Theses and Dissertations

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http://hdl.handle.net/20.500.11837/3422

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Browsing Theses and Dissertations by Author "Goon, D.T."

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    A programme for promoting the uptake of organ donation among Xhosa Community in the Eastern Cape Province
    (University of Fort Hare, 2024-11) Mtise, Tobeka; Seekoe, E.; Goon, D.T.
    Currently, there exists a global shortage of viable organs that meet the high transplantation demands as treatment options. While there is an increasing need for organ transplantation, people are dying on a daily basis because they are not receiving the life-saving organs they require. Furthermore, while many South Africans rely on life-saving organ transplants, convincing rural black communities to donate organs is an arduous task because of their prevailing cultural beliefs. Considering the above, the overall aim of this study was to develop a programme promoting the uptake of organ donation among the Xhosa community in the Eastern Cape Province by empowering them with the necessary knowledge and understanding of organ donation. Moreover, it sought to promote community discussion of and participation in organ donation. The researcher anticipated that by equipping communities and individuals with truth-based facts, more people would be willing to become organ donors, thereby addressing the severe shortage thereof.
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    Challenges of intergrating mental health care users into the community after discharge from a psychiatric institution: The case of Fort Beaufort, Raymond Mhlaba sub-district, South Africa.
    (University of Fort Hare, 2018) Tom, Yvonne Nomamerika; Goon, D.T.
    The purpose of the study was to examine the factors contributing to the inability to integrate discharged mental health care users into the community of Fort Beaufort in the Raymond Mhlaba Sub-District. Mental illness is highly stigmatized and there is low public awareness on the intricacies of mental illness amongst the communities. Mentally ill people are destitute and struggle to find employment and the relations between the users and their families are tense. A phenomenological approach was used to capture the lived experiences of the study participants. An explorative, descriptive research design was used to explore the challenges encountered by mental health care users with regard to their integration into the community. A qualitative research approach was deemed most appropriate for fostering an in-depth understanding of the challenges faced by mental health care users and the meaning attached to such experiences in relation to the integration in the community. Data was collected using an unstructured interview guide. Interviews were audio-taped and transcribed verbatim19 participants participated in the study.
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    The role of community-based organisations and ward-based outreach teams in the implementation of the 90-90-90 Human Immunodeficiency Virus Treatment Strategy in the Amathole District
    (University of Fort Hare, 2023) Makeleni, Ntombekhaya Phyllis; Goon, D.T.
    Community-based services are vital to the achievement of goals set for ending HIV as a public health threat. Amathole Health District has not produced the desired results towards the achievement of the 90-90-90 HIV treatment strategy. The aim of this study was to assess the role of community-based organisations and wardbased outreach teams (WBOTs) in the implementation of the 90-90-90 HIV treatment strategy in Amathole in the Eastern Cape, South Africa. A qualitative design was followed by conducting face-to-face interviews with purposively selected ward-based outreach team leaders and managers of community-based organisations. Focus group discussions were held using an interview guide. Individual interviews included four ward-based outreach team leaders and five managers of communitybased organisations. Focus group discussions were inclusive of four groups of community health workers from ward-based outreach teams (WBOTs) and five groups of community care givers from community-based organisations (CBOs). The findings of the study were five common themes included: case finding where home visits and counselling were provided; linkage to care where referral of clients and tracing of defaulters was done; retention to care which included conducting follow-up visits and client monitoring; collaboration between CBOs, WBOTs, and health facilities and success achieved in the implementation of the 90-90-90 human immunodeficiency virus (HIV) treatment strategy which included viral suppression, decreased deaths, and tracing of defaulters. It is concluded that the continuum of HIV care requires more efforts towards ensuring that there is synergy between community-based workers and public health institutions for the achievement of the 90-90-90 targets.