Browsing by Author "Chamisa, J.A."

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    Community Perceptions on the Services Offered to Gender-Based Violence Survivors in Safe Shelter of Buhera District, Zimbabwe
    (2020) Maripfonde, T.L.; Mavondo, G.A.; Chamisa, J.A.
    Introduction: Gender Based Violence (GBV) has become a topical issue in the development field being a reality in life which is happening in all societies regardless of race, class, culture and income status. Safe shelters are set up as free services given to desperate GBV survivors and their use need to be explored from the stand point of beneficiaries.Methods: A qualitative research design was adopted using semi-structured interviews and focus group discussions (FDGs) and carried out on Gender Forum Members, GBV survivors, GBV key informants and stakeholders on their perceptions on the protective measures associated with GBV victims safe shelters. A total of 42 participants were recruited. Fourteen females and twelve males were involved FDGs (n = 26), six females GBV (n = 6) survivors and ten Gender Forum Members (n = 10) participated in in depth interviews. Results: All participants were willing to give their perceptions on the subject under study. Perceptions were that women in GBV were empowered at the safe shelters where protection, counselling and sociopsychological support was given. Women were reintegrated with their families when ready to do so. Stakeholders were appreciative of the services offered to those who fell victim to GBV as shown by FDGs, in-depth interviews and document reviews. This acceptability was taken despite cultural and religious factors that are still hindering the uptake of safe shelter services being rendered. Conclusion: It is prudent that an integrated and holistic approach is taken to issues of GBV is key to the management of survivors of GBV. The shelters provided much needed respite from GBV. The church, traditional structures, Gender Forum membership and the Ministry of Women Affairs Gender and Community Development (MWAGCD) should collaborate. A dedicated transport mechanism in responding to cases of GBV is needed. However, the use of the safe shelters seems not to be able to carter for male adult GBV victims
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    Midwife led maternity care models: A scoping review
    (2023) Danda, G.; Chaibva, C.N.; Chauraya, Y.; Gwatiringa, C.; Chamisa, J.A.; Dabengwa, I.M.; Moyo, H.; Mantula, F.; Sibanda, E.
    Introduction: Midwife led maternity care models focus on normality, continuity of care and being cared for by trusted midwives from preconception throughout pregnancy, labour and the postnatal period. The aim of this model is to provide care either in community or hospital settings, normally to healthy women with uncomplicated pregnancies. Methods: The scoping review used search terms for the PICO components with synonyms, related terms and specialist terms were harvested from the Medical Subject Headings (MeSH)© and Embase© using Rayyan. Database searches were from PubMed, EBSCO-CINAHL, Dimensions, Web of Science, SCOPUS, and the Cochrane Library of Systematic reviews and African Journals Online (AJOL). A total of 17 058 citations were identified and 69 remained for analysis after removing duplicates and others which did not meet the criteria. Results: Of the 69 included studies, 14 were qualitative, 34 were quantitative, 19 were RCTs and 2 were mixed methods. Only 13% of the studies were from Africa and the rest were from the developed world. Six themes emerged as follows: reduced interventions in labour; positive birth outcomes; satisfaction with care; cost effectiveness of services; autonomous practice and quality midwifery services; good woman–midwife relationship and several subthemes. Discussion: Midwife-led care had a significant positive effect on physiological outcomes for women when compared to physician-led care, had reduced surgical interventions and augmentation, as well as less usage of pharmacological analgesia. This may also assist in acceptability, accessibility and availability of such a model in all maternity care units and community settings in LMICs.