Professional nurses’ perceptions of the dispensing of chronic medicines through the Central Chronic Medicines Dispensing and Distribution (CCMDD) program in the Amatole Health District, Eastern Cape
| dc.contributor.advisor | Pinkoane, M.G. | |
| dc.contributor.author | Mjekula, Vatiswa Monica | |
| dc.date.accessioned | 2026-08-05T09:42:39Z | |
| dc.date.available | 2026-08-05T09:42:39Z | |
| dc.date.issued | 2021-11-03 | |
| dc.description | Masters dissertation | |
| dc.description.abstract | Central Chronic Medicine Dispensing and Distribution is an outsourced, public dispensing service that has been operating in the Eastern Cape Province since 2014. The program was created for stable chronic patients with the goal of reducing waiting times, decongesting Primary Health Care facilities in the sector and increasing chronic medicine accessibility to all South Africans. It is designed to operate in three models, the Fast Lane, Adherence Clubs and External Pick-Up Points. This research study aims to explore perceptions of professional nurses of the dispensing of chronic medicines through the CCMDD program in the Amatole Health District, to establish what the contributory factors are around its effectiveness or its ineffectiveness. The researcher has employed a mixed method approach, using both qualitative and quantitative designs. Creswell (2013) describes mixed methods research as both a method and methodology for conducting research. It involves collecting, analyzing and integrating quantitative and qualitative research in a single study or in a process of inquiry. In combination, it provides a better understanding of a research problem. According to Polit and Beck (2017: 15), explorative studies are undertaken when a new area is being investigated or when little is known about the area of interest. The purpose of this approach is to give full understanding of research problem. Participants were identified by means of non-probability purposive convenience sampling method. Participants were selected based on the fact that they have knowledge of the phenomenon and were already implementing CCMDD program in their facilities. Study population is the group of 62 in total and only 50 professional nurses working in Primary Health Care facilities of Amatole, Eastern Cape that are implementing CCMDD program were interviewed. Data was collected by means a semi structure interview guide with open ended questions for participants to respond in writing, as well as a tape recorder for quality assurance. This was complemented by writing field notes Data analysis was achieved by translation and transcription of both the interview schedule and the tape-recorded information. Content analysis was carried out using the combined methods of content analysis described by Tesch (in Creswell, 2013). A method of content analysis was employed where the researcher analysed the data independently of the co-coder, who was employed to validate the analysed the transcriptions. After independent analysis, the researcher and the co-coder met to compare their findings and to reach consensus. A demographic data was analysed quantitatively and this was going to help the managers in terms of anticipating how many that need to trained in computer and in program management. The results and findings of the study show that the CCMDD program reduces the clinical workload in the congested health care facilities. It also reduces the waiting time for patients before receiving their medication and, furthermore, it encourages adherence to treatment. | |
| dc.identifier.citation | Mjekula, V.M. (2022) Professional nurses’ perceptions of the dispensing of chronic medicines through the Central Chronic Medicines Dispensing and Distribution (CCMDD) program in the Amatole Health District, Eastern Cape. Master of Public Health mini-dissertation. University of Fort Hare, East London Campus. | |
| dc.identifier.uri | http://hdl.handle.net/20.500.11837/4290 | |
| dc.language.iso | en | |
| dc.publisher | University of Fort Hare | |
| dc.subject | Nurses -- South Africa | |
| dc.subject | Patients -- South Africa | |
| dc.subject | Primary health care -- South Africa | |
| dc.title | Professional nurses’ perceptions of the dispensing of chronic medicines through the Central Chronic Medicines Dispensing and Distribution (CCMDD) program in the Amatole Health District, Eastern Cape | |
| dc.type | Thesis |