wow-inequalities/02-data/intermediate/wos_sample/e1275b81482cb25fa385bbd05ef71d94-hangulu-lydia-and-a/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: In South Africa, community health workers (CHWs) working in
community-based care (CBC) programmes provide care to patients most of
whom are living with HIV/AIDS and tuberculosis (TB). Although studies
have shown that the caregiving activities provided by the CHWs generate
health care waste (HCW), there is limited information about the
experiences of CHWs on health care waste management (HCWM) in CBC. This
study explored HCWM in CBC in Durban, South Africa from the perspectives
CHWs.
Methods: We used three ethnographic approaches to collect data: focus
group discussions, participant observations and informal discussions.
Data was collected from 85 CHWs working in 29 communities in the Durban
metropolis, South Africa. Data collection took place from July 2013 to
August 2014.
Results: CHWs provided nursing care activities to patients many of whom
were incontinent or bedridden. Some the patients were living with
HIV/AIDS/TB, stroke, diabetes, asthma, arthritis and high blood
pressure. These caregiving activities generate sharps and infectious
waste but CHWs and family members did not segregate HCW according to the
risk posed as stipulated by the HCWM policy. In addition, HCW was left
with domestic waste. Major barriers to proper HCWM identified by CHWs
include, lack of assistance from family members in assisting patients to
use the toilet or change diapers and removing HCW from homes, irregular
waste collection by waste collectors, inadequate water for practicing
hygiene and sanitation, long distance between the house and the toilets
and poor conditions of communal toilets and pit latrines. As a result of
these barriers, HCW was illegally dumped along roads or in the bush,
burnt openly and buried within the yards. Liquid HCW such as vomit,
urine and sputum were disposed in open spaces near the homes.
Conclusion: Current policies on primary health care (PHC) and HCWM in
South Africa have not paid attention to HCWM. Findings suggest the need
for primary health care reform to develop the competencies of CHWs in
HCWM. In addition, PHC and HCWM policies should address the
infrastructure deficit in low resource communities. In order for
low-and-middle-income-countries (LMICs) to develop effective community
health worker programmes, there is a need for synergies in PHC and HCWM
policies.'
affiliation: 'Hangulu, L (Corresponding Author), Univ KwaZulu Natal, Discipline Psychol,
Hlth Promot Postdoctoral Programme, MTB Ground Floor,1X09, ZA-4041 Durban, South
Africa.
Hangulu, Lydia, Univ KwaZulu Natal, Discipline Psychol, Hlth Promot Postdoctoral
Programme, MTB Ground Floor,1X09, ZA-4041 Durban, South Africa.
Akintola, Olagoke, Univ KwaZulu Natal, Discipline Psychol, Hlth Promot Programme,
4041King George Ave, ZA-4041 Durban, South Africa.'
article-number: '448'
author: Hangulu, Lydia and Akintola, Olagoke
author-email: lydiamudenda@gmail.com
author_list:
- family: Hangulu
given: Lydia
- family: Akintola
given: Olagoke
da: '2023-09-28'
doi: 10.1186/s12889-017-4378-5
eissn: 1471-2458
files: []
journal: BMC PUBLIC HEALTH
keywords: 'Community-based care; Community health workers; Health care waste;
HIV/AIDS'
keywords-plus: GENERATION; SANITATION
language: English
month: MAY 15
number-of-cited-references: '45'
papis_id: 6bc316dd98972a88e6264bc4cb76990f
ref: Hangulu2017healthcare
times-cited: '13'
title: 'Health care waste management in community-based care: experiences of community
health workers in low resource communities in South Africa'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000401865600003
usage-count-last-180-days: '0'
usage-count-since-2013: '10'
volume: '17'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2017'