Engaging the female voice in understanding gender and sexuality interaction: the school and social work as medium for empowerment
- Authors: Madikizela, B M
- Date: 2021-04
- Subjects: Sex (Psychology)
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51298 , vital:43261
- Description: The lack of the female voice in relationships with men means that they cannot negotiate safe sex, friendships with both male and female peers, their freedom of movement within the parameters of their relationships, etc. As a result of this, HIV and teenage pregnancy rates remain unacceptably high. The public health sector in present-day South Africa finds itself increasingly strained due to high levels of new incidents of HIV in young women between the age of 18 and 24. Statistics show that pregnancies are on the rise due to early sexual interactions. These statistics stand in stark contrast with the fact that gender and sexuality are topics taught in the school system through subjects such as Life Orientation. The assumption is often that young people, and in the context of this study, young women, will translate the knowledge into skill sets and behaviours that would help them assert themselves more and have control of their bodies. The statistics, however, seem to tell a different story. The purpose of the study is to understand why, despite the fact that there are subjects in the school curriculum and programs offered by different organisations, HIV infection amongst young women as well as teenage pregnancies remain a problem, an indication that the female voice remains marginalised in intimate spaces. The theoretical frameworks for this study include a Humanising Pedagogy, interrogating education and training engagements for social change while also engaging with various works of Judith Butler as a lens to view the marginalisation of young women in a gendered society. This study is qualitative in nature as it uses a critical ethnographic research design. It aimed to uncover and understand the deeper meanings of the phenomena experienced by young women from their point of view. The study employed a non-probability, purposive sample technique, in addition to the ethnographic analysis. A sample of 15 young women between the ages of 18 and 24 in the Nelson Mandela Bay Metro engaged in the study. These young women were recruited from Rise out of School Programme, part of the Khethimpilo prevention program. Informed consent to participate in the study was secured before interviews were conducted and participants were not coerced into participation and were free to drop out at any point. All endeavours to protect participants from physical harm and mental stress were taken. Misconceptions and misunderstandings which arose in the piloting phase of the study were removed and complete confidentiality was maintained in the management of all information obtained about participants. Individual semi-structured interviews were conducted with the participants. Thematic analysis was used to analyse data. Guba’s model of ensuring trustworthiness of the data was applied. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Madikizela, B M
- Date: 2021-04
- Subjects: Sex (Psychology)
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51298 , vital:43261
- Description: The lack of the female voice in relationships with men means that they cannot negotiate safe sex, friendships with both male and female peers, their freedom of movement within the parameters of their relationships, etc. As a result of this, HIV and teenage pregnancy rates remain unacceptably high. The public health sector in present-day South Africa finds itself increasingly strained due to high levels of new incidents of HIV in young women between the age of 18 and 24. Statistics show that pregnancies are on the rise due to early sexual interactions. These statistics stand in stark contrast with the fact that gender and sexuality are topics taught in the school system through subjects such as Life Orientation. The assumption is often that young people, and in the context of this study, young women, will translate the knowledge into skill sets and behaviours that would help them assert themselves more and have control of their bodies. The statistics, however, seem to tell a different story. The purpose of the study is to understand why, despite the fact that there are subjects in the school curriculum and programs offered by different organisations, HIV infection amongst young women as well as teenage pregnancies remain a problem, an indication that the female voice remains marginalised in intimate spaces. The theoretical frameworks for this study include a Humanising Pedagogy, interrogating education and training engagements for social change while also engaging with various works of Judith Butler as a lens to view the marginalisation of young women in a gendered society. This study is qualitative in nature as it uses a critical ethnographic research design. It aimed to uncover and understand the deeper meanings of the phenomena experienced by young women from their point of view. The study employed a non-probability, purposive sample technique, in addition to the ethnographic analysis. A sample of 15 young women between the ages of 18 and 24 in the Nelson Mandela Bay Metro engaged in the study. These young women were recruited from Rise out of School Programme, part of the Khethimpilo prevention program. Informed consent to participate in the study was secured before interviews were conducted and participants were not coerced into participation and were free to drop out at any point. All endeavours to protect participants from physical harm and mental stress were taken. Misconceptions and misunderstandings which arose in the piloting phase of the study were removed and complete confidentiality was maintained in the management of all information obtained about participants. Individual semi-structured interviews were conducted with the participants. Thematic analysis was used to analyse data. Guba’s model of ensuring trustworthiness of the data was applied. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Exploring the perceived wellbeing of adolescents participating in a mindfulness-based adolescent programme
- Authors: Munro, Belinda Patricia
- Date: 2021-04
- Subjects: Mindfulness (Psychology) -- South Africa -- Eastern Cape , Adolescent psychotherapy -- Evaluation
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51361 , vital:43268
- Description: Mindfulness techniques can potentially facilitate increased self-awareness, improve impulse control, decrease emotional reactivity to challenging events, and improve one’s subjective experience of wellbeing. As yet, research within the child and adolescent population are in its early stages (Dellbridge, 2002. This study explores and describes the perceived wellbeing of adolescents participating in a Mindfulness-based adolescent programme. It uses a multiple case study format, within a qualitative paradigm. The sample of five adolescents are from the NGO, Masifunde, in the Eastern Cape, and were selected through a nonprobability purposive sampling. Participants were between the ages of 16 and 18 years. Data was collected using a pre-test post-test format, administering the Child and Adolescent Mindfulness Measure (CAMM), the Five Facet Mindfulness Questionnaire (FFMQ-15), and the Emotional Regulation Questionnaire for Children and Adolescents (ERQ-CA). After the Mindfulness-based Adolescent Programme (MBAP), individual semi-structured interviews were used to explore the adolescent’s perceived experience of the programme. Data was analysed using Braun and Clarke’s (2006) method of thematic analysis for qualitative data. The researchers reflective journaling was also used to expand on findings. Themes that emerged include the participants reflecting awareness of change in perceived experience of mindfulness, growing emotional awareness and regulation, development of attentional abilities, development of metacognition, reduction in physical discomfort, building and enhancing relationships, and experiencing body-based practices as most beneficial. The themes that came out most strongly were the reduction of physical discomfort, and positive experiences of body-based practices, which was understood by the researcher within the cultural heritage of participants. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Munro, Belinda Patricia
- Date: 2021-04
- Subjects: Mindfulness (Psychology) -- South Africa -- Eastern Cape , Adolescent psychotherapy -- Evaluation
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51361 , vital:43268
- Description: Mindfulness techniques can potentially facilitate increased self-awareness, improve impulse control, decrease emotional reactivity to challenging events, and improve one’s subjective experience of wellbeing. As yet, research within the child and adolescent population are in its early stages (Dellbridge, 2002. This study explores and describes the perceived wellbeing of adolescents participating in a Mindfulness-based adolescent programme. It uses a multiple case study format, within a qualitative paradigm. The sample of five adolescents are from the NGO, Masifunde, in the Eastern Cape, and were selected through a nonprobability purposive sampling. Participants were between the ages of 16 and 18 years. Data was collected using a pre-test post-test format, administering the Child and Adolescent Mindfulness Measure (CAMM), the Five Facet Mindfulness Questionnaire (FFMQ-15), and the Emotional Regulation Questionnaire for Children and Adolescents (ERQ-CA). After the Mindfulness-based Adolescent Programme (MBAP), individual semi-structured interviews were used to explore the adolescent’s perceived experience of the programme. Data was analysed using Braun and Clarke’s (2006) method of thematic analysis for qualitative data. The researchers reflective journaling was also used to expand on findings. Themes that emerged include the participants reflecting awareness of change in perceived experience of mindfulness, growing emotional awareness and regulation, development of attentional abilities, development of metacognition, reduction in physical discomfort, building and enhancing relationships, and experiencing body-based practices as most beneficial. The themes that came out most strongly were the reduction of physical discomfort, and positive experiences of body-based practices, which was understood by the researcher within the cultural heritage of participants. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Impact of a manufacturing execution system on production lead-times at a pharmaceutical company
- Authors: Kemp, Lizet
- Date: 2021-04
- Subjects: Pharmaceutical industry , Computer integrated manufacturing systems
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51253 , vital:43238
- Description: Despite the development in computerised systems and in planning and manufacturing programmes since 1950, Pharma-X* still record their manufacturing processes manually, using a paper batch record, (Manufacturing Batch Records (MBR) or Batch Manufacturing Records (MBR)) and equipment logbooks. There can be up to five logbooks and an equipment control label for each type of equipment used at each process step, which must be completed manually before manufacturing can commence. This paper-based system is a laborious practice, as excessive time is spent completing manual entries into the MBRs and logbooks. Lean thinking, a popular manufacturing improvement philosophy, would describe any such activity as non-value adding and therefore waste (Melton, 2005). Pharma-X started implementing a manufacturing execution system (MES) in June 2018 to automate the manual entries of the manufacturing process. Once the MES is completely implemented, it will allow pharmacists the opportunity to review the manufacturing batch in real-time and to conduct investigations when an error occurs. MES will also allow the operators to complete logbooks with a single scan of equipment, as well as decrease manual entries into the MBR. This study was a quantitative research study comparing data of the past state (Pharma-X pre-MES) with data of a current state (Pharma-X post-MES implementation) to assess the impact of the implementation of a manufacturing execution system and lean manufacturing on a pharmaceutical company. A meaningful reduction in manufacturing lead time and reduction in time wastage were proven but further study and data documentation are recommended. , Thesis (M Pharm) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Kemp, Lizet
- Date: 2021-04
- Subjects: Pharmaceutical industry , Computer integrated manufacturing systems
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51253 , vital:43238
- Description: Despite the development in computerised systems and in planning and manufacturing programmes since 1950, Pharma-X* still record their manufacturing processes manually, using a paper batch record, (Manufacturing Batch Records (MBR) or Batch Manufacturing Records (MBR)) and equipment logbooks. There can be up to five logbooks and an equipment control label for each type of equipment used at each process step, which must be completed manually before manufacturing can commence. This paper-based system is a laborious practice, as excessive time is spent completing manual entries into the MBRs and logbooks. Lean thinking, a popular manufacturing improvement philosophy, would describe any such activity as non-value adding and therefore waste (Melton, 2005). Pharma-X started implementing a manufacturing execution system (MES) in June 2018 to automate the manual entries of the manufacturing process. Once the MES is completely implemented, it will allow pharmacists the opportunity to review the manufacturing batch in real-time and to conduct investigations when an error occurs. MES will also allow the operators to complete logbooks with a single scan of equipment, as well as decrease manual entries into the MBR. This study was a quantitative research study comparing data of the past state (Pharma-X pre-MES) with data of a current state (Pharma-X post-MES implementation) to assess the impact of the implementation of a manufacturing execution system and lean manufacturing on a pharmaceutical company. A meaningful reduction in manufacturing lead time and reduction in time wastage were proven but further study and data documentation are recommended. , Thesis (M Pharm) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Parents’ perceptions of the impact of social media use on adolescent identity formation and safety
- Authors: Rochér, Stefné Elana
- Date: 2021-04
- Subjects: Identity (Psychology) in adolescence , Parent and teenager -- Safety measures , Online social networks -- Safety measures
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51883 , vital:43381
- Description: Traditionally, parents were able to protect, monitor, guide, and support adolescents within the microsystem. However, in a society where the technosystemic digital world has entered microsystemic parent-adolescent interactions and the developmental process of adolescents’ identity formation, it is crucial to understand how parents experience and perceive the role that social media plays in their adolescent children’s identity development and safety. The primary aim of this study is to understand parents’ perceptions and experiences of social media use in adolescent identity formation and safety. The researcher utilised a qualitative research approach with an exploratory descriptive design. A non-probability purposive sample was employed, and telephonic semi-structured interviews were conducted with 15 participants. All of the participants were parents of adolescents between the ages of 12 and 18. Interviews were conducted until data saturation was reached. The participants’ responses were analysed using thematic analysis. Four categories arose from the data analysis and demonstrate that social media was perceived to have both a helpful and unhelpful impact on adolescents’ identity formation and safety. The first category refers to the perceived role social media plays in adolescents’ development of physical, gender, sexual, and social identity. The permanence of social media, the role parent-adolescent relationships play in adolescents’ online identity experiences, and identity commitment and exploration maturity emerged as key themes. The second category of key findings associated with social media and adolescents’ safety include social media violations, the mental health of adolescents, emotional regulation, identity formation, and reality illusion as themes that emerged from the data. The third category encompasses the resources that parents perceive to be of assistance in maintaining and enhancing safe social media use among adolescents, namely parent-adolescent relationships, remaining educated, and adjusting monitoring in a developmentally appropriate manner. The fourth category refers to a network of resources that parents apply to maintain and increase safe social media use by their adolescent children. Limitations of the study, recommendations for future research studies, and recommendations to support parents are discussed and described. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Rochér, Stefné Elana
- Date: 2021-04
- Subjects: Identity (Psychology) in adolescence , Parent and teenager -- Safety measures , Online social networks -- Safety measures
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51883 , vital:43381
- Description: Traditionally, parents were able to protect, monitor, guide, and support adolescents within the microsystem. However, in a society where the technosystemic digital world has entered microsystemic parent-adolescent interactions and the developmental process of adolescents’ identity formation, it is crucial to understand how parents experience and perceive the role that social media plays in their adolescent children’s identity development and safety. The primary aim of this study is to understand parents’ perceptions and experiences of social media use in adolescent identity formation and safety. The researcher utilised a qualitative research approach with an exploratory descriptive design. A non-probability purposive sample was employed, and telephonic semi-structured interviews were conducted with 15 participants. All of the participants were parents of adolescents between the ages of 12 and 18. Interviews were conducted until data saturation was reached. The participants’ responses were analysed using thematic analysis. Four categories arose from the data analysis and demonstrate that social media was perceived to have both a helpful and unhelpful impact on adolescents’ identity formation and safety. The first category refers to the perceived role social media plays in adolescents’ development of physical, gender, sexual, and social identity. The permanence of social media, the role parent-adolescent relationships play in adolescents’ online identity experiences, and identity commitment and exploration maturity emerged as key themes. The second category of key findings associated with social media and adolescents’ safety include social media violations, the mental health of adolescents, emotional regulation, identity formation, and reality illusion as themes that emerged from the data. The third category encompasses the resources that parents perceive to be of assistance in maintaining and enhancing safe social media use among adolescents, namely parent-adolescent relationships, remaining educated, and adjusting monitoring in a developmentally appropriate manner. The fourth category refers to a network of resources that parents apply to maintain and increase safe social media use by their adolescent children. Limitations of the study, recommendations for future research studies, and recommendations to support parents are discussed and described. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Perceived impact of cyberbullying on young adults’ psychological well-being
- Authors: Whitehorn, Hayley
- Date: 2021-04
- Subjects: Cyberbullying -- South Africa -- Psychological aspects , Youth -- Crimes against -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52374 , vital:43620
- Description: Cyberbullying is a significant field of study within cyberpsychology and requires continued research and development in order to further literature and understanding in a South African context. An increase in cyberbullying results in an increased prevalence of the occurrence of psychological distress in the form of short-term consequences as well as long-term chronic impacts such as depression, anxiety, and decreased life satisfaction. This qualitative study aimed to explore and describe the experiences of young adults who have experienced cyberbullying and the perceived impact of this experience on their psychological well-being. Qualitative research is a flexible exploratory and descriptive approach to understanding the lived experiences of an individual and their subjective view of a specific phenomenon through an interpretivist paradigm. This study utilised purposive and snowball sampling of Nelson Mandela University students aged 18 – 25 years old to gain a total of 6 participants for data gathering through semi-structured interviews. This research process followed a retrospective perspective which focuses on the specific meaning-making and understandings which that individual places on that experience, in relation to their psychological well-being. Thematic analysis was employed to analyse the data and trustworthiness criteria and was utilised throughout to ensure the credibility of the study. It was found that cyberbullying, through multiple forms and methods, has various short-term and long-term perceived impacts in several spheres. The perceived psychological impacts occurred in the short-term and were internalised to extend to long-term impacts on psychological well-being, of which the majority were negative. There are influencing factors to the development, coping and management of perceived long-term impacts which reflect the outcomes on well-being. The findings of this study highlight the perceived impact of cyberbullying on young adults’ psychological well-being which is vital for future recommendations and intervention. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Whitehorn, Hayley
- Date: 2021-04
- Subjects: Cyberbullying -- South Africa -- Psychological aspects , Youth -- Crimes against -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52374 , vital:43620
- Description: Cyberbullying is a significant field of study within cyberpsychology and requires continued research and development in order to further literature and understanding in a South African context. An increase in cyberbullying results in an increased prevalence of the occurrence of psychological distress in the form of short-term consequences as well as long-term chronic impacts such as depression, anxiety, and decreased life satisfaction. This qualitative study aimed to explore and describe the experiences of young adults who have experienced cyberbullying and the perceived impact of this experience on their psychological well-being. Qualitative research is a flexible exploratory and descriptive approach to understanding the lived experiences of an individual and their subjective view of a specific phenomenon through an interpretivist paradigm. This study utilised purposive and snowball sampling of Nelson Mandela University students aged 18 – 25 years old to gain a total of 6 participants for data gathering through semi-structured interviews. This research process followed a retrospective perspective which focuses on the specific meaning-making and understandings which that individual places on that experience, in relation to their psychological well-being. Thematic analysis was employed to analyse the data and trustworthiness criteria and was utilised throughout to ensure the credibility of the study. It was found that cyberbullying, through multiple forms and methods, has various short-term and long-term perceived impacts in several spheres. The perceived psychological impacts occurred in the short-term and were internalised to extend to long-term impacts on psychological well-being, of which the majority were negative. There are influencing factors to the development, coping and management of perceived long-term impacts which reflect the outcomes on well-being. The findings of this study highlight the perceived impact of cyberbullying on young adults’ psychological well-being which is vital for future recommendations and intervention. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Perceptions of blended learning by academic staff in the Health Sciences Faculty at Nelson Mandela University
- Authors: Barry, Janet
- Date: 2021-04
- Subjects: Blended learning -- South Africa -- Nelson Mandela Bay Municipality -- Faculty , Medical sciences -- South Africa -- Nelson Mandela Bay Municipality -- Faculty
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50999 , vital:43199
- Description: Numerous studies have investigated the use of blended learning by academic staff at tertiary institutions. The purpose of this study was to examine the perceptions of blended learning by academic staff at the Faculty of Health Sciences at Nelson Mandela University. A related objective was to identify barriers and facilitators to the adoption of blended learning by academic staff. A sequential, exploratory mixed-methods design was adopted for this study whereby Phase 1 (focus groups) was used to inform Phase 2 (questionnaire) of the study. Results were analysed from both phases and organised according to strategies, support, and structure of a blended learning adoption framework. Existing support structures to assist with blended learning adoption, understanding of what blended learning is, confidence in using blended learning tools, and time to attend training were some of the findings of the study. The researcher concluded that academic staff in the Health Sciences Faculty at Nelson Mandela University are positioned in the second stage of the blended learning adoption framework, namely the early adoption stage of blended learning. These findings imply that existing strategies and support within the Faculty and the University need to be further developed, and structures put into place to move to an advanced stage of adoption of blended learning by academic staff in Health Sciences Faculty of Nelson Mandela University. , Thesis (MPharm) -- Faculty of Health Sciences, Pharmacy, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Barry, Janet
- Date: 2021-04
- Subjects: Blended learning -- South Africa -- Nelson Mandela Bay Municipality -- Faculty , Medical sciences -- South Africa -- Nelson Mandela Bay Municipality -- Faculty
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/50999 , vital:43199
- Description: Numerous studies have investigated the use of blended learning by academic staff at tertiary institutions. The purpose of this study was to examine the perceptions of blended learning by academic staff at the Faculty of Health Sciences at Nelson Mandela University. A related objective was to identify barriers and facilitators to the adoption of blended learning by academic staff. A sequential, exploratory mixed-methods design was adopted for this study whereby Phase 1 (focus groups) was used to inform Phase 2 (questionnaire) of the study. Results were analysed from both phases and organised according to strategies, support, and structure of a blended learning adoption framework. Existing support structures to assist with blended learning adoption, understanding of what blended learning is, confidence in using blended learning tools, and time to attend training were some of the findings of the study. The researcher concluded that academic staff in the Health Sciences Faculty at Nelson Mandela University are positioned in the second stage of the blended learning adoption framework, namely the early adoption stage of blended learning. These findings imply that existing strategies and support within the Faculty and the University need to be further developed, and structures put into place to move to an advanced stage of adoption of blended learning by academic staff in Health Sciences Faculty of Nelson Mandela University. , Thesis (MPharm) -- Faculty of Health Sciences, Pharmacy, 2021
- Full Text:
- Date Issued: 2021-04
Product-dust levels released from pharmaceutical manufacturing equipment and related health-based exposure risks
- Authors: Van der Vyver, Pieter Smuts
- Date: 2021-04
- Subjects: Pharmaceutical industry -- Equipment and supplies
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51936 , vital:43401
- Description: The study evaluated the product-dust levels that were released from manufacturing equipment during routine manufacturing of highly potent active pharmaceutical ingredients. The study was performed at a high containment manufacturing facility for Product X. These assessments are necessary to evaluate the level of containment performance in correlation with health-based exposure limits; and from this, to develop proper control strategies for the workplace. The equipment that was evaluated in this study included barrier systems (isolators, isolation boxes), dust-proof decanting systems (split valves), soft connections covered with continuous liners, and airtight intermediate bulk containers. Methodology The amount of uncontrolled product-dust that was released during the manufacturing process was quantified by establishing an air and surface monitoring programme. This was then compared to health-based exposure levels (HBEL’s) to ensure operator safety and to implement an effective control strategy. Air monitoring involves the sampling of airborne particles through filtration of the air with a filter using a sampling pump to draw a quantifiable volume of air through the filter. The filter is then tested in a laboratory which extracts and quantifies the amount of highly potent active pharmaceutical ingredient (HPAPI) on the filter. Surface monitoring is used to assess the level of product contamination on a surface. The technique uses a suitable adsorbent material to physically adsorb surface contaminants from the surface by wiping or swabbing. Protocols were designed based on a risk assessment that took the manufacturing process, literature, and facility design into consideration. Results The HBEL level of 0.2 μg/m3 that was calculated for the manufacturing process of Product X was found to be lower than the HBEL of 1.4 μg/m3; and consequently, the level of operator exposure was well within the acceptable occupational exposure limits. All surface monitoring results passed the acceptance criteria of less than 0.032 mg/100 cm2 except for excursions that occurred during breaches in containment. Conclusion The air monitoring programme facilitated the quantification of the product-dust levels that were released into the primary manufacturing areas; which could then be verified against the HBEL of Product X. The surface monitoring programme facilitated the quantification of the product residue on non-product contact surfaces in the facility; which could then be verified against the HBEL of Product X. The objectives of the study were met for Level 2 of the high containment suite as it was possible to calculate the product-dust released from the manufacturing equipment and the product residue on external equipment surfaces and non-product contact surfaces in order to verify these levels against the relevant HBEL’s. The study enabled the assessment and impact on the current control measures, and recommendations were given to develop the control strategy. , Thesis (MPharm) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Van der Vyver, Pieter Smuts
- Date: 2021-04
- Subjects: Pharmaceutical industry -- Equipment and supplies
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51936 , vital:43401
- Description: The study evaluated the product-dust levels that were released from manufacturing equipment during routine manufacturing of highly potent active pharmaceutical ingredients. The study was performed at a high containment manufacturing facility for Product X. These assessments are necessary to evaluate the level of containment performance in correlation with health-based exposure limits; and from this, to develop proper control strategies for the workplace. The equipment that was evaluated in this study included barrier systems (isolators, isolation boxes), dust-proof decanting systems (split valves), soft connections covered with continuous liners, and airtight intermediate bulk containers. Methodology The amount of uncontrolled product-dust that was released during the manufacturing process was quantified by establishing an air and surface monitoring programme. This was then compared to health-based exposure levels (HBEL’s) to ensure operator safety and to implement an effective control strategy. Air monitoring involves the sampling of airborne particles through filtration of the air with a filter using a sampling pump to draw a quantifiable volume of air through the filter. The filter is then tested in a laboratory which extracts and quantifies the amount of highly potent active pharmaceutical ingredient (HPAPI) on the filter. Surface monitoring is used to assess the level of product contamination on a surface. The technique uses a suitable adsorbent material to physically adsorb surface contaminants from the surface by wiping or swabbing. Protocols were designed based on a risk assessment that took the manufacturing process, literature, and facility design into consideration. Results The HBEL level of 0.2 μg/m3 that was calculated for the manufacturing process of Product X was found to be lower than the HBEL of 1.4 μg/m3; and consequently, the level of operator exposure was well within the acceptable occupational exposure limits. All surface monitoring results passed the acceptance criteria of less than 0.032 mg/100 cm2 except for excursions that occurred during breaches in containment. Conclusion The air monitoring programme facilitated the quantification of the product-dust levels that were released into the primary manufacturing areas; which could then be verified against the HBEL of Product X. The surface monitoring programme facilitated the quantification of the product residue on non-product contact surfaces in the facility; which could then be verified against the HBEL of Product X. The objectives of the study were met for Level 2 of the high containment suite as it was possible to calculate the product-dust released from the manufacturing equipment and the product residue on external equipment surfaces and non-product contact surfaces in order to verify these levels against the relevant HBEL’s. The study enabled the assessment and impact on the current control measures, and recommendations were given to develop the control strategy. , Thesis (MPharm) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Psychologists perceptions of English-speaking South African’s potential meaning attached to post-traumatic stress disorder symptoms
- Authors: Le Roux, Carmen Jade
- Date: 2021-04
- Subjects: Post-traumatic stress disorder -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51276 , vital:43259
- Description: South Africa is characterised by high levels of trauma and multiple forms of violence exposure which are said to be causal factors in post-traumatic stress disorder (PTSD). Culture is imperative in constructing the reality of individuals as it provides the templates which are used to describe, understand, predict, and control the world within which individuals exist. Culture is regarded as being influential on the ways in which individuals ascribe meaning and make sense of their traumatic experiences and symptoms. Culture is also integral to the healing process as it influences and guides the illness narrative created by individuals. The aim of this study is to understand the potential meanings attached to PTSD symptoms and the role of culture on these meaning ascriptions. These meanings are explored through the perception of Mental Healthcare Practitioners. The study uses qualitative methodology; specifically, an exploratory and descriptive design. The sample is identified through non-probability purposive sampling, and the data is collected through semi-structured interviews. The data is analysed using thematic analysis which identified major themes of understanding and acceptance. These themes followed a non-linear and interactive process, and present participants ascribing varying meanings to their trauma experience, PTSD symptoms and/or PTSD diagnosis. These meanings are discussed through the interpretivist lens of social constructionism. The findings of the study identified that individuals within the white English-speaking cultural group tend to understand their traumatic experience, their symptoms of PTSD and/or their PTSD diagnosis from an individualistic frame of reference, whilst individuals from the coloured English speaking cultural group tend to understand their traumatic experience, their symptoms of PTSD and/or their PTSD diagnosis from a collective frame of reference. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Le Roux, Carmen Jade
- Date: 2021-04
- Subjects: Post-traumatic stress disorder -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51276 , vital:43259
- Description: South Africa is characterised by high levels of trauma and multiple forms of violence exposure which are said to be causal factors in post-traumatic stress disorder (PTSD). Culture is imperative in constructing the reality of individuals as it provides the templates which are used to describe, understand, predict, and control the world within which individuals exist. Culture is regarded as being influential on the ways in which individuals ascribe meaning and make sense of their traumatic experiences and symptoms. Culture is also integral to the healing process as it influences and guides the illness narrative created by individuals. The aim of this study is to understand the potential meanings attached to PTSD symptoms and the role of culture on these meaning ascriptions. These meanings are explored through the perception of Mental Healthcare Practitioners. The study uses qualitative methodology; specifically, an exploratory and descriptive design. The sample is identified through non-probability purposive sampling, and the data is collected through semi-structured interviews. The data is analysed using thematic analysis which identified major themes of understanding and acceptance. These themes followed a non-linear and interactive process, and present participants ascribing varying meanings to their trauma experience, PTSD symptoms and/or PTSD diagnosis. These meanings are discussed through the interpretivist lens of social constructionism. The findings of the study identified that individuals within the white English-speaking cultural group tend to understand their traumatic experience, their symptoms of PTSD and/or their PTSD diagnosis from an individualistic frame of reference, whilst individuals from the coloured English speaking cultural group tend to understand their traumatic experience, their symptoms of PTSD and/or their PTSD diagnosis from a collective frame of reference. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
Schistosomiasis: knowledge, attitudes and practices among Grade 4-7 primary school children and a retrospective prevalence in KwaNobuhle, Eastern Cape
- Authors: Hambury, Sydlynn Dorné
- Date: 2021-04
- Subjects: School children -- South Africa -- Eastern Cape -- Attitudes
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51589 , vital:43320
- Description: Background: Schistosomiasis also known as Bilharzia is one of the most common parasitic water-borne disease of global health importance. This study investigated the KAP of Grades 4 to 7 children from 4 selected primary schools in the study area on schistosomiasis. Furthermore, using the secondary data, the researcher determined the prevalence of schistosomiasis in KwaNobuhle over a five-year period from 2014 to 2018 retrospectively. Methods: The study employed a quantitative, descriptive, cross-sectional survey research design approach similar to a study done by Parisi et al. (2019, p.1–14) on intestinal schistosomiasis. A structured, closed-ended, self-administered, Likert-scale questionnaire was used to collect data from 458 learners in Grades 4 to 7 and aged from 9 to 16 years. Data on retrospective prevalence was obtained from the District Health Information System (DHIS) and the National Health Laboratory Service (NHLS) within the Nelson Mandela Bay. The data was analysed using descriptive and inferential statistics. Results: The leaners’ overall knowledge and attitudes towards schistosomiasis were poor based on the overall low-knowledge scores, which was 46% in the lowest category from 0-19 points. Urinary schistosomiasis infections within the study area showed an increase from the years 2014 to 2017; but declined in the year 2018. Additionally, the males 99 (24%) had a higher prevalence compared to the females 6 (1%) (p=<0.0005, V= 0.33 medium). The highest rate of disease infections was found in individuals between the ages of 10 and 19 years (p=<0.0005, V=0.43 medium). Conclusion: In conclusion, the researcher found that the overall knowledge and attitudes towards schistosomiasis among the learners were poor. The study further revealed that the rate of urinary schistosomiasis infections within the study area had increased from the years 2014 to 2017; but had declined in the year 2018. Recommendations were made to emphasise the need for education and awareness programmes on the disease-transmission pattern and control measures. , Thesis (MTech) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Hambury, Sydlynn Dorné
- Date: 2021-04
- Subjects: School children -- South Africa -- Eastern Cape -- Attitudes
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51589 , vital:43320
- Description: Background: Schistosomiasis also known as Bilharzia is one of the most common parasitic water-borne disease of global health importance. This study investigated the KAP of Grades 4 to 7 children from 4 selected primary schools in the study area on schistosomiasis. Furthermore, using the secondary data, the researcher determined the prevalence of schistosomiasis in KwaNobuhle over a five-year period from 2014 to 2018 retrospectively. Methods: The study employed a quantitative, descriptive, cross-sectional survey research design approach similar to a study done by Parisi et al. (2019, p.1–14) on intestinal schistosomiasis. A structured, closed-ended, self-administered, Likert-scale questionnaire was used to collect data from 458 learners in Grades 4 to 7 and aged from 9 to 16 years. Data on retrospective prevalence was obtained from the District Health Information System (DHIS) and the National Health Laboratory Service (NHLS) within the Nelson Mandela Bay. The data was analysed using descriptive and inferential statistics. Results: The leaners’ overall knowledge and attitudes towards schistosomiasis were poor based on the overall low-knowledge scores, which was 46% in the lowest category from 0-19 points. Urinary schistosomiasis infections within the study area showed an increase from the years 2014 to 2017; but declined in the year 2018. Additionally, the males 99 (24%) had a higher prevalence compared to the females 6 (1%) (p=<0.0005, V= 0.33 medium). The highest rate of disease infections was found in individuals between the ages of 10 and 19 years (p=<0.0005, V=0.43 medium). Conclusion: In conclusion, the researcher found that the overall knowledge and attitudes towards schistosomiasis among the learners were poor. The study further revealed that the rate of urinary schistosomiasis infections within the study area had increased from the years 2014 to 2017; but had declined in the year 2018. Recommendations were made to emphasise the need for education and awareness programmes on the disease-transmission pattern and control measures. , Thesis (MTech) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
The correlation between Instagram usage and relationship satisfaction amongst University students
- Authors: Widan, Rio Justine
- Date: 2021-04
- Subjects: Online social networks
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52385 , vital:43621
- Description: At the turn of the twenty-first century, advancements in technology evolved at an exponential rate. This surge was mirrored by the rise in popularity and uptake of social networking sites (SNSs), and more recently, by Instagram, especially among emerging adults. SNSs have become an indispensable part of our daily lives and are influencing the ways individuals communicate, and develop and maintain romantic relationships. The Couple and Family Technology (CFT) Framework describes how the ecological elements of technology influence the structures and processes of romantic relationships, and is the lens through which this study was interpreted. The aim of this study was to determine if there was a relationship between Instagram use behaviours and relationship satisfaction amongst university students. This study employed a quantitative research approach and utilised a correlational research design. Participants included a sample of Nelson Mandela University students (N = 231) who were recruited through the nonprobability sampling methods of convenience and purposive sampling. Data were captured online through two measures. The biographical and Instagram use survey measured three variables, namely, frequency of Instagram usage, frequency of monitoring one’s partner’s Instagram activity, and frequency of posting behaviour. The Relationship Assessment Scale measured relationship satisfaction. Significant negative relationships were found between relationship satisfaction and frequency of Instagram usage and frequency of monitoring one’s partner’s Instagram activity. This research study contributed towards the existing body of knowledge, theoretical model, as well as insights for future lines of study within the realm of cyberpsychology. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Widan, Rio Justine
- Date: 2021-04
- Subjects: Online social networks
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/52385 , vital:43621
- Description: At the turn of the twenty-first century, advancements in technology evolved at an exponential rate. This surge was mirrored by the rise in popularity and uptake of social networking sites (SNSs), and more recently, by Instagram, especially among emerging adults. SNSs have become an indispensable part of our daily lives and are influencing the ways individuals communicate, and develop and maintain romantic relationships. The Couple and Family Technology (CFT) Framework describes how the ecological elements of technology influence the structures and processes of romantic relationships, and is the lens through which this study was interpreted. The aim of this study was to determine if there was a relationship between Instagram use behaviours and relationship satisfaction amongst university students. This study employed a quantitative research approach and utilised a correlational research design. Participants included a sample of Nelson Mandela University students (N = 231) who were recruited through the nonprobability sampling methods of convenience and purposive sampling. Data were captured online through two measures. The biographical and Instagram use survey measured three variables, namely, frequency of Instagram usage, frequency of monitoring one’s partner’s Instagram activity, and frequency of posting behaviour. The Relationship Assessment Scale measured relationship satisfaction. Significant negative relationships were found between relationship satisfaction and frequency of Instagram usage and frequency of monitoring one’s partner’s Instagram activity. This research study contributed towards the existing body of knowledge, theoretical model, as well as insights for future lines of study within the realm of cyberpsychology. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
The role of ‘social fathers’ in navigation into adulthood
- Authors: Liziwe, Mavongwana
- Date: 2021-04
- Subjects: Fatherhood -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51320 , vital:43263
- Description: Various studies have indicated that there is a high rate of father absence in South Africa. This is due to many socio-political conditions like migration, resulting in fathers leaving their families behind in rural areas to find work in urban areas. In addition to this, many households are in fact headed by females as single mothers and they often raise children effectively under difficult socio-economic circumstances. They are often supported by their extended family members such as aunts, uncles and grandparents who take on the role of providing, guiding and giving emotional support for their children’s well-being. South Africa is diverse, with different cultures, where certain cultural practices requires the presence of the father. An example of this is the isiXhosa culture particularly in the rural communities, where the presence of the biological father is important during the transition period from boyhood to manhood. In the absence of biological fathers during this period, other men in the family play this role, known as social fathers. Conversations around absent fathers do not always recognize these support figures in the life of young people. This research study focused on the experiences of young IsiXhosa males regarding the role of social fathers in the process of navigation into adulthood. The researcher conducted this study using a qualitative research approach with non-probability, purposive sampling. Information were gathered through narrative interviews allowing participants to share their experiences of different life transitions and the role that social fathers played during these times. Narrative analysis were used as data analysis method to identify and summarize information gathered. The participants were drawn from the rural communities of Idutywa in the Eastern Cape. The sample of this study were young IsiXhosa males between the age of 18 and 35. The researcher hopes that, by focusing on the role of social fathers in the development of young people, their roles can be escalated and more duly recognized in the work with families. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Liziwe, Mavongwana
- Date: 2021-04
- Subjects: Fatherhood -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51320 , vital:43263
- Description: Various studies have indicated that there is a high rate of father absence in South Africa. This is due to many socio-political conditions like migration, resulting in fathers leaving their families behind in rural areas to find work in urban areas. In addition to this, many households are in fact headed by females as single mothers and they often raise children effectively under difficult socio-economic circumstances. They are often supported by their extended family members such as aunts, uncles and grandparents who take on the role of providing, guiding and giving emotional support for their children’s well-being. South Africa is diverse, with different cultures, where certain cultural practices requires the presence of the father. An example of this is the isiXhosa culture particularly in the rural communities, where the presence of the biological father is important during the transition period from boyhood to manhood. In the absence of biological fathers during this period, other men in the family play this role, known as social fathers. Conversations around absent fathers do not always recognize these support figures in the life of young people. This research study focused on the experiences of young IsiXhosa males regarding the role of social fathers in the process of navigation into adulthood. The researcher conducted this study using a qualitative research approach with non-probability, purposive sampling. Information were gathered through narrative interviews allowing participants to share their experiences of different life transitions and the role that social fathers played during these times. Narrative analysis were used as data analysis method to identify and summarize information gathered. The participants were drawn from the rural communities of Idutywa in the Eastern Cape. The sample of this study were young IsiXhosa males between the age of 18 and 35. The researcher hopes that, by focusing on the role of social fathers in the development of young people, their roles can be escalated and more duly recognized in the work with families. , Thesis (MSW) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
University students’ perceptions of the influence of cannabis use on mental health
- Ramodumo, Itumeleng Adolphina
- Authors: Ramodumo, Itumeleng Adolphina
- Date: 2021-04
- Subjects: Mental health -- Education (Higher) , Marijuana -- Physiological effect , Cannabis -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51611 , vital:43322
- Description: This study explored university students’ perceptions of cannabis use on mental health at a higher education institution (HEI). Cannabis is described as the most commonly used drug by youth, especially, those who are in tertiary institutions (Allen & Holder, 2014; Arria, Caldeira, Bugbee, Vincent & O’Grady, 2015). The use of cannabis has both negative and positive effects; this is evident in different areas of human functioning. Cannabis usage has been debated upon in courts, regarding its legalisation and decriminalisation, and on the 18th of September 2018, the South African High Court legalised cannabis for personal use. A qualitative study with an explorative- descriptive design was used to give a broader exploration of university students’ perceptions of the influence of cannabis on mental health. The study was conducted at an HEI in the Nelson Mandela Bay and purposive sampling was used to select 15 participants for the study. Data was collected using focused group interviews, following the granting of permission by the Nelson Mandela University Research Ethics Committee. The collected data was analysed and interpreted using thematic analysis. The research findings indicated both positive and negative influences of cannabis use on mental health. Most participants who expressed positive effects are pervious cannabis users, whereas, most participants with negative perspectives of cannabis use on mental health are non- cannabis users. The findings revealed that participants perceived that the quantity of cannabis smoked determined whether there was a positive or negative effect on mental health, that is, large doses of cannabis had negative effects. The research findings also revealed that the legalisation of cannabis is very likely to increase its use, and the precautionary measures users take to avoid the substance’s negative effects on mental health. The Cognitive Behavioural Theory was used as the lens to better understand how students perceive cannabis use and its influence on mental health. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
- Authors: Ramodumo, Itumeleng Adolphina
- Date: 2021-04
- Subjects: Mental health -- Education (Higher) , Marijuana -- Physiological effect , Cannabis -- Psychological aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51611 , vital:43322
- Description: This study explored university students’ perceptions of cannabis use on mental health at a higher education institution (HEI). Cannabis is described as the most commonly used drug by youth, especially, those who are in tertiary institutions (Allen & Holder, 2014; Arria, Caldeira, Bugbee, Vincent & O’Grady, 2015). The use of cannabis has both negative and positive effects; this is evident in different areas of human functioning. Cannabis usage has been debated upon in courts, regarding its legalisation and decriminalisation, and on the 18th of September 2018, the South African High Court legalised cannabis for personal use. A qualitative study with an explorative- descriptive design was used to give a broader exploration of university students’ perceptions of the influence of cannabis on mental health. The study was conducted at an HEI in the Nelson Mandela Bay and purposive sampling was used to select 15 participants for the study. Data was collected using focused group interviews, following the granting of permission by the Nelson Mandela University Research Ethics Committee. The collected data was analysed and interpreted using thematic analysis. The research findings indicated both positive and negative influences of cannabis use on mental health. Most participants who expressed positive effects are pervious cannabis users, whereas, most participants with negative perspectives of cannabis use on mental health are non- cannabis users. The findings revealed that participants perceived that the quantity of cannabis smoked determined whether there was a positive or negative effect on mental health, that is, large doses of cannabis had negative effects. The research findings also revealed that the legalisation of cannabis is very likely to increase its use, and the precautionary measures users take to avoid the substance’s negative effects on mental health. The Cognitive Behavioural Theory was used as the lens to better understand how students perceive cannabis use and its influence on mental health. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2021-04
A systematic review on the use of methylphenidate as a performance-enhancing substance in tertiary institutions
- Authors: Ndhlovu, Stephen
- Date: 2020-12
- Subjects: Methylphenidate
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51381 , vital:43269
- Description: The rationale of this treatise is to synthesize current research, nationally and internationally, both qualitative and quantitative with regards to methylphenidate and its use amongst university students. The study is undertaken to explore the use of methylphenidate by students, as well as the advantages and/or disadvantages of the substance as a performance-enhancer in tertiary institutions. The researcher chose a systematic review, because it summarizes the literature and it critically appraises and synthesizes a specific issue. It synthesizes the results of multiple primary studies that is related to each other, by using strategies that reduce biases and random errors. The methodology employed in this study is derived from Petticrew & Roberts (2006). They recommend that the proceeding 7-steps be noted and followed in conducting a systematic review namely: find existing reviews; define the research question; write the review protocol; decide on inclusion/exclusion criteria; source the literature; assess/appraise the literature; and write the report. The body of literature was accessed through the Nelson Mandela University’s Online Library Catalogue, specifically the accompanying databases: EBSCOhost, Digital Commons, Psych-info, Academic Search Complete, Sage Publications, Science Direct, JSTOR, and Taylor and Francis Online. This study, in the form of a systematic review, is undertaken to provide clarity and a broader perspective of the use of methylphenidate, the rationale or reasoning behind the use, as well as the negative consequences of non-prescription use of methylphenidate in universities, globally. The study is further undertaken to aid policy development in the construction of ethics concerning the use of methylphenidate in universities. Lastly, in relation to the analysis of data, the literature obtained from the systematic review was analysed using Braun and Clarke’s (2006) method of thematic analysis. Thematic analysis is a method for identifying, analysing, and reporting patterns (themes) within data (Braun and Clarke, 2006). Analysis will also be done by an independent reviewer to maintain rigour and reliability. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2020-12
- Authors: Ndhlovu, Stephen
- Date: 2020-12
- Subjects: Methylphenidate
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51381 , vital:43269
- Description: The rationale of this treatise is to synthesize current research, nationally and internationally, both qualitative and quantitative with regards to methylphenidate and its use amongst university students. The study is undertaken to explore the use of methylphenidate by students, as well as the advantages and/or disadvantages of the substance as a performance-enhancer in tertiary institutions. The researcher chose a systematic review, because it summarizes the literature and it critically appraises and synthesizes a specific issue. It synthesizes the results of multiple primary studies that is related to each other, by using strategies that reduce biases and random errors. The methodology employed in this study is derived from Petticrew & Roberts (2006). They recommend that the proceeding 7-steps be noted and followed in conducting a systematic review namely: find existing reviews; define the research question; write the review protocol; decide on inclusion/exclusion criteria; source the literature; assess/appraise the literature; and write the report. The body of literature was accessed through the Nelson Mandela University’s Online Library Catalogue, specifically the accompanying databases: EBSCOhost, Digital Commons, Psych-info, Academic Search Complete, Sage Publications, Science Direct, JSTOR, and Taylor and Francis Online. This study, in the form of a systematic review, is undertaken to provide clarity and a broader perspective of the use of methylphenidate, the rationale or reasoning behind the use, as well as the negative consequences of non-prescription use of methylphenidate in universities, globally. The study is further undertaken to aid policy development in the construction of ethics concerning the use of methylphenidate in universities. Lastly, in relation to the analysis of data, the literature obtained from the systematic review was analysed using Braun and Clarke’s (2006) method of thematic analysis. Thematic analysis is a method for identifying, analysing, and reporting patterns (themes) within data (Braun and Clarke, 2006). Analysis will also be done by an independent reviewer to maintain rigour and reliability. , Thesis (MA) -- Faculty of Health Sciences, 2021
- Full Text:
- Date Issued: 2020-12
African narratives of customary marriage, marital stressors, strengths and the value of indigenous marital counselling
- Authors: Phakane, Tankiso Maxwell
- Date: 2020-12
- Subjects: Marriage counseling -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/53522 , vital:45275
- Description: The knowledge base of the social sciences and helping professions is characterised by paradigms and theories that have stemmed from a Western intellectual perspective. This has produced many challenges; the main one being that the people of African origin unconsciously embrace the Western worldview leading to the marginalisation of their own view of the world which was a motivation for this study. A further motivation for the study emerged from the divorce rate in customary marriages that is higher than that of statutory marriage in the Makhoaseng Village (Elundini Local Municipality Integrated Development Plan Report, 2015-2016). Employing social constructionism as its theoretical framework, this study, which was located in a rural village in the Eastern Cape, sought to enhance understanding of the stressors and strengths of customary marriage, as well the value of indigenous marital counselling. This qualitative research study was guided by a narrative research design that involved the recruiting of a sample of twenty research participants through the nonprobability purpose sampling, with the local chief serving as a gatekeeper. The data were collected through two separate focus group interviews for males and females, respectively, each of whom were in customary marriages for a period of twenty years and more. As per cultural tradition, the focus group interview for females was conducted by a female colleague, whilst the researcher recorded the observations and the fieldwork notes. The thematic analysis generated four main themes around the participants’ perceptions and experiences of customary marriage, marital stressors, marital strengths and the value of indigenous counselling. The findings make a valuable contribution to the generation of guidelines for marriage counselling from an African worldview. , Thesis (MSW) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-12
- Authors: Phakane, Tankiso Maxwell
- Date: 2020-12
- Subjects: Marriage counseling -- South Africa -- Eastern Cape
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/53522 , vital:45275
- Description: The knowledge base of the social sciences and helping professions is characterised by paradigms and theories that have stemmed from a Western intellectual perspective. This has produced many challenges; the main one being that the people of African origin unconsciously embrace the Western worldview leading to the marginalisation of their own view of the world which was a motivation for this study. A further motivation for the study emerged from the divorce rate in customary marriages that is higher than that of statutory marriage in the Makhoaseng Village (Elundini Local Municipality Integrated Development Plan Report, 2015-2016). Employing social constructionism as its theoretical framework, this study, which was located in a rural village in the Eastern Cape, sought to enhance understanding of the stressors and strengths of customary marriage, as well the value of indigenous marital counselling. This qualitative research study was guided by a narrative research design that involved the recruiting of a sample of twenty research participants through the nonprobability purpose sampling, with the local chief serving as a gatekeeper. The data were collected through two separate focus group interviews for males and females, respectively, each of whom were in customary marriages for a period of twenty years and more. As per cultural tradition, the focus group interview for females was conducted by a female colleague, whilst the researcher recorded the observations and the fieldwork notes. The thematic analysis generated four main themes around the participants’ perceptions and experiences of customary marriage, marital stressors, marital strengths and the value of indigenous counselling. The findings make a valuable contribution to the generation of guidelines for marriage counselling from an African worldview. , Thesis (MSW) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-12
Cultural perspectives on health decision making of HIV positive Xhosa males
- Tebekana, Aviwe Zuziwe Nomalibongwe
- Authors: Tebekana, Aviwe Zuziwe Nomalibongwe
- Date: 2020-12
- Subjects: Port Elizabeth (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/53769 , vital:45835
- Description: In 1998, following a recommendation made by the United Nations Educational, Scientific and Cultural Organisation (UNESO), the Joint United Nations programme on HIV and AIDS (UNAIDS) adopted a cultural approach to HIV and AIDS prevention and treatment for sustainable development. Cultural identity, values and norms are all influential factors in health decision making and may be especially important in the context of HIV infection. The research aim of this study was to explore and describe the experiences of HIV positive Xhosa males in relation to understanding how cultural identity, cultural values and norms influence the health decision making behaviour of Xhosa males. A qualitative study design was adopted. A descriptive and interpretative approach was applied. Semi-structured interviews were conducted with 10 HIV positive Xhosa males aged 25 to 49 years in four primary healthcare clinics in the Nelson Mandela Bay. Thematic data analysis was utilised to analyse the data through the lens of literature and the bio-ecological model. The data was coded by the researcher and an independent coder. Three themes and six sub themes emerged from the study. Theme one is: significance of culture for HIV positive Xhosa males. Theme two is: perspectives on factors that have an influence on health decision making. Theme three is: perceived beliefs and perceptions about HIV and AIDS in the Xhosa ethnic group. The study indicated that cultural factors such as ancestral beliefs regarding illness, traditional circumcision, initiation school and masculine roles and expectations influenced health decision making of the Xhosa males. In addition, there are other factors that have an influence on health decision making such as psycho-social factors of peer pressure and biological factors which include physical developmental changes. In addition to factors that have an influence to health decision making, it became apparent in the study that there was perceived stigma attached to HIV and AIDS from family members and the Xhosa community. Participants also experienced internalised stigma and expressed a v fear of not having an heir; thus, influencing risk taking health decision in fear of being stigmatised. Perceptions of HIV positive Xhosa males on cultural factors that have an influence on health decision making such as risk behaviour and adherence to treatment are: ancestral belief of protection against illness, traditional circumcision, initiation school and masculine roles and expectations. , Thesis (MA) -- Faculty of Health Sciences, School of Behavioural Sciences, 2020
- Full Text:
- Date Issued: 2020-12
- Authors: Tebekana, Aviwe Zuziwe Nomalibongwe
- Date: 2020-12
- Subjects: Port Elizabeth (South Africa) , Eastern Cape (South Africa) , South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/53769 , vital:45835
- Description: In 1998, following a recommendation made by the United Nations Educational, Scientific and Cultural Organisation (UNESO), the Joint United Nations programme on HIV and AIDS (UNAIDS) adopted a cultural approach to HIV and AIDS prevention and treatment for sustainable development. Cultural identity, values and norms are all influential factors in health decision making and may be especially important in the context of HIV infection. The research aim of this study was to explore and describe the experiences of HIV positive Xhosa males in relation to understanding how cultural identity, cultural values and norms influence the health decision making behaviour of Xhosa males. A qualitative study design was adopted. A descriptive and interpretative approach was applied. Semi-structured interviews were conducted with 10 HIV positive Xhosa males aged 25 to 49 years in four primary healthcare clinics in the Nelson Mandela Bay. Thematic data analysis was utilised to analyse the data through the lens of literature and the bio-ecological model. The data was coded by the researcher and an independent coder. Three themes and six sub themes emerged from the study. Theme one is: significance of culture for HIV positive Xhosa males. Theme two is: perspectives on factors that have an influence on health decision making. Theme three is: perceived beliefs and perceptions about HIV and AIDS in the Xhosa ethnic group. The study indicated that cultural factors such as ancestral beliefs regarding illness, traditional circumcision, initiation school and masculine roles and expectations influenced health decision making of the Xhosa males. In addition, there are other factors that have an influence on health decision making such as psycho-social factors of peer pressure and biological factors which include physical developmental changes. In addition to factors that have an influence to health decision making, it became apparent in the study that there was perceived stigma attached to HIV and AIDS from family members and the Xhosa community. Participants also experienced internalised stigma and expressed a v fear of not having an heir; thus, influencing risk taking health decision in fear of being stigmatised. Perceptions of HIV positive Xhosa males on cultural factors that have an influence on health decision making such as risk behaviour and adherence to treatment are: ancestral belief of protection against illness, traditional circumcision, initiation school and masculine roles and expectations. , Thesis (MA) -- Faculty of Health Sciences, School of Behavioural Sciences, 2020
- Full Text:
- Date Issued: 2020-12
Knowledge and perceptions of healthcare workers of the prescripts and implications of the Sexual Offences and Related matters amendment Act 5 of 2015 as applied to adolescent sexual and Reproductive health services in the Buffalo City Municipality
- Authors: Nake, Khanyisile
- Date: 2020-11
- Subjects: Teenagers--Medical care--Law and legislation
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22885 , vital:53179
- Description: Background: In 2015, South Africa amended its Sexual Offences Act to address several disparities surrounding the issue of consensual sex among minors. The amendment has been faced with mixed reactions from the stakeholders with some supporting it while others opposing it. This study was conducted in clinics in East London to explore the knowledge and perception of healthcare workers about the prescripts of the ‘Criminal Law (Sexual Offences and Related Matters) Amendment Act 5 of 2015 and their implications to adolescent sexual and reproductive health services. The purpose of the study was to explore the knowledge and perception of healthcare workers about the prescripts of the ‘Criminal Law (Sexual Offences and Related Matters) Amendment Act 5 of 2015 and their implications to adolescent sexual and reproductive health services provision in Buffalo City Municipality in the Eastern Cape, South Africa. Methodology: This study applied the qualitative research approach and used a combination of descriptive and exploratory research design. Three clinic managers and nine professional nurses participated in the in-depth interviews. Thirteen general healthcare practitioners responsible for adolescents, sexual and reproductive health participated in key-informant interviews. Data was analysed using thematic analysis. Results: The study found that although healthcare practitioners are aware of the amendment act. However, there was inadequate understanding of the precise implications of this statutory initiative. Many of the participants were not informed of the intent of this act, whilst others suggested that they were not well trained regarding this act due to lack of funding in their respective clinics. Mixed views and perceptions on the impact of this act on their duties, on minors and on the general population were identified. Some were of the view that the Act will make it difficult to control the children while other welcomed it, because it leads to less teenage pregnancies, street abortions, and other similar experiences. Conclusion: In order to overcome these differences in perceptions, the Department of Health must create awareness among staff of the Act and its purpose. Develop initiatives to create understanding of the Act by all members of society to ensure the success of these legislative frameworks. , Thesis (MPH) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-11
- Authors: Nake, Khanyisile
- Date: 2020-11
- Subjects: Teenagers--Medical care--Law and legislation
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22885 , vital:53179
- Description: Background: In 2015, South Africa amended its Sexual Offences Act to address several disparities surrounding the issue of consensual sex among minors. The amendment has been faced with mixed reactions from the stakeholders with some supporting it while others opposing it. This study was conducted in clinics in East London to explore the knowledge and perception of healthcare workers about the prescripts of the ‘Criminal Law (Sexual Offences and Related Matters) Amendment Act 5 of 2015 and their implications to adolescent sexual and reproductive health services. The purpose of the study was to explore the knowledge and perception of healthcare workers about the prescripts of the ‘Criminal Law (Sexual Offences and Related Matters) Amendment Act 5 of 2015 and their implications to adolescent sexual and reproductive health services provision in Buffalo City Municipality in the Eastern Cape, South Africa. Methodology: This study applied the qualitative research approach and used a combination of descriptive and exploratory research design. Three clinic managers and nine professional nurses participated in the in-depth interviews. Thirteen general healthcare practitioners responsible for adolescents, sexual and reproductive health participated in key-informant interviews. Data was analysed using thematic analysis. Results: The study found that although healthcare practitioners are aware of the amendment act. However, there was inadequate understanding of the precise implications of this statutory initiative. Many of the participants were not informed of the intent of this act, whilst others suggested that they were not well trained regarding this act due to lack of funding in their respective clinics. Mixed views and perceptions on the impact of this act on their duties, on minors and on the general population were identified. Some were of the view that the Act will make it difficult to control the children while other welcomed it, because it leads to less teenage pregnancies, street abortions, and other similar experiences. Conclusion: In order to overcome these differences in perceptions, the Department of Health must create awareness among staff of the Act and its purpose. Develop initiatives to create understanding of the Act by all members of society to ensure the success of these legislative frameworks. , Thesis (MPH) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-11
Knowledge, attitude and behaviors of pregnant women towards pregnancy induced hypertension in Mdantsane Township Buffalo City Health District
- Authors: Peter, Bulelwa Beatrice
- Date: 2020-07
- Subjects: Hypotension in pregnancy , Pregnancy--Complications
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22930 , vital:53221
- Description: The prevalence of pregnancy-induced hypertension (PIH) deaths is high in the Eastern Cape. Anecdotal evidence indicates that most women fall pregnant because of attitudes towards contraceptives and are seemingly unaware of pregnancy-related complications. Hence, the objective of this study was to examine the knowledge, attitudes and behaviour of pregnant women concerning pregnancyinduced hypertension in the Buffalo City Metropolitan Municipality. Methods: This was a cross-sectional survey involving 200 pregnant women attending antenatal healthcare clinics in Mdantsane, Buffalo City Metropolitan Municipality. A self-administered questionnaire was used for data collection. Collected data were managed and analysed using statistical package for social sciences (SPSS) version 24. Data analysis involved both descriptive (count, frequency, mean and standard deviation) and inferential statistics (Chi-square and logistics regression). For the inferential statistics, the level of significance was set at 0.05. Results: It was observed that the married women were more likely to be aware of PIH compared to single women (OR=2.4 95%CI (1.17; 4.90)). Of the 45 married women, 73.3% were aware of PIH compared to single women. Out of the women who participated in the study, 43.8% showed attitudes indicating they were not aware of this condition and associated complications from high-pressure during pregnancy. Compared to those in their first pregnancy, those who had previous pregnancy were more likely to be aware of PIH (OR=17.1 95 % CI (9.09; 32.15)). Of the 140 previously pregnant women, 83.6 % were aware of PIH compared to those during their first pregnancy. Conclusion: The results of the study indicate that sociodemographic factors play a role in pregnant women 's understanding of PIH. Improving knowledge of PIH among pregnant women requires context-specific strategies. During an antenatal visit, health care providers should implement focussed health education programmes. , Thesis (MA) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-07
- Authors: Peter, Bulelwa Beatrice
- Date: 2020-07
- Subjects: Hypotension in pregnancy , Pregnancy--Complications
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22930 , vital:53221
- Description: The prevalence of pregnancy-induced hypertension (PIH) deaths is high in the Eastern Cape. Anecdotal evidence indicates that most women fall pregnant because of attitudes towards contraceptives and are seemingly unaware of pregnancy-related complications. Hence, the objective of this study was to examine the knowledge, attitudes and behaviour of pregnant women concerning pregnancyinduced hypertension in the Buffalo City Metropolitan Municipality. Methods: This was a cross-sectional survey involving 200 pregnant women attending antenatal healthcare clinics in Mdantsane, Buffalo City Metropolitan Municipality. A self-administered questionnaire was used for data collection. Collected data were managed and analysed using statistical package for social sciences (SPSS) version 24. Data analysis involved both descriptive (count, frequency, mean and standard deviation) and inferential statistics (Chi-square and logistics regression). For the inferential statistics, the level of significance was set at 0.05. Results: It was observed that the married women were more likely to be aware of PIH compared to single women (OR=2.4 95%CI (1.17; 4.90)). Of the 45 married women, 73.3% were aware of PIH compared to single women. Out of the women who participated in the study, 43.8% showed attitudes indicating they were not aware of this condition and associated complications from high-pressure during pregnancy. Compared to those in their first pregnancy, those who had previous pregnancy were more likely to be aware of PIH (OR=17.1 95 % CI (9.09; 32.15)). Of the 140 previously pregnant women, 83.6 % were aware of PIH compared to those during their first pregnancy. Conclusion: The results of the study indicate that sociodemographic factors play a role in pregnant women 's understanding of PIH. Improving knowledge of PIH among pregnant women requires context-specific strategies. During an antenatal visit, health care providers should implement focussed health education programmes. , Thesis (MA) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-07
The experiences of users of the Griffiths III
- Authors: Le Roux, Johan
- Date: 2020-07
- Subjects: Child development -- Testing , Psychological tests
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51287 , vital:43260
- Description: The Griffiths III was published in 2016 and has since then been used internationally by practitioners. The Association for Research in Infant and Child Development (ARICD) is currently planning and reviewing, refining, and improving the 2016 version of this assessment tool. Part of this process is to obtain feedback from all the key role players in the Griffiths III. The purpose of the present study was to explore and describe how users of the Griffiths III experience the measure. A qualitative methodology was utilised, and an exploratory-descriptive design was employed. A questionnaire was created by the ARICD and distributed to all 217 registered users of the Griffiths III. A total of 72 registered Griffiths users, who were using the Griffiths III at that stage, completed and returned the questionnaires to the ARICD. The data were analysed using thematic analysis to extract themes. The findings of the study revealed four overarching themes, namely 1) the purpose and use of the Griffiths III; 2) domains, content, and structure of the Griffiths III; 3) psychometric properties, standardisation, and norms; and 4) merits, limitations, and improvements. Based on the findings, recommendations were made regarding the revision of the Griffiths III. These recommendations relate to a specialised version for children with an autism spectrum disorder, psychometric properties, school readiness elements, universality of the scales, administration time, diagnosis and screening, cost, specific items, and report writing. , Thesis (MA) -- Faculty of Health Sciencess, 2021
- Full Text:
- Date Issued: 2020-07
- Authors: Le Roux, Johan
- Date: 2020-07
- Subjects: Child development -- Testing , Psychological tests
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/51287 , vital:43260
- Description: The Griffiths III was published in 2016 and has since then been used internationally by practitioners. The Association for Research in Infant and Child Development (ARICD) is currently planning and reviewing, refining, and improving the 2016 version of this assessment tool. Part of this process is to obtain feedback from all the key role players in the Griffiths III. The purpose of the present study was to explore and describe how users of the Griffiths III experience the measure. A qualitative methodology was utilised, and an exploratory-descriptive design was employed. A questionnaire was created by the ARICD and distributed to all 217 registered users of the Griffiths III. A total of 72 registered Griffiths users, who were using the Griffiths III at that stage, completed and returned the questionnaires to the ARICD. The data were analysed using thematic analysis to extract themes. The findings of the study revealed four overarching themes, namely 1) the purpose and use of the Griffiths III; 2) domains, content, and structure of the Griffiths III; 3) psychometric properties, standardisation, and norms; and 4) merits, limitations, and improvements. Based on the findings, recommendations were made regarding the revision of the Griffiths III. These recommendations relate to a specialised version for children with an autism spectrum disorder, psychometric properties, school readiness elements, universality of the scales, administration time, diagnosis and screening, cost, specific items, and report writing. , Thesis (MA) -- Faculty of Health Sciencess, 2021
- Full Text:
- Date Issued: 2020-07
An educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in the operating theatres
- Authors: Alayemi, Joshua
- Date: 2020-04
- Subjects: Surgical wound infections--Prevention , Surgery, Aseptic and antiseptic --South africa , Operating room nursing--South Africa
- Language: English
- Type: Master's theses
- Identifier: http://hdl.handle.net/10948/55522 , vital:52754
- Description: Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and iv private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. , Thesis (MA) -- Faculty of Health Sciences Clinical Care and Medicinal Science, 2020
- Full Text:
- Date Issued: 2020-04
- Authors: Alayemi, Joshua
- Date: 2020-04
- Subjects: Surgical wound infections--Prevention , Surgery, Aseptic and antiseptic --South africa , Operating room nursing--South Africa
- Language: English
- Type: Master's theses
- Identifier: http://hdl.handle.net/10948/55522 , vital:52754
- Description: Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and iv private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. , Thesis (MA) -- Faculty of Health Sciences Clinical Care and Medicinal Science, 2020
- Full Text:
- Date Issued: 2020-04
Barriers to exclusive breastfeeding for mothers in the Tswelopele Municipality
- Authors: Quebu, Simthandile Rebecca
- Date: 2020-03
- Subjects: Breastfeeding , Infants -- Nutrition
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27209 , vital:66466
- Description: The purpose of the study was to assess the barriers to exclusive breastfeeding (EBF) of mothers in the Tswelopele Municipality. The South Africa Demographic and Health survey reported the country’s EBF rates among children below six months of age to be at 32 percent for the year 2016. The World Health Organisation endorses the promotion and protection of the practice of EBF throughout the first six months of life, and the addition of complementary foods at six months coupled with breastfeeding up to two years of age. This feeding practise is recommended as the most efficient feeding practice to save infants from various illnesses and mortality across the globe, irrespective of their mother’s HIV status and economic class. A qualitative, contextual, explorative and descriptive research design was employed for this study to achieve the research objectives. The researcher incorporated both purposive and convenience sampling in this study. Purposive sampling was used to select the clinics, and convenience sampling was used to select the participants. Mothers who had infants 6-12 months old who were accessing infant and child health services in the three public health care facilities in the Tswelopele Municipality were a target population. Individual semi-structured interviews were administered, and an audio recorder was utilized to record the interviews with the participants' consent. The researcher throughout this study verbatim transcribed the interview audio tapes, and ethical principles and trustworthiness standards were adhered to. The University of Fort Hare (Ref # 2021=06=12 QuebuS) granted ethical clearance and all participants gave formal consent to voluntarily participate in this research. Tesch's approach for data analysis to open coding in qualitative research was used to analyse the data. Sixteen (16) participants in total took part in this study and the research study was conducted during the whole month of October 2021.During the data analysis, four main themes and thirteen sub-themes emerged, all of which were thoroughly examined. The findings suggest that maternal factors such as extreme pain in the breast, maternal sickness, belief that milk supply is insufficient, lack of EBF knowledge and cultural influences are the key contributors to the success or failure of EBF practice. When mothers have difficulties with breastfeeding, their difficulties can become barriers to EBF. Furthermore, a noteworthy finding is that some participants in this study were eager to breastfeed their babies and maintain EBF for six months; however, their infants had problems that prohibited them from doing so. These issues primarily included infants who refused to breastfeed and breast milk not being tolerated by some infants, as seen by baby vomiting after feeds. It was recommended that breastfeeding education and counselling should be available to mothers and their families from prenatal to postnatal so that they have enough time to make informed infant feeding decisions. Furthermore, an open dialogue with mothers and their families on a realistic understanding of what to expect when they first breastfeed, as well as the exploration of myths, inaccurate information, and concerns can be addressed during the counselling sessions. In conclusion, health professionals should also take into account the culture of mothers, respect cultural customs linked with breastfeeding, and respectfully educate them and their families about traditions that may affect breast-feeding. , Thesis (MPH) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-03
- Authors: Quebu, Simthandile Rebecca
- Date: 2020-03
- Subjects: Breastfeeding , Infants -- Nutrition
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27209 , vital:66466
- Description: The purpose of the study was to assess the barriers to exclusive breastfeeding (EBF) of mothers in the Tswelopele Municipality. The South Africa Demographic and Health survey reported the country’s EBF rates among children below six months of age to be at 32 percent for the year 2016. The World Health Organisation endorses the promotion and protection of the practice of EBF throughout the first six months of life, and the addition of complementary foods at six months coupled with breastfeeding up to two years of age. This feeding practise is recommended as the most efficient feeding practice to save infants from various illnesses and mortality across the globe, irrespective of their mother’s HIV status and economic class. A qualitative, contextual, explorative and descriptive research design was employed for this study to achieve the research objectives. The researcher incorporated both purposive and convenience sampling in this study. Purposive sampling was used to select the clinics, and convenience sampling was used to select the participants. Mothers who had infants 6-12 months old who were accessing infant and child health services in the three public health care facilities in the Tswelopele Municipality were a target population. Individual semi-structured interviews were administered, and an audio recorder was utilized to record the interviews with the participants' consent. The researcher throughout this study verbatim transcribed the interview audio tapes, and ethical principles and trustworthiness standards were adhered to. The University of Fort Hare (Ref # 2021=06=12 QuebuS) granted ethical clearance and all participants gave formal consent to voluntarily participate in this research. Tesch's approach for data analysis to open coding in qualitative research was used to analyse the data. Sixteen (16) participants in total took part in this study and the research study was conducted during the whole month of October 2021.During the data analysis, four main themes and thirteen sub-themes emerged, all of which were thoroughly examined. The findings suggest that maternal factors such as extreme pain in the breast, maternal sickness, belief that milk supply is insufficient, lack of EBF knowledge and cultural influences are the key contributors to the success or failure of EBF practice. When mothers have difficulties with breastfeeding, their difficulties can become barriers to EBF. Furthermore, a noteworthy finding is that some participants in this study were eager to breastfeed their babies and maintain EBF for six months; however, their infants had problems that prohibited them from doing so. These issues primarily included infants who refused to breastfeed and breast milk not being tolerated by some infants, as seen by baby vomiting after feeds. It was recommended that breastfeeding education and counselling should be available to mothers and their families from prenatal to postnatal so that they have enough time to make informed infant feeding decisions. Furthermore, an open dialogue with mothers and their families on a realistic understanding of what to expect when they first breastfeed, as well as the exploration of myths, inaccurate information, and concerns can be addressed during the counselling sessions. In conclusion, health professionals should also take into account the culture of mothers, respect cultural customs linked with breastfeeding, and respectfully educate them and their families about traditions that may affect breast-feeding. , Thesis (MPH) -- Faculty of Health Sciences, 2020
- Full Text:
- Date Issued: 2020-03