Browsing by Author "Mbombo, Nomafrench"
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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 Exploring the Journey to Maternal Death: Gender and Human Rights perspectives on the major causes of maternal mortality in the Western Cape Province, South Africa(University of the Western Cape, 2003) Mbombo, Nomafrench; Jackson, D.In this thesis, I use gender and human rights approaches to examine and analyse the major causes of maternal mortality, which result from delay in seeking maternity care and failure to attend maternity care during pregnancy. A gender approach was used to identify and analyse inequalities that arise from belonging to one sex or from unequal power relations between sexes and how these impact on women accessing maternity care. The Human Rights approach was used to identify and analyse health system related factors that led women to delay seeking care and also failing to attend maternity care. A qualitative multiple case study methodology was followed with data analysed thematically. Findings were interpreted in the context of the International Bill of Rights, the South African Bill of Rights and International Human Rights treatises. Maternity women are unable to access maternity care because of their unmet gender equity needs, and because of maternity services that are not respecting, protecting and fulfilling their human right to access health care. A Gender-Human rights model of accessibility to quality maternity care is developed to assist health care providers in promoting availability of maternity services to health consumers. The model propositions are based on the major concepts which are: Gender equity, Women empowerment, Human rights to quality health care, Evidence Based Health Care, and Support during labour.