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Journal articles on the topic 'Rural health services – Swaziland'

Author: Grafiati

Published: 4 June 2021

Last updated: 3 February 2022

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1

Bancheno, Wouhabe Marai, Fabian Mwanyumba, and Joyce Mareverwa. "Outcomes and challenges of scaling up comprehensive PMTCT services in rural Swaziland, Southern Africa." AIDS Care 22, no. 9 (September 2010): 1130–35. http://dx.doi.org/10.1080/09540121003615079.

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2

Geldsetzer, Pascal, Maria Vaikath, Jan-Walter De Neve, Till Bärnighausen, and Thomas J. Bossert. "A qualitative and quantitative performance evaluation of Swaziland’s Rural Health Motivator program." F1000Research 6 (May 2, 2017): 607. http://dx.doi.org/10.12688/f1000research.11361.1.

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Background: Community health workers (CHWs) are increasingly used to increase access to primary healthcare, and considered to be a key health worker cadre to achieve the UNAIDS 90-90-90 target. Despite the recent policy interest in effectively designing, implementing, and evaluating new CHW programs, there is limited evidence on how long-standing CHW programs are performing. Using the CHW Performance Logic model as an evaluation framework, this study aims to assess the performance of Swaziland’s long-standing national CHW program, called the rural health motivator (RHM) program. Methods: This study was carried out in the Manzini and Lubombo regions of Swaziland. We conducted a survey of 2,000 households selected through two-stage cluster random sampling and a survey among a stratified simple random sample of 306 RHMs. Additionally, semi-structured qualitative interviews were conducted with 25 RHMs. Results: While RHMs are instructed to visit every household assigned to them at least once a month, only 15.7% (95% CI: 11.4 – 20.4%) of RHMs self-reported to be meeting this target. Less than half (46.3%; 95% CI: 43.4 – 49.6%) of household survey respondents, who reported to have ever been visited by a RHM, rated their overall satisfaction with RHM services as eight or more points on a 10-point scale (ranging from “very dissatisfied” to “very satisfied”). A theme arising from the qualitative interviews was that community members only rarely seek care from RHMs, with care-seeking tending to be constrained to emergency situations. Conclusions: The RHM program does not meet some of its key performance objectives. Two opportunities to improve RHM performance identified by the evaluation were increasing RHM's stipend and improving the supply of equipment and material resources needed by RHMs to carry out their tasks.

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3

Kohi, Thecla W., Lucy Makoae, Maureen Chirwa, William L. Holzemer, Deliwe RenéPhetlhu, Leana Uys, Joanne Naidoo, Priscilla S. Dlamini, and Minrie Greeff. "HIV and AIDS Stigma Violates Human Rights in Five African Countries." Nursing Ethics 13, no. 4 (July 2006): 404–15. http://dx.doi.org/10.1191/0969733006ne865oa.

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The situation and human rights of people living with HIV and AIDS were explored through focus groups in five African countries (Lesotho, Malawi, South Africa, Swaziland and Tanzania). A descriptive qualitative research design was used. The 251 informants were people living with HIV and AIDS, and nurse managers and nurse clinicians from urban and rural settings. NVivo™ software was used to identify specific incidents related to human rights, which were compared with the Universal Declaration of Human Rights. The findings revealed that the human rights of people living with HIV and AIDS were violated in a variety of ways, including denial of access to adequate or no health care/services, and denial of home care, termination or refusal of employment, and denial of the right to earn an income, produce food or obtain loans. The informants living with HIV and AIDS were also abused verbally and physically. Country governments and health professionals need to address these issues to ensure the human rights of all people.

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4

Blacker, Sarah. "P014 An Audit of Prevention of Mother to Child Transmission Services within a Antenatal CareFacility in a Rural Health Clinic in Swaziland." Sexually Transmitted Infections 92, Suppl 1 (June 2016): A24.2—A24. http://dx.doi.org/10.1136/sextrans-2016-052718.69.

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5

Mukherjee, Suneeta. "Rural health services." Indian Journal of Pediatrics 58, no. 4 (July 1991): 407–14. http://dx.doi.org/10.1007/bf02750919.

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6

Brear, Michelle R., Karin Hammarberg, and Jane Fisher. "Community participation in health research: an ethnography from rural Swaziland." Health Promotion International 35, no. 1 (January 27, 2019): e59-e69. http://dx.doi.org/10.1093/heapro/day121.

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Summary Community participation in all aspects of health research is widely advocated. However, there is a lack of specificity in reporting what community members actually do, and reported participation is typically limited to discrete research activities. Greater specificity in reporting has potential to clarify how community participation might occur and how it might influence empowerment and research rigour. We conducted an ethnographic study of participatory health research (PHR) in a socio-economically marginalized rural Swazi community. Data about 10 community co-researchers’ participation in research workshops and field work were collected through participant observation over 14 months and analysed using directed content analysis, informed by the Comprehensive Community Participation in Research Framework (CCPRF). The analysis demonstrated that facilitating extensive community participation in PHR is feasible and identified 10 new research process activities in which community members might participate, for inclusion in an expanded CCPRF. We provide examples of how community members might participate in 57/59 expanded CCPRF activities and show that participatory, dialogue-based activities can be effective tools for facilitating research participation in ways that empower individual co-researchers and enhance research rigour. However, our results highlight limitations of community participation related to utilizing research results to inform actions, and empowering communities to control their environments and improve their health.

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7

Perkins, David. "Integrating rural health services." Australian Journal of Rural Health 21, no. 6 (December 2013): 297–98. http://dx.doi.org/10.1111/ajr.12083.

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8

Kiyange, F., V. Walusansa, G. Mandosela, H. Nzereka Kambale, E. Luyirika, and J. Orem. "The Role of South-to-South Partnerships in Developing Cancer Services in Africa." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 163s. http://dx.doi.org/10.1200/jgo.18.21200.

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Background and context: Despite being a growing public health concern in Africa, access to effective cancer treatment and pain relief is still limited in sub-Saharan Africa. The African Palliative Care Association (APCA) in collaboration with the American Cancer Society and the Ministry of Health of Swaziland have successfully implemented a South-to-South partnership which has facilitated the development and operation of a cancer unit in Mbabane National Hospital. Although the cancer burden continues to rise in Africa, many countries do not have established oncology services. They rely on cancer treatment, care and support through referral to neighboring countries or overseas, which is costly for governments and poses multiple challenges for patients and their families. Until recently, Swaziland has relied on cancer treatment and care in South Africa. This paper presents a model where the Uganda Cancer Institute (UCI) in Uganda has been facilitated to support the establishment of a cancer unit in Swaziland. Aim: The intervention aimed at providing technical assistance to the Ministry of Health of Swaziland to initiate and operate a cancer unit in Mbabane Government Hospital through a formal arrangement with the UCI. Strategy/Tactics: The planning and execution of activities was done by a tripartite of APCA, Uganda Cancer Institute a government entity and the Swazi Ministry of Health. Program/Policy process: Over a period of one year (Decemeber 2016 to December 2017) APCA, through a grant from the ACS formerly engaged the UCI to support the initiation and operation of a cancer unit in Swaziland. This was through expert exchange visits through which on-job training and mentorship was provided to a team of staff at Mbabane Government Hospital, with coordination by the Swaziland Ministry of Health. Experiential visits to Uganda were also organized for the lead pharmacist in Swaziland and a doctor to enable them set up and run a cancer unit in their country. The exchange visits provided a forum for both observation and application of knowledge and skills. Outcomes: A cancer unit was successfully established at Mbabane Government Hospital in Swaziland, which now provides services for patients, with breast cancer and expanding to include other cancers. The Swaziland Ministry of Health has been key to the success of this development and continues to identify human, financial and other resources to sustain the cancer unit. To date 69 patients have successfully undergone chemotherapy: 43 breast cancer, 22 Kaposi sarcoma, 2 colorectal cancer, 1 bladder cancer, 1 multiple myeloma. 21 health care workers were trained on cancer management; 9 doctors, 7 nurses and 5 pharmacists. What was learned: There are many opportunities for South-to-South partnership to support the establishment or improvement of cancer care. This model implemented in Swaziland can be replicated in other African countries. Documenting the model for replication in other countries is recommended.

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9

Tobin, Margaret J. "Rural Psychiatric Services." Australian & New Zealand Journal of Psychiatry 30, no. 1 (February 1996): 114–23. http://dx.doi.org/10.3109/00048679609076079.

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Objective: The objective was to describe and evaluate a community mental health service developed during 1991–1992 in an attempt to meet the mental illness needs of an isolated rural community. The setting was the Grampians health region in Western Victoria: this region has an area of 45,000 square kilo-metres and a population of 182,000. Method: The method involved firstly describing the evolution of the service delivery model. This comprised a team of travelling psychiatrists and community psychiatric nurses which succeeded in providing a combined inpatient and outpatient service which was integrated with general practitioners. Secondly, diagnostic and case load descriptions of patients receiving service were compared for both the inpatient and outpatient settings. Results: The results were that reduced reliance on inpatient beds and increased consumer satisfaction were achieved. Conclusion: It was concluded that on initial evaluation of the service it was seen to be meeting its objective of treating the seriously mentally ill in an isolated rural community based setting.

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10

Roeder, Kevin R. "Rural HIV/AIDS Services." Journal of HIV/AIDS & Social Services 1, no. 2 (March 2002): 21–42. http://dx.doi.org/10.1300/j187v01n02_03.

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11

Gross, Allison. "Innovative health services in rural America." Pharmacy Today 19, no. 6 (June 2013): 46–47. http://dx.doi.org/10.1016/s1042-0991(15)31304-9.

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12

Straub, LaVonne A. "Financing Rural Health and Medical Services." Journal of Rural Health 6, no. 4 (October 1990): 467–84. http://dx.doi.org/10.1111/j.1748-0361.1990.tb00683.x.

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13

Duncan, R. Paul. "Education for Rural Health Services Administration." Journal of Rural Health 6, no. 4 (October 1990): 533–37. http://dx.doi.org/10.1111/j.1748-0361.1990.tb00688.x.

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14

Alto, William A. "Emergency health services in rural vietnam." American Journal of Emergency Medicine 16, no. 4 (July 1998): 422–24. http://dx.doi.org/10.1016/s0735-6757(98)90147-4.

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15

Rohrer, James E., Joyce E. Beaulieu, and David E. Berry. "Rural Health Services: A Management Perspective." Journal of Public Health Policy 16, no. 3 (1995): 376. http://dx.doi.org/10.2307/3342870.

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16

Costello, A. M. DeL, and G. Tudor-Williams. "Nepal IMPROVEMENT OF RURAL HEALTH SERVICES." Lancet 327, no. 8495 (June 1986): 1433–34. http://dx.doi.org/10.1016/s0140-6736(86)91567-9.

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17

Farmer, Jane, and Dorothy Williams. "Research. Effective rural health information services." Health Libraries Review 17, no. 1 (March 2000): 59–60. http://dx.doi.org/10.1046/j.1365-2532.2000.00265.x.

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18

Mueller, Keith J. "Rural Health Services: A Management Perspective." Journal of Health Politics, Policy and Law 20, no. 4 (1995): 1081–84. http://dx.doi.org/10.1215/03616878-20-4-1081.

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19

Berry, David E., and John W. Seavey. "Assuring access to rural health services." Health Care Management Review 19, no. 2 (1994): 32–42. http://dx.doi.org/10.1097/00004010-199421000-00004.

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20

Colon-Rivera, Hector, and Lisa B. Dixon. "Mental Health Services in Rural Areas." Psychiatric Services 71, no. 9 (September 1, 2020): 984–85. http://dx.doi.org/10.1176/appi.ps.71903.

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21

Mak, Joelle, Susannah H. Mayhew, Ariane von Maercker, Integra Research Team, and Manuela Colombini. "Men’s use of sexual health and HIV services in Swaziland: a mixed methods study." Sexual Health 13, no. 3 (2016): 265. http://dx.doi.org/10.1071/sh15244.

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Background: Over one-quarter of the adult population in Swaziland is estimated to be HIV positive. Men’s use of sexual health (SH) services has significant implications for HIV prevention. This study aimed to understand Swazi men’s health-seeking behaviours in relation to SH and HIV services. Methods: A household survey was conducted in Manzini (n = 503), complemented by 23 semi-structured interviews and two focus group discussions (with a total of 10 participants). Results: One-third of male survey participants used SH services in the past year, most commonly HIV testing (28%). Service users were more likely to be sexually active (aOR 3.21, 95% CI: 1.81–5.68 for those with one partner; and aOR 2.35, 95% CI: 1.25–4.41 for those with multiple partners) compared with service non-users. Service users were less likely to prefer HIV services to be separated from other healthcare services (aOR 0.50, 95% CI: 0.35–0.71), or to agree with travelling further for their HIV test (aOR 0.52, 95% CI: 0.33–0.82) compared with non-users, after controlling for age-group and education. Men avoided SH services because they feared being stigmatised by STI/HIV testing, are uncomfortable disclosing SH problems to female healthcare providers, and avoided HIV testing by relying on their wife’s results as a proxy for their own status. Informal providers, such as traditional healers, were often preferred because practitioners were more often male, physical exams were not required and appointments and payment options were flexible. Conclusion: To improve men’s uptake of SH services, providers and services need to be more sensitive to men’s privacy concerns, time restrictions and the potential stigma associated with STI/HIV testing.

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22

Banerjee, Abhijit, Angus Deaton, and Esther Duflo. "Wealth, Health, and Health Services in Rural Rajasthan." American Economic Review 94, no. 2 (April 1, 2004): 326–30. http://dx.doi.org/10.1257/0002828041301902.

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23

Parker, Lucy Anne, Kiran Jobanputra, Lorraine Rusike, Sikhathele Mazibuko, Velephi Okello, Bernhard Kerschberger, Guillaume Jouquet, Joanne Cyr, and Roger Teck. "Feasibility and effectiveness of two community‐based HIV testing models in rural Swaziland." Tropical Medicine & International Health 20, no. 7 (April 2, 2015): 893–902. http://dx.doi.org/10.1111/tmi.12501.

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24

Morrisey, Michael A., Robert L. Ohsfeldt, Victoria Johnson, and Richard Treat. "Rural Emergency Medical Services: Patients, Destinations, Times, and Services." Journal of Rural Health 11, no. 4 (September 1995): 286–94. http://dx.doi.org/10.1111/j.1748-0361.1995.tb00426.x.

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25

Dhungel, Basundhara, and Hiran D. Dias. "Planning for Rural Health Services in Nepal." Third World Planning Review 10, no. 3 (August 1988): 239. http://dx.doi.org/10.3828/twpr.10.3.jm47x35846504672.

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26

Qadeer, Imrana. "The challenge of building rural health services." Indian Journal of Medical Research 134, no. 5 (2011): 591. http://dx.doi.org/10.4103/0971-5916.90982.

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27

Mueller, Keith J. "Rural Health Services Research: Past, Present, Future." Journal of Rural Health 18, no. 5 (January 2002): 138–39. http://dx.doi.org/10.1111/j.1748-0361.2002.tb00925.x.

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28

Docherty, Alison. "Accessing sexual health services in rural Scotland." British Journal of School Nursing 5, no. 2 (March 12, 2010): 78–86. http://dx.doi.org/10.12968/bjsn.2010.5.2.47143.

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29

Nelson, Julie A., and Barbara Stover Gingerich. "Rural Health: Access to Care and Services." Home Health Care Management & Practice 22, no. 5 (February 26, 2010): 339–43. http://dx.doi.org/10.1177/1084822309353552.

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30

Pomeranz, William, and Steven Rosenberg. "Developing Home Health Services in Rural Communities—." Home Health Care Services Quarterly 6, no. 4 (May 15, 1986): 5–10. http://dx.doi.org/10.1300/j027v06n04_02.

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31

Hoffmaster, Joan E. "Rural Maternity Services: Community Health Nurse Providers." Journal of Community Health Nursing 3, no. 1 (March 1986): 25–33. http://dx.doi.org/10.1207/s15327655jchn0301_4.

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32

Hicks, Lanis L., and Kenneth D. Bopp. "Integrated pathways for managing rural health services." Health Care Management Review 21, no. 1 (1996): 65–72. http://dx.doi.org/10.1097/00004010-199602110-00007.

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33

Hicks, Lanis L., and Kenneth D. Bopp. "Integrated pathways for managing rural health services." Health Care Management Review 21, no. 1 (1996): 65–72. http://dx.doi.org/10.1097/00004010-199624000-00007.

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34

Purcell, Rachael, and Joe McGirr. "Rural health service managers' perspectives on preparing rural health services for climate change." Australian Journal of Rural Health 26, no. 1 (August 17, 2017): 20–25. http://dx.doi.org/10.1111/ajr.12374.

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35

Windle, Charles. "Social values and services research: The case of rural services." Administration and Policy in Mental Health 22, no. 2 (November 1994): 181–88. http://dx.doi.org/10.1007/bf02106552.

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36

Patrick, Donald L., Jane Stein, Miquel Porta, Carol Q. Porter, and Thomas C. Ricketts. "Poverty, Health Services, and Health Status in Rural America." Milbank Quarterly 66, no. 1 (1988): 105. http://dx.doi.org/10.2307/3349987.

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37

Ensor, Tim, and Robin Thompson. "Rationalizing rural hospital services in Kazakstan." International Journal of Health Planning and Management 14, no. 2 (April 1999): 155–67. http://dx.doi.org/10.1002/(sici)1099-1751(199904/06)14:2<155::aid-hpm540>3.0.co;2-2.

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38

Balmat, Cora S. "Psychiatric Services for Underserved Rural Populations." Family & Community Health 10, no. 2 (August 1987): 74–75. http://dx.doi.org/10.1097/00003727-198708000-00014.

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39

MURPHY, HUGH HERZIG &. ELAINE. "Rural lessons for urban services." Journal of Mental Health 6, no. 1 (January 1997): 11–22. http://dx.doi.org/10.1080/09638239719003.

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40

Ricketts, Thomas C. "Rural Health Research and Rural Health in the 21st Century: The Future of Rural Health and the Future of Rural Health Services Research." Journal of Rural Health 18, no. 5 (January 2002): 140–46. http://dx.doi.org/10.1111/j.1748-0361.2002.tb00926.x.

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41

Humphreys, John S., John Wakerman, and Robert Wells. "What do we mean by sustainable rural health services? Implications for rural health research." Australian Journal of Rural Health 14, no. 1 (February 2006): 33–35. http://dx.doi.org/10.1111/j.1440-1584.2006.00750.x.

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42

Poulin, Laura, and Neil Hanlon. "LEVERAGING CRITICAL RURAL GERONTOLOGY TO IMPROVE RURAL GERONTOLOGICAL HEALTH." Innovation in Aging 3, Supplement_1 (November 2019): S399. http://dx.doi.org/10.1093/geroni/igz038.1477.

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Abstract A critical approach in rural gerontology has led to a better understanding of the complex interplay between older adults unique aging experiences and the multidimensional and dynamic communities in which they live. The evolution of critical rural gerontology will be explored, outlining why a similar approach is needed in rural gerontological health. In particular, rural gerontological health literature must expand beyond a deficit focus that homogenizes older adult health experiences and recognize the complexities of negotiating older adult health within multidimensional rural spaces. Inherent in this approach is recognizing the intersectionality of older adult health as well as the need to study rural gerontological health as an experience enhanced and inhibited by interactions within and across formal health services, informal social services and informal care. This approach will contribute to innovations in policy and practice addressing the burgeoning interest of how to effectively care for older adults in rural settings.

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43

Wilker, Herbert. "Bereavement Services Development in a Rural Setting." Hospice Journal, The 11, no. 4 (January 30, 1997): 25–40. http://dx.doi.org/10.1300/j011v11n04_04.

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44

Neese, Jane B., Ivo L. Abraham, and Kathleen C. Buckwalter. "Utilization of mental health services among rural elderly." Archives of Psychiatric Nursing 13, no. 1 (February 1999): 30–40. http://dx.doi.org/10.1016/s0883-9417(99)80015-6.

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45

Secor-Turner, Molly A., Brandy A. Randall, Alison L. Brennan, Melinda K. Anderson, and Dean A. Gross. "Rural Adolescents' Access to Adolescent Friendly Health Services." Journal of Pediatric Health Care 28, no. 6 (November 2014): 534–40. http://dx.doi.org/10.1016/j.pedhc.2014.05.004.

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46

Mulaire, Raymond E. "Rural Health Services: The Need for Quality Leadership." Healthcare Management Forum 6, no. 4 (December 1993): 38–40. http://dx.doi.org/10.1016/s0840-4704(10)61134-9.

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47

Short, Susan E., and Fengyu Zhang. "Use of maternal health services in rural China." Population Studies 58, no. 1 (March 1, 2004): 3–19. http://dx.doi.org/10.1080/0032472032000175446.

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48

Rohland, Barbara M., and Douglas R. Langbehn. "Use of Mental Health Services in Rural Areas." Psychiatric Services 49, no. 1 (January 1998): 107—a—108. http://dx.doi.org/10.1176/ps.49.1.107-a.

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49

Pong, RW, M. DesMeules, D. Heng, C. Lagacé, JR Guernsey, A. Kazanjian, D. Manuel, et al. "Patterns of Health Services Utilization in Rural Canada." Chronic Diseases and Injuries in Canada 31, supplement 1 (September 2011): 1–36. http://dx.doi.org/10.24095/hpcdp.31.s1.01.

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Canadians value ease of access to their health services. Although many studies have focused on accessibility to health services in Canada, few have examined rural-urban differences in this aspect, particularly from a national perspective. Yet disparities in access to health services exist between rural and urban populations, as do the challenges of delivering health care to more remote areas or to those with small populations. “Canada’s Rural Communities: Understanding Rural Health and Its Determinants” is a three-year research project co-funded by the Canadian Population Health Initiative (CPHI) of the Canadian Institute for Health Information (CIHI) and the Public Health Agency of Canada (PHAC). It involves investigators from the Public Health Agency of Canada, the Centre for Rural and Northern Health Research (CRaNHR) at Laurentian University, and other researchers. The first publication of the research project was How Healthy Are Rural Canadians? An Assessment of Their Health Status and Health Determinants;Footnote 1a1a this, the second publication, is a descriptive analysis of the utilization patterns of a broad range of health services by rural residents compared to their urban counterparts.

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50

Ide, Bette. "Rural Practice Forum: Mental Health Services for Adolescents." Online Journal of Rural Nursing and Health Care 1, no. 3 (December 2000): 6–7. http://dx.doi.org/10.14574/ojrnhc.v1i3.481.

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