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NURSING RSA. 1992 Jul; 7(7):26-7.Primary health care (PHC) workers from 20 hospitals, PHC nurses, community health care nurses, and other PHC workers attended a session on health education and effectiveness in South Africa in September 1991. Discussion is directed to an overview of health education as presented in the day's session, the effectiveness of health education, and recommendations for improving health education. The first session on health education aimed to explore the breadth of possibilities for health education, and to emphasize some important problems, such as inconsistency in messages. Role plays were enacted within different groups: the 1991 Tintswalo PHC nurses class, the Tintswalo People's Awareness of Disability Issues group, and the Nkhensani PHC nurses group. The second session involved a panel discussion with 4 speakers. The first speaker directed attention to the need for an adequate education as insurance for effective health education. Modern trends have been responsible for the destruction of black culture. There is a problem of victim blaming, when in fact the problem of rural mortality is the system. Socioeconomic conditions and politics must be changed before health education can be effective. Health personnel as representatives of the middle class may be viewed as part of the problem. The second speaker spoke of the ineffectiveness of teaching someone what ought to be eaten but not providing the means to acquire the food. Oppression has led to blaming the oppressed. The third speaker noted that health workers were indeed part of the problem, e.g., health workers do not practice the advice given out and many times are junior personnel who are not evaluated. There are requirements for tracking what nurses do, but little on evaluation of appropriate messages. Appearance replaces substance. The fourth speaker felt health education is about training people and satisfying the educator and the system. Politics and health were related and too much time was misdirected to fighting with the community. Situation analysis was recommended before action was taken. Recommendations involved, for instance, building rapport with the community, and the need for a greater grasp of health knowledge by health educators.
CLINICAL NURSE SPECIALIST. 1989 Spring; 3(1):46-7.The need for public education on methods of preventing transmission of human immunodeficiency virus (HIV) is universally accepted. Less widely accepted is the use of advertisements in the media for condoms. Opponents of condom advertising argue that a message of sexual permissiveness is conveyed and the rights of parents to directly educate their children is infringed upon. Clinical nurse specialists are influenced by this debate in as much as they provide health education and health care for many at risk of HIV infection. Although State Nurses' Association position papers on acquired immunodeficiency syndrome (AIDS) have not commented on this issue, clinical nurse specialists are urged to actively support the mass media in a t least airing public service announcements about condom use. It is possible for such announcements to provide a clear portrayal of the health promotion aspects of condom use with out condoning extramarital sexual activity. In addition, clinical nurse specialists are encouraged to make themselves available by phone for those who hear the public service announcements or advertisements and have questions. A further recommendation is for clinical nurse specialists to visit colleges, high schools, and middle schools to discuss the material on AIDS prevention presented in the mass media with young people.
NEW AFRICAN. 1990 Feb; (269):28.In October 1989 midwives and nurses held mass demonstrations in Benin city, the capital of Bendel State, Nigeria, to protest against female circumcision. This practice, which is firmly entrenched in the area, may involve cutting off the clitoris or more extensive removal of girls' genitalia, either in infancy or at puberty. Nigerian hospitals no longer perform circumcision, so people do it themselves or have traditional practitioners do so. Recent demonstrations reflect outrage on the part of Western-trained health care activists regarding aesthetic and obstetric complications, as well as added risk of spreading tetanus and AIDS by unsanitary procedures.