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"Sunitha Srinivas, C"
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'Ad'apting to Markets
This book looks at what goes into localization of advertisements in Indian languages. 'Ad'apting to Markets discusses the process of localization of advertisements (ads) in different Indian languages and its socio-cultural implications. While doing so, it provides insights into the ideologies and cultural values of contemporary societies as they have a powerful influence not only on consumers' product choices but also on their motivations and lifestyles. The book brings out the manner in which the local market is approached in regional languages to woo consumers and increase sales, the various ways in which localization is achieved, and the visual as well as linguistic 'translation' that 'localized' ads involve.
eBook
Continuous Professional Development for Public Sector Pharmacists in South Africa: A Case Study of Mapping Competencies in a Pharmacists’ Preceptor Programme
Lifelong learning among healthcare practitioners is crucial to keep abreast of advances in therapeutic and service delivery approaches. In South Africa, continuous professional development (CPD) was mandated (2019) for re-registration of pharmacists to illustrate their learning according to the South African Pharmacy Council’s (SAPC) competency standards. This paper uses a preceptor programme linked to the University of the Western Cape School of Pharmacy’s service learning programme to map the competencies employed by pharmacist preceptors in primary care public healthcare facilities in Cape Town in an attempt to encourage completion of their annual CPDs and strengthening the academic-service partnership. Competencies identified were divided into input competencies related to the preceptor’s role in designing and implementing the educational programme in their facilities and assisting students to complete their prescribed learning activities, and output/outcome competencies that emerged from preceptors identifying the facility needs and employing their input competencies. Input competencies pertained to education, leadership, patient counselling, collaborative practice and human resources management. Output competencies related to pharmaceutical infrastructure, quality assurance, professional and health advocacy, primary healthcare, self-management and patient-centred care. The preceptor programme enabled pharmacist preceptors to employ several competencies that are aligned with the SAPC’s competency framework.
Journal Article
'Ad'apting to Markets
An analysis of what goes into localization of advertisements in different Indian languages.
Book
Microbial water quality of treated water and raw water sources in the Harare area, Zimbabwe
Microbial water quality is an essential aspect in the provision of potable water for domestic use. The provision of adequate amounts of safe water for domestic purposes has become difficult for most municipalities mandated to do so in Zimbabwe. Morton-Jaffray Treatment Plant supplies potable water to Harare City and areas surrounding Harare. This study investigated microbial water quality and the impact of microbial water quality related disasters in the area supplied by the Morton Jaffray Treatment Plant. Questionnaires were distributed to household owners in Harare who receive their water from the Municipality and those who use alternate water supplies. Candidates were randomly selected from their workplace. The raw water quality of Manyame River and its tributaries was assessed. Treated water in households was assessed for microbial quality using hydrogen sulphide test and heterotrophic bacteria plate count. Raw water sources were found to be contaminated by faecal matter. Household water sources tested negative for faecal contamination but positive for heterotrophic bacteria. CFU quantities ranged from 1 to 452 CFU/mℓ for all samples. The WHO guidelines for domestic water sources state that water used for domestic purposes should not be contain than 100 CFU/mℓ. Public perceptions of water quality ranged from 'unsafe' to 'highly contaminated'. A decrease in the level of aesthetic appeal resulted in residents resorting to alternative sources such as wells and rivers for their domestic water. The current state of treated water was suitable for domestic use. Pathogen monitoring of domestic water is recommended using the hydrogen sulphide test and R2A agar test.
Journal Article
Balanced nutrition and hand hygiene for children in South Africa
Abstract
Globally, ∼5.9 million children under the age of 5 years died in 2015, with the challenges of child mortality and morbidity being common in developing countries. Many of these deaths are preventable and poor nutritional and hygienic practices contribute greatly to these rates. The spread of infectious disease through unhygienic practices, such as inadequate hand hygiene, remains high due to lack of education regarding hygienic infection control practices at home and in the workplace. The aim of this research was to design and implement a participatory health promotion intervention for caregivers at the Rhodes Day Care Centre (RDCC) that highlighted these important public health issues. We conducted a pre-intervention group feedback discussion with caregivers at the RDCC to identify current practices and to establish the current baseline knowledge of the caregivers. Health workshops with caregivers was facilitated by the researcher, and health information leaflets (HILs) were designed for and used during these workshops. Caregivers at RDCC exhibited fair baseline knowledge on the importance of providing nourishing meals to the infants, including the need for exclusive breastfeeding, and the importance of hand hygiene in preventing the spread of disease. This basic knowledge was positively built upon in the two health promotion intervention workshops. This initiative, held at RDCC, was able to catalyse the development of health knowledge that could have a substantial impact on the understanding of health literacy of the caregivers and on the promotion of adequate child health in the community.
Journal Article
Hypertension and Diabetes Mellitus
A marked increase in the chronic non-communicable diseases such as hypertension and diabetes mellitus in the South African population is in concert with global trends. A health promotion activity carried out by pharmacy students for school learners during the Sasol National Festival of Science and Technology (SciFest) in South Africa was used as a service-learning opportunity. Pilot tested quizzes on hypertension and diabetes were used to determine the level of knowledge of attendees before and after taking the computer based quiz. Posters, information leaflets and interactive models on these two conditions were also used to reach out to the larger population. Of the 203 participants for the hypertension quiz, 169 completed both the pre-and post-intervention quizzes. Similarly, 86 of the 104 participants for the diabetes quiz, completed both the preand post-intervention quizzes. The results show that the post-intervention quiz resulted in a significant increase in the scores from 78.2 to 85.6 % in the case of Hypertension while a marginal increase from 94.2 to 95.5 % was obtained in the case of diabetes. The knowledge of the SciFest attendees with regard to both conditions is above average and improved further after the educational intervention. Health promotion activities which include interactive educational methods and culturally appropriate materials carried out by pharmacy students during service-learning courses are important for improving the awareness on the prevention of these chronic health conditions. Heath promotion servicelearning courses can assist in addressing the health care gaps which arise because of a lack of co-ordinated efforts between NGO’s and local Government to address the prevention and management of non-communicable diseases such as hypertension and diabetes mellitus.
Journal Article
Microbial water quality of treated water and raw water sources in the Harare area, Zimbabwe
Microbial water quality is an essential aspect in the provision of potable water for domestic use. The provision of adequate amounts of safe water for domestic purposes has become difficult for most municipalities mandated to do so in Zimbabwe. Morton-Jaffray Treatment Plant supplies potable water to Harare City and areas surrounding Harare. This study investigated microbial water quality and the impact of microbial water quality related disasters in the area supplied by the Morton Jaffray Treatment Plant. Questionnaires were distributed to household owners in Harare who receive their water from the Municipality and those who use alternate water supplies. Candidates were randomly selected from their workplace. The raw water quality of Manyame River and its tributaries was assessed. Treated water in households was assessed for microbial quality using hydrogen sulphide test and heterotrophic bacteria plate count. Raw water sources were found to be contaminated by faecal matter. Household water sources tested negative for faecal contamination but positive for heterotrophic bacteria. CFU quantities ranged from 1 to 452 CFU/ml for all samples. The WHO guidelines for domestic water sources state that water used for domestic purposes should not be contain than 100 CFU/ml. Public perceptions of water quality ranged from 'unsafe' to 'highly contaminated'. A decrease in the level of aesthetic appeal resulted in residents resorting to alternative sources such as wells and rivers for their domestic water. The current state of treated water was suitable for domestic use. Pathogen monitoring of domestic water is recommended using the hydrogen sulphide test and R2A agar test. Keywords: microbial water quality, faecal contamination, [H.sub.2]S strip test, R2A agar test
Journal Article
Healthcare providers’ experiences with adverse drug reactions and adherence challenges in antiretroviral therapy of HIV patients in the Eastern Cape Province, South Africa
Purpose
To gain insight into the experiences and handling of adverse drug reactions (ADRs) by the staffs of public primary healthcare (PHC) clinics in Eastern Cape Province, South Africa, as well as their perceptions of related adherence challenges in the treatment and follow-up of human immunodeficiency virus (HIV)-positive patients.
Methods
Healthcare providers working at the PHC level in the public sector in the study area were approached and asked to participate in focus group discussions (FGDs). Seven FGDs were conducted with 32 healthcare providers (9 nurses, 23 auxiliary staff). Questions introduced by the moderator of each FGD were freely discussed by the participants. Discussions were audio-recorded and subjected to thematic content analysis.
Results
Several challenges in the treatment and follow-up of patients on ART were identified. These include: (1) lack of training of healthcare providers in PHC clinics to confidently identify, manage and treat the ADRs HIV-positive patients receiving ART; (2) patients’ difficulty in communicating information on ADRS; (3) insufficient pharmacovigilance; (4) role of poverty.
Conclusion
Both nurses and auxiliary staff expressed lack of knowledge and confidence regarding ADRs in HIV patients and management of this. More emphasis is warranted on training the healthcare providers to identify ADRs and provide adequate advice for continued treatment of patients experiencing potential drug related problems.
Journal Article
Knowledge of HIV and its treatment among health care providers in South Africa
Background
In South Africa, availability of antiretroviral (ARV) drugs has increased largely in the public sector since it became available in 2004. Follow-up of stabilized patients on ARV drugs are done in primary health care (PHC) facilities run by nurses, often without specialized training. This has deep impact on the patients’ drug adherence.
Objective
To investigate health care providers’ (HCPs) knowledge about human immunodeficiency virus (HIV) and antiretroviral therapy (ART) in the Eastern Cape Province, South Africa. The aim was also to investigate nurses’ knowledge and experience regarding adverse drug reaction (ADR) reporting.
Setting
Public PHC clinics in one district of the Eastern Cape Province.
Method
Personal interviews, using a structured questionnaire, were conducted with 102 HCPs (nurses and auxiliary staff) working at six PHC facilities, one community health centre and one health post.
Main outcome measure
Knowledge about HIV and ART among nurses and auxiliary staff.
Results
Both nurses and auxiliary staff had some basic knowledge about symptoms of HIV and modes of transmission, but great uncertainty was seen regarding specific topics including ARV drugs, ADRs and HIV complications. The PHC staff were uncertain about how to administer ARV drugs—with or without food—and some of them would advice their patients not to take ARV drugs at times when food was lacking. Both nurses and auxiliary staff knew that HIV was treated with ARV drugs. Only 60 % of the HCPs claimed that ART was the only effective treatment for HIV, whereas 39 % claimed that nutritious food also could treat HIV. Nurses showed lacking ability to manage ADRs. They also had very little knowledge about ADR reporting, and very few had ever submitted a report at all.
Conclusion
The study shows that both nurses and auxiliary staff are unable to provide the patients with adequate advice about administration of the ARV drugs and management of ADRs. Serious lack of knowledge among HCPs regarding the treatment of HIV presents structural barriers to the patients’ adherence.
Journal Article