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View/Open - ResearchSpace - University of KwaZulu-Natal

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5.3 Resources available and how infection control practices were carried out by<br />

volunteer caregivers<br />

The macro level<br />

At the macro level, the government through the department <strong>of</strong> health played an important role<br />

<strong>of</strong> providing volunteer caregivers with materials. Knowledge and skills on infection control<br />

practices were also provided through workshops. These workshops were not conducted on a<br />

regular basis they were only conducted once when they recruited volunteer caregivers, there<br />

were no refreshers training workshops. Considering the fact that, volunteer caregivers are at<br />

risk <strong>of</strong> being infected by HIV or T.B when performing their tasks, once <strong>of</strong>f training without<br />

refresher courses are not adequate to equip volunteer caregivers with sufficient knowledge<br />

and skills about infection control practices.<br />

Findings <strong>of</strong> this study might be an addition to literature in this area <strong>of</strong> infection control<br />

practices by documenting that insufficient knowledge on infection control practices due to<br />

inadequate training can caused frustration, demoralisation and fear <strong>of</strong> contagion to most<br />

volunteer caregivers. This implies that the quality <strong>of</strong> care that is given to the patient could be<br />

reduced and it is possible that the patients could develop new infections which could cause<br />

their health to deteriorate. This can lead to the spread <strong>of</strong> infections and can also cause death<br />

to most patients. This could also impact the HBCOs negatively in that most volunteer<br />

caregivers could quit their jobs. Additionally, this could discourage some people to volunteer<br />

in Aids care organisations.<br />

When it comes to materials available for infection control practice in HBCOs, most available<br />

literature show that there is insufficient supply <strong>of</strong> kits or that there is a problem in<br />

replenishing them. For example, a study that was conducted in Zimbabwe on home based<br />

care by Southern African HIV and AIDS Information Dissemination service (SAFAIDS) &<br />

Health and Development Networks (HDN) (2007) showed that there was insufficient supply<br />

<strong>of</strong> HBC kits and poor replenishment materials such as gloves, bleach, soap and linen savers<br />

for caregivers in home based care organizations. In South Africa, a national survey on home<br />

based care kits was conducted by Mabude et al., (2008) and it revealed that HBC kits were<br />

supplied by the DOH; their supply was inadequate compared to their demand; their<br />

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