Challenges experienced by the Sarah Baartman District Municipality in the rendering of environmental health services
- Authors: Somi, Zoleka
- Date: 2018
- Subjects: Environmental health -- South Africa -- Eastern Cape , Public health -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/35469 , vital:33735
- Description: This study highlights challenges experienced by the Sarah Baartman District Municipality in the rendering of environmental health services. Although the Sarah Baartman District Municipality (SBDM) is primarily responsible for the rendering of environmental health services, the local municipalities that have environmental health practitioners within their areas of jurisdiction were appointed to act as its agents in the rendering of municipal health services. Sarah Baartman District Municipality therefore currently utilises the external service delivery mechanism. In 2004 the Sarah Baartman District Municipality was allocated powers and functions for the rendering of municipal health services which were previously a shared responsibility between the Eastern Cape Department of Health, the district municipality and local municipalities. In terms of section 78 (1) of the Municipal Systems Act, 2000 (Act 32 of 2000), on the allocation of new powers and functions, a municipality is required to assess conditions and capacity to deliver the service. In 2008 Sarah Baartman District Municipality appointed the Klyveld, Peat, Marwick and Groerdeler (KPMG) accounting firm to assess these conditions. The assessment identified a number of challenges regarding the current external service delivery mechanism. Based on the outcomes of this section 78 assessment, it was quite clear that the current external service delivery mechanism is the foundation for challenges in the effective rendering of Environmental Health Services at Sarah Baartman District Municipality. The aim of this study was to identify, explore and describe the challenges experienced by the Sarah Baartman District Municipality in the rendering of environmental health services in terms of its current external service delivery mechanism. The study was qualitative, with explorative and descriptive designs by nature. It was conducted at Sarah Baartman District Municipality which is made up of seven local municipalities. The target population for this study was 21 environmental health practitioners practicing within the SBDM (N=21). A purposive sample of eight (n=8) environmental health practitioners were identified to participate in the study. In-depth interviews and focus group discussions were used to collect data. A semi-structured interview guide was used to conduct the in-depth interviews and a focus group. Data was analysed using Tesch’s method of data analysis. The study revealed that the current external service delivery mechanism is the foundation for challenges in the effective rendering of environmental health services at SBDM. This study proposes that Sarah Baartman District Municipality should bring back the function of environmental health from the local municipalities and utilise the internal service delivery mechanism in the rendering of environmental health services.
- Full Text:
- Date Issued: 2018
- Authors: Somi, Zoleka
- Date: 2018
- Subjects: Environmental health -- South Africa -- Eastern Cape , Public health -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/35469 , vital:33735
- Description: This study highlights challenges experienced by the Sarah Baartman District Municipality in the rendering of environmental health services. Although the Sarah Baartman District Municipality (SBDM) is primarily responsible for the rendering of environmental health services, the local municipalities that have environmental health practitioners within their areas of jurisdiction were appointed to act as its agents in the rendering of municipal health services. Sarah Baartman District Municipality therefore currently utilises the external service delivery mechanism. In 2004 the Sarah Baartman District Municipality was allocated powers and functions for the rendering of municipal health services which were previously a shared responsibility between the Eastern Cape Department of Health, the district municipality and local municipalities. In terms of section 78 (1) of the Municipal Systems Act, 2000 (Act 32 of 2000), on the allocation of new powers and functions, a municipality is required to assess conditions and capacity to deliver the service. In 2008 Sarah Baartman District Municipality appointed the Klyveld, Peat, Marwick and Groerdeler (KPMG) accounting firm to assess these conditions. The assessment identified a number of challenges regarding the current external service delivery mechanism. Based on the outcomes of this section 78 assessment, it was quite clear that the current external service delivery mechanism is the foundation for challenges in the effective rendering of Environmental Health Services at Sarah Baartman District Municipality. The aim of this study was to identify, explore and describe the challenges experienced by the Sarah Baartman District Municipality in the rendering of environmental health services in terms of its current external service delivery mechanism. The study was qualitative, with explorative and descriptive designs by nature. It was conducted at Sarah Baartman District Municipality which is made up of seven local municipalities. The target population for this study was 21 environmental health practitioners practicing within the SBDM (N=21). A purposive sample of eight (n=8) environmental health practitioners were identified to participate in the study. In-depth interviews and focus group discussions were used to collect data. A semi-structured interview guide was used to conduct the in-depth interviews and a focus group. Data was analysed using Tesch’s method of data analysis. The study revealed that the current external service delivery mechanism is the foundation for challenges in the effective rendering of environmental health services at SBDM. This study proposes that Sarah Baartman District Municipality should bring back the function of environmental health from the local municipalities and utilise the internal service delivery mechanism in the rendering of environmental health services.
- Full Text:
- Date Issued: 2018
Environmental health community service in the Eastern Cape Province, South Africa
- Authors: Mbola, Patience
- Date: 2018
- Subjects: Environmental health -- South Africa -- Eastern Cape , Environmental health -- Administration -- South Africa -- Eastern Cape Environmental health -- Evaluation -- South Africa -- Eastern Cape Community health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/32028 , vital:31920
- Description: In terms of the Health Professions Act (Act 56 of 1974), Environmental Health graduates are required to conduct a year of Community Service before they are allowed to register as independent Environmental Health Practitioners at the Health Professions Council of South Africa. The main purpose of Community Service by these graduates is to assist Environmental Health Practitioners in the execution of their daily tasks, thereby contributing to more effective service delivery, especially to the disadvantaged communities, within the sphere of government where they are deployed. Several studies have been conducted in an effort to identify problem areas in other health care professions during the Community Service year, but no such study could be found on Environmental Health. The aim of this study was to do the same for the Environmental Health profession in South Africa, by focusing on problems and challenges during Community Service placement, specifically the 2013 to 2016 intakes of Community Service practitioners in the Eastern Cape Province and the administrators responsible for the program at national, provincial and municipal spheres of government. The study employed both quantitative and qualitative research designs (mixed method) and was by nature explorative, descriptive and contextual. Two populations were involved; namely, twenty four Environmental Health graduates who completed their Community Service during 2013 to 2016 within the Eastern Cape Province, and ten Environmental Health Practitioners who were responsible for the administration of the Community Service program at the provincial and municipal spheres of government during the same period. A purposive sample was drawn from each population. Qualitative data was collected by means of interviews and quantitative data through questionnaires. Qualitative data was analysed using Tech’s method of data analysis and quantitative data was statistically analysed. The results of the study revealed that the Eastern Cape Department of Health needs to review the Community Service program for Environmental Health graduates and further initiate resolutions in terms of the identified problems, such as maladministration of Community Service which related to the lack of consistency of communication during the organisation of the Community Service program; declined/decreasing number of Environmental Health Community Service posts in the Eastern Cape Province which led to a shortage of human resources; Inadequate provision of material resources for Community Service; lack of induction training and inconsistent supervision of Environmental Health Community Service practitioners; and lack of evaluation of the success of the Environmental Health Community Service program. The study findings suggest important inequalities and non-compliances which should deserve urgent attention. Based on the challenges that have been identified regarding the organisation and implementation of the Community Service program, this study concludes by presenting recommendations for the improvement of the Community Service program in the Environmental Health profession.
- Full Text:
- Date Issued: 2018
- Authors: Mbola, Patience
- Date: 2018
- Subjects: Environmental health -- South Africa -- Eastern Cape , Environmental health -- Administration -- South Africa -- Eastern Cape Environmental health -- Evaluation -- South Africa -- Eastern Cape Community health services -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: http://hdl.handle.net/10948/32028 , vital:31920
- Description: In terms of the Health Professions Act (Act 56 of 1974), Environmental Health graduates are required to conduct a year of Community Service before they are allowed to register as independent Environmental Health Practitioners at the Health Professions Council of South Africa. The main purpose of Community Service by these graduates is to assist Environmental Health Practitioners in the execution of their daily tasks, thereby contributing to more effective service delivery, especially to the disadvantaged communities, within the sphere of government where they are deployed. Several studies have been conducted in an effort to identify problem areas in other health care professions during the Community Service year, but no such study could be found on Environmental Health. The aim of this study was to do the same for the Environmental Health profession in South Africa, by focusing on problems and challenges during Community Service placement, specifically the 2013 to 2016 intakes of Community Service practitioners in the Eastern Cape Province and the administrators responsible for the program at national, provincial and municipal spheres of government. The study employed both quantitative and qualitative research designs (mixed method) and was by nature explorative, descriptive and contextual. Two populations were involved; namely, twenty four Environmental Health graduates who completed their Community Service during 2013 to 2016 within the Eastern Cape Province, and ten Environmental Health Practitioners who were responsible for the administration of the Community Service program at the provincial and municipal spheres of government during the same period. A purposive sample was drawn from each population. Qualitative data was collected by means of interviews and quantitative data through questionnaires. Qualitative data was analysed using Tech’s method of data analysis and quantitative data was statistically analysed. The results of the study revealed that the Eastern Cape Department of Health needs to review the Community Service program for Environmental Health graduates and further initiate resolutions in terms of the identified problems, such as maladministration of Community Service which related to the lack of consistency of communication during the organisation of the Community Service program; declined/decreasing number of Environmental Health Community Service posts in the Eastern Cape Province which led to a shortage of human resources; Inadequate provision of material resources for Community Service; lack of induction training and inconsistent supervision of Environmental Health Community Service practitioners; and lack of evaluation of the success of the Environmental Health Community Service program. The study findings suggest important inequalities and non-compliances which should deserve urgent attention. Based on the challenges that have been identified regarding the organisation and implementation of the Community Service program, this study concludes by presenting recommendations for the improvement of the Community Service program in the Environmental Health profession.
- Full Text:
- Date Issued: 2018
Environmental health work methods and procedures for the surveillance and control of cholera in the KwaZulu-Natal Province, South Africa
- Authors: Bigara, Ana Doherty
- Date: 2012
- Subjects: Avian influenza -- Eastern Cape -- South Africa -- Prevention , Environmental health -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9836 , http://hdl.handle.net/10948/d1016073
- Description: The aim of this study was to develop a standardised set of Environmental-Health work methods and procedures, with the purpose of contributing to the effective surveillance and control of Cholera in the KwaZulu-Natal province, South Africa. The researcher followed a qualitative research design, which was explorative, descriptive, inductive and deductive by nature. The methods of data collection were documentary research and focus-group interviews. A documentary research approach was employed as the primary method of data collection for the study. The researcher has used semi-structured questions to obtain relevant information from the participants in the focus groups. The purpose of using semi-structured questions in the focus groups was to draw on their knowledge and experience of communicable disease surveillance and control in relation to Cholera, as well as to ascertain their views on the role of the Environmental-Health Practitioners in the Communicable - Disease Outbreak- Response Teams at the three different spheres of government. The process of qualitative data analysis was followed. This was based on data reduction and interpretation; and it was conducted as an activity simultaneously with data collection, data interpretation (coding) and narrative writing. The information obtained from the analysed data assisted in the development of the environmentalhealth work methods and procedures for the surveillance and control of Cholera in the KwaZulu-Natal province, South Africa. In this study, firstly, the epidemiology of Cholera was described and analysed against the background of its manifestation in South Africa. Secondly, the national health care system, with specific reference to the place and role of environmental health practitioners at national, provincial and municipal spheres – in relation to Cholera surveillance and control – was analysed. Thirdly, the relevant research that has been done globally has been analysed against the background of the findings of the above, together with work methods and procedures to be used by environmental-health practitioners during the surveillance and control of Cholera in the KwaZulu-Natal Province, South Africa. These include, inter alia: Work methods and procedures for Cholera case investigation; Work methods and procedures for sanitary investigations; and Work methods and procedures for identifying the sources of contamination in environmental waters. Finally, the conclusion and limitations was presented, and appropriate recommendations were made. These include: he need to educate all role - players, on the recent developments in the identification of Vibrio cholerae from environmental surface waters; Communication systems should be developed that allow the Director: Environmental Health to communicate urgent environmental health information directly to the Minister of Health; he training of environmental-health practitioners on detailed work methods and procedures for the surveillance and control of Cholera; and the existing national Cholera control guidelines need to be updated to include relevant environmental health situations when emergencies arise.
- Full Text:
- Date Issued: 2012
- Authors: Bigara, Ana Doherty
- Date: 2012
- Subjects: Avian influenza -- Eastern Cape -- South Africa -- Prevention , Environmental health -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9836 , http://hdl.handle.net/10948/d1016073
- Description: The aim of this study was to develop a standardised set of Environmental-Health work methods and procedures, with the purpose of contributing to the effective surveillance and control of Cholera in the KwaZulu-Natal province, South Africa. The researcher followed a qualitative research design, which was explorative, descriptive, inductive and deductive by nature. The methods of data collection were documentary research and focus-group interviews. A documentary research approach was employed as the primary method of data collection for the study. The researcher has used semi-structured questions to obtain relevant information from the participants in the focus groups. The purpose of using semi-structured questions in the focus groups was to draw on their knowledge and experience of communicable disease surveillance and control in relation to Cholera, as well as to ascertain their views on the role of the Environmental-Health Practitioners in the Communicable - Disease Outbreak- Response Teams at the three different spheres of government. The process of qualitative data analysis was followed. This was based on data reduction and interpretation; and it was conducted as an activity simultaneously with data collection, data interpretation (coding) and narrative writing. The information obtained from the analysed data assisted in the development of the environmentalhealth work methods and procedures for the surveillance and control of Cholera in the KwaZulu-Natal province, South Africa. In this study, firstly, the epidemiology of Cholera was described and analysed against the background of its manifestation in South Africa. Secondly, the national health care system, with specific reference to the place and role of environmental health practitioners at national, provincial and municipal spheres – in relation to Cholera surveillance and control – was analysed. Thirdly, the relevant research that has been done globally has been analysed against the background of the findings of the above, together with work methods and procedures to be used by environmental-health practitioners during the surveillance and control of Cholera in the KwaZulu-Natal Province, South Africa. These include, inter alia: Work methods and procedures for Cholera case investigation; Work methods and procedures for sanitary investigations; and Work methods and procedures for identifying the sources of contamination in environmental waters. Finally, the conclusion and limitations was presented, and appropriate recommendations were made. These include: he need to educate all role - players, on the recent developments in the identification of Vibrio cholerae from environmental surface waters; Communication systems should be developed that allow the Director: Environmental Health to communicate urgent environmental health information directly to the Minister of Health; he training of environmental-health practitioners on detailed work methods and procedures for the surveillance and control of Cholera; and the existing national Cholera control guidelines need to be updated to include relevant environmental health situations when emergencies arise.
- Full Text:
- Date Issued: 2012
Environmental health work methods and procedures for the surveillance and control of avian influenza in the Eastern Cape Province, South Africa
- Authors: Elie, Sammy Abraham
- Date: 2008
- Subjects: Avian influenza -- Eastern Cape -- South Africa -- Prevention , Environmental health -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9834 , http://hdl.handle.net/10948/947 , http://hdl.handle.net/10948/d1009648 , Avian influenza -- Eastern Cape -- South Africa -- Prevention , Environmental health -- South Africa -- Eastern Cape
- Description: Avian influenza is an infectious disease of birds caused by the Type A strain of the influenza virus. The disease, which was first identified in Italy more than 100 years ago, occurs worldwide (World Health Organization, 2006a). The current outbreak of the highly pathogenic avian influenza A (H5N1), which began in Southeast Asia in mid-2003, is the largest and most severe on record. Never before in the recorded history of this disease have so many countries been simultaneously affected. Since the last pandemic in 1968-1969, the risk of an influenza pandemic has not been considered greater than at the present time. The importance of intervention strategies had become increasingly evident throughout the world. The World Health Organization provides a generic outline for preparedness plans to assist countries in their preparations to respond to a possible avian influenza pandemic. These guidelines may be modified as the epidemiology of avian influenza evolves. The South African National Department of Health has developed national guidelines in the form of an avian influenza preparedness plan. These draft guidelines do not provide detailed Environmental Health work methods and - procedures for the effective surveillance and control of the disease. The general purpose of this study is to develop a standardised set of Environmental Health work methods and - procedures, which will contribute to the effective surveillance and control of avian influenza in the Eastern Cape province – South Africa. Within the context of the purpose of this study, a qualitative, explorative, descriptive, inductive and deductive research design will be used. The methods of data collection will be documentary research, telephonic as well as in-depth personal interviews. In this study, documentary research will be the primary method of data collection. With a qualitative approach, the researcher will be the human instrument for data analysis. The process of qualitative data analysis will be based on data reduction and interpretation; and will be conducted as an activity simultaneously with data collection, data interpretation and narrative reporting writing.
- Full Text:
- Date Issued: 2008
- Authors: Elie, Sammy Abraham
- Date: 2008
- Subjects: Avian influenza -- Eastern Cape -- South Africa -- Prevention , Environmental health -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MTech
- Identifier: vital:9834 , http://hdl.handle.net/10948/947 , http://hdl.handle.net/10948/d1009648 , Avian influenza -- Eastern Cape -- South Africa -- Prevention , Environmental health -- South Africa -- Eastern Cape
- Description: Avian influenza is an infectious disease of birds caused by the Type A strain of the influenza virus. The disease, which was first identified in Italy more than 100 years ago, occurs worldwide (World Health Organization, 2006a). The current outbreak of the highly pathogenic avian influenza A (H5N1), which began in Southeast Asia in mid-2003, is the largest and most severe on record. Never before in the recorded history of this disease have so many countries been simultaneously affected. Since the last pandemic in 1968-1969, the risk of an influenza pandemic has not been considered greater than at the present time. The importance of intervention strategies had become increasingly evident throughout the world. The World Health Organization provides a generic outline for preparedness plans to assist countries in their preparations to respond to a possible avian influenza pandemic. These guidelines may be modified as the epidemiology of avian influenza evolves. The South African National Department of Health has developed national guidelines in the form of an avian influenza preparedness plan. These draft guidelines do not provide detailed Environmental Health work methods and - procedures for the effective surveillance and control of the disease. The general purpose of this study is to develop a standardised set of Environmental Health work methods and - procedures, which will contribute to the effective surveillance and control of avian influenza in the Eastern Cape province – South Africa. Within the context of the purpose of this study, a qualitative, explorative, descriptive, inductive and deductive research design will be used. The methods of data collection will be documentary research, telephonic as well as in-depth personal interviews. In this study, documentary research will be the primary method of data collection. With a qualitative approach, the researcher will be the human instrument for data analysis. The process of qualitative data analysis will be based on data reduction and interpretation; and will be conducted as an activity simultaneously with data collection, data interpretation and narrative reporting writing.
- Full Text:
- Date Issued: 2008
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