Papers by Geoffrey Setswe
Pan African Medical Journal, 2015
Introduction: Individuals residing in Limpopo, KwaZulu-Natal and the Eastern Cape provinces who h... more Introduction: Individuals residing in Limpopo, KwaZulu-Natal and the Eastern Cape provinces who had access to public health services were surveyed to determine public knowledge and awareness of the new National Health Insurance (NHI). Methods: A descriptive cross-sectional study was conducted and a total of 748 adult respondents were sampled using a two-stage systematic sampling design. Data were collected using mobile phone assisted personal interviews. Results: The study found that 80.3% of the respondents were aware of the NHI and slightly less than half (49.8%) of the respondents did not have knowledge of how the NHI works and 71.8% lacked awareness about the origin of the development of the NHI concept in South Africa. The knowledge of what the NHI would pay for was poor and 48.1% knew that the NHI Fund would pay for medical expenses if a person got sick and 45.7% knew that with health insurance, basic health requirement is ensured and that if one becomes ill, medical treatment would be paid for by the NHI Fund, 50.9% of respondents did not understand how the NHI Fund will pay for health care received, only 44.8% understood how the NHI will pay for health care services received. Conclusion: The public education campaigns to increase knowledge and understanding of the NHI scheme might have been inadequate hence might not have penetrated many communities. It is recommended that a comprehensive community consultation plan be established to increase awareness and knowledge of the NHI among community members targeting clinics, schools, pension pay points and other community sites.
Nursing standard (Royal College of Nursing (Great Britain) : 1987), Jan 24, 2002
To investigate student nurses' perceptions of practical accompaniment at community health cli... more To investigate student nurses' perceptions of practical accompaniment at community health clinics. A descriptive study was conducted using a convenient sample of third- and fourth-year baccalaureate nursing students. A questionnaire was used to gather data from 49 students on their perceptions of clinical accompaniment, interpersonal relations with the preceptor and educational strategies in clinical teaching. Forty nine students returned the completed questionnaires, giving a response rate of 93 per cent. Respondents expressed mainly positive feelings on the roles of the preceptor during accompaniment. There were slight differences in the responses given by third-year students and those of fourth-year students. In general, students indicated that there was open communication between them and preceptors, and that they were satisfied with the educational strategies used by preceptors in clinical teaching.
South Africa has a large private health sector, dominated by medical schemes, which cover about 1... more South Africa has a large private health sector, dominated by medical schemes, which cover about 14% of the population. Transformation efforts in the health sector have spanned more than a decade, but the problems of inequity remain acute between the public and private sectors. This chapter provides an assessment of how well the Ministry of Health is doing on stewardship of the private health sector in South Africa. The 2000 World Health Organization concept of stewardship emphasises four elements which are used in this chapter to analyse health sector developments in South Africa through a 'stewardship lens'. These elements include: careful and responsible management of the well-being of the population; establishing the best and fairest health system possible; concern about the trust and legitimacy with which activities are viewed by the citizenry; and maintaining and improving national resources for the benefit of the population. The chapter concludes that stewardship is ...
Are BRICS Countries Winning the War on HIV/AIDS? Magnitude and Risk Factors
Sociology Study, 2015
Are sexually transmitted infections the neglected orphan in our response to HIV/AIDS, STI, and TB (HAST) in South Africa?
International Journal of Healthcare Management, 2015
International Journal of Healthcare Management, 2015
African Journal of Primary Health Care & Family Medicine, 2009
Background: A group of experts attending a tripartite interregional meeting on best practices in ... more Background: A group of experts attending a tripartite interregional meeting on best practices in HIV/AIDS workplace policies and programmes organised by the International Labour Organisation (ILO) in Geneva, Switzerland, identifi ed 34 best practice workplace HIV programmes from across the world.
Health SA Gesondheid, 1999
Transactions of the Royal Society of Tropical Medicine and Hygiene, 2014
The aim of the study was to determine factors contributing to the acceptability of home-based Hum... more The aim of the study was to determine factors contributing to the acceptability of home-based Human Immunodeficiency Virus (HIV) counseling and testing among commuter communities in the inner city of Johannesburg, against the background that no specific study has looked into this key population.
African Journal of Primary Health Care & Family Medicine, 2009
Background: Access to and utilisations of the National Antiretroviral Treatment Guidelines (NATG)... more Background: Access to and utilisations of the National Antiretroviral Treatment Guidelines (NATG) are valuable factors for effective programme implementation. The objective of this study was to investigate the accessibility of the NATG and their utilisation by health care professionals from fi ve treatment centres in Abuja, Nigeria.
The new National Health Insurance policy in South Africa: Public perceptions and expectations
International Journal of Healthcare Management, 2016
South Africa has amongst the world's highest levels of sexual and domestic violence and an interr... more South Africa has amongst the world's highest levels of sexual and domestic violence and an interrelated HIV/AIDS epidemic driven in significant part by gender roles that encourage men to equate manhood with dominance over women, sexual conquest and a range of risky behaviours. Women's greater vulnerability to HIV/AIDS is in part explained by the very high levels of sexual and domestic violence mainly perpetuated by men. The purpose of this study was to identify strategies for dealing with problems faced by men in Umkhanyakude using a participatory and inclusive approach. Men in Umkhanyakude were invited to a workshop in January 2004 to carefully think through the problems that they face, then to prioritize these problems using a ranking process based on nominal group technique. They then went further to explore strategies of overcoming these problems. Problems identified by men in Umkhanyakude range from socio-economic problems such as unemployment and retrenchments, poverty, marriage and family breakdown and men's
Journal of Public Health Research, Apr 3, 2014
HIV/AIDS and non-communicable diseases (NCDs) epidemics may have many important similarities in t... more HIV/AIDS and non-communicable diseases (NCDs) epidemics may have many important similarities in their aetiology, pathogenesis and management. Evidence about the similarities and differences between the national responses HIV/AIDS and NCDs is essential for an integrated response. The objective of this study was to examine the parallels and differences between national responses to HIV/AIDS and NCDs in selected developing countries. This study applied a strategic level comparative case study approach as its study design. The main construct was national response to HIV/AIDS and NCDs. The 4 overarching themes were policy response, institutional mechanism, programmatic response and strategic information. Four countries were purposively selected as cases. Data were collected and triangulated from a multiple sources. The focus of analysis included identifying items for comparison, characteristics to be compared, degrees of similarity, and strategic importance of similarities. Analysis of data was qualitative content analysis with within-case, between-case, and across-case comparisons.
International Journal of Diabetes Research, 2012
Although the clinical relationship between HIV/AIDS and Diabetes is well established, there is a ... more Although the clinical relationship between HIV/AIDS and Diabetes is well established, there is a little summarized evidence about the magnitude ofDiabetescomorbidity among people liv ing with HIV.The aim of this study was to summa rizeevidence on the incidence and prevalence of Diabetes comorbid ityamong people living with HIV.A systematic review of the incidence and prevalence of Diabetes comorbid ity among people living with HIV was conducted. Studies reporting incidence and/orprevalence of diabetes among people living with HIV were retrieved fro m Embase and Medline databases. Selection of the studieswas based on both relevance and quality.Study and outcome characteristics, were ext racted using a standardized checklist. Resulted were presented using narrative and graphic summaries. PRISMA checklist was used as a guide for reporting of the review results. A total of 12 studies met the inclusion and quality. In total of 43,296 people liv ing with HIV, 1,144 incident cases of diabetes were identified over 174,574 person-years. The incidence rates of diabetes comorbid ity as reported by these studies ranged from 5.72 to 23.8 per 1000 person-years. Similarly, a total of 1,724 prevalent cases of diabetes were identified among 41,068 people living with HIV. The reported prevalence rates ranged from 2.85% to 14.9%. High level of variab ility in the reported incidence and prevalence rates of diabetes comorb idity was observed. Generally, the findings are not in favour of a significantly increased magnitude of diabetes comorbidity in HIV.
Strategies For Dealing With Problems Faced By Men Participating In A Men’s Empowerment Project In Umkhanyakude, South Africa
Gender and Behaviour, Jun 1, 2009
Abstract South Africa has amongst the world‟ s highest levels of sexual and domestic violence and... more Abstract South Africa has amongst the world‟ s highest levels of sexual and domestic violence and an interrelated HIV/AIDS epidemic driven in significant part by gender roles that encourage men to equate manhood with dominance over women, sexual conquest ...
International Journal of Prevention and Treatment, 2012
The Political Declaration of High-level Meeting of the General Assembly on the Prevention and Con... more The Political Declaration of High-level Meeting of the General Assembly on the Prevention and Control of NCDs has noted possible linkages between HIV/AIDS and NCDs. The aim of this study was to develop a public health framework for those linkages between HIV/AIDS and the co mmon NCDs. The overall method used in this study was a thematic research synthesis. Descriptive, integrative and configurative syntheses of evidence on linkages between HIV/AIDS and NCDs were conducted. The searching process was iterative; appraisal was stepwise; and extraction was verbatim. All retrieved informat ion was described, analysed and then configured in to a concept map using majo r pathways of relationships between HIV/AIDS and NCDs. The concept map was developed in to the public health framework through progressive review and revisions. Two major forms and pathways of lin kages between HIV/AIDS and NCDs were identified. There are five nodes that mediate the indirect HIV-NCD linkage: co mmon underlying factors, life style factors, antiretroviral treat ment, common co mp licat ions, and other mediating disease conditions. These lin kages along with med iating factors are organized in to a public health framework. In conclusion, the main pathways and forms of relat ionship between HIV/AIDS and NCDs were described; and a public health framewo rk for the epidemiological interrelat ionships between HIV/AIDS and NCDs was developed.
The Journal of Global Health Care Systems, Nov 11, 2012
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Papers by Geoffrey Setswe