Faculty of Health Sciences (ETDs)

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    Understanding SARS-CoV-2 vaccine hesitancy among pregnant women in Soweto, South Africa: A qualitative study
    (University of the Witwatersrand, Johannesburg, 2024) Zungu, Zwile; Myburgh, Nellie
    The study focused on understanding SARS-CoV-2 vaccine hesitancy among pregnant women in Soweto, South Africa. Pregnant women are at a greater risk of experiencing COVID-19 complications during pregnancy if infected with the SARS-CoV-2 virus. Vaccination uptake remains low in the population at large. This is a qualitative exploratory study approach using key-informant interviews. A total of sixteen key informant interviews with vaccinated pregnant women, unvaccinated pregnant women, healthcare workers and alternative healers were conducted. This study took place in Soweto townships, South Africa. Thematic qualitative analysis was used to construct themes in NVivo, where the gathered data was reviewed and analysed. The study found that pregnant women experience barriers and motivations that determine their decision to get vaccinated against COVID-19. Motivators to vaccinate health concerns, monetary benefit and structural motivators such as employment, travelling and education. Barriers included vaccine related fears were the main reason for poor vaccine uptake. The lack of knowledge, healthcare system barriers, misinformation, and lack of trust in the government were some reasons for vaccine hesitancy. The study's findings show that pregnant women's decisions to get vaccinated are significantly influenced by several barriers, perceptions and the motivators they have
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    Factors contributing to uncontrolled high blood pressure in Ekurhuleni, Johannesburg: the community health workers’ perspectives
    (University of the Witwatersrand, Johannesburg, 2024) Dawood, Zaheerah; Sekome, Kganetso
    Background: Uncontrolled high blood pressure has become a concern in underserved communities of South Africa due to its consequence resulting in rising cardiovascular and cerebrovascular diseases. Community health workers at a primary care level offer door to door services for patients with chronic diseases and are often key in health education, health promotion, and disease monitoring. Understanding the voice of the community health workers regarding factors that contributes to uncontrolled high blood pressure for their patients can provide insight on strategies for future intervention programme from a systems, patient, and community perspectives. Aim: To explore community health workers' perceptions on factors that contribute to uncontrolled high blood pressure in adults living in Ekurhuleni South sub-district, Johannesburg. Methods: A descriptive, qualitative study design was used for this study. In-depth face-to- face interviews were conducted with 22 community health workers from four communities within the South sub-district in Ekurhuleni, Gauteng. The interviews focused on: the community health workers knowledge on measures used to control high blood pressure, the community health workers opinions on barriers and facilitators contributing to uncontrolled high blood pressure for their patients, and lastly their perceptions on strategies which can be used to improve the control of high blood pressure. Data analysis following thematic analysis was used in this study. An inductive approach was used to generate codes, themes, categories and to analyse the data. Results: Analysis of the qualitative data revealed six themes. Community health workers possessed knowledge regarding the symptoms, causes and complications of uncontrolled high blood pressure however, they didn’t fully comprehend the physiological concept of blood pressure and uncontrolled high blood pressure. It can be noted that the type of advises and education which community health workers provided their patients with are generally very contextualized and simple. Multiple barriers included financial, personal, social, system, medication and cultural and traditional issues. Facilitators included government and health workforce assistance, improvement of clinic accessibility, inter and intra collaboration from multiple sources such as media, other health professionals as well as patient centred approaches. Strategies to improve control of high blood pressure included improved team work, awareness creation, holistic healthcare, improved access to clinic facilities, system related improvements and patient initiatives. Conclusion: Community health workers in this study have knowledge regarding the causes, symptoms and complications of uncontrolled HBP. Multiple barriers to controlling high blood pressure included financial, social system, personal, cultural and patient barriers. The facilitators which were identified required a multidisciplinary approach. Interventions which the community health workers provide to patients are reported to be easy to follow and usually contextualized to the patient needs. Strategies required to improve the control of high blood pressure in this community are easy to implement with less assistance required from the health care system
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    Understanding barriers and motivators of Covid-19 vaccine uptake among young people in Soweto, South Africa
    (2024) Nkhata, Bernadette
    The SARS-CoV-2 novel human coronavirus is the cause of coronavirus disease (Covid-19) Covid19 is coupled with common symptoms such as fever or chills, dry cough, and tiredness. Less common symptoms include muscle or body aches, the new loss of taste or loss of infection. Vaccines are the most effective public health intervention that could protect individuals and the community from the severity of Covid-19. Several vaccine candidates have shown good safety and efficacy during recent randomized clinical trials, and seven of which have been rolled out to different African counties with over 1 million doses administered. In south Africa there has been a low uptake of the Covid-19 vaccine particularly among the youth, despite studies showing positive attitudes towards vaccination. The youth play an important role in the pandemic as they are a crucial source for the spread of the virus to more vulnerable populations. Understanding the barriers and motivations towards vaccine uptake in this population group will assist in implementing interventions targeted specifically for the youth. Aim The aim of this study is to understand the barriers and motivations towards vaccine uptake among the youth aged 18-35 in Soweto, South Africa. Methodology This is a qualitative exploratory study approach employing focus group discussions. Eight focus group discussions with both male and female participants between the ages of 18 and 35 took place in two study sites, Themb’Elihle and Meadowlands South Africa. A total of 62 participants were enrolled in the study. The Health Belief Model theoretical framework served as a guide for this investigation. Themes were developed through thematic qualitative analysis and the data collected was examined and interpreted with the use of qualitative software ATLAS.ti. Results The study found that young adults do experience barriers and motivations that determine their decision to get vaccinated against Covid-19 or not. Misinformation was among the strongest barriers to vaccination. The spread of rumors and conspiracies of the vaccines left participants feeling scared to be vaccinated. This led to the lack of trust in health care professionals, and the lack of trust in governmental authorities leading the vaccines rollout. Motivation to vaccinate came as a result of the need to protect themselves and loved ones. Participants were also willing to vaccinate as a means to reintegrate back into society and to access basic means that were previously restricted due to the Covid-19 pandemic. Conclusion The results of this study demonstrate that motivations and barriers that young adults in Soweto, South Africa encounter have a significant impact on their decision to get immunized. Policymakers are encouraged to look into the challenges faced by this group, with a focus on how social media can be used as a useful tool for reaching out to young adults and spreading correct information.