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Table 4.3: Contents of Home-based care kits Protective Clothing Materials for Practicing hygiene Most supplied materials in the Kits by DOH Gloves , Masks, Aprons ,Condoms Dippers, bar of Soap, hand sanitizer, bleach Gauze, Mouth wash, Aqueous cream or calamine lotion, Vaseline, Linen savers, Draw sheets, Bandages, gauze, swabs Cotton Wool, Powder, Roll of tissue, Medication Gentian Violet, multivitamin syrup, painkillers, rush ointment Waste disposal Garbage bag 46 Rate of importance Most important Important Least important Important These kits were supplied to HBCOs by the DOH once every month. As one focus group and HBCC organisation highlighted: “They give us bags with things that we need inside from the department of health” (Focus group 9, organisation I) “We get materials from the department of health every month. These are called kits which are the green bags. They contain everything that the volunteer caregiver needs to perform their duties.” (HBCC, organisation 8) 4.5 How volunteer caregivers practised infection control in HBCOs for PLWHA Volunteer caregivers performed different infection prevention measures when attending to their clients in the community. These measures included: hand hygiene, domestic hygiene and personal hygiene on the patient; wearing of protective clothing and safe disposal of waste. These measures are explained in detail below.
4.5.1 Practicing hand hygiene All volunteer caregivers emphasised the importance of being clean themselves; washing their hands before performing any task; washing their hands after removing the gloves: “Before you do anything you wash your hands and make sure you are clean” 4.5.2 Practicing domestic hygiene (Focus group 9, organisation I) Volunteer caregivers also practiced domestic hygiene in order to break the chain of infection: “In the morning when we get in homes, we open the windows because there is always bad odour so you do it for fresh air. So we also clean the whole place with a disinfectant...you check the bed, remove the soiled linen and change it and put a linen saver...” (Focus group, organisation I) “You must also keep their food covered. Also the patient with T.B should have their own plate to minimise infection.” (Focus group 1 organisation A) 4.5.3 Personal hygiene on the patient Volunteer caregivers performed personal hygiene on the patient such as washing and bathing the patient; cleaning and bandaging their sores: “... you bath them and also change the patient after bathing them, use vaseline and powder on their body, use mouth wash or salt for their mouth and a gauze to clean them, you put a bandage on their sores and them you soak and wash their linen with a disinfectant. If you don’t have dippers you can use draw sheets or napkins but dippers are the best! So Before anything you need the kit with everything that you need to be close to you.” (Focus group 9, organisation I) “...Make sure that after bathing the patient, they wear something clean. You cannot bath a patient and still give them dirty clothes they have been wearing... It is also important to brush and clean the teeth of the patient. You must cut their nails so that there won’t be germs.” (Focus group1, organisation A) 47
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AN EXPLORATORY STUDY OF INFECTION C
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DEDICATION I would like to dedicate
Page 5 and 6: ACKNOWLEDGEMENTS I wish to thank al
Page 7 and 8: 3.3 Study area ....................
Page 9 and 10: 6.1 Conclusion ....................
Page 11 and 12: CHAPTER ONE INTRODUCTION OF THE STU
Page 13 and 14: HBC can be said to be important to
Page 15 and 16: 1.3 Purpose of the Study and Resear
Page 17 and 18: 2.1 Introduction CHAPTER TWO LITERA
Page 19 and 20: (Young and Busgeeth, 2010). For exa
Page 21 and 22: 2.5 The role of volunteer caregiver
Page 23 and 24: In HBC, infections are a major caus
Page 25 and 26: 2.7 Challenges confronted by volunt
Page 27 and 28: perform their duties due to that fa
Page 29 and 30: Roberts, Campbell, service & Adalla
Page 31 and 32: The training that is offered to vol
Page 33 and 34: 2.9 Theoretical Framework This stud
Page 35 and 36: Figure 2.2 Ecological systems theor
Page 37 and 38: giving and infection control practi
Page 39 and 40: infection prevention and control co
Page 41 and 42: expressed by the research participa
Page 43 and 44: data in greater detail by remaining
Page 45 and 46: other group members to remember det
Page 47 and 48: transcribed transcripts of the inte
Page 49 and 50: 3.8.3 Trustworthiness of the study
Page 51 and 52: 4.1 Introduction CHAPTER FOUR PRESE
Page 53 and 54: 4.3 Perceptions of infection contro
Page 55: edridden patient, how to maintain a
Page 59 and 60: In order to prevent dogs and childr
Page 61 and 62: “Sometimes I ask for gloves from
Page 63 and 64: they wore gloves or masks. In some
Page 65 and 66: “… It is difficult to care for
Page 67 and 68: that also caused breeding of flies
Page 69 and 70: patients could be affected because
Page 71 and 72: practices and it was responsible fo
Page 73 and 74: eplenishment was a challenge. On th
Page 75 and 76: hygiene. However, to deal with this
Page 77 and 78: on the government, NGOs, donors/fun
Page 79 and 80: Due to insufficient water supply, v
Page 81 and 82: funders and donors); exo (for HBCOs
Page 83 and 84: faith based organisations and commu
Page 85 and 86: REFERENCES Akintola, O. (2004). A G
Page 87 and 88: Denzin, N.K. & Lincoln, Y.S. (Ed) (
Page 89 and 90: diarrheal among persons with HIV in
Page 91 and 92: Ross, M.W., Greenfield, S.A., & Ben
Page 93 and 94: USAID (2001). A noted Bibliography
Page 95 and 96: APPENDIX 1A: INFORMED CONSENT FORM
Page 97 and 98: APPENDIX 1B: DEMOGRAPHIC QUESTIONNA
Page 99 and 100: ISIZULU INTERVIEW GUIDE FOR HBCCS/P
Page 101: THE ZULU VERSION OF THE FOCUS GROUP
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