Africa Journal of Nursing and Midwifery


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Publications in this journal

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    ABSTRACT: Circumcision has been practised for centuries among various groups of people world-wide, mainly for religious, traditional, hygienic or medical reasons. However this practice was rare in Swaziland, among other places. Following recommendations by the World Health Organisation that circumcision should be added as an additional strategy for HIV prevention, the country embarked on mass male circumcision campaigns, aimed at scaling up the practice nationwide. Apparently the turn-up for the procedure is below the set targets. Knowledge of factors that influence the uptake of circumcision is necessary in order to maximise the success of the strategy. This study aimed at assessing the influence of religion and/or culture on perception and hence uptake of circumcision in Swaziland. An explorative qualitative research design was used, in which in-depth face-to-face interviews were conducted on seventeen participants individually. Results showed that Christianity and African Traditional Religion are the dominant religions in Swaziland and each of them has both a negative and positive influence on the perception of, and hence the decision to be, circumcised. This depended on the individuals’ interpretation and understanding of the doctrine of their religion or denomination. It was recommended that the identified positive influences be capitalised on to promote circumcision.
    Africa Journal of Nursing and Midwifery 07/2014; 16(1):103-115.
  • Africa Journal of Nursing and Midwifery 12/2013; 15(2):3-15.
  • Africa Journal of Nursing and Midwifery 12/2013; 15(2):131-143.
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    ABSTRACT: Following recommendations by the world Health Organization, Swaziland has adopted mass male circumcision in an effort to prevent sexual transmission of HIV. Few men request circumcisions despite the nation-wide circumcision campaigns. This implies that prevention of HIV transmission, through circumcision, might not be a sufficient cause to convince people to undergo circumcision. As such, it is necessary to reinforce this drive with other motives to boost the acceptance of circumcision. Medical reasons were found to be another motive worth considering as an addition into the circumcision campaigns. However, it was not certain whether there were any prevalent medical problems warranting adult male circumcisions in Swaziland. This study aimed at identifying medical reasons that motivate men to undergo circumcision in Swaziland. A generic qualitative study was conducted, in which 17 men who were coming for circumcision were interviewed individually. Data were coded, grouped and themes identified. Results showed that medical problems warranting circumcision were prevalent, these include congenital abnormalities and delicacy of the foreskin, which interfered with cosmetic and sexual functions of the penis. It was concluded that medical reasons are a relevant additional motive for circumcision in Swaziland that can be used to reinforce prevention of HIV transmission, which is the primary motive. As such, it was recommended that medical reasons for circumcision be incorporated in the Swaziland’s national mass circumcision campaigns.
    Africa Journal of Nursing and Midwifery 07/2013; 15(1):139-148.
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    ABSTRACT: A child's caregiver holds the key for successful screening by providing the health professional with accurate information. After delivery of a baby, every mother receives a growth chart that provides a guideline to normal development. Caregivers' competency might be influenced by their macro-social and economic environment. The purpose of the study was to determine caregivers' knowledge regarding early childhood development in a poverty stricken area of Soshanguve. If a lack of knowledge should be identified and be addressed, caregivers' enhanced knowledge of childhood development could enhance early detection and effective treatment of developmental problems. This might help to enhance these children's physical and emotional and intellectual accomplishments throughout their lives. The objectives were to explore caregivers' knowledge of the Road to Health Chart, their understanding of early childhood development and their perceptions regarding the treatment of developmental problems. A quantitative survey was conducted. Self-reported data were gathered by means of structured interviews. Although the respondents had previously received education on the Road to Health Charts, they lacked knowledge regarding development categories, especially language, speech and cognitive development and they expected health services to play a significant role in the treatment of developmental problems. Programmes to provide caregivers with knowledge regarding early childhood development need to be developed and implemented. Early diagnoses of and effective interventions for childhood developmental problems could help children to reach their developmental milestones and to experience fewer problems throughout life.
    Africa Journal of Nursing and Midwifery 01/2013; 15(2):170-186.
  • Africa Journal of Nursing and Midwifery 01/2012;
  • Africa Journal of Nursing and Midwifery 01/2012; 14(1):63-75.
  • Africa Journal of Nursing and Midwifery 01/2011;
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    ABSTRACT: In Botswana, efforts to increase the coverage of HIV testing include routine HIV testing, where the healthcare provider (rather than the patient) initiates the test. The aim of the study was to assess patients’ attitudes towards routine HIV testing and their willingness to undergo HIV tests. A cross-sectional study was done with 300 conveniently selected respondents who completed self-administered questionnaires to assess their attitudes towards routine HIV testing. The respondents had positive attitudes towards routine HIV testing and agreed that routine testing should be offered at health facilities to everybody as this could help to control HIV. Most respondents associated HIV testing with prevention and control of HIV. Almost three-quarters of the respondents indicated that patients were testing freely and over a third were satisfied with health services. More than a third of the respondents were unwilling to be tested for HIV. The implementation of the HIV policy should continue to be monitored in all districts to determine whether healthcare workers understand and implement the policy.
    Africa Journal of Nursing and Midwifery 01/2011; 13(1):14-21.
  • Africa Journal of Nursing and Midwifery 01/2010; 12(2):96-106.
  • Africa Journal of Nursing and Midwifery 01/2010; 12(1):4.
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    ABSTRACT: The aim of the study was to assess gender disparities in HIV/AIDS knowledge and sexual behaviors among University students in Lusaka, Zambia. The study employed an exploratory comparative design to elicit information on HIV/AIDS and sexual behavior from a sample of 236 undergraduate students aged 16-30, who completed self-administered questionnaires. Although most respondents had high knowledge levels some of them continued engaging in high-risk sexual behaviors. Of the males, 50.0% (n=59) and of the females 35.5% (n=41) reportedly did not use condoms during their last sexual encounters. Seventy percent (n=83) of the males and 33% (n=38) of the females sometimes used condoms. of the male students 9.3% (n=11), and of the female 5.0% (n=6), had reportedly never used condoms. More than half (58.9%; n=69) of the females, and 27.3% (n=24) of the males had two sexual partners and 16 (13.6%) females and 12 (10.2%) males had three sexual partners. There appeared to be a critical need to inform the University students about adverse consequences of sexual activities and about ways to protect themselves against these risks.
    Africa Journal of Nursing and Midwifery 01/2010; Volume 12(Issue 2-16825055):Pages 27-35.
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    ABSTRACT: Breastfeeding is an important resource which includes exclusive breastfeeding (EBF). It provides food, health and care simultaneously. Therefore a descriptive survey was carried out to assess knowledge, attitudes, beliefs and practices as related to EBF. The study population consisted of all mothers of child bearing age (15-49years) who had children from (0-2 years). Simple random sampling was used in selecting ten villages out of twenty-three and single-stage cluster sampling used to select three hundred (300) respondents for study. A questionnaire was used for data collection. Data were analysed using descriptive statistics and chi-square tests. The results revealed that majority of the respondents 240 (80.0%) were aware of EBF; 162 (54.0%) were knowledgeable about EBF while 180 (60.0%) practised EBF. It was concluded that women in Ikot Omin community in Nigeria practised EBF and the recommendations focused on the fact that health workers should continue to encourage mothers to breastfeed exclusively.
    Africa Journal of Nursing and Midwifery 01/2009; 11(1):65-75.
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    ABSTRACT: The purpose of this study was to compare knowledge and the use of breast self-examination as a breast cancer screening too among rural and urban women in the reproductive age group(15-49 years) in rural and urban areas of Zambia. The study sites were located in the Solwezi rural district and Lusaka urban district in Zambia. A total of 238 women participated in the study. the findings revealed that 82 percent of the respondents in the rural area and 58 percent of women in the urban area had no knowledge of breast cancer. it was also found that 95 percent of the respondents in the rural and 95 percent of the respondents in the urban areas did not practice breast self-examination. The most common reasons given by the women for not practicing breast self-examination were lack of knowledge on how to do it (65 percent of rural and 55 percent of urban women), the perception that it was not important to do breast self-examination (30 percent of urban and 27.5 percent of rural women) and that they did not perceive themselves as being at risk of getting breast cancer (15 percent of urban and 8 percent of rural women). These findings show that there is a need for nurses to design an educational program to sensitize women on the dangers of breast cancer and the importance of early diagnosis through the use of breast self-examination.
    Africa Journal of Nursing and Midwifery 01/2007; volume 9(Isssue 1-16825055):pages 50-58.
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    ABSTRACT: Background: The purpose of this paper was to show the need for, and the process or strategies for qualitative study in community health nursing practice. The paper presents a focus group discussion, used as a case study, as a descriptive base for HIV/AIDS preventive health education intervention for the target population. This also served as a guide for the development of AIDS education curriculum. Methods: Six focus group discussions (three male and three female groups) were conducted in three secondary schools.The aim was to obtain in-depth knowledge of the students's beliefs and views about HIV/AIDS and its prevention. The discussions involved 25 students comprised of 12 males and 13 females. Results showed that the students had knowledge gaps related to HIV/AIDS, as well as negative attitudes towards prevention. Some of the reasons participants gave for engaging in sexual intercourse included peer pressure and their desire to be ' big boys'. Suggestions focused on designing health education interventions aimed at eliminating misconceptions and increasing the use of qualitative study (focus group discussion) to obtain a rich variety of data that could be used to guide interventions.
    Africa Journal of Nursing and Midwifery 01/2007; 9(1).

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