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South African Healthcare Professionals’ Knowledge, Attitudes, and Practices Regarding Environmental Sustainability in Healthcare: A Mixed-Methods Study

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  • Helga E. Lister

    (Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Karien Mostert

    (Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Tanita Botha

    (Department of Statistics, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Simoné van der Linde

    (Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Elaine van Wyk

    (Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Su-Ané Rocher

    (Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Richelle Laing

    (Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Lucy Wu

    (Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Selma Müller

    (Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Alexander des Tombe

    (Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Tebogo Kganyago

    (Department of Occupational Therapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Nonhlanhla Zwane

    (Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Boitumelo Mphogo

    (Department of Physiotherapy, Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa)

  • Filip Maric

    (Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, 9020 Tromsø, Norway)

Abstract

Climate change, biodiversity loss and large-scale environmental degradation are widely recognized as the biggest health threats of the 21st century, with the African continent already amongst the most severely affected and vulnerable to their further progression. The healthcare system’s contribution to climate change and environmental degradation requires healthcare professionals to address environmental issues urgently. However, the foundation for context-relevant interventions across research, practice, and education is not readily available. Therefore, we conducted a convergent mixed-methods study to investigate South African healthcare professionals’ knowledge, attitudes, practices, and barriers to environmental sustainability. Healthcare professionals participated in a cross-sectional questionnaire ( n = 100) and in-depth semi-structured focus group discussions ( n = 18). Data were analyzed using descriptive statistics and thematic analysis, respectively, and integrated to provide holistic findings. Our results confirm overwhelmingly positive attitudes and a high degree of interest in education, implementation, and taking on more corresponding responsibility, but a lack of substantial knowledge of the subject matter, and only tentative implementation of practices. Identified barriers include a lack of knowledge, resources, and policies. Further research, education, and policy development on overcoming these barriers is required. This will facilitate harnessing the extant enthusiasm and advance environmental sustainability in South Africa’s healthcare practice.

Suggested Citation

  • Helga E. Lister & Karien Mostert & Tanita Botha & Simoné van der Linde & Elaine van Wyk & Su-Ané Rocher & Richelle Laing & Lucy Wu & Selma Müller & Alexander des Tombe & Tebogo Kganyago & Nonhlanhla Z, 2022. "South African Healthcare Professionals’ Knowledge, Attitudes, and Practices Regarding Environmental Sustainability in Healthcare: A Mixed-Methods Study," IJERPH, MDPI, vol. 19(16), pages 1-14, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10121-:d:889389
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    References listed on IDEAS

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    1. Jawad Karamat & Tong Shurong & Naveed Ahmad & Sana Afridi & Shahbaz Khan & Nidha Khan, 2019. "Developing Sustainable Healthcare Systems in Developing Countries: Examining the Role of Barriers, Enablers and Drivers on Knowledge Management Adoption," Sustainability, MDPI, vol. 11(4), pages 1-31, February.
    2. Marion Borderon & Patrick Sakdapolrak & Raya Muttarak & Endale Kebede & Raffaella Pagogna & Eva Sporer, 2019. "Migration influenced by environmental change in Africa: A systematic review of empirical evidence," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(18), pages 491-544.
    3. Jonathan S Crush & G Bruce Frayne, 2011. "Urban food insecurity and the new international food security agenda," Development Southern Africa, Taylor & Francis Journals, vol. 28(4), pages 527-544, October.
    4. Jennifer Gabrys, 2020. "Planetary health in practice: sensing air pollution and transforming urban environments," Palgrave Communications, Palgrave Macmillan, vol. 7(1), pages 1-11, December.
    5. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    6. Monika dos Santos & David Howard & Pieter Kruger & Arnaud Banos & Saul Kornik, 2019. "Climate Change and Healthcare Sustainability in the Agincourt Sub-District, Kruger to Canyons Biosphere Region, South Africa," Sustainability, MDPI, vol. 11(2), pages 1-23, January.
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    1. Alla Mostepaniuk & Turgay Akalin & Mohammad Reza Parish, 2023. "Practices Pursuing the Sustainability of A Healthcare Organization: A Systematic Review," Sustainability, MDPI, vol. 15(3), pages 1-21, January.

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