Health care needs of displaced women living in Osire refugee camp in Namibia

Abstract

English: The aim of the study was to explore the experiences of displaced women living in the Osire refugee camp in Namibia about their health care needs, and to develop health care guidelines that will help to address the identified health care needs of displaced women. A descriptive phenomenological study was used, using face-to-face interviews with participants in response to one question. The following question was asked: What are the health care needs of displaced women living in Osire refugee camp and how should they be addressed? Ten women were interviewed. Their ages ranged between 18 and 58 years. The duration of displacement was longer than 6 months. Interviews were conducted in Osire Refugee Camp in Namibia. Displaced women were invited to participate in the study on a voluntary basis. The interviews were tape recorded and transcribed verbatim. During the analysis the essence substantiated by the constituents of their experiences regarding their health care needs were identified. The findings of the health care needs of displaced women living in Osire refugee camp reflect that they have a need for restoration of hope and human dignity. A thorough literature review was done and the constituents were re-phrased to form guidelines on how to address the health care needs of displaced women. The guidelines were refined through a Delphi study.

Sepedi: Maikemišetšo a nyakišišo ye e be e le go lekola maitemogelo a basadi bao ba hudušitšwego bao ba dulago ka kampeng ya bafaladi ya Osire ka Namibia mabapi le dinyakwa tša bona tša tlhokomelo ya maphelo, le go hlama ditlhahlo tša tlhokomelo ya maphelo tšeo di tlago thuša go rarolla dinyakwa tša tlhokomelo ya maphelo tšeo di lemogilwego tša basadi bao ba hudušitšwego. Dinyakišišo tša tiragalo tše di hlalošago e šomišitšwe, go šomišwa dipoledišano tša go lebana le batšwasehlabelo go araba potšišo e tee. Potšišo ye e latelago e ile ya botšišwa: Ke dinyakwa dife tša tlhokomelo ya maphelo tša basadi bao ba hudušitšwego bao ba dulago kampeng ya bafaladi ya Osire gomme di swanetše go rarollwa bjang? Basadi ba lesome ba ile ba botšološišwa. Mengwaga ya bona e be e le magareng ga mengwaga ye 18 le ye 58. Nako ya go hudušwa e be e le ye telele go feta dikgwedi tše 6. Dipoledišano di ile tša swarwa ka Kampeng ya Bafaladi ya Osire kua Namibia. Basadi bao ba hudušitšwego ba ile ba laletšwa go tšea karolo nyakišišong ye ka boithaopo. Dipoledišano di ile tša rekotwa ka theipi gomme tša ngwalwa ka mantšu. Nakong ya tshekatsheko go ile gwa lemogwa mooko wa motheo wo o tiišeditšwego ke bakgethi ba maitemogelo a bona mabapi le dinyakwa tša bona tša tlhokomelo ya maphelo. Dikutollo tša dinyakwa tša tlhokomelo ya maphelo tša basadi bao ba hudušitšwego bao ba dulago ka kampeng ya bafaladi ya Osire di bontšha gore ba na le tlhokego ya tsošološo ya kholofelo le seriti sa motho. Tekolo ye e tseneletšego ya dingwalo e dirilwe gomme bakgathatema ba ile ba hlangwa gape go bopa ditlhahlo tša ka fao go ka rarollwago dinyakwa tša tlhokomelo ya maphelo tša basadi bao ba hudušitšwego. Ditlhahli di ile tša lekodišišwa ka nyakišišo ya Delphi.

Afrikaans: Die doel van die studie was om uitgeweke vroue wat in die Osire-vlugtelingkamp in Namibië woon se ervarings omtrent hul gesondheidsorgbehoeftes te ondersoek, en om gesondheidsorgriglyne daar te stel wat sal help om aan die geïdentifiseerde gesondheidsorgbehoeftes van uitgeweke vroue te voldoen. ’n Beskrywende fenomenologiese studie is gebruik, waarin deelnemers se reaksie op een vraag vasgestel is in onderhoude wat van aangesig tot aangesig gevoer is. Die volgende vraag is gevra: Watter gesondheidsorgbehoeftes het uitgeweke vroue wat in die Osire-vlugtelingkamp woon, en hoe moet daanaan voldoen word? Daar is met tien vroue onderhoude gevoer. Hul ouderdomme het van 18 tot 58 jaar gewissel. Hulle was al vir langer as ses maande uitgewekenes. Onderhoude is in die Osire-vlugtelingkamp in Namibië gevoer. Uitgeweke vroue is genooi om vrywilliglik aan die studie deel te neem. Die onderhoude is op band opgeneem en woordeliks getranskribeer. Tydens die ontleding is die kern van hul ervarings omtrent hul gesondheidsorgbehoeftes geïdentifiseer, soos gestaaf deur elemente van wat hul beleef het. Die bevindinge omtrent die gesondheidsorgbehoeftes van uitgeweke vroue wat in die Osire-vlugtelingkamp woon, toon dat hulle ’n behoefte het aan die herstel van hoop en menswaardigheid. ’n Deeglike literatuurstudie is gedoen, en die elemente is herformuleer as riglyne vir hoe daar aan die gesondheidsorgbehoeftes van uitgeweke vroue voldoen kan word. Die riglyne is deur middel van 'n Delphi-studie verfyn.

IsiZulu: Inhloso yalolu cwaningo kwakuwukuhlola okuhlangenwe nakho kwabesifazane abangenamakhaya abahlala enkanjini yababaleki yase-Osire eNamibia ngezidingo zabo zokunakekelwa kwezempilo, kanye nokusungula iziqondiso zokunakekelwa kwezempilo ezizosiza ekusingatheni izidingo zokunakekelwa kwezempilo ezikhonjiwe zabesifazane abangenamakhaya. Kusetshenziswe ucwaningo oluchazayo lwe-phenomenological, kusetshenziswa izingxoxo zobuso nobuso nababambiqhaza ekuphenduleni umbuzo owodwa. Kwabuzwa umbuzo olandelayo: Ziyini izidingo zokunakekelwa kwezempilo zabesifazane abangenamakhaya abahlala enkanjini yababaleki yase-Osire futhi kufanele zisingathwe kanjani? Kwaxoxwa nabesifazane abayishumi. Iminyaka yabo yayiphakathi kweminyaka eyi-18 nengama-58. Isikhathi sokusala dengwane sasingaphezu kwezinyanga eziyi-6. Izingxoxo zenziwa Enkanjini Yababaleki e-Osire eNamibia. Abesifazane abasele dengwane bamenywa ukuthi babambe iqhaza ocwaningweni ngokuzithandela. Izingxoxo zaqoshwa futhi zabhalwa ngamazwi njengoba zinjalo zisuselwa kokuqoshiwe. Phakathi nokuhlaziywa ingqikithi efakazelwe yzakhi zabahlangabezene nakho ngokuphathelene nokuhlonzwa kwezidingo zabo zokunakekelwa kwezempilo. Okutholakele ezidingweni zokunakekelwa kwezempilo zabesifazane abasale dengwane abahlala enkanjini yababaleki yase-Osire kubonisa ukuthi banesidingo sokubuyiselwa ithemba nesithunzi somuntu. Ukubuyekezwa okuphelele kokubhaliwe kwenziwa futhi izakhi zaphinde zaphinde zaphindwa ukuze kwakhiwe imihlahlandlela yokuthi zingasingathwa kanjani izidingo zokunakekelwa kwezempilo zabesifazane abasale dengwane. Iziqondiso zacwengisiswa ngocwaningo lwe-Delphi.