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Southern African Journal of Public Health
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This is an Open Access Journal

Open Access journal
ISSN (Online) 2312-9360
Published by Health and Medical Publishing Group

[2 journals]

Clinical public health
- Authors: D Basu
  PubDate: 2022-10-28
  Issue No: Vol. 5 (2022)
Africa Health Conference on Public Health
- Authors: South African Public Health; South African Medical Association
  PubDate: 2022-10-28
  Issue No: Vol. 5 (2022)
Impact of workplace violence towards public service emergency care
providers on access to emergency medical care in Gauteng Province, South
Africa
- Authors: T Khoza, MN Sibiya, N Mshunqane
  Abstract: Background. Workplace violence is a global concern that threatens access to equal and efficient healthcare in developing countries.
  Objective. To discuss the impact of workplace violence towards Gauteng Province-based public service emergency care providers on access to emergency medical care within Gauteng communities.
  Methods. This study was based on a larger non-experimental, convergent parallel mixed-methods study guided by an interpretive framework founded on pragmatism. Evidence on workplace violence towards Gauteng-based public service prehospital emergency care providers was collected from the general population of Gauteng, sampled using multistage cluster sampling, public service emergency care providers, sampled using two-stage cluster sampling and purposively sampled managers of Gauteng Emergency Medical Services as well as South African Police Services. Surveys were used to gather information from the general population, focus group discussions
  were conducted with prehospital emergency care providers and semi-structured interviews were conducted to engage managers. Both quantitative and qualitative data were collected concurrently, and findings were triangulated. Parallel mixed-methods analysis that involved separate analysis of the quantitative and qualitative data was used to analyse the data.
  Results. A total of 413 survey questionnaires comprising of 196 web-based and 218 paper-based responses were included in the quantitative subphase of the study. The majority (66.1%; n=273) of participants resided in townships, 24.5% (n=101) in the city, 3.6% (n=15) in informal settlements, 2.9% (n=12) in school accommodation or school residences and only 2.9% (n=12) in flats, complexes, rural areas, security estates, smallholdings or suburbs. These are the participants who met the inclusion criteria, and specifically who were non-members of medical schemes and resided in communities where public service emergency care providers mostly render their services. For the qualitative subphase, two subthemes emerged during the interviews of managers supporting access to emergency medical care in Gauteng. The themes were ‘limited access to emergency medical care’ and ‘delayed response time’. At the same time a theme ‘leaving a violent scene’ emerged from the prehospital emergency care providers’ focus group discussions.
  Conclusion. The study revealed that workplace violence towards public service prehospital emergency care providers has a negative impact on access to emergency medical care among low- to middle-income communities in Gauteng who depend on state-funded healthcare.
  PubDate: 2022-10-28
  Issue No: Vol. 5 (2022)
Acceptance and choices of family planning methods of postdelivery women in
a midwife obstetric unit in South Africa
- Authors: A M Hoque, S Buckus, M Hoque
  Abstract: Background. The benefit of utilising reliable family planning (FP) is adequate birth spacing, reducing unplanned and unwanted
  pregnancies, and minimising the chances of preterm birth and babies of low birthweight.
  Objectives. To estimate the choices and acceptance rates of FP methods among HIV-positive women immediately after delivery, and the factors associated with acceptance.
  Methods. A retrospective descriptive research design was implemented. All women who gave birth in a midwife obstetric unit (MOU) during January 2018 to December 2019 were included. Logistic regression analysis was performed to identify predictors for acceptance of any and or double FP methods.
  Results. A total of 1 442 women were included, and of these, the majority (93.4%) accepted any FP method. Double methods were accepted by 83% of women. The majority (84%) accepted injectable contraception. Only 7.1% accepted and inserted sub-dermal implants, and 7.2% intrauterine contraceptive devices. Women who did not initiate antenatal care (ANC) during pregnancy were 65% (odds ratio
  (OR) 0.35, 95% confidence interval (CI) 0.15 - 0.78, p=0.011) less likely to accept any FP method compared with those who had >8 ANC visits. HIV-positive women with gestational age (GA) at delivery <32 weeks, were 81% (OR 0.19, 95% CI 0.08 - 0.45, p<0.001) were less likely to accept any FP method compared with those who delivered at term, and with GA at delivery 33 - 36 weeks the proportion was 48% (OR
  0.52, 95% CI; 0.29 - 0.94, p=0.03) Similarly, HIV-positive women who had had stillbirths were 68% (OR=0.32, 95% CI 0.15 - 0.65, p=0.002) less
  likely to accept any FP method compared with those who had live births. Mothers who did not have ANC visits were 65% (OR=0.35, 95% CI; 0.16 - 076, p=0.008) and mothers who had HIV infection were 37% (OR=0.63, 95% CI; 0.42 - 0.93, p=0.022) less likely to accept double FP methods compared with those who had >8 ANC visits and were not infected with HIV, respectively.
  Conclusion. Overall, high acceptance of FP was found among postpartum women. ANC, GA at delivery and having live births were significantly associated with acceptance of any FP and double FP methods of protection. Further prospective study is recommended to identify whether the acceptance of FP services in the postpartum period continues at such a high rate.
  PubDate: 2022-10-28
  Issue No: Vol. 5 (2022)
CPD
- Authors: Gertrude Fani
  PubDate: 2022-10-28
  Issue No: Vol. 5 (2022)

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