A comparative appraisal of access and quality of sexual and reproductive health services for gays and lesbians in Bulawayo (Zimbabwe) and Pretoria (South Africa)
- Authors: Jasi, Phineas
- Date: 2021-11
- Subjects: Reproductive health , Sexual health
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/21959 , vital:51854
- Description: This study investigated the extent to which gays and lesbians access quality sexual and reproductive health (SRH) services in Pretoria and Bulawayo. The study also examines the facilitators and barriers for accessing the same services. Theoretically, the study was grounded in the Health Belief Model (Hochbaum, 1958, modified by Rosenstock, 1974 and Siddiqui, 2016). To answer the research questions, a mixed methods approach was applied involving both qualitative and quantitative data collection methods. A total of 30 key informant interviews, eight focus group discussions and 387 questionnaires were administered using purposive, time location and snowball sampling approaches in the two cities. The study found that the most commonly available sexual and reproductive health (SRH) services were contraceptive services, sexually transmitted infections (STI) services and Human immunodeficiency syndrome (HIV) services. The services were provided at public health facilities, drop-in centres and through outreach activities operated by Civil Society Organizations (CSOs). The least available services that gays and lesbians required as part of a comprehensive package were access to information, education and communications (IEC) materials and mental health and psychosocial support services (MHPSS). Several service providers were not adhering to the World Health Organization (WHO) guidelines for provision of comprehensive services for key populations including gays and lesbians. Critical gaps noted included the absence of key populations-only service hours, lack of options for clinicians to attend to them, presence of a stigma and discrimination free environment and provision of comprehensive package of services under one roof. Most of the referral facilities had limited drugs, equipment and supplies for cancer screening and they had no HIV prevention, sex change, in-vitro fertilization, and sterilization services and procedures. The quality of physical facilities and SRH services in both cities did not meet the expectations of gays and lesbians, acting as a barrier to their health seeking behaviour. Stigma and discrimination from healthcare workers was a huge barrier affecting access across all public health facilities. The acts of stigmatisation and discrimination affected the perceptions that gays and lesbians had regarding the quality of the services and compromised access of the same. In view of these health system challenges, the study recommends that there is need for public authorities in both cities to address the bottlenecks and barriers affecting access to SRH services and products such as lubricants, affordable quality condoms, dental dams and latex gloves while reinforcing the facilitating factors promoting access. Healthcare workers need further training on how to provide comprehensive services for gays and lesbians according to the WHO guidelines. Public health authorities in Bulawayo and Pretoria should build upon the identified factors which facilitated the access to SRH services and use of products such as condoms and lubricants. These factors require strengthening of community-based organizations and networks that work directly with gays and lesbians in both Bulawayo and Pretoria. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2021
- Full Text:
- Date Issued: 2021-11
- Authors: Jasi, Phineas
- Date: 2021-11
- Subjects: Reproductive health , Sexual health
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/21959 , vital:51854
- Description: This study investigated the extent to which gays and lesbians access quality sexual and reproductive health (SRH) services in Pretoria and Bulawayo. The study also examines the facilitators and barriers for accessing the same services. Theoretically, the study was grounded in the Health Belief Model (Hochbaum, 1958, modified by Rosenstock, 1974 and Siddiqui, 2016). To answer the research questions, a mixed methods approach was applied involving both qualitative and quantitative data collection methods. A total of 30 key informant interviews, eight focus group discussions and 387 questionnaires were administered using purposive, time location and snowball sampling approaches in the two cities. The study found that the most commonly available sexual and reproductive health (SRH) services were contraceptive services, sexually transmitted infections (STI) services and Human immunodeficiency syndrome (HIV) services. The services were provided at public health facilities, drop-in centres and through outreach activities operated by Civil Society Organizations (CSOs). The least available services that gays and lesbians required as part of a comprehensive package were access to information, education and communications (IEC) materials and mental health and psychosocial support services (MHPSS). Several service providers were not adhering to the World Health Organization (WHO) guidelines for provision of comprehensive services for key populations including gays and lesbians. Critical gaps noted included the absence of key populations-only service hours, lack of options for clinicians to attend to them, presence of a stigma and discrimination free environment and provision of comprehensive package of services under one roof. Most of the referral facilities had limited drugs, equipment and supplies for cancer screening and they had no HIV prevention, sex change, in-vitro fertilization, and sterilization services and procedures. The quality of physical facilities and SRH services in both cities did not meet the expectations of gays and lesbians, acting as a barrier to their health seeking behaviour. Stigma and discrimination from healthcare workers was a huge barrier affecting access across all public health facilities. The acts of stigmatisation and discrimination affected the perceptions that gays and lesbians had regarding the quality of the services and compromised access of the same. In view of these health system challenges, the study recommends that there is need for public authorities in both cities to address the bottlenecks and barriers affecting access to SRH services and products such as lubricants, affordable quality condoms, dental dams and latex gloves while reinforcing the facilitating factors promoting access. Healthcare workers need further training on how to provide comprehensive services for gays and lesbians according to the WHO guidelines. Public health authorities in Bulawayo and Pretoria should build upon the identified factors which facilitated the access to SRH services and use of products such as condoms and lubricants. These factors require strengthening of community-based organizations and networks that work directly with gays and lesbians in both Bulawayo and Pretoria. , Thesis (PhD) -- Faculty of Social Sciences and Humanities, 2021
- Full Text:
- Date Issued: 2021-11
Mass media use and knowledge gap amongst Walter Sisulu University, public relations management students: a content analysis study.
- Authors: Mva, Coceka
- Date: 2021-11
- Subjects: Education, Rural , Mass media--Social aspects , Mass media in education
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21036 , vital:46916
- Description: Walter Sisulu University recruits students from the deep rural areas as well as students from urban areas all over the Eastern Cape Province. Students coming from rural areas are completely different from students coming from urban areas. The difference is caused by the different quality of infrastructure each area is exposed to. Urban students are exposed to high quality education whereas rural students have very poor infrastructure that they can hardly use to better their education. Urban students are exposed to all kinds of mass media and they are taught how to use and manipulate them. For rural students the exposure to mass media is too rare to the point where only the minority is able to use them. Therefore, this research was done to find out if there are any differences in understanding social and current events between urban and rural students studying public relations management at Walter Sisulu University. The study therefore sought to find out if this came as a result of their differentiated exposure to the mass media. Literature collected shows that rural students do not benefit as much as urban students from the knowledge and information communicated by the mass media. This is because rural areas lack electricity for television and radio usage, they lack quality roads for newspapers to be delivered to rural areas. However, questionnaires and interviews show that when at university, rural students struggle to cope in their first year of studies but their performance becomes better in their second and final year of study. , Thesis (MSoc Sci) (Communication) -- University of Fort Hare, 2021
- Full Text:
- Date Issued: 2021-11
- Authors: Mva, Coceka
- Date: 2021-11
- Subjects: Education, Rural , Mass media--Social aspects , Mass media in education
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21036 , vital:46916
- Description: Walter Sisulu University recruits students from the deep rural areas as well as students from urban areas all over the Eastern Cape Province. Students coming from rural areas are completely different from students coming from urban areas. The difference is caused by the different quality of infrastructure each area is exposed to. Urban students are exposed to high quality education whereas rural students have very poor infrastructure that they can hardly use to better their education. Urban students are exposed to all kinds of mass media and they are taught how to use and manipulate them. For rural students the exposure to mass media is too rare to the point where only the minority is able to use them. Therefore, this research was done to find out if there are any differences in understanding social and current events between urban and rural students studying public relations management at Walter Sisulu University. The study therefore sought to find out if this came as a result of their differentiated exposure to the mass media. Literature collected shows that rural students do not benefit as much as urban students from the knowledge and information communicated by the mass media. This is because rural areas lack electricity for television and radio usage, they lack quality roads for newspapers to be delivered to rural areas. However, questionnaires and interviews show that when at university, rural students struggle to cope in their first year of studies but their performance becomes better in their second and final year of study. , Thesis (MSoc Sci) (Communication) -- University of Fort Hare, 2021
- Full Text:
- Date Issued: 2021-11
The experiences of youth foster care leavers in Makanda town, Eastern Cape, South Africa
- Maselana, Tembisa https://orcid.org/ 0000-0001-6959-0895
- Authors: Maselana, Tembisa https://orcid.org/ 0000-0001-6959-0895
- Date: 2021-11
- Subjects: Foster children -- Services for , Foster home care
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22368 , vital:52031
- Description: This study sought to explore the experiences of foster care youth who had exited the system within a period of three years in Makhanda Town, Eastern Cape. The coping mechanisms employed by foster care youth after exiting the system, and the policies, legislations and support services available were explored. The study adopted a qualitative research method. Non-probability sampling was employed to recruit 23 foster care youth who had exited the system within three years in Makhanda Town. In addition, 6 professionals dealing with statutory cases, three (3) foster parents and one (1) key informant were selected. Data was collected through the use of face-to-face semistructured individual interviews with foster care youth who had exited the system. The focus group discussion was held with professionals dealing with statutory cases and the ward councillor. The researcher analysed the data thematically. The study findings revealed that long term and comprehensive planning was important so as to provide a consistent and all round support to the fostered youth during the pre and post foster care phases. It was established that for most foster care children, the lack of a complete plan affects their transition from their biological home through the foster care system. Consequently, they come out more vulnerable than when there were initially placed in foster care. The study highlighted the serious need for training and job placement for the youths, a structure that is currently non-existent. The study recommended that the Department of Social Development (DSD) should make it compulsory for statutory social workers within the foster care domain to come up with individualized and personalized plans that outline the needs and deliverables for each child placed in the foster care system. Importantly, DSD must create a framework that is endorsed and accepted by all stakeholders so as to achieve the best interest of the child in all situations. Furthermore, the study recommends that DSD should employ more social workers to address the current human resources shortages in foster care units. Lastly, the study recommends restructuring of placement system to be less paper-work for effective and efficient, integrity, and quality of the service provision. , Thesis (MSW) -- Faculty of Social Sciences and Humanities, 2021
- Full Text:
- Date Issued: 2021-11
- Authors: Maselana, Tembisa https://orcid.org/ 0000-0001-6959-0895
- Date: 2021-11
- Subjects: Foster children -- Services for , Foster home care
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22368 , vital:52031
- Description: This study sought to explore the experiences of foster care youth who had exited the system within a period of three years in Makhanda Town, Eastern Cape. The coping mechanisms employed by foster care youth after exiting the system, and the policies, legislations and support services available were explored. The study adopted a qualitative research method. Non-probability sampling was employed to recruit 23 foster care youth who had exited the system within three years in Makhanda Town. In addition, 6 professionals dealing with statutory cases, three (3) foster parents and one (1) key informant were selected. Data was collected through the use of face-to-face semistructured individual interviews with foster care youth who had exited the system. The focus group discussion was held with professionals dealing with statutory cases and the ward councillor. The researcher analysed the data thematically. The study findings revealed that long term and comprehensive planning was important so as to provide a consistent and all round support to the fostered youth during the pre and post foster care phases. It was established that for most foster care children, the lack of a complete plan affects their transition from their biological home through the foster care system. Consequently, they come out more vulnerable than when there were initially placed in foster care. The study highlighted the serious need for training and job placement for the youths, a structure that is currently non-existent. The study recommended that the Department of Social Development (DSD) should make it compulsory for statutory social workers within the foster care domain to come up with individualized and personalized plans that outline the needs and deliverables for each child placed in the foster care system. Importantly, DSD must create a framework that is endorsed and accepted by all stakeholders so as to achieve the best interest of the child in all situations. Furthermore, the study recommends that DSD should employ more social workers to address the current human resources shortages in foster care units. Lastly, the study recommends restructuring of placement system to be less paper-work for effective and efficient, integrity, and quality of the service provision. , Thesis (MSW) -- Faculty of Social Sciences and Humanities, 2021
- Full Text:
- Date Issued: 2021-11
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