Challenges experienced by nurses regarding the involvement of guardians in integrated management of childhood illnesses in Vhembe District

Abstract

The involvement of families and communities in healthcare services by healthcare providers enhances accountability towards the community they serve. Guardians need to be involved in the integrated management of childhood illnesses (IMCI) to improve child health outcomes. The study aimed to explore challenges experienced by nurses regarding the involvement of guardians in the management of childhood illnesses in the Vhembe district. A qualitative, exploratory-descriptive design was followed in this study. Fifteen participants were purposefully selected for the study. One-on-one interviews following a semi-structured interview guide were conducted face-to-face with the participants. A voice recorder was used to record the interviews. Data analysis was done following Tesch's eight steps. Trustworthiness was ensured throughout the study. The study yielded two themes, namely: guardians-related challenges, which are lack of knowledge and understanding of IMCI, language barrier and lack of continuity of care and healthcare service-related challenges, which are lack of human resource, staff attitude towards the IMCI strategy, shortage of material resource and erratic water supply. For the strategy to be effective in reducing the complications of childhood illnesses and child mortality, the government needs to avail the required resources and develop measures to empower guardians in child health management.  

Keywords: {'name': 'challenges'}, {'name': 'experiences'}, {'name': 'guardians'}, {'name': 'involvement'}, {'name': 'integrted management of childhood illnesses'}, {'name': 'nurses'}

Authors & affiliations

Celiwe Clarah Mabuza
Affiliation not supplied

Sophy Mogatlogedi Moloko
Affiliation not supplied

Livhuwani Tshivhase
Affiliation not supplied

Deposited references

Supplied references, not a list of publications citing this article.

Afolalu, T. D. (2020). Factors Influencing the Implementation of Integrated Management of Childhood Illnesses in Selected Health Center Open Access. International Journal of Family Medicine and Primary Care, 1(6), 1–5. Retrieved from https://www.remedypublications.com/international-journal- of-family-medicine-primary-care-abstract.php?aid=6579

DOI: 10.4103/ijmh.IJMH_35_21

Botma, Y., Greeff, M., Mulaudzi, F. M., & Wright, S. C. (2021). Research in health sciences (pp. 251-254). Cape Town: Heinemann.

Bozad, Z. (2018). An Explorat?on Of The Role Of Fam?l?es In Prov?d?ng Pr?mary Healthcare For Ch?ldren [Masters dissertation, University of Western Cape]. Retrieved from http://etd.uwc.ac.za/

Brink, H., & van Rensburg, G. (2023). Fundamentals of research methodology for healthcare professionaals (5th ed.).

Carai, S., Kuttumuratova, A., & Weber, M. (2018). Review of integrated management of childhood illness (IMCI) in Europe. Retrieved from https://www.who.int/europs/publications/i/item/9789289053068

DOI: 10.1080/00094609.2005.11036463

DOI: 10.4037/ajcc2018353

Creswell, J. W., & Creswell, D. J. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (5th ed.). SAGE Publications, Inc.

DOI: 10.1186/s12960-020-00469-9

Department of Health. (2021). District Health Information System. Vhembe District Office. Limpopo Province.

Dhai, A. (2019). Health Research Ethics: Safeguarding the interest of research participants (1st ed.). Juta and Company (Pty) Ltd.

DOI: 10.11604/pamj-oh.2020.2.8.23512

Grove, S. K., & Gray, J. R. (2022). Critical appraisal of quantitative and qualitative research for nursing practice. Understanding Nursing Research E-Book: Building an Evidence-Based Practice, 362.

DOI: 10.4102/phcfm.v9i1.1378

Hunter, D., McCallum, J., & Howes, D. (2019). Defining exploratory-descriptive qualitative (EDQ) research and considering its application to healthcare. Journal of Nursing and Health Care, 4(1). Retrieved from http://dl6.globalstf.org/index.php/jnhc/article/view/1975

Kao, Y. H., Lin, W.T., Chen, W.H., Wu, S.C., & Tseng, T.S. (2019). Continuity of outpatient care and avoidable hospitalization: a systematic review. Am J Manag Care, 25(4), e126-e134.

DOI: 10.21203/rs.3.rs-1043619/v1

DOI: 10.1136/bmjpo-2021-001044

Kretzmann, S. (2022, November 1). Municipalities are failing to provide clean water. Citizens are stepping in to fix the problem. GroundUp. Retrieved from https://www.groundup.org.za/article/water-in-two-thirds-municipalities-does-not-meet-minimum-standards/

DOI: 10.4102/hsag.v23i0.1074

DOI: 10.4102/phcfm.v13i1.2830

Mehlwana, L. (2022, August 4). Clinics hit hard by water shortages in Nelson Mandela Bay. Spotlight. Retrieved from https://www.spotlightnsp.co.za/2022/08/04/clinics-hit-hard-by-water-shortages-in-nelson-mandelaa-bay/

DOI: 10.1016/j.ijans.2019.100161

Mochoari, R. (2021, September 23). in focus: water shortages in parts of Free State affecting health servicee. News24. Retrieved from https://www.spotlight.co.za/2021/09/23/in-focus-water-shortages-in-parts-of-free-state-affecting-health services/

Mphasha, M. H., Rapetsoa, M., Mathebula, N., Makua, K., & Mazibuko, S. (2023). South African Family Practice. DOI: 10.4102/safp

National Department of Health. (2020). Healthcare workers’ guide to the Road to Health book, South Africa. Retrieved from https://www.health.gov.za/wp-content/uploads/2023/04/RTHB-USER-GUIDE-layout_PRINT-READY_12Aug2020.pdf

National Department of Health. (2022). Integrated Management of Childhood Illness 2022. Retrieved from https://knowledgehub.health.gov.za/elibrary/integrated-management-childhood-illness-2022

National Institute for Communicable Diseases. (2023, February 17). Water cuts in South Africa are hurting hospitals and clinics. The Conversation. Retrieved from https://www.nicd.ac.za/water-cuts-in-south-africa-are-hurting-hospitals-and-clinics-theres-an-increased-risk-of-infections/

DOI: 10.1186/s12913-019-4692-y

Oladokun, T. F., Odetola, T. D., & Abiona, M. (2022). Factors Influencing Implementation of Integrated Management of Childhood Illnesses (IMCI) among Health Care Workers in Selected Primary Health Centres in Ibadan, Nigeria. African Journal of Health Sciences, 35(5), 662–670. Retrieved from https://www.ajol.info/index.php/ajhs/article/view/237594

DOI: 10.1093/heapol/czx154

DOI: 10.3889/oamjms.2021.5808

DOI: 10.1186/s12913-021-06209-6

DOI: 10.1080/16549716.2020.1732669

DOI: 10.1136/bmj.k2813

Scotch, J. (2020). Acceptability and Determinants of Integrated Management of Childhood Illness Strategy among Nurses in Botswana [Master's dissertation, University of Witwatersrand]. Retrieved from https://wiredspace.wits.ac.za/items/dd8de474-2d9-40c4-8fc8-f61ba9dada79

Sobuwa, Y. (2023, February 20). Water shortages a health hazard for hospital patients, warns expert. News24. Retrieved from https://www.news24.com/citypress/news/water-shortages-a-health-hazard-for-hospital-patients-warns-expert-20230220

DOI: 10.31901/24566772.2021/15.3-4.630

UNICEF. (2022). Partnering to Protect Child Rights in a Time of Crises UNICEF partnerships with the private and public sectors. A supplement to the UNICEF Annual Report 2021.

UNICEF. (2023). UNICEF annual report 2022. Retrieved from https://www.unicef.org/reports/unicef-annual-report-2022

USAID, & Momentum. (2022). momentum country and global leadership barr?ers and enablers of ?mc? ?mplementat?on background. www.USAIDMomentum.org

USAID, & Momentum. (2023). Strengthening and scaling up IMCI implementation in the context of quality-of-care initiatives. Retrieved from usaidmomentum.org/app/uploads/2023/09/MCGL-IMCI-Virtual-Meeting-Report_Sec.508Comp

WHO. (2017). Integrated Management of Childhood Illness global survey report.

WHO. (2020a). Children: Improving survival and wellbeing. Retrieved from who.int/news-room/fact-sheet/detail/children-reducing-mortality

WHO. (2020b). Community Engagement A health promotion guide for universal health coverage in the hands of the people. https://who.int/publications/i/items/9789240010529

DOI: 10.7196/SAJCH.2020.v14i3.01685