Experiences of school health nurses regarding the provision of the school health service delivery in the Tshwane district

Dibakwane, Selebetswe T.; Peu, Mmapheko Doriccah

doi:10.4102/phcfm.v10i1.1807

Cited by 11 publications

(19 citation statements)

References 14 publications

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“…The National learner educator ratio was estimated at 30.9:1 in 2016 (Department of Basic Education, 2018). The high learner to educator ratio and the substantial number of schools also contribute to the difficulty in efficiently running school-based health programs (Dibakwane & Peu, 2018).…”

Section: Introductionmentioning

confidence: 99%

Community-Based Hearing and Vision Screening in Schools in Low-Income Communities Using Mobile Health Technologies

Manus

Linde

Kuper

et al. 2021

LSHSS

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Introduction Globally, more than 50 million children have hearing or vision loss. Most of these sensory losses are identified late due to a lack of systematic screening, making treatment and rehabilitation less effective. Mobile health (mHealth), which is the use of smartphones or wireless devices in health care, can improve access to screening services. mHealth technologies allow lay health workers (LHWs) to provide hearing and vision screening in communities. Purpose The aim of the study was to evaluate a hearing and vision school screening program facilitated by LHWs using smartphone applications in a low-income community in South Africa. Method Three LHWs were trained to provide dual sensory screening using smartphone-based applications. The hearScreen app with calibrated headphones was used to conduct screening audiometry, and the Peek Acuity app was used for visual acuity screening. Schools were selected from low-income communities (Gauteng, South Africa), and children aged between 4 and 9 years received hearing and vision screening. Screening outcomes, associated variables, and program costs were evaluated. Results A total of 4,888 and 4,933 participants received hearing and vision screening, respectively. Overall, 1.6% of participants failed the hearing screening, and 3.6% failed visual acuity screening. Logistic regression showed that female participants were more likely to pass hearing screening ( OR = 1.61, 95% CI [1.11, 2.54]), while older children were less likely to pass visual acuity screening ( OR = 0.87, 95% CI [0.79, 0.96]). A third (32.5%) of referred cases followed up for air-conduction threshold audiometry, and one in four (25.1%) followed up for diagnostic vision testing. A high proportion of these cases were confirmed to have hearing (73.1%, 19/26) or vision loss (57.8%, 26/45). Conclusions mHealth technologies can enable LHWs to identify school-age children with hearing and/or vision loss in low-income communities. This approach allows for low-cost, scalable models for early detection of sensory losses that can affect academic performance.

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Section: Introductionmentioning

confidence: 99%

Community-Based Hearing and Vision Screening in Schools in Low-Income Communities Using Mobile Health Technologies

Manus

Linde

Kuper

et al. 2021

LSHSS

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“…The recommendations from a study by Dibakwane and Peu (2018) concurred with these findings. They suggested that the government should employ new nurses or those who have retired as additional human resources.…”

Section: Ministry Of Health Should Recruit School Health Nursesmentioning

confidence: 57%

Factors affecting the provision of health service delivery in schools in Engela district, Ohangwena region, Namibia

Ashipala

Shapopi²

2022

Health SA Gesondheid

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Background: While health services have been offered at various schools in Namibia since independence in 1990, coverage has been limited and there has been a notable decline in recent years. This reduction of services is of great concern, with questions being raised regarding what factors are affecting the provision of these services.Aim: To explore the factors affecting the provision of health services to schools in Engela district, Ohangwena region, Namibia.Settings: Semistructured interviews were conducted at a public health care facility situated in the northern part of Namibia.Methods: A qualitative, explorative, descriptive and contextual research design was utilised. Data were collected through semistructured interviews with 15 nurses from a health centre, of whom five were enrolled nurses and 10 were registered nurses. The data were then analysed thematically.Results: The study revealed three themes: participants’ understanding of school health services; factors affecting the delivery of school health services; and corrective measures for improving the delivery of school health services.Conclusion: The notable decline in health service provision to various schools within the district suggests that there might be factors affecting the provision of school health services, posing a serious challenge to the active implementation of the School Health Programme.Contribution: These findings could be used to make adjustments to the provision of school health services and will also serve as an information baseline to elicit suggestions for future research related to school health services.

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“…The implementation of similar policies [17] that rely on collaborations between the DoH and DoE has proven somewhat challenging. [18][19][20] Therefore, the success of…”

Section: Discussionmentioning

confidence: 99%

When do adolescent mothers return to school? Timing across rural and urban South Africa

2020

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Experiences of school health nurses regarding the provision of the school health service delivery in the Tshwane district

Cited by 11 publications

References 14 publications

Community-Based Hearing and Vision Screening in Schools in Low-Income Communities Using Mobile Health Technologies

Community-Based Hearing and Vision Screening in Schools in Low-Income Communities Using Mobile Health Technologies

Factors affecting the provision of health service delivery in schools in Engela district, Ohangwena region, Namibia

When do adolescent mothers return to school? Timing across rural and urban South Africa

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