- Title
- An ergonomics study of orthotics and prosthetics workshops in the Eastern Cape of South Africa
- Creator
- Mgibantaka, Aviwe Sihle
- Subject
- Orthopedic apparatus industry South Africa Eastern Cape Administration
- Subject
- Prosthesis industry South Africa Eastern Cape Administration
- Subject
- Prosthetists Health and hygiene South Africa Eastern Cape
- Subject
- Prosthetists Job stress South Africa Eastern Cape
- Subject
- Work environment Psychological aspects
- Subject
- Industrial hygiene South Africa Eastern Cape
- Subject
- Human engineering South Africa Eastern Cape
- Subject
- Industrial safety South Africa Eastern Cape
- Subject
- Posture Health aspects
- Date Issued
- 2021-10-29
- Date
- 2021-10-29
- Type
- Master's theses
- Type
- text
- Identifier
- http://hdl.handle.net/10962/192108
- Identifier
- vital:45196
- Description
- The South African healthcare system is under pressure due to inequalities inherited from the Apartheid system of the past, as well as more recent maladministration. These problems are particularly evident in the Eastern Cape province, which is considered the second poorest province in the country. Furthermore, the rehabilitation sector within healthcare is struggling for recognition in both the public and private healthcare sectors. Orthotists and prosthetists (O&Ps) form an important service in the greater rehabilitation sector since they provide an essential service for people living with disabilities, thus enabling them to function independently. Limited literature and anecdotal evidence suggest that O&Ps perform strenuous physical work under sub-optimal environmental conditions. Furthermore, it is hypothesized that the contextual influences of a struggling healthcare system such as lack or resources, poor referral systems, staff shortages and poor working environments may create a lot of challenges for O&Ps that can impact O&P’s health and well-being and work performance. Purpose: The purpose of this study was to assess the systemic challenges and enablers facing orthotists and prosthetists working in the Eastern Cape of South Africa and thus also evaluate the impact on their health and well-being as well as their job performance. Furthermore, this thesis aimed to compare the work system of O&Ps working in the public with that of O&Ps in the private sector. Methods: A quantitative research method was chosen for this study. Data were collected using a descriptive questionnaire-based approach aimed at identifying the socio-technical interactions in the work systems of O&Ps in the Eastern Cape province of South Africa. This study was approved by the Rhodes University Ethical Standards Committee. The questionnaire was created in Google forms and the link to the online form was sent to Medical O&Ps and Orthopaedic Footwear Technicians using instant messaging (WhatsApp). Two hard copies were also handed out. Data were analysed using StatSoft Statistica Software (version 13.4.0.14 by TIBCO Software Inc.). Descriptive, parametric, content and correlation analyses were conducted. Significant findings were identified at p<0.05. Results: The study received 43 respondents working in both the public and private health sectors, of which 53.5% were males and 46.5% females. The mean age of the respondents was 34.38 years with a coefficient of variation of 19.45%. Majority of respondents (68.9%) worked in the public sector, with the remainder working in the private sector, or sharing their time between both healthcare sectors. Generally, respondents were satisfied with the organizational structure of their workplaces and their work environments. Work demands were identified by respondents from both sectors as an area of concern as tasks performed by O&Ps entailed physical strength, prolonged standing, awkward postures, and repetitive movements. Furthermore, there were some concerns about lighting and noise being unfavourable in some of the workshops. For all the system components, the standard deviations had a low dispersion of less than 1.0 from the mean. The lowest dispersion was 0.63 and the highest dispersion from the mean was 0.99. The analysis using the general linear models option revealed a significant difference between the scores of the work system components (p=0.03). The subsequent Tukey post-hoc test revealed a significant difference in the mean rating scores between the “Environment” and “Work demands”, with a p-value of 0.03. There was discontentment from respondents working in both sectors with their work productivity as the public health sector respondents were 64.52% content; private sector respondents were 68.89% content, and respondents working in both sectors were only 56.67% content. When comparing the responses between O&Ps working in the different sectors, respondents working both sectors were unhappy with the provision of tools, machines, and materials, with 56.25% of the respondents working in the public health sector being less happy than the 61.11% working in the private health sector and the 63.19% working in both the private and public health sectors. Respondents had concerns regarding health and well-being with 60.60% of respondents working in both the public and private health sectors and experiencing more challenges than the 61.05% in the public and 67.24% in the private health sectors, respectively. Correlation analyses revealed very high positive correlations between the system components and the system outcomes. Conclusion: The biggest issue emerging from this study was work demands as O&Ps work is physically demanding. O&Ps had to do a lot of manual handling, heavy load lifting, endure repetitive and vibration movements, prolonged standing and bending in awkward postures to complete tasks. The results from this study indicate that the private health sector is better equipped in terms of the work environment, machines than the public healthcare sector. The finding from this study can be used to improve the factors that enable O&Ps’ job performance and come up with possible solutions to the challenges O&Ps face in their jobs.
- Description
- Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2021
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (107 pages)
- Format
- Publisher
- Rhodes University
- Publisher
- Faculty of Science, Human Kinetics and Ergonomics
- Language
- English
- Rights
- Mgibantaka, Aviwe Sihle
- Rights
- Attribution 4.0 International (CC BY 4.0)
- Rights
- Open Access
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | MGIBANTAKA-MSC-TR21-295.pdf | 2 MB | Adobe Acrobat PDF | View Details Download |