Attitudes of women in Sefikile to food garden cooperatives and permaculture methods for income production.

MM 2013ABSTRACT This feasibility study was conducted in Sefikile, a rural community in the North West Province with a complex social background. It aimed to examine the willingness of the women of Sefikile to become involved in a cooperative food garden project using sustainable methods for food production and income security. A survey of the literature provided evidence that community engagement and participation are central to the success of such an initiative as failure to engage the community could negatively impact on its implementation. The methodology employed during this study was a qualitative survey using a cross sectional design and a non-probability purposive sample. The findings indicated that while the women were willing to become involved in a food garden cooperative, their main desire was to create other types of income generating activities such as pig and chicken farming and other small enterprises. (142

Pre/post evaluation of a pilot prevention with positives training program for healthcare providers in North West Province, Republic of South Africa

Abstract Background Prevention interventions for people living with HIV/AIDS are an important component of HIV programs. We report the results of a pilot evaluation of a four-hour, clinic-based training for healthcare providers in South Africa on HIV prevention assessments and messages. This pre/post pilot evaluation examined whether the training was associated with providers delivering more prevention messages. Methods Seventy providers were trained at four public primary care clinics with a high volume of HIV patients. Pre- and post-training patient exit surveys were conducted using Audio-Computer Assisted Structured Interviews. Seven provider appropriate messaging outcomes and one summary provider outcome were compared pre- and post-training using Poisson regression. Results Four hundred fifty-nine patients pre-training and 405 post-training with known HIV status were interviewed, including 175 and 176 HIV positive patients respectively. Among HIV positive patients, delivery of all appropriate messages by providers declined post-training. The summary outcome decreased from 56 to 50%; adjusted rate ratio 0.92 (95% CI = 0.87–0.97). Sensitivity analyses adjusting for training coverage and time since training detected fewer declines. Among HIV negative patients the summary score was stable at 32% pre- and post-training; adjusted rate ratio 1.05 (95% CI = 0.98–1.12). Conclusions Surprisingly, this training was associated with a decrease in prevention messages delivered to HIV positive patients by providers. Limited training coverage and delays between training and post-training survey may partially account for this apparent decrease. A more targeted approach to prevention messages may be more effective

Additional file 2: of Pre/post evaluation of a pilot prevention with positives training program for healthcare providers in North West Province, Republic of South Africa

HIV Positive Patient Exit Questionnaire. This is the questionnaire that was designed for our study and completed by HIV positive patients at health facilities. (DOCX 41 kb