Mthobeni Maseapo P, Peu Mmapheko D
Department of Nursing Science, University of Pretoria.
Curationis. 2013 Feb 1;36(1):E1-8. doi: 10.4102/curationis.v36i1.70.
The South African communities has shown to have a challenge in accessing health services especially in rural areas; hence the national strategic objective 1.7 aimed at strengthening community systems to expand access to services using the community-based care programmes (NSP 2012-2016). The programmes enhance access to health services whilst promoting health and educating the community to improve health knowledge and work towards attaining a healthy living (NSP 2012-2016). However, the health promoters from the rural Hammanskraal region in the North West Province of South Africa often found themselves rendering the health promotion services in their communities with limited resources. This study aimed at exploring and describing the challenges faced by health promoters in implementing health promotion programmes for families with adolescents orphaned by HIV and AIDS. The study followed a qualitative design. Data was collected using focus group interviews. Participants were purposely selected by the social worker and the health promotion coordinator working at Hammanskraal. The process of data analysis was adapted from the eight steps of Tesch method of data analysis where categories, sub-categories and themes were isolated. The following categories emerged as the needs of health promoters on health promotion programmes for families with adolescents orphaned by HIV and AIDS, (1) financial needs, (2) resources, (3) basic life needs, (4) educational needs and (5) health promoter's needs. It is therefore recommended that equal distribution of resources: including medicine, equipment and finances, should be maintained in order to ensure non-interrupted services.
南非社区在获取医疗服务方面面临挑战，尤其是在农村地区；因此，国家战略目标1.7旨在加强社区系统，以通过基于社区的护理计划扩大服务获取途径（《2012 - 2016年国家战略计划》）。这些计划在促进健康和教育社区以提高健康知识并努力实现健康生活的同时，增强了医疗服务的可及性（《2012 - 2016年国家战略计划》）。然而，南非西北省农村哈曼斯克拉尔地区的健康促进者们常常发现自己在资源有限的情况下为所在社区提供健康促进服务。本研究旨在探索和描述健康促进者在为因艾滋病毒和艾滋病而成为孤儿的青少年家庭实施健康促进计划时所面临的挑战。该研究采用定性设计。数据通过焦点小组访谈收集。参与者由在哈曼斯克拉尔工作的社会工作者和健康促进协调员特意挑选。数据分析过程改编自特施数据分析方法的八个步骤，从中分离出类别、子类别和主题。以下类别成为健康促进者对因艾滋病毒和艾滋病而成为孤儿的青少年家庭的健康促进计划的需求：（1）资金需求，（2）资源，（3）基本生活需求，（4）教育需求和（5）健康促进者自身需求。因此，建议应保持资源的平等分配，包括药品、设备和资金，以确保服务不中断。
