Masters Degrees (Occupational Therapy)

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Browsing Masters Degrees (Occupational Therapy) by browse.metadata.advisor "Fredericks, Jerome Peter"

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    Exploring the value of mentorship programmes as a preventative strategy for prenatal alcohol use for at risk women in the South Africa
    (Stellenbosch : Stellenbosch University, 2021-03) Zietsman, Linda; Cloete, Lizahn; Fredericks, Jerome Peter; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health & Rehabilitation Sciences. Occupational Therapy.
    ENGLISH SUMMARY : Introduction: The high prevalence rate of FASD is well-known in South Africa, especially in certain areas in the rural Western Cape with an estimation of about 180-260 children in 1000 being affected. Literature confirms that there is poor recognition and response to the epidemic of FASD, and that a response from public health, which could include occupational therapy, could benefit many. Occupational therapy could be a valuable contributor to maternal health during the prenatal stages considering their holistic, client-centered approach. There have been many preventative strategies implemented to lower the prevalence of FASD, and one of them is by the means of mentorship programmes for at-risk mothers in high-risk communities. At-risk women face many barriers in accessing adequate healthcare services and mentorship programmes could potentially provide the necessary care and support at-risk mothers need to improve their maternal health. There is a need for exploring the value of these mentorship programmes to further assist with the development of successful prevention strategies for FASD. Methodology: A qualitative, explorative case study has been done on community-based mentorship programmes for at-risk mothers in South Africa, with a focus on the Western Cape. The study population has been field experts within the mentorship programmes, as well as mentors and mentees. Data has been collected by the means of an online focus group discussion of field experts (n=4), and SMS-journaling of mentors and mentees over a period of three weeks (n=6). An inductive analysis approach was used. The data was analysed according to themes, sub-themes and codes using content analysis. Ethical clearance has been obtained. Credibility has been ensured by member checking and peer examination. Data triangulation was ensured by using multiple data collection methods. Transferability has been ensured by thick description. Findings: There were four main themes that emerged from the collected data. These themes were (1) “It’s not just a generic programme”, (2) “Our pregnant women are struggling out there”, (3) “It has been a wonderful challenge to be a mentor” and (4) “What I will say that does not work”. Discussion: The most valuable components of a mentorship programme as studied is the client-centered, holistic approach while building empathetic, trustworthy relationships and supporting and empowering the at-risk mothers. This relationship between the above-mentioned components is transactional in nature, and one cannot function without the other. It is also important to consider the contextual challenges that at-risk mothers face in their daily lives, including unemployment, poverty, crime, violence, gangsterism and household abuse which often leads to poor coping mechanisms such alcohol and substance abuse. It is also important for the mentors themselves to feel supported and empowered throughout the mentorship programme to add to the success of a mentorship programme. It also became evident that prevention of FASD should not only start with at-risk mothers, but preventative strategies, such as education for primary school learners, should be implemented. The accessibility of mentorship programmes should also improve to reach more at-risk mothers. Conclusion: In conclusion, mentorship programmes should include a client-centered, holistic approach while building strong relationships between the mentor and the at-risk mother. It is also important to support and empower the at-risk mother as she experiences a range of adversities and challenges and focus should be given to her mental well-being. This requires a shift from the problems within the person, but rather to that of the environment. Occupational therapy can play a vital role in the fields of maternal health and can assist at-risk mothers to achieve client-centered goals and create supportive environments. This could assist in the success of these programmes, and success of these programme could benefit the public health system in decreasing the prevalence of FASD in those communities.