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An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa

AIM: The aim of the study is to evaluate the implementation of integrated community home-based care (CHBC) services in Vhembe District, Limpopo Province, South Africa. MATERIALS AND METHODS: In all, 393 caregivers responded to a questionnaire on various aspects of home-based care and service provide...

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Autores principales: Moetlo, Gandi J, Pengpid, Supa, Peltzer, Karl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183603/
https://www.ncbi.nlm.nih.gov/pubmed/21976854
http://dx.doi.org/10.4103/0973-1075.84535
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author Moetlo, Gandi J
Pengpid, Supa
Peltzer, Karl
author_facet Moetlo, Gandi J
Pengpid, Supa
Peltzer, Karl
author_sort Moetlo, Gandi J
collection PubMed
description AIM: The aim of the study is to evaluate the implementation of integrated community home-based care (CHBC) services in Vhembe District, Limpopo Province, South Africa. MATERIALS AND METHODS: In all, 393 caregivers responded to a questionnaire on various aspects of home-based care and service provider characteristics. RESULTS: Results indicate that in most areas of the Community Homes-based Care (CHBC) services, caregivers had confidence including wound dressing, health education, bet bathing, giving prescribed medication, and management of diabetes client, and they had sufficient knowledge received through training. Lower knowledge and confidence was noted for the management of hypertensive and asthmatic clients, and lower knowledge (82%) was indicated for counseling. The most common caregiving services included health education (100%), giving medication (98%), management of hypertension (22%), and counseling (15%). Most caregivers rated the implementation of CHBC in their district as excellent or good (70%). The most common problems and barriers in caregiving included (1) structural problems: none or sometimes not available home-based care kits (54%), lack of resources (32%), lack of transport money (30%), and very low stipend (22%); (2) problems with the supervisor such as “lack of management skills” (40%) and “selfishness” (38%); and (3) problems with clients and community such as “patients not taking prescribed medicines regularly” (45%) and “not welcomed by patients and family members” (35%). CONCLUSION: Community home-based caregivers are largely able to implement home-based care services but would need more support (training, financial, career structure, and health system) to improve on their services.
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spelling pubmed-31836032011-10-04 An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa Moetlo, Gandi J Pengpid, Supa Peltzer, Karl Indian J Palliat Care Original Article AIM: The aim of the study is to evaluate the implementation of integrated community home-based care (CHBC) services in Vhembe District, Limpopo Province, South Africa. MATERIALS AND METHODS: In all, 393 caregivers responded to a questionnaire on various aspects of home-based care and service provider characteristics. RESULTS: Results indicate that in most areas of the Community Homes-based Care (CHBC) services, caregivers had confidence including wound dressing, health education, bet bathing, giving prescribed medication, and management of diabetes client, and they had sufficient knowledge received through training. Lower knowledge and confidence was noted for the management of hypertensive and asthmatic clients, and lower knowledge (82%) was indicated for counseling. The most common caregiving services included health education (100%), giving medication (98%), management of hypertension (22%), and counseling (15%). Most caregivers rated the implementation of CHBC in their district as excellent or good (70%). The most common problems and barriers in caregiving included (1) structural problems: none or sometimes not available home-based care kits (54%), lack of resources (32%), lack of transport money (30%), and very low stipend (22%); (2) problems with the supervisor such as “lack of management skills” (40%) and “selfishness” (38%); and (3) problems with clients and community such as “patients not taking prescribed medicines regularly” (45%) and “not welcomed by patients and family members” (35%). CONCLUSION: Community home-based caregivers are largely able to implement home-based care services but would need more support (training, financial, career structure, and health system) to improve on their services. Medknow Publications 2011 /pmc/articles/PMC3183603/ /pubmed/21976854 http://dx.doi.org/10.4103/0973-1075.84535 Text en © Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Moetlo, Gandi J
Pengpid, Supa
Peltzer, Karl
An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa
title An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa
title_full An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa
title_fullStr An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa
title_full_unstemmed An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa
title_short An Evaluation of the Implementation of Integrated Community Home-Based Care Services in Vhembe District, South Africa
title_sort evaluation of the implementation of integrated community home-based care services in vhembe district, south africa
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183603/
https://www.ncbi.nlm.nih.gov/pubmed/21976854
http://dx.doi.org/10.4103/0973-1075.84535
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