scholarly journals Description of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 66
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo

The aim of this paper is to describe the quality improvement training programme for health professionals in the Ministry of Health and Social Services in Namibia. The Practice Oriented Theory of Dickoff (1968) was used as practical guidelines to develop the conceptual framework. This framework was employed during the research and the educational programme development process. During the research process, the agent was the researcher; recipients (Managers/leadership and health professionals); the context (MoHSS head office and healthcare facilities); dynamics (findings for objective one and two); Procedure (research process) and terminus (foundations for development of educational programme). For the educational programme developing process, agent (quality specialist), recipients (health professional), context (health facilities), procedure (training programme for health professionals), dynamics, (challenges hampering successful implementation of the programme) and the terminus (knowledge, skills and abilities acquired through the training programme). During the development of the quality improvement training programme, two main theories were adapted. The most prominent one was a model by Meyer and Van Niekerk (2008), which was adapted to guide the process of developing the training programme. Kolb’s experiential learning theory was used to explain the learning process and styles of developing knowledge through experiences.The content of the training programme was derived from five main themes, 17 sub-themes and the conceptual framework based on the situation analysis about challenges faced by the health care facilities. The five themes were lack of implementation of policies and guidelines; inadequate resources; lack of interpersonal relationships; inadequate understanding of quality assurance and quality improvement; and inadequate research to provide evidence-based information during treatment and patient care.The educational programme consisted of the purpose / aim, objectives, structure / design, facilitation process, implementation process, and evaluation of the programme.

2016 ◽  
Vol 4 (1) ◽  
pp. 46
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo

This article describe the process followed by the researcher in the development of the conceptual framework for a quality improvement training programme for health professionals in the Ministry of Health and Social Services in Namibia. The conceptual framework of this study was based on the Practice Orientated Theory of Dickoff (1968) that assisted with explaining the concepts used in developing the quality improvement training programme for health professionals at the health facilities. Dickoff’ s (1968) practice orientated theory consists of the agent, recipients, context, procedure, dynamics, and the terminus. In this study, the agent was a quality specialist, the recipients were health professionals, the context was the health facilities, the dynamics were challenges that health professionals were experiencing; the procedure was the training programme, while the terminus was knowledgeable and skillful health professionals in quality health care delivery.


2016 ◽  
Vol 4 (2) ◽  
pp. 89 ◽  
Author(s):  
Hans Justus Amukugo ◽  
Julia Paul Nangombe

This article focuses on the paradigmatic perspective facilitate the development of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia. The study of this nature requires a paradigmatic perspective; this is a collection of logically linked concepts and propositions that provide a theoretical perspective or orientation that tends to guide the research approach to a specific. Assumptions are useful in directing research decisions during the research process.The study adopted a constructivism and interpretivism approach, since it involved understand the current situation of quality health care/service delivery at health care facilities, and explore and describe the of the health professionals; experiences at the health care facilities. The study was based on the specific information that was accepted as true, as obtained from those lived the experiences of challenges and constraints of providing quality health care at the health care facilities.The paradigm perspectives in this study include Meta – theoretical assumption which consisted ontological, epistemological, axiological, methodological and rhetorical assumptions. Theoretical basis of the study includes Dickoff (1968), Practice Oriented Theory; Programme development by Meyer and Van Niekerk; Kolb’s Theory of experiential learning; Demining’s model of quality improvement, Quality improvement policy of the Ministry of Health and Social Services (MoHSS) and Centre for Diseases control (CDC) framework for programme education.


2016 ◽  
Vol 4 (1) ◽  
pp. 54
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo

This paper is focuses on the description of the guidelines for implantation of a quality improvement training programme for health professionals. The formulation of the guidelines also borrowed the CDC (2001) steps and UNFPA phases of developing the guidelines for successful implementation of the training programme at the health care facilities in the MoHSS. The facilitator(s) and implementers of the training programme are advised to first understand the background and the development process of the training programme for successful implementation. These guidelines have been developed to assist quality manager(s) and facilitator(s) with the implementation of the quality improvement training programme for health professionals at the health care facilities (MoHSS).The guidelines enhance consistency in steps and methods to be followed during the implementation of the programme. The guidelines were derived from the conceptual framework that was developed during the exploratory and situation analysis of quality health care delivery at the health care facilities. Two prominent theories were adapted in developing these guidelines. Firstly, Deming’s PDSA model of quality improvement and secondly, Kolb’s experiential learning theory. These theories were used to understand the teaching and learning styles. The guidelines outlined the process, activities, and elements required to implement the such programme.


Author(s):  
Nadia Minee Sadler-Howe

The chapter draws from notions and experiences of kaitiakitanga (guardianship) in the context of a pūrākau (indigenous narrative) approach to understanding and developing a Kaupapa Māori conceptual framework. This approach acknowledges Mātauranga Māori (Maori bodies of knowledge) as the theoretical basis for Kaupapa Māori praxis, particularly in the field of health and social services. A pūrākau approach includes utilizing whakapapa kōrero (genealogical narratives) as it informs the use of traditional principles, beliefs, and practices (tikanga) in working alongside Māori whānau, hapū, and iwi. These purakau identify natural elements represented in the form of Ātua, or Gods. Through whakapapa (genealogical descent), Maori episteme positions tangata whenua within nature. The indigenous worldview recognizes the inter-connected relationships, obligations, and responsibilities that underpin the philosophical positioning of kaitiaki practices.


2019 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Nghitanwa Emma Maano ◽  
Haitembu Teopolina ◽  
Hatupopi Saara Kerthu

Globally cancer of the breast is a challenge, and in Namibia it ranks the third common type of cancer. The purpose of this study was to assess the awareness and perception of women of reproductive age (15-49) regarding breast cancer at Okuryangava clinic. Ethical clearance for the study was obtained from the Ministry of Health and Social Services of Namibia and the University of Namibia research ethical committee. Qualitative and exploratory study design was conducted. After obtained the written consent from participants, data were collected among 10 women with interview guide through face to face interview. The sample size was determined by data saturation. Data were analyzed according to Tesch’s eight steps of data analyses that led to the formation of themes and sub themes. The study found out that majority of women at Okuryangava clinic had awareness about breast cancer. Women had different perception about breast cancer, some believe that breast cancer is curable while others perceive it as a fatal disease. The study also found that participants have knowledge on breast cancer risk factors which may assist in preventive measuresand awareness. The study recommends that the Ministry of Health and Social Services of Namibia should ensure conducting an awareness campaigns to educate the community regarding breast cancer.


2015 ◽  
Vol 17 (3) ◽  
pp. 78-93 ◽  
Author(s):  
Stephen J Macdonald ◽  
Lesley Deacon

This paper examines the relationship between dyslexia, homelessness and access to health and social services. This is a quantitative study analysing data from the Multiple Exclusion Homelessness across the United Kingdom Survey. Data was collected from 443 participants who had experienced some form of homelessness in the UK. A comparison was made between people with dyslexia and those homeless people without this condition. The data findings in this paper appear to reveal that people with dyslexia are overrepresented within the survey’s homeless population. It may be expected that people with dyslexia might not come in contact with health professionals and social workers as support for this condition generally takes place within an educational environment. Yet this study seems to indicate that homeless people with dyslexia have greater contact with health professionals and social workers compared with non-dyslexic homeless people. This paper suggests that health and social services need to consider conditions like dyslexia in order to develop support for this particular group of people that have experienced homelessness.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Migration has witnessed important development worldwide and in the Mediterranean region because of globalization, political and economic transformations and climate changes. Global agreements on trade in service in addition to deteriorating working conditions have facilitated movement of health professionals from countries of the south to countries of the north with dramatic implications on health systems. The middle east and North Africa region are presently hosting the highest numbers of refugees and migrants fleeing wars and civil strives in South East Asia, Sub Saharan Africa and Middle East. They live in difficult conditions and do not access quality health care services. The geostrategic position of Maghreb and North African countries and their historic ties with Europe imposes to build collaboration and solidarity to deal with the issue of migration and health. Refugees and migrants in Northern and Southern banks of the Mediterranean lack appropriate health and social services, often provided by generous civil society organizations with limited commitment from national governments. Also, their vulnerable status makes them easy targets for international and national human trafficking gangs. Professional associations and scientific societies and schools of public health have an important advocacy role through research and generation of evidence. Health professionals from countries of the southern Mediterranean countries are migrating at increasing pace for several reasons including worsening working conditions to countries of the north and mainly to Europe. Such uncoordinated migration is negatively impacting on health service delivery in countries and it is representing a serious challenge to health systems. Unfortunately, countries of the North, apart from Germany in relation to nurses migrating from Vietnam, are not applying the WHO code of ethics in international recruitment of health professionals. The objectives of the workshop are to: Document gaps in health and social services provided to refugees and migrants as well as issues related to human trafficking among refugees and migrants.Share experiences among countries of the region in provision of health and social services to migrantsAdvocate human right approach in access to decent health and social services to refugees and migrants in Europe and southern Mediterranean countries.Plea for the implementation of the WHO code of ethics in international recruitment of health professionals. Presentations during the workshop: Human trafficking among refugees and migrants in Tunisia: By Dr. Belgacem Sabri.Health promotion for migrants in Morocco: Progress, challenges et prospects, By Pr. Abderrahmane Maaroufi.Brain drain of Tunisian competencies: The case of health professionals: By Pr. Lassaad Laabidi, and Dr Belgacem SabriMapping of access of refugees and migrants in Tunisia in access to social and health care services by Pr. Chokri Arfa. Key messages Advocate human right approach in access to decent health and social services to refugees and migrants in Europe and southern Mediterranean countries. Plea for the implementation of the WHO code of ethics in international recruitment of health professionals.


2016 ◽  
Vol 4 (1) ◽  
pp. 40
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo

The paper describes the steps followed in the development of a quality improvement training programme for health professionals. This was echoed by the facts that the health professionals are facing in their quest for quality health care delivery. In Namibia, most health care facilities have not been yielding good results in response to patients’ health care needs. Health care dynamics are complex and inundated with several factors; among others new methods, speed of improving medical science and technology, as well as increasing demands of the clients to address emerging and re-emerging diseases.In order to achieved that the five phases of programme development by Meyer and Van Niekerk (2008) were modified to facilitate the programme development. Quality improvement training for health professionals. Those five phases were situational analysis; conceptual framework; developing of the training programme; development of the guidelines for the implementation; and Evaluation of training programme.


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