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Journal articles on the topic 'Oshakati (Namibia)'

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Published: 4 June 2021
Last updated: 16 February 2022

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1

Mitonga, Kabwebwe Honore, Banza Françoise Mwikume, and Shilunga Anna Panduleni Kauko. "Community diagnosis in oshakati, oshana region -Namibia." International Journal of Medicine 5, no. 1 (February 25, 2017): 66. http://dx.doi.org/10.14419/ijm.v5i1.7257.

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This paper aimed to diagnose the community of Oshakati community in Oshana region in the northern part of the Republic of Namibia by providing an overall picture of the local community and the residents’ concerns, the health problems and challenges and suggest priority areas for health intervention and the feasible solutions.A survey was conducted using self-administered questionnaires, face to face interviews, focus groups.The main problems identified are: teenage pregnancies due to unprotected sex and early sexual behaviors, promiscuity by means of poverty, alcohol and drug abuse resulting in stab wounds, uncontrolled behaviors, domestic violence, assault and crime, high levels of unemployment, stress and depression, TB, HIV with growing number of orphans, diarrhea and respiratory infections.The survey conducted in Oshakati has shown that the assessment of the community is useful in identifying the important problems and needs for the community; the cultural, social, economic, environmental factors have to be considered for good health reform. The resources are available and should be utilized for active participation of the people and implication of the authorities in health promotion by identifying and prioritizing problems of the community they serve.
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Suoma Iita, Saara, Agnes Van Dyk, Wilma Wilkinson, and Olivia N. Tuhadeleni. "Women’s Knowledge of Health Promotion in the Prevention of Breast and Cervical Cancer in Oshakati Health District, Namibia." Global Journal of Health Science 10, no. 12 (November 28, 2018): 156. http://dx.doi.org/10.5539/gjhs.v10n12p156.

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PURPOSE: The study aimed to explore and describe the knowledge of women regarding health promotion in the prevention of breast and cervical cancer. This study was carried out in the Oshakati district at the Intermediate Hospital Oshakati. METHODOLOGY: A quantitative approach was used for this study. This approach was chosen in order to provide a comprehensive picture and understanding of the women’s knowledge or awareness of health promotion in the prevention of breast and cervical cancer. The study population consisted of all women of child-bearing age, aged 15 to 49, in the Oshakati health district, that is, 41,985. The research sample was identified as 10% of the study population, thus numbering 419 respondents. The researcher personally distributed 419 questionnaires to every second woman of child-bearing age admitted to the Intermediate Hospital Oshakati. RESULTS: The findings indicate that awareness of information relating to breast and cervical cancer exists in Oshakati Health District. However, overall knowledge on the causes of breast and cervical cancer, risk factors for breast cancer and warning signs of cervical cancer was very poor. The findings also revealed that while many respondents were informed about breast self-examination (BSE) and had practised it, very few respondents acknowledged clinical breast examination (CBE) attendance once a year, or the use of mammography and sonar attendance as additional screening methods. RECOMMENDATIONS & CONCLUSION: Based on the findings the study recommends that women should share information with their peers; in addition, radio should be used to disseminate such information as it is the most reliable source of information in the rural areas. Information, education and communication materials on the prevention of breast and cervical cancer should be developed and disseminated to the public. Women should be encouraged to develop a reading culture in order to increase their knowledge.
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Pretoruis, Louise, Agenes Van Dyk, Luis Small, and Hans Justus Amukugo. "Assessment of the needs of student nurses regarding critical thinking in nursing practice." International Journal of Advanced Nursing Studies 5, no. 2 (October 7, 2016): 190. http://dx.doi.org/10.14419/ijans.v5i2.6554.

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This study involved a quantitative, quasi-experimental and contextual design. The target population for this phase was senior student nurses registered at the University of Namibia, in their fourth year of nursing studies in the training hospitals of Windhoek and Oshakati. A total of 46 fourth-year nursing students, registered at the Faculty of Medical and Health Sciences in the Department of Nursing, were included for phase 1 except for the two students who took part in the pilot study. The students were from both campuses, namely the Windhoek and Oshakati campuses, doing the four-year Diploma in Comprehensive Nursing curriculum, which incorporates the principles of critical thinking. An imaginary case scenario was developed for students to analyse and answer some relevant questions to enable the researcher to determine the level of understanding and integration of critical thinking. In this study each student’s answers were deductively analysed by calculating central values, more specifically the mean for each question, to determine their application of critical thinking skills in the management of a nursing problemThe researcher has, with literature support, arrived at “umbrella” concepts, namely the most important concepts that nurses in Namibia need and without which they cannot practice. These umbrella concepts are to be included in the educational programme.
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Nord, Catharina. "Healthcare and Warfare. Medical Space, Mission and Apartheid in Twentieth Century Northern Namibia." Medical History 58, no. 3 (June 19, 2014): 422–46. http://dx.doi.org/10.1017/mdh.2014.31.

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AbstractIn the year 1966, the first government hospital, Oshakati hospital, was inaugurated in northern South-West Africa. It was constructed by the apartheid regime of South Africa which was occupying the territory. Prior to this inauguration, Finnish missionaries had, for 65 years, provided healthcare to the indigenous people in a number of healthcare facilities of which Onandjokwe hospital was the most important. This article discusses these two agents’ ideological standpoints. The same year, the war between the South-West African guerrillas and the South African state started, and continued up to 1988. The two hospitals became involved in the war; Oshakati hospital as a part of the South African war machinery, and Onandjokwe hospital as a ‘terrorist hospital’ in the eyes of the South Africans. The missionary Onandjokwe hospital was linked to the Lutheran church in South-West Africa, which became one of the main critics of the apartheid system early in the liberation war. Warfare and healthcare became intertwined with apartheid policies and aggression, materialised by healthcare provision based on strategic rationales rather than the people’s healthcare needs. When the Namibian state took over a ruined healthcare system in 1990, the two hospitals were hubs in a healthcare landscape shaped by missionary ambitions, war and apartheid logic.
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5

Pinehas, Lusia N., Ester Mulenga, and Julia Amadhila. "Factors that hinder the academic performance of the nursing students who registered as first years in 2010 at the University of Namibia (UNAM), Oshakati Campus in Oshana, Namibia." Journal of Nursing Education and Practice 7, no. 8 (March 14, 2017): 63. http://dx.doi.org/10.5430/jnep.v7n8p63.

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The University of Namibia (UNAM) is the only national university in Namibia that was established in 1992. It offers diploma and degree courses. The Bachelor of Nursing Science (Clinical) (Honours) was introduced in 2008 after the Diploma in Comprehensive Nursing Science was phased out. This degree is offered over the period of four years full-time. Students are allocated to the clinical practice throughout the training to acquire the relevant nursing skills. At the time of research the course was offered at two campuses only namely Windhoek and Oshakati. The total number of students who were admitted in 2010 was 83, but at the time of the research when they were in their fourth year, there were only 59. The difference of 24 was the students who could not make it to the fourth year and finish in the prescribed time frame. The lecturers were concerned with the poor performance of the students, the increased number of students with some modules behind, and the overcrowding of some classes. The purpose of the study was to identify, explore and describe the factors that hinder the academic performance of the nursing students at the UNAM Oshakati campus. The study was conducted among nursing students who registered for the Bachelor of Nursing Science (Clinical) (Honours) in 2010. The study was qualitative, exploratory, descriptive and contextual in nature using non-probability purposive sampling. The findings revealed that the academic performance of student nurses at the University of Namibia Oshakati campus is influenced by both internal and external factors. However, external factors are many compared to internal factors. External related factors comprise of teaching and learning, insufficient resources, lack of university accommodation, curriculum related and socio-economic factors. Teaching and learning related factors include use of one teaching strategy, language barriers, inadequate support and labeling of students by lecturers. On the other hand, insufficient resources are unavailability of the bookshop on campus, insufficient prescribed textbooks, poor internet facility, lack of space and less equipped library. Curriculum related factors include overloaded examination time table, huge scope of test, study day system and module pre-requisites, while socio-economic factors are problems in relationships, peer influence, financial problems and pregnancy while studying. Internal factors comprise of students’ attitude and lack of self-discipline among some students. Those factors result in increased number of students with some modules behind, overcrowding of some classes, increased student-lecturer ratio and some students not completing their studies within the prescribed time frame.
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Emmanuel Magesa, Johanna Hanyanya, and Wakjira Erraso. "Patient’s satisfaction at outpatient pharmacy department in Intermediate Hospital Oshakati, Oshana region, Namibia." GSC Biological and Pharmaceutical Sciences 14, no. 2 (February 28, 2021): 022–28. http://dx.doi.org/10.30574/gscbps.2021.14.2.0040.

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Introduction: Patient waiting time Experience of waiting time in general is perceived as complex, subjective and culturally influenced. Complexity of prescription, few human resources and work process are the factors of patient waiting time in outpatient pharmacy departments (OPD). However, the complexity of wait time is poorly understood and has been explored only to a limited extent. Objective of the study: The main objective of this study is to assess patient satisfactions on waiting time at Intermediate Hospital Oshakati (IHO), northern part of Namibia. Method: The study was carried out at IHQuantitative descriptive design was employed and data collected was analyzed using Epi info version 7. Results: The mean waiting time in IHO was 36±20 minutes. More patients (49.2%) were satisfied with OPD pharmacy when the waiting time is between 5-25 minutes. The major factors associated with the satisfaction of services were shorter waiting time (0.01 <p<0.05) and other personal reasons like long distance from the hospital (0.03<p<0.05). Conclusion and recommendation: Many patients are satisfied if waiting time is between 5-25 minutes, therefore there is a need to improve waiting time by decongest patients overload at IHO, this can be achieved by improving coordination and communication between IHO and Primary health care (PHC) facilities.
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7

Tobias, S., S. Shonhiwa, F. Norbert, O. Oke, C. Ndjavera, S. Chikukwa, F. Radebe, and D. Lewis. "P1-S1.10 Microbiological surveillance for sexually transmitted infections in Windhoek and Oshakati, Namibia (2007)." Sexually Transmitted Infections 87, Suppl 1 (July 1, 2011): A103. http://dx.doi.org/10.1136/sextrans-2011-050108.10.

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8

Tuhadeleni, Olivia Ningeninawa, and Linda Ndeshipandula Lukolo. "The perceptions of patients on antiretroviral therapy (ART) and treatment supporters with regard to their role towards ART adherence, at ART clinics in the intermediate hospital Oshakati, Namibia." International Journal of Medicine 5, no. 1 (January 13, 2017): 17. http://dx.doi.org/10.14419/ijm.v5i1.6999.

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Background: The benefits of antiretroviral therapy (ART) are undeniable: decreased morbidity and mortality, improved clinical outcomes, and decreased HIV transmission. In recent years, there have been remarkable efforts to roll out HIV support and treatment programs, resulting in ART access to nearly 4 million people in sub-Saharan Africa. However, a decisive step in improving outcomes of these programs relies on ART adherence. This study was conducted by aiming at exploring and describing the perceptions of patients on ART and treatment supporters about their roles in ART adherence. It was carried out at Oshakati ART clinic in the Intermediate Hospital Oshakati in Oshana region, Northern Namibia.Methods: The qualitative investigation was carried out on patients on ART and treatment supporters by means of unstructured interviews through convenient sampling technique. The data were analysed by content analytical method.Results: The study results from all respondents were consolidated, which gave a clear understanding regarding adherence at the ART clinic in Intermediate Hospital Oshakati. The perceptions of patients on ART and treatment supporters with regard to their role towards ART adherence were classified based on participants’ experiences into two main themes and sub-themes, including: 1) ART patients’ perceptions around their current roles in ART adherence comprise of four sub-themes of ART patients’ perceptions about taking medication daily, perceptions about collection of medicine supply and follow-up visits, perceptions about food and medication and perceptions about support in ART treatment; 2) Treatment supporters’ perceptions about their role in ART adherence consist of four sub-themes of perceptions about follow-up visits and collection of medicine, perceptions about psychosocial and emotional support, perceptions about giving food and medication and perceptions about encouraging personal hygiene.Conclusion: Patients and treatment supporters perceived adherence as an important aspect in the success of antiretroviral treatment. Giving patients correct information, personal motivation, patients understanding of treatment, traditional and religious beliefs were among other factors perceived by treatment supporters to be impacting on ART adherence.
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9

Mungoba, Teopolina Natangwe, Kabwebwe Honore Mitonga, Sabina Aishe David, Alfred Musekiwa, and Tuyakula Nakale. "Factors associated with adverse pregnancy outcomes among women who delivered at intermediate hospital oshakati, Namibia." International Journal of Medicine 5, no. 1 (December 17, 2016): 5. http://dx.doi.org/10.14419/ijm.v5i1.6939.

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Background: Globally, the leading cause of death among females aged 15-49 years old is maternal mortality. More than 1,500 women die each day from pregnancy related causes resulting in an estimated 550,000 maternal deaths annually. We identified risk factors associated with adverse pregnancy outcomes.Methods: We conducted a descriptive, cross-sectional study, in which we administered a structured questionnaire through face to face interviews. We also applied the multivariate logistic regression model to determine factors associated with adverse pregnancy outcomes.Results: We enrolled a total of 306 pregnant women of whom 50% (n=153) were 12-19 years old and 50% (n=153) were 20-45 years old. Maternal death occurred only in the 20-45 years old mothers (6/153, 3.9%). In multivariate analysis, living in a rural area (aOR2.00, 95% CI: 1.08 to 3.69, p=0.027), shorter gestational period [32-37 weeks] (aOR4.84, 95% CI: 2.31 to 10.14, p=0.0007), haemoglobin level <10gm% (aOR3.87, 95%CI: 1.79 to 8.39, p=0.001), obesity [BMI ≥ 30 kg/m2] (aOR4.89, 95% CI: 1.38 to 17.37, p=0.014) and moderately high blood pressure [SBP/DBP of 150/100-159/109] (aOR15.15, 95% CI: 1.78 to 128.68, p=0.013) were significantly associated with adverse pregnancy outcomes.Conclusion: In this study, we identified living in a rural area, shorter gestational period, haemoglobin level < 10gm%, obesity, and having moderately high blood pressure to be risk factors for adverse pregnancy outcomes. All the maternal deaths were in the 20-45 years old pregnant mothers. We recommend educating women on these risk factors in order to reduce the burden of adverse pregnancy outcomes.
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10

Toivo, Aini-Kaarin, Mickey Chopra, and Daniel Opotamutale Ashipala. "Perceptions and experiences of pregnant women towards voluntary antenatal counselling and testing in Oshakati hospital, Namibia." International Journal of Healthcare 3, no. 2 (July 10, 2017): 20. http://dx.doi.org/10.5430/ijh.v3n2p20.

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Background: The study focused on perceptions and experiences of pregnant women who opted in against those who opted out of voluntary antenatal HIV counseling and testing.Purpose: The purpose of the study was to assess pregnant women’s perceptions and experiences in order to gain insight into their views towards voluntary antenatal counseling and testing.Method: A qualitative, descriptive and comparative study was used regarding participants who opted in and opted out. A stratified random sampling was used to collect data from the participants. The study sample comprised six focus group discussions (FGD) of pregnant women who were attending antenatal services at this hospital. Three FGD were women who opted in and other three FGD were for those who opted out. The semi-structure interview guide was used to guide the discussions. The discussions were audio recorded, transcribed and analyzed, using thematic content analysis.Results: Based on the findings of the study, the knowledge of pregnant women who opted in was relatively good comparing with those who opted out. Despite the recognition of the benefits of Voluntary antenatal Counselling and Testing (VCT), it was evident that women were reluctant to use the VCT service because of reasons that include fear of being stigmatized, abandoned and discriminated against. The women’s participation in the existing services of voluntary antenatal counseling and testing was influenced by their partners. It was also found that there were misconceptions surrounding the knowledge of the causes and prevention of vertical transmission. These misconceptions should be talked about. The distance was another factor which hampered the participation of pregnant women in the programme. Other reasons for non-attendance given by the participants included dissatisfaction with some of the nurses’ attitudes, ignorance about the service as well as reluctance to be tested.Recommendations: This study recommends improved partner communication on the issues of HIV/AIDS as it will encourage sharing of confidentiality and responsibility.
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11

Pinehas, Lusia N., and Selma Ingandipewa Uushona. "An assessment of knowledge and factors that exposed young female student nurses to hiv infection at the university of Namibia, oshakati campus." International Journal of Advanced Nursing Studies 5, no. 2 (August 9, 2016): 139. http://dx.doi.org/10.14419/ijans.v5i2.5925.

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Background: This study presents an assessment of knowledge and an investigation of specific factors that expose young female student nurses to HIV and AIDS at university of Namibia, Oshakati Campus. The concern over to what young female student nurses are able to control various issues of their sexual lives is critical question for health promotion and the prevention of further HIV infection. Student nurses are believed to have adequate information about HIV and AIDS compared to other young people in the communities.Aim: To assess HIV and AIDS knowledge levels and investigates factors that make young female nurses vulnerable to HIV infection at UNAM, Oshakati CampusMethod: A mixed-method approach was employed to collect the necessary data, a combination of qualitative and quantitative methodology. Qualitative data was collected through a self-administered questionnaire whereas qualitative data was gathered by means of focus group discussions. Quantitative data was analyzed using the Statistical Package for Social Sciences (SPSS) 18, and results from the focus group discussions were grouped into themes and subthemes and analyzed using thematic analysis. Random sampling with replacement technique namely, the fishbowl technique was used to select respondent and participants. This ensures equal and independent chance of being selected each time.Results: Most respondents indicated to have adequate knowledge about HIV and AIDS and had positive attitude necessary to effect behavioral change and implementation of prevention and care strategies. Most respondents were aware of their risk factors and aspects that increased individual vulnerability to HIV and AIDS. While the knowledge and attitude were identified as adequate, the practices of the respondents did not explicit indicate adequate level of responsible behavior among the young female student nurses in the face of HIV and AIDS.Conclusion: Student nurses identified HIV and AIDS as a problem of “others” and continue to report that infection would be an accidental exposure as a result of their profession or perceived powerless over sexual matters and income inequalities. Prevention remains a challenge in planning programs needed to address risky sexual behavior among students due to structural, social, socio-economic dynamics, individual circumstances, gender and biological vulnerability.
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Sankombo, Marian, Linda Lukolo, and Charles Lukanga Kanga Kimera. "Congenital abnormalities: experiences of parents atoshakati intermediate hospital, oshana region, Namibia." International Journal of Medicine 5, no. 2 (August 24, 2017): 228. http://dx.doi.org/10.14419/ijm.v5i2.8106.

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Background: Congenital abnormality (CA) is one among eminent problems in the society that affects the livelihood of the individual, communities and the health sector. It creates uncertainty among family members as they strive to identify ways and means to assist one another in the upbringing of these children born with an anomaly. The ultimate purpose of this study was to describe and explore the experiences of parents of children with congenital abnormalities and to identify the source of support such as parents employs when dealing with the child born with congenital abnormalities. This study was conducted at Intermediate Hospital Oshakati (IHO) in Namibia‘s Oshana region.Methods: A qualitative, explorative and a contextual study design using a phenomenological approach was utilized throughout this study. In-depth interviews were conducted with twelve “purposefully” selected participants from the population of parents of children born with congenital abnormalities whose children were either admitted in hospital or brought for follow-up. Data analysis was done using a content analytical method.Results: Data were derived from 12 participants interviewed, comprised of parents of children with reversible and irreversible conditions, long hospitalization, more frequent follow ups and those waiting for surgery. The results were categorized in seven categories, including: 1) A child with congenital abnormalities: the impact of disability; 2) Family relationships; 3) Parenting expectations and practices; 4) Altering one’s family daily life- treading a new path; 5) Social support; 6) Formal services; 7) Societal and community acceptance.Conclusion: The expectations parents had for a normal child becomes a nightmare when the child they were expecting is born with the disability. Living with such a child can be stressful for parents and other family members. Therefore, exploring and describing the lived experiences of parents of children born with congenital abnormalities is an important in the process of finding ways to assist or support parents to provide proper care for their children.
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Mulenga, Ester, Sabina Aisheoiwa David, and Lucia Ndahambelela Pinehas. "Taboos, traditional practices and beliefs affecting pregnancy and childbirth in Ohangwena, Oshana and Oshikoto Region: University of Namibia fourth year nursing students’ rural placement experience of 2016, Oshakati campus, Namibia." International Journal of Advanced Nursing Studies 7, no. 1 (June 5, 2018): 68. http://dx.doi.org/10.14419/ijans.v7i1.12165.

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Traditional beliefs and practices can influence the health of the people. The purpose of this article was to describe taboos and traditional practices related to pregnancy and childbirth. There was no actual research done, but taboos and traditional practices were identified during rural placement of nursing students in rural health facilities. The results indicated that there are different taboos and traditional practices related to pregnancy and childbirth, some of them are beneficial and others are detrimental to the health of the mother and the baby. In conclusion, there is a need for health care providers to strengthen health education on the importance of diet and also to educate mothers and community members on the taboos which have negative effect on the mother and babies.
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Kagasi, Linda V., Lindiwe Zungu, and Muhammad E. Hoque. "Factors influencing the quality of patient data captured by nurses for the tuberculosis control programme in Oshakati District, Namibia." Health SA Gesondheid 18, no. 1 (July 22, 2013). http://dx.doi.org/10.4102/hsag.v18i1.628.

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Effective tuberculosis control relies heavily upon the general health system of the country, particularly on well-functioning primary healthcare services. This study investigated factors influencing the quality of data for the tuberculosis control programme in Oshakati district in Namibia. A quantitative, contextual, cross-sectional descriptive survey was conducted using 50 nursing personnel of different cadres who were sampled from five departments in Oshakati State Hospital. Data was collected by means of a self-administered questionnaire. Most participants reported that tuberculosis-related training improved correct recording and reporting amongst nursing personnel, which is a requirement for a quality tuberculosis control programme. The number of documents to be completed for each patient influences the quality of data recording and completeness. Factors such as the lack of resources and of adequate training as well as knowledge of tuberculosis control guidelines, in particular the use of records to capture the core tuberculosis indicators, influence the quality of data in the tuberculosis control programme. Knowledge, attitudes and practice are the main factors influencing the quality of data in the tuberculosis control programme in Oshakati district.Die effektiewe beheer van tuberkulose steun grootliks op die algemene gesondheidstelsel van ’n land, veral op die goeie werkende primêre gesondheidsorgdienste. Die studie het faktore wat die gehalte van data vir die teringbeheerprogram in die Oshakati Distrik in Namibië ondersoek.’n Kwantitatiewe, kontekstuele, kruisseksionele, beskrywende opname was onderneem met ’n steekproef van 50 verpleegpersoneel van verskillende kadres uit vyf departemente in Oshakati Staatshospitaal. Data was deur middel van ’n selftoegediende vraelys ingewin. Die meeste deelnemers het genoem dat teringverwante opleiding die korrekte afneem en rapportering onder verpleegpersoneel verbeter het, wat ’n vereiste is vir ’n gehalte teringbeheerprogram. Die aantal dokumente wat vir elke pasiënt voltooi moet word, beïnvloed die gehalte van data-aantekening en volledigheid. ’n Tekort aan bronne en gepaste opleiding, en kennis van tering-beheerriglyne, veral die gebruik van teringrekords om die kern teringaanwysers op te neem, was ander belangrike faktore wat die gehalte van data in die teringbeheerprogram beïnvloed het. Kennis, houdings en praktyk is die vernaamste faktore wat die gehalte van data in die program in die Oshakati Distrik beïnvloed.
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Nakwafila, Olivia, Kofi Nyarko, Isaac Quaye, and Penehafo Angula. "Investigation on knowledge, attitude and practices of Namibian men regarding prostate cancer among men attending Intermediate Hospital Oshakati, Namibia, 2016." Pan African Medical Journal Conference Proceedings 1 (2018). http://dx.doi.org/10.11604/pamj.cp.2017.3.81.236.

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Nakwafila, Olivia, Kofi Nyarko, and Gabriel Sehanne. "Prevalence of elevated blood sugar and its associated risk factors in Oshakati, Oshana Region, Namibia, 2016." Pan African Medical Journal Conference Proceedings 1 (2018). http://dx.doi.org/10.11604/pamj.cp.2017.3.68.176.

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17

Bauleth, Maria Francineth, Brian Van Wyk, and Daniel Opotamutale Ashipala. "Factors associated with poor adherence amongst patients receiving antiretroviral therapy at the Oshakati intermediate hospital in Namibia." International Journal of Healthcare 2, no. 2 (November 14, 2016). http://dx.doi.org/10.5430/ijh.v2n2p89.

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18

Koeniger, Paul, Josefina Hamutoko, Vincent E. A. Post, Matthias Beyer, Marcel Gaj, Thomas Himmelsbach, and Heike Wanke. "Evaporation loss along the Calueque-Oshakati Canal in the Cuvelai-Etosha Basin (Northern Namibia): evidence from stable isotopes and hydrochemistry." Isotopes in Environmental and Health Studies, October 22, 2020, 1–14. http://dx.doi.org/10.1080/10256016.2020.1830082.

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19

Mgori, N. K., and Robert Mash. "HIV and/or AIDS-related deaths and modifiable risk factors: A descriptive study of medical admissions at Oshakati Intermediate Hospital in Northern Namibia." African Journal of Primary Health Care & Family Medicine 7, no. 1 (September 25, 2015). http://dx.doi.org/10.4102/phcfm.v7i1.883.

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Background: High rates of HIV infection have decreased life expectancy in many African countries. Regardless of worldwide efforts to escalate treatment, care and prevention strategies, the number of deaths due to AIDS-related disorders is still high. Local healthcare workers suspect that there are modifiable factors in the care of HIV and/or AIDS patients which can be identified and improved.Aim: To describe the HIV and/or AIDS-related causes of adult mortality and identify modifiable factors amongst patients admitted to Oshakati Intermediate Hospital, northern Namibia.Methods: Data was extracted retrospectively and coded using the modified CoDe protocol for AIDS. Modifiable factors relating to the patient, health system or clinical care were identified using a standardised data collection tool.Results: A total of 177 HIV and/or AIDS patients were identified, 94 (53.1%) were male and 120 (68%) had a CD4 count of less than 200 cells/mL. The common HIV-related causes of death were tuberculosis (25.9%), renal failure (15.8%), Pneumocystis jirovecii pneumonia (11.3%), cryptococcal meningitis (9%), HIV wasting syndrome (7.9%) and AIDS-defining malignancy (7.9%). The analysis revealed 281 modifiable factors; patient-related factors were the most common (153 [54.4%]), followed by health system factors (97 [34.5%]) and healthcare personnel factors (31 [11%]).Conclusion: Our findings have highlighted the challenges in overall HIV and/or AIDS inpatient care and surrounding primary care facilities. The identification of specific modifiable factors can be used to reduce mortality by providing training as well as rational monitoring, planning and resource allocation.
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