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A Benchmark Qualitative Study of Health Service Delivery in Botswana in 1989:Nurse Assessments of the Primary Healthcare System before the Nationwide Spread Of HIV/AIDS


Affiliations
1 Optimal Solutions in Healthcare and International Development, United States
2 Tennessee State University and Walden University, United States
3 University of Botswana, Gaborone, Botswana
 

An evaluation of the "watershed" Meharry-Botswana nurses training program in 1989 (Linn and Fako, 1990) confirmed that the maternal, child health, and family planning nursing practices taught by the multi-year education intervention in the 1970s had been widely disseminated and adopted. Based on a national sample of over 350 practicing nurses, this was strong evidence of the high clinical capacity of the primary healthcare system which was soon to be challenged by a generalized epidemic of HIV/AIDS. While the quantitative data from this evaluation was published, the qualitative information, which includes in-depth local nurse assessments of important parameters of the national primary healthcare system was reported, but remained unpublished until included in this manuscript. From this detailed information, we can develop a deeper understanding of the nurse clinician perceived strengths and weaknesses of Botswana's primary healthcare system in 1989, immediately prior to the nationwide spread of HIV/AIDS. The findings show the high professionalism and resilience of the Botswana nurses- - qualities that helped them to successfully address the HIV/AIDS pandemic several years later.

Keywords

HIV Care, Nursing, Botswana.
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  • A Benchmark Qualitative Study of Health Service Delivery in Botswana in 1989:Nurse Assessments of the Primary Healthcare System before the Nationwide Spread Of HIV/AIDS

Abstract Views: 57  |  PDF Views: 0

Authors

James G. Linn
Optimal Solutions in Healthcare and International Development, United States
Debra Rose Wilson
Tennessee State University and Walden University, United States
Thabo T. Fako
University of Botswana, Gaborone, Botswana

Abstract


An evaluation of the "watershed" Meharry-Botswana nurses training program in 1989 (Linn and Fako, 1990) confirmed that the maternal, child health, and family planning nursing practices taught by the multi-year education intervention in the 1970s had been widely disseminated and adopted. Based on a national sample of over 350 practicing nurses, this was strong evidence of the high clinical capacity of the primary healthcare system which was soon to be challenged by a generalized epidemic of HIV/AIDS. While the quantitative data from this evaluation was published, the qualitative information, which includes in-depth local nurse assessments of important parameters of the national primary healthcare system was reported, but remained unpublished until included in this manuscript. From this detailed information, we can develop a deeper understanding of the nurse clinician perceived strengths and weaknesses of Botswana's primary healthcare system in 1989, immediately prior to the nationwide spread of HIV/AIDS. The findings show the high professionalism and resilience of the Botswana nurses- - qualities that helped them to successfully address the HIV/AIDS pandemic several years later.

Keywords


HIV Care, Nursing, Botswana.