An analysis of performance management and organisational success in local government administration in South Africa: A case study of Buffalo City Metropolitan Municipality (BCMM)
- Authors: Ndasana, Mvuyisi https://orcid.org/0000-0003-1615-7785
- Date: 2022-04
- Subjects: Local government--South Africa , Managing local government
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23765 , vital:60504
- Description: The study examined performance management and organizational success in local government administration in South Africa with a focus on Buffalo City Metropolitan Municipality (BCMM), Eastern Cape Province. It adopted the mixed method approach, namely, qualitative, and quantitative research methods. In-depth face-to-face interviews were conducted with a sample of 20 participants from Buffalo City Metropolitan Municipality (BCMM) who were selected using the purposive sampling technique. The study also distributed 100 questionnaires to BCMM employees who were selected using random sampling technique. The target population of the study was the employees of BCMM. Based on the analysis of data, the study found that the municipality did not have an electronic system; they were using a manual system in their performance management. Further to this, the respondents also highlighted that there was no approved Performance Management System (PMS) policy framework that had been endorsed by the council of the municipality. From this conclusion, the study recommended that the municipality must have an approved PMS policy framework and it should be implemented at all levels of employment within the organization. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
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Effect of pomegranate (Punica granatum L) peel powder meal on growth performance, gut integrity, haemato-biochemical indices, meat, and bone quality of broiler chickens
- Authors: Akuru, Eunice Amaka https://orcid.org/0000-0002-3093-0247
- Date: 2022-04
- Subjects: Broilers (Chickens) , Meat -- Quality
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/23611 , vital:58218
- Description: The objective of the current study was to investigate the overall response of broiler birds to varying dietary levels of pomegranate (Punica granatum L) peel powder meal (PPPM). A total of 432-day-old Cobb 500 broiler chicks were randomly divided into six experimental groups of four replications with 18 birds per replicate in a completely randomized design (CRD). The birds were fed isonitrogenous and isocaloric experimental diets designated as: T1-control diet with 0percent additives (negative control; NEGCON); T2- control diet supplemented with α-tocopherol acetate at 200g per ton (positive control; POSCON): T3, T4, T5 and T6-control diet supplemented with 2, 4, 6 and 8g/kg PPPM (PPPM2, PPPM4, PPPM6, PPPM8). The phytochemical, nutritional and antioxidant properties of the pomegranate peel powder were determined. Results showed that the South African-grown pomegranate peel (“Wonderful” variety) had rich protein and trace mineral contents. Higher (p < 0.05) antioxidant and hepatic anti-lipid peroxidative activities were recorded in the ethanol and acetone extracts than the water extract, whereas the three extracts had no toxic effects on liver and kidney cells (p > 0.05). The dietary effects of PPPM supplementation on growth performance, digestibility, carcass, and organ weight indices of Cobb 500 birds were determined. The POSCON diet enhanced (p < 0.05) feed conversion ratio (FCR) at week 3. The average final body weight and average daily weight gain were highest (p < 0.05) in birds fed PPPM2 and PPPM4 diets, whereas birds fed PPPM2 diet had enhanced (p < 0.05) FCR and protein efficiency ratio when compared with birds on POSCON. Thigh and breast weights were highest (p < 0.05) in birds on PPPM4 and PPPM8 diets, whereas birds fed PPPM4 diet had enhanced (p < 0.05) nutrient digestibility compared with those on POSCON. The antioxidant status and breast meat quality of Cobb 500 broiler birds fed diets supplemented with PPPM were determined. Meat from birds fed PPPM8 diet had the highest (p < 0.05) thawing loss, while cooking loss was lowest (p < 0.05) in the PPPM2 group. The highest (p < 0.05) ability to scavenge ABTS [(2, 2-azinobis (3ethylbenzothiazoline-6 sulfonic acid))] radical cation (ABTS+) was recorded in the PPPM2 and PPPM4 meat while PPPM8 meat had increased (p < 0.05) catalase activity. The fatty acid composition, oxidative status, and drip loss in breast meat of Cobb 500 broiler birds fed graded levels of PPPM was determined. Meat from birds fed PPPM4 diet had the lowest (p < 0.05) margaric (C17:0) and arachidic (C20:0) acids, while meat from birds fed PPPM8 diet had higher (p < 0.05) levels of eicosadenoic (C20:2, n-6) and arachidonic (AA, 20:4) acids. The POSCON had higher (p < 0.05) ability to reduce TBARS levels in meat on day-1 and day-16 of storage than the NEGCON and PPPM diets, whereas TBARS levels were lowest (p < 0.05) in PPPM6 meat on day-16. The gut pH, histology, haematology, serum-biochemical indices, and bone quality parameters of Cobb 500 broiler birds fed diets supplemented with PPPM was determined. Birds fed POSCON, PPM2 and PPPM4 diets had the lowest (p < 0.05) pH in the duodenum, jejunum, and caecum, whereas duodenal pH values were lowest (p < 0.05) in birds fed PPPM2 and PPPM4 diets compared with birds on NEGCON. Birds fed PPPM4 diet had the highest (p < 0.01) duodenal, jejunal and ileal villi height (VH), and the highest (p < 0.01) VH to crypt depth (CD) ratio in the duodenum, jejunum, and ileum. The lowest (p < 0.05) CD in the duodenum, jejunum and ileum was also recorded in birds fed PPPM4 diet. Birds fed PPPM8 diet had higher (p < 0.05) values for white blood cell count, red blood cell count, haemoglobin concentration and packed cell volume, whereas the lowest (p < 0.05) concentration of serum aspartate transaminase was recorded in birds fed PPPM4 diet. Birds on PPM4 diet had longer (p < 0.05) bones. Bone weight and bone breaking strength were highest (p < 0.05) in birds fed PPPM8 diet. Tibia zinc and iron concentrations increased as the inclusion levels of pomegranate peel powder meal increased. It was concluded that broiler birds require 4 g/kg pomegranate peel powder for enhanced growth performance, nutrient digestibility, gut histology, quality, and antioxidant enzyme activity of meat, whereas 8 g/kg pomegranate peel powder meal supplementation is required for enhanced heamato-biochemical indices, bone quality, fatty acid composition and lipid peroxidative parameters in broiler birds. , Thesis (PhD) -- Faculty of Science and Agriculture, 2022
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Evaluation of antimicrobial combination therapy options for the management of integron-mediated multidrug resistance in enterococcus species and acinetobacter baumannii from aquatic environment in the Eastern Cape Province, South Africa
- Authors: Ola, Adeniji Oluwaseun
- Date: 2022-04
- Subjects: Enterococcus , Aquatic biodiversity , Acinetobacter
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/27776 , vital:69467
- Description: Infectious diseases caused by multidrug-resistant MDR pathogens, such as Acinetobacter baumannii and Enterococcus spp., is an increasing worldwide problem. For treating these diseases, antibiotics are usually the first choice. But organisms develop resistance as a result of drug abuse, continuous use of antibiotics and release of antibiotics into the environment. These have prompted MDR's development, making even the most active drugs ineffective. Transposons, plasmids and integrons are the most effective mobile genetic elements that promote acquisition and spread of resistance determinants. Integrons carrying various arrays of resistance gene cassettes are principally helpful for epidemiological studies of these disease-causing organisms. Alternative treatments, such as using drugs in combination or with adjuvants and nanoparticles therapy, have been documented. Nanoparticles have the potential requirements for qualifying as antibacterial agents. In addition to their antimicrobial activities, nanoparticles can be used together with antibiotics for more enhanced antimicrobial activity In this study, Acinetobacter baumanni, Enterococcus faecium and Enterococcus faecalis were recovered from the aquatic environment in the Eastern Cape Province, South Africa with a standard microbiological method. Their antibiotic sensitivity testing was carried out using Kirby Bauer disk diffusion and microdilution methods. A high occurrence of class-1 integrons was discovered in MDR A. baumanni, with the internal variable containing aadA1, aadA5 and aadA2 genes, which confer resistance for streptomycin and spectinomycin, aac 6Ib for amikacin/ tobramycin and dfrA17 genes for trimethoprim. Similarly, class1 integron was detected in Enterococcus, without the presence of gene cassette. The checkerboard assay and time-kill assay were used to test for the effect of the combination of the antibiotic. The impact of colistin combined with quinolones (ciprofloxacin) with the Fractional inhibitory concentration index FICs 0.31 indicated synergistic effects against MDR A baumanni. However, when colistin was combined with meropenem and ceftazidime, additive effects with FIC, ranging from 0.52 to 1 were observed. In addition, a combination of gentamicin MIC 4 μgml with vancomycin MIC 256 μgml antibiotics against vancomycin-resistant Enterococcus faecalis showed antibacterial activity. In contrast, the combination of ciprofloxacin 1 μgml with Ampicillin 16 μgml antibiotics against Enterococcus faecalis showed a bacteriostatic effect. The initial inoculum declined by 100 percentage when gentamicin was combined with vancomycin at a concentration of 4 and 128 μgml MIC respectively, for about 2 h following the treatment for MDR E. faecium. Enterobacterial Repetitive Intergenic Consensus Polymerase Chain Reaction ERIC PCR analyses of the studied pathogens revealed great genetic diversity, suggesting the various sources of environmental contamination. Silver nanoparticles AgNPs and zinc oxide nanoparticles ZnO NPs were chemically synthesized using a precipitation method and characterized using energy dispersive Xray analysis EDX, scanning electron microscopy SEM, Fourier transforms infrared spectroscopic analysis FTIR and transmission electron microscopy TEM. The characterization results showed the synthesis of 43.37 nm and 21.03 nm nanoparticles of zinc oxide and silver origins, correspondingly, with distinct morphology, as revealed in TEM. The size, stability and functional groups of the nanoparticles produced were revealed using EDX and FTIR. Zinc oxide nanoparticles were cytotoxic against Vero cell lines at the tested concentrations, whereas AgNPs had no cytotoxic effect at lower concentrations. Acinetobacter baumanni, Enterococcus faecium and Enterococcus faecalis were with MIC in the range of 0.0390.078mgml for silver nanoparticles. Zinc oxide nanoparticles were explicitly active against Enterococcus species gram-positive with MIC of 1.25 5 mgml. Both studied nanoparticles exhibited profound synergistic and additive activities against all the investigated MDR pathogens. These findings demonstrate good antibacterial potential of the nanoparticles against drug-resistant strains and open a new arena of antimicrobials for medical treatment. , Thesis (MSc) -- Faculty of Science and Agriculture, 2022
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Evaluation of groundwater potential using geological and geophysical methods in the University of Fort Hare Alice Campus, Eastern Cape Province of South Africa
- Authors: Adesola, Gbenga Olamide https://orcid.org/0000-0002-4151-5305
- Date: 2022-04
- Subjects: Groundwater , Geology, Structural -- South Africa , Geographical Information Systems
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22490 , vital:52344
- Description: Geological and geophysical methods were used to evaluate the groundwater potential in University of Fort Hare (Alice campus), Eastern Cape Province of South Africa. Methodologies adopted for obtaining these results included a comprehensive literature review, thin section analysis, scanning electron microscopy, Geographical Information Systems (GIS), remote sensing and geophysical investigations (magnetic survey and vertical electrical sounding). The geology of the study area belongs to the Balfour Formation, which forms part of the Beaufort Group in the Karoo Supergroup. The rocks within the study area are composed majorly of sandstone and mudstone. Lineaments were automatically extracted using the PCI Geomatica 2018 software. Fifteen samples were collected at various locations within the study area and were analyzed using the petrographic microscope while others were analyzed with the Scanning Electron Microscopic (SEM) combined with an Energy dispersive x-ray spectrometry. The results show that the rocks are fractured, porous and contained minerals such as quartz, feldspar, calcite, mica and clay minerals. The occurrence of these fractures helps to improve the groundwater storage capacity in the study area. Out of the twenty seven (27) rock samples collected in the field, ten (10) rock samples were selected for densities (dry, wet and grain densities) and porosity measurements in the laboratory. The rocks density values range from 2.5763 – 2.6978 g/cm3. The average porosities of the rocks range from 0.85 – 2.56 percent. The density of the sandstone ranges from 2.5908 – 2.6820 g/cm3 whilst the porosity range from 0.85 – 2.02 percent. The density of the mudstone ranges from 2.5763 – 2.6978 g/cm3 whilst the porosity ranges from 1.84 – 2.56 percent. About 8458 magnetic measurements were taken at about 20 m spacing along linear and non-linear paths and road. A variety of magnetic maps were generated. Several magnetic highs were observed and the linear highs were interpreted to be due to dolerite dykes whilst the broader high zones were inferred to be due to dolerite sills. These Karoo dolerites intruded the sediments at various depths and must have fractured the sediments causing them to be more porous and permeable. The depth slices of magnetic data reveal that near surface magnetic bodies occur within the depth of approximately 19 m from the surface while deep seated ones occur as deep as 31 m and maybe deeper. The knowledge of the dolerite intrusions enabled the location of drilling targets for groundwater. Electrical resistivity data were collected at 28 sites using the Schlumberger array and a maximum cable length (250 m) from the centre point which achieved a maximum depth penetration of about 70 m to 162 m. The results from 1D modelling using WINRESIST software showed that the vertical electric sounding curves are composed of HA and HK curve-types, which show four geoelectric layers. The resistivity of the first layer which is the topmost layer has values ranging from 20 - 5752 Ωm and the thickness is between 0.4 – 1.8 m. The second layer which consists of clay, mudstone and sandstone has resistivity values varying from 3 - 51 Ωm and thickness varying from 0.8 – 17.5 m. The third layer which is interpreted to be the aquiferous layer of the study area is made up majorly of sandstone with resistivity that varies from 136 – 352 Ωm and thickness range from 9.9 – 143.9 m. The fourth layer of resistivity varying from 44 to 60428 Ωm is made up of mudstone and sandstone, which are in some places intruded by dolerites. Groundwater potential is favourably high in some of the areas investigated. Furthermore, the results of the research indicated that secondary porosity is the main porosity for the reservoir rocks in the study area. , Thesis (MSc) -- Faculty of Science and Agriculture, 2022
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Grappling with food and livelihood practices in the context of socio-ecological displacement: The case of 2014 Tokwe-Mukorsi flood victims in Chingwizi, Zimbabwe
- Authors: Mudefi, Elmon https://orcid.org/0000-0003-3448-5432
- Date: 2022-04
- Subjects: Food security , Households , Natural disasters -- Zimbabwe
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/22056 , vital:51979
- Description: This study sought to examine how the socio-ecologically displaced Tokwe-Mukorsi community in southern Zimbabwe grappled with adverse circumstances that threatened to obliterate their age-old food and livelihood practices after five years of being resettled 150km away in Chingwizi. The investigation is done against the backdrop of the dominant narrative on resilience, which often overlooks resilience outcomes associated with specific contextual experiences of socio-ecological disadvantage. The study examined the nature and character of emergent food and livelihood practices in Chingwizi, with a view to establishing how they were impacted by socio-political dynamics encountered vis-à-vis displacement, resettlement and in processes of attempting to recover. The study also examined how local narratives about the new food and livelihood practices in Chingwizi intersect with dominant resilience discourses, especially those related to climate change adaptation, sustainability and food security. A triangulated research design was utilised. It consisted of survey, focus group discussion, in-depth interview, and key informant interview. Qualitative research participants were selected based on their knowledge and experience on food and livelihood practices before and after displacement. This included the displaced flood victims that met this criterion, local leaders, government officials and local opinion leaders. The findings revealed that food and livelihood practices in Chingwizi had deteriorated over the five-year period under investigation. This was reflected in a diminution in livestock herds, crop production, income streams and average household monthly incomes. As a result, food insecurity was very high, and households were forced to rely more on donations. The displaced flood victims, however, adapted to the harsh conditions by engaging in a variety of livelihood alternatives, including food vending, buying and selling, craftwork, small livestock rearing, and migrating to neighbouring South Africa to seek employment opportunities. Nevertheless, efforts to rebuild food and livelihood practices were hampered by socio-political dynamics. This resulted in the loss of key livelihood assets, a situation aggravated by compensational injustice, contestations over land and resources by the host communities, dysfunctional social networks, and victims’ cultural ‘fixations’. The study concludes from these and other findings that achieving transformation in the form of adaptation, food security and sustainability following involuntary displacement and resettlement is more than just a question of resilience, and that displacement and resettlement are complex processes that create invidious dynamism for the stakeholders concerned. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
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Linkage to care of HIV clients following diagnosis in Engcobo Sub-district, Eastern Cape
- Authors: Mthini, Sandiso
- Date: 2022-04
- Subjects: Primary care (Medicine) , HIV infections AIDS (Disease) -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27017 , vital:66223
- Description: Background: “Linkage to care” is an essential strategy in place for the retention of HIV diagnosed clients on treatment. It is vital throughout the management and care of an HIV client. Aim of the study was to explore the effectiveness of “linkage to care” of HIV clients following the diagnosis in the Engcobo sub-district, Eastern cape. Methodology: Qualitative, explorative, descriptive study design was used to explore and describe the effectiveness of “linkage to care” of HIV clients following diagnosis in the Engcobo sub-district. The population for the study were all healthcare workers, who are involved in the program of “linkage to care” of HIV positive clients. Purposive Sampling was used to select professional nurses, Community healthcare workers, Lay counsellors, linkage officers who are involved in the linkage of HIV positive patients and the facility managers whom their facilities provide HIV care services. Interview guide was used to collect data and Tesch’s method was used to analyse data. Findings: Themes that emerged from the study were flexible time to “linkage to care”; use of different policies; administration; team activities and “linkage to care” benefits. Recommendations: Training on “linkage to care”; case management model; TIER.NET system upgrade/ linkage App development, patient information packs; standardised extended hours; transport assistance/outreach mobile services. Conclusion “Linkage to care” is a team effort, it needs collaboration and knowledge. Despite the implementation of a linkage program, there are challenges that the department of health needs to act on as addressed on researcher’s recommendations. , Thesis (MPA) -- Faculty of Health Sciences, 2022
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Pharmacological, toxicological and phytochemical evaluation of helichrysum petiolare hilliard & b.l. burtt - an indigenous plant traditionally used in the treatment of diabetes in the eastern cape province of South Africa
- Authors: Aladejana, Adebowale Emmanuel https://orcid.org/0000-0003-1871-926X
- Date: 2022-04
- Subjects: Diabetes -- Alternative treatment , Traditional medicine , Medicinal plants
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/22787 , vital:52755
- Description: Diabetes mellitus is one of the leading causes of death in South Africa, and it has already placed significant stress on the country’s health sector and economy. The orthodox hypoglycaemic drugs are not only ineffective in the management of the disease and its complications, but they also possess unwanted side effects. The need for alternative non-toxic drugs is therefore imperative. Various studies have listed several medicinal plants that can be successfully used in the herbal treatment of diabetes and have investigated them for their anti-diabetic potentials in vivo and/or in vitro. Out of the different potential herbal species, plants belonging to the Asteraceae family possess highly potent hypoglycaemic properties with negligible toxicities. Five Asteraceae plants widely used in different parts of South Africa for the treatment of diabetes were reviewed. The review provided an update of scientific evidence on the hypoglycaemic properties of the plants. However, Helichrysum petiolare was studied extensively in this study for its antidiabetic activity H. petiolare has been listed in many ethnobotanical surveys as a plant with potent hypoglycaemic potential, this, however, has not been properly verified in scientific literature and there has hardly been any study on the essential oil and nutritional composition, and antioxidant, antidiabetic, and cytotoxicity potentials of the plant. The effects of hydro-distillation (HD) and solvent-free microwave extraction (SFME) methods on the chemical constituents of H. petiolare-derived essential oils were evaluated. The SFME method had a higher yield of essential oil than the HD. There were substantial amounts of monoterpenes, monoterpene alcohols, sesquiterpenes, and sesquiterpene alcohols in both essential oils obtained, but these compounds were more profound in the SFME derived essential oil which has 62 compounds compared to the 52 derived through HD. The SFME derived essential oil can therefore be said to be of better quality than the HD method. The compounds obtained in the essential oils have high pharmaceutical and cosmetic value, and as observed in this study, their quantity is dependent on the method of extraction (Ibáñez and Blázquez, 2021; Kaur et al., 2021). The proximate analysis of the whole plant of H. petiolare showed high levels of Acid Detergent Fibre (ADF), vitamins (A, C and E), Neutral Detergent Fibre (NDF), and minerals. The high ADF level is believed to be responsible for the low energy, fat and carbohydrate levels observed in the study. The result showed a high level of oxalate and therefore suggests cooking of the plant before human consumption. Overall nutrition and mineral compositions of the plant showed that H. petiolare is immensely rich in vital nutrients that are of great importance to health and metabolism; these nutrients are suggested to be partly responsible for the plant’s useful medicinal properties. The phytochemical contents of the acetone (ACQ), ethanol (ETQ), and boiled (BAQ) and cold (CAQ) aqueous whole-plant extracts of Helichrysum petiolare were determined using standard phytochemical reaction methods. ABTS, DPPH, NO and TAC assays were used to evaluate their antioxidant properties. The highest total phenolic content (212,963 mg/g) was reported in the BAQ extract, while the ETQ had the highest flavonoid (172.393 mg/g) and proanthocyanidin contents (65.855 mg/g). Alkaloids, flavonols, and saponin were highest in the ACQ extract, while the CAQ had the lowest phytochemical content. Among the extracts, the BAQ had the highest DPPH•+ (IC50 0.02 mg/mL) and ABTS•+ (IC50 0.07) inhibition capacities, while the ETQ exhibited the highest NO• Inhibition (IC50 0.41 mg/mL) and TAC (IC50 0.19 mg/mL). These findings justify the use of H. petiolare in traditional medicine and further recommend the ETQ and BAQ extracts of the plant as more effective extracts for medicinal treatment. The hepatotoxicity (cytotoxicity, mitotoxicity and lipotoxicity) potential of the BAQ, CAQ and ETQ extracts of Helichrysum petiolare was evaluated using standard procedures. The results showed negligible BAQ and CAQ cytotoxicities, which were further, corroborated by stability in the mitochondrial membrane potentials and were congruent with the CAQ and BAQ results for steatosis and phospholipidosis. The data suggested favourable CAQ and BAQ toxicity profiles with limited risks for hepatotoxicity. The ETQ extract, however, showed significantly high levels of cytotoxicity and lipotoxicity, and a low level of mitotoxicity. Our result suggested a potential risk of the ETQ extract for hepatotoxicity but appears partly independent of direct mitochondrial involvement. Glucose uptake assay showed significantly increased glucose uptake in the BAQ and CAQ treated L6 and C3A cell lines. The CAQ extract enhanced glucose uptake more in the L6 myocytes than in the C3A cell-lines hepatocytes. The BAQ extract showed higher levels of inhibition on α–amylase and α-glucosidase activities as compared to CAQ. The BAQ and CAQ extracts of H. petiolare may, therefore, contain pharmacologically active and relatively non-toxic hypoglycaemic chemicals, which may be effective substitutes in the treatment of diabetes mellitus. This study provides up to date scientific information on the use of H. petiolare in the treatment of diabetes mellitus in the Eastern Cape of South Africa. It justifies the use of this plant in herbal medicine and sheds more light on its previously vaguely understood nutritional and medicinal potentials. More studies, however, need to be done to isolate, identify and purify the constituent bioactive compound(s). Their dosage of application and mode of action also needs to be understood. , Thesis (PhD) -- Faculty of Science and Agriculture, 2022
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Safe handling, storage, and management of vaccines at selected primary health care facilities in Buffalo City Metropolitan, Eastern Cape Province
- Authors: Mazwembe-Hoho, Andiswa Zimkitha
- Date: 2022-04
- Subjects: Vaccines , Pharmaceutical policy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27942 , vital:70902
- Description: Background The World Health Organization has a standardized tool for assessing vaccine handling and management. South Africa has adopted WHO tools to suit its own conditions of supply and storage of vaccines, the WHO tool is a guideline for managing vaccines. Importantly, every person handling or supervising handling of vaccines should own this manual (s) and use it as a reference for the handling, storage, and management of vaccines and related items. Aim The aim of this study was to examine safe handling, storage, and management of vaccines by health care workers in PHC facilities of BCM Municipality. Methodology A quantitative research approach and descriptive design was used to assess the safe handling, storage, and management of vaccines in PHC facilities in BCM in EC. Results The results showed that safe handling, storage, and management of vaccines in PHC facilities in BCM does not comply fully on safe handling, storage, and management of vaccines. The overall compliance rate was 86%, and this indicated that healthcare workers have knowledge of what is required to be compliant with safe handling, storage, and management of vaccines. Conclusion Safe handling, storage, and management ovaccines in PHC facilities in BCM is conditionally compliant as the healthcare workers have moderate-to-satisfactory knowledge. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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The utilization of contraceptives amongst adolescents at Stutterheim in the Eastern Cape Province
- Authors: Ntengo-Kupula, Visisa
- Date: 2022-04
- Subjects: Contraception , Birth control , Teenage pregnancy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27082 , vital:66272
- Description: Introduction Contraception has been identified as one way in which women can prevent unwanted pregnancies. Contraceptive utilization has been proved to minimize maternal mortality by lowering the risk of pregnancy and its associated life-threatening problems. Therefore, the researcher conducted a study at Stutterheim about the “utilization of contraceptives amongst adolescents at Stutterheim in Eastern Cape Province” with the intentions to explore perceptions of adolescents on utilization of contraceptives and to determine the factors that influence that contraceptive utilization. Methods This study adopted a quantitative, descriptive cross-sectional design which involved questionnaire tools completed by 436 adolescents between the ages of 14 and 19 years at Stutterheim health facilities and the surrounding schools, regardless of whether they were sexually active or not. After obtaining ethical clearance from the University ethics Committee and permission from the Department of Health the researcher visited the gatekeepers for obtaining informed consent and data collection procedures. The researcher administered the instruments herself to ensure validity and reliability of the instrument through a pilot study. The respondents of the pilot study did not participate in the major study. Any irregularities with the data instruments were corrected accordingly. Data collection took 3 weeks to complete all the sites. The raw data was captured onto an Excel spread sheet and analysed by the researcher with the assistance of a statistician. Results The data suggests that as much as the parents discuss about sex related issues and pregnancy, they are less likely to educate their adolescent girls about contraceptives probably due to the beliefs they have, lack of knowledge and the fear of introducing them into premarital sex. The 34.4percent of participants indicated that they were scared of contraceptive rumours spreading around the community as well as the stigmatization. Conclusion Due to the results of this study the Department of Health should work together with the department of education to put into effect the optimal utilization of contraceptives amongst adolescents by adding sexual, reproductive and contraceptives health education, as a subject in the school curriculum. Department of health must also make use of main media and social media since they are influential and can be the great sources of information for campaigns and more seminars on contraceptive utilization and its benefits to the adolescents, society and the State. , Thesis (MPH) -- Faculty of Health Science, 2022
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