Browsing by Author "Khondowe, Oswell"

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    Experiences of caregivers of stroke patients in Lusaka, Zambia
    (University of the Western Cape, 2006) Khondowe, Oswell; Mpofu, Ratie; Rhoda, Anthea
    INTRODUCTION: Stroke is a major cause of death and most survivors are left with residual disability and are dependent on others for essential care. OBJECTIVES: The objective of the present study was to determine the experiences of informal caregivers of stroke patients receiving out-patient physiotherapy treatment at the University Teaching hospital in Lusaka, Zambia. METHODS: Both quantitative and qualitative approaches were used to collect data in the present study. PARTICIPANTS: A convenient sample of 70 caregivers was selected for the quantitative part of the study while 10 caregivers were purposively selected for the in-depth qualitative interviews. Setting: Out-patients at the University Teaching Hospital (UTH) in Lusaka, Zambia INTERVENTION: The Caregiver Strain Index was used to collect quantitative data and in-depth interviews provided the qualitative data. RESULTS: The mean age of the participants was 37.6 years. The study sample consisted of more females (70%) than males (30%). Financial constraints, family adjustments and being overwhelmed by their care-giving role were the experiences mostly highlighted by the caregivers in this study CONCLUSION: Caregivers are important role players in the rehabilitation of stroke patients. It is therefore important that rehabilitation professionals are aware of the experiences of these caregivers so that their needs could also be addressed when managing the stroke patient
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    A home-based physical activity programme in combination with massage therapy to improve motor and cognitive development in HIV positive children on antiretroviral therapy: A randomised controlled trial
    (University of the Western Cape, 2014) Khondowe, Oswell; Frantz, José; Nikodem, Cheryl; Harper, Kim
    The aim of this study was to prospectively, evaluate the effectiveness of an individually designed home-based physical activity programme in combination with massage therapy, on motor and cognitive development in children infected with HIV. This study used a randomized controlled trial design. One hundred and twenty-eight infants and toddlers (children) were recruited between March 2010 and September 2010 and randomly allocated to receive either an individually designed home-based physical activity programme in combination with massage therapy or standard treatment and massage on a 1:1 ratio. Motor and cognitive development was measured using the Bayley Scales of Infant Development third edition (Bayley-III)
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    Perceived needs and experiences of informal caregivers of adult stroke survivors post discharge in Lusaka
    (University of the Western Cape, 2004) Khondowe, Oswell; Mpofu, Ratie
    stroke is a serious health problem in both developing and developed countries. lt is estimated that more than one-half of stroke survivors are left with residue disabilities that require assistance with activities of daily living, such as, eating, bathing and dressing. Family or community members who volunteer to provide the assistance in activities of daily living for the disabled are referred to as informal caregivers. The main aim of this study is to identify the expressed needs and experiences of informal caregivers of adult stroke patients attending physiotherapy sessions at University Teaching Hospital (UTH) in Lusaka and investigate factors influencing them. seventy informal caregivers of stroke patients attending the out-patient physiotherapy department were recruited for this study. A cross-sectional descriptive study design utilizing a questionnaire with closed items and another with open items administered by the researcher are used in the present study. Ethical clearance was obtained from the Higher Degrees committee of the University of the Western Cape's Faculty of Community Health Science. The statistical Package for Social sciences (SPSS) and statistical Analysis system (SAS) were used in order to obtain frequencies, cross tabulations and correlations. Interviews using the questionnaire with open-ended items were tape-recorded and transcribed verbatim. Transcribed data were reduced into categories and categories into themes. The themes that were more frequent were information of stroke rehabilitation and knowledge about stroke, discontinuity of caregiver's daily routine, need for support services, work overload, need for community centred programmes, need for finances, views on physiotherapy rehabilitation services and need for respite care.
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    A systematic review on effects of physical activity Interventions on early motor development in children with Down syndrome
    (University of the Western Cape, 2007) Khondowe, Oswell; Simons, Johan; Nikodem, Cheryl
    PURPOSE: The main aim of this review was to evaluate the effect of physical activity on motor development in children with Down Syndrome by means of a systematic review. METHODS: An extensive literature search of published studies in English from 1980 to May 2006 was performed. Of the fifty-eight studies identified only four met the inclusion criteria. This review included studies that investigated the effects of physical activity on motor development in children with Down Syndrome and evaluated the outcomes in terms of the level of activity. RESULTS: One study showed a significant decrease in length of time to independent walking in the intervention group (C l -101(-180.48 - -21.52]. Two studies (N=84) reported a significant improvement in the total developmental quotient following intensive physical activity (wmd and Cl 95% -13.07 [-17. 66, -8.48]. Three studies showed an increased in locomotor developmental skills following physical activity intervention. CONCLUSION: The results of this review support the use of programmes that are designed to improve motor development in children with Down Syndrome. We recommend that physical activity programmes need to be intensive and parents should be incorporated to strengthen the outcomes.
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    Towards interdisciplinary practice: A shared community-based practice experience
    (University of the Western Cape, 2007) Filies, Gerard C.; Mlenzana, Nondwe; Khondowe, Oswell
    INTRODUCTION: Service-learning is an educational approach that allows for a structured learning experience for students, combining community service with preparation and reflection. Through service learning, students not only provide community service but also learn about the context in which the service is provided. METHODS: Shared Community-Based Practice (SCBP) is a pioneering service-learning initiative of the University of the Western Cape (UWC) for all health and welfare disciplines located within a community setting. It is unique in the sense that it affords students from discipline-specific domains, an opportunity to practice interdisciplinary in a structured and coordinated manner. SCBP was designed to meet discipline-specific, multidisciplinary and personal goals through the development and implementation of an intervention care plan. Four centres in Nyanga and Mitchelll's Plain were targeted for placement of students in the Community and Health Sciences Faculty at UWC. Focus group discussions were held with the centres personnel and the needs of the centres were identified. Interventions were designed based on these needs. RESULTS: The main themes identified included the need for training, awareness and lack of resources. Implementation of the projects had its challenges but students were able to overcome them. CONCLUSION: Shared community based practice is an initiative that can be used effectively in communities in an interdisciplinary manner.