Background Cultural practices are an integral part of childrearing and remain a significant aspect for healthcare professionals to ensure culturally sensitive care, particularly in the neonatal intensive care unit. Objective To synthesise literature on the cultural determinants that can be integrated into care of preterm infants admitted into the neonatal intensive care unit. Methods The current review followed the integrative literature review steps proposed by Lubbe and colleagues. The registration of the review protocol was in PROSPERO. There was a literature search conducted in the EBSCOhost, PubMed, ScienceDirect and Scopus databases using the search string developed in collaboration with the librarian. Three reviewers employed a three-step screening strategy to screen the articles published in English between 2011 and 2021 that focused on culturally sensitive care. The Johns Hopkins Nursing Evidence-Based Practice Evidence critical appraisal toolkit assessed the methodological quality of the articles included at the full-text screening level. Results There were 141 articles retrieved, and 20 included on the full-text screening level; the exclusion of one article was due to a low critical appraisal grade. Four topical themes emerged from 19 articles: spiritual care practices, intragenerational infant-rearing practices, infant physical care practices, and combining treatment practices. Conclusion Overall, the findings indicated that parental cultural beliefs and practices mostly influenced infant-rearing practices, emphasising the significance of integrating cultural practices when rendering healthcare services. The recommendation is that healthcare professionals understand various cultural determinants, mainly those specific to the community they serve, to provide culturally sensitive care.

Background Human immunodeficiency virus (HIV) is a public health problem that has destroyed the lives of many people worldwide. As it continues to spread, disclosure of HIV status is fundamental to mitigate the spread of virus, expedite various types of support and improve and well-being of people living with HIV (PLWHVA). Disclosure is a process that takes place without coercion, as PLWHVA should do it voluntarily. Various people are disclosing their HIV statuses to their partners for different reasons. Literature revealed the most of PLWHVA disclosed their HIV statuses to their partners in Sub-Sahara Africa. Methods This paper adopted a scoping literature review to achieve the objectives. The following five steps of scoping literature review were the blueprint to guide this paper, namely identifying the research question, identifying the relevant studies, selecting studies, charting data, and finally collating, summarising and reporting the results. Results Two themes and six sub-themes emerged from this review. The first theme was facilitation of support and sub-themes were partner support, emotional support, social support, and financial support. The second theme that emerged from this review was health promotion, and sub-themes were protecting loved ones from being infected and enhances medication adherence. Conclusion The PLWHVA disclosed their HIV statuses for partners to support them through the entire journey of the illness. The support received from the partners included financial support to enable them to travel to the respective facilities to collect medication. In addition, they needed social and emotional support during difficult times.

Background HIV and AIDS continue to be a public health concern with Sub-Saharan Africa having the highest number of HIV incidences. Progress towards management of the disease has been implemented over the years and antiretroviral therapy has been a great achievement. The World Health Organisation recommended dolutegravir as the second line of treatment for the disease. Literature explains DTG based regimen as having great outcomes although it was discovered to have unpleasant side effects on some patients. The objective was to explore and describe perceptions of PLWHA regarding the use of dolutegravir based regimen in Limpopo province. Method A qualitative, explorative-descriptive design was followed. Individual semi-structured in-depth interviews were conducted. Purposive sampling was used until data saturation was reached. Thematic analysis was used, and the following themes generated: Acceptance of dolutegravir, level of knowledge regarding dolutegravir, the burden of knowledge regarding dolutegravir, the burden of taking ART treatment, the reasons for non-adherence to dolutegravir. Results The findings revealed great acceptance of DTG. The importance of taking treatment was mentioned although some participants lacked knowledge.