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Molecular Detection of Antibiotic-Resistant Genes in Pseudomonas aeruginosa from Nonclinical Environment: Public Health Implications in Mthatha, Eastern Cape Province, South Africa

  • Authors: Mojisola Clara Hosu , Sandeep Vasaikar , Grace Emily Okuthe , Teke Apalata
  • Date: 5 January 2021
  • Subjects: Microbiology
  • Language: English
  • Type: Journal Article
  • Identifier: http://hdl.handle.net/11260/2417 , vital:41877
  • Description: Evaluation of resistant profiles and detection of antimicrobial-resistant genes of bacterial pathogens in the nonclinical milieu is imperative to assess the probable risk of dissemination of resistant genes in the environment. .is paper sought to identify antibiotic-resistant genes in Pseudomonas aeruginosa from nonclinical sources in Mthatha, Eastern Cape, and evaluate its public health implications. Samples collected from abattoir wastewater and aquatic environment were processed by membrane filtration and cultured on CHROMagarTM Pseudomonas medium. Species identification was performed by autoSCAN-4 (Dade Behring Inc., IL). Molecular characterization of the isolates was confirmed using real-time polymerase chain reaction (rPCR) and selected isolates were further screened for the possibility of harboring antimicrobial resistance genes. Fifty-one Pseudomonas species were recovered from abattoir wastewater and surface water samples, out of which thirty-six strains were Pseudomonas aeruginosa (70.6%). .e P. aeruginosa isolates demonstrated resistance to aztreonam (86.1%), ceftazidime (63.9%), piperacillin (58.3%), cefepime (55.6%), imipenem (50%), piperacillin/tazobactam (47.2%), meropenem (41.7%), and levofloxacin (30.6%). Twenty out of thirty-six P. aeruginosa displayed multidrug resistance profiles and were classified as multidrug-resistant (MDR) (55.6%). Most of the bacterial isolates exhibited a high Multiple Antibiotic Resistance (MAR) Index ranging from 0.08 to 0.69 with a mean MAR index of 0.38. In the rPCR analysis of fifteen P. aeruginosa isolates, 14 isolates (93.3%) were detected harboring blaSHV, six isolates (40%) harbored blaTEM, and three isolates (20%) harbored blaCTX-M, being the least occurring ESBL. Results of the current study revealed that P. aeruginosa isolates recovered from nonclinical milieu are resistant to frontline clinically relevant antipseudomonal drugs. .is is concerning as it poses a risk to the environment and constitutes a public health threat. Given the public health relevance, the paper recommends monitoring of multidrug-resistant pathogens in effluent environments.
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Conference eQoboqobo

  • Authors: Lubabalo, Ntshoko and Dr Mitchell Cox , Student Researcher
  • Date: 27-02-2014
  • Subjects: Oral history Africa , Healers South Africa Interviews
  • Language: Xhosa , English
  • Type: Oral histories , Sound recordings , Interviews , audio recording
  • Identifier: http://hdl.handle.net/10962/458416 , vital:75741 , KHA-008
  • Description: uLubabalo Ntshoko nongumphandi uthetha ngokubaluleka komhlaba kunye nemdlela ekutyetywe ngayo eQoboqobo. UDr Michell Cox waseRhodes obhale incwadi ethi Voices for the Forest incwadi le ibhalwe ngemithi yonke esiyibilisayo nokubaluleka kwendalo empilweni yethu , Lubabalo Ntshoko and Dr Mitchell Cox speaks about the importance of nature and natural resources in Qoboqobo at a conference and she references her book titled Voices Of the Forest
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  • Date Issued: 27-02-2014

VIVA Comrade Moss

  • Authors: NUMSA
  • Date: 25 April
  • Subjects: NUMSA
  • Language: English
  • Type: text
  • Identifier: http://hdl.handle.net/10962/109640 , vital:33163 , SALHA 14b : NUMSA
  • Description: The last 'Trial Update" reported on Comrade Moss’s case until mid-March. This report covers the period from that time up until 25th April.STADLER - "ANC EXPERT" Brigadier Stadler testified that the ANC had made certain calls to organisations within the country which, according to his "research", had been followed by organisations in the country. As examples he gave the ANC’s call for ungovernability, the formation of organs of people’s power and the destruction of town councils. During cross-examination Stadler conceded that he was not able to give examples of any direct link between the ANC and organisations inside the coutry but he said an inference could be drawn by looking at the ANC’s call and the behaviour of organisations inside the country.
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  • Date Issued: 25 April

Morphology, histology and histochemistry of the digestive tract of the Banded tilapia, Tilapia sparrmanii (Perciformes: Cichlidae)

  • Authors: Grace E. Okuthe , Bongile Bhomela
  • Date: December 23, 2020
  • Subjects: Fish, gastrointestinal tract, histo-architecture
  • Language: English
  • Type: Journal Article
  • Identifier: http://hdl.handle.net/11260/2425 , vital:41881
  • Description: ABSTRACT. This study described anatomical, histological and histochemical features of the mucosal layer of the digestive tract of Tilapia sparrmanii Smith, 1840, an omnivorous freshwater fish endemic to Southern Africa. This species exhibited a short thick oesophagus with long deep longitudinal folds (466.68 ± 16.91 µm), and a thick (173.50 ± 10.92 µm) muscular layer that allow the passage of large food items. The mucosa was lined with stratified secretory epithelium rich in goblet cells that secreted neutral and acid mucins. The stomach was a sac-like structure with simple tubular glands surrounded by connective tissue. The mucosa was lined with simple columnar epithelium and the lamina propria exhibited a well-developed layer of gastric glands that occupied the entire length of the cardio-fundic region. The stomach mucosa consisted of epithelial cells with intense neutral mucin secretion which protects against gastric juice. Neck cells of gastric glands synthesized neutral and acid mucins. The intestine was highly coiled and presented a complex pattern of transversal folds internally (villi). Villi length decreased progressively from the anterior to the posterior intestine (p < 0.0001). Tunica muscularis of the mid-intestine had the thinnest thickness among all parts of the intestine (p < 0.0001). Goblet cells whose numbers increased towards the rectum secreted both acid and neutral mucins. The results indicate structural similarities of T. sparrmanii GIT with other tilapia species and will be useful for understanding the physiology of the digestive systems as well as functional components of the GIT.
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Erythrina caffra - kaffirboom

The prevalence of insufficient iodine intake in pregnancy in Africa: Protocol for a systematic review and meta-analysis

  • Authors: Charles Bitamazire Businge , Benjamin Longo-Mbenza , Andre Pascal Kengne
  • Date: 22-8-2019
  • Language: English
  • Type: text , article
  • Identifier: http://hdl.handle.net/11260/3387 , vital:43338 , https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-019-1092-7#citeas
  • Description: Background: Insufficient iodine intake in pregnancy is associated with many adverse pregnancy outcomes. About 90% of African countries are at risk of iodine deficiency due to poor soils and dietary goitrogens. Pregnancy predisposes to insufficient iodine nutrition secondary to increased physiological demand and increased renal loss. Iodine deficiency is re-emerging in countries thought to be replete with pregnant women being the most affected. This review seeks to identify the degree of iodine nutrition in pregnancy on the entire African continent before and after the implementation of national iodization programmes. Methods: A systematic search of published literature will be conducted for observational studies that directly determined the prevalence of insufficient iodine intake among pregnant women in Africa. Electronic databases and grey literature will be searched for baseline data before the implementation of population-based iodine supplementation and for follow-up data up to December 2018. Screening of identified articles and data extraction will be conducted independently by two investigators. Risk of bias and methodological quality of the included studies will be assessed using a risk of bias tool. Appropriate meta-analytic techniques will be used to pool prevalence estimates from studies with similar features, overall and by major characteristics including the region of the study, time period (before and after implementation of iodization programmes), sample size and age. Heterogeneity of the estimates across studies will be quantified and publication bias investigated. This protocol is reported according to Preferred Reporting Items for Systematic reviews and Meta-Analysis protocols (PRISMA-P) 2015 guidelines. Discussion This review will help ascertain the impact of national iodization programmes on the iodine nutrition status in pregnancy in Africa and advise policy on the necessity for monitoring and mitigating iodine deficiency in pregnancy in Africa. This review is part of a thesis that will be submitted to the Faculty of Health Sciences, University of Cape Town, for the award of a PhD in Medicine whose protocol has been granted ethics approval (UCT HREC 135/2018). In addition, the results will be published in a peer-reviewed journal.
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  • Date Issued: 22-8-2019

A systematic review of mental health care access in disadvantaged communities in South Africa

  • Authors: Dube, Nkosingiphile Zama
  • Date: 2025-04-25
  • Subjects: Mental health services South Africa , Rural mental health services South Africa , Social psychiatry South Africa , Healers South Africa , Help-seeking , Systematic reviews (Medical research)
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478295 , vital:78174
  • Description: Background: Access to mental healthcare in disadvantaged rural communities in South Africa faces numerous challenges, particularly due to cultural beliefs that impact help-seeking behaviours. Systematic reviews provide critical insights into the barriers and facilitators of healthcare access in such contexts. This review aims to evaluate the available literature on mental healthcare access in rural South African communities, with a specific focus on the influence of cultural beliefs on help-seeking behaviours. Methods: A systematic search was conducted across databases, including PubMed, Scopus, and Web of Science, to identify studies published between 2010 and 2023. Studies were included if they examined barriers to mental healthcare access in rural South African settings and involved culturally relevant factors. Screening, selection, and appraisal of studies were carried out using PRISMA guidelines, with data extracted and synthesized through qualitative thematic analysis. Results: A total of 24 studies met the inclusion criteria. Key findings identified barriers such as financial constraints, scarcity of mental health facilities, stigma, long distances to services, language barriers, and cultural beliefs. Cultural practices, such as attributing mental distress to witchcraft or ancestral displeasure, were found to influence perceptions of mental health and discourage professional intervention, with traditional healers and community elders frequently being the preferred resource. Some community members, despite limited knowledge, utilized smartphones for mental health applications, while others relied on traditional practices and community support networks. Conclusion: This review underscores the need for a culturally sensitive, integrated approach to mental healthcare in rural South Africa, blending traditional and modern practices. Recommendations include conducting rural needs assessments, fostering collaboration between mental health practitioners and traditional healers, and enhancing teacher training. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
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  • Date Issued: 2025-04-25

Decoding #BlackGirlMagic: an analysis of how Black women at a South African university construct and celebrate their identities through the hashtag

  • Authors: Kayumba, Urielle Ngoie
  • Date: 2025-04-25
  • Subjects: Black Girl Magic , Identity formation , Identity (Psychology) , Empowerment , Women, Black , Representation (Philosophy)
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478394 , vital:78183
  • Description: The emergence of the Black Girl Magic hashtag in 2013 marked a pivotal moment in the realm of social media, igniting a powerful movement that resonated far beyond the digital sphere. This hashtag, which initially gained traction on platforms like X/Twitter and Instagram, served as a catalyst for celebrating the multifaceted achievements and resilience of Black women. The profound impact of this movement on an individual level became the focal point of my personal journey, delving into the transformative effects of #BlackGirlMagic within the context of a media landscape historically characterised by a lack of diverse representation. The study takes a closer look at the significance of the hashtag in fostering a sense of acceptance among Black women. In a world where mainstream media has perpetuated narrow beauty standards and marginalised narratives, #BlackGirlMagic emerged as a beacon of empowerment (Mason, 2021). This research does not shy away from acknowledging the complex and nuanced dimensions inherent in this movement. It explores how factors such as featurism, colourism, texturism, body types, and nationalities intersect with the celebration, recognising that while #BlackGirlMagic champions empowerment, it also grapples with inherent limitations that need to be addressed (Sinon, 2020). The study explores how Black women students at Rhodes University use and understand the hashtag #BlackGirlMagic in their lives. The research considers the experiences and cultural practices of Black women in online spaces (Bevins, 2020). By delving into the ways in which they engage with #BlackGirlMagic, the study explores the digital landscape as a dynamic and evolving arena where identity, empowerment, and representation intersect. This approach allows for a deeper comprehension of the lived experiences of Black women in the online realm, shedding light on how Black women students at Rhodes University use #BlackGirlMagic and the challenges they face in seeking to be included and represented. By focusing on the experiences of Black women students at Rhodes University, the research can contribute to the broader discourse on digital activism and the role of social media in shaping contemporary feminist movements. This localised perspective offers valuable insights into how global movements like #BlackGirlMagic are adapted and reinterpreted within specific cultural and institutional contexts, highlighting the importance of digital spaces as sites of both empowerment and contestation for Black women. , Thesis (MA) -- Faculty of Humanities, Journalism and Media Studies, 2025
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  • Date Issued: 2025-04-25

Exploring interventions for South African pregnant women with alcohol use disorder: a scoping review

  • Authors: Majoe, Mono Onalenna
  • Date: 2025-04-25
  • Subjects: Uncatalogued
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478316 , vital:78176
  • Description: Access restricted. Expected enbargo release date in 2026. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
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  • Date Issued: 2025-04-25

Interpretations of a contemporary transgender representation as encountered in the South African soap opera, Generations: The Legacy by Ndakane’s rural audience

  • Authors: Thuku, Sinalo Vincent
  • Date: 2025-04-25
  • Subjects: LGBT activism , Representation (Philosophy) , Sexual minorities in mass media South Africa , Television soap operas South Africa , Television viewers Attitudes
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478405 , vital:78184
  • Description: The study investigates how people from Ndakane, a rural community in the Eastern Cape, interpret a transgender narrative in the soap opera Generations: The Legacy. Located within the theoretical framework of cultural studies and drawing on audience reception theories, the study focuses on how Ndakane residents bring their understanding of gender and sexuality, derived from their lived sociocultural experiences, to their decoding of the transgender narrative. The study is contextualised against the backdrop of prevalent hate crimes against LGBTQ+ individuals in South Africa, particularly in rural and township areas, where such violence is reported to be more severe. This study contributes to the broader discourse on media representation, audience reception, and the role of cultural narratives in shaping societal attitudes toward marginalised identities. The research highlights the significance of media representations of LGBTQ+ individuals, especially in soap operas like Generations: The Legacy, in fostering visibility and potentially enhancing acceptance and support for LGBTQ+ communities. By examining the sociocultural factors that influence audience interpretations, the study investigates how the portrayal of a transgender character offers viewers an opportunity to challenge and rethink their preconceived notions of gender and sexuality. Using Stuart Hall's (1980) Encoding/Decoding model, the study analyses the audience's dominant, negotiated, and oppositional reading positions when engaging with the transgender narrative. A qualitative research approach was employed to gather and analyse data. The findings reveal that the interpretation of the transgender storyline among Ndakane residents aligns with Hall’s (1980) concept of polysemy, indicating that viewers derived varied meanings from the narrative. While some viewers embraced the storyline as an opportunity to explore new perspectives on gender and sexuality, others adopted negotiated readings. Although these viewers did not entirely align with the ideological stance of the producers, they nonetheless accepted the narrative and its implications to some extent, acknowledging it as an acceptable representation. These findings underline the critical role of media in shaping public discourse on LGBTQ+ issues, especially in culturally conservative spaces. By offering a nuanced exploration of audience interpretations, the study underscores the transformative potential of media to challenge deeply rooted social biases and foster inclusivity in communities that may otherwise remain resistant to change. , Thesis (MA) -- Faculty of Humanities, Journalism and Media Studies, 2025
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  • Date Issued: 2025-04-25

Massed prolonged exposure therapy for PTSD and alcohol use: a single case experimental study of a university student

  • Authors: Abrahams, Sherwin Owen
  • Date: 2025-04-25
  • Subjects: Prolonged exposure therapy , Post-traumatic stress disorder , Alcoholism , Flooding , College students Alcohol use South Africa , College students Psychology
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478284 , vital:78173
  • Description: Post-traumatic stress disorder (PTSD) and alcohol use disorder (AUD) are common among university students in South Africa. Bantjies et al. (2023) found a PTSD prevalence of 21.0% (n=28,268), and McGowan and Kagee (2013) reported that 90% (n=1337) had experienced at least one traumatic event. There is a high comorbidity between PTSD and AUD, especially in hazardous drinkers (Peltzer & Pengpid, 2015). Despite the prevalence, research on effective trauma-focused therapies (TFTs) in low-resource settings is limited (Booysen & Kagee, 2021). This study evaluates the effectiveness of massed-prolonged exposure (MPE) therapy for comorbid PTSD and AUD among South African university students, using a Single-Case Experimental Design (SCED). The participant (n=1) underwent comprehensive assessments using CAPS-5, AUDIT, PDS-5, and PCL-5, confirming PTSD and AUD diagnoses. Regular PCL-5 assessments during the intervention showed significant symptom improvement, and post-intervention assessments indicated the participant no longer met PTSD criteria. AUDIT scores also improved from 11 (harmful/hazardous drinking) to 6. The participant found MPE therapy to be feasible, acceptable, and appropriate. This study supports the effectiveness, feasibility and acceptability of MPE therapy and highlights the importance of evidence-based interventions to improve PTSD outcomes within university settings and in low-to-middle-income countries. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
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  • Date Issued: 2025-04-25

Mbonalelo kha vhurangaphanda ha vhafumakadzi: young Vhavenḓa women’s views on their traditional leadership roles historically and post-1994

  • Authors: Nengwekhulu, Omphulusa
  • Date: 2025-04-25
  • Subjects: Chiefdoms South Africa , South Africa Politics and government 1994- , Colonialism , Apartheid South Africa , Primogeniture South Africa , Patriarchy South Africa
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478427 , vital:78186
  • Description: This is a qualitative research study that examines how young Vhavenḓa women in post-apartheid South Africa views different traditional leadership roles that Vhavenḓa women have historically played and continue to play in Venḓa society. Therefore, the research question that this Master of Arts (MA) research study sought to research is the following: How do young, 21st-century Vhavenḓa women view the traditional leadership roles historically and currently held by Vhavenḓa women in Vhavenḓa society? To grapple with this research question, this study employed a combination of purposive and snowball sampling strategies to recruit seven research participants. Research participants were interviewed using a semi-structured interview approach, which allowed the researcher to build rapport with research participants. Data was manually coded into five themes, namely: 1) The Role of Makhadzi in Traditional Leadership Among the Venḓa Community, 2) The Role of Vhakoma in Traditional Leadership Among the Venḓa Community, 3) The Role of Vhakololo in Traditional Leadership Among the Venḓa Community, 4) The customary practice of male primogeniture and how it contradicts the South African Constitution post-1994, and 5) The socialisation process that puts boys and men on a leadership pedestal. The data was then analysed and discussed in Chapters Four and Five through an Africana Womanist theoretical framework. An important finding in this study is that makhadzi, the father’s sister and also a woman who is a custodian of traditional leadership, is the traditional role that all the participants recognised as the leadership role that Vhavenḓa women have historically played and continue to play. Another role identified by participants as significant within the Venḓa leadership structure is Vhakoma, the Queen Mother and the chief's mother. However, there was limited familiarity with the role of Vhakololo, the royal members or people born into the royal family, as only one participant identified it as a leadership role traditionally occupied by Vhavenḓa women. Research participants suggested that colonial modernity contributes to a lack of knowledge about their culture. Another important finding of this study is that in post-1994 South Africa, there has been a tension between customary practices such as male primogeniture and the South African Constitution. Consequently, some women leaders have used the courts to challenge this practice. Ultimately, this study contributes to the discourse about women’s empowerment and the dismantling of patriarchal structures that undermine women's potential as leaders in the Venḓa context. , Thesis (MA) -- Faculty of Humanities, Political and International Studies, 2025
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  • Date Issued: 2025-04-25

Mental healthcare users’ perceptions of mental health services at a primary healthcare level

  • Authors: Zwane, Siphelele
  • Date: 2025-04-25
  • Subjects: Mental health services South Africa Makhanda , Primary care (Medicine) , Mental health consumer , Mental health education South Africa , Help-seeking
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478372 , vital:78181
  • Description: This study interrogates the complexities of mental healthcare in primary healthcare settings, focusing on the experiences and perceptions of participants within the Makana municipality in the Eastern Cape Province, which is characterised by a low socio-economic status. The matter of mental healthcare is of great significance within the context of South Africa, a country grappling with multifaceted challenges. Over the years, mental health has progressed from being marginalised to being more widely acknowledged. While the integration into tertiary and urban healthcare settings has become smoother, primary healthcare has encountered numerous obstacles. This presents a concern, due to the socioeconomic difficulties faced by individuals accessing primary care, which predispose them to mental health issues. Consequently, it is imperative to conduct research focusing on the experiences and perspectives of mental healthcare users within primary healthcare, a relatively underexplored area. The primary objective of the current research study was to contribute to the existing knowledge base, providing valuable insights for relevant stakeholders and policymakers, such as the National Mental Health Policy Framework 2023-2030, to reference when formulating strategies to enhance the integration of mental healthcare into primary healthcare. The study used purposive sampling to interview mental healthcare users within the Makana municipality. Employing a qualitative design facilitated in-depth dialogue between the participants and the researcher, generating valuable data. Thematic Analysis was employed to analyse and present meaningful data, providing an overview of the participants' shared experiences. The study identified four significant themes: the utility of primary health clinic; the urgent need for mental health education; socioeconomics, and mental health, and the complex dynamics of help-seeking behaviours. The findings underscore the pressing need to integrate quality mental health into PHC, emphasising the importance of mental health education, increased resources, task-sharing, and the prioritisation of both physical and mental illnesses. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
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  • Date Issued: 2025-04-25

Municipal demarcation: an exploration of ethnic conflict and violence in the 2015 Malamulele and 2016 Vuwani protests

  • Authors: Shivambu, Matimu
  • Date: 2025-04-25
  • Subjects: Municipal boundary , Apartheid , Territorial dispute , Demonstrations South Africa , Tribalism , Political corruption , Municipal services South Africa Limpopo
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478438 , vital:78187
  • Description: In 2015, communities in Malamulele, located in the Vhembe District of Limpopo Province, South Africa, protested against the Thulamela Local Government Municipality, citing inadequate service delivery and favouritism toward Venda-speaking areas. The protesters demanded the establishment of a new municipality for Tsonga-speaking residents, disrupting daily life through road blockades and shutdowns of schools, transportation, and commercial activities. In response, the government demarcated the Thulamela Municipality and created the Collins Chabane Local Government Municipality, which included Vuwani and other Venda-speaking communities. However, this inclusion sparked violent protests in Vuwani in 2016, fueled by claims of insufficient consultation and a desire to remain within the Makhado Local Government Municipality. This study utilised qualitative research methods, specifically semi-structured interviews, to capture the experiences and perspectives of participants from Vuwani and Malamulele. It applied conflict and territory theories to analyse the underlying issues. The findings reveal that colonial policies of divide and rule, along with apartheid-era Bantustan policies, significantly influenced these protests. The study underscores the importance of public participation in community matters, highlighting the unequal provision of services among different groups and emphasising the need for reconciliation. The protests were deeply rooted in the legacy of colonial and apartheid histories and cannot be understood in isolation from these historical contexts and their enduring impacts. This research addresses a gap in the academic literature by exploring the ethnic dynamics and sequence of events in the 2015 Malamulele and 2016 Vuwani protests. It provides insights into the decisions of the government, Municipal Demarcation Board (MDB), and community stakeholders that fueled these conflicts, contributing to a broader understanding of post-1994 ethnic violence and conflict in South Africa. , Thesis (MA) -- Faculty of Humanities, Political and International Studies, 2025
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  • Date Issued: 2025-04-25

Narratives of resilience in ‘coming out': the initial experiences of young South African persons who identify as gay and male

  • Authors: Viljoen, Judd Wilfred George
  • Date: 2025-04-25
  • Subjects: Uncatalogued
  • Language: English
  • Type: text
  • Identifier: http://hdl.handle.net/10962/478361 , vital:78180
  • Description: Access restricted. Expected release date in 2026 , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
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  • Date Issued: 2025-04-25

Perceptions and reflections of primary healthcare professionals on mental health services in Makhanda

  • Authors: Piliso, Zandisiwe
  • Date: 2025-04-25
  • Subjects: Primary care (Medicine) , Mental health services South Africa Makhanda , Medical personnel , Ecological Systems Theory , Mental health personnel South Africa Makhanda
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478344 , vital:78179
  • Description: Primary mental healthcare in South Africa is still in its early stages, despite policies that have been developed, such as the National Mental Health Framework Policy. Provinces such as the Eastern Cape are far behind development, which can be attributed to limited resources. The scarcity has been noted in the literature, but not extensively. Literature concentrated on healthcare professionals’ perspectives towards primary health greatly narrow, particularly in the Makhanda area. With the integration of primary mental health services, healthcare workers’ viewpoints have impacted on service delivery. This study aims to add knowledge and explore the perspectives of healthcare professionals on primary mental healthcare in Makhanda. The ecological systems theory was used as a theoretical framework for the study. Thematic analysis was used to examine the healthcare professionals’ insights and to extract meaning for the participants involved in the study. Thirteen participants were used, using purposive sampling in four primary healthcare settings. Data were collected using semi-structured and one-on-one interviews. The study revealed three themes including, (i) Scarcity of Mental Health Services, (ii) Mental Health Literacy, (iii) Barriers to the Provision and Use of Physical and Mental Health Services. The findings suggest that there are limited mental health care services in primary care and that there is a gap between service provision and physical and mental healthcare. The data also revealed that mental health literacy is limited, which links to the stigma around mental illness. Furthermore, evidence points out that more mental health education, human resources and training of healthcare professionals would further improve the mental health services in the Makhanda area. In addition, there are barriers to the provision of not only primary mental health care but healthcare, as well as a lack of medical equipment, human resources, and structural space that make it difficult for healthcare professionals to perform their jobs and affect clinic functioning, at times. Another barrier is that the perception of mental health service provision is simultaneously viewed in a positive and negative light and mainly received negatively by service users. In conclusion, healthcare professionals experience a deficiency of resources and a limited provision of mental healthcare, which highlights the lack of implementation of policies that have developed nationally and globally. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
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  • Date Issued: 2025-04-25

Reclaiming the ‘Self’: self-objectification and victim-survivors’ bodies in Margie Orford’s The Eye of the Beholder and Akwaeke Emezi’s Freshwater

  • Authors: Landsberg, Zoe
  • Date: 2025-04-25
  • Subjects: Self-objectification , Self in literature , Victims in literature , Detective and mystery stories History and criticism , Magic realism (Literature) , Sex crimes in literature
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478453 , vital:78188
  • Description: Self-objectification is conventionally viewed by objectification theorists as a negative process that is pursued by victims as a result of experiencing sexual violence. What makes self-objectification particularly negative is that it confirms that the victim feels alienated from their body following their harrowing experience. In this thesis, I argue that Margie Orford and Akwaeke Emezi depart from this view of self-objectification. Instead, through the protagonists in their respective novels, The Eye of the Beholder and Freshwater, Orford and Emezi offer a positive revision of self-objectification by articulating it as a necessary process in a victim’s journey toward reclaiming their body and, with it, their concept of ‘self”. To make this argument, I begin by drawing on Western existential phenomenology and African ontology to develop what is referred to as the basic relational view of the ‘self’ which understands the ‘self’ as the connection point between one’s body and one’s subjecthood. Applying this understanding of the ‘self’ to the selected texts, I show that it is the connection between each protagonist’s body and spirit that is disturbed by their experience of sexual violence. Initially aligning with the negative view of self-objectification, Orford and Emezi confirm this disturbance through their protagonists’ pursuits of self-objectifying behaviours. However, using Elaine Scarry’s artist–artifact model and Russel W. Belk’s articulation of the ‘extended self’, I demonstrate that it is by means of self-objectification that the protagonists are presented as able to reestablish a meaningful connection to their violated bodies and thereby reclaim their disrupted concepts of ‘self’ as they journey towards survivorhood. In this way, through the victim–survivor journeys of their respective protagonists in The Eye of the Beholder and Freshwater, Orford and Emezi inscribe the process of self-objectification with an unorthodox duality where it is not a wholly negative process, but rather one that is pivotal to a victim’s survival. Thus, I conclude in this thesis, Orford and Emezi offer a positive revision of self-objectification, a revision that has not yet been studied in the scholarship on the selected primary texts. , Thesis (MA) -- Faculty of Humanities, Literary Studies in English, 2025
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  • Date Issued: 2025-04-25

Resisting gender-based violence in post-1994 South Africa

  • Authors: Dube, Nobuhle Lynn
  • Date: 2025-04-25
  • Subjects: Gender-based violence South Africa 1994- , Activism , Social media , Masculinity , Patriarchy , Women Violence against South Africa
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478416 , vital:78185
  • Description: This study investigates the origins of gender-based violence, along with some of the legal, policing, and socio-cultural barriers to effectively addressing gender-based violence in post-1994 South Africa, as perceived and articulated by Black women activists. To that end, this study conducted semi-structured interviews with eight Black South African women activists involved in the fight against GBV, based in different parts of the country. The analysis and the discussion of the research findings are framed around six themes and theorised through an African feminism lens. A key finding of this research project is that GBV in post-1994 South Africa can be attributed to multiple sources which include poverty, African culture, women’s liberation in post-1994 South Africa, patriarchy, and toxic masculinities. Another finding of the study is that GBV activists joined the fight against GBV for various reasons, which included personal experience with GBV, a development of feminist consciousness, and a desire to change the justice system and how society understands GBV. A consistent theme in the interviews was that the struggle against GBV is not the sole responsibility of women and girls and that society as a whole bears the responsibility for the fight against GBV. While participants recognised the importance of the compulsory South African high school subject – the life orientation syllabus – participants pointed out that this subject tends to focus mainly on unplanned teenage pregnancies, the dangers of sexually transmitted diseases, and HIV prevention among young people in South Africa. Thus, the life orientation syllabus foregrounds the dangers of sex, rather than prioritising encouraging students to recognise GBV and equip students with tools to effectively deal with it. Research participants highlighted the importance and benefits of getting involved in the fight against GBV. Participants further recounted that it was the #TheTotalShutDown movement in 2018 that led to President Cyril Ramaphosa meeting with the organisers of #TheTotalShutDown and forming an organising committee, consisting of representatives from the presidency, non-profit groups, and the organisers of #TheTotalShutdown, who worked together to produce the National Strategic Plan against GBV & Femicide which led to the introduction of legislation such as the Domestic Violence Amendment Act 14 of 2022, the Criminal and Related Matters Amendment Act 12 of 2022, and The Criminal Law (Sexual Offences and Related Matters) Amendment Act 13 of 2022. , Thesis (MA) -- Faculty of Humanities, Political and International Studies, 2025
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  • Date Issued: 2025-04-25

The exploration of Black and Brown drag performance communities: an artistic tool for creating safe spaces

  • Authors: Adriaan, Aaron Robert
  • Date: 2025-04-25
  • Subjects: Sexual minority culture South Africa , Performance art South Africa , Drag performance South Africa , Intersectionality (Sociology) , Autoethnography , Theater South Africa
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478383 , vital:78182
  • Description: This research investigates the role of drag performance in South Africa, particularly its contribution to the fostering and maintenance of safe spaces for Black and Brown Queer communities. Inspired by the community building legacy Kewpie. This research project employs auto-ethnographic research practice to generate a better understanding of modes of Queer drag praxis drawing on Linda Tuhiwai Smith's (1999) concept of the "insider/outsider" researcher. The project acknowledges the ethical challenges of researching vulnerable communities. This research is guided by self-reflection and information gathered from fieldwork; informed by an awareness of the theory of ‘intersectionality’ (Carbado, Crenshaw, Mays, Tomlinson 2013) exploring the complexities of race, class, and sexuality within Cape Town’s Queer community. In this way, the study navigates the complexities of race, class, and sexuality within the drag context of Cape Town through the viewpoint of this researcher. The contextual exploration of drag unfolds across two interconnected disciplinary avenues: Firstly, the historical context of drag and its evolution within the performance art canon: to understand the place of contemporary drag in the broader artistic and cultural discourse. Secondly, the study investigates theatrical histories and conventions that have influenced and transformed drag practices. This is done to frame drag performance with forms of theatrical performance. This historical and disciplinary background is used to formulate a distinction that is at the centre of this research: proposing that contemporary drag practice in the City of Cape Town can be understood and to some extent distinguished by the categories of embodied costume and embodied performance. Embodied costume within the scope of this research view the use of drag aesthetics and visual elements in artistic expressions and performances that fall outside of traditional ‘drag show’ culture. Embodied performance refers to drag performances that fall within the context of traditional ‘drag show’ genres, communities, and venues − reminiscent of cabaret performance. This conception highlights the performative aspects of the drag persona, which is an extension of the performer’s identity. While some performers and performances can exemplify either embodied performance or embodied costume, these categories are not mutually exclusive, with incalculable overlaps in keeping with the rich possibilities of drag practice. The purpose of highlighting these distinctions is to create a critical framework for exploring the unique position drag occupies between fine art and theatre, incorporating both fields of practice, and synthesising them into a unique language for the expression of alternate gender narratives. , Thesis (MA) -- Faculty of Humanities, Fine Art, 2025
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  • Date Issued: 2025-04-25

The feasibility and acceptability of Prolonged Exposure Therapy for PTSD at a community trauma centre in Cape Town: a qualitative analysis

  • Authors: Markham, Kate Emily
  • Date: 2025-04-25
  • Subjects: Prolonged exposure therapy , Post-traumatic stress disorder , Psychic trauma Treatment , Community-based corrections South Africa Cape Town , Social workers South Africa Cape Town
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/478339 , vital:78178
  • Description: South Africa deals with pervasive trauma stemming from its history of political violence, high crime rates, and social challenges, ultimately contributing to a significant burden of trauma exposure and post-traumatic stress disorder (PTSD) among its population. Despite the prevalence of PTSD, evidence-based psychological treatments (EBTs) such as Prolonged Exposure Therapy (PE) remain underutilised, particularly in low-resourced areas. This study aimed to assess the feasibility and acceptability of PE among social workers at The Trauma Centre for Survivors of Violence and Torture in Cape Town. This study used a qualitative research design, with special emphasis on Implementation Science. The study used the concepts of feasibility and acceptability to guide the research. The results revealed several key themes. Social workers’ pre-implementation themes included the perceptions around PE and implementation in South Africa, with three subthemes emerging. First, the impact of South African socioeconomic and political factors on The Trauma Centre. Second, perceptions surrounding the implementation of PE. And finally, the improvements and feasibility of PE; the social worker’s post-intervention findings focused on the feasibility and improvement of PE, post-treatment views, and the hurdles and limitations to implementation. The client's post-intervention findings explored refugee struggles, associated psychological distress, with two sub-themes of self-worth and suicidal ideation, and second, a lack of support and helplessness, loneliness, and isolation. The final theme looked at the experiences of PE, more specifically the positive client experiences with PE, and the challenges of PE. The implementation of PE at The Trauma Centre revealed both successes and challenges. Findings from this study suggest that PE can be effectively administered through task-shifting in low-resource settings. However, this study also highlighted significant challenges in the feasibility of implementing PE long-term in this context. Clients revealed ambivalent feelings regarding PE. Those who experienced positive outcomes demonstrated the potential for PE to be utilised in resource-limited settings. Those who did not find PE beneficial, highlight the need for future research to adapt PE to be culturally specific and feasible for a resource-constrained setting. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
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  • Date Issued: 2025-04-25
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