Download or read book Challenges Facing Home Based Care Programs in Botswana written by Antony Odek and published by LAP Lambert Academic Publishing. This book was released on 2010-07 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Community Home-Based Care (CHBC) is a program that offers health services to support the terminally ill in the home (WHO, 1999). The program has come into force as a result of a high rate of HIV/AIDS infection in Least Developed Countries (Itano, 2003). Rapid increase in HIV/AIDS and other terminal illnesses has implications for the National Health Systems ability to cope with the provision of health care services for both the HIV/AIDS and other patients. This paper is an extended literature review and it identifies and discusses challenges facing CHBC programs in Botswana. The review gives attention to issues like poverty, inadequate medical facilities, poor infrastructure and socio-cultural factors which affect quality of services in the CHBC programs in Botswana. The findings indicate that poverty, high cost of community care, inadequate medical facilities, poor infrastructures and socio-cultural issues have threatened the sustainability of CHBC programs in Botswana. The recommendations and the options given can provide basis for further research aimed at getting solutions to CHBC challenges.

Download or read book HIV AIDS Clients and Their Caregivers Perceptions of a Community Home based Care Support Programme in Botswana written by Agnes Nkeba Diseko and published by . This book was released on 2006 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Role of Nursing in Health Care Policy and Resource Allocation for HIV AIDS in Botswana written by Nthabiseng A. Phaladze and published by . This book was released on 1999 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Safe Management of Wastes from Health care Activities written by Yves Chartier and published by World Health Organization. This book was released on 2014 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the second edition of the WHO handbook on the safe, sustainable and affordable management of health-care waste--commonly known as "the Blue Book". The original Blue Book was a comprehensive publication used widely in health-care centers and government agencies to assist in the adoption of national guidance. It also provided support to committed medical directors and managers to make improvements and presented practical information on waste-management techniques for medical staff and waste workers. It has been more than ten years since the first edition of the Blue Book. During the intervening period, the requirements on generators of health-care wastes have evolved and new methods have become available. Consequently, WHO recognized that it was an appropriate time to update the original text. The purpose of the second edition is to expand and update the practical information in the original Blue Book. The new Blue Book is designed to continue to be a source of impartial health-care information and guidance on safe waste-management practices. The editors' intention has been to keep the best of the original publication and supplement it with the latest relevant information. The audience for the Blue Book has expanded. Initially, the publication was intended for those directly involved in the creation and handling of health-care wastes: medical staff, health-care facility directors, ancillary health workers, infection-control officers and waste workers. This is no longer the situation. A wider range of people and organizations now have an active interest in the safe management of health-care wastes: regulators, policy-makers, development organizations, voluntary groups, environmental bodies, environmental health practitioners, advisers, researchers and students. They should also find the new Blue Book of benefit to their activities. Chapters 2 and 3 explain the various types of waste produced from health-care facilities, their typical characteristics and the hazards these wastes pose to patients, staff and the general environment. Chapters 4 and 5 introduce the guiding regulatory principles for developing local or national approaches to tackling health-care waste management and transposing these into practical plans for regions and individual health-care facilities. Specific methods and technologies are described for waste minimization, segregation and treatment of health-care wastes in Chapters 6, 7 and 8. These chapters introduce the basic features of each technology and the operational and environmental characteristics required to be achieved, followed by information on the potential advantages and disadvantages of each system. To reflect concerns about the difficulties of handling health-care wastewaters, Chapter 9 is an expanded chapter with new guidance on the various sources of wastewater and wastewater treatment options for places not connected to central sewerage systems. Further chapters address issues on economics (Chapter 10), occupational safety (Chapter 11), hygiene and infection control (Chapter 12), and staff training and public awareness (Chapter 13). A wider range of information has been incorporated into this edition of the Blue Book, with the addition of two new chapters on health-care waste management in emergencies (Chapter 14) and an overview of the emerging issues of pandemics, drug-resistant pathogens, climate change and technology advances in medical techniques that will have to be accommodated by health-care waste systems in the future (Chapter 15).

Download or read book Client Satisfaction and Providers Perspective with Home Based Care in Kweneng District Botswana written by and published by . This book was released on 2001 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Collaborative capacity development to complement stroke rehabilitation in Africa written by Quinette Louw and published by AOSIS. This book was released on 2020-12-31 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: This scholarly book focuses on stroke in Africa. Stroke is a leading cause of disability among adults of all ages, contributing significantly to health care costs related to long term implications, particularly if rehabilitation is sub-optimal. Given the burden of stroke in Africa, there is a need for a book that focuses on functioning African stroke survivors and the implications for rehabilitation within the African context. In addition, there is a need to progress with contextualised, person-centred, evidence-based guidance for the rehabilitation of people with stroke in Africa, thereby enabling them to lead socially and economically meaningful lives. The research incorporated in the book used a range of primary and secondary methodological approaches (scoping reviews, systematic reviews, meta-analyses, descriptive studies, surveys, health economics, and clinical practice guideline methodology) to shed new insights into African-centred issues and strategies to optimise function post-stroke.

Download or read book A Review of Studies on Home based Care to Determine Implications for Social Innovation in Namibia written by and published by . This book was released on 2016 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: The social and economic consequences of the HIV/AIDS epidemic has shown that the disease has placed a large burden on public health care facilities especially in most southern African countries where the effect of the pandemic has been observed through the diminished capacity of health sectors. This observation has brought into focus the need for an alternative form of health care, viz, home-based care (HBC) as a critical element of the national health care system. HBC provides a continuum of care for persons with chronic illness from a health care facility to the home care environment where the care focuses on the overall well-being of the patient (Compbell, et al., 2005; Mwinituo, 2006). It is for this reason that explored the evolution of the HBC system within the context of innovation system and as part of the health care system in Namibia. The study was guided by the Local Innovation and Productive Systems (LIPS) methodology which provides an analytical framework for understanding the systemic and interactive processes that lead to social innovation (Lastres & Cassiolato, 2005). The available secondary literature was used in the analysis of the findings including the content of the study where a detailed and systematic examination of contents of a particular body of material for the purpose of identifying patterns, themes or biases (Leedy and Ormrod, 2005) Findings showed that HBC emerged as a social response to challenges that were facing society with different actors such as family, volunteers, NGOs, clinics, and hospitals playing different roles in the delivery of HBC. Furthermore, findings indicate that as much as there are benefits derived from HBC, there are also challenges facing the HBC system of which some include the costs associated with the provision of HBC at the home level, inadequate medical facilities to complement the efforts of HBC, poor infrastructure and socio-cultural issues that have threatened the sustainability of HBC programs particularly in Namibia and Sub-Saharan Africa in general. From the findings, it was concluded that formal HBC programs started earlier in the 1980s with the main the main actors consisting of families, community volunteers, NGOs and government health institutions fulfilling the psychological, emotional, religious and spiritual needs of a patient by the family and the health team. Finally, it was also concluded that the HBC system is readily available (family members and community volunteers are available) and is affordable for the family members and the government. Despite some benefits, it can be concluded that the HBC system has some challenges that include HIV-positive persons straining family's resources, exposure to risks of contracting HIV by caregivers, shortage of trained personnel to administer drugs, and poor coordination and collaboration between key stakeholders and other sectors working at community. Considering findings and conclusions from the study, it was recommended that HBC should be incorporated and Institutionalized into both formal and informal institutions that can play a critical role in the development of HBC.

Download or read book Community Home based Care written by Miriam J. Hirschfeld and published by . This book was released on 2000 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Aging Well written by May Wykle and published by Jones & Bartlett Learning. This book was released on 2011 with total page 623 pages. Available in PDF, EPUB and Kindle. Book excerpt: Aging Well: Gerontological Education for Nurses and Other Health Professionals brings a fresh outlook to gerontological education and promotes the experience of aging as a positive circumstance, and elders as a treasure of society. Discussion centers on the application of research findings to encourage elders to rise above and beyond disability, to help them retain their identity of personhood, and integrate into society in general and their immediate community in particular. Contributors include individuals from the academic gerontological community and clinicians as well as experts from related fields such as social policy and community planning. This comprehensive text contains vital information necessary to caring for elders, including topics such as disease and disabilities associated with aging, to illuminate underlying philosophical tenants and social issues. Each chapter provides a summary of the key points with suggestions on how to apply them on a daily basis.

Download or read book There is No Care Here written by Arielle Justine Wright and published by . This book was released on 2018 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do people make sense of "care" when it fails? My dissertation examines the ethical debates that are provoked by the limitations of care in the setting of home-based care and associated safety net programs in Botswana. The organization of care is negotiated across domestic and public domains, often incorporating concerns about kinship ties, dependency, and labor in the welfare state. Based on 16 months of ethnographic research, I demonstrate that the ethical evaluation of care varies between differently-positioned stakeholders engaged in providing chronic care. Economic conditions and socio-political ideologies shape the ethics of care by way of setting the circumstances in which it may be achieved, and providing rationales to explain when it cannot. In Botswana's welfare apparatus, caregiving practice as central to the claims for resources made by caregivers from both kin and government sources. Yet the strategies used by caregivers to secure resources for care and survival are not well recognized by government policy, which employs outdated logics of productive labor and authorized dependency. The concept of "conflictual ethics" provides an analytical tool to examine the conflicts around legitimate dependency that shape the problem of care within a setting of economic precarity. My analysis of the competing ethical frames at play provides important insight for scholarship addressing the relation of care to the ethics of justice, economic inequality, and governance within everyday life.

Download or read book The Faith Sector and HIV AIDS in Botswana written by Lovemore Togarasei and published by Cambridge Scholars Publishing. This book was released on 2011-01-18 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a collection of chapters by seasoned scholars of religion covering the role played by various religions at home in Botswana in the struggle against HIV and AIDS. The book is a direct result of field research projects conducted by the authors on the role of religion in a country that once ranked as the worst affected by HIV and AIDS in the world. It comprises of twelve chapters that are divided into four parts. The first part, comprising of three chapters, provides a background of the faith sector in Botswana. Part II of the book focuses on the Christian religion and comprises of four chapters. Part III comprises of three chapters discussing other religious groups apart from Christianity. Part IV addresses the role of culture and religion in HIV and AIDS response in Botswana. With several attempts to mainstream HIV and AIDS in education both in schools and in tertiary institutions, the book serves both the academic and research community at national and international levels. It does not serve only those studying religion, but all who address issues of HIV and AIDS from whatever field of study.

Download or read book Palliative Care for Chronic Cancer Patients in the Community written by Michael Silbermann and published by Springer Nature. This book was released on 2020-10-29 with total page 566 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new global cancer data suggests that the global burden has risen to 18.1 million new cases per year and 9.6 million cancer deaths per year. A number of factors appear to be driving this increase, in particular, a growing and aging global population and an increase of exposure to cancer risk factors linked to social and economic development. For rapidly-growing economies, the data suggests a shift from poverty- or infection-related cancers to those associated with lifestyles more typical in industrialized countries. There is still large geographical diversity in cancer occurrence and variations in the magnitude and profile of the disease between and within world regions. There are specific types of cancer that dominate globally: lung, female breast and colorectal cancer, and the regional variations in common cancer types signal the extent to which societal, economic and lifestyle changes interplay to deferentially impact on the profile of this most complex group of diseases. Unfortunately, despite advances in cancer care, a significant proportion of patients at home, experience sub-optimal outcomes. Barriers to successful treatment outcomes include, but are not limited to: access to oncologists in the primary health centers, non-adherence, lack of experienced oncology and palliative care nurses in the community, inadequate monitoring and the lack of training of family and pediatric physicians. Telemedicine approaches, including telephone triage/education, telemonitoring, teleconsultation and status tracking through mobile applications, have shown promise in further improving outcomes, in particular for chronic cancer patients following their hospitalization. Lessons can be learned from existing hospices in North America, the United Kingdom, Australia, Centers of Excellence in African (Uganda) and modern community services in India (Kerala). An important goal of this book is to describe and encourage professionals to develop new community programs in palliative care, which include training and empowering physicians and nurses in the community on the principles of palliative care. The Middle East Cancer Consortium (MECC) together with the American Society of Clinical Oncology (ASCO) and the American Oncology Nursing Society (ONS) have conducted multiple courses ranging from basic palliative care to more specialized training in palliative care for multiple nationalities in Europe, Asia and Africa. Our experience clearly indicates that, to promote such activities, one needs strong leadership and confirmed political will to support the endeavor. The new book will emphasize the importance of having a core of multiple stakeholders including community leaders, government, NGOs and media to be actively involved in advocating for the cause and generating public awareness. This text will provide the reader with a comprehensive understanding of the outside-of-the-hospital treatment of cancer patients by medical, paramedical and volunteer personnel. In doing so, this text will encourage the creation of new palliative care services improving upon the existing ones and stimulate further research in this field. Part 1 of the text will begin with an overview of the current state of affairs of services provided to cancer patients while being cared for by primary health centers. It will also review the current literature regarding medical and psychological-based therapy options in the community for cancer patients at different stages of their disease. Part 2 will address the unique role of the community nurse, within the framework of the multidisciplinary team treating the patient, in the attempt to provide optimal evaluation and care in very challenging situations (such as with terminal patients). Part 3 will provide insightful models of this new discipline and serve as a valuable resource for physicians, nurses, social workers and others involved in the care of cancer patients. The book will take a multidisciplinary approach, integrating clinical and environmental data for practical management to enhance the efficacy of treatment while relieving suffering. Part 4 will also discuss the application of modern technological approaches to track symptoms, quality of life, diet, mobility, duration of sleep and medication use (including pain killers) in chronic cancer patients in the community. Part 5 of the book will also be devoted to modes of developing a collaborative program between governmental and non-governmental organization sectors. This includes volunteer workers in close collaboration with medical professionals for providing emotional and spiritual support, nursing care, nutritional support and empowering family caregivers. Such a model makes palliative care in the community a “people’s movement”, thus transferring part of the responsibility and ownership to the community.

Download or read book Community Home based Care written by and published by . This book was released on 2000 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Aging in Sub Saharan Africa written by National Research Council and published by National Academies Press. This book was released on 2006-11-10 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: In sub-Saharan Africa, older people make up a relatively small fraction of the total population and are supported primarily by family and other kinship networks. They have traditionally been viewed as repositories of information and wisdom, and are critical pillars of the community but as the HIV/AIDS pandemic destroys family systems, the elderly increasingly have to deal with the loss of their own support while absorbing the additional responsibilities of caring for their orphaned grandchildren. Aging in Sub-Saharan Africa explores ways to promote U.S. research interests and to augment the sub-Saharan governments' capacity to address the many challenges posed by population aging. Five major themes are explored in the book such as the need for a basic definition of "older person," the need for national governments to invest more in basic research and the coordination of data collection across countries, and the need for improved dialogue between local researchers and policy makers. This book makes three major recommendations: 1) the development of a research agenda 2) enhancing research opportunity and implementation and 3) the translation of research findings.

Download or read book Historical Perspectives on the State of Health and Health Systems in Africa Volume II written by Mario J. Azevedo and published by Springer. This book was released on 2017-01-24 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.

Download or read book Challenges and Coping Mechanisms of Home Based Care Givers for People Living with HIV AIDS in Xikundu Community South Africa written by Tintwalo Portia Tshabalala and published by . This book was released on 2016 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Telemedicine in Low Resource Settings written by Richard Wootton and published by Frontiers Media SA. This book was released on 2015-04-24 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: Telemedicine networks to support healthcare workers in resource-limited settings (often for humanitarian purposes) have evolved over the last decade or so in a largely autonomous way. Communication between them has been informal and relatively limited in scope. This situation could be improved by developing a comprehensive approach to the collection and dissemination of information. A recent review identified seven telemedicine networks, each of which had been in operation for at least five years and which provided store-and-forward telemedicine services to doctors in low- and middle-income countries. These networks provide clinically useful services and improved healthcare access. However, like much of telemedicine, the formal evidence for their cost-effectiveness remains weak. Topics of current research interest therefore include the cost-effectiveness of telemedicine in resource-limited settings. Outcomes data (and methods for gathering it) such as patient quality of life following a telemedicine episode, the knowledge-gain of healthcare staff involved in telemedicine, and staff recruitment and retention in rural areas are also of interest. Finally, there is little published information about the performance of these telemedicine networks (and methods for measuring it), about how best to manage them, and about how to share resources between them. A collection of articles reporting the current evidence supporting the use of telemedicine in resource-limited settings would build the evidence base and should provide a focus for future research. It would also serve to raise the profile of this potentially important research field.