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Dissertations / Theses on the topic 'Bulawayo (Zimbabwe) – Medical care'
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1
Khoza, Augustine. "Pharmacy Stores Profitability and Sustainability in Bulawayo, Zimbabwe." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3251.
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Zimbabwe's catastrophic economic decline resulted in a high unemployment rate (95%), declining socioeconomic indicators, pharmacy stores' unprofitability and lower sustainability. Profitable pharmacy stores play a fundamental role in ensuring public access to medication. Lack of pharmacy profitability leads to poor healthcare delivery, resulting in increased morbidity and mortality. A healthy population is panacea to economic growth and prosperity and enhances human dignity, social cohesion, and the quality of life. In this qualitative, descriptive multicase study design, using Porter's business strategies theory and the Deming process of quality assurance as conceptual frameworks, data from 11 pharmacy stores leaders in Bulawayo, Zimbabwe were collected during interviews with open-ended questions. Participants were assumed to have influence, knowledge, and a personal stake in the pharmacy sector and that their views and experiences could address the research question of lack of pharmacy profitability and sustainability. Data were explored, categorized, and tabulated to assist drawing empirical findings and conclusions that could answer the research question. Using software the data were analyzed and themes such as the centrality of strategy in running profitable pharmacies, customer care, reimbursements by medical insurance firms, the role of the legal and regulatory frameworks on pharmacies, and mergers of single-owner pharmacies emerged. Findings from the results might provide strategies for those in the pharmacy retail sector and individuals who intend to explore the sector. Individuals who read results of the study might be influenced to lobby government on behalf of the sector to relax prohibitive regulations.
2
Samusodza, Chengetai Rosemary. "The potential of mHealth technologies for maternal health-care services : a case of selected public hospitals' maternal units in Zimbabwe." Thesis, Cape Peninsula University of Technology, 2016. http://hdl.handle.net/20.500.11838/2425.
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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2016.Zimbabwe has a fairly developed health-care delivery system that is served by public and private hospitals at district, provincial and national level. The public health-care system is the largest provider of health-care services and caters for the majority of the population but this is done in a resource-restricted context, typical of a developing context. In this context, this research sought to establish the potential of mHealth Technologies in Zimbabwe’s maternal health sector using Parirenyatwa and Harare hospitals as case studies. The reviewed body of knowledge, which was largely a comparative assessment of mHealth technology adoption in developing countries, indicated that the full adoption of the prevailing eHealth strategy in Zimbabwe remains hamstrung by the slow pace of policy implementation. This is a qualitative study and data was collected with unstructured interviews. Purposive and snowball sampling were used to recruit the participants. The gathered data was analyzed through content and thematic analysis. Four broad themes emerged from the primary data collected during the interviews and these include: trends in information dissemination in Zimbabwe’s Public Health System; information needs for expectant women and midwives; the prevalence of ICT use in Zimbabwe’s Public Health System, and mobile technology use in the maternal health sector in Zimbabwe. The research was able to establish that while there is a high proliferation of smartphone use among most expectant women, this has not translated into their use for health information-related purposes.
3
Myezwa, Hellen. "The nature and extent of participation in CBR in Midlands Province in Zimbabwe." Diss., [S.l. : s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-07282005-122853/.
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4
Ncube, Glen. "The making of rural health care in colonial Zimbabwe : a history of the Ndanga Medical Unit, Fort Victoria, 1930-1960s." Doctoral thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/11490.
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Includes abstract.Includes bibliographical references.
This thesis adopts a social history of medicine approach to explore the contradictions surrounding a specific attempt to develop a rural healthcare system in south-eastern colonial Zimbabwe (Southern Rhodesia) from the 1930s to the 1960s. Influenced by a combination of healthcare discourses and models, in 1930, the colony’s new medical director formulated the first comprehensive rural healthcare delivery plan, premised on the idea of ‘medical units’ or outlying dispensaries networked around rural hospitals. The main argument of the thesis is that the Ndanga Medical Unit, as this pioneer medical unit was known, was a variant of a typical colonial project characterised by tensions between innovative endeavours to control disease on the one hand, and the need to fulfil broader colonial ambitions on the other.
5
Chaibva, Cynthia Nombulelo. "Factors influencing adolescents' utilisation of antenatal care services in Bulawayo, Zimbabwe." Thesis, 2007. http://hdl.handle.net/10500/1975.
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Adolescent pregnancies are high risks obstetric occurrences. Antenatal care (ANC) provides opportunities to recognise and treat obstetric complications, enhancing the pregnancy outcomes for mothers and babies. This study investigated factors influencing pregnant adolescents' utilisation of ANC services in Bulawayo, using the Health Belief Model's major tenets.
A quantitative descriptive design was used in four phases: 80 adolescents' ANC records were audited; structured interviews were conducted with 200 adolescents attending ANC and with 80 adolescents who had delivered their babies without attending ANC; and 52 midwives completed questionnaires portraying their perceptions on adolescents' utilisation of ANC services in Bulawayo.
Documentation of ANC services provided to adolescents did not meet the expected standards. Poor or non utilisation of ANC services was influenced by socio demographic factors, individual perceptions of adolescents about antenatal care, perceived benefits of and perceived barriers to the utilisation of ANC. Most pregnant adolescents could not access these services because they could not pay the ANC and/or delivery fees charged at government clinics/hospitals. Midwives required more training in providing and recording adequate ANC services. Free ANC and delivery services could enhance adolescents' pregnancy outcomes in Zimbabawe. An information brochure on the importance of ANC attendance for adolescents has been compiled, based on the research results (see Annexure J).Health Studies
D.Litt. et Phil. (Health Studies)
6
Makasi, Tasara. "Factors associated with delayed entry into HIV medical care among HIV positive people who are aware of their status in Bulawayo Zimbabwe." Diss., 2012. http://hdl.handle.net/10500/8667.
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Using non-experimental descriptive exploratory survey, this study sought to find out factors associated with delayed entry into HIV medical care among HIV positive people who are aware of their status. A quantitative design was used and a structured questionnaire was used as the data collection instrument. Respondents were patients in a hospital’s Opportunistic Infection Department whose hospital records indicated that they were HIV positive during the time of the study. The study found out that as much as 71.6% (n =43) first entered HIV medical care more than 12 months after testing HIV positive while 40% (n = 24) did so as a result of illness. Low education levels, unemployment and being single are associated with delayed entry into HIV medical care. A percentage of the population uses and trusts non-biomedical approaches to dealing with HIV/AIDS. Being diagnosed HIV positive is therefore not necessarily a strong reason enough for one to immediately enter into medical care. Intensive health education needs to be done at work places, health facilities, schools, through print and electronic media, churches and other community settings to equip the population with knowledge of the advantages of early entry into HIV care.Health Studies
M.A. (Public Health)
7
Ncube, Charlie. "A study of the involvement and participation of employees in a workplace HIV-prevention programme at a Bulawayo tyre manufacturing firm." Diss., 2010. http://hdl.handle.net/10500/4110.
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Employee involvement and participation in HIV-prevention interventions at the workplace remains a barrier to effective programme implementation, which contributes significantly to programme failure and the consequent continued spread of HIV among employees at the workplace. This study explores employee involvement and participation in HIV-prevention interventions at a Bulawayo tyre manufacturing firm. It assesses factors affecting employee involvement and participation in these interventions, and examines the implications of these findings for programme implementation. I used a semi-standardised interview schedule to conduct in-depth, face-to-face qualitative interviews and a self-administered questionnaire to collect quantitative data. The responses showed the nature of employee involvement in HIV-prevention at the firm was at a co-option level, and the type of participation was mere token participation. I recommended that the firm should develop a clear understanding of the importance of stakeholder involvement in HIV-prevention programmes.Sociology
M.A. (Social Behaviour Studies in HIV/AIDS)
8
Moyo, Idah. "Experiences of HIV positive women who utilised the PMTCT programme in one of the central hospitals in Bulawayo, Zimbabwe." Thesis, 2016. http://hdl.handle.net/10500/21007.
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Text in EnglishThis qualitative descriptive phenomenological study explored the experiences of HIV positive women utilising PMTCT services at a central hospital in Zimbabwe. Data was collected using in-depth interviews of fifteen participants. The interviews were audio recorded and transcribed verbatim. Using the Interpretive Phenomenological Analysis framework for data analysis, two super-ordinate themes emerged, namely resources for provision of PMTCT services and approaches and nature of PMTCT care. The study revealed challenges experienced by HIV positive women emanating from material, financial and human resource related constraints in the PMTCT setting. The resource challenges negatively affected access and utilisation of PMTCT services. A practice model, whose purpose is to enhance the quality and utilisation of PMTCT services, was developed and described. The model was evaluated using Chin and Krammer (2011) criteria plus a modified form of the Delphi technique. These findings have implications for effective PMTCT service provision. The key lessons learnt for programmatic improvement were that in order to provide quality and accessible PMTCT services the health care system will need to be well resourced. There is need to strengthen the health care system in line with HIV related programmatic changes.
Health Studies
D. L.itt. et Phil. (Health Studies)
9
Phuthi, Kesiwe. "Investigating the psycho-social needs of orphaned adolescent learners in the context of HIV and AIDS : a case study of a high school in Bulawayo, Zimbabwe." Diss., 2014. http://hdl.handle.net/10500/14331.
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Orphans from child care institutions and from extended families attend the same schools as non-orphans. They are often given the same psycho-social support yet it is clear that they have different psycho-social needs. Their backgrounds are usually different from those of other adolescent learners because, often, they would have observed or nursed sick parents who eventually died from AIDS-related illnesses. This qualitative study aimed at investigating the psycho-social needs of orphaned adolescent learners in child care institutions and those in extended families in the context of HIV and AIDS. The study further sought to find out how the psycho-social needs affected the HIV- and AIDS-affected orphans’ school performance and social behaviour. In-depth interviews were conducted with four orphaned learners from child care institutions and four from extended families using open-ended questions. Thematic analysis was used to analyse the data. Findings of the study were that the psycho-social needs of AIDS-affected orphans in families were met by relatives more than those of AIDS-affected orphans in child care institutions. The results of the study also revealed that there was not much difference in school performance between HIV- and AIDS-affected orphans from extended families and those from child care institutions. Thus this study contributes to Sociological and Behavioural literature in the area of HIV and AIDS as well as the education literature of the vulnerable groups like orphans. The school offered psycho-social support en masse with no special programme for orphans affected by HIV and AIDS for fear of stigmatising the orphans.Health Studies
M.A. (Social Behaviour Studies in HIV/AIDS)
10
Leischner, Wolfgang. "Medical missions in Rhodesien / Zimbabwe : zur Geschichte der Missionshospitäler der Erzdiözese Bulawayo und den Biographien ihrer leitenden Ärztinnen." Doctoral thesis, 2004. https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-10560.
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Das Thema der Arbeit ist die Geschichte von 4 kirchlichen Krankenhäusern im Matabeleland im Süden des heutigen Zimbabwe (die ehem. brit. Kolonie Rhodesien), die von 4 deutschen Ärztinnen des Missionsärztlichen Instituts Würzburg nach dem 2.Weltkrieg in enger Zusammenarbeit mit den Mariannhiller Missionaren (einem kath. Missionsorden)im Gebiet der heutigen Erzdiözese Bulawayo auf- und ausgebaut wurden. Diese Missionshospitäler sind Teil eines landesweiten Netzes von kirchl. Gesundheitseinrichtungen (überwiegend in kath. Trägerschaft), die flächendeckend den Großteil der ländlichen Bevölkerung (= 70% der Gesamtbev.) versorgen. Die Geschichte der Hospitäler spiegelt die medizinische, politische und soziale Situation im Land: 2 wurden während des Befreiungskrieges vor der Unabhängigkeit 1980 zerstört und geschlossen, eine Ärztin (Dr. Johanna Decker 1918-1977) wie andere Missionare auch ermordet. Aktuell (2004) sind ca. 80% der Patienten HIV-pos. (35% der Gesamtbev.). Die Medical Missions sind medizinisch-kirchliche Synthesegebilde, die (wie die Missionsschulen) einen Beitrag der Kirche zur allgemeinen Entwicklung darstellen, obwohl es sich nicht um eine primär religiöse Aufgabe handelt. Michael Gelfand zeigt in seinem Standardwerk zum Thema, daß es den Kirchen gelang medizinisches Fachpersonal in Gegenden zu bekommen, wo staatliche Stellen dies vergeblich versucht oder gar nicht erst probiert hattenSubject is the history of 4 Mission hospitals in the Matabeleland in south of today's Zimbabwe (the former British colony Rhodesia), which were erected by 4 German lady doctors after world war II in close cooperation with Mariannhill Missionaries (a catholic mission order) in territory of nowadays Archdiocese of Bulawayo. These Mission hospitals are part of a countrywide network of church health institutions of all denominations (overwhelming in roman-catholic responsibility) which provide majority of rural population (= 70% of total population). The history of the hospitals reflects the medical, political and social situation in the country: 2 hospitals were destroyed and closed during liberation war before independence 1980, one lady doctor (Dr. Johanna Decker 1918-1977) was killed like other missionaries. Nowadays (2004) 80% of the patients are HIV-pos. (35% of total population). The Medical Missions are synthesis-institutions between medicine and church and are (like mission schools) a contribution of the churches to general development of the country although they are not a primary religious task. Michael Gelfand shows in his standard work to theme that the churches were successfull in obtaining medical specialists in regions where the state had tried this in vain or didn't try it at all
11
Germann, Stefan Erich. "An exploratory study of quality of life and coping strategies of orphans living in child-headed households in the high HIV/AIDS prevalent city of Bulawayo, Zimbabwe." Thesis, 2005. http://hdl.handle.net/10500/2395.
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A distressing consequence of the HIV/AIDS pandemic and of the increasing numbers of orphans and decreasing numbers of caregivers is the emergence in ever larger numbers of child-headed households (CHHs). The complexity of issues affecting CHHs and the lack of research on this subject means that CHHs are not well understood. This sometimes prompts support agencies to provide emotionally driven recommendations suggesting that it is better for a child to be in an orphanage than to live in a CHH. This exploratory study, involving heads of 105 CHHs over a 12 month period and 142 participants in various focus group discussions (FGD) and interviews, suggests the need for a change in perspective. It addresses the question of CHH quality of life, coping strategies and household functioning and attempts to bring this into a productive dialogue with community child care activities, NGO and statutory support and child care and protection policies.
Research data suggests that the key determining factor contributing towards the creation of a CHH is `pre-parental illness' family conflict. Another contributing factor is that siblings want to stay together after parental death. Quality of life assessments indicate that despite significant adversities, over 69% of CHHs reported a 'medium' to 'satisfactory' quality of life and demonstrate high levels of resilience. As regards vulnerability to abuse, it is found that while CHH members are more vulnerable to external abuse, they experience little within their household. Contrary to public perceptions about CHHs lacking moral values, CHH behaviour might actually be more responsible than non-CHH peer behaviour as their negative experiences appear to galvanize them into adopting responsible behaviour. Community care and neighbourhood support in older townships are better established compared with newer suburbs. Sufficient community care capacity enables CHHs to function, thus avoiding a situation where households disintegrate and household members end up as street children. CHH coping responses seem to be mainly influenced by individual and community factors, and by social, spiritual and material support. The interplay between these and the CHH's ability to engage in the required coping task impacts on the coping outcome at household level.
National and international government and non-governmental child service providers in Southern Africa need to recognize that an adequately supported CHH is an acceptable alternative care arrangement for certain children in communities with high adult AIDS mortality and where adult HIV-prevalence exceeds 10%.Development Studies
D. Ltt. et Phil. (Development Studies)
12
Leischner, Wolfgang [Verfasser]. "Medical missions in Rhodesien, Zimbabwe : zur Geschichte der Missionshospitäler der Erzdiözese Bulawayo und den Biographien ihrer leitenden Ärztinnen / vorgelegt von Wolfgang Leischner." 2004. http://d-nb.info/972792899/34.
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13
Mukhalela, Tatenda. "Utilisation of antenatal care services in rural primary health care facilities in Mutasa District, Zimbabwe." Diss., 2019. http://hdl.handle.net/11602/1446.
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MPHDepartment of Public Health
The high maternal mortality ratio is caused by various factors, including avoidable complications which can be reduced by attendance to antenatal care visits. The utilisation of antenatal care has been low in rural areas, especially in Africa. The purpose of this study was to explore the utilisation of antenatal care in Mutasa District of Zimbabwe. This study used a qualitative study approach, adopting the descriptive, explorative design that presented an active image of the research participants’ reality and capture live experiences. Participants of the study were pregnant women and women with children under the age of one. The participant were sampled using purposive and snow-ball sampling techniques. In-depth interviews were conducted. The participants were interviewed in their native language, Shona. The main question was: Can you explain in your own words how you use antenatal care services from the primary health care facility? The researcher clarified questions which the participant failed to understand. The researcher wrote down all responses and used a tape recorder to capture the responses. The researcher analysed data using thematic content analysis where themes and sub-themes were discussed. The main theme was low uptake of antenatal care in rural primary health care facilities. From the main theme there were factors influencing and perceptions of women on uptake of antenatal care services in primary health care facilities. Trustworthiness was ensured through credibility, dependability, transferability and conformability. Permission from the relevant authorities, such as the University of Venda Higher Degrees Committee, the Provincial Medical Director and the District Administrator was sought before conducting this study. Informed consent was also sought before interviewing the participants. The study concluded that socio-demography of participants affected antenatal care attendance. These are age, level of education, low income, high parity and distance to facility. Other hindering factors to utilization of antenatal care were lack of knowledge, religion and acceptability of antenatal care by the women in rural primary health care facilities. Findings will be disseminated through a research report and published in relevant accredited journals with the help of the supervisors. The study recommended that the Ministry of Health and Child Care of Zimbabwe review Antenatal Care policies to ensure friendliness and to increase awareness through health education and continuous dissemination of antenatal care information.
NRF
14
Marufu, Chester. "Utilisation of mobile health in Zimbabwe." Diss., 2015. http://hdl.handle.net/10500/18236.
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MHealth is an upcoming area promising to contribute benefits to health service delivery. The purpose of this study was to identify and describe the rate of mHealth utilisation as well as opportunities for mHealth and the barriers to use at one central hospital in Zimbabwe. A quantitative, descriptive, cross-sectional study was undertaken at the central hospital. Data collection was done using structured questionnaires. The entire population of medical doctors at the hospital (N=42) were the respondents of the research. The 18 mHealth activities were chosen from a possible of 101 available. The most used as well as the least used mHealth activities were identified and the reasons for use or lack of use were identified.
The study revealed that 75% of the activities were currently being used and 95% had the potential of future use by medical doctors. This study highlights the potential of mHealth from medical doctors’ perspective.Health Studies
M. A. (Public Health)
15
Mangundu, Manenji. "Strategies to enhance accessibility to health care in rural areas of Zimbabwe." Thesis, 2017. http://hdl.handle.net/10500/25086.
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Background: Accessibility to health care in rural areas is globally impeded by physical, material, human, financial and managerial resources and societal barriers in the health care system. The Systems Model formed the backbone to developing a strategic action plan to address the challenges experienced by all stakeholders involved.
Purpose: The purpose of this study was to describe accessibility to health care in rural areas to develop a strategic action plan to enhance accessibility to health care in these areas of Zimbabwe.
Methods: A multiple methods approach combining qualitative and quantitative components during 4 phases. Phase 1 collected quantitative data with questionnaires from professional nurses and health care users who were conveniently sampled. Phase 2 collected qualitative data with a nominal group from national health directors who were conveniently sampled. Phase 3 was based on the findings from Phases 1 and 2 with a literature control to develop a draft strategic action plan. During phase 4 the strategic plan was amended and validated with a validation tool by members of the parliamentary portfolio committee on health in Zimbabwe with all-inclusive sampling. Framework: The Systems Model Framework was adopted for this study as outcomes and impact on people’s health is determined by inputs, processes and outputs. This model was relevant and applicable to accessibility to health care.
Research findings: Accessibility to health care in rural areas of Zimbabwe is affected by inadequate distribution of physical resources, shortage of material and human resources, and a lack of financial resources. The strategies identified contributed to the strategic action plan which was amended and validated. The strategic action plan includes improving the health infrastructure, providing appropriate medical drugs, training and retention of health workers, providing medical equipment at the rural health facilities, reviewing the health worker workload and addressing staff shortages, providing free health care services in rural areas, and improving the capacity of the health care system.
Conclusion: The strategic action plan was developed based on the inputs of the relevant stakeholders and the System Model. The inclusion of the parliamentary portfolio committee on health (members of parliament of Zimbabwe) might enhance the possibility for implementation which can enhance the accessibility to health care in rural areas of Zimbabwe.Health Studies
D. Litt. et. Phil. (Health Studies)
16
Mubaiwa, Loice. "Factors influencing access to primary healthcare services in Berejena Village, Guruve South District, Zimbabwe." Diss., 2015. http://hdl.handle.net/11602/835.
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Chitambo, Beritha Ruth. "The expectations of mothers regarding community participation in antenatal care at the Chinamhora Clinic in Goromonzi District, Zimbabwe." Diss., 2001. http://hdl.handle.net/10500/16538.
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Community participation has been hailed as the panacea for most community programmes.
Community participation at high levels empowers communities, increases self-reliance, selfawareness
and confidence in self-examination of problems and seeking solutions for them
Behavioural changes are promoted and utilisation and support of services is facilitated, which is
of great importance in antenatal care and generally in this present day of HIV/AIDS. The
purpose of this study was to determine the extent to which women were participating in the
provision of antenatal care. Secondly, the study sought the pregnant women's perceptions and
expectations regarding their participation in the provision of antenatal care and to find out at
what level if any, the women wanted to be involved in the provision of antenatal care.
The theoretical model guiding this study was Rifkin' s model for evaluating community
participation. A guided interview was conducted with 30 conveniently selected pregnant
mothers residing in the area of the Chinamhora clinic. The results indicated limited participation
in the five process indicators of community participation.
However, all the women regarded community participation as being important. The majority of
the women wished to be involved at high levels of participation.
The results of this study should be valuable to health care professionais in formulating strategies
and modifying existing programmes to enhance community participation, with the
decentralisation of health services in Zimbabwe.Health Studies
M.A. (Advanced Nursing Sciences)
18
Deve, Charlene Rudo. "Perceptions of health professionals on the changes brought about by health system reforms in Zimbabwe." Diss., 2020. http://hdl.handle.net/10500/27018.
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The purpose of this study was to explore and describe the perceptions of health professionals on the changes brought about by health system reforms in Zimbabwe. Qualitative, explorative and descriptive research was conducted to identify concerns of health care provision, as described by health professionals in Zimbabwe, and to provide awareness for future reforms. Data collection was done using semi-structured interviews. Ten health professionals from two study sites participated in the research. The findings revealed that health professionals have an understanding of health system reforms and how these have changed the way health services have been delivered over the years. There is a general outcry among health professionals regarding the deteriorating provision of quality health care amidst the challenges that the health system is facing under a collapsing economic situation. The study recommends inclusion of health professionals in policy making as well as timely dissemination of any information regarding changes in policy. The study also recommends further research on the same topic with a larger diverse group of participants.Health Studies
M. P. H.
19
Nyabani, Prosper. "Nurses' views and experiences regarding implementation of results based financing in Zimbabwe." Diss., 2018. http://hdl.handle.net/10500/25107.
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Results Based Financing (RBF) models are results oriented, linking performance
indicators to incentives to motivate health workers to deliver quality care in anticipation
of rewards attached to service delivery. The study sought to explore nurses’ views and
experiences regarding the implementation of RBF in Zimbabwe with the aim of
recommending measures to strengthen the programme. The researcher used a
qualitative, exploratory and descriptive design in this study. The population of this
study comprised 21 nurses. Non-probability purposive sampling was used to select
professional nurses involved in implementing RBF in Mrewa District, Mashonaland
East Province, Zimbabwe. Data were collected through focus group discussions using
an interview guide. Three (3) focus group discussions were conducted during this
study, following a pilot study consisting of six (6) conveniently sampled nurses in
Mashonaland East Province. Interviews were tape recorded and transcribed verbatim.
Permission to proceed with this study was granted by the Ministry of Health and Child
Care and the University of South Africa. Measures to ensure credibility, dependability,
conformability and transferability were followed. Data were analysed using Creswell’s
data analysis steps. Data were transcribed and thematically analysed, and emerging
patterns were noted. The researcher examined these categories closely and
compared them for similarities and differences, identifying the most frequent or
significant codes in order to develop the main categories. These were summarised in
narrative form. Four themes emerged from data: interpretation of RBF; role of nurses in the implementation of RBF; evaluation of RBF; and strengthening implementation
of RBF.
The study revealed various interpretations of RBF that converged to definitions of RBF
in literature. Nurses viewed themselves as key and important players in the successful
implementation of RBF. The successes and challenges of RBF were presented.
Several measures that could strengthen the implementation of donor funds were
highlighted, including subsidisation of low catchment health facilities, inclusion of
district hospitals on the RBF programme, increasing financial autonomy of health
facilities and the review of procurement guidelines. The study assumed that these
measures will enhance nurses’ work experience in donor funded health care delivery,
and improve health outcomes.Health Studies
M.P.H.
20
Magezi, Vhumani. "Development and humanitarian middle ground: an analysis of health rehabilitation in post crisis reconstruction (2009-2011) in Zimbabwe." Diss., 2014. http://hdl.handle.net/10500/18803.
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The study was an assessment to determine the health rehabilitation interventions employed by Zimbabwe health actors between 2009 and 2011. It also was to ascertain the extent to which the interventions met criteria for effective rehabilitation, and that includes, health rehabilitation should ease the transition between health humanitarian and health development. Data was collected through interviewing health actors and review of policy documents while a vulnerability analysis approach was applied. The study revealed that, while the implemented health recovery interventions resulted in halting the health crisis, their role in facilitating progress towards health development was marginal. There were clear humanitarian residual issues and evidence of weak areas of the health system. A clear pathway needed to be mapped by actors, particularly policy makers to ensure effective rehabilitation. However, this seemed to lack in some areas. There were numerous overlapping and repetitive policies with little detailed guidelines.Development Studies
M.A. (Development Studies)
21
Jamera, Israel Kubatsirwa. "Guidelines for fostering hand hygiene compliance and infection control among healthcare workers at Mutoko and Mudzi districts in Zimbabwe." Thesis, 2019. http://hdl.handle.net/10500/25515.
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Background: Healthcare workers’ hand hygiene remains a key pillar because it prevents and controls healthcare associated infections. Healthcare Workers’ hand hygiene compliance is suboptimal.
Aim: The study developed contextualised guidelines for Healthcare Workers’ hand hygiene and infection control in patient care.
Methods: The Precede-Proceed model with Theory of Planned Behaviour guided the study. The study was conducted following the mixed methodology approach, observational survey, exploratory, descriptive and contextual in nature study with mixed thematic analyses in a research wheel process. Data were collected through direct participant observation of hand hygiene opportunities through observing (n=95 Healthcare Workers; n=570 practices). Self-administered questionnaires were used to collect data from Healthcare workers (n=189) regarding challenges they faced in achieving hand hygiene. Structured interviews were conducted with patients (n=574). Retrospective reviews of healthcare associated infections and their associated mortalities were carried out from mortality records. Data were analysed retrospectively. Partly the data were statistically and mixed thematically analysed. Guidelines were developed using intervention alignment throughout, mapping, matching, pooling, patching and validation corroborated with Precede-Proceed models’ best practices. The study was ethically reviewed and approved by University of South Africa and the Medical Research Council of Zimbabwe project numbers, 6067662 and MRCZ/B/208.
Results: Hand hygiene non-compliances were mostly found in the following contexts, after touching patients’ surroundings, and before doing an aseptic procedure. A non-hand hygiene compliance of Healthcare workers 167(29.3%) and compliance 403(70.7%) in context was suboptimal with sad patients and challenges faced by Healthcare workers.
Conclusion: Healthcare Workers had gaps in hand hygiene compliance and availability of required resources. Gaps were also noted in ongoing hand hygiene promotion educational strategies and guidelines to comply and prevent. Guidelines to enhance hand hygiene included, attend to hand hygiene strictly after touching patient surroundings, bed linen, lockers and curtains to prevent gastroenteritis; follow standard precautions against HCAIs from spreading to patients' environments; and comply with hand hygiene guidelines, policies and regulations for best practice with patients. The study contributes generalisable knowledge.Health Studies
D. Litt et Phil. (Health Studies)
22
Kutsira, Jacob. "A gendered analysis of the healing practices of the Johane Marange Apostolic Church in Glenview, Zimbabwe and their effect on women during pregnancy." Thesis, 2013. http://hdl.handle.net/10413/11138.
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This dissertation seeks to examine and analyse the healing practices within JMC in relation to health care provided to women during pregnancy. The healing practice performed in this church has made the church become popular and grow numerically. This is also exacerbated by the high cost of medical care in Zimbabwe which is a challenge especially for pregnant women. This is an empirical study which used in-depth interviews with both men and women who are married and are long serving members of JMC. The objective of the study was to find out how the healing practice within JMC contributes to women’s health during pregnancy. The study found out that; one of the teachings of this church is that members are not allowed to seek for medical help from the hospitals. Therefore women who are pregnant are supposed to receive health services only from the church. This is done in form of prayers, prophecy and use of symbols which are directed towards the protection of the mother and child from evil that is perceived to attack them during this period. The church also provides teachings to these mothers to be on how to look after themselves through the use of elderly women who act as birth attendants. The study also found out that some women decided to also seek other forms of medication like visiting hospitals despite the consequences that were put up by the leaders of the church. This study does not claim that religion cannot help women during pregnancy but rather seeks to show that while the church focuses on spiritual healing, there is also a need for a holistic approach to healing that will call on women to visit hospitals, especially when addressing issues relating to pregnancy.Thesis (M.Th.)-University of KwaZulu-Natal, Pietermaritzburg, 2013.