Deconstructing the Challenges of COVID-19 on First-Year Rural University Students in South Africa
- Authors: Omodan, Bunmi Isaiah
- Date: 2021 -12
- Subjects: COVID-1 (Desease) College freshmen Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7664 , vital:54733 , xlink:href="https://doi.org/10.51415/ajims.v3i1.930"
- Description: Assumptions and facts exist about the various challenges rural learners face when transitioning into university education in South Africa due to the pedagogical differences between secondary and university education. However, the advent of the COVID-19 pandemic compounded the transitioning challenges of students because most of the universities, especially the selected university, utilise online learning, which is alien to first-year students who are transitioning from rural high schools to the university. This study explores the challenges and solutions associated with first-year students transitioning to a new level of education during the COVID-19 pandemic. An asset-based approach was used to theorise the study within the Transformative Paradigm (TP), while Participatory Research (PR) was used to design the study. These are relevant because both TP and PR are targeted towards transforming people’s predicaments. The participants consisted of ten first-year students selected using a convenient sampling technique. Data was collected using electronic interviews such as email, WhatsApp messages, and phone calls. The data were analysed using thematic analysis. The study revealed that first-year rural university students’ inability to use online learning tools effectively and unstable internet connections in the rural community are major challenges. The study, therefore, concludes that the provision of internet access and students’ readiness for adaptability are the possible solutions. Keywords: COVID-19; first-year students; rural communities; rural university
- Full Text:
- Date Issued: 2021 -12
- Authors: Omodan, Bunmi Isaiah
- Date: 2021 -12
- Subjects: COVID-1 (Desease) College freshmen Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7664 , vital:54733 , xlink:href="https://doi.org/10.51415/ajims.v3i1.930"
- Description: Assumptions and facts exist about the various challenges rural learners face when transitioning into university education in South Africa due to the pedagogical differences between secondary and university education. However, the advent of the COVID-19 pandemic compounded the transitioning challenges of students because most of the universities, especially the selected university, utilise online learning, which is alien to first-year students who are transitioning from rural high schools to the university. This study explores the challenges and solutions associated with first-year students transitioning to a new level of education during the COVID-19 pandemic. An asset-based approach was used to theorise the study within the Transformative Paradigm (TP), while Participatory Research (PR) was used to design the study. These are relevant because both TP and PR are targeted towards transforming people’s predicaments. The participants consisted of ten first-year students selected using a convenient sampling technique. Data was collected using electronic interviews such as email, WhatsApp messages, and phone calls. The data were analysed using thematic analysis. The study revealed that first-year rural university students’ inability to use online learning tools effectively and unstable internet connections in the rural community are major challenges. The study, therefore, concludes that the provision of internet access and students’ readiness for adaptability are the possible solutions. Keywords: COVID-19; first-year students; rural communities; rural university
- Full Text:
- Date Issued: 2021 -12
A case for ethical frameworks to enhance mobile government implementation at South African municipalities
- Makwembere, Sandra, Garidzira, Rufaro
- Authors: Makwembere, Sandra , Garidzira, Rufaro
- Date: 2021
- Subjects: Government Ethics Technology and state Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7170 , vital:53081 , xlink:href="https://doi.org/10.4102/td.v17i1.826"
- Description: Interest in mobile government (m-government) is growing globally. Mobile government refers to the use of wireless and mobile technologies to deliver services to citizens, businesses, employees and other government entities. Presently, technological advancements take place despite questions on whether the existing policy and regulatory frameworks are suitable to regulate the effects of m-government. With m-government, municipal operations take place in virtual spaces where the consequences of such operations are still largely unknown and the frameworks that are apt to minimise any long-term effects on society are yet to be defined. This conceptual article suggests that ethical frameworks should be encouraged as part of mobile government implementation in municipalities to encourage reflective municipal practices and to improve judgement and behaviour in m-government decision-making. It contributes to debates on approaches to comprehensively support and guide mobile government towards positive municipal service delivery outcomes. Keywords: m-government; ethics; ethical frameworks; municipal service delivery; e-government; mobile technology
- Full Text:
- Date Issued: 2021
- Authors: Makwembere, Sandra , Garidzira, Rufaro
- Date: 2021
- Subjects: Government Ethics Technology and state Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7170 , vital:53081 , xlink:href="https://doi.org/10.4102/td.v17i1.826"
- Description: Interest in mobile government (m-government) is growing globally. Mobile government refers to the use of wireless and mobile technologies to deliver services to citizens, businesses, employees and other government entities. Presently, technological advancements take place despite questions on whether the existing policy and regulatory frameworks are suitable to regulate the effects of m-government. With m-government, municipal operations take place in virtual spaces where the consequences of such operations are still largely unknown and the frameworks that are apt to minimise any long-term effects on society are yet to be defined. This conceptual article suggests that ethical frameworks should be encouraged as part of mobile government implementation in municipalities to encourage reflective municipal practices and to improve judgement and behaviour in m-government decision-making. It contributes to debates on approaches to comprehensively support and guide mobile government towards positive municipal service delivery outcomes. Keywords: m-government; ethics; ethical frameworks; municipal service delivery; e-government; mobile technology
- Full Text:
- Date Issued: 2021
A framework to test South Africa’s readiness for the fourth industrial revolution
- Olaitan, Olutoyin O., Issah, Moshood, Wayi, Ntombovuyo
- Authors: Olaitan, Olutoyin O. , Issah, Moshood , Wayi, Ntombovuyo
- Date: 2021
- Subjects: Industry 4.0 Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7153 , vital:53072 , xlink:href=" https://doi.org/10.4102/sajim.v23i1.1284"
- Description: Background: The fourth industrial revolution (4IR) is being touted as having the capacity to lift South Africa out of the challenges of poverty, unemployment and inequitable distribution of wealth. However, the state of the country’s readiness for the enabling technologies of the 4IR is in question. Objective: This article sought to investigate South Africa’s state of readiness for the technologies that enable the 4IR. The article proposed a framework which can be used to measure the country’s level of preparedness and implement the necessary processes to move the country into the 4IR era. Method: A detailed analysis of literature was carried out on the current and futuristic technologies employed by developed countries as they moved towards the 4IR. The fit – viability and the task – technology theories were employed to propose a framework to government for measuring its state of readiness for the 4IR in South Africa. Results: Based on findings from the literature study, the article proposed the 4IR readiness framework for government to measure and subsequently plans its response to the advent of 4IR technologies in the country. Conclusion: The framework revealed that South Africa has low technological capability, plummeting economic complexity and a fall in digital technological readiness. There is also a dearth of skilled workforce and technological infrastructure. It was recommended that government should focus on building and strengthening the resilience of both public and private institutions, investment in relevant 4IR education, infrastructural improvement, and promulgation and enforcement of legal framework to ensure security and privacy of data. Keywords: 4IR; task – technology; fit – viability; digital technology readiness; economic complexity
- Full Text:
- Date Issued: 2021
- Authors: Olaitan, Olutoyin O. , Issah, Moshood , Wayi, Ntombovuyo
- Date: 2021
- Subjects: Industry 4.0 Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7153 , vital:53072 , xlink:href=" https://doi.org/10.4102/sajim.v23i1.1284"
- Description: Background: The fourth industrial revolution (4IR) is being touted as having the capacity to lift South Africa out of the challenges of poverty, unemployment and inequitable distribution of wealth. However, the state of the country’s readiness for the enabling technologies of the 4IR is in question. Objective: This article sought to investigate South Africa’s state of readiness for the technologies that enable the 4IR. The article proposed a framework which can be used to measure the country’s level of preparedness and implement the necessary processes to move the country into the 4IR era. Method: A detailed analysis of literature was carried out on the current and futuristic technologies employed by developed countries as they moved towards the 4IR. The fit – viability and the task – technology theories were employed to propose a framework to government for measuring its state of readiness for the 4IR in South Africa. Results: Based on findings from the literature study, the article proposed the 4IR readiness framework for government to measure and subsequently plans its response to the advent of 4IR technologies in the country. Conclusion: The framework revealed that South Africa has low technological capability, plummeting economic complexity and a fall in digital technological readiness. There is also a dearth of skilled workforce and technological infrastructure. It was recommended that government should focus on building and strengthening the resilience of both public and private institutions, investment in relevant 4IR education, infrastructural improvement, and promulgation and enforcement of legal framework to ensure security and privacy of data. Keywords: 4IR; task – technology; fit – viability; digital technology readiness; economic complexity
- Full Text:
- Date Issued: 2021
Barriers to access second-trimester abortion: A case report
- Authors: Ramprakash, Kaswa
- Date: 2021
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/3330 , vital:43314 , https://doi.org/10.4102/safp.v63i1.5028
- Description: Despite the implementation of the Choice on Termination of Pregnancy (CTOP) Act, many women continue to procure illegal abortions in South Africa. A lack of knowledge of the CTOP Act and poor access to legal abortion in public health facilities is a big challenge. In the scope of the CTOP Act, the termination of pregnancy is a time-restricted health service, and women presented to a health care facility in the second trimester have encounter more obstacles to access the services. Keywords: Abortion; termination of pregnancy; CTOP Act; Illegal; Second Trimester.
- Full Text:
- Date Issued: 2021
- Authors: Ramprakash, Kaswa
- Date: 2021
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/3330 , vital:43314 , https://doi.org/10.4102/safp.v63i1.5028
- Description: Despite the implementation of the Choice on Termination of Pregnancy (CTOP) Act, many women continue to procure illegal abortions in South Africa. A lack of knowledge of the CTOP Act and poor access to legal abortion in public health facilities is a big challenge. In the scope of the CTOP Act, the termination of pregnancy is a time-restricted health service, and women presented to a health care facility in the second trimester have encounter more obstacles to access the services. Keywords: Abortion; termination of pregnancy; CTOP Act; Illegal; Second Trimester.
- Full Text:
- Date Issued: 2021
Clinical outcomes of hospitalised COVID-19 patients at Mthatha Regional Hospital, Eastern Cape, South Africa: A retrospective study
- Kaswa, Ramprakash, Yogeswaran, Parimalaranie, Cawe, Busisiwe
- Authors: Kaswa, Ramprakash , Yogeswaran, Parimalaranie , Cawe, Busisiwe
- Date: 2021
- Subjects: COVID-19 Diabetes Hypertension Diseases Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7330 , vital:53402 , xlink:href="https://doi.org/10.4102/safp.v63i1.5253"
- Description: Background: Coronavirus disease 2019 (COVID-19) is a public health crisis that threatens the current health system. The sudden expansion in the need for inpatient and intensive care facilities raised concerns about optimal clinical management and resource allocation. Despite the pressing need for evidence to make context-specific decisions on COVID-19 management, evidence from South Africa remained limited. This study aimed to describe the clinical characteristics and outcomes of COVID-19 hospitalised patients. Methods: A retrospective cross-sectional study design was used to evaluate the clinical outcomes of hospitalised adult patients (≥ 18 years old) with laboratory-confirmed COVID-19 illness at Mthatha Regional Hospital (MRH), Eastern Cape. Results: Of the 1814 patients tested for COVID-19 between 20 March 2020 and 31 July 2020 at MRH, two-thirds (65.4%) were female. About two-thirds (242) of the 392 patients (21.6%) who tested positive for this disease were hospitalised and one-third (150) were quarantined at home. The mean age of the patients tested for COVID-19 was 42.6 years and there was no difference between males and females. The mean age of hospitalised patients was 55.5 years and the mean age of hospitalised patients who died (61.3 years) was much higher than recovered (49.5 years). Overall, 188 (77.6%) hospitalised patients had clinical comorbidity on admission. Diabetes (36.8%) and hypertension (33.1%) were the most common comorbidities amongst COVID-19 hospitalised patients. Conclusion: The majority of the patients who were hospitalised for COVID-19 were elderly and had high baseline comorbidities. Advance age and underlying comorbidities (diabetes, hypertension and HIV) were associated with high mortality in hospitalised COVID-19 patients. Keywords: COVID-19, diabetes; hypertension; hospitalised; co-morbidity.
- Full Text:
- Date Issued: 2021
- Authors: Kaswa, Ramprakash , Yogeswaran, Parimalaranie , Cawe, Busisiwe
- Date: 2021
- Subjects: COVID-19 Diabetes Hypertension Diseases Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7330 , vital:53402 , xlink:href="https://doi.org/10.4102/safp.v63i1.5253"
- Description: Background: Coronavirus disease 2019 (COVID-19) is a public health crisis that threatens the current health system. The sudden expansion in the need for inpatient and intensive care facilities raised concerns about optimal clinical management and resource allocation. Despite the pressing need for evidence to make context-specific decisions on COVID-19 management, evidence from South Africa remained limited. This study aimed to describe the clinical characteristics and outcomes of COVID-19 hospitalised patients. Methods: A retrospective cross-sectional study design was used to evaluate the clinical outcomes of hospitalised adult patients (≥ 18 years old) with laboratory-confirmed COVID-19 illness at Mthatha Regional Hospital (MRH), Eastern Cape. Results: Of the 1814 patients tested for COVID-19 between 20 March 2020 and 31 July 2020 at MRH, two-thirds (65.4%) were female. About two-thirds (242) of the 392 patients (21.6%) who tested positive for this disease were hospitalised and one-third (150) were quarantined at home. The mean age of the patients tested for COVID-19 was 42.6 years and there was no difference between males and females. The mean age of hospitalised patients was 55.5 years and the mean age of hospitalised patients who died (61.3 years) was much higher than recovered (49.5 years). Overall, 188 (77.6%) hospitalised patients had clinical comorbidity on admission. Diabetes (36.8%) and hypertension (33.1%) were the most common comorbidities amongst COVID-19 hospitalised patients. Conclusion: The majority of the patients who were hospitalised for COVID-19 were elderly and had high baseline comorbidities. Advance age and underlying comorbidities (diabetes, hypertension and HIV) were associated with high mortality in hospitalised COVID-19 patients. Keywords: COVID-19, diabetes; hypertension; hospitalised; co-morbidity.
- Full Text:
- Date Issued: 2021
Doctors’ practice and attitudes towards red blood cell transfusion at Mthatha Regional Hospital, Eastern Cape, South Africa: A mixed methods study
- O’Mahony, Don, Adedayo, Temitope, Adeleke, Olukayode
- Authors: O’Mahony, Don , Adedayo, Temitope , Adeleke, Olukayode
- Date: 2021
- Subjects: Physicians Erythrocytes--Transfusion Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7989 , vital:57871 , xlink:href="https://doi.org/10.4102/phcfm.v13i1.2889"
- Description: Background: Unnecessary blood transfusion exposes recipients to potential harms. Aim: The aim of this study was to describe blood transfusion practice and explore doctors’ attitudes towards transfusion. Setting: A hospital providing level 1 and 2 services. Methods: A mixed-methods study design was used. In the cross-sectional descriptive component, a sample was taken from patients transfused over a 2-month period. Blood use was categorised as for medical anaemia or haemorrhage, and appropriate or not. The qualitative component comprised a purposeful sample for focus group and individual semistructured interviews. Results: Of 239 patients sampled, 62% were transfused for medical anaemia and 38% for haemorrhage. In the medical anaemia group, compliance with age-appropriate transfusion thresholds was 69%. In medical anaemia and haemorrhage, 114 (77%) and 85 (93.4%) of recipients had orders for ≥ 2 red blood cell (RBC) units, respectively. In adults ≥ 18 years old with medical anaemia, 47.1% of orders would have resulted in a haemoglobin (Hb) > 8 g/dL. Six doctors participated in focus group and eleven in individual interviews. There was a lack of awareness of institutional transfusion guidelines, disagreement on appropriate RBC transfusion thresholds and comments that more than one RBC unit should always be transfused. Factors informing decisions to transfuse included advice from senior colleagues, relieving symptoms of anaemia and high product costs. Conclusion: Most orders were for two or more units. In medical anaemia, doctors’ compliance with RBC transfusion thresholds was reasonable; however, almost half of the orders would have resulted in overtransfusion. The attitudes of doctors sampled suggest that their transfusion practice is influenced more by institutional values than formal guidelines. Keywords: red blood cell transfusion; doctors’ attitudes; doctors’ practice; transfusion thresholds; overtransfusion; descriptive study; qualitative study.
- Full Text:
- Date Issued: 2021
- Authors: O’Mahony, Don , Adedayo, Temitope , Adeleke, Olukayode
- Date: 2021
- Subjects: Physicians Erythrocytes--Transfusion Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7989 , vital:57871 , xlink:href="https://doi.org/10.4102/phcfm.v13i1.2889"
- Description: Background: Unnecessary blood transfusion exposes recipients to potential harms. Aim: The aim of this study was to describe blood transfusion practice and explore doctors’ attitudes towards transfusion. Setting: A hospital providing level 1 and 2 services. Methods: A mixed-methods study design was used. In the cross-sectional descriptive component, a sample was taken from patients transfused over a 2-month period. Blood use was categorised as for medical anaemia or haemorrhage, and appropriate or not. The qualitative component comprised a purposeful sample for focus group and individual semistructured interviews. Results: Of 239 patients sampled, 62% were transfused for medical anaemia and 38% for haemorrhage. In the medical anaemia group, compliance with age-appropriate transfusion thresholds was 69%. In medical anaemia and haemorrhage, 114 (77%) and 85 (93.4%) of recipients had orders for ≥ 2 red blood cell (RBC) units, respectively. In adults ≥ 18 years old with medical anaemia, 47.1% of orders would have resulted in a haemoglobin (Hb) > 8 g/dL. Six doctors participated in focus group and eleven in individual interviews. There was a lack of awareness of institutional transfusion guidelines, disagreement on appropriate RBC transfusion thresholds and comments that more than one RBC unit should always be transfused. Factors informing decisions to transfuse included advice from senior colleagues, relieving symptoms of anaemia and high product costs. Conclusion: Most orders were for two or more units. In medical anaemia, doctors’ compliance with RBC transfusion thresholds was reasonable; however, almost half of the orders would have resulted in overtransfusion. The attitudes of doctors sampled suggest that their transfusion practice is influenced more by institutional values than formal guidelines. Keywords: red blood cell transfusion; doctors’ attitudes; doctors’ practice; transfusion thresholds; overtransfusion; descriptive study; qualitative study.
- Full Text:
- Date Issued: 2021
Doctors’ practice and attitudes towards red blood cell transfusion at Mthatha Regional Hospital, Eastern Cape, South Africa: A mixed methods study
- Mabunda, Sikhumbuzo A, O’Mahony, Don, Adedayo, Temitope, Adeleke, Olukayode
- Authors: Mabunda, Sikhumbuzo A , O’Mahony, Don , Adedayo, Temitope , Adeleke, Olukayode
- Date: 2021
- Subjects: Physicians Erythrocytes--Transfusion Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7216 , vital:53088 , xlink:href="https://doi.org/10.4102/phcfm.v13i1.2889"
- Description: Background: Unnecessary blood transfusion exposes recipients to potential harms. Aim: The aim of this study was to describe blood transfusion practice and explore doctors’ attitudes towards transfusion. Setting: A hospital providing level 1 and 2 services. Methods: A mixed-methods study design was used. In the cross-sectional descriptive component, a sample was taken from patients transfused over a 2-month period. Blood use was categorised as for medical anaemia or haemorrhage, and appropriate or not. The qualitative component comprised a purposeful sample for focus group and individual semistructured interviews. Results: Of 239 patients sampled, 62% were transfused for medical anaemia and 38% for haemorrhage. In the medical anaemia group, compliance with age-appropriate transfusion thresholds was 69%. In medical anaemia and haemorrhage, 114 (77%) and 85 (93.4%) of recipients had orders for ≥ 2 red blood cell (RBC) units, respectively. In adults ≥ 18 years old with medical anaemia, 47.1% of orders would have resulted in a haemoglobin (Hb) > 8 g/dL. Six doctors participated in focus group and eleven in individual interviews. There was a lack of awareness of institutional transfusion guidelines, disagreement on appropriate RBC transfusion thresholds and comments that more than one RBC unit should always be transfused. Factors informing decisions to transfuse included advice from senior colleagues, relieving symptoms of anaemia and high product costs. Conclusion: Most orders were for two or more units. In medical anaemia, doctors’ compliance with RBC transfusion thresholds was reasonable; however, almost half of the orders would have resulted in overtransfusion. The attitudes of doctors sampled suggest that their transfusion practice is influenced more by institutional values than formal guidelines. Keywords: red blood cell transfusion; doctors’ attitudes; doctors’ practice; transfusion thresholds; overtransfusion; descriptive study; qualitative study.
- Full Text:
- Date Issued: 2021
- Authors: Mabunda, Sikhumbuzo A , O’Mahony, Don , Adedayo, Temitope , Adeleke, Olukayode
- Date: 2021
- Subjects: Physicians Erythrocytes--Transfusion Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7216 , vital:53088 , xlink:href="https://doi.org/10.4102/phcfm.v13i1.2889"
- Description: Background: Unnecessary blood transfusion exposes recipients to potential harms. Aim: The aim of this study was to describe blood transfusion practice and explore doctors’ attitudes towards transfusion. Setting: A hospital providing level 1 and 2 services. Methods: A mixed-methods study design was used. In the cross-sectional descriptive component, a sample was taken from patients transfused over a 2-month period. Blood use was categorised as for medical anaemia or haemorrhage, and appropriate or not. The qualitative component comprised a purposeful sample for focus group and individual semistructured interviews. Results: Of 239 patients sampled, 62% were transfused for medical anaemia and 38% for haemorrhage. In the medical anaemia group, compliance with age-appropriate transfusion thresholds was 69%. In medical anaemia and haemorrhage, 114 (77%) and 85 (93.4%) of recipients had orders for ≥ 2 red blood cell (RBC) units, respectively. In adults ≥ 18 years old with medical anaemia, 47.1% of orders would have resulted in a haemoglobin (Hb) > 8 g/dL. Six doctors participated in focus group and eleven in individual interviews. There was a lack of awareness of institutional transfusion guidelines, disagreement on appropriate RBC transfusion thresholds and comments that more than one RBC unit should always be transfused. Factors informing decisions to transfuse included advice from senior colleagues, relieving symptoms of anaemia and high product costs. Conclusion: Most orders were for two or more units. In medical anaemia, doctors’ compliance with RBC transfusion thresholds was reasonable; however, almost half of the orders would have resulted in overtransfusion. The attitudes of doctors sampled suggest that their transfusion practice is influenced more by institutional values than formal guidelines. Keywords: red blood cell transfusion; doctors’ attitudes; doctors’ practice; transfusion thresholds; overtransfusion; descriptive study; qualitative study.
- Full Text:
- Date Issued: 2021
Malnutrition in children under the age of 5 years in a primary health care setting
- Kaswa, Ramprakash, Govender, Indiran, Rangiah, Selvandran, Nzaumvila, Doudou
- Authors: Kaswa, Ramprakash , Govender, Indiran , Rangiah, Selvandran , Nzaumvila, Doudou
- Date: 2021
- Subjects: Obesity Malnutrition Dietary supplements Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7260 , vital:53106 , xlink:href="https://doi.org/10.4102/safp.v63i1.5337"
- Description: In this study, we outlined the types of malnutrition amongst children, the causes of malnutrition intervention at the primary health care level and some recommendations to alleviate childhood malnutrition in South Africa. Keywords: obesity; severe acute malnutrition; individual factors; community level factors; dietary intervention.
- Full Text:
- Date Issued: 2021
- Authors: Kaswa, Ramprakash , Govender, Indiran , Rangiah, Selvandran , Nzaumvila, Doudou
- Date: 2021
- Subjects: Obesity Malnutrition Dietary supplements Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7260 , vital:53106 , xlink:href="https://doi.org/10.4102/safp.v63i1.5337"
- Description: In this study, we outlined the types of malnutrition amongst children, the causes of malnutrition intervention at the primary health care level and some recommendations to alleviate childhood malnutrition in South Africa. Keywords: obesity; severe acute malnutrition; individual factors; community level factors; dietary intervention.
- Full Text:
- Date Issued: 2021
Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa
- Adeniyi, Oladele Vincent, Puzi, Ntandazo
- Authors: Adeniyi, Oladele Vincent , Puzi, Ntandazo
- Date: 2021
- Subjects: mental health Emergency medical services violennce Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7284 , vital:53108 , xlink:href="https://doi.org/10.4102/safp.v63i1.5393"
- Description: Background: Given the physical and mental health consequences of tobacco use amongst individuals with mental illness, it was imperative to assess the burden of tobacco use in this population. Aim: This study examined the patterns and factors associated with tobacco use in individuals attending the outpatient unit. Setting: Cecilia Makiwane Hospital Mental Health Department in Eastern Cape province, South Africa. Methods: Lifetime (ever use) use and current use of any tobacco products were examined in a cross-sectional study of 390 individuals between March and June 2020. A logistic regression was fitted to determine the correlates of lifetime and current use of any tobacco products. Results: The rates of ever use and current use of tobacco products were 59.4% and 44.6%, respectively. Of the participants interviewed, lifetime tobacco use was more prevalent amongst individuals with schizophrenia (67.9%) and cannabis-induced disorders (97.3%) and lower in those with major depressive disorders (36.1%) and bipolar and related disorders (43.5%). Men were six times more likely to have ever used or currently use tobacco products in comparison to women. Also, those who had a salaried job or owned a business were over three times more likely to have ever used or currently use tobacco products compared with those receiving government social grants. Conclusions: The prevalence of tobacco use in this study was significantly higher than the general population in the Eastern Cape. Therefore, smoking prevention and cessation interventions targeted at the general population should target this often neglected sub-population in the region. Keywords: aggressive and violent behaviour; assisted user; emergency centres; involuntary user; Mental Health Care Act.
- Full Text:
- Date Issued: 2021
- Authors: Adeniyi, Oladele Vincent , Puzi, Ntandazo
- Date: 2021
- Subjects: mental health Emergency medical services violennce Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7284 , vital:53108 , xlink:href="https://doi.org/10.4102/safp.v63i1.5393"
- Description: Background: Given the physical and mental health consequences of tobacco use amongst individuals with mental illness, it was imperative to assess the burden of tobacco use in this population. Aim: This study examined the patterns and factors associated with tobacco use in individuals attending the outpatient unit. Setting: Cecilia Makiwane Hospital Mental Health Department in Eastern Cape province, South Africa. Methods: Lifetime (ever use) use and current use of any tobacco products were examined in a cross-sectional study of 390 individuals between March and June 2020. A logistic regression was fitted to determine the correlates of lifetime and current use of any tobacco products. Results: The rates of ever use and current use of tobacco products were 59.4% and 44.6%, respectively. Of the participants interviewed, lifetime tobacco use was more prevalent amongst individuals with schizophrenia (67.9%) and cannabis-induced disorders (97.3%) and lower in those with major depressive disorders (36.1%) and bipolar and related disorders (43.5%). Men were six times more likely to have ever used or currently use tobacco products in comparison to women. Also, those who had a salaried job or owned a business were over three times more likely to have ever used or currently use tobacco products compared with those receiving government social grants. Conclusions: The prevalence of tobacco use in this study was significantly higher than the general population in the Eastern Cape. Therefore, smoking prevention and cessation interventions targeted at the general population should target this often neglected sub-population in the region. Keywords: aggressive and violent behaviour; assisted user; emergency centres; involuntary user; Mental Health Care Act.
- Full Text:
- Date Issued: 2021
Mastering your fellowship
- Klaus von Pressentin, Mergan Naidoo, Frederick Mayanja, Tasleem Ras
- Authors: Klaus von Pressentin , Mergan Naidoo , Frederick Mayanja , Tasleem Ras
- Date: 2021
- Language: English
- Type: Journal article
- Identifier: http://hdl.handle.net/11260/4024 , vital:43990
- Full Text:
- Authors: Klaus von Pressentin , Mergan Naidoo , Frederick Mayanja , Tasleem Ras
- Date: 2021
- Language: English
- Type: Journal article
- Identifier: http://hdl.handle.net/11260/4024 , vital:43990
- Full Text:
Prevalence and determinants of tobacco use amongst South African adults with mental illness in the Eastern Cape
- Tindimwebwa, Linda K, Ajayi, Anthony I, Adeniyi, Oladele Vincent
- Authors: Tindimwebwa, Linda K , Ajayi, Anthony I , Adeniyi, Oladele Vincent
- Date: 2021
- Subjects: mental health mental illiness tobacco use Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7278 , vital:53109 , xlink:href="https://doi.org/10.4102/sajpsychiatry.v27i0.1637"
- Description: Background: Given the physical and mental health consequences of tobacco use amongst individuals with mental illness, it was imperative to assess the burden of tobacco use in this population. Aim: This study examined the patterns and factors associated with tobacco use in individuals attending the outpatient unit. Setting: Cecilia Makiwane Hospital Mental Health Department in Eastern Cape province, South Africa. Methods: Lifetime (ever use) use and current use of any tobacco products were examined in a cross-sectional study of 390 individuals between March and June 2020. A logistic regression was fitted to determine the correlates of lifetime and current use of any tobacco products. Results: The rates of ever use and current use of tobacco products were 59.4% and 44.6%, respectively. Of the participants interviewed, lifetime tobacco use was more prevalent amongst individuals with schizophrenia (67.9%) and cannabis-induced disorders (97.3%) and lower in those with major depressive disorders (36.1%) and bipolar and related disorders (43.5%). Men were six times more likely to have ever used or currently use tobacco products in comparison to women. Also, those who had a salaried job or owned a business were over three times more likely to have ever used or currently use tobacco products compared with those receiving government social grants. Conclusions: The prevalence of tobacco use in this study was significantly higher than the general population in the Eastern Cape. Therefore, smoking prevention and cessation interventions targeted at the general population should target this often neglected sub-population in the region. Keywords: Eastern Cape province; mental health users; mental illness; South Africa; tobacco use.
- Full Text:
- Date Issued: 2021
- Authors: Tindimwebwa, Linda K , Ajayi, Anthony I , Adeniyi, Oladele Vincent
- Date: 2021
- Subjects: mental health mental illiness tobacco use Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7278 , vital:53109 , xlink:href="https://doi.org/10.4102/sajpsychiatry.v27i0.1637"
- Description: Background: Given the physical and mental health consequences of tobacco use amongst individuals with mental illness, it was imperative to assess the burden of tobacco use in this population. Aim: This study examined the patterns and factors associated with tobacco use in individuals attending the outpatient unit. Setting: Cecilia Makiwane Hospital Mental Health Department in Eastern Cape province, South Africa. Methods: Lifetime (ever use) use and current use of any tobacco products were examined in a cross-sectional study of 390 individuals between March and June 2020. A logistic regression was fitted to determine the correlates of lifetime and current use of any tobacco products. Results: The rates of ever use and current use of tobacco products were 59.4% and 44.6%, respectively. Of the participants interviewed, lifetime tobacco use was more prevalent amongst individuals with schizophrenia (67.9%) and cannabis-induced disorders (97.3%) and lower in those with major depressive disorders (36.1%) and bipolar and related disorders (43.5%). Men were six times more likely to have ever used or currently use tobacco products in comparison to women. Also, those who had a salaried job or owned a business were over three times more likely to have ever used or currently use tobacco products compared with those receiving government social grants. Conclusions: The prevalence of tobacco use in this study was significantly higher than the general population in the Eastern Cape. Therefore, smoking prevention and cessation interventions targeted at the general population should target this often neglected sub-population in the region. Keywords: Eastern Cape province; mental health users; mental illness; South Africa; tobacco use.
- Full Text:
- Date Issued: 2021
Prevalence and factors associated with suicidal ideation amongst college students in the Nelson Mandela Bay Municipality, South Africa
- Adeyinka A. Alabi, ROlawumi K. Oladimeji, Oladele V. Adeniyi
- Authors: Adeyinka A. Alabi , ROlawumi K. Oladimeji , Oladele V. Adeniyi
- Date: 2021
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/3337 , vital:43315 , https://doi.org/10.4102/safp.v63i1.5195
- Description: Background: Suicidal behaviour amongst college students constitutes a significant social and public health problem globally. This study determined the prevalence and associated factors of suicidal ideation amongst students of higher education in the Nelson Mandela Bay Municipality (NMBM), South Africa. Methods: In this institution-based cross-sectional study, a multistage cluster sampling of 826 participants, drawn from a college in NMBM, was conducted from January to March 2020. Data were collected with a standardised self-administered questionnaire. Multivariable logistic regression analysis was used to identify the factors associated with suicidal ideation. Results: Participants’ ages ranged from 18 to 24 years, with a mean age of 20.49 years (standard deviation, 1.88 years). The lifetime prevalence of suicidal ideation and plans in the preceding 12 months were 24.5% and 9.6%, respectively. The odds of suicidal ideation were higher in students who experienced bullying (adjusted odds ratio [AOR], 1.89; 95% confidence interval [CI], 1.35–2.65), mental illness (AOR, 1.89; 95% CI, 1.35–2.65), a history of sexual assault (AOR, 2.50; 95% CI, 1.20–5.21) and experience of sexual assault by or to a close family member (AOR, 1.69; 95% CI, 1.01–2.82). Underlying chronic illness was associated with a twofold risk for suicidal ideation in both sexes. Conclusion: About a quarter of the students sampled at the college had experienced suicidal ideation and some had had suicidal plans in the preceding 12 months. Screening for the identified risk factors amongst the student population coupled with prompt interventions would mitigate the risk of suicide in the study population. Keywords: suicidal behaviour; suicidal plans; higher education; students; South Africa.
- Full Text:
- Date Issued: 2021
- Authors: Adeyinka A. Alabi , ROlawumi K. Oladimeji , Oladele V. Adeniyi
- Date: 2021
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/3337 , vital:43315 , https://doi.org/10.4102/safp.v63i1.5195
- Description: Background: Suicidal behaviour amongst college students constitutes a significant social and public health problem globally. This study determined the prevalence and associated factors of suicidal ideation amongst students of higher education in the Nelson Mandela Bay Municipality (NMBM), South Africa. Methods: In this institution-based cross-sectional study, a multistage cluster sampling of 826 participants, drawn from a college in NMBM, was conducted from January to March 2020. Data were collected with a standardised self-administered questionnaire. Multivariable logistic regression analysis was used to identify the factors associated with suicidal ideation. Results: Participants’ ages ranged from 18 to 24 years, with a mean age of 20.49 years (standard deviation, 1.88 years). The lifetime prevalence of suicidal ideation and plans in the preceding 12 months were 24.5% and 9.6%, respectively. The odds of suicidal ideation were higher in students who experienced bullying (adjusted odds ratio [AOR], 1.89; 95% confidence interval [CI], 1.35–2.65), mental illness (AOR, 1.89; 95% CI, 1.35–2.65), a history of sexual assault (AOR, 2.50; 95% CI, 1.20–5.21) and experience of sexual assault by or to a close family member (AOR, 1.69; 95% CI, 1.01–2.82). Underlying chronic illness was associated with a twofold risk for suicidal ideation in both sexes. Conclusion: About a quarter of the students sampled at the college had experienced suicidal ideation and some had had suicidal plans in the preceding 12 months. Screening for the identified risk factors amongst the student population coupled with prompt interventions would mitigate the risk of suicide in the study population. Keywords: suicidal behaviour; suicidal plans; higher education; students; South Africa.
- Full Text:
- Date Issued: 2021
Prevalence and factors associated with suicidal ideation amongst college students in the Nelson Mandela Bay Municipality, South Africa
- Alabi, Adeyinka A, Oladimeji, Olawumi K, Adeniyi, Oladele Vincent
- Authors: Alabi, Adeyinka A , Oladimeji, Olawumi K , Adeniyi, Oladele Vincent
- Date: 2021
- Subjects: Suicidal behaviour Education (Higher) Students Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7235 , vital:53093 , xlink:href="https://doi.org/10.4102/safp.v63i1.5195"
- Description: Background: Suicidal behaviour amongst college students constitutes a significant social and public health problem globally. This study determined the prevalence and associated factors of suicidal ideation amongst students of higher education in the Nelson Mandela Bay Municipality (NMBM), South Africa. Methods: In this institution-based cross-sectional study, a multistage cluster sampling of 826 participants, drawn from a college in NMBM, was conducted from January to March 2020. Data were collected with a standardised self-administered questionnaire. Multivariable logistic regression analysis was used to identify the factors associated with suicidal ideation. Results: Participants’ ages ranged from 18 to 24 years, with a mean age of 20.49 years (standard deviation, 1.88 years). The lifetime prevalence of suicidal ideation and plans in the preceding 12 months were 24.5% and 9.6%, respectively. The odds of suicidal ideation were higher in students who experienced bullying (adjusted odds ratio [AOR], 1.89; 95% confidence interval [CI], 1.35–2.65), mental illness (AOR, 1.89; 95% CI, 1.35–2.65), a history of sexual assault (AOR, 2.50; 95% CI, 1.20–5.21) and experience of sexual assault by or to a close family member (AOR, 1.69; 95% CI, 1.01–2.82). Underlying chronic illness was associated with a twofold risk for suicidal ideation in both sexes. Conclusion: About a quarter of the students sampled at the college had experienced suicidal ideation and some had had suicidal plans in the preceding 12 months. Screening for the identified risk factors amongst the student population coupled with prompt interventions would mitigate the risk of suicide in the study population. Keywords: suicidal behaviour; suicidal plans; higher education; students; South Africa.
- Full Text:
- Date Issued: 2021
- Authors: Alabi, Adeyinka A , Oladimeji, Olawumi K , Adeniyi, Oladele Vincent
- Date: 2021
- Subjects: Suicidal behaviour Education (Higher) Students Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7235 , vital:53093 , xlink:href="https://doi.org/10.4102/safp.v63i1.5195"
- Description: Background: Suicidal behaviour amongst college students constitutes a significant social and public health problem globally. This study determined the prevalence and associated factors of suicidal ideation amongst students of higher education in the Nelson Mandela Bay Municipality (NMBM), South Africa. Methods: In this institution-based cross-sectional study, a multistage cluster sampling of 826 participants, drawn from a college in NMBM, was conducted from January to March 2020. Data were collected with a standardised self-administered questionnaire. Multivariable logistic regression analysis was used to identify the factors associated with suicidal ideation. Results: Participants’ ages ranged from 18 to 24 years, with a mean age of 20.49 years (standard deviation, 1.88 years). The lifetime prevalence of suicidal ideation and plans in the preceding 12 months were 24.5% and 9.6%, respectively. The odds of suicidal ideation were higher in students who experienced bullying (adjusted odds ratio [AOR], 1.89; 95% confidence interval [CI], 1.35–2.65), mental illness (AOR, 1.89; 95% CI, 1.35–2.65), a history of sexual assault (AOR, 2.50; 95% CI, 1.20–5.21) and experience of sexual assault by or to a close family member (AOR, 1.69; 95% CI, 1.01–2.82). Underlying chronic illness was associated with a twofold risk for suicidal ideation in both sexes. Conclusion: About a quarter of the students sampled at the college had experienced suicidal ideation and some had had suicidal plans in the preceding 12 months. Screening for the identified risk factors amongst the student population coupled with prompt interventions would mitigate the risk of suicide in the study population. Keywords: suicidal behaviour; suicidal plans; higher education; students; South Africa.
- Full Text:
- Date Issued: 2021
Primary healthcare approach to substance abuse management
- Authors: Kaswa, Ramprakash
- Date: 2021
- Subjects: Substance abuse Diseases Primary health care Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7259 , vital:53104 , xlink:href="https://doi.org/10.4102/safp.v63i1.5307"
- Description: Substance abuse is common amongst patients attending primary healthcare settings. Despite the substantial impact on one’s health, substance abuse is often underdiagnosed by primary care providers owing to a lack of training and time for screening. Self-reported screening tools are easy to administer and efficient to make a substance abuse diagnosis in primary care settings. Comorbid mental illness and intimate partner violence are common amongst patients presenting with substance abuse in primary care. An early diagnosis and a brief behavioural change counselling are effective in managing substance abuse before it develops into dependency. A brief motivational communication rather than a confrontation during substance abuse screening, counselling and treatment is important to achieve optimum patient outcomes. Keywords: substance abuse; primary healthcare setting; screening tools; brief behavioural change counselling; co-morbidity
- Full Text:
- Date Issued: 2021
- Authors: Kaswa, Ramprakash
- Date: 2021
- Subjects: Substance abuse Diseases Primary health care Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7259 , vital:53104 , xlink:href="https://doi.org/10.4102/safp.v63i1.5307"
- Description: Substance abuse is common amongst patients attending primary healthcare settings. Despite the substantial impact on one’s health, substance abuse is often underdiagnosed by primary care providers owing to a lack of training and time for screening. Self-reported screening tools are easy to administer and efficient to make a substance abuse diagnosis in primary care settings. Comorbid mental illness and intimate partner violence are common amongst patients presenting with substance abuse in primary care. An early diagnosis and a brief behavioural change counselling are effective in managing substance abuse before it develops into dependency. A brief motivational communication rather than a confrontation during substance abuse screening, counselling and treatment is important to achieve optimum patient outcomes. Keywords: substance abuse; primary healthcare setting; screening tools; brief behavioural change counselling; co-morbidity
- Full Text:
- Date Issued: 2021
Re-engineering imperatives to enhance the effectiveness of municipal public accounts committees in South African municipalities
- Mofolo, Malefetsane A., Adonis, Vuyo
- Authors: Mofolo, Malefetsane A. , Adonis, Vuyo
- Date: 2021
- Subjects: Criminal liability Maleficence Municipal finance--Accounting Reengineering (Management) Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7179 , vital:53082 , xlink:href="https://doi.org/10.4102/apsdpr.v9i1.510"
- Description: Background: After 26 years into democracy and 20 years of the new local government operations, the state of the majority of municipalities in South Africa still leaves much to be desired, as they are plagued with maleficence. What is concerning is that these negative tendencies that are troubling local government occur even under the watchful eye of the municipal public accounts committees (MPACs). Aim: The aim of this study was to evaluate the composition and the role of MPACs, which have experienced a number of challenges since they were introduced in response to the widely held perception of the culture of lack of accountability in South African municipalities. Methods: This article is theoretical in nature, and it draws its arguments from secondary data in order to understand the composition and the role of MPACs, including its challenges. Results: This study regards the composition of the MPAC as lacking the necessary vigour to be efficient and effective in executing its duties, particularly when considering the challenges and political influences that it tends to face in its operations. Conclusion: The study concludes that there is a need for re-engineering of the composition and the role of the MPAC in order to ensure that it executes its functions efficiently and effectively. Consequently, the study recommends three cardinal pillars that must be given attention in re-engineering the MPAC: policy, authority and power. Keywords: Internal accountability; maleficence; municipalities; municipal public accounts committees; re-engineering
- Full Text:
- Date Issued: 2021
- Authors: Mofolo, Malefetsane A. , Adonis, Vuyo
- Date: 2021
- Subjects: Criminal liability Maleficence Municipal finance--Accounting Reengineering (Management) Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7179 , vital:53082 , xlink:href="https://doi.org/10.4102/apsdpr.v9i1.510"
- Description: Background: After 26 years into democracy and 20 years of the new local government operations, the state of the majority of municipalities in South Africa still leaves much to be desired, as they are plagued with maleficence. What is concerning is that these negative tendencies that are troubling local government occur even under the watchful eye of the municipal public accounts committees (MPACs). Aim: The aim of this study was to evaluate the composition and the role of MPACs, which have experienced a number of challenges since they were introduced in response to the widely held perception of the culture of lack of accountability in South African municipalities. Methods: This article is theoretical in nature, and it draws its arguments from secondary data in order to understand the composition and the role of MPACs, including its challenges. Results: This study regards the composition of the MPAC as lacking the necessary vigour to be efficient and effective in executing its duties, particularly when considering the challenges and political influences that it tends to face in its operations. Conclusion: The study concludes that there is a need for re-engineering of the composition and the role of the MPAC in order to ensure that it executes its functions efficiently and effectively. Consequently, the study recommends three cardinal pillars that must be given attention in re-engineering the MPAC: policy, authority and power. Keywords: Internal accountability; maleficence; municipalities; municipal public accounts committees; re-engineering
- Full Text:
- Date Issued: 2021
Skills for communicating severe acute respiratory syndrome-coronavirus-2 result to patients and/or relatives
- Adeniyi, Oladele Vincent, Kayembe, Dominique K
- Authors: Adeniyi, Oladele Vincent , Kayembe, Dominique K
- Date: 2021
- Subjects: COVID-19 Structured model Medical consultation Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7236 , vital:53095 , xlink:href="https://doi.org/10.4102/safp.v63i1.5221"
- Description: Clinicians notify positive results of the severe acute respiratory syndrome coronavirus-2 polymerase chain reaction to patients and/or relatives, whilst short message service (SMS) has been adopted as a means of disseminating negative results. Therefore, clinicians should be adequately equipped to provide telephonic consultation whilst delivering a positive test result to patients. The news of the coronavirus disease 2019 (COVID-19) test result often invokes fear of impending death in patients, especially the elderlies and those with comorbidities. In addition, several survivors have reported persistent symptoms and COVID-19-related stigma, which precludes them from immediate re-integration into their workplaces. Consequently, COVID-19 results are perceived as bad news by the members of the public. This article justifies why COVID-19 test results are bad news and also discusses the notification steps to follow when delivering COVID-19 results, whilst also addressing patients’ immediate concerns. The article concludes by highlighting an important safety net for COVID-19 patients and the attending clinician.
- Full Text:
- Date Issued: 2021
- Authors: Adeniyi, Oladele Vincent , Kayembe, Dominique K
- Date: 2021
- Subjects: COVID-19 Structured model Medical consultation Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7236 , vital:53095 , xlink:href="https://doi.org/10.4102/safp.v63i1.5221"
- Description: Clinicians notify positive results of the severe acute respiratory syndrome coronavirus-2 polymerase chain reaction to patients and/or relatives, whilst short message service (SMS) has been adopted as a means of disseminating negative results. Therefore, clinicians should be adequately equipped to provide telephonic consultation whilst delivering a positive test result to patients. The news of the coronavirus disease 2019 (COVID-19) test result often invokes fear of impending death in patients, especially the elderlies and those with comorbidities. In addition, several survivors have reported persistent symptoms and COVID-19-related stigma, which precludes them from immediate re-integration into their workplaces. Consequently, COVID-19 results are perceived as bad news by the members of the public. This article justifies why COVID-19 test results are bad news and also discusses the notification steps to follow when delivering COVID-19 results, whilst also addressing patients’ immediate concerns. The article concludes by highlighting an important safety net for COVID-19 patients and the attending clinician.
- Full Text:
- Date Issued: 2021
The effects of supply chain cooperation on humanitarian relief operations: A case of Cyclone Idai in Zimbabwe
- Chari, Felix, Muzinda, Ozwell, Novukela, Cawe, Ngcamu, Bethuel S.
- Authors: Chari, Felix , Muzinda, Ozwell , Novukela, Cawe , Ngcamu, Bethuel S.
- Date: 2021
- Subjects: Cyclone damage Business logistics Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7155 , vital:53076 , xlink:href="https://doi.org/10.4102/jtscm.v15i0.532"
- Description: Background: The increased frequency of occurrence and complexity of disasters, the world over, have called for increased cooperation amongst stakeholders to deliver humanitarian aid. Objectives: This study came as a result of the growing interest focussed on creating and implementing cooperation to facilitate management of supply chain-related activities in the humanitarian sector. This study therefore sought to gain a better understanding of the effectiveness of supply chain cooperation in aid delivery performance variables, specifically in the context of Cyclone Idai humanitarian relief operations in Zimbabwe. Method: A pragmatic research paradigm was adopted, where the researchers took a mixed approach informed by both quantitative and qualitative research tools. Results: Findings of this study show a significant and positive impact of humanitarian supply chain (HSC) cooperation in achieving output, resource and flexibility performance in the delivery of aid. These findings will change the shape of humanitarian response to have more cooperation amongst organisations rather than responding as single entities. Conclusion: This study will therefore contribute to how humanitarian organisations improve their approach to future disasters through cooperation in their supply chain activities. Theoretically, the study will show how supply chain cooperation is key to humanitarian responses, thus improving effectiveness of HSC when put into practice. Policymakers can use these findings to develop a standard framework of how humanitarian organisations should collectively respond to disasters. Keywords: cyclone; humanitarian logistics; relief operations; supply chain; supply chain cooperation.
- Full Text:
- Date Issued: 2021
- Authors: Chari, Felix , Muzinda, Ozwell , Novukela, Cawe , Ngcamu, Bethuel S.
- Date: 2021
- Subjects: Cyclone damage Business logistics Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7155 , vital:53076 , xlink:href="https://doi.org/10.4102/jtscm.v15i0.532"
- Description: Background: The increased frequency of occurrence and complexity of disasters, the world over, have called for increased cooperation amongst stakeholders to deliver humanitarian aid. Objectives: This study came as a result of the growing interest focussed on creating and implementing cooperation to facilitate management of supply chain-related activities in the humanitarian sector. This study therefore sought to gain a better understanding of the effectiveness of supply chain cooperation in aid delivery performance variables, specifically in the context of Cyclone Idai humanitarian relief operations in Zimbabwe. Method: A pragmatic research paradigm was adopted, where the researchers took a mixed approach informed by both quantitative and qualitative research tools. Results: Findings of this study show a significant and positive impact of humanitarian supply chain (HSC) cooperation in achieving output, resource and flexibility performance in the delivery of aid. These findings will change the shape of humanitarian response to have more cooperation amongst organisations rather than responding as single entities. Conclusion: This study will therefore contribute to how humanitarian organisations improve their approach to future disasters through cooperation in their supply chain activities. Theoretically, the study will show how supply chain cooperation is key to humanitarian responses, thus improving effectiveness of HSC when put into practice. Policymakers can use these findings to develop a standard framework of how humanitarian organisations should collectively respond to disasters. Keywords: cyclone; humanitarian logistics; relief operations; supply chain; supply chain cooperation.
- Full Text:
- Date Issued: 2021
The impact of the COVID-19 pandemic on accessing HIV care: A case report
- Authors: Kaswa, Ramprakash
- Date: 2021
- Subjects: COVID-19 Pandemic, 2020- HIV (Viruses) Diseases Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7291 , vital:53107 , xlink:href="https://doi.org/10.4102/safp.v63i1.5344"
- Description: The coronavirus disease 2019 (COVID-19) pandemic has had an enormous impact on the provision of human immunodeficiency virus (HIV) services amongst people living with HIV. Many people have adopted different health-seeking behaviour in alignment with the lockdown provisions during the COVID-19 pandemic. These lockdown regulations have had a huge impact on healthcare access for people on chronic medication. The disruption of antiretroviral therapy (ART) has a profound effect on HIV-associated morbidity and mortality. The impact on HIV programmes as a result of the interruption in ART could be bigger than the HIV pandemic alone. Keywords: COVID-19; pandemic; HIV; ART; lockdown; morbidity and mortality.
- Full Text:
- Date Issued: 2021
- Authors: Kaswa, Ramprakash
- Date: 2021
- Subjects: COVID-19 Pandemic, 2020- HIV (Viruses) Diseases Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7291 , vital:53107 , xlink:href="https://doi.org/10.4102/safp.v63i1.5344"
- Description: The coronavirus disease 2019 (COVID-19) pandemic has had an enormous impact on the provision of human immunodeficiency virus (HIV) services amongst people living with HIV. Many people have adopted different health-seeking behaviour in alignment with the lockdown provisions during the COVID-19 pandemic. These lockdown regulations have had a huge impact on healthcare access for people on chronic medication. The disruption of antiretroviral therapy (ART) has a profound effect on HIV-associated morbidity and mortality. The impact on HIV programmes as a result of the interruption in ART could be bigger than the HIV pandemic alone. Keywords: COVID-19; pandemic; HIV; ART; lockdown; morbidity and mortality.
- Full Text:
- Date Issued: 2021
The stories African lawyers could tell when analysing legal issues: Lessons for social sciences teachers
- Authors: Zongwe, Dunia P
- Date: 2021
- Subjects: Decolonization Storytelling Law--Study and teaching Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6989 , vital:52634 , xlink:href="https://doi.org/10.4102/hts.v77i2.6828"
- Description: Activists and academics have clamoured for the decolonisation of knowledge, including law. But, unfortunately hardly anyone has put forth strategies for how faculties should decolonise the law. A number of jurists have underscored the necessity to draw on customary laws and traditional values. Still, the #RhodesMustFall movement has, for the most part, been loud on the outcomes, but quiet on the methodologies. Joining the conversation on the decolonisation of epistemologies, this article contributes to the ongoing efforts to sanitise the law by proposing to revive African oral storytelling cultures as a way to analyse the questions of law facing society. To live up to this task, this article adopts decolonial theory and, through stylised examples, illustrates how lawyers and social scientists in Africa can utilise storytelling to contextualise, (de)construct, and comprehend those questions. This article assumes that lawyers can use African storytelling alongside the prevailing doctrinal method. That method, relaying the coloniality of law and captured by the acronym IRAC (issue(s), rules, application, and conclusion), trains students to approach conflict in society through a highly abstract and decontextualised problem-solving model. Lately, some (Western) social scientists have (re)discovered the practicality of storytelling in presenting analysis and research. However, in African oral traditions, stories worked differently from the manner in which those scientists employ them. African storytelling played a leading role, not only in conveying collective wisdom and social memory from one generation to the next, but also as a medium through which communities transmit the values that hold them together. Contribution: This article adds to the scholarship on storytelling and narratology by showing how educators can utilise stories to analyse legal questions. That rich scholarship in the humanities and the social sciences has so far not taken seriously the possibility of using stories to analyse research problems. Instead, scholars focus on storytelling mainly as a way of presenting science, not as an analytical tool. This article bridges that gap and demonstrates the analytical value of storytelling. Keywords: decolonisation of knowledge; decolonial theory; storytelling; Africa; analysis; epistemology; legal education; oral tradition.
- Full Text:
- Date Issued: 2021
- Authors: Zongwe, Dunia P
- Date: 2021
- Subjects: Decolonization Storytelling Law--Study and teaching Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6989 , vital:52634 , xlink:href="https://doi.org/10.4102/hts.v77i2.6828"
- Description: Activists and academics have clamoured for the decolonisation of knowledge, including law. But, unfortunately hardly anyone has put forth strategies for how faculties should decolonise the law. A number of jurists have underscored the necessity to draw on customary laws and traditional values. Still, the #RhodesMustFall movement has, for the most part, been loud on the outcomes, but quiet on the methodologies. Joining the conversation on the decolonisation of epistemologies, this article contributes to the ongoing efforts to sanitise the law by proposing to revive African oral storytelling cultures as a way to analyse the questions of law facing society. To live up to this task, this article adopts decolonial theory and, through stylised examples, illustrates how lawyers and social scientists in Africa can utilise storytelling to contextualise, (de)construct, and comprehend those questions. This article assumes that lawyers can use African storytelling alongside the prevailing doctrinal method. That method, relaying the coloniality of law and captured by the acronym IRAC (issue(s), rules, application, and conclusion), trains students to approach conflict in society through a highly abstract and decontextualised problem-solving model. Lately, some (Western) social scientists have (re)discovered the practicality of storytelling in presenting analysis and research. However, in African oral traditions, stories worked differently from the manner in which those scientists employ them. African storytelling played a leading role, not only in conveying collective wisdom and social memory from one generation to the next, but also as a medium through which communities transmit the values that hold them together. Contribution: This article adds to the scholarship on storytelling and narratology by showing how educators can utilise stories to analyse legal questions. That rich scholarship in the humanities and the social sciences has so far not taken seriously the possibility of using stories to analyse research problems. Instead, scholars focus on storytelling mainly as a way of presenting science, not as an analytical tool. This article bridges that gap and demonstrates the analytical value of storytelling. Keywords: decolonisation of knowledge; decolonial theory; storytelling; Africa; analysis; epistemology; legal education; oral tradition.
- Full Text:
- Date Issued: 2021
The stories African lawyers could tell when analysing legal issues: Lessons for social sciences teachers
- Authors: Zongwe, Dunia P
- Date: 2021
- Subjects: Decolonization Storytelling Law--Study and teaching Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7215 , vital:53086 , xlink:href="https://doi.org/10.4102/hts.v77i2.6828"
- Description: Activists and academics have clamoured for the decolonisation of knowledge, including law. But, unfortunately hardly anyone has put forth strategies for how faculties should decolonise the law. A number of jurists have underscored the necessity to draw on customary laws and traditional values. Still, the #RhodesMustFall movement has, for the most part, been loud on the outcomes, but quiet on the methodologies. Joining the conversation on the decolonisation of epistemologies, this article contributes to the ongoing efforts to sanitise the law by proposing to revive African oral storytelling cultures as a way to analyse the questions of law facing society. To live up to this task, this article adopts decolonial theory and, through stylised examples, illustrates how lawyers and social scientists in Africa can utilise storytelling to contextualise, (de)construct, and comprehend those questions. This article assumes that lawyers can use African storytelling alongside the prevailing doctrinal method. That method, relaying the coloniality of law and captured by the acronym IRAC (issue(s), rules, application, and conclusion), trains students to approach conflict in society through a highly abstract and decontextualised problem-solving model. Lately, some (Western) social scientists have (re)discovered the practicality of storytelling in presenting analysis and research. However, in African oral traditions, stories worked differently from the manner in which those scientists employ them. African storytelling played a leading role, not only in conveying collective wisdom and social memory from one generation to the next, but also as a medium through which communities transmit the values that hold them together. Contribution: This article adds to the scholarship on storytelling and narratology by showing how educators can utilise stories to analyse legal questions. That rich scholarship in the humanities and the social sciences has so far not taken seriously the possibility of using stories to analyse research problems. Instead, scholars focus on storytelling mainly as a way of presenting science, not as an analytical tool. This article bridges that gap and demonstrates the analytical value of storytelling. Keywords: decolonisation of knowledge; decolonial theory; storytelling; Africa; analysis; epistemology; legal education; oral tradition.
- Full Text:
- Date Issued: 2021
- Authors: Zongwe, Dunia P
- Date: 2021
- Subjects: Decolonization Storytelling Law--Study and teaching Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7215 , vital:53086 , xlink:href="https://doi.org/10.4102/hts.v77i2.6828"
- Description: Activists and academics have clamoured for the decolonisation of knowledge, including law. But, unfortunately hardly anyone has put forth strategies for how faculties should decolonise the law. A number of jurists have underscored the necessity to draw on customary laws and traditional values. Still, the #RhodesMustFall movement has, for the most part, been loud on the outcomes, but quiet on the methodologies. Joining the conversation on the decolonisation of epistemologies, this article contributes to the ongoing efforts to sanitise the law by proposing to revive African oral storytelling cultures as a way to analyse the questions of law facing society. To live up to this task, this article adopts decolonial theory and, through stylised examples, illustrates how lawyers and social scientists in Africa can utilise storytelling to contextualise, (de)construct, and comprehend those questions. This article assumes that lawyers can use African storytelling alongside the prevailing doctrinal method. That method, relaying the coloniality of law and captured by the acronym IRAC (issue(s), rules, application, and conclusion), trains students to approach conflict in society through a highly abstract and decontextualised problem-solving model. Lately, some (Western) social scientists have (re)discovered the practicality of storytelling in presenting analysis and research. However, in African oral traditions, stories worked differently from the manner in which those scientists employ them. African storytelling played a leading role, not only in conveying collective wisdom and social memory from one generation to the next, but also as a medium through which communities transmit the values that hold them together. Contribution: This article adds to the scholarship on storytelling and narratology by showing how educators can utilise stories to analyse legal questions. That rich scholarship in the humanities and the social sciences has so far not taken seriously the possibility of using stories to analyse research problems. Instead, scholars focus on storytelling mainly as a way of presenting science, not as an analytical tool. This article bridges that gap and demonstrates the analytical value of storytelling. Keywords: decolonisation of knowledge; decolonial theory; storytelling; Africa; analysis; epistemology; legal education; oral tradition.
- Full Text:
- Date Issued: 2021