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Analysis of early-phase contact tracing during the coronavirus disease 2019 outbreak in Mangaung Metro, Free State

- Monyobo, Priscilla Kesaletseng

Authors: Monyobo, Priscilla Kesaletseng
Date: 2022-09
Subjects: COVID-19 (Disease) , Contact tracing (Epidemiology) , Public health
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/23533 , vital:58105
Description: Background and Aim Contact tracing is a critical public health measure for controlling and preventing the spread of infectious diseases. Although the principles underlying this strategy are not novel, understanding the changes in infectiousness of COVID-19 is indeed novel. As are the capacity and operating procedures required to support disease investigation in Mangang Metro during the SARS-CoV-2 (COVID-19) pandemic. On 16 March 2020, the first coronavirus disease case in the area, which led to a larger outbreak, occurred in Mangaung Metro, Free State province, South Africa. To date, Mangaung Metro remains the epicentre of the COVID-19 pandemic and the primary driver of the caseload in the Free State province. The aim of this study was to analyse contact tracing data in Mangaung Metro during the early phase of the COVID-19 outbreak (16 March 2020 – 30 June 2020) in order to measure the viral transmissibility of COVID-19 in the early stages of the outbreak, specifically in the context of Mangaung Metro. Methods A descriptive systematic analysis of index COVID-19 cases and their contacts in Mangaung Metro was conducted. The review period ran from 16 March to 30 June 2020, during which there was a total of 1 001 cases in Mangaung Metro. Data was captured on an Excel spreadsheet using the contact line list variables from the established National Institute of Communicable Disease contact line list framework. The inferential statistics were based on a time series analysis to compare the impact of contact tracing stratified by symptomatology and the root cause of the cases to the overall cases in Mangaung Metro. The study determined whether isolation, quarantine, and contact tracing were able to control outbreaks in the early phase using characteristics of disease transmission and parameters particularised to the COVID- 19 pathogen. Results As of 30 June 2020, the Free State province had a total of 2 072 COVID-19 cases. Mangaung Metro contributed 1 001 cases (48percent) of the total number of cases in the study period. Between March and June 2020, 3 553 contacts were traced in Mangaung Metro. This number translates to at least three investigated and traced contacts per index or laboratory confirmed positive case. From the traced contacts, 1 080 samples were collected and sent for laboratory testing. In April 2020, the greatest number of samples were collected. This high rate in sample collection is posited to be the result of the high rate of contacts traced, as well as the initial clinical guidelines followed for contact tracing. Most positive contacts were discovered in March 2020. One of the possible reasons for the high detection of COVID-19 confirmed positive contacts during the early stages of the outbreak was the focus and importance of contact tracing while the caseload remained relatively low. However, as the outbreak progressed in the Mangaung Metro context, the number and relative percentage of positive cases detected through contact tracing decreased. In total, the positive contacts recorded in March 2020 amounted to 92 (51.3percent), 18 in April (10.5percent), 41 in May (22.9percent), and 28 in June (15.6percent). The March 2020 tracking rate was the highest at 73.2percent, with an average contact tracing rate of 15.5percentby the end of June 2020. Of all the contacts traced, 7.9percent involved healthcare workers in the Free State. Conclusion The study’s findings show that contact tracing was an effective control measure during the early stages of the COVID-19 outbreak in Mangung Metro district. Furthermore, the impact was greatest when the caseload was low and the burden on the healthcare system less severe. Mangaung Metro demonstrated the capability of tracing more contacts in the early-early phase of the outbreak; however, as the outbreak progressed to the latent early phase, the caseload increased and fewer contacts were traced. The consequence of contact tracing not being as effective during the latent early phase relates to the increase in both exposed and untraceable contacts, which in turn fueled the increase of new cases. This further impacted the at-risk and vulnerable population, especially the elderly, who were at an increased risk if not traced in a timely manner, possibly resulting in mortality. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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Date Issued: 2022-09

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Clinical governance implementation challenges in the Department of Health, Mpumalanga, South Africa

- Maduna, Patrick Hawkins https://orcid.org/0000-0002-4926-1661

Authors: Maduna, Patrick Hawkins https://orcid.org/0000-0002-4926-1661
Date: 2022-09
Subjects: Clinical competence , Evidence-based medicine , Health services administration
Language: English
Type: Doctoral theses , text
Identifier: http://hdl.handle.net/10353/23600 , vital:58194
Description: Clinical governance (CG) is the system through which health authorities are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence flourishes. South Africa is one of the countries where CG has not been successfully implemented. This study sought to explore the CG implementation challenges in the Mpumalanga province, South Africa. The study objectives included the seven pillars of CG. The study was a qualitative and exploratory, using purposive sampling technique to select study participants. A total of twenty-two (22) individuals were selected for the study. Semi-structured interviews were used for data collection. Each interview was transcribed verbatim by the researcher. Confidentiality was ensured through the coding of interviewee names. The content analysis technique was used for data analysis, using the study objectives as themes. The study found general lack of understanding of the concept of CG, poor performance of clinical audits, sub-standard clinical performance and effectiveness, poor clinical risk management, poor patient and public involvement in patient care, lack of evidence-based practice and research, inadequate training and development of healthcare workers, and sub-standard health information management across the department. The researcher recommends that the CG policy be prioritised by the Mpumalanga DOH, that systems be put in place to facilitate policy implementation, and that the departmental staff establishments at all levels, prioritise healthcare professionals in key leadership positions. In conclusion, there are numerous challenges that confront the Mpumalanga Department of Health regarding the implementation of clinical governance, requiring urgent attention. , Thesis (PhD) -- Faculty of Health Sciences, 2022
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Date Issued: 2022-09

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Exploring the perceptions and attitudes of University of Fort Hare students towards seeking psychological counselling services

- Pantshwa, Siziphiwe

Authors: Pantshwa, Siziphiwe
Date: 2022-09
Subjects: Counseling , Helping behavior , Psychology, Applied
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/23809 , vital:60807
Description: The purpose of this study was to explore and examine the perceptions and attitudes of Fort Hare students towards seeking psychological help. It provided an understanding of factors that influence the help-seeking behaviours of university students. The study used an explorative qualitative approach in collecting data to find problems frequently encountered by students, their preferred sources of help for those problems, and their attitudes towards seeking psychological help. The sample was selected through a non-probability convenience sampling technique. Six participants, undergraduate and post-graduate students from the University of Fort Hare, East London campus, participated in the study. The data was collected in face-to-face semi-structured individual interviews in which participants were questioned orally. The interviews were recorded and transcribed verbatim. Data collected from the semi-structured interviews were thematically analysed by employing Braun and Clarke’s six steps of thematic analysis. Social constructionism as a meta-theory and Ecosystems theory provided the theoretical underpinning for the interpretation of the study. The study results revealed that close friends and family members were the preferred sources of help chosen by students. Five significant problems were experienced by students. Financial issues, difficulty adjusting to the university environment, academic stress, being away from home and managing time were at the top list of the challenges experienced by students. The factors that inhibited -seeking for psychological help were social stigma, access to a psychologist, financial constraints, and viewing a psychologist as a stranger. However the study further found that students had a positive attitude toward professional psychological help. This indicates a slight shift from previous studies, which reported negative attitudes among university students. Participants also reported on the influence of their socio-cultural background, the opinions held by their family and community members towards seeking psychological help. This study recommends specific interventions in which seeking psychological help can be reinforced, such as holding workshops to psycho-educate students about the benefits of using counselling services and the negative implications of not seeking professional help when experiencing psychological distress. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
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Date Issued: 2022-09

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Sustainability challenges of community newspapers: The case study of iDike-Lethu Community Newspaper

- Ndarane, Luvuyo Gladstone

Authors: Ndarane, Luvuyo Gladstone
Date: 2022-09
Subjects: Community newspapers , Journalism, Regional
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/23754 , vital:60485
Description: Community newspapers are an important source of information and play a vital role in the development of communities. They are, therefore, an important stakeholder in community development. IDike-Lethu community newspaper`s presence in the community of Alice and in the areas where it is distributed is facilitating communication and development in these areas. Raymond Mhlaba Local Municipality is benefiting in the presence of iDike-Lethu because this newspaper is the conduit through which communication to its citizens is submitted. This study assessed the challenges iDike- Lethu is having that impact on its maximum contribution in this society. Participants in this study are residents of Alice and are readers of iDike-Lethu Community Newspaper. This study adopted a mixed method design in which questionnaires and interviews were used to collect primary data. Data collected was analyzed using both qualitative and quantitative methods. Major findings that impede smooth operations in this newspaper were discovered. These include inadequate funding, lack of technical backing and lack of community support. The study findings show that with all the challenges iDike-Lethu is having it continues to play a meaningful role by disseminating information, promoting local culture, equipping communities with skills and providing a platform on which these communities including local businesses send information across. Recommendations include the need for this newspaper to find a commercial, profitable and sustainable financial model which will support and reinforce its operations. This study will contribute in further research of methods to link communities and community newspapers to work harmoniously. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
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Date Issued: 2022-09

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Public goods and social resistance: A study of the perceptions of risk and vulnerability in the n2 toll road project in the wild coast of the Eastern Cape Province, South Africa

- Mambiravana, Tafadzwa https://orcid.org/0000-0002-7543-2989

Authors: Mambiravana, Tafadzwa https://orcid.org/0000-0002-7543-2989
Date: 2022-08
Subjects: Infrastructure (Economics) , Roads -- South Africa
Language: English
Type: Doctoral theses , text
Identifier: http://hdl.handle.net/10353/23910 , vital:61293
Description: The construction of the N2 Toll Road in the Wild Coast has been lauded for its ‘developmental agenda’, as the government envisages, this 550 km road project linking Eastern Cape and KwaZulu Natal provinces will act as a game changer to the socio-economic status of the region in a manner beneficial to local people and the nation in general. However, the road project has equally been criticised by several local communities and environmental advocacy groups who suspect the road is associated with controversial titanium mining and its anticipated socio-ecological disasters in the region. Drawing from this conundrum, this study explores intersections of the diverse perceptions of stakeholders on infrastructural provisioning for development purposes in a historically deprived area in South Africa. Using a qualitative research approach in the form of face-to-face interviews with the participants, focus group discussions, secondary data review and observations, the study found that the diverse perceptions of risk and vulnerability have divided the stakeholders into those who support and those who oppose the road project. Most importantly, the study has also found that although there is deep-seated resentment towards the road project among certain grassroots groups, the general view shared among the study communities is nuanced. In other words, there is no ‘hardline collective opposition’ against the road project among local communities. Drawing from these findings, the study recommends that land audit need to be conducted prior to the commencement of infrastructure projects in order to highlight possible tenure blockages. In addition, the study recommends that it is critical for developers and policy makers to recognize the significance of cultural spaces and sacred places for community cultural health. These factors are critical to weigh against the proposed infrastructure developments as they sometimes outweigh the benefits. The study was anchored on the cultural theory of risk perception, which helped to explore the complex interactions between different actors on infrastructural development and environmental policy discourse. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2022
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Date Issued: 2022-08

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Implementation of constitutional values and principles in Cecelia Makiwane Hospital in the Eastern Cape Province

- Sigcau, Aviwe https://orcid.org/0000-0002-7409-8544

Authors: Sigcau, Aviwe https://orcid.org/0000-0002-7409-8544
Date: 2022-07
Subjects: Hospitals--Administration , Health services administration--South Africa
Language: English
Type: Master'stheses , text
Identifier: http://hdl.handle.net/10353/23460 , vital:57736
Description: This study aims to assess the implementation of the constitutional values and principles at Cecilia Makiwane Hospital: promoting professional ethics, efficient, effective, and economical use of resources, fairness, transparency, response to the people’s needs, and good human resources. The Constitutional values and principles champion democratic service in South Africa. It also encourages good governance through hospital employees implementing the Constitutional values and principles. The literature review reveals that there is a gap in the Implementation of the Constitutional values and principles in the hospitals due to the following challenges: many patients are still experiencing violations of their constitutional rights, shortages of drugs in hospitals, lack of equipment, poor infrastructure, corruption, freezing of posts, understaffing. The objectives of the study were: to assess the leadership values at Cecilia Makiwane hospital and determine their alignment with section 195 of the Constitution, to determine the implementation of the constitutional values and principles enshrined in chapter 10 of the Constitution, to examine the working conditions of the hospital, to evaluate the service quality at Cecilia Makiwane hospital., and to recommend measures and strategies that can be implemented to promote efficiency, effectiveness and economical use of resources at Cecilia Makiwane hospital. The study found that the implementation of the constitutional values and principles at Cecilia Makiwane hospital is not satisfactory. The findings show unethical leadership practices, and they put their interests first above the public needs. Regarding good human resources practices, the staff lacks career growth development programs, while promotion opportunities are influenced by nepotism and favouritism. The study recommends that for the hospital to be aligned to the constitutional values and principles, they need to provide training and workshops on the Public Service Code of Conduct, employ social theory for both management and staff, adopt communication strategies and teamwork, improve service impartiality, equity, effective time management performances, collaborative teamwork, accountability, and transparency. , Thesis (MA) -- Faculty of Management and Commerce, 2022
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Date Issued: 2022-07

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Infant feeding knowledge, attitudes and practices of mothers in private health facilities in Alice town, Eastern Cape, South Africa

- Oyeniran, Aderonke Adepeju

Authors: Oyeniran, Aderonke Adepeju
Date: 2022-07
Subjects: Breastfeeding
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/23556 , vital:58132
Description: Background and aim of the study: Within the global field of health education, it is generally accepted that the topic of breast-feeding is a crucial discussion due to its maternal, infant, and communal benefits. However, certain African countries, such as South Africa, experience certain challenges related to both predictive factors and maternal attitudes to breast-feeding. To improve public awareness and promote the implementation of breast-feeding, these factors should be investigated to highlight the importance of this practice among young mothers. Method: The study utilised a cross-sectional survey by means of a self-administered questionnaire, which was completed by the carefully chosen participants. The collected data were then analysed using a statistical package for social sciences (SPSS) (frequency, percentages, mean and standard deviation) and inferential statistics (logistic regression). The level of significance for the inferential statistics was set at 0.05. Results: A total of 377 infant mothers participated in the study with median age of 30. Most infant mothers that participated in the study were well educated with infant mother 189 having a bachelor’s degree. The findings revealed that mothers of 40 years above are 1.51 times more likely not to breastfeed exclusively compared to mothers of less than 40 years of age (95percent CI, 0.75-2.25). The odds ratio of the incidence of decision in breastfeeding for participants with breastfeeding and formula milk was 1.66 (95percent CI, 0.87-2.53). In term of family support, mothers who don’t receive family support were 3.43 times more likely no to breastfeed. The result also revealed that mothers with breast pain were 0.98 more likely not to breastfeed. Conclusion: This study concludes that infant mothers are well informed about breastfeeding. This study also revealed that factors such as infant mothers’ knowledge about breastfeeding, medical health of both mother and infant and cultural norms can go a long way in influencing the decision of mothers to breastfeeding their infant or not. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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Date Issued: 2022-07

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Investigation of risky sexual behaviour amongst HIV/AIDS positive individuals on antiretroviral treatment in Buffalo City Metropolitan Municipality Eastern Cape Province, South Africa

- Pere, Mzukisi Ernest

Authors: Pere, Mzukisi Ernest
Date: 2022-07
Subjects: Sexual behaviour -- South Africa -- Eastern Cape , Youth Sexual behaviour
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/23578 , vital:58190
Description: Background: Human immunodeficiency virus (HIV)/ acquired immune deficiency syndrome (AIDS) is one of the major public health concerns. Antiretroviral treatments (ART) is available immediately for HIV-positive individuals but sexually transmitted infections are on the rise. The majority of HIV positive patients on ART are engaging in unsafe sexual practices. Purpose: The aim of this study was to investigate risky sexual behaviour of people on antiretroviral treatment regarding prevention. The study was conducted on adult clients in the Buffalo City Metropolitan Municipality. Methods: A quantitative and descriptive cross-sectional design was conducted whereby 304 patients who visited Nontyatyambo Health Centre were randomly selected. Data was entered and analyzed using Statistical Package for the Social Sciences (SPSS) 24. Simple descriptive statistics such as numbers, percentages and tables were used to characterise variables. A chi-square test was used to explore associations between dependent and independent variables. Test significance, confidence intervals and p-values of all the causes and contributory factors were set at 0.05. Results: Thirty two percent reported having sex with multiple sexual partners while 19percent reported never using a condom. Forty eight percent reported having had sexually transmitted infections since starting on ART. The median age (36 years (IQR: 31, 45) vs. 35 years (IQR: 26, 40)) of those who reported STIs was higher than the median age of those who did not report STI (p=0.012). Males (57percent, p=0.049), those who were employed (55percent, p=0.048), and those who were cohabitating (68percent, 0.030) were more likely to report STI. Similarly, those who had unprotected sex with a casual partner (62percent, p<0.001), and those who did not use a condom because a partner did not like it (71percent, p=0.001) were more likely to report STIs. A significant number of 32percent of the participants reported engaging in risky sexual practices while 48percent had reported an STI. Recommendations include educational outreach programmes and capacitation of health care workers with appropriate skills and tools. , Thesis (MPH) -- Faculty of Health Sciences, 2022
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Date Issued: 2022-07

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Outcomes-based participatory gender planning and budgeting in South African local government context: a case of selected municipalities in the Eastern Cape Province

- Sikhosana, Nqobile

Authors: Sikhosana, Nqobile
Date: 2022-07
Subjects: Municipal budgets
Language: English
Type: Doctoral theses , text
Identifier: http://hdl.handle.net/10353/23381 , vital:57620
Description: This research is focused on the premise that engaging women and men in municipal budget preparation can be a precondition for achieving gender-sensitive service delivery outcomes. It follows, logically, that empowering citizens and granting them authority to control budget allocations has the potential to play a mediating role in transforming the financial management environment within the framework of local government in South Africa. Without representation of heterogeneous social classes, budget allocations in South Africa will continue to reflect the needs of those who hold the top echelons of municipal administrative machinery. Given the complexity of the flawed participatory structures and persistent gender inequality, the mixed methods approach was used as an investigative method to gain a deeper understanding of the participatory genderresponsive budgeting trend and its subsequent impact on service delivery outcomes in the Eastern Cape Province. The findings showed that men's participation and resource re-allocation elements had a significant effect on gender-responsive budgeting but women's participation and transparency had no significant impact. More so, findings also revealed that there is no difference in the manner in which the two municipalities have adopted the two concepts. The long-term results of male domination and the ignorance of transparency and women participation in budget formulation is the establishment of gender-blind budgets that fail to deliver gender-sensitive service delivery outcomes. Based on secondary data analysis, evidence showed that there is a lack of gender dimension in the municipal outcomes and this has contributed towards gender inequalities in terms of access to services. However, results indicated that the full involvement of women and giving then authority to have a voice in budgetary decisions, coupled with the transparent incorporation of gender priorities in the stages of the budget cycle can lead to the formulation to gender sensitive budgets. This knowledge allows the adoption of a participatory gender responsive model for local government. , Thesis (PhD) -- Faculty of Management and Commerce, 2022
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Date Issued: 2022-07

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Experiences of children who have transitioned into foster care in Breidbach community in King Williams, Buffalo City, Eastern Cape

- Nkumbi, Sinazo

Authors: Nkumbi, Sinazo
Date: 2022-06
Subjects: Foster children--Care , Children's rights , Participation
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/23776 , vital:60520
Description: The study explored the experiences of children who have transitioned into foster care, looking in depth at their level of participation in matters concerning their lives. The researcher was predominantly inspired to conduct this research by children in communities who found themselves falling unintentionally into a system of foster care. There are overt hardships in communities that result in children needing care and protection. Children find themselves faced with abusive circumstances, experiencing loss and being abandoned. There is little research on experiences of children who have transitioned into foster care, on child participation in matters that involve their lives, and research that documents the perspectives of children. Children’s ability to exercise their constitutional right to participate, and making their voices heard regarding their life experiences through their own milieu, have also not received attention. There are several intervention systems put in place by the South African government to aid children in need of care and protection, and systems to place children in conducive environments. These systems are largely focused on placement of the child in need, application for foster care grants, foster parents, and the extension of the foster placement. However, there is very little information regarding the child’s right to participate in matters that involve their lives. The goal of the study was to investigate children’s participation in matters that affect their lives. It was interested in children’s perspectives. The aim was to explore the experiences of children who had transitioned into the foster care system in Breidbach Community in King Williams Town it Buffalo City Municipality. The purpose was to identify gaps, as there is minimal information concerning experiences of children who have transitioned into foster care and on children’s participation as stipulated within section 10 of the Children’s Act 38 of 2005. To be able to achieve the objectives of the study, interviews were conducted with purposefully sampled participants. Data obtained was analysed according to qualitative data analysis procedures. The researcher utilised exploratory, descriptive and contextual research designs. The domain where participants were interviewed was Breidbach, King Williams Town, and Buffalo City under the jurisdiction of the Department of Social Development (DSD) and Child Protection Organisations (CPO). Findings indicate the children lacked education on their right to participate in matters that affect their lives. Furthermore, some professionals did not involve the children in matters that affected them, leading to interventions on matters concerning the children that did not benefit from input by the children. Taking into cognisance of all the relevant information stated above, children’s right to participate in matters involving their lives is as paramount as the involvement of the social workers and the foster parents when determining their placement. A holistic approach has to be used, hence it is primary and recommended that, the investigation, intervention strategies and framework used by social workers in making sure that children in need of care and protection include the perspectives of children who are to be placed into foster care. This will be possible through the participation of a child. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
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Date Issued: 2022-06

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A netnographic analysis of complaints and service responses on selected South African banks' Twitter handles

- Poswa, Ziyanda

Authors: Poswa, Ziyanda
Date: 2022-05
Subjects: Digital ethnology
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/23438 , vital:57731
Description: This study is a Netnographic investigation of numerous customer complaints and service responses on selected South African (SA) banks’ Twitter handles. The fulcrum of the study is significantly linked to the Justice theories which thus form the underpinning theories of the study. The study is based on qualitative data derived from selected SA banks’ Twitter handles for duration of at least three months. The study has its philosophy or paradigm deeply rooted in the Interpretivism paradigm. The qualitative research approach is then employed in the study along with the exploratory research design which allows the extrapolation of meaningful conclusions on the findings of the investigation based on the secondary data extracted from 1286 complaints on selected SA banks’ Twitter handles. The researcher makes use of thematic analysis to categorise, investigate, consolidate, define, and create reports on the themes identified in the data set thus enabling the drawing of meaningful inferences. The researcher’s findings point out that customer complaints generally spring from outcome service failure. Outcome service failure defines occurrences where clients are disappointed with banking services or the banking experience regardless of the service or product purchased. Complaints also emanated from process service failures which mostly describe incomplete service delivery. It is thus critically recommended that banks must make sure that process failures are curtailed through an effective improvement of the value chain system. This will also take into account a proper training of banking services personnel and staff. Furthermore, it is also suggested that increased mentoring, and improving or standardising training methods might help to improve bank employee service performance hence reducing incidents of failure. A closer look at the justice theories, it is identified in the study that, banks must try to uphold by all means through effective use of distributive justice service recovery. This is through the application of fairness and courtesy when addressing customer complaints especially on public social platforms such as Twitter. Eventually, this results in increased customer satisfaction and repeated patronage for the respective banks. Through interactional justice service recovery, banks are compelled to try in every way possible not to automate their responses to client complaints in their various or different manner. Procedural justice recovery suggests that banks should take into 3 cognizance better and more effective avenues of promptly responding to their clients hence improving the effectiveness of their service recovery processes. , Thesis (MCom) -- Faculty of Management and Commerce, 2022
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Date Issued: 2022-05

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Exploring the role of the Department of Social Development on the integrated school health programme in the Buffalo City Municipality .

- Nokama, Busisa Antoinette

Authors: Nokama, Busisa Antoinette
Date: 2022-05
Subjects: Children--Health and hygiene. , School nursing. , Employee health promotion.
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10353/22198 , vital:51997
Description: If one’s health is a state of wellbeing then the role of social development is key in the implementation of the Integrated School Health Programme (ISHP) as it includes treatment and prevention of psychosocial dysfunction. The purpose of the study was to explore the role of the Department of Social Development (DSD) within the ISHP in Buffalo City Municipality. DSD services are complex hence the need active collaboration to ensure delivery of multi-sectoral services. Covid-19 evidently shows the link between physical, emotional and academic success (OECD, 2020). The trauma and challenges faced by learners’ manifests through behavioral problems that social workers and counsellors can address more effectively. Social work practice aims to treat and prevent psychosocial dysfunction, thus social workers remain integral in addressing social determinants of health. The challenges in the implementation of ISHP began at policy development, moreover they were exacerbated by poor coordination and management of the ISHP. The legislative framework however affords learners the right to protective care and support. The role of social development is not limited to transportation but has been captured through psychosocial support. The study suitably employed a qualitative research design to examine how the participants make sense of the Integrated School Health Programme and to provide a comprehensive description of the complex role of the DSD in the provision of psychosocial support. 15 participants from DOH, DoE and DSD were interviewed to capture the perspective of all three (3) departments. The findings indicated how the development of the policy impacts implementation. The DSD is participating in the implementation of ISHP, however the failure of the policy to capture the role of the DSD, hinders the DSD from full participation. The study also found a lack of resourcesto support implementation and often struggle to get learners but implementation varies. Conclusively, the study recommends the need for the departments to develop a Memorandum of Understanding, Terms of reference as well as Integrated Implementation plans in an effort to support and close the gaps identified in the policy. Collaboration was found to be an effective strategy to enhance resource mobilization. Coordination and Management still need to be strengthened, including accountability. , Thesis (MPA) -- University of Fort Hare, 2022
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Date Issued: 2022-05

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