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
- Full Text:
- Date Issued: 2022-07
- 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
- Full Text:
- Date Issued: 2022-07
Infant feeding knowledge, attitudes and practices of mothers in private health facilities in Alice town, Eastern Cape, South Africa
- 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
- Full Text:
- Date Issued: 2022-07
- 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
- Full Text:
- Date Issued: 2022-07
Investigation of risky sexual behaviour amongst HIV/AIDS positive individuals on antiretroviral treatment in Buffalo City Metropolitan Municipality Eastern Cape Province, South Africa
- 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
- Full Text:
- Date Issued: 2022-07
- 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
- Full Text:
- Date Issued: 2022-07
Outcomes-based participatory gender planning and budgeting in South African local government context: a case of selected municipalities in the Eastern Cape Province
- 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
- Full Text:
- Date Issued: 2022-07
- 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
- Full Text:
- Date Issued: 2022-07
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