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Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia

Thesis (MPhil)--Stellenbosch University, 2013.

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Main Author: Chakare, Rejoice Sesedzai
Other Authors: Thomson, Elza
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2013
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access_status_str Open Access
author Chakare, Rejoice Sesedzai
author2 Thomson, Elza
author_browse Chakare, Rejoice Sesedzai
Thomson, Elza
author_facet Thomson, Elza
Chakare, Rejoice Sesedzai
author_sort Chakare, Rejoice Sesedzai
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MPhil)--Stellenbosch University, 2013.
format Thesis
id oai:scholar.sun.ac.za:10019.1/79966
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:41:29.531Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/79966 Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia Chakare, Rejoice Sesedzai Thomson, Elza Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Industrial Psychology. Africa Centre for HIV/AIDS Management. Dissertations -- Industrial psychology Theses -- Industrial psychology Assignments -- Industrial psychology Dissertations -- HIV/AIDS management Theses -- HIV/AIDS management Assignments -- HIV/AIDS management Public health personnel -- Namibia -- Windhoek -- Attitudes Teenagers -- Medical care -- Namibia -- Windhoek Adolescent friendly health services -- Namibia -- Windhoek Thesis (MPhil)--Stellenbosch University, 2013. ENGLISH ABSTRACT: Health statistics on adolescents in Namibia indaicate high incidences of teenage unwanted pregnancies, unsafe abortions, baby dumping, maternal ill health, early marriages and STIs including HIV. These are indicators of underutilisation of adolescent friendly health services (AFHS) by adolescents as education on these problems are covered in it. Although Government has made some strides to esure implementation starts, there is a recognisable lack of its adoption by health workers. The aim of this study was to establish the reasons for the slow adoption of AFHS practices by health workers at Katutura Health Centre. A quantitative non-experimental cross-sectional descriprive research approach was used in this study. Evidence using both primary data collected in the field through self-administered semi-structured questionnaires (with both open and closed questions) and secondary data collected in the literature review was employed . A census of the entire population of health workers was prefered over sampling. A total of 56 health workers accepted to participate in the study and the questionnaire, 46 of which returned it within a stipulated three weeks data collection period. Descriptive statistics was utilised together with frequencies, mean and basic collection. Eighty two percent of the sample participated in the study of which 67% respondents were female and 33% were male. The majority of the respondents (78.3%) had tertiary education. The results indicated: AFHS were not known to the majority of health workers; there is slow adoption of AFHS; and the programme introduction could have been done better. Factors significantly associated with adoption of AFHS are knowledge of such services, sex, level of education, job position, work experience and effective implementation of the programme. A probability value of p<0.05 was adopted. The programme is well appreciated despite concerns of lack of training and proper implementation. Key recommendations were on staff recruitment, retention and training of health workers; creation of space for implementing AFHS and marketing the programme. The system is in place, what is left is to tighten some loose ends and programme is up and running. AFRIKAANSE OPSOMMING: Gesondheid statistieke oor die jeug in Namibië verwys na hoë voorkoms van ongewenste tiener swangerskappe en onveilige aborsies, weg gooi van babas, swak moederlike gesondheid, vroeë huwelike en seksueel oordraagbare siektes, insluitend MIV. Dit is aanwysers van die onderbenutting van jeug vriendelike gesondheidsdienste (AFHS) deur die jeug, as die onderwys op hierdie probleme gedek word. Hoewel die regering 'n paar implementerings begin het, is daar 'n beduidende gebrek van aanneming deur gesondheidswerkers. Die doel van hierdie studie was om die redes vas te stel vir die stadige aanvaarding van AFHS praktyke deur gesondheidswerkers by Katutura Gesondheids Sentrum. 'n Kwantitatiewe, nie-eksperimentele navorsingsbenadering is gebruik in hierdie studie. Bewyse uit beide primêre data wat ingesamel is in die veld deur middel van self-geadministreerde semi-gestruktureerde vraelyste (met beide oop en geslote vrae) en sekondêre data wat ingesamel is in die literatuuroorsig was gebruik. 'n Sensus van die hele bevolking van gesondheidswerkers is verkies in plaas van steekproefneming. 'n Totaal van 56 gesondheidswerkers het aanvaar om deel te neem aan die studie en die vraelys, waarvan 46 teruggedien is binne die vasgestelde tydperk van drie weke se data-invorderingstermyn. Beskrywende statistiek is gebruik saam met frekwensies, gemiddelde en basiese versameling. Tagtig en twee persent van die steekproef het deelgeneem aan die studie, waarvan 67% respondente vroulik en 33% manlik was. Die meerderheid van die respondente (78,3%) het tersiêre opleiding. Die resultate het aangedui: AFHS is nie bekend aan die meeste van gesondheidswerkers nie, en daar is stadige aanneming van AFHS; en die program inleiding kon beter gedoen gewees het. Faktore wat beduidend verband hou met die aanneming van AFHS is kennis van sodanige dienste, geslag, vlak van onderwys, werk posisie, werkervaring en doeltreffende implementering van die program. 'n Waarskynlikheid waarde van p <0,05 is aangeneem. Die program is goed waardeer ten spyte van kommer aan 'n gebrek van opleiding en behoorlike implementering. Belangrikste aanbevelings was op die personeel werwing, behoud en die opleiding van gesondheidswerkers; skepping van ruimte vir die implementering van AFHS en bemarking van die program. Die stelsel is in plek, wat oorbly om gedoen te word, is om 'n paar los punte te versterk en die program is aan die gang. Masters 2013-02-15T09:44:18Z 2013-03-15T07:28:55Z 2013-02-15T09:44:18Z 2013-03-15T07:28:55Z 2013-03 Thesis http://hdl.handle.net/10019.1/79966 en_ZA Stellenbosch University 70 p. application/pdf Stellenbosch : Stellenbosch University
spellingShingle Dissertations -- Industrial psychology
Theses -- Industrial psychology
Assignments -- Industrial psychology
Dissertations -- HIV/AIDS management
Theses -- HIV/AIDS management
Assignments -- HIV/AIDS management
Public health personnel -- Namibia -- Windhoek -- Attitudes
Teenagers -- Medical care -- Namibia -- Windhoek
Adolescent friendly health services -- Namibia -- Windhoek
Chakare, Rejoice Sesedzai
Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia
title Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia
title_full Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia
title_fullStr Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia
title_full_unstemmed Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia
title_short Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia
title_sort attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in windhoek namibia
topic Dissertations -- Industrial psychology
Theses -- Industrial psychology
Assignments -- Industrial psychology
Dissertations -- HIV/AIDS management
Theses -- HIV/AIDS management
Assignments -- HIV/AIDS management
Public health personnel -- Namibia -- Windhoek -- Attitudes
Teenagers -- Medical care -- Namibia -- Windhoek
Adolescent friendly health services -- Namibia -- Windhoek
url http://hdl.handle.net/10019.1/79966
work_keys_str_mv AT chakarerejoicesesedzai attitudestowardsadolescentfriendlyhealthserviceprovisionamonghealthworkersataprimaryhealthcareclinicinwindhoeknamibia