Grandmothers’ perceptions regarding breastfeeding following training for breastfeeding support in Nelson Mandela Bay Health District: a qualitative study
- Authors: Manyange, Rumbidzai Lynda
- Date: 2020
- Subjects: Breastfeeding promotion
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46441 , vital:39583
- Description: Rationale: Although there has been active promotion of breastfeeding for the past decades in South Africa, there has been inadequate support from multiple role players. Strategies that do not engage important family members, such as grandmothers in supporting breastfeeding are likely to fail. In many African countries, grandmothers often make critical decisions about early child feeding practices, particularly for first-time mothers. Despite the influence grandmothers have, limited studies have been done in South Africa to assess whether it is possible to change breastfeeding outcomes by empowering grandmothers as well as including them in intervention programmes. Nelson Mandela University, in collaboration with the United Nations Children Education Fund (UNICEF) and a local Non-Governmental Organisation (NGO), recently launched a breastfeeding support programme, Sakha Esethu. The aim was to capacitate both primary and secondary caregivers to enable them to provide optimal breastfeeding support for mothers in various communities. However, it was important to explore the perceptions of grandmothers regarding breastfeeding to assess whether improved breastfeeding knowledge will translate into changed perceptions and therefore improved support for exclusive breastfeeding in communities in Nelson Mandela Bay. Aim: The study aimed to describe and explore the perceptions of grandmothers regarding breastfeeding after participating in a breastfeeding support programme in Nelson Mandela Bay health district (NMBHD). Methodology: The study followed a descriptive-exploratory, contextual study design with a qualitative approach. The four ethical principles that guided the study were: autonomy, non-maleficence, beneficence and justice. The researcher conducted five focus group discussions (FGD) at ECD centres in NMBHD, where 34 grandmothers participated in the study. Participants were chosen using a purposively sampling technique and data was collected using FGD interviews. Verbatim transcription was done after every FGD and data was analysed using the eight steps of Tesch’s analysis technique. An independent coder with experience in qualitative data analysis assisted to verify the codes generated. vi Results: Four major themes and eleven subthemes emerged through data analysis. The identified themes were: (1)Participant knowledge regarding breastfeeding. Participants reflected on poor knowledge on the perceived maternal benefits of breastfeeding, variance on the optimal duration of breastfeeding and recognised myths and cultural taboos related to breastfeeding, such as the use of traditional mixes, “dirty” breastmilk and perceived milk insufficiency; (2) Views on complementary feeding. The subthemes that emerged included: Participants shared their views on the age of introduction for complementary foods and feeding practices for infants; (3) Challenges related to breastfeeding. The challenges identified included: challenges for working mothers and those attending school, lack of family support and societal support for EBF, lack of support from healthcare professionals relating to initiation and continuation of breastfeeding and difficulties coping with breast health. (4) Participants enthused about the impact of being supported to optimise breastfeeding.Participants were able to share on the camaraderie benefits experienced from the Sakha Esethu group as well as on the support grandmothers can provide. Conclusion and Recommendations: This study confirmed that participation of grandmothers in the Sakha Esethu programme had an impact on changes in grandmothers’ perceptions regarding breastfeeding. However, the programme can be further improved by placing more emphasis on aspects i.e. maternal benefits of breastfeeding, during mentor training. Furthermore, there is a need to strengthen healthcare worker support and training, especially with regards to adapting counselling strategies to include breastfeeding challenges and cultural beliefs.
- Full Text:
- Date Issued: 2020
- Authors: Manyange, Rumbidzai Lynda
- Date: 2020
- Subjects: Breastfeeding promotion
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/46441 , vital:39583
- Description: Rationale: Although there has been active promotion of breastfeeding for the past decades in South Africa, there has been inadequate support from multiple role players. Strategies that do not engage important family members, such as grandmothers in supporting breastfeeding are likely to fail. In many African countries, grandmothers often make critical decisions about early child feeding practices, particularly for first-time mothers. Despite the influence grandmothers have, limited studies have been done in South Africa to assess whether it is possible to change breastfeeding outcomes by empowering grandmothers as well as including them in intervention programmes. Nelson Mandela University, in collaboration with the United Nations Children Education Fund (UNICEF) and a local Non-Governmental Organisation (NGO), recently launched a breastfeeding support programme, Sakha Esethu. The aim was to capacitate both primary and secondary caregivers to enable them to provide optimal breastfeeding support for mothers in various communities. However, it was important to explore the perceptions of grandmothers regarding breastfeeding to assess whether improved breastfeeding knowledge will translate into changed perceptions and therefore improved support for exclusive breastfeeding in communities in Nelson Mandela Bay. Aim: The study aimed to describe and explore the perceptions of grandmothers regarding breastfeeding after participating in a breastfeeding support programme in Nelson Mandela Bay health district (NMBHD). Methodology: The study followed a descriptive-exploratory, contextual study design with a qualitative approach. The four ethical principles that guided the study were: autonomy, non-maleficence, beneficence and justice. The researcher conducted five focus group discussions (FGD) at ECD centres in NMBHD, where 34 grandmothers participated in the study. Participants were chosen using a purposively sampling technique and data was collected using FGD interviews. Verbatim transcription was done after every FGD and data was analysed using the eight steps of Tesch’s analysis technique. An independent coder with experience in qualitative data analysis assisted to verify the codes generated. vi Results: Four major themes and eleven subthemes emerged through data analysis. The identified themes were: (1)Participant knowledge regarding breastfeeding. Participants reflected on poor knowledge on the perceived maternal benefits of breastfeeding, variance on the optimal duration of breastfeeding and recognised myths and cultural taboos related to breastfeeding, such as the use of traditional mixes, “dirty” breastmilk and perceived milk insufficiency; (2) Views on complementary feeding. The subthemes that emerged included: Participants shared their views on the age of introduction for complementary foods and feeding practices for infants; (3) Challenges related to breastfeeding. The challenges identified included: challenges for working mothers and those attending school, lack of family support and societal support for EBF, lack of support from healthcare professionals relating to initiation and continuation of breastfeeding and difficulties coping with breast health. (4) Participants enthused about the impact of being supported to optimise breastfeeding.Participants were able to share on the camaraderie benefits experienced from the Sakha Esethu group as well as on the support grandmothers can provide. Conclusion and Recommendations: This study confirmed that participation of grandmothers in the Sakha Esethu programme had an impact on changes in grandmothers’ perceptions regarding breastfeeding. However, the programme can be further improved by placing more emphasis on aspects i.e. maternal benefits of breastfeeding, during mentor training. Furthermore, there is a need to strengthen healthcare worker support and training, especially with regards to adapting counselling strategies to include breastfeeding challenges and cultural beliefs.
- Full Text:
- Date Issued: 2020
Procurement challenges faced by Eskom contractors during the tender stage
- Authors: Hlalutye, Thandiwe
- Date: 2018
- Subjects: Management -- Procurement -- South Africa -- Northern Cape , Project management -- South Africa -- Northern Cape Contractors' operation -- South Africa -- Northern Cape -- Finance
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/30260 , vital:30913
- Description: The procurement process within South Africa has become an increasing focus in open market access for local economic development. The government introduced Preferential Procurement Policy Frame Act 5 of 2000 (PPPFA) which must be followed by all government owned organisations, including parastatals. Eskom, therefore, has to abide to this regulation and, since it started utilising the Act in its tendering process, there has been a challenge to getting contractors who are commercially and technically approved to be able to execute work or projects. The aim of this study is to examine challenges faced by Eskom Northern Cape Operating Unit contractors during the tender stage in terms of tender requirements, whereby they fail to submit all required tender returnables and fail to meet a set threshold in order to be successful and being awarded with the contract. This study undertook an empirical study using a case study of Eskom after a literature review. A questionnaire was used to collect data from all the active contractors on the Eskom Northern Cape Operating Unit data base. The key findings included that; contractors agreed that they still lack understanding of a quality management system. However they disagreed that they are not complying with safety health and environment and that they lack knowledge of technical requirements which leads them to not submitting objective evidence. The study concluded that contracting firms still do not comply with procurement requirements during the tender stage.
- Full Text:
- Date Issued: 2018
- Authors: Hlalutye, Thandiwe
- Date: 2018
- Subjects: Management -- Procurement -- South Africa -- Northern Cape , Project management -- South Africa -- Northern Cape Contractors' operation -- South Africa -- Northern Cape -- Finance
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10948/30260 , vital:30913
- Description: The procurement process within South Africa has become an increasing focus in open market access for local economic development. The government introduced Preferential Procurement Policy Frame Act 5 of 2000 (PPPFA) which must be followed by all government owned organisations, including parastatals. Eskom, therefore, has to abide to this regulation and, since it started utilising the Act in its tendering process, there has been a challenge to getting contractors who are commercially and technically approved to be able to execute work or projects. The aim of this study is to examine challenges faced by Eskom Northern Cape Operating Unit contractors during the tender stage in terms of tender requirements, whereby they fail to submit all required tender returnables and fail to meet a set threshold in order to be successful and being awarded with the contract. This study undertook an empirical study using a case study of Eskom after a literature review. A questionnaire was used to collect data from all the active contractors on the Eskom Northern Cape Operating Unit data base. The key findings included that; contractors agreed that they still lack understanding of a quality management system. However they disagreed that they are not complying with safety health and environment and that they lack knowledge of technical requirements which leads them to not submitting objective evidence. The study concluded that contracting firms still do not comply with procurement requirements during the tender stage.
- Full Text:
- Date Issued: 2018
An investigation of a local government turnaround strategy : the case of Nkonkobe Local Municipality
- Authors: Hanabe, Lulamile Donacious
- Date: 2013
- Subjects: Corporate turnarounds -- South Africa -- Eastern Cape , Municipal government -- South Africa -- Eastern Cape , Business planning -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:8331 , http://hdl.handle.net/10948/d1020568
- Description: The primary purpose of the study was to investigate the extent to which the Nkonkobe Local Municipality is able to meet its obligations in terms of the LGTAS - specifically as a rural municipality. Further to investigate what impact, if any, the Report on the State of Local Government in South Africa has had on the municipality. The study moved from the premise that municipalities are different, and that a rural municipality’s response to service delivery and the LGTAS, should be understood in the context of additional challenges, because of its remote locality. The study therefore is based on the assumption that the Nkonkobe Local Municipality has not been able to fully meet the objectives, as they are contained in the LGTAS that was approved by Cabinet in December 2009. The study proposed to give a background of the origin of municipalities and evolution and transformation of Developmental Local Government in South Africa. The in-depth literature review was undertaken on Developmental Local Government to achieve the objective of the study. Local Government Turnaround Strategy analysis with reference to Nkonkobe Local Municipality is also presented to test the proposed hypotheses. The empirical survey and research methodology used in the study is described and explained in-depths and followed by data collection in a form of a questionnaire. The research findings of the empirical survey are then analysed and reported in statistical form. In the final chapter; recommendations are presented based on the empirical survey findings through the respondent’s inputs in the questionnaire. Recommendations are also presented on how Nkonkobe Local Municipality can improve its business to achieve the objectives of LGTAS.
- Full Text:
- Date Issued: 2013
An investigation of a local government turnaround strategy : the case of Nkonkobe Local Municipality
- Authors: Hanabe, Lulamile Donacious
- Date: 2013
- Subjects: Corporate turnarounds -- South Africa -- Eastern Cape , Municipal government -- South Africa -- Eastern Cape , Business planning -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:8331 , http://hdl.handle.net/10948/d1020568
- Description: The primary purpose of the study was to investigate the extent to which the Nkonkobe Local Municipality is able to meet its obligations in terms of the LGTAS - specifically as a rural municipality. Further to investigate what impact, if any, the Report on the State of Local Government in South Africa has had on the municipality. The study moved from the premise that municipalities are different, and that a rural municipality’s response to service delivery and the LGTAS, should be understood in the context of additional challenges, because of its remote locality. The study therefore is based on the assumption that the Nkonkobe Local Municipality has not been able to fully meet the objectives, as they are contained in the LGTAS that was approved by Cabinet in December 2009. The study proposed to give a background of the origin of municipalities and evolution and transformation of Developmental Local Government in South Africa. The in-depth literature review was undertaken on Developmental Local Government to achieve the objective of the study. Local Government Turnaround Strategy analysis with reference to Nkonkobe Local Municipality is also presented to test the proposed hypotheses. The empirical survey and research methodology used in the study is described and explained in-depths and followed by data collection in a form of a questionnaire. The research findings of the empirical survey are then analysed and reported in statistical form. In the final chapter; recommendations are presented based on the empirical survey findings through the respondent’s inputs in the questionnaire. Recommendations are also presented on how Nkonkobe Local Municipality can improve its business to achieve the objectives of LGTAS.
- Full Text:
- Date Issued: 2013
- «
- ‹
- 1
- ›
- »