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Wake Forest University
1.
Kirzhner, Eugene.
PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION.
Degree: 2014, Wake Forest University
URL: http://hdl.handle.net/10339/39398 
► Public health has become the face of much of modern medicine's successes. Since maternal and child health (MCH) has taken a central role in Western…
(more)
▼ Public health has become the face of much of modern medicine's successes. Since maternal and child health (MCH) has taken a central role in Western healthcare, outcomes have been greatly improved in all of Western Europe and North America. Social justice calls for bringing these successes to developing countries, where childbirth and childhood still remain the most deadly life stages for mothers and infants, respectively. At present, the nascent field of public health ethics has produced literature providing frameworks for intervention and policymaking, yet these frameworks have not seen a transition into practice. This has led to a sharp dichotomy between public health research and practice, where the former is subject to ethical oversight and the latter is not. The importance of ensuring that the targets of MCH interventions, who are more vulnerable than the general population, are protected from unethical practice means that concrete steps must be taken now, despite the lack of an agreed upon framework for governing interventions. I propose four actions that would hasten bringing ethics to the forefront of MCH practice: reforming MCH education, replacing current philosophical approaches to public health, strengthening ethics at the CDC, and creating ethical review boards for interventions that are similar to those already present in public health research.
Subjects/Keywords: maternal child health
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APA (6th Edition):
Kirzhner, E. (2014). PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION. (Thesis). Wake Forest University. Retrieved from http://hdl.handle.net/10339/39398
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kirzhner, Eugene. “PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION.” 2014. Thesis, Wake Forest University. Accessed March 04, 2021.
http://hdl.handle.net/10339/39398.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kirzhner, Eugene. “PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION.” 2014. Web. 04 Mar 2021.
Vancouver:
Kirzhner E. PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION. [Internet] [Thesis]. Wake Forest University; 2014. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/10339/39398.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kirzhner E. PROGRAMMATIC AND POLICY ETHICS IN MATERNAL AND CHILD PUBLIC HEALTH: A CALL FOR ACTION. [Thesis]. Wake Forest University; 2014. Available from: http://hdl.handle.net/10339/39398
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Texas Tech University
2.
Samtani, Satabdi.
The impact of maternal health and involvement on children's well-being: A latent growth model.
Degree: PhD, Human Development and Family Studies, 2016, Texas Tech University
URL: http://hdl.handle.net/2346/72363
► The overall well-being of a society can be measured by the health of its individuals. Health is not just a physical indicator, but includes both…
(more)
▼ The overall well-being of a society can be measured by the
health of its individuals.
Health is not just a physical indicator, but includes both mental and social well-being for individuals. The current research study specifically looks at
maternal health (or mother’s
health) and
child health and well-being, and tries to empirically demonstrate if
maternal health over time could be considered as a valuable predictor for
child health and well-being. It also explores the possibility of family process variables, like parental involvement influencing children’s
health. It further investigates if such relationships are mediated by
maternal health. The study also tries to understand policy issues like impact of Medicaid and other government sponsored
health programs for children on
child health and well-being. A secondary data analysis of the above mentioned enquiries is done with the help of the “Fragile Families and
Child Wellbeing Study (FFCWS)” dataset. It is a longitudinal analysis covering all 4 waves of available data.
Latent growth structural equation models and panel models are constructed to examine the proposed hypotheses. It was observed that initial
maternal health did not influence the change in
child health over time. Improvement in
child health over the 4 waves had a lower trajectory than
maternal heath, but
maternal health saw an abrupt decline between
child age 5 and age 9. The above outcomes did not have any group differences between foreign born mothers and US born mothers. This was in contrast to earlier studies that have studied the “immigration paradox” on
health related protective factors for children’s
health and well-being outcomes, that stem from best practices of
health behavior among immigrant parents. The study also finds that mother’s education level has a significant impact on both mother and child’s future
health, among mothers married/cohabiting with the child’s biological father. A similar trend is also observed for mothers who share a friendly/visiting relationship with the child’s biological father. A unique finding of this research study is that, initial
maternal health acts as a partial mediator between
maternal involvement and
child health. The meditation effect is more pronounced in African American mothers (21%) followed by Non-Hispanic whites (18.9 %). A cross-lagged panel model was created to understand if the
health condition of children on Medicaid could be predicted from their well-being (measured here in terms of acute incidents). The proposed model was successful in explaining some temporal causation for children on Medicaid and but was unable to predict the same for the non-Medicaid group. The above findings are not just correlations, they are measured over 4 different time points and hence indicate causation between the factors. The results of this research study should aid policy makers to frame more appropriate policy on
maternal health, and
child health and well-being in the future.
Advisors/Committee Members: Oh, Wonjung (committee member), Reifman, Alan S (Committee Chair).
Subjects/Keywords: Maternal Health; Child Health
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APA (6th Edition):
Samtani, S. (2016). The impact of maternal health and involvement on children's well-being: A latent growth model. (Doctoral Dissertation). Texas Tech University. Retrieved from http://hdl.handle.net/2346/72363
Chicago Manual of Style (16th Edition):
Samtani, Satabdi. “The impact of maternal health and involvement on children's well-being: A latent growth model.” 2016. Doctoral Dissertation, Texas Tech University. Accessed March 04, 2021.
http://hdl.handle.net/2346/72363.
MLA Handbook (7th Edition):
Samtani, Satabdi. “The impact of maternal health and involvement on children's well-being: A latent growth model.” 2016. Web. 04 Mar 2021.
Vancouver:
Samtani S. The impact of maternal health and involvement on children's well-being: A latent growth model. [Internet] [Doctoral dissertation]. Texas Tech University; 2016. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/2346/72363.
Council of Science Editors:
Samtani S. The impact of maternal health and involvement on children's well-being: A latent growth model. [Doctoral Dissertation]. Texas Tech University; 2016. Available from: http://hdl.handle.net/2346/72363
University of Manitoba
3.
du Plessis, Elsabé.
Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya.
Degree: Community Health Sciences, 2018, University of Manitoba
URL: http://hdl.handle.net/1993/33474
► In current global health parlance, sustainability is a key concern of funders and implementers alike, tied to growing concerns with accountability and, relatedly, the demand…
(more)
▼ In current global
health parlance, sustainability is a key concern of funders and implementers alike, tied to growing concerns with accountability and, relatedly, the demand for precise measurement. Concerns over sustainability relate to vertical programming, fragmented care and short funding cycles. Communities who participate in successive programs may become disillusioned by the continual turnover and shifting priorities. In this thesis, I analyze the central role of program discourses, evidence production regimes and knowledge practices in the everyday life of a global
health project to illuminate power imbalances that emerge within international partnership formations. Furthermore, within the context of a multi-partner
maternal, newborn and
child health (MNCH) project in Kenya, I illustrate how local communities engage with global
health projects to ensure sustainability on their own terms.
Methods: I conducted a 13-month ethnographic study of a MNCH and nutrition project in Taita Taveta County, eastern Kenya, following a project ethnography. Data collection took place between July 2014 and August 2016. Because the social dynamics of the project unfolded in multiple locales, I conducted my ethnographic fieldwork in Winnipeg, Canada, and in Nairobi and Taita Taveta, Kenya. In addition to participant observation, I undertook primary and secondary archival research to gain a deeper understanding of the history of development in Taita Taveta. I also conducted key informant interviews with university scientists and analyzed secondary qualitative data from the MNCH project. Data analysis occurred through an iterative process that triangulated the findings from the various sources.
Results and Conclusions. Evidence is a central preoccupation in global
health practice, with respect to 1) how scientists and program implementers attempt to meet funders’ demand for standardized, quantitative metrics and 2) how local people and communities position themselves to benefit from global
health projects. Prolonged engagement with development projects cultivate “local intervention knowledges” that inform how people think about and engage with projects. I demonstrate how people in Taita Taveta strategically engage with discourses around sustainability, actively participating in the formation of the discourse while contesting and remaking the principles and activities of programs to better meet local exigencies. This I refer to as flexible sustainabilities.
Advisors/Committee Members: Lorway, Robert (Community Health Sciences) (supervisor), Bruce, Sharon (Community Health Sciences) Slater, Joyce (Food and Human Nutritional Sciences) Deane, Lawrence (Social Work) Colvin, Christopher (University of Cape Town) (examiningcommittee).
Subjects/Keywords: Global Health; Maternal child health
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APA (6th Edition):
du Plessis, E. (2018). Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya. (Thesis). University of Manitoba. Retrieved from http://hdl.handle.net/1993/33474
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
du Plessis, Elsabé. “Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya.” 2018. Thesis, University of Manitoba. Accessed March 04, 2021.
http://hdl.handle.net/1993/33474.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
du Plessis, Elsabé. “Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya.” 2018. Web. 04 Mar 2021.
Vancouver:
du Plessis E. Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya. [Internet] [Thesis]. University of Manitoba; 2018. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/1993/33474.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
du Plessis E. Flexible sustainabilities: continuity and change in an MNCH project in Eastern Kenya. [Thesis]. University of Manitoba; 2018. Available from: http://hdl.handle.net/1993/33474
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
4.
Ouedraogo, Mariame Oumar.
Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
.
Degree: 2018, University of Ottawa
URL: http://hdl.handle.net/10393/37291
► Reducing maternal and child mortality has been a top global health priority for the past two decades. Through this thesis, I underline some of the…
(more)
▼ Reducing maternal and child mortality has been a top global health priority for the past two decades. Through this thesis, I underline some of the strategies, barriers and determinants to optimal maternal and child health (MCH) in three specific districts of Jimma Zone in the southwest of Ethiopia. My first paper has a particular focus on the quality of MCH data collected within the health management information system (HMIS), while the second paper focuses on the utilization of antenatal care (ANC) services, assessments of malaria in pregnancy, and women’s access to malaria preventive measures using data from a cross-sectional survey conducted in the three study districts.
The quality of MCH data collected within the HMIS from July 2014 to June 2015 for the 26 primary health care units (PHCUs) located within the three districts was evaluated using the World Health Organization’s Data Quality Report Card (DQRC). To complement the methods recommended in the DQRC, Pearson correlation coefficients, intraclass correlation coefficients, and Bland-Altman analysis were used to determine the agreement between MCH indicator coverage estimates derived from the HMIS and a population-based survey conducted with 3,784 women who had a birth outcome within the same time frame. The quality of MCH data collected within the HMIS was determined to be unsatisfactory, with many health facilities located in the three districts not reporting completely, consistently, or accurately MCH key indicators relating specifically to ANC, skilled birth attendance at delivery, and postnatal care. This finding is important since poor data quality can compromise effective decision-making and resource allocation processes aimed at contributing to better health outcomes in mothers and newborns.
vi
To address the objectives set in the second chapter, analysis of cross-sectional survey data from 3,784 women who had a birth outcome in the year preceding the survey was performed through logistic regression models adjusting for clustering of the participants by PHCU. While close to 85% of the women attended at least one ANC visit, less than 50% of the participants received four or more ANC visits. Lack of necessity, distance to health facility and unavailability of transportation were determined as key reasons for not attending ANC. Women who completed secondary or higher education, were from the richest households, were exposed to different media sources, and were able to make decisions about their healthcare by themselves or jointly with their husband were more likely to attend ANC services. Frequent visits by a health extension worker and pregnancy intendedness also influenced ANC attendance. Bed net ownership and utilization during last pregnancy were also relatively low (52% and 26%, respectively). The results also showed that the odds of owning and always using a mosquito net were higher in participants that attended ANC, with odds ratios of 1.98 (95% CI: 1.55-2.53) and 1.62 (95% CI: 1.23 – 2.13), respectively. The prevalence of malaria infection…
Subjects/Keywords: Maternal and Child Health;
Ethiopia
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APA ·
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Manager
APA (6th Edition):
Ouedraogo, M. O. (2018). Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
. (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/37291
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ouedraogo, Mariame Oumar. “Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
.” 2018. Thesis, University of Ottawa. Accessed March 04, 2021.
http://hdl.handle.net/10393/37291.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ouedraogo, Mariame Oumar. “Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
.” 2018. Web. 04 Mar 2021.
Vancouver:
Ouedraogo MO. Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
. [Internet] [Thesis]. University of Ottawa; 2018. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/10393/37291.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ouedraogo MO. Maternal and Child Health in Jimma Zone, Ethiopia: Predictors, Barriers and Strategies for Improvement
. [Thesis]. University of Ottawa; 2018. Available from: http://hdl.handle.net/10393/37291
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of KwaZulu-Natal
5.
Khanyile, Sibongile Thulisiwe.
Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district.
Degree: 2015, University of KwaZulu-Natal
URL: http://hdl.handle.net/10413/14296
► Background: HIV-infected mothers in high income countries are advised not to breast-feed and are family oriented regarding the decision of the choice of feeding method…
(more)
▼ Background:
HIV-infected mothers in high income countries are advised not to breast-feed and are family oriented regarding the decision of the choice of feeding method for their infants. In contrast, in low and middle income countries (LMIC) the responsibility of making an informed choice on feeding practice rests primarily on the woman herself. The choice of infant feeding method is important for HIV-positive mothers in order to optimize the chance of survival for their infants and to minimize the risk of HIV transmission.
Purpose of the study
The purpose of this study was to assess knowledge, attitudes, and practices of pregnant women with regard to the infant feeding method for prevention of mother to
child transmission of HIV.
Methodology
This study used a quantitative and descriptive design. It was conducted at a regional hospital of eThekwini District. Systematic sampling was used to select 250 respondents. Data was collected data using semi-structured questions in a questionnaire. The data was analysed using simple descriptive statistics using SPSS version 19.
Results of the study
All 104 (100%) respondents infected with the HIV virus strongly agreed that transmission of the HIV virus occurred from mother to
child at the time of pregnancy, during delivery or through breastfeeding. All 104 (100%) of the HIV infected women strongly agreed that formula feeding had no role in the transmission of the HIV virus and they were familiar with modes of transmission of the HIV virus.
Forty eight (46%) of the HIV infected respondents stated that they will exclusively breastfeed their infants; 34 (33%) will adopt the mixed feeding method that is
breastfeeding and the utilization of formula, while 22 (21%) will use the replacement feeding method milk that the government supplies.
Conclusion
The choice of feeding practices among the HIV infected and HIV uninfected respondents was varied. The majority 145 (58%) of the respondents selected exclusive breastfeeding as their choice of infant feeding method, while 38 (15.2%) selected replacement and 67 (26.8%) chose mixed feeding. Several factors influenced the mother’s preferred feeding method for their infants.
Recommendations
Following the results from this study, the recommendations include:
Health educate all the pregnant mothers and their relatives on the importance of PMTCT programs with an emphasis on adequate feeding practices, and provide the most recent feeding guidelines. Support to the HIV positive mothers with limited resources, in particular these breastfeeding.
Advisors/Committee Members: Majeke, Sisana Janet. (advisor).
Subjects/Keywords: Maternal and child health.
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APA ·
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APA (6th Edition):
Khanyile, S. T. (2015). Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district. (Thesis). University of KwaZulu-Natal. Retrieved from http://hdl.handle.net/10413/14296
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Khanyile, Sibongile Thulisiwe. “Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district.” 2015. Thesis, University of KwaZulu-Natal. Accessed March 04, 2021.
http://hdl.handle.net/10413/14296.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Khanyile, Sibongile Thulisiwe. “Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district.” 2015. Web. 04 Mar 2021.
Vancouver:
Khanyile ST. Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district. [Internet] [Thesis]. University of KwaZulu-Natal; 2015. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/10413/14296.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Khanyile ST. Exploring the knowledge, attitudes and practices of pregnant women on infant feeding methods for prevention of mother to child transmission of HIV in a regional hospital of eThekwini district. [Thesis]. University of KwaZulu-Natal; 2015. Available from: http://hdl.handle.net/10413/14296
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of KwaZulu-Natal
6.
Simelane, Makhosazana Lungile.
An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal.
Degree: 2015, University of KwaZulu-Natal
URL: http://hdl.handle.net/10413/14418
► Background: Despite advances in the treatment of HIV and AIDS with lifelong antiretroviral therapy (ART), women living with HIV and AIDS (WLWHA) still have to…
(more)
▼ Background: Despite advances in the treatment of HIV and AIDS with lifelong antiretroviral
therapy (ART), women living with HIV and AIDS (WLWHA) still have to deal with the
psychological and psychosocial challenges of living with this chronic illness. Such a situation
means there has been a necessary shift in focus to clinicians seeking ways to better understand
and improve the quality of life and psychological well-being of WLWHA.
Objective: The purpose of this study was to explore and describe the levels of psychological
distress in relation to
health related quality of life in women living with HIV and AIDS who are
attending a regional hospital within the eThekwini district, KwaZulu-Natal.
Methods: An exploratory-descriptive, non-experimental quantitate approach was employed for
the study. The WHO BREF and Kessler 10 (K10) self-administered questionnaire was used to
collect data from a sample of 84 WLWHA.
Results: The findings showed that the sampled WLWHA had good levels of
health-related quality
of life. The social (16.3) and physical (16.1) domains had the highest mean scores. The level of
independence (13.1) and environment (13.3) domains had the lowest mean scores. The findings
also revealed that the women had moderate levels of psychological distress; the mean score for
this was 22 (SD = 7.2). There was some interrelationship between socio-demographic factors and
health-related quality of life. A significant relationship was also found between age and the
psychological domain (p–value < 0.011). There was also borderline significance between
education and the psychological domain (p–value = 0.055).
Conclusion: Women living with HIV and AIDS are still experiencing moderate levels of
psychological distress due to living with this chronic illness, HIV and AIDS. However, despite
the presence of moderate levels of psychological distress, these women are nonetheless achieving
high levels of
health-related quality of life.
Advisors/Committee Members: Naidoo, J. R. (advisor).
Subjects/Keywords: Maternal; child and women's health.
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APA ·
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Manager
APA (6th Edition):
Simelane, M. L. (2015). An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal. (Thesis). University of KwaZulu-Natal. Retrieved from http://hdl.handle.net/10413/14418
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Simelane, Makhosazana Lungile. “An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal.” 2015. Thesis, University of KwaZulu-Natal. Accessed March 04, 2021.
http://hdl.handle.net/10413/14418.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Simelane, Makhosazana Lungile. “An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal.” 2015. Web. 04 Mar 2021.
Vancouver:
Simelane ML. An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal. [Internet] [Thesis]. University of KwaZulu-Natal; 2015. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/10413/14418.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Simelane ML. An exploratory descriptive study on the levels of psychological distress in relation to quality of life among women living with HIV and AIDS attending a regional hospital within eThekwini district, KwaZulu-Natal. [Thesis]. University of KwaZulu-Natal; 2015. Available from: http://hdl.handle.net/10413/14418
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
7.
Clow, Sheila Elizabeth.
The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial.
Degree: Image, Division of Paediatric Medicine, 2015, University of Cape Town
URL: http://hdl.handle.net/11427/13082
► Background: Intrapartum complications contribute to nearly half of all avoidable maternal and perinatal deaths nationally. Inadequate understanding of the labour process by midwives, poor documentation…
(more)
▼ Background: Intrapartum complications contribute to nearly half of all avoidable
maternal and perinatal deaths nationally. Inadequate understanding of the labour process by midwives, poor documentation of labour monitoring and inadequate systemlevel support may lead to wrong diagnosis, incorrect management, and the potential for missed opportunities to prevent mortality. Aim: To evaluate the effect of an intervention package of training and clinical facilitation on the quality of clinical management in labour by registered midwives in primary level public sector
health facilities in rural South Africa. Methods: Research design : Pragmatic cluster randomised trial with 12 month follow-up. Setting and participants : Seventeen clusters stratified by geo-political region and size of service; 1020 labour records (60 per cluster / site; systematic random sample); and 154 registered midwives employed in the study sites during the study period. Participants were not blinded. Intervention : A package of clinical faclitation training for selected experienced midwife clinicians / managers, and an intrapartum educational update for midwives. Intervention and control sites continued receiving routine communication, all clinical guidelines and scheduled outreach activities. Main outcome measures : Primary outcome - clinical practice measuring partograph utilisation, using a modified partograph checklist, the testing of which is described in this study. Secondary outcome - midwives’ knowledge and skills, measured by written and clinical tests. Outcomes were analysed at the individual level using regression methods that allowed for clustering. The evaluator was blinded to the study allocation. Findings: The mean scores for the total partograph were not statistically significantly different between arms; the mean difference was 1.55 points out of a possible score 47 (95% CI: -1.18 to 4.28) p= 0.27. At a score of 27 the estimated absolute difference was 13.6% (95% CI : 0.16 to 0.25) p = 0.026. The total score for midwives’ knowledge and skills was 7 points (out of a possible 119) higher in the intervention arm (95% CI : 2.1 to 12.3), p=0.006. Conclusions: Although there was no difference in the quality of the overall completion of the partograph, there was a statistically significant difference in those of better quality completions in the intervention arm. Midwives’ knowledge and skills were higher in the intervention arm and those in the control arm deteriorated over time. This difference was statistically significant. Recommendations and implications for practice: This indicates a critical need to provide continuing professional education to midwives and to arrange midwifery staffing that optimises clinical practice in settings where intrapartum care is offered. In addition to regular, sustainable programmes to enhance partograph utilisation and midwife knowledge and skills, barriers to the utilisation of the partograph need to be investigated and addressed.
Advisors/Committee Members: Swingler, George H (advisor), Pattinson, R C (advisor).
Subjects/Keywords: Maternal and Child Health
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APA (6th Edition):
Clow, S. E. (2015). The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/13082
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Clow, Sheila Elizabeth. “The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial.” 2015. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/13082.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Clow, Sheila Elizabeth. “The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial.” 2015. Web. 04 Mar 2021.
Vancouver:
Clow SE. The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial. [Internet] [Thesis]. University of Cape Town; 2015. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/13082.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Clow SE. The effect of a training and clinical facilitation programme for registered midwives in primary maternity settings with respect to managing labour: a pragmatic cluster randomised trial. [Thesis]. University of Cape Town; 2015. Available from: http://hdl.handle.net/11427/13082
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Western Ontario
8.
Hooshmand, Setareh.
Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood.
Degree: 2014, University of Western Ontario
URL: https://ir.lib.uwo.ca/etd/1965
► The purpose of this thesis was to examine the longitudinal associations between body mass and depressive symptoms as adolescents transition into young adults, using secondary…
(more)
▼ The purpose of this thesis was to examine the longitudinal associations between body mass and depressive symptoms as adolescents transition into young adults, using secondary data analysis of the National Longitudinal Survey of Children and Youth. Adolescents (N = 1,895) were followed across five ages, between ages 17 and 25. Body mass and depressive symptoms were self-reported at each age. Latent growth modelling was used for all analyses. Results showed that the trajectory of body mass increased over time, while the trajectory of depressive symptoms decreased over time, for both males and females. Adolescent females with higher initial body mass levels reported a slower decrease in depressive symptoms over time. Conversely, adolescent males with higher initial depressive symptoms reported a slower increase in body mass over time. Public health implications, future research initiatives, and conclusions are further discussed.
Subjects/Keywords: Maternal and Child Health
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APA (6th Edition):
Hooshmand, S. (2014). Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood. (Thesis). University of Western Ontario. Retrieved from https://ir.lib.uwo.ca/etd/1965
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Hooshmand, Setareh. “Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood.” 2014. Thesis, University of Western Ontario. Accessed March 04, 2021.
https://ir.lib.uwo.ca/etd/1965.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Hooshmand, Setareh. “Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood.” 2014. Web. 04 Mar 2021.
Vancouver:
Hooshmand S. Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood. [Internet] [Thesis]. University of Western Ontario; 2014. [cited 2021 Mar 04].
Available from: https://ir.lib.uwo.ca/etd/1965.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Hooshmand S. Developmental associations of self-reported body mass and depressive symptoms: A longitudinal examination of the transition from adolescence to young adulthood. [Thesis]. University of Western Ontario; 2014. Available from: https://ir.lib.uwo.ca/etd/1965
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
9.
Kachimanga, Chiyembekezo.
Improving utilization of maternal health related services: the impact of a community health worker pilot programme in Neno
Malawi.
Degree: MPhil, Paediatrics and Child Health, 2018, University of Cape Town
URL: http://hdl.handle.net/11427/29240
► Introduction: Malawi has one of the highest maternal mortality ratio (MMR) in sub-Saharan Africa (SSA). Despite investments in family planning and emergency obstetric care (EmOC),…
(more)
▼ Introduction: Malawi has one of the highest
maternal mortality ratio (MMR) in sub-Saharan Africa (SSA). Despite investments in family planning and emergency obstetric care (EmOC), Malawi’s Millennium Development Goal (MDG) target of reducing
maternal deaths to 155 deaths per 100,000 live births was not met by the end of 2015. Between 2010 and 2015, Malawi was only able to reduce the MMR from 675 to 439 per 100,000 live births. Inadequate utilisation of perinatal services is the contributing factor to the MMR target not being achieved. One approach for improving the utilisation of perinatal services is to invest in community
health workers (CHWs). CHWs can be trained to: identify women of
child bearing age (WCBA) who need perinatal services; provide community education; encourage timely referral of clients to the nearest
health facility; and undertake community follow up for WCBA who are pregnant and/or have recently given birth. We evaluated changes in utilisation of antenatal care (ANC), facility based births, and postnatal care (PNC) after CHW deployment to conduct monthly home visits to WCBA for pregnancy identification and escorting women to ANC, labour and facility birth and PNC clinics in Neno district, Malawi. The CHW programme was implemented in two catchment areas from March 2015 to June 2016.
Methodology: We employed a retrospective quasi-experimental study design to evaluate the impact of CHWs on changes in the utilisation of ANC, facility based births, and PNC in Neno district, Malawi between March 2014 and June 2016 (pre-intervention period: March 2014 to February 2015, and post- intervention period: March 2015 to June 2016). Monthly outcomes were compared between a combined CHW intervention area and its synthetic control area using the synthetic control method. The synthetic control area (or synthetic counterfactual of the CHW) was the control area that was created from multiple available control sites where the CHW programme was not implemented to allow the comparison of outcomes between the sites where CHWs were implemented and the sites where CHWs was not implemented. Two hundred and eleven CHWs (128 existing CHWs plus 83 new CHWs from the community) were trained in
maternal health and deployed to cover an estimated 5,132 WCBA living in a catchment area of about 20,530 people. The primary focus of the CHWs was to conduct monthly household visits to identify pregnant women, and then escort pregnant women to their initial and subsequent ANC appointments, facility births, and to PNC check-ups. As part of package of care, community mobilisation and improvements in services to achieve a minimum package of services at the local
health centres were also added. Using the synthetic control method, as developed by Abadie and Gardeazabal (2003) and Abadie, Diamond and Hainmueller (2010) and a Bayesian approach of synthetic control developed by Brodersen (2015), a synthetic counterfactual of the CHW intervention was created based on six available public control facilities. The synthetic counterfactual trend…
Advisors/Committee Members: Shea, Jawaya (advisor), van den Akker, Thomas (advisor), Gates, Thomas (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
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MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Kachimanga, C. (2018). Improving utilization of maternal health related services: the impact of a community health worker pilot programme in Neno
Malawi. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/29240
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kachimanga, Chiyembekezo. “Improving utilization of maternal health related services: the impact of a community health worker pilot programme in Neno
Malawi.” 2018. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/29240.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kachimanga, Chiyembekezo. “Improving utilization of maternal health related services: the impact of a community health worker pilot programme in Neno
Malawi.” 2018. Web. 04 Mar 2021.
Vancouver:
Kachimanga C. Improving utilization of maternal health related services: the impact of a community health worker pilot programme in Neno
Malawi. [Internet] [Thesis]. University of Cape Town; 2018. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/29240.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kachimanga C. Improving utilization of maternal health related services: the impact of a community health worker pilot programme in Neno
Malawi. [Thesis]. University of Cape Town; 2018. Available from: http://hdl.handle.net/11427/29240
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
10.
Van den Akker, Thomas.
Constructive integration : changes in uptake and outcomes of reproductive health services during the scaling up of ART and PMTCT in Thyolo District, Malawi.
Degree: Image, Paediatrics and Child Health, 2011, University of Cape Town
URL: http://hdl.handle.net/11427/12621
► Background: In recent years there has been increasing debate about the impact of scaled-up ART and PMTCT programmes on the uptake and outcomes of reproductive…
(more)
▼ Background: In recent years there has been increasing debate about the impact of scaled-up ART and PMTCT programmes on the uptake and outcomes of reproductive
health services, in particular the potential detrimental effects of HIV-care on the overall capacity of fragile
health systems. The objective of this study was to evaluate changes in the uptake of reproductive
health services as well as the main pregnancy outcomes during the scaling up of ART and PMTCT in Thyolo District, Malawi. Methods : Study design: retrospective descriptive district-wide cohort analysis for the period 2005 to 2009. Setting: Thyolo District, an area with around 600,000 inhabitants, an adult HIV-prevalence of 21% and a Total Fertility Rate of 5.7 in 2004. HIV-care including ART and PMTCT was scaled up since 2004 in Thyolo District to reach district-wide coverage in 2007. HIV-care is provided at district hospital,
health centre and community
health post levels. Outcomes: uptake of antenatal, intrapartum and postpartum care, family planning and treatment of sexually transmitted infections; infrastructural changes, and changes in
maternal and perinatal pregnancy outcome. Data collection and analysis: data were collected from facility antenatal, intrapartum and postpartum records, as well as from MoH and MSF databases maintained for routine programme monitoring. Chisquare tests were performed comparing the baseline year (2005) with the year of study end (2009). Results: Uptake of peripartum care had improved markedly by the end of the five-year study period: the percentages of pregnant women who took up antenatal, intrapartum and postpartum care increased by 30%, 25% and 20% respectively. The number of family planning consultations increased by almost 50% and the number of women treated for sexually transmitted infections more than doubled. Interactions between HIV-care and general reproductive
health care had positive effects on key
health system components, including governance,
health financing, human resources and drug supply. Reliable pregnancy outcome indicators for the entire observation period were difficult to obtain due to likely under-reporting of facility-based
maternal and perinatal mortality. However, previously documented results from Thyolo show a reduction of facility-based severe
maternal complications, including uterine rupture, between 2007 and 2009. Conclusions: Uptake of reproductive
health services and facility-based
maternal outcomes increased markedly during the period of HIV scale–up. This implies that the scale up of HIV-care did not inhibit, and likely increased, uptake of reproductive
health services, while quality improvements in perinatal care could still be successfully implemented. The finding that ART and PMTCT care may be successfully integrated into broader reproductive
health services with satisfying outcomes is a strong argument for continued scale up of ART and PMTCT in similar settings.
Advisors/Committee Members: Shea, Jawaya (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
Chicago ·
MLA ·
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CSE |
Export
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APA (6th Edition):
Van den Akker, T. (2011). Constructive integration : changes in uptake and outcomes of reproductive health services during the scaling up of ART and PMTCT in Thyolo District, Malawi. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/12621
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Van den Akker, Thomas. “Constructive integration : changes in uptake and outcomes of reproductive health services during the scaling up of ART and PMTCT in Thyolo District, Malawi.” 2011. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/12621.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Van den Akker, Thomas. “Constructive integration : changes in uptake and outcomes of reproductive health services during the scaling up of ART and PMTCT in Thyolo District, Malawi.” 2011. Web. 04 Mar 2021.
Vancouver:
Van den Akker T. Constructive integration : changes in uptake and outcomes of reproductive health services during the scaling up of ART and PMTCT in Thyolo District, Malawi. [Internet] [Thesis]. University of Cape Town; 2011. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/12621.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Van den Akker T. Constructive integration : changes in uptake and outcomes of reproductive health services during the scaling up of ART and PMTCT in Thyolo District, Malawi. [Thesis]. University of Cape Town; 2011. Available from: http://hdl.handle.net/11427/12621
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
11.
Lommerse, Kinke.
HIV testing rate and seroprevalence among people attending a mental health clinic in rural Malawi.
Degree: Image, Paediatrics and Child Health, 2011, University of Cape Town
URL: http://hdl.handle.net/11427/11484
This study was undertaken to assess HIV-prevalence, uptake of HIV-care, general clinical characteristics and risk factors among a population visiting a mental health clinic in a rural Malawian district hospital.
Advisors/Committee Members: Lund, Crick (advisor).Subjects/Keywords: Maternal and Child Health
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Lommerse, K. (2011). HIV testing rate and seroprevalence among people attending a mental health clinic in rural Malawi. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/11484
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Lommerse, Kinke. “HIV testing rate and seroprevalence among people attending a mental health clinic in rural Malawi.” 2011. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/11484.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Lommerse, Kinke. “HIV testing rate and seroprevalence among people attending a mental health clinic in rural Malawi.” 2011. Web. 04 Mar 2021.
Vancouver:
Lommerse K. HIV testing rate and seroprevalence among people attending a mental health clinic in rural Malawi. [Internet] [Thesis]. University of Cape Town; 2011. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/11484.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Lommerse K. HIV testing rate and seroprevalence among people attending a mental health clinic in rural Malawi. [Thesis]. University of Cape Town; 2011. Available from: http://hdl.handle.net/11427/11484
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
12.
Mabirizi, David.
Determinants of maternal delivery at rural health facilities a study undertaken in the Mpigi District of Uganda.
Degree: Image, Paediatrics and Child Health, 2011, University of Cape Town
URL: http://hdl.handle.net/11427/11285
► Mpigi District is a rural district in Uganda with high maternal morbidity and mortality. While most pregnant women in Uganda attend antenatal clinics, few ultimately…
(more)
▼ Mpigi District is a rural district in Uganda with high
maternal morbidity and mortality. While most pregnant women in Uganda attend antenatal clinics, few ultimately deliver their babies in a
health facility. Interventions have not achieved increased utilisation of
maternal services. A review of
maternal determinants and factors associated with
health facility delivery is the focus of this study. To determine the reasons why women deliver in
health facilities; to identify the
maternal determinants or factors associated with
health facility delivery; and to determine the socio-demographic characteristics of women who deliver in
health facilities. This quantitative, descriptive, cross-sectional study of 257 women who delivered in the Mpigi District in 2008/2009 used face-to-face interviews at which a questionnaire was administered. Women delivered in
health facilities because they expected a safe delivery. Ten factors were found to be significantly associated with a higher possibility of
health facility delivery: eight or more years of education (P=0.002); previous
health facility delivery (P<0.0001); first delivery in a
health facility (P<0.0001); no history of a non-
health facility delivery (P <0.0001); more than 50% of deliveries in a
health facility (P=0.007); three or more antenatal care visits (P=0.031); above-average socio-economic status (P=0.016); living in a household of three or fewer individuals (P=0.028); living within 30 minutes? travel time of a
health facility (P=0.007); and history of contraceptive use (P=0.046). These are the
maternal determinants of
health facility delivery in this rural setting. The mothers that delivered in
health facilities were 15 and 29 years old (85.2%), either married or cohabiting (77.5%), had completed eight years or more of formal education (53.5%), lived within a radius of up to 30 minutes? journey from a
health facility (67.2%) and lived in a household of four or more individuals (76.0%). This study shows that there are specific
maternal characteristics (sociodemographic descriptors) that are associated with increased possibility of
health facility delivery.
Advisors/Committee Members: De Groot, Herman (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
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CSE |
Export
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Manager
APA (6th Edition):
Mabirizi, D. (2011). Determinants of maternal delivery at rural health facilities a study undertaken in the Mpigi District of Uganda. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/11285
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mabirizi, David. “Determinants of maternal delivery at rural health facilities a study undertaken in the Mpigi District of Uganda.” 2011. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/11285.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mabirizi, David. “Determinants of maternal delivery at rural health facilities a study undertaken in the Mpigi District of Uganda.” 2011. Web. 04 Mar 2021.
Vancouver:
Mabirizi D. Determinants of maternal delivery at rural health facilities a study undertaken in the Mpigi District of Uganda. [Internet] [Thesis]. University of Cape Town; 2011. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/11285.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mabirizi D. Determinants of maternal delivery at rural health facilities a study undertaken in the Mpigi District of Uganda. [Thesis]. University of Cape Town; 2011. Available from: http://hdl.handle.net/11427/11285
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
13.
Machipisa, Tafadzwa.
Preliminary genealogical evidence for the Plakophilin-2 gene, PKP2 c.1162C>T founder mutation in cases with Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC).
Degree: Image, Paediatrics and Child Health, 2016, University of Cape Town
URL: http://hdl.handle.net/11427/23420
► Introduction: Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a progressive form of inherited heart muscle disease characterized by ventricular arrhythmias and sudden cardiac death. Often the…
(more)
▼ Introduction: Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a progressive form of inherited heart muscle disease characterized by ventricular arrhythmias and sudden cardiac death. Often the pathogenesis is linked to deleterious mutations in the desmosomal gene plakophilin-2 (PKP2). We extended investigations of the pathogenic PKP2 c.1162C>T founder mutation which had previously been reported to occur within four 'unrelated' probands (6.2%) who selfidentified as Afrikaners and who also carried a common haplotype. Common evolutionary history suggests common haplotypes are linked to a common founder and today the Afrikaner populations are a unique ethnic group in South Africa identified with various founder effects for a range of heritable disorders. Aim: This study aimed to identify the common founder using genealogical and molecular methods for the PKP2 c.1162C>T mutation in ARVC families of Afrikaner descent in South Africa. Methods and results: DNA was collected from 46 participants (7 probands and 39 relatives) from the ARVC Registry of South Africa. Probands and relatives were screened for the PKP2 c.1162C>T mutation using High Resolution Melt and Sanger sequencing. The genetic results indicated that 65.2% (30/46) of the family members harbored this mutation. High Resolution Melt, Sanger sequencing and microsatellite typing were used to create a haplotype which encompassed the c.1162C>T mutation and three microsatellite markers (M1, D12S1692 and M2) spanning the PKP2 gene. A common haplotype emerged that segregated amongst all of the affected members of the seven Afrikaner families. Genealogical tracing went back, through multiple generations, into the implicated ancestral lines of the present day Afrikaner families. Four of the seven families attained their 17th century progenitors. Through genealogical analyses of the two largest families, ACM 19 and ACM 38, we identified 116 couples which we reduced to ten candidate South African founder couples who were then subjected to further analyses. After the ACM 12 family was added to the analysis there were five candidate founder couples. Unfortunately, the ACM 71 family did not progress past the 20th century due to tracing difficulties associated with poor record keeping of mixed ancestry data in South Africa and hence, could not be linked back to any other family tree without finding ACM71.5's grandparents. Additionally, ACM 8 and 57 families were recent finds and completion of their genealogical tracing still has to done. Conclusions: Our genetic data showed that not only were 30/46 individuals positive for the PKP2 c.1162C>T mutation but that all 30 individuals also shared the same common haplotype. Our preliminary genealogy tracing data suggests that the PKP2 c.1162C>T mutation segregates at a higher frequency in the Afrikaner population possibly due to a founder effect. The genealogical evidence supports the hypothesis that the PKP2 c.1162C>T mutation is a founder mutation and that descendants of the common founders are at risk of developing ARVC. At…
Advisors/Committee Members: Shaboodien, Gasnat (advisor), Mayosi, Bongani M (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
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CSE |
Export
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APA (6th Edition):
Machipisa, T. (2016). Preliminary genealogical evidence for the Plakophilin-2 gene, PKP2 c.1162C>T founder mutation in cases with Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC). (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/23420
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Machipisa, Tafadzwa. “Preliminary genealogical evidence for the Plakophilin-2 gene, PKP2 c.1162C>T founder mutation in cases with Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC).” 2016. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/23420.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Machipisa, Tafadzwa. “Preliminary genealogical evidence for the Plakophilin-2 gene, PKP2 c.1162C>T founder mutation in cases with Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC).” 2016. Web. 04 Mar 2021.
Vancouver:
Machipisa T. Preliminary genealogical evidence for the Plakophilin-2 gene, PKP2 c.1162C>T founder mutation in cases with Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC). [Internet] [Thesis]. University of Cape Town; 2016. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/23420.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Machipisa T. Preliminary genealogical evidence for the Plakophilin-2 gene, PKP2 c.1162C>T founder mutation in cases with Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC). [Thesis]. University of Cape Town; 2016. Available from: http://hdl.handle.net/11427/23420
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
14.
Mwenyekonde, Elled.
Assessing some of the associations with perinatal mortality at Kamuzu central hospital in Lilongwe, Malawi.
Degree: Image, Paediatrics and Child Health, 2012, University of Cape Town
URL: http://hdl.handle.net/11427/10619
► The study objectives were to: determine the prevalence of perinatal mortality (PNM) and causes of early neonatal deaths (ENNDs), describe socio-demographic factors of mothers with…
(more)
▼ The study objectives were to: determine the prevalence of perinatal mortality (PNM) and causes of early neonatal deaths (ENNDs), describe socio-demographic factors of mothers with PNM and assess some of the associations with PNM at Kamuzu Central Hospital.
Advisors/Committee Members: Greenfield, David (advisor), Muula, Adamson S (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
Chicago ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mwenyekonde, E. (2012). Assessing some of the associations with perinatal mortality at Kamuzu central hospital in Lilongwe, Malawi. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/10619
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mwenyekonde, Elled. “Assessing some of the associations with perinatal mortality at Kamuzu central hospital in Lilongwe, Malawi.” 2012. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/10619.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mwenyekonde, Elled. “Assessing some of the associations with perinatal mortality at Kamuzu central hospital in Lilongwe, Malawi.” 2012. Web. 04 Mar 2021.
Vancouver:
Mwenyekonde E. Assessing some of the associations with perinatal mortality at Kamuzu central hospital in Lilongwe, Malawi. [Internet] [Thesis]. University of Cape Town; 2012. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/10619.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mwenyekonde E. Assessing some of the associations with perinatal mortality at Kamuzu central hospital in Lilongwe, Malawi. [Thesis]. University of Cape Town; 2012. Available from: http://hdl.handle.net/11427/10619
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
15.
Jubr, Soad.
Autism Spectrum Disorder: Assessing the level of knowledge and perceived challenges to early diagnosis and intervention among general practitioners in the city of Tripoli, Libya.
Degree: MPhil, Paediatrics and Child Health, 2018, University of Cape Town
URL: http://hdl.handle.net/11427/29242
► Introduction Autism spectrum disorder (ASD) is an important global health problem. It has been shown that early diagnosis and intervention can improve the outcomes in…
(more)
▼ Introduction
Autism spectrum disorder (ASD) is an important global
health problem. It has been shown that early diagnosis and intervention can improve the outcomes in affected children. Lack of knowledge about ASD among
health care practitioners can delay the identification of children with ASD as well as early intervention. Currently, a dearth of epidemiological information exists regarding ASD in Africa. The aim of this study was to assess the knowledge of general practitioners (GPs) in Libya regarding ASD and to identify perceived challenges by GPs to early diagnosis and intervention of children with ASD in Libya. The study included the working GPs in the city of Tripoli.
Methodology
This cross-sectional descriptive study was conducted between 1st June 2017 to 31st August 2017 and utilized an electronic platform, the Research Electronic Data Capture (REDCap) from the University of Cape Town to collect study information. The Knowledge about Childhood Autism among Healthcare Workers (KCAHW) is validated questionnaire that explores
health care worker knowledge about ASD across four domains. The KCAHW was used in combination with a more detailed questionnaire which explored challenges to early identification and interventions by GP’s in Libya. Descriptive statistics are reported in percentages and the Wilcoxon rank sum test was used to explore relationships between domain knowledge scores with age and gender as well as years of experience as a GP.
Results
The number of surveys returned to the REDCap application survey site was 215 which represent a response rate of 58.1%. However, the number of complete responses which could be included in data analysis was found to be only 62, indicating an overall response rate of 16.7%. The median age of the participants was 30 years old, IQR (29-33) years with a female predominance amongst participants (n= 55, 89%). The total median score from the knowledge questionnaire was 10, IQR (8- 12). No statistical differences could be found between domain knowledge scores and participants' age, gender and work practice. Participants showed good knowledge about stereotypical movements and repetitive behaviours in ASD, but 48% were not aware of comorbidities associated with ASD. The main challenges identified by GPs in the management of ASD were lack of awareness, insufficient experience, and
health infrastructure in Libya as well as social stigma associated with developmental disorders.
Conclusion and recommendations
GPs in Libya have limited knowledge about certain aspects of ASD. A number of challenges were identified by GPs which hamper the early identification and management of ASD in Libya. There is a need to improve undergraduate medical training about ASD as well as to offer ongoing medical education to GP’s to improve recognition and management of ASD in Libya. Further research is indicated to explore the epidemiology, clinical spectrum and severity of ASD as well as intervention in Libya
Advisors/Committee Members: Peterson, Reneva (advisor), Shea, Jawaya (advisor).
Subjects/Keywords: Maternal and Child Health
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APA (6th Edition):
Jubr, S. (2018). Autism Spectrum Disorder: Assessing the level of knowledge and perceived challenges to early diagnosis and intervention among general practitioners in the city of Tripoli, Libya. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/29242
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Jubr, Soad. “Autism Spectrum Disorder: Assessing the level of knowledge and perceived challenges to early diagnosis and intervention among general practitioners in the city of Tripoli, Libya.” 2018. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/29242.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Jubr, Soad. “Autism Spectrum Disorder: Assessing the level of knowledge and perceived challenges to early diagnosis and intervention among general practitioners in the city of Tripoli, Libya.” 2018. Web. 04 Mar 2021.
Vancouver:
Jubr S. Autism Spectrum Disorder: Assessing the level of knowledge and perceived challenges to early diagnosis and intervention among general practitioners in the city of Tripoli, Libya. [Internet] [Thesis]. University of Cape Town; 2018. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/29242.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Jubr S. Autism Spectrum Disorder: Assessing the level of knowledge and perceived challenges to early diagnosis and intervention among general practitioners in the city of Tripoli, Libya. [Thesis]. University of Cape Town; 2018. Available from: http://hdl.handle.net/11427/29242
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
16.
Speth, Eva-Maria.
Child sexual abuse in Malawi a retrospective audit of documented cases at Queen Elizabeth Central Hospital, Blantyre, in 2009.
Degree: Image, Paediatrics and Child Health, 2012, University of Cape Town
URL: http://hdl.handle.net/11427/10864
► Child abuse in different forms, ranging from domestic violence against children to sexual abuse, is a worldwide phenomenon with a dramatic influence on the future…
(more)
▼ Child abuse in different forms, ranging from domestic violence against children to sexual abuse, is a worldwide phenomenon with a dramatic influence on the future of the abused
child. In African countries, the number of reported cases is rising which may be a result of increased awareness amongst medical staff and parents. In sub-Saharan Africa, outside South Africa, there has been limited research on
child abuse, in particular on
child sexual abuse, and little is known about the extent of
health services offered to the victims.
Advisors/Committee Members: van As, Arjan Bastiaan (Sebastian) (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
Chicago ·
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CSE |
Export
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Manager
APA (6th Edition):
Speth, E. (2012). Child sexual abuse in Malawi a retrospective audit of documented cases at Queen Elizabeth Central Hospital, Blantyre, in 2009. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/10864
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Speth, Eva-Maria. “Child sexual abuse in Malawi a retrospective audit of documented cases at Queen Elizabeth Central Hospital, Blantyre, in 2009.” 2012. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/10864.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Speth, Eva-Maria. “Child sexual abuse in Malawi a retrospective audit of documented cases at Queen Elizabeth Central Hospital, Blantyre, in 2009.” 2012. Web. 04 Mar 2021.
Vancouver:
Speth E. Child sexual abuse in Malawi a retrospective audit of documented cases at Queen Elizabeth Central Hospital, Blantyre, in 2009. [Internet] [Thesis]. University of Cape Town; 2012. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/10864.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Speth E. Child sexual abuse in Malawi a retrospective audit of documented cases at Queen Elizabeth Central Hospital, Blantyre, in 2009. [Thesis]. University of Cape Town; 2012. Available from: http://hdl.handle.net/11427/10864
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
17.
Aku, Amwe.
The influence of maternal socio-economic status on infant feeding practices and anthropometry of HIV-exposed infants.
Degree: Image, Paediatrics and Child Health, 2013, University of Cape Town
URL: http://hdl.handle.net/11427/6093
► The purpose of this quantitative, descriptive, cross sectional survey was to determine whether maternal socio-economic status has an influence on infant feeding practices, nutrition and…
(more)
▼ The purpose of this quantitative, descriptive, cross sectional survey was to determine whether
maternal socio-economic status has an influence on infant feeding practices, nutrition and growth status of HIV-exposed infants at Delft Community
Health Centre. The aim of this study was to describe the influence of
maternal socioeconomic status on infant feeding practices and infant anthropometric measurements. Information was collected from 125 mother-infant pairs who presented at the
health clinic with infants aged between six weeks to six months. The WHO anthropometry calculator was used to determine the z scores of the anthropometric measurements. One hundred and twenty five Case Report Forms of mother-infant pairs were analyzed. Few infants were underweight if their mothers’ personal income or total household income were more than R800.00 per month, 12.7% and 1% respectively. Nearly twice as many infants (49.6%) of the single mothers were underweight as compared to infants (19.8%) whose parents were married. Similarly, twice as many infants (50%) were underweight if their mothers walked to the
health facility compared to 23.8% of infants’ whose mothers’ used taxis. Education and employment status of mothers appear to prevent infants from becoming underweight as twice as many infants (55.8%) were underweight when their mothers did not complete secondary school compared to 23.3% of infants whose mothers did complete secondary school. Nearly four-fold more infants (59.5%) were underweight if their mothers were unemployed compared to those infants (14.9%) whose mother were employed. Housing, the presence of a flush toilet or running tap water in the house did not improve the body mass index of infants. A total of 57.4% of infants whose mothers resided in brick houses, 71.9% of infants whose mothers had access to flush toilets and 57.5% who had running tap water in the house were still underweight. Infants whose mothers lived in houses with less than two rooms or where 3-4 people occupy the house had higher risk of being underweight (54.6% and 40.5% respectively). Underweight children were still prevalent even if the room were occupied by only one person (50%) of 1-2 children (67.2%). All women chose to formula feed their infants after receiving infant feeding counselling. Despite the availability of free replacement feeds there were evidence that infants were not properly fed.
Advisors/Committee Members: Shea, Jawaya (advisor), Nikodem, Cheryl (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
Chicago ·
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CSE |
Export
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Manager
APA (6th Edition):
Aku, A. (2013). The influence of maternal socio-economic status on infant feeding practices and anthropometry of HIV-exposed infants. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/6093
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Aku, Amwe. “The influence of maternal socio-economic status on infant feeding practices and anthropometry of HIV-exposed infants.” 2013. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/6093.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Aku, Amwe. “The influence of maternal socio-economic status on infant feeding practices and anthropometry of HIV-exposed infants.” 2013. Web. 04 Mar 2021.
Vancouver:
Aku A. The influence of maternal socio-economic status on infant feeding practices and anthropometry of HIV-exposed infants. [Internet] [Thesis]. University of Cape Town; 2013. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/6093.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Aku A. The influence of maternal socio-economic status on infant feeding practices and anthropometry of HIV-exposed infants. [Thesis]. University of Cape Town; 2013. Available from: http://hdl.handle.net/11427/6093
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
18.
Mohamed, Ekram.
Assessment of antenatal and intrapartum referrals to Mowbray Maternity Hospital in Cape Town, South Africa.
Degree: Image, Paediatrics and Child Health, 2017, University of Cape Town
URL: http://hdl.handle.net/11427/25453
► Introduction: A continuous and concerning increase in the number of deliveries at Mowbray Maternity Hospital (MMH) has been noted over the years and now comprises…
(more)
▼ Introduction: A continuous and concerning increase in the number of deliveries at Mowbray Maternity Hospital (MMH) has been noted over the years and now comprises a greater proportion of deliveries compared to deliveries conducted by midwives at midwife obstetric units (MOUs). To date there have been no studies assessing the changes in the pattern of deliveries at MMH. This study describes the antenatal and intrapartum referrals at MMH in 2005 and 2013, to identify any changes and whether or not referrals are appropriate. Method: This is a descriptive study with an analytic component involving review of a sample of hospital folders (138 for 2005 and 246 for 2013) of women who delivered at MMH from January to December 2005 and 2013. Results: The mean age of referred women was 27.259 (SD ± 6.277) years and 27.326 (SD ± 6.025) years in 2005 and 2013, respectively, with no significant statistical difference (p = 0.918). There was also no significant statistical difference (p=0.056) in the proportion of coloured, black or white women who delivered at MMH during 2005 and 2013. In 2005, a total of 27 (52.2 %) delivered women were single, 54 (39.1%) were married and two (1.4%) were divorced. In 2013, a total of 178 (72.4%) women were single, 65 (26.4%) were married and three (1.2%) were divorced, with a significant statistical difference (p < 0.001). In 2005, 75 (54.3%) women were unemployed and 46 (33.3%) were employed, whereas in 2013, 172 (69.9%) women were unemployed and 69 (28%) were employed, which shows a significant statistical difference (p < 0.001). In 2005, women mostly resided in Mitchell's Plain (32.6%), Gugulethu (28.3%) or in Khayelitsha (27.5%). In 2013, most women resided in Mitchell's plain (33.7%), Gugulethu (24.4%), Retreat 48 (19.5%) and Southern Peninsula 31 (12.6%), which represents a significant statistical difference (p= 0.001). 2 The median parity for 2005 sample was 1 (IQR: from 0 to 2), while in 2013 it was 1 (IQR: from 0 to 1). Although most women (94.2% versus 95.1%) booked at antenatal clinics in 2005 and 2013 respectively, with no significant statistical difference (p=0.697), the gestational age at first ANC differed significantly (p < 0.001) (median 24 versus 19 weeks). In 2005, the median number of ANC visits was five (IQR: from 4 to 7) visits, whereas the median was six (IQR: from 5 to 8) visits in 2013, with a significant statistical difference (p= 0.013). Over half of referred women (55.8% and 50.8%) in 2005 and 2013 respectively were delivered by normal vaginal delivery. The remainder had either a caesarean section or assisted delivery, with no significant statistical difference (p=0.139). Most women were referred from MOUs in both 2005 and 2013, at 90.6% and 85.45% respectively, with a significant statistical difference (p < 0.001). During both years virtually all pregnancies were considered high risk and the most common reason for referral was previous caesarean section (18.8% versus 19.9% respectively). For both years most pregnancy referrals experienced one, or more, antenatal risk…
Advisors/Committee Members: Shea, Jawaya (advisor), Greenfield, David (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
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Manager
APA (6th Edition):
Mohamed, E. (2017). Assessment of antenatal and intrapartum referrals to Mowbray Maternity Hospital in Cape Town, South Africa. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/25453
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mohamed, Ekram. “Assessment of antenatal and intrapartum referrals to Mowbray Maternity Hospital in Cape Town, South Africa.” 2017. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/25453.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mohamed, Ekram. “Assessment of antenatal and intrapartum referrals to Mowbray Maternity Hospital in Cape Town, South Africa.” 2017. Web. 04 Mar 2021.
Vancouver:
Mohamed E. Assessment of antenatal and intrapartum referrals to Mowbray Maternity Hospital in Cape Town, South Africa. [Internet] [Thesis]. University of Cape Town; 2017. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/25453.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mohamed E. Assessment of antenatal and intrapartum referrals to Mowbray Maternity Hospital in Cape Town, South Africa. [Thesis]. University of Cape Town; 2017. Available from: http://hdl.handle.net/11427/25453
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
19.
Leopeng, Makiti Thelma.
Translations of informed consent documents for clinical trials in South Africa: are they readable?.
Degree: MPhil, Paediatrics and Child Health, 2019, University of Cape Town
URL: http://hdl.handle.net/11427/31021
► 1. Introduction: Obtaining Informed consent is an ethical prerequisite for enrollment in clinical research. There is a perception that Informed consent documents used in biomedical…
(more)
▼ 1. Introduction: Obtaining Informed consent is an ethical prerequisite for enrollment in clinical research. There is a perception that Informed consent documents used in biomedical research are lengthy, overly complex and above the reading capability of typical research participants. In South Africa, ethical committees regulating research on human participants (HRECs) are mandated by the Department of Health’s National
Health Research Ethics Council’s (NHREC) guidelines to ensure that researchers have made special considerations for vulnerable groups when conducting research. This includes considerations made for populations with low literacy. For example, the Standard Operating Procedure (SOP) of the University of Cape Town’s Human Research Ethics Committee (UCTHREC), requires that the language used in Informed consent documents should be directed at a reading level of grade 6 to 8 and that common, everyday words should be used rather than complex language syntax. The HREC expects researchers to translate the approved English version documents into local languages such as isiXhosa and Afrikaans. Since ethics committee focus approval on the English language consent documents and only acknowledge translated versions, a potential gap in this process is whether the translated versions meet the same required readability levels. This study aims to investigate whether translated versions of English language informed consent documents used at a single busy clinical research site are readable and meet the readability levels specified by UCTHREC. 2. Methodology: A quantitative descriptive statistical design was used to explore readability levels of informed consent documents used at a single clinical research facility based in a semi-rural community. Informed consent documents approved by UCTHREC over the past thirteen years (2004 to 2017) that met the inclusion criteria were analysed for readability. The LIX readability test tool was used to calculate readability scores and the levels of reading difficulty. These scores were then matched to a grade level conversion chart to determine the equivalent number of education years required to be able to easily understand the information. Readability levels were determined for isiXhosa and Afrikaans translations of the documents and compared to the levels of the English document. 3. Results: The results indicate that informed consent documents used at this single clinical research facility, independent of language type, are difficult to read. A total of 259 sub-sections of informed consent documents from 10 different studies were analysed. The analysis showed that informed consent documents were classified as “very difficult to read” according to the LIX readability tool in a large proportion of English, isiXhosa and Afrikaans languages: 41 (16%), 255 (98%), and 85 (33%) of informed consent sections respectively. Of all the subsections of English, isiXhosa and Afrikaans documents respectively, 98 (38%), 0 (0%) and 126 (49%) were classified as “difficult to read”, while 79 (31%), 3…
Advisors/Committee Members: Geldenhuys, Hendrik (advisor), Murandu, Moses (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
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CSE |
Export
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Manager
APA (6th Edition):
Leopeng, M. T. (2019). Translations of informed consent documents for clinical trials in South Africa: are they readable?. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/31021
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Leopeng, Makiti Thelma. “Translations of informed consent documents for clinical trials in South Africa: are they readable?.” 2019. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/31021.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Leopeng, Makiti Thelma. “Translations of informed consent documents for clinical trials in South Africa: are they readable?.” 2019. Web. 04 Mar 2021.
Vancouver:
Leopeng MT. Translations of informed consent documents for clinical trials in South Africa: are they readable?. [Internet] [Thesis]. University of Cape Town; 2019. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/31021.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Leopeng MT. Translations of informed consent documents for clinical trials in South Africa: are they readable?. [Thesis]. University of Cape Town; 2019. Available from: http://hdl.handle.net/11427/31021
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
20.
Alagba, Alexander Adedotun.
Attitudes and perceptions of males towards contraceptives services in Engela District of Ohangwena Region, Namibia.
Degree: MPhil, Paediatrics and Child Health, 2019, University of Cape Town
URL: http://hdl.handle.net/11427/31370
► Introduction In sub-Saharan Africa the unmet need for contraception for married couples is estimated to be 24%, with rural, uneducated, poor women generally experiencing a…
(more)
▼ Introduction
In sub-Saharan Africa the unmet need for contraception for married couples is estimated to be 24%, with rural, uneducated, poor women generally experiencing a greater risk for unplanned, unwanted pregnancies compared to their urban, educated, well informed counterparts. Recommendations for addressing unmet contraceptive need are inclined to emphasise family planning programmatic efforts. The role of men in contraceptive decisions tends to receive less attention, the perception being that men are often uninvolved and unsupportive of the contraceptive needs of their female partners. This study reviewed the attitudes and perceptions of men about contraceptive services in Engela District of the Ohangwena Region, Namibia.
Methods
A qualitative study was conducted using Focus Group Discussions (FGD) and Key Informant Interviews (KII) with men and women aged between 18-60 years residing in the Engela district of the Ohangwena Region. Men and women were purposively selected and participated in four and two focus group discussions respectively to explore the
subject. Interviews with six influential and respected key informants, including government officials and community leaders were conducted. Data generated from the interviews were transcribed, coded, and content analysis conducted. Based on the research domain, themes and subthemes were generated. Purposive sampling was done. Many people were contacted to participate as participants in the research, some declined from participating due to lack of interest, and it was only those that were keen on participating that were enlisted by the research assistants. Influential leaders, respected in the community were also selected as KII.
Results
The findings revealed that specific reproductive
health issues are common in the community, with a high level of awareness of family planning and contraceptives among men and women, many women having access to contraceptives Yet men held negative views about women’s decision to use contraceptives without their consideration and approval by them. The results indicated that community-level information was not ideal, and should be improved.
Conclusion
The study showed that most of the men who participated in the study are well informed about family planning and available contraceptive options for both men and women. It also revealed the attitudes and perceptions of men to FP and contraception use of women. However, there is little male involvement in contraceptive decisions.
Advisors/Committee Members: Shea, Jawaya (advisor), Akpabio, Ebong E (advisor).
Subjects/Keywords: Maternal and Child Health
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APA ·
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APA (6th Edition):
Alagba, A. A. (2019). Attitudes and perceptions of males towards contraceptives services in Engela District of Ohangwena Region, Namibia. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/31370
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Alagba, Alexander Adedotun. “Attitudes and perceptions of males towards contraceptives services in Engela District of Ohangwena Region, Namibia.” 2019. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/31370.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Alagba, Alexander Adedotun. “Attitudes and perceptions of males towards contraceptives services in Engela District of Ohangwena Region, Namibia.” 2019. Web. 04 Mar 2021.
Vancouver:
Alagba AA. Attitudes and perceptions of males towards contraceptives services in Engela District of Ohangwena Region, Namibia. [Internet] [Thesis]. University of Cape Town; 2019. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/31370.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Alagba AA. Attitudes and perceptions of males towards contraceptives services in Engela District of Ohangwena Region, Namibia. [Thesis]. University of Cape Town; 2019. Available from: http://hdl.handle.net/11427/31370
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
21.
Osano, Bonface Ombaba.
Morbidity and mortality among 5-17 year old children admitted in five hospitals in Kenya in the year 2013.
Degree: Image, Paediatrics and Child Health, 2015, University of Cape Town
URL: http://hdl.handle.net/11427/16723
► Background: Global morbidity and mortality trends have changed over time and are expected to continue changing. Preventable diseases, such as those caused by infectious agents,…
(more)
▼ Background: Global morbidity and mortality trends have changed over time and are expected to continue changing. Preventable diseases, such as those caused by infectious agents, still account for a large proportion of morbidity cases in Africa. With increased survival of children under five years old, there is likely to be a change in morbidity and mortality pattern s for children aged 6 - 18 years. However, there are few studies in Africa that explore the burden of disease (morbidity and mortality) and injuries in children above the age of five. This study aims to determine the morbidity and mortality patterns among children aged 5 - 17 years in six Kenyan hospitals in 2013. Methods: This study is designed as a retrospective review of patients' medical records. Data was collected from all patient records at Kisii Level 5 Hospital (KL5H), Naivasha County Referral Hospital, Karatina Hospital, Garissa Provincial General Hospital, Mbagathi District Hospital , and Gertrude ' s Children ' s Hospital in Kenya , of patients who presented from the 1st day of January to 31st December 2013. Data was analysed to provide descriptive statistics and Pearson's chi - square test and odds ratios were calculated to explore differences in morbidity and mortality rates between age categories, gender and hospitals. Results: 4 520 patient records were retrieved for patients who met the inclusion criteria. Among these admissions, 70% suffered from communicable diseases,
maternal causes or nutritional diseases (32.3% were common infectious diseases , such as malaria and diarrhoea ; 14.9% were respiratory infections ; 24% were pregnancy related ), 33.1% suffered from non - communicable diseases , while 13% of the admissions had injuries (mainly from falls/trips and road traffic accidents), with motorcycles causing the majority (58%) of road traffic accidents . Injuries increased with age for males. The in-hospital mortality rate was 3.5%. Among deaths, 60% suffered from communicable diseases,
maternal and nutritional causes; 41.3% suffered from non - communicable diseases and 11.9% had injuries. There were variations in admissions and deaths between the ages, gender s and hospitals. There were more female (57%) patients admitted but more male (57%) deaths. Conclusion: Infectious and
maternal cause s are the biggest contributor to morbidity while infectious causes have the highest proportion of causes of death. There is a need to understand why the high proportion of females under 18 years of age is admitted for
maternal al causes and to develop reproductive
health services to better address the
health care needs of adolescents on Kenya.
Advisors/Committee Members: Mathews, Shanaaz (advisor), Were, Fred N (advisor).
Subjects/Keywords: Maternal and Child Health
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Manager
APA (6th Edition):
Osano, B. O. (2015). Morbidity and mortality among 5-17 year old children admitted in five hospitals in Kenya in the year 2013. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/16723
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Osano, Bonface Ombaba. “Morbidity and mortality among 5-17 year old children admitted in five hospitals in Kenya in the year 2013.” 2015. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/16723.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Osano, Bonface Ombaba. “Morbidity and mortality among 5-17 year old children admitted in five hospitals in Kenya in the year 2013.” 2015. Web. 04 Mar 2021.
Vancouver:
Osano BO. Morbidity and mortality among 5-17 year old children admitted in five hospitals in Kenya in the year 2013. [Internet] [Thesis]. University of Cape Town; 2015. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/16723.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Osano BO. Morbidity and mortality among 5-17 year old children admitted in five hospitals in Kenya in the year 2013. [Thesis]. University of Cape Town; 2015. Available from: http://hdl.handle.net/11427/16723
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Stellenbosch University
22.
Gebhardt, Gabriel Stephanus.
A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012.
Degree: PhD, Obstetrics and Gynaecology, 2016, Stellenbosch University
URL: http://hdl.handle.net/10019.1/100351
► ENGLISH ABSTRACT: This thesis is a critical evaluation of the impact of service delivery shifts within maternity care on the clinical governance of a well-defined…
(more)
▼ ENGLISH ABSTRACT: This thesis is a critical evaluation of the impact of service delivery shifts within maternity care on the clinical governance of a well-defined geographical service delivery area (Metro East section of the Cape Town health district) during 2007 to 2012. This period saw the implementation of a comprehensive health plan that envisaged the provision of safe maternity care at a non-specialist hospital within the metropolitan area. The data presented in the first part of the thesis shows that well defined levels of maternity care can provide safe management of pregnancies in a large, well-functioning district hospital. A central event in this time period was the opening of a newly-built district hospital in Khayelitsha and the major change in the drainage boundaries of Tygerberg hospital to include referrals from this new hospital. The thesis presents all the clinical governance aspects that went into the planning and eventual execution of a maternity service and the impact it had on the base hospital.
The second part investigates the role of the regional maternity service in Tygerberg hospital as it relates to the clinical governance of the regional and district service in the Metro East sub-district. To this extent a few chapters place quality of care aspects such as structural audits, caesarean section rates, maternal and perinatal mortality data, medico-legal liability, patient and provider satisfaction and protocol compliance within this context. An in-depth root-cause analysis was made of all the obstetrics and gynaecology medico-legal cases within the Western Cape which showed that poor clinical note keeping was a major factor hampering defence of cases.
The information obtained from this thesis builds on the Western Cape healthcare plan for 2030 aimed at improving quality of care and wellness with an outcomes-based approach and the prioritisation of evidence-based interventions. It concludes with the description of a maternity dashboard for the Tygerberg labour ward and the Metro East maternity service based on the information obtained from this thesis. The tool can inform the hospital management on progress, successes and challenges within the system on a regular basis.
AFRIKAANSE OPSOMMING: Hierdie tesis is ‘n kritiese evaluasie van die impak van ‘n verandering in die diensleweringsplatform binne die konteks van verloskundige sorg in ‘n goed-omskrewe geografiese gebied (die Metro Oos deel van Kaapstad se gesondheidsdistrik) tussen 2007 en 2012. Tydens hierdie tydperk het die provinsiale gesondheidsdepartement ‘n omvattende gesondheidsplan geïmplementeer. Hierdie plan het voorsiening gemaak vir die lewering van veilige sorg vir swanger vouens in ‘n groot distrikshospitaal binne ‘n stedelike gebied. Die data wat in die eerste deel van die tesis weergegee word bewys dat hierdie sorg veilig kan geskied met die gebruik van goed gedefinieërde vlakke van sorg. ‘n Omvangryke verandering het in dieselfde tyd plaasgevind deurdat ‘n nuwe hopsitaal in Khayelitsha gebou is en die dreinasie grense van…
Advisors/Committee Members: Theron, Gerhardus Barnard, Stellenbosch University. Faculty of Medicine and Health Science. Dept. of Obstetrics and Gynaecology..
Subjects/Keywords: Maternal and child health services; Maternal health services; Healthcare; Pregnancy – Management
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APA ·
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APA (6th Edition):
Gebhardt, G. S. (2016). A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012. (Doctoral Dissertation). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/100351
Chicago Manual of Style (16th Edition):
Gebhardt, Gabriel Stephanus. “A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012.” 2016. Doctoral Dissertation, Stellenbosch University. Accessed March 04, 2021.
http://hdl.handle.net/10019.1/100351.
MLA Handbook (7th Edition):
Gebhardt, Gabriel Stephanus. “A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012.” 2016. Web. 04 Mar 2021.
Vancouver:
Gebhardt GS. A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012. [Internet] [Doctoral dissertation]. Stellenbosch University; 2016. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/10019.1/100351.
Council of Science Editors:
Gebhardt GS. A critical evaluation of health care reform in maternity services in the Western Cape Province of South Africa, 2007-2012. [Doctoral Dissertation]. Stellenbosch University; 2016. Available from: http://hdl.handle.net/10019.1/100351
University of KwaZulu-Natal
23.
Mmanga, Aliko.
Exploring the lived experiences of HIV-positive women on PMTCT option B+ strategy in a selected district hospital in Malawi.
Degree: M.N., Advanced midwifery, maternal and child health nursing, 2013, University of KwaZulu-Natal
URL: http://hdl.handle.net/10413/11093
► In July 2011, The Malawi government started implementing an innovative PMTCT policy known as Option B+ strategy that provides universal lifelong ART for all HIV-infected…
(more)
▼ In July 2011, The Malawi government started implementing an innovative PMTCT policy known as Option B+ strategy that provides universal lifelong ART for all HIV-infected pregnant and breastfeeding women regardless of clinical or immunological stage. Even though Option B+ strategy is a good choice for Malawi, there is fear that the programme may be affected by poor access, utilisation, adherence and retention.
Aim: The aim of this study was to explore the lived experiences of HIV-positive women on Option B+ strategy in a selected district hospital in Malawi.
Methodology: A Hermeneutics phenomenological approach was used in this study to explore the lived experiences of HIV-positive women on Option B+ strategy through in-depth interviews of five purposely sampled information rich sources. Interviews were audio-taped and transcribed, then manual data analysis using Giorgi’s approach was employed to identify meaningful segments and develop categories, themes and sub-themes.
Results: The lifelong commitment was described as the most challenging aspect of Option B+ strategy. Participants demonstrated lack of knowledge and understanding of Option B+ strategy and its implications which rendered them poorly prepared and unready for the task. The un optional Opt-out HIV testing resulted in participants feeling left out in their own care, as
health professionals dominated the care from HIV testing throughout the process. The importance of male involvement in PMTCT was revealed in promoting partner HIV testing, disclosure, support, and prevention of further HIV spread. Barriers to participation were described in terms of attitudes of
health care workers, stigma and discrimination. Despite the overemphasised need for women to be supported on Option B+ strategy participants were not willing to seek available sources of formal support.
Advisors/Committee Members: De Beer, Jennifer. (advisor).
Subjects/Keywords: Advanced midwifery; maternal and child health nursing.
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APA (6th Edition):
Mmanga, A. (2013). Exploring the lived experiences of HIV-positive women on PMTCT option B+ strategy in a selected district hospital in Malawi. (Masters Thesis). University of KwaZulu-Natal. Retrieved from http://hdl.handle.net/10413/11093
Chicago Manual of Style (16th Edition):
Mmanga, Aliko. “Exploring the lived experiences of HIV-positive women on PMTCT option B+ strategy in a selected district hospital in Malawi.” 2013. Masters Thesis, University of KwaZulu-Natal. Accessed March 04, 2021.
http://hdl.handle.net/10413/11093.
MLA Handbook (7th Edition):
Mmanga, Aliko. “Exploring the lived experiences of HIV-positive women on PMTCT option B+ strategy in a selected district hospital in Malawi.” 2013. Web. 04 Mar 2021.
Vancouver:
Mmanga A. Exploring the lived experiences of HIV-positive women on PMTCT option B+ strategy in a selected district hospital in Malawi. [Internet] [Masters thesis]. University of KwaZulu-Natal; 2013. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/10413/11093.
Council of Science Editors:
Mmanga A. Exploring the lived experiences of HIV-positive women on PMTCT option B+ strategy in a selected district hospital in Malawi. [Masters Thesis]. University of KwaZulu-Natal; 2013. Available from: http://hdl.handle.net/10413/11093
24.
Broom, Margaret.
Facilitating change and evaluating impact during a neonatal intensive care redevelopment: A participatory action research project.
Degree: PhD, 2016, Australian Catholic University
URL: https://researchbank.acu.edu.au/theses/616
► There have been many reports indicating that if the design of Neonatal Intensive Care Units provides neonates with a more developmentally appropriate environment during the…
(more)
▼ There have been many reports indicating that if the design of Neonatal Intensive Care Units provides neonates with a more developmentally appropriate environment during the period of their admission, there would be significant neurodevelopmental benefits. To create such an environment, Neonatal Intensive Care floor plans have been modified from open plan to a single family room or larger rooms where 2-6 neonates are accommodated. Single family room design enables staff to adapt the physical environment (e.g. light, noise) to meet each neonate’s gestational age and sleep/wake cycle requirements. However, previous researchers have suggested that changing room design from an open plan to a single family room increased staff walking distance, workload and staffing requirements. Transitioning staff to a new design also requires changes in workflow and nursing practices.
In 2012, the Canberra Neonatal Intensive Care Unit transitioned from open plan to two cot design. The two focuses of this project were to find solutions to facilitate the change of room design and to add to current knowledge on facilitating staff transition to, and the effect on staff of, the two cot Neonatal Intensive Care Unit design.
Subjects/Keywords: Maternal; Child Health and Neonatal Nursing
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APA (6th Edition):
Broom, M. (2016). Facilitating change and evaluating impact during a neonatal intensive care redevelopment: A participatory action research project. (Doctoral Dissertation). Australian Catholic University. Retrieved from https://researchbank.acu.edu.au/theses/616
Chicago Manual of Style (16th Edition):
Broom, Margaret. “Facilitating change and evaluating impact during a neonatal intensive care redevelopment: A participatory action research project.” 2016. Doctoral Dissertation, Australian Catholic University. Accessed March 04, 2021.
https://researchbank.acu.edu.au/theses/616.
MLA Handbook (7th Edition):
Broom, Margaret. “Facilitating change and evaluating impact during a neonatal intensive care redevelopment: A participatory action research project.” 2016. Web. 04 Mar 2021.
Vancouver:
Broom M. Facilitating change and evaluating impact during a neonatal intensive care redevelopment: A participatory action research project. [Internet] [Doctoral dissertation]. Australian Catholic University; 2016. [cited 2021 Mar 04].
Available from: https://researchbank.acu.edu.au/theses/616.
Council of Science Editors:
Broom M. Facilitating change and evaluating impact during a neonatal intensive care redevelopment: A participatory action research project. [Doctoral Dissertation]. Australian Catholic University; 2016. Available from: https://researchbank.acu.edu.au/theses/616
University of Cape Town
25.
Singogo, Irene Miti.
Perinatal deaths in Lusaka, Zambia : mothers’ experiences and perceptions of care.
Degree: Image, Paediatrics and Child Health, 2014, University of Cape Town
URL: http://hdl.handle.net/11427/6015
Subjects/Keywords: Maternal Child Health
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APA (6th Edition):
Singogo, I. M. (2014). Perinatal deaths in Lusaka, Zambia : mothers’ experiences and perceptions of care. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/6015
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Singogo, Irene Miti. “Perinatal deaths in Lusaka, Zambia : mothers’ experiences and perceptions of care.” 2014. Thesis, University of Cape Town. Accessed March 04, 2021.
http://hdl.handle.net/11427/6015.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Singogo, Irene Miti. “Perinatal deaths in Lusaka, Zambia : mothers’ experiences and perceptions of care.” 2014. Web. 04 Mar 2021.
Vancouver:
Singogo IM. Perinatal deaths in Lusaka, Zambia : mothers’ experiences and perceptions of care. [Internet] [Thesis]. University of Cape Town; 2014. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/11427/6015.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Singogo IM. Perinatal deaths in Lusaka, Zambia : mothers’ experiences and perceptions of care. [Thesis]. University of Cape Town; 2014. Available from: http://hdl.handle.net/11427/6015
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Toronto
26.
Akseer, Nadia.
Maternal and Child Health and Nutrition in Afghanistan.
Degree: PhD, 2018, University of Toronto
URL: http://hdl.handle.net/1807/91812
► Afghanistan is an impoverished conflict-prone nation with some of the worst documented maternal and child health and survival indicators worldwide. Entering a period of relative…
(more)
▼ Afghanistan is an impoverished conflict-prone nation with some of the worst documented
maternal and
child health and survival indicators worldwide. Entering a period of relative stability after the 2001 US-led upheaval of Taliban governance, Afghanistan had, for the first time in decades, an opportunity for redevelopment and growth. Government, along with development partners, funders, civil society, NGOs and the global community, came together to rapidly expand basic infrastructure, strengthen the
health care system, and to scale-up
health services throughout the overwhelmingly rural population. This dissertation’s aim was to systematically document progress and determinants of
maternal and
child health intervention utilization and nutrition during the 2001 to 2014 time period, and to identify remaining geographical and socioeconomic inequalities. First, I examine determinants of improvements in two critical markers of
maternal and newborn
health and survival (skilled birth attendance and institutional deliveries) from 2003 to 2011 using nationally-representative survey data. Next, a thorough assessment of the socioeconomic and regional inequalities in essential reproductive,
maternal, newborn and
child health (RMNCH) interventions in Afghanistan is presented. Finally, I conduct modeling exercises of the basic, underlying and immediate determinants of undernutrition among children (
Advisors/Committee Members: Bhutta, Zulfiqar A, Dalla Lana School of Public Health.
Subjects/Keywords: Afghanistan; Child; Conflict; Health; Maternal; Nutrition; 0766
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APA (6th Edition):
Akseer, N. (2018). Maternal and Child Health and Nutrition in Afghanistan. (Doctoral Dissertation). University of Toronto. Retrieved from http://hdl.handle.net/1807/91812
Chicago Manual of Style (16th Edition):
Akseer, Nadia. “Maternal and Child Health and Nutrition in Afghanistan.” 2018. Doctoral Dissertation, University of Toronto. Accessed March 04, 2021.
http://hdl.handle.net/1807/91812.
MLA Handbook (7th Edition):
Akseer, Nadia. “Maternal and Child Health and Nutrition in Afghanistan.” 2018. Web. 04 Mar 2021.
Vancouver:
Akseer N. Maternal and Child Health and Nutrition in Afghanistan. [Internet] [Doctoral dissertation]. University of Toronto; 2018. [cited 2021 Mar 04].
Available from: http://hdl.handle.net/1807/91812.
Council of Science Editors:
Akseer N. Maternal and Child Health and Nutrition in Afghanistan. [Doctoral Dissertation]. University of Toronto; 2018. Available from: http://hdl.handle.net/1807/91812
27.
Fischer, Sheri Lynn.
Modification and Evaluation of the Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale.
Degree: MS, Graduate Nursing, 2013, South Dakota State University
URL: https://openprairie.sdstate.edu/etd/1408
► Parent activation is a form of collaborative involvement through which the parent becomes willing and vested in making healthcare decisions that minimizes risks that…
(more)
▼ Parent activation is a form of collaborative involvement through which the parent becomes willing and vested in making healthcare decisions that minimizes risks that their infant faces (Bodenheimer, 2005). However, parent activation has not been explored in mothers of preterm neonates. This study was a sub-study of a large, longitudinal development and validation design led by a PhD researcher. The focus of this particular study was to perform a comprehensive literature review on the topic, assist in the scale modification, and independently perform a Delphi round to examine the content validity of the newly developed Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale, using two panels of judges. A sample of mother and nurse expert judges rated the instrument’s items for clarity, relevance, and fit utilizing a fourpoint Likert scale. Content validity indices for each item were calculated and items with an I-CVI lower than 0.78 were deleted or modified (Lynn, 1986; Schilling et al., 2007) after items were reviewed by the research team and a consensus was reached on whether to modify or delete those items. Results demonstrated that the I-CVIs for 35 of 41 items ranged between 0.9 and 1 for all three categories for both mother and expert judges, with some of the 41 items needing minor modification. One item had I-CVIs lower than 0.78 for all three categories for the expert judges. However, this item had I-CVIs greater than 0.95 for the mother judges and required major modifications. The combined Scale-CVI for mother and nurse experts was 0.97. Based on the judge’s feedback, the scale was modified to include three additional items under self-efficacy to better reflect the mother’s
health literacy level, and motivation to participate in their infant’s medical decision process. The revised scale included 44 items. Study findings support the content validity of the Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale.
Advisors/Committee Members: Haifa Samra.
Subjects/Keywords: Maternal; Child Health and Neonatal Nursing
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APA (6th Edition):
Fischer, S. L. (2013). Modification and Evaluation of the Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale. (Masters Thesis). South Dakota State University. Retrieved from https://openprairie.sdstate.edu/etd/1408
Chicago Manual of Style (16th Edition):
Fischer, Sheri Lynn. “Modification and Evaluation of the Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale.” 2013. Masters Thesis, South Dakota State University. Accessed March 04, 2021.
https://openprairie.sdstate.edu/etd/1408.
MLA Handbook (7th Edition):
Fischer, Sheri Lynn. “Modification and Evaluation of the Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale.” 2013. Web. 04 Mar 2021.
Vancouver:
Fischer SL. Modification and Evaluation of the Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale. [Internet] [Masters thesis]. South Dakota State University; 2013. [cited 2021 Mar 04].
Available from: https://openprairie.sdstate.edu/etd/1408.
Council of Science Editors:
Fischer SL. Modification and Evaluation of the Late-preterm Screening and Multidisciplinary Risk Assessment and Parent Activation Scale. [Masters Thesis]. South Dakota State University; 2013. Available from: https://openprairie.sdstate.edu/etd/1408
28.
Barak, Madena.
Improving Breastfeeding Rates by Using Glucose Gel to Treat Newborn Hypoglycemia.
Degree: MSN, 2017, University of San Francisco
URL: https://repository.usfca.edu/capstone/535
► Newborn hypoglycemia occurs in 5-15% of newborns during the postnatal period (Weston et al., 2016). Typical treatment for hypoglycemia includes supplementing with formula, which…
(more)
▼ Newborn hypoglycemia occurs in 5-15% of newborns during the postnatal period (Weston et al., 2016). Typical treatment for hypoglycemia includes supplementing with formula, which causes a decrease in breastfeeding rates, decreasing patient satisfaction, and interfering with maternal-infant bonding. To combat this issue, a large community hospital in Southern California used Lewin’s Theory of Planned Change to implement an alternative intervention for the treatment of newborn hypoglycemia. Evidence based articles as well as collaboration with surrounding hospitals was used to support the use of oral dextrose gel instead of supplemental formula to treat newborn hypoglycemia. The hospital’s revised treatment protocol on the Labor and Delivery, Mother/Baby, and NICU units called for 24% oral glucose gel for infants with blood glucose levels less than 40 mg/dL. The results of the project are yet to be determined but the goal is to increase breastfeeding rates by 20% from the previous 2016 rate of 65%, thereby increasing patient satisfaction and maternal-child bonding.
Subjects/Keywords: Maternal; Child Health and Neonatal Nursing
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APA (6th Edition):
Barak, M. (2017). Improving Breastfeeding Rates by Using Glucose Gel to Treat Newborn Hypoglycemia. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/535
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Barak, Madena. “Improving Breastfeeding Rates by Using Glucose Gel to Treat Newborn Hypoglycemia.” 2017. Thesis, University of San Francisco. Accessed March 04, 2021.
https://repository.usfca.edu/capstone/535.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Barak, Madena. “Improving Breastfeeding Rates by Using Glucose Gel to Treat Newborn Hypoglycemia.” 2017. Web. 04 Mar 2021.
Vancouver:
Barak M. Improving Breastfeeding Rates by Using Glucose Gel to Treat Newborn Hypoglycemia. [Internet] [Thesis]. University of San Francisco; 2017. [cited 2021 Mar 04].
Available from: https://repository.usfca.edu/capstone/535.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Barak M. Improving Breastfeeding Rates by Using Glucose Gel to Treat Newborn Hypoglycemia. [Thesis]. University of San Francisco; 2017. Available from: https://repository.usfca.edu/capstone/535
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
29.
Fung, Joyce.
The need of lactation consultant for night shift.
Degree: MSN, 2017, University of San Francisco
URL: https://repository.usfca.edu/capstone/624
► Abstract Breastfeeding can provide many health benefits for both mother and baby. To increase the health benefits for patients, a change project will be…
(more)
▼ Abstract
Breastfeeding can provide many health benefits for both mother and baby. To increase the health benefits for patients, a change project will be implemented to increase the rates of exclusive breastfeeding for postpartum patients. The project will be focusing on teaching and be providing information on health benefits of exclusive breastfeeding. Our project is aiming to increase the rates of exclusive breastfeeding by providing lactation consultants during night shift.
Surveys and interviews were conducted pre-program and found most patients are unaware of the health benefits of breastfeeding and the lactation consultant services provided by the hospital. The method used to assist in implementation of this project was Lewin’s Change Theory. This theory focuses on three stages to best help change projects. The first stage is unfreezing; the phase focuses on the recognition of a problem within the facility. The second stage is moving; this process involves in-depth discussion to cultivate this new project. The last phase is refreezing, in this stage, the new process has begun implementation. This stage is vital in the sustainability of this project.
A Root Cause Analysis was explored to substantiate the need for this project. This analysis showed that our patients’ lack of knowledge and information provided along with the negative social norms were causative factors in our patients’ hesitancy for exclusive breastfeeding. A cost analysis was conducted and found that hospitalization for an infant who is breastfed exclusively will cost 0 for breast milk, while infants on formula will cost approximately 0.19 per ounce.
There was not an opportunity to evaluate this project due to many contributory factors in implementation. There have been many discrepancies in different departments and between day and night shifts, which caused a delay in the execution of this project. Further clarification on discrepancies between shifts and departments is needed to gain success with this project.
Once this project is fully functional it is anticipated that there will be a 20% increase in exclusive breastfeeding rates, and a positive patient outcome is expected. Patient satisfaction scores will be gathered at the six-month mark to measure the success of this project. The summation of this project will be to increase exclusive breastfeeding rates for patients in postpartum, which is beneficial for the health of both mother and baby.
Subjects/Keywords: Maternal; Child Health and Neonatal Nursing
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APA ·
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MLA ·
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Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Fung, J. (2017). The need of lactation consultant for night shift. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/624
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Fung, Joyce. “The need of lactation consultant for night shift.” 2017. Thesis, University of San Francisco. Accessed March 04, 2021.
https://repository.usfca.edu/capstone/624.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Fung, Joyce. “The need of lactation consultant for night shift.” 2017. Web. 04 Mar 2021.
Vancouver:
Fung J. The need of lactation consultant for night shift. [Internet] [Thesis]. University of San Francisco; 2017. [cited 2021 Mar 04].
Available from: https://repository.usfca.edu/capstone/624.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Fung J. The need of lactation consultant for night shift. [Thesis]. University of San Francisco; 2017. Available from: https://repository.usfca.edu/capstone/624
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Kentucky
30.
Ogden, Lori.
THE IMPACT OF MATERNAL NUTRITION DURING PREGNANCY ON INFLAMMATION AND BIRTH OUTCOMES.
Degree: 2019, University of Kentucky
URL: https://uknowledge.uky.edu/nursing_etds/49
► More than 85% of American adults do not consume recommended amounts of fruits or vegetables. Preterm birth and hypertensive disorders of pregnancy are common adverse…
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▼ More than 85% of American adults do not consume recommended amounts of fruits or vegetables. Preterm birth and hypertensive disorders of pregnancy are common adverse conditions affecting pregnancy and are leading causes of maternal and fetal morbidity and mortality. Preterm birth affects nearly 10% of all births in the United States and is on the rise, as are hypertensive disorders, which have increased by 25% over the last two decades. Pregnancy is a state of controlled inflammation, and dysregulation has been linked to preterm birth and other adverse gestational outcomes. A healthy diet is recommended in pregnancy, but little is known about the effect fruit and vegetable intake on perinatal outcomes. Omega-3 (n-3) fatty acids are essential dietary components and are known to affect inflammatory state, but little is known about how they affect inflammation in pregnancy. As current evidence is lacking, further research is needed to investigate the relationships between maternal nutrition in pregnancy, inflammation and birth outcomes.
The purposes of this dissertation were to: 1) to review and evaluate the current evidence on the relationship between n-3 fatty acids and inflammation in pregnancy; 2) to evaluate the current state of the science on the impact of maternal dietary consumption of fruits and vegetables on preterm birth, gestational diabetes, preeclampsia, small for gestational age, gestational weight gain and measures of inflammation or oxidative stress in pregnancy; and 3) to examine relationships between maternal dietary intake of fruits and vegetables, cytokine expression in early and mid-pregnancy, preterm birth and gestational hypertension.
A critical review of literature examining the relationship between inflammation and n-3 intake during pregnancy found that multiple inflammatory cytokines in maternal and fetal tissues were lower in women who received n-3 supplements. A second review of literature review supported an inverse relationship between fruit and vegetables and risk of preeclampsia and suboptimal fetal growth. The available evidence was insufficient to establish relationships between fruit and vegetable intake and gestational diabetes, preterm birth or inflammation. A study evaluating the relationships between maternal fruit and vegetable intake, inflammation and birth outcomes was conducted. This study
provided evidence supporting a relationship between first and second trimester cytokine expression and maternal dietary intake of fruits and vegetables. Those who met recommended vegetable intake in the first trimester had higher first trimester serum CRP, IL1-α, IL-6 and TNF-α and lower first trimester cervicovaginal IL-6 levels. Those who met recommendations for first trimester fruit intake had 56% lower risk for preterm birth. Those who met second trimester vegetable intake recommendations had more than twice the risk of developing gestational hypertension.
The results of this dissertation provide support for the beneficial effects of omega-3 fatty acids and fruit and vegetable intake in…
Subjects/Keywords: Maternal Nutrition; Diet; Inflammation; Birth Outcomes; Cytokine; Maternal and Child Health; Maternal, Child Health and Neonatal Nursing; Nursing
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APA (6th Edition):
Ogden, L. (2019). THE IMPACT OF MATERNAL NUTRITION DURING PREGNANCY ON INFLAMMATION AND BIRTH OUTCOMES. (Doctoral Dissertation). University of Kentucky. Retrieved from https://uknowledge.uky.edu/nursing_etds/49
Chicago Manual of Style (16th Edition):
Ogden, Lori. “THE IMPACT OF MATERNAL NUTRITION DURING PREGNANCY ON INFLAMMATION AND BIRTH OUTCOMES.” 2019. Doctoral Dissertation, University of Kentucky. Accessed March 04, 2021.
https://uknowledge.uky.edu/nursing_etds/49.
MLA Handbook (7th Edition):
Ogden, Lori. “THE IMPACT OF MATERNAL NUTRITION DURING PREGNANCY ON INFLAMMATION AND BIRTH OUTCOMES.” 2019. Web. 04 Mar 2021.
Vancouver:
Ogden L. THE IMPACT OF MATERNAL NUTRITION DURING PREGNANCY ON INFLAMMATION AND BIRTH OUTCOMES. [Internet] [Doctoral dissertation]. University of Kentucky; 2019. [cited 2021 Mar 04].
Available from: https://uknowledge.uky.edu/nursing_etds/49.
Council of Science Editors:
Ogden L. THE IMPACT OF MATERNAL NUTRITION DURING PREGNANCY ON INFLAMMATION AND BIRTH OUTCOMES. [Doctoral Dissertation]. University of Kentucky; 2019. Available from: https://uknowledge.uky.edu/nursing_etds/49
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