Sinegugu E Duma

• PhD
• Head of Faculty at University of KwaZulu-Natal

Introduction Teenage pregnancy remains a critical global health issue, particularly in low- and middle-income countries. The intergenerational transmission of teenage pregnancy underscores the need for targeted interventions. Existing research on intergenerational approaches is fragmented, with varying methodologies and outcomes. This scoping revie...

Background This scoping review systematically maps and summarises research evidence concerning the safety of female commuters in public transport systems across Low- and Middle-Income Countries (LMICs). Given the essential role of public transport in LMICs, particularly for women in both formal and informal sectors, understanding the safety challen...

Background South Africa’s higher education institutions (HEIs) continue to face challenges in implementing inclusive language policies that integrate indigenous African languages into academic settings, even three decades after apartheid. Higher Education Institutions (HEIs) face significant challenges in integrating indigenous African languages in...

Background and purpose Rape is one of the most common human violations, with devastating consequences for the victims and their families. Although this scourge affects everyone, regardless of gender, studies on rape victimization have largely focused on women and children as the victims. Studies on rape victimization of men are therefore limited an...

Obstetric violence is a public health problem that needs to be prevented at all levels to improve maternal and newborn health outcomes. The midwifery service managers, as custodians of patient care in maternity centres are in a prime position to develop and implement effective obstetric violence prevention interventions. This study explored the mid...

Female genital mutilation/cutting is a harmful practice that violates the sexual and reproductive health rights of women and girls. The practice is often perpetrated directly or indirectly from one generation to another as a way of preserving the culture, thus making it difficult to tackle using ordinary prevention interventions. The purpose of the...

Background The benefits of routine screening for intimate partner violence (IPV) among pregnant women include early identification, prompt management, referral of IPV victims, and creating awareness about IPV. Despite these benefits, the practice of routine screening of IPV remains limited in midwifery settings in low-income countries. The purpose...

Introduction Despite the numerous efforts and initiatives, males with HIV are still less likely than women to receive HIV treatment. Across Sub-Saharan Africa, men are tested, linked, and retained in HIV care at lower rates than women, and South Africa is no exception. This is despite the introduction of the universal test-and-treat (UTT) preventio...

Tonic immobility (TI) is a common uncontrollable autonomic mammalian response to an extremely fearful situation. It is one of the most immediate devastating consequences of rape and remains poorly understood. While controversies over its definition persist among researchers, this also reflects on the care for and support to victims. The study aimed...

Aims Addressing sexual and gender-based violence (SGBV) in educational settings across the globe, particularly in institutions of higher education, requires strong institutional framework and policy guidelines. Most research about university SGBV policies has focused on high-income countries with little or no recourse to universities in low- and mi...

ABSTRACT Rape is the most commonly reported form of sexual violence in South Africa and it increases risks of Human Immunodeficiency Virus (HIV) infections. Literature that focuses on male rape victim’s fears of exposure to HIV is lagging. This study sought to explore male rape victim’s fears of exposure to HIV using an Interpretative Phenomenologi...

Background Speaking up to safeguard patients is a crucial ethical and moral obligation for nurses, but it is also a difficult and potentially dangerous component of nursing work. Health advocacy is gaining impetus in the medical literature, despite being hampered by barriers resulting in many nurses in Ghana remaining mute when faced with advocacy-...

South Africa faces the triple burden of malnutrition, high poverty levels, unemployment, and inequality. “Wicked problems” such as these require innovative and transdisciplinary responses, multi-stakeholder coordination and collaboration, managing complex synergies and trade-offs, and achieving sustainable outcomes. Through qualitative content anal...

Purpose: This study aimed to measure learning gains during an ICT training intervention in first-year students completing a four-year undergraduate nursing degree. Methodology: This study adopted a quasi-experimental, one group pre-test and post-test design. The intervention effectiveness was measured using individual single-student normalised gai...

Aim: Nurses' health advocacy (HA) role requires them to speak up for patients, clients, and communities in relation to healthcare. Various studies report the importance of the HA role of the nurse in healthcare. However, nurses' performance in this role is not clear yet. The present study aims to identify and explain how nurses perform their HA ro...

Introduction Sensuality, an essential component of sexuality, is the enjoyment, expression, or pursuit of physical and sexual pleasure or satisfaction. Sensuality expression of women over 50 is under-researched and often ignored, making it difficult to have a scientific basis to develop age-appropriate healthy-ageing programmes for this group in Ni...

Nurses in Ghana believe that training, practise, practitioner and policy reforms are required for total nursing profession reform to be effective. Their views for role reformation in the nursing profession, which is currently needed, are not only academic but also clinically relevant in the pursuit of health equity and quality nursing care. We expl...

Background: Global evidence suggests that lesbian, gay and bisexual (LGB) people are more likely than the general population to suffer from common mental disorders. LGB-affirming interventions are needed to mitigate against the impact of minority stress on mental health in this population. Therefore, this review aims to identify and systematically...

Background: Antimicrobial resistance poses a global public health concern that threatens human, animal, and environmental health. If it is not addressed, it is estimated to cost the global economy between USD 90 trillion and USD 210 trillion and the death burden could balloon to 10 million lives per year by 2050. Aim: This study aimed to explore...

Tonic immobility (TI) is a common uncontrollable autonomic mammalian response to an extremely fearful situation. It is one of the most immediate devastating consequences of rape and remains poorly understood. While controversies over its definition persist among researchers, this also reflects the care for and support to victims. The study aimed to...

Health advocacy is a core competency identified by Health Professions Council of South Africa to be acquired by health professional graduates. There is a lack of information on how health advocacy (HA) is taught and assessed in health science programmes. The aim of the study was to explore the teaching, learning and assessment of HA in undergraduat...

Background: The digital world is rapidly changing, and so do the required digital skills. As physical devices and software are adapted to meet new possibilities and demands, individuals’ skills must adapt to technological advancement. Digital literacy is increasingly used in the public discourse, becoming a core requirement of students, academics,...

Background Female sex workers (FSWs) have a 26 times greater chance of HIV infection compared to the women in the general population. The World Health Organization recommends pre-exposure prophylaxis (PrEP) for population groups with an HIV incidence of 3% or higher and FSWs in southern Africa fit this criteria. This study sought to understand fact...

Effective communication between nurses and patients is an important factor to quality nursing care but ineffective nonverbal communication could take a toll on health care. Therefore, understanding the factors that influence nonverbal communication between nurses and hospitalized older adults could help solve communication problems, thus improve nu...

Background Gender-Based (GB) intimate partner violence is a social and public health issue globally. Several risks of violence related to male sexual partners’ perpetration of intimate partner violence (IPV) following the disclosure of their female intimate partners’ HIV + status have been reported. No research has been conducted on male sexual par...

Dating violence is a public health problem with severe implications for social, physical, mental/psychological and spiritual health of victims/survivors, families and the society at large. For female students, it can gravely affect their academic performance and thus affect gender equality in universities. This article identifies and described the...

Objective The WHO has declared food safety as a public health concern. Transport hubs such as taxi ranks, bus stations and other transport exchange sites are major food trading/purchasing sites, particularly in Africa. Research evidence is needed to improve food safety policies and ensure consumption of safe food, owing to the increasing burden of...

Health advocacy is a core competency identified by Health Professions Council of South Africa to be acquired by students within health professions programmes. There is a lack of information on how health advocacy (HA) is taught and assessed in health science programmes. In this project, the researchers explored how the teaching, learning and assess...

Tonic immobility is considered the last involuntary self-protecting act/mechanism experienced by victims of rape when they are under attack. It is associated with trauma related mental health risks post-rape. Despite this, tonic immobility has not received priority as an area of research on Nigerian female victims of rape. As a result, little has b...

Background Identifying facilitators of health advocacy role practice of nurses is important in reducing health disparities and inequities in Ghana. The struggle to reducing these disparities and inequities needs a combination of bravery, courage, and professionalism. In many instances, many barriers hinder nurses from practicing their health advoca...

Sexual violence against women and girls is a major public health problem globally and in South Africa. Although young men have been identified as an important risk group for prevention interventions, scant attention have been given to this age cohort in low and middle-income countries. There is strong evidence that perpetration starts early and inc...

Background The Government’s aspiration to make Kenya a middle-income country and achieve the United Nations' sustainable development goal 3, ‘good health and well-being’, are threatened by poor quality of mental health services. Environment and lack of a conceptual model of nursing to guide care were some of the reasons that were attributed to poor...

Rape is the most demoralizing type of crime violating human rights worldwide. Research has primarily focused on children and women’s experiences of rape, even though victims include men and little documentation available concerning their experiences of reporting these incidents. The study aimed to investigate men’s experiences when reporting rape t...

Introduction In Africa, travels, urbanisation and changing consumer habits are increasing the number of people buying and eating food prepared/sold at public spaces including transport stations, particularly in the urban and periurban areas. Although food trading in such public spaces serves as a source of livelihood for many people, unsafe food ca...

Over the past three decades, rape victimization has been regarded as a women-only issue, with men regarded as the only offenders. This has resulted in a narrow-focused approach in addressing this scourge where men who could be primary victims are marginalized. This marginalization has also occurred in research, resulting in the paucity of literatur...

Background: Men’s experiences of perpetration of intimate partner violence against their female heterosexual partners following disclosure of their HIV positive status is a global health problem. The forms of IPV and factors associated with IPV following the disclosure are under-researched. In this article, we aim to explore and describe the forms...

Background: While nursing is complex, transforming and multi-faceted profession, its focus of providing a safe and caring environment that promotes client health and wellbeing has remained unchanged. To do this, nurses need to use their professional roles and skills to advocate for such an environment to provide quality nursing care. However, this...

Globally, rape is regarded as the most demoralizing type of trauma, and it has negative implications for victims and their families. Although rape affects the community in general, there is a paucity of literature on rape victimization of men. As a result, the types of rape experienced by them are not understood, and thus it is often difficult to d...

Background: Conforming to the 2016 World Kidney Day focus on raising awareness of the early detection of kidney diseases in children, we report on factors that contribute to primary caregiver delay in presenting their children with chronic kidney disease (CKD) for medical care in Kumasi, Ghana. Aim: The objective of the study was to explore and de...

Background: Nurses play a critical role in their practice of integrating human immunodeficiency virus (HIV) prevention and sexual and reproductive services to combat the spread of HIV and promote family planning in resource-constrained countries like Malawi. Objectives: The purpose of this study was to determine and describe the nurses’ practice o...

Background: Anaesthesia nurses form a critical part of the team providing perioperative care to patients, but no accredited training exists for them in South Africa. In this setting, short in-service training interventions are a pragmatic attempt at improving nurse performance and patient outcomes. Traditional didactic teaching formats have limitat...

Purpose: To investigate and describe the nature and extent of violence against nurses and the perceived effects thereof on nurses in the southern region of Malawi. Methods: A descriptive, cross-sectional study in which 190 questionnaires were sent out to nurses from five facilities, 112 were returned completed (60% response rate). The five faciliti...

Purpose: To investigate and describe the nature and extent of violence against nurses and the perceived effects thereof on nurses in the southern region of Malawi.Methods: A descriptive, cross-sectional study in which 190 questionnaires were sent out to nurses from five facilities, 112 were returned completed (60% response rate). The five facilitie...

This qualitative case study explored barriers to provision of psychiatric nursing care in a hospital in Plateau State, Nigeria, and revealed motivational factors that helped the nurses to cope with these barriers. Data collection methods included grand tour and in-depth interviews and participant observation. Motivational factors were related to th...

The literature review was conducted to review barriers to provision of psychiatric nursing care in the world. The literature search highlighted a dearth of literature in Nigeria on barriers to provision of psychiatric nursing care, highlighting a gap in knowledge base that needs to be filled. The aim of publishing this literature review is to fill...

Background: Delay in presenting breast cancer for health care is dangerous because it can increase the mortality rate amongst affected women. Delaying health care and treatment makes it difficult to manage advanced breast cancer successfully. Understanding the factors that contribute to delays in presentation for health care can save lives. Objec...

Background: Problem-based learning (PBL) was introduced in Malawi in 2002 in order to improve the nursing education system and respond to the acute nursing human resources shortage. However, its implementation has been very slow throughout the country. Objectives: The objectives of the study were to explore and describe the goals that were ident...

BACKGROUND: Problem-based learning (PBL) was introduced in Malawi in 2002 in order to improve the nursing education system and respond to the acute nursing human resources shortage. However, its implementation has been very slow throughout the country OBJECTIVES: The objectives of the study were to explore and describe the goals that were identifie...

Background: Sexual violence in South Africa is a major public health and social problem. Sexual assault or rape is a traumatic event which disrupts not only the life of the female rape victim, but also that of her male intimate partner (MIP), irrespective of whether he witnessed or was informed of the incident. Objectives: The study aimed to explor...

Ambiguities and role confusion exist with regard to specialist and clinically advanced nursing/midwifery practice globally and in most healthcare settings. This confusion requires clarification in such a way that specialist/clinical advanced nursing and midwifery practice (as a category of the clinical specialist) are clearly delineated. In South A...

The regulation of the nursing profession and the protection of the public in general health service and nursing practice matters has been the main responsibility of the South African Nursing Council in South Africa since its inception in 1944. This is done through the four main functions that have remained unchanged throughout the decades. These in...

An increasing number of women who present to the health care settings with trauma and injuries are victims of intimate partner violence (IPV). There is evidence that women who experience IPV present to these settings with other shortterm and long-term health consequences of ongoing abuse other than the obvious physical trauma. Often they do not dis...

Transsexual women who are on the journey of sexual re-alignment will experience various health problems. These problems are related directly to the treatment regime that they are following in order to attain and maintain their physical embodiment as a woman. They are forced to negotiate a hetero-normative healthcare system in order to receive assis...

Childhood tuberculosis is an increasingly important public health problem and is a major cause of morbidity and mortality in developing countries, contributing to a significant increase in the burden of disease worldwide. TB is particularly difficult to diagnose in children. Sputum induction as a diagnostic method is feasible, effective and well to...

The present day migration of nurses from developing countries, to more developed countries,depletes these countries of this vital human resource, which is necessary to provide optimum quality nursing care to their populations. If nurse migration persists, the health systems of these countries face collapse. It is important that a nurse understands...

Legitimate agents of knowledge, who are they?

The central phenomenon of interest to the authors was the experiences of Batswana women who have been diagnosed with both HIV/AIDS and cervical cancer. They wanted to know how these women and their families coped with the burden of the two ‘fatal’ diseases. This interest was brought about by the current surge in cervical cancer cases in the country...

Conducting research in the area of sexual violence has complex ethical and practical challenges for the researcher. Managing ethical issues in sexual violence is important and can be achieved through the use of pilot studies. The primary purpose of the pilot study was to identify and manage potential ethical and practical problems that could jeopa...

The purpose of the study was to explore and analyse the journey of recovery which is undertaken by women who have been sexually assaulted, with the aim of discovering the grounded theory of recovery from sexual assault within the first six months following the event of rape. The main research question was: 'What is the journey of recovery that is u...

Thousands of women and children experience sexual assault trauma annually in South Africa. The challenge posed by recovery from sexual assault trauma is a reality that confronts the survivors of sexual assault, their families and the larger community of service providers. Yet, little research has been conducted on recovery from sexual assault as a...

Background: Family violence is one of the major public health problems in South Africa and worldwide (WHO 2002). However, it is not yet viewed as an important curricular topic in nursing education to warrant dedicated clinical teaching and learning. Where it is addressed in the curriculum, it is usually at theoretical level, with few or no opportun...

The commercialization of research and the ever changing scientific environment has led scholars to shift the focus from promoting research integrity to regulating misconduct. As a result, most literature explains research integrity in terms of avoidance of misconduct. The purpose of the paper is to stimulate reflection and discussion on research in...

Word processed copy. Thesis (Ph.D. (Health and Rehabilitation Sciences))--University of Cape Town, 2006. Includes bibliographical references (p. 279-291).