Dissertations / Theses: 'Oral health care seeking behaviour'

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Dong, Mei 1966. "Oral health beliefs and dental health care-seeking behaviors among Chinese immigrants." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=101114.

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Understanding culturally related health values and identifying ethnically specific health seeking pathways can help health care providers supply culturally competent services and enhance cooperation with patients of different backgrounds. Cultural competency training, notably through cultural awareness courses, promotes understanding of the impact of social factors on illness and thus prepares medical and dental students to better serve their patients. Cultural awareness can also help preventive health programs fit community needs and cultural contexts.
Despite the fact that Chinese immigrants are the fastest growing ethnic minority in North America, few studies have been published on their beliefs and health-seeking behaviours following immigration. We thus lack information on how Chinese immigrants regard dental health and manage their dental problems. Objective. The aims of this study were to explore how oral illness is viewed by Chinese immigrants in Montreal, Canada and how they manage dental problems. Methods. We conducted a qualitative research study based on semi-structured, one-on-one interviews and thematic analyses of the transcribed interviews. Twelve adult Montreal Chinese immigrants with a high level of education participated in the study.
Results. Chinese immigrants in Montreal have a good understanding of dental caries in terms of its etiology, process, and ways to prevent and treat it. It thus seems that there is no major cultural barrier between this type of immigrant and oral health care professionals in regard to dental caries. However, we also observed that traditional beliefs and medications coexist with scientific dental knowledge and professional treatments concerning problems such as gingival swelling, gingival bleeding, and bad breath. In the case of gingival swelling, for instance, participants identified etiological factors that referred to both cultures: local factors referred to oral hygiene and were related to scientific culture, whereas general factors referred to traditional knowledge ("internal fire"). Chinese immigrants' dental health seeking pathways include self-treatment, consulting a dentist in Canada or in China during a return visit, and obtaining Chinese traditional medicine. The dental health seeking pathways varied depending on the circumstances. For dental caries and other acute diseases such as toothache, Chinese immigrants prefer to consult a dentist. For chronic diseases, some of them rely on self-treatment or an alter-native treatment such as traditional Chinese medicine. The language barrier, financial problems and lack of trust are the main factors affecting Chinese immigrants' access to dental care services in Canada. Former bad medical or dental experience among Chinese immigrants causes a loss of trust in Western medicine and dentistry and influences the decision to seek alternative treatments.
Conclusion. This study suggests that, in order to facilitate dentist-patient communication; oral health professionals should be informed of immigrants' representation of oral health and illness, and that Chinese immigrants should be provided with basic scientific knowledge.

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Makubalo, Mlungisi Patrick. "Perceptions on the factors influencing oral health seeking behaviour of communities in Randfontein, Gauteng, South Africa." Thesis, University of the Western Cape, 2012. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9978_1368178498.

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The negative effect of poor oral health on quality of life and financial implication of work days lost as a result of dental pain can be accepted as a rationale for inclusion of oral health in the primary health care (PHC) package for South Africa. The norms of the PHC package for oral health services are to expose at least 50% of primary schools to organized school preventive programmes and to ensure basic coverage of everybody in the catchment areas. Currently these norms are not adequately fulfilled in Randfontein. The purpose of this study was to gather information that can be used to improve oral health services in Randfontein. The aim of the study was to gain an understanding of the factors that influence the choice of oral health care seeking behaviour as perceived
by residents in different contexts and to use these perceptions to inform appropriate health planning strategies and implementation of measures that can improve health promotion in Randfontein. This qualitative study explored oral health care seeking behaviour. The study population comprised all residents of Randfontein above seventeen years old who had visited the oral health section in the Randfontein Primary Health Care (PHC) Facility. There were two focus group discussions (FGDs) from each of three separate residential areas namely Mohlakeng with
mainly black residents, Toekomsrus with mainly coloured race residents and from town which is a predominantly Caucasian race area. Data collected was analysed during the data collection stage and thereafter until they made sense to the researcher. To strengthen validity, the accuracy of the interpretation of what respondents said was confirmed with them. Analysed themes were
coded and categorized to enable the key researcher to interpret them for final reporting. Appropriate ethical procedures were followed. The findings were that although all focus groups preferred
allopathic oral health care seeking, various barriers existed. The study concluded that there should be adequate oral health education and promotion, effectivecommunication and an expansion of these services to Toekomsrus, where they do not exist. Perceptions on factors influencing oral health seeking by Randfontein residents

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Attanasi, Kim. "Perceived Parental Barriers to Preventive Dental Care Programs for Children." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4417.

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Dental caries is the most prevalent childhood illness and disproportionately affects children from low socioeconomic backgrounds. Dental organizations are collaborating within communities to decrease oral health disparities among children by offering free preventive oral health events. These programs face the problem of low enrollment due to lack of informed parental consent. Also, gaps in the literature indicated the need to examine oral health perceptions and dental-care-seeking practices of culturally diverse low-income parents regarding preventive care for their children. The purpose of this qualitative case study was to explore the reasons why parents are not allowing their children to participate in the aforementioned programs. This inquiry examined how perceived barriers impede parents from seeking free preventive dental care for their children. The transtheoretical model and social cognitive theory were used in this study. Open-ended questions were used to interview 20 purposefully sampled parents regarding perceptions of free preventive dental care programs until saturation. Interviews were audio recorded, and all data were transcribed verbatim, coded, and analyzed thematically. The main themes revealed through this analysis were lack of trust and cultural dissimilarities as potential barriers. Additional themes of money, fear, lack of insurance, transportation, time, and access to care were also confirmed. This study may contribute to positive social change by increasing knowledge that may inform the development of clinical and policy solutions aimed at improving parents' awareness regarding children's oral health, ultimately enabling a reduction in childhood caries and oral health disparities.

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Marumo, Tshipinare Renard. "A survey of the information seeking behaviour of the dental faculty lecturers and students at the University of the Western Cape's Oral Health Centre Library, in Mitchell's Plain." Thesis, University of the Western Cape, 2000. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_8949_1213362632.

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Ahmed, Syed Masud. "Exploring health-seeking behaviour of disadvantaged populations in rural Bangladesh /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-435-X/.

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Saweka, Delfina Ângela. "Factors influencing malaria care seeking behaviour in two Ghanaian communities : formal versus informal malaria care." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/9456.

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Includes bibliographical references (leaves 101-110).
The study primary objective was to investigate the determinants and extent of household’s reliance on the informal malaria care sector in two Ghanaians communities. The secondary objective wass to inform policy-makers and planners, especially from the public healthcare sector, on supply side issues that are likely to influence the current malaria care seeking patterns.

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McChrystal, Jane. "How insecurely attached adults respond to bereavement in a primary care setting : health and health care seeking behaviour." Thesis, University of Westminster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.433756.

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Idris, Deeni Rudita. "Health help seeking behaviour and health care services utilisation of Bruneian men : a grounded theory study." Thesis, Durham University, 2017. http://etheses.dur.ac.uk/12438/.

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Despite the growth in research on masculinities and health help seeking behaviour we have little idea of how gender and ethnicity intersect to inform health help seeking behaviour among men in multi-ethnic cultures. This paper presents findings from a PhD research project investigating how being a man in Brunei Darussalam, a country with a strong religious and diverse cultural society; influences men’s perceptions of and attitudes towards their health and health help seeking behaviour. Using Grounded Theory, this thesis reports a study that utilised semi structured interviews and focus group discussions with a total of 47 men and women from diverse ethnic backgrounds in Brunei Darussalam. Three key themes emerged from the analysis of interviews with men: 1) The physicality of health and its importance to masculinity; 2) “Ikhtiar” as a way of ‘doing masculinity’ in the context of experiences of ill-health; and 3) masculinity and legitimation of health help seeking. A core concept found in this study relates to the process by which men operate and re-negotiate their masculinity in relation to their engagement with health care services, particularly when their ability to perform masculine responsibilities are potentially jeopardised by ill-health. Themes emerging from interviews with women focused on the relationship between wives and husbands, and daughters and fathers, and the way caring responsibilities reinforced bonds within the family. Women saw men’s reluctance to use healthcare as ‘normal for men’, while men acknowledged that pressure from wives was a factor in their decision to seek help. This study contributes to the development of knowledge about masculinities and health in a geographical region where to date there has been no empirical research, despite the existence of epidemiological evidence indicating that men’s health needs are serious and appear to be unmet.

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Dean, Deborah Mary Carleton University Dissertation Psychology. "Psychosocial variables affecting health-care seeking behaviour among women with irritable bowel syndrome (IBS)." Ottawa, 1996.

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林煥彩 and Huancai Lin. "Oral health status, knowledge, attitudes and behaviour of adults in Guangdong, China." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31238981.

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Sahota, H. "Is health care seeking behaviour affected by response to chest pain amongst South Asians and Whites?" Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/1336075/.

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Coronary heart disease (CHD) is the leading cause of death in the UK. Despite this declines in death rates have been experienced within the UK since the 1970’s but these declines have not been experienced by South Asians. Studies on access have highlighted inconsistencies between South Asians and Whites. The present study was conducted to explore factors which may affect health care seeking behaviour following symptoms of angina amongst South Asians and Whites. 40 face to face interviews were conducted using a purposive sample from a quantitative survey (Chaturvedi et al, 1997). This sub-sample consisted of White and South Asian male and female participants aged between 35-55 years. A further 4 focus groups were conducted with another purposive sample of White and South Asian males and females aged between 35-55 years. This second sample was selected using the same sampling frame (Chaturvedi et al, 1997). Focus groups were only conducted with those participants who had not taken part in the individual face to face interviews. The individual face to face interviews consisted of 10 South Asian male and 10 South Asian female participants and 10 White male and 10 White female participants. The focus groups consisted of 5-6 participants each. The focus groups were homogenous for ethnicity and sex. The epistemological framework used to guide the analysis was social constructionism. Results indicated that trust was an important factor which affected health care seeking behaviour amongst South Asians and Whites. South Asians had high trust of their GP, were over reliant on the GP and had lower expectations following chest pain. White participants had low trust of their GP, were less reliant on the GP and had high expectation following symptoms of chest pain. Issues of trust affected response to symptoms of angina, with Whites stating that they were less likely to delay seeking health care during an acute crisis compared to South Asians who stated they would phone the GP for advice before going to A&E. Conclusion Access to appropriate health care following chest pain is likely to result from patient related factors which include response to chest pain, expectation from the health service following chest pain and most importantly an overly trusting GP patient relationship.

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Dyer, Silke Juliane. "Infertility in the public health care system in South Africa : patients' experiences, reproductive health knowledge and treatment-seeking behaviour." Doctoral thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/8905.

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Includes bibliographical references (leaves 231-252).
Infertility is a common reproductive health problem in Africa. The experiences of men and women who are unable to conceive, their constructs of infertility, their motives for parenthood, and their health-seeking behaviour are, however, inadequately documented in South Africa. In order to improve our understanding of the patients' perspective of infertility, seven studies were conducted employing both qualitative and quantitative research methodology. Study participants were recruited from the infertility clinic at Groote Schuur Hospital, Cape Town, a tertiary referral centre within the public health care system. The central themes explored in the qualitative studies included reproductive health knowledge, health-seeking behaviour, barriers to health care, experiences related to involuntary childlessness, and the reality of infertility and HIV infection. Data from both men and women were collected through in-depth interviews, and the results were analysed according to the principles of descriptive analysis. In the quantitative studies psychological distress was measured and motives for parenthood were assessed with the use of two standardised instruments ( the Symptom Checklist-90-R for the measurement of acute psychological symptom status and the parenthood motivation list). In addition, participants' attitudes towards reproduction in HIV-infected individuals were evaluated. Standard statistical methods were used to analyse quantitative data. The results of these studies demonstrated that men and women had limited knowledge about fertility, infertility, and biomedical infertility management. Some men and women held traditional beliefs and had accessed traditional healers. Most informants appeared highly motivated to engage in biomedical infertility management. Treatment satisfaction varied and reasons for non-compliance were both service and patient-related. Infertile couples gave many reasons for wanting a child and expressed a strong desire for parenthood. For many men and women the inability to conceive was associated with negative emotions, marital instability, abuse, stigmatisation, and loss of social status. Psychological distress levels were significantly higher in infertile women when compared to women using contraception, and in infertile men when compared to fertile men. Infertile women who reported intimate partner abuse were particularly distressed. The diagnosis of HIV infection did not eliminate the wish for a child in infertile couples, and in the absence of medical assistance many continued to attempt conception. The concomitant experience of infertility and HIV infection was associated with considerable suffering The majority of HIV-negative, infertile men and women opposed reproduction in HlV-positive couples. Collectively, the results of these studies provide new insights into the manner in which men and women who access the public health system in South African construct, experience, and respond to infertility. Understanding those details of the patients' perspective should improve the management of infertility in this patient population.

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Mortimer, Monica. "Low back pain in a general population : care seeking behaviour, lifestyle factors and methods of exposure assessment /." Solna : National Institute for Working Life (Arbetslivsinstitutet), 2001. http://diss.kib.ki.se/2001/91-7045-616-x.

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Ohtsuka, Thai, and thai_ohtsuka@hotmail com. "Impact of cultural change and acculturation on the health and help seeking behaviour of Vietnamese-Australians." Swinburne University of Technology, 2005. http://adt.lib.swin.edu.au./public/adt-VSWT20051013.095125.

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This study investigated the influence of cultural change and acculturation on health-related help seeking behaviour of Vietnamese-Australians. Using convenience sampling, 94 Vietnamese-Australians, 106 Anglo-Australians, and 49 Vietnamese in Vietnam participated in the study. Beliefs about health and health-related help-seeking behaviours were assessed through measures of common mental health symptoms, illness expression (somatisation, psychologisation), symptom causal attributions (environmental, psychological, biological), and choice of help seeking (self-help, family/friends, spiritual, mental health, Western medicine, Eastern medicine).Vietnamese-Australian data was compared with that of the Anglo-Australian and Vietnamese-in Vietnam. Results revealed that the help seeking behaviours and health related cognitions of Vietnamese-Australians, while significantly different from those of Anglo-Australians, were similar to those of Vietnamese in Vietnam. Specifically, both Vietnamese groups were less likely than Anglo-Australians to somatise and psychologise or attribute the cause of symptoms to environmental, psychological or biological causes. However, the two Vietnamese groups were not different from each other in their style of illness expression or in their symptom causal attributions. The Vietnamese-Australians reported experiencing more mental health symptoms than the Vietnamese in Vietnam but fewer than the Anglo-Australians. In relation to help seeking, the Anglo-Australians chose self-help more than the Vietnamese, but there were few other differences between the cultural groups. To investigate the influence of acculturation on health-related beliefs and help seeking behaviour, Vietnamese-Australians were compared according to their modes of acculturation (integration, assimilation, separation, and marginalisation). Generally, results showed a distinct pattern of response. Those with high levels of acculturation towards the Australian culture (the integration and the assimilation) were found to be most similar (in that they scored the highest in most areas measured) to the Anglo-Australians, while few differences were found between the separated and the marginalised groups. Further, cultural orientation was a powerful predictor of help seeking. In that, original cultural orientation predicted selection of help seeking from Western and Eastern medicine, whereas, the host cultural orientation was a more robust predictor of the other variables. However, neither cultural orientation predicted preference for mental health help. Finally, the study found that, although the combination of symptom score, modes of illness expression, and symptom causal attribution were strong predictors of choice of help seeking of Vietnamese-Australians, acculturation scores further improved predictive power. The results were discussed in terms of the various limitations and constraints on interpretation of this complex data set.

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Belanger, Marc Andrew. "Determinants of health care seeking behaviour in the Pahou PHC project in the People's Republic of Benin : an exploratory study." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=68072.

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The goal of this study is to identify factors which may be preventing use of an experimental health care program in the People's Republic of Benin. While previous surveys have focused more specifically on the impact of fees on use and demand, our aim to identify a wider range of factors.
There are two principle methods by which this can be done. One is to extract possible factors from a review of the relevant literature. The other is to carry out an exploratory, qualitative study in the field. We have used both these methods.
A qualitative study is a necessary prelude to a survey, since we initially have no specific idea about which factors to measure and investigate. The aim is to identify factors which may be relevant so that a subsequent survey, with a larger number of cases, could quantify and measure their influence and statistical significance.

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Doyle, Emma Anne. "Calling NHS 24 : exploring caller decision making and help seeking behaviour within the context of out-of-hours health care provision." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/14224.

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Decisions about where and when to seek advice about illness are known to be complex and are often bound up with issues of risk, responsibility and legitimacy. They can be particularly difficult in situations where the meaning and severity of symptoms is unclear. In deciding whether or not to seek help, people must negotiate the tension between using health services in ways that are considered appropriate, while not taking risks with their health or that of the person they are caring for. This thesis explores how individuals account for a specific decision to call NHS 24 about symptoms in themselves or someone they were caring for and how that decision fits within their use of health services more generally. Building on what is already known about help-seeking behaviour, it seeks to understand how people interpret symptoms as needing or not needing attention and what is understood by appropriate help-seeking in the context of out-of-hours care. There have been significant changes to the way that out-of-hours health care is provided in Scotland. An increase in routes into care means that people must negotiate a complex health system when seeking help. At the same time, pressure on resources has created an imperative to ensure that health care is used in the most efficient way possible. NHS 24 is primarily an out-of hours triage service providing assessment and, where necessary, referral to other services. At its inception, NHS 24 was presented as being designed to simplify access to health care by acting as a ‘gateway’ to the NHS in Scotland. However, increasing demand has led to attempts to limit use of NHS 24, in the out-of-hours period, to situations where symptoms are considered to be too urgent to wait for a GP appointment. NHS 24 can now be understood as one of a number of different points of access to health care that people must choose between; this requires individuals to engage in a process of categorising their symptoms according to urgency as a way of ensuring that their call is considered appropriate. The thesis draws on data from 30 in-depth semi-structured interviews with people who had called NHS 24 in the out-of-hours period. The symptoms the participants had called about were generally, though not universally, what might be classed as minor symptoms. Most of the interviewees were given self-care advice rather than referral for a face-to-face consultation. The interviews focussed on a specific contact with NHS 24 but aimed to situate the call in the context of the interviewee’s understanding of NHS 24, as well as their illness behaviour and use of health services more generally. The analysis suggests that people’s understandings of NHS 24 are not straightforward and that this can cause some confusion and even anxiety for callers. Interviewees’ accounts emphasise uncertainty about the severity of symptoms, a sense of worry that symptoms may be indicative of a serious problem, and the inadequacy of their own knowledge in the face of potential risks. In talking about their reasons for calling NHS 24, they describe seeking, and obtaining, reassurance that they were ‘doing the right thing’. Although they generally construct themselves as healthy individuals, confident in their ability to self-care, and as responsible users of health services, people spoke frequently about their reliance on expert clinical knowledge in decision-making. The analysis suggests that when explored in the context of individual circumstances and the broader social context, calling NHS 24 about minor symptoms can be constructed as a rational and responsible act. While this thesis is primarily an exploration of the accounts of individuals who have called NHS 24, the accounts are situated within the broader social and structural context in which those individuals make their decisions about symptoms and help-seeking. A social constructionist perspective sees illness behaviour as shaped by the social structures and values of a society and by the health system operating in that society. Equally, the health system is shaped by individual actors, who define it by how they choose to use it and what they expect it to deliver. This thesis argues that understandings of risk and individual responsibility, as well as a policy emphasis on self-surveillance and self-care, shape the decisions made by individuals as well as the discourses available to them to account for those decisions. Drawing on theories of medicalisation and lay re-skilling, the thesis also aims to develop an understanding of the space that NHS 24 occupies in Kleinman’s (1980) model of the health system, and whether the service might best be conceptualised as ‘legitimation’ or ‘colonisation’ of the popular sector (Stevenson et al. 2003).

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Sharma, Sharad Kumar Panee Vong-ek. "Assessing the levels of and contextual influences on self-reported obstetric morbidity and related care seeking behaviour in Kanchanaburi Demographic Surveillance System Thailand /." Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd401/4737937.pdf.

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Gittings, Lesley. "Men, masculinities and HIV care work: A small-scale, exploratory study of the role of community care workers in supporting HIV positive men's health-seeking behaviour." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/17426.

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Includes bibliographical references
Caring is typically constructed as a feminized practice, resulting in women shouldering the burden of care-related work. Health-seeking behaviours are also constructed as feminine and men have poorer health outcomes globally. Employing men as carers may not only improve the health of the men they assist but also be transformative with regard to gendered constructions of caring. This dissertation adds to the small but growing literature on men in caring by focusing on men as community care workers (CCWs) and their male clients. Using semi-structured interviews and observational home visits, this study explores whether male CCWs have a unique role to play in addressing harmful health-related gender norms and in supporting HIV positive men's health-affirming behaviour. The empirical analysis draws on the perspectives of eight CCWs and three of their male clients from the Cape Town area. Being problem-driven in nature and situated within a 'gender transformative' agenda, it explores male client preferences for gender concordant care workers and the techniques that CCWs (with a focus on male CCWs) employ to support HIV positive men's health-affirming behaviour. CCWs navigate around hegemonic masculine norms that require men to act tough, suppress emotion and deny weakness and sickness by using techniques such as indirectly broaching sensitive subjects, acting friendly and being clear about the intention of their work. The interviews revealed that CCWs strove not to rupture hegemonic masculine norms while encouraging male clients to engage in health-affirming behaviour . This dissertation also explores male client preferences for gender concordant CCWs and the potential that these pairings have to support health and to be 'gender transformative'. Here 'gender transformative' refers to the creation of more gender equitable environments. The variety of intertwined factors that contribute to male client preferences for male CCWs include gendered power dynamics, comfort in sharing intimate health information and a fear of women gossiping. Drawing on current literature on men, caring and gender transformation to inform the analysis of participant perspectives and experiences, this study explores the barriers to encouraging men to seek health and also considers the challenges in recruiting an d retaining men as CCWs. Employing more male CCWs is a strategy that could improve male client's health outcomes and also contribute to the development of more gender equitable norms. Shifting such norms requires much more than simply hiring men. To contribute to gender transformation, male CCWs should ideally resonate emotionally with their work, possess gender equitable beliefs and ground these beliefs in practice.

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Luitel, Nagendra Prasad. "Treatment coverage, barriers to care and factors associated with help-seeking behaviour of adults with depression and alcohol use disorder in Chitwan district, Nepal." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32404.

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Introduction: Globally, there is a substantial gap between the number of individuals in need of mental health care and those who receive treatment. It is reported that 86.3% people with anxiety, mood, or substance disorders in low and middle-income countries (LMICs) received no treatment in the 12 months preceding the survey. The Programme for improving mental health care (PRIME) aims to generate new evidence on implementation and scale up of mental health programs in primary health care settings to minimize this enormous treatment gap on mental health care, especially in the LMICs. The aim of this study was to report on the change in treatment coverage, barriers and other factors associated with help-seeking behaviour of adults with depression and alcohol use disorder (AUD) in Chitwan district, Nepal before and three years after implementation of the PRIME district mental health care plan (MHCP). Methods: The study was conducted in 10 Village Development Committees of Chitwan district in southern Nepal. The repeat population-based cross-sectional community survey applied a random sampling technique to select 1983 and 1499 adults in the baseline and the follow-up survey, respectively. The Patient Health Questionnaire (PHQ-9) and Alcohol Use Disorder Identification Test (AUDIT) were used to screen people with depression and AUD. Barriers for seeking mental health care were assessed by using a standardized tool, the Barriers to Care Evaluation Scale (BACE). Results: Overall, 11.7% (n=13) people with depression in the follow-up survey reported that they had received mental health treatment from any provider in the 12 months preceding the survey; this proportion was not significantly different from the proportion reported at the baseline (n=18; 8.1%;χ2=1.02, p=0.424). Similarly, the proportion of the participants receiving treatment for AUD from any provider at the follow-up survey (n=9; 10.3%) was also not significantly different than that found at baseline (n=5; 5.1%; χ2=1.68, p=0.235). Significant reductions were found in the overall BACE score (p=0.004) and the specific BACE domains scores pertaining to financial barriers (p<0.001); stigma (p=0.004) and lack of support (p<0.001) in the follow-up survey among participants with depression. In the AUD group, there was also a significant reduction between the baseline and follow-up survey in the overall BACE score (p=0.011) and the specific BACE domains scores pertaining to financial barriers (p<0.001) and lack of support (p<0.001). There was no association between socio-demographic characteristics and help seeking behaviour of the participants at the follow-up survey. Participants who reported greater cultural practices and beliefs were less likely (OR 0.65, 95% CI 0.46 – 0.92) to receive mental health care compared to those who reported less cultural beliefs and practices (p=0.015). Conclusion: The study found non-significant improvements in treatment coverage and significant reductions in barriers to mental health care following implementation of the PRIME district mental health care plan. The non-significant improvements in the treatment coverage could be explained by a number of potential factors, including lack of targeted community level interventions for specific barriers in the PRIME MHCP, the distal nature of the outcome in relation to the intervention, and the small number of screen positive participants. The key areas for improvement in the implementation of the district mental health care plan include establishment of confidential place for consultation in each health facility and targeted community awareness and sensitization programmes to improve help-seeking attitudes, intention and behaviour.

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Van, Niekerk Estelle. "A cross-section survey of health information-seeking practices among young adults on a South African university campus." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20022.

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Thesis (MPhil)--Stellenbosch University, 2012.
ENGLISH ABSTRACT: Health information-seeking is a complex and dynamic construct. This study attempted to quantify and explain the use of interpersonal communication, media and related technologies as health information sources among first year university students on the campus of Stellenbosch University (SU), using a cross-sectional survey design. The questionnaire and web-based survey intended to measure and document important research constructs at a single point in time. Data from this survey provide exploratory information on patterns of health information-seeking practices and preferences encountered among the research target group. Measures of the reasons for health information-seeking on specific topics; health information sources/channels and frequency of source/channel use; information source credibility and quality as well as the outcomes of the health information-seeking process were used as secondary research aims in this study. Health communication and health management needs of the research population were also important research variables to establish. Results from this research indicate that the health status of the study cohort was good. The mean of the BMI kg/m² for the current study cohort lies at the higher end of the BMI kg/m² continuum for this age group, which indicates that the lifestyle of the study cohort is at risk. The use of health information sources among the research cohort was diverse. This research confirms that interpersonal communication is an important information medium through which young adults receive health information. The concept of an ecological context to health communication and its effects are therefore supported by these results. Use of media sources and related technology was common and diverse among the study cohort, mirroring patterns of media use for other young adult groups. Results further support the theory of effect-studies in communication (the media), where the provision of certain types of information through the media, indicate to have an impact on people’s thinking and behaviour. A behaviour change as result of the health information-seeking process was reported among the research cohort. Health communication literature refers to small numbers of studies conducted on health information-seeking among young adults (student populations). The current research has attempted to add to the body of knowledge on health information-seeking and its outcomes among a student population group in a South African university setting.
AFRIKAANSE OPSOMMING: Die soektog na gesondheidsinligting is 'n dinamiese en komplekse proses. Hierdie navorsing het gepoog om die gebruik van interpersoonlike kommunikasie, media en verwante tegnologieë as inligtingsbronne oor gesondheid onder eerstejaar-studente op die kampus van die Universiteit van Stellenbosch (US) te kwantifiseer en te verklaar. 'n Dwarsdeursnitopname is as studieontwerp gebruik. Die web-gebaseerde vraelys het gepoog om belangrike navorsingskonstrukte tydens 'n enkele tydgleuf te probeer meet. Data van hierdie opname verskaf verkennende inligting oor die patrone van die soeke na gesondheidsinligting en gesondheidsinligtingvoorkeure van studente. Redes vir die soek na gesondheidsinligting; mediums/metodes waardeur inligting verkry word; frekwensie van soektogte; geloofwaardigheid van mediums en die kwaliteit daarvan; onderwerpe waarna gesoek word en die uitkomste van hierdie gesondheidsinligtingsoektog, is as sekondêre navorsingsuitkomste van belang geag. Gesondheidskommunikasiebehoeftes onder die navorsingsteikengroep was belangrik om vas te stel. Resultate van die navorsing dui aan dat die gesondheidstatus van die navorsingsgroep goed was. Die gemiddelde BMI kg/m² vir die groep was egter aan die bokant van die BMI kg/m² kontinuum vir die ouderdomsgroep en dui op moontlike leefstylrisiko’s vir die groep. Die gebruik van gesondheidsinligtingsbronne was baie divers. Hierdie navorsing ondersteun die feit dat interpersoonlike kommunikasie, as gesondheidsinligtingsbron, nog 'n belangrike rol speel onder jong volwassenes. Die konsep van 'n ekologiese konteks vir gesondheidskommunikasie en die uitwerking daarvan, word ondersteun deur die huidige navorsingsresultate. Die gebruik van media en verwante tegnologieë, as inligtingsbronne vir gesondheid, is as baie divers gerapporteer. Dit bevestig patrone van mediagebruik wat onder ander jong volwassenes gevind is. Resultate van hierdie navorsing ondersteun ook die teorie van effek-studies in kommunikasie (die media), waar die verskaffing van inligting deur die media 'n impak op mense se denke en gedrag aandui. 'n Gedragsverandering is wel deur die navorsingsgroep aangedui as resultaat van die soeke na gesondheidsinligting. Gesondheidskommunikasieliteratuur verwys na enkele studies wat oor gesondheidsinligtingsoektogte onder jong volwassenes (studente-populasies) gedoen is. Die huidige navorsing het gepoog om 'n bydrae te maak tot hierdie kennis en die uitkomste daarvan onder studente op 'n Suid-Afrikaanse universiteitskampus.

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Mikaelsdotter, Carolina. "Barriers affecting women’s decision to seek care during pregnancy, childbirth and postnatal period in rural Kenya." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-387655.

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Background: Antenatal care (ANC), facility delivery and postnatal care (PNC), are proven to reduce maternal and child mortality and morbidity in high burden settings. However, few rural pregnant women use these services sufficiently and it is essential to identify the barriers. Aim: The aim of this study was to examine barriers, with a focus on water, sanitation and hygiene (WASH), affecting women’s decision to seek care during pregnancy, childbirth and postnatal period in rural Kenya, and to examine if the Afya intervention helped overcome barriers. Methods: A qualitative study was conducted in the Siaya County, Kenya. 25 mothers were selected by using purposive sampling for in-depth interviews and focus group discussions. Assessment of WASH facilities was conducted at 5 healthcare facilities. Data were analysed by content analysis method. The “three delay model” informed the analytic process and discussion. Results: Women delayed seeking or did not attend ANC and PNC or gave birth at home, due to lack of knowledge of benefits of maternal health services and on complications; traditional and religious beliefs; embarrassed over pregnancy; busy with other life activities or of fear of HIV status and hospitals. Gender norms, distance and transport costs were the contributing factor for delaying in reaching the hospital. Unprofessional and inadequate number of staff, lack of equipment and supplies, and the water, sanitation and hygiene quality were factors delaying receiving quality care. The assessment showed on inadequate WASH facilities. Conclusion: Use of antenatal care, delivery and postnatal care in rural western Kenya is influenced by several barriers. The findings suggest a need to increase the knowledge about ANC and PNC, and to lower barriers preventing women from reaching the healthcare facility. There is also a need to improve the WASH facilities and the healthcare personnel’s treatment.

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Kaime-Atterhög, Wanjiku. "From Children of the Garbage Bins to Citizens : A reflexive ethnographic study on the care of “street children”." Doctoral thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-178166.

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The aim of the study on which this thesis is based was to gain an understanding of the life situation of street children in Kenya and to investigate how caring institutions care for these children. A reflexive ethnographic approach was used to facilitate entry into the children’s sub-culture and the work contexts of the caregivers to better understand how the children live on the streets and how the caregivers work with the children. A fundamental aim of the research was to develop interventions to care; one of the reasons why we also used the interpretive description approach. Method and data source triangulation was used. Field notes, tape, video, and photography were used to record the data. Participant observation, group discussions, individual interviews, home visits, key informant interviews, participatory workshops and clinical findings were used for data collection in Studies I and II. In addition to observation, interviews were conducted with caregivers for study III, while written narratives from learners attending adult education developed and implemented during the research period provided data for study IV. Study I indicated that food, shelter and education were the main concerns for the children and that they had strong social bonds and used support networks as a survival strategy. Study II provided a deeper understanding of the street culture, revealing how the boys are organised, patterns of substance use, home spaces in the streets and networks of support. The boys indicated that they wanted to leave the streets but opposed being moved to existing institutions of care. A group home was therefore developed in collaboration with members of the category “begging boys”. Study III indicated how the caregivers’ interactions with the children were crucial in children’s decisions to leave the streets, to be initiated into residential care, undergo rehabilitation and to be reintegrated into society. Caregivers who attempted to use participatory approaches and took time to establish rapport were more successful with the children. Study IV suggested that the composition of learners, course content grounded on research, caregivers’ reflections and discursive role of researchers and facilitators, all contributed to adult learning that transformed the learners’ perspectives and practice.

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Nsibande, Duduzile. "Assessment of the uptake of referrals by community health workers to public health facilities in Umlazi, Kwazulu-Natal." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2920_1367481376.

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Background: Globally, neonatal mortality (i.e. deaths occurring during the first month of life) accounts for 44% of the 11 million infants that die every year (Lawn, Cousens &
Zupan, 2005). Early
detection of illness and referral of mothers and infants during the peri-natal period to higher levels of care can lead to substantial reductions in maternal and child mortality in developing
countries. Establishing effective referral systems from the community to health facilities can be achieved through greater utilization of community health workers and improved health seeking
behaviour. Study design: The Good Start Saving Newborn Lives study being conducted in Umlazi, KwaZulu-Natal, is a community randomized trial to assess the effect of an integrated home
visit package delivered to mothers during pregnancy and post delivery on uptake of PMTCT interventions and appropriate newborn care practices. The home visit package is delivered by community health workers in fifteen intervention clusters. Control clusters receive routine health facility antenatal and postpartum care. For any identified danger signs during a home visit,
community health workers write a referral and if necessary refer infants to a local clinic or hospital. The aim of this study was to assess the effectiveness of this referral system by describing
community health worker referral completion rates as well as health-care seeking practices and perceptions of mothers. A cross- sectional survey was undertaken using a structured
questionnaire with all mothers who had been referred to a clinic or hospital by a community health worker since the start of the Good Start Saving Newborn Lives Trial. Data collection: Informed consent was obtained from willing participants. Interviews were conducted by a trained research assistant in the mothers&rsquo
home or at the study
offices. Road to Health Cards were reviewed to confirm referral completion. Data was collected by means of a cell phone (mobile researcher software) and the database was later transferred to Epi-info and STATA IC 11 for analysis.
Descriptive analysis was
conducted so as to establish associations between explanatory factors and referral completion and to describe referral processes experienced by caregivers. Significant
associations between categorical variables were assessed using chi square tests and continuous variables using analysis of variance. Results: A total of 2423 women were
enrolled in the SNL study and 148 had received a referral for a sick infant by a CHW by June 2010. The majority (95%) of infants were referred only once during the time of enrolment, the
highest number of which occurred within
the first 4 weeks of life (62%) with 22% of these being between birth and 2 weeks of age. Almost all mothers (95%) completed the referral by taking
their child to a health facility. Difficulty in breathing and rash accounted for the highest number of referrals (26% and 19% respectively). None of the six mothers who did not complete referral recognised any danger signs in their infants. In only 16% of cases did a health worker give written feedback on the outcome of the referral to the referring CHW.
Conclusion: This study found
high compliance with referrals for sick infants by community health workers in Umlazi. This supports the current primary health care re-engineering process being undertaken by the South
African National Department of Health (SANDOH) which will involve the establishment of family health worker teams
including community health workers. A key function of these workers will
be to conduct antenatal and postnatal visits to women in their homes and to identify and refer ill children. Failure of mothers to identify danger signs in the infant was associated with
non-completion of referral. This highlights the need for thorough counseling of mothers during the antenatal and early postnatal period on neonatal danger signs which can be reinforced by
community health workers. Most of the referrals in this study were
neonates which strengthens the need for home visit packages delivered by community health workers during the antenatal
and post-natal period as currently planned by the South African National Department of Health.Recommendations: This study supports the current plans of the Department of Health for greater involvement of CHWs in Primary Health Care. Attention should be given to improving communication between health facilities and CHWs to ensure continuity of care and greater
realization of a team approach to PHC.

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Ymba, Maïmouna. "Accès et recours aux soins de santé modernes en milieu urbain : le cas de la ville d'Abidjan - Côte d'Ivoire." Thesis, Artois, 2013. http://www.theses.fr/2013ARTO0005.

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La ville d’Abidjan est localisée au Sud de la Côte d’Ivoire. Elle est la capitale économique depuis 1983 et la première ville du pays. Elle concentre le potentiel humain et une offre de soins dense et diversifiée répartie sur de faibles distances physiques, donnant l’impression que tout est accessible. En effet, l’État Ivoirien a consenti d’importants investissements pour construire et équiper des services de santé depuis l’émergence de la ville au début du siècle dernier pour améliorer l’accès aux soins des abidjanais. Pourtant, malgré une augmentation considérable du nombre d’infrastructures sanitaires et de leur disponibilité, les taux d’utilisations et de fréquentations des services de santé modernes dans les communes de la ville d’Abidjan restent faibles et les indicateurs de santé demeurent très préoccupants et les besoins de soins sont importants. En plus, la croissance spatiale et démographique accélérée que connaît la ville entraînent des changements rapides dans son organisation territoriale empêchant les autorités publiques chargées de la planification de suivre le rythme de sa croissance urbaine. Ils ne sont pas toujours parvenus à équiper en services urbains les nouveaux espaces au fur et à mesure de leur création et à intégrer les nouveaux citadins aux origines diverses. Cette thèse permet d’étudier, comment, dans un contexte considéré comme privilégié, se pose la problématique de l’accès et du recours aux services de santé modernes. Pour réaliser ce projet, cette étude, à partir des combinaisons d’analyses spatiales, statistiques, et d’un travail de terrain, analyse les inégalités socio-spatiales d’accès aux services de santé pour mettre en exergue le problème de l’accessibilité aux soins, tant physique, culturelle, matérielle que sociale. Elle mesure également l’adéquation de cette offre de soins moderne aux besoins de soins des populations pour identifier les zones et les populations défavorisées pour l’accès aux soins. Et enfin, cette étude analyse les pratiques citadines du recours aux soins, ainsi que les déterminants qui limitent ou facilitent l’accès aux soins dans la ville d’Abidjan. Les résultats des études montrent que les services de santé existent, ils sont denses et diversifiés, mais ils ne sont pas repartis là où il y a le plus de besoins de soins. Dans notre étude, on souligne aussi une prédominance de la prise en charge à domicile des épisodes morbides notamment à travers l’automédication et une diminution de l’utilisation des services de soins modernes. Le recours aux structures de soins se fait rare dans les quartiers où les besoins en soins de santé sont les plus importants. L’automédication ou la médecine de rue sont généralement les plus privilégiées. Les structures de soins sont sollicitées que lorsque la maladie devient très grave. Nos résultats montrent également qu’il est difficile d’attribuer à un facteur le rôle déterminant des recours thérapeutiques, car les comportements sont à la fois déterminés par les caractéristiques socio-démographiques de l’individu, de sa famille et par des paramètres contextuels, mais aussi par les caractéristiques de l’épisode morbide, par la connaissance du système de soins environnant et les attitudes vis-à-vis du système de soins. Néanmoins, nous pouvons dire qu’à Abidjan, les pratiques citadines du recours aux soins sont tributaires de la capacité économique des ménages avec le risque accru de marginaliser les personnes les plus vulnérables
The city of Abidjan is located in the South of the Ivory Coast. It is the economic capital since 1983 and the first city of the country. It concentrates human potential and health of dense care supply modern and diversified divided on weak physical distance, giving the impression that everything is approachable. In effect, the State Of the Ivory Coast approved important investments to construct and equip services of health care since the emergence of the city at the beginning of last century to ameliorate the access to health care of abidjanais. However, in spite of a considerable increase among health facilities and among their availability, the rates of uses and company of the services of modern health care in the spaces of the city of Abidjan remain weak and the indicators of health remain very worrying and the needs in care of health are important. On top of that, the space and demographic speeded up growth which knows the city draw away quick changes in her territorial organization preventing the public authorities made responsible with planning for following the rhythm of its urban growth. They did not always manage to equip new urban spaces with timely urban services and to integrate new citizens at the various origins. This thesis allows to be studying, how, in a considered context as privileged, settle the problems of access and health care seeking in the services of modern health. To accomplish this plan, this study, from the combination of spatial analysis, statistics, and field work, analyses the socio- spatial inequality of access to the services of health to head with the problem of accessibility in care, so physical, cultural, material that social. It also measures the adequacy of health care supply at the Needs in care of health of populations to identify zones and populations discriminated for the access to health care. And finally, this study analyses the city practices in the use of health care, as well as the determinants that hinder or facilitate access to health care in the city of Abidjan. Study results show that the services of health exist, they are dense and manifold, but they did not leave again where there are most needs in care of health. In our study, they also underline a predominance of the taking care at home of morbid episodes notably across self-medication and a reduction of the use of the services of modern care. The seeking in structures of health care becomes rare in the space where the needs in care of health are the most important. Self-medication or street medicine are the most favouring in general. Structures of health care are solicited that when illness becomes very serious. Our results also show that it is difficult to allocate to a factor the role determining therapeutic seeking, because behaviours are determined at the same time by the socio-demographic characteristics of the individual, his family and by contextual parameters, but also by the characteristics of morbid episode, by the knowledge of the ambient the health care system and attitudes in relation to the health care system. However, we can say that in Abidjan, the city practices of health care seeking are dependent on the economic capacity of household with risk augmented to marginalize the most vulnerable persons

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Wångdahl, Josefin. "Health literacy among newly arrived refugees in Sweden and implications for health and healthcare." Doctoral thesis, Uppsala universitet, Socialmedicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-333427.

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The overall aim of this thesis was to examine the distribution of health literacy (HL) levels in newly arrived Arabic-, Dari-, or Somali-speaking refugees in Sweden. Further aims were to investigate sociodemographic characteristics associated with inadequate HL in this group, and to investigate whether HL levels are associated with experiences of the health examination for asylum seekers (HEA), health seeking behaviour and health. Three quantitative cross-sectional studies, using data from two different surveys, were conducted among Arabic-, Dari-, and Somali-speaking, newly arrived refugees taking part in courses in Swedish for immigrants or civic orientation. In addition, an explorative qualitative study, based on focus group discussions, was performed on Arabic- and Somali-speaking newly arrived refugees who had taken part in an HEA. All data were collected 2013-2016. The quantitative data were analysed using different statistical methods, foremost descriptive statistics and univariate and multivariate binary logistic regression analyses. The qualitative data were analysed using Graneheim and Lundman’s method for latent content analysis. The main findings were that the majority of Arabic-, Dari-, or Somali-speaking refugees in Sweden have limited functional health literacy (FHL) and/or limited comprehensive health literacy (CHL). Having a low education level and/or being born in Somalia were associated with having inadequate FHL, but not with having inadequate CHL. Limited FHL was associated with inadequate CHL. Experiences of poor quality of communication and having benefited little from the HEA were more common among those with limited CHL, as compared to those with higher CHL. Experiences of communication problems and a lack of information related to the HEA were found in the qualitative studies as well. In addition, it was more common that those with limited CHL reported poor general health and impaired psychological well-being, and that they had refrained from seeking healthcare. In conclusion: limited HL is common among newly arrived refugees in Sweden and seems to be of importance for the experience of the HEA, health-seeking behaviour and health. HL needs to be taken into consideration in the work with refugees in order to increase equity in healthcare and health.

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Dladla-Qwabe, Anna Nozizwe. "Health seeking behaviour : maternal care giving to preschoolers in rural KwaZulu-Natal." Thesis, 2002. http://hdl.handle.net/10413/4639.

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This dissertation is an examination of salient factors that influence the health seeking behaviour of mothers/caregivers of pre-school children in Kwangwanase, KwaZuluNatal province, South Africa. Health seeking behaviour for pre-school children is poorly understood, and is influenced by an array of complex factors that inhibit full utilisation of available health services. Amongst other things, health-seeking behaviour is influenced by cultural beliefs about children's illnesses as well as the local availability of treatment options, and the perceived quality of care provided. This dissertation represents the findings of a combined qualitative and quantitative research approach using free listing, pile sorts, interview schedules, logbooks and observation to explore health-seeking behaviour. Research focussed on the local knowledge held in relation to childhood illnesses that affect children under age six, along with the explanatory models used to discern causation and shape decisions regarding treatment and care. Mothers and caregivers of Kwangwanase draw upon their existing knowledge of children's illnesses, including notions of disease causation, when making diagnoses and deciding between home treatments and professional consultation. Mothers and caregivers pay close attention to the well being of small children. They are constantly involved in the routine management of health and illness. Various treatment options are utilised in a pragmatic way, as mothers and caregivers pick and choose from all available health resources as and when they see fit. Cultural beliefs, accessibility, religious views and other factors influence their choice of health service. Depending on the quality of the care provided and the outcome of the therapeutic intervention, mothers and caregivers are likely to consult several different health care providers in a sequential manner.
Thesis (M.A.)-University of Natal, Durban, 2002.

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Kahwa, Joan Mary F. "Health-care seeking behaviour among terminally ill adults in Addis Ababa, Ethiopia." Thesis, 2010. http://hdl.handle.net/10539/8473.

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Using data collected in 2007 for Addis Ababa Mortality Surveillance, the paper examines the effect of cause of death/type of illness on choice of health care in adults 12 years and above. The multinomial logit model using bootstrapped standard errors is used to investigate the relationship between dominant type of treatment and the covariates: cause of death, gender, age, education, occupation, ethnicity and religion. Availability of water, television and telephone in the household are used as a proxy for economic status. After controlling for duration of illness (exposure), type of illness, gender and marital status are significant. Those who die of HIV/TB and cancer behave similar in way they seek help, and have high likelihood of using traditional healers as the first point for help compared to those who died as a result of other illnesses. Thus the study concludes that cause of death; gender and marital status affect choice of health service.

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Mureithi, Consolata Wambui. "Self-care health seeking behaviour of the Piave community in Nakuru District, Kenya." Thesis, 2010. http://hdl.handle.net/10500/3926.

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Bayou, Yibeltal Tebekaw. "Maternal health care seeking behaviour and preferences for places to give birth in Addis Ababa, Ethiopia." Thesis, 2014. http://hdl.handle.net/10500/18766.

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PURPOSE: The main aim of this study was to systematically assess women’s maternal health care seeking behaviour and its determinants in Addis Ababa, Ethiopia. DESIGN: A quantitative and cross-sectional community based study was the selected methodology for this study. METHOD: Data was collected using structured questionnaire administered to 903 women aged 15-49 years through a stratified two-stage cluster sampling technique. Binary and multinomial logistic regression models were employed to identify predictors of adequacy of antenatal care and delivery care. RESULTS: Most of the women (97.9%) visited health care facilities at least once for antenatal care follow up. About 86.5% of them had at least four visits during their last pregnancy; and only 51.1% started their first antenatal visit early. Further, only about one out of five of the antenatal care attendees received sufficient content of antenatal care services. Consequently, only about one out of ten women received overall adequate antenatal care mainly due to inadequate use of the basic components of antenatal services. Most of the women delivered in public health care institutions (76.3%) despite the general doubts about the quality of services in these facilities. Women of better socioeconomic status preferred to give birth at private health care facilities. Caesarean section delivery rate in Addis Ababa (19.1%) is higher than the maximum WHO recommended rate (15.0%); particularly among the non-slum residents (27.2%); clients of private health care facilities (41.1%); currently married women (20.6%); women with secondary (22.2%) and tertiary (33.6%) level of education; and women who belong to the highest wealth quintile (28.2%). The majority (65.8%) of the caesarean section clients were not informed about the consequences of caesarean section delivery and about 9.0% of the caesarean section births had no medical indication. CONCLUSION: Disparities in maternal health care utilisation between the socio-economic groups was evident, requiring urgent attention from policy makers and other stakeholders to enable Ethiopia to meet its millennium development goal 5. Improving the quality of antenatal care in public health facilities which are the main provider of health care services to the majority of the Ethiopian population is urgent. The increase in the rate of caesarean section beyond the World Health Organization recommended upper limit has to be taken seriously.
Health Studies
D. Litt.. et Phil. (Health Studies)

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Zondo, Siyabulela Felicia. "Conceptions of illness, help seeking pathways and attitudes towards an integrated health care system : perspectives from psychological counsellors, traditional healers and health care users." Thesis, 2008. http://hdl.handle.net/10413/200.

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Perceptions of health and illness which include the perceived cause and recourse play an important role in diagnosis and management of illness. Traditional and allopathic medicines are used simultaneously and sometimes without the knowledge of the health professional and this has an impact on clinical outcomes. Overlooking patients’ subjective experience, health providers’ biases and prejudice may pose a negative impact on clinical outcomes. This study explores patients’, traditional healers’ and psychological counselors’ perception of illness by conducting interviews and administering open-ended questionnaires. The data is analyzed both qualitatively and quantitatively through the use of content analysis and non-parametric statistical procedures. The results indicate that the concept of illness is complex and multidimensional with physical and socio-spiritual aspects. Effective management requires a joint approach between indigenous and western health systems. The results further show that traditional healers fully embrace the integrated health approach while there is some skepticism and uncertainty from psychological counselors which could be stemming from their training. There is still work to be done in terms of health planning and policy but also the training of health professionals.
Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2008.

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Negash, Wossen Assefa. "Development of an integrated framework for delivery care seeking behaviour among pregnant women in rural Ethiopia." Thesis, 2020. http://hdl.handle.net/10500/26943.

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The aim of this study was to identify factors affecting facility-based delivery with the purpose of developing a framework for the promotion of facility-based delivery among women living in rural Ethiopia. Explanatory mixed methods design, comprising of four phases-the descriptive (quantitative), explorative (qualitative), meta-inference and development phases was employed. The quantitative phase was conducted first using a structured questionnaire to identify the variables influencing facility-based delivery care seeking behaviour. A sample of 389 responses were used for data analysis using Structural Equation Modeling. The quantitative phase conducted next to explain the determinants that contributed to influencing facility-based delivery care seeking behaviour. Sixteen participants who were involved the first phase were involved in the follow-up second phase. As illustrated by the results of the study, the majority of women in the study areas continued to deliver at home, putting themselves at risk of dying from pregnancy related causes. As highlighted by the key findings from the quantitative and qualitative data of this study, the most influential factors in predicting and explaining delivery care seeking behaviour are response efficacy, attitude, subjective norm, and perceived behavioural control which are shaped by mothers’ confidence in the outcome, quality of care, interpersonal relations with family members, willingness to conform, access to services, and their decision making power. The way these findings emphasized the factors attitude, subjective norm and perceived behavioural control were consistent with the Theory of Planned Behaviour, while the significance of response efficacy was in line with Protection Motivation Theory. The study developed a framework to help promote facility-based delivery among mothers living in rural Ethiopia.
Health Studies
D. Litt. et Phil. (Health Studies)

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Maseko, Nonhlanhla. "Factors contributing to health seeking behaviour of patients at Sister Mashiteng Clinic, Nkangala District of Steve Tshwete Local Municipality, Mpumalanga Province." Thesis, 2019. http://hdl.handle.net/10386/3155.

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Thesis (M. A. (Nursing Science)) -- University of Limpopo, 2019
Introduction: Health seeking behaviours are explained as a dynamic interaction of cognitive, behavioural and effective elements, focusing on the attitudes and beliefs of individuals preceded by a decision-making process that is governed by individual or community norms within the primary health level context to explain and predict health behaviours. Aim: The purpose of this study was to describe factors contributing to health seeking behaviour of patients at Sister Mashiteng Clinic, Nkangala District of Steve Tshwete Local Municipality, Mpumalanga Province. Methodology: A qualitative, explorative, descriptive and contextual research design was followed in this study. A non- probability purposive sampling was used to select 15 patients who voluntarily agreed to participate in this study. The researcher conducted semi-structured, one-on-one interviews which were tape recorded and transcribed. Data collection was done and analysed using the Tesch’s inductive, descriptive coding technique. Results: Four themes emerged, namely, explanations related to the factors contributing to health seeking behaviour; reasons towards missing scheduled appointments behaviours; views about health seeking behaviours related to services provided at the clinics; related/existing health believes amongst patients. To ensure the trustworthiness of the research data, Lincoln and Guba’s framework, as outlined by Polit and Beck (2010), was adhered to throughout the study. Conclusion: Findings of the study revealed that the factors contributing to health seeking behaviour in Steve Tshwete clinics are behaviours that were linked to prescribed treatment, test and treat during consultation in the clinic, socio-economic background, behaviours of missing scheduled appoints or treatment, health seeking behaviour due to avoidance of running out of treatment, lack of reliable transport blamed for health seeking, patients trust of private doctors and family influence.

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Kgwatalala, Gomotsang. "Health Seeking Behaviour among the People of the Africa Gospel Church in Francistown." Diss., 2003. http://hdl.handle.net/10500/1555.

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This research was stimulated by an indication that members of the Africa Gospel Church do not utilise professional health care services optimally, probably due to religious reasons. This may also be the result of registered nurses’ inability to render culture congruent care. To render culture congruent care, nurses require knowledge of the belief system and the health seeking behaviours of the church members. The qualitative research investigated the religious beliefs and health seeking behaviours of members of the Africa Gospel Church in Francistown, Botswana. An exploratory ethnonursing research method was applied. Semi-structured interviews were held with two purposively selected samples. Qualitative data analysis was done using computer software to reduce data and interpret the research results. The study indicated that members utilise the Church structure for health care purposes and seek health care mainly from priests and prophets.
Advanced Nursing Sciences
M.A. (Nursing Science)

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34

Abaerei, Admas Abera. "Factors affecting health-care seeking behaviour, and assessment of the population's perception of the major health problems in Gauteng province, South Africa 2013." Thesis, 2016. http://hdl.handle.net/10539/21533.

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A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfillment of the requirements for the degree of Master of Science in Epidemiology. Johannesburg, June 2016
Background: More than a billion people, mainly in low- and middle-income countries (LMICs), are unable to access needed health care services for a variety of reasons. Possible factors influencing health-care seeking behaviour are socio-demographic and economic factors such as age, sex, ethnicity, religion, education and employment; and income and expenditure levels, and other cultural or political factors. There are limited studies on health-care seeking behaviour especially of vulnerable populations such as immigrants in South Africa. Aim of the study: To assess factors associated with health care seeking behaviour, and to assess the population’s perception of major health problems and its determinants in Gauteng Province, South Africa in 2013. Methods: We conducted secondary data analysis of data from a Quality of Life (QoL) survey carried out by Gauteng City-Region Observatory (GCRO) to determine factors associated with health care seeking behaviour and perception of major health problems among adults living in Gauteng province. We used Coarsened Exact matching (CEM) to improve estimation of causal effects. A multiple logistic regression model was used to identify factors associated with health care seeking behaviour and multinomial logistic regression was employed to determine factors associated with perception of major health problems. Results: From a total of 27 490 participants interviewed, a total of 26 318 (95.7%) participants reported usually utilizing health care services while the remaining 4.3% reported not having sought health care services of any type, when they needed. In addition 141 (0.5%) reported having visited traditional healers when they are ill. Higher odds of reported health care seeking was associated with being white compared to being African (Odds Ratio (OR) =2.28 95% CI: 1.84 - 2.74; p<0.001); with having medical insurance compared to not having any (OR=5.41 95% CI: 4.06 - 7.23; p<0.001). In contrast, lower odds of seeking health care was associated with being an immigrant compared to being a citizen of Republic of South Africa (OR=0.61 95% CI: 0.53 - 0.70; p<0.001) and being employed compared to being unemployed (OR=0.84 95% CI: 0.72 - 0.97; p=0.02). the perception of major health problems was significantly associated with age, sex, population group and educational status. Conclusion: Age and sex of participants, population group, immigration status and presence/absence of health insurance were associated with health care seeking behaviour. There is a need to improve the quality of public health care services and perception towards them as improved IV health care quality increases the choice of health care provider relative to either going to traditional healers or self-treatment. Furthermore, health education and health promotion campaigns should focus on creating continuous awareness especially about chronic diseases and their risk factors.
MB2016

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35

Rast, Josephine. "Oral health and dental behaviour of patients with left ventricular assist device: a cross-sectional study." 2020. https://ul.qucosa.de/id/qucosa%3A74987.

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Patienten mit Herzinsuffizienz im Endstadium erhalten zunehmend linksventrikuläre Unterstützungssysteme (LVAD) als Dauertherapiemittel oder zur Überbrückung bis zu einer möglichen Herztransplantation. Diese Patientenklientel ist grundsätzlich durch die Driveline, als potenzielle Eintrittsstelle für Mikroorganismen, einem Infektionsrisiko ausgesetzt. Die Mundhöhle beinhaltet diverse Bakterien, die sich auch systemisch verbreiten können und so eine mögliche Quelle für Driveline-Infektionen darstellen. Es ist jedoch unklar, ob bei LVAD-Patienten Erkrankungen der Mundhöhle durch Bakteriämien zu systemischen Komplikationen und Driveline-Infektionen führen können. Aktuell fehlt es an Studien zum Mundgesundheitszustand bei diesen Patienten und über einen möglichen Zusammenhang von oralen Erkrankungen und Driveline-Infektionen. Ziel dieser Studie war daher die Beurteilung des Mundgesundheitsverhaltens, des Mundgesundheitszustands sowie der mundgesundheitsbezogenen Lebensqualität von LVAD-Patienten. Bei den in dieser Studie untersuchten LVAD-Patienten traten vermehrt schwere Parodontitiden auf. Da Parodontitis das Risiko und das Ausmaß einer systemischen Bakteriämie erhöht und möglicherweise zu kardiovaskulären Komplikationen führen könnte, kann dieser Zustand als potenziell problematisch betrachtet werden. Die aktuelle Studie konnte jedoch keinen Zusammenhang zwischen Driveline-Infektionen und dem vorliegenden zahnärztlichen Behandlungsbedarf bestätigen, sodass der Einfluss der Mundgesundheit auf systemische, krankheits- und gerätebezogene Parameter unklar bleibt. Insgesamt scheint die Erarbeitung eines interdisziplinären zahnärztlichen Versorgungskonzeptes nötig, um die unzureichende Mundgesundheitssituation von LVAD-Patienten zu verbessern.:1 Einführung 1.1 Herzinsuffizienz 1.1.1 Definition und Klassifikation 1.1.2 Ätiologie und Epidemiologie 1.1.3 Therapie 1.2 Ventrikuläre Unterstützungssysteme 1.2.1 Einteilung, Funktionsprinzipien und Aufbau 1.2.2 Indikation und Therapiekonzepte 1.2.3 Komplikationen und Überlebensraten 1.3 Mundgesundheit bei Herzinsuffizienzpatienten 1.3.1 Mundgesundheit 1.3.2 Karies 1.3.3 Parodontitis 1.3.4 Bedeutung der Mundgesundheit bei Herzinsuffizienzpatienten und zahnärztliche Therapiekonzepte 1.4 Zielsetzung und Fragestellung 2 Publikationsmanuskript 3 Zusammenfassung der Arbeit 4 Ausblick 5 Literaturverzeichnis 6 Wissenschaftliche Präsentationen 7 Darstellung des eigenen Beitrages 8 Erklärung über die eigenständige Abfassung der Arbeit 9 Danksagung

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36

Abelheim, Claudia. "People living with HIV and AIDS : an exploration of their positive and negative experiences in health-care settings and whether it affects their health-seeking behaviour." Thesis, 2011. http://hdl.handle.net/10539/10140.

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The present study investigated what kinds of experiences are being felt by eight people living with the Human Immunodeficiency Virus at the different health care sites that they frequent. It also explored the implications of both positive and negative experiences at health care settings for health seeking behaviour. The research was of a qualitative nature and data was collected through patient interviews which were semi-structured. Participants were sourced from an HIV and AIDS clinic at the South African Trade Workers Union Worker Health Program in Johannesburg, South Africa. After analysis, the results yielded showed that both negative and positive experiences were felt by people living with HIV and AIDS at their health care settings. The presence of negative experiences were mostly related to the lack of resources at the various health care settings. It was found that positive experiences were much more abundant than negative ones, and were found to be influenced by Doctor and Nurse support, and Personal Factors. It was found that the positive experiences did contribute to the participant’s motivation to keep visiting their respective health care settings.

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37

Sakala, Morgan. "Assessment of the barriers to the utilization of antenatal care services in Kazungula district, Zambia." Thesis, 2011. http://hdl.handle.net/11394/3606.

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Magister Public Health - MPH
Globally, 1600 women and over 5000 newborn babies die daily of preventable causes and over 90% of these deaths occur in developing world. An estimated 358000 maternal deaths occurred worldwide in 2008 with developing countries accounting for 99%. In Zambia, maternal mortality ratio has been estimated to be 591 deaths per I 00,000 live births underscoring the great challenge posed by maternal and child health problems. At the same time, utilization of antenatal care services by pregnant women, supervision of deliveries by skilled person and postnatal care services is low in most regions of Zambia. Since professional attendance at delivery is assumed to reduce maternal and infant mortality, poor antenatal care (ANC) utilization may lead to increased infant and matern.al mortality and morbidity.This study sought to assess the barriers to utilization of antenatal care services in Kazungula district, Zambia. A qualitative exploratory study was used to uncover participants' experiences and perceptions on barriers to use of ANC.Focus group discussions were used to gather information from primegravidae and multigravidae not attending or irregularly attending ANC services and from traditional birth attendants. In-depth interviews were conducted with key informants namely the health centre in-charge and leader of safe motherhood support group.Data was analyzed through thematic content analysis. From the transcripts, patterns of experiences coming from direct quotes or through paraphrasing common ideas forming part of the themes were listed. Data from all the transcripts relating to the classified patterns were identified and placed under the relevant theme. Thereafter related patterns were combined and listed into sub-themes. The analysis involved drawing together and comparing discussions of similar themes and examining how these relate to the variations between individuals and groups that assisted in understanding the phenomenon of interests. The study revealed that utilization of ANC was impeded by multiple interrelated factors such as low socio economic and educational status of women, influence of the older generation, traditional and cultural practices. Previous negative experiences with health workers such as bad attitude of health workers and perceived poor quality of care were mentioned as factors that negatively affect utilization of ANC services. Other notable barriers were built in confidence resulting from previous safe deliveries, family size and competing priorities, fear of being tested for HJY and physical the accessibility.The study recommends that the district and its partners address the barriers if efforts in safe motherhood will yield meaningful impact. DHMT in the long term plan needs to train and deploy skilled personnel to rural health centres. They should have a deliberate policy on rural incentives to motivate trained staff to remote areas. More health posts need to be built as a way of taking health care services as close to the family as possible. In addition, for the short term plan there is need to provide inservice training for staff on safe motherhood and circulate guidelines. Orient staff on focused antenatal care (FANC).DHMT should ensure continuum of, care by supporting adequate supplies, equipment, drugs and transport to the health facilities.

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Sowane, Nkateko Proud. "Lived experiences of accessing healthcare services by refugees in South Africa." Diss., 2019. http://hdl.handle.net/10500/25481.

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The purpose of the study is to investigate lived experiences of refugees when accessing healthcare services in Pretoria, South Africa. A qualitative phenomenological research approach was followed which assisted in exploring and describing the day-to-day lives of refugees living in Pretoria regarding their health outcomes. Face-to-face interviews were conducted on purposively selected participants, representing refugees from different African countries ranging from age 27 to 58 years. Collected data were transcribed, coded, and relevant themes were extracted and analysed by employing Colaizzi's seven-step analysis framework. Main findings demonstrated that the public healthcare services accessed by refugees, compared to private healthcare services, can be described as mostly dysfunctional. Also, healthcare providers from public healthcare services are often hostile towards refugees of African descent. Failure to speak a local language, unofficial documentation as viewed by a healthcare provider on duty, being a foreigner, and failure to pay undue consultation fees led to refugees being denied access to healthcare or receiving negative treatment in the public healthcare sector. Recommendations for programmes to promote human rights and refugee awareness in healthcare facilities could subsequently contribute to alleviating complications around access to healthcare services, which would denote improved health outcomes for the refugees.
Health Studies
M. P. H. (Health Studies)

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39

Yehualashet, Yared Gettu. "Socio-economic and gender determinants of immunisation coverage in the federal capital territory, Nigeria." Thesis, 2021. http://hdl.handle.net/10500/27353.

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Immunisation is a cost-effective public health intervention that contributes to the attainment of the Sustainable Development Goals (SDGs). About 40% of children under the age of five years die from vaccine-preventable diseases in Nigeria. Routine immunisation has been quite low in Nigeria, where national coverage is estimated to be 33%, according to a 2016–2017 survey. This empirical research was aimed at determining the key socio-economic and gender determinants of immunisation in the Federal Capital Territory (FCT), identifying gaps and proffering solutions. Mixed methods of data collection and analysis were used. Data were gathered from several secondary sources and from 11 key informants using semi-structured interviews and 501 household and 26 health-facility surveys using questionnaires mounted on Open Data Kit. Lot quality assurance sampling and probability to population size methodology were used to size the samples and identify survey locations. Odds ratio analysis and logistic regression analysis were conducted to gauge the statistical association between the determinants and the coverage of immunisation. The main finding that was reached on the basis of the documents reviewed and the feedback received from the key informants was that they were gender blind at worst and gender neural at best. Most of the current strategies give little attention to socio-economic and gender barriers. Over 40 immunisation variables were identified. The analysis, particularly using the 2x2 odds ratio, yielded mixed results. The majority of the variables exhibited a close statistical association as far as immunisation indices were concerned. These variables included urban residency, married couples, literacy, birth at a health facility, antenatal care experience, vaccination card possession, immunisation knowledge, child health information, non-farming earnings, socio-economic status and tolerance of spouse beating. On the other hand, variables that were found to have no statistical significance included sex, marital status, marriage type, age, religion, tetanus toxoid (TT) vaccination and adequacy of income. Immunisation and gender are intertwined, particularly because of mothers’ biological and social attachment to their children. At the same time, conducting vaccination avails the opportunity to access almost all households. Moreover, it is important to recognise that socio-economic and gender determinants are not totally in control of one ministry. Single agenda interventions will not produce the desired result. A paradigm shift and the concerted effort of various sectors and partners are required. Therefore, the Nigerian government should galvanise the relevant stakeholders to bring gender and socio-economic variables into the mainstream throughout the immunisation ecosystem and to implement integrated development initiatives by prioritising vulnerable communities.
Ugonyo yindlela engcono yokungenela kwezempilo yabantu engathela esivivaneni ekufinyeleleni izinhloso zentuthuko eqhubekela phambili ezaziwa ngelokuthi yi- Sustainable Development Goals (SDGs). Cishe izingane ezifinyelela ku 40% ezingaphansi kweminyaka emihlanu zibulawa yizifo ezivimbelekayo ngomgcabo emitholampilo eNigeria. Ukugonya njalo kusezingeni eliphansi eNigeria, laphokhona ukwengamela kuzwelonke kulinganiselwa ku 33%, ngokuya kocwaningo olwenziwe phakathi kuka 2016-2017. Ucwaningo lokuthola ubufakazi lwalunenhloso yokubona imithelela yezesimo sabantu nomnotho (socio-economic) kanye nobulili ngokugonya kwi-Federal Capital Territory (FCT) ukubona amagebe kanye nokutholakala kwezixazululo. Amamethodi axubene okuqokelela ulwazi kanye nohlaziyo kwasetshenziswa. Ulwazi lwaqokelelwa ngokufunda imithombo yemibhalo (secondary sources) kanye nakubantu ababalulekile abanolwazi (key informants) abangu 11 ngokusebenzisa ama-semi-structured interview kanye nemizi engu 501 kanye namasurvey amafasilithi ezempilo angu 26 ngokusebenzisa uhla lwemibuzo yamaquestionnaire ebifakelwe kwi-Open Data Kit. Kwasetshenziswa nemethodi ye-Lot quality assurance sampling ne-probability, ngemethodoloji yobuningi babantu, ukwenza usayizi wamasampuli kanye nokubona izindawo okumele kwenziwe kuzo ama-survey. Kwenziwa nohlaziyo lwe-Odds ratio analysis kanye ne-logisic regression analysis ukubona ukuhambelana kwamastatistiki phakathi kwezinto eziwumthelela kanye nokunaba kongamelo lokwenziwa kogonyo. Okukhulu okutholakele ngokulandela amadokhumende okufundwe kuwo, kanye nezimpendulo ezivela kulabo abanolwazi ababalulekile (key informants) kube wukuthi bekungaboneleli ubulili (gender blind) kanti futhi bekungachemile ngokulandela ubulili (gender neutral) ngezinga elibi nangokungcono kakhulu. Amasu amaningi amanje awanakekeli kakhulu izihibe ezimayelana nabantu nezomnotho kanye nezobulili. Kwaphawulwa cishe izinto ezehlukene zama-variable ezingu 40 mayelana nogonyo. Uhlaziyo, ikakhulukazi ngokusebenzisa i 2x2 odds ratio, lwaveza imiphumela exubene. Ezinto zama-variable ehlukene eziningi zikhombise ukuhlobana phakathi kwamastatistiki mayelana namaindices ogonyo. Lama variable, abandakanye ukuhlala emadolobheni, abantu abashadile, ikhono lokubhala nokufunda, ukuzalwa kwezingane kumafasilithi ezempilo, izipiliyoni zonakekelo lwengane ngaphambi kokuzalwa, ukuba nekhadi lomgcabo ix wasemitholampilo, ulwazi ngogonyo, ulwazi ngempilo yengane, ukuthola imali ngemisebenzi engeyona eyokulima, isimo sabantu mayelana nezomnotho, kanye nokuqinisela ukuhlukunyezwa ngokushaywa kwabesimame. Kanti ngakolunye uhlangothi, ama-variable atholakale engenakho ukubaluleka ngokwamastatistiki, abandakanya ubulili, isimo ngokomendo, inhlobo yomendo, iminyaka yobudala, inkolo, umgcabo we-tetanus toxoid (TT), kanye nokwenela kwengeniso lemali. Ugonyo kanye nobulili kuyangenelana nokuhambelana, ikakhulukazi ngenxa yokusondelana komama kanye nezingane zabo. Ngaso leso sikhathi, ukwenziwa kogonyo kuhlinzeka ngethuba lokufinyelela cishe kuwo yonke imizi eminingi. Nangaphezu kwalokho, kubalulekile ukwamukela ukuthi isimo sabantu mayelana nezomnotho kanye nobulili kuyizinto ezinomthelela, azinalo ulawulo oluphelele kumnyango kangqongqoshe owodwa. Ungenelo ngento eyodwa ngeke kwaveza imiphumela efiswayo. Ukugudluka ngokomqondo (paradigm shift), kanye nemizamo eqhubekela phambili yemikhakha ehlukene kanye nabasebenzisani kuyadingeka. Ngakho-ke uhulumeni waseNigeria, kumele agqugquzele ababambiqhaza abafanele ukuhlanganisa nokufaka emkhakheni ofanele izinto ezimayelana nabantu nomnotho kanye nobulili, kuyo yonke inqubo yokusebenzisana kwemikhakha okumele isebenzisane nehlangene ukusebenza ngokulandela inqubo yentuthuko ehlangane ngokubonelela imiphakathi ekwizimo ezibucayi
Development Studies
D. Phil. (Development Studies)

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40

Maseti, Elizabeth. "Caregivers' perceptions with regard to vaccine preventable diseases." Diss., 2015. http://hdl.handle.net/10500/20148.

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This study investigated caregivers' perceptions with regard to vaccine-preventable diseases in terms of six constructs of the Health Belief Model. A qualitative research design that is explorative, descriptive and contextual in nature was employed in order to understand and describe the perceptions influencing access and utilisation of services that lead to missed immunisation opportunities and consequently outbreaks of vaccine-preventable diseases. The data-collection techniques were individual unstructured in-depth interviews, field notes and clinical records. The sample consisted of twenty two (N=22) caregivers who volunteered to be interviewed. The study has highlighted that caregivers' perceptions or cognitive factors play an important role for having children in completing immunisation schedule to protect the public from vaccine-preventable diseases. It is recommended that mass media programmes are needed to address the role of vaccines in reducing high morbidity and mortality rates caused by vaccine preventable diseases and improvement in access to immunisation services.
Health Studies
MPH (Health Studies)

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41

Mageto, Fred Gichana. "An investigation into social contextual factors that discouraged middle-aged men (30-58) from attending HIV counselling and testing : a case study of Ratanda Heidelberg, South Africa." Diss., 2014. http://hdl.handle.net/10500/15414.

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This study investigated social contextual factors influencing poor uptake of HIV counselling and testing (HCT) services by middle-aged black men in Ratanda, Heidelberg. A qualitative research approach was used in which ten men and two key informants were interviewed. Themes explored were the participants’ biographical characteristics; knowledge of HIV and AIDS; health-seeking behaviours; understanding of multiple sexual partnerships and male circumcision and challenges in utilising HCT services. Various social behaviour change theories formed the theoretical framework guiding this study. It was found that fear, stigma and cultural factors largely contributed to poor HCT uptake. Moreover despite the men’s high HIV risk perceptions, behaviour change lags behind. Greater efforts to establish a men’s forum to discuss sexual health matters in Ratanda is recommended.
Health Studies
M.A. (Social Behaviour Studies in HIV/AIDS)

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Dissertations / Theses on the topic 'Oral health care seeking behaviour'

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