Experiences of midwives regarding the use of pharmacological and non-pharmacological labour pain interventions in Lejweleputswa District in Free State
- Parkies, Limakatso Elizabeth
- Authors: Parkies, Limakatso Elizabeth
- Date: 2022-03
- Subjects: Pharmacology , Anesthesia in obstetrics
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23567 , vital:58166
- Description: Due to the disabling effects of severe labour pains, labour pain management remains an important topic in midwifery and needs to be reviewed more often. According to studies, various pain relief options, both pharmacological and non-pharmacological, are available to help women cope with pain, but midwives did not employ these techniques adequately because of various experiences. Studies further indicate that, though the limited number of these techniques were employed they were not effective on some women. Thus, the purpose of this research study was to explore and describe midwives’ experiences on pharmacological and non-pharmacological labour pain management in the Lejweleputswa District of the Free State Province. This study employed a qualitative, descriptive, explorative, and contextual design. A purposive sampling technique was used to select the participants. The target population was midwives who work in the maternity wards of the institutions under study with three to five years’ experience in midwifery. Individual, face-face, semi-structured interviews were conducted; these were recorded for the researcher’s reference purposes, so as not to overlook important information. In addition, the researcher made use of field notes, recording in them what was heard, observed, felt, experienced, and thought during the interview. Ethical principles and trustworthiness were maintained throughout this study. Data analysis was done using Tesch’s approach to open coding in qualitative research. Confidentiality and anonymity were ensured throughout the interviews. The nine themes and 19 sub-themes that emerged during data analysis were discussed comprehensively. The findings indicate that midwives use both pharmacological and non-pharmacological methods in managing labour pain. Some methods are effective in relieving pain for certain mothers, while other methods proved ineffective. Midwives administer Pethidine and Phenergan as per doctors’ prescription; non-pharmacological methods, such as back massage, deep breathing exercises, mobilisation, and warm baths or showers are also employed. Midwives provide pharmacological methods to all women in labour, and routinely employ non- pharmacological methods. Although the midwives are willing to manage patients’ pain, they face certain challenges, such as shortage of staff, increased workload, as well as inadequate resources. This leads to inadequate provision of non-pharmacological care. In conclusion, the midwives’ experiences were that both pharmacological and non-pharmacological techniques were used for all labouring women and they had relaxing and calming effects on some women, resulting to them giving birth with ease, although for some they were not effective. In addition, the pharmacological interventions caused drowsiness to some women and babies. The findings will provide evidence-based information to the Free State Department of Health in order to assist policymakers and stakeholders in initiating and developing appropriate policies, guidelines, and interventions that can improve labour pain management. The Free State Department of Health should consider using other opioids and non-opioids in managing labour pain to broaden the scope of pain relief methods available to the midwives. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Parkies, Limakatso Elizabeth
- Date: 2022-03
- Subjects: Pharmacology , Anesthesia in obstetrics
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23567 , vital:58166
- Description: Due to the disabling effects of severe labour pains, labour pain management remains an important topic in midwifery and needs to be reviewed more often. According to studies, various pain relief options, both pharmacological and non-pharmacological, are available to help women cope with pain, but midwives did not employ these techniques adequately because of various experiences. Studies further indicate that, though the limited number of these techniques were employed they were not effective on some women. Thus, the purpose of this research study was to explore and describe midwives’ experiences on pharmacological and non-pharmacological labour pain management in the Lejweleputswa District of the Free State Province. This study employed a qualitative, descriptive, explorative, and contextual design. A purposive sampling technique was used to select the participants. The target population was midwives who work in the maternity wards of the institutions under study with three to five years’ experience in midwifery. Individual, face-face, semi-structured interviews were conducted; these were recorded for the researcher’s reference purposes, so as not to overlook important information. In addition, the researcher made use of field notes, recording in them what was heard, observed, felt, experienced, and thought during the interview. Ethical principles and trustworthiness were maintained throughout this study. Data analysis was done using Tesch’s approach to open coding in qualitative research. Confidentiality and anonymity were ensured throughout the interviews. The nine themes and 19 sub-themes that emerged during data analysis were discussed comprehensively. The findings indicate that midwives use both pharmacological and non-pharmacological methods in managing labour pain. Some methods are effective in relieving pain for certain mothers, while other methods proved ineffective. Midwives administer Pethidine and Phenergan as per doctors’ prescription; non-pharmacological methods, such as back massage, deep breathing exercises, mobilisation, and warm baths or showers are also employed. Midwives provide pharmacological methods to all women in labour, and routinely employ non- pharmacological methods. Although the midwives are willing to manage patients’ pain, they face certain challenges, such as shortage of staff, increased workload, as well as inadequate resources. This leads to inadequate provision of non-pharmacological care. In conclusion, the midwives’ experiences were that both pharmacological and non-pharmacological techniques were used for all labouring women and they had relaxing and calming effects on some women, resulting to them giving birth with ease, although for some they were not effective. In addition, the pharmacological interventions caused drowsiness to some women and babies. The findings will provide evidence-based information to the Free State Department of Health in order to assist policymakers and stakeholders in initiating and developing appropriate policies, guidelines, and interventions that can improve labour pain management. The Free State Department of Health should consider using other opioids and non-opioids in managing labour pain to broaden the scope of pain relief methods available to the midwives. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-03
Exploration of the factors influencing the upscaling of medical male circumcision targets in selected hospitals in eThekwini District, South Africa
- Authors: Tshabalala, Sandile Clement
- Date: 2022-03
- Subjects: Circumcision
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22005 , vital:51930
- Description: Medical male circumcision has been shown to reduce female to male HIV transmission. This study was designed to examine the underlying factors responsible for, or influencing, the inability of the health care system to achieve the MMC targets in selected hospitals in KZN. The objective of this study to was explore the challenges that lead to failure of the government to meet set targets, regarding the implementation of the MMC programme in the province of KZN, as perceived by the health care workers. Methodology A mixed quantitative and qualitative study where 150 questionnaires were used and in-depth open-ended interviews were conducted. Participants were from Clairwood and Wentworth hospitals in the district of eThekwini, KwaZulu-Natal. Eighteen healthcare workers (nurse managers, doctors, nurses and counsellors) were purposively selected from the two hospitals. Results Findings showed that poor marketing of MMC, in line with the cultural and religious inclination of the catchment populations, had an effect on the targets. The fear of pain by the male clients came out as the biggest factor followed by the fear of having an HIV test done. The six weeks healing period before indulgence in sexual intercourse had a part to play in the reluctance of clients to do MMC. Some clients feared losing the ability to have an erection post MMC and would therefore not come for MMC. Other contributory factors for failure to reach targets included shortage of staff, poor mobilisation by the staff due to lack of training on how to mobilise and how to market MMC, lack of availability of mobilisation and marketing resources, inadequate and inequitable allocated of resources. Other factors include, lack of incentives for staff to stay in the programme or even within the Department, lack of training, cultural and religious beliefs in the community. The staff also felt that the MMC targets were too high. Notwithstanding, the staff members were willing to learn how to market MMC and to mobilise clients. Clients and community education on the importance of MMC and the combination of this process with good sexual behaviour would improve MMC uptake and reduce HIV prevalence and the incidence. Conclusions The fear of pain, fear to do HIV test and the fear to loose erection were the most prominent reasons why the males would not come for MMC procedure. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Tshabalala, Sandile Clement
- Date: 2022-03
- Subjects: Circumcision
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22005 , vital:51930
- Description: Medical male circumcision has been shown to reduce female to male HIV transmission. This study was designed to examine the underlying factors responsible for, or influencing, the inability of the health care system to achieve the MMC targets in selected hospitals in KZN. The objective of this study to was explore the challenges that lead to failure of the government to meet set targets, regarding the implementation of the MMC programme in the province of KZN, as perceived by the health care workers. Methodology A mixed quantitative and qualitative study where 150 questionnaires were used and in-depth open-ended interviews were conducted. Participants were from Clairwood and Wentworth hospitals in the district of eThekwini, KwaZulu-Natal. Eighteen healthcare workers (nurse managers, doctors, nurses and counsellors) were purposively selected from the two hospitals. Results Findings showed that poor marketing of MMC, in line with the cultural and religious inclination of the catchment populations, had an effect on the targets. The fear of pain by the male clients came out as the biggest factor followed by the fear of having an HIV test done. The six weeks healing period before indulgence in sexual intercourse had a part to play in the reluctance of clients to do MMC. Some clients feared losing the ability to have an erection post MMC and would therefore not come for MMC. Other contributory factors for failure to reach targets included shortage of staff, poor mobilisation by the staff due to lack of training on how to mobilise and how to market MMC, lack of availability of mobilisation and marketing resources, inadequate and inequitable allocated of resources. Other factors include, lack of incentives for staff to stay in the programme or even within the Department, lack of training, cultural and religious beliefs in the community. The staff also felt that the MMC targets were too high. Notwithstanding, the staff members were willing to learn how to market MMC and to mobilise clients. Clients and community education on the importance of MMC and the combination of this process with good sexual behaviour would improve MMC uptake and reduce HIV prevalence and the incidence. Conclusions The fear of pain, fear to do HIV test and the fear to loose erection were the most prominent reasons why the males would not come for MMC procedure. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2022
- Full Text:
- Date Issued: 2022-03
Financing tools, firm life cycle and growth of small, medium and micro enterprises in selected sub-Sahara African economies
- Ngonisa, Phillip https://orcid.org/0000-0002-0145-9062
- Authors: Ngonisa, Phillip https://orcid.org/0000-0002-0145-9062
- Date: 2022-03
- Subjects: Small business -- Finance , Small business -- Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/21794 , vital:51754
- Description: Finance is of paramount importance for small, medium and micro enterprises’ (SMMEs) growth, without which many firms fail to move along their growth continuum. Against this background, the study sought to examine the growth effects of financing tools across the different phases of SMMEs' life cycle in Sub Sahara Africa (SSA) economies for the period spanning from 2003 to 2019. Firstly, due to the inherent heterogeneity nature of the SMMEs' financing landscapes across the world, the study starts by identifying the commonly used financing tools in the context of Sub-Saharan Africa. These were found to be internal finance, bank debt, trade credit, non-bank finance and informal finance, with internal finance being the most prevalent financing tool. The second aspect of the study was to examine the growth effects of the identified financing tools on SMMEs' performance in Sub Sahara Africa. In achieving this objective, several panel estimation techniques were employed, which are the feasible generalised least squares (FGLS), cross-sectional dependence (SCC), random effects model (REM) and pooled ordinary least squares (POLS). The empirical results show that internal finance or savings, bank financing, trade credit, non-bank financing and informal financing are positive and statistically significant in explaining SMMEs growth in the region, with stronger evidence for a positive relationship between external finance (trade credit and bank finance) on SMMEs growth in Sub-Saharan African region. The third objective of the study was to investigate the growth effects of SMMEs’ financing tools across different phases of the firm life cycle. The same panel techniques as used in achieving the previous objective were utilized again. The empirical findings show that the growth effects of SMME financing tools evolve as SMMEs move along their growth continuum, and only bank finance proved to be a fundamental variable for SMMEs growth throughout the different phases of firm growth. Finally, motivated by SMMEs’ high dependence on internal finance or savings, the study explored the saving practices of SMMEs in Sub Saharan Africa using thematic analysis. The study findings show that SMMEs in Sub Sahara African economies systematically save through formal and informal financial systems. These findings are contrary to conventional wisdom, which suggests that SMMEs are a financial basket case. Basing on the study findings, policies aimed at reducing or lessening the burden of accessing finance are important to stimulate the growth of SMMEs. Most importantly, there is a need for lenders and sponsors to understand the firm life cycle-financing tool nexus to ensure SMMEs growth. Moreover, SMMEs in Sub Sahara African economies need to cultivate a spirit of thrift to minimize firm attrition rate, thereby promoting SMMEs' growth in the region. , Thesis (PhD) -- Faculty of Management and Commerce, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Ngonisa, Phillip https://orcid.org/0000-0002-0145-9062
- Date: 2022-03
- Subjects: Small business -- Finance , Small business -- Africa
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/21794 , vital:51754
- Description: Finance is of paramount importance for small, medium and micro enterprises’ (SMMEs) growth, without which many firms fail to move along their growth continuum. Against this background, the study sought to examine the growth effects of financing tools across the different phases of SMMEs' life cycle in Sub Sahara Africa (SSA) economies for the period spanning from 2003 to 2019. Firstly, due to the inherent heterogeneity nature of the SMMEs' financing landscapes across the world, the study starts by identifying the commonly used financing tools in the context of Sub-Saharan Africa. These were found to be internal finance, bank debt, trade credit, non-bank finance and informal finance, with internal finance being the most prevalent financing tool. The second aspect of the study was to examine the growth effects of the identified financing tools on SMMEs' performance in Sub Sahara Africa. In achieving this objective, several panel estimation techniques were employed, which are the feasible generalised least squares (FGLS), cross-sectional dependence (SCC), random effects model (REM) and pooled ordinary least squares (POLS). The empirical results show that internal finance or savings, bank financing, trade credit, non-bank financing and informal financing are positive and statistically significant in explaining SMMEs growth in the region, with stronger evidence for a positive relationship between external finance (trade credit and bank finance) on SMMEs growth in Sub-Saharan African region. The third objective of the study was to investigate the growth effects of SMMEs’ financing tools across different phases of the firm life cycle. The same panel techniques as used in achieving the previous objective were utilized again. The empirical findings show that the growth effects of SMME financing tools evolve as SMMEs move along their growth continuum, and only bank finance proved to be a fundamental variable for SMMEs growth throughout the different phases of firm growth. Finally, motivated by SMMEs’ high dependence on internal finance or savings, the study explored the saving practices of SMMEs in Sub Saharan Africa using thematic analysis. The study findings show that SMMEs in Sub Sahara African economies systematically save through formal and informal financial systems. These findings are contrary to conventional wisdom, which suggests that SMMEs are a financial basket case. Basing on the study findings, policies aimed at reducing or lessening the burden of accessing finance are important to stimulate the growth of SMMEs. Most importantly, there is a need for lenders and sponsors to understand the firm life cycle-financing tool nexus to ensure SMMEs growth. Moreover, SMMEs in Sub Sahara African economies need to cultivate a spirit of thrift to minimize firm attrition rate, thereby promoting SMMEs' growth in the region. , Thesis (PhD) -- Faculty of Management and Commerce, 2022
- Full Text:
- Date Issued: 2022-03
Organophosphate flame retardant’s signatures in the Buffalo River Estuary and their removal using modified cyclodextrins
- Authors: Bika, Sinozuko Hope
- Date: 2022-03
- Subjects: Water purification chemicals industry , Organic water pollutants , Rivers
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27500 , vital:67363
- Description: The increasing scarcity of fresh and clean water in many places around the world is a major concern. Water is a basic need that must be availed to humans, plants and animals at any given time. It is a requirement that each human on earth should get between 20-50 L of fresh, clean and pure water a day. It is very difficult to keep up with this need due to drastic increase in global pollution by emerging contaminants. The increase is due to human activities, modern way of life, industrialization and improper disposal of materials that contain these OPFRs. Organophosphate flame retardants OPFRs are the organic pollutants considered in this study. OPFRs are semi volatile compounds SVOCs that are used in many industries as flame retardants and additives. They were developed because of environmental and health concerns of previously used brominated and chlorinated flame retardants FRs. They show acute toxicity and exhibit adverse effects such as neurotoxicity, they are also carcinogenic to humans and animals. In recent years, some researchers have started investigating the occurrence and distribution of OPFRs in South African rivers. The aim of this study was to identify signatures of OPFRs in the aquatic environment of Buffalo River Estuary, and soil from a nearby dumpsite: and to develop a method for their removal using modified cyclodextrins. In this study, the concentration of OPFRs were investigated in sediments and soil samples collected from Buffalo River Estuary. This estuary is located close to a major port in East London city in the Eastern Cape Province, South Africa. Collection of samples was done across two seasons i.e. winter and spring. OPFRs in sediment and soil samples in this study were extracted using ultrasonic extraction method. Solid-phase extraction SPE was employed for the cleanup of the extracts, in order to reduce potential matrix interference and also for sample purification. The congeners of interest in this study were Tris 2-Choroethyl phosphate TCEP and Tris 1,3-Dicloro-2-propyl phosphate (TDCP). Samples were air dried immediately on arrival at the laboratory after being stored in an ice chest at 4 ℃ and further processed for further analysis.The concentrations of OPFRs were determined using GC-μECD (gas chromatograph coupled with micro electron capture detector) from soil and sediments in that area and they were found high in winter compared to spring owing to high level of discharge of industrial and domestic waste into the aquatic system and also the nearby dumpsite. The total concentrationof OPFRs Ʃ 2OPFRs for sediments and soil for both seasons was 39935±7619 μg/g and 10376±601 μg/g, respectively. The dominant congener in the Buffalo River Estuary was TCEP. The ecological risk assessment was estimated for the study area, and TCEP moderate risk while TDCP presented low risk. From this study, it could be inferred that the Buffalo River Estuary and the nearby dumpsite in East London are polluted by emerging pollutants i.e. OPFRs. Hence, strict control measures should be put in place to monitor all activities contributing to such magnitude of pollution in the estuary, which is of great economic value to the country. Furthermore in this study, an insoluble and hydrophilic polymer EDTA-Cysteine-β-Cyclodextrin was prepared and synthesized for the remediation of OPFRs in soil and sediments. This newly developed method was tested for the removal of TDCP an OPFR congener and it was successful with an average removal rate of 77.49 percent. , Thesis (MSci) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Bika, Sinozuko Hope
- Date: 2022-03
- Subjects: Water purification chemicals industry , Organic water pollutants , Rivers
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27500 , vital:67363
- Description: The increasing scarcity of fresh and clean water in many places around the world is a major concern. Water is a basic need that must be availed to humans, plants and animals at any given time. It is a requirement that each human on earth should get between 20-50 L of fresh, clean and pure water a day. It is very difficult to keep up with this need due to drastic increase in global pollution by emerging contaminants. The increase is due to human activities, modern way of life, industrialization and improper disposal of materials that contain these OPFRs. Organophosphate flame retardants OPFRs are the organic pollutants considered in this study. OPFRs are semi volatile compounds SVOCs that are used in many industries as flame retardants and additives. They were developed because of environmental and health concerns of previously used brominated and chlorinated flame retardants FRs. They show acute toxicity and exhibit adverse effects such as neurotoxicity, they are also carcinogenic to humans and animals. In recent years, some researchers have started investigating the occurrence and distribution of OPFRs in South African rivers. The aim of this study was to identify signatures of OPFRs in the aquatic environment of Buffalo River Estuary, and soil from a nearby dumpsite: and to develop a method for their removal using modified cyclodextrins. In this study, the concentration of OPFRs were investigated in sediments and soil samples collected from Buffalo River Estuary. This estuary is located close to a major port in East London city in the Eastern Cape Province, South Africa. Collection of samples was done across two seasons i.e. winter and spring. OPFRs in sediment and soil samples in this study were extracted using ultrasonic extraction method. Solid-phase extraction SPE was employed for the cleanup of the extracts, in order to reduce potential matrix interference and also for sample purification. The congeners of interest in this study were Tris 2-Choroethyl phosphate TCEP and Tris 1,3-Dicloro-2-propyl phosphate (TDCP). Samples were air dried immediately on arrival at the laboratory after being stored in an ice chest at 4 ℃ and further processed for further analysis.The concentrations of OPFRs were determined using GC-μECD (gas chromatograph coupled with micro electron capture detector) from soil and sediments in that area and they were found high in winter compared to spring owing to high level of discharge of industrial and domestic waste into the aquatic system and also the nearby dumpsite. The total concentrationof OPFRs Ʃ 2OPFRs for sediments and soil for both seasons was 39935±7619 μg/g and 10376±601 μg/g, respectively. The dominant congener in the Buffalo River Estuary was TCEP. The ecological risk assessment was estimated for the study area, and TCEP moderate risk while TDCP presented low risk. From this study, it could be inferred that the Buffalo River Estuary and the nearby dumpsite in East London are polluted by emerging pollutants i.e. OPFRs. Hence, strict control measures should be put in place to monitor all activities contributing to such magnitude of pollution in the estuary, which is of great economic value to the country. Furthermore in this study, an insoluble and hydrophilic polymer EDTA-Cysteine-β-Cyclodextrin was prepared and synthesized for the remediation of OPFRs in soil and sediments. This newly developed method was tested for the removal of TDCP an OPFR congener and it was successful with an average removal rate of 77.49 percent. , Thesis (MSci) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-03
Perceptions and determinants of genetically modified (GM) maize production among rural households: The case of Ngqushwa Local Municipality, South Africa
- Zamisa, Owethu https://orcid.org/0000-0002-7303-4469
- Authors: Zamisa, Owethu https://orcid.org/0000-0002-7303-4469
- Date: 2022-03
- Subjects: Genetically modified foods , Agricultural biotechnology , Sustainable agriculture -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22479 , vital:52343
- Description: Rural South Africa is faced with immense challenges including poverty, unemployment, low agriculture productivity, food and nutritional insecurity and inequalities. Against this background, enhancing rural agricultural productivity using proven technologies such as genetically modified (GM) maize production is suggested as a pathway to economic development and poverty reduction. Literature suggests that GM technology can increase crop yields, drought tolerance, reduced weeding labour costs and chemical spray costs. However, GM maize varieties available on the market currently were created to fit large-scale, capital-intensive, industrialised, and economically oriented agricultural systems. As a result, their uptake has been significantly slow especially in rural areas where several stakeholders are now questioning the potential of GM technology. With that background, this study aimed to understand determinants of gm maize production among rural farming households and their perceptions using the case of Ngqushwa Local Municipality. Specifically, the study sought to analyse types of maize varieties grown by rural households, associated yields, area allocation, rural households’ perceptions of GM maize, and to estimate factors that influence GM maize awareness, participation and intensity of production among this subsector. Using a cross-sectional survey research design, a sample size of 400 households was randomly selected and interviewed using a semi-structured questionnaire. The types of maize varieties grown by rural households, associated yields, area allocation and rural households’ perceptions of GM maize were analysed using descriptive statistics. Factors that influence GM maize awareness, participation, and intensity of production were estimated using a triple hurdle model where the 1st and 2nd hurdle were estimated using Probit regression, and 3rd hurdle a Tobit regression. The study revealed that landrace maize varieties are currently the most popular maize varieties grown by the majority of rural farming households from the study area producing higher yields (0.6t/ha) as compared to other hybrids (GM – 0.5t/ha, conventional hybrids -0.3t/ha and improved OPVs – 0.1t/ha). Descriptive statistics results also indicated that farming households from the study area allocated more land to landrace maize varieties (42percent) compared to other maize varieties (GM maize (30percent), hybrids (21percent) and improved OPVs (7percent) further supporting the notion that landrace maize varieties dominate the rural farming subsector. Perception results revealed that the majority (57percent) of the households perceived GM maize as an expensive variety which, however, has a potential to produce relatively higher yields than other hybrids on the market and eliminates several production problems (manual weeding, pest spraying) making farm management easier. Findings further indicate that the majority (52percent) of the farming households from the study area did not have sufficient knowledge of GM maize. Econometrics results revealed that GM maize awareness is negatively influenced by age and gender and positively influenced by marital status, employment status and number of years in school. Conditional on awareness of GM maize varieties, both participation and intensity of participation in GM maize production are positively influenced by land size, gender, group membership, size of arable land and negatively influenced by employment status and income. Against this background, the study concludes that farming households from the study area produced more compared to the other varieties. Furthermore, the study concludes that households get higher yields from landrace maize varieties and allocate more of their land to landrace maize production. In addition, the study also concludes that most rural farmers perceive participation in GM maize as beneficial especially towards elimination of farm management problems, produces higher yields, and makes farm management easier. Lastly, the study concludes that GM maize awareness is negatively influenced by age and gender and positively influenced by marital status, employment status and number of years in school. Both participation and intensity of participation in GM maize production are positively influenced by land size, gender, group membership, arable land and negatively influenced by employment status and income. The study recommends that priority should be given to these socio-economic and institutional factors and this may be addressed by targeting GM maize awareness campaigns and platforms more suited to female-headed, older, lowly educated and unemployed rural farming households. , Thesis (MSc) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Zamisa, Owethu https://orcid.org/0000-0002-7303-4469
- Date: 2022-03
- Subjects: Genetically modified foods , Agricultural biotechnology , Sustainable agriculture -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22479 , vital:52343
- Description: Rural South Africa is faced with immense challenges including poverty, unemployment, low agriculture productivity, food and nutritional insecurity and inequalities. Against this background, enhancing rural agricultural productivity using proven technologies such as genetically modified (GM) maize production is suggested as a pathway to economic development and poverty reduction. Literature suggests that GM technology can increase crop yields, drought tolerance, reduced weeding labour costs and chemical spray costs. However, GM maize varieties available on the market currently were created to fit large-scale, capital-intensive, industrialised, and economically oriented agricultural systems. As a result, their uptake has been significantly slow especially in rural areas where several stakeholders are now questioning the potential of GM technology. With that background, this study aimed to understand determinants of gm maize production among rural farming households and their perceptions using the case of Ngqushwa Local Municipality. Specifically, the study sought to analyse types of maize varieties grown by rural households, associated yields, area allocation, rural households’ perceptions of GM maize, and to estimate factors that influence GM maize awareness, participation and intensity of production among this subsector. Using a cross-sectional survey research design, a sample size of 400 households was randomly selected and interviewed using a semi-structured questionnaire. The types of maize varieties grown by rural households, associated yields, area allocation and rural households’ perceptions of GM maize were analysed using descriptive statistics. Factors that influence GM maize awareness, participation, and intensity of production were estimated using a triple hurdle model where the 1st and 2nd hurdle were estimated using Probit regression, and 3rd hurdle a Tobit regression. The study revealed that landrace maize varieties are currently the most popular maize varieties grown by the majority of rural farming households from the study area producing higher yields (0.6t/ha) as compared to other hybrids (GM – 0.5t/ha, conventional hybrids -0.3t/ha and improved OPVs – 0.1t/ha). Descriptive statistics results also indicated that farming households from the study area allocated more land to landrace maize varieties (42percent) compared to other maize varieties (GM maize (30percent), hybrids (21percent) and improved OPVs (7percent) further supporting the notion that landrace maize varieties dominate the rural farming subsector. Perception results revealed that the majority (57percent) of the households perceived GM maize as an expensive variety which, however, has a potential to produce relatively higher yields than other hybrids on the market and eliminates several production problems (manual weeding, pest spraying) making farm management easier. Findings further indicate that the majority (52percent) of the farming households from the study area did not have sufficient knowledge of GM maize. Econometrics results revealed that GM maize awareness is negatively influenced by age and gender and positively influenced by marital status, employment status and number of years in school. Conditional on awareness of GM maize varieties, both participation and intensity of participation in GM maize production are positively influenced by land size, gender, group membership, size of arable land and negatively influenced by employment status and income. Against this background, the study concludes that farming households from the study area produced more compared to the other varieties. Furthermore, the study concludes that households get higher yields from landrace maize varieties and allocate more of their land to landrace maize production. In addition, the study also concludes that most rural farmers perceive participation in GM maize as beneficial especially towards elimination of farm management problems, produces higher yields, and makes farm management easier. Lastly, the study concludes that GM maize awareness is negatively influenced by age and gender and positively influenced by marital status, employment status and number of years in school. Both participation and intensity of participation in GM maize production are positively influenced by land size, gender, group membership, arable land and negatively influenced by employment status and income. The study recommends that priority should be given to these socio-economic and institutional factors and this may be addressed by targeting GM maize awareness campaigns and platforms more suited to female-headed, older, lowly educated and unemployed rural farming households. , Thesis (MSc) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-03
Synthesis and evaluation of pyrene grafted onto zinc oxide nanoparticles for the removal of organic contaminants from wastewater
- Authors: Samuel, Zipho
- Date: 2022-03
- Subjects: Land treatment of wastewater , Zinc oxide , Water pollution control industry
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27754 , vital:69407
- Description: Drinking water scarcity is a global crisis even though water covers about three quarters of the earth. One of the major causes of this scarcity is water pollution, which is a result of human activities. This has been noticed and reported for a number of years but is still unsolved and intensifying. Hence, scientists are busy trying to find solutions to this global menace. In this study, zinc oxide nanoparticles were synthesised via co-precipitation, a cost reasonable method and functionalized by grafting a pyrene ligand on its surface in order to provide a scaffold to which many other functionalities can be adsorbed. By so doing, the efficiency and capacity of bare nanoparticles is improved. The synthesised pyrene ligand was successfully characterised with nuclear magnetic resonance (NMR) and Fourier transform infrared spectroscope (FTIR). The adsorbent was characterized using X-ray diffractometer (XRD), scanning electron microscope (SEM), transmission electron microscope (TEM), FTIR, energy dispersive x-ray (EDX) and thermogravimetric analyzer (TGA). The choice of zinc oxide nanoparticles as preferred adsorbent was due to their exceptional properties including large surface area, thermal and chemical stabilities. These properties are the reason zinc oxide nanoparticles possess high adsorption efficiency and capacity. The results of characterization indicated a decreased particle size and improved thermal stabilities of the pyrene grafted zinc oxide nanoparticles compared to the zinc oxide nanoparticles, showing that this material can be employed even at higher temperatures. The average particle size of the bare nanoparticles decreased from 290 to 181 nm after functionalization. Thermal stability increased from 550oC in the bare nanoparticles to 650oC in the functionalized nanoparticles. Characteristic reflections of zinc oxide nanoparticles in the XRD analysis were maintained even after functionalization However, diffractogram roughness was noticed for the functionalized nanoparticles due to the introduction of the amorphous layer from the ligand. This novel material was employed for the removal of an herbicide, simazine as well as two dyes, methyl violet and brilliant green from aqueous solutions by batch adsorption experiments. The kinetics and isotherm studies of the different adsorption processes were carried out by using three of the commonly used kinetic and isotherm models (pseudo-first order, intraparticle diffusion and pseudo-second order) and (Langmuir, Temkin isotherms and Freundlich) respectively. From all batch adsorption experiments conducted for simazine removal, the adsorbent showed effectiveness and high adsorption capacity for the removal of simazine. The highest observed efficiency and capacity were 71.3 percent and 137 mg/g respectively at pH equals 2, time equals 60 minutes, adsorbent dose equals 20 mg and adsorbate conc equals 0. 281 mg/L. Kinetics study for the adsorption of simazine favoured pseudo-first order. However, Langmuir isotherm could also be applicable to understand the adsorption process. The material also showed reusability potential of up to three cycles for this contaminant indicating that this material can be re-used. In the case of the removal of methyl violet from aqueous solution, the adsorbent showed a reasonable adsorption maximum capacity (qmax) (31.5 mg/g) at contact time equals 360 min, adsorbent dose approximately equals 40 mg, temperature equals 20 plus 2oC and pH equals 6.5, when compared to other adsorbents previously reported for the removal of methyl violet (MV) in literature. Kinetics and isotherm studies indicated that the process for the removal of this pollutant with this pyrene grafted onto zinc oxide nanoparticles proceeded via pseudo-first order (R2 equals 0.931) and Langmuir isotherm models (R2 equals 0.980) respectively. These results indicated that this material could serve as alternate material to already established materials for the removal of recalcitrant organic pollutants from aqueous solutions. Moreover, the adsorbent also showed reusability potential for this contaminant. Similarly, the adsorbent showed high removal efficiency and capacity in all batch adsorption experiments for brilliant green (BG) adsorption. The highest adsorption efficiency of 88.8 percent was accomplished with 79.8 mg at pH 6.50 and temperature of 20 equals 2oC within 360 minutes. BG adsorption rate mechanism was best explained by the pseudo-first order kinetic model (R2 equals 0.903). Dye adsorption behaviour was best explained using Langmuir isotherm (R2 equals 0.980). Reusability of the adsorbent showed that the adsorbent is efficient after three runs. The overall results of adsorption by a way of comparison of the adsorption capacity of this novel material with respect to the contaminants is in this trend: brilliant green greater methyl violet greater simazine. This study indicates that this novel material can serve as new material for the removal of herbicides and dyes as well as vast variety of pollutants from wastewater considering its high adsorption efficiency and its recyclability. Thus, industries can explore the use of this material for the removal of varying pollutants from wastewater. , Thesis (MSc) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Samuel, Zipho
- Date: 2022-03
- Subjects: Land treatment of wastewater , Zinc oxide , Water pollution control industry
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/27754 , vital:69407
- Description: Drinking water scarcity is a global crisis even though water covers about three quarters of the earth. One of the major causes of this scarcity is water pollution, which is a result of human activities. This has been noticed and reported for a number of years but is still unsolved and intensifying. Hence, scientists are busy trying to find solutions to this global menace. In this study, zinc oxide nanoparticles were synthesised via co-precipitation, a cost reasonable method and functionalized by grafting a pyrene ligand on its surface in order to provide a scaffold to which many other functionalities can be adsorbed. By so doing, the efficiency and capacity of bare nanoparticles is improved. The synthesised pyrene ligand was successfully characterised with nuclear magnetic resonance (NMR) and Fourier transform infrared spectroscope (FTIR). The adsorbent was characterized using X-ray diffractometer (XRD), scanning electron microscope (SEM), transmission electron microscope (TEM), FTIR, energy dispersive x-ray (EDX) and thermogravimetric analyzer (TGA). The choice of zinc oxide nanoparticles as preferred adsorbent was due to their exceptional properties including large surface area, thermal and chemical stabilities. These properties are the reason zinc oxide nanoparticles possess high adsorption efficiency and capacity. The results of characterization indicated a decreased particle size and improved thermal stabilities of the pyrene grafted zinc oxide nanoparticles compared to the zinc oxide nanoparticles, showing that this material can be employed even at higher temperatures. The average particle size of the bare nanoparticles decreased from 290 to 181 nm after functionalization. Thermal stability increased from 550oC in the bare nanoparticles to 650oC in the functionalized nanoparticles. Characteristic reflections of zinc oxide nanoparticles in the XRD analysis were maintained even after functionalization However, diffractogram roughness was noticed for the functionalized nanoparticles due to the introduction of the amorphous layer from the ligand. This novel material was employed for the removal of an herbicide, simazine as well as two dyes, methyl violet and brilliant green from aqueous solutions by batch adsorption experiments. The kinetics and isotherm studies of the different adsorption processes were carried out by using three of the commonly used kinetic and isotherm models (pseudo-first order, intraparticle diffusion and pseudo-second order) and (Langmuir, Temkin isotherms and Freundlich) respectively. From all batch adsorption experiments conducted for simazine removal, the adsorbent showed effectiveness and high adsorption capacity for the removal of simazine. The highest observed efficiency and capacity were 71.3 percent and 137 mg/g respectively at pH equals 2, time equals 60 minutes, adsorbent dose equals 20 mg and adsorbate conc equals 0. 281 mg/L. Kinetics study for the adsorption of simazine favoured pseudo-first order. However, Langmuir isotherm could also be applicable to understand the adsorption process. The material also showed reusability potential of up to three cycles for this contaminant indicating that this material can be re-used. In the case of the removal of methyl violet from aqueous solution, the adsorbent showed a reasonable adsorption maximum capacity (qmax) (31.5 mg/g) at contact time equals 360 min, adsorbent dose approximately equals 40 mg, temperature equals 20 plus 2oC and pH equals 6.5, when compared to other adsorbents previously reported for the removal of methyl violet (MV) in literature. Kinetics and isotherm studies indicated that the process for the removal of this pollutant with this pyrene grafted onto zinc oxide nanoparticles proceeded via pseudo-first order (R2 equals 0.931) and Langmuir isotherm models (R2 equals 0.980) respectively. These results indicated that this material could serve as alternate material to already established materials for the removal of recalcitrant organic pollutants from aqueous solutions. Moreover, the adsorbent also showed reusability potential for this contaminant. Similarly, the adsorbent showed high removal efficiency and capacity in all batch adsorption experiments for brilliant green (BG) adsorption. The highest adsorption efficiency of 88.8 percent was accomplished with 79.8 mg at pH 6.50 and temperature of 20 equals 2oC within 360 minutes. BG adsorption rate mechanism was best explained by the pseudo-first order kinetic model (R2 equals 0.903). Dye adsorption behaviour was best explained using Langmuir isotherm (R2 equals 0.980). Reusability of the adsorbent showed that the adsorbent is efficient after three runs. The overall results of adsorption by a way of comparison of the adsorption capacity of this novel material with respect to the contaminants is in this trend: brilliant green greater methyl violet greater simazine. This study indicates that this novel material can serve as new material for the removal of herbicides and dyes as well as vast variety of pollutants from wastewater considering its high adsorption efficiency and its recyclability. Thus, industries can explore the use of this material for the removal of varying pollutants from wastewater. , Thesis (MSc) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-03
The contribution of efficient financial management on public health service delivery at King Cetshwayo District in KwaZulu Natal
- Authors: Msane, Sihlesabambo Londiwe
- Date: 2022-03
- Subjects: Public health -- Finance
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21882 , vital:51839
- Description: The aim of this research is to develop strategies that the DOH could put into place to improve its internal controls in financial management in order to contribute towards service delivery at Ngwelezane, Queen Nandi and Eshowe hospitals within King Cetshwayo District. The study used a mix of qualitative and quantitative study methods, however using one research instrument to collect both qualitative and quantitative data from 37 financial managers in these three hospitals. Data analysis using content analysis (of qualitative data) and percentage frequency analysis (of quantitative date) yielded study findings. This study found that financial managers are fairly competent regarding ‘effective communication’, ‘team work’, and ‘financial leadership’; the study results did not show respondents’ clear comprehension of Auditor General findings and processes followed to implement the recommendations in order to assess internal controls; and findings also indicate that financial managers meet objectives of financial management through cash flow, budget forecasts and expenditure. Developing a framework that will guide and monitor the application of financial strategies with the aim of improving service delivery will involve enhancing financial managers’ knowledge of District and Institution Service Delivery Plans, allocating resources properly and efficiently during the budgeting exercise, establishing internal strategies to maximise accountability and transparency, having fraud prevention strategies in these institution, and putting measures in place to be able to forecast budgetary adverse. It is recommended that the Executive Management facilitates strategic break-away sessions for the financial managers to workshop them on practical ways to improve the efficiency of financial management on public health service delivery, as outlined in this study. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Msane, Sihlesabambo Londiwe
- Date: 2022-03
- Subjects: Public health -- Finance
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21882 , vital:51839
- Description: The aim of this research is to develop strategies that the DOH could put into place to improve its internal controls in financial management in order to contribute towards service delivery at Ngwelezane, Queen Nandi and Eshowe hospitals within King Cetshwayo District. The study used a mix of qualitative and quantitative study methods, however using one research instrument to collect both qualitative and quantitative data from 37 financial managers in these three hospitals. Data analysis using content analysis (of qualitative data) and percentage frequency analysis (of quantitative date) yielded study findings. This study found that financial managers are fairly competent regarding ‘effective communication’, ‘team work’, and ‘financial leadership’; the study results did not show respondents’ clear comprehension of Auditor General findings and processes followed to implement the recommendations in order to assess internal controls; and findings also indicate that financial managers meet objectives of financial management through cash flow, budget forecasts and expenditure. Developing a framework that will guide and monitor the application of financial strategies with the aim of improving service delivery will involve enhancing financial managers’ knowledge of District and Institution Service Delivery Plans, allocating resources properly and efficiently during the budgeting exercise, establishing internal strategies to maximise accountability and transparency, having fraud prevention strategies in these institution, and putting measures in place to be able to forecast budgetary adverse. It is recommended that the Executive Management facilitates strategic break-away sessions for the financial managers to workshop them on practical ways to improve the efficiency of financial management on public health service delivery, as outlined in this study. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-03
The implementation of new public management principles towards effective service delivery in the Eastern Cape government
- Authors: Gwavu, Luzuko
- Date: 2022-03
- Subjects: Performance--Management. , Public administration. , Performance--Evaluation.
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21903 , vital:51841
- Description: New Public Management (NPM) is a new paradigm of public administration which highlights the failures and inadequacies of the public sector performance over time. NPM was developed in order to enhance performance and service delivery within the public sector through adopting principles of the public sector. The nature and process of the activities within the public sector and the traditional public administration have been seen as problematic. As such, the birth of NPM is grounded in the need to offer more efficient mechanisms for service delivery. This study aimed at assessing the implementation of NPM principles towards effective service delivery within the Eastern Cape government. The study was underpinned by the New Public Management Approach. A qualitative desktop review was adopted to find answers to research questions of the study. The data was evaluated qualitatively through thematic analysis. The study findings reveal that the Eastern Cape government is making strides to effectively implement NPM principles towards improving service delivery. The implemented principles are privatisation, managerialism, performance management, decentralisation and customer oriented. The effectiveness of strategies aimed at enhancing effective implementation of NPM principles for improved service delivery was also assessed. The findings show that the strategies are effective although there are some inherent issues that derail effective implementation. Poor reporting, corruption, poor management, shortage of trained managers and staff shortages were identified as challenges affecting effective implementation of NPM principles. The study recommends the need for effective implementation of anti-corruption policies as well as facilitating training and skills development. , Thesis (MPA) -- University of Fort Hare, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Gwavu, Luzuko
- Date: 2022-03
- Subjects: Performance--Management. , Public administration. , Performance--Evaluation.
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21903 , vital:51841
- Description: New Public Management (NPM) is a new paradigm of public administration which highlights the failures and inadequacies of the public sector performance over time. NPM was developed in order to enhance performance and service delivery within the public sector through adopting principles of the public sector. The nature and process of the activities within the public sector and the traditional public administration have been seen as problematic. As such, the birth of NPM is grounded in the need to offer more efficient mechanisms for service delivery. This study aimed at assessing the implementation of NPM principles towards effective service delivery within the Eastern Cape government. The study was underpinned by the New Public Management Approach. A qualitative desktop review was adopted to find answers to research questions of the study. The data was evaluated qualitatively through thematic analysis. The study findings reveal that the Eastern Cape government is making strides to effectively implement NPM principles towards improving service delivery. The implemented principles are privatisation, managerialism, performance management, decentralisation and customer oriented. The effectiveness of strategies aimed at enhancing effective implementation of NPM principles for improved service delivery was also assessed. The findings show that the strategies are effective although there are some inherent issues that derail effective implementation. Poor reporting, corruption, poor management, shortage of trained managers and staff shortages were identified as challenges affecting effective implementation of NPM principles. The study recommends the need for effective implementation of anti-corruption policies as well as facilitating training and skills development. , Thesis (MPA) -- University of Fort Hare, 2022
- Full Text:
- Date Issued: 2022-03
Threatened plant species in Vhembe Biosphere Reserve, Limpopo province, South Africa: Problems and prospects of conservation and utilization
- Ramarumo, Luambo Jeffrey https://orcid.org/0000-0002-2393-6982
- Authors: Ramarumo, Luambo Jeffrey https://orcid.org/0000-0002-2393-6982
- Date: 2022-03
- Subjects: Plants -- Extinction , Rare plants , Botany, Economic
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/22754 , vital:52738
- Description: Threatened plant species are those species that are vulnerable or at the risk of extinction. According to Version 3.1 of the International Union for Conservation of Nature (IUCN)’s Red List Categories and Criteria, the three categories of threat in order of increasing risk of extinction are: Vulnerable (VU), Endangered (EN) and Critically Endangered (CR). These species are oftenly protected by both national and international obligations. Scientific evidence suggests that threatened plants are disappearing at an alarming rate. The current expansion of agricultural land, urbanization, over-exploitation of biological resources, climate change and invasive alien species are regarded as major drivers of biodiversity loss and high rate of species extinction worldwide. Scientists and conservation managers are seeking to understand and monitor plant species that are likely to be on the verge of extinction. Monitoring of threatened plants can be better achieved through insights about indigenous knowledge dynamics associated with such species. Scientific scholars including botanists, ethnobotanists, conservationists and anthropologists, all share common interest about the use of indigenous knowledge for livelihoods, scientific and economic growth. As a result, there is a growing interest on indigenous knowledge researches, particularly involving utilization and conservation of plant species. Given the fact that recent scientific evidence suggests that such studies are lacking in South African Biosphere Reserves, as well as the fact that scientist and conservation managers are seeking to understand species likely to be on the verge of extinction risk. It is within this context that this study is aimed at investigating threatened plant species utilization, conservation statuses and distribution in the Vhembe Biosphere Reserve, Limpopo Province in South Africa. The hypothesis of this study states that traditional knowledge about utilization, distribution and conservation statuses of threatened plant species provide suggestions for appropriate conservation practices. Since the current study is ethnobotanical in nature that is focusing on human interactions with plants, the research methods used addressed multidisciplinary aspects and involved disciplinary integration. An integrated participatory research approach focusing on shared learning, forging collaborative relations with participants, analyzing and validating the shared knowledge was used to document ethnobotanical data within the study area. This research approach was selected as it is considered to be a quick and effective way of acquiring data associated with indigenous knowledge systems. To offset the elements of bias during data collection, the research technique was designed to accommodate core principles that interlinked participatory rural appraisal (PRA) and rapid rural appraisal (RRA). Furthermore, the integrated core principles of participatory rural appraisal and rapid rural appraisal were used with conventional methods such as field surveys and interviews using questionnaires. Therefore, ethnobotanical data were collected through interviews with 203 participants. The data associated with threatened plant’s population size were gathered through literal counting of individual plants as per the IUCN’s Red List Criteria. Data associated with the conservation statuses were gathered from both the South African National Biodiversity Institute and IUCN databases. A total of 13 useful threatened plants belonging to 12 families were recorded with their conservation statuses ranging from being Vulnerable to Critically Endangered. The majority of the threatened plant species (46.0percent) were used for medicinal purposes only, followed by species used for medicinal purposes and as ornamentals (23.0percent). The frequently cited useful threatened species with use values (UV) > 0.024, relative frequency citation (RFC) > 0.059 and fidelity level percentage (FLpercent) > 5.911percent, included Asparagus sekukuniensis, Bowiea volubilis, Brackenridgea zanguebarica, Ocotea bullata, Rhynchosia vendae, Siphonochilus aethiopicus and Warburgia salutaris. About 47.0percent of the recorded useful threatened plants were distributed in remote areas of the Thathe Vonḓo and its surroundings. Threatened plants with population size < 100 adult individuals constituted the majority (61.54percent). Birdlime-making plant species were also documented in the current study. A total of 12 birdlime-making plants belonging to six families were recorded, including threatened Huernia nouhuysii, which is categorized as Vulnerable in South Africa. Amongst the recorded families, Loranthaceae and Euphorbiaceae were categorized as the most frequently utilized families. Among the recorded species, six of them were reported to being used in the birdlime-making for the first time and these species include Euphorbia pulvinata (17.2percent), followed by Tapinanthus forbesii (8percent), Tapinanthus rubromarginatus (7.2percent), Erianthemum ngamicum (7.2percent), Englerophytum magalismon-tanum (3.6percent), Huernia nouhuysii (2.0percent), and Euphorbia tirucalli (0.8percent). Only three plant parts were utilized for birdlime-making. The milky latex was preferred plant part (58.3percent), followed by fruit (33.3percent) and root bark (8.4percent). Birdlime-making techniques involved crushing, which accounted for 55.7percent, followed by air blown (29.6percent) and boiling (14.7percent). Furthermore, the complementary contribution of birdlime toward human development included, being used for bird hunting or trapping small birds (45.8percent), adhesion (23.2percent), teeth cleaning (17.2percent) and roof-waterproofing (13.8percent). The indigenous conservation strategies employed by participants included harvesting of single lateral root per individual medicinal plant (15.3percent), medicinal and timber materials are only harvested during winter season (16.7percent), the use of moist soil to cover injured plant part after bark harvest (18.2percent), prohibit harvesting of and/ or from an injured plant (11.8percent), collection of dried or fallen plants for firewood (8.4percent), issuing of permits by traditional council through the chief or headman to allow collection of medicinal materials and timber (9.9percent), prohibit chopping down of medicinal plant species (13.8percent) and collection of some Critically Endangered plant species such as Brackenridgea zanguebarica and Siphonochilus aethiopicus during the night by authorized people only (5.9percent). The hypothesis which stated that traditional knowledge about utilization, distribution and conservation statuses of threatened plant species provide suggestions for appropriate conservation practices can therefore, not be rejected as there is room for further and more detailed ethnobotanical investigations that is focused on human interactions with threatened plant species. The data presented in this thesis could be used as baseline information for formulating new conservation strategies, monitoring and management plans of threatened plant species not only in the Vhembe Biosphere Reserve, but in other regions of South African. This study provided insights associated with ethnomedicinal uses of Asparagus sekukuniensis, Protea laetans and Encephalartos hirsutus. Results of this study could also stimulate interest in other scientific disciplines such as the phytochemistry, pharmacology, bioprocessing, conservation and anthropology involving documentation threatened plant species. , Thesis (PhD) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-03
- Authors: Ramarumo, Luambo Jeffrey https://orcid.org/0000-0002-2393-6982
- Date: 2022-03
- Subjects: Plants -- Extinction , Rare plants , Botany, Economic
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/22754 , vital:52738
- Description: Threatened plant species are those species that are vulnerable or at the risk of extinction. According to Version 3.1 of the International Union for Conservation of Nature (IUCN)’s Red List Categories and Criteria, the three categories of threat in order of increasing risk of extinction are: Vulnerable (VU), Endangered (EN) and Critically Endangered (CR). These species are oftenly protected by both national and international obligations. Scientific evidence suggests that threatened plants are disappearing at an alarming rate. The current expansion of agricultural land, urbanization, over-exploitation of biological resources, climate change and invasive alien species are regarded as major drivers of biodiversity loss and high rate of species extinction worldwide. Scientists and conservation managers are seeking to understand and monitor plant species that are likely to be on the verge of extinction. Monitoring of threatened plants can be better achieved through insights about indigenous knowledge dynamics associated with such species. Scientific scholars including botanists, ethnobotanists, conservationists and anthropologists, all share common interest about the use of indigenous knowledge for livelihoods, scientific and economic growth. As a result, there is a growing interest on indigenous knowledge researches, particularly involving utilization and conservation of plant species. Given the fact that recent scientific evidence suggests that such studies are lacking in South African Biosphere Reserves, as well as the fact that scientist and conservation managers are seeking to understand species likely to be on the verge of extinction risk. It is within this context that this study is aimed at investigating threatened plant species utilization, conservation statuses and distribution in the Vhembe Biosphere Reserve, Limpopo Province in South Africa. The hypothesis of this study states that traditional knowledge about utilization, distribution and conservation statuses of threatened plant species provide suggestions for appropriate conservation practices. Since the current study is ethnobotanical in nature that is focusing on human interactions with plants, the research methods used addressed multidisciplinary aspects and involved disciplinary integration. An integrated participatory research approach focusing on shared learning, forging collaborative relations with participants, analyzing and validating the shared knowledge was used to document ethnobotanical data within the study area. This research approach was selected as it is considered to be a quick and effective way of acquiring data associated with indigenous knowledge systems. To offset the elements of bias during data collection, the research technique was designed to accommodate core principles that interlinked participatory rural appraisal (PRA) and rapid rural appraisal (RRA). Furthermore, the integrated core principles of participatory rural appraisal and rapid rural appraisal were used with conventional methods such as field surveys and interviews using questionnaires. Therefore, ethnobotanical data were collected through interviews with 203 participants. The data associated with threatened plant’s population size were gathered through literal counting of individual plants as per the IUCN’s Red List Criteria. Data associated with the conservation statuses were gathered from both the South African National Biodiversity Institute and IUCN databases. A total of 13 useful threatened plants belonging to 12 families were recorded with their conservation statuses ranging from being Vulnerable to Critically Endangered. The majority of the threatened plant species (46.0percent) were used for medicinal purposes only, followed by species used for medicinal purposes and as ornamentals (23.0percent). The frequently cited useful threatened species with use values (UV) > 0.024, relative frequency citation (RFC) > 0.059 and fidelity level percentage (FLpercent) > 5.911percent, included Asparagus sekukuniensis, Bowiea volubilis, Brackenridgea zanguebarica, Ocotea bullata, Rhynchosia vendae, Siphonochilus aethiopicus and Warburgia salutaris. About 47.0percent of the recorded useful threatened plants were distributed in remote areas of the Thathe Vonḓo and its surroundings. Threatened plants with population size < 100 adult individuals constituted the majority (61.54percent). Birdlime-making plant species were also documented in the current study. A total of 12 birdlime-making plants belonging to six families were recorded, including threatened Huernia nouhuysii, which is categorized as Vulnerable in South Africa. Amongst the recorded families, Loranthaceae and Euphorbiaceae were categorized as the most frequently utilized families. Among the recorded species, six of them were reported to being used in the birdlime-making for the first time and these species include Euphorbia pulvinata (17.2percent), followed by Tapinanthus forbesii (8percent), Tapinanthus rubromarginatus (7.2percent), Erianthemum ngamicum (7.2percent), Englerophytum magalismon-tanum (3.6percent), Huernia nouhuysii (2.0percent), and Euphorbia tirucalli (0.8percent). Only three plant parts were utilized for birdlime-making. The milky latex was preferred plant part (58.3percent), followed by fruit (33.3percent) and root bark (8.4percent). Birdlime-making techniques involved crushing, which accounted for 55.7percent, followed by air blown (29.6percent) and boiling (14.7percent). Furthermore, the complementary contribution of birdlime toward human development included, being used for bird hunting or trapping small birds (45.8percent), adhesion (23.2percent), teeth cleaning (17.2percent) and roof-waterproofing (13.8percent). The indigenous conservation strategies employed by participants included harvesting of single lateral root per individual medicinal plant (15.3percent), medicinal and timber materials are only harvested during winter season (16.7percent), the use of moist soil to cover injured plant part after bark harvest (18.2percent), prohibit harvesting of and/ or from an injured plant (11.8percent), collection of dried or fallen plants for firewood (8.4percent), issuing of permits by traditional council through the chief or headman to allow collection of medicinal materials and timber (9.9percent), prohibit chopping down of medicinal plant species (13.8percent) and collection of some Critically Endangered plant species such as Brackenridgea zanguebarica and Siphonochilus aethiopicus during the night by authorized people only (5.9percent). The hypothesis which stated that traditional knowledge about utilization, distribution and conservation statuses of threatened plant species provide suggestions for appropriate conservation practices can therefore, not be rejected as there is room for further and more detailed ethnobotanical investigations that is focused on human interactions with threatened plant species. The data presented in this thesis could be used as baseline information for formulating new conservation strategies, monitoring and management plans of threatened plant species not only in the Vhembe Biosphere Reserve, but in other regions of South African. This study provided insights associated with ethnomedicinal uses of Asparagus sekukuniensis, Protea laetans and Encephalartos hirsutus. Results of this study could also stimulate interest in other scientific disciplines such as the phytochemistry, pharmacology, bioprocessing, conservation and anthropology involving documentation threatened plant species. , Thesis (PhD) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-03
Water governance and social equity in South Africa: a case study of Amathole District Municipality.
- Authors: Hutete, Clarity
- Date: 2022-03
- Subjects: Municipal water supply
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21931 , vital:51844
- Description: South Africa has reformed its water governance to remedy the prominent disparities in water service provision that resulted from the legacy of apartheid. However, despite the new policy reforms and strategies adopted, inequities in water governance remain prevalent. Those residing in marginalised and poor rural areas are the most vulnerable and highly affected by this phenomenon. While this has been attributed to several factors, such as fragmentation of the water sector and lack of capacity, among other reasons, an analysis of the literature revealed that the absence of a water governance framework for social equity is highly prevalent in the context of Amathole District Municipality (ADM) where the research was conducted. Hence, the study's main objective was to develop a water governance framework for social equity that can be utilised to advise councils and policymakers on the attainment of social equity by water service providers at the local level. The study utilised the constructivist research philosophy by adopting a qualitative case study research design and an inductive research approach to address the research questions. Focus group discussions, semi-structured interviews, participant observations and document analysis were used to collect data. A total sample of thirty-four (n=34) participants was purposefully selected; twenty participants (n=20) participated in semi-structured interviews, while fourteen (n=14) participants were engaged through focus group discussions. Findings obtained from the thematic data analysis utilised revealed that while human rights principles and social equity values underpin South Africa’s water reforms, Amathole District Municipality is yet to fully absorb these foundational concepts into its water governance. The study revealed that this is largely attributed to a lack of meaningful participation, limited transparency and accountability in the processes and procedures of the municipality. Results also revealed that persistent inequities still exist in Amathole District Municipality as reflected by the unequal distribution of water services, inconsistency in services provision, lack of transparency and established procedures to guarantee procedural fairness and limited impact on interventions specifically in rural areas. Furthermore, the study revealed that the municipality’s efforts to address water inequities are highly undermined by various economic, environmental, socio- economic, and institutional governance factors. Therefore, the study recommended a Water Governance Framework for Social Equity (WGFSE) and proffered recommendations to enhance social equity for Amathole District Municipality and other municipalities with similar contexts. , Thesis (MPA) -- University of Fort Hare, 2021
- Full Text:
- Date Issued: 2022-03
- Authors: Hutete, Clarity
- Date: 2022-03
- Subjects: Municipal water supply
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21931 , vital:51844
- Description: South Africa has reformed its water governance to remedy the prominent disparities in water service provision that resulted from the legacy of apartheid. However, despite the new policy reforms and strategies adopted, inequities in water governance remain prevalent. Those residing in marginalised and poor rural areas are the most vulnerable and highly affected by this phenomenon. While this has been attributed to several factors, such as fragmentation of the water sector and lack of capacity, among other reasons, an analysis of the literature revealed that the absence of a water governance framework for social equity is highly prevalent in the context of Amathole District Municipality (ADM) where the research was conducted. Hence, the study's main objective was to develop a water governance framework for social equity that can be utilised to advise councils and policymakers on the attainment of social equity by water service providers at the local level. The study utilised the constructivist research philosophy by adopting a qualitative case study research design and an inductive research approach to address the research questions. Focus group discussions, semi-structured interviews, participant observations and document analysis were used to collect data. A total sample of thirty-four (n=34) participants was purposefully selected; twenty participants (n=20) participated in semi-structured interviews, while fourteen (n=14) participants were engaged through focus group discussions. Findings obtained from the thematic data analysis utilised revealed that while human rights principles and social equity values underpin South Africa’s water reforms, Amathole District Municipality is yet to fully absorb these foundational concepts into its water governance. The study revealed that this is largely attributed to a lack of meaningful participation, limited transparency and accountability in the processes and procedures of the municipality. Results also revealed that persistent inequities still exist in Amathole District Municipality as reflected by the unequal distribution of water services, inconsistency in services provision, lack of transparency and established procedures to guarantee procedural fairness and limited impact on interventions specifically in rural areas. Furthermore, the study revealed that the municipality’s efforts to address water inequities are highly undermined by various economic, environmental, socio- economic, and institutional governance factors. Therefore, the study recommended a Water Governance Framework for Social Equity (WGFSE) and proffered recommendations to enhance social equity for Amathole District Municipality and other municipalities with similar contexts. , Thesis (MPA) -- University of Fort Hare, 2021
- Full Text:
- Date Issued: 2022-03
A framework for communicating climate information to rural small-scale farmers in the Eastern Cape Province, South Africa using systems thinking approach
- Pindura, Tineyi Herbert https://orcid.org/0000-0001-7233-6222
- Authors: Pindura, Tineyi Herbert https://orcid.org/0000-0001-7233-6222
- Date: 2022-02
- Subjects: Farms, Small , Agriculture -- Environmental aspects , Climatic changes
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/22809 , vital:52784
- Description: In the Eastern Cape of South Africa, rural small-scale farmers live in uncertain times characterized by climate change and variability, which intensify social, political and financial inequalities. Therefore, there is a need to increase the understanding and interpretation of climate information to minimize crop production risk, reduce rural small-scale farmers’ vulnerability to climate, and maximize opportunities. Increasing the resilience among rural small-scale farmers requires appropriate and viable practical approaches. By using systems thinking approach (and the Raymond Mhlaba Municipality in the Eastern Cape as a study area), this research disseminates the complex nature of current climate information frameworks. Through inputs from farmers (through a Farmers Research Group methodology) and climate data, this thesis developed a new framework for communicating climate information (herein referred as the climate information communication systems framework) to rural small-scale farmers. The proposed climate information communication systems framework successfully integrates scientific and traditional knowledge. The framework constitutes certain stages, where the farming system and crop identification is the first stage. The second stage is the requirements stage, which has two relationships: scientist to crop requirements and farmers to crop requirements. At the scientist to crop requirements level, users will examine crop requirements by combining climatic data and crop simulations, while at the farmers to crop requirement, rural small-scale farmers use the scientific information to plan for the farming season. The farmer then decides the planting and growing period as well as the harvest timing. The study suggests that building links between rural small-scale farmers, extension officers, and scientists makes sharing information easier. The proposed climate information framework design illustrates that stakeholders now have a personal relationship with climate information transmission and can influence the different actions to reduce the effect of climate change unpredictability. The study established that climate change and variability influence recent agricultural output trends. Recent temperature and rainfall trends could have resulted in low crop productivity in the study area. The study also reflected that women are a critical resource in agriculture and rural economy and that middle-aged men and youth are less interested in farming. The findings also showed that women are more receptive to climate information; hence, to promote access and use of climate information remains vital to consider gender-specific aspects for appropriate decision-making in the agriculture sector. The study also recommends enhancing the Farmers Research Group technique. In the past, the scope of this methodology has been narrowly focused, and it must be explored to incorporate additional types of climate information and more debate about how climate is related to the decisions farmers for implementation or consideration. , Thesis (PhD) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Pindura, Tineyi Herbert https://orcid.org/0000-0001-7233-6222
- Date: 2022-02
- Subjects: Farms, Small , Agriculture -- Environmental aspects , Climatic changes
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/10353/22809 , vital:52784
- Description: In the Eastern Cape of South Africa, rural small-scale farmers live in uncertain times characterized by climate change and variability, which intensify social, political and financial inequalities. Therefore, there is a need to increase the understanding and interpretation of climate information to minimize crop production risk, reduce rural small-scale farmers’ vulnerability to climate, and maximize opportunities. Increasing the resilience among rural small-scale farmers requires appropriate and viable practical approaches. By using systems thinking approach (and the Raymond Mhlaba Municipality in the Eastern Cape as a study area), this research disseminates the complex nature of current climate information frameworks. Through inputs from farmers (through a Farmers Research Group methodology) and climate data, this thesis developed a new framework for communicating climate information (herein referred as the climate information communication systems framework) to rural small-scale farmers. The proposed climate information communication systems framework successfully integrates scientific and traditional knowledge. The framework constitutes certain stages, where the farming system and crop identification is the first stage. The second stage is the requirements stage, which has two relationships: scientist to crop requirements and farmers to crop requirements. At the scientist to crop requirements level, users will examine crop requirements by combining climatic data and crop simulations, while at the farmers to crop requirement, rural small-scale farmers use the scientific information to plan for the farming season. The farmer then decides the planting and growing period as well as the harvest timing. The study suggests that building links between rural small-scale farmers, extension officers, and scientists makes sharing information easier. The proposed climate information framework design illustrates that stakeholders now have a personal relationship with climate information transmission and can influence the different actions to reduce the effect of climate change unpredictability. The study established that climate change and variability influence recent agricultural output trends. Recent temperature and rainfall trends could have resulted in low crop productivity in the study area. The study also reflected that women are a critical resource in agriculture and rural economy and that middle-aged men and youth are less interested in farming. The findings also showed that women are more receptive to climate information; hence, to promote access and use of climate information remains vital to consider gender-specific aspects for appropriate decision-making in the agriculture sector. The study also recommends enhancing the Farmers Research Group technique. In the past, the scope of this methodology has been narrowly focused, and it must be explored to incorporate additional types of climate information and more debate about how climate is related to the decisions farmers for implementation or consideration. , Thesis (PhD) -- Faculty of Science and Agriculture, 2022
- Full Text:
- Date Issued: 2022-02
A systematic review of published literature examining the link between maternal attachment and adolescent anxiety
- Amos-Brown, Alexa https://orcid.org/0000-0002-8180-3176
- Authors: Amos-Brown, Alexa https://orcid.org/0000-0002-8180-3176
- Date: 2022-02
- Subjects: Adolescent psychopathology , Teenagers -- Mental health
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23677 , vital:58295
- Description: Aim: Over the last few years, there has been a significant increase in mental health challenges in adolescents, specifically anxiety and depression. There has thus been concern around what could be causing this increase. The present study therefore aimed to examine the link between maternal attachment and adolescent anxiety. Methodology: The research was conducted using a qualitative systematic review as the methodological approach. The sample included ten academic journal articles. These articles were searched using Google Scholar and The University of Fort Hare’s library database search engine. Final articles were selected based on the systematic review process of ensuring that the articles matched the inclusion criteria, centred on the main research question and sub-questions. Findings and Results: At the end of the systematic review process, the final literature articles were analysed using thematic analysis, which identified, analysed, and reported emerging themes. The study revealed that secure attachment and sensitive parenting buffer and protect against the risk and onset of anxiety and adolescent internalizing behaviours. The thematic analysis findings identified emerging themes based on the data analysis, which include: ‘Sensitive parenting as a buffer’, ‘Quality attachment protects’, ‘Safe haven’, ‘Insecure attachment precedes emotion regulation difficulties’, ‘Insecure attachment is associated with anxiety’, ‘Social problems,’ and ‘Negative parental-control undermines attachment security’. Conclusion and recommendations: The extracts provided by the literature were able to successfully give sufficient information to meet all of my study’s research objectives. The findings revealed that very few articles spoke about interventions that can be applied to assist in the development of healthy maternal attachment. Therefore, it is recommended that research be conducted on attachment-based interventions and building restorative adolescent attachment bonds. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Amos-Brown, Alexa https://orcid.org/0000-0002-8180-3176
- Date: 2022-02
- Subjects: Adolescent psychopathology , Teenagers -- Mental health
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23677 , vital:58295
- Description: Aim: Over the last few years, there has been a significant increase in mental health challenges in adolescents, specifically anxiety and depression. There has thus been concern around what could be causing this increase. The present study therefore aimed to examine the link between maternal attachment and adolescent anxiety. Methodology: The research was conducted using a qualitative systematic review as the methodological approach. The sample included ten academic journal articles. These articles were searched using Google Scholar and The University of Fort Hare’s library database search engine. Final articles were selected based on the systematic review process of ensuring that the articles matched the inclusion criteria, centred on the main research question and sub-questions. Findings and Results: At the end of the systematic review process, the final literature articles were analysed using thematic analysis, which identified, analysed, and reported emerging themes. The study revealed that secure attachment and sensitive parenting buffer and protect against the risk and onset of anxiety and adolescent internalizing behaviours. The thematic analysis findings identified emerging themes based on the data analysis, which include: ‘Sensitive parenting as a buffer’, ‘Quality attachment protects’, ‘Safe haven’, ‘Insecure attachment precedes emotion regulation difficulties’, ‘Insecure attachment is associated with anxiety’, ‘Social problems,’ and ‘Negative parental-control undermines attachment security’. Conclusion and recommendations: The extracts provided by the literature were able to successfully give sufficient information to meet all of my study’s research objectives. The findings revealed that very few articles spoke about interventions that can be applied to assist in the development of healthy maternal attachment. Therefore, it is recommended that research be conducted on attachment-based interventions and building restorative adolescent attachment bonds. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Date Issued: 2022-02
An analysis of the link between monetary policy, exchange rate pass-through effect and domestic prices in South Africa.
- Authors: Ndamase, Asisipho Zingisa
- Date: 2022-02
- Subjects: Monetary policy. , South Africa--Economic policy.
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22165 , vital:51992
- Description: The study seeks to analyse the link between monetary policy, domestic prices and exchange rate pass-through effect in South Africa. South Africa’s imports are more than its exports. Therefore, given a higher PTE associated with the importation of necessities, the poor are always left worse off since they are faced with imported inflation that is depreciating exchange rate driven. The Johansen co integration for the long run and the Vector Error Correctional Model for the short run were used to analyse monthly data obtained from the South African Reserve Bank (SARB) and the World Bank from 1990 to 2019. The study consisted of five separate but closely linked models, which are the price equation, excess demand equation, the monetary policy equation, pass through equation and the money demand equation. The results revealed that all models are cointegrated meaning that a long run relationship exist in these equations. However, the VECM short-run results show that two of the models have an ECM term which is negative and significant. The results indicated that there is evidence of the passthrough effect. In this case, a positive pass-through effect of 222 per cent was established between domestic prices and import prices. A pass-through effect of 39 per cent was also identified between imports and exchange rate and lastly a pass-through effect (PTE) of 30 percent was established between oil prices and import prices. , Thesis (MCom) (Economics) -- University of Fort Hare, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Ndamase, Asisipho Zingisa
- Date: 2022-02
- Subjects: Monetary policy. , South Africa--Economic policy.
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22165 , vital:51992
- Description: The study seeks to analyse the link between monetary policy, domestic prices and exchange rate pass-through effect in South Africa. South Africa’s imports are more than its exports. Therefore, given a higher PTE associated with the importation of necessities, the poor are always left worse off since they are faced with imported inflation that is depreciating exchange rate driven. The Johansen co integration for the long run and the Vector Error Correctional Model for the short run were used to analyse monthly data obtained from the South African Reserve Bank (SARB) and the World Bank from 1990 to 2019. The study consisted of five separate but closely linked models, which are the price equation, excess demand equation, the monetary policy equation, pass through equation and the money demand equation. The results revealed that all models are cointegrated meaning that a long run relationship exist in these equations. However, the VECM short-run results show that two of the models have an ECM term which is negative and significant. The results indicated that there is evidence of the passthrough effect. In this case, a positive pass-through effect of 222 per cent was established between domestic prices and import prices. A pass-through effect of 39 per cent was also identified between imports and exchange rate and lastly a pass-through effect (PTE) of 30 percent was established between oil prices and import prices. , Thesis (MCom) (Economics) -- University of Fort Hare, 2022
- Full Text:
- Date Issued: 2022-02
Causes of high staff-turnover amongst professional nurses at selected health facilities in Kwazulu-Natal Province
- Mabaso, Sindisiwe Carol Catherine
- Authors: Mabaso, Sindisiwe Carol Catherine
- Date: 2022-02
- Subjects: Primary health care -- South Africa -- KwaZulu-Natal , Labor turnover -- South Africa -- KwaZulu-Natal
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21838 , vital:51822
- Description: BACKGROUND: Staff turnover, defined as the total separations from employment, is expensive, can result in lost capacity, and can limit local health departments’ ability to respond to public health needs. Despite the importance of workforce capacity in public health, little is known about workforce turnover in local health departments. This study sought to determine the causes of high staff-turnover amongst professional nurses at selected health facilities in KwaZulu-Natal province and to identify corrective measures. Professional nurses are a critical staff category in any health organisation and make up the backbone of health care system. It is thus vital to ensure that this category is retained for the benefit of health services and its ultimate beneficiary, the patient. Furthermore, Personnel and Salaries System (PERSAL) statistics have shown that the hospitals selected for this study viz., Nkandla Local Municipality (LM) has more that two times (28%) the turnover rates (TORs) for PNs when compared to the district target of 11%, thus the decision to conduct this study at this particular municipality. METHODOLOGY: This research adopted a mixed methods retrospective study where both quantitative and qualitative approach was used to analyse data. The primary data source was the Exit Interview forms completed when a staff member resigns. It consists of three sections viz., section one contained demographics of each respondent with variables such as name PERSAL number, gender, rank, appointment and termination dates; section two contained closed ended statements on potential causes of termination where the respondent answered yes or no to statements such as offered senior position; and section three which was mostly qualitative information where respondents stated own additional views and comments regarding other causes of termination and recommended solutions. Both sections one and two were analysed using quantitative analysis while section three was analysed using qualitative analysis. Qualitative data from comments sections of the exit interview forms was thematically presented and analysed. These results were grouped into five themes namely; Career Progression, Management, Unacceptable or Poor Conditions of Service, Remuneration and Personal Issues. These previously completed exit interview forms were manually analysed in order to determine the causes of high staff-turnover amongst professional nurses at selected health facilities in KwaZulu-Natal province, during the period 2015-2016. Exit interview forms, previously completed by professional nurses for the period 2015 to 2016, were collected from both Nkandla LM district hospitals namely Ekombe and Nkandla. A self-designed spread sheet was used to collate the quantitative data from the exit interview forms which contained personal and demographic data (names, gender, PERSAL numbers, appointment and termination dates, rank, etc.), type of exit, and causes of exit, comments and proposed changes, following which it was manually analysed. RESULTS: A total of 54 participants completed the exit interview forms and selected the causes of service termination which were relevant to them. Ekombe Hospital participants were twelve (12) and Nkandla Hospital participants were forty two (42). Not all professional nurses who exited the service during the study period completed the exit interview form. The exit interview form completion rate was 78% (54/69). Twenty-four percent (13/54) of participants did not complete the exit interview form in full. The quantitative analysis revealed that the gender distribution of participants was mostly female, making 80% (43/54). The majority of participants, 30% (16/54), had 21-25 years’ service prior to exiting. On qualitative data analysis, the majority of participants selected unacceptable or poor conditions of service as the cause of service termination 65% (35/54) participants. This trend was also similar when each hospital participants’ selections were examined. In Ekombe Hospital 83% (10/12) participants’ selected unacceptable or poor conditions of service as the cause of service termination and in Nkandla Hospital this was 60% (25/42) participants. The majority of participants, 78% (42/54), stated that they still intended to re-join the department, and most were seeking employment in the public service. Furthermore, 70% (38/54), of the participants stated they would have stayed had their expectations been met. Further examination of themes and sub-themes derived from the qualitative data of the exit interview forms, the majority of comments, (20 comments), were related to Unacceptable or Poor Conditions of Service as the cause of termination. Sub themes analysis further identified resource shortages as the most common comments related to this determination. CONCLUSION: The leading causes of high staff-turnover amongst professional nurses at selected health facilities in KwaZulu-Natal province was determined to be unacceptable or poor conditions of service. On thematic analysis of qualitative data that emerged from the exit interview forms, the key areas that contributed to this determination included mainly resource constraints issues such as shortage of staff, shortage of equipment, shortage of funds, as well as poor infrastructure. Recommendations for staff retention and improvements in service conditions have been proposed. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Mabaso, Sindisiwe Carol Catherine
- Date: 2022-02
- Subjects: Primary health care -- South Africa -- KwaZulu-Natal , Labor turnover -- South Africa -- KwaZulu-Natal
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/21838 , vital:51822
- Description: BACKGROUND: Staff turnover, defined as the total separations from employment, is expensive, can result in lost capacity, and can limit local health departments’ ability to respond to public health needs. Despite the importance of workforce capacity in public health, little is known about workforce turnover in local health departments. This study sought to determine the causes of high staff-turnover amongst professional nurses at selected health facilities in KwaZulu-Natal province and to identify corrective measures. Professional nurses are a critical staff category in any health organisation and make up the backbone of health care system. It is thus vital to ensure that this category is retained for the benefit of health services and its ultimate beneficiary, the patient. Furthermore, Personnel and Salaries System (PERSAL) statistics have shown that the hospitals selected for this study viz., Nkandla Local Municipality (LM) has more that two times (28%) the turnover rates (TORs) for PNs when compared to the district target of 11%, thus the decision to conduct this study at this particular municipality. METHODOLOGY: This research adopted a mixed methods retrospective study where both quantitative and qualitative approach was used to analyse data. The primary data source was the Exit Interview forms completed when a staff member resigns. It consists of three sections viz., section one contained demographics of each respondent with variables such as name PERSAL number, gender, rank, appointment and termination dates; section two contained closed ended statements on potential causes of termination where the respondent answered yes or no to statements such as offered senior position; and section three which was mostly qualitative information where respondents stated own additional views and comments regarding other causes of termination and recommended solutions. Both sections one and two were analysed using quantitative analysis while section three was analysed using qualitative analysis. Qualitative data from comments sections of the exit interview forms was thematically presented and analysed. These results were grouped into five themes namely; Career Progression, Management, Unacceptable or Poor Conditions of Service, Remuneration and Personal Issues. These previously completed exit interview forms were manually analysed in order to determine the causes of high staff-turnover amongst professional nurses at selected health facilities in KwaZulu-Natal province, during the period 2015-2016. Exit interview forms, previously completed by professional nurses for the period 2015 to 2016, were collected from both Nkandla LM district hospitals namely Ekombe and Nkandla. A self-designed spread sheet was used to collate the quantitative data from the exit interview forms which contained personal and demographic data (names, gender, PERSAL numbers, appointment and termination dates, rank, etc.), type of exit, and causes of exit, comments and proposed changes, following which it was manually analysed. RESULTS: A total of 54 participants completed the exit interview forms and selected the causes of service termination which were relevant to them. Ekombe Hospital participants were twelve (12) and Nkandla Hospital participants were forty two (42). Not all professional nurses who exited the service during the study period completed the exit interview form. The exit interview form completion rate was 78% (54/69). Twenty-four percent (13/54) of participants did not complete the exit interview form in full. The quantitative analysis revealed that the gender distribution of participants was mostly female, making 80% (43/54). The majority of participants, 30% (16/54), had 21-25 years’ service prior to exiting. On qualitative data analysis, the majority of participants selected unacceptable or poor conditions of service as the cause of service termination 65% (35/54) participants. This trend was also similar when each hospital participants’ selections were examined. In Ekombe Hospital 83% (10/12) participants’ selected unacceptable or poor conditions of service as the cause of service termination and in Nkandla Hospital this was 60% (25/42) participants. The majority of participants, 78% (42/54), stated that they still intended to re-join the department, and most were seeking employment in the public service. Furthermore, 70% (38/54), of the participants stated they would have stayed had their expectations been met. Further examination of themes and sub-themes derived from the qualitative data of the exit interview forms, the majority of comments, (20 comments), were related to Unacceptable or Poor Conditions of Service as the cause of termination. Sub themes analysis further identified resource shortages as the most common comments related to this determination. CONCLUSION: The leading causes of high staff-turnover amongst professional nurses at selected health facilities in KwaZulu-Natal province was determined to be unacceptable or poor conditions of service. On thematic analysis of qualitative data that emerged from the exit interview forms, the key areas that contributed to this determination included mainly resource constraints issues such as shortage of staff, shortage of equipment, shortage of funds, as well as poor infrastructure. Recommendations for staff retention and improvements in service conditions have been proposed. , Thesis (MPH) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-02
Complaints and service recovery responses on South African banks’ facebook fan pages: a netnographic study.
- Authors: Phambuka, Nomfundo
- Date: 2022-02
- Subjects: Online social networks. , Consumers--Research. , Marketing research.
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22266 , vital:52011
- Description: The internet transformation over the past decade has changed the way businesses and consumers communicate. Instead of face-to-face transactions, businesses can now interact with their customers online, not just by marketing new products and services, but also by providing added value services in the online environment. The internet has become a dominant aspect in assisting businesses to attract and retain customers. One of the fastest growing platforms for this communication is through social networking sites. Many consumers are preferring to use social media platforms such as Facebook to express their views on the products or service of a business. In fact, the business’s Facebook page has become a preferred channel for customers who wish to voice concerns or complaints about the service they have received. As a result, many businesses are using that same platform for service recovery, and to make amends with their customers following a service failure. The aspect of online customer complaints and service recovery on social media, has not been well researched in the South African banking industry, which highlights both a gap and an opportunity. The aim of this study was to provide an analysis and categorisation of the types of customer complaints and service responses on the top five South African banks’ Facebook pages. These banks are; ABSA bank, Capitec Bank, First National Bank (FNB), Nedbank and Standard Bank. A qualitative approach known as netnography was adopted, as it provided an insider’s perspective on what customers complain about on a social media platform and how the banks responded to these complaints. 1250 complaints and the corresponding responses were extracted from each of the banks’ Facebook pages over a period of three months through a qualitative research software known as Nvivo 11. Using the framework provided by the justice theory, complaints and the corresponding responses were categorised. Customer complaints were categorised as either process, outcome or random and the banks’ responses were categorised as either procedural, interpersonal, distributional or informational dimensions. The main finding across all the banks, was that 1050 of the total number of complaints were related to the outcomes of the services provided; such as the banking app , the ATM machine and the general service the customers received. On average, the banks responded to around 70 percent of the 1250 complaints, with Nedbank having the best response rate (196/250) and Standard having the worst response rate (138/250). In addition, most of the banks responded in an interpersonal manner, dealing with customer’s problems directly. Once again, Standard Bank had the least number of interpersonal responses. On the whole, all the banks were mindful of the importance of explaining the reasons for service failures and explaining how the problem was going to be solved. Findings from this study indicate that consumer expectations of service failures and recovery are context driven, which requires companies to modify their recovery strategies to improve the customer’s personal experience. It can also be noted that many customer complaints stem from a general lack of understanding of banking systems and that banks should therefore be utilising their online platforms to keep customers well informed regarding common and frequent customer complaints. The main recommendation from the study is that banks should be entirely transparent during online service recovery and utilise their social media pages to do so. , Thesis (MCom) (Business Management) -- University of Fort Hare, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Phambuka, Nomfundo
- Date: 2022-02
- Subjects: Online social networks. , Consumers--Research. , Marketing research.
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22266 , vital:52011
- Description: The internet transformation over the past decade has changed the way businesses and consumers communicate. Instead of face-to-face transactions, businesses can now interact with their customers online, not just by marketing new products and services, but also by providing added value services in the online environment. The internet has become a dominant aspect in assisting businesses to attract and retain customers. One of the fastest growing platforms for this communication is through social networking sites. Many consumers are preferring to use social media platforms such as Facebook to express their views on the products or service of a business. In fact, the business’s Facebook page has become a preferred channel for customers who wish to voice concerns or complaints about the service they have received. As a result, many businesses are using that same platform for service recovery, and to make amends with their customers following a service failure. The aspect of online customer complaints and service recovery on social media, has not been well researched in the South African banking industry, which highlights both a gap and an opportunity. The aim of this study was to provide an analysis and categorisation of the types of customer complaints and service responses on the top five South African banks’ Facebook pages. These banks are; ABSA bank, Capitec Bank, First National Bank (FNB), Nedbank and Standard Bank. A qualitative approach known as netnography was adopted, as it provided an insider’s perspective on what customers complain about on a social media platform and how the banks responded to these complaints. 1250 complaints and the corresponding responses were extracted from each of the banks’ Facebook pages over a period of three months through a qualitative research software known as Nvivo 11. Using the framework provided by the justice theory, complaints and the corresponding responses were categorised. Customer complaints were categorised as either process, outcome or random and the banks’ responses were categorised as either procedural, interpersonal, distributional or informational dimensions. The main finding across all the banks, was that 1050 of the total number of complaints were related to the outcomes of the services provided; such as the banking app , the ATM machine and the general service the customers received. On average, the banks responded to around 70 percent of the 1250 complaints, with Nedbank having the best response rate (196/250) and Standard having the worst response rate (138/250). In addition, most of the banks responded in an interpersonal manner, dealing with customer’s problems directly. Once again, Standard Bank had the least number of interpersonal responses. On the whole, all the banks were mindful of the importance of explaining the reasons for service failures and explaining how the problem was going to be solved. Findings from this study indicate that consumer expectations of service failures and recovery are context driven, which requires companies to modify their recovery strategies to improve the customer’s personal experience. It can also be noted that many customer complaints stem from a general lack of understanding of banking systems and that banks should therefore be utilising their online platforms to keep customers well informed regarding common and frequent customer complaints. The main recommendation from the study is that banks should be entirely transparent during online service recovery and utilise their social media pages to do so. , Thesis (MCom) (Business Management) -- University of Fort Hare, 2022
- Full Text:
- Date Issued: 2022-02
Considering the scope of legal personality with special reference to the proposition of rights for non-human animals: the Al Shuwaikh Case and its implications for the development of South African Law
- Humpel, Daniel https://orcid.org/0009-0007-9961-6882
- Authors: Humpel, Daniel https://orcid.org/0009-0007-9961-6882
- Date: 2022-02
- Subjects: Animal welfare -- Law and legislation -- South Africa , Animal rights -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28402 , vital:74290
- Description: The treatment of sheep during export processes involving the Al Shuwaikh case has raised questions again about the scope and depth of non-human animal protections in South Africa and in particular the increasingly contested legal status of non-human animals under modern South African law. Currently non-human animals are classified as legal objects/things, and thus deprived of the benefits and protections afforded human animals, who are classified as legal subjects. Legal subjectivity is in turn the exclusive attribute of one who is considered a legal person i.e., a being or entity recognized under law as having legal personality. Fromthis basic distinction and concept in the law, all of the rights duties and capacities of humans and their collective legal vehicles arise. Equally, it is from their lack of legal personality under this legal classification, that non-human animals do not have/bear rights duties and capacities, and as a consequence are subject to the treatment that would otherwise be unacceptable if they were human animals. However, while this fundamental classification might seem to be an absolute in the legal system, the concept of legal personality is in fact a malleable construct, and has in fact changed and been changed through the ages in response to changing social mores of each age. Animal rights activists suggest therefore that one solution for addressing concerns regarding animal welfare would be to extend the scope of legal personality to include non-human animals. While prima face theoretically legally possible, this suggestion has been resisted on a variety of practical and intellectual grounds, thus creating a still contested area of social, and thus by natural extension, jurisprudential debate. Differing perceptions of the full nature and current capacity of the concept of legal personality lie at the heart of the debate/this contestation. Inspired by the Al Shuwaikh case, which serves as a new millennium factual basis/lens through which to beg the question of the exclusive attribution of personality to human but not non-human animals (or indeed other living or non-living entities), this thesis thus revisits the notion of legal personality, tracking its historical development and highlighting its de facto capacity for adaptation over time to respond changing social mores. Key changes and expansions of the construct are isolated, collected and compiled to provide a grounded overview of its larger potential for adaptation. Thereafter, and as a consequence of the aforementioned, the thesis then reflects on the current animal protection regime in South Africa, with due reference to glosses, where appropriate, gained to the perspectives gained from other jurisdictions about the potential for the extension of the concept of legal personality. , Thesis (LLM) -- Faculty of Law, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Humpel, Daniel https://orcid.org/0009-0007-9961-6882
- Date: 2022-02
- Subjects: Animal welfare -- Law and legislation -- South Africa , Animal rights -- South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28402 , vital:74290
- Description: The treatment of sheep during export processes involving the Al Shuwaikh case has raised questions again about the scope and depth of non-human animal protections in South Africa and in particular the increasingly contested legal status of non-human animals under modern South African law. Currently non-human animals are classified as legal objects/things, and thus deprived of the benefits and protections afforded human animals, who are classified as legal subjects. Legal subjectivity is in turn the exclusive attribute of one who is considered a legal person i.e., a being or entity recognized under law as having legal personality. Fromthis basic distinction and concept in the law, all of the rights duties and capacities of humans and their collective legal vehicles arise. Equally, it is from their lack of legal personality under this legal classification, that non-human animals do not have/bear rights duties and capacities, and as a consequence are subject to the treatment that would otherwise be unacceptable if they were human animals. However, while this fundamental classification might seem to be an absolute in the legal system, the concept of legal personality is in fact a malleable construct, and has in fact changed and been changed through the ages in response to changing social mores of each age. Animal rights activists suggest therefore that one solution for addressing concerns regarding animal welfare would be to extend the scope of legal personality to include non-human animals. While prima face theoretically legally possible, this suggestion has been resisted on a variety of practical and intellectual grounds, thus creating a still contested area of social, and thus by natural extension, jurisprudential debate. Differing perceptions of the full nature and current capacity of the concept of legal personality lie at the heart of the debate/this contestation. Inspired by the Al Shuwaikh case, which serves as a new millennium factual basis/lens through which to beg the question of the exclusive attribution of personality to human but not non-human animals (or indeed other living or non-living entities), this thesis thus revisits the notion of legal personality, tracking its historical development and highlighting its de facto capacity for adaptation over time to respond changing social mores. Key changes and expansions of the construct are isolated, collected and compiled to provide a grounded overview of its larger potential for adaptation. Thereafter, and as a consequence of the aforementioned, the thesis then reflects on the current animal protection regime in South Africa, with due reference to glosses, where appropriate, gained to the perspectives gained from other jurisdictions about the potential for the extension of the concept of legal personality. , Thesis (LLM) -- Faculty of Law, 2022
- Full Text:
- Date Issued: 2022-02
Exploring socio-economic factors influencing incidences and outcome of multidrug resistance tuberculosis among patients and facility staffs in Makana Sub-District, Eastern Cape
- Cannon, Lesley-Ann https://orcid.org/0000-0002-7635-277X
- Authors: Cannon, Lesley-Ann https://orcid.org/0000-0002-7635-277X
- Date: 2022-02
- Subjects: Multidrug resistance , Tuberculosis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26706 , vital:65958
- Description: Background Drug-resistant Tuberculosis (DR-TB) is one of the main causes of global public health crisis, due to the morbidity and mortality rates associated with the disease. This DR TB is a complex illness having direct and indirect impact on finances, social functioning, and quality of life of infected individuals. Major research advances have been made in the diagnosis and treatment of DR-TB. However, minimal information exists on the socio-economic factors influencing the incidence and outcomes. This study aims to fill the gap by exploring the socio-economic factors from both the health care professional and patient perspective in particular settings to gain insights into developing context-specific strategies against the burden of DR-TB. Methodology The study applied a qualitative method to explore the socio-economic factors influencing MDR-TB through key-in-depth interviews (KIIs) and focus group discussions (FGDs). The study enrolled a total of thirty-two (32) consenting participants. The KIIs was conducted for ten (10) healthcare workers and nine (9) MDR-TB patients. Two focus group discussions were done involving seven (7) MDR TB patients and six (6) MDR-TB patients, respectively. The study targeted healthcare workers working in the MDR-TB field and TB patients with the following: GeneXpert Rifampicin resistance and patient confirmed as MDR TB. Eligible participants were selected using a purposive sampling technique from the hospitals` routine data electronic records (EDR-WEB database) and hardcopy registers (drug-resistant TB register) on MDR-TB patients enrolled in care at the study site. Informed consent was obtained from all study participants after thoroughly explaining the purpose. No personal information of participants was used. All responses from respondents were coded during analysis for autonomy and the respondents were not identifiable in any published or unpublished work following this research. The interviews were transcribed, some translated into English, where necessary, and analysed until saturation was reached. Data was coded and analysed using both thematic and content analysis technique. Results There were 3 main themes identified in the study: social factors, economic factors, and other contributing factors. 7 sub- themes were recorded under social factors and 2 subthemes under economic factors. Two independent factors that were also considered to impact MDR-TB were the attitude of healthcare workers, as well as the current COVID-19 pandemic. Conclusion MDR-TB is a major public health concern in the Makana Sub-district of the Eastern Cape. The findings of this study highlight the impact of socio- economic factors on the incidence, spread, defaulter rate and outcomes of MDR-TB. The social areas highlighted by the study participants as affecting the incidence and outcomes of MDR TB were housing and relocation, decreased immunity, stigma, patients’ attitude and lack of support, alcohol and other substance usage and prison/ incarceration. The economic factors identified by the participants were unemployment and job loss and health related expenses. Other factors are those factors contributing to the increased incidence and possible poor outcomes of MDR TB. Healthcare workers impact and attitude and the effects of the covid-19 pandemic were highlighted as additional factors influencing the incidence and outcomes of MDR TB. The management of MDR-TB requires rigorous efforts that should be directed at addressing the socio-economic factors. Therefore, future quantitative studies and important programmatic strategies should be considered to tackle the socio-economic challenges that contribute to the burden of MDR-TB infection in the Makana community. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Cannon, Lesley-Ann https://orcid.org/0000-0002-7635-277X
- Date: 2022-02
- Subjects: Multidrug resistance , Tuberculosis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26706 , vital:65958
- Description: Background Drug-resistant Tuberculosis (DR-TB) is one of the main causes of global public health crisis, due to the morbidity and mortality rates associated with the disease. This DR TB is a complex illness having direct and indirect impact on finances, social functioning, and quality of life of infected individuals. Major research advances have been made in the diagnosis and treatment of DR-TB. However, minimal information exists on the socio-economic factors influencing the incidence and outcomes. This study aims to fill the gap by exploring the socio-economic factors from both the health care professional and patient perspective in particular settings to gain insights into developing context-specific strategies against the burden of DR-TB. Methodology The study applied a qualitative method to explore the socio-economic factors influencing MDR-TB through key-in-depth interviews (KIIs) and focus group discussions (FGDs). The study enrolled a total of thirty-two (32) consenting participants. The KIIs was conducted for ten (10) healthcare workers and nine (9) MDR-TB patients. Two focus group discussions were done involving seven (7) MDR TB patients and six (6) MDR-TB patients, respectively. The study targeted healthcare workers working in the MDR-TB field and TB patients with the following: GeneXpert Rifampicin resistance and patient confirmed as MDR TB. Eligible participants were selected using a purposive sampling technique from the hospitals` routine data electronic records (EDR-WEB database) and hardcopy registers (drug-resistant TB register) on MDR-TB patients enrolled in care at the study site. Informed consent was obtained from all study participants after thoroughly explaining the purpose. No personal information of participants was used. All responses from respondents were coded during analysis for autonomy and the respondents were not identifiable in any published or unpublished work following this research. The interviews were transcribed, some translated into English, where necessary, and analysed until saturation was reached. Data was coded and analysed using both thematic and content analysis technique. Results There were 3 main themes identified in the study: social factors, economic factors, and other contributing factors. 7 sub- themes were recorded under social factors and 2 subthemes under economic factors. Two independent factors that were also considered to impact MDR-TB were the attitude of healthcare workers, as well as the current COVID-19 pandemic. Conclusion MDR-TB is a major public health concern in the Makana Sub-district of the Eastern Cape. The findings of this study highlight the impact of socio- economic factors on the incidence, spread, defaulter rate and outcomes of MDR-TB. The social areas highlighted by the study participants as affecting the incidence and outcomes of MDR TB were housing and relocation, decreased immunity, stigma, patients’ attitude and lack of support, alcohol and other substance usage and prison/ incarceration. The economic factors identified by the participants were unemployment and job loss and health related expenses. Other factors are those factors contributing to the increased incidence and possible poor outcomes of MDR TB. Healthcare workers impact and attitude and the effects of the covid-19 pandemic were highlighted as additional factors influencing the incidence and outcomes of MDR TB. The management of MDR-TB requires rigorous efforts that should be directed at addressing the socio-economic factors. Therefore, future quantitative studies and important programmatic strategies should be considered to tackle the socio-economic challenges that contribute to the burden of MDR-TB infection in the Makana community. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-02
Exploring socio-economic factors influencing incidences and outcome of multidrug resistance tuberculosis among patients and facility staffs in Makana Sub-District, Eastern Cape
- Authors: Cannon, Lesley-Ann Lynnath
- Date: 2022-02
- Subjects: Multidrug resistance , Multidrug-resistant -- tuberculosis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23471 , vital:57896
- Description: Drug-resistant Tuberculosis (DR-TB) is one of the main causes of global public health crisis, due to the morbidity and mortality rates associated with the disease. This DR-TB is a complex illness having direct and indirect impact on finances, social functioning, and quality of life of infected individuals. Major research advances have been made in the diagnosis and treatment of DR-TB. However, minimal information exists on the socio-economic factors influencing the incidence and outcomes. This study aims to fill the gap by exploring the socio-economic factors from both the health care professional and patient perspective in particular settings to gain insights into developing context-specific strategies against the burden of DR-TB. The study applied a qualitative method to explore the socio-economic factors influencing MDR-TB through key-in-depth interviews (KIIs) and focus group discussions (FGDs). The study enrolled a total of thirty-two (32) consenting participants. The KIIs was conducted for ten (10) healthcare workers and nine (9) MDR-TB patients. Two focus group discussions were done involving seven (7) MDR-TB patients and six (6) MDR-TB patients, respectively. The study targeted healthcare workers working in the MDR-TB field and TB patients with the following: GeneXpert Rifampicin resistance and patient confirmed as MDR TB. Eligible participants were selected using a purposive sampling technique from the hospitals` routine data electronic records (EDR-WEB database) and hardcopy registers (drug-resistant TB register) on MDR-TB patients enrolled in care at the study site. Informed consent was obtained from all study participants after thoroughly explaining the purpose. No personal information of participants was used. All responses from respondents were coded during analysis for autonomy and the respondents were not identifiable in any published or unpublished work following this research. The interviews were transcribed, some translated into English, where necessary, and analysed until saturation was reached. Data was coded and analysed using both thematic and content analysis technique. There were 3 main themes identified in the study: social factors, economic factors, and other contributing factors. 7 sub- themes were recorded under social factors and 2 subthemes under economic factors. Two independent factors that were also considered to impact MDR-TB were the attitude of healthcare workers, as well as the current COVID-19 pandemic. MDR-TB is a major public health concern in the Makana Sub-district of the Eastern Cape. The findings of this study highlight the impact of socio- economic factors on the incidence, spread, defaulter rate and outcomes of MDR-TB. The social areas highlighted by the study participants as affecting the incidence and outcomes of MDR TB were housing and relocation, decreased immunity, stigma, patients’ attitude and lack of support, alcohol and other substance usage and prison/ incarceration. The economic factors identified by the participants were unemployment and job loss and health related expenses. Other factors are those factors contributing to the increased incidence and possible poor outcomes of MDR TB. Healthcare workers impact and attitude and the effects of the covid-19 pandemic were highlighted as additional factors influencing the incidence and outcomes of MDR TB. The management of MDR-TB requires rigorous efforts that should be directed at addressing the socio-economic factors. Therefore, future quantitative studies and important programmatic strategies should be considered to tackle the socio-economic challenges that contribute to the burden of MDR-TB infection in the Makana community. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Cannon, Lesley-Ann Lynnath
- Date: 2022-02
- Subjects: Multidrug resistance , Multidrug-resistant -- tuberculosis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23471 , vital:57896
- Description: Drug-resistant Tuberculosis (DR-TB) is one of the main causes of global public health crisis, due to the morbidity and mortality rates associated with the disease. This DR-TB is a complex illness having direct and indirect impact on finances, social functioning, and quality of life of infected individuals. Major research advances have been made in the diagnosis and treatment of DR-TB. However, minimal information exists on the socio-economic factors influencing the incidence and outcomes. This study aims to fill the gap by exploring the socio-economic factors from both the health care professional and patient perspective in particular settings to gain insights into developing context-specific strategies against the burden of DR-TB. The study applied a qualitative method to explore the socio-economic factors influencing MDR-TB through key-in-depth interviews (KIIs) and focus group discussions (FGDs). The study enrolled a total of thirty-two (32) consenting participants. The KIIs was conducted for ten (10) healthcare workers and nine (9) MDR-TB patients. Two focus group discussions were done involving seven (7) MDR-TB patients and six (6) MDR-TB patients, respectively. The study targeted healthcare workers working in the MDR-TB field and TB patients with the following: GeneXpert Rifampicin resistance and patient confirmed as MDR TB. Eligible participants were selected using a purposive sampling technique from the hospitals` routine data electronic records (EDR-WEB database) and hardcopy registers (drug-resistant TB register) on MDR-TB patients enrolled in care at the study site. Informed consent was obtained from all study participants after thoroughly explaining the purpose. No personal information of participants was used. All responses from respondents were coded during analysis for autonomy and the respondents were not identifiable in any published or unpublished work following this research. The interviews were transcribed, some translated into English, where necessary, and analysed until saturation was reached. Data was coded and analysed using both thematic and content analysis technique. There were 3 main themes identified in the study: social factors, economic factors, and other contributing factors. 7 sub- themes were recorded under social factors and 2 subthemes under economic factors. Two independent factors that were also considered to impact MDR-TB were the attitude of healthcare workers, as well as the current COVID-19 pandemic. MDR-TB is a major public health concern in the Makana Sub-district of the Eastern Cape. The findings of this study highlight the impact of socio- economic factors on the incidence, spread, defaulter rate and outcomes of MDR-TB. The social areas highlighted by the study participants as affecting the incidence and outcomes of MDR TB were housing and relocation, decreased immunity, stigma, patients’ attitude and lack of support, alcohol and other substance usage and prison/ incarceration. The economic factors identified by the participants were unemployment and job loss and health related expenses. Other factors are those factors contributing to the increased incidence and possible poor outcomes of MDR TB. Healthcare workers impact and attitude and the effects of the covid-19 pandemic were highlighted as additional factors influencing the incidence and outcomes of MDR TB. The management of MDR-TB requires rigorous efforts that should be directed at addressing the socio-economic factors. Therefore, future quantitative studies and important programmatic strategies should be considered to tackle the socio-economic challenges that contribute to the burden of MDR-TB infection in the Makana community. , Thesis (MPA) -- Faculty of Health Sciences, 2022
- Full Text:
- Date Issued: 2022-02
Exploring suicide ideation and depression among university students: a systematic review
- Jarana, Luyanda https://orcid.org/0000-0001-9625-8302
- Authors: Jarana, Luyanda https://orcid.org/0000-0001-9625-8302
- Date: 2022-02
- Subjects: Suicide , Depression in adolescence
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23698 , vital:58580
- Description: Suicide is one of the leading causes of death among the youth and university students. The aim of this study was to explore knowledge that is available in published literature on suicide ideation and depression among university students in the South African context. This study utilised a systematic review in exploring suicide ideation and depression among university students so that knowledge and awareness about the prevalence of and factors associated with suicide ideation and depression among young people at university could be established. Method: A systematic review was the methodology used in the study. The main aim of the systematic review was to answer the research question that was formulated through the Patient of interest, Intervention, Comparison intervention and Outcome of interest (PICO) format. After the research question was formulated, 100 articles were collected through PsycInfo, Google Scholar, Ebscohost, Research Gate, and Taylor and Francis websites. From the 100 articles, five articles which met the inclusion criteria were selected with guidance from the Preferred Reporting Items for Systematic Reviews (PRISMA) flow chart. The Critical Appraisal Skills Programme (CASP) screening checklist was used to verify the eligibility of the five selected articles. Results: Three themes, which are effectiveness of psychological interventions, students who do not seek psychological interventions and decrease in suicide ideation and depression after intervention emerged from the eligible articles. The themes answered the research question and confirmed that psychological and psychosocial interventions decrease the rate of suicide ideation and depression among university students. The most effective interventions were individual therapy and online counselling. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Date Issued: 2022-02
- Authors: Jarana, Luyanda https://orcid.org/0000-0001-9625-8302
- Date: 2022-02
- Subjects: Suicide , Depression in adolescence
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/23698 , vital:58580
- Description: Suicide is one of the leading causes of death among the youth and university students. The aim of this study was to explore knowledge that is available in published literature on suicide ideation and depression among university students in the South African context. This study utilised a systematic review in exploring suicide ideation and depression among university students so that knowledge and awareness about the prevalence of and factors associated with suicide ideation and depression among young people at university could be established. Method: A systematic review was the methodology used in the study. The main aim of the systematic review was to answer the research question that was formulated through the Patient of interest, Intervention, Comparison intervention and Outcome of interest (PICO) format. After the research question was formulated, 100 articles were collected through PsycInfo, Google Scholar, Ebscohost, Research Gate, and Taylor and Francis websites. From the 100 articles, five articles which met the inclusion criteria were selected with guidance from the Preferred Reporting Items for Systematic Reviews (PRISMA) flow chart. The Critical Appraisal Skills Programme (CASP) screening checklist was used to verify the eligibility of the five selected articles. Results: Three themes, which are effectiveness of psychological interventions, students who do not seek psychological interventions and decrease in suicide ideation and depression after intervention emerged from the eligible articles. The themes answered the research question and confirmed that psychological and psychosocial interventions decrease the rate of suicide ideation and depression among university students. The most effective interventions were individual therapy and online counselling. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
- Full Text:
- Date Issued: 2022-02
Factors associated with infant mortality in Sarah Baartman District, Eastern Cape Province, South Africa
- Authors: Muavha, Mukondeleli Selina
- Date: 2022-02
- Subjects: Infants--Mortality
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22067 , vital:51980
- Description: This study aimed to investigate the factors associated with infant mortality in Sarah Baartman District hospitals. A quantitative descriptive case-control design was used to investigate and describe the association between maternal socio-demographic, infant, environmental factors, and infant mortality. A data abstraction instrument was used to identify cases and their controls, and to retrieve information related to antenatal and obstetric care for the mothers of both cases and controls, as well as some information related to perinatal care for both mother and infant, from the registers in the district hospitals in Sarah Baartman district for the financial years 2015/2016 to 2017/2018. This was followed by structured questionnaires which were hand-delivered, to the mothers of the cases and controls. This study showed that seven maternal socio-demographic factors (educational level, mother’s source of income, religion, where mother took sick child to, frequency of visits by a health care worker within the last one year, number of alive siblings, and history of intrauterine death) were significantly related to infant mortality among the study participants. Among the environmental factors, the type of house, availability of tap and type of toilet were significantly related to infant mortality among the study participants. The study recommends public policies concerning maternal health through targeting mothers for food supplementation and prenatal care to reduce infant mortality rates. Infant mortality in the study area can also be reduced by improving mother’s education because women’s education has spill over effects on fertility and maternal health care behaviour. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2021
- Full Text:
- Date Issued: 2022-02
- Authors: Muavha, Mukondeleli Selina
- Date: 2022-02
- Subjects: Infants--Mortality
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/22067 , vital:51980
- Description: This study aimed to investigate the factors associated with infant mortality in Sarah Baartman District hospitals. A quantitative descriptive case-control design was used to investigate and describe the association between maternal socio-demographic, infant, environmental factors, and infant mortality. A data abstraction instrument was used to identify cases and their controls, and to retrieve information related to antenatal and obstetric care for the mothers of both cases and controls, as well as some information related to perinatal care for both mother and infant, from the registers in the district hospitals in Sarah Baartman district for the financial years 2015/2016 to 2017/2018. This was followed by structured questionnaires which were hand-delivered, to the mothers of the cases and controls. This study showed that seven maternal socio-demographic factors (educational level, mother’s source of income, religion, where mother took sick child to, frequency of visits by a health care worker within the last one year, number of alive siblings, and history of intrauterine death) were significantly related to infant mortality among the study participants. Among the environmental factors, the type of house, availability of tap and type of toilet were significantly related to infant mortality among the study participants. The study recommends public policies concerning maternal health through targeting mothers for food supplementation and prenatal care to reduce infant mortality rates. Infant mortality in the study area can also be reduced by improving mother’s education because women’s education has spill over effects on fertility and maternal health care behaviour. , Thesis (MPH) -- Faculty of Health Sciences, Public Health, 2021
- Full Text:
- Date Issued: 2022-02