Helen Gundani - Academia.edu (original) (raw)
Papers by Helen Gundani
PubMed, May 1, 2011
Objectives: To establish factors that can affect sleep patterns of hospitalised patients aged bet... more Objectives: To establish factors that can affect sleep patterns of hospitalised patients aged between 20 and 30 years at a central hospital. To identify hospital environmental factors and procedures or routines that affect sleep. Design: A non-experimental descriptive design with structured questions was used. Settings: An urban, central hospital in Harare, the capital city of Zimbabwe. Participants: A random sample of 20 participants admitted at a central hospital aged between 20 and 30 years were included in the study. Main outcome measures: Varied indicators of sleeping patterns were analyzed using descriptive statistics. Results: This study showed that hospitalization affected (80%), a major proportion of the participants. Eleven (68.75%) spent most of their time awake because of hospitalization, the remainder, (31.25%) had their sleep increased because of hospitalization. Ten (62.5%) of the participants' sleep patterns were decreased by noise from other patients through crying and grunting. Furthermore, (31.25%) were disturbed by noise from nurses and their trolleys. Inadequate orientation altered the sleep patterns of all participants. Conclusion: Various factors influence negatively the sleep of hospitalized patients including lack of orientation of patients on admission. Because of the exploratory nature of this study, it is important to conduct further studies before concrete recommendations can be made.
PubMed, 2010
Objective: To examine the relationship between personal health beliefs and self-care practices am... more Objective: To examine the relationship between personal health beliefs and self-care practices among 69 PTB patients aged 25 to 65 years at a tuberculosis clinic in Zimbabwe, in order to determine the role patients can play in self-care. Design: Analysis of collected demographic data, personal health beliefs (PH B) and self-care practices (SCP) of PTB patients. Settings: Gwanda Provincial Hospital (GPH) Tuberculosis Clinic. Participants: PTB patients in the (GPH) register who were taking treatment. Interventions: Key components of the study included administration of an interview schedule to 69 PTB patients on treatment, and the analysis and comparison of personal health beliefs and self-care practices. Main outcome measures: Scores of personal health beliefs, self-care practices, perceived self-efficacy, perceived threats, and cost-benefit analysis. Results: Sixty- nine PTB patients with a median age of 38, screened during the month of March, 2009, showed a weak positive Pearson's correlational coefficient of (R2=0.177), indicating that personal health beliefs may have some influence on self-care practices. The regression analysis showed an association of 3.1%, thus health beliefs are responsible for self-care undertaken by 3.1 in a 100 PTB patients. Conclusions: Directly Observed Treatment Short Course (DOTS) seems to have reduced the self-care practice of PTS patients. It seems the PTB patient has a potential role to play in the management of his own treatment.
Introduction: Becoming pregnant from sexual assault is a significant concern for survivors of sex... more Introduction: Becoming pregnant from sexual assault is a significant concern for survivors of sexual assault and survivors of different ages, social, cultural and religious backgrounds may have varying feelings regarding acceptable treatment options (Safeta, 2019). Pregnancy resulting from sexual assault is a multidisciplinary issue which associates health care practitioners, legal services, community and societal systems. The World Health Organization, (2013) guidelines for sexual gender based violence makes provision for immediate care of rape victims within 72 hours, that is, free medical and psychological care, post exposure prophylaxis, treatment of sexually transmitted infections, contraceptive pills and legal support, but few victims seek care (Resnick,2013) resulting in unwanted pregnancies and their traumatic sequelae. This study explored lived experiences of survivors of sexual assault who became pregnant and sought care at Mutare provincial hospital to identify gaps for possible improvements in delivery of comprehensive care. Methodology: A phenomenological qualitative approach was employed for an exploration of lived experiences of survivors of sexual assault who become pregnant. Purposive sampling was used to draw a sample of ten survivors of sexual assault who became pregnant. A thematic approach was used to explicate data from the study. Findings: Five themes emerged from the study findings. The three which are unstable family environment; low socioeconomic status; and low education and empowerment as risk factors to sexual assault and pregnancy as well as negative outcomes. Two themes related to decision making and outcomes implicated on existing environments as well as strengths and gaps in service provision. Conclusion: The overall discussion was occurrence of sexual assault facilitated by unfavorable victim environment, late disclosure and missing emergency medical care resulting in pregnancy and psychological distress connected to inadequate care and unresolved socio-demographic issues. Therefore, the study recommends policy level address of detected risky factors and training of multidisciplinary care teams.
ICIC express letters. an international journal of research and surveys. Part B, Applications, 2012
African Journal of Midwifery and Women's Health, 2010
The aim of this study was to examine the relationship between knowledge levels of exclusive breas... more The aim of this study was to examine the relationship between knowledge levels of exclusive breastfeeding (EBF) and EBF practice among HIV-positive mothers, who had babies aged 0–6 months. A conven...
Adolescent Sexual and Reproductive Health is an important aspect of Public health that may be ove... more Adolescent Sexual and Reproductive Health is an important aspect of Public health that may be overlooked in the era of the COVID-19 pandemic (Murewanhema, 2020). The pandemic therefore, directly exposes adolescent girls to increased risks of unintended pregnancies, abortions, early marriages, sexually transmitted infections including HIV and Human Papilloma Virus (Murewanhema, 2020), despite the introduction of HIV and AIDS Reproductive Health and Life Skills Education in the schools curricula as early as 1993 in Zimbabwe. According to (World Vision Zimbabwe, 2020), there has been an increased incidence of teenage pregnancies and early marriages in Zimbabwe and the figures have doubled since the beginning of the COVID19 lockdown. This then has necessitated the need to obtain data that will help in the analysis of the COVID19 lockdown related teenage pregnancies so as to assist policy makers to come up with strategies and a contextualised policy to help curb an upsurge of teenage pre...
Adolescent Sexual and Reproductive Health is an important aspect of Public health that may be ove... more Adolescent Sexual and Reproductive Health is an important aspect of Public health that may be overlooked in the era of the COVID-19 pandemic (Murewanhema, 2020). The pandemic therefore, directly exposes adolescent girls to increased risks of unintended pregnancies, abortions, early marriages, sexually transmitted infections including HIV and Human Papilloma Virus (Murewanhema, 2020), despite the introduction of HIV and AIDS Reproductive Health and Life Skills Education in the schools curricula as early as 1993 in Zimbabwe. According to (World Vision Zimbabwe, 2020), there has been an increased incidence of teenage pregnancies and early marriages in Zimbabwe and the figures have doubled since the beginning of the COVID19 lockdown. This then has necessitated the need to obtain data that will help in the analysis of the COVID19 lockdown related teenage pregnancies so as to assist policy makers to come up with strategies and a contextualised policy to help curb an upsurge of teenage pre...
Cervical cancer (CC) is the second most common female cancer with 50000 new cases and approximate... more Cervical cancer (CC) is the second most common female cancer with 50000 new cases and approximately 275000 deaths reported annually in the world (Anorlu 2008; WHO 2006). CC is a major cause of related deaths in developing countries among HIV positive women (Ferlay 2002). We conducted the study to establish the level of awareness of CC among HIV positive women aged 18 to 49 years at Bindura Provincial Hospital Opportunistic Infections Clinic (BPHOIC). A descriptive cross -sectional research study was used. Seventy eligible respondents were selected utilizing a convenience sampling method after consenting. Data were processed using Social Sciences Statistical Package SSPS software version 16, 2012 and analyzed descriptively using percentages, tables and figures. Data analysis revealed that 90% of the respondents did not know that HPV was a risk factor, nearly seventy three percent did not know that HIV was a risk factor and 68.6% did not know that a high number of sexual partners expo...
International Journal of Nursing and Midwifery, Apr 30, 2012
This study aimed to establish the knowledge of postnatal mothers about low birth weight (LBW) in ... more This study aimed to establish the knowledge of postnatal mothers about low birth weight (LBW) in a resource restricted urban setting. A non-experimental descriptive study was conducted using a systematic sampling method to select fifty mothers aged between 15 and 41 years with babies below five years born with LBW of below 2500 grams. The women were selected as they sought health care at Mabvuku Satellite Clinic in Harare, the capital city of Zimbabwe. Data were collected using an investigator-administered interview guide that also included three open-ended questions. Data were analyzed and presented using descriptive statistics in the form of frequencies, percentages and tables. The major finding was that all participants had inadequate knowledge about LBW. Their total score was below 50% with a mean of 1.56% which, on the scale of "adequate knowledge" score levels defined by Nachega et al. (2005) was well below the 75% plus accepted score for adequate knowledge. Additionally, findings showed that all the participants did not remember any information they received on LBW during pre/ postnatal care. Eighty percent of the participants stated that nurses did not talk about LBW. To increase knowledge on LBW, we advocate that a manual on topics to be covered during pre/postnatal care be developed and that both young men and women, pregnant and not, be educated on factors associated with LBW by health care providers.
African Journal of Midwifery and Women's Health, 2011
African Journal of Midwifery and Women's Health, 2011
African Journal of Midwifery and Women's Health, 2011
PubMed, May 1, 2011
Objectives: To establish factors that can affect sleep patterns of hospitalised patients aged bet... more Objectives: To establish factors that can affect sleep patterns of hospitalised patients aged between 20 and 30 years at a central hospital. To identify hospital environmental factors and procedures or routines that affect sleep. Design: A non-experimental descriptive design with structured questions was used. Settings: An urban, central hospital in Harare, the capital city of Zimbabwe. Participants: A random sample of 20 participants admitted at a central hospital aged between 20 and 30 years were included in the study. Main outcome measures: Varied indicators of sleeping patterns were analyzed using descriptive statistics. Results: This study showed that hospitalization affected (80%), a major proportion of the participants. Eleven (68.75%) spent most of their time awake because of hospitalization, the remainder, (31.25%) had their sleep increased because of hospitalization. Ten (62.5%) of the participants' sleep patterns were decreased by noise from other patients through crying and grunting. Furthermore, (31.25%) were disturbed by noise from nurses and their trolleys. Inadequate orientation altered the sleep patterns of all participants. Conclusion: Various factors influence negatively the sleep of hospitalized patients including lack of orientation of patients on admission. Because of the exploratory nature of this study, it is important to conduct further studies before concrete recommendations can be made.
PubMed, 2010
Objective: To examine the relationship between personal health beliefs and self-care practices am... more Objective: To examine the relationship between personal health beliefs and self-care practices among 69 PTB patients aged 25 to 65 years at a tuberculosis clinic in Zimbabwe, in order to determine the role patients can play in self-care. Design: Analysis of collected demographic data, personal health beliefs (PH B) and self-care practices (SCP) of PTB patients. Settings: Gwanda Provincial Hospital (GPH) Tuberculosis Clinic. Participants: PTB patients in the (GPH) register who were taking treatment. Interventions: Key components of the study included administration of an interview schedule to 69 PTB patients on treatment, and the analysis and comparison of personal health beliefs and self-care practices. Main outcome measures: Scores of personal health beliefs, self-care practices, perceived self-efficacy, perceived threats, and cost-benefit analysis. Results: Sixty- nine PTB patients with a median age of 38, screened during the month of March, 2009, showed a weak positive Pearson's correlational coefficient of (R2=0.177), indicating that personal health beliefs may have some influence on self-care practices. The regression analysis showed an association of 3.1%, thus health beliefs are responsible for self-care undertaken by 3.1 in a 100 PTB patients. Conclusions: Directly Observed Treatment Short Course (DOTS) seems to have reduced the self-care practice of PTS patients. It seems the PTB patient has a potential role to play in the management of his own treatment.
Introduction: Becoming pregnant from sexual assault is a significant concern for survivors of sex... more Introduction: Becoming pregnant from sexual assault is a significant concern for survivors of sexual assault and survivors of different ages, social, cultural and religious backgrounds may have varying feelings regarding acceptable treatment options (Safeta, 2019). Pregnancy resulting from sexual assault is a multidisciplinary issue which associates health care practitioners, legal services, community and societal systems. The World Health Organization, (2013) guidelines for sexual gender based violence makes provision for immediate care of rape victims within 72 hours, that is, free medical and psychological care, post exposure prophylaxis, treatment of sexually transmitted infections, contraceptive pills and legal support, but few victims seek care (Resnick,2013) resulting in unwanted pregnancies and their traumatic sequelae. This study explored lived experiences of survivors of sexual assault who became pregnant and sought care at Mutare provincial hospital to identify gaps for possible improvements in delivery of comprehensive care. Methodology: A phenomenological qualitative approach was employed for an exploration of lived experiences of survivors of sexual assault who become pregnant. Purposive sampling was used to draw a sample of ten survivors of sexual assault who became pregnant. A thematic approach was used to explicate data from the study. Findings: Five themes emerged from the study findings. The three which are unstable family environment; low socioeconomic status; and low education and empowerment as risk factors to sexual assault and pregnancy as well as negative outcomes. Two themes related to decision making and outcomes implicated on existing environments as well as strengths and gaps in service provision. Conclusion: The overall discussion was occurrence of sexual assault facilitated by unfavorable victim environment, late disclosure and missing emergency medical care resulting in pregnancy and psychological distress connected to inadequate care and unresolved socio-demographic issues. Therefore, the study recommends policy level address of detected risky factors and training of multidisciplinary care teams.
ICIC express letters. an international journal of research and surveys. Part B, Applications, 2012
African Journal of Midwifery and Women's Health, 2010
The aim of this study was to examine the relationship between knowledge levels of exclusive breas... more The aim of this study was to examine the relationship between knowledge levels of exclusive breastfeeding (EBF) and EBF practice among HIV-positive mothers, who had babies aged 0–6 months. A conven...
Adolescent Sexual and Reproductive Health is an important aspect of Public health that may be ove... more Adolescent Sexual and Reproductive Health is an important aspect of Public health that may be overlooked in the era of the COVID-19 pandemic (Murewanhema, 2020). The pandemic therefore, directly exposes adolescent girls to increased risks of unintended pregnancies, abortions, early marriages, sexually transmitted infections including HIV and Human Papilloma Virus (Murewanhema, 2020), despite the introduction of HIV and AIDS Reproductive Health and Life Skills Education in the schools curricula as early as 1993 in Zimbabwe. According to (World Vision Zimbabwe, 2020), there has been an increased incidence of teenage pregnancies and early marriages in Zimbabwe and the figures have doubled since the beginning of the COVID19 lockdown. This then has necessitated the need to obtain data that will help in the analysis of the COVID19 lockdown related teenage pregnancies so as to assist policy makers to come up with strategies and a contextualised policy to help curb an upsurge of teenage pre...
Adolescent Sexual and Reproductive Health is an important aspect of Public health that may be ove... more Adolescent Sexual and Reproductive Health is an important aspect of Public health that may be overlooked in the era of the COVID-19 pandemic (Murewanhema, 2020). The pandemic therefore, directly exposes adolescent girls to increased risks of unintended pregnancies, abortions, early marriages, sexually transmitted infections including HIV and Human Papilloma Virus (Murewanhema, 2020), despite the introduction of HIV and AIDS Reproductive Health and Life Skills Education in the schools curricula as early as 1993 in Zimbabwe. According to (World Vision Zimbabwe, 2020), there has been an increased incidence of teenage pregnancies and early marriages in Zimbabwe and the figures have doubled since the beginning of the COVID19 lockdown. This then has necessitated the need to obtain data that will help in the analysis of the COVID19 lockdown related teenage pregnancies so as to assist policy makers to come up with strategies and a contextualised policy to help curb an upsurge of teenage pre...
Cervical cancer (CC) is the second most common female cancer with 50000 new cases and approximate... more Cervical cancer (CC) is the second most common female cancer with 50000 new cases and approximately 275000 deaths reported annually in the world (Anorlu 2008; WHO 2006). CC is a major cause of related deaths in developing countries among HIV positive women (Ferlay 2002). We conducted the study to establish the level of awareness of CC among HIV positive women aged 18 to 49 years at Bindura Provincial Hospital Opportunistic Infections Clinic (BPHOIC). A descriptive cross -sectional research study was used. Seventy eligible respondents were selected utilizing a convenience sampling method after consenting. Data were processed using Social Sciences Statistical Package SSPS software version 16, 2012 and analyzed descriptively using percentages, tables and figures. Data analysis revealed that 90% of the respondents did not know that HPV was a risk factor, nearly seventy three percent did not know that HIV was a risk factor and 68.6% did not know that a high number of sexual partners expo...
International Journal of Nursing and Midwifery, Apr 30, 2012
This study aimed to establish the knowledge of postnatal mothers about low birth weight (LBW) in ... more This study aimed to establish the knowledge of postnatal mothers about low birth weight (LBW) in a resource restricted urban setting. A non-experimental descriptive study was conducted using a systematic sampling method to select fifty mothers aged between 15 and 41 years with babies below five years born with LBW of below 2500 grams. The women were selected as they sought health care at Mabvuku Satellite Clinic in Harare, the capital city of Zimbabwe. Data were collected using an investigator-administered interview guide that also included three open-ended questions. Data were analyzed and presented using descriptive statistics in the form of frequencies, percentages and tables. The major finding was that all participants had inadequate knowledge about LBW. Their total score was below 50% with a mean of 1.56% which, on the scale of "adequate knowledge" score levels defined by Nachega et al. (2005) was well below the 75% plus accepted score for adequate knowledge. Additionally, findings showed that all the participants did not remember any information they received on LBW during pre/ postnatal care. Eighty percent of the participants stated that nurses did not talk about LBW. To increase knowledge on LBW, we advocate that a manual on topics to be covered during pre/postnatal care be developed and that both young men and women, pregnant and not, be educated on factors associated with LBW by health care providers.
African Journal of Midwifery and Women's Health, 2011
African Journal of Midwifery and Women's Health, 2011
African Journal of Midwifery and Women's Health, 2011