A Critical Assessment of the Legal and Policy Frameworks for Combating Child Trafficking in the Southern African Development Community
- Muvhevhi, Roseline Rumbidzai https://orcid.org/0009-0006-1024-5548
- Authors: Muvhevhi, Roseline Rumbidzai https://orcid.org/0009-0006-1024-5548
- Date: 2022-09
- Subjects: Child trafficking -- Law and legislation -- Africa, Southern , Child welfare -- Africa, Southern
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/26728 , vital:65969
- Description: Child trafficking is a longstanding problem which affects victims and communities in various ways and therefore requires stern action both at the global and regional level. In the Southern African Development Community (SADC) region, the crime is closely connected to the existing socio-economic challenges such as poverty; underdevelopment; lack of equal economic opportunities; HIV/AIDS; and human rights violations. As a result, SADC States are fertile sources, transit zones and destinations for child trafficking. It is internationally recognised that it is States such as those in the SADC region that require a comprehensive approach to prevent and prosecute the crime while simultaneously ensuring victim protection. To this effect, the Protocol to Prevent, Suppress and Punish Trafficking in Persons Especially Women and Children is the primary instrument that seeks to provide such a comprehensive approach to child trafficking. Therefore, the current regional and national responses to child trafficking in most SADC States, are influenced by this Protocol. Despite these legislative and policy efforts to combat the crime, statistics show that in recent years child trafficking has been rapidly increasing in SADC. Thus, this research seeks to investigate why child trafficking remains prevalent in the region despite a plethora of measures against the crime. The research, therefore, assesses the effectiveness of the legal and policy measures taken by the SADC States to combat child trafficking using a qualitative approach involving analysis and interpretation of relevant legislation and policies. The primary focus is on the Trafficking Protocol as the main child trafficking instrument at the international level. The role of non-child trafficking instruments in the absence of a community instrument against the crime in SADC is also analysed. This research observes that the increasing child trafficking problem in the region is not mainly because of a lack of adequate legislation or policies but the lack of effective implementation of measures. Without a regional comprehensive and coordinated implementation approach, these measures remain weak and inadequate to fully combat child trafficking in the region. To this end, numerous legislative, policy, institutional and operational reform mechanisms to strengthen the subsisting measures against child trafficking in the region and areas for further research are recommended. , Thesis (LLD) -- Faculty of Law, 2022
- Full Text:
- Authors: Muvhevhi, Roseline Rumbidzai https://orcid.org/0009-0006-1024-5548
- Date: 2022-09
- Subjects: Child trafficking -- Law and legislation -- Africa, Southern , Child welfare -- Africa, Southern
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/26728 , vital:65969
- Description: Child trafficking is a longstanding problem which affects victims and communities in various ways and therefore requires stern action both at the global and regional level. In the Southern African Development Community (SADC) region, the crime is closely connected to the existing socio-economic challenges such as poverty; underdevelopment; lack of equal economic opportunities; HIV/AIDS; and human rights violations. As a result, SADC States are fertile sources, transit zones and destinations for child trafficking. It is internationally recognised that it is States such as those in the SADC region that require a comprehensive approach to prevent and prosecute the crime while simultaneously ensuring victim protection. To this effect, the Protocol to Prevent, Suppress and Punish Trafficking in Persons Especially Women and Children is the primary instrument that seeks to provide such a comprehensive approach to child trafficking. Therefore, the current regional and national responses to child trafficking in most SADC States, are influenced by this Protocol. Despite these legislative and policy efforts to combat the crime, statistics show that in recent years child trafficking has been rapidly increasing in SADC. Thus, this research seeks to investigate why child trafficking remains prevalent in the region despite a plethora of measures against the crime. The research, therefore, assesses the effectiveness of the legal and policy measures taken by the SADC States to combat child trafficking using a qualitative approach involving analysis and interpretation of relevant legislation and policies. The primary focus is on the Trafficking Protocol as the main child trafficking instrument at the international level. The role of non-child trafficking instruments in the absence of a community instrument against the crime in SADC is also analysed. This research observes that the increasing child trafficking problem in the region is not mainly because of a lack of adequate legislation or policies but the lack of effective implementation of measures. Without a regional comprehensive and coordinated implementation approach, these measures remain weak and inadequate to fully combat child trafficking in the region. To this end, numerous legislative, policy, institutional and operational reform mechanisms to strengthen the subsisting measures against child trafficking in the region and areas for further research are recommended. , Thesis (LLD) -- Faculty of Law, 2022
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Analysis of early-phase contact tracing during the coronavirus disease 2019 outbreak in Mangaung Metro, Free State
- Monyobo, Priscilla Kesaletseng
- Authors: Monyobo, Priscilla Kesaletseng
- Date: 2022-09
- Subjects: COVID-19 (Disease) , Contact tracing (Epidemiology) , Public health
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23533 , vital:58105
- Description: Background and Aim Contact tracing is a critical public health measure for controlling and preventing the spread of infectious diseases. Although the principles underlying this strategy are not novel, understanding the changes in infectiousness of COVID-19 is indeed novel. As are the capacity and operating procedures required to support disease investigation in Mangang Metro during the SARS-CoV-2 (COVID-19) pandemic. On 16 March 2020, the first coronavirus disease case in the area, which led to a larger outbreak, occurred in Mangaung Metro, Free State province, South Africa. To date, Mangaung Metro remains the epicentre of the COVID-19 pandemic and the primary driver of the caseload in the Free State province. The aim of this study was to analyse contact tracing data in Mangaung Metro during the early phase of the COVID-19 outbreak (16 March 2020 – 30 June 2020) in order to measure the viral transmissibility of COVID-19 in the early stages of the outbreak, specifically in the context of Mangaung Metro. Methods A descriptive systematic analysis of index COVID-19 cases and their contacts in Mangaung Metro was conducted. The review period ran from 16 March to 30 June 2020, during which there was a total of 1 001 cases in Mangaung Metro. Data was captured on an Excel spreadsheet using the contact line list variables from the established National Institute of Communicable Disease contact line list framework. The inferential statistics were based on a time series analysis to compare the impact of contact tracing stratified by symptomatology and the root cause of the cases to the overall cases in Mangaung Metro. The study determined whether isolation, quarantine, and contact tracing were able to control outbreaks in the early phase using characteristics of disease transmission and parameters particularised to the COVID- 19 pathogen. Results As of 30 June 2020, the Free State province had a total of 2 072 COVID-19 cases. Mangaung Metro contributed 1 001 cases (48percent) of the total number of cases in the study period. Between March and June 2020, 3 553 contacts were traced in Mangaung Metro. This number translates to at least three investigated and traced contacts per index or laboratory confirmed positive case. From the traced contacts, 1 080 samples were collected and sent for laboratory testing. In April 2020, the greatest number of samples were collected. This high rate in sample collection is posited to be the result of the high rate of contacts traced, as well as the initial clinical guidelines followed for contact tracing. Most positive contacts were discovered in March 2020. One of the possible reasons for the high detection of COVID-19 confirmed positive contacts during the early stages of the outbreak was the focus and importance of contact tracing while the caseload remained relatively low. However, as the outbreak progressed in the Mangaung Metro context, the number and relative percentage of positive cases detected through contact tracing decreased. In total, the positive contacts recorded in March 2020 amounted to 92 (51.3percent), 18 in April (10.5percent), 41 in May (22.9percent), and 28 in June (15.6percent). The March 2020 tracking rate was the highest at 73.2percent, with an average contact tracing rate of 15.5percentby the end of June 2020. Of all the contacts traced, 7.9percent involved healthcare workers in the Free State. Conclusion The study’s findings show that contact tracing was an effective control measure during the early stages of the COVID-19 outbreak in Mangung Metro district. Furthermore, the impact was greatest when the caseload was low and the burden on the healthcare system less severe. Mangaung Metro demonstrated the capability of tracing more contacts in the early-early phase of the outbreak; however, as the outbreak progressed to the latent early phase, the caseload increased and fewer contacts were traced. The consequence of contact tracing not being as effective during the latent early phase relates to the increase in both exposed and untraceable contacts, which in turn fueled the increase of new cases. This further impacted the at-risk and vulnerable population, especially the elderly, who were at an increased risk if not traced in a timely manner, possibly resulting in mortality. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Authors: Monyobo, Priscilla Kesaletseng
- Date: 2022-09
- Subjects: COVID-19 (Disease) , Contact tracing (Epidemiology) , Public health
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23533 , vital:58105
- Description: Background and Aim Contact tracing is a critical public health measure for controlling and preventing the spread of infectious diseases. Although the principles underlying this strategy are not novel, understanding the changes in infectiousness of COVID-19 is indeed novel. As are the capacity and operating procedures required to support disease investigation in Mangang Metro during the SARS-CoV-2 (COVID-19) pandemic. On 16 March 2020, the first coronavirus disease case in the area, which led to a larger outbreak, occurred in Mangaung Metro, Free State province, South Africa. To date, Mangaung Metro remains the epicentre of the COVID-19 pandemic and the primary driver of the caseload in the Free State province. The aim of this study was to analyse contact tracing data in Mangaung Metro during the early phase of the COVID-19 outbreak (16 March 2020 – 30 June 2020) in order to measure the viral transmissibility of COVID-19 in the early stages of the outbreak, specifically in the context of Mangaung Metro. Methods A descriptive systematic analysis of index COVID-19 cases and their contacts in Mangaung Metro was conducted. The review period ran from 16 March to 30 June 2020, during which there was a total of 1 001 cases in Mangaung Metro. Data was captured on an Excel spreadsheet using the contact line list variables from the established National Institute of Communicable Disease contact line list framework. The inferential statistics were based on a time series analysis to compare the impact of contact tracing stratified by symptomatology and the root cause of the cases to the overall cases in Mangaung Metro. The study determined whether isolation, quarantine, and contact tracing were able to control outbreaks in the early phase using characteristics of disease transmission and parameters particularised to the COVID- 19 pathogen. Results As of 30 June 2020, the Free State province had a total of 2 072 COVID-19 cases. Mangaung Metro contributed 1 001 cases (48percent) of the total number of cases in the study period. Between March and June 2020, 3 553 contacts were traced in Mangaung Metro. This number translates to at least three investigated and traced contacts per index or laboratory confirmed positive case. From the traced contacts, 1 080 samples were collected and sent for laboratory testing. In April 2020, the greatest number of samples were collected. This high rate in sample collection is posited to be the result of the high rate of contacts traced, as well as the initial clinical guidelines followed for contact tracing. Most positive contacts were discovered in March 2020. One of the possible reasons for the high detection of COVID-19 confirmed positive contacts during the early stages of the outbreak was the focus and importance of contact tracing while the caseload remained relatively low. However, as the outbreak progressed in the Mangaung Metro context, the number and relative percentage of positive cases detected through contact tracing decreased. In total, the positive contacts recorded in March 2020 amounted to 92 (51.3percent), 18 in April (10.5percent), 41 in May (22.9percent), and 28 in June (15.6percent). The March 2020 tracking rate was the highest at 73.2percent, with an average contact tracing rate of 15.5percentby the end of June 2020. Of all the contacts traced, 7.9percent involved healthcare workers in the Free State. Conclusion The study’s findings show that contact tracing was an effective control measure during the early stages of the COVID-19 outbreak in Mangung Metro district. Furthermore, the impact was greatest when the caseload was low and the burden on the healthcare system less severe. Mangaung Metro demonstrated the capability of tracing more contacts in the early-early phase of the outbreak; however, as the outbreak progressed to the latent early phase, the caseload increased and fewer contacts were traced. The consequence of contact tracing not being as effective during the latent early phase relates to the increase in both exposed and untraceable contacts, which in turn fueled the increase of new cases. This further impacted the at-risk and vulnerable population, especially the elderly, who were at an increased risk if not traced in a timely manner, possibly resulting in mortality. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
Analysis of early-phase contact tracing during the coronavirus disease 2019 outbreak in Mangaung Metro, Free State
- Monyobo, Priscilla Kesaletseng
- Authors: Monyobo, Priscilla Kesaletseng
- Date: 2022-09
- Subjects: Contact tracing (Epidemiology) , Health services administration
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27006 , vital:66215
- Description: Background and Aim Contact tracing is a critical public health measure for controlling and preventing the spread of infectious diseases. Although the principles underlying this strategy are not novel, understanding the changes in infectiousness of COVID-19 is indeed novel. As are the capacity and operating procedures required to support disease investigation in Mangang Metro during the SARS-CoV-2 (COVID-19) pandemic. On 16 March 2020, the first coronavirus disease case in the area, which led to a larger outbreak, occurred in Mangaung Metro, Free State province, South Africa. To date, Mangaung Metro remains the epicentre of the COVID-19 pandemic and the primary driver of the caseload in the Free State province. The aim of this study was to analyse contact tracing data in Mangaung Metro during the early phase of the COVID-19 outbreak (16 March 2020 – 30 June 2020) in order to measure the viral transmissibility of COVID-19 in the early stages of the outbreak, specifically in the context of Mangaung Metro. Methods A descriptive systematic analysis of index COVID-19 cases and their contacts in Mangaung Metro was conducted. The review period ran from 16 March to 30 June 2020, during which there was a total of 1 001 cases in Mangaung Metro. Data was captured on an Excel spreadsheet using the contact line list variables from the established National Institute of Communicable Disease contact line list framework. The inferential statistics were based on a time series analysis to compare the impact of contact tracing stratified by symptomatology and the root cause of the cases to the overall cases in Mangaung Metro. The study determined whether isolation, quarantine, and contact tracing were able to control outbreaks in the early phase using characteristics of disease transmission and parameters particularised to the COVID- 19 pathogen. Results As of 30 June 2020, the Free State province had a total of 2 072 COVID-19 cases. Mangaung Metro contributed 1 001 cases (48 percent) of the total number of cases in the study period. Between March and June 2020, 3 553 contacts were traced in Mangaung Metro. This number translates to at least three investigated and traced contacts per index or laboratory confirmed positive case. From the traced contacts, 1 080 samples were collected and sent for laboratory testing. In April 2020, the greatest number of samples were collected. This high rate in sample collection is posited to be the result of the high rate of contacts traced, as well as the initial clinical guidelines followed for contact tracing. Most positive contacts were discovered in March 2020. One of the possible reasons for the high detection of COVID-19 confirmed positive contacts during the early stages of the outbreak was the focus and importance of contact tracing while the caseload remained relatively low. However, as the outbreak progressed in the Mangaung Metro context, the number and relative percentage of positive cases detected through contact tracing decreased. In total, the positive contacts recorded in March 2020 amounted to 92 (51.3 percent), 18 in April (10.5 percent), 41 in May (22.9percent), and 28 in June (15.6 percent). The March 2020 tracking rate was the highest at 73.2percent, with an average contact tracing rate of 15.5 percent by the end of June 2020. Of all the contacts traced, 7.9 percent involved healthcare workers in the Free State. Conclusion The study’s findings show that contact tracing was an effective control measure during the early stages of the COVID-19 outbreak in Mangung Metro district. Furthermore, the impact was greatest when the caseload was low and the burden on the healthcare system less severe. Mangaung Metro demonstrated the capability of tracing more contacts in the early-early phase of the outbreak; however, as the outbreak progressed to the latent early phase, the caseload increased and fewer contacts were traced. The consequence of contact tracing not being as effective during the latent early phase relates to the increase in both exposed and untraceable contacts, which in turn fueled the increase of new cases. This further impacted the at-risk and vulnerable population, especially the elderly, who were at an increased risk if not traced in a timely manner, possibly resulting in mortality. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Authors: Monyobo, Priscilla Kesaletseng
- Date: 2022-09
- Subjects: Contact tracing (Epidemiology) , Health services administration
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27006 , vital:66215
- Description: Background and Aim Contact tracing is a critical public health measure for controlling and preventing the spread of infectious diseases. Although the principles underlying this strategy are not novel, understanding the changes in infectiousness of COVID-19 is indeed novel. As are the capacity and operating procedures required to support disease investigation in Mangang Metro during the SARS-CoV-2 (COVID-19) pandemic. On 16 March 2020, the first coronavirus disease case in the area, which led to a larger outbreak, occurred in Mangaung Metro, Free State province, South Africa. To date, Mangaung Metro remains the epicentre of the COVID-19 pandemic and the primary driver of the caseload in the Free State province. The aim of this study was to analyse contact tracing data in Mangaung Metro during the early phase of the COVID-19 outbreak (16 March 2020 – 30 June 2020) in order to measure the viral transmissibility of COVID-19 in the early stages of the outbreak, specifically in the context of Mangaung Metro. Methods A descriptive systematic analysis of index COVID-19 cases and their contacts in Mangaung Metro was conducted. The review period ran from 16 March to 30 June 2020, during which there was a total of 1 001 cases in Mangaung Metro. Data was captured on an Excel spreadsheet using the contact line list variables from the established National Institute of Communicable Disease contact line list framework. The inferential statistics were based on a time series analysis to compare the impact of contact tracing stratified by symptomatology and the root cause of the cases to the overall cases in Mangaung Metro. The study determined whether isolation, quarantine, and contact tracing were able to control outbreaks in the early phase using characteristics of disease transmission and parameters particularised to the COVID- 19 pathogen. Results As of 30 June 2020, the Free State province had a total of 2 072 COVID-19 cases. Mangaung Metro contributed 1 001 cases (48 percent) of the total number of cases in the study period. Between March and June 2020, 3 553 contacts were traced in Mangaung Metro. This number translates to at least three investigated and traced contacts per index or laboratory confirmed positive case. From the traced contacts, 1 080 samples were collected and sent for laboratory testing. In April 2020, the greatest number of samples were collected. This high rate in sample collection is posited to be the result of the high rate of contacts traced, as well as the initial clinical guidelines followed for contact tracing. Most positive contacts were discovered in March 2020. One of the possible reasons for the high detection of COVID-19 confirmed positive contacts during the early stages of the outbreak was the focus and importance of contact tracing while the caseload remained relatively low. However, as the outbreak progressed in the Mangaung Metro context, the number and relative percentage of positive cases detected through contact tracing decreased. In total, the positive contacts recorded in March 2020 amounted to 92 (51.3 percent), 18 in April (10.5 percent), 41 in May (22.9percent), and 28 in June (15.6 percent). The March 2020 tracking rate was the highest at 73.2percent, with an average contact tracing rate of 15.5 percent by the end of June 2020. Of all the contacts traced, 7.9 percent involved healthcare workers in the Free State. Conclusion The study’s findings show that contact tracing was an effective control measure during the early stages of the COVID-19 outbreak in Mangung Metro district. Furthermore, the impact was greatest when the caseload was low and the burden on the healthcare system less severe. Mangaung Metro demonstrated the capability of tracing more contacts in the early-early phase of the outbreak; however, as the outbreak progressed to the latent early phase, the caseload increased and fewer contacts were traced. The consequence of contact tracing not being as effective during the latent early phase relates to the increase in both exposed and untraceable contacts, which in turn fueled the increase of new cases. This further impacted the at-risk and vulnerable population, especially the elderly, who were at an increased risk if not traced in a timely manner, possibly resulting in mortality. , Thesis (MPA) -- Faculty of Health Sciences, 2022
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Clinical governance implementation challenges in the Department of Health, Mpumalanga, South Africa
- Maduna, Patrick Hawkins https://orcid.org/0000-0002-4926-1661
- Authors: Maduna, Patrick Hawkins https://orcid.org/0000-0002-4926-1661
- Date: 2022-09
- Subjects: Clinical competence , Health services administration
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/27275 , vital:66532
- Description: Clinical governance (CG) is the system through which health authorities are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence flourishes. South Africa is one of the countries where CG has not been successfully implemented. This study sought to explore the CG implementation challenges in the Mpumalanga province, South Africa. The study objectives included the seven pillars of CG. The study was a qualitative and exploratory, using purposive sampling technique to select study participants. A total of twenty-two (22) individuals were selected for the study. Semi-structured interviews were used for data collection. Each interview was transcribed verbatim by the researcher. Confidentiality was ensured through the coding of interviewee names. The content analysis technique was used for data analysis, using the study objectives as themes. The study found general lack of understanding of the concept of CG, poor performance of clinical audits, sub-standard clinical performance and effectiveness, poor clinical risk management, poor patient and public involvement in patient care, lack of evidence-based practice and research, inadequate training and development of healthcare workers, and sub-standard health information management across the department. The researcher recommends that the CG policy be prioritised by the Mpumalanga DOH, that systems be put in place to facilitate policy implementation, and that the departmental staff establishments at all levels, prioritise healthcare professionals in key leadership positions. In conclusion, there are numerous challenges that confront the Mpumalanga Department of Health regarding the implementation of clinical governance, requiring urgent attention. , Thesis (PhD) -- Faculty of Health Sciences, 2022
- Full Text:
- Authors: Maduna, Patrick Hawkins https://orcid.org/0000-0002-4926-1661
- Date: 2022-09
- Subjects: Clinical competence , Health services administration
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/27275 , vital:66532
- Description: Clinical governance (CG) is the system through which health authorities are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence flourishes. South Africa is one of the countries where CG has not been successfully implemented. This study sought to explore the CG implementation challenges in the Mpumalanga province, South Africa. The study objectives included the seven pillars of CG. The study was a qualitative and exploratory, using purposive sampling technique to select study participants. A total of twenty-two (22) individuals were selected for the study. Semi-structured interviews were used for data collection. Each interview was transcribed verbatim by the researcher. Confidentiality was ensured through the coding of interviewee names. The content analysis technique was used for data analysis, using the study objectives as themes. The study found general lack of understanding of the concept of CG, poor performance of clinical audits, sub-standard clinical performance and effectiveness, poor clinical risk management, poor patient and public involvement in patient care, lack of evidence-based practice and research, inadequate training and development of healthcare workers, and sub-standard health information management across the department. The researcher recommends that the CG policy be prioritised by the Mpumalanga DOH, that systems be put in place to facilitate policy implementation, and that the departmental staff establishments at all levels, prioritise healthcare professionals in key leadership positions. In conclusion, there are numerous challenges that confront the Mpumalanga Department of Health regarding the implementation of clinical governance, requiring urgent attention. , Thesis (PhD) -- Faculty of Health Sciences, 2022
- Full Text:
Clinical governance implementation challenges in the Department of Health, Mpumalanga, South Africa
- Maduna, Patrick Hawkins https://orcid.org/0000-0002-4926-1661
- Authors: Maduna, Patrick Hawkins https://orcid.org/0000-0002-4926-1661
- Date: 2022-09
- Subjects: Clinical competence , Evidence-based medicine , Health services administration
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23600 , vital:58194
- Description: Clinical governance (CG) is the system through which health authorities are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence flourishes. South Africa is one of the countries where CG has not been successfully implemented. This study sought to explore the CG implementation challenges in the Mpumalanga province, South Africa. The study objectives included the seven pillars of CG. The study was a qualitative and exploratory, using purposive sampling technique to select study participants. A total of twenty-two (22) individuals were selected for the study. Semi-structured interviews were used for data collection. Each interview was transcribed verbatim by the researcher. Confidentiality was ensured through the coding of interviewee names. The content analysis technique was used for data analysis, using the study objectives as themes. The study found general lack of understanding of the concept of CG, poor performance of clinical audits, sub-standard clinical performance and effectiveness, poor clinical risk management, poor patient and public involvement in patient care, lack of evidence-based practice and research, inadequate training and development of healthcare workers, and sub-standard health information management across the department. The researcher recommends that the CG policy be prioritised by the Mpumalanga DOH, that systems be put in place to facilitate policy implementation, and that the departmental staff establishments at all levels, prioritise healthcare professionals in key leadership positions. In conclusion, there are numerous challenges that confront the Mpumalanga Department of Health regarding the implementation of clinical governance, requiring urgent attention. , Thesis (PhD) -- Faculty of Health Sciences, 2022
- Full Text:
- Authors: Maduna, Patrick Hawkins https://orcid.org/0000-0002-4926-1661
- Date: 2022-09
- Subjects: Clinical competence , Evidence-based medicine , Health services administration
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23600 , vital:58194
- Description: Clinical governance (CG) is the system through which health authorities are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence flourishes. South Africa is one of the countries where CG has not been successfully implemented. This study sought to explore the CG implementation challenges in the Mpumalanga province, South Africa. The study objectives included the seven pillars of CG. The study was a qualitative and exploratory, using purposive sampling technique to select study participants. A total of twenty-two (22) individuals were selected for the study. Semi-structured interviews were used for data collection. Each interview was transcribed verbatim by the researcher. Confidentiality was ensured through the coding of interviewee names. The content analysis technique was used for data analysis, using the study objectives as themes. The study found general lack of understanding of the concept of CG, poor performance of clinical audits, sub-standard clinical performance and effectiveness, poor clinical risk management, poor patient and public involvement in patient care, lack of evidence-based practice and research, inadequate training and development of healthcare workers, and sub-standard health information management across the department. The researcher recommends that the CG policy be prioritised by the Mpumalanga DOH, that systems be put in place to facilitate policy implementation, and that the departmental staff establishments at all levels, prioritise healthcare professionals in key leadership positions. In conclusion, there are numerous challenges that confront the Mpumalanga Department of Health regarding the implementation of clinical governance, requiring urgent attention. , Thesis (PhD) -- Faculty of Health Sciences, 2022
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Consumerism, authenticity and African communalism
- Smook, E https://orcid.org/0000-0003-4226-6029
- Authors: Smook, E https://orcid.org/0000-0003-4226-6029
- Date: 2022-09
- Subjects: Consumption (Economics) , Authenticity (Philosophy) , Philosophy, African
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23958 , vital:62022
- Description: Let me state, from the outset, that the issues raised below may be considered from various vantage points – Capitalism, Marxism, etc. However, this thesis is an endeavour to account for the loss of authenticity due to the most salient features of the consumer paradigm, which is the manufactured object, the production line and the proliferation of said objects. True relationships, or shall we say authentic dialogue, is based upon a difference of viewpoints – or epistemic distance – between the interlocutors. This difference of opinion, it may be argued, allows for a cognitive jostling between the subjects involved and represents, as it were, the reciprocal back and forth movement of ideas that betokens actively engaged dialogue. Crucial, then, to true, and by extension authentic, relationships is an epistemic distance steeped in variegated, heterogeneous points of view. For it is in sharing the differences in our points of view or interpretations of the world that we may start a dialogue far removed from each other and then sustain said dialogue in an attempt to reconcile our differences. The continuation of the dialogue, then, depends upon difference. Without the latter difference, the conditions of true dialogue, which is also a marker of authentic relationships, the need for sustained debate is forfeited and the dialogue ceases to serve a purpose – for the subjects involved in the intellectual jostling and exchange of ideas may already anticipate the thoughts of the other. In so anticipating the thoughts of the other, what is brought to the fore is not the ideas of the other, and by extension the other’s existence distinct from mine, but rather my own existence and thoughts. Were I and the other to share a constellation of beliefs, I am left with only that which I already believe in and so only with my own thoughts. The other’s differing opinion is crucial to their appearing to me as an element discreet and distinct from me. For if the other’s being is in essence of the same ilk as mine – and with that I mean if the other’s points of view and adopted systems of praxis mirror mine – we are like trees in a forest. The existence of collective nouns attests to this latter remark; we are prone to see the forest, not the similar trees that constitute it. Now the question arises as to the constitution of the self; what is it that makes up the character and nature of a person and how, if at all, may subjects be said to differ epistemically? According to Sartre, the ego is a transcendent object for consciousness, meaning that it exists out there in the world just like other objects. This is the case because consciousness is essentially empty. Recall Sartre’s famous claim that existence precedes essence, which in turn means that consciousness, or the ego, is filled up inchmeal with contents outside itself. In other words, that with which we are engaged constitutes the contents of consciousness. Repeated exposure to certain objects, or phenomena, brings about the cultivation of states and qualities – these, as it were, constituting the ego in the end. Moreover, these states and qualities, as arisen from repeated exposure to like phenomena, will instil in the subject a certain proclivity for a certain manner of action under specific conditions. As such, having been presented with something disagreeable many times over, a state of repulsion might gain a foothold in my ego regarding the phenomenon in question. This in turn will dictate how I act in the presence of said phenomenon or any other phenomena that include, adumbrationally, some of the qualities of the original phenomenon. As such, then, my actions are reflections of the states that I experience in the presence of certain objects or phenomena and, it may be argued, reflexively represent the world around me as that which constitutes my ego. The facticity of the world, then, has a great bearing upon the manner in which I perceive and engage the world. However, claims Sartre, facticity is but one side of the coin. The world and its meaning are constituted by what Sartre calls brute meaning. This refers to the fact that meaning is a matter of public opinion and does not precede the phenomenon or object itself – the latter being, in essence, but a bare, pliable, monstrous mass of being-in-itself. Due to this occurrence of meaning being man made, we are in a unique position of freedom. We are, he further claims, capable of transcending these brute meanings, enabling us to avail ourselves of the objects or phenomena in question in a bespoke manner. Freedom to choose how we interact with and interpret the world is thus the ontological ground of choice. We have, on the one side, the world in its undifferentiated state – being-in-itself – and on the other the possibility to give this world a specific meaning in accordance with our intentions – being-for-itself. Freedom to choose, so construed, thus ontologically underlies the very fabric of our existence, hence the claim that we are condemned to be free. Choosing whether to continue along the path set out by our original factual condition or to transcend it and make of it something different altogether is thus not a choice at all, but the obligatory condition of the human condition. Once again, this is the case because consciousness, as per Sartre, is empty to start with and can only be filled with the contents of phenomena or objects in accordance with our intentional engagement of them. However, Sartre continues, this freedom of meaning and the fact that brute existents represent nothing more than the convergence of publicly ascribed meaning awaken in the subject a certain nausea – a nausea born of the fact that we, the people, are at every junction in a position where we have to choose the meaning of life. Determinism, thusly, does not exist and we are not only free to choose the meanings of our own lives, but are responsible for what our lives become. This realisation proves to be too much for most to stomach and leads them along a specific path of choice: over-identification with either their factual realities or with the possibility to transcend the latter. Either way, what they aim to achieve with this overidentification is the suppression of the nauseating reality that reality is nought but what we make it to be and we are thus responsible for what it becomes. Sartre calls this bad faith. Pandering to this proclivity towards bad faith, or alternatively, the propensity for overidentification with either side on the facticity/transcendence dichotomy, we find consumerism. The consumer paradigm delineates happiness as an objective ideal, attainable through the acquisition of specific markers of demonstrable happiness. At the same time, it also provides an answer to the nauseating reality that we, humans, are never fully determined beings, but find ourselves vacillating between our factual constraints and our transcendences thereof. It offers us the crystalised means of becoming this or that individual by way of populating our immediate and personal surroundings with signifiers of happiness. Considering, moreover, that a liberalist conception of human being clearly indicates that individuation of each subject is an important aspect of existence, authenticity in terms of rights emerge as a corollary of said individuation. Each individual, so construed, is given the opportunity, the right, to acquire said markers of happiness and individuation. Obtaining these, it may be argued, allows the individual two things: firstly, to quell the nausea that haunts our dualistic lives by concretising it altogether and so doing highlighting the factual side of things; and secondly, to become discreet and individuated subjects, authentic in their beings. However, the authenticity so begotten provides nought but a thin veneer of idiosyncrasy, as the markers of said authenticity are publicly available and so the same for everyone. The problem, thus, of self-individuation is resolved by providing the subject the means of over-identification with their factual realities whilst convincing them, the consumers, that the objects on offer will afford them a degree of happiness and set them apart from their fellow subjects. The unfortunate upshot of this is that subjects all avail themselves of the same set of objects in an attempt to quell the nausea that besets the individual plunged into an undifferentiated existence. We are here at the heart of the matter. Due to the proliferation of like objects throughout the life-world, a specific system of praxis is implied. So as to navigate the life-world and utilise the similar objects that populate it, consumers are driven towards shared ideologies and courses of action. Moreover, their intentions also converge, as they all seek to establish a web of objects around them that would bespeak their individuation and happiness. Where the life-world has become such a homogeneous landscape, it may be argued, in line with Sartrean thought, that the contents of consciousness would also be similar for all. And where the contents of consciousness is similar for all, we may argue that reasoning would be similar for all. It is at this point that dialogue breaks down, for there is nothing epistemically to separate interlocutors and therefore no differences of opinion to sustain true dialogue. If, as it was reasoned some pages prior, it is the case that sustained dialogue provides the predicate upon which authentic relationships are to be based, the collapse of this epistemic distance between consumers must then also lead to a collapse of authentic relationships. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Smook, E https://orcid.org/0000-0003-4226-6029
- Date: 2022-09
- Subjects: Consumption (Economics) , Authenticity (Philosophy) , Philosophy, African
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23958 , vital:62022
- Description: Let me state, from the outset, that the issues raised below may be considered from various vantage points – Capitalism, Marxism, etc. However, this thesis is an endeavour to account for the loss of authenticity due to the most salient features of the consumer paradigm, which is the manufactured object, the production line and the proliferation of said objects. True relationships, or shall we say authentic dialogue, is based upon a difference of viewpoints – or epistemic distance – between the interlocutors. This difference of opinion, it may be argued, allows for a cognitive jostling between the subjects involved and represents, as it were, the reciprocal back and forth movement of ideas that betokens actively engaged dialogue. Crucial, then, to true, and by extension authentic, relationships is an epistemic distance steeped in variegated, heterogeneous points of view. For it is in sharing the differences in our points of view or interpretations of the world that we may start a dialogue far removed from each other and then sustain said dialogue in an attempt to reconcile our differences. The continuation of the dialogue, then, depends upon difference. Without the latter difference, the conditions of true dialogue, which is also a marker of authentic relationships, the need for sustained debate is forfeited and the dialogue ceases to serve a purpose – for the subjects involved in the intellectual jostling and exchange of ideas may already anticipate the thoughts of the other. In so anticipating the thoughts of the other, what is brought to the fore is not the ideas of the other, and by extension the other’s existence distinct from mine, but rather my own existence and thoughts. Were I and the other to share a constellation of beliefs, I am left with only that which I already believe in and so only with my own thoughts. The other’s differing opinion is crucial to their appearing to me as an element discreet and distinct from me. For if the other’s being is in essence of the same ilk as mine – and with that I mean if the other’s points of view and adopted systems of praxis mirror mine – we are like trees in a forest. The existence of collective nouns attests to this latter remark; we are prone to see the forest, not the similar trees that constitute it. Now the question arises as to the constitution of the self; what is it that makes up the character and nature of a person and how, if at all, may subjects be said to differ epistemically? According to Sartre, the ego is a transcendent object for consciousness, meaning that it exists out there in the world just like other objects. This is the case because consciousness is essentially empty. Recall Sartre’s famous claim that existence precedes essence, which in turn means that consciousness, or the ego, is filled up inchmeal with contents outside itself. In other words, that with which we are engaged constitutes the contents of consciousness. Repeated exposure to certain objects, or phenomena, brings about the cultivation of states and qualities – these, as it were, constituting the ego in the end. Moreover, these states and qualities, as arisen from repeated exposure to like phenomena, will instil in the subject a certain proclivity for a certain manner of action under specific conditions. As such, having been presented with something disagreeable many times over, a state of repulsion might gain a foothold in my ego regarding the phenomenon in question. This in turn will dictate how I act in the presence of said phenomenon or any other phenomena that include, adumbrationally, some of the qualities of the original phenomenon. As such, then, my actions are reflections of the states that I experience in the presence of certain objects or phenomena and, it may be argued, reflexively represent the world around me as that which constitutes my ego. The facticity of the world, then, has a great bearing upon the manner in which I perceive and engage the world. However, claims Sartre, facticity is but one side of the coin. The world and its meaning are constituted by what Sartre calls brute meaning. This refers to the fact that meaning is a matter of public opinion and does not precede the phenomenon or object itself – the latter being, in essence, but a bare, pliable, monstrous mass of being-in-itself. Due to this occurrence of meaning being man made, we are in a unique position of freedom. We are, he further claims, capable of transcending these brute meanings, enabling us to avail ourselves of the objects or phenomena in question in a bespoke manner. Freedom to choose how we interact with and interpret the world is thus the ontological ground of choice. We have, on the one side, the world in its undifferentiated state – being-in-itself – and on the other the possibility to give this world a specific meaning in accordance with our intentions – being-for-itself. Freedom to choose, so construed, thus ontologically underlies the very fabric of our existence, hence the claim that we are condemned to be free. Choosing whether to continue along the path set out by our original factual condition or to transcend it and make of it something different altogether is thus not a choice at all, but the obligatory condition of the human condition. Once again, this is the case because consciousness, as per Sartre, is empty to start with and can only be filled with the contents of phenomena or objects in accordance with our intentional engagement of them. However, Sartre continues, this freedom of meaning and the fact that brute existents represent nothing more than the convergence of publicly ascribed meaning awaken in the subject a certain nausea – a nausea born of the fact that we, the people, are at every junction in a position where we have to choose the meaning of life. Determinism, thusly, does not exist and we are not only free to choose the meanings of our own lives, but are responsible for what our lives become. This realisation proves to be too much for most to stomach and leads them along a specific path of choice: over-identification with either their factual realities or with the possibility to transcend the latter. Either way, what they aim to achieve with this overidentification is the suppression of the nauseating reality that reality is nought but what we make it to be and we are thus responsible for what it becomes. Sartre calls this bad faith. Pandering to this proclivity towards bad faith, or alternatively, the propensity for overidentification with either side on the facticity/transcendence dichotomy, we find consumerism. The consumer paradigm delineates happiness as an objective ideal, attainable through the acquisition of specific markers of demonstrable happiness. At the same time, it also provides an answer to the nauseating reality that we, humans, are never fully determined beings, but find ourselves vacillating between our factual constraints and our transcendences thereof. It offers us the crystalised means of becoming this or that individual by way of populating our immediate and personal surroundings with signifiers of happiness. Considering, moreover, that a liberalist conception of human being clearly indicates that individuation of each subject is an important aspect of existence, authenticity in terms of rights emerge as a corollary of said individuation. Each individual, so construed, is given the opportunity, the right, to acquire said markers of happiness and individuation. Obtaining these, it may be argued, allows the individual two things: firstly, to quell the nausea that haunts our dualistic lives by concretising it altogether and so doing highlighting the factual side of things; and secondly, to become discreet and individuated subjects, authentic in their beings. However, the authenticity so begotten provides nought but a thin veneer of idiosyncrasy, as the markers of said authenticity are publicly available and so the same for everyone. The problem, thus, of self-individuation is resolved by providing the subject the means of over-identification with their factual realities whilst convincing them, the consumers, that the objects on offer will afford them a degree of happiness and set them apart from their fellow subjects. The unfortunate upshot of this is that subjects all avail themselves of the same set of objects in an attempt to quell the nausea that besets the individual plunged into an undifferentiated existence. We are here at the heart of the matter. Due to the proliferation of like objects throughout the life-world, a specific system of praxis is implied. So as to navigate the life-world and utilise the similar objects that populate it, consumers are driven towards shared ideologies and courses of action. Moreover, their intentions also converge, as they all seek to establish a web of objects around them that would bespeak their individuation and happiness. Where the life-world has become such a homogeneous landscape, it may be argued, in line with Sartrean thought, that the contents of consciousness would also be similar for all. And where the contents of consciousness is similar for all, we may argue that reasoning would be similar for all. It is at this point that dialogue breaks down, for there is nothing epistemically to separate interlocutors and therefore no differences of opinion to sustain true dialogue. If, as it was reasoned some pages prior, it is the case that sustained dialogue provides the predicate upon which authentic relationships are to be based, the collapse of this epistemic distance between consumers must then also lead to a collapse of authentic relationships. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
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
- 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
- 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
- Full Text:
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
- Full Text:
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
- Full Text:
- 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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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
- Full Text:
- 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
- Full Text:
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
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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
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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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