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    Access and utilization of adolescent youth friendly services in primary health care clinics in Ekurhuleni South District, Gauteng Province
    (2022-05-13) Naicker, Reshna; Naidoo, Vasanthrie; Munsamy, Michelle; Mavundla, Amile
    Background- The Adult Youth Friendly Health Service (AYFHS) programme has been fragmented in the healthcare system. Regardless of youth healthcare being a priority, the inequalities within the implementation and sustenance of this service, there has been unmet health needs of many youth and adolescents within the community of Ekurhuleni in the South district of Gauteng. This study has therefore found it necessary to explore the youth perspectives in accessing and utilising adolescent/youth friendly health services within the community. Aim of the study-The aim of the study was to explore the perspectives of adolescents regarding their access and utilization of AYFHS in Primary Health Care clinics in the Ekurhuleni South District, Gauteng Province. Methodology- The study utilised a qualitative, explorative, descriptive approach where data was gathered through individual interviews from a study population based in the Ekurhuleni South District in Gauteng province and selected through a purposive sampling technique. The analysis and interpretation of the data revealed emerging themes which discussed and formed the core of the research findings. Conclusion- Access and utilisation of AYFHS in the Ekurhuleni South District, noted that several barriers existed. From the perspective of the youth that have been interviewed, it was noted that a lack of knowledge regarding the AYFHS programme was prevalent. Youth healthcare is the centre of priority in the healthcare system and AYFHS should be the programme of focus as it encapsulates the burden of disease holistically amongst the youth population. Provision of accessible, available, equitable and appropriate youth healthcare services are required at healthcare facilities in the Ekurhuleni South District. Recommendations- Policy makers and those in authority should routinely assess and evaluate healthcare facilities to ensure that the essential package of the AYFHS programme is implemented at all healthcare facilities and quality healthcare services are provided to the youth population. This study recommends that all aspects of quality service delivery, such as adequate infrastructure, human and material resources and operating hours of the healthcare facility need to be improved to meet the needs of the community. Education and training of staff and the community regarding AYFHS is required as matter of urgency. Strategies to improve satisfaction of healthcare services should be targeted and retaining the youth population within the healthcare facility must be given priority.
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    The knowledge, attitudes, perceptions and perceived barriers of chiropractors within the eThekwini Municipality towards evidence-based practice
    (2018) Naidoo, Divashni; O'Connor, Laura; Mshunqane, Nombeko
    Background ABSTRACT In the chiropractic profession, it has been an established goal to utilise evidence-based practice (EBP) in clinical practice in order to empower chiropractors to develop effective treatment protocols. However, the extent to which chiropractors are utilising EBP, and the factors associated with its implementation in practice is unknown. The lack of research in this regard suggests that further studies need to be undertaken within the chiropractic profession in South Africa in order to fully understand the relationship of factors which contribute to the adoption and application of EBP by chiropractors in clinical practice. Therefore, the aim of this study was to investigate the knowledge of, attitudes towards, perceptions of and perceived barriers towards EBP by chiropractors within the eThekwini municipality. Method A pre-validated cross sectional descriptive survey was administered to chiropractors practicing within the eThekwini municipality (n = 101) by hand delivery. The questionnaire was validated by means of a focus group and pilot testing. Participants gave informed consent prior to participation. Data were analysed using using SPSS Statistics 24.0 and Statgraphics Centurion 15.1 (2006) to determine the descriptive and inferential statistics while the open- ended questions were analysed qualitatively using manifest coding. Results A response rate of 51% (n=51) was obtained. The majority of respondents were male (51%), mean age of 37.8 years, practicing for less than 19 years, working in full time practice (76.5%) between 40 and 49 hours per week (45.1%). The majority of the respondents had a positive attitude and perception towards EBP with respondents showing a willingness to improve skills (72.6%) and utilisation (52.9%) of EBP. Respondent 15 explained that “it is very important to have the skills in order to utilise EBP. Once you have the skills, utilising EBP becomes easy”. Responses highlighted that respondents are engaging with scientific literature when necessary and possess the skills necessary to utilise EBP. The majority of respondents believe that they had a strong academic foundation in their knowledge and skills related to accessing and interpreting information, yet 47.1% reported not having received formal training in search strategies to access literature. However, most felt confident about their knowledge and skills to utilise EBP. Insufficient time (66.7%), lack of generalisability of the literature findings to their patient population (49.0%) and the inability to apply research findings to individual patients with unique characteristics (45.1%) were the three top barriers identified. Respondent 12 described: “most articles are vague or time consuming and searching for relevant, up to date and reliable articles is a difficult process that can take a lot of time” as a possible barrier to utilising EBP. Conclusion The respondents in this study had a favourable attitude towards, and perception of, EBP and its usefulness to chiropractic practice. However, like other healthcare professionals they felt that they had insufficient time to utilise EBP. This study also highlighted the importance of academic institutions providing the necessary skills required to utilise EBP. It is recommended that workshops focusing on EBP principles and training are arranged to assist practitioners in integrating EBP into practice