The design and evaluation of targeted patient-centred health information to improve knowledge and behavioural outcomes in tuberculosis patients with limited literacy
- Authors: Patel, Sonal
- Date: 2015
- Subjects: Tuberculosis Patients , Health literacy , Patient education , Communication in medicine , Picture-writing
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/194071 , vital:45420 , DOI 10.21504/10962/194071
- Description: South Africa carries a significant TB burden as evidenced in the 2013 statistics which report 450 000 new active TB cases and 890 000 TB-related mortalities. For successful treatment outcomes, 90% adherence is necessary, but many patients prematurely discontinue treatment due to poor knowledge and understanding of their complex TB medicines. Patient education is pivotal in improving knowledge, health literacy and behavioural outcomes such as health information seeking, self-efficacy and adherence. In the under-resourced South African healthcare system, time and capacity to adequately counsel patients are limited. The value of written medicine information (WMI) to supplement the verbal information provided by healthcare professionals (HCPs) has been widely investigated but minimal South African research is available. Current WMI distributed in South Africa is mainly generated by pharmaceutical manufacturers and is complex, incomprehensible and undesirable to patients. TB-related WMI focuses mainly on the disease, with little information relating to TB medicines and their use. The overall aim of this project was to improve patient knowledge about their TB medicines through the use of a simple illustrated patient information leaflet (PIL). Objectives to achieve this aim included: investigation of the medicine information seeking behaviour (MISB) of long term patients attending public health sector facilities; the development and validation of a medicine literacy test (MLT) to identify patients with limited health literacy requiring additional support and counselling; the development and evaluation of a patient-centred illustrated PIL for first-line TB treatment; the assessment of self-efficacy and adherence using modified versions of the HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES) and Morisky 8-item Medicine Adherence Scale (MMAS-8), respectively, and the investigation of the impact of the PIL on patient knowledge and these health-related behaviours. Six focus group discussions (FGDs) conducted in 34 isiXhosa-speaking patients with limited formal education taking long-term treatment explored themes related to information needs, information-seeking practices and awareness of and ability to utilize information sources. Codes were analysed and potential themes and subthemes were identified and refined. The findings of this study reflected a passive, disempowered patient due to both patient-related and systemic healthcare factors. Poor awareness of information sources, lack of health-related knowledge, stigma and lack of awareness of the importance of appropriate medicine-related knowledge contributed to a lack of information-seeking practice. Patients neither asked questions nor were encouraged to do so. All expressed an unmet need for information and a desire for receiving relevant, appropriate, written medicine-related information. Feedback from this phase of the study was used to inform the development of the targeted patientcentred PIL. A double-sided A4 PIL containing information about TB medicines was designed giving careful consideration to content, format and layout features. Twenty five pictograms were designed through a rigorous, iterative design process and were included in the PIL that was evaluated in a randomised control trial (RCT) conducted amongst 120 TB patients attending a high burden TB clinic in South Africa. Interviews were conducted in either isiXhosa or Afrikaans via a trained interpreter. Patients were randomly allocated to either a control (standard care) or an experimental group (standard care plus brief counselling using the PIL). Two interviews were conducted using a prepared questionnaire; one at baseline followed by a 4-week follow-up. Baseline data included demographics, medicine literacy test, health information sources, knowledge of TB medicines, self-reported adherence and self-efficacy. Data collected at the 4-week follow-up interview included TB knowledge, self-reported adherence, self-efficacy, opinion of TB medicine information and interpretation of pictograms. Data were analysed using t-test, correlations, chi-square and ANOVA tests at a 0.05 level of significance. The PIL was successful in improving patient knowledge of the disease, TB medicine-taking, side effects, drug-resistant TB and HIV and TB co-infection. At baseline, there was no significant difference in the overall mean percentage knowledge score between the control and experimental groups (p=0.074). At follow-up, the percentage knowledge score for the experimental group increased significantly from 59.0% to 84.6% (p<0.001) and showed a significantly higher score than the control group (p<0.001), displaying evidence of the impact of the PIL as a counselling tool on patient knowledge. The PIL generated a highly positive response in the experimental group who indicated that they had referred to the leaflet over the last month and that it had played an important role in improving their TB medicine-related knowledge. This was reflected in the experimental group knowledge score of greater than 80% for almost three quarters of the patients whereas only 14% in the control group achieved this score. Patients appreciated the inclusion of pictograms and strongly felt that they helped them to recall and understand the textual PIL content. The study found that patients want side effect information and, interestingly, did not perceive the presentation of side effects in pictorial form to constitute a risk factor for nonadherence. Use of the illustrated PIL (experimental group) resulted in a significant improvement in patient self-efficacy (p=0.002), but showed no effect on self-reported adherence (p=0.563). Neither self-efficacy nor adherence was influenced by gender, age or education. An education effect on knowledge was only observed in the control group at baseline. The newly developed MLT was shown to be a valid and reliable tool and a moderate, positive and significant correlation was noted between the MLT score and baseline TB medicine-related knowledge in both the control and experimental groups. As there is a paucity of studies investigating the influence of take-home written leaflets on TB medicine knowledge and on patient behaviour, this study represents a significant knowledge contribution. It is the first study to report the development and evaluation of a patient-centred PIL to address the dearth of available TB medicine information. The use of targeted user-friendly, illustrated information leaflets can be a valuable counselling aid to improve patient knowledge and self-efficacy, particularly among patients with limited literacy. However, careful consideration of the design and content, with input from the endusers at all stages of the process, will optimise its effectiveness. The proposed framework for the development and implementation of patient-centred health and medicines information in a developing country context presented in this thesis could be used as a theoretical basis for informing the development of effective information materials targeting other disease states. Local patients taking TB medicines identified nurses, WMI and media as their current sources of information but they expressed a strong desire to know more about their treatment. Targeted public health interventions that focus on medicine-taking information and behaviours and encourage patients to adopt a more active, questioning role in health consultations could improve health literacy and empower patients in their medicine-taking practices. , Thesis (PhD) -- Faculty of Pharmacy, Pharmacy, 2015
- Full Text:
- Date Issued: 2015
- Authors: Patel, Sonal
- Date: 2015
- Subjects: Tuberculosis Patients , Health literacy , Patient education , Communication in medicine , Picture-writing
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/194071 , vital:45420 , DOI 10.21504/10962/194071
- Description: South Africa carries a significant TB burden as evidenced in the 2013 statistics which report 450 000 new active TB cases and 890 000 TB-related mortalities. For successful treatment outcomes, 90% adherence is necessary, but many patients prematurely discontinue treatment due to poor knowledge and understanding of their complex TB medicines. Patient education is pivotal in improving knowledge, health literacy and behavioural outcomes such as health information seeking, self-efficacy and adherence. In the under-resourced South African healthcare system, time and capacity to adequately counsel patients are limited. The value of written medicine information (WMI) to supplement the verbal information provided by healthcare professionals (HCPs) has been widely investigated but minimal South African research is available. Current WMI distributed in South Africa is mainly generated by pharmaceutical manufacturers and is complex, incomprehensible and undesirable to patients. TB-related WMI focuses mainly on the disease, with little information relating to TB medicines and their use. The overall aim of this project was to improve patient knowledge about their TB medicines through the use of a simple illustrated patient information leaflet (PIL). Objectives to achieve this aim included: investigation of the medicine information seeking behaviour (MISB) of long term patients attending public health sector facilities; the development and validation of a medicine literacy test (MLT) to identify patients with limited health literacy requiring additional support and counselling; the development and evaluation of a patient-centred illustrated PIL for first-line TB treatment; the assessment of self-efficacy and adherence using modified versions of the HIV Treatment Adherence Self-Efficacy Scale (HIV-ASES) and Morisky 8-item Medicine Adherence Scale (MMAS-8), respectively, and the investigation of the impact of the PIL on patient knowledge and these health-related behaviours. Six focus group discussions (FGDs) conducted in 34 isiXhosa-speaking patients with limited formal education taking long-term treatment explored themes related to information needs, information-seeking practices and awareness of and ability to utilize information sources. Codes were analysed and potential themes and subthemes were identified and refined. The findings of this study reflected a passive, disempowered patient due to both patient-related and systemic healthcare factors. Poor awareness of information sources, lack of health-related knowledge, stigma and lack of awareness of the importance of appropriate medicine-related knowledge contributed to a lack of information-seeking practice. Patients neither asked questions nor were encouraged to do so. All expressed an unmet need for information and a desire for receiving relevant, appropriate, written medicine-related information. Feedback from this phase of the study was used to inform the development of the targeted patientcentred PIL. A double-sided A4 PIL containing information about TB medicines was designed giving careful consideration to content, format and layout features. Twenty five pictograms were designed through a rigorous, iterative design process and were included in the PIL that was evaluated in a randomised control trial (RCT) conducted amongst 120 TB patients attending a high burden TB clinic in South Africa. Interviews were conducted in either isiXhosa or Afrikaans via a trained interpreter. Patients were randomly allocated to either a control (standard care) or an experimental group (standard care plus brief counselling using the PIL). Two interviews were conducted using a prepared questionnaire; one at baseline followed by a 4-week follow-up. Baseline data included demographics, medicine literacy test, health information sources, knowledge of TB medicines, self-reported adherence and self-efficacy. Data collected at the 4-week follow-up interview included TB knowledge, self-reported adherence, self-efficacy, opinion of TB medicine information and interpretation of pictograms. Data were analysed using t-test, correlations, chi-square and ANOVA tests at a 0.05 level of significance. The PIL was successful in improving patient knowledge of the disease, TB medicine-taking, side effects, drug-resistant TB and HIV and TB co-infection. At baseline, there was no significant difference in the overall mean percentage knowledge score between the control and experimental groups (p=0.074). At follow-up, the percentage knowledge score for the experimental group increased significantly from 59.0% to 84.6% (p<0.001) and showed a significantly higher score than the control group (p<0.001), displaying evidence of the impact of the PIL as a counselling tool on patient knowledge. The PIL generated a highly positive response in the experimental group who indicated that they had referred to the leaflet over the last month and that it had played an important role in improving their TB medicine-related knowledge. This was reflected in the experimental group knowledge score of greater than 80% for almost three quarters of the patients whereas only 14% in the control group achieved this score. Patients appreciated the inclusion of pictograms and strongly felt that they helped them to recall and understand the textual PIL content. The study found that patients want side effect information and, interestingly, did not perceive the presentation of side effects in pictorial form to constitute a risk factor for nonadherence. Use of the illustrated PIL (experimental group) resulted in a significant improvement in patient self-efficacy (p=0.002), but showed no effect on self-reported adherence (p=0.563). Neither self-efficacy nor adherence was influenced by gender, age or education. An education effect on knowledge was only observed in the control group at baseline. The newly developed MLT was shown to be a valid and reliable tool and a moderate, positive and significant correlation was noted between the MLT score and baseline TB medicine-related knowledge in both the control and experimental groups. As there is a paucity of studies investigating the influence of take-home written leaflets on TB medicine knowledge and on patient behaviour, this study represents a significant knowledge contribution. It is the first study to report the development and evaluation of a patient-centred PIL to address the dearth of available TB medicine information. The use of targeted user-friendly, illustrated information leaflets can be a valuable counselling aid to improve patient knowledge and self-efficacy, particularly among patients with limited literacy. However, careful consideration of the design and content, with input from the endusers at all stages of the process, will optimise its effectiveness. The proposed framework for the development and implementation of patient-centred health and medicines information in a developing country context presented in this thesis could be used as a theoretical basis for informing the development of effective information materials targeting other disease states. Local patients taking TB medicines identified nurses, WMI and media as their current sources of information but they expressed a strong desire to know more about their treatment. Targeted public health interventions that focus on medicine-taking information and behaviours and encourage patients to adopt a more active, questioning role in health consultations could improve health literacy and empower patients in their medicine-taking practices. , Thesis (PhD) -- Faculty of Pharmacy, Pharmacy, 2015
- Full Text:
- Date Issued: 2015
An examination of human resource management strategies and their contribution to effective local government systems in Zimbabwe
- Mutongoreni, Noah Ariel https://orcid.org/0000-0002-6039-6241
- Authors: Mutongoreni, Noah Ariel https://orcid.org/0000-0002-6039-6241
- Date: 2015-01
- Subjects: Personnel management , Local government--Zimbabwe
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/24024 , vital:62299
- Description: The study sought to examine human resource management strategies and their contributions to effective local government systems in Manicaland, Zimbabwe. Local government in Zimbabwe, though being nearest to the people, is showing evidence of failure to discharge its mandate. Various factors have been used to explain the reasons behind local government‘s failures to provide services. None of these have touched on the role played by people management in ensuring local government performance. This was notwithstanding the fact that towards the last two decades of the twentieth century research emerged glorifying human resources as the source of organizational excellence. Consequently, being motivated by the fact that good people management strategies lead to excellent organizational performance, attention in this study focused on people management strategies in local government in Zimbabwe. The study adopted a mixed approach with a strong inclination towards qualitative methodology. The data was gleaned from documents from local authorities, interviews, focus group interviews and questionnaire surveys. The study focused on local authorities in Manicaland Province. The results of the study confirmed the existence of human resource management strategies in local authorities in Manicaland, Zimbabwe. The human resource management strategies have however not resulted in excellent performance of local authorities. The reason behind this is attributable to severe resource constraints. Excellent people management strategies were found to be on paper as there were no resources to support them. The dearth of resources in local authorities was found to be attributed to the economic, political, legal and social factors engulfing the local government system in Zimbabwe. Consequently, local government in Zimbabwe remain stressed and in dire need of a ―Lazarus moment‖. There is an engineer with skills to construct dams to quench the thirst souls in the city but there are no resources to construct the dams. The fireman‘s truck rushes to quench a fire outbreak only to arrive at the scene with no water. In view of this, the study recommends that the review of the local government legal framework be speeded up and more autonomy be granted to local authorities. Such a review would have a bearing on the notion of decentralization, democratization and consequently economic development. In addition, government must seriously consider setting aside a portion of its budget towards support of local authorities. v Where democratic ethos exists, there is transparency, accountability, the rule of law and responsiveness. The human resource in local government would in turn promote democracy and excellence. Other strategies such as granting of garnishing powers to local authorities as well as giving their police arresting would further nourish their resource base. When this happen people management strategies would contribute to effective local government systems in Zimbabwe. Further studies on the contribution of human resource management strategies in effective local government systems after the complete overhaul of the current legislative regime would nonetheless be of interest to researchers. , Thesis (PhD) -- Faculty of Management and Commerce, 2015
- Full Text:
- Date Issued: 2015-01
- Authors: Mutongoreni, Noah Ariel https://orcid.org/0000-0002-6039-6241
- Date: 2015-01
- Subjects: Personnel management , Local government--Zimbabwe
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/24024 , vital:62299
- Description: The study sought to examine human resource management strategies and their contributions to effective local government systems in Manicaland, Zimbabwe. Local government in Zimbabwe, though being nearest to the people, is showing evidence of failure to discharge its mandate. Various factors have been used to explain the reasons behind local government‘s failures to provide services. None of these have touched on the role played by people management in ensuring local government performance. This was notwithstanding the fact that towards the last two decades of the twentieth century research emerged glorifying human resources as the source of organizational excellence. Consequently, being motivated by the fact that good people management strategies lead to excellent organizational performance, attention in this study focused on people management strategies in local government in Zimbabwe. The study adopted a mixed approach with a strong inclination towards qualitative methodology. The data was gleaned from documents from local authorities, interviews, focus group interviews and questionnaire surveys. The study focused on local authorities in Manicaland Province. The results of the study confirmed the existence of human resource management strategies in local authorities in Manicaland, Zimbabwe. The human resource management strategies have however not resulted in excellent performance of local authorities. The reason behind this is attributable to severe resource constraints. Excellent people management strategies were found to be on paper as there were no resources to support them. The dearth of resources in local authorities was found to be attributed to the economic, political, legal and social factors engulfing the local government system in Zimbabwe. Consequently, local government in Zimbabwe remain stressed and in dire need of a ―Lazarus moment‖. There is an engineer with skills to construct dams to quench the thirst souls in the city but there are no resources to construct the dams. The fireman‘s truck rushes to quench a fire outbreak only to arrive at the scene with no water. In view of this, the study recommends that the review of the local government legal framework be speeded up and more autonomy be granted to local authorities. Such a review would have a bearing on the notion of decentralization, democratization and consequently economic development. In addition, government must seriously consider setting aside a portion of its budget towards support of local authorities. v Where democratic ethos exists, there is transparency, accountability, the rule of law and responsiveness. The human resource in local government would in turn promote democracy and excellence. Other strategies such as granting of garnishing powers to local authorities as well as giving their police arresting would further nourish their resource base. When this happen people management strategies would contribute to effective local government systems in Zimbabwe. Further studies on the contribution of human resource management strategies in effective local government systems after the complete overhaul of the current legislative regime would nonetheless be of interest to researchers. , Thesis (PhD) -- Faculty of Management and Commerce, 2015
- Full Text:
- Date Issued: 2015-01
Assessing the preparation, induction and professional development experiences of teacher educators in Botswana and South Africa: recommendations for an andragogically based model
- Kasozi, Joseph Amooti https://orcid.org/0000-0002-0978-2171
- Authors: Kasozi, Joseph Amooti https://orcid.org/0000-0002-0978-2171
- Date: 2015-01
- Subjects: Teachers -- In-service training , Teachers -- Training of -- South Africa , Education -- Botswana
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/24643 , vital:63388
- Description: Research evidence points to the fact that in most countries teacher educators enter the field of teacher education with little or no preparation (Abell, 1997;Ntoyi≤fuka, 2001; Robinson & Macmillan, 2006; Snoek, Swennen and van der Klink, 2009). Yet, it is argued that the teacher is the single most important factor determining the achievement of learners and the quality of education (UNESCO, 2008; Snoek, Swennen and van der Klink, 2009; Smith, 2010). Sadly, however, most countries and teacher education institutions have paid little or no attention to the preparation, induction and professional development of those who train these teachers, that is, the teacher of the teachers or the teacher educators (Martinez, 2008; Santoro, Mayer, Mitchell, & White, 2009; European Commission, 2010; van Velzen, van der Klink, Swennen, Yaffe, 2010). This situation probably arises from the general belief that good school teachers are good teacher educators and therefore there is no need to worry about their preparation, induction and professional development. This is the basis upon which this research is premised. A mixed methods approach was used to research the following questions: • How are teacher educators in Botswana and South Africa inducted and developed as teachers of adults? • How do the teacher educators (in Botswana and South Africa) adjust their teaching practice to cater for the needs of their students who are adults? • What recommendations can be made to improve the preparation, induction and professional development of teacher educators as teachers of adult student teachers? The sites for the study were four institutions (two faculties of education, one located in Botswana and another in South Africa, and two colleges of education located in Botswana). Out of a possible total of 316 teacher educators at the four institutions 128 responded to a close ended questionnaire that required them to indicate their autobiographic details, experiences as teachers and teacher educators, and their preparation, induction and professional development as teacher educators. In addition 12 teacher educators with varying experiences in teacher education were interviewed. The purpose of the interviews was to record the experiences of their preparation, induction and professional development as teacher educators. Furthermore, literature from various sources was consulted about the topic under study. The results confirmed the earlier assertion that there is very little attention paid to the preparation, induction and professional development of teacher educators in the institutions that were studied. Literature also indicated a similar pattern in most teacher education institutions in Botswana and South Africa. Based on the findings, it is recommended that the preparation, induction and professional development of teacher educators be conducted following the andragogical model. , Thesis (PhD) -- Faculty of Education, 2015
- Full Text:
- Date Issued: 2015-01
- Authors: Kasozi, Joseph Amooti https://orcid.org/0000-0002-0978-2171
- Date: 2015-01
- Subjects: Teachers -- In-service training , Teachers -- Training of -- South Africa , Education -- Botswana
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/24643 , vital:63388
- Description: Research evidence points to the fact that in most countries teacher educators enter the field of teacher education with little or no preparation (Abell, 1997;Ntoyi≤fuka, 2001; Robinson & Macmillan, 2006; Snoek, Swennen and van der Klink, 2009). Yet, it is argued that the teacher is the single most important factor determining the achievement of learners and the quality of education (UNESCO, 2008; Snoek, Swennen and van der Klink, 2009; Smith, 2010). Sadly, however, most countries and teacher education institutions have paid little or no attention to the preparation, induction and professional development of those who train these teachers, that is, the teacher of the teachers or the teacher educators (Martinez, 2008; Santoro, Mayer, Mitchell, & White, 2009; European Commission, 2010; van Velzen, van der Klink, Swennen, Yaffe, 2010). This situation probably arises from the general belief that good school teachers are good teacher educators and therefore there is no need to worry about their preparation, induction and professional development. This is the basis upon which this research is premised. A mixed methods approach was used to research the following questions: • How are teacher educators in Botswana and South Africa inducted and developed as teachers of adults? • How do the teacher educators (in Botswana and South Africa) adjust their teaching practice to cater for the needs of their students who are adults? • What recommendations can be made to improve the preparation, induction and professional development of teacher educators as teachers of adult student teachers? The sites for the study were four institutions (two faculties of education, one located in Botswana and another in South Africa, and two colleges of education located in Botswana). Out of a possible total of 316 teacher educators at the four institutions 128 responded to a close ended questionnaire that required them to indicate their autobiographic details, experiences as teachers and teacher educators, and their preparation, induction and professional development as teacher educators. In addition 12 teacher educators with varying experiences in teacher education were interviewed. The purpose of the interviews was to record the experiences of their preparation, induction and professional development as teacher educators. Furthermore, literature from various sources was consulted about the topic under study. The results confirmed the earlier assertion that there is very little attention paid to the preparation, induction and professional development of teacher educators in the institutions that were studied. Literature also indicated a similar pattern in most teacher education institutions in Botswana and South Africa. Based on the findings, it is recommended that the preparation, induction and professional development of teacher educators be conducted following the andragogical model. , Thesis (PhD) -- Faculty of Education, 2015
- Full Text:
- Date Issued: 2015-01
Collegial leadership roles of teachers to manage curriculum reform in primary schools In Limpopo, South Africa
- Authors: Kgohlo, Piet Maphodisa
- Date: 2015-01
- Subjects: Limpompo (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/53349 , vital:45143
- Description: The purpose of this study was to investigate the collegial leadership roles of teachers in managing the challenges of the implementation of the CAPS curriculum in primary schools in Limpopo. Four hundred and ninety-two teachers participated in this quantitative study. The findings of this study revealed that the majority of teachers in the intermediate phase of primary schooling in Limpopo lack competence in content subjects such as mathematics, NSTECH and English as the language of teaching and learning. The findings further revealed that the lack of facilities such as libraries, media centres and computers, teacher development and support and infrastructure such as classrooms contributed to teachers’ low competencies in the use of resources to manage the challenges of the implementation of CAPS. In addition, the findings revealed that the majority of teachers experienced high levels of tobephobia. Furthermore, the findings revealed that teachers showed symptoms of stress, anxiety, tension, unhappiness, depression, pessimism and uncertainty in managing the challenges of the implementation of CAPS. However, the findings also revealed that collegial teaming is a potent strategy that could be used to reinforce the in-service training that fails to equip teachers with the requisite knowledge and skills to face up to the challenges of managing the implementation of CAPS. This research explored a new area of managing curriculum change by making use of collegial teaming to develop teachers’ professional competencies. It makes a significant contribution to the existing body of knowledge of implementing curriculum reforms in disadvantaged schools. , Thesis (PhD) -- Faculty of Humanities, Primary School Education: Intermediate Phase, 2015.
- Full Text:
- Date Issued: 2015-01
- Authors: Kgohlo, Piet Maphodisa
- Date: 2015-01
- Subjects: Limpompo (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/53349 , vital:45143
- Description: The purpose of this study was to investigate the collegial leadership roles of teachers in managing the challenges of the implementation of the CAPS curriculum in primary schools in Limpopo. Four hundred and ninety-two teachers participated in this quantitative study. The findings of this study revealed that the majority of teachers in the intermediate phase of primary schooling in Limpopo lack competence in content subjects such as mathematics, NSTECH and English as the language of teaching and learning. The findings further revealed that the lack of facilities such as libraries, media centres and computers, teacher development and support and infrastructure such as classrooms contributed to teachers’ low competencies in the use of resources to manage the challenges of the implementation of CAPS. In addition, the findings revealed that the majority of teachers experienced high levels of tobephobia. Furthermore, the findings revealed that teachers showed symptoms of stress, anxiety, tension, unhappiness, depression, pessimism and uncertainty in managing the challenges of the implementation of CAPS. However, the findings also revealed that collegial teaming is a potent strategy that could be used to reinforce the in-service training that fails to equip teachers with the requisite knowledge and skills to face up to the challenges of managing the implementation of CAPS. This research explored a new area of managing curriculum change by making use of collegial teaming to develop teachers’ professional competencies. It makes a significant contribution to the existing body of knowledge of implementing curriculum reforms in disadvantaged schools. , Thesis (PhD) -- Faculty of Humanities, Primary School Education: Intermediate Phase, 2015.
- Full Text:
- Date Issued: 2015-01
Indigenous knowledge systems and gender relations interface and its implications for food security: the case of Khambashe rural households in the Amathole District, South Africa
- Garutsa, T C https://orcid.org/0000-0003-1904-2764
- Authors: Garutsa, T C https://orcid.org/0000-0003-1904-2764
- Date: 2015-01
- Subjects: Food security -- South Africa -- Eastern Cape , Indigenous peoples -- South Africa -- Eastern Cape
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/26581 , vital:65660
- Description: The aim of this study was to find out about how the intersection of indigenous knowledge systems and gender relations affects food security in the rural households of the Khambashe village in the Eastern Cape. The focus is on food security-related indigenous knowledge utilized by women rather than the general indigenous knowledge of the people in the Eastern Cape. Ample literature exists on food security and gender, food security and indigenous knowledge systems and the role of gender dynamics in the application of indigenous knowledge systems. However, there is dearth of literature on studies on the role of the indigenous knowledge systems-gender relations interface in food security. Hence this study was directed at investigating the indigenous knowledge systems-gender dynamics interplay and its implications for food security and sustainable development with specific reference to the rural households of Khambashe village of the Eastern Cape Province. Furthermore, the study seeks to determine factors accounting for the attrition of women’s indigenous knowledge in food production systems of the Khambashe rural households. The main position advanced in this thesis is that domination coupled with marginalisation of women and indigenous knowledge systems by hegemonic Western power/knowledge and traditional African practices account for challenges faced by rural households with regard to food security and sustainable livelihoods. Put differently, the core argument of this study is that the intersection between gender and indigenous knowledge systems has two opposing possibilities for food security. On the one hand, through the various roles of women in the application of indigenous knowledge systems in rural areas, the indigenous knowledge and gender relations interplay can operate to enhance the likelihood of achieving sustainable rural livelihoods and hence food security. On the other hand, gender oppression, subjugation, exclusion and marginalization through various practices such as the utilization of discriminatory patriarchal cultural values and norms can inhibit the application of the rich folk knowledge reservoir of ideas held by women in food production processes. Key illustrative examples of the constraints imposed by cultural traditions that pose problems for the realization of sustainable rural livelihoods are cultural practices which prohibit women to inter alia own and inherit land. These cultural practices also deprive women the liberty to make their own decisions without the consultation of men despite being sole providers of their own households. In other words, lack of access to assets and other resources owing to the marginalization of local knowledge by the dominant Western-based scientific knowledge systems and culturally-derived gender discriminatory practices make the role of women in the process of utilizing indigenous knowledge systems for the purposes of food security difficult. The theoretical framework of this study is drawn from the post-development discourse derived from Foucault’s archaeology of power and knowledge, ecofeminism and African feminism. Such a framework has a utility to reinvigorate marginalised indigenous knowledge and thereby help women reclaim their leadership in processes of ensuring food security. In a situation where indigenous knowledge systems have been excluded and subjugated by the dominant Western knowledge systems, an extended post-development discourse of this nature is transformative. While Foucault’s theory will provide key insights around power/knowledge dynamics and issues, ecofeminism and African feminism will extend these insights in the exploration of the patterns of power in both the knowledge and gender relations domains. In fact interactions in food production processes are embedded in systematized knowledge and traditional gender relations. Hence, in order to ensure a deep-going analysis of these phenomena, Foucault’s framework on power/knowledge is augmented by the ideas of ecofeminism and African feminism owing to the fact that systems of domination whether in the knowledge arena or gender relations domain are responsible for the challenges relating to food secure households and sustainable rural livelihoods. The rationale for this approach is that subjugation and marginalization of indigenous knowledge systems by Western hegemonic power/knowledge coupled with exclusionary and discriminatory practices of patriarchal cultural values is seen as inhibiting the proper application of indigenous knowledge in food production processes. The extended post-development discourse adopted for this study takes into consideration the fact that oppression and discrimination the world over has taken the Foucauldian power/knowledge dimension in the sense that women in rural African settings are not only prevented by Western science from the application of indigenous knowledge for the development of sustainable livelihoods but that their own cultural traditions are also a hindrance towards them owning land and property, making their own decisions without recourse to men and exercising their own authority. A mixed method approach combining qualitative and quantitative research design was utilized in order to gain a full grasp of nuances of the interface between indigenous knowledge and gender dynamics in food production processes in Khambashe. This methodological triangulation was used for purposes of enhancing the capturing of comprehensive data and a holistic understanding of food security issues in the area. Further, owing to the fact that survey questionnaires as research instruments would have not given a voice to women as key research participants and that the deployment of in-depth interviews alone as research tools would have compromised the generalizability of the findings of the study, each of the two research methods were to confirm, clarify, complement, enhance and elaborate the research results of the other. In other words, in order to counterbalance the limitation of questionnaires with regard to artificiality and not affording a voice to research participants in-depth interviews were conducted. The lack of generalizability of the latter was compensated by the high degree of representativity afforded by the use of the former (that is, questionnaires). As already indicated above, the study setting for the empirical data was the Khambashe village in the Eastern Cape. Information gathered included the more positive effects of the IK-gender relations interplay on food security covered in Chapter 7. This chapter described and analysed the various roles women play inter alia animal husbandry, crop production, creation and utilization of indigenous technology in food production processes and in post-harvesting practices. In contrast, chapter 8 investigated and discusses the various constrains which account for the hindrance in the operationalization of IK in food production processes by women. Chief among the identified constrains in Khambashe are the marginalization of local knowledge by hegemonic Western science and the discriminatory traditional practices. The research results of this study show that despite the key role of women in the application of local knowledge, practices and technologies in food production processes, the penetration, colonization and domination of the African socio-economic and cultural sphere by the West has resulted in the deterioration in the use of indigenous knowledge. Imperialistic Western knowledge masquerading as modern science and technology manifested in inter alia chemical fertilizers and modified food is a constraint to the utility of women’s indigenous knowledge and practices that ensures both food security and sustainable development. In view of the fact that failure to utilize readily available indigenous knowledge, practices and technologies owing to the marginalisation of local epistemes by Western science and the discriminatory African traditional practices and gender relations has led to further impoverishment of rural communities, there is a need to both empower women and to revitalize their indigenous knowledge for purposes of food security and sustainable development in rural areas such as Khambashe. , Thesis (PhD) -- Faculty of Social Sciences & Humanities, 2015
- Full Text:
- Date Issued: 2015-01
- Authors: Garutsa, T C https://orcid.org/0000-0003-1904-2764
- Date: 2015-01
- Subjects: Food security -- South Africa -- Eastern Cape , Indigenous peoples -- South Africa -- Eastern Cape
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/26581 , vital:65660
- Description: The aim of this study was to find out about how the intersection of indigenous knowledge systems and gender relations affects food security in the rural households of the Khambashe village in the Eastern Cape. The focus is on food security-related indigenous knowledge utilized by women rather than the general indigenous knowledge of the people in the Eastern Cape. Ample literature exists on food security and gender, food security and indigenous knowledge systems and the role of gender dynamics in the application of indigenous knowledge systems. However, there is dearth of literature on studies on the role of the indigenous knowledge systems-gender relations interface in food security. Hence this study was directed at investigating the indigenous knowledge systems-gender dynamics interplay and its implications for food security and sustainable development with specific reference to the rural households of Khambashe village of the Eastern Cape Province. Furthermore, the study seeks to determine factors accounting for the attrition of women’s indigenous knowledge in food production systems of the Khambashe rural households. The main position advanced in this thesis is that domination coupled with marginalisation of women and indigenous knowledge systems by hegemonic Western power/knowledge and traditional African practices account for challenges faced by rural households with regard to food security and sustainable livelihoods. Put differently, the core argument of this study is that the intersection between gender and indigenous knowledge systems has two opposing possibilities for food security. On the one hand, through the various roles of women in the application of indigenous knowledge systems in rural areas, the indigenous knowledge and gender relations interplay can operate to enhance the likelihood of achieving sustainable rural livelihoods and hence food security. On the other hand, gender oppression, subjugation, exclusion and marginalization through various practices such as the utilization of discriminatory patriarchal cultural values and norms can inhibit the application of the rich folk knowledge reservoir of ideas held by women in food production processes. Key illustrative examples of the constraints imposed by cultural traditions that pose problems for the realization of sustainable rural livelihoods are cultural practices which prohibit women to inter alia own and inherit land. These cultural practices also deprive women the liberty to make their own decisions without the consultation of men despite being sole providers of their own households. In other words, lack of access to assets and other resources owing to the marginalization of local knowledge by the dominant Western-based scientific knowledge systems and culturally-derived gender discriminatory practices make the role of women in the process of utilizing indigenous knowledge systems for the purposes of food security difficult. The theoretical framework of this study is drawn from the post-development discourse derived from Foucault’s archaeology of power and knowledge, ecofeminism and African feminism. Such a framework has a utility to reinvigorate marginalised indigenous knowledge and thereby help women reclaim their leadership in processes of ensuring food security. In a situation where indigenous knowledge systems have been excluded and subjugated by the dominant Western knowledge systems, an extended post-development discourse of this nature is transformative. While Foucault’s theory will provide key insights around power/knowledge dynamics and issues, ecofeminism and African feminism will extend these insights in the exploration of the patterns of power in both the knowledge and gender relations domains. In fact interactions in food production processes are embedded in systematized knowledge and traditional gender relations. Hence, in order to ensure a deep-going analysis of these phenomena, Foucault’s framework on power/knowledge is augmented by the ideas of ecofeminism and African feminism owing to the fact that systems of domination whether in the knowledge arena or gender relations domain are responsible for the challenges relating to food secure households and sustainable rural livelihoods. The rationale for this approach is that subjugation and marginalization of indigenous knowledge systems by Western hegemonic power/knowledge coupled with exclusionary and discriminatory practices of patriarchal cultural values is seen as inhibiting the proper application of indigenous knowledge in food production processes. The extended post-development discourse adopted for this study takes into consideration the fact that oppression and discrimination the world over has taken the Foucauldian power/knowledge dimension in the sense that women in rural African settings are not only prevented by Western science from the application of indigenous knowledge for the development of sustainable livelihoods but that their own cultural traditions are also a hindrance towards them owning land and property, making their own decisions without recourse to men and exercising their own authority. A mixed method approach combining qualitative and quantitative research design was utilized in order to gain a full grasp of nuances of the interface between indigenous knowledge and gender dynamics in food production processes in Khambashe. This methodological triangulation was used for purposes of enhancing the capturing of comprehensive data and a holistic understanding of food security issues in the area. Further, owing to the fact that survey questionnaires as research instruments would have not given a voice to women as key research participants and that the deployment of in-depth interviews alone as research tools would have compromised the generalizability of the findings of the study, each of the two research methods were to confirm, clarify, complement, enhance and elaborate the research results of the other. In other words, in order to counterbalance the limitation of questionnaires with regard to artificiality and not affording a voice to research participants in-depth interviews were conducted. The lack of generalizability of the latter was compensated by the high degree of representativity afforded by the use of the former (that is, questionnaires). As already indicated above, the study setting for the empirical data was the Khambashe village in the Eastern Cape. Information gathered included the more positive effects of the IK-gender relations interplay on food security covered in Chapter 7. This chapter described and analysed the various roles women play inter alia animal husbandry, crop production, creation and utilization of indigenous technology in food production processes and in post-harvesting practices. In contrast, chapter 8 investigated and discusses the various constrains which account for the hindrance in the operationalization of IK in food production processes by women. Chief among the identified constrains in Khambashe are the marginalization of local knowledge by hegemonic Western science and the discriminatory traditional practices. The research results of this study show that despite the key role of women in the application of local knowledge, practices and technologies in food production processes, the penetration, colonization and domination of the African socio-economic and cultural sphere by the West has resulted in the deterioration in the use of indigenous knowledge. Imperialistic Western knowledge masquerading as modern science and technology manifested in inter alia chemical fertilizers and modified food is a constraint to the utility of women’s indigenous knowledge and practices that ensures both food security and sustainable development. In view of the fact that failure to utilize readily available indigenous knowledge, practices and technologies owing to the marginalisation of local epistemes by Western science and the discriminatory African traditional practices and gender relations has led to further impoverishment of rural communities, there is a need to both empower women and to revitalize their indigenous knowledge for purposes of food security and sustainable development in rural areas such as Khambashe. , Thesis (PhD) -- Faculty of Social Sciences & Humanities, 2015
- Full Text:
- Date Issued: 2015-01
Municipal governance and the space for meaningful engagement: local government, citizenship and public participation in Amahlati and great Kei Municipalities
- Sokupa, Thabile https://orcid.org/0000-0003-2265-477X
- Authors: Sokupa, Thabile https://orcid.org/0000-0003-2265-477X
- Date: 2015-01
- Subjects: Municipal government--South Africa--Eastern Cape , Local government--South Africa--Eastern Cape
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/25107 , vital:63978
- Description: Since the dawn of democracy in 1994 and the subsequent adoption of the Constitution of the Republic of South Africa in 1996, new forms of “wall to wall” municipalities were created throughout South Africa in 2000 and given a mandate of a local developmental sphere. The founding blocks of this was through the creation of the three spheres of government mechanism, namely national, provincial and local, each sphere of government was regarded as distinctive, interrelated and interdependent from one another. The local government sphere however has since mid-2000’s been marred by persistent service delivery protests throughout the country, in recent years the service delivery protests have been accompanied by violence and intimidation. The Eastern Cape Province has not been spared from this phenomenon, media reports, independent monitoring think tanks and yearly statistical results released by the South African Police Service (SAPS) through the ‘Gatherings Act’ indicates that service delivery protests in the province has been on an upward trend on yearly basis since the mid-2000’s. But much more detail is required in understanding the causes behind what are sometimes termed “civil unrest.” The thesis attempts to highlight trends regarding reasons for protest, methods of protest, and the profiling of areas where the protests occur. The findings would meaningfully contribute to the local government discourse and foster alternative mechanisms of engaging communities through better governance and development mechanism by local authorities. The ultimate goal is to create alternative solutions in addressing communities’ needs at local level for policy makers. Currently there is an existing gap in investigating service delivery protests especialy in rural municipalities, most of the municipal research findings and policies are predominantly urban oriented and are not tailor made in addressing rural community’s needs on governance and development. Although the South African Constitution makes provision on steps to be followed on governance and development at local level both vertical and horizontal integration, the Constitution is however silent on addressing governance and development needs of rural communities. As a result of this silence, rural municipalities are confined to develop policies that are not specific to their local needs. Hence the research was conducted in rural communities of Amahlathi and Great Kei municipalities respectively through mixed methods between quantitative and qualitative research. The thesis primarily sought to assess the actual nature and content of forms of engagement in the current public participation discourse at the two municipalities and perceptions thereof of communities on this matter. The information gathered in this research is intended to provide policy makers and those with interests on local government with a better understanding on the dynamics of public participation involvement and service delivery protests on rural based municipalities. The research also seeks to generate new information, insights and perspectives on service delivery protests in order to develop alternative strategies in addressing and minimising service delivery protests. This would assist local government practitioners on the one hand, with planning and implementing a focused approach on governance and development for communities while on the other, introduce an alternative perspective that is evidence based for policy makers. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2015
- Full Text:
- Date Issued: 2015-01
- Authors: Sokupa, Thabile https://orcid.org/0000-0003-2265-477X
- Date: 2015-01
- Subjects: Municipal government--South Africa--Eastern Cape , Local government--South Africa--Eastern Cape
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/25107 , vital:63978
- Description: Since the dawn of democracy in 1994 and the subsequent adoption of the Constitution of the Republic of South Africa in 1996, new forms of “wall to wall” municipalities were created throughout South Africa in 2000 and given a mandate of a local developmental sphere. The founding blocks of this was through the creation of the three spheres of government mechanism, namely national, provincial and local, each sphere of government was regarded as distinctive, interrelated and interdependent from one another. The local government sphere however has since mid-2000’s been marred by persistent service delivery protests throughout the country, in recent years the service delivery protests have been accompanied by violence and intimidation. The Eastern Cape Province has not been spared from this phenomenon, media reports, independent monitoring think tanks and yearly statistical results released by the South African Police Service (SAPS) through the ‘Gatherings Act’ indicates that service delivery protests in the province has been on an upward trend on yearly basis since the mid-2000’s. But much more detail is required in understanding the causes behind what are sometimes termed “civil unrest.” The thesis attempts to highlight trends regarding reasons for protest, methods of protest, and the profiling of areas where the protests occur. The findings would meaningfully contribute to the local government discourse and foster alternative mechanisms of engaging communities through better governance and development mechanism by local authorities. The ultimate goal is to create alternative solutions in addressing communities’ needs at local level for policy makers. Currently there is an existing gap in investigating service delivery protests especialy in rural municipalities, most of the municipal research findings and policies are predominantly urban oriented and are not tailor made in addressing rural community’s needs on governance and development. Although the South African Constitution makes provision on steps to be followed on governance and development at local level both vertical and horizontal integration, the Constitution is however silent on addressing governance and development needs of rural communities. As a result of this silence, rural municipalities are confined to develop policies that are not specific to their local needs. Hence the research was conducted in rural communities of Amahlathi and Great Kei municipalities respectively through mixed methods between quantitative and qualitative research. The thesis primarily sought to assess the actual nature and content of forms of engagement in the current public participation discourse at the two municipalities and perceptions thereof of communities on this matter. The information gathered in this research is intended to provide policy makers and those with interests on local government with a better understanding on the dynamics of public participation involvement and service delivery protests on rural based municipalities. The research also seeks to generate new information, insights and perspectives on service delivery protests in order to develop alternative strategies in addressing and minimising service delivery protests. This would assist local government practitioners on the one hand, with planning and implementing a focused approach on governance and development for communities while on the other, introduce an alternative perspective that is evidence based for policy makers. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2015
- Full Text:
- Date Issued: 2015-01
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