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View/Open - ResearchSpace - University of KwaZulu-Natal

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4.3.3 Need for proper hygiene in the community<br />

Most <strong>of</strong> the participants in focus group discussions talked more about the importance <strong>of</strong><br />

infection control practices for prevention <strong>of</strong> cross infections. However, one participant in one<br />

<strong>of</strong> the focus groups stated that, most people in the community in which she served did not<br />

practice domestic hygiene such as opening <strong>of</strong> windows and cleaning their surroundings. She<br />

felt that infection control practices were important in such communities:<br />

“I also feel that it is important because many people in our area are not taught about these<br />

things so they don’t even open windows; their places are dirty they just don’t care about their<br />

health so…it is very important… for them to change their unhygienic habits or behaviours.<br />

(Focus group 4, organisation F)<br />

4.4 Resources available for infection control practices in HBCOs<br />

Participants were asked about resources that they had for practicing infection control. Based<br />

on what was discussed in focus groups and interviews, materials, knowledge and skills were<br />

the available resources for infection control practices.<br />

4.4.1 Knowledge and skills<br />

Most volunteer caregivers were trained when they were enrolled to work in HBCOs by the<br />

department <strong>of</strong> health. Their training was usually a once <strong>of</strong>f training which lasted for two to<br />

three weeks. The training covered basic topics on HIV/AIDS, T.B prevention methods, basic<br />

nursing care, direct observation treatment (DOT) and infection control practices. The training<br />

equipped volunteer caregivers with various skills ranging from basic counselling, nutrition,<br />

training for household caregivers and mentoring orphans. Furthermore, majority <strong>of</strong> the<br />

volunteer caregivers mentioned that they gained skills <strong>of</strong> showing love and compassion to<br />

their clients when practicing infection control:<br />

“Being a volunteer is not something that you do because you see other people doing it. It is<br />

something that emanates from within you, from love and your passion up until you reach a<br />

stage where you can help others. They taught us that when you help a sick person you do not<br />

act disgusted, you must be relaxed, smile and show love. Even when you touch their wound<br />

you do not act disgusted, you smile.” (Focus group 4, organisation D)<br />

Majority <strong>of</strong> volunteer caregivers were confident about the knowledge that they acquired from<br />

the training. They indicated that they acquired knowledge and skills on infection control<br />

practices such as how and when to wear gloves; masks; aprons; how to bath and change a<br />

44

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