Browsing by Author "Morojele, Neo"

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    A descriptive study of treatment provision for problem alcohol drinking in adult males in Khayelitsha, Cape Town, South Africa
    (BioMed Central, 2017-12-04) Saban, Amina; Morojele, Neo; London, Leslie
    Background: Poor, Black African males are underrepresented as patients in facilities that treat problem drinking in Cape Town, South Africa. Reasons for this remain unclear, but factors such as the kinds of treatment provided, perceptions of treatment efficacy, social stigma and traditional treatment beliefs have been suggested as possible barriers to treatment seeking. This descriptive study examined the availability and nature of problem drinking treatment facilities in Khayelitsha, a largely poor township of Black, Xhosa-speaking Africans, on the outskirts of Cape Town. Methods: Seven treatment facilities for problem drinking in adult males were identified using data from the Department of Social Development in the City of Cape Town. Staff members were identified as key informants at each of the treatment facilities, and were interviewed using a structured questionnaire. Twelve interviews were conducted. Results: Findings indicated that the available alcohol treatment facilities were relatively new, that treatment modalities varied both across and within treatment facilities, and that treatment was provided largely by social workers. Treatment facilities did not accommodate overnight stay for patients, operated during weekday office hours, and commonly referred patients to the same psychiatric hospital. Discussion: The study provides a baseline for assessing barriers to treatment for problem drinking in Khayelitsha by highlighting the nature of available facilities as playing a predominantly screening role with associated social work services, and a point of referral for admission to a psychiatric institution for treatment. The social and financial implications of such referral are pertinent to the discussion of treatment barriers. Conclusions: Recommendations are made to inform policy towards locally-provided integrated care to improve treatment provision and access.
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    Psychosocial factors associated with early initiation and frequency of antenatal care (ANC) visits in a rural and urban setting in South Africa: a cross-sectional survey
    (BioMed Central, 2016-01-25) Muhwava, Lorrein S; Morojele, Neo; London, Leslie
    Background: Late booking and infrequent antenatal care (ANC) are common but avoidable patient-related risk factors for maternal deaths in South Africa. The aim of the study was to examine the association of psychosocial factors with early initiation of ANC and adequate frequency of attendance of ANC clinics among women in an urban and rural location in South Africa. Methods: Data from a 2006 cross-sectional household survey of 363 women from the rural Western Cape and 466 women from urban Gauteng provinces of South Africa for risk of alcohol-exposed pregnancy were analysed. We examined associations between psychosocial variables (self-esteem, cultural influences, religiosity, social capital, social support, pregnancy desire (wanted versus unwanted pregnancy), partner characteristics and mental health) and both early ANC first visit (before 16 weeks) and adequate frequency of ANC visits (4 or more visits) for respondents’ last pregnancy. Results: Overall prevalence among urban women of early ANC initiation was 46 % and 84 % for adequate ANC frequency. Overall prevalence among rural women of early ANC initiation was 45 % and 78 % for adequate ANC frequency. After adjusting for clustering, psychosocial factors associated with early ANC initiation in the urban site were being employed (OR 1.6; 95 % CI 1.0–2.5) and wanted pregnancy (OR 1.8; 95 % CI 1.1–3.0). For the rural site, early ANC initiation was significantly associated with being married (OR 1.93; 95 % CI 1.0–3.6) but inversely associated with high religiosity (OR 0.5; 95 % CI 0.3–0.8). Adequate frequency of ANC attendance in the rural site was associated with wanted pregnancy (OR 4.2; 95 % CI 1.9–9.3) and the father of the child being present in the respondent’s life (OR 3.0; 95 % CI 1.0–9.0) but inversely associated with having a previous miscarriage (OR 0.4; 95 % CI 0.2–0.8). There were no significant associations between adequate ANC attendance and the psychosocial factors in the urban site. Conclusion: The majority of women from both sites attended ANC frequently but less than 50 % initiated ANC before the recommended 16 weeks gestational age. Interventions to reduce prevalence of late ANC booking and inadequate ANC attendance should engage religious leaders, address unintended pregnancy through family planning education and involve male partners in women’s reproductive health.
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    The role of readiness to change and other patient factors in the prediction of dropout from treatment-for problem drinking of alcohol.
    (1999) Saban, Amina; Morojele, Neo; Tredoux, Colin
    The main purpose of the study was examining the predictive role of patients' readiness to change drinking behaviour, in drought from treatment for problem drinking. The predictive role of patient demographic factors, socioeconomic factors, personal history and drinking factors in drought from treatment for problem drinking was also examined. A subsidiary interest of the study was to examine the differences between patients who completed their treatment and patients who did not complete their treatment for problem drinking. The study was conducted at Avaloo Treatment Centre, an alcohol treatment centre in Cape Town, South Africa. The subjects consisted of all inpatients and daypatieots who were admitted to the Avalon Treatment Centre Rehabilitation Programme over a period of five consecutive months (n == 62). Information for the study was elicited from the subjects by means of an interview schedule designed for the study, and the Readiness to Change Questionnaire (Treatment Version) which was developed by Heather, Luce, James, Peck and Dunbar (1996). The interview schedule consisted of four main sections that requested information about patient demographic characteristics, socioeconomic characteristics, personal and drinking history factors, and information regarding discharge from treatment at Avalon Treannent Centre. The researcher conducted the interviews and administered the Readiness to Change Questionnaire (Treatment Version) to all the subjects. Information relating to patient discharge was obtained from the patients' folders, the patients themselves, the patients' families, and from the Avalon Treatment Centre therapeutic staff. The results of the study are described. The data was analysed statistically by means of bivariate analyses (such as chi square tests) and multivariate statistical analyses (namely, discriminant function analysis). The findings indicated that statistically, significantly more daypatieots ~ped out of the Rehabilitation Programme than did inpatients. The discriminant function analysis suggested that six patient factors contributed significantly to the discrimination between dropouts and completers of treatment for problem drinking of alcohol. The patient factors were wine, the alcoholic beverage consumed most frequently; drinking alcoholic beverages daily; living alone at the time of the admission for treatment via the Rehabilitation Programme; being separated from spouse at the time of admission; the Preparation-Action stage of change; previous treatment for problem drinking. These results indicated that dropout from treatment for problem drinking could be reliably predicted from patient characteristics. The results also suggested that there are significant differences between dropouts and completers of treatment for problem drinking. The results are discussed 111 the light of related research: findings, and possible explanations for the: findings are offered. Recommendations for the implementation of the findings and their implications for future research are suggested.