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The village health worker programme in primary health care in the Maseru health service area: a case study
No full textEnglish: Health in Lesotho is similar to many developing countries, where health
care facilities are poor. The delivery of health care services is especially
poor in the rural villages. The aim of this study was to find out whether
the implementation of the Village Health Worker Programme has
improved the provision of health care services and the health status in
the Maseru Health Service Area. The Village Health Workers' support in
the villages and the problems, which may have resulted in poor delivery
of services, were also investigated.
In the empirical phase a qualitative survey was undertaken using Focus
Group Discussions for three categories of respondents, namely the
trainers, Village Health Workers (VHWs) and villagers. The interviews in
the villages were arranged with the consent of the chiefs in Ha Foso and
Ha Thamae. The interviews with the respondents were conducted in
English and Sesotho. The reason was that the respondents in the villages
could only communicate in Sesotho, while the VHW staff was proficient
in English.
The following factors can be highlighted regarding the Village Health
Worker Programme in the Maseru Health Service Area:
+ Firstly, the greater percentage of Lesotho's population resides in the
rural villages. The findings of this study reveal that many people in
these villages are old, poor and unemployed. This situation results in
poor health status in the villages.
+ Secondly, the delivery of health care services in the villages is poor.
The researcher found that where the Programme was implemented
properly, it was accepted and supported by the communities involved
for example Ha Foso. Here the Programme also managed to improve
the delivery of health care services, which resulted in a good health
status within the community. On the other hand, the opposite was
found in the villages that did not support the Programme, for example
in Ha Thamae.
Thirdly, the problems in the VHW Programme have affected its
implementation in the villages. The respondents asserted that if the
aim of the Government is to improve health in the villages, incentives
to the VHWs must be a priority.
In the light of the data obtained from the .literature study and from the
respondents, one may conclude that unless the structure and policies of
the VHW Programme are changed to suit the interests of all the people
involved, it has no future in the Maseru HSA.Afrikaans: Gesondheid in Lesotho is in ooreenstemming met dié van talle ander
ontwikkelende lande met swak gesondheidsdienste.
Gesondheidsdienslewering is by uitstek swak in die landelike gebiede.
Die doel van hierdie studie was om vas te stelof die implementering van
die Village Health Worker-Program die voorsiening van
respondente, naamlik die opleidingsbeamptes, die Village Health Workers
(VHWs) en die inwoners van die dorpies. Dié onderhoude is gereël met die
toestemming van die stamhoofde in Ha Foso en Ha Thamae. Die
onderhoude met die respondente is in beide Engels en Sesotho gevoer,
omdat die respondente in die dorpies slegs in Sesotho kon kommunikeer,
terwyl die VHW-personeel net Engels magtig is.
Die volgende faktore rakende die Village Health Worker-Program in die
Maseru Gesondheidsdiensarea kan uitgelig word:
• Eerstens, die grootste persentasie van Lesotho se bevolking woon in
die landelike dorpies. Die bevindinge van dié studie toon dat talle
inwoners van die dorpies oud, arm en werkloos is. Hierdie situasie gee
aanleiding tot swak gesondheidstatus in die dorpies.
• Tweedens, die gesondheidsorgdienslewering in die dorpies is swak.
Die navorser het bevind dat waar die Program behoorlik
geïmplementeer is, dit deur die betrokke gemeenskappe aanvaar en
ondersteun is. Dit was die geval in Ha Foso. Hier het die Program
daarin geslaag om die lewering van gesondheidsorgdienste te verbeter,
wat ook 'n positiewe invloed op die gesondheidstatus in die
gemeenskap gehad het. Hierteenoor is die teenoorgestelde bevind in
die dorpies wat die Program nie ondersteun het nie, byvoorbeeld in Ha
Thamae.
• Derdens, die probleme in die VHW-Program het die implementering
daarvan in die dorpies belemmer. Die respondente het aangevoer dat
indien dit 'n doelstelling van die Regering is om gesondheid in die
dorpies te verbeter, moet die voordele van die VHWs prioriteit geniet.
gesondheidsdienste en die gesondheidstatus In die Maseru
Gesondheidsdiensarea verbeter het. Ondersoek is ook ingestel na die
ondersteuning van die VHWs en die probleme wat tot swak
gesondheidsdienslewering aanleiding kon gee.
In die empiriese fase van die studie is In kwalitatiewe ondersoek uitgevoer
met behulp van fokusgroepbesprekings met drie kategorieë van
In die lig van die data bekom uit die literatuur en van die respondente,
kom die navorser tot die gevolgtrekking dat die struktuur en beleid van
die VHW- Program gewysig moet word om die belange van al die
betrokkenes te dien, anders het dit geen toekoms in die Maseru
Gesondheidsdiensarea nie
In the home stretch: the legalisation of African traditional healing in South Africa
Get PDFThe overall aim of this article is to describe the current status of indigenous health care policy and to determine what progress has been made in translating policy principles into action. The article deals with the models for incorporating traditional health care into the official health care system; the present status of traditional health care and the rationale for legitimising it; the many complex issues involved in developing a policy on ethnomedicine, and an assessment of the progress made in respect of the legalisation of this kind of health care five years into the new order. The main conclusion is that, although great strides have been made, there are still some very serious constraints which are likely to inhibit the indigenous health care sector for some time to come
Communicating feminism to the community: the continuing relevance of feminism fifty years after 9 August 1956
No full textThe history of women in South Africa is the history of their oppression due to patriarchy
- a system of domination which still persists in South Africa, and has done so since precolonial
times. However, in the case of black women, it has been justly argued that
under apartheid they suffered from the triple oppression of racism, sexism and classism
which characterises the country's history. Although opposition to patriarchy has not so
much been in evidence among black women in this country, they do indeed have a
history of strong opposition to the politicisation of race. This article traces the
historical development of feminism in this country, focusing on African feminism(s) and
its multiple manifestations. The role of feminism in the liberation struggle is then
explicated by first describing the variety and diversity of patriarchies, followed by an
exposition of the surfacing of political consciousness among women in this country. The
article concludes that 50 years after the momentous event of 9 August 1956, an active
and feminist voice in civil society is still needed due to factors such as the fact that the
struggle for gender equity has to a large extent become a state-led venture, and because
of what is perceived as a hardening of patriarchies.Publisher's versio
Communicating feminism to the community: the continuing relevance of feminism fifty years after 9 August 1956
Get PDFThe history of women in South Africa is the history of their oppression due to patriarchy - a system of domination which still persists in South Africa, and has done so since precolonial times. However, in the case of black women, it has been justly argued that under apartheid they suffered from the triple oppression of racism, sexism and classism which characterises the country\u27s history. Although opposition to patriarchy has not so much been in evidence among black women in this country, they do indeed have a history of strong opposition to the politicisation of race. This article traces the historical development of feminism in this country, focusing on African feminism(s) and its multiple manifestations. The role of feminism in the liberation struggle is then explicated by first describing the variety and diversity of patriarchies, followed by an exposition of the surfacing of political consciousness among women in this country. The article concludes that 50 years after the momentous event of 9 August 1956, an active and feminist voice in civil society is still needed due to factors such as the fact that the struggle for gender equity has to a large extent become a state-led venture, and because of what is perceived as a hardening of patriarchies
In the home stretch: the legalisation of African traditional healing in South Africa
No full textEnglish: The overall aim of this article is to describe the current status of indigenous health care policy and to determine what progress has been made in translating policy principles into action. The article deals with the models for incorporating traditional health care into the official health care system; the present status of traditional health care and the rationale for legitimising it; the many complex issues involved in developing a policy on ethnomedicine, and an assessment of the progress made in respect of the legalisation of this kind of health care five years into the new order. The main conclusion is that, although great strides have been made, there are still some very serious constraints which are likely to inhibit the indigenous health care sector for some time to come.Afrikaans: Die breë doelstelling van hierdie artikel is 'n beskrywing van die huidige stand van inheemse gesondheidsorgbeleid en 'n bepaling van die vordering ten einde beleids- beginsels ten uitvoer te bring. Aspekte wat aangespreek word, is die modelle om tradisionele gesondheidsorg by die amptelike gesondheidsisteem te inkorporeer; die huidige status en die rasionaal ten einde tradisionele gesondheidsorg te legitimeer; die omvattende en veelkantige problematiek condom die ontwikkeling van beleid oor etnomedisyne; asook 'n bepaling van die vordering met betrekking tot die amptelike erkenning van inheemse gesondheidsorg vyf jaar na die aanvang van die nuwe orde. Die hoof gevolgtrekking is dat ten spyte van noemenswaardige vordering in hierdie verband, verskeie ernstige beperkinge die inheemse gesondheidsorgsektor vir geruime tyd nag aan bande sal lê.Publisher's versio
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Die dagboek van \u27n Boeremeisie in diens van die vyand - Siekte en sorg in die Bethulie-kamp
Get PDFThe many published diaries kept by women in the concentration camps constitute an extraordinary aspect of the Anglo-Boer War. Undoubtedly, some diaries have only survived within families – like the one kept by Susara Johanna (Sarie) Roos. Armed conflict can be considered to be the antithesis of public health and, as such, it constitutes a health issue. Central to every war one finds the health care staff, and specifically the nurse, who has to deal with the physical, emotional and social consequences of the conflict. Sarie Roos, a young Boer woman, was employed by the British as a nurse in the Bethulie camp. In the main, her narrative deals with this role. This article aims to describe and analyse her experiences in this camp – one of the most devastating of its kind. During the course of her narrative, documented history comes to light, which serves to verify the reliability and authenticity of her diary. It does, however, also provide a somewhat different view of the events – from the perspective of a Boer woman employed by the enemy to serve her own people
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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