Anthropometric, physiological and biochemical parameters in relation to perceived stress and lifestyle diseases among correctional services staff in the Amathole Region, Eastern Cape, South Africa
- Authors: Matshikiza, Ondela Innocent https://orcid.org/0000-0002-9326-6697
- Date: 2020-01
- Subjects: Correctional personnel , Lifestyles -- Diseases
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22082 , vital:51981
- Description: Background: The prevalence of overweight and obesity has risen significantly in the past three decades, with marked variations across countries in the levels and trends in overweight and obesity with distinct regional patterns. Physical inactivity has increased in South Africa as the country develops, with increasing urbanization and modernization, technology, and low physical activities at workplaces. Correctional Services staff tend to suffer from chronic diseases such as cardiovascular diseases, type 2 diabetes mellitus, orthopaedic conditions, high cholesterol, overweight, and obesity due to insufficient physical activity engagement. Aims and objectives: The study aimed to assess the anthropometric, physiological, biochemical parameters in relation to stress and lifestyle diseases of correctional services staff in the Amathole region, Eastern Cape, South Africa. Methods: A cross-sectional study was conducted among 81 Correctional Services Staff in the Amathole Region, Eastern Cape, South Africa. The employees' health status, anthropometric, physiological, biochemical parameters, and perceived stress were assessed. Data were analyzed using SPSS version 25.0. Data were expressed as mean +/- SD for quantitative variables or numbers and percentages for categorical variables. An independent sample T-test was used to assess statistical differences between males and female correctional service staff. Pearson correlation was used to determine the relationship strength and linearity of the anthropometric, physiological, and biochemical parameters. A direct logistic regression was employed to predict the indicator variable. Results: The results showed that just over two-thirds (67%) of the participants reported not being ready for exercise. Nearly 94% of the study population were categorized as either overweight, obese, severely obese, or morbidly obese. Approximately three-quarters (74%) of the respondents reported moderate to high- perceived stress levels. Approximately 40% of the population were at risk determined by the Waist to Hip Ratio. Furthermore, waist circumference, 43% and 77% of the study population were categorized as obese, male and female participants, respectively. Over three-quarters, (79%) of the study population were diagnosed with elevated high pressure, stage 1 and 2 hypertension, or a hypertensive crisis. A minimum of 18% and 17.3% of the study population were diagnosed with Pre-diabetic and Type 2 diabetes mellitus, respectively. An analysis of gender group differences showed overweight, obesity, and Body Fat Percentages were prevalent among females. The results further showed a positive increase in abdominal fat accumulation with age; thus, the Weight Circumference of the participants was significantly high. The prevalence of overweight and obesity was common among male and female correctional services staff, with a significantly lower Body Fat Percentage for males compared to females. However, upon further investigation, males' Waist to Hip Ratio was significantly higher than for female correctional services staff. Perceived stress scores for male participants were significantly lower compared to female participants. An analysis of staff member group differences showed that support staff's body fat percentage was significantly lower than top management and middle management groups. There was also a statistical difference in the Waist to Hip Ratio for the three managerial groups. More than three-quarters of the correctional services staff were classified with moderate (65.4%) to highstress levels (8.6%). Direct logistic regression was performed to assess the influence of several independent variables on the likelihood that participants would be classified as Obese. The results indicated that 80.2% of the participants were correctly classified before the model was conducted. Another direct logistic regression analysis was employed to predict stress among Correctional Services Staff found that age made a statistically significant contribution to the model, while the most robust predictor to report high stress was not getting enough exercise. Conclusion: Overweight and obesity are prevalent among Correctional Services Staff, putting them at risk for developing lifestyle-related diseases. Workplace health promotion is significant in preventing non-communicable diseases among Correctional Services Staff to reduce medical costs, increase disability incidents, reduce morbidity, mortality and improve work productivity. The role of physical exercise in the development of stress and decreasing obesity is central to addressing these issues in the workplace. , Thesis (MA) -- Faculty of Health Sciences, Human Movement Science, 2020
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Chemical evaluation, in vitro ruminal dry matter (DM) degradability and ruminal biological activity of common browse tree fruits of Alice
- Authors: Sondzaba, Bavuyise
- Date: 2020-01
- Subjects: Ruminants
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20882 , vital:46695
- Description: The objective of this study was to investigate the effect of species variations on chemical composition and in vitro ruminal degradability of Vachellia karroo, Grewia Occidentalis, Diospyros Lycioides and Ziziphus Mucronata fruits harvested from communally grazed lands in Alice, Eastern Cape Province, South Africa. The browse fruits were collected between February and May and analysed for crude protein (CP), dry matter (DM), ash, neutral detergent fibre (NDF), acid detergent fibre (ADF), organic matter (OM) and acid detergent lignin (ADL), condensed tannins (CT), macro minerals (Calcium (Ca), Magnesium (Mg), Potassium (K), Sodium (Na) and Phosphorus(P)) and micro minerals (Ion (Fe), Zinc (Zn), Manganese (Mn) and Copper (Cu)). There was significant variation (P<0.05) in chemical composition between browse fruits. The CP content differed significantly amongst the browse fruits, but all contained enough to meet the maintenance requirements of ruminants. Fruits from V. Karroo had higher (P<0.05) CP (182.26 g/kg DM), DM (896.50 g/kg DM) and ash (55.60 g/kg DM) contents compared to other browse species, while D. Lycioides fruits had higher (P<0.05) OM (951.60 g/kg DM) content than other browse fruits. Fruits harvested from G. Occidentalis had higher (P<0.05) ADF (513.27 g/kg DM), NDF (577.22 g/kg DM) and ADL (223.20 g/kg DM) content compared to other browse fruits. Fruits from V. Karroo had higher (P<0.05) CT (269.33 g/kg DM) content followed by Z. Mucronata (187.46 g/kg DM), while D. Lycioide (54.22 g/kg DM) and G. Occidentali (66.65 g/kg DM) had the same CT contents (P>0.05). There was a significant variation between browse species in macro and micro mineral contents. Fruits from G. Occindelis (43.93 g/kg DM) and V. Karroo (43.44 g/kg DM) had higher (P<0.05) Ca content compared to Z. Mucronata (24.06 g/kg DM) and D. Lycioides (20.06 g/kg DM). Ziziphus Muronata had higher (P<0.05) P (1.96 g/kg DM) content than other browse fruits. Fruits form V.karroo had higher Mg (4.75 g/kg DM), K (11.50 g/kg DM) and Na 3888 g/kg DM) content compared to other browse species. Fruits from V. Karroo showed significantly higher micro mineral content compared to other species. In terms of dry matter degradability (DMD), incubation time had an apparent effect on degradability of browse fruits except at 4 hours. The DM degradability increased with the increase of time and after 48 hours DMD was found to be satisfactory since it was above the prescribed 40 to 50 percent. However, the presence of condensed tannins had an effect on ruminal degradability of browse fruits. It was concluded that browse fruits have the potential to be used as protein supplements during the dry season since they contain moderate levels of crude protein. However, caution should be taken when feeding these browse fruits since they contain condensed tannins that affect rumen degradability. , Thesis (MSc) (Chemistry) -- University of Fort Hare, 2021
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Cost cutting measures for the maintenance of hospital medical equipment in the Eastern Cape, South Africa
- Authors: Mabentsela, Bonga https://orcid.org/0000-0001-9259-849X
- Date: 2020-01
- Subjects: Finance, Public , Health services administration , Maps
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20094 , vital:45152
- Description: The Eastern Cape Department of Health is located in Bisho, Eastern Cape Province of South Africa and about 88 percent of the EC population is serviced by the public health sector. Most of the facilities are situated in remote areas and for the maintenance of medical equipment they rely on the service of the few private equipment vendors that are situated in two cities, East London and Port Elizabeth and in some instances these vendors are located in Gauteng province. The location of vendors makes it difficult and impossible for these medical equipment vendors to render the acceptable service to the Department. This study was undertaken to systematically study the cost cutting measures of medical equipment department of health, Eastern Cape. A quantitative method approach was used using exploratory and descriptive research design during the 2019-20 financial year (April 2019 to March 2020). The sample for this study was limited to managers who have the ability to provide the information about the acquisition, maintenance and management of medical equipment. The total sample size was 100. The major finding was that outsourcing is not feasible. The respondents preferred insourcing, standardisation of medical equipment and procuring equipment with comprehensive maintenance contracts. The findings from the study were that the Department will cut costs associated with medical equipment if maintenance of medical equipment is in-sourced, equipment is standardized and equipment is procured with maintenance contracts. The study recommended that the Department should revisit some of its medical equipment maintenance strategies and draw up comprehensive interventions to reduce costs associated with maintenance of medical equipment and improve service delivery in the Department. , Thesis (MPA) -- Faculty of Health Science, 2021
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Implication of family therapy in the South African context: a case of New Brighton, Port Elizabeth.
- Authors: Mncono, Noxolo Alicia
- Date: 2020-01
- Subjects: Family psychotherapy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21081 , vital:46969
- Description: The objectivity of this investigation layered on the establishment of the implication of family therapy in the South African context in New Brighton, Port Elizabeth. The aims of the study were (i) To determine the traditional ways of dealing with physical, emotional and psychosocial problems in IsiXhosa speaking communities in New Brighton, Port Elizabeth and, (ii) To explore the influence of traditional beliefs in the process of family therapy amongst IsiXhosa speaking communities in New Brighton, Port Elizabeth. The interest of this study originates from the side lining of the domination of Western European- oriented healing models which tends to question the infiltration of African therapeutic interventions focusing on the Xhosa cultural practices in facing human adversities specifically in New Brighton. A qualitative research design was utilized to collect data through semi-structured interviews, focus group and observation with an aim to justify the above mentioned objectives. The sample size consisted of 16 participants i.e. 11 family elders and 5 traditional healers as a result, data obtained was analysed through thematic analysis. This study investigated the influence of culture on health behaviours of isiXhosa speaking communities through the guidance of the PEN-3 cultural framework by Collins Airhihenbuwa. Furthermore, amaXhosa consult God (through prayer and attending church), ancestors (through rituals and cultural practises), family elders (for advice and guidance) and resort to traditional healers (for physical, emotional, psychological and spiritual problems). Moreover, amaXhosa routinely conduct family meetings consisting of extended families and apply their wisdom and experience in the provision of a solution to family related problems. Based on the overall analysis and identified gaps within this field of study it is recommended that an extensive research should emphasise on ways of the collaboration of African and Western perspectives on psychological counselling. , Thesis (MSoc Sci) (Psychology) -- University of Fort Hare, 2021
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Investigating communal farmer’s perceptions on production practices and evaluating pre-slaughter responsiveness of extensively reared Boran and Nguni steers
- Authors: Guzi, Anelisa https://orcid.org/0000-0001-5568-3396
- Date: 2020-01
- Subjects: Boran cattle , Nguni cattle , Cattle breeds
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22721 , vital:52672
- Description: This study's overall objective was to investigate communal farmers' perceptions on production practices and evaluate pre-slaughter responsiveness of extensively reared Boran and Nguni steers. On objective one farmers’ knowledge and perceptions on cattle breeds, management, and marketing channels in selected villages of Alice, Eastern Cape, South Africa were evaluated. Interviews were conducted using a structured questionnaire divided into demographic information and relevant cattle production practices, following a snowball technique to select 101 cattle-keeping households from Gaga, Ntselamanzi, and Ncerha villages. Most of the interviewed cattle farmers were males (65percent), in the age range of 40-60 years, with a primary-matric educational level. Among others, they highlighted financial security (47percent) and traditional ceremonies (26percent) as the reasons for keeping cattle. Most dominant in their herds were the Boran (49percent) and crossbreds (23percent) reared extensively with some supplementation (nutritional and medicinal). Their breed selection was based on disease and tick tolerance, temperament, and product (milk and meat) quality. It was noted that most of the interviewed cattle owners have the basic knowledge of good management practices, breed differences, and marketing chains. They related to low productivity to diseases, lack of knowledge, and poor resources. On the second objective pre-slaughter blood-based stress indicators and their subsequent effects were evaluated on beef quality of extensively reared Nguni and Boran steers . Twenty steers (10 Nguni and 10 Boran) aged 18 months were divided into two groups (with 5 of each breed per group) and transported from the University of Fort Hare Honeydale farm to the East London abattoir in the morning and afternoon trips. Upon arrival at the abattoir, the steers were held in lairage units for 24 hours (group 1) and 16 hours (group 2) until slaughter. Blood samples were drawn using a needle and vacutainer tubes from each steer's jugular vein at the farm before transportation, upon arrival at the abattoir, and during slaughter to perform cortisol, glucose, and routine haematological analysis. M. longissimus dorsi samples were harvested on the left side of each carcass to measure the meat quality attributes. Interactions between the observed production-stage activities, breeds, and physiological changes of these steers were recognized; with cortisol and glucose increasing (P ≤ 0.05) during transportation (4.15±0.46 ng/mL and 5.35±0.46nmol/L respectively) and also with farm group 1 showing higher cortisol (42.62±14.47 ng/mL) than the second group. Furthermore, all steers that were in slaughter group 1 showed less cortisol (101.49±14.47 ng/mL) and glucose (6.50±14.47 nmol/L) levels than those in group 2. In addition, Boran steers had higher packed cell volume, erythrocyte count, and haemoglobin values (33.27±0.54 percent, 7.66±0.19 106 μL, and 11.15±0.16 g/dl respectively) compared to Nguni steers in all production-stages. Later in the experiment, the effect of breed type, production stage activities (farm handling, transportation, and lairage duration), and stress responsiveness on some meat quality parameters (pH, lightness (L*), redness (a*), yellowness (b*), hue, Chroma, thawing and cooking loss, and tenderness) collected from the steers were measured. It was observed that the group lairaged for 16 hours produced the highest L* value (36.25±0.88) compared to those lairaged for 24 hours. As for the b* and hue of the meat, there were positive interactions between the breed type and the production stages (p<0.05). Lastly, cooking loss and tenderness were significantly affected by the breed type in all groups, with Nguni having the most tender meat (24.06±1.39 percent) and less cooking loss (16.92±1.33 percent) than Boran breeds. Therefore, the production stage conditions and breed type influenced some physiological stress-indicators and meat quality of Boran and Nguni steers raised on natural pastures. However, there were not many differences observed between the groups and breeds. , Thesis (MSc) -- Faculty of Science and Agriculture, 2020
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The effect of marketing capabilities on the competitive advantage of Small Medium and Micro Enterprises in OR Tambo District Municipality, Eastern Cape
- Authors: Mpongwana, Konaye https://orcid.org/0000-0003-4105-1536
- Date: 2020-01
- Subjects: Market segmentation , Marketing -- Management
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20197 , vital:45407
- Description: It is usually understood that the development of technological marketing capabilities by firms provides them with immense opportunities to transform their business practices and strategies, to strategically position themselves in the market and enhance firm performance. The main objective of this study was to determine the effect of marketing capabilities (Intellectual capital, marketing strategy and market orientation) on the competitive advantage of SMMEs. Prior research has that early development of marketing capabilities enables firms to achieve competitive advantage. The issue to be attended to will be to identify the connection between the incorrect marketing capabilities and failure of SMMEs, if there is any. Furthermore, a thorough investigation looking at how the reduction of failure of SMMEs can be realised by investigating the marketing capabilities of SMMEs. Quantitative research approach was used in the study, with a population of 200 SMMEs, the Raosoft calculator is also used to calculate the sample size of 100 SMMEs which were used to collect the primary data of the study. Convenience sampling method was used by the researcher. The findings also revealed that SMMEs adopt new and advanced technologies when marketing their products and services. The study recommends that SMME Owners/ Managers should consider spending a higher proportion of their time and money engaging in activities related to marketing throughout the life of their business. Therefore, it has concluded that effective deployment of marketing capabilities can lead to competitive advantage and greater performance. , Thesis (MCom) -- Faculty of Management and Commerce, 2020
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The effects of exchange rate volatility on manufacturing exports in South Africa
- Authors: Munyu, Yibanati
- Date: 2020-01
- Subjects: Foreign exchange rates
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20208 , vital:45411
- Description: The study examined the effect of exchange rate volatility on manufacturing exports in South Africa utilizing quarterly time series data from 1990 to 2018. Manufacturing exports (MX), foreign income (GDPf), input costs (C01), the real effective exchange rate (REER) and exchange rate volatility (V) were the key parameters. The study employed two alternative measures of exchange rate volatility. The first measure is the moving average standard deviation of the logarithm of the real effective exchange rate (MASDlnREER) based on the raw monthly data of the real effective exchange rate. The second measure is a dummy variable intended to capture the unexpected variation of the exchange rate. The study utilized the Autoregressive Distributed Lag (ARDL) and the Error Correction Method (ECM) to examine the both the long run and short-run relationships. The empirical results revealed that in the long run, the real effective exchange rate volatility measure (MASDlnREER) has a negative and significant effect on manufacturing exports in South Africa. This result suggests that policy makers need to make an effort to moderate, the volatility of the Rand in an attempt to contain the adverse effects on manufacturing exports. , Thesis (MCom) -- Faculty of Management and Commerce, 2020
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The relationship between financial development and economic growth in Eswatini (formerly Swaziland)
- Authors: Fakudze, Siphe-okuhlehttps://orcid.org/0000-0001-7928-5552
- Date: 2019-12
- Subjects: Economic development -- Eswatini , Eswatini -- Economic conditions
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19704 , vital:43170
- Description: The study empirically examined the relationship between financial development and economic growth in Eswatini using quarterly time series data covering the period 1996 to 2018. Auto Regressive Distributed Lag bounds test technique and Granger causality test were used. The ratio of credit to the private sector to economic growth, openness to trade, revealed a positive relationship with economic growth in the long-run and short-run dynamics. Money supply displayed a negative association with real output in the long-run and short-run. Government size as a ratio of GDP highlighted a negative linkage with economic growth in the long-run and temporary positive association in the short-run. The Granger Causality test results displayed unidirectional causality running from financial development to economic growth, supporting the demand following causality hypothesis in Eswatini. The study recommends developing policies aimed at enhancing credit to the private sector to stimulate investment; reprioritise Government expenditure to minimise fiscal gap and support supply side reforms focusing on infrastructure development; control domestic liquidity and develop market securities attractive to the private sector; strengthen trade intensity to bolster growth; and improve regulatory framework to develop the non-bank financial industry. , Thesis (MCom) -- Faculty of Management and Commerce, 2019
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Perceptions of patients about poor attitudes and behaviours of midwives in the maternity sections in a public hospital of East London South Africa
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwifery , Nursing ethics , Nurse and patient
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26918 , vital:66099
- Description: Midwives are largely responsible for maternity care in hospitals. As such, they play a significant role in ensuring the health and well-being of pregnant women and newborn babies. To perform that duty effectively, midwives need to be professional in their conduct. However, there are reports that midwives have displayed poor attitudes and behaviour in South Africa. The main research question was “what are the perceptions of patients about attitudes and behaviours of midwives in the maternity section in a public hospital in East London, South Africa?” The aim of the study was to explore the reasons behind poor attitudes and behaviour of midwives in midwifery practice and suggest interventions that can be introduced to promote professional attitudes and behaviour by midwives in a public hospital in East London. This study used a qualitative approach to collect data. The research instrument that was used for this study was semi-structured interviews. The sample of 20 participants which was purposively selected consisted of women that have used the East London public hospital maternity section. Data was collected using coding and themes emanating from the data generated. Midwives are valued and play a very significant role in providing maternal care. Be that as it may, midwives exhibit poor attitudes and behaviours such as being rude, lack sympathy, and lack of empathy. On the other hand, midwives act professionally and are supportive of patients. There is, therefore, a need for the provision of professional etiquette training services, stress counseling, use of work development strategies and performance management systems, technical training, linkage system of traditional and modern midwives, and the use of internet platforms to increase interaction between midwives and those that need maternity care services. , Thesis (MPA) -- Faculty of Health Sciences, 2019
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Perceptions of patients about poor attitudes and behaviours of midwives in the maternity sections in a public hospital of East London South Africa
- Authors: Lawrence, N W
- Date: 2019-11
- Subjects: Midwives , Maternity nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23521 , vital:58085
- Description: Midwives are largely responsible for maternity care in hospitals. As such, they play a significant role in ensuring the health and well-being of pregnant women and newborn babies. To perform that duty effectively, midwives need to be professional in their conduct. However, there are reports that midwives have displayed poor attitudes and behaviour in South Africa. The main research question was “what are the perceptions of patients about attitudes and behaviours of midwives in the maternity section in a public hospital in East London, South Africa?” The aim of the study was to explore the reasons behind poor attitudes and behaviour of midwives in midwifery practice and suggest interventions that can be introduced to promote professional attitudes and behaviour by midwives in a public hospital in East London. This study used a qualitative approach to collect data. The research instrument that was used for this study was semi-structured interviews. The sample of 20 participants which was purposively selected consisted of women that have used the East London public hospital maternity section. Data was collected using coding and themes emanating from the data generated. Midwives are valued and play a very significant role in providing maternal care. Be that as it may, midwives exhibit poor attitudes and behaviours such as being rude, lack sympathy, and lack of empathy. On the other hand, midwives act professionally and are supportive of patients. There is, therefore, a need for the provision of professional etiquette training services, stress counseling, use of work development strategies and performance management systems, technical training, linkage system of traditional and modern midwives, and the use of internet platforms to increase interaction between midwives and those that need maternity care services. , Thesis (MPH) -- Faculty of Health Sciences, 2019
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The Effect of training and development on employee performance in the Buffalo City Municipality in the Eastern Cape of South Africa
- Authors: Adom, Richard Kwame
- Date: 2019-09
- Subjects: Employees -- Training of , Performance -- Management , Employees -- Rating of
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20153 , vital:45377
- Description: Training and development are regarded as significant tools for any organisation to achieve the target goals and objectives. These goals and objectives are heavily and highly dependent on its workforce. In the literature, it is well documented that many organisations invest in employees’ training and development to enhance their performance and the growth of the organisation. Many organisations, however, including the Buffalo City Municipality, regard training and staff development as needless expenditure, and always do little, or make no effort to improve employees’ technical know-how. Such actions incapacitate staff to adapt to the ever-changing working environment and rapid technological innovation. This study employed purposive sampling technique to draw a sample of 70 employees from a total of 150, through structured interviews and a self-administered questionnaire, to examine the effect of training and development on employees’ performance in the Buffalo City Municipality, situated in the Eastern Cape of South Africa. The findings of the study generally revealed that training and development does not only increase employees’ performance, but assists in developing the overall personality of employees by making them more productive through building their senses of teamwork, boosting the attitude of staff which is the most critical component in attaining profit, and developing a cordial relationship and connectivity between management and the workforce. The study, therefore, recommended that the municipality, as a matter of urgency, earmarks a certain percentage of its resources for employees training and development, based on identified skills gaps to sharpen employees’ skills, competencies, capabilities and technical know-how, to capacitate them to cope with the ever-changing working environment and innovations, and to enhance their motivation, satisfaction and performance. , Thesis (MPA) -- Faculty of Management and Commerce, 2019
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Treatment adherence among tuberculosis patients in Nelson Mandela District, Eastern Cape Province
- Authors: Sohuma, Ntombifikile
- Date: 2019-09
- Subjects: Patient compliance , Tuberculosis -- Patients , Tuberculosis -- Mortality
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22957 , vital:53254
- Description: Tuberculosis (TB) morbidity and mortality rates remain high globally and are even higher in Africa. The key factor that continues to drive the burden of disease is poor compliance / adherence to treatment regimens. This study aimed to identify determinants that continue to drive poor treatment adherence among low-income communities in South Africa. Methods A cross-sectional survey was conducted, drawing on TB patients who were defaulting on treatment. An assessment tool with several socio-economic and disease-related determinants was administered to participants. Data was entered into MS Excel and analysed in SPSS version 24. Results Regarding health services factors generally, all participants agreed that health service delivery was conducted in a conducive environment and that facilities were reasonably close to their places of residence. Participants demonstrated that health workers do not provide adequate information regarding medications that patients receive. Of patients cited, 11percent indicated that they stopped medications owing to health services. When questioned, participants reported that health workers shouted at them for coming late (e.g. after lunch) and that waiting times were very long. Approximately 85percent of the study participants were more likely to adhere poorly to TB medication owing to various factors such as comorbidities and personal perceptions of wellbeing / health status. Comorbidities are high among patients, with 58percent taking other medication while on TB treatment. Self-prognosis on wellbeing is significantly high, and 44percent reported a tendency to stop medication when they were seemingly in recovery. The unemployment rate among respondents was 78percent, with limited education: 69percent had below matric. Of the respondents, 40percent showed an unsatisfactory perception of their social and economic life, 55percent were somewhat satisfied and only 5percent were very satisfied. These indicators constitute a highly vulnerable community that depends heavily on subsidised healthcare from the state. Adherence to TB treatment is mainly influenced by poverty, the health service provider–patient relationship and perceived stigma. Limited family support was noted towards the treatment of patients. , Thesis (MPH) -- Faculty of Health Sciences, 2019
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Perceptions of the community members on agriculture as a poverty alleviation strategy: a case study of tamara administrative area
- Authors: Nqana, Bongani https://orcid.org/0009-0005-5074-4862
- Date: 2019-06
- Subjects: Poverty -- Prevention , Community-supported agriculture , Community development
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26951 , vital:66205
- Description: This study is conducted to address the perceptions, opinions, and feelings of rural community members with regard to agriculture as poverty alleviation strategy at Tamarha Administrative area, Eastern Cape, South Africa. The study intended to uncover the community members feelings, reactions, opinions they might be having as the area is no longer relying on agriculture as their source of income as well as their poverty alleviation strategy as well as the impact it is having on their everyday life. Lastly, the study sought to examine support services rendered by the professionals working directly with communities to ensure development in rural areas. The researcher adopted both qualitative and quantitative research methods. Purposive and snowball sampling was employed to recruit 20 community members from Tamarha Administrative area. The age of the community members was between 25 and 65. In addition, purposive sampling was adopted to recruit six professionals who are directly working in developing community members. Data was collected using face-to-face, semistructured individual interviews, one interview per research participant, and using one focus group discussion with professionals working with. Regarding quantitative method, the researcher has utilized questionnaires to collect data The researcher analysed data through thematic content analysis for qualitative method as well as SSPS for quantitative method. The study findings indicate that youth are not interested in agriculture and only elders who have been involved in agriculture that are seeing the value and importance of using agriculture again. Majority of the community members especially (elders) are seeing agriculture as poverty alleviation strategy, and that they have benefited a lot from agriculture as most people were working and had income. There were few youths who were not working nor schooling and there was low rate of crime and low rate of drug abuse. The youth seemingly are having different perception and opinions about agriculture as they are not familiar with the system. The recommendations from the findings that there should be continuous empowerment in skills development from professionals working with agriculture. The government departments who are directly funding the agricultural projects, should monitor and evaluate the projects to ensure sustainability to the agricultural projects. The youth should be encouraged to use the resources that are available within the community. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2019
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Investigating grade 6 teachers’ views and practices regarding creating an intellectually safe classroom environment
- Authors: Damana, Yanga
- Date: 2019-05
- Subjects: Classroom environment , Classroom management
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19947 , vital:44808
- Description: An intellectually safe classroom (ISC) is essential for teaching and learning to occur. The aim of this study was to investigate Grade 6 teachers’ views and practices regarding the creation of intellectually safe classroom environments. The paradigm that was used in the study was the interpretive paradigm and the research approach was qualitative. A case study design was used. Three Mdantsane primary schools was purposively selected and two Grade 6 teachers from each school were the participants. Semi structured interviews and observations were used to collect data. The research found that participants are cognizant of the need to develop ISC. They define ISC as a classroom that is both emotionally and physically safe for learning to occur. The participants are very conversant with the benefits of ISC. Most of the teachers purposefully tried to implement ISC. This included the establishment of classroom rules, and they acknowledged the role that the teacher plays in setting up an ISC and the manner in which they establish trust and co-operation within their classrooms. However, they are often constrained in their implementation of ISC by their own teaching styles and by factors outside of their control. This emphasised the pivotal role that teachers have in the establishment of an ISC. It is recommended that ISC be implemented in all classrooms with the entire school community working together to do so. , Thesis (MEd) -- Faculty of Education, 2019
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Experiences of midwives regarding the use of pharmacological and non-pharmacological labour pain interventions in Lejweleputswa district in Free State
- Authors: Parkies, Limakatso Elizabeth
- Date: 2019
- Subjects: Anesthesia in obstetrics , Labor (Obstetrics) , Pain -- Treatment
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27187 , vital:66387
- Description: Due to the disabling effects of severe labour pains, labour pain management remains an important topic in midwifery and needs to be reviewed more often. According to studies, various pain relief options, both pharmacological and non-pharmacological, are available to help women cope with pain, but midwives did not employ these techniques adequately because of various experiences. Studies further indicate that, though the limited number of these techniques were employed they were not effective on some women. Thus, the purpose of this research study was to explore and describe midwives’ experiences on pharmacological and non-pharmacological labour pain management in the Lejweleputswa District of the Free State Province. This study employed a qualitative, descriptive, explorative, and contextual design. A purposive sampling technique was used to select the participants. The target population was midwives who work in the maternity wards of the institutions under study with three to five years’ experience in midwifery. Individual, face-face, semi-structured interviews were conducted; these were recorded for the researcher’s reference purposes, so as not to overlook important information. In addition, the researcher made use of field notes, recording in them what was heard, observed, felt, experienced, and thought during the interview. Ethical principles and trustworthiness were maintained throughout this study. Data analysis was done using Tesch’s approach to open coding in qualitative research. Confidentiality and anonymity were ensured throughout the interviews. The nine themes and 19 sub-themes that emerged during data analysis were discussed comprehensively. The findings indicate that midwives use both pharmacological and non-pharmacological methods in managing labour pain. Some methods are effective in relieving pain for certain mothers, while other methods proved ineffective. Midwives administer Pethidine and Phenergan as per doctors’ prescription; non-pharmacological methods, such as back massage, deep breathing exercises, mobilisation, and warm baths or showers are also employed. Midwives provide pharmacological methods to all women in labour, and routinely employ non-pharmacological methods. Although the midwives are willing to manage patients’ pain, they face certain challenges, such as shortage of staff, increased workload, as well as inadequate resources. This leads to inadequate provision of non-pharmacological care. In conclusion, the midwives’ experiences were that both pharmacological and non-pharmacological techniques were used for all labouring women and they had relaxing and calming effects on some women, resulting to them giving birth with ease, although for some they were not effective. In addition, the pharmacological interventions caused drowsiness to some women and babies. The findings will provide evidence-based information to the Free State Department of Health in order to assist policymakers and stakeholders in initiating and developing appropriate policies, guidelines, and interventions that can improve labour pain management. The Free State Department of Health should consider using other opioids and non-opioids in managing labour pain to broaden the scope of pain relief methods available to the midwives. , Thesis (MPH) -- Faculty of Health Sciences, 2019
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Factors to improve data quality of electronic medical records
- Authors: Makeleni, Noloyiso Anele
- Date: 2019
- Subjects: Electronic records , Medical records -- Management , Medical records -- Data processing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19881 , vital:43618
- Description: Electronic Medical Record (EMR) systems have been identified as having the potential to improve health care and allow the health care sector to reap a number of benefits when implemented successfully. These benefits include enabling quick and easy access to patient files and also reducing the problem of misplaced or lost patient files. Such EMRs allow for patient records to be up to date, provided that health care practitioners capture standard and consistent data in the relevant fields. In Africa, there are only a few countries that have successfully implemented EMR systems due to social and technological challenges. Social factors include lack of computer skilled health workers, lack of adequate training, physician’s resistance to shift from using paper records to electronic records, either due to complex systems or the fear of being replaced by the systems. On the other hand, the technological factors include lack of Information Technology (IT) and clinical resources, lack of internet access, financial barriers to purchase the necessary technological hardware and implementation costs. A few South African health care institutions have implemented EMR systems, however, most of the public health care facilities still make use of a manual system to capture patient information. In the case where public health care facilities do have an EMR system implemented, there are problems with the consistency of the data that is captured. The inconsistency is caused by the different understandings that the health care professionals have regarding the importance of capturing the necessary information that is collected at various points in health care institutions, thus affecting data quality. For the successful implementation and use of EMR systems, everything within the health care organisation should be integrated. In other words, the steering committee and workgroup, the equipment, the product, the processes, the system and the facility design and construction should be incorporated to work together. The common problems identified in literature regarding data quality in EMRs include misspelled words, inconsistent word strings, inaccurate information entered on the record and incompleteness of the record. These problems lead to poor quality information, lack of accessibility of the record, poorly organised notes and inaccurate information about the patient. The South African strategy aims to implement a National Health Insurance (NHI) which will provide citizens with equitable access to health care. For the successful implementation of the NHI strategy, South African health care sectors should address the barriers which were identified and learn from other African countries that have successfully implemented EMR systems and had positive outcomes. Therefore, this study investigates how data quality can be improved on electronic medical records in public health care in South Africa? The qualitative research methodology approach was used for this study. Interviews were conducted with eight health care professionals at Klerksdorp, in the North West province to obtain data regarding the factors they would deem important for the improvement of data quality in EMRs. The Data Quality Framework (DQF) was applied in this study and six dimensions were identified as the factors to improve data quality. These dimensions include completeness, accuracy, consistency, conformity, timeliness, and integrity. From the analysis of the interview responses, it was discovered that there were, in fact, data quality issues experienced at the public health care facilities of South Africa. A need was identified for the use of data quality assessment tools and solutions to address the data quality issues or challenges that health care practitioners are faced with during their daily jobs. Seven barriers were also identified as having an impact on the successful implementation of EMRs at health care institutions. These barriers, together with the data quality issues, influence the successful use of EMRs and should not be overlooked. From these barriers the study developed seven Critical Success Factors which can be used by the National Department of Health to improve the quality of EMRs. , Thesis (MCom) -- Faculty of Management and Commerce, 2019
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The role of local economic development in the empowerment of women in rural areas : the case of Makana Municipality
- Authors: Hani, Nomkita Octavia
- Date: 2019
- Subjects: Economic development , Women in development
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19772 , vital:43237
- Description: The aim of the study was to explore the role of Local economic development (LED) in empowering rural women in Makana Municipally. The researcher intended to achieve the following objectives (i) to assess the role of LED among the rural women of Makana Municipality in strengthening economic development ii) to explore the LED challenges confronted by the community and the municipality in the implementation of economic empowerment programs that will create economic opportunities for rural women iii) to identify the way forward in enhancing the LED strategy to empower rural women to enable them participate in economic programs of the local Municipality that will benefit them and the community. The study adopted a qualitative approach and purposive sampling methods which were used to select samples for the study. Open ended questions were used in face to face interviews and focus groups to collect data in Makana Municipality. The study findings indicated that while women are part LED activities in the Makana municipality, the benefits that accrue to them are still minimal and trickling down to very few of them because of egoism and nepotism, corruption and crime, favouritism and poor communication. There is a great need for interventions requiring regular visits from LED officials and provision of educational programs in the local language, to enable the women to have a clear understanding of the benefits that accrue to them from LED projects, notwithstanding the opportunities open to them for participation. The study then proposed recommendations to empower women which include making resources available for their empowerment, such as, the provision of skill development programs, knowledge and information distribution, reviewing of the LED policy, infrastructure development and access to markets. , Thesis (MCom) -- Faculty of Management and Commerce, 2019
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A critical examination of the regulation of fixed term employment services under South African Labour Laws
- Authors: Faku, Xolisa
- Date: 2018-12
- Subjects: Labor laws and legislation , Labor contract , Industrial relations
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23034 , vital:55101
- Description: South Africa is the most unequal society on the planet, overwhelming Brazil, with a critical increment in wage inequalities. In a quest to reduce unemployment, this research is at the focal point of our nation's activity emergency. In any case, there ought to be components to ensure representation against oppressive work rehearses. The Labour Relations Act denoted a noteworthy change in South Africa's statutory modern relations framework. Following the progress to political majority rule government, the LRA embodied the new government's means to remake and democratize the economy and society as connected in the work relations field. Specifically, it presented new organizations went for giving managers and labourers a chance to break with the serious adversarialism that portrayed their relations before. In extending the equitable change, the Labour Relations Act which offered ascend to the foundation of the National Economic Development and Labour Council (NEDLAC) appeared on 18 February 1995, in an offer to add authenticity and straightforwardness to the financial basic leadership process. This research will investigate the law representing fixed term employment in South Africa. It will further give an investigation of the legitimate framework of fixed term representative keeping in mind the end goal to decide if it advances not too bad work in South Africa. This investigation intends to call attention to any substantive and procedural imperfections that might be accessible in the law. The study will likewise be taking the potential lessons which can be gained from different nations with comparative Fixed-term work challenges i.e. Namibia. This implies the examination will survey the current zone of law and propose an alternate approach. This will be finished by investigating important case law and enactments which secure settled term business. In certainty, the investigation intends to give new point of view regarding the matter of fixed term work and proffer a few changes to the law. , Thesis (MA) -- Faculty of Law, 2018
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An anthropological investigation into the challenges that affect Xhosa traditional circumcision: a case of Mngqesha Village, Buffalo City Metropolitan Municipality
- Authors: Qegu, Mzukisi
- Date: 2018-06
- Subjects: Circumcision , Xhosa (African people)
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26683 , vital:65851
- Description: The purpose of this study is to investigate the challenges that affect Xhosa traditional circumcision in Mngqesha village. Mngqesha village is situated in Dimbaza, Eastern Cape Province, Republic of South Africa. The study population employed random and purposive sampling to draw a representative sample of 25 research informants traditional leaders, traditional surgeons, traditional nurses, Initiates, elders of the community and Department of Health officials, each group was represented by five research informants from the population of this study. This study employed a mixed research approach. Questionnaires were distributed amongst research informants for quantitative purposes, and interviews were conducted for qualitative purposes, among the selected representative sample. Qualitative data was analyzed using thematic analysis and was used to substantiate quantitative findings. The findings of this study prolonged on how injuries, diseases and high death rates of initiates affect Xhosa Traditional Circumcision in Mngqesha village. The findings of this study divulge that carelessness amongst parents of initiates, dehydration, physical abuse and lack of proper screening of initiates have a tremendous contribution to injuries, diseases and high death rates of initiates in Mngqesha villages. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2018
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Records management by the Wesley community small-scale farmers in the Ngqushwa Municipality of the Eastern Cape
- Authors: Ncanywa, Ziyanda https://orcid.org/0000-0001-5075-7448
- Date: 2018-05
- Subjects: Records -- Management , Farms, Small
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/25305 , vital:64142
- Description: The study sought to investigate records management programmes by small-scale farmers, focussing on small-scale farmers in Wesley Community in Eastern Cape South Africa. The objectives of the study were to: Determine the types of records kept by small-scale farmers in Wesley Community; Assess records the records management practices used by small-scale farmers in Wesley Community; Find out the benefits of managing farm records by small-scale farmers in Wesley Community; and Identify the constraints small-scale farmers in Wesley Community encounter in the management of their farm records. This study adopted both qualitative and quantitative research approaches. The researcher followed a methodological path that began with a thorough literature review and a careful and thoughtful posing of research questions and objectives. A sample of Wesley Community small-scale farmers was chosen using both convenience and snowball sampling where available and willing farmers were interviewed using questionnaires and in-depth interviews. Collected data were analysed using Microsoft Excel 2010. The study found that an encouraging number of small-scale farmers keep records. The records kept by small-scale farmers, however, some of them are not organised or being kept in a systematic way. Small-scale farmers do find record keeping very beneficial and are interested in keeping more records. Illiteracy and low self-esteem proved to be constraints when it comes to small-scale farmers’ records keeping and management. It was concluded that small-scale farmers do keep records. The manner in which the records are kept is mostly systematic. There a benefits of keeping records for farmers even though small-scale farmers face a few constrains when it comes to record keeping. From the findings it is recommended that: the government offer basic education classes for small-scale farmers, records management awards to motivate small-scale farmers and records management training for small-scale farmers. , Thesis (MLIS) -- Faculty of Social Sciences and Humanities, 2018
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