Abstract
The goal of this study was to explore and describe the experience of parents regarding the primary health care (PHC) managementof their children's atopic eczemain a Gauteng district. A qualitative, explorative, descriptive, contextual embedded single case study design was employed. Data were collected through semi-structured individual interviews, field notes and direct observation until saturation occurred; analysed according to Tesch's steps of descriptive data analysis. Trustworthiness and ethical measures were used and were employed.Three themes were identified. Management challenges, the second theme with subthemes: drug management, knowledge levels of PHC clinicians, health education andfinancial challenges, will be discussed.
Highlights
According to the World Allergy Organization (WAO), allergic diseases, of which Atopic eczema (AE) is one, are on the rise worldwide and 20e30% of the world's population suffers from an allergic disease (Manjra et al, 2005; Pawankar et al, 2008)
The categories identified under theme two are: drug management, knowledge levels of Primary health care clinician (PHCC), health education and financial challenges
Member checking Data analysis was done using Tesch's widely recognised eight steps of descriptive data analysis A dense description of the research methodology and results Direct quotations from the participants Triangulation as described under credibility A dense description of the research methodology Bracketing and reflexive thinking were applied throughout the data collection and analysis in order to put personal experiences aside A chain of evidence was kept for audit purposes throughout the study
Summary
Atopic eczema (AE) is a common disease in most countries (Odhiambo et al, 2009). According to the World Allergy Organization (WAO), allergic diseases, of which AE is one, are on the rise worldwide and 20e30% of the world's population suffers from an allergic disease (Manjra et al, 2005; Pawankar et al, 2008). There is not much data on AE prevalence in South Africa. Two South African studies, one in Cape Town and one in Limpopo Province, indicated a prevalence of AE in adolescents at around 19.5% (Wichmann, Wolvaardt, Maritz, & Voyi, 2007; Zar, Ehrlich, & Weinberg, 2004). Neither South African statistics for younger children (0e14 years) with atopic eczema nor Gauteng statistics for this condition are available
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