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.
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- Date Issued: 2017
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.
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- Date Issued: 2017
Unfair dismissal in the context of a transfer of a going concern
- Authors: Mdlaka, Solomzi Siyabonga
- Date: 2017
- Subjects: Labor laws and legislation -- South Africa Employees -- Dismissal of -- Law and legislation -- South Africa
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: http://hdl.handle.net/10948/19310 , vital:28848
- Description: The employment relationship between the employer and employee is regulated by individual labour law. Generally, these rules can be found in the contract of employment, the common law and legislation, subject to the Constitution of the Republic of South Africa of 1996. The Constitution of the Republic of South Africa (hereinafter referred to as the Constitution) provides that ‘everyone has the right to fair labour practices’.1 The term ‘fair labour practice’ is not defined in the Constitution, yet this fundamental right encompasses far more than is expressed in the narrow definition of the term in the Labour Relations Act.2 The right to fair labour practices has its origins in the equity based jurisprudence of the Industrial Court. These decisions cover the labour relations field from individual labour law to collective labour law.
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- Date Issued: 2017
Space Station: negotiating identities in the contemporary performance artscape
- Authors: Nott, Chiro Carolyn
- Date: 2016
- Language: English
- Type: Thesis , Masters , MFA
- Identifier: http://hdl.handle.net/10962/4233 , vital:20635
- Description: Being a part of various contemporary South African societies, we often find ourselves having to negotiate multiple dimensions of ourselves in our everyday lives amongst other culturally diverse people. These complex networks of identity, which define who we are, extend beyond the insular self into our daily interactions with others. This active methodology of existence requires social individuals to be able to embody a constant mobile identity, which when employed is not guaranteed to be socially successful. How then, do we cope with potential social failure and reflect on ourselves or our communal identities? For the submission of my Masters of Fine Art, I present the interactive exhibition, Space Station: a mini-golf art experience and the accompanying thesis,Space Station: Negotiating Identities in the Contemporary Performance Artscape. The exhibition manifests as a nine hole miniature golf course temporarily installed along a distance of unused train track in Grahamstown. The audience members’ or “players’” experiences of the exhibition draw attention to the subtle performances of everyday life as well as the ways in which identity is re-constructed through transitory mapped networking practices.The thesis interacts with the performed artwork, as not only a supporting text, but is activated, ‘performing’ in collaboration with the artwork’s temporary lived and present experiential journey. The thesis creates three fictional metaphoric characters: the pilgrim, the everyday migrant and the astral-bodied tourist who all negotiate contemporary urban space in order to explore ways in which mobile identity is socially practiced, developed and maintained.I argue that the Space Station audience member blurs between these characters, in the processes of ‘performing’ the game, by becoming the ‘player’. The research works alongside contemporary social environments to guide the audience and reader through positive self and socially reflective experiential processes to inspire rethinking around the interaction of habitual daily living.
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- Date Issued: 2016
The EPR paradox: back from the future
- Authors: Bryan, Kate Louise Halse
- Date: 2016
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/2881 , vital:20338
- Description: The Einstein-Podolsky-Rosen (EPR) thought experiment produced a problem regarding the interpretation of quantum mechanics provided for entangled systems. Although the thought experiment was reformulated mathematically in Bell's Theorem, the conclusion regarding entanglement correlations is still debated today. In an attempt to provide an explanation of how entangled systems maintain their correlations, this thesis investigates the theory of post-state teleportation as a possible interpretation of how information moves between entangled systems without resorting to nonlocal action. Post-state teleportation describes a method of communicating to the past via a quantum information channel. The resulting picture of the EPR thought experiment relied on information propagating backward from a final boundary condition to ensure all correlations were maintained. Similarities were found between this resolution of the EPR paradox and the final state solution to the black hole information paradox and the closely related firewall problem. The latter refers to an apparent conflict between unitary evaporation of a black hole and the strong subadditivity condition. The use of observer complementarity allows this solution of the black hole problem to be shown to be the same as a seemingly different solution known as “ER=EPR", where ‘ER’ refers to an Einstein-Rosen bridge or wormhole.
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- Date Issued: 2016
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.
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- Date Issued: 2015
The suspension of mastery and the desire for imaginary : applying Jacques Lacan's theory of the imaginary to the beholder/image dialectic as realised in selected paintings by Lucy Cobern and Gerhard Richter
- Authors: Cobern, Lucy Rebecca
- Date: 2013-05-21
- Subjects: Lacan, Jacques, 1901-1981 -- Criticism and interpretation Richter, Gerhard, 1932- -- Criticism and interpretation
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3174 , http://hdl.handle.net/10962/d1007806
- Description: This dissertation seeks to explore the nature of the self/other, subject/object dialectic that can be found in Jacques Lacan's theory of the Minor Stage and his notion of Imaginary mastery, and how this relationship can be re-read in terms of a beholder/image relationship. What I seek to demonstrate in exploring the relationship between the beholder and the image is the staging of two opposing emotions, aggression and desire and the consequential tussle for mastery that arises from the self/other, and hence the beholder/image, dichotomy. I seek to explore the reasons why such a beholder/image relationship becomes ambivalent, due to veiled, obscured and fragmented images. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
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ICT and education in a less privileged school of NMBA
- Authors: Mahleza, Nomfundo
- Date: 2013
- Subjects: Educational technology -- South Africa -- Eastern Cape , Educational innovations -- Technological innovations -- South Africa -- Eastern Cape , Communication -- Technological innovations
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/6237 , vital:21058
- Description: Today’s society requires citizens to have a greater knowledge of information technology (IT) than in previous decades. Strategy programs at a national level define the skill needed in an information society and encourage people to learn these skills (Ministry of Education, 2004). In order for everybody to have the opportunity to learn the basics of the new technology, computer science should be included in general education. The development of technology, like Information and Communication Technology (ICT) has turned the world into a global village (Hashem, 2006). The key instrument in this globalisation is the personal computer. Computer–mediated communication is increasingly becoming the dominant means of communication, particularly in the developed and in some developing countries (Adebisi, 2008). In a developing country, ICT is one of the prime ingredients for development. This generally means improvement of people’s lifestyle through improved education, income, skills development and employment. Development should now also be viewed as a multidimensional process involving major changes in social structures, popular attitudes and a national progression of life from unsatisfactory to satisfactory (Servaes, 1999). Since one of the goals of education is to prepare students for work and citizenship, schools are attempting to change their policies, practices and a curriculum to meet the challenge of making pupils ready for a future quite different than the immediate past (Turker & Codding, 1998). The integration of ICT into the teaching and learning environment in secondary education in Port Elizabeth could change learning and teaching attitudes of learners and teachers and help to prepare them for future challenges. However, the success of this integration will depend on how the learners and teachers adapt to the changes and whether they can make ICT technologies part of their daily life. As it is, there is little or no information available regarding the extent of current ICT usage and access in these secondary schools. The research focuses on the availability, usage and the impact of ICT in education, particularly at a secondary school in the poverty-stricken area of Zwide in Port Elizabeth.
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- Date Issued: 2013
National identity and nation-building in post-apartheid South Africa
- Authors: Stinson, Andrew Todd
- Date: 2009
- Subjects: Post-apartheid era -- South Africa , South Africa -- Politics and government -- 1994- , Nationalism -- South Africa , Civil society -- South Africa , Democracy -- South Africa , South Africa -- Social policy , Ethnicity -- South Africa , South Africa -- Economic conditions -- 1991- , South Africa -- Social conditions -- 1994-
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2832 , http://hdl.handle.net/10962/d1003042
- Description: Throughout South Africa’s post-Apartheid history, the ANC-led government has undertaken a distinct nation-building program in pursuit of “a truly united, democratic and prosperous South Africa” (ANC, 2007). This is reflected in a two-pronged approach, coupling political and socioeconomic transformation with the social-psychological aspect of forging a broad and inclusive national consciousness. The ANC’s “rainbow nation” approach embraces cultural diversity through what I shall call the practice of “interculturalism”. Interculturalism is a way of recognizing commonalities, reducing tensions and promoting the formation of social partnerships among different cultural groups. The ANC has also promoted a civic culture based on the principles of liberal democracy, non-racism, equality and the protection of individual rights. Interculturalism and civic nationalism are critically important factors to South African nation-building since together they foster a shared public culture and support meaningful participation in the creation of a truly just and democratic South Africa. Unfortunately, in many ways South African society remains deeply divided by race, ethnicity and economic inequality. This thesis analyses various theoretical approaches to national identity and nationbuilding with the aim of identifying several concepts which arguably throw light on the problems of South African nation-building and national identity formation. It is argued that interculturalism and civic nationalism are context appropriate approaches which have been adopted by the ANC to further an inclusive sense of shared public culture and promote participation in the creation of a shared public future. These approaches have led to the limited emergence of a broad South African national identity. However, South Africa’s commitment to socio-economic transformation has been less successful in generating widespread support for a broad national identity. While some of those previously disadvantaged under Apartheid have benefited from poverty alleviation schemes, service delivery initiatives and black economic empowerment programs, many continue to suffer from homelessness, unemployment and worsening economic conditions. Increasing economic marginalization has caused growing discontent among South Africa’s poor and constitutes the biggest threat to the formation of a cohesive national identity in South African society. Ultimately, it is argued that while interculturalism and civic nationalism have played an important role in fostering the growth of a broad national identity, true South African social cohesion will fail to emerge without a massive and sustained commitment to wide-ranging socio-economic transformation.
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- Date Issued: 2009
In search of home : Hillman's archetypal perspective on the therapeutic process of an adult patient
- Authors: Bradley, Margaret Antoinette
- Date: 1992
- Subjects: Hillman, James , Archetype (Psychology) , Psychotherapy -- Case studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3127 , http://hdl.handle.net/10962/d1006290 , Hillman, James , Archetype (Psychology) , Psychotherapy -- Case studies
- Description: The case study method was used to trace the therapeutic process of a 23 year old woman, over a period of 12 sessions. The focus of the study was her issue with abandonment which emerged as the central theme in therapy. Hillman's archetypal approach was used as a framework in understanding the process and resolution of her feelings of abandonment. According to Hillman, the therapy process activates the archetypal abandoned child. For a successful therapeutic outcome the process of de-literalisation must occur in order for the patient to move from literal acting out to symbolic containment. Core moments in the therapeutic process were used, together with an interpretation from Hillman's approach, to illustrate the various themes around the issue of abandonment. The present case study illustrates how the theory in area was relevant in practice with this particular case.
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- Date Issued: 1992
An integration of reduction and logic for programming languages
- Authors: Wright, David A
- Date: 1988
- Subjects: Logic programming languages , Programming languages (Electronic computers)
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:4570 , http://hdl.handle.net/10962/d1002035
- Description: A new declarative language is presented which captures the expressibility of both logic programming languages and functional languages. This is achieved by conditional graph rewriting, with full unification as the parameter passing mechanism. The syntax and semantics are described both formally and informally, and examples are offered to support the expressibility claim made above. The language design is of further interest due to its uniformity and the inclusion of a novel mechanism for type inference in the presence of derived type hierarchies
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- Date Issued: 1988
Rehabilitation of children with severe acute malnutrition with ready-to-use therapeutic food compared to F100 at Clairwood Hospital, KwaZulu-Natal
- Authors: Nomvete, Anele Yoliswa
- Subjects: Malnutrition in children -- South Africa -- KwaZulu-Natal , Dietary supplements -- South Africa -- KwaZulu-Natal , Rehabilitation
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10087 , http://hdl.handle.net/10948/d1020982
- Description: Background: The World Health Organisation (WHO) initially recommended F100 formula in the treatment of severe malnutrition. F100 is made with full cream milk powder, sugar, oil and water with added minerals and vitamins. Ready to-use therapeutic food (RUTF) is a highly nutrient dense food enriched with minerals and vitamins, with a similar nutrient profile but greater energy and nutrient density than F100. RUTF has shown to be effective in the treatment of severe and moderate wasting and is associated with an increased recovery rate. In South Africa no studies are available on the recovery rate of children with severe acute malnutrition treated with RUTFs. Aim: To compare the recovery of clinically stable severe acute malnourished children, between the age of 12 and 60 months, treated with either F100 or RUTF as nutrition supplement. Methods: A randomised clinically controlled trial was performed. All children referred to Clairwood hospital with severe acute malnutrition (SAM), defined as a weight for height measurement of <70 percent of the median and/or < -3 SD below the mean WHO reference values or the presence of bilateral oedema were included in this study. Children were stratified according to age and gender and subsequently randomly assigned with randomisation tables to either the RUTF or F100 group. A total of 35 children were included in this study and data from 34 were analysed with 17 in each group. Results: Most children included in this study were between 12 and 18 months with boys in the majority. Both groups had a large percentage of HIV-infected children (70 percent in the RUTF group and 76 percent in the F100 group), with Tuberculosis (TB) co-infection in some of the children. One child died due to HIV related complications. The rate of weight gain was 7.77g/kg/day in the RUTF group and 6.11g/kg/day in the F100 group. There was no statistical significant difference established between groups (p = 0.46). The majority of children recovered within 21 days on the RUTF while the majority of children in the F100 group recovered after 6 weeks. There were no changes in height during the rehabilitation of these children. MUAC changes were observed with 92 percent having a mid-upper arm circumference (MUAC) of > 11.5cm after a 6 week intervention with RUTF and F100. Conclusion: RUTF resulted in better rates of recovery and can be used efficiently in rehabilitating children with SAM in a supervised facility setting. These preliminary results also point towards significant potential savings regarding hospitalisation costs since faster recovery has been demonstrated by children in the RUTF group.
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