Challenges of the primigravida’s in accessing antenatal care early and regularly in Buffalo city Metropolitan Municipality, Eastern Cape Province, South Africa
- Seakamela, Khomotso Precious
- Authors: Seakamela, Khomotso Precious
- Date: 2019
- Subjects: Maternal health services Prenatal care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16803 , vital:40775
- Description: According to National Department of Health (NDOH National :2015), antenatal care is free in South Africa’s public health system and nearly all pregnant women and girls attend an antenatal clinic at least once during their pregnancy. However, most pregnant women do not access antenatal care until the later stage of pregnancy. Such delays have been linked to nearly a quarter of avoidable maternal deaths in South Africa. According to World Health Organisation (WHO, 2016; 11), maternal mortality and morbidity are some of the most important global health issues facing the world today. Worldwide, approximately 1000 women die each day from pregnancy and childbirth related causes (WHO, 2016; 11). In addition, 99% of these maternal deaths occur in the developing world, with sub-Saharan Africa accounting for over half of these deaths. The international community has committed to improving maternal health by 2015 with Millennium Development Goal (MDG) number five, which aimed to reduce maternal mortality by three quarters and reach universal access to reproductive health care (www.worldbank.org/mdgs/). Even with this commitment, many countries like South Africa have failed to implement effective programs to reduce maternal mortality and morbidity, and women around the world continue to die and suffer from the complications of pregnancy and childbirth. According to NDOH (2015; 2), women who suspect that they might be pregnant should schedule a booking and visit to their clinic and begin antenatal care as soon as possible. These visits include a physical examination, which includes blood pressure checks, weight checks, providing a urine sample, testing for sexually transmitted infections and checking for tuberculosis. Depending on the stage of the pregnancy, healthcare providers may also do blood tests and examination, which includes an ultrasound. The purpose of the study was to to investigate the challenges of Primigravida’s in accessing antenatal care early and regularly in Buffalo City Metropolitan (BCM) and to assist in formulating recommendations for improving factors that are perceived as obstacles to the utilisation of antenatal care services in the BCM District. vii The study was conducted in five facilities at BCM (Dimbaza Community Health Centre, Empilweni Gompo Clinic, Moore Street Clinic, Central Clinic and Notyatyambo Clinic). BCM is one of the seven districts of Eastern Cape Province of South Africa. The seat of BCM is East London. The data was collected using cross-sectional, self-administered questionnaires that were conducted in selected health facilities of Buffalo City Metropolitan. In this study, the population consisted of primigravida’s between the ages of 18-35 who start clinic attendance in the second trimester of pregnancy at five facilities, Buffalo City Metropolitan. Findings: The biggest challenges, as expressed by the participants, were lack of money, unsuitable clinic times, work commitments, delays at clinic and family control. Most of the participants had good experiences of antenatal care. The timing of antenatal clinic attendance is not influenced by age, education, residential zone, employment status and proximity of clinic
- Full Text:
- Date Issued: 2019
- Authors: Seakamela, Khomotso Precious
- Date: 2019
- Subjects: Maternal health services Prenatal care
- Language: English
- Type: Thesis , Masters , MPH
- Identifier: http://hdl.handle.net/10353/16803 , vital:40775
- Description: According to National Department of Health (NDOH National :2015), antenatal care is free in South Africa’s public health system and nearly all pregnant women and girls attend an antenatal clinic at least once during their pregnancy. However, most pregnant women do not access antenatal care until the later stage of pregnancy. Such delays have been linked to nearly a quarter of avoidable maternal deaths in South Africa. According to World Health Organisation (WHO, 2016; 11), maternal mortality and morbidity are some of the most important global health issues facing the world today. Worldwide, approximately 1000 women die each day from pregnancy and childbirth related causes (WHO, 2016; 11). In addition, 99% of these maternal deaths occur in the developing world, with sub-Saharan Africa accounting for over half of these deaths. The international community has committed to improving maternal health by 2015 with Millennium Development Goal (MDG) number five, which aimed to reduce maternal mortality by three quarters and reach universal access to reproductive health care (www.worldbank.org/mdgs/). Even with this commitment, many countries like South Africa have failed to implement effective programs to reduce maternal mortality and morbidity, and women around the world continue to die and suffer from the complications of pregnancy and childbirth. According to NDOH (2015; 2), women who suspect that they might be pregnant should schedule a booking and visit to their clinic and begin antenatal care as soon as possible. These visits include a physical examination, which includes blood pressure checks, weight checks, providing a urine sample, testing for sexually transmitted infections and checking for tuberculosis. Depending on the stage of the pregnancy, healthcare providers may also do blood tests and examination, which includes an ultrasound. The purpose of the study was to to investigate the challenges of Primigravida’s in accessing antenatal care early and regularly in Buffalo City Metropolitan (BCM) and to assist in formulating recommendations for improving factors that are perceived as obstacles to the utilisation of antenatal care services in the BCM District. vii The study was conducted in five facilities at BCM (Dimbaza Community Health Centre, Empilweni Gompo Clinic, Moore Street Clinic, Central Clinic and Notyatyambo Clinic). BCM is one of the seven districts of Eastern Cape Province of South Africa. The seat of BCM is East London. The data was collected using cross-sectional, self-administered questionnaires that were conducted in selected health facilities of Buffalo City Metropolitan. In this study, the population consisted of primigravida’s between the ages of 18-35 who start clinic attendance in the second trimester of pregnancy at five facilities, Buffalo City Metropolitan. Findings: The biggest challenges, as expressed by the participants, were lack of money, unsuitable clinic times, work commitments, delays at clinic and family control. Most of the participants had good experiences of antenatal care. The timing of antenatal clinic attendance is not influenced by age, education, residential zone, employment status and proximity of clinic
- Full Text:
- Date Issued: 2019
Finding Frankenflora: investigating hybridisation between local and introduced Protea species at the Van Stadens Wildflower Reserve
- Authors: Macqueen, Timothy
- Date: 2019
- Subjects: Proteaceae -- South Africa , Proteaceae Trees -- South Africa Hybridization
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/40724 , vital:36230
- Description: This study provides an overview of hybridisation and methods to detect it in plants. This is documented in chapter 1. Another aim was to identify hybridisation between local and non-local species in the Proteaceae. This is covered in chapter 2. Finally the third aim was to develop a cheap and rapidly working method of detecting hybrids in this system. This is detailed in chapter 3. The model system for this research is the Van Stadens Wildflower Reserve. In 1984 the reserve manager introduced the non-local species, Protea susannae from Cape Agulhas. This represents a long-distance dispersal of over 600 km. This study is focused on looking at the impacts of the introduction of P. susannae on the local species P. eximia. I use genetic and morphological methods to detect hybrids. Hybridisation and the methods implemented to identify it are reviewed and discussed (Chapter 1). Morphological traits of the two species and direct sequencing of the nuclear ITS and chloroplast regions are compared (Chapter 2). This includes notes on the detection of hybrids and the potential for cryptic hybrids. I also focussed on testing of two rapid and low-cost techniques for detecting hybrids using Species Specific Primers (SSP’s) and High Resolution Melt (HRM). The Sanger sequencing method and ITS detected cryptic hybrids. The HRM was able to detect hybrids when comparing F1 putative hybrids to a ‘pure’ parent populations, but was not able to detect between a ‘pure’ parent population and F3 or F4 putative hybrids in the Van Stadens system. The SSP’s had the highest hybrid detection rate. Genetic methods, specifically the SSP’s were found to work well to detect hybrids in an environment where a hybrid swarm has taken place. The maps produced from this thesis will be useful for determining the distribution of hybrids in the reserve and for other similar hybrid systems. Long distance dispersal of Cape species may lead to the loss of genetic diversity or species as local and non-local hybridisation may occur, similar to the hybridisation between P. susannae and P. eximia in the Van Stadens Wild Flower Reserve. Genetic methods were shown to be superior to morphological hybrid detection (i.e. Sanger sequencing and SSP’s). The SSP approach tested here, which is dependent on the presence of fixed species specific SNP’s (Single Nucleotide Polymorphisms), could offer a rapid and effective method to explore hybridisation through space and time.
- Full Text:
- Date Issued: 2019
- Authors: Macqueen, Timothy
- Date: 2019
- Subjects: Proteaceae -- South Africa , Proteaceae Trees -- South Africa Hybridization
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/40724 , vital:36230
- Description: This study provides an overview of hybridisation and methods to detect it in plants. This is documented in chapter 1. Another aim was to identify hybridisation between local and non-local species in the Proteaceae. This is covered in chapter 2. Finally the third aim was to develop a cheap and rapidly working method of detecting hybrids in this system. This is detailed in chapter 3. The model system for this research is the Van Stadens Wildflower Reserve. In 1984 the reserve manager introduced the non-local species, Protea susannae from Cape Agulhas. This represents a long-distance dispersal of over 600 km. This study is focused on looking at the impacts of the introduction of P. susannae on the local species P. eximia. I use genetic and morphological methods to detect hybrids. Hybridisation and the methods implemented to identify it are reviewed and discussed (Chapter 1). Morphological traits of the two species and direct sequencing of the nuclear ITS and chloroplast regions are compared (Chapter 2). This includes notes on the detection of hybrids and the potential for cryptic hybrids. I also focussed on testing of two rapid and low-cost techniques for detecting hybrids using Species Specific Primers (SSP’s) and High Resolution Melt (HRM). The Sanger sequencing method and ITS detected cryptic hybrids. The HRM was able to detect hybrids when comparing F1 putative hybrids to a ‘pure’ parent populations, but was not able to detect between a ‘pure’ parent population and F3 or F4 putative hybrids in the Van Stadens system. The SSP’s had the highest hybrid detection rate. Genetic methods, specifically the SSP’s were found to work well to detect hybrids in an environment where a hybrid swarm has taken place. The maps produced from this thesis will be useful for determining the distribution of hybrids in the reserve and for other similar hybrid systems. Long distance dispersal of Cape species may lead to the loss of genetic diversity or species as local and non-local hybridisation may occur, similar to the hybridisation between P. susannae and P. eximia in the Van Stadens Wild Flower Reserve. Genetic methods were shown to be superior to morphological hybrid detection (i.e. Sanger sequencing and SSP’s). The SSP approach tested here, which is dependent on the presence of fixed species specific SNP’s (Single Nucleotide Polymorphisms), could offer a rapid and effective method to explore hybridisation through space and time.
- Full Text:
- Date Issued: 2019
The informal economy as a catalyst for development in the Raymond Mhlaba Municipality
- Authors: Manzana, Noludwe
- Date: 2019
- Subjects: Municipal government -- South Africa -- Eastern Cape , Economic development -- South Africa -- Eastern Cape Community development -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/40933 , vital:36271
- Description: In South Africa, the informal economy is expected to play a significant role, mainly because informal employment is relatively high in comparison to formal employment. The South African economy is characterised by a sluggish pace of job creation in the formal sector and a high rate of unemployment. The literature reveals that in recent years, small towns in South Africa have become key hubs for service delivery and the economic activity involved in the receipt and processing thereof. As such, these towns are viewed as essential to the implementation of the developmental local goals of South Africa’s government. In relation to this view, the established strand relates to the small-town growth and development potential with the core theme of local economic development. Raymond Mhlaba informal trading has become an economic alternative for some community members. In order to ensure the optimal efficiency of informal businesses there is a need to understand the needs of informal traders and the contributions made by the informal sector in their lives. There is a tremendous potential within the informal business sector for it to become a major role player in sustaining the livelihoods of many people, but the efficiency of these informal businesses needs to be improved by removing some of the constraints which hinder their effective functioning. These constraints include crime, transport, municipal services and financial support with the assistance from Local Eco-nomic Development (LED) to enhance a competitive, increasing sustainable growth and to ensure that growth within a local area is inclusive. This research therefore assesses the role of the informal economy as a catalyst for development in the Raymond Mhlaba Municipality. In addition, the findings will be useful for local municipalities within the district to fully comprehend the views of municipal legislations and informal traders with regard to policies and practices, as well as their impact on enabling the development of local municipalities through the informal economy. Lastly, the research findings will also enrich the knowledge base on informal trading in local municipalities and may be useful information regarding the development of a more sustainable regulatory approach to informal economy in Raymond Mhlaba Local Municipality.
- Full Text:
- Date Issued: 2019
- Authors: Manzana, Noludwe
- Date: 2019
- Subjects: Municipal government -- South Africa -- Eastern Cape , Economic development -- South Africa -- Eastern Cape Community development -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/40933 , vital:36271
- Description: In South Africa, the informal economy is expected to play a significant role, mainly because informal employment is relatively high in comparison to formal employment. The South African economy is characterised by a sluggish pace of job creation in the formal sector and a high rate of unemployment. The literature reveals that in recent years, small towns in South Africa have become key hubs for service delivery and the economic activity involved in the receipt and processing thereof. As such, these towns are viewed as essential to the implementation of the developmental local goals of South Africa’s government. In relation to this view, the established strand relates to the small-town growth and development potential with the core theme of local economic development. Raymond Mhlaba informal trading has become an economic alternative for some community members. In order to ensure the optimal efficiency of informal businesses there is a need to understand the needs of informal traders and the contributions made by the informal sector in their lives. There is a tremendous potential within the informal business sector for it to become a major role player in sustaining the livelihoods of many people, but the efficiency of these informal businesses needs to be improved by removing some of the constraints which hinder their effective functioning. These constraints include crime, transport, municipal services and financial support with the assistance from Local Eco-nomic Development (LED) to enhance a competitive, increasing sustainable growth and to ensure that growth within a local area is inclusive. This research therefore assesses the role of the informal economy as a catalyst for development in the Raymond Mhlaba Municipality. In addition, the findings will be useful for local municipalities within the district to fully comprehend the views of municipal legislations and informal traders with regard to policies and practices, as well as their impact on enabling the development of local municipalities through the informal economy. Lastly, the research findings will also enrich the knowledge base on informal trading in local municipalities and may be useful information regarding the development of a more sustainable regulatory approach to informal economy in Raymond Mhlaba Local Municipality.
- Full Text:
- Date Issued: 2019
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