An assessment of public-private partnerships as a strategy for effective delivery of primary health care in the Eastern Cape - the case of Frere Hospital
- Authors: Gqobana, Sicelo Hamilton
- Date: 2017
- Subjects: Frere Hospital Public-private sector cooperation Primary health care
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10353/12892 , vital:39388
- Description: The development of public-private partnerships (PPPs) around the world has urged governments to look at alternative service delivery methods because of increased pressures on government budgets. Public-private partnerships present governments with means of generating private funds for health service delivery whilst government manages the relationship via a negotiated PPP agreement to monitor the quality of services rendered. Different PPP models are applied all over the world depending on the specific needs of countries. Different factors impact on the success of these partnerships and it is essential that government shares knowledge and best practices. This study has showed that in order for basic primary healthcare to be effective in terms of service delivery, PPPs should be considered. The legislative framework is a critical factor in the advancement of PPP procurement and the allocation of risk as an important consideration when pursuing this type of procurement. In the health sector of the Eastern Cape Province in South Africa, there are PPPs that exist; they were the first of their kind. The study examined a tertiary hospital in East London which does not necessarily provide basic healthcare but needs to improve service delivery, although there has been some improvement from 2013 to date. The hospital in question was the Frere Hospital and the study assessed a public-private partnership as a strategy for effective delivery of basic primary healthcare in this hospital in the Eastern Cape. Interviews with the sample participants comprising mainly of managers at Frere Hospital, revealed that Frere had been ‘in tatters’ with a bad reputation before 2013, and even though there were improvements afterwards, some targets were still not met. The study came up with the following recommendations: there should be training of managers and other officials on the importance of PPPs in improving service delivery at Frere; there should be some kind of a PPP at Frere to improve productivity; officials and not only managers must understand the importance of PPPs; certain methods/processes and mechanisms need to be developed to overcome challenges in terms of service delivery that the Department of Health and Frere are still facing; officials must understand that through a PPP service delivery can improve significantly; and a need exists for sound annual plans with targets that show how the annual targets will be achieved.
- Full Text:
- Authors: Gqobana, Sicelo Hamilton
- Date: 2017
- Subjects: Frere Hospital Public-private sector cooperation Primary health care
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10353/12892 , vital:39388
- Description: The development of public-private partnerships (PPPs) around the world has urged governments to look at alternative service delivery methods because of increased pressures on government budgets. Public-private partnerships present governments with means of generating private funds for health service delivery whilst government manages the relationship via a negotiated PPP agreement to monitor the quality of services rendered. Different PPP models are applied all over the world depending on the specific needs of countries. Different factors impact on the success of these partnerships and it is essential that government shares knowledge and best practices. This study has showed that in order for basic primary healthcare to be effective in terms of service delivery, PPPs should be considered. The legislative framework is a critical factor in the advancement of PPP procurement and the allocation of risk as an important consideration when pursuing this type of procurement. In the health sector of the Eastern Cape Province in South Africa, there are PPPs that exist; they were the first of their kind. The study examined a tertiary hospital in East London which does not necessarily provide basic healthcare but needs to improve service delivery, although there has been some improvement from 2013 to date. The hospital in question was the Frere Hospital and the study assessed a public-private partnership as a strategy for effective delivery of basic primary healthcare in this hospital in the Eastern Cape. Interviews with the sample participants comprising mainly of managers at Frere Hospital, revealed that Frere had been ‘in tatters’ with a bad reputation before 2013, and even though there were improvements afterwards, some targets were still not met. The study came up with the following recommendations: there should be training of managers and other officials on the importance of PPPs in improving service delivery at Frere; there should be some kind of a PPP at Frere to improve productivity; officials and not only managers must understand the importance of PPPs; certain methods/processes and mechanisms need to be developed to overcome challenges in terms of service delivery that the Department of Health and Frere are still facing; officials must understand that through a PPP service delivery can improve significantly; and a need exists for sound annual plans with targets that show how the annual targets will be achieved.
- Full Text:
Performance of a residential swimming pool air source heat pump water heater installed in Fort Beaufort, South Africa
- Authors: Mqayi, Singatha
- Date: 2017
- Subjects: Water heaters Heat pumps Swimming pools -- Heating and ventilation
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10353/4835 , vital:28532
- Description: Globally, there is growing concern about energy consumption and its diverse effects on the environment. In South Africa, the current status quo is unfavourable in the domain of energy, hence the Department of Energy, Eskom and NERSA have embarked on supporting energy efficiency technologies nationwide as a strategic goal in reducing demand on the national grid. Due to the non conservative consumption of electricity from the grid and the insufficient supply to meet its demand, the importation of crude oil is very certain. In addition, the current and most popular technology for pool water heating in the said country is the resistive element which is inefficient and non-cost-effective. The energy consumption of residential swimming pool water heating is very massive, and tariff structure shows a constant rise. Furthermore, there's a current electricity crisis during the Eskom evening peak. Hence, a reliable, efficient, cost-effective and renewable energy technology such as an air source heat pump is required as a retrofit to the existing resistive element. Furthermore, mathematical modelling is a tool that can be used to mimic the dynamic behaviour of a physical or process system. It is a computational language or mathematical equation used to predict the dynamic behaviour of physical systems [Tangwe et al., 2015]. Various methods such as numerical methods have been considered as the particular types of mathematical modelling which have been employed to predict the performance of swimming pool ASHP water heater. However, they were unreliable and expensive. Consequently, this research focused on the experimental determination of the viability and development of a mathematical model to predict the performance of swimming pool ASHP water heater. The benefit of the development and building of this model was attributed to its low cost and credibility to forecast the performance of swimming pool ASHP water heater. Also, this robust mathematical model can be used by an energy service company and system manufacturer to compute the dynamic coefficient of performance of the swimming pool ASHP water heater. Following the above-mentioned information, the research sought to provide a permanent solution to the Eskom evening peak constraint. This is because energy-efficiency, serves as the bridging block between conventional and renewable energy sources needed by Eskom in a bid to provide a balance energy mix and sustainable energy. The implementation of a swimming pool ASHP water heater guaranteed a conducive environment for the population due to the reduction in environmental pollution.
- Full Text:
- Authors: Mqayi, Singatha
- Date: 2017
- Subjects: Water heaters Heat pumps Swimming pools -- Heating and ventilation
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10353/4835 , vital:28532
- Description: Globally, there is growing concern about energy consumption and its diverse effects on the environment. In South Africa, the current status quo is unfavourable in the domain of energy, hence the Department of Energy, Eskom and NERSA have embarked on supporting energy efficiency technologies nationwide as a strategic goal in reducing demand on the national grid. Due to the non conservative consumption of electricity from the grid and the insufficient supply to meet its demand, the importation of crude oil is very certain. In addition, the current and most popular technology for pool water heating in the said country is the resistive element which is inefficient and non-cost-effective. The energy consumption of residential swimming pool water heating is very massive, and tariff structure shows a constant rise. Furthermore, there's a current electricity crisis during the Eskom evening peak. Hence, a reliable, efficient, cost-effective and renewable energy technology such as an air source heat pump is required as a retrofit to the existing resistive element. Furthermore, mathematical modelling is a tool that can be used to mimic the dynamic behaviour of a physical or process system. It is a computational language or mathematical equation used to predict the dynamic behaviour of physical systems [Tangwe et al., 2015]. Various methods such as numerical methods have been considered as the particular types of mathematical modelling which have been employed to predict the performance of swimming pool ASHP water heater. However, they were unreliable and expensive. Consequently, this research focused on the experimental determination of the viability and development of a mathematical model to predict the performance of swimming pool ASHP water heater. The benefit of the development and building of this model was attributed to its low cost and credibility to forecast the performance of swimming pool ASHP water heater. Also, this robust mathematical model can be used by an energy service company and system manufacturer to compute the dynamic coefficient of performance of the swimming pool ASHP water heater. Following the above-mentioned information, the research sought to provide a permanent solution to the Eskom evening peak constraint. This is because energy-efficiency, serves as the bridging block between conventional and renewable energy sources needed by Eskom in a bid to provide a balance energy mix and sustainable energy. The implementation of a swimming pool ASHP water heater guaranteed a conducive environment for the population due to the reduction in environmental pollution.
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An investigation of record-keeping as a catalyst in ensuring accountability and transparency : a case study of the Provincial Department of Basic Education in the Eastern Cape
- Authors: Ntontela, Majama
- Date: 2015
- Subjects: Public records -- Management Government information -- South Africa -- Management Transparency in government -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10353/4415 , vital:28336
- Description: Not all documents are records. One of the central concerns of contemporary governance is the reduced or complete lack of accountability among public officials when rendering public services. In the absence of accountability and records, corruption thrives. This research examines the relationship that exists between transparency, accountability and record keeping in order to find the effect that records has; in terms of producing positive audit outcomes and in eliminating corrupt activities by public official/s. Since the transition to democracy in South Africa, the new constitution demands transparency and accountability on matters of governance supported with available information (records). Various pieces of legislation in South Africa are available in support of timely, accessible and accurate information in pursuit of official duties. The difficulty in ensuring an effective record keeping creates an opportunity for governance, transparency and accountability to fail. The essence of this research undertaking was motivated by the fact that, absence of records (which has a negative effect in achieving clean audits) renders governance chaotic and infringes on the democratic principles enshrined in the Constitution such as accountability and transparency. The purpose of the study was to investigate the practice of record keeping in the Eastern Cape Provincial Department of Basic Education (ECDoE) in ensuring accountability and transparency. This research undertaking was guided by the following three research questions: (1) what is the legal/normative framework that governs record keeping in South African public service? (2) How does ECDoE practice record-keeping in ensuring accountability and transparency? And (3) how does the practice of ECDoE’s record-keeping compare with the requirements of the legal/normative framework? After all the gathering of information from different sources, it is therefore recommended that the ECDoE send its employees for records management courses and there must be strict adherence to legislation and recommendations made by the Auditor General in his last audit report for the department. During the conduct of this research undertaking, these are the findings that emerged from the study: at the ECDoE (1) There is no adequate training provided to employees in record keeping. (2) There are ineffective internal control systems. (3) There is no risk management contingency plan. (4) There is no proper record keeping. (5) There is non-compliance with legislation by officials. (6) There is no strong or effective leadership. (7) There is shortage of staff and qualified personnel. (8) Lack of commitment to excel. (9) No significant corrective action undertaken to eliminate past inaccuracies. (10) There is absence of following up on recommendations made by the external audit. Lastly, the researcher accepts the arguments raised by the different authors about record keeping, transparency and accountability in that: there can be no accountable and transparent government without an effective record-keeping in place. Records are vital sources of evidence admissible to any institution be it a court of law or standing committees should clarity be required.
- Full Text:
- Authors: Ntontela, Majama
- Date: 2015
- Subjects: Public records -- Management Government information -- South Africa -- Management Transparency in government -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MPA
- Identifier: http://hdl.handle.net/10353/4415 , vital:28336
- Description: Not all documents are records. One of the central concerns of contemporary governance is the reduced or complete lack of accountability among public officials when rendering public services. In the absence of accountability and records, corruption thrives. This research examines the relationship that exists between transparency, accountability and record keeping in order to find the effect that records has; in terms of producing positive audit outcomes and in eliminating corrupt activities by public official/s. Since the transition to democracy in South Africa, the new constitution demands transparency and accountability on matters of governance supported with available information (records). Various pieces of legislation in South Africa are available in support of timely, accessible and accurate information in pursuit of official duties. The difficulty in ensuring an effective record keeping creates an opportunity for governance, transparency and accountability to fail. The essence of this research undertaking was motivated by the fact that, absence of records (which has a negative effect in achieving clean audits) renders governance chaotic and infringes on the democratic principles enshrined in the Constitution such as accountability and transparency. The purpose of the study was to investigate the practice of record keeping in the Eastern Cape Provincial Department of Basic Education (ECDoE) in ensuring accountability and transparency. This research undertaking was guided by the following three research questions: (1) what is the legal/normative framework that governs record keeping in South African public service? (2) How does ECDoE practice record-keeping in ensuring accountability and transparency? And (3) how does the practice of ECDoE’s record-keeping compare with the requirements of the legal/normative framework? After all the gathering of information from different sources, it is therefore recommended that the ECDoE send its employees for records management courses and there must be strict adherence to legislation and recommendations made by the Auditor General in his last audit report for the department. During the conduct of this research undertaking, these are the findings that emerged from the study: at the ECDoE (1) There is no adequate training provided to employees in record keeping. (2) There are ineffective internal control systems. (3) There is no risk management contingency plan. (4) There is no proper record keeping. (5) There is non-compliance with legislation by officials. (6) There is no strong or effective leadership. (7) There is shortage of staff and qualified personnel. (8) Lack of commitment to excel. (9) No significant corrective action undertaken to eliminate past inaccuracies. (10) There is absence of following up on recommendations made by the external audit. Lastly, the researcher accepts the arguments raised by the different authors about record keeping, transparency and accountability in that: there can be no accountable and transparent government without an effective record-keeping in place. Records are vital sources of evidence admissible to any institution be it a court of law or standing committees should clarity be required.
- Full Text:
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