dc.contributor.author |
Jaya, Ziningi Nobuhle
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|
dc.contributor.author |
Mapanga, Witness
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|
dc.contributor.author |
Moetlhoa, Boitumelo
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|
dc.contributor.author |
Mashamba‑Thompson, Tivani Phosa
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|
dc.date.accessioned |
2024-01-31T08:24:39Z |
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dc.date.available |
2024-01-31T08:24:39Z |
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dc.date.issued |
2024-01 |
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dc.description |
AVAILABILITY OF DATA AND MATERIALS : All data generated or analysed during this study are available in the manuscript. However, additional datasets used are available from the corresponding author on reasonable request if required. |
en_US |
dc.description.abstract |
BACKGROUND : Syndromic management in the main non-laboratory-based management approach for sexually transmitted infections (STI) in most low- and middle-income countries (LMICs) but it has limitations. Self-sampling has been proven as a suitable alternative approach to help improve management STIs by improving access to diagnosis among vulnerable populations. We sought to determine health workers’ perspectives on user-friendly self-sampling interventions for STIs among young women in eThekwini District Municipality.
METHODS : Healthcare workers providing STI healthcare services in the study location participated in a nominal group technique (NGT) workshop. The NGT workshop was aimed enabling collaboration with key health providers in identifying user-friendly self-sampling interventions for diagnosis of STIs among young women. Data collection was conducted in two phases: phase 1 determined barrier that hinder young women from accessing current STI healthcare services and phase 2 focused on determining the key strategies for self-sampling interventions to diagnose STIs in young women. Thematic analysis and percentage form analysis were used to examine qualitative and quantitative data respectively.
RESULTS : The following barriers were identified: negligence; myths about STIs; fear of judgement; denial; operating hours; lack of knowledge of STI symptoms and safe sex practices; and stigma associated with STIs. The following strategies were suggested: hand out self-sampling kits at popular restaurants; collect self-sampling kits from security guard at primary healthcare clinics (PHCs); receive STI diagnostic results via SMS or email or the clinic for treatment; improve youth friendly services at PHCs; educate the public on proper use of the kits. Education about STIs and handing out self-sampling kits at clinics, universities, schools, pharmacies or via outreach teams were ranked high priority strategies.
CONCLUSIONS : The findings highlight the need to address stigma and fear of judgment and provide comprehensive education to improve healthcare-seeking behaviour in young women. Additionally, the study also indicates that using eHealth solutions could significantly enhance the accessibility and efficiency of STI healthcare services in LMICs. |
en_US |
dc.description.department |
School of Health Systems and Public Health (SHSPH) |
en_US |
dc.description.librarian |
hj2024 |
en_US |
dc.description.sdg |
SDG-03:Good heatlh and well-being |
en_US |
dc.description.sponsorship |
The Department of Higher Education funding for the Next Generation of Academics Programme for employees, South Africa. |
en_US |
dc.description.uri |
https://bmchealthservres.biomedcentral.com |
en_US |
dc.identifier.citation |
Jaya, Z.N., Mapanga, W., Moetlhoa, B. et al. Nurses’ perspectives on user-friendly self-sampling interventions for diagnosis of sexually transmitted infections among young women in eThekwini district municipality: a nominal group technique. BMC Health Services Research 24, 106 (2024). https://doi.org/10.1186/s12913-023-10353-6. |
en_US |
dc.identifier.issn |
1472-6963 (online) |
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dc.identifier.other |
10.1186/s12913-023-10353-6 |
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dc.identifier.uri |
http://hdl.handle.net/2263/94183 |
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dc.language.iso |
en |
en_US |
dc.publisher |
BMC |
en_US |
dc.rights |
© The Author(s) 2023. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License. |
en_US |
dc.subject |
Low- and middle-income countries (LMICs) |
en_US |
dc.subject |
Sexually transmitted infection (STI) |
en_US |
dc.subject |
Primary healthcare (PHC) |
en_US |
dc.subject |
Barriers |
en_US |
dc.subject |
Self-sampling |
en_US |
dc.subject |
Strategies |
en_US |
dc.subject |
eHealth solutions |
en_US |
dc.subject |
SDG-03: Good health and well-being |
en_US |
dc.title |
Nurses’ perspectives on user-friendly self-sampling interventions for diagnosis of sexually transmitted infections among young women in eThekwini district municipality : a nominal group technique |
en_US |
dc.type |
Article |
en_US |