South Africa Research Articles

South African occupational therapists' orthotic management of trigger finger and factors influencing their decision regarding splinting type

Background: Orthotic management of trigger finger refers to the use of splints to immobilise affected joints. The prevalence of trigger finger and the management and treatment practices utilised by occupational therapists for this affliction in South Africa, are not yet documented. Aim: To explore occupational therapists' orthotic management for clients with trigger finger in KwaZulu-Natal, and the factors influencing the therapists' decisions when prescribing orthoses. Methods: A quantitative cross-sectional study design was implemented with a sample size of 102 via a stratified random sampling approach. A survey questionnaire was administered. Data were coded using frequencies and then descriptively analysed using SPSS. Results: Findings indicated that trigger finger is common in clinical settings and the majority (99%) of the occupational therapists use splints when managing trigger finger and as a first line of treatment (69.9%). The joint-blocking splint is preferred by 96.6% of the participants with the MCP joint-blocking splint being favoured by 55.0%. The most considered factors when deciding on the splint type are clinical presentation (99.1%) and the client's occupation (92.4%), and the most preferred measures of the effectiveness of treatment are pain (97.1%) and range of motion (97%). Conclusion: The study has demonstrated that the inconsistencies noted in global research also apply in KwaZulu-Natal. Therefore, further investigation on the effectiveness of splinting and a guide on deciding on splint type as well as appropriate outcome measures, are necessary to ensure that cclients receive optimal care through evidence-informed practice. Implications for Practice: This study informs further understanding of the current assessment ptior to splinting and treatment practices that occupational therapist in the South African context provide for their clients with trigger-finger. The study demonstrates that irrespective of the participant's level of experience and their clinical settings, the considerations when deciding on splint types remain the same. The results are consistent with available literature, particularly with which splint type to use. However, the development for a guide regarding the orthotic management of trigger finger covering aspects like the splint regime and the recommendations of exercises is vital, as discrepancies emerged largely fro these areas. The type of exercises, stages at which they may be introduced, duration and requenccy should be considered for deeper engagement. the development of this protocol will ensure consistency of treatment and evidence-informed practice.

Promoting Access to Education in South Africa: A Sequential Reflection on a specific case

The South African educational sector and the learners continues to witness restricted access due to deleterious conduct of school management personnel such as school principals and or teachers. This remains a pervasive problem despite the provisions of section 29 of the 1996 Constitution, which provides for the right to access education. Learners are still denied access to education and educational institutions and this problem escalate unabated by those entrusted with responsibilities to promote access and protect learners such as school principals and teachers. Looking into the case of Moko and other predecessor cases reviewed in this study, the paper argue that there is a need to promote access and improve awareness interventions in order to enlighten those entrusted with the responsibilities to combat any conduct aimed at devaluating access to education.

Perceptions and Experiences of Key Informants in Eye Health on the Implementation of Eye Care Health Promotion Interventions in South Africa

Background: Eye care health promotion interventions aim to encourage the adoption of healthy behaviours that impact eye health and vision impairment, as well as increase the use of eye care services. Thus, this study aims to explore and describe the perceptions of eye care coordinators on the implementation of eye care health promotion interventions in rural Limpopo Province. Methods: This exploratory, descriptive qualitative study employed individual in-depth interviews to collect data from 10 district eye health coordinators. Participants were purposely sampled between June and July 2024. Data were analysed thematically using NVivo version 12. Results: The study revealed seven key themes: human resources in eye health, resource management, policy and governance, eye care services, innovation in eye health, community and patient engagement, and coordination and referral systems. Conclusions: In summary, our study offers important insights into the challenges and opportunities in implementing eye care health promotion interventions. A recommendation is made to address identified challenges such as workforce shortages, inadequate infrastructure, fragmented policies and outdated technologies. Policymakers and eye health professionals can work towards achieving the goals of universal health coverage (UHC) in eye health, ultimately improving eye health outcomes.

SERVQUAL Gap Analysis Between Two Private Higher Education Institution Campuses in South Africa

Private Higher Education Institutions (PHEIs) have expanded globally, embedding themselves in highly competitive markets. To navigate this environment, the enhancement of service quality, particularly through the SERVQUAL model, is crucial for gaining a competitive advantage. This paper addresses the gaps in the SERVQUAL application within PHEIs, focusing on their impact on service quality. The primary objective is to propose a measurement matrix to identify and analyse SERVQUAL gaps across PHEI campuses. The study compares two campuses, ABC and XYZ, and reveals significant discrepancies, particularly in the dimensions of reliability and responsiveness, where Campus ABC underperforms. These findings highlight the critical need for PHEIs to address service quality deficiencies in order to remain competitive and meet evolving student expectations. The research concludes that continuous improvement in service quality is essential for PHEIs to attract students and sustain their competitiveness in a globalised education market.

Evaluating work placement supervisors’ ratings of Master’s in research psychology students at an open and distance e-learning institution in South Africa

This paper examines the dataset of work placement supervisors’ feedback from 2014 to 2017 on the skillset of Master in Research Psychology students during their first and second placement periods. A total of 47 placement feedback reports were analysed. The analysis included frequency counts and qualitative content analysis using Microsoft (MS) Excel software. The study reveals that placement supervisors place significant value on soft skills, notably a willingness to learn, and frequently rate students favourably on interpersonal skills. The results highlight the importance of viewing placement supervisors as co-educational partners. By evaluating supervisors' ratings of research psychology students on work placement holds significant value in improving educational programs, enhancing student outcomes, aligning with employer expectations, and contributing to the broader understanding of work-integrated learning in research psychology. For students, it entails identifying areas of strength and areas for improvement in their performance. For the university program, this feedback can inform teaching and learning approaches by providing insights into the specific skills, competencies, and knowledge that students need to develop during their program. It can also help tailor feedback and support by understanding supervisors' feedback, leading to more effective guidance and constructive feedback for students. For the placement organisations, the research can contribute to supervisor training and development, ensuring they have the necessary skills to guide and evaluate students, while also improving work placement design and coordination to align with program learning outcomes and provide meaningful experiences for students.

Racial diversity, interracial trust, and mental distress in post-apartheid South Africa

ABSTRACT The emerging difficulties and tensions in establishing inclusive and multicultural societies in the contemporary globalised world have necessitated the generation of ample empirical evidence in support of the socioeconomic and health benefits of racial diversity. This study contributes to the scholarly and policy discourses by examining the effect of racial diversity on mental distress in post-apartheid South Africa after several decades of racial segregation. We used all five waves (2008, 2010, 2012, 2014, and 2017) of the National Income Dynamics Survey (NIDS). After addressing the endogeneity problem in the racial diversity–mental distress nexus, our findings show that an increase in racial diversity is associated with a decrease in mental distress across the 52 districts of South Africa. This finding is consistently established when different quasi-experimental methods and alternative conceptualisations of racial diversity are employed to generate the results. We also found that racial diversity decreases mental distress more among females and urban residents. Further analyses revealed that interracial trust serves as a potential pathway through which racial diversity transmits to mental distress. We argue that people living in highly racially diverse neighbourhoods have the potential to experience a decrease in their mental distress through improved interracial trust.

Impacts of Supplemental Feeding on Sunbird-Pollination Systems in Young Fynbos Varies with Floral Abundance.

Supplementary sugar-water feeding offers nectarivorous birds a source of spatially concentrated food, as opposed to the dispersed food available in flowers. This could impact bird visits to native flowers and alter plant-bird mutualisms, particularly in young post-fire vegetation. This study examined the effects of sugar-water feeders on nectarivorous birds and their plant mutualists in young (burned 18 months previously) and transitional vegetation (burned 5 years previously). A supplementary feeding experiment was conducted at Grootbos Private Nature Reserve in South Africa, using sugar-water feeders when floral abundance was low (winter) and high (spring). We compared bird abundance and visitation rates to flowers before, during, and after feeder presence in both seasons. The use of sugar-water feeders by nectarivorous birds was inversely related to floral abundance, with 679 bird visits (6.94 ± 1.40 bird visitation rate per hour) to feeders in winter and only 90 visits (0.41 ± 0.16 visitation rate per hour) during spring. Bird visits were higher at flowers than at sugar-water feeders, in both seasons. Sugar-water feeders did not influence the visitation rate of sunbirds to flowers in both seasons, contrasting with findings from areas abutting suburbia, suggesting that feeder influence on bird visitation rate may not be apparent in areas with no history of sugar-water feeders. We find that low numbers of feeders do not necessarily compete with natural nectar resources but may instead provide birds with an additional food source, particularly when floral resources are low.

Examining the Influence of Socio-Economic and Demographic Transformation on Employment In the Informal Sector From 2017 To 2020

This study explored the impact of socio-demographic changes on informal sector employment in South Africa from 2017 to 2020. Utilizing data from the Quarterly Labour Force Survey (QLFS), descriptive statistics and logistic regression were employed to analyze relationships between age, gender, ethnicity, marital status, and education within the informal workforce. The results revealed significant shifts in employment patterns, particularly affecting youth and marginalized groups. The findings emphasize the vital role of socio-demographic factors in shaping the informal sector and highlight the need for targeted policies to support vulnerable populations and improve their economic opportunities in a fluctuating labor market.

Examining the impact of job location on violent crime: the study of South African metropolitan areas

ABSTRACT The physical separation of people from economic activities creates spatial disparities, fragmentation, and unequal access to opportunities. Contemporary South Africa displays spatially divided communities. Affluent locations are socio-economically integrated with fewer crime activities, while poor communities are disintegrated from economic activities with high crime occurrences. The study explores the relationship between spatial mismatch and violent crime in South African metropolitan areas. The study used regression modelling and choropleth mapping to analyse and present the relation. Data used were acquired from Stats SA, CSIR, and SAPS National Crime Statistics. The findings revealed that areas located closer to jobs are associated with low levels of violent crime. In contrast, poor areas are located away from job opportunities and have high levels of violent crime. The study concludes that spatial mismatch determines the level of violent crime in South African metros.

Sustainability of Indigenous Solid Waste Management Practices in Rural Communities of South Africa

Solid waste disposal methods within indigenous communities present unique challenges and opportunities for sustainable development. However, the current knowledge on solid waste management focuses on formal waste collection systems, neglecting the practices and sustainability aspects of solid waste management in indigenous communities. Thus, it becomes imperative to undertake research studies that evaluate the sustainability of these practices as they play a pivotal role in ensuring sustainable development. The current study systematically evaluates the views and judgments associated with the sustainability aspects of indigenous waste management practices in the rural communities of South Africa using the Analytic Hierarchy Process (AHP) model. The data analysis was carried out using the AHP model. The findings of this study showed that the rural communities of Bushbuckridge Local Municipality prioritize the sustainability of the environment (weight: 0.590) over the economic (weight: 0.240) and social sustainability (weight: 0.165) based on the AHP evaluative framework. The validity of the priorities was tested through the computed degree of consistency (<10%) and an eigenvalue of 5.107. Furthermore, according to the assessment in the current study, the AHP evaluative framework dominantly prioritizes the sub-criteria of environmental sustainability (composting) at a responding rate of over 70% almost across all indigenous communities except for Acornhoek (30%), Casteel (25%), and Mambumbu (24%). Likewise, the sub-criterion of social sustainability, which is associated with communal cleaning labor, was found to be of extreme importance (60%), outperforming taboos (10%) that are anchored in cultural and spiritual beliefs. With a response rate > 50%, waste trading proved to be of economic efficacy. Using the AHP model to evaluate the sustainability aspects associated with indigenous solid waste management practices addresses a substantial gap in the comprehension of the role of indigenous knowledge towards sustainability in the discipline of solid waste management. However, it also offers a valuable sustainability perception that is associated with indigenous waste disposal methods that local governments and policymakers should include for consideration in integrated waste management plans. This can lead to the development of waste disposal programs that are well-coordinated and in accordance with indigenous sustainable waste management practices that advance the circular economy and promote environmental protection.

False-Positive Malaria Rapid Diagnostic Test Likely Due to African Tick Bite Fever: A Case Report

Background and Clinical Significance: Fever in the returning traveler is a medical emergency warranting prompt exclusion of potentially life-threatening infections such as malaria. Case Presentation: We describe a case of a febrile returned traveler to South Africa whose prompt initial diagnostic work-up was notable for a false-positive malaria rapid diagnostic test (RDT), and who nevertheless responded quickly to oral atovaquone-proguanil, despite an ultimate diagnosis of African tick bite fever. Subsequent RDT and malaria thick- and thin-film blood examination failed to corroborate a diagnosis of malaria and all other microbiological testing other than rickettsial serology remained non-contributory. Conclusions: The case presented highlights important points regarding diagnostic test performance characteristics and premature diagnostic closure.

Prevalence of gonococcal and chlamydial infections among men who have sex with men in sub-Saharan Africa: a systematic review and meta-analysis.

Men who have sex with men (MSM) are disproportionately affected by sexually transmitted infections (STI) including Neisseria gonorrhoeae (Ng) and Chlamydia trachomatis (Ct). The lack of robust data on STIs among African MSM has limited the development of evidence-based screening strategies. This study aimed at documenting the pooled prevalence of Ng/Ct among MSM in sub-Saharan Africa (SSA). This systematic review was performed according to the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) 2020 guidelines. Relevant articles from the following databases were searched: PubMed, Scopus, ISI Web of Science, and the Directory of Open Access Journals (DOAJ). Eligible studies reported on the prevalence of Ng/Ct among the MSM population in SSA. Publication bias was assessed using the Hoy tool, Doi plot, and LFK ratio. Due to heterogeneity among studies, subgroup analyses were performed using the MetaXL add-on tool for Microsoft Excel. Of 525 articles screened, 20 were selected for inclusion. Six were cross-sectional, four had a prospective cohort study design, and one was an epidemiological study. The pooled prevalence of Ng/Ct in MSM was 27% (95% CI, 19-39%), with an I2 of 98% signifying heterogeneity among the studies. Subgroup analysis by country revealed South Africa had the highest prevalence (38%). Interpretation The high prevalence of Ng/Ct infection among MSM in SSA is of concern. Limitations Due to limited data available on Ng/Ct prevalence, the true prevalence of SSA and its associated risk factors is uncertain. As the first study to systematically review the available literature on STI prevalence among the MSM population in SSA, it showed the burden of Ng/Ct is higher than in other regions, warranting the strengthening of health systems to improve education, testing, and treatment in MSM population. PROSPERO CRD42022327095.

The moral agency of civil society in post-election South Africa

With the dawn of the new post-election Government of National Unity (GNU) in South Africa, this article ventures some ideas on the possible contribution of civil society to this new dispensation with the aim of turning the tide of moral decay and to set the course to hope and the development of a community of character. The research approaches the topic from a Reformed theological-ethical paradigm and considers social ethics within the context of the kingdom of God as the determinant of Christian social ethics. The study explores the possibility that the upcoming civil society could contribute to the much-needed moral ethos of South Africa by means of cooperation, confrontation, complimentary action, and co-option with respect to the state machinery in the GNU. The central theoretical argument of this research is that the incumbent civil society in South Africa – as one of the pillars of the constitutional democracy – can play an important role in the reinvention of a sound moral ethos as a moral agent over and against the GNU. To prove this hypothesis, the article discusses and submits the following areas of social involvement by civil society as proposals for further reflection: reviving morality, fostering moral leadership, being the voice of the poor, exposing corruption, shadowing public education, fighting crime, furthering constitutionalism, and promoting national dialogue.Contribution: The research indicates that civil society in South Africa has renewed potential to act as a powerful and effective moral agent in the country by using the spaces provided by the new post-election GNU. It can play a prominent role in rebuilding the moral ethos, social cohesion, and welfare of the community.

Curriculum Development for the South African Essential Steps in Managing Obstetric Emergencies (ESMOE) Anesthesiology Training Module: A Delphi Study.

The United Nations Sustainable Development Goal 3 (SDG3) for 2030 aims at <70 maternal deaths per 100,000 live births. South Africa (SA) falls short of this goal and most deaths occur in district and regional hospitals. Due to low anesthesiologist (specialist anesthetist) numbers in the public sector, the anesthetic workforce in these hospitals consists mainly of nonspecialist (general practitioner) junior doctors with limited supervision. The Essential Steps in Managing Obstetric Emergencies (ESMOE) training program for interns was introduced in 2008 to reduce maternal deaths in SA. Training is not consistently offered at all intern-training institutions and it has not been recently revised. This study sought expert suggestions to guide a revision of the regulation, pedagogy, and content of the ESMOE anesthetic module. A 3-round consensus-seeking modified Delphi technique was used whereby experts rated current and suggested learning outcomes as well as pedagogical- and regulatory aspects of the ESMOE anesthetic module in an anonymous, online, Likert-scale questionnaire. Consensus was defined as ≥70% agreement. Open-ended questions sought motivations for decisions and further suggestions for program improvement. Between March 4, 2021 and August 18, 2021, a total of 17/24 (71%), 16/17 (94%), and 15/16 (94%) consenting experts completed the first, second, and third rounds, respectively. During the 3 rounds, the panel achieved consensus on all but 2 questionnaire items. The panel agreed that ESMOE anesthesia training should be mandatory and that it should be offered through a blended learning model. They further concurred that the current learning outcomes should be retained, and suggested additional outcomes based on the most common causes of maternal mortality in SA. Attendance of the ESMOE anesthesia module should be mandatory. Its pedagogy should be updated to a blended learning style to benefit the current digital native intern generation. The content should be updated to address the main causes of maternal mortality in SA in line with SDG3. A national obstetric anesthesia guideline should be considered, and lea-dership and collaboration are required to improve the alignment of undergraduate, internship, and junior doctor anesthesia training in SA. The content, process, and stakeholder engagement suggestions in this study can assist short-course-based anesthesia workforce training in similar global contexts.

Dynamics of Amaranthus in Urban and Rural Value Chains in Communities of KwaZulu-Natal Province, South Africa

Sub-Saharan Africa falls among the developing countries with poor standards of living contributing to the high prevalence of malnutrition. Interventions have been conducted, but malnutrition continues to linger, with devastating impacts on vulnerable groups. In Africa, 90% of its children cannot access the minimum balanced diet. Also, 60% of the people in this region do not access daily meals for dietary needs. Traditional vegetables like Amaranthus are identified to have great potential to combat malnutrition; however, Amaranthus is underutilized due to limited awareness of its potential and poor post-harvest practices along the value chain. This study evaluates the dynamics of Amaranthus along its value chain in the urban and rural communities of KwaZulu-Natal. South Africa. Mixed-design research and a purposive convenient random sampling approach were explored. Semi-structured questionnaires were used to collect data for the survey, and this was strengthened by a series of five n = (30) face-to-face interviews with six key informants from urban and rural formal and informal markets. The findings revealed that eleven species of Amaranthus have been identified in South Africa such as Amaranthus spinosus varieties, including A. dubius, and A. cruentus, which are the most sold and consumed, mostly being sold by street vendors. Thus, poor perception and attitudes along with limited access to Amaranthus in some upper-class markets contribute to underutilization. Promoting Amaranthus at all levels of markets might create better awareness of its utilization.

Access to Assisted Reproductive Technology: A Qualitative Study of Couples With Infertility in Cape Town, South Africa

This study in Cape Town, South Africa, examines the difficulties couples with infertility face when seeking assisted reproductive technology (ART) treatment in public and private healthcare sectors. It identifies resource discrepancies and structural barriers. The study is based on interviews with key informants, five couples with infertility, and identifies two main barriers: factors affecting access to ART (cost, inadequate medical aid insurance, culture and religion) and structural factors in government-run clinics (long waiting times and lack of modern equipment). The study concludes that infertility should be considered a serious health condition and calls for increased government engagement to improve access to fertility treatment.

Persistence and Emergence of Literacy Skills: Long-Term Impacts of an Effective Early Grade Reading Intervention in South Africa

Many countries strongly emphasize enhancing foundational reading skills, with the expectation that such improvements will catalyze the development of new cognitive abilities and lead to improved life outcomes. However, the relationship between early educational gains and later-life achievements remains theoretically complex and evidence is lacking, particularly from low- and middle-income countries (LMICs). This paper examines the long-term impacts of an early grade literacy intervention that was implemented in South Africa in Setswana language from 2015 to 2017. A unique feature of our study is the longitudinal tracking and assessment of the same group of students over a 7-year period, extending up to 4 years post-intervention. We found sustained improvements in Setswana oral reading fluency, indicating a lasting impact of the intervention. Moreover, treated students exhibited enhanced Setswana and English written comprehension skills, signifying the emergence of new skills. Grade progression also improved, potentially reducing dropout rates, and facilitating transitions to secondary education. This study contributes to the limited literature on the long-term causal impacts of early literacy investments in LMICs, suggesting potential for enduring educational benefits and improved later-life outcomes.

Tuberculosis Preventive Treatment for Pregnant People With Human Immunodeficiency Virus in South Africa: A Modeling Analysis of Clinical Benefits and Risks.

Although prior studies of tuberculosis-preventive treatment (TPT) for pregnant people with human immunodeficiency virus (PPWH) report conflicting adverse pregnancy outcome (APO) risks, international guidelines recommend TPT for PPWH. We used a microsimulation model to evaluate 5 TPT strategies among PPWH receiving antiretroviral therapy in South Africa: No TPT; 6 months of isoniazid (6H) or 3 months of isoniazid-rifapentine (3HP) during pregnancy (Immediate 6H or Immediate 3HP) or post partum (Deferred 6H or Deferred 3HP). The primary outcomes were maternal, fetal/infant, and combined deaths from causes potentially influenced by TPT (maternal tuberculosis, maternal hepatotoxicity, stillbirth, low birth weight [LBW], and infant tuberculosis). Tuberculosis during pregnancy confers 250% and 81% higher modeled risks of stillbirth and LBW, respectively. In lower-risk or higher-risk scenarios, immediate TPT confers 38% lower or 92% higher risks of stillbirth and 16% lower or 35% higher risks of LBW. Immediate TPT would minimize deaths among PPWH. When TPT confers higher stillbirth and LBW risks, immediate TPT would produce the most combined maternal and fetal/infant deaths, even with low maternal CD4 cell count and high tuberculosis incidence. If immediate TPT yields a <4% or <20% increase in stillbirth or LBW, immediate TPT would produce fewer combined deaths than deferred TPT (sensitivity analysis range, <2%-22% and <11%-120%, respectively). If APO risks are below identifiable thresholds, TPT during pregnancy could decrease combined maternal and fetal/infant deaths. Given uncertainty around isoniazid's risks, and the low threshold at which APO risks could outweigh benefits from tuberculosis deaths averted, studies of newer TPT regimens among PPWH are warranted to inform guidelines.

Nurse training to enhance adherence counselling for HIV-tuberculosis coinfection in South Africa: Integrative review

Background: South Africa has seen strides in reducing HIV and tuberculosis (TB); however, adherence counselling for people living with HIV (PLHIV) coinfected with TB remains a challenge, particularly in specific sub-districts like Cape Town. Understanding the attributes of existing training programmes is crucial.Objectives: This study explored attributes of training programme development for nurses and other health professionals to enhance adherence counselling for PLHIV coinfected with TB in Cape Town.Method: An integrative literature review was conducted in five steps following PRISMA guidelines. Electronic searches encompassed multiple databases: COCHRANE, PsycINFO, PUBMED, ENMBASE, Science Direct, SCOPUS, SocINDEX, Academic Search Complete, Eric, SABINET, Health Resources and World Health Organization Global Health Library Regional Indexes. Inclusion criteria encompassed English language, peer-reviewed full-text studies on training programme development, qualitative and quantitative, published between January 2012 and May 2021. Exclusion criteria included non-English articles, conference proceedings and irrelevant studies. Thematic data analysis synthesised findings.Results: Three main themes emerged: participant identification, key programme content and programme implementation process, crucial for effective training programme development.Conclusion: Identifying participants, defining programme content and outlining implementation processes are pivotal in enhancing nurses’ adherence counselling skills. This approach could stabilise patient treatment adherence, potentially reducing treatment default, loss to follow-up and mortality rates.Contribution: These findings lay the groundwork for developing effective training programmes aimed at improving adherence counselling among nurses.

Promoting collaborative care of the human body after cessation of life: Ubuntu beyond death

Background: South Africa is a diverse country that promises equality, dignity, linguistic and cultural rights to all its citizens. Therefore, understanding the cultural, religious and nursing practices in caring for the deceased body is crucial to ensure meaningful integrated care of the deceased body and collective mourning and support within a community.Objectives: This study aimed to strengthen multidisciplinary collaboration and knowledge sharing on caring for the human body at all stages of life and beyond death using Ubuntu principles.Method: A qualitative exploratory-descriptive design was used to understand the meaning of the human body after cessation of life within African, Christian and nursing practice. The study was conducted in three countries in Southern Africa (eSwatini, South Africa and Zimbabwe). Snowball and purposive sampling techniques were used to recruit participants. In-depth telephonic and face-to-face interviews were conducted. The data were analysed thematically.Results: To provide comprehensive insights, themes from the three population groups were integrated. Four main themes emerged from the thematic analysis: (1) death as an end to physical life, (2) cleanliness of the deceased body, (3) ritualisation of death and (4) beyond death and burial.Conclusion: Strengthening multidisciplinary collaboration is vital to providing comprehensive care for the body and spirit of the deceased. Understanding cultural and religious rituals helps with collective mourning and support in the community.Contribution: Reflecting on the meaning of the deceased body and the respect given to it during the process of transition into the spiritual world through ritualisation.