The experiences of students with a physical disability at institutions of higher learning: a systematic review
- Makubalo, Siphokazi https://orcid.org/0000-0001-8596-7357
- Authors: Makubalo, Siphokazi https://orcid.org/0000-0001-8596-7357
- Date: 2022-11
- Subjects: People with disabilities -- Education (Higher) , People with disabilities in higher education , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27242 , vital:66484
- Description: This study aims to explore the experiences of physically disabled students at institutions of higher. The research methodology followed in conducting this study is a systematic review. Thus, published literature from the period of 2000-2020 on the experiences of physically disabled students in South African institutions of higher learning was reviewed. Five articles which met the inclusion criteria were assessed for eligibility using the CASP criteria. The social model of disability is applied as a theoretical framework in exploring these experiences. A synthesis of results and findings of South African studies relating to physically disabled students in institutions of higher learning is provided. Themes that emerged in the study indicate that physically disabled students experience social exclusion related to architectural access barriers, attitudinal barriers, lack of support and discrimination in South African Institutions of higher learning, which impacts their overall physical access in these institutions. The study found that addressing these challenges and access barriers would result in positive experiences for physically disabled students on campuses. The study concluded that to improve the experiences of physically disabled students, institutional effort is necessary that is extensive both in scope and systematic in nature. For future studies, it is recommended that a qualitative study explore not just disabled students‟ lived experiences but also be inclusive of academic and support staffs‟ perceptions. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Makubalo, Siphokazi https://orcid.org/0000-0001-8596-7357
- Date: 2022-11
- Subjects: People with disabilities -- Education (Higher) , People with disabilities in higher education , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27242 , vital:66484
- Description: This study aims to explore the experiences of physically disabled students at institutions of higher. The research methodology followed in conducting this study is a systematic review. Thus, published literature from the period of 2000-2020 on the experiences of physically disabled students in South African institutions of higher learning was reviewed. Five articles which met the inclusion criteria were assessed for eligibility using the CASP criteria. The social model of disability is applied as a theoretical framework in exploring these experiences. A synthesis of results and findings of South African studies relating to physically disabled students in institutions of higher learning is provided. Themes that emerged in the study indicate that physically disabled students experience social exclusion related to architectural access barriers, attitudinal barriers, lack of support and discrimination in South African Institutions of higher learning, which impacts their overall physical access in these institutions. The study found that addressing these challenges and access barriers would result in positive experiences for physically disabled students on campuses. The study concluded that to improve the experiences of physically disabled students, institutional effort is necessary that is extensive both in scope and systematic in nature. For future studies, it is recommended that a qualitative study explore not just disabled students‟ lived experiences but also be inclusive of academic and support staffs‟ perceptions. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
The protection of the rights of people with disabilities in the South African workplace: a critical analysis
- Xokozela, Nwabisa https://orcid.org/0000-0002-6943-219X
- Authors: Xokozela, Nwabisa https://orcid.org/0000-0002-6943-219X
- Date: 2022-11
- Subjects: People with disabilities -- Legal status, laws, etc. , Human rights -- South Africa , People with disabilities -- Government policy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28444 , vital:74332
- Description: In the past, persons with disabilities were marginalised and suffered many disadvantages because of oppression. As a result, that had become an obstacle for them to enjoy their basic rights such as social, political and economic rights. Judging from the inequalities in the workplace, disability appears to be the main challenge hindering the progress of achieving equal prospects and fair treatment in many countries, including South Africa, especially in the workplace. That has resulted in most persons with disabilities living in poverty or rather depending on social support from the government in order to survive, due to employment discrimination. Policies, transformative programmes and employment laws have been promulgated to address employment discrimination. Some of the promulgated transformative programmes were developed to enforce section 9 of the Constitution. However, persons with disabilities are still faced with challenges of discriminatory practices in the workplace even today. This study is impelled by how ineffective these employment laws are, especially when safeguarding of persons with disabilities is concerned. Apart from the ineffectiveness of the current labour legislation in protecting the rights of persons with disabilities, the study aims at identifying how equality rights can be used by disability movements in order to influence policy development and implementation to advance access to work for persons with disabilities, and to further provide them with reasonable accommodation to be able to thrive within the workplace. Also, deriving some guidance from the international perspective of governing disability rights is of paramount importance in achieving equality within the working environment. It is thus extremely important to adopt compelling speedy actions to promote equal rights in the context of disability by bringing proportional aspects of the Promotion of Equality and Prevention of Unfair Discrimination Act (PEPUDA) into action. That can be achieved if the policies and legislation created can be interpreted in a manner that is equal and effective, and that promotes implementation more than theory. Therefore, dealing with discrimination against persons with disabilities signifies an essential aspect in defeating the elevated inequality in the apartheid era, which disempowers the recognised constitutional democracy. , Thesis (LLM) -- Faculty of Law, 2022
- Full Text:
- Authors: Xokozela, Nwabisa https://orcid.org/0000-0002-6943-219X
- Date: 2022-11
- Subjects: People with disabilities -- Legal status, laws, etc. , Human rights -- South Africa , People with disabilities -- Government policy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28444 , vital:74332
- Description: In the past, persons with disabilities were marginalised and suffered many disadvantages because of oppression. As a result, that had become an obstacle for them to enjoy their basic rights such as social, political and economic rights. Judging from the inequalities in the workplace, disability appears to be the main challenge hindering the progress of achieving equal prospects and fair treatment in many countries, including South Africa, especially in the workplace. That has resulted in most persons with disabilities living in poverty or rather depending on social support from the government in order to survive, due to employment discrimination. Policies, transformative programmes and employment laws have been promulgated to address employment discrimination. Some of the promulgated transformative programmes were developed to enforce section 9 of the Constitution. However, persons with disabilities are still faced with challenges of discriminatory practices in the workplace even today. This study is impelled by how ineffective these employment laws are, especially when safeguarding of persons with disabilities is concerned. Apart from the ineffectiveness of the current labour legislation in protecting the rights of persons with disabilities, the study aims at identifying how equality rights can be used by disability movements in order to influence policy development and implementation to advance access to work for persons with disabilities, and to further provide them with reasonable accommodation to be able to thrive within the workplace. Also, deriving some guidance from the international perspective of governing disability rights is of paramount importance in achieving equality within the working environment. It is thus extremely important to adopt compelling speedy actions to promote equal rights in the context of disability by bringing proportional aspects of the Promotion of Equality and Prevention of Unfair Discrimination Act (PEPUDA) into action. That can be achieved if the policies and legislation created can be interpreted in a manner that is equal and effective, and that promotes implementation more than theory. Therefore, dealing with discrimination against persons with disabilities signifies an essential aspect in defeating the elevated inequality in the apartheid era, which disempowers the recognised constitutional democracy. , Thesis (LLM) -- Faculty of Law, 2022
- Full Text:
A Psychobiography of the late Milase Jumartha Majola (néé Moyake)- 1932 - 2021
- Authors: Mbambo-Tom, Thembeka Esther
- Date: 2022-10
- Subjects: Grahamstown (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27640 , vital:69379
- Description: This study is a psychobiography of a Black South African Woman, Milase Jumartha Majola (néé Moyake), herein fondly referred to as ‘Mrs Majola’. Mrs Majola is not an icon in the general sense, but yet a definite unsung hero for many in her community. In her 89 years, she has touched many people’s lives and left a vast imprint in the community. Mrs Majola has been identified as a psychobiographical subject for this study based on her exemplary and extraordinary endeavours, which contributed significantly to the psycho-social well-being of the youth and the elderly within Port Elizabeth townships (now known as Gqeberha). The main objective of this study was to explore and describe Mrs Majola’s psychosocial development. Her psycho-social development was studied through the PERMA Theory of well-being lens and transformed into a narrative to understand better what made her a remarkable individual. Data was gathered from primary and secondary sources to enrich the psychobiography and qualitatively analysed. The findings show that Mrs Majola could balance her life in a way supported by the PERMA Theory of well-being. Results demonstrate her ability to understand and manage her Positive (negative) emotions, Engagements, Relationships, Meaningfulness, and Accomplishments as a mother, co-worker and community leader, which created numerous success stories during her tenure. Even though Mrs Majola experienced many hardships in life, such as losing her husband at the young age of 39, she always stayed positive and successfully used her inner strength to motivate her to keep living her purpose in life. , Thesis (MA) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Mbambo-Tom, Thembeka Esther
- Date: 2022-10
- Subjects: Grahamstown (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27640 , vital:69379
- Description: This study is a psychobiography of a Black South African Woman, Milase Jumartha Majola (néé Moyake), herein fondly referred to as ‘Mrs Majola’. Mrs Majola is not an icon in the general sense, but yet a definite unsung hero for many in her community. In her 89 years, she has touched many people’s lives and left a vast imprint in the community. Mrs Majola has been identified as a psychobiographical subject for this study based on her exemplary and extraordinary endeavours, which contributed significantly to the psycho-social well-being of the youth and the elderly within Port Elizabeth townships (now known as Gqeberha). The main objective of this study was to explore and describe Mrs Majola’s psychosocial development. Her psycho-social development was studied through the PERMA Theory of well-being lens and transformed into a narrative to understand better what made her a remarkable individual. Data was gathered from primary and secondary sources to enrich the psychobiography and qualitatively analysed. The findings show that Mrs Majola could balance her life in a way supported by the PERMA Theory of well-being. Results demonstrate her ability to understand and manage her Positive (negative) emotions, Engagements, Relationships, Meaningfulness, and Accomplishments as a mother, co-worker and community leader, which created numerous success stories during her tenure. Even though Mrs Majola experienced many hardships in life, such as losing her husband at the young age of 39, she always stayed positive and successfully used her inner strength to motivate her to keep living her purpose in life. , Thesis (MA) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
Aetiological factors that lead to suicide attempts among the youth of Lusikisiki area
- Authors: Zweni, Mzamile Benute
- Date: 2022-10
- Subjects: Grahamstown (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27544 , vital:69314
- Description: The general aim of this study was to investigate the aetiological factors that lead to suicidal attempts among the youth of Lusikisiki area in the Eastern Cape Province. A sample of hundred and fifty participants with an average age of 24 years old was selected using convenient sampling. Data was collected using self-administered questionnaires. After the data were collected, it was then analysed through descriptive and inferential statistics. Findings show that various factors lead to suicide ideation and suicide attempts among youth of Lusikisiki. Economic hardship, depression and substance abuse to name few, were found to be among factors that lead to suicide attempt. Based on the research findings, the researcher recommends that various stakeholders such as the Department of Social development should work in corroboration. Departments such as Department of Education and Sports, Recreation and Culture should make awareness campaigns that will psycho-educate youth in rural areas, possibly alleviating drug and substance abuse. Those awarenesses may also tap into strengthening psychosocial well-being of youth. Furthermore, Department of Social Development should come up with community outreach programs aimed at alleviating poverty as the contributory factor towards suicide attempt. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Zweni, Mzamile Benute
- Date: 2022-10
- Subjects: Grahamstown (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27544 , vital:69314
- Description: The general aim of this study was to investigate the aetiological factors that lead to suicidal attempts among the youth of Lusikisiki area in the Eastern Cape Province. A sample of hundred and fifty participants with an average age of 24 years old was selected using convenient sampling. Data was collected using self-administered questionnaires. After the data were collected, it was then analysed through descriptive and inferential statistics. Findings show that various factors lead to suicide ideation and suicide attempts among youth of Lusikisiki. Economic hardship, depression and substance abuse to name few, were found to be among factors that lead to suicide attempt. Based on the research findings, the researcher recommends that various stakeholders such as the Department of Social development should work in corroboration. Departments such as Department of Education and Sports, Recreation and Culture should make awareness campaigns that will psycho-educate youth in rural areas, possibly alleviating drug and substance abuse. Those awarenesses may also tap into strengthening psychosocial well-being of youth. Furthermore, Department of Social Development should come up with community outreach programs aimed at alleviating poverty as the contributory factor towards suicide attempt. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
Grade four teachers’ experiences on using English as a medium of instruction: case study of two primary schools in Mdantsane Township
- Authors: Ngozi, Moyisi Victor
- Date: 2022-10
- Subjects: English language -- Study and teaching , English language -- Study and teaching (Elementary)|
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26064 , vital:64787
- Description: Learners in South African schools are reportedly struggling with literacy when they reach grade four (PIRLS, 2016). This is attributed to instructional language transition between grades three and four that is underpinned by Language in Education policy (LiEP), whic9h enforces language transition from mother tongue instruction to English medium of instruction. Hence, the study focused on the grade four teachers’ experiences on using English as medium of instruction. The study used a qualitative research approach and adopted the interpretivism paradigm as well as a case study research design. A small target sample of the study included 15 participants sampled in two primary schools of Mdantsane Township in the Eastern Cape Province. Participants who are grade four teachers’, one of which is Head of the department (HOD) were selected through a purposive sampling technique. Semi-structured interviews and observations were used as methods of collecting data. The data were analysed through a thematic approach according to the themes taken from the sub research questions that were formulated to guide the study The study found that the learners’ transition from to grade four is a multifaceted one and presented teachers with a burden of having to deal with second language instructional issues among learners. There are no clearly defined guidelines to facilitate smooth language transition from grade three and four. There is lack of teacher involvement on language policy development and implementation. Furthermore, there are misconceptions regarding the use of code switching as a method of teaching and learning. The study recommended that the language transtion from mother tongue instruction to English medium of instruction should be separated from the multifaceted phase transition. Learners should be introduced to English medium of instruction earlier than grade four. The department should establish guidelines to manage the transition. The departmental approach to language policy development should take into consideration the views of teachers. The department should regularly organise sufficient teacher workshops aimed at addressing teachers’ second language instructional ability issues. , Thesis (MEd) -- Faculty of Education, 2022
- Full Text:
- Authors: Ngozi, Moyisi Victor
- Date: 2022-10
- Subjects: English language -- Study and teaching , English language -- Study and teaching (Elementary)|
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26064 , vital:64787
- Description: Learners in South African schools are reportedly struggling with literacy when they reach grade four (PIRLS, 2016). This is attributed to instructional language transition between grades three and four that is underpinned by Language in Education policy (LiEP), whic9h enforces language transition from mother tongue instruction to English medium of instruction. Hence, the study focused on the grade four teachers’ experiences on using English as medium of instruction. The study used a qualitative research approach and adopted the interpretivism paradigm as well as a case study research design. A small target sample of the study included 15 participants sampled in two primary schools of Mdantsane Township in the Eastern Cape Province. Participants who are grade four teachers’, one of which is Head of the department (HOD) were selected through a purposive sampling technique. Semi-structured interviews and observations were used as methods of collecting data. The data were analysed through a thematic approach according to the themes taken from the sub research questions that were formulated to guide the study The study found that the learners’ transition from to grade four is a multifaceted one and presented teachers with a burden of having to deal with second language instructional issues among learners. There are no clearly defined guidelines to facilitate smooth language transition from grade three and four. There is lack of teacher involvement on language policy development and implementation. Furthermore, there are misconceptions regarding the use of code switching as a method of teaching and learning. The study recommended that the language transtion from mother tongue instruction to English medium of instruction should be separated from the multifaceted phase transition. Learners should be introduced to English medium of instruction earlier than grade four. The department should establish guidelines to manage the transition. The departmental approach to language policy development should take into consideration the views of teachers. The department should regularly organise sufficient teacher workshops aimed at addressing teachers’ second language instructional ability issues. , Thesis (MEd) -- Faculty of Education, 2022
- Full Text:
The rise and fall of long serving African leaders: a comparative analysis of Libya and Zimbabwe
- Maciko, Mihle https://orcid.org/0000-0002-5091-4949
- Authors: Maciko, Mihle https://orcid.org/0000-0002-5091-4949
- Date: 2022-10
- Subjects: African leaders , Muammar Gaddafi , Robert Mugabe
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27066 , vital:66264
- Description: Africa has recently faced a wave of dethroning of long serving leaders after many years of these leaders being in power. Some of the names which have been victims to this wave include Muammar Gaddafi, Omar Al Bashir, and Robert Mugabe. This study aims to examine this new wave as to the reasons behind it and what it means for existing long serving leaders in Africa. It will study the rise to power of Muammar Gaddafi and Robert Mugabe and what led to their demise, as hopes of providing advice to remaining dictators on how they can consolidate power so that they do not suffer the same fate as those already dethroned. A qualitative study has been carried out using secondary sources for data collection, to study this wave. From the data analysed, it showed that these leaders rose through ways of good governance and progressive economic policies. Various tactics were used to consolidate power, some being aggressive while others were aligned with democratic principles. These tactics are explained using two theories: informational theory of authoritarianism and theory of revolution. The data also pointed out that these methods eventually proved to be fuelling a fire of revolt amongst citizens, who found themselves in unbearable situations, eventually removing Gaddafi and Mugabe from power. This study provided lessons to existing long-serving leaders of having respect for human rights, being able to adapt with democracy and prioritising the welfare and wellbeing of their citizens. This is to ensure they do not suffer the same fate as Muammar Gaddafi and Robert Mugabe. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Maciko, Mihle https://orcid.org/0000-0002-5091-4949
- Date: 2022-10
- Subjects: African leaders , Muammar Gaddafi , Robert Mugabe
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27066 , vital:66264
- Description: Africa has recently faced a wave of dethroning of long serving leaders after many years of these leaders being in power. Some of the names which have been victims to this wave include Muammar Gaddafi, Omar Al Bashir, and Robert Mugabe. This study aims to examine this new wave as to the reasons behind it and what it means for existing long serving leaders in Africa. It will study the rise to power of Muammar Gaddafi and Robert Mugabe and what led to their demise, as hopes of providing advice to remaining dictators on how they can consolidate power so that they do not suffer the same fate as those already dethroned. A qualitative study has been carried out using secondary sources for data collection, to study this wave. From the data analysed, it showed that these leaders rose through ways of good governance and progressive economic policies. Various tactics were used to consolidate power, some being aggressive while others were aligned with democratic principles. These tactics are explained using two theories: informational theory of authoritarianism and theory of revolution. The data also pointed out that these methods eventually proved to be fuelling a fire of revolt amongst citizens, who found themselves in unbearable situations, eventually removing Gaddafi and Mugabe from power. This study provided lessons to existing long-serving leaders of having respect for human rights, being able to adapt with democracy and prioritising the welfare and wellbeing of their citizens. This is to ensure they do not suffer the same fate as Muammar Gaddafi and Robert Mugabe. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
A content analysis of public academic literature that explores the relationship between gang membership and identity in South African prisons, focusing on group processes
- Yantolo, Siphosethu https://orcid.org/0000-0002-3011-3458
- Authors: Yantolo, Siphosethu https://orcid.org/0000-0002-3011-3458
- Date: 2022-09
- Subjects: Gang members -- South Africa , Prison gangs -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27253 , vital:66485
- Description: Prison gangs are currently prevalent in South African correctional facilities, and they have a devastating impact on the lives of many young men in South African jails and society (Nel, 2017). The purpose of this study was to examine scholarly literature on the topic of gang membership and its link with identity in South African prisons, with a focus on group processes. This study examined published academic literature and analyzed it using a mixed-method approach that included content analysis. The literature was examined using keywords, theoretical background, article kinds, participant gender, participant age, and author affiliation. Furthermore, themes were developed by qualitatively assessing the problem statements of the associated papers and identifying their consequences. Most of the research on gang membership and identification in jail focused on prison gang members and, to a lesser extent, non-gang members, with minimal focus on correctional services authorities. The findings on author affiliation revealed that most of the authors were linked with South African universities. The qualitative findings of this study revealed that Rule Violation, Power and Status, and the Need for Belonging are the most dominating themes relating to group processes and have a substantial influence on prison gang membership. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Authors: Yantolo, Siphosethu https://orcid.org/0000-0002-3011-3458
- Date: 2022-09
- Subjects: Gang members -- South Africa , Prison gangs -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27253 , vital:66485
- Description: Prison gangs are currently prevalent in South African correctional facilities, and they have a devastating impact on the lives of many young men in South African jails and society (Nel, 2017). The purpose of this study was to examine scholarly literature on the topic of gang membership and its link with identity in South African prisons, with a focus on group processes. This study examined published academic literature and analyzed it using a mixed-method approach that included content analysis. The literature was examined using keywords, theoretical background, article kinds, participant gender, participant age, and author affiliation. Furthermore, themes were developed by qualitatively assessing the problem statements of the associated papers and identifying their consequences. Most of the research on gang membership and identification in jail focused on prison gang members and, to a lesser extent, non-gang members, with minimal focus on correctional services authorities. The findings on author affiliation revealed that most of the authors were linked with South African universities. The qualitative findings of this study revealed that Rule Violation, Power and Status, and the Need for Belonging are the most dominating themes relating to group processes and have a substantial influence on prison gang membership. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 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: 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
- 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:
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
- Full Text:
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:
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
- Full Text:
- 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
- Full Text:
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
- Full Text:
- 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
- Full Text:
Infant feeding knowledge, attitudes and practices of mothers in private health facilities in Alice Town, Eastern Cape, South Africa
- Authors: Oyeniran, Aderonke Adepeju
- Date: 2022-07
- Subjects: Infants -- Nutrition , Baby foods , Breastfeeding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27139 , vital:66315
- Description: Background and aim of the study: Within the global field of health education, it is generally accepted that the topic of breast-feeding is a crucial discussion due to its maternal, infant, and communal benefits. However, certain African countries, such as South Africa, experience certain challenges related to both predictive factors and maternal attitudes to breast-feeding. To improve public awareness and promote the implementation of breast-feeding, these factors should be investigated to highlight the importance of this practice among young mothers. Method: The study utilised a cross-sectional survey by means of a self-administered questionnaire, which was completed by the carefully chosen participants. The collected data were then analysed using a statistical package for social sciences (SPSS) (frequency, percentages, mean and standard deviation) and inferential statistics (logistic regression). The level of significance for the inferential statistics was set at 0.05. Results: A total of 377 infant mothers participated in the study with median age of 30. Most infant mothers that participated in the study were well educated with infant mother 189 having a bachelor’s degree. The findings revealed that mothers of 40 years above are 1.51 times more likely not to breastfeed exclusively compared to mothers of less than 40 years of age (95percent CI, 0.75-2.25). The odds ratio of the incidence of decision in breastfeeding for participants with breastfeeding and formula milk was 1.66 (95percent CI, 0.87-2.53). In term of family support, mothers who don’t receive family support were 3.43 times more likely no to breastfeed. The result also revealed that mothers with breast pain were 0.98 more likely not to breastfeed. Conclusion: This study concludes that infant mothers are well informed about breastfeeding. This study also revealed that factors such as infant mothers’ knowledge about breastfeeding, medical health of both mother and infant and cultural norms can go a long way in influencing the decision of mothers to breastfeeding their infant or not. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Authors: Oyeniran, Aderonke Adepeju
- Date: 2022-07
- Subjects: Infants -- Nutrition , Baby foods , Breastfeeding
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27139 , vital:66315
- Description: Background and aim of the study: Within the global field of health education, it is generally accepted that the topic of breast-feeding is a crucial discussion due to its maternal, infant, and communal benefits. However, certain African countries, such as South Africa, experience certain challenges related to both predictive factors and maternal attitudes to breast-feeding. To improve public awareness and promote the implementation of breast-feeding, these factors should be investigated to highlight the importance of this practice among young mothers. Method: The study utilised a cross-sectional survey by means of a self-administered questionnaire, which was completed by the carefully chosen participants. The collected data were then analysed using a statistical package for social sciences (SPSS) (frequency, percentages, mean and standard deviation) and inferential statistics (logistic regression). The level of significance for the inferential statistics was set at 0.05. Results: A total of 377 infant mothers participated in the study with median age of 30. Most infant mothers that participated in the study were well educated with infant mother 189 having a bachelor’s degree. The findings revealed that mothers of 40 years above are 1.51 times more likely not to breastfeed exclusively compared to mothers of less than 40 years of age (95percent CI, 0.75-2.25). The odds ratio of the incidence of decision in breastfeeding for participants with breastfeeding and formula milk was 1.66 (95percent CI, 0.87-2.53). In term of family support, mothers who don’t receive family support were 3.43 times more likely no to breastfeed. The result also revealed that mothers with breast pain were 0.98 more likely not to breastfeed. Conclusion: This study concludes that infant mothers are well informed about breastfeeding. This study also revealed that factors such as infant mothers’ knowledge about breastfeeding, medical health of both mother and infant and cultural norms can go a long way in influencing the decision of mothers to breastfeeding their infant or not. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
Investigation of risky sexual behaviour amongst HIV/AIDS positive individuals on antiretroviral treatment in Buffalo City Metropolitan Municipality Eastern Cape Province, South Africa
- Authors: Pere, Mzukisi Ernest
- Date: 2022-07
- Subjects: Sexual behaviour -- South Africa -- Eastern Cape , Youth Sexual behaviour
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23578 , vital:58190
- Description: Background: Human immunodeficiency virus (HIV)/ acquired immune deficiency syndrome (AIDS) is one of the major public health concerns. Antiretroviral treatments (ART) is available immediately for HIV-positive individuals but sexually transmitted infections are on the rise. The majority of HIV positive patients on ART are engaging in unsafe sexual practices. Purpose: The aim of this study was to investigate risky sexual behaviour of people on antiretroviral treatment regarding prevention. The study was conducted on adult clients in the Buffalo City Metropolitan Municipality. Methods: A quantitative and descriptive cross-sectional design was conducted whereby 304 patients who visited Nontyatyambo Health Centre were randomly selected. Data was entered and analyzed using Statistical Package for the Social Sciences (SPSS) 24. Simple descriptive statistics such as numbers, percentages and tables were used to characterise variables. A chi-square test was used to explore associations between dependent and independent variables. Test significance, confidence intervals and p-values of all the causes and contributory factors were set at 0.05. Results: Thirty two percent reported having sex with multiple sexual partners while 19percent reported never using a condom. Forty eight percent reported having had sexually transmitted infections since starting on ART. The median age (36 years (IQR: 31, 45) vs. 35 years (IQR: 26, 40)) of those who reported STIs was higher than the median age of those who did not report STI (p=0.012). Males (57percent, p=0.049), those who were employed (55percent, p=0.048), and those who were cohabitating (68percent, 0.030) were more likely to report STI. Similarly, those who had unprotected sex with a casual partner (62percent, p<0.001), and those who did not use a condom because a partner did not like it (71percent, p=0.001) were more likely to report STIs. A significant number of 32percent of the participants reported engaging in risky sexual practices while 48percent had reported an STI. Recommendations include educational outreach programmes and capacitation of health care workers with appropriate skills and tools. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Authors: Pere, Mzukisi Ernest
- Date: 2022-07
- Subjects: Sexual behaviour -- South Africa -- Eastern Cape , Youth Sexual behaviour
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23578 , vital:58190
- Description: Background: Human immunodeficiency virus (HIV)/ acquired immune deficiency syndrome (AIDS) is one of the major public health concerns. Antiretroviral treatments (ART) is available immediately for HIV-positive individuals but sexually transmitted infections are on the rise. The majority of HIV positive patients on ART are engaging in unsafe sexual practices. Purpose: The aim of this study was to investigate risky sexual behaviour of people on antiretroviral treatment regarding prevention. The study was conducted on adult clients in the Buffalo City Metropolitan Municipality. Methods: A quantitative and descriptive cross-sectional design was conducted whereby 304 patients who visited Nontyatyambo Health Centre were randomly selected. Data was entered and analyzed using Statistical Package for the Social Sciences (SPSS) 24. Simple descriptive statistics such as numbers, percentages and tables were used to characterise variables. A chi-square test was used to explore associations between dependent and independent variables. Test significance, confidence intervals and p-values of all the causes and contributory factors were set at 0.05. Results: Thirty two percent reported having sex with multiple sexual partners while 19percent reported never using a condom. Forty eight percent reported having had sexually transmitted infections since starting on ART. The median age (36 years (IQR: 31, 45) vs. 35 years (IQR: 26, 40)) of those who reported STIs was higher than the median age of those who did not report STI (p=0.012). Males (57percent, p=0.049), those who were employed (55percent, p=0.048), and those who were cohabitating (68percent, 0.030) were more likely to report STI. Similarly, those who had unprotected sex with a casual partner (62percent, p<0.001), and those who did not use a condom because a partner did not like it (71percent, p=0.001) were more likely to report STIs. A significant number of 32percent of the participants reported engaging in risky sexual practices while 48percent had reported an STI. Recommendations include educational outreach programmes and capacitation of health care workers with appropriate skills and tools. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text: