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
- Full Text:
- Date Issued: 2022-09
- 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
- Full Text:
- Date Issued: 2022-09
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
- Full Text:
- Date Issued: 2022-09
- 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
- Full Text:
- Date Issued: 2022-09
Sustainability challenges of community newspapers: The case study of iDike-Lethu Community Newspaper
- 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
- Full Text:
- Date Issued: 2022-09
Sustainability challenges of community newspapers: The case study of iDike-Lethu Community Newspaper
- 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
- Full Text:
- Date Issued: 2022-09
Exploring the perceptions and attitudes of University of Fort Hare students towards seeking psychological counselling services
- 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
- Full Text:
- Date Issued: 2022-09
- 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
- Full Text:
- Date Issued: 2022-09
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