| Summary: | Thesis (MPA (Public Management and Planning))--University of Stellenbosch, 2010. === ENGLISH ABSTRACT: The accessibility of anti-retroviral drugs to patients and families affected by HIV and
AIDS, and the affordability of these drugs, have been challenges to the Du Noon
community in the Cape Peninsula. The aim of the study was to assess the
effectiveness of primary health care services in addressing HIV/AIDS in the light of
these challenges.
The focus was on patients registered on the ARV programme and who were
receiving treatment at Du Noon Clinic. Interviews were conducted with 15 groups of
10 patients each using a patient questionnaire. During these interviews qualitative
and quantitative data were gathered and secondary data was used for quantitative
analysis. The results that the data analysis yielded are in keeping with the
hypothesis that the HIV/AIDS programme is effective in meeting the needs of the
HIV/AIDS patients of Du Noon.
After content analysis of qualitative data, two themes related to patient satisfaction
emerged: positive and negative feelings that were categorised as satisfied and not
satisfied with the service. Most often noted was the feeling of satisfaction with the
services rendered at the clinic and that the staff were helpful. The staff rendering the
service were also satisfied with the kind of service offered to the patients, but were
dissatisfied with the allocation of resources. An increase in enrolment figures of
patients was noted in the statistical analysis for the period 2004-2008 with 1,018
patients registered. The statistics illustrate the linear tendency in the enrolment of
patients, which indicated the accessibility and affordability of the service. === AFRIKAANSE OPSOMMING: Geredelike toegang tot en die bekostigbaarheid van anti-retrivorale middels (ARM’s)
vir pasiënte en families wat deur MIV en VIGS aangetas is, is ‘n uitdaging vir die Du
Noon-gemeenskap in die Kaapse Skiereiland. Die doel van die studie was om die
doeltreffendheid van primêre gesondheidsorgdienste te bepaal wanneer MIV/VIGS
aangespreek word.
Die fokus is op geregistreerde pasiënte wat die ARM-program volg en behandeling
by die Du Noon Kliniek ontvang. Met behulp van ‘n pasiëntevraelys was onderhoude
met 15 groepe van 10 pasiënte elk gevoer. Tydens hierdie onderhoude is
kwalitatiewe data versamel en vir kwantitatiewe analise was sekondêre data
aangewend. Die resultate wat uit die data analise verkry was, strook met die
hipotese dat die MIV/VIGS-program doeltreffend is om die behoeftes van die
pasiënte en die gemeenskap van Du Noon aan te spreek.
Nadat ‘n inhoudsanalise van die kwalitatiewe data onderneem was, het twee temas
rakende positiewe en negatiewe gevoelens – gekategoriseer as tevrede en nie
tevrede nie – ten opsigte van die gelewerde diens na vore getree. Veral die gevoel
van tevredenheid teenoor die diens gelewer by die kliniek en die personeel as
behulpsaam, is opgemerk. Die personeel wat die diens lewer, was ook tevrede met
die diens wat aan die pasiënte gelewer word, maar was ontevrede oor die
toekenning van hulpbronne. By die statistiese analise is ‘n toename in die
inskrywingsgetalle deur pasiënte waargeneem. Toename in inskrywingsgetalle deur
pasiënte is gemerk in statistiese analise van 2004 - 2008, met 1,018 pasiënte
geregistreer. Die statistiek het die lineêre tendens toegelig ten aansien van die
inskrywing van pasiënte wat die toeganklikheid en bekostigbaarheid van die diens
uitbeeld.
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