scholarly journals Factors Relating to Late Presentation of Patients With Breast Cancer in Area 2 KwaZulu-Natal, South Africa

2017 ◽  
Vol 3 (5) ◽  
pp. 497-501 ◽  
Author(s):  
Sharon R. Čačala ◽  
José Gilart
Keyword(s):  
Breast Cancer ◽  
South Africa ◽  
Rural Communities ◽  
Rural Areas ◽  
Traditional Healers ◽  
Late Presentation ◽  
Skin Change ◽  
Significant Difference ◽  
Kwazulu Natal ◽  
Average Size

Purpose Patients with breast cancer (BC) in Area 2 KwaZulu-Natal, South Africa, often present with advanced disease. We performed a review of the patients’ sociodemographic characteristics and their reasons for late presentation to identify what changes could be made to improve time to presentation. Patients and Methods Fifty women with T1, T2, T3, or T4 BC were assessed for sociodemographic data. Patients in T3 and T4 groups were asked to provide reasons for late presentation. Results Of 172 patients, 50 had T2, T3, or T4 BC, and 22 had T1. Age ranged from 23 to 100 years (average, 56 years). There was no significant difference in age for different tumor sizes. The average size of a T1 tumor was 1.8 cm; T2, 3.6 cm; T3, 11.4 cm; and T4, 14.8 cm. Regarding education, 19% of patients had never attended school (T1, 5%; T2, 12%; T3, 22%; T4, 32%), and 19% had completed their education (finished 12th grade). The average education level was 6th grade. Patients with larger tumors had less education ( P < .05). Of the patients who lived in rural areas, 41% had T1, 52% had T2, 66% had T3, and 78% had T4 tumors ( P < .01). Patients with larger tumors were associated with having less electricity in their homes than patients with smaller tumors ( P < .05). Patients presented with a variety of symptoms. A breast lump was the presenting complaint in 96% of T1 and T2, 68% of T3 and 32% of T4; with a nipple or skin change, 2% of T3 and 8% of T4; because their families insisted, 6% of T3 and 8% of T4; because of pain, 24% of T3; and because of pain with malodorous smell, 50% of T4. Patients’ reasons for late presentation were fear (40%), not aware of disease severity (40%), fear of losing a breast (40%), referral problems (34%), financial problems (8%), and transportation problems (6%). Approximately 33% sought medical help from traditional healers, and 65% regularly attended clinics. Conclusion Patients who presented late often lived in rural areas with fewer amenities (such as having no electricity in their homes), less education, and poor understanding of BC. Pictorial information about BC needs to be introduced to people who live in rural communities, and opportunistic screening needs to be provided at local clinics.

scholarly journals Assessment of the Nutritional Status of Four Selected Rural Communities in KwaZulu-Natal, South Africa

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2920
Author(s):  
Laurencia Govender ◽  
Kirthee Pillay ◽  
Muthulisi Siwela ◽  
Albert Thembinkosi Modi ◽  
Tafadzwanashe Mabhaudhi
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Vitamin A ◽  
Nutritional Status ◽  
Rural Areas ◽  
Vitamin A Deficiency ◽  
Health Concern ◽  
Children Under Five ◽  
Under Five ◽  
Kwazulu Natal

Under- and over-nutrition co-exist as the double burden of malnutrition that poses a public health concern in countries of the developing regions, including South Africa (SA). Vulnerable groups such as pregnant women and children under five years are the most affected by malnutrition, especially in rural areas. Major contributing factors of malnutrition include food and nutrition insecurity, poverty, and unhealthy lifestyles. The current study aimed to assess the nutritional status, using selected anthropometric indices and dietary intake methods (repeated 24 h recall and food frequency), of four rural communities in KwaZulu-Natal (SA). Purposive sampling generated a sample of 50 households each in three rural areas: Swayimane, Tugela Ferry, and Umbumbulu and 21 households at Fountain Hill Estate. The Estimated Average Requirement cut-point method was used to assess the prevalence of inadequate nutrient intake. Stunting (30.8%; n = 12) and overweight (15.4%; n = 6) were prevalent in children under five years, whilst obesity was highly prevalent among adult females (39.1%; n = 81), especially those aged 16–35 years. There was a high intake of carbohydrates and a low intake of fibre and micronutrients, including vitamin A, thus, confirming the need for a food-based approach to address malnutrition and micronutrient deficiencies, particularly vitamin A deficiency.

scholarly journals Prevalence and Genetic Characterisation of Human Sapovirus from Children with Diarrhoea in the Rural Areas of Vhembe District, South Africa, 2017–2020

Viruses ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 393
Author(s):  
Mpho Magwalivha ◽  
Jean-Pierre Kabue Ngandu ◽  
Afsatou Ndama Traore ◽  
Natasha Potgieter
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Rural Areas ◽  
Rna Extraction ◽  
Diarrhoeal Disease ◽  
Positive Sample ◽  
Prevalent Strain ◽  
Stool Samples ◽  
Vhembe District ◽  
Pcr Targeting

Diarrhoeal disease is considered an important cause of morbidity and mortality in developing areas, and a large contributor to the burden of disease in children younger than five years of age. This study investigated the prevalence and genogroups of human sapovirus (SV) in children ≤5 years of age in rural communities of Vhembe district, South Africa. Between 2017 and 2020, a total of 284 stool samples were collected from children suffering with diarrhoea (n = 228) and from children without diarrhoea (n = 56). RNA extraction using Boom extraction method, and screening for SV using real-time PCR were done in the lab. Positive samples were subjected to conventional RT-PCR targeting the capsid fragment. Positive sample isolates were genotyped using Sanger sequencing. Overall SV were detected in 14.1% (40/284) of the stool samples (16.7% (38/228) of diarrhoeal and 3.6% (2/56) of non-diarrhoeal samples). Significant correlation between SV positive cases and water sources was noted. Genogroup-I was identified as the most prevalent strain comprising 81.3% (13/16), followed by SV-GII 12.5% (2/16) and SV-GIV 6.2% (1/16). This study provides valuable data on prevalence of SV amongst outpatients in rural and underdeveloped communities, and highlights the necessity for further monitoring of SV circulating strains as potential emerging strains.

scholarly journals A serological survey of leptospirosis in cattle of rural communities in the province of KwaZulu-Natal, South Africa

2009 ◽  
Vol 80 (1) ◽  
Author(s):  
U.W. Hesterberg ◽  
R. Bagnall ◽  
B. Bosch ◽  
K. Perrett ◽  
R. Horner ◽  
...  
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Agglutination Test ◽  
District Level ◽  
Sampling Point ◽  
Serological Survey ◽  
Test Sensitivity ◽  
Apparent Prevalence ◽  
Kwazulu Natal ◽  
Leptospira Interrogans Serovar Pomona

A serological survey of leptospirosis in cattle originating from rural communities of the province of KwaZulu-Natal (KZN) in South Africa was carried out between March 2001 and December 2003. The survey was designed as a 2-stage survey, using the local dip tank as the primary sampling point. In total, 2021 animals from 379 dip tanks in 33 magisterial districts were sampled and tested with the microscopic agglutination test (MAT). The apparent prevalence at district level was adjusted for clustering and diagnostic test sensitivity and specificity and displayed in maps. The prevalence of leptospirosis in cattle originating from communal grazing areas of KZN was found to be 19.4% with a 95% confidence interval of 14.8-24.1 %. At district level the prevalence of leptospirosis varied from 0 to 63 % of cattle. Bovine leptospirosis was found to occur in communal grazing areas throughout the province with the exception of 2 districts. The southeastern regions showed a higher prevalence than other areas of the province; while in some of the northern and western districts a lower prevalence was noted. Several serovars were detected by the MAT and although Leptospira interrogans serovar pomona occurred most frequently, serovars tarrasovi, bratislava, hardjo, canicola and icterohaemorrhagica were also frequently identified. The findings of the survey are discussed.

Improving food security in the rural areas of KwaZulu-Natal province, South Africa: Too little, too slow

2013 ◽  
Vol 30 (4-05) ◽  
pp. 468-490 ◽  
Author(s):  
Marijke D'Haese ◽  
Nick Vink ◽  
Tharcisse Nkunzimana ◽  
Ellen Van Damme ◽  
Johan van Rooyen ◽  
...  
Keyword(s):  
South Africa ◽  
Food Security ◽  
Rural Areas ◽  
Kwazulu Natal

scholarly journals Using network analysis to analyse the complex interaction of factors causing the failure of small-scale water infrastructure (SWI) in the rural areas of South Africa

Water SA ◽  
2018 ◽  
Vol 44 (3 July) ◽  
Author(s):  
DC Sambo ◽  
A Senzanje ◽  
K Dhavu
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Rural Areas ◽  
Small Scale ◽  
Research Approach ◽  
Water Services ◽  
Systematic Analysis ◽  
Complex Interactions ◽  
Technical Community ◽  
Drying Up

Some parts of the rural areas of South Africa are receiving water services below the legislative standards stipulated in the Water Services Act (1997) of South Africa. This is because small-scale water infrastructures (SWI), including standpipes, handpumps and windmills, are failing to supply adequate water in rural communities for various activities that enhance their livelihoods. This is due to technical, community, institutional, and environmental factors. Literature indicates that these factors are complex in nature. However, research on their complex interactions has been limited. Therefore, the complex interactions of the factors causing SWI failure were investigated and analysed in this study. A qualitative research approach was employed to investigate the factors that cause failure of SWI. The network approach combined with graph theory and the community structure method were used to generate a theme and domain network that allowed for a systematic analysis and interpretation of the causes of SWI failure in the study area. The major causes of failure identified include: (i) the use of a top-down approach to implement water projects in rural communities without consultation, (ii) sharing of SWI in high numbers due to the limited number of SWI available/functional, resulting in overloading and increased breakdowns, and (iii) drying up of water sources due to poor siting leading to vandalism of SWI. Overall, the causes of SWI failure are as a result of the complex interactions of different categories of factors. The theme and domain network is a powerful tool that can be used represent and analyse the complex interactions. It is therefore imperative for interventions aiming to improve rural water supply to analyse the complex interactions of the causes of SWI failure to understand the underlying problems at a level of a system, in order to propose suitable solutions.

Evaluating conditions for successful co-management of subsistence fisheries in KwaZulu-Natal, South Africa

2005 ◽  
Vol 32 (2) ◽  
pp. 165-177 ◽  
Author(s):  
VICTORIA R. NAPIER ◽  
GEORGE M. BRANCH ◽  
JEAN M. HARRIS
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
National Government ◽  
Strongly Correlated ◽  
Local Institutions ◽  
Top Down ◽  
Subsistence Fisheries ◽  
Perceived Success ◽  
Kwazulu Natal

Conditions important for the success of co-management have repeatedly been identified, but their relative influence has not been quantitatively evaluated. To investigate the implementation of co-management in 11 subsistence fisheries within seven rural communities in KwaZulu-Natal, South Africa, perceptions of the responsible authorities and the fishing communities were surveyed. Of 16 conditions often considered important for the success of co-management, only nine were correlated with perceived success, the most strongly correlated being (1) benefits of co-management must exceed costs of participation, (2) training and empowerment, and (3) existence of a long-term ‘champion’ to drive the process. The perceptions of the authorities concurred with those of the communities with regards to the attainment of conditions, but views on the success of co-management differed significantly owing to disagreements that were specific to three particular fisheries. Both groups agreed that co-management is a viable improvement on top-down authoritarian imposition of regulations. However, it takes time to become effective; perceived success was directly correlated with how long individual programmes had been operating. Failure to devolve power from national government to local institutions, and delays in awarding subsistence permits, remain the major stumbling blocks to full realization of co-management.

Protected areas and environmental conservation in KwaZulu-Natal, South Africa: on HEIs, livelihoods and sustainable development

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Inocent Moyo ◽  
Hlengiwe Marvelous Sweetness Cele
Keyword(s):  
South Africa ◽  
Sustainable Development ◽  
Rural Communities ◽  
Indigenous Communities ◽  
Environmental Conservation ◽  
Developmental Needs ◽  
Content Type ◽  
Research And Innovation ◽  
Kwazulu Natal ◽  
Micro Level

Purpose The paper aims to advocate for innovative approaches in terms of the involvement of higher education institutions (HEIs) in the conservation of the environment, which fully considers and includes the developmental needs of indigenous communities while at the same time protecting the environment. Design/methodology/approach Using a qualitative study of indigenous communities and protected area (PA) authorities in Okhahlamba-Drakensberg, KwaZulu-Natal, South Africa, this paper explores the potential of the engagement of HEIs in capacitating indigenous communities to unleash their development potential towards reducing poverty and, thus accelerating the implementation of sustainable development goal one (SDG 1). Findings The paper shows that the enforcement of stringently protectionist policies in environmental conservation in PAs does very little to address issues of poverty because it leads to the marginalisation of indigenous communities and thereby their exclusion from using resources, which should benefit them. This undermines sustainable development, particularly the attainment of SDGs such as Goal 1, which targets ending poverty in all its forms everywhere. Originality/value Using the case of environmental management and governance of a PA in KwaZulu-Natal, South Africa, this paper highlights the fact that the attainment of SDG 1 can start at a micro-level and HEIs have a role to play in terms of collaborating with and understanding the needs of the rural communities so that research and innovation are geared towards meeting such needs. In this way, the paper advances the case of how the HEI-rural community-SDG 1 nexus can be established.

Assessment of a ground-based lightning detection and near real-time warning system in the rural community of Swayimane, KwaZulu-Natal, South Africa

2021 ◽  
Author(s):  
Maqsooda Mahomed ◽  
Alistair D. Clulow ◽  
Sheldon Strydom ◽  
Tafadzwanashe Mabhaudhi ◽  
Michael J. Savage
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Warning System ◽  
Lightning Activity ◽  
Lightning Flash ◽  
Short Message ◽  
Remote Server ◽  
Kwazulu Natal ◽  
Education And Awareness ◽  
Multiple Network

AbstractClimate change projections of increases in lightning activity are an added concern for lightning-prone countries such as South Africa. South Africa’s high levels of poverty, lack of education and awareness, as well as a poorly developed infrastructure increases the vulnerability of rural communities to the threat of lightning. Despite the existence of national lightning networks, lightning alerts and warnings are not disseminated well to such rural communities. We therefore developed a community-based early warning system (EWS) to detect and disseminate lightning threats and alerts in a timeous and comprehensible manner within Swayimane, KwaZulu-Natal, South Africa. The system comprised of an electrical field meter and a lightning flash sensor with warnings disseminated via audible and visible alarms on-site and with a remote server issuing short message services (SMSs) and email alerts. Twelve months of data (February 2018-February 2019) were utilized to evaluate the performance of the EWS’s detection and warning capabilities. Diurnal variations in lightning activity indicated the influence of solar radiation, causing convective conditions with peaks in lightning activity occurring during the late afternoon and early evening (between 14h00 and 21h00) coinciding with learners being released from school and when most workers return home. In addition to detecting the threat of lightning, the EWS was beneficial in identifying periods that exhibited above-normal lightning activity with two specific lightning events examined in detail. Poor network signals in rural communities was an initial challenge delaying data transmission to the central server until rectified using multiple network providers. Overall, the EWS was found to disseminate reliable warnings timeously.

Access to cataract services in selected rural communities in South Africa

2019 ◽  
Author(s):  
Lunic Base Khoza ◽  
Wilfred Njabulo Nunu ◽  
Bumani Solomon Manganye ◽  
Pfungwa Mambanga ◽  
Shonisani Tshivhase ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Access To Health Care ◽  
Health Care Services ◽  
Secondary Data ◽  
Demographic Characteristics ◽  
Outcome Variable ◽  
Patient Records

Abstract Background Despite government efforts to improve access to health care services through the re-engineered Primary Health Care and National Health insurance platform, access still remain a challenge particularly in rural areas. The aim of this study was to analyse secondary data on cataract patients who were attended to in selected hospitals in rural Limpopo of South Africa. Methodology A cross section survey was conducted on 411 patient records from five selected hospitals in Vhembe district. A pre tested structured checklist was used to guide retrieval of variables from patient records. The collected data was entered into excel spreadsheet, cleaned and imported into Statistical Package for Social Sciences version 26 for analysis. Proportions of demographic characteristics were presented and these were cross tabulated with the outcome variable “success of operation” using Chi Squared tests. Results Findings point out that majority of patients who attended hospital for eye services were aged 65 years above and females (63%). There was no association between the tested demographic characteristics and the outcome variable. Most patients were diagnosed in the period 2015-2018 (60%). Over 90% of those that were operated had successful operations. Of the remaining 10% that had unsuccessful operations, 30% cited complications as being the reason why these operations were unsuccessful. Conclusions It is evident from the findings that cataract services offered in rural areas have low impact as they are not accessible to the patient. It is critical to have a worker retention strategy to retain experts.

The Interplay of Agents in Improvising Telecommunication Infrastructures' Services to Rural Community of South Africa

2015 ◽  
pp. 208-225
Author(s):  
Sharol Mkhomazi
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
South African ◽  
Service Provider ◽  
Rural Areas ◽  
Service Providers ◽  
Telecommunication Network ◽  
Structuration Theory ◽  
Telecommunication Service ◽  
Network Service Provider

The deployment of telecommunication infrastructures is a challenge in many parts of South Africa particularly in the rural areas. The challenge has impact of communities' members as they do not have network coverage for Internet in some areas. The challenge gets worse with individual telecommunication service provider. Hence there is technological proposal for sharing of infrastructure by the service providers. However, the sharing of infrastructure is not as easy as notion by many individuals and groups institutions included. The article presents findings from a study on how a South African telecommunication network service provider could deploy shared infrastructures in the country's rural communities. The sharing of infrastructure is described by the structure and actions of agents within the infrastructure sharing process. Structuration theory was employed as a lens in the data analysis. The key findings include insufficient distribution of infrastructure, ownership responsibility, competitiveness, infrastructure deployment cost, and signification of regulation.

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