Exploring socio-economic factors influencing incidences and outcome of multidrug resistance tuberculosis among patients and facility staffs in Makana Sub-District, Eastern Cape
- Authors: Cannon, Lesley-Ann Lynnath
- Date: 2022-02
- Subjects: Multidrug resistance , Multidrug-resistant -- tuberculosis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23471 , vital:57896
- Description: Drug-resistant Tuberculosis (DR-TB) is one of the main causes of global public health crisis, due to the morbidity and mortality rates associated with the disease. This DR-TB is a complex illness having direct and indirect impact on finances, social functioning, and quality of life of infected individuals. Major research advances have been made in the diagnosis and treatment of DR-TB. However, minimal information exists on the socio-economic factors influencing the incidence and outcomes. This study aims to fill the gap by exploring the socio-economic factors from both the health care professional and patient perspective in particular settings to gain insights into developing context-specific strategies against the burden of DR-TB. The study applied a qualitative method to explore the socio-economic factors influencing MDR-TB through key-in-depth interviews (KIIs) and focus group discussions (FGDs). The study enrolled a total of thirty-two (32) consenting participants. The KIIs was conducted for ten (10) healthcare workers and nine (9) MDR-TB patients. Two focus group discussions were done involving seven (7) MDR-TB patients and six (6) MDR-TB patients, respectively. The study targeted healthcare workers working in the MDR-TB field and TB patients with the following: GeneXpert Rifampicin resistance and patient confirmed as MDR TB. Eligible participants were selected using a purposive sampling technique from the hospitals` routine data electronic records (EDR-WEB database) and hardcopy registers (drug-resistant TB register) on MDR-TB patients enrolled in care at the study site. Informed consent was obtained from all study participants after thoroughly explaining the purpose. No personal information of participants was used. All responses from respondents were coded during analysis for autonomy and the respondents were not identifiable in any published or unpublished work following this research. The interviews were transcribed, some translated into English, where necessary, and analysed until saturation was reached. Data was coded and analysed using both thematic and content analysis technique. There were 3 main themes identified in the study: social factors, economic factors, and other contributing factors. 7 sub- themes were recorded under social factors and 2 subthemes under economic factors. Two independent factors that were also considered to impact MDR-TB were the attitude of healthcare workers, as well as the current COVID-19 pandemic. MDR-TB is a major public health concern in the Makana Sub-district of the Eastern Cape. The findings of this study highlight the impact of socio- economic factors on the incidence, spread, defaulter rate and outcomes of MDR-TB. The social areas highlighted by the study participants as affecting the incidence and outcomes of MDR TB were housing and relocation, decreased immunity, stigma, patients’ attitude and lack of support, alcohol and other substance usage and prison/ incarceration. The economic factors identified by the participants were unemployment and job loss and health related expenses. Other factors are those factors contributing to the increased incidence and possible poor outcomes of MDR TB. Healthcare workers impact and attitude and the effects of the covid-19 pandemic were highlighted as additional factors influencing the incidence and outcomes of MDR TB. The management of MDR-TB requires rigorous efforts that should be directed at addressing the socio-economic factors. Therefore, future quantitative studies and important programmatic strategies should be considered to tackle the socio-economic challenges that contribute to the burden of MDR-TB infection in the Makana community. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Cannon, Lesley-Ann Lynnath
- Date: 2022-02
- Subjects: Multidrug resistance , Multidrug-resistant -- tuberculosis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23471 , vital:57896
- Description: Drug-resistant Tuberculosis (DR-TB) is one of the main causes of global public health crisis, due to the morbidity and mortality rates associated with the disease. This DR-TB is a complex illness having direct and indirect impact on finances, social functioning, and quality of life of infected individuals. Major research advances have been made in the diagnosis and treatment of DR-TB. However, minimal information exists on the socio-economic factors influencing the incidence and outcomes. This study aims to fill the gap by exploring the socio-economic factors from both the health care professional and patient perspective in particular settings to gain insights into developing context-specific strategies against the burden of DR-TB. The study applied a qualitative method to explore the socio-economic factors influencing MDR-TB through key-in-depth interviews (KIIs) and focus group discussions (FGDs). The study enrolled a total of thirty-two (32) consenting participants. The KIIs was conducted for ten (10) healthcare workers and nine (9) MDR-TB patients. Two focus group discussions were done involving seven (7) MDR-TB patients and six (6) MDR-TB patients, respectively. The study targeted healthcare workers working in the MDR-TB field and TB patients with the following: GeneXpert Rifampicin resistance and patient confirmed as MDR TB. Eligible participants were selected using a purposive sampling technique from the hospitals` routine data electronic records (EDR-WEB database) and hardcopy registers (drug-resistant TB register) on MDR-TB patients enrolled in care at the study site. Informed consent was obtained from all study participants after thoroughly explaining the purpose. No personal information of participants was used. All responses from respondents were coded during analysis for autonomy and the respondents were not identifiable in any published or unpublished work following this research. The interviews were transcribed, some translated into English, where necessary, and analysed until saturation was reached. Data was coded and analysed using both thematic and content analysis technique. There were 3 main themes identified in the study: social factors, economic factors, and other contributing factors. 7 sub- themes were recorded under social factors and 2 subthemes under economic factors. Two independent factors that were also considered to impact MDR-TB were the attitude of healthcare workers, as well as the current COVID-19 pandemic. MDR-TB is a major public health concern in the Makana Sub-district of the Eastern Cape. The findings of this study highlight the impact of socio- economic factors on the incidence, spread, defaulter rate and outcomes of MDR-TB. The social areas highlighted by the study participants as affecting the incidence and outcomes of MDR TB were housing and relocation, decreased immunity, stigma, patients’ attitude and lack of support, alcohol and other substance usage and prison/ incarceration. The economic factors identified by the participants were unemployment and job loss and health related expenses. Other factors are those factors contributing to the increased incidence and possible poor outcomes of MDR TB. Healthcare workers impact and attitude and the effects of the covid-19 pandemic were highlighted as additional factors influencing the incidence and outcomes of MDR TB. The management of MDR-TB requires rigorous efforts that should be directed at addressing the socio-economic factors. Therefore, future quantitative studies and important programmatic strategies should be considered to tackle the socio-economic challenges that contribute to the burden of MDR-TB infection in the Makana community. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-02
Exploring suicide ideation and depression among university students: a systematic review
- Jarana, Luyanda https://orcid.org/0000-0001-9625-8302
- Authors: Jarana, Luyanda https://orcid.org/0000-0001-9625-8302
- Date: 2022-02
- Subjects: Suicide , Depression in adolescence
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23698 , vital:58580
- Description: Suicide is one of the leading causes of death among the youth and university students. The aim of this study was to explore knowledge that is available in published literature on suicide ideation and depression among university students in the South African context. This study utilised a systematic review in exploring suicide ideation and depression among university students so that knowledge and awareness about the prevalence of and factors associated with suicide ideation and depression among young people at university could be established. Method: A systematic review was the methodology used in the study. The main aim of the systematic review was to answer the research question that was formulated through the Patient of interest, Intervention, Comparison intervention and Outcome of interest (PICO) format. After the research question was formulated, 100 articles were collected through PsycInfo, Google Scholar, Ebscohost, Research Gate, and Taylor and Francis websites. From the 100 articles, five articles which met the inclusion criteria were selected with guidance from the Preferred Reporting Items for Systematic Reviews (PRISMA) flow chart. The Critical Appraisal Skills Programme (CASP) screening checklist was used to verify the eligibility of the five selected articles. Results: Three themes, which are effectiveness of psychological interventions, students who do not seek psychological interventions and decrease in suicide ideation and depression after intervention emerged from the eligible articles. The themes answered the research question and confirmed that psychological and psychosocial interventions decrease the rate of suicide ideation and depression among university students. The most effective interventions were individual therapy and online counselling. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Jarana, Luyanda https://orcid.org/0000-0001-9625-8302
- Date: 2022-02
- Subjects: Suicide , Depression in adolescence
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23698 , vital:58580
- Description: Suicide is one of the leading causes of death among the youth and university students. The aim of this study was to explore knowledge that is available in published literature on suicide ideation and depression among university students in the South African context. This study utilised a systematic review in exploring suicide ideation and depression among university students so that knowledge and awareness about the prevalence of and factors associated with suicide ideation and depression among young people at university could be established. Method: A systematic review was the methodology used in the study. The main aim of the systematic review was to answer the research question that was formulated through the Patient of interest, Intervention, Comparison intervention and Outcome of interest (PICO) format. After the research question was formulated, 100 articles were collected through PsycInfo, Google Scholar, Ebscohost, Research Gate, and Taylor and Francis websites. From the 100 articles, five articles which met the inclusion criteria were selected with guidance from the Preferred Reporting Items for Systematic Reviews (PRISMA) flow chart. The Critical Appraisal Skills Programme (CASP) screening checklist was used to verify the eligibility of the five selected articles. Results: Three themes, which are effectiveness of psychological interventions, students who do not seek psychological interventions and decrease in suicide ideation and depression after intervention emerged from the eligible articles. The themes answered the research question and confirmed that psychological and psychosocial interventions decrease the rate of suicide ideation and depression among university students. The most effective interventions were individual therapy and online counselling. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Date Issued: 2022-02
Factors associated with infant mortality in Sarah Baartman District, Eastern Cape Province, South Africa
- Authors: Muavha, Mukondeleli Selina
- Date: 2022-02
- Subjects: Infants--Mortality
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22067 , vital:51980
- Description: This study aimed to investigate the factors associated with infant mortality in Sarah Baartman District hospitals. A quantitative descriptive case-control design was used to investigate and describe the association between maternal socio-demographic, infant, environmental factors, and infant mortality. A data abstraction instrument was used to identify cases and their controls, and to retrieve information related to antenatal and obstetric care for the mothers of both cases and controls, as well as some information related to perinatal care for both mother and infant, from the registers in the district hospitals in Sarah Baartman district for the financial years 2015/2016 to 2017/2018. This was followed by structured questionnaires which were hand-delivered, to the mothers of the cases and controls. This study showed that seven maternal socio-demographic factors (educational level, mother’s source of income, religion, where mother took sick child to, frequency of visits by a health care worker within the last one year, number of alive siblings, and history of intrauterine death) were significantly related to infant mortality among the study participants. Among the environmental factors, the type of house, availability of tap and type of toilet were significantly related to infant mortality among the study participants. The study recommends public policies concerning maternal health through targeting mothers for food supplementation and prenatal care to reduce infant mortality rates. Infant mortality in the study area can also be reduced by improving mother’s education because women’s education has spill over effects on fertility and maternal health care behaviour. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2021
- Full Text:
- Date Issued: 2022-02
- Authors: Muavha, Mukondeleli Selina
- Date: 2022-02
- Subjects: Infants--Mortality
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22067 , vital:51980
- Description: This study aimed to investigate the factors associated with infant mortality in Sarah Baartman District hospitals. A quantitative descriptive case-control design was used to investigate and describe the association between maternal socio-demographic, infant, environmental factors, and infant mortality. A data abstraction instrument was used to identify cases and their controls, and to retrieve information related to antenatal and obstetric care for the mothers of both cases and controls, as well as some information related to perinatal care for both mother and infant, from the registers in the district hospitals in Sarah Baartman district for the financial years 2015/2016 to 2017/2018. This was followed by structured questionnaires which were hand-delivered, to the mothers of the cases and controls. This study showed that seven maternal socio-demographic factors (educational level, mother’s source of income, religion, where mother took sick child to, frequency of visits by a health care worker within the last one year, number of alive siblings, and history of intrauterine death) were significantly related to infant mortality among the study participants. Among the environmental factors, the type of house, availability of tap and type of toilet were significantly related to infant mortality among the study participants. The study recommends public policies concerning maternal health through targeting mothers for food supplementation and prenatal care to reduce infant mortality rates. Infant mortality in the study area can also be reduced by improving mother’s education because women’s education has spill over effects on fertility and maternal health care behaviour. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2021
- Full Text:
- Date Issued: 2022-02
The impact on restitution claims as a means of achieving a sustainable livelihood among the people of CATA Village in the Eastern Cape
- Authors: Mgweba, Bongani
- Date: 2022-02
- Subjects: Land reform--Law and legislation , Land reform--Government policy--South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23721 , vital:58594
- Description: Land reform contestation in South African reflects how restitution of lands has impacted the livelihoods of beneficiaries and the community at large. This study examines the restitution impact on the livelihood of Cata community members, a controversial land reform zone in Eastern Cape. Although the people of Cata suffered a loss of land through forced removal by the apartheid government, the ‘betterment planning’ by the state did not address their problem. The study investigates the extent of socioeconomic livelihood improvement that the land restitution policy has offered the people of Cata. The study explores the extent to which land restitution settlement has contributed to a sustainable development and how such development has impacted the everyday lives of the community. The study made use of qualitative approach for data collection. Interviews were conducted among land beneficiaries in Cata. These included land beneficiaries living in Cata and those who are also beneficiaries but were not presently living in Cata. To understand the state of developmental impact in the lives of Cata people, a focus-group discussion was organized to hear contributions from some community members. The study indicates that, financial compensation has not benefited many of the claimant. This is because many of the funds have not been put to good use considering the enormous socioeconomic challenges facing households. However, the formation of BRC brought some relief to the community members through helping beneficiaries by lodging their claims, helping with appropriate compensation awards and offering land restitution advice to claimants. The help from BRC has contributed to the developmental project that respondents attest has improved their livelihoods. , Thesis (MA) -- Faculty of Social Sciences and Humanities, 2021
- Full Text:
- Date Issued: 2022-02
- Authors: Mgweba, Bongani
- Date: 2022-02
- Subjects: Land reform--Law and legislation , Land reform--Government policy--South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23721 , vital:58594
- Description: Land reform contestation in South African reflects how restitution of lands has impacted the livelihoods of beneficiaries and the community at large. This study examines the restitution impact on the livelihood of Cata community members, a controversial land reform zone in Eastern Cape. Although the people of Cata suffered a loss of land through forced removal by the apartheid government, the ‘betterment planning’ by the state did not address their problem. The study investigates the extent of socioeconomic livelihood improvement that the land restitution policy has offered the people of Cata. The study explores the extent to which land restitution settlement has contributed to a sustainable development and how such development has impacted the everyday lives of the community. The study made use of qualitative approach for data collection. Interviews were conducted among land beneficiaries in Cata. These included land beneficiaries living in Cata and those who are also beneficiaries but were not presently living in Cata. To understand the state of developmental impact in the lives of Cata people, a focus-group discussion was organized to hear contributions from some community members. The study indicates that, financial compensation has not benefited many of the claimant. This is because many of the funds have not been put to good use considering the enormous socioeconomic challenges facing households. However, the formation of BRC brought some relief to the community members through helping beneficiaries by lodging their claims, helping with appropriate compensation awards and offering land restitution advice to claimants. The help from BRC has contributed to the developmental project that respondents attest has improved their livelihoods. , Thesis (MA) -- Faculty of Social Sciences and Humanities, 2021
- Full Text:
- Date Issued: 2022-02
The place of traditional circumcision in the initiation into manhood among the amaXhosa people of the Eastern Cape Province - South Africa: a human rights perspective
- Authors: Mkuzo, Pearl Zukiswa
- Date: 2022-02
- Subjects: Circumcision -- South Africa -- Eastern Cape , Xhosa (African people) -- Health and hygiene
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28388 , vital:74286
- Description: This desktop study sought to investigate the place of traditional circumcision in the initiation into manhood among the amaXhosa people of South Africa. It also explores this phenomenon from the human rights perspective. This is because male initiation is a highly significant Xhosa rite of passage that acts as the instrument for a transition from boyhood to manhood. In Xhosa custom, traditional circumcision is generally performed on boys (young males) ranging between the ages of 18 and 25. Traditionally, the circumcision ritual is a complex one involving several different stages each closely regulated by principles and requirements. Regrettably, failure to go to the initiation school results in a boy being socially stigmatized and orchestrated by society. In recent years many concerns have arisen due to the high number of deaths after circumcision during initiation sessions. This rite of passage to manhood among Xhosa people is riddled with numerous complications and concerns that raise questions regarding the initiates' human rights. Each year thousands of youths enter initiation schools during initiation seasons. Some of these initiates experience medical complications due to a number of factors that require treatment, among others, septicemia, gangrene, severe dehydration, genital mutilation, penal amputation, maltreatment, assault, abuse, and violence which ultimately may lead to death of the initiates. The present researcher is of the opinion that the physical and emotional harm experienced by initiates is not compatible with a range of basic human rights, including the right to liberty, the right to health, the right to be free from torture, the right to security of person, the right to privacy and the right to life. One can argue that when the practice takes place under unhygienic, uncoordinated, or illdisciplined conditions, the procedure poses a threat to health and life, thus, violating the core human rights instrument namely: The United Nations Human Rights Declarations, namely, the Convention on the Rights of the Child (CRC) and African Charter on the Rights and Welfare of the Child (ACRWC), the 1996 Constitution of the Republic of South Africa and the Children's Act. These instruments have several provisions which are applicable to the circumcision of children during initiation. The present circumstances surrounding the initiation practice are also evaluated, namely, the outcry of the church and other leaders, who are calling for the practice to be abolished, is noted. The present researcher asserts that, because of the importance of this practice to Xhosa culture, calling for its abolition is not a solution. Instead, it is suggested that the practice should rather be redefined to better contribute to the broader challenges of moral regeneration in South Africa. , Thesis (MPhil) -- Faculty of Law, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Mkuzo, Pearl Zukiswa
- Date: 2022-02
- Subjects: Circumcision -- South Africa -- Eastern Cape , Xhosa (African people) -- Health and hygiene
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28388 , vital:74286
- Description: This desktop study sought to investigate the place of traditional circumcision in the initiation into manhood among the amaXhosa people of South Africa. It also explores this phenomenon from the human rights perspective. This is because male initiation is a highly significant Xhosa rite of passage that acts as the instrument for a transition from boyhood to manhood. In Xhosa custom, traditional circumcision is generally performed on boys (young males) ranging between the ages of 18 and 25. Traditionally, the circumcision ritual is a complex one involving several different stages each closely regulated by principles and requirements. Regrettably, failure to go to the initiation school results in a boy being socially stigmatized and orchestrated by society. In recent years many concerns have arisen due to the high number of deaths after circumcision during initiation sessions. This rite of passage to manhood among Xhosa people is riddled with numerous complications and concerns that raise questions regarding the initiates' human rights. Each year thousands of youths enter initiation schools during initiation seasons. Some of these initiates experience medical complications due to a number of factors that require treatment, among others, septicemia, gangrene, severe dehydration, genital mutilation, penal amputation, maltreatment, assault, abuse, and violence which ultimately may lead to death of the initiates. The present researcher is of the opinion that the physical and emotional harm experienced by initiates is not compatible with a range of basic human rights, including the right to liberty, the right to health, the right to be free from torture, the right to security of person, the right to privacy and the right to life. One can argue that when the practice takes place under unhygienic, uncoordinated, or illdisciplined conditions, the procedure poses a threat to health and life, thus, violating the core human rights instrument namely: The United Nations Human Rights Declarations, namely, the Convention on the Rights of the Child (CRC) and African Charter on the Rights and Welfare of the Child (ACRWC), the 1996 Constitution of the Republic of South Africa and the Children's Act. These instruments have several provisions which are applicable to the circumcision of children during initiation. The present circumstances surrounding the initiation practice are also evaluated, namely, the outcry of the church and other leaders, who are calling for the practice to be abolished, is noted. The present researcher asserts that, because of the importance of this practice to Xhosa culture, calling for its abolition is not a solution. Instead, it is suggested that the practice should rather be redefined to better contribute to the broader challenges of moral regeneration in South Africa. , Thesis (MPhil) -- Faculty of Law, 2022
- Full Text:
- Date Issued: 2022-02