JMIR Res Protoc
May 2024
Background: Lesbian, gay, bisexual, transgender, intersex, queer, and allied (LGBTQIA+) individuals encounter challenges with access and engagement with health services. Studies have reported that LGBTQIA+ individuals experience stigma, discrimination, and health workers' microaggression when accessing health care. Compelling evidence suggests that the LGBTQIA+ community faces disproportionate rates of HIV infection, mental health disorders, substance abuse, and other noncommunicable diseases.
View Article and Find Full Text PDFAim: This scoping review aims to highlight literature on self-employment evidence-based frameworks used to promote self-employment among persons with disabilities. This will be achieved by answering this research question,
Methods: To answer the research question, the steps followed will be based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Arksey and O'Malley's sequential stages will be used to guide the scoping review process.
Introduction: The South African government introduced a reengineered primary healthcare approach to promote universal health coverage. The approach was to ensure equitable, efficient, and quality health services for consumers in private and public healthcare sectors. The transition toward a more comprehensive primary healthcare approach to intervention requires occupational therapists who predominantly worked in private and hospital settings to extend their services to clients who previously would have had little access to such services.
View Article and Find Full Text PDFBackground: Current available literature lacks a focus on the prevention and early intervention stages of the disability claims management process within the South African context.
Objective: This study aimed to identify fundamental principles to be applied during the prevention and early intervention stages of the disability claims management process within South Africa.
Methods: A qualitative explorative design with a purposive sampling technique to identify stakeholders.
Background: Community reintegration is a major outcome of rehabilitation after the acute phase in people with spinal cord injury (PWSCI).
Objective: To investigated clinical and socio-demographic factors determining community participation in PWSCI, living in the greater eThekwini Municipality, KwaZulu-Natal province.
Method: Our quantitative, cross-sectional study had a convenient sample of 41 PWSCI.
Background: Trauma in KwaZulu-Natal province in South Africa constitutes at least 17.8% of overall emergency cases, with hand trauma being common.
Aim: Based on these statistics, the authors of this study aimed to identify and describe the most common traumatic hand injuries managed in the province including current trends and intervention practices of occupational therapists to inform future intervention.
Background: In piloting a shift from traditional practice-based placements to decentralised clinical training (DCT), there was a need to explore the factors that influenced the placement as part of monitoring and evaluation. DCT involves placement to clinical sites away from the higher education institution necessitating changes to supervision strategies utilised.
Objective: This study explored the experiences of clinical educators supervising occupational therapy students within this new model during a pilot phase of the DCT programme at one institution in South Africa.
Background: Job retention, long-term absenteeism and medical boarding pay-outs are significant concerns for employers within the public health care sector of South Africa.
Objective: To describe disability management policies, procedures and programmes of employees following impairment and disability in a public-private healthcare facility in South Africa.
Methods: An exploratory qualitative study design was used with key informants in senior management and nursing managers (n=12) selected via purposive sampling.
Background: South Africa is faced with one of the highest rates of violent crime in the world. Accordingly, therapists treat high numbers of deliberate hand injuries. There is, however, a paucity of literature exploring the lived experiences of these survivors.
View Article and Find Full Text PDFS Afr Fam Pract (2004)
August 2021
With a reduction in mortality rates of children under 5 years, in low- and middle-income countries, the responsibility to provide quality care to the increased number of surviving children becomes essential. Many of these children present with developmental delay and the onus inevitably rest on the healthcare system. There is, therefore, the need for recognising timely intervention as routine care for these children, who may have potential for a better quality of life with intervention.
View Article and Find Full Text PDFThe Namibian government ratified the UNCRPD and its optional protocol in 2007 raising expectations that such a convention would fundamentally improve the lives of persons with disabilities. However, persons with disabilities continue to experience inequalities and violation of dignity. This study explores the impact of the UNCRPD as reflected on the lives of persons with disabilities in Namibia.
View Article and Find Full Text PDFThe range and severity of developmental delays vary, and a systematic approach to ensuring early detection for early intervention is essential. The formative years are considered critical for nurturing and maximising developmental potential. In this article, the authors describe a clinical approach to developmental delay within resource-constrained environments of South Africa.
View Article and Find Full Text PDFIntroduction: Adolescents require opportunities to engage in occupations and need to have the requisite aptitude and agency to choose the occupations they want or need to engage in. Occupations are defined as the everyday activities that people choose to engage in individually or as groups that bring meaning and purpose to their lives. These occupations can be chosen or enforced.
View Article and Find Full Text PDFBackground: Service-learning constitutes the main practical component of an undergraduate health profession training programme. However, limited exploration of the potential occupational risks that students face during their service-learning placement is noted in the literature.
Aim: This study in South Africa explored occupational risk factors as reported by occupational therapy students whilst engaged in service-learning.
Background: Despite the use of research incentives in the recruitment and retention of participants for research studies, there remains debate over the acceptable use of participant incentives in research. There appears to be a paucity of guidelines that can assist researchers in demonstrating practically how incentives may be ethically used in research.
Objective: This single site pilot study explored the experiences of key stakeholders involved in rehabilitation research to highlight what may constitute acceptable practices for incentives.
Afr J Prim Health Care Fam Med
April 2019
Background: Community healthcare workers (CHWs) play a vital role in linking health facilities and communities where there is a high prevalence of childhood disorders. However, there is limited literature on whether this cadre of workers is adequately prepared for this task.
Aim: This study explored the training needs of CHWs working in the field of childhood disorders and disabilities to improve the future training of CHWs and service delivery.
Background: The South African health system has policies and strategies to ensure effective rehabilitation and reintegration of individuals who have survived a cerebrovascular accident into their respective communities. However, implementation of such guidelines remains an issue.
Aim: This study sought to explore cerebrovascular accident (CVA) survivors' experiences of community integration.
Background: The Integrated Decentralized Training (i-DecT) project was created to address the current need for health care in South Africa among resource poor climates in rural and periurban settings. The University of KwaZulu-Natal (UKZN) in South Africa has embarked on a program within the School of Health Sciences (SHS) to decentralize the clinical learning platform in order to address this disparity. Framed in a pragmatic stance, this proposal is geared towards informing the roll out of decentralized clinical training (DCT) within the province of KwaZulu-Natal.
View Article and Find Full Text PDFBackground: Primary healthcare (PHC) is central to increased access and transformation in South African healthcare. There is limited literature about services required by occupational therapists in PHC. Despite policy being in place, the implementation of services at grassroots level does not always occur adequately.
View Article and Find Full Text PDFAfr J Prim Health Care Fam Med
August 2016
Background: Re-engineering of primary healthcare (PHC) was initiated nationally in 2009. There is, however, little information on the role expected of occupational therapists (OTs)in PHC.
Objectives: This research aimed to understand how stakeholders of the Department of Health (DOH) perceived the role of OT in PHC service.