Nursing Science

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Browsing Nursing Science by Author "Kunene, P.J."

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    An investigation into home-based care as a continuum of the comprehensive health care provision for people living with HIV?AIDS at Umlazi and its informal settlements in health region "F” of KwaZulu-Natal Province
    (2001) Nyembe, Loraine Nompumelelo; Kunene, P.J.
    The study was an exploratory descriptive one to investigate Home-Based Care as a continuum of the health care provision with specific reference to People Living with HIV/AIDS in the Umlazi metro area of KwaZulu-Natal and its informal setdements. A critical analysis of literature on perspectives on HIV/AIDS and home-based care was done to provide in-depth understanding of these phenomena. Purposive sampling complemented with snowball sampling was done to select participants from a population of people living with HIV/AIDS, home-based care¬givers, social workers and traditional healers. Questionnaires comprising open-ended and close-ended questions were used. The study revealed that a holistic approach to care is provided to sick individuals and family members through home-based care. In spite of limited resources in the home environment, those cared for at home by loving, caring family members expressed satisfaction. It was found that the Department of Health and various organizations were involved in different initiatives in the fight against HIV/AIDS and support of home-based care, but it was difficult to cope with the psycho-social problems and the frequent episodes of severe AIDS-related illnesses. Recommendations made were directed at coordination of strategies to strengthen home-based care and support for the sick individuals and their families. Teamwork and participation of the various stakeholders were emphasised through construction of the model entitled "AIDS-PETAL Home-Based Care Model". The model highlights the specific role that each category should play. The joined tips of the petals symbolise the synergic effects of the combined efforts in home-based care.
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    Perceptions on the effectiveness of directly observed treatement [i.e. treatment] short course (DOTS) strategy for control of tuberculosis in the outer west area of the Durban Metro-Western subdistrict of KwaZulu-Natal Province
    (2004) Khanyile, Olga Tinny.; Kunene, P.J.
    The aim of this study was to assess the perceptions on the effectiveness of directly observed treatment short course (DOTS) strategy for control of tuberculosis implemented In the Outer West area of the Durban Metro-Western subdistrict of Natal-Natal province. A descriptive survey design was undertaken. Three sets of questionnaires were designed for the different groups of participants, that are, DOTS supporters, TB patients and nursing personnel. An eclectic approach comprising systematic, purposive, stratified and random sampling respectively was used to select the participants from different study population groups. The total sample comprised of two hundred and fifty (250) TB patients, thirty (30) DOTS supporters and thirty two (32) nursing personnel involved in the implementation of DOTS programme. The study revealed perceptions that DOTS programme in this district is not effective. The current cure rates of sputum smear positive patients, as indicated in the health facilities report 2002 are far too low to reach the global target of at least 85% cure rates of all smear positive patients, as indicated by WHO. The level of public awareness and the financial commitment to DOTS is inadequate, as a result, the global epidemic continues to worsen, undermining the development of families communities and the national economy. Based on the findings, recommendations were made developing and implementing strategies for the development of sufficient, sustainable human and financial resources to meet the challenges of combating tuberculosis. A model entitled "The Cross of Lorraine Model" for effective and sustainable DOTS Community Involvement was developed."
University of Zululand