were collected through 44 questionnaires and 12 interviews. We used descriptive and inferential statistics as well as content analysis methods. We found that most of the nurses had insufficient knowledge on certain aspects of policy guidelines that included medications, intensive case findings, and management of multidrug-resistant TB. It is recommended that training be intensified to improve implementation of policies.Item Nursing students’ perceptions of the clinical learning environment at a university in South Africa(Elsevier, 2022) Jaganath, Chanthelle; Bimerew, Million; Mthimunye, Katlego Dumisani TrevorThe clinical learning environment has been found to be significantly related to nursing practice and ultimately patient outcome. However, despondency among nursing students towards the clinical learning environment has been widely reported. This study adopted a quantitative research method that included a descriptive survey design with the aim to examine nursing students’ perceptions of the clinical learning environment. The target study population (N = 498) was comprised of third- and fourth-year undergraduate nursing students at the selected university. The sample (n = 218) was selected through a simple random sampling technique. Data were collected using the 42-items Clinical Learning Environment Inventory Tool. Descriptive and inferential statistics (Chi-square and independent sample t-test) were used to analyse the data using the Statistical Package for Social Science version 25.Item Perceptions of nurses on TB with HIV adherence counselling skills in a health sub-district, Cape Town: A qualitative study(AOSIS, 2022) Ticha, Victoire; Bimerew, Million; Phetlhu, Deliwe R.People living with HIV (PLHIV) co-infected with Tuberculosis (TB) account for one in three HIV-related deaths. Retention in care and adherence to medication remain key behaviours that PLHIV co-infected with TB must adopt to achieve better health outcomes. Nevertheless, TB with HIV adherence-counselling services provided by nurses designed to enhance these behaviours remain inadequate. Additionally, limited information is found in the literature on the perceptions of nurses regarding their TB with HIV adherence counselling skills pertaining to PLHIV co-infected with TB.Item A training programme for nurses on the management of preoperative anxiety and information needs of patients in Ashanti region, Ghana(University of the Western Cape, 2022) Dankyi, Sawan; Bimerew, MillionStudies reveal that preoperative information hastens recovery, reduces postoperative complications and improves patients’ satisfaction. It is expedient to explore the preoperative information needs of patients as assumptions cannot be employed to identify said preoperative information patient needs. It was discovered in a study in the Ashanti Region of Ghana that few of the nurses follow steps to explore the anxiety and information needs of patients. The study investigated how preoperative anxiety and information needs of patients are explored and managed by nurses at district hospitals in the Ashanti Region of Ghana.