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Academic literature on the topic 'Community health services – Zimbabwe – Bulawayo'
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Journal articles on the topic "Community health services – Zimbabwe – Bulawayo"
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Nyakutombwa, Content P., Wilfred N. Nunu, Nicholas Mudonhi, and Nomathemba Sibanda. "Factors Influencing Patient Satisfaction with Healthcare Services Offered in Selected Public Hospitals in Bulawayo, Zimbabwe." Open Public Health Journal 14, no. 1 (April 20, 2021): 181–88. http://dx.doi.org/10.2174/1874944502114010181.
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Introduction: Patient satisfaction with health care services is vital in establishing gaps to be improved, notably in public health facilities utilised by the majority in Low and Middle-Income Countries. This study assessed factors that influenced patient satisfaction with United Bulawayo Hospitals and Mpilo Hospital services in Bulawayo in Zimbabwe. Methods: A cross-sectional survey was conducted on 99 randomly selected respondents in two tertiary hospitals in Bulawayo. Chi-squared tests were employed to determine associations between different demographic characteristics and patient satisfaction with various services they received. Multiple Stepwise Linear regression was conducted to assess the strength of the association between different variables. Results: Most of the participants who took part in the study were males in both selected hospitals. It was generally observed that patients were satisfied with these facilities' services, symbolised by over 50% satisfaction. However, patients at Mpilo were overall more satisfied than those at United Bulawayo Hospitals. Variables “received speciality services,” “average waiting times,” and “drugs being issued on time” were significant contributors to different levels of satisfaction observed between Mpilo and United Bulawayo Hospitals. Conclusion: Generally, patients are satisfied with the services and interactions with the health service providers at United Bulawayo Hospitals and Mpilo Hospitals. However, patients at Mpilo were more satisfied than those at United Bulawayo Hospitals. There is generally a need to improve pharmaceutical services, outpatient services, and interaction with health service provider services to attain the highest levels of patient satisfaction.
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Hunt, Jenny, Katherine Bristowe, Sybille Chidyamatare, and Richard Harding. "‘So isolation comes in, discrimination and you find many people dying quietly without any family support’: Accessing palliative care for key populations – an in-depth qualitative study." Palliative Medicine 33, no. 6 (March 12, 2019): 685–92. http://dx.doi.org/10.1177/0269216319835398.
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Background: Ensuring palliative care for all under a new global health policy must include key populations, that is, lesbian, gay, bisexual, transgender and intersex (LGBTI) people, and sex workers. Accessibility and quality of care have not been investigated in lower and middle-income countries where civil rights are the weakest. Aim: To examine the accessibility to, and experiences of, palliative care for key populations in Zimbabwe. Design: Qualitative study using thematic analysis of in-depth interviews and focus groups. Setting/participants: A total of 60 key population adults and 12 healthcare providers and representatives of palliative care and key population support organisations were interviewed in four sites (Harare, Bulawayo, Mutare and Masvingo/Beitbridge). Results: Participants described unmet needs and barriers to accessing even basic elements of palliative care. Discrimination by healthcare providers was common, exacerbated by the politico-legal-economic environment. Two dominant themes emerged: (a) minimal understanding of, and negligible access to, palliative care significantly increased the risk of painful, undignified deaths and (b) discriminatory beliefs and practices from healthcare providers, family members and the community negatively affected those living with life-limiting illness, and their wishes at the end of life. Enacted stigma from healthcare providers was a potent obstacle to quality care. Conclusion: Discrimination from healthcare providers and lack of referrals to palliative care services increase the risk of morbidity, mortality and transmission of infectious diseases. Untreated conditions, exclusion from services, and minimal family and social support create unnecessary suffering. Public health programmes addressing other sexually taboo subjects may provide guidance.
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Mashamba, Alethea, and Elsbeth Robson. "Youth reproductive health services in Bulawayo, Zimbabwe." Health & Place 8, no. 4 (December 2002): 273–83. http://dx.doi.org/10.1016/s1353-8292(02)00007-2.
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Sidandi, Paul. "Rehabilitation psychiatry: description of a provincial setting in Zimbabwe." Psychiatric Bulletin 14, no. 9 (September 1990): 552–54. http://dx.doi.org/10.1192/pb.14.9.552.
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Psychiatric services in Zimbabwe are, by African standards, relatively sophisticated and are modelled on the British system. A new patient is assessed using the Maudsley history-taking format modified to suit local situations, and a mental state examination. A physical examination and routine investigations follow. X-ray facilities and basic laboratory work-up such as haematology and microscopy are available at Provincial level. EEG, ultrasonography, echoencephalography, CT scanning and serum anticonvulsant levels are available in Harare and Bulawayo.
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Makoni, Talent M., Pruthu Thekkur, Kudakwashe C. Takarinda, Sinokuthemba Xaba, Getrude Ncube, Nonhlahla Zwangobani, Julia Samuelson, et al. "Linkage of voluntary medical male circumcision clients to adolescent sexual and reproductive health (ASRH) services through Smart-LyncAges project in Zimbabwe: a cohort study." BMJ Open 10, no. 5 (May 2020): e033035. http://dx.doi.org/10.1136/bmjopen-2019-033035.
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ObjectivesWHO recommended strengthening the linkages between various HIV prevention programmes and adolescent sexual reproductive health (ASRH) services. The Smart-LyncAges project piloted in Bulawayo city and Mt Darwin district of Zimbabwe established a referral system to link the voluntary medical male circumcision (VMMC) clients to ASRH services provided at youth centres. Since its inception in 2016, there has been no assessment of the performance of the referral system. Thus, we aimed to assess the proportion of young (10–24 years) VMMC clients getting ‘successfully linked’ to ASRH services and factors associated with ‘not being linked’.DesignThis was a cohort study using routinely collected secondary data.SettingAll three VMMC clinics of Mt Darwin district and Bulawayo province.Primary outcome measuresThe proportion of ‘successfully linked’ was summarised as the percentage with a 95% CI. Adjusted relative risks (aRR) using a generalised linear model was calculated as a measure of association between client characteristics and ‘not being linked’.ResultsOf 1773 young people registered for VMMC services, 1478 (83%) were referred for ASRH services as they had not registered for ASRH previously. Of those referred for ASRH services, the mean (SD) age of study participants was 13.7 (4.3) years and 427 (28.9%) were out of school. Of the referred, 463 (31.3%, 95% CI: 30.0 to 33.8) were ‘successfully linked’ to ASRH services and the median (IQR) duration for linkage was 6 (0–56) days. On adjusted analysis, receiving referral from Bulawayo circumcision clinic (aRR: 1.5 (95% CI: 1.3 to 1.7)) and undergoing circumcision at outreach sites (aRR: 1.2 (95% CI: 1.1 to 1.3)) were associated with ‘not being linked’ to ASRH services.ConclusionLinkage to ASRH services from VMMC is feasible as one-third VMMC clients were successfully linked. However, there is need to explore reasons for not accessing ASRH services and take corrective actions to improve the linkages.
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Moyo, Idah, and Margaret Macherera. "The experiences of sex workers accessing HIV care services in Bulawayo, Zimbabwe." African Health Sciences 21, no. 2 (August 2, 2021): 593–602. http://dx.doi.org/10.4314/ahs.v21i2.14.
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Background: Although sub-Saharan African countries have rolled out massive HIV treatment and care programmes, there is little evidence of these having embraced key population groups particularly female sex workers. Due to the criminalisation of sex work in countries like Zimbabwe, research on HIV and its impact on this group is sparse. The absence of an enabling environment has hindered access to HIV care and treatment services for female sex workers.
Objectives: To gain an in-depth understanding of the experiences of female sex workers accessing HIV care and treatment services to enhance programming and planning for this key population group.
Methods: This study was qualitative and phenomenological. Data saturation determined the sample size of 20 participants. Data was collected using in-depth interviews that were audio recorded, transcribed, and subjected to thematic content anal- ysis.
Results: Our findings demonstrate varying dynamics between the private and public sector HIV care services for sex work- ers, with facilitators and barriers to access to care.
Conclusion: Health workers need sensitization and training in the provision of differentiated care. For effective linkage to and retention in care an enabling environment is critical.
Keywords: Linkage to care; retention in care; enabling environment; facilitators; barriers.
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Mangombe, Aveneni, Philip Owiti, Bernard Madzima, Sinokuthemba Xaba, Talent M. Makoni, Kudakwashe C. Takarinda, Collins Timire, et al. "Does peer education go beyond giving reproductive health information? Cohort study in Bulawayo and Mount Darwin, Zimbabwe." BMJ Open 10, no. 3 (March 2020): e034436. http://dx.doi.org/10.1136/bmjopen-2019-034436.
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ObjectivePeer education is an intervention within the voluntary medical male circumcision (VMMC)–adolescent sexual reproductive health (ASRH) linkages project in Bulawayo and Mount Darwin, Zimbabwe since 2016. Little is known if results extend beyond increasing knowledge. We therefore assessed the extent of and factors affecting referral by peer educators and receipt of HIV testing services (HTS), contraception, management of sexually transmitted infections (STIs) and VMMC services by young people (10–24 years) counselled.DesignA cohort study involving all young people counselled by 95 peer educators during October–December 2018, through secondary analysis of routinely collected data.SettingAll ASRH and VMMC sites in Mt Darwin and Bulawayo.ParticipantsAll young people counselled by 95 peer educators.Outcome measuresCensor date for assessing receipt of services was 31 January 2019. Factors (clients’ age, gender, marital and schooling status, counselling type, location, and peer educators’ age and gender) affecting non-referral and non-receipt of services (dependent variables) were assessed by log-binomial regression. Adjusted relative risks (aRRs) were calculated.ResultsOf the 3370 counselled (66% men), 65% were referred for at least one service. 58% of men were referred for VMMC. Other services had 5%–13% referrals. Non-referral for HTS decreased with clients’ age (aRR: ~0.9) but was higher among group-counselled (aRR: 1.16). Counselling by men (aRR: 0.77) and rural location (aRR: 0.61) reduced risks of non-referral for VMMC, while age increased it (aRR ≥1.59). Receipt of services was high (64%–80%) except for STI referrals (39%). Group counselling and rural location (aRR: ~0.52) and male peer educators (aRR: 0.76) reduced the risk of non-receipt of VMMC. Rural location increased the risk of non-receipt of contraception (aRR: 3.18) while marriage reduced it (aRR: 0.20).ConclusionWe found varying levels of referral ranging from 5.1% (STIs) to 58.3% (VMMC) but high levels of receipt of services. Type of counselling, peer educators’ gender and location affected receipt of services. We recommend qualitative approaches to further understand reasons for non-referrals and non-receipt of services.
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Ngwenya, Solwayo. "Stillbirth rate and causes in a low-resource setting, Mpilo Central Hospital, Bulawayo, Zimbabwe." Tropical Doctor 48, no. 4 (August 8, 2018): 310–13. http://dx.doi.org/10.1177/0049475518789030.
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A global concern is to end preventable stillbirths by the year 2030. The objective of this study was to document the stillbirth rate and causes of stillbirths in a low-resource setting. This was a retrospective descriptive study carried out at Mpilo Central Hospital, a tertiary teaching referral government hospital in Bulawayo, Zimbabwe during the period January to December 2016. There were 8801 live births and 268 stillbirths (rate: 30.5/1000). The majority(81.3%) were macerated. Pre-term labour, pre-eclampsia, eclampsia and abruptio placenta accounted for 51.1%. In 29.9%, the cause could not be identified. A high proportion of macerated stillbirths were unexplained; hence this calls for a renewed focus on community-based approaches to reduce delays in seeking care. Investment in robust diagnostic means and further training of healthcare workers to improve case definition are both urgently required.
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Tsang, Eileen Yuk-ha, Shan Qiao, Jeffrey S. Wilkinson, Annis Lai-chu Fung, Freddy Lipeleke, and Xiaoming Li. "Multilayered Stigma and Vulnerabilities for HIV Infection and Transmission: A Qualitative Study on Male Sex Workers in Zimbabwe." American Journal of Men's Health 13, no. 1 (January 2019): 155798831882388. http://dx.doi.org/10.1177/1557988318823883.
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Male sex workers are marginalized in most societies due to intersectional stigma between prostitution and homosexuality. In Zimbabwe, a proliferation of male sex workers in major cities such as Harare and Bulawayo has been reported. However, there is a shortage of studies that explore their lives. The current qualitative study aims to describe the practices of sex work, life contexts, and HIV risks and vulnerabilities based on in-depth interviews among 15 male sex workers in Bulawayo. Our studies suggest that the stigma against male sex workers comes from diverse sectors including culture (“homosexuality is un-African, introduced by the Whites”), religion (“same sex is a sin before the God”), law and police (“homosexuality is illegal in Zimbabwe. Engaging in it can send one to prison”), media (“the media is hostile to sex workers particularly men as we are regarded as abnormal and unclean”), and their family (“should they get to know about it, they will disown me”). In this context, male sex workers were excluded from national HIV prevention and treatment programs. They had limited knowledge and many misconceptions about HIV. The stigma and discrimination from health-care providers also discouraged them from health seeking or HIV testing. The non-disclosure to female partners of convenience and sexual relations further increased their vulnerabilities to HIV infection and transmission. Current efforts to address the HIV epidemic should pay attention to male sex workers and tackle the intersecting stigma issues. male sex workers need support and tailored HIV prevention and treatment services to improve their HIV prevention practices, health, and well-being.
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Kurebwa, Jeffrey. "Adolescent Sexual Reproductive Health Services in Bindura Urban of Zimbabwe." International Journal of Patient-Centered Healthcare 9, no. 2 (July 2019): 1–20. http://dx.doi.org/10.4018/ijpch.2019070101.
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This study seeks to understand the capacity of adolescent-friendly reproductive health services (AFRHS) in promoting sexual reproductive health (SRP) among adolescents in Bindura Urban of Zimbabwe. The data collection methods used allowed the researcher to get insight on adolescents' experience and the factors associated with their accessing SRH services from AFRHS, the meaning of AFRHS for adolescents, healthcare providers' attitudes towards adolescents seeking SRH services, and community perceptions and readiness to accept AFRHS. The findings showed that both socio-cultural and health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual health of adolescents and healthcare providers' poor value clarification. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFRHS in Zimbabwe.
Dissertations / Theses on the topic "Community health services – Zimbabwe – Bulawayo"
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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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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)
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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)
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Banana, Catrine. "An investigation into the risk behaviour regarding HIV transmission among youth in Bulawayo." Diss., 2007. http://hdl.handle.net/10500/2342.
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The study sought to explore and describe the risk behaviour regarding HIV transmission among youth in Bulawayo, their knowledge of HIV transmission and the sources of information on HIV transmission accessible to them. A quantitative, descriptive exploratory design was used and 238 youth from three secondary schools in Bulawayo, the second largest city in Zimbabwe were the respondents. The Health Belief Model (HBM) was used to facilitate and acquire insight into the risk behaviour among the youth.
The inferences drawn from the study were that youth have inadequate knowledge about HIV transmission and therefore do not fully understand their risk of infection. Youth also find shyness and fear of rejection serious barriers to communicating openly about sexuality, sexual and HIV/AIDS issues. The findings of the study have implications for programmes to limit HIV transmission among youth and should assist policymakers and educators in developing and implementing such programmes in order to improve the health of youth in Zimbabwe.Health Studies
M.A. (Health Studies)
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Sibanda, Mgcini. "The characteristics of pregnant women attending the prevention of mother to child transmission of HIV (PMTCT) programme at Bulawayo city clinics, Zimbabwe." Thesis, 2008. http://hdl.handle.net/10500/2756.
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Antiretroviral therapy is an important public health strategy to reduce the risk of HIV vertical transmission. Implementation of such therapy depends on the identification of HIV-infected pregnant women. This study investigated how the biographical characteristics of the pregnant women (16-45 years) influenced their health decision-making in Bulawayo clinics. The study was guided by the theories of health behaviour. The study assumed that the respondents’ demographic characteristics will influence their attitudes towards PMTCT programme. Using a structured questionnaire, forty pregnant women who visited the Bulawayo clinics to have prenatal checkups were interviewed. The majority of respondents came from a poor, high-density township. Most of the respondents were married, but about a third were not married at the time data collection and 5% were separated. The survey items were demographic characteristics, knowledge of PMTCT, HIV risk perceptions and service utilisation. The levels of literacy among the respondents were high; more than 80% had completed primary education. Overall the respondents’ demographic characteristics influenced their attitudes towards PMTCT. Majority of the women knew that a mother with HIV can pass the virus to her child, during pregnancy, delivery and breastfeeding. The pregnant women’s health-seeking behaviour and their attitudes toward reproductive health services are influenced by their demographic situation.Health Studies
(M.A. (Social Behavior Studies in HIV/AIDS))
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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)
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Mkumbuzi, Sinqobile Helen. "Investigating the performance of a community based approach to solid waste management: A case study of Nkulumane Suburb in Bulawayo, Zimbabwe." Diss., 2018. http://hdl.handle.net/11602/1111.
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MENVSCDepartment of Ecology and Resource Management
Solid waste management (SWM) has become an issue of increasing worldwide concern as urban populations continue to rise and consumption patterns change. The health and environmental effects associated with SWM are escalating, predominantly in the perspective of developing countries. The rise in rural-urban migration rates in developing countries has left local authorities overwhelmed and failing to cope with the increase in solid waste. This has led to a shift from conventional systems of solid waste management to contemporary systems such as community based solid waste management (CBSWM). Despite the shift, it seems local authorities in developing countries still fail to manage suburban waste effectively. This study investigated the performance of a CBSWM scheme in Nkulumane, a high-density suburb in Bulawayo. Both quantitative and qualitative data were collected, hence a mixed methods approach employed. The study incorporated systematic sampling and purposive sampling in the selection of research participants. Data was collected through qualitative questionnaires, semi structured interviews and field observations. Thematic content analysis and descriptive statistics from SPSS version 25 were used in data analysis. The study revealed that community members from Nkulumane had sound knowledge on what CBSWM entails, however the community members had negative attitude towards CBSWM and traditional notions on SWM had an influence of their perception of CBSWM concepts. The study also revealed that Bulawayo City Council had managed to create employment for the community through a CBSWM scheme. Furthermore, operating expenses of the city council had decreased over the years. The level of environmental awareness had improved in the study area as well. However, Bulawayo City Council has battled with community participation problems, financial constraints and inter-institutional infighting. This study provides a comprehensive report on the performance of the CBSWM scheme in Nkulumane high density suburb, Bulawayo, Zimbabwe.
NRF
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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)
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Darikwa, Patricia. "An exploration of the perceptions of community health workers on the enablers and barries to providing services in Nyanga district, Zimbabwe." Thesis, 2016. http://hdl.handle.net/10539/21412.
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A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfillment of the requirements for the degree
of
Master of Public Health
Johannesburg June 2016Background: The work of Community Health Workers is appreciated in most setups in both developing and developed countries. In Zimbabwe there are a number of cadres who are working to bridge the health services and the community. There has however been limited documentation on the perspectives of Community Health Workers on what enables them to do their work and also barriers they face in providing their services. Aim: The study aimed to explore the perceptions of CHWs on the enablers and barriers to providing services in Nyanga district in Zimbabwe. Method: The study used a qualitative methods of in-depth interviews with Community Health Workers and key informants and document reviews. A thematic content analysis was used to identify key themes. The themes were then further analysed to identify the enablers and barriers to community health work. Results and Conclusion: The major enablers of the CHW work were perceived to be the benefits which have accrued to the communities the CHWs were working with, the benefits which the CHWs had gained and the support given by the hospital, NGO and the community leadership. The following were perceived to be the major barriers to CHW work: limited access to health services by the communities from the health facilities driven by the weak macroeconomic conditions in the country, gaps in support services, workload and geographical coverage. The recommendations include improving the motivation of the CHWs through efficient payment system, improving on quality of care and processes in the service provision. The results provide insights into CHW work which can assist policy makers and managers in making informed decisions on the investments they make for the CHW programmes in Nyanga district and Zimbabwe in general.
MT2016
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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)
Books on the topic "Community health services – Zimbabwe – Bulawayo"
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Settergren, Susan. Community Perspectives on Unsafe Abortion and Postabortion Care: Bulawayo and Hwange Districts, Zimbabwe. Research Triangle Park, NC: POLICY Project, 2000.
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Matshalaga, Neddy. National review of community home based care and access to treatment services in Zimbabwe. Harare: National AIDS Council, 2006.
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Primary Health Care Forum (Voluntary Organisations in Community Enterprise) and Voluntary Organisations in Community Enterprise (Zimbabwe), eds. Inventory of the primary health care (PHC) activities of the non-governmental organisations (NGOs) in Zimbabwe: Primary Health Care Forum, May 1986. Harare, Zimbabwe: Voluntary Organisations in Community Enterprise, 1986.
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Do we care?: The cost and quality of community home based care for HIV/AIDS patients and their communities in Zimbabwe. Ministry of Health and Child Welfare, 1997.
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G, Woelk, University of Zimbabwe. Faculty of Medicine., Southern Africa AIDS Information Dissemination Service., and Zimbabwe. Ministry of Health and Child Welfare., eds. Do we care?: The cost and quality of community home based care for HIV/AIDS patients and their communities in Zimbabwe. [Harare]: University of Zimbabwe, Medical School, 1997.
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