Browsing by Author "Uys, Leana"
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Item Role analysis of the nurse/midwives in the health services in Sub-Saharan Africa.(John Wiley & Sons, 2013) Uys, Leana; Chipps, Jennifer; Kohi, Thekla; Makoka, Dickson; Libetwa, MiriamAIM : The aim of this paper is to describe the actual current roles and tasks of nurses in Sub- Saharan African health services. BACKGROUND: The current roles of nurses and midwives in the African region of the World Health Organization have not been empirically established, with only two country studies found (South Africa and Mozambique). This makes it difficult to establish whether current nursing education programmes and nursing regulations adequately address the needs in the health services. METHODS: This was a descriptive quantitative study using two survey questionnaires, a 120 task Hospital Questionnaire and a 153 Primary Health Care task questionnaire. Nurses from nine African countries (five Anglophone and four Francophone) completed a hospital or Primary Health Care task questionnaire - a total of 927 respondents from both hospital and Primary Health Care settings. Data was collected between June and December 2010. Results: The highest role functioning in both settings was found in the role “General Care”. The lowest role functioning in both settings was found in the role “Maternal and Child Health” and in “The Provision of Mental Health Care”. The role performance in Anglophone countries was significantly higher than in Francophone countries and this was also reflected in regional comparisons. CONCLUSION: The development of competency in nursing roles other than medical surgical roles (general assessment and care) should receive more attention in curricula. Special attention needs to be given to Francophone countries, where the professions of nursing and midwifery are poorly developed.Item Systematic review of health data quality management and best practices at community and district levels in low and middle income countries(Sage, 2013) Ndabarora, Eleazar; Chipps, Jennifer; Uys, LeanaResearch findings have reported lack of reliable health data and poor management for district health information systems in low and middle-income countries (LMIC). This paper aims to review the literature on problems with health data quality management and health information evidences and evidences of best practices and use at community and district levels in LMIC, with a view to making recommendations for future research. Research citations, conference proceedings and diseases surveillance reports from 2000–2011 were accessed in PubMed, Medline, LISTA (EBSCO), CINAHL, Cochrane, and Google. Relevant studies were selected, the methodologies critiqued and synthesized. The researchers accessed 1383, and 38 were reviewed by three reviewers. Poor quality health data, low level of health information use, and poor management of health information systems were found. These findings hinder evidence-based decisions based and planning at community and district levels in LMIC. Though poor practices were found, improved health care services delivery with improved health data efficiency was found to be possible.