Data management and dispensary: missing link contributing to antiretroviral loss to follow-Up in Lejweleputswa District
- Moatlhodi, Charlotte Motshele
- Authors: Moatlhodi, Charlotte Motshele
- Date: 2022-09
- Subjects: Health services administration , Drug monitoring , Antiretroviral agents
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26973 , vital:66207
- Description: Background and aim: The widespread use and access to Anti-Retro Viral Treatment (ART) world-wide has contributed to full preventive and therapeutic benefits. An estimated amount of 68percent of HIV positive people received ART in South Africa (SA) as of 2018. However, reports from TIER.Net and DHIS (District Health Information System), indicate that the retention of patients on ART (specifically first line triple combination therapy Tenofovir Emtricitabine Efavirenz (TEE)) continues to decline. Meanwhile, data on TEE dispensed from the dispensary shows increasing quantities patients across the Free State province on a monthly basis. The aim of this study is to determine factors contributing to the discrepancy between Fixed Dose Combination (FDC) TEE dispensing data and patients on FDC TEE captured on TIER.Net and Health Patient Registration System (HPRS), as a means of improving identification and monitoring of patients that carry the potential risk of being lost to subsequent follow-ups (ART collection / clinical visits). Methods: A retrospective, quantitative, and descriptive record review of 382 medical records of HIV positive patients, along with TIER.Net and Health Patient Registration System (HPRS) reports, was conducted at five primary healthcare (PHC) facilities, each representing the five sub-districts found in Lejweleputswa district using a self-designed data collection tool. Descriptive statistics was used to summarise and present data. Results: Sixty five percent the TEE collected from the dispensary was captured on TIER. Net. It could not be determined on none of the medical records whether or not the administrative clerk captured dispensed TEE on the same date of collection from the dispensary on TIER.Net. Subsequently, the actual date of capturing the TEE dispenses on TIER.Net following collection of the treatment from the dispensary could also not be determined. The overall data on TEE dispensed/collected from the dispensary the same was not the same as the data captured on TIER.Net. Thirty five percent of patients were reported to have collected their ART according to dispensary data than that reported on TIER.Net. Eighty percent of the TEE collected from the dispensary was captured on HPRS. Eighty percent of facilities had an area and computer dedicated for HPRS and TIER.Net but none had a backup computer in cases of theft/breakage. None of the facilities had access to back up connectivity, a manual capturing process in the form of paper-based head count registers was instead utilised as back-up. Conclusion: The following factors were found to contribute to the discrepancy between the TEE dispensing data, TIER.net and HPRS: Poor records keeping, unauthorised dispensing of prescriptions, poor data management, delays and non-capturing of ART medical records and infrastructural and human resource challenges that exist in the data management of the patient medical records. There is a need to address these gaps in order to improve reliability of dispensary data, as well as reports from TIER.Net and HPRS, in order to streamline the identification and monitoring of patients at risk of becoming lost to follow-up. , Thesis (MPA) -- Faculty of Health Sciences
- Full Text:
- Authors: Moatlhodi, Charlotte Motshele
- Date: 2022-09
- Subjects: Health services administration , Drug monitoring , Antiretroviral agents
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26973 , vital:66207
- Description: Background and aim: The widespread use and access to Anti-Retro Viral Treatment (ART) world-wide has contributed to full preventive and therapeutic benefits. An estimated amount of 68percent of HIV positive people received ART in South Africa (SA) as of 2018. However, reports from TIER.Net and DHIS (District Health Information System), indicate that the retention of patients on ART (specifically first line triple combination therapy Tenofovir Emtricitabine Efavirenz (TEE)) continues to decline. Meanwhile, data on TEE dispensed from the dispensary shows increasing quantities patients across the Free State province on a monthly basis. The aim of this study is to determine factors contributing to the discrepancy between Fixed Dose Combination (FDC) TEE dispensing data and patients on FDC TEE captured on TIER.Net and Health Patient Registration System (HPRS), as a means of improving identification and monitoring of patients that carry the potential risk of being lost to subsequent follow-ups (ART collection / clinical visits). Methods: A retrospective, quantitative, and descriptive record review of 382 medical records of HIV positive patients, along with TIER.Net and Health Patient Registration System (HPRS) reports, was conducted at five primary healthcare (PHC) facilities, each representing the five sub-districts found in Lejweleputswa district using a self-designed data collection tool. Descriptive statistics was used to summarise and present data. Results: Sixty five percent the TEE collected from the dispensary was captured on TIER. Net. It could not be determined on none of the medical records whether or not the administrative clerk captured dispensed TEE on the same date of collection from the dispensary on TIER.Net. Subsequently, the actual date of capturing the TEE dispenses on TIER.Net following collection of the treatment from the dispensary could also not be determined. The overall data on TEE dispensed/collected from the dispensary the same was not the same as the data captured on TIER.Net. Thirty five percent of patients were reported to have collected their ART according to dispensary data than that reported on TIER.Net. Eighty percent of the TEE collected from the dispensary was captured on HPRS. Eighty percent of facilities had an area and computer dedicated for HPRS and TIER.Net but none had a backup computer in cases of theft/breakage. None of the facilities had access to back up connectivity, a manual capturing process in the form of paper-based head count registers was instead utilised as back-up. Conclusion: The following factors were found to contribute to the discrepancy between the TEE dispensing data, TIER.net and HPRS: Poor records keeping, unauthorised dispensing of prescriptions, poor data management, delays and non-capturing of ART medical records and infrastructural and human resource challenges that exist in the data management of the patient medical records. There is a need to address these gaps in order to improve reliability of dispensary data, as well as reports from TIER.Net and HPRS, in order to streamline the identification and monitoring of patients at risk of becoming lost to follow-up. , Thesis (MPA) -- Faculty of Health Sciences
- Full Text:
Exploring the perceptions and attitudes of University of Fort Hare students towards seeking psychological counselling services
- Authors: Pantshwa, Siziphiwe
- Date: 2022-09
- Subjects: Counseling , Helping behavior , Psychology, Applied
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23809 , vital:60807
- Description: The purpose of this study was to explore and examine the perceptions and attitudes of Fort Hare students towards seeking psychological help. It provided an understanding of factors that influence the help-seeking behaviours of university students. The study used an explorative qualitative approach in collecting data to find problems frequently encountered by students, their preferred sources of help for those problems, and their attitudes towards seeking psychological help. The sample was selected through a non-probability convenience sampling technique. Six participants, undergraduate and post-graduate students from the University of Fort Hare, East London campus, participated in the study. The data was collected in face-to-face semi-structured individual interviews in which participants were questioned orally. The interviews were recorded and transcribed verbatim. Data collected from the semi-structured interviews were thematically analysed by employing Braun and Clarke’s six steps of thematic analysis. Social constructionism as a meta-theory and Ecosystems theory provided the theoretical underpinning for the interpretation of the study. The study results revealed that close friends and family members were the preferred sources of help chosen by students. Five significant problems were experienced by students. Financial issues, difficulty adjusting to the university environment, academic stress, being away from home and managing time were at the top list of the challenges experienced by students. The factors that inhibited -seeking for psychological help were social stigma, access to a psychologist, financial constraints, and viewing a psychologist as a stranger. However the study further found that students had a positive attitude toward professional psychological help. This indicates a slight shift from previous studies, which reported negative attitudes among university students. Participants also reported on the influence of their socio-cultural background, the opinions held by their family and community members towards seeking psychological help. This study recommends specific interventions in which seeking psychological help can be reinforced, such as holding workshops to psycho-educate students about the benefits of using counselling services and the negative implications of not seeking professional help when experiencing psychological distress. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Pantshwa, Siziphiwe
- Date: 2022-09
- Subjects: Counseling , Helping behavior , Psychology, Applied
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23809 , vital:60807
- Description: The purpose of this study was to explore and examine the perceptions and attitudes of Fort Hare students towards seeking psychological help. It provided an understanding of factors that influence the help-seeking behaviours of university students. The study used an explorative qualitative approach in collecting data to find problems frequently encountered by students, their preferred sources of help for those problems, and their attitudes towards seeking psychological help. The sample was selected through a non-probability convenience sampling technique. Six participants, undergraduate and post-graduate students from the University of Fort Hare, East London campus, participated in the study. The data was collected in face-to-face semi-structured individual interviews in which participants were questioned orally. The interviews were recorded and transcribed verbatim. Data collected from the semi-structured interviews were thematically analysed by employing Braun and Clarke’s six steps of thematic analysis. Social constructionism as a meta-theory and Ecosystems theory provided the theoretical underpinning for the interpretation of the study. The study results revealed that close friends and family members were the preferred sources of help chosen by students. Five significant problems were experienced by students. Financial issues, difficulty adjusting to the university environment, academic stress, being away from home and managing time were at the top list of the challenges experienced by students. The factors that inhibited -seeking for psychological help were social stigma, access to a psychologist, financial constraints, and viewing a psychologist as a stranger. However the study further found that students had a positive attitude toward professional psychological help. This indicates a slight shift from previous studies, which reported negative attitudes among university students. Participants also reported on the influence of their socio-cultural background, the opinions held by their family and community members towards seeking psychological help. This study recommends specific interventions in which seeking psychological help can be reinforced, such as holding workshops to psycho-educate students about the benefits of using counselling services and the negative implications of not seeking professional help when experiencing psychological distress. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
Factors contributing to the speaking of English in Grade 4 literacy: Case studies of two schools in Chris Hani West District
- Authors: Kleinbooi, Cingile
- Date: 2022-09
- Subjects: English language -- Study and teaching , Language and languages -- Study and teaching , English teachers
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26018 , vital:64781
- Description: The teachers and the learners have difficulties using English as a medium of instruction. In the classroom lessons, IsiXhosa dominated natural dialogues across everybody in the class. There was minimal use of English. The findings revealed that some teachers and learners struggle to speak fluently in English as their second language. This led to mother tongue usage in many grade 4 classes that is isiXhosa. This triggered the researcher to embark on this study since both teachers and learners lack the motivation to speak English. This is because most teachers are not qualified. They are allowed to teach without the teaching qualifications due to a shortage of teaching staff and over-grounded learners. In this view, code-switching is one of the dominant factors in helping learners understand English instructions better. The study adopted a qualitative research approach. The interviews for the teachers, focus groups for the learners, and document analysis were used to collect data, whereby the purposive sampling technique was used to identify the participants. A case study approach was also adopted as the data was collected from schools. The inductive analysis was adopted for data analysis. The constructivism paradigm was also adopted since it uses the experiences of humans in their settings or circumstances. Classroom observations were also used to get in-depth information on the ground. The study recommends an extensive evaluation and review of the Language policy of South Africa to measure the effectiveness of English as a medium of instruction in public schools. , Thesis (MEd) -- Faculty of Education, 2022
- Full Text:
- Authors: Kleinbooi, Cingile
- Date: 2022-09
- Subjects: English language -- Study and teaching , Language and languages -- Study and teaching , English teachers
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26018 , vital:64781
- Description: The teachers and the learners have difficulties using English as a medium of instruction. In the classroom lessons, IsiXhosa dominated natural dialogues across everybody in the class. There was minimal use of English. The findings revealed that some teachers and learners struggle to speak fluently in English as their second language. This led to mother tongue usage in many grade 4 classes that is isiXhosa. This triggered the researcher to embark on this study since both teachers and learners lack the motivation to speak English. This is because most teachers are not qualified. They are allowed to teach without the teaching qualifications due to a shortage of teaching staff and over-grounded learners. In this view, code-switching is one of the dominant factors in helping learners understand English instructions better. The study adopted a qualitative research approach. The interviews for the teachers, focus groups for the learners, and document analysis were used to collect data, whereby the purposive sampling technique was used to identify the participants. A case study approach was also adopted as the data was collected from schools. The inductive analysis was adopted for data analysis. The constructivism paradigm was also adopted since it uses the experiences of humans in their settings or circumstances. Classroom observations were also used to get in-depth information on the ground. The study recommends an extensive evaluation and review of the Language policy of South Africa to measure the effectiveness of English as a medium of instruction in public schools. , Thesis (MEd) -- Faculty of Education, 2022
- Full Text:
Recidivism in children after completion of rhythm of life diversion programme in Chris Hani Eastern Cape
- Authors: Zimba, Thanduxolo
- Date: 2022-09
- Subjects: Grahamstown (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27651 , vital:69380
- Description: One of the recommendations made by the South African Law Commission (SALC) (1997) when discussing the issue of child justice was that the justice system should aim to promote the well-being of the child and deal with the child in an individualised way. This dissertation discusses recidivism in children after completing the Rhythm of Life (ROL) diversion programme which aims at diverting children who conflict with the law away from criminal procedures to programmes that assist in behaviour modification. The study is inspired by the need to uncover the effectiveness of the programme and the challenges encountered when it is delivered. It is further motivated by the need to expose the reasons why children return to the criminal justice system after having attended the ROL diversion programme. Additionally, it seeks to gain perspectives of the probation officers’ and parents’ insights on the observed changes after the attendance of the programme. The study utilised a qualitative methodology with an interpretive and descriptive paradigm, which used in-depth interviews and focus groups as a method of data collection. The participants of the study were children who completed the ROL diversion programme, parents or guardians of children who completed the ROL diversion programme, and probation officers implementing the programme. The data was analysed and presented following the following four themes, i.e., factors contributing to recidivism by children after completion of the ROL diversion programme, diversion programme content, and completion of the diversion programme and the effectiveness of the ROL diversion programme. The literature consulted was broken up into; the historical development of diversion programmes and the inherent legislative framework, the magnitude and extent of recidivism of children after completion of the ROL diversion programme, and the factors which contribute to recidivism by children after completion of the ROL diversion programme. The reviewed literature further scrutinised the global, regional, and South African perspectives on managing young people, and lastly reviewed the benefits and challenges of diversion programmes in general. The study used the social learning theory as a theoretical framework to explain and discuss recidivism and the effectiveness of diversion programmes. This is a general approach to psychology and regards criminal behaviour as no different from any kind of behaviour as it is learned through the processes of observation, imitation and vicarious reinforcement and punishment. The findings of the study revealed that the impact of absent and or lack of father figures in the family influenced the children to get involved in criminal activities. The findings further indicated that probation officers face various challenges when facilitating the programme, such as substance abuse by children, lack of resources and functional aids, and the language as the facilitator guide is written in English. It was also discovered that parents from the sample used an authoritarian style of parenting, which exerts high expectations from children while providing little in the way of feedback and nurturance. Lastly, the findings indicated that the ROL diversion programme does modify the behaviour of children on completion. However, the main challenge is the environment the children return to after completion as it is assumed as a contributing factor to committing the crime. One of the recommendations is to strengthen parenting programmes and to introduce a programme for parents or guardians of children with serious behavioural challenges, another recommendation is the development of a risk assessment tool for young people, to assist probation officers in holistically dealing with children. Additionally, probation service practitioners should be provided by the government with the necessary resources to ensure that aftercare services are rendered effectively and efficiently. The researcher lastly recommends that probation officers conduct an intervention evaluation after the programme to identify children who could not understand the content of the programme so that additional methods of intervention could be employed such as casework. The study had the following conclusions; risk factors such as lack of parental support, substance abuse, peer pressure and bereavement were causes for re-offending in the children interviewed; the programme manual presents a challenge in terms of language, because the manual is written in English, and not all children can understand English; the issue of restorative justice was overlooked by probation officers when dealing with children when they re-offended. The study also concluded that the ROL diversion programme is effective to a certain extent, depending on how the children utilize the skills acquired from the programme, and as the parents reflected that they observed a change in their children’s behaviour post-diversion, while children also expressed that they learnt valuable life skills which made them resilient. , Thesis (MA) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Zimba, Thanduxolo
- Date: 2022-09
- Subjects: Grahamstown (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27651 , vital:69380
- Description: One of the recommendations made by the South African Law Commission (SALC) (1997) when discussing the issue of child justice was that the justice system should aim to promote the well-being of the child and deal with the child in an individualised way. This dissertation discusses recidivism in children after completing the Rhythm of Life (ROL) diversion programme which aims at diverting children who conflict with the law away from criminal procedures to programmes that assist in behaviour modification. The study is inspired by the need to uncover the effectiveness of the programme and the challenges encountered when it is delivered. It is further motivated by the need to expose the reasons why children return to the criminal justice system after having attended the ROL diversion programme. Additionally, it seeks to gain perspectives of the probation officers’ and parents’ insights on the observed changes after the attendance of the programme. The study utilised a qualitative methodology with an interpretive and descriptive paradigm, which used in-depth interviews and focus groups as a method of data collection. The participants of the study were children who completed the ROL diversion programme, parents or guardians of children who completed the ROL diversion programme, and probation officers implementing the programme. The data was analysed and presented following the following four themes, i.e., factors contributing to recidivism by children after completion of the ROL diversion programme, diversion programme content, and completion of the diversion programme and the effectiveness of the ROL diversion programme. The literature consulted was broken up into; the historical development of diversion programmes and the inherent legislative framework, the magnitude and extent of recidivism of children after completion of the ROL diversion programme, and the factors which contribute to recidivism by children after completion of the ROL diversion programme. The reviewed literature further scrutinised the global, regional, and South African perspectives on managing young people, and lastly reviewed the benefits and challenges of diversion programmes in general. The study used the social learning theory as a theoretical framework to explain and discuss recidivism and the effectiveness of diversion programmes. This is a general approach to psychology and regards criminal behaviour as no different from any kind of behaviour as it is learned through the processes of observation, imitation and vicarious reinforcement and punishment. The findings of the study revealed that the impact of absent and or lack of father figures in the family influenced the children to get involved in criminal activities. The findings further indicated that probation officers face various challenges when facilitating the programme, such as substance abuse by children, lack of resources and functional aids, and the language as the facilitator guide is written in English. It was also discovered that parents from the sample used an authoritarian style of parenting, which exerts high expectations from children while providing little in the way of feedback and nurturance. Lastly, the findings indicated that the ROL diversion programme does modify the behaviour of children on completion. However, the main challenge is the environment the children return to after completion as it is assumed as a contributing factor to committing the crime. One of the recommendations is to strengthen parenting programmes and to introduce a programme for parents or guardians of children with serious behavioural challenges, another recommendation is the development of a risk assessment tool for young people, to assist probation officers in holistically dealing with children. Additionally, probation service practitioners should be provided by the government with the necessary resources to ensure that aftercare services are rendered effectively and efficiently. The researcher lastly recommends that probation officers conduct an intervention evaluation after the programme to identify children who could not understand the content of the programme so that additional methods of intervention could be employed such as casework. The study had the following conclusions; risk factors such as lack of parental support, substance abuse, peer pressure and bereavement were causes for re-offending in the children interviewed; the programme manual presents a challenge in terms of language, because the manual is written in English, and not all children can understand English; the issue of restorative justice was overlooked by probation officers when dealing with children when they re-offended. The study also concluded that the ROL diversion programme is effective to a certain extent, depending on how the children utilize the skills acquired from the programme, and as the parents reflected that they observed a change in their children’s behaviour post-diversion, while children also expressed that they learnt valuable life skills which made them resilient. , Thesis (MA) -- Faculty of Social Sciences and Humanities, 2022
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Sustainability challenges of community newspapers: The case study of iDike-Lethu Community Newspaper
- Authors: Ndarane, Luvuyo Gladstone
- Date: 2022-09
- Subjects: Community newspapers , Journalism, Regional
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23754 , vital:60485
- Description: Community newspapers are an important source of information and play a vital role in the development of communities. They are, therefore, an important stakeholder in community development. IDike-Lethu community newspaper`s presence in the community of Alice and in the areas where it is distributed is facilitating communication and development in these areas. Raymond Mhlaba Local Municipality is benefiting in the presence of iDike-Lethu because this newspaper is the conduit through which communication to its citizens is submitted. This study assessed the challenges iDike- Lethu is having that impact on its maximum contribution in this society. Participants in this study are residents of Alice and are readers of iDike-Lethu Community Newspaper. This study adopted a mixed method design in which questionnaires and interviews were used to collect primary data. Data collected was analyzed using both qualitative and quantitative methods. Major findings that impede smooth operations in this newspaper were discovered. These include inadequate funding, lack of technical backing and lack of community support. The study findings show that with all the challenges iDike-Lethu is having it continues to play a meaningful role by disseminating information, promoting local culture, equipping communities with skills and providing a platform on which these communities including local businesses send information across. Recommendations include the need for this newspaper to find a commercial, profitable and sustainable financial model which will support and reinforce its operations. This study will contribute in further research of methods to link communities and community newspapers to work harmoniously. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
Sustainability challenges of community newspapers: The case study of iDike-Lethu Community Newspaper
- Authors: Ndarane, Luvuyo Gladstone
- Date: 2022-09
- Subjects: Community newspapers , Journalism, Regional
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23754 , vital:60485
- Description: Community newspapers are an important source of information and play a vital role in the development of communities. They are, therefore, an important stakeholder in community development. IDike-Lethu community newspaper`s presence in the community of Alice and in the areas where it is distributed is facilitating communication and development in these areas. Raymond Mhlaba Local Municipality is benefiting in the presence of iDike-Lethu because this newspaper is the conduit through which communication to its citizens is submitted. This study assessed the challenges iDike- Lethu is having that impact on its maximum contribution in this society. Participants in this study are residents of Alice and are readers of iDike-Lethu Community Newspaper. This study adopted a mixed method design in which questionnaires and interviews were used to collect primary data. Data collected was analyzed using both qualitative and quantitative methods. Major findings that impede smooth operations in this newspaper were discovered. These include inadequate funding, lack of technical backing and lack of community support. The study findings show that with all the challenges iDike-Lethu is having it continues to play a meaningful role by disseminating information, promoting local culture, equipping communities with skills and providing a platform on which these communities including local businesses send information across. Recommendations include the need for this newspaper to find a commercial, profitable and sustainable financial model which will support and reinforce its operations. This study will contribute in further research of methods to link communities and community newspapers to work harmoniously. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
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A model for linking innovation and sustainable growth of immigrant entrepreneurs in the Johannesburg Metropolitan Area, South Africa
- Authors: Mzamo, Ziyanda
- Date: 2022-08
- Subjects: Immigrant business enterprises -- Technological innovations -- South Africa , Business Management -- South Africa , Industrial management -- South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/28828 , vital:75130
- Description: South Africa experienced hard times during the apartheid era. This led to some of the South African nationals seeking solace and hiding in neighbouring African countries. Post 1994, this situation has largely changed. Other African countries have not been as privileged to recover from the political turmoil nations have experienced and have left civilians stranded with no comfort or job security. It is for this reason that immigrants from other African countries track to South Africa for the hope and promise of a better future. While this is the case and hope, South Africa is dealing with its own issues of high unemployment rate, violence and crime, poverty, lack of quality education, drug and substance abuse, unstable political issues and influx of immigrants who have no plans or ways of survival. This makes things even harder for the government to accommodate everyone as the focus and priority is seen to be given to its citizens. Entrepreneurship becomes the most feasible and practical way of survival for the immigrants. Some of these businesses have stood the test of time, are making strides and thriving. Their growth journeys may even be better than those of citizens due to these businesses primarily being characterized by survival tactics. This study was hence conducted to predominantly formulate a model for linking the innovation and sustainable business growth of immigrant entrepreneurs. The secondary objective was to gauge if there is a significant relationship between innovation (incremental, radical, and technological) and sustainable business growth of immigrant entrepreneurs in the Johannesburg Metropolitan Area. A mixed approach was used to achieve these objectives. The population of the study targeted immigrant entrepreneurs from the African continent who are running small and medium (SME) businesses in the Johannesburg Metropolitan area. The data was gathered using semi-structured interviews and a survey. Seventeen (17) interviews were held, and one hundred and two (102) surveys were collected, totalling one hundred and nineteen (119) research study participants. The participants were selected using convenience sampling and snowballing due to the population of immigrant entrepreneurs being unknown in Johannesburg. Descriptive and inferential statistics were applied to analyse the data. The findings revealed that innovation played a major role in sustainable business growth of the immigrant entrepreneurs. The research study showed the typical measures of innovation (incremental, radical and technological) as well as business growth may not be reflective and applicable to the SME space due to the businesses being survival businesses. The research study recommends that development of immigrant entrepreneurship focused programs for coaching, support, funding, and handholding be of absolute government focus. Internal collaborative innovation agendas are key for businesses to balance incremental and radical innovation. This will minimise the reliance on business owners or leadership to drive innovation, but rather, for innovation to be a way of working for all in the business. Growth and sustainability rides on shared innovation as opposed to individually led or an isolated agenda. Education, change management and training of citizens and safety officials is recommended to understand the benefits of immigrant owned businesses as an economic driver and as a point of embracing fellow Africans. This will eliminate the stereotypes that make immigrant entrepreneurs exposed and uncomfortable in their business journeys. , Thesis (DBA) -- Faculty of Management and Commerce, 2022
- Full Text:
- Authors: Mzamo, Ziyanda
- Date: 2022-08
- Subjects: Immigrant business enterprises -- Technological innovations -- South Africa , Business Management -- South Africa , Industrial management -- South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/28828 , vital:75130
- Description: South Africa experienced hard times during the apartheid era. This led to some of the South African nationals seeking solace and hiding in neighbouring African countries. Post 1994, this situation has largely changed. Other African countries have not been as privileged to recover from the political turmoil nations have experienced and have left civilians stranded with no comfort or job security. It is for this reason that immigrants from other African countries track to South Africa for the hope and promise of a better future. While this is the case and hope, South Africa is dealing with its own issues of high unemployment rate, violence and crime, poverty, lack of quality education, drug and substance abuse, unstable political issues and influx of immigrants who have no plans or ways of survival. This makes things even harder for the government to accommodate everyone as the focus and priority is seen to be given to its citizens. Entrepreneurship becomes the most feasible and practical way of survival for the immigrants. Some of these businesses have stood the test of time, are making strides and thriving. Their growth journeys may even be better than those of citizens due to these businesses primarily being characterized by survival tactics. This study was hence conducted to predominantly formulate a model for linking the innovation and sustainable business growth of immigrant entrepreneurs. The secondary objective was to gauge if there is a significant relationship between innovation (incremental, radical, and technological) and sustainable business growth of immigrant entrepreneurs in the Johannesburg Metropolitan Area. A mixed approach was used to achieve these objectives. The population of the study targeted immigrant entrepreneurs from the African continent who are running small and medium (SME) businesses in the Johannesburg Metropolitan area. The data was gathered using semi-structured interviews and a survey. Seventeen (17) interviews were held, and one hundred and two (102) surveys were collected, totalling one hundred and nineteen (119) research study participants. The participants were selected using convenience sampling and snowballing due to the population of immigrant entrepreneurs being unknown in Johannesburg. Descriptive and inferential statistics were applied to analyse the data. The findings revealed that innovation played a major role in sustainable business growth of the immigrant entrepreneurs. The research study showed the typical measures of innovation (incremental, radical and technological) as well as business growth may not be reflective and applicable to the SME space due to the businesses being survival businesses. The research study recommends that development of immigrant entrepreneurship focused programs for coaching, support, funding, and handholding be of absolute government focus. Internal collaborative innovation agendas are key for businesses to balance incremental and radical innovation. This will minimise the reliance on business owners or leadership to drive innovation, but rather, for innovation to be a way of working for all in the business. Growth and sustainability rides on shared innovation as opposed to individually led or an isolated agenda. Education, change management and training of citizens and safety officials is recommended to understand the benefits of immigrant owned businesses as an economic driver and as a point of embracing fellow Africans. This will eliminate the stereotypes that make immigrant entrepreneurs exposed and uncomfortable in their business journeys. , Thesis (DBA) -- Faculty of Management and Commerce, 2022
- Full Text:
A structural equation model on small business performance: the mediating role of effectuation & entrepreneur identity
- Muchineripi, Justice Ngonidzashe https://orcid.org/0000-0002-8058-731X
- Authors: Muchineripi, Justice Ngonidzashe https://orcid.org/0000-0002-8058-731X
- Date: 2022-08
- Subjects: Small business -- Management , Entrepreneurship
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/28806 , vital:75099
- Description: The role of effectuation and entrepreneur identity in the performance of small business has not received much attention in the African small business context. Effectuation plays a critical role in determining the success of a business. All businesses need to have inherent strategies within the business on how to deal with financial and operational challenges. Despite the impact of entrepreneur identity on performance, there is a noted gap in literature on the possible role that effectuation can play. Research purpose: The research aim is to test the structural model on small business performance in the South African small business context. The research thus investigates the mediating role of effectuation on entrepreneur identity and performance amongst small businesses in South Africa. Research approach/design and method: The study was undertaken in the Eastern Cape Province of South Africa. A quantitative research approach was utilised and primary data was collected from 380 Small Medium and Micro Enterprises through structured questionnaires. Structural Equation Modeling was used for testing the hypotheses. Main findings: The findings revealed that spiritual identity and business identity exert a positive effect on subjective performance in Small Medium Micro Enterprises. Findings further revealed that spiritual identity and effectuation significantly predict objective performance. Spiritual identity, social identity and business identity significantly predict effectuation in SMMEs. Contribution: The study makes a major contribution in the body of knowledge for small business practitioners, policymakers and researchers who would like to explore the role of effectuation and entrepreneur identity on small business performance. The study findings encourage effectual decision making by small businesses as it reveals that facing challenges is inevitable, but what is important is that the business should be able to resolve various challenges using available resources. Originality/value: The empirical evidence provided in the study contributes to the growing body of knowledge on the theory of effectuation in the South African context. The study also provides policy guidelines for policymakers to entrepeneurs who would like to venture into business. , Thesis (DBA) -- Faculty of Management and Commerce, 2022
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- Authors: Muchineripi, Justice Ngonidzashe https://orcid.org/0000-0002-8058-731X
- Date: 2022-08
- Subjects: Small business -- Management , Entrepreneurship
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/28806 , vital:75099
- Description: The role of effectuation and entrepreneur identity in the performance of small business has not received much attention in the African small business context. Effectuation plays a critical role in determining the success of a business. All businesses need to have inherent strategies within the business on how to deal with financial and operational challenges. Despite the impact of entrepreneur identity on performance, there is a noted gap in literature on the possible role that effectuation can play. Research purpose: The research aim is to test the structural model on small business performance in the South African small business context. The research thus investigates the mediating role of effectuation on entrepreneur identity and performance amongst small businesses in South Africa. Research approach/design and method: The study was undertaken in the Eastern Cape Province of South Africa. A quantitative research approach was utilised and primary data was collected from 380 Small Medium and Micro Enterprises through structured questionnaires. Structural Equation Modeling was used for testing the hypotheses. Main findings: The findings revealed that spiritual identity and business identity exert a positive effect on subjective performance in Small Medium Micro Enterprises. Findings further revealed that spiritual identity and effectuation significantly predict objective performance. Spiritual identity, social identity and business identity significantly predict effectuation in SMMEs. Contribution: The study makes a major contribution in the body of knowledge for small business practitioners, policymakers and researchers who would like to explore the role of effectuation and entrepreneur identity on small business performance. The study findings encourage effectual decision making by small businesses as it reveals that facing challenges is inevitable, but what is important is that the business should be able to resolve various challenges using available resources. Originality/value: The empirical evidence provided in the study contributes to the growing body of knowledge on the theory of effectuation in the South African context. The study also provides policy guidelines for policymakers to entrepeneurs who would like to venture into business. , Thesis (DBA) -- Faculty of Management and Commerce, 2022
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Attitudes of heteronormative traditional male circumcision stakeholders towards the emergence of same-sex sexuality in ulwaluko: a case of Mdantsane and New Brighton,Eastern Cape, South Africa
- Authors: Zolani, Sonjani
- Date: 2022-08
- Subjects: National socialism and homosexuality , Men -- Sexual behavior , Circumcision--Law and legislation
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/27391 , vital:66967
- Description: Although the South African government has drafted policy documents to protect gays, they, year-in-year-out face abhorrence. Notably and shockingly, misunderstanding of the sexual orientation of gays in initiation schools has brought about conflict. It is of great significance for ulwaluko tradition to renegotiate its terms of being a tradition tolerating those with different sexualities within their adored culture. Therefore, this study sought to assess the attitudes of heteronormative traditional male circumcision stakeholders towards an emergence of same-sex sexuality in ulwaluko in Mdantsane and New Brighton, Eastern Cape. The study endeavoured to achieve the following objectives: i to establish the policy insights on same-sex sexuality in South Africa and elsewhere; ii to assess the prevalence of homosexuality in South Africa and other contexts; iii to establish an account of gay men’s intimate behaviour at the initiation schools; iv to examine perceptions and attitudes of selected communities on Xhosa gay men undergoing the rite of traditional male circumcision; v to establish attitudes and perceptions of selected communities on the conflict between homosexual practices and traditional male circumcision TMC and vi to assess perceptions of Xhosa gay men on the use of TMC as an instrument to “convert” them to heterosexuality. The study was informed by Four 4 theoretical lenses: sociocultural theory, anomie theory, queer theory, and intersectionality theory. Methodologically, the objectives were investigated through a qualitative research method and data was collected accordingly. The study adopted a case study as its design. Data was collected through in-depth one-on-one interviews, focus group discussions, and key informants’ interviews. The study purposively selected eighty-two 82 participants and revealed the following findings: different lenses on South African constitution and homosexuality; different attitudinal facets of the development of same-sex sexuality in South Africa, opposed lenses on homosexuality being a natural phenomenon; intimate partner relationships among the gays in the initiation schools; behavioural the difference between gays and heterosexuals in the initiation school; establishing the nature of homosexuals’ dress code; gays downplaying TMC teachings in initiation schools; Intimate partner relationships among gays in the initiation school; homosexuality associated with modernization; effectiveness of TMC as a tool to achieve gays’ heteronormativity; and lastly, gays achieving heteronormativity through rape. This study concluded that TMC needs to renegotiate its terms of being a tradition of the contemporary epoch. Perhaps this may assist in breaking the tension between ulwaluko and same-sex sexuality in society. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Zolani, Sonjani
- Date: 2022-08
- Subjects: National socialism and homosexuality , Men -- Sexual behavior , Circumcision--Law and legislation
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/27391 , vital:66967
- Description: Although the South African government has drafted policy documents to protect gays, they, year-in-year-out face abhorrence. Notably and shockingly, misunderstanding of the sexual orientation of gays in initiation schools has brought about conflict. It is of great significance for ulwaluko tradition to renegotiate its terms of being a tradition tolerating those with different sexualities within their adored culture. Therefore, this study sought to assess the attitudes of heteronormative traditional male circumcision stakeholders towards an emergence of same-sex sexuality in ulwaluko in Mdantsane and New Brighton, Eastern Cape. The study endeavoured to achieve the following objectives: i to establish the policy insights on same-sex sexuality in South Africa and elsewhere; ii to assess the prevalence of homosexuality in South Africa and other contexts; iii to establish an account of gay men’s intimate behaviour at the initiation schools; iv to examine perceptions and attitudes of selected communities on Xhosa gay men undergoing the rite of traditional male circumcision; v to establish attitudes and perceptions of selected communities on the conflict between homosexual practices and traditional male circumcision TMC and vi to assess perceptions of Xhosa gay men on the use of TMC as an instrument to “convert” them to heterosexuality. The study was informed by Four 4 theoretical lenses: sociocultural theory, anomie theory, queer theory, and intersectionality theory. Methodologically, the objectives were investigated through a qualitative research method and data was collected accordingly. The study adopted a case study as its design. Data was collected through in-depth one-on-one interviews, focus group discussions, and key informants’ interviews. The study purposively selected eighty-two 82 participants and revealed the following findings: different lenses on South African constitution and homosexuality; different attitudinal facets of the development of same-sex sexuality in South Africa, opposed lenses on homosexuality being a natural phenomenon; intimate partner relationships among the gays in the initiation schools; behavioural the difference between gays and heterosexuals in the initiation school; establishing the nature of homosexuals’ dress code; gays downplaying TMC teachings in initiation schools; Intimate partner relationships among gays in the initiation school; homosexuality associated with modernization; effectiveness of TMC as a tool to achieve gays’ heteronormativity; and lastly, gays achieving heteronormativity through rape. This study concluded that TMC needs to renegotiate its terms of being a tradition of the contemporary epoch. Perhaps this may assist in breaking the tension between ulwaluko and same-sex sexuality in society. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
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Clinicians knowledge and perceptions of point of care testing (poct) in selected hospitals in the free state, South Africa
- Authors: Watkins, Edgar Jeffrey
- Date: 2022-08
- Subjects: Point-of-care testing , Preventive health services , Medical technology
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27264 , vital:66487
- Description: Point of care testing (POCT) improves access and equity to health diagnostic services in resource-limited settings like South Africa, where some health facilities do not have on-site laboratories. With recent technological advancements, most traditional laboratory tests can now be conducted on-site at primary health clinics (PHC), hospital wards and clinics. One advantage of the POCT device is that it can be used by a non-medical laboratory expert at the patient’s bed side during hospitalizations or near the patient in the doctor’s consultation rooms. This results in a shorter turnaround time for the availability of test results when compared to that from a specimen sent to a traditional clinical laboratory. Despite the benefits of POCT, many clinicians (doctors and nurses) avoid utilizing POCT for quality assurance reasons. Clinicians believe the results from a POCT device may not be as reliable as the results from tests performed by a medical laboratory scientist in the traditional clinical laboratory. This study used a concurrent mixed method research design to explore clinicians' POCT knowledge and attitudes in a subset of hospitals in the Free state of South Africa. The study population comprised of consenting medical professionals from the ten (10) selected Free State district hospitals (study sites). The findings demonstrated that hospitals in urban areas have easier access to laboratory services. There were two (2) urban study sites that had on-site laboratories which achieved faster Turn-Around-Time (TAT). The participants indicate that they are aware of POCT and routinely use it, but there are far fewer POCT tests available than laboratory tests. When diagnostic options are scarce, point-of-care testing (POCT) can provide a more accurate diagnosis than traditional methods. The improved health care provision and reduced incidence of health complications is the end result. According to the participants, having access to POCT diagnostic services has shown promise in addressing challenges that sometimes present with laboratory-based methods, particularly in settings with limited access to hospitals or when laboratories cannot be accessed. Further, clinicians argue that errors in the usage of POCT may occur due to the quality of these POCTs and improper documentation of the test results by the clinicians. Therefore, poor utilization of POCT by clinicians can be improved if implemented with pre-set strict selection goals and processes to ensure that the right POCT is selected for the right purpose that would reduce resource expenditure by the hospitals and improve patient experiences and health outcomes. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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- Authors: Watkins, Edgar Jeffrey
- Date: 2022-08
- Subjects: Point-of-care testing , Preventive health services , Medical technology
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27264 , vital:66487
- Description: Point of care testing (POCT) improves access and equity to health diagnostic services in resource-limited settings like South Africa, where some health facilities do not have on-site laboratories. With recent technological advancements, most traditional laboratory tests can now be conducted on-site at primary health clinics (PHC), hospital wards and clinics. One advantage of the POCT device is that it can be used by a non-medical laboratory expert at the patient’s bed side during hospitalizations or near the patient in the doctor’s consultation rooms. This results in a shorter turnaround time for the availability of test results when compared to that from a specimen sent to a traditional clinical laboratory. Despite the benefits of POCT, many clinicians (doctors and nurses) avoid utilizing POCT for quality assurance reasons. Clinicians believe the results from a POCT device may not be as reliable as the results from tests performed by a medical laboratory scientist in the traditional clinical laboratory. This study used a concurrent mixed method research design to explore clinicians' POCT knowledge and attitudes in a subset of hospitals in the Free state of South Africa. The study population comprised of consenting medical professionals from the ten (10) selected Free State district hospitals (study sites). The findings demonstrated that hospitals in urban areas have easier access to laboratory services. There were two (2) urban study sites that had on-site laboratories which achieved faster Turn-Around-Time (TAT). The participants indicate that they are aware of POCT and routinely use it, but there are far fewer POCT tests available than laboratory tests. When diagnostic options are scarce, point-of-care testing (POCT) can provide a more accurate diagnosis than traditional methods. The improved health care provision and reduced incidence of health complications is the end result. According to the participants, having access to POCT diagnostic services has shown promise in addressing challenges that sometimes present with laboratory-based methods, particularly in settings with limited access to hospitals or when laboratories cannot be accessed. Further, clinicians argue that errors in the usage of POCT may occur due to the quality of these POCTs and improper documentation of the test results by the clinicians. Therefore, poor utilization of POCT by clinicians can be improved if implemented with pre-set strict selection goals and processes to ensure that the right POCT is selected for the right purpose that would reduce resource expenditure by the hospitals and improve patient experiences and health outcomes. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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Determinants of inclusive growth in South Africa: a macroeconomic approach
- Makala, Zizo https://orcid.org/0000-0002-4875-6531
- Authors: Makala, Zizo https://orcid.org/0000-0002-4875-6531
- Date: 2022-08
- Subjects: Economic development -- South Africa , Macroeconomics -- South Africa
- Language: English
- Type: Master's/ theses , text
- Identifier: http://hdl.handle.net/10353/28761 , vital:74913
- Description: Available literature substantiates that economic growth is imperative but not sufficient to improve the living standards of a substantial percentage of South Africa’s population. The benefits of growth are also barely equitably distributed among the different groups of society in South Africa. Based on this background, the study empirically examines the factors that determine inclusive growth in South Africa. The study utilised annual data from 1991 to 2020, employing the autoregressive distributed lag model (ARDL) bounds testing approach to cointegration to evaluate the long-run and short-run linkage among the variables of interest. Based on the Social Opportunity Function, a model linking inclusive growth and its determinants was specified. The empirical results suggest a positive relationship between Foreign Direct Investment (FDI) and inclusive growth (LGDPPPE), in both the short run and the long run, implying that, FDI inflows significantly drive inclusive growth. Therefore, there is a need for South Africa to open economic borders to benefit from the opportunities for inclusive growth through external capital. In contrast, Inflation (INFL) portrays a negative influence on LGDPPPE, both in the short and long run alike, suggesting that the rate of inclusive growth is higher when inflation rate is lower, leading to the implication that, to significantly help accelerate inclusive growth in South Africa, the control of inflation must be a major object of economic policy. In the short run, the Level of Income (LGDPPC), Government Consumption (GGFCE), Population Growth (POPG), Gross Fixed Capital Formation (GFCF), and Trade Openness (TOP) indicate no noticeable influence on LGDPPPE. However, in the long run, LGDPPC, POPG and TOP turned out positive and statistically significant. This finding suggests that policies that make the South African economy open to trade with the rest of the world are essential for inclusive economic growth. Furthermore, the finding implies that population growth is not detrimental to growth inclusiveness in South Africa and policy measures that enhance the population’s productivity to reap demographic dividends should be encouraged. , Thesis (MCom) -- Faculty of Management and Commerce, 2022
- Full Text:
- Authors: Makala, Zizo https://orcid.org/0000-0002-4875-6531
- Date: 2022-08
- Subjects: Economic development -- South Africa , Macroeconomics -- South Africa
- Language: English
- Type: Master's/ theses , text
- Identifier: http://hdl.handle.net/10353/28761 , vital:74913
- Description: Available literature substantiates that economic growth is imperative but not sufficient to improve the living standards of a substantial percentage of South Africa’s population. The benefits of growth are also barely equitably distributed among the different groups of society in South Africa. Based on this background, the study empirically examines the factors that determine inclusive growth in South Africa. The study utilised annual data from 1991 to 2020, employing the autoregressive distributed lag model (ARDL) bounds testing approach to cointegration to evaluate the long-run and short-run linkage among the variables of interest. Based on the Social Opportunity Function, a model linking inclusive growth and its determinants was specified. The empirical results suggest a positive relationship between Foreign Direct Investment (FDI) and inclusive growth (LGDPPPE), in both the short run and the long run, implying that, FDI inflows significantly drive inclusive growth. Therefore, there is a need for South Africa to open economic borders to benefit from the opportunities for inclusive growth through external capital. In contrast, Inflation (INFL) portrays a negative influence on LGDPPPE, both in the short and long run alike, suggesting that the rate of inclusive growth is higher when inflation rate is lower, leading to the implication that, to significantly help accelerate inclusive growth in South Africa, the control of inflation must be a major object of economic policy. In the short run, the Level of Income (LGDPPC), Government Consumption (GGFCE), Population Growth (POPG), Gross Fixed Capital Formation (GFCF), and Trade Openness (TOP) indicate no noticeable influence on LGDPPPE. However, in the long run, LGDPPC, POPG and TOP turned out positive and statistically significant. This finding suggests that policies that make the South African economy open to trade with the rest of the world are essential for inclusive economic growth. Furthermore, the finding implies that population growth is not detrimental to growth inclusiveness in South Africa and policy measures that enhance the population’s productivity to reap demographic dividends should be encouraged. , Thesis (MCom) -- Faculty of Management and Commerce, 2022
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Dietary preference and perceptions of the health implications: A qualitative study on perspectives from outpatients and health care providers at Nontyatyambo Community Health Centre, Eastern Cape, South Africa
- Authors: Chocko, Ronnie J A V
- Date: 2022-08
- Subjects: Diet , Nutrition
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26764 , vital:65990
- Description: Introduction and background. Poor dietary choices are resulting in an increase of mortality and morbidity rates globally. Epidemiological studies reveal that diets high in animal-sourced foods (ASF) lead to an increased risk of developing cardio-metabolic diseases (CMD). On the other hand, plant-based foods (PBF) have been shown to reduce this risk. Making well informed dietary choices plays an important role in reducing the burden of these diseases. To this end, this study further explores the role that diet plays in maintaining good health by exploring current dietary preferences, perceptions of the health implications of these dietary choices and perceptions of the benefits of PBFs vs ASFs of people in a local South African context. Methodology. This qualitative study was conducted at Nontyatyambo Community Health Centre, Mdantansane, Buffalo City Metropolitan district in the Eastern Cape province of South Africa. A sample of 42 participants was enrolled for the study. A question/interview guide was used to collect data through key-in-depth interviews and focus group discussions. Two audio recorders were used to record the verbal responses of participants. The recorded interviews were transcribed and translated to English. The transcribed data was systematically and thematically analyzed. Results. It was found that all participants in this study were following an omnivorous dietary pattern. A number of participants expressed that they did not like vegetables. In this study, most participants felt that PBFs were healthier than ASFs. Even though they felt PBFs were healthier, none followed exclusively plant-based diet. Conclusion. Transforming dietary patterns to contain more plant-based foods may be a critical factor in reversing harmful effects on public health and the environment. This calls for urgent public health intervention to improve nutritional uptake as a strategy to reduce potential CMD. , Thesis (MPA) -- Faculty of Health Sciences, 2022
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- Authors: Chocko, Ronnie J A V
- Date: 2022-08
- Subjects: Diet , Nutrition
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26764 , vital:65990
- Description: Introduction and background. Poor dietary choices are resulting in an increase of mortality and morbidity rates globally. Epidemiological studies reveal that diets high in animal-sourced foods (ASF) lead to an increased risk of developing cardio-metabolic diseases (CMD). On the other hand, plant-based foods (PBF) have been shown to reduce this risk. Making well informed dietary choices plays an important role in reducing the burden of these diseases. To this end, this study further explores the role that diet plays in maintaining good health by exploring current dietary preferences, perceptions of the health implications of these dietary choices and perceptions of the benefits of PBFs vs ASFs of people in a local South African context. Methodology. This qualitative study was conducted at Nontyatyambo Community Health Centre, Mdantansane, Buffalo City Metropolitan district in the Eastern Cape province of South Africa. A sample of 42 participants was enrolled for the study. A question/interview guide was used to collect data through key-in-depth interviews and focus group discussions. Two audio recorders were used to record the verbal responses of participants. The recorded interviews were transcribed and translated to English. The transcribed data was systematically and thematically analyzed. Results. It was found that all participants in this study were following an omnivorous dietary pattern. A number of participants expressed that they did not like vegetables. In this study, most participants felt that PBFs were healthier than ASFs. Even though they felt PBFs were healthier, none followed exclusively plant-based diet. Conclusion. Transforming dietary patterns to contain more plant-based foods may be a critical factor in reversing harmful effects on public health and the environment. This calls for urgent public health intervention to improve nutritional uptake as a strategy to reduce potential CMD. , Thesis (MPA) -- Faculty of Health Sciences, 2022
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Human Resource Development model for cultivating a culture of innovation in local government: the case of Buffalo City Metropolitan Municipality, South Africa
- Mutangabende, Shepherd https://orcid.org/0000-0003-3231-7400
- Authors: Mutangabende, Shepherd https://orcid.org/0000-0003-3231-7400
- Date: 2022-08
- Subjects: Local government -- South Africa -- Eastern Cape , Economic development -- South Africa , Local government -- Technological innovations -- South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/28817 , vital:75128
- Description: Local government in South Africa is grappling with transforming democratic, accountable, and sustainable service provision to communities. Human Resource Management (HRM) plays an instrumental role in cultivating an innovative public service culture. It enables such a culture through workforce planning, recruitment, selection, induction, rewarding, budget allocation, training, and development. A culture of innovation provides an opportunity for local government to respond to pressing local needs within legislative and financial constraints. This study adopted a pragmatic research philosophy, and an exploratory sequential mixed methods research strategy and case study research design, to investigate human resources development strategies for cultivating a culture of innovation in local government, using a case study of Buffalo City Metropolitan Municipality, in South Africa. Qualitative data was collected from twenty (n=20) purposefully sampled information-rich participants through indepth interviews and quantitative data from eighty (n=80) line officials using a structured questionnaire. Research findings indicate that HRM in BCMM is not optimally utilising HRM strategies to cultivate a culture of innovation. Study results show insufficiency of qualified human capital, which therefore, impose constraints on the capacity of the municipality to optimally cultivate a culture of innovation. Findings show that participants in leadership positions often lacked requisite knowledge and capacity on workforce planning, which is necessary for human capital needs analysis and for identifying skills gaps, which would subsequently inform recruitment and selection, induction, and human resources development of municipal human capital. Recruitment and selection processes as well as induction programmes are also often devoid of innovation human resources development practices and strategies. There were often not much rewards for employees who come up with innovative ideas or methods of executing their key performance areas. Lack of rewards was a barrier to innovation as the question of “what is in it for me?” remain unanswered. This could be the reason why there were few innovative activities taking place in local government and the case study municipality. Results further suggest that the organisational culture of the case study municipality was mostly conservative, as employees did not have fecund opportunities for trial and error of new methods of executing performance tasks, often strictly adhering to standard operating procedures. The organisational culture in the case study municipality was thus risk aversive, and a significant barrier to innovation. There was often poor communication on the availability of budget allocation for innovation. The study, therefore, recommended more effective and innovative workforce planning and using that information during recruitment and selection. It also recommended using rewards to motivate employees to be innovative, allowing trial and error, to test new ideas and methods as ways of cultivating a culture of innovation. There is thus a significant need and demand for transformation and innovation in local governance, heightened by increasing municipal dysfunction and citizen expectation. As such, providing human capital with requisite knowledge and skills, retaining talent, and inducing human resources to be immobile, build up high performance work systems (HPWS), essential for achieving sustainable local government functionality and municipal performance. Human Resource Development thus play a significant role, as it essentially provides training and development programmes to equip workers with innovative skills needed in local government. The study thus developed and recommended a human resource development model which could be contextually adapted by municipalities to cultivate and foster a culture of innovation for optimum municipal functionality. , Thesis (DPA) -- Faculty of Management and Commerce, 2022
- Full Text:
- Authors: Mutangabende, Shepherd https://orcid.org/0000-0003-3231-7400
- Date: 2022-08
- Subjects: Local government -- South Africa -- Eastern Cape , Economic development -- South Africa , Local government -- Technological innovations -- South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/28817 , vital:75128
- Description: Local government in South Africa is grappling with transforming democratic, accountable, and sustainable service provision to communities. Human Resource Management (HRM) plays an instrumental role in cultivating an innovative public service culture. It enables such a culture through workforce planning, recruitment, selection, induction, rewarding, budget allocation, training, and development. A culture of innovation provides an opportunity for local government to respond to pressing local needs within legislative and financial constraints. This study adopted a pragmatic research philosophy, and an exploratory sequential mixed methods research strategy and case study research design, to investigate human resources development strategies for cultivating a culture of innovation in local government, using a case study of Buffalo City Metropolitan Municipality, in South Africa. Qualitative data was collected from twenty (n=20) purposefully sampled information-rich participants through indepth interviews and quantitative data from eighty (n=80) line officials using a structured questionnaire. Research findings indicate that HRM in BCMM is not optimally utilising HRM strategies to cultivate a culture of innovation. Study results show insufficiency of qualified human capital, which therefore, impose constraints on the capacity of the municipality to optimally cultivate a culture of innovation. Findings show that participants in leadership positions often lacked requisite knowledge and capacity on workforce planning, which is necessary for human capital needs analysis and for identifying skills gaps, which would subsequently inform recruitment and selection, induction, and human resources development of municipal human capital. Recruitment and selection processes as well as induction programmes are also often devoid of innovation human resources development practices and strategies. There were often not much rewards for employees who come up with innovative ideas or methods of executing their key performance areas. Lack of rewards was a barrier to innovation as the question of “what is in it for me?” remain unanswered. This could be the reason why there were few innovative activities taking place in local government and the case study municipality. Results further suggest that the organisational culture of the case study municipality was mostly conservative, as employees did not have fecund opportunities for trial and error of new methods of executing performance tasks, often strictly adhering to standard operating procedures. The organisational culture in the case study municipality was thus risk aversive, and a significant barrier to innovation. There was often poor communication on the availability of budget allocation for innovation. The study, therefore, recommended more effective and innovative workforce planning and using that information during recruitment and selection. It also recommended using rewards to motivate employees to be innovative, allowing trial and error, to test new ideas and methods as ways of cultivating a culture of innovation. There is thus a significant need and demand for transformation and innovation in local governance, heightened by increasing municipal dysfunction and citizen expectation. As such, providing human capital with requisite knowledge and skills, retaining talent, and inducing human resources to be immobile, build up high performance work systems (HPWS), essential for achieving sustainable local government functionality and municipal performance. Human Resource Development thus play a significant role, as it essentially provides training and development programmes to equip workers with innovative skills needed in local government. The study thus developed and recommended a human resource development model which could be contextually adapted by municipalities to cultivate and foster a culture of innovation for optimum municipal functionality. , Thesis (DPA) -- Faculty of Management and Commerce, 2022
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Isolation, characterisation and biological evaluation of Tithonia diversifolia and Tephrosia vogelii as sources of Anti-oxidant and Pesticide
- Kerebba, Nasifu https://orcid.org/0000-0003-3700-3937
- Authors: Kerebba, Nasifu https://orcid.org/0000-0003-3700-3937
- Date: 2022-08
- Subjects: Tephrosia vogelii , Tephrosia , Pesticides
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/27821 , vital:69943
- Description: This study aimed at evaluating chemically the pesticidal and antioxidant activities of Tithonia diversifolia Hemsland Tephrosia vogelii Hook f. In the study, the composition of essential oils and non-volatile substances was evaluated by modern analytical tools. The essential oils were characterised using Gas chromatography GC mass spectrometry mass spectrometry GC MS MS, GC and multivariate techniques. While phenolic compounds of T. diversifolia were comprehensively characterised using Ultra high performance liquid-phase chromatography coupled to a tandem mass spectrometer with electrospray ionisation UHPLC ESI MS MS. Both the essential oils and non-volatile components of the plant materials were evaluated for repellency, fumigant toxicity, contact toxicity and antifeedant potential in either a choice or no choice experiments. The non-volatile substances were evaluated for antioxidant properties. Using activity-guided isolation, three known compounds, a one pimarane diterpene type compound; sandaracopimaradiene-1α,9α-diol, a sesquiterpene lactone; deacetylviguiestenin and a caffeic acid derivative; 3 4 O caffeoyloxy methyl 2-methyloxirane-2-carboxylic acid were obtained from T. diversifolia. The compounds were characterised by spectral methods; 1D and 2D nuclear magnetic resonance NMR, Fourier transform Infra-red spectroscopy FTIR and mass spectrometry MS. Characterisation of essential oils revealed three chemotypes that were found to grow at different places of eastern Uganda. Based on the profiles of the compounds of the farnesene family, results showed that farnesol was a major constituent in the oil of chemotype 1 while springene compounds β-springene and α-springene and the β-farnesene were widely expressed in chemotype 2. The third chemotype was a mixed hybrid of both farnesol and the springene chemotypes. In all the chemotypes, alkylbenzenes; o-xylene, m-xylene and ethylbenzene were in huge amounts as other significant components in the oil. 1,4- dihydroxy-p-menth-2-ene, 5,9-undecadien-2-one, 6,10-dimethyl, and 3-cyclohexen-1- carboxaldehyde,3,4-dimethyl were other most significant chemical constituents of the three chemotypes. The presence of chemical variation in the components of T. vogelii essential oil showed that the fumigant and repellency efficacy of this plant against Sitophilus zeamais Motschulsky were undermined. However, all the chemotypes of T. vogelii essential oil could show repellence and fumigant toxicity against S. zeamais. The comparison between insecticidal and repellent effects of the essential oils of chemotype 3 of T. vogelii with that of T. diversifolia was done. Results indicated that the former could be promoted more for contact toxicity effect while T. diversifolia better suits fumigation effects against S. zeamais. Investigation of the feeding deterrence of both volatile and non-volatile substances of T. diversifolia leaves revealed that its essential oil did not show significant antifeedant activity at a dose of 0.29 μL mg of flour disks. The crude extract, some fractions and the isolated compounds demonstrated feeding deterrence activity against S. zeamais. The feeding deterrence index of sandarac copimaradiene- 1α,9α-diol was 81.19 5.94 percent at 0.1percent w w 1 mg g food compared to 97.45 0.43 percentage for Neemazal extract 10 percent azadirachtin positive control at 10w w 100 mgg food. The EC50 of deacetylviguiestin, 3 4 O caffeoyloxy methyl 2 methyloxirane 2 carboxylic acid and azadirachtin commercial antifeedant against S. zeamais were 22140.23 9103.29, 3654.28 2715.09 and 14.59 5.59 ppm respectively. Although these compounds showed less activity against S. zeamais than azadirachtin, their antifeedant activities were very significant and can be valuable alternatives. UHPLC DAD ESI-MS MS characterisation of fractions of T. diversifolia led to the identification of 7 novel hydroxycinnamates; 4-O 1 O caffeoylglucosyl quinic acid, 4 O caffeoyl 2 hydroxy 3 methylbutanoic acid, 4-O-caffeoyl-2-hydroxybutanoic acid, 3,4 dihydroxyphenyl-4-O-caffeoyl-2-hydroxybutanoate, 4-vinylphenyl 4 O caffeoyl 2-hydroxy 3 methylbutanoate, 4 O caffeoyl-caffeoyloxymethyl 2 hydroxy 3 methylbutanoate, 4 O-caffeoyl 2 2 3,4 dihydroxyphenyl acetoyloxy 3-methylbutanoic acid from T. diversifolia leaves that had not been previously reported in nature. Their structures have been assigned based on the unique MS MS fragmentation patterns for each of the compounds in a switching negative or positive ionisation mode and deduction from 1D 1H and 13C NMR of similar compound. In total, 55 phenolic compounds from aqueous fractions of T. diversifolia have been identified including 4 hydroxybenzoic acids, 19 hydroxycinnamic acids, 22 flavonoids, 1 saponin triterpenoid and 9 coumarins and furocoumarins. The present study further showed that the DPPH radical scavenging effect and reducing power antioxidant activity of tested samples of T. diversifolia showed a moderate correlation with the phenolic content present in these samples. This implied that the antioxidant potential was just partly attributed to its phenolic content. , Thesis (MSci) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Authors: Kerebba, Nasifu https://orcid.org/0000-0003-3700-3937
- Date: 2022-08
- Subjects: Tephrosia vogelii , Tephrosia , Pesticides
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/27821 , vital:69943
- Description: This study aimed at evaluating chemically the pesticidal and antioxidant activities of Tithonia diversifolia Hemsland Tephrosia vogelii Hook f. In the study, the composition of essential oils and non-volatile substances was evaluated by modern analytical tools. The essential oils were characterised using Gas chromatography GC mass spectrometry mass spectrometry GC MS MS, GC and multivariate techniques. While phenolic compounds of T. diversifolia were comprehensively characterised using Ultra high performance liquid-phase chromatography coupled to a tandem mass spectrometer with electrospray ionisation UHPLC ESI MS MS. Both the essential oils and non-volatile components of the plant materials were evaluated for repellency, fumigant toxicity, contact toxicity and antifeedant potential in either a choice or no choice experiments. The non-volatile substances were evaluated for antioxidant properties. Using activity-guided isolation, three known compounds, a one pimarane diterpene type compound; sandaracopimaradiene-1α,9α-diol, a sesquiterpene lactone; deacetylviguiestenin and a caffeic acid derivative; 3 4 O caffeoyloxy methyl 2-methyloxirane-2-carboxylic acid were obtained from T. diversifolia. The compounds were characterised by spectral methods; 1D and 2D nuclear magnetic resonance NMR, Fourier transform Infra-red spectroscopy FTIR and mass spectrometry MS. Characterisation of essential oils revealed three chemotypes that were found to grow at different places of eastern Uganda. Based on the profiles of the compounds of the farnesene family, results showed that farnesol was a major constituent in the oil of chemotype 1 while springene compounds β-springene and α-springene and the β-farnesene were widely expressed in chemotype 2. The third chemotype was a mixed hybrid of both farnesol and the springene chemotypes. In all the chemotypes, alkylbenzenes; o-xylene, m-xylene and ethylbenzene were in huge amounts as other significant components in the oil. 1,4- dihydroxy-p-menth-2-ene, 5,9-undecadien-2-one, 6,10-dimethyl, and 3-cyclohexen-1- carboxaldehyde,3,4-dimethyl were other most significant chemical constituents of the three chemotypes. The presence of chemical variation in the components of T. vogelii essential oil showed that the fumigant and repellency efficacy of this plant against Sitophilus zeamais Motschulsky were undermined. However, all the chemotypes of T. vogelii essential oil could show repellence and fumigant toxicity against S. zeamais. The comparison between insecticidal and repellent effects of the essential oils of chemotype 3 of T. vogelii with that of T. diversifolia was done. Results indicated that the former could be promoted more for contact toxicity effect while T. diversifolia better suits fumigation effects against S. zeamais. Investigation of the feeding deterrence of both volatile and non-volatile substances of T. diversifolia leaves revealed that its essential oil did not show significant antifeedant activity at a dose of 0.29 μL mg of flour disks. The crude extract, some fractions and the isolated compounds demonstrated feeding deterrence activity against S. zeamais. The feeding deterrence index of sandarac copimaradiene- 1α,9α-diol was 81.19 5.94 percent at 0.1percent w w 1 mg g food compared to 97.45 0.43 percentage for Neemazal extract 10 percent azadirachtin positive control at 10w w 100 mgg food. The EC50 of deacetylviguiestin, 3 4 O caffeoyloxy methyl 2 methyloxirane 2 carboxylic acid and azadirachtin commercial antifeedant against S. zeamais were 22140.23 9103.29, 3654.28 2715.09 and 14.59 5.59 ppm respectively. Although these compounds showed less activity against S. zeamais than azadirachtin, their antifeedant activities were very significant and can be valuable alternatives. UHPLC DAD ESI-MS MS characterisation of fractions of T. diversifolia led to the identification of 7 novel hydroxycinnamates; 4-O 1 O caffeoylglucosyl quinic acid, 4 O caffeoyl 2 hydroxy 3 methylbutanoic acid, 4-O-caffeoyl-2-hydroxybutanoic acid, 3,4 dihydroxyphenyl-4-O-caffeoyl-2-hydroxybutanoate, 4-vinylphenyl 4 O caffeoyl 2-hydroxy 3 methylbutanoate, 4 O caffeoyl-caffeoyloxymethyl 2 hydroxy 3 methylbutanoate, 4 O-caffeoyl 2 2 3,4 dihydroxyphenyl acetoyloxy 3-methylbutanoic acid from T. diversifolia leaves that had not been previously reported in nature. Their structures have been assigned based on the unique MS MS fragmentation patterns for each of the compounds in a switching negative or positive ionisation mode and deduction from 1D 1H and 13C NMR of similar compound. In total, 55 phenolic compounds from aqueous fractions of T. diversifolia have been identified including 4 hydroxybenzoic acids, 19 hydroxycinnamic acids, 22 flavonoids, 1 saponin triterpenoid and 9 coumarins and furocoumarins. The present study further showed that the DPPH radical scavenging effect and reducing power antioxidant activity of tested samples of T. diversifolia showed a moderate correlation with the phenolic content present in these samples. This implied that the antioxidant potential was just partly attributed to its phenolic content. , Thesis (MSci) -- Faculty of Science and Agriculture, 2022
- Full Text:
Public goods and social resistance: A study of the perceptions of risk and vulnerability in the n2 toll road project in the wild coast of the Eastern Cape Province, South Africa
- Mambiravana, Tafadzwa https://orcid.org/0000-0002-7543-2989
- Authors: Mambiravana, Tafadzwa https://orcid.org/0000-0002-7543-2989
- Date: 2022-08
- Subjects: Infrastructure (Economics) , Roads -- South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23910 , vital:61293
- Description: The construction of the N2 Toll Road in the Wild Coast has been lauded for its ‘developmental agenda’, as the government envisages, this 550 km road project linking Eastern Cape and KwaZulu Natal provinces will act as a game changer to the socio-economic status of the region in a manner beneficial to local people and the nation in general. However, the road project has equally been criticised by several local communities and environmental advocacy groups who suspect the road is associated with controversial titanium mining and its anticipated socio-ecological disasters in the region. Drawing from this conundrum, this study explores intersections of the diverse perceptions of stakeholders on infrastructural provisioning for development purposes in a historically deprived area in South Africa. Using a qualitative research approach in the form of face-to-face interviews with the participants, focus group discussions, secondary data review and observations, the study found that the diverse perceptions of risk and vulnerability have divided the stakeholders into those who support and those who oppose the road project. Most importantly, the study has also found that although there is deep-seated resentment towards the road project among certain grassroots groups, the general view shared among the study communities is nuanced. In other words, there is no ‘hardline collective opposition’ against the road project among local communities. Drawing from these findings, the study recommends that land audit need to be conducted prior to the commencement of infrastructure projects in order to highlight possible tenure blockages. In addition, the study recommends that it is critical for developers and policy makers to recognize the significance of cultural spaces and sacred places for community cultural health. These factors are critical to weigh against the proposed infrastructure developments as they sometimes outweigh the benefits. The study was anchored on the cultural theory of risk perception, which helped to explore the complex interactions between different actors on infrastructural development and environmental policy discourse. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Mambiravana, Tafadzwa https://orcid.org/0000-0002-7543-2989
- Date: 2022-08
- Subjects: Infrastructure (Economics) , Roads -- South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23910 , vital:61293
- Description: The construction of the N2 Toll Road in the Wild Coast has been lauded for its ‘developmental agenda’, as the government envisages, this 550 km road project linking Eastern Cape and KwaZulu Natal provinces will act as a game changer to the socio-economic status of the region in a manner beneficial to local people and the nation in general. However, the road project has equally been criticised by several local communities and environmental advocacy groups who suspect the road is associated with controversial titanium mining and its anticipated socio-ecological disasters in the region. Drawing from this conundrum, this study explores intersections of the diverse perceptions of stakeholders on infrastructural provisioning for development purposes in a historically deprived area in South Africa. Using a qualitative research approach in the form of face-to-face interviews with the participants, focus group discussions, secondary data review and observations, the study found that the diverse perceptions of risk and vulnerability have divided the stakeholders into those who support and those who oppose the road project. Most importantly, the study has also found that although there is deep-seated resentment towards the road project among certain grassroots groups, the general view shared among the study communities is nuanced. In other words, there is no ‘hardline collective opposition’ against the road project among local communities. Drawing from these findings, the study recommends that land audit need to be conducted prior to the commencement of infrastructure projects in order to highlight possible tenure blockages. In addition, the study recommends that it is critical for developers and policy makers to recognize the significance of cultural spaces and sacred places for community cultural health. These factors are critical to weigh against the proposed infrastructure developments as they sometimes outweigh the benefits. The study was anchored on the cultural theory of risk perception, which helped to explore the complex interactions between different actors on infrastructural development and environmental policy discourse. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
The impact of public libraries as a transformative factor in human development in the Buffalo City Municipalities
- Ndlovu, Sheron https://orcid.org/0000-0003-4601-9789
- Authors: Ndlovu, Sheron https://orcid.org/0000-0003-4601-9789
- Date: 2022-08
- Subjects: Public libraries , Libraries and society
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23947 , vital:61993
- Description: This study investigated the impact of public libraries as a transformative factor in human development in the Buffalo City Municipalities. Literature revealed that although libraries play a significant role to their clientele, there seems to be challenges of service delivery in public libraries and these are largely due to funding issues. This has led to a general public negative perception that public libraries underperform which may not be necessarily a true reflection of public libraries. The role of the libraries in as far as the transformative factor in human development may be unclear, therefore, the researcher wants to determine the extent of the transformation factor in human development. The study was guided by the following objectives to: examine the impact of public library to its community or patrons in the Buffalo city libraries, find determine whether the library personnel understand their role in transforming the human development, determine the strategies used by public libraries that are transforming the human factor and to establish how the library patrons perceive the role of the public libraries in transforming their lives. A mixed methods approach was used as the research method. Qualitative and quantitative research methods were combined while simple random sampling was adopted to have a wide range of perspectives from library users. Library staff were purposively selected for interviews. A total of 31 people were interviewed, with 6 librarians and 25 library patrons. Out of 250 questionnaires administered, 220 were returned. The study was informed by the Service quality theory (SERVQUAL), Human Capital Theory and the Diffusion of Innovation Theory (DOIT). The DOIT theory was deemed suitable in this kind of research that deals with transformation and development as patrons adopted and adapted to new ideas and practices. The Service Quality theory was useful in this study because it included variables that the researcher felt were most significant for transformation and development to take place in a public library setting. The HCT theory denotes that education and training leads to greater productivity, and it translates into economic returns like high wages and increased Gross Domestic Product (GDP). This theory was relevant in this study because public libraries have an informative role to play as part of its roles as well as an educational role to play to the lives of the people who use the library. When people read at libraries, they are educated. They also improve their literacy levels through reading. Public libraries provide community members with services that are free of charge or cheaper and this helps the library patrons to save economically and transform as well. This process of servicing the needs of patrons is beneficial and continuous. In addition, the findings of this study revealed that library personnel understand their roles and those roles in turn transform the human development, although this is not really conclusive that they understand their roles in the transformation process. They ensure that the library patrons get the services they require and in some instances the library personnel even go beyond their normal duties. However, it must be noted that from the findings the main obstacles hindering libraries to effectively transforming the human development is the issue of funding and insufficient resources, Libraries have assisted in educational investment to the community members through many programmes offered in the public libraries and this assists in educational improvement and productivity in many spheres of life. The study also revealed that the public libraries provide spaces where patrons can hold meetings, discuss study related topics as well as individual studying spaces although, more space is required to avoid overcrowding. Through a number of strategies employed which are also attractive to the library patrons, public libraries transform the human development. Patrons perceive public libraries as extremely useful in transforming their lives as they indicated that the public library transform their lives in many aspects such as providing them with the information they require, learning opportunities, access to gateways of information like the internet and manual books, bridging that poverty gap and provision of literacy skills to the library patrons. It was concluded that public libraries transform the lives of the people in the communities that they serve in different aspects with the different roles and services that they offer to their patronage. In addition, a number of strategies are employed by public libraries so as to attract people into public libraries as well as to fulfil their primary mandate. In their pursuit to employ these strategies, public libraries transform the human development. Librarians with their duties assist the public yet it is unclear if they are fully aware of the role they play in transforming people’s lives. Despite some of the bad attitude exhibited by the librarians, a larger percentage of the librarians display a good attitude when carrying out their duties and assisting the library patrons. Librarians go beyond the call of duty in assisting the patrons and this in turn transform the human development. The researcher made some recommendations as per the findings of the study and these recommendations entail continuous training of the library personnel post their formal qualifications, strengthened collaboration and communication by the three spheres of Government so that the libraries may be better governed, constant awareness drives about public libraries and stable internet connectivity so that access maybe improved. The researcher also recommended the use of social media platforms for communication purposes and announcements as people are now attracted to social media platforms and they can be accessed by most of the library community. A proposed model was developed, and the proposed model is the RPPPP hierarchical model for transformative public libraries. This model was proposed also based on the findings of the research. For a public library to be transformative it must have resources, personnel, patrons, physical space and policies in place hence, the name RPPPP model. RPPPP denotes Resources, patrons, personnel, policy and physical space. Resources are primary to the functioning of any public library, highly skilled personnel as well as patrons as they are the recipients of the public library services, policy is also important so as to give guidance and direction on the issues of governance. In order to adequately serve the needs of the patrons, enough space is needed. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Ndlovu, Sheron https://orcid.org/0000-0003-4601-9789
- Date: 2022-08
- Subjects: Public libraries , Libraries and society
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23947 , vital:61993
- Description: This study investigated the impact of public libraries as a transformative factor in human development in the Buffalo City Municipalities. Literature revealed that although libraries play a significant role to their clientele, there seems to be challenges of service delivery in public libraries and these are largely due to funding issues. This has led to a general public negative perception that public libraries underperform which may not be necessarily a true reflection of public libraries. The role of the libraries in as far as the transformative factor in human development may be unclear, therefore, the researcher wants to determine the extent of the transformation factor in human development. The study was guided by the following objectives to: examine the impact of public library to its community or patrons in the Buffalo city libraries, find determine whether the library personnel understand their role in transforming the human development, determine the strategies used by public libraries that are transforming the human factor and to establish how the library patrons perceive the role of the public libraries in transforming their lives. A mixed methods approach was used as the research method. Qualitative and quantitative research methods were combined while simple random sampling was adopted to have a wide range of perspectives from library users. Library staff were purposively selected for interviews. A total of 31 people were interviewed, with 6 librarians and 25 library patrons. Out of 250 questionnaires administered, 220 were returned. The study was informed by the Service quality theory (SERVQUAL), Human Capital Theory and the Diffusion of Innovation Theory (DOIT). The DOIT theory was deemed suitable in this kind of research that deals with transformation and development as patrons adopted and adapted to new ideas and practices. The Service Quality theory was useful in this study because it included variables that the researcher felt were most significant for transformation and development to take place in a public library setting. The HCT theory denotes that education and training leads to greater productivity, and it translates into economic returns like high wages and increased Gross Domestic Product (GDP). This theory was relevant in this study because public libraries have an informative role to play as part of its roles as well as an educational role to play to the lives of the people who use the library. When people read at libraries, they are educated. They also improve their literacy levels through reading. Public libraries provide community members with services that are free of charge or cheaper and this helps the library patrons to save economically and transform as well. This process of servicing the needs of patrons is beneficial and continuous. In addition, the findings of this study revealed that library personnel understand their roles and those roles in turn transform the human development, although this is not really conclusive that they understand their roles in the transformation process. They ensure that the library patrons get the services they require and in some instances the library personnel even go beyond their normal duties. However, it must be noted that from the findings the main obstacles hindering libraries to effectively transforming the human development is the issue of funding and insufficient resources, Libraries have assisted in educational investment to the community members through many programmes offered in the public libraries and this assists in educational improvement and productivity in many spheres of life. The study also revealed that the public libraries provide spaces where patrons can hold meetings, discuss study related topics as well as individual studying spaces although, more space is required to avoid overcrowding. Through a number of strategies employed which are also attractive to the library patrons, public libraries transform the human development. Patrons perceive public libraries as extremely useful in transforming their lives as they indicated that the public library transform their lives in many aspects such as providing them with the information they require, learning opportunities, access to gateways of information like the internet and manual books, bridging that poverty gap and provision of literacy skills to the library patrons. It was concluded that public libraries transform the lives of the people in the communities that they serve in different aspects with the different roles and services that they offer to their patronage. In addition, a number of strategies are employed by public libraries so as to attract people into public libraries as well as to fulfil their primary mandate. In their pursuit to employ these strategies, public libraries transform the human development. Librarians with their duties assist the public yet it is unclear if they are fully aware of the role they play in transforming people’s lives. Despite some of the bad attitude exhibited by the librarians, a larger percentage of the librarians display a good attitude when carrying out their duties and assisting the library patrons. Librarians go beyond the call of duty in assisting the patrons and this in turn transform the human development. The researcher made some recommendations as per the findings of the study and these recommendations entail continuous training of the library personnel post their formal qualifications, strengthened collaboration and communication by the three spheres of Government so that the libraries may be better governed, constant awareness drives about public libraries and stable internet connectivity so that access maybe improved. The researcher also recommended the use of social media platforms for communication purposes and announcements as people are now attracted to social media platforms and they can be accessed by most of the library community. A proposed model was developed, and the proposed model is the RPPPP hierarchical model for transformative public libraries. This model was proposed also based on the findings of the research. For a public library to be transformative it must have resources, personnel, patrons, physical space and policies in place hence, the name RPPPP model. RPPPP denotes Resources, patrons, personnel, policy and physical space. Resources are primary to the functioning of any public library, highly skilled personnel as well as patrons as they are the recipients of the public library services, policy is also important so as to give guidance and direction on the issues of governance. In order to adequately serve the needs of the patrons, enough space is needed. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
A framework of the situational precursors for electronic medical records adoption in private medical practices in South Africa: the case of private medical practices in Qonce
- Gungqisa, Asiphe https://orcid.org/0000-0002-5333-3058
- Authors: Gungqisa, Asiphe https://orcid.org/0000-0002-5333-3058
- Date: 2022-07
- Subjects: Medical records -- Data processing -- South Africa , Medical technology -- South Africa , Health care reform -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28750 , vital:74909
- Description: The status of the South African healthcare sector appears in perpetual disarray and lacks significant migration to technological adoption. The impetus to migrate to electronic medical records (EMRs) has become a necessity to prepare for the intended delivery of universal healthcare solutions to the South African population via private medical practices. But situational precursors need to be identified and considered when adopting an EMR solution at a private medical practice. This means that healthcare providers must have a thorough understanding and awareness of the various factors that influence the successful adoption of EMRs. There is limited research on the effects of EMR adoption in resourcerestricted regions in developing countries. To this end, the aim of this study was to explore the organisational, technological and environmental factors influencing the adoption of EMRs at private medical practices in a resource-restricted area of South Africa. The area identified for the study was Qonce in the Eastern Cape of South Africa. Methods: The interpretivist perspective guided the study and included the qualitative data gathered from semistructured interviews with carefully chosen medical and administrative personnel. Seven virtual interviews were conducted with nurses and administrative clerks. The thematic analysis method was used to prompt codes and themes within the dataset, and then conclusions were drawn. Findings: The consequence of the findings resulted in the development of an artefact in the form of a proposed framework of situational precursors for EMR adoption in private medical practices derived from the integration of themes and recommendations of this study. The proposed framework may be considered in the decision to adopt EMRs and could be utilised as one of the key drivers in promoting technology adoption in resource-restricted regions. The framework is divided into seven situational precursors, which include patient records management, information sharing, change management, ICT infrastructure support, privacy and security needs, policy and regulatory considerations, and economic implications. Each situational precursor in the framework includes some topical areas of consideration, which can be expanded on dependent on the dynamics of the given private medical practice. Conclusion/implications: Arguably, the benefits of EMRs supersede those of paper-based records systems. Migration to EMRs could therefore be favourable to both the practice and its patients. By taking into consideration the organisational, technological and environmental factors that influence EMR adoption, healthcare providers could reap benefits, such as increased productivity, less waiting times, elimination of paper files, reduced costs, and improved clinical decision-making. Failure to consider these factors could lead to financial losses, threats to the confidentiality of information and lack of acceptance by the community. , Thesis (MCom) -- Faculty of Management and Commerce, 2022
- Full Text:
- Authors: Gungqisa, Asiphe https://orcid.org/0000-0002-5333-3058
- Date: 2022-07
- Subjects: Medical records -- Data processing -- South Africa , Medical technology -- South Africa , Health care reform -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28750 , vital:74909
- Description: The status of the South African healthcare sector appears in perpetual disarray and lacks significant migration to technological adoption. The impetus to migrate to electronic medical records (EMRs) has become a necessity to prepare for the intended delivery of universal healthcare solutions to the South African population via private medical practices. But situational precursors need to be identified and considered when adopting an EMR solution at a private medical practice. This means that healthcare providers must have a thorough understanding and awareness of the various factors that influence the successful adoption of EMRs. There is limited research on the effects of EMR adoption in resourcerestricted regions in developing countries. To this end, the aim of this study was to explore the organisational, technological and environmental factors influencing the adoption of EMRs at private medical practices in a resource-restricted area of South Africa. The area identified for the study was Qonce in the Eastern Cape of South Africa. Methods: The interpretivist perspective guided the study and included the qualitative data gathered from semistructured interviews with carefully chosen medical and administrative personnel. Seven virtual interviews were conducted with nurses and administrative clerks. The thematic analysis method was used to prompt codes and themes within the dataset, and then conclusions were drawn. Findings: The consequence of the findings resulted in the development of an artefact in the form of a proposed framework of situational precursors for EMR adoption in private medical practices derived from the integration of themes and recommendations of this study. The proposed framework may be considered in the decision to adopt EMRs and could be utilised as one of the key drivers in promoting technology adoption in resource-restricted regions. The framework is divided into seven situational precursors, which include patient records management, information sharing, change management, ICT infrastructure support, privacy and security needs, policy and regulatory considerations, and economic implications. Each situational precursor in the framework includes some topical areas of consideration, which can be expanded on dependent on the dynamics of the given private medical practice. Conclusion/implications: Arguably, the benefits of EMRs supersede those of paper-based records systems. Migration to EMRs could therefore be favourable to both the practice and its patients. By taking into consideration the organisational, technological and environmental factors that influence EMR adoption, healthcare providers could reap benefits, such as increased productivity, less waiting times, elimination of paper files, reduced costs, and improved clinical decision-making. Failure to consider these factors could lead to financial losses, threats to the confidentiality of information and lack of acceptance by the community. , Thesis (MCom) -- Faculty of Management and Commerce, 2022
- Full Text:
Colistin utilisation and clinical outcomes at a public hospital in Bloemfontein, South Africa
- Matshediso, Gaalebale Prudence
- Authors: Matshediso, Gaalebale Prudence
- Date: 2022-07
- Subjects: Gram-negative bacteria , Hospital patients
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26929 , vital:66172
- Description: Background Colistin is an antibiotic used as the last resort in the treatment of multi-drug resistant Gram-negative bacteria. Its use started in the 1950s but was decreased in the 1980s owing to its nephrotoxic side effects. The re-emergence of Colistin utilisation in 2012 in South Africa followed the emergence of multi-drug resistant Gram-negative bacteria. There is a dearth of information on the rationale use of Colistin in South Africa. Aim To describe the use of Colistin and its clinical outcomes at a tertiary hospital in Bloemfontein, South Africa. Methodology A retrospective cross-sectional study was conducted at a tertiary hospital in Bloemfontein between 2015 and 2019. Relevant data was extracted from the medical records of patients treated with Colistin. Stratified random sampling was used in selecting 50percent of the eligible medical records of patients treated with Colistin per stratum. Data was analysed using simple descriptive and inferential statistics. Results Of the total sample (N=69), the majority were neonates (43.5percent), while children constituted the lowest number of patients (18.8percent). The highest contributor to the top diagnosis, septicaemia, were neonates (44.2percent). Adherence to policy and Colistin treatment guidelines was suboptimal, more so in neonates (45.3percent) than in adults (73.7percent) and children (72.3percent). Colistin was used as a last resort in 68.1percent of the participants. Cure was achieved in 26.9percent, 46.2percent and 80percent of adults, children and neonates, respectively. The highest rate of nephrotoxicity was seen in adults (57.7percent). In the multivariate logistic regression model analysis, both adults [adjusted odds ratio (AOR)=25.54, 95percent confidence interval (CI) 2.73-238.65] and children (AOR=8.56, 95percentCI 1.06 – 69.10) had a higher risk of death than neonates. However, there was no significant difference in the odds for mortality by gender, co-morbidities, illness duration prior to admission and adherence to treatmen Conclusions This study found a suboptimal level of compliance with policy and recommended guidelines on the use of Colistin in a South African public sector tertiary hospital. In addition, there were variations in the level of compliance by age categories, with lower levels of compliance in neonates than in children and adults. The odds for mortality by gender, co-morbidities, illness duration prior to admission and adherence to treatment guidelines and policies were found to be insignificant, and age was the only predictor of mortality found in the study. The findings of the study highlight the need for improved clinical governance on antibiotic stewardship and monitoring of use of Colistin across all categories of patients in the hospital. Future studies should examine the contributing factors for suboptimal compliance, with evidence-based recommendations on the use of Colistin in the study setting as well as factors contributing to high mortality in adults. , Thesis (MPA) -- Faculty of Health Sciences, 2022
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- Authors: Matshediso, Gaalebale Prudence
- Date: 2022-07
- Subjects: Gram-negative bacteria , Hospital patients
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26929 , vital:66172
- Description: Background Colistin is an antibiotic used as the last resort in the treatment of multi-drug resistant Gram-negative bacteria. Its use started in the 1950s but was decreased in the 1980s owing to its nephrotoxic side effects. The re-emergence of Colistin utilisation in 2012 in South Africa followed the emergence of multi-drug resistant Gram-negative bacteria. There is a dearth of information on the rationale use of Colistin in South Africa. Aim To describe the use of Colistin and its clinical outcomes at a tertiary hospital in Bloemfontein, South Africa. Methodology A retrospective cross-sectional study was conducted at a tertiary hospital in Bloemfontein between 2015 and 2019. Relevant data was extracted from the medical records of patients treated with Colistin. Stratified random sampling was used in selecting 50percent of the eligible medical records of patients treated with Colistin per stratum. Data was analysed using simple descriptive and inferential statistics. Results Of the total sample (N=69), the majority were neonates (43.5percent), while children constituted the lowest number of patients (18.8percent). The highest contributor to the top diagnosis, septicaemia, were neonates (44.2percent). Adherence to policy and Colistin treatment guidelines was suboptimal, more so in neonates (45.3percent) than in adults (73.7percent) and children (72.3percent). Colistin was used as a last resort in 68.1percent of the participants. Cure was achieved in 26.9percent, 46.2percent and 80percent of adults, children and neonates, respectively. The highest rate of nephrotoxicity was seen in adults (57.7percent). In the multivariate logistic regression model analysis, both adults [adjusted odds ratio (AOR)=25.54, 95percent confidence interval (CI) 2.73-238.65] and children (AOR=8.56, 95percentCI 1.06 – 69.10) had a higher risk of death than neonates. However, there was no significant difference in the odds for mortality by gender, co-morbidities, illness duration prior to admission and adherence to treatmen Conclusions This study found a suboptimal level of compliance with policy and recommended guidelines on the use of Colistin in a South African public sector tertiary hospital. In addition, there were variations in the level of compliance by age categories, with lower levels of compliance in neonates than in children and adults. The odds for mortality by gender, co-morbidities, illness duration prior to admission and adherence to treatment guidelines and policies were found to be insignificant, and age was the only predictor of mortality found in the study. The findings of the study highlight the need for improved clinical governance on antibiotic stewardship and monitoring of use of Colistin across all categories of patients in the hospital. Future studies should examine the contributing factors for suboptimal compliance, with evidence-based recommendations on the use of Colistin in the study setting as well as factors contributing to high mortality in adults. , Thesis (MPA) -- Faculty of Health Sciences, 2022
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Implementation of constitutional values and principles in Cecelia Makiwane Hospital in the Eastern Cape Province
- Sigcau, Aviwe https://orcid.org/0000-0002-7409-8544
- Authors: Sigcau, Aviwe https://orcid.org/0000-0002-7409-8544
- Date: 2022-07
- Subjects: Hospitals--Administration , Health services administration--South Africa
- Language: English
- Type: Master'stheses , text
- Identifier: http://hdl.handle.net/10353/23460 , vital:57736
- Description: This study aims to assess the implementation of the constitutional values and principles at Cecilia Makiwane Hospital: promoting professional ethics, efficient, effective, and economical use of resources, fairness, transparency, response to the people’s needs, and good human resources. The Constitutional values and principles champion democratic service in South Africa. It also encourages good governance through hospital employees implementing the Constitutional values and principles. The literature review reveals that there is a gap in the Implementation of the Constitutional values and principles in the hospitals due to the following challenges: many patients are still experiencing violations of their constitutional rights, shortages of drugs in hospitals, lack of equipment, poor infrastructure, corruption, freezing of posts, understaffing. The objectives of the study were: to assess the leadership values at Cecilia Makiwane hospital and determine their alignment with section 195 of the Constitution, to determine the implementation of the constitutional values and principles enshrined in chapter 10 of the Constitution, to examine the working conditions of the hospital, to evaluate the service quality at Cecilia Makiwane hospital., and to recommend measures and strategies that can be implemented to promote efficiency, effectiveness and economical use of resources at Cecilia Makiwane hospital. The study found that the implementation of the constitutional values and principles at Cecilia Makiwane hospital is not satisfactory. The findings show unethical leadership practices, and they put their interests first above the public needs. Regarding good human resources practices, the staff lacks career growth development programs, while promotion opportunities are influenced by nepotism and favouritism. The study recommends that for the hospital to be aligned to the constitutional values and principles, they need to provide training and workshops on the Public Service Code of Conduct, employ social theory for both management and staff, adopt communication strategies and teamwork, improve service impartiality, equity, effective time management performances, collaborative teamwork, accountability, and transparency. , Thesis (MA) -- Faculty of Management and Commerce, 2022
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- Authors: Sigcau, Aviwe https://orcid.org/0000-0002-7409-8544
- Date: 2022-07
- Subjects: Hospitals--Administration , Health services administration--South Africa
- Language: English
- Type: Master'stheses , text
- Identifier: http://hdl.handle.net/10353/23460 , vital:57736
- Description: This study aims to assess the implementation of the constitutional values and principles at Cecilia Makiwane Hospital: promoting professional ethics, efficient, effective, and economical use of resources, fairness, transparency, response to the people’s needs, and good human resources. The Constitutional values and principles champion democratic service in South Africa. It also encourages good governance through hospital employees implementing the Constitutional values and principles. The literature review reveals that there is a gap in the Implementation of the Constitutional values and principles in the hospitals due to the following challenges: many patients are still experiencing violations of their constitutional rights, shortages of drugs in hospitals, lack of equipment, poor infrastructure, corruption, freezing of posts, understaffing. The objectives of the study were: to assess the leadership values at Cecilia Makiwane hospital and determine their alignment with section 195 of the Constitution, to determine the implementation of the constitutional values and principles enshrined in chapter 10 of the Constitution, to examine the working conditions of the hospital, to evaluate the service quality at Cecilia Makiwane hospital., and to recommend measures and strategies that can be implemented to promote efficiency, effectiveness and economical use of resources at Cecilia Makiwane hospital. The study found that the implementation of the constitutional values and principles at Cecilia Makiwane hospital is not satisfactory. The findings show unethical leadership practices, and they put their interests first above the public needs. Regarding good human resources practices, the staff lacks career growth development programs, while promotion opportunities are influenced by nepotism and favouritism. The study recommends that for the hospital to be aligned to the constitutional values and principles, they need to provide training and workshops on the Public Service Code of Conduct, employ social theory for both management and staff, adopt communication strategies and teamwork, improve service impartiality, equity, effective time management performances, collaborative teamwork, accountability, and transparency. , Thesis (MA) -- Faculty of Management and Commerce, 2022
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Infant feeding knowledge, attitudes and practices of mothers in private health facilities in Alice town, Eastern Cape, South Africa
- Authors: Oyeniran, Aderonke Adepeju
- Date: 2022-07
- Subjects: Breastfeeding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23556 , vital:58132
- Description: Background and aim of the study: Within the global field of health education, it is generally accepted that the topic of breast-feeding is a crucial discussion due to its maternal, infant, and communal benefits. However, certain African countries, such as South Africa, experience certain challenges related to both predictive factors and maternal attitudes to breast-feeding. To improve public awareness and promote the implementation of breast-feeding, these factors should be investigated to highlight the importance of this practice among young mothers. Method: The study utilised a cross-sectional survey by means of a self-administered questionnaire, which was completed by the carefully chosen participants. The collected data were then analysed using a statistical package for social sciences (SPSS) (frequency, percentages, mean and standard deviation) and inferential statistics (logistic regression). The level of significance for the inferential statistics was set at 0.05. Results: A total of 377 infant mothers participated in the study with median age of 30. Most infant mothers that participated in the study were well educated with infant mother 189 having a bachelor’s degree. The findings revealed that mothers of 40 years above are 1.51 times more likely not to breastfeed exclusively compared to mothers of less than 40 years of age (95percent CI, 0.75-2.25). The odds ratio of the incidence of decision in breastfeeding for participants with breastfeeding and formula milk was 1.66 (95percent CI, 0.87-2.53). In term of family support, mothers who don’t receive family support were 3.43 times more likely no to breastfeed. The result also revealed that mothers with breast pain were 0.98 more likely not to breastfeed. Conclusion: This study concludes that infant mothers are well informed about breastfeeding. This study also revealed that factors such as infant mothers’ knowledge about breastfeeding, medical health of both mother and infant and cultural norms can go a long way in influencing the decision of mothers to breastfeeding their infant or not. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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- Authors: Oyeniran, Aderonke Adepeju
- Date: 2022-07
- Subjects: Breastfeeding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23556 , vital:58132
- Description: Background and aim of the study: Within the global field of health education, it is generally accepted that the topic of breast-feeding is a crucial discussion due to its maternal, infant, and communal benefits. However, certain African countries, such as South Africa, experience certain challenges related to both predictive factors and maternal attitudes to breast-feeding. To improve public awareness and promote the implementation of breast-feeding, these factors should be investigated to highlight the importance of this practice among young mothers. Method: The study utilised a cross-sectional survey by means of a self-administered questionnaire, which was completed by the carefully chosen participants. The collected data were then analysed using a statistical package for social sciences (SPSS) (frequency, percentages, mean and standard deviation) and inferential statistics (logistic regression). The level of significance for the inferential statistics was set at 0.05. Results: A total of 377 infant mothers participated in the study with median age of 30. Most infant mothers that participated in the study were well educated with infant mother 189 having a bachelor’s degree. The findings revealed that mothers of 40 years above are 1.51 times more likely not to breastfeed exclusively compared to mothers of less than 40 years of age (95percent CI, 0.75-2.25). The odds ratio of the incidence of decision in breastfeeding for participants with breastfeeding and formula milk was 1.66 (95percent CI, 0.87-2.53). In term of family support, mothers who don’t receive family support were 3.43 times more likely no to breastfeed. The result also revealed that mothers with breast pain were 0.98 more likely not to breastfeed. Conclusion: This study concludes that infant mothers are well informed about breastfeeding. This study also revealed that factors such as infant mothers’ knowledge about breastfeeding, medical health of both mother and infant and cultural norms can go a long way in influencing the decision of mothers to breastfeeding their infant or not. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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Infant feeding knowledge, attitudes and practices of mothers in private health facilities in Alice Town, Eastern Cape, South Africa
- Authors: Oyeniran, Aderonke Adepeju
- Date: 2022-07
- Subjects: Infants -- Nutrition , Baby foods , Breastfeeding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27139 , vital:66315
- Description: Background and aim of the study: Within the global field of health education, it is generally accepted that the topic of breast-feeding is a crucial discussion due to its maternal, infant, and communal benefits. However, certain African countries, such as South Africa, experience certain challenges related to both predictive factors and maternal attitudes to breast-feeding. To improve public awareness and promote the implementation of breast-feeding, these factors should be investigated to highlight the importance of this practice among young mothers. Method: The study utilised a cross-sectional survey by means of a self-administered questionnaire, which was completed by the carefully chosen participants. The collected data were then analysed using a statistical package for social sciences (SPSS) (frequency, percentages, mean and standard deviation) and inferential statistics (logistic regression). The level of significance for the inferential statistics was set at 0.05. Results: A total of 377 infant mothers participated in the study with median age of 30. Most infant mothers that participated in the study were well educated with infant mother 189 having a bachelor’s degree. The findings revealed that mothers of 40 years above are 1.51 times more likely not to breastfeed exclusively compared to mothers of less than 40 years of age (95percent CI, 0.75-2.25). The odds ratio of the incidence of decision in breastfeeding for participants with breastfeeding and formula milk was 1.66 (95percent CI, 0.87-2.53). In term of family support, mothers who don’t receive family support were 3.43 times more likely no to breastfeed. The result also revealed that mothers with breast pain were 0.98 more likely not to breastfeed. Conclusion: This study concludes that infant mothers are well informed about breastfeeding. This study also revealed that factors such as infant mothers’ knowledge about breastfeeding, medical health of both mother and infant and cultural norms can go a long way in influencing the decision of mothers to breastfeeding their infant or not. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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- Authors: Oyeniran, Aderonke Adepeju
- Date: 2022-07
- Subjects: Infants -- Nutrition , Baby foods , Breastfeeding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27139 , vital:66315
- Description: Background and aim of the study: Within the global field of health education, it is generally accepted that the topic of breast-feeding is a crucial discussion due to its maternal, infant, and communal benefits. However, certain African countries, such as South Africa, experience certain challenges related to both predictive factors and maternal attitudes to breast-feeding. To improve public awareness and promote the implementation of breast-feeding, these factors should be investigated to highlight the importance of this practice among young mothers. Method: The study utilised a cross-sectional survey by means of a self-administered questionnaire, which was completed by the carefully chosen participants. The collected data were then analysed using a statistical package for social sciences (SPSS) (frequency, percentages, mean and standard deviation) and inferential statistics (logistic regression). The level of significance for the inferential statistics was set at 0.05. Results: A total of 377 infant mothers participated in the study with median age of 30. Most infant mothers that participated in the study were well educated with infant mother 189 having a bachelor’s degree. The findings revealed that mothers of 40 years above are 1.51 times more likely not to breastfeed exclusively compared to mothers of less than 40 years of age (95percent CI, 0.75-2.25). The odds ratio of the incidence of decision in breastfeeding for participants with breastfeeding and formula milk was 1.66 (95percent CI, 0.87-2.53). In term of family support, mothers who don’t receive family support were 3.43 times more likely no to breastfeed. The result also revealed that mothers with breast pain were 0.98 more likely not to breastfeed. Conclusion: This study concludes that infant mothers are well informed about breastfeeding. This study also revealed that factors such as infant mothers’ knowledge about breastfeeding, medical health of both mother and infant and cultural norms can go a long way in influencing the decision of mothers to breastfeeding their infant or not. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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