Corrigendum: Experiences of healthcare staff in forensic care facilities supporting sexual violence survivors, in Tshwane, South Africa.

No abstract available.

Experiences of women on the use of Implanon NXT in Gauteng province, South Africa: A qualitative study.

Background: Maternal-related illnesses and pregnancy-related deaths could be averted using contraceptives, particularly long-acting methods because they improve overall access to family planning because of their benefits, such as fewer visits to the healthcare facility, higher effectiveness and value for money. The introduction of Implanon NXT in the South African health system raised great concern about the number of women who returned to healthcare facilities for its early removal within a few months of insertion. Aim: This article focussed on exploring the experiences of women regarding early removal of Implanon NXT insertion. Setting: The study was conducted in four selected clinics in Region E sub-district, city of Johannesburg. Methods: A qualitative exploratory approach was followed using semi-structured individual interviews to collect data. Data were analysed using the content analysis method. Results: The most cited reasons for its discontinuity were that women experienced unpleasant side effects such as amenorrhoea, excessive bleeding and headaches, whilst other women found it to be reliable and convenient. Conclusion: Contraceptive methods empower women to take control of their lives and to decide on the right time for them to have children. It is, therefore, important to equip women with relevant information about the contraceptive methods so that they can make informed decisions and choices. Contribution: The study calls for health promoters to periodically conduct information sessions with women as guided by the National Contraception Policy Guidelines to ensure up-to-date practice.

Corrigendum: Accessing care services after sexual violence: A systematic review exploring experiences of women in South Africa.

No abstract available.

Indigenous sexual and reproductive health practices by girls in Makhado Municipality: A qualitative study.

Cultural practices are passed from one generation to the other. There has been limited evidence of willingness to use indigenous practices to enhance sexual and reproductive health among the youth in resource-constrained settings. This study aimed to explore the possibilities of reintroducing indigenous practices to enhance sexual and reproductive health education among girls. The study adopted a qualitative approach through participatory action research. Non-probability, purposive sampling was used to recruit girls aged 9-18. Data were generated through focus group discussions and key informant interviews. The study findings revealed that indigenous practices were beneficial in delaying sexual debut and nurturing self and peer respect. Additionally, girls appreciated indigenous knowledge and preferred introducing innovative approaches to promoting it. Youth involvement in indigenous knowledge and practices on sexual and reproductive health practices is paramount. The need to introduce critical dialogue to introduce innovative approaches to promoting indigenous practices to enhance sexual and reproductive health is imperative.

Les pratiques culturelles se transmettent d'une génération à l'autre. Il existe peu de preuves d'une volonté d'utiliser des pratiques autochtones pour améliorer la santé sexuelle et reproductive des jeunes dans des contextes aux ressources limitées. Cette étude visait à explorer les possibilités de réintroduire les pratiques autochtones pour améliorer l'éducation à la santé sexuelle et reproductive des filles. L'étude a adopté une approche qualitative à travers une recherche-action participative. Un échantillonnage non probabiliste et raisonné a été utilisé pour recruter des filles âgées de 9 à 18 ans. Les données ont été générées par le biais de discussions de groupe et d'entretiens avec des informateurs clés. Les résultats de l'étude ont révélé que les pratiques autochtones étaient bénéfiques pour retarder les premiers rapports sexuels et favoriser le respect de soi et de ses pairs. De plus, les filles appréciaient les connaissances autochtones et préféraient introduire des approches innovantes pour les promouvoir. La participation des jeunes aux connaissances et pratiques autochtones en matière de santé sexuelle et reproductive est primordiale. Il est impératif d'instaurer un dialogue critique pour introduire des approches innovantes visant à promouvoir les pratiques autochtones visant à améliorer la santé sexuelle et reproductive.

Women's experiences providing kangaroo mother care in an academic hospital in Tshwane, Gauteng.

Preterm birth can be stressful for mothers and have negative consequences for the natural establishment of the mother-infant relationship. A high-impact, economical, and potentially life-saving strategy for the care of preterm and low-birthweight babies is kangaroo mother care (KMC). The literature suggests challenges to and enablers of KMC implementation in low-resource environments. The aim was to explore and describe women's experiences of providing KMC to their preterm babies. A qualitative, exploratory and descriptive approach was adopted. An unstructured interview guide was used to collect data during a focus group interview with mothers who provided kangaroo care. Data were analyzed using Braun and Clarke's method. Four main themes emerged from the analyzed data. The results reflected on participants' positive experiences, parenting skills and challenges. The participants suggested measures to enhance their encounters while providing KMC. Nurses need to support mothers who provide KMC; continuous education and guidance can enhance the implementation of this evidence-based practice to improve health outcomes for both preterm babies and their mothers. There is a need for continued training and support for mothers practising KMC, along with the consideration for healthcare providers to offer postpartum services for the mothers.

Une naissance prématurée peut être stressante pour les mères et avoir des conséquences négatives sur l'établissement naturel de la relation mère-enfant. Les soins maternels kangourous (KMC) constituent une stratégie à fort impact, économique et potentiellement vitale pour les soins aux bébés prématurés et de faible poids de naissance. La littérature suggère des défis et des catalyseurs pour la mise en œuvre de KMC dans des environnements à faibles ressources. L'objectif était d'explorer et de décrire les expériences des femmes en matière de fourniture de KMC à leurs bébés prématurés. Une approche qualitative, exploratoire et descriptive a été adoptée. Un guide d'entretien non structuré a été utilisé pour collecter des données lors d'un groupe de discussion avec des mères qui prodiguaient des soins kangourous. Les données ont été analysées à l'aide de la méthode de Braun et Clarke. Quatre thèmes principaux ont émergé des données analysées. Les résultats reflètent les expériences positives des participants, leurs compétences parentales et leurs défis. Les participants ont suggéré des mesures pour améliorer leurs rencontres tout en fournissant des KMC. Les infirmières doivent soutenir les mères qui dispensent des soins KMC ; une éducation et des conseils continus peuvent améliorer la mise en œuvre de cette pratique fondée sur des données probantes pour améliorer les résultats de santé des bébés prématurés et de leurs mères. Il est nécessaire de poursuivre la formation et le soutien des mères pratiquant la KMC, ainsi que d'envisager que les prestataires de soins de santé offrent des services post-partum aux mères.

Accessing care services after sexual violence: A systematic review exploring experiences of women in South Africa.

BACKGROUND:  Sexual violence against women is a global phenomenon. This is a particular issue in South Africa, where it is estimated with evidence provided that up to half of all women will encounter gender-based and/or sexual violence from a partner during their lifetime. Therefore, evidence suggests that addressing the needs of women in South Africa is a priority. OBJECTIVE:  This qualitative review aimed to explore the experiences of women seeking care from first contact healthcare facilities in South Africa after sexual violence and during follow-up care. METHOD:  This systematic review was conducted using the PRISMA checklist for systematic reviews and in line with a published protocol (PROSPERO, CRD42019121580) and searched six relevant databases in 2022. A total of 299 sources were screened, with 5 forming the overall synthesis. RESULTS:  Two synthesised themes of women's experiences emerged at the time of reporting and during attendance at follow-up healthcare services. CONCLUSION:  South Africa does have an established legal framework for prosecution and can provide support for survivors of sexual violence through established Thuthuzela Care Centres (TCCs). The review identifies that survivors' needs are not clearly established when seeking medical attention initially nor identifying support or appropriate pathways.Contribution: The review has the potential to characterise the support available for women, the type and nature of sexual violence and interventions that may be used by healthcare professionals to support survivors especially during follow-up care.

Nurse managers' leadership styles as an impetus to patient safety in an academic hospital.

Background: Successful implementation of patient safety plans in a hospital necessitates, among other things, the leadership capacity of nurse managers. Patient care delivery errors and adverse events continue to occur for a variety of reasons, including a failure to follow recommended patient safety strategies. Certain leadership styles foster interactions with healthcare staff, resulting in work environments that promote positive patient outcomes. It is unclear what nurse managers believe about the type of leadership style that drives patient safety. Aim: The goal was to explore the nurse managers' perceptions of leadership styles as an impetus to patient safety. Setting: The study was conducted at an academic hospital in the Tshwane District of Gauteng province. Methods: A qualitative exploratory and descriptive contextual design was used. Semi-structured face-to-face interviews were conducted with 20 purposefully selected nurse managers. A thematic data analysis method was used to analyse data. Results: Common leadership styles among nurse managers and challenges affecting the efficiency of nurse managers' leadership styles emerged as themes. Conclusion: Nurse managers must have appropriate leadership styles to improve patient safety. Human and material resource shortages, as well as a lack of collaborative practice among healthcare professionals, jeopardise nurse managers' ability to maximise patient safety. Contribution: The article provides insight into nurse managers' perceptions of leadership styles as critical to improving patient safety. Recommendations included the need for a structured ongoing leadership training programme to develop and strengthen the skills of newly appointed and existing nurse managers.

Experiences of healthcare staff in forensic care facilities supporting sexual violence survivors, in Tshwane, South Africa.

BACKGROUND:  Sexual violence is a persisting global epidemic that is constantly increasing on a large scale. The rate of sexual violence in South Africa is one of the highest in the world; and it has been reported to appear socially normalised and acceptable. OBJECTIVES:  The study aimed to explore and describe the experiences of healthcare staff working in forensic care centres (FCCs) in Tshwane, South Africa. METHOD:  A qualitative approach was followed incorporating focus group interviews with a range of healthcare staff based in the two FCCs. Non-probability purposive sampling was done. Data analysis was informed by the Analytic Hierarchy Model which comprised of three steps: data management, descriptive accounts and developing explanatory accounts. RESULTS:  Three main themes emerged as, (1) help them to do away with the idea of self-blame: everyday work; (2) barriers to the accessibility of care: seeking alternative traditional remedies (muti) from traditional healers and working in an unconducive environment and (3) compassionately sick at times: Emotional impact of forensic care work. CONCLUSION:  The findings revealed that the healthcare staff are often working in difficult circumstances and that both professional and societal factors mediate against the provision of care and support for survivors. Greater attention is needed both in terms of service development and wider challenges to pervading societal norms surrounding violence against women.Contribution: The study highlighted the need for training, improved management support and debriefing sessions.

Women's perceived working conditions in the mining industry: A qualitative study.

Background: Women's status in society has been contested over the years, with arguments centred on the deliberate marginalisation of women by ancient policies and legislations, which compelled women to assume secondary status in society. Aim: This study aimed at exploring and describing the perceptions of women on working conditions in the mining industry. A qualitative, explorative and descriptive design was followed. Setting: The study was conducted at a mining industry based in Mpumalanga Province. Methods: Ten women were purposively selected to participate in the study. Data were collected through in-depth semi-structured face-to-face interviews. Data were analysed using Tech's method of qualitative analysis. Results: Three themes and categories emerged from data analysis. The themes that emerged were: Benefits for women in the mining industry, work conditions-related challenges for women in the mining industry and opportunities for growth and development of women in the mining industry. Conclusion: Despite the employment of women in the mining industry, the women echoed that mining remains a male-dominated place of employment. Contribution: The study revealed that although the mining industry is still a male-dominated environment, women are generally content to be working at the mines. A lot of transformation should take place to make mining a women-friendly place of employment. The relevance of this study for mental health is that gender equality is a risk factor for gender-based violence. Furthermore, facing discrimination can also result in anxiety and psychological trauma that can negatively affect a woman's sense of well-being and success.