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BACKGROUND: Dysmenorrhea is a common gynaecological condition that affects the daily activities of the women who suffer from it. In the education context, female students often have to spend long hours at clinics or doctors’ appointments due to dysmenorrhoea, thus having to miss lectures when dysmenorrhea impacts adversely on their studies and academic performance. Purpose: This study sought to determine the knowledge and practice of female students at the University of Namibia, Rundu campus regarding the management of dysmenorrhea METHODOLOGY: A quantitative study was employed using a non-experimental, cross-sectional approach. The non-probability sampling method was used with convenient sampling being employed. A total of 303 fulltime female students from the University of Namibia, Rundu Campus were selected to participate in the study. Of the 303 students selected 295 completed the open-ended questionnaires which they were given. The data from the questionnaires was analysed manually and the findings presented in the form of tables, graphs and pie charts. RESULTS: The study found that dysmenorrhea was affecting 88.1% of the students at the University of Namibia, Rundu Campus. In addition, there was evidently a lack of knowledge on the management of dysmenorrhea, as 46% only of the participants appeared to possess adequate knowledge on the management of dysmenorrhea. The study also found that approximately 54.2% of the participants sought medical assistance when experiencing dysmenorrhea, 30.8% used home remedies of which 91.3% were effective, 12.3% used traditional herbs of which 90.6% were effective, while 25.3% exercised or did other activities in order to relieve pain. CONCLUSION: The findings indicated that dysmenorrhea was affecting the majority of female students on Rundu Campus although only a few of them possessed adequate knowledge on the management of dysmenorrhea and only about half (46%) of the respondents sought medical help. Recommendation: The findings indicated the need for the university to build a clinic on campus and to organise student wellness programmes which included the management of dysmenorrhoea.

Immunisation is considered to be amongst the most successful and cost-effective disease prevention interventions available. The aim of this study was, to investigate the perceptions of mothers/caregivers on the factors that impact on the uptake of measles immunisation in the Nyangana Health District, with a view to improving measles immunisation coverage. A qualitative exploratory study design was used to collect data from the study participants by the use of interviews. Data was audio-taped and transcribed verbatim. The recorded interviews were translated from the Gciriku language to English. Data was analysed through the use of the Thematic Content Analysis approach. Mothers whose children were vaccinated and those whose children were not vaccinated had both positive perceptions about immunisation. The findings indicates that, despite awareness and willingness for some mothers to bring their children for subsequent follow-up vaccinations, barriers such as inability to pay for transport, lack of support for single mothers and absence of support structures was hindering factors to immunisation uptake. Additionally, health system factors such as health care provider attitudes, staff shortages, inconvenient immunisation services, time constraints, inadequate outreach services and lack of tracking services for children who missed their measles immunisation were found to have an influence on the immunisation uptake. The children who missed their immunisation doses were mostly for single mothers and for those mothers who stayed far away from the clinic. The study concludes that the relationship between health care providers and mothers/caregivers and support from other social structures, should be good, in order to motivate mothers to use immunisation services. The study recommends that the following aspects be addressed, as they have the potential to improve the low uptake of measles immunisation: patient/provider relationship, information sharing, and supervision in the health facility, access to services, availability of outreach services, improved data tracking and active involvement of all stakeholders. These children should be targeted through improved outreach services and the use of health extension workers for contact tracing of children who missed their immunisation.

Solid waste management in Rundu, Namibia, is a major challenge, resulting in significant environmental health hazards. The purpose of this study was therefore to identify and describe the factors contributing to poor environmental hygiene specifically in Kehemu location in Rundu, while the objectives were to explore the factors contributing to poor environmental hygiene in the area. A qualitative approach was employed comprising an explorative and descriptive design. The research population for this particular study consisted of residents of Kehemu location and a sample was drawn from this population using purposive sampling. Data were collected from focus group discussions conducted with 15 (fifteen) residents. The transcribed interviews and narratives from the research notes were organised into codes, main themes and sub-themes. The results from this study revealed, among other things, that the methods used by most households for disposing of waste included digging holes, burning the waste and dumping it in open areas. In addition, factors contributing to poor environmental hygiene in Kehemu location include a lack of dumping sites, dustbins and refuse removal services. The findings of this study call for well-articulated actions to address the factors identified as being associated with poor environmental hygiene in Kehemu. The study recommends that the town council should empower the community by providing dustbins, initiating clean-up campaigns and providing education and awareness-raising as some measures for curbing problems related to environmental health.