A model for successful healthcare facilities delivery by means of public private partnerships
- Authors: Smith, Christoffel
- Date: 2019-12
- Subjects: Healthcare , Public Private Partnership , Universal Health Coverage
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/${Handle} , vital:76958
- Description: The global healthcare fraternity is facing growing challenges for providing and funding adequate healthcare services. Rising demand and associated costs are being fuelled by an aging population; the growing prevalence of chronic diseases and comorbidities; the development of costly clinical innovations; increasing patient awareness, knowledge, and expectations and the continued economic uncertainty despite regional pockets of recovery (Deloitte, 2017). The 2030 Agenda for Sustainable Development, proposes targets and goals for global monitoring of the Sustainable Development Goals (SDG) (WHO, 2016). One such SDG is to realise universal health coverage, meaning equal access to essential quality healthcare services and access to safe, effective, quality and affordable essential medicines and vaccines for all. This requires governmental initiatives to not only extend the reach of healthcare services by covering more of the population, but to also extend the number of healthcare services being made available while at the same time reducing the level of cost sharing (with patients) which is regarded as a major factor that is preventing access to health services. Each country is dealing with this matter in its own way, trading off the proportion of services, costs to be met and population to be covered from limited pooled funds (WHO, 2008). The literature study included two case studies of health service related Public Private Partnerships (PPPs). These studies reflected the contributions that a private health service provider has made to health service delivery and demonstrated some of the benefits that were leveraged through healthcare PPPs. The literature study concluded with an overview of the various elements required to operate a PPP.Public Private Partnerships can supplement government efforts to meet the growing demand for healthcare service delivery. The opponents of private involvement in government responsibilities, base their arguments on numerous examples of poor management of the process as well as fundamentally opposing the concept on ideological grounds (Savas, 2005). The purpose of this research was to contribute to the development of a model whereby PPPs can be leveraged as a modality to supplement government efforts to ensure quality and efficiency of health service delivery and to improve access to healthcare by the wider community in pursuit of the Universal Health Coverage goal. The objective of this research was to develop a conceptual model and test the causal relationship network of how independent variables or factors are expected to interrelate with the intervening variable and how the intervening variable is expected to interrelate with the dependent variable, to optimise the Perceived Success of Public Private Partnerships in the Healthcare Fraternity. , Thesis (DPhil) --Faculty of Engineering, the Built Environment, and Technology, School of Built Environment and Civil Engineering, 2019
- Full Text:
- Date Issued: 2019-12
- Authors: Smith, Christoffel
- Date: 2019-12
- Subjects: Healthcare , Public Private Partnership , Universal Health Coverage
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/${Handle} , vital:76958
- Description: The global healthcare fraternity is facing growing challenges for providing and funding adequate healthcare services. Rising demand and associated costs are being fuelled by an aging population; the growing prevalence of chronic diseases and comorbidities; the development of costly clinical innovations; increasing patient awareness, knowledge, and expectations and the continued economic uncertainty despite regional pockets of recovery (Deloitte, 2017). The 2030 Agenda for Sustainable Development, proposes targets and goals for global monitoring of the Sustainable Development Goals (SDG) (WHO, 2016). One such SDG is to realise universal health coverage, meaning equal access to essential quality healthcare services and access to safe, effective, quality and affordable essential medicines and vaccines for all. This requires governmental initiatives to not only extend the reach of healthcare services by covering more of the population, but to also extend the number of healthcare services being made available while at the same time reducing the level of cost sharing (with patients) which is regarded as a major factor that is preventing access to health services. Each country is dealing with this matter in its own way, trading off the proportion of services, costs to be met and population to be covered from limited pooled funds (WHO, 2008). The literature study included two case studies of health service related Public Private Partnerships (PPPs). These studies reflected the contributions that a private health service provider has made to health service delivery and demonstrated some of the benefits that were leveraged through healthcare PPPs. The literature study concluded with an overview of the various elements required to operate a PPP.Public Private Partnerships can supplement government efforts to meet the growing demand for healthcare service delivery. The opponents of private involvement in government responsibilities, base their arguments on numerous examples of poor management of the process as well as fundamentally opposing the concept on ideological grounds (Savas, 2005). The purpose of this research was to contribute to the development of a model whereby PPPs can be leveraged as a modality to supplement government efforts to ensure quality and efficiency of health service delivery and to improve access to healthcare by the wider community in pursuit of the Universal Health Coverage goal. The objective of this research was to develop a conceptual model and test the causal relationship network of how independent variables or factors are expected to interrelate with the intervening variable and how the intervening variable is expected to interrelate with the dependent variable, to optimise the Perceived Success of Public Private Partnerships in the Healthcare Fraternity. , Thesis (DPhil) --Faculty of Engineering, the Built Environment, and Technology, School of Built Environment and Civil Engineering, 2019
- Full Text:
- Date Issued: 2019-12
An investigation into repeated admission of abused women with mental illness in a psychiatric institution: a case study of selected outpatients in Port Elizabeth
- Swelindawo, Monica Priscilla
- Authors: Swelindawo, Monica Priscilla
- Date: 2019-12
- Subjects: Abused women , Abused wives -- Services for , Family Violence
- Language: English
- Type: Master's/Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/21092 , vital:46975
- Description: The aim of this study was to investigate causes of repeated admissions of mentally ill women in a psychiatric institution. The study was conducted in the Nelson Mandela Bay Municipality, which comprises Port Elizabeth, Despatch and Uitenhage. A focus group and unstructured interviews were used to collect data. The focus group consisted of 9 participants, which comprised 7 family members or caregivers of mentally ill women with repeated admissions in a psychiatric institution and 2 professionals, a psychiatric social worker and a doctor. Since this is a relatively new area of study, thus a qualitative research method was used for the researcher to interact with participants in their natural habitat. Snowball sampling was used to locate members of the population. Literature review has demonstrated that continued exposure to abuse has a negative effect on the mental health of the survivor. Some of the women were mentally fit before the abuse, but due to abuse at the hands of their husbands or partners, and sometimes families, became mentally ill. Neglect, lack of understanding of mental illness, defaulting of medication and lack of trained psychiatric professionals in the Nelson Mandela Bay Municipality were found to be the most common reasons that led to repeated admissions. , Thesis (MSoc Sci) (Social Work) -- University of Fort Hare, 2021
- Full Text:
- Date Issued: 2019-12
- Authors: Swelindawo, Monica Priscilla
- Date: 2019-12
- Subjects: Abused women , Abused wives -- Services for , Family Violence
- Language: English
- Type: Master's/Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/21092 , vital:46975
- Description: The aim of this study was to investigate causes of repeated admissions of mentally ill women in a psychiatric institution. The study was conducted in the Nelson Mandela Bay Municipality, which comprises Port Elizabeth, Despatch and Uitenhage. A focus group and unstructured interviews were used to collect data. The focus group consisted of 9 participants, which comprised 7 family members or caregivers of mentally ill women with repeated admissions in a psychiatric institution and 2 professionals, a psychiatric social worker and a doctor. Since this is a relatively new area of study, thus a qualitative research method was used for the researcher to interact with participants in their natural habitat. Snowball sampling was used to locate members of the population. Literature review has demonstrated that continued exposure to abuse has a negative effect on the mental health of the survivor. Some of the women were mentally fit before the abuse, but due to abuse at the hands of their husbands or partners, and sometimes families, became mentally ill. Neglect, lack of understanding of mental illness, defaulting of medication and lack of trained psychiatric professionals in the Nelson Mandela Bay Municipality were found to be the most common reasons that led to repeated admissions. , Thesis (MSoc Sci) (Social Work) -- University of Fort Hare, 2021
- Full Text:
- Date Issued: 2019-12
Job satisfaction at a public hospital in the Nelson Mandela Bay: Lived experiences of professional nurses
- Authors: Vamva, Valencia Nomawethu
- Date: 2019-12
- Subjects: Nursing -- Job satisfaction -- South Africa -- Eastern Cape , Public hospitals -- South Africa -- Nelson Mandela Bay Municipality , Public health Nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60843 , vital:67951
- Description: Job satisfaction has been recognised as one of the most important factors influencing a nurse’s desire to remain in the nursing profession. Nurses play a pivotal role in determining the efficiency, effectiveness and sustainability of the healthcare system. Understanding the job satisfaction of professional nurses in public hospitals is critical because it has a direct relationship with turnover rates. The aim of the study was to explore the lived experiences of professional nurses at a public hospital in the Nelson Mandela Bay. The research design was a qualitative, descriptive phenomenological design. The research population for this study was professional nurses in a public hospital of the Nelson Mandela Bay. A non-probability, purposive sampling method was used. The data collection method for this study was face-to-face, semi-structured interviews with the professional nurses. Trustworthiness was based on the four criteria of trustworthiness which are: credibility, dependability, transferability and confirmability. The ethical standards for this study were based on the three principles of the Belmont Report which are respect for persons, beneficence and justice. Professional nurses are important in the health care system because of their provision of adequate health care. Literature has indicated that the public sector hospitals of South Africa have many challenges. The challenges faced by these public sector hospitals may affect the nurses’ job satisfaction, their performance and the quality of care. This study was helpful as it explored the experiences of professional nurses regarding job satisfaction in a public hospital of the Nelson Mandela Bay. The professional nurses highlighted the aspects of their work environment that influenced their job satisfaction and recommendations were made to resolve the situation. These were the need for sufficient staff, adequate salaries, a management-staff bond, continuous development of staff, the need for supervisors to monitor staff tardiness, sufficient resources and their maintenance, improvement of hospital infrastructure and ensuring staff safety. , Thesis (MA) -- Faculty of Humanities, School of Governmental and Social Sciences, 2019
- Full Text:
- Date Issued: 2019-12
- Authors: Vamva, Valencia Nomawethu
- Date: 2019-12
- Subjects: Nursing -- Job satisfaction -- South Africa -- Eastern Cape , Public hospitals -- South Africa -- Nelson Mandela Bay Municipality , Public health Nursing
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/60843 , vital:67951
- Description: Job satisfaction has been recognised as one of the most important factors influencing a nurse’s desire to remain in the nursing profession. Nurses play a pivotal role in determining the efficiency, effectiveness and sustainability of the healthcare system. Understanding the job satisfaction of professional nurses in public hospitals is critical because it has a direct relationship with turnover rates. The aim of the study was to explore the lived experiences of professional nurses at a public hospital in the Nelson Mandela Bay. The research design was a qualitative, descriptive phenomenological design. The research population for this study was professional nurses in a public hospital of the Nelson Mandela Bay. A non-probability, purposive sampling method was used. The data collection method for this study was face-to-face, semi-structured interviews with the professional nurses. Trustworthiness was based on the four criteria of trustworthiness which are: credibility, dependability, transferability and confirmability. The ethical standards for this study were based on the three principles of the Belmont Report which are respect for persons, beneficence and justice. Professional nurses are important in the health care system because of their provision of adequate health care. Literature has indicated that the public sector hospitals of South Africa have many challenges. The challenges faced by these public sector hospitals may affect the nurses’ job satisfaction, their performance and the quality of care. This study was helpful as it explored the experiences of professional nurses regarding job satisfaction in a public hospital of the Nelson Mandela Bay. The professional nurses highlighted the aspects of their work environment that influenced their job satisfaction and recommendations were made to resolve the situation. These were the need for sufficient staff, adequate salaries, a management-staff bond, continuous development of staff, the need for supervisors to monitor staff tardiness, sufficient resources and their maintenance, improvement of hospital infrastructure and ensuring staff safety. , Thesis (MA) -- Faculty of Humanities, School of Governmental and Social Sciences, 2019
- Full Text:
- Date Issued: 2019-12
The relationship between financial development and economic growth in Eswatini (formerly Swaziland)
- Fakudze, Siphe-okuhlehttps://orcid.org/0000-0001-7928-5552
- Authors: Fakudze, Siphe-okuhlehttps://orcid.org/0000-0001-7928-5552
- Date: 2019-12
- Subjects: Economic development -- Eswatini , Eswatini -- Economic conditions
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19704 , vital:43170
- Description: The study empirically examined the relationship between financial development and economic growth in Eswatini using quarterly time series data covering the period 1996 to 2018. Auto Regressive Distributed Lag bounds test technique and Granger causality test were used. The ratio of credit to the private sector to economic growth, openness to trade, revealed a positive relationship with economic growth in the long-run and short-run dynamics. Money supply displayed a negative association with real output in the long-run and short-run. Government size as a ratio of GDP highlighted a negative linkage with economic growth in the long-run and temporary positive association in the short-run. The Granger Causality test results displayed unidirectional causality running from financial development to economic growth, supporting the demand following causality hypothesis in Eswatini. The study recommends developing policies aimed at enhancing credit to the private sector to stimulate investment; reprioritise Government expenditure to minimise fiscal gap and support supply side reforms focusing on infrastructure development; control domestic liquidity and develop market securities attractive to the private sector; strengthen trade intensity to bolster growth; and improve regulatory framework to develop the non-bank financial industry. , Thesis (MCom) -- Faculty of Management and Commerce, 2019
- Full Text:
- Date Issued: 2019-12
- Authors: Fakudze, Siphe-okuhlehttps://orcid.org/0000-0001-7928-5552
- Date: 2019-12
- Subjects: Economic development -- Eswatini , Eswatini -- Economic conditions
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/19704 , vital:43170
- Description: The study empirically examined the relationship between financial development and economic growth in Eswatini using quarterly time series data covering the period 1996 to 2018. Auto Regressive Distributed Lag bounds test technique and Granger causality test were used. The ratio of credit to the private sector to economic growth, openness to trade, revealed a positive relationship with economic growth in the long-run and short-run dynamics. Money supply displayed a negative association with real output in the long-run and short-run. Government size as a ratio of GDP highlighted a negative linkage with economic growth in the long-run and temporary positive association in the short-run. The Granger Causality test results displayed unidirectional causality running from financial development to economic growth, supporting the demand following causality hypothesis in Eswatini. The study recommends developing policies aimed at enhancing credit to the private sector to stimulate investment; reprioritise Government expenditure to minimise fiscal gap and support supply side reforms focusing on infrastructure development; control domestic liquidity and develop market securities attractive to the private sector; strengthen trade intensity to bolster growth; and improve regulatory framework to develop the non-bank financial industry. , Thesis (MCom) -- Faculty of Management and Commerce, 2019
- Full Text:
- Date Issued: 2019-12
Wavelet Theory: for Economic & Financial Cycles
- Authors: Mlambo, Farai Fredric
- Date: 2019-12
- Subjects: Wavelets (Mathematics) , Finance -- Mathematical models , Economic forecasting
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/49930 , vital:41861
- Description: Cycles - their nature in existence, their implications on human-kind and the study thereof have sparked some important philosophical debates since the very pre-historic days. Notable contributions by famous, genius philosophers, mathematicians, historians and economists such as Pareto, Deulofeu, Danielewski, Kuznets, Kondratiev, Elliot and many others in itself shows how cycles and their study have been deemed important, through the history and process of scientific and philosophical inquiry. Particularly, the explication of Business, Economic and Financial cycles have seen some significant research and policy attention. Nevertheless, most of the methodologies employed in this space are either purely empirical in nature, time series based or the so-called Regime-Switching Markov model popularized in Economics by James Hamilton. In this work, we develop a Statistical, non-linear model fit based on circle geometry which is applicable for the dating of cycles. This study proposes a scalable, smooth and differentiable quarter-circular wavelet basis for the smoothing and dating of business, economic and financial cycles. The dating then necessitates the forecasting of the cyclical patterns in the evolution of business, economic and financial time series. The practical significance of dating and forecasting business and financial cycles cannot be over-emphasized. The use of wavelet decomposition in explaining cycles can be seen as an critical contribution of spectral methods of statistical modelling to finance and economic policy at large. Being a relatively new method, wavelet analysis has seen some great contribution in geophysical modelling. This study endeavours to widen the use and application of frequency-time decomposition to the economic and financial space. Wavelets are localized in both time and frequency, such that there is no loss of the time resolution. The importance of time resolution in dating of cycles is another motivation behind using wavelets. Moreover, the preservation of time resolution in wavelet analysis is a fundamental strength employed in the dating of cycles. , Thesis (DPhil) -- Faculty of Science, Mathematical Statistics, 2019
- Full Text:
- Date Issued: 2019-12
- Authors: Mlambo, Farai Fredric
- Date: 2019-12
- Subjects: Wavelets (Mathematics) , Finance -- Mathematical models , Economic forecasting
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10948/49930 , vital:41861
- Description: Cycles - their nature in existence, their implications on human-kind and the study thereof have sparked some important philosophical debates since the very pre-historic days. Notable contributions by famous, genius philosophers, mathematicians, historians and economists such as Pareto, Deulofeu, Danielewski, Kuznets, Kondratiev, Elliot and many others in itself shows how cycles and their study have been deemed important, through the history and process of scientific and philosophical inquiry. Particularly, the explication of Business, Economic and Financial cycles have seen some significant research and policy attention. Nevertheless, most of the methodologies employed in this space are either purely empirical in nature, time series based or the so-called Regime-Switching Markov model popularized in Economics by James Hamilton. In this work, we develop a Statistical, non-linear model fit based on circle geometry which is applicable for the dating of cycles. This study proposes a scalable, smooth and differentiable quarter-circular wavelet basis for the smoothing and dating of business, economic and financial cycles. The dating then necessitates the forecasting of the cyclical patterns in the evolution of business, economic and financial time series. The practical significance of dating and forecasting business and financial cycles cannot be over-emphasized. The use of wavelet decomposition in explaining cycles can be seen as an critical contribution of spectral methods of statistical modelling to finance and economic policy at large. Being a relatively new method, wavelet analysis has seen some great contribution in geophysical modelling. This study endeavours to widen the use and application of frequency-time decomposition to the economic and financial space. Wavelets are localized in both time and frequency, such that there is no loss of the time resolution. The importance of time resolution in dating of cycles is another motivation behind using wavelets. Moreover, the preservation of time resolution in wavelet analysis is a fundamental strength employed in the dating of cycles. , Thesis (DPhil) -- Faculty of Science, Mathematical Statistics, 2019
- Full Text:
- Date Issued: 2019-12
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