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Theses and dissertations (Health Sciences)

Permanent URI for this collectionhttp://ir-dev.dut.ac.za/handle/10321/12

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Subject: search.filters.subject.Homoeopathic Community Health Centre

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    Patient management experiences of individuals attending a homoeopathic community health centre
    (2021-12-01) Mhlongo, Bukiwe Nothando Princess; Ngobese-Ngubane, Jabulile C.; Couchman, Ingrid
    Durban University of Technology (DUT) set up a homeopathic satellite centre in cooperation with Lifeline Ukuba Nesibindi Homeopathic Community Health Centre (UNHCHC) in 2004. UNHCHC is a centre for teaching students doing their Bachelor's and Master's degree in Technology in Homoeopathy. UNHCHC offers free primary services to patients by homeopathic students and is situated less than a kilometer away from DUT. Patient management at this facility involves the following: maintenance or improvement of health via the prevention, diagnosis and treatment of disease, illness, injury, and other physical and mental impairments. It also includes communication, empathy, examination, evaluation, prognosis, and intervention. This encompasses the interaction, from intake to discharge, between the patient and UNHCHC. Patient experience includes the range of interactions that patients have with the health care system, including their care through health plans, and from doctors, nurses and staff, physician practices, and other healthcare facilities. Hence it was vital that the experiences of patients attending this homeopathic community health centre be evaluated. The study that was conducted by Dube (2015) analyzing patients' perceptions of their first homeopathic consultation at the UNHCHC, respondents determined that the homeopathic consultation was rather different from what they were accustomed to. The difference that was noted by respondents included friendliness, professionalism, deep, thorough attentive case taking and physical examinations. In contrast, Ndlovu (2015) found that patients were dissatisfied with service delivery offered in public hospitals around iLembe Municipality in KwaZulu-Natal. This research was conducted to determine and compare differences in patient management in allopathic versus homeopathic consultations, including how patients were treated in each. Methodology An adaptation of a quantitative, descriptive, cross-sectional analysis was used to guide the study. A questionnaire with both closed- and open-ended questions was used to obtain data from 100 consenting participants. The participants must have had a consultation with a homeopath before answering the questionnaire. Participants attending UNHCHC for the first time had to wait until after a consultation in order to participate, while those arriving for follow up visits were able to participate before or after consultation. The data were encoded and entered by the researcher onto an Excel spreadsheet, and then imported into Excel® XP™ 2016 and SPSS® v25 for Windows™ for analysis. Results Data from this study indicate that there was a significant level of satisfaction with the following areas of homeopathic consultation: time management, consultation and level of hygiene. Patients also perceived homeopathic medicine as safer, with less side-effects and more easily available than allopathic medication. The data also showed a high level of dissatisfaction with services rendered by public hospitals and clinics compared to those rendered by UNHCHC. The majority (91%) of patients said that given the option, they would consult with homeopaths, and would like homeopathy to be integrated into the public health sector. Of the participants, 81% said they would like homeopathy to be integrated into the public healthcare sector as this would help alleviate the pressure faced by this sector, especially regarding the shortage of doctors.
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    Patients experience of their first homeopathic consultation at Cato Ridge homeopathic community health centre, KwaZulu-Natal, South Africa
    (2021-05-27) Nyawose, Mzwandile Enerst; Couchman, Ingrid
    Cato Ridge Homoeopathic Community Health Centre (CRHCHC) is situated at Cato Ridge, under the uMgungundlovu District-Mkhambathini municipality (Mkhizwana village). It is a multidisciplinary health care center consisting of specialties from the Durban University of Technology-Faculty of Health Sciences, namely: Nursing, Chiropractic, and Homoeopathy. These specialties provide comprehensive primary health care services which include screening tests for HIV, Diabetes, and Pregnancy, etc. They also offer referral letters to clinics/hospitals for all conditions beyond their scope of practice, management of minor/acute conditions, prescription of chronic medication, comprehensive homoeopathy and chiropractic treatment as well as patient management. The centre operates only on Wednesdays from 9h00 to 15h00 . CRHCHC was established in 2016 by Durban University of Technology (DUT), to help the Mkhizwana village community with a nearby community health centre where they will receive medical attention. This community centre is unique in that it is in a rural area and there are no nearby healthcare facilities. The closest healthcare facility is RK Khan, located 60 Km away from Mkhizwana village. Since this centre was recently opened, a survey on patient experience is important to assess the centre from the community’s perspective. Aim of the study The study aimed to determine the experiences of patients after their first Homoeopathic consultation and their satisfaction with service delivery at CRHCHC. Methodology A quantitative, descriptive, cross-sectional study design was used to guide the study. 100 consenting patients were selected randomly and given a questionnaire. The Data was analysed using Microsoft office Excel 2019 and SPSS version 25 software. Results The result showed a high degree of satisfaction on homoeopathic consultation. The majority of the participants were satisfied with the homoeopathic consultation which includes medication, information and advice, length of consultation, love and care shown by the homoeopathy students. Furthermore, the majority of the participants were satisfied with the manner in which the homoeopathic students conduct themselves as well as their professionalism. However, the majority of the participants highlighted that there is a need for a proper clinic and for the centre to operate every day rather than just one day a week.