Browsing Faculty of Social Sciences by Subject "Nurses"
Now showing items 1-4 of 4
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Fako, T.T.; Linn, J.G. (Botswana Society, http://www.jstor.org/stable/40980365, NaN, 2004)[more][less]
Abstract: The nature of the work of a nurse incorporates several distinctive and stressful features which include dealing with crises, the continuous physical and emotional demands of patients, and daily confrontation with pain, suffering, and death (Douglas, Meleis, Eribes and Kim 1996; Hillhouse and Adler 1997; van Wijk 1997). As a result, nurses experience higher rates of stress- related disease, mortality, suicide, psychiatric admissions, and general physical illness than does the general population (Harris 1989. URI: http://hdl.handle.net/10311/1121 Files in this item: 1
Fako_BNR_2004.pdf (3.042Mb) -
Ama, N.O.; Oucho, J.O. (Medical and Pharmaceutical Publications, NaN, 2009)[more][less]
Abstract: Background: The healthcare of Batswana (citizens of Botswana) as indicated in the country’s Vision 2016 is one of the top priorities of the government of Botswana, yet Botswana’s National Health Policy, the Immigration Policy and the National Sexual and Reproductive Health Programme Framework all are silent on the obligations of the government to provide health services to the immigrant and refugee population. In view of the high prevalence of HIV/AIDS in Botswana, South Africa and other sub-Saharan countries, it is critical that reproductive health services be as affordable and accessible for the immigrants and refugees as they are for other residents in Botswana. This study measured the views of the primary healthcare providers in Botswana on the perceived reproductive health needs of immigrants and refugees and the availability and accessibility of reproductive healthcare services to the immigrant and refugee populations in the country. This information will be important for policy makers, the government of Botswana and the private sector to shape intervention measures to assist immigrants and refugees in seeking and accessing the desired reproductive health services. Methods: The study targeted all 4 667 medical doctors and nurses who were serving in various hospitals and clinics in 23 health districts of Botswana as at June 2005 when this study was conducted. Using NCS Pearson statistical software, the sample size for the study was determined to be 851. This estimated sample size was allocated to the 23 health districts (strata) using probability proportional to size (PPS). Having obtained the sample size for each district, the healthcare providers to be interviewed from each health district were selected randomly and in proportion to the number of doctors and nurses in each district. Questionnaires were administered to these healthcare providers by research assistants who explained the purpose of the study and obtained informed consent. The questionnaires were coded to ensure the anonymity of the respondents. It contained questions about the healthcare providers’ demographic characteristics, their opinions on the reproductive health needs of immigrants and refugees, and their views on factors that influence the accessibility of these services to immigrants and refugees. Data were collected from 678 doctors and nurses(about 80% of the targeted sample). Results: The majority of the healthcare providers indicated that the most important reproductive health needs of the immigrants and refugees, namely pregnancy-related services (prenatal, obstetrics, postnatal conditions), treatment for sexually transmitted infections (STIs), HIV/AIDS treatment and counselling and family planning were not different from those of the locals. However, some major differences noted between the local population and the foreigners were (i) that antiretroviral (ARV) treatment and prevention of mother-to-child-transmission (PMTCT) programmes were never accessible to the non-citizens; and (ii) that while treatments and other health services were free to Batswana, a fee was charged to non-citizens. Although 86% of the 21 studied reproductive health services were available in the healthcare system more than 50% of the time, only 62% of them were accessible to the immigrants and refugees 50% of the time. The major reasons for inability to access these services were: (i) The immigrants and refugees have to pay higher fees to access the reproductive health services; (ii) Once an immigrant or refugee is identified as HIV positive, there are no further follow-ups on the patient such as detecting the immune status using a CD4 count or testing the viral load; (iii) The immigrants and refugees do not have referral rights to referral clinics/hospitals for follow-ups in case of certain health conditions; and (iv) The immigrants and refugees are required to join a medical aid scheme to help offset part of the costs for the desired services. Conclusions: The study recommended that the government of Botswana should improve the availability of reproductive health services to immigrants and refugees, and expunge those laws and practices that make it difficult for immigrants and refugees to access the available reproductive health services. URI: http://hdl.handle.net/10311/1070 Files in this item: 1
Ama_SAFP_2009.pdf (664.2Kb) -
Fako, T.T.; Forcheh, N. (Taylor & Francis, www.taylorandfrancis.com, NaN, 2000)[more][less]
Abstract: In this paper the authors examines the extent of job satisfaction and dissatisfaction in a national sample of 325 nurses working in hospitals, clinics and health posts in Botswana. The analyses explored the effects of background variables, work context variables, resources variables, recognition and support variables, and union membership on job satisfaction. The findings show that nurses were generally not satisfied with their jobs. Twelve of the 31 variables examined were found to be associated with job satisfaction. Age, basic level of education, level of nursing training, level of income, extent of satisfaction with income, type of health facility, adequacy of telecommunication facilities and overall health since posting were found to have strong and positive associations with job satisfaction. Adequacy of equipment, recognition from supervisors, and overall health before posting had moderate and positive effects on job satisfaction. Satisfaction with current workstation had a positive but weak relationship with job satisfaction. No relationship was found between job satisfaction and other work environment variables such as adequacy of transport, opportunity for in-service training and relationships with peers. Similarly, workload was not found to be an important determinant of job satisfaction among nurses, nor were community involvement and membership of nursing organisations. URI: http://hdl.handle.net/10311/1132 Files in this item: 1
Fako_ST_2000.pdf (1.521Mb) -
Fako, T.; Forcheh, N.; Balogi, K. (CODESRIA, http://www.codesria.org, NaN, 2002)[more][less]
Abstract: In spite of the rapid economic growth, which made Botswana the envy of sub-Saharan Africa during the 1980s and 1990s, total factor productivity either stagnated or declined over the same period (Botswana National Productivity Centre, 1997). The performance of the public service in the implementation of policies had become a matter of concern, and the reform of the public service and the transformation of its mind-set were major challenges to the nation. Productivity improvement was seen as an important strategy for improving the standard of living and achieving sustainable economic diversification and growth in the long term (Botswana Government, 1991, 1997). URI: http://hdl.handle.net/10311/711 Files in this item: 1
Fako_ASR_2002.pdf (211.0Kb)
Now showing items 1-4 of 4