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Adesina, Ademola O.; Agbele, Kehinde K.; Februarie, Ronald; Abidoye, Ademola P.; Nyongesa, Henry O. (Academy of Science of South Africa, 2011)[more][less]
Abstract: The sensitivity of health-care information and its accessibility via the Internet and mobile technology systems is a cause for concern in these modern times. The privacy, integrity and confidentiality of a patient’s data are key factors to be considered in the transmission of medical information for use by authorised health-care personnel. Mobile communication has enabled medical consultancy, treatment, drug administration and the provision of laboratory results to take place outside the hospital. With the implementation of electronic patient records and the Internet and Intranets, medical information sharing amongst relevant health-care providers was made possible. But the vital issue in this method of information sharing is security: the patient’s privacy, as well as the confidentiality and integrity of the health-care information system, should not be compromised. We examine various ways of ensuring the security and privacy of a patient’s electronic medical information in order to ensure the integrity and confidentiality of the information. URI: http://hdl.handle.net/10566/279 Files in this item: 1
AdesinaSecurity2011.pdf (453.4Kb) -
Erfregtelike onwaardigheid: Enige lesse te leer vir die Suid-Afrikaanse reg uit die Nederlandse reg?du Toit, Francois (Juta, 2012)[more][less]
Abstract: The regulation of unworthiness to inherit in Book 4 of the (new) Dutch Civil Code (2003) occasioned numerous interpretation and application challenges to Dutch courts, notaries and inheritance scholars. These challenges correspond greatly with many of the contentious issues regarding unworthiness to inherit in modern South African law. This article investigates certain aspects of the Dutch legal position with a view to commenting on, and suggesting solutions to, corresponding challenges in the South African context. Issues such as the effect of unworthiness to inherit on matrimonial property claims as well as maintenance claims against a deceased estate, the suitability and appropriateness for South African law of a “forgiveness provision” that eliminates unworthiness similar to the one included in the Book 4 of the Dutch Civil Code and the regulation of unworthiness to inherit in the context of euthanasia are analysed from a legal-comparative standpoint. URI: http://hdl.handle.net/10566/423 Files in this item: 1
DuToitDutchCivilCode2012.pdf (383.2Kb) -
Leith, Rian; Pretorius, Joelien (Routledge, 2009)[more][less]
Abstract: In international relations states labelled as ‘middle powers’ are often responsible for crafting a middle way to bridge conflicting international interests. They typically favour multilateralism and cooperative international behaviour. Middle power diplomacy has played a crucial role in the establishment and maintenance of the nuclear non-proliferation regime. South Africa has played the role of a middle power in nuclear diplomacy since 1994, drawing on its moral position after giving up its nuclear weapons. This role has especially involved joining the efforts of middle powers in the North, such as Norway and Canada, to indefinitely extend the Nuclear Non-Proliferation Treaty (NPT). However, South Africa’s foreign policy has shown a gradual shift away from a middle power orientation not least due to an increasing non-aligned position that calls for deep reforms to the perceived unfair world order tilted in the favour of the developed North. This shift is also visible in South African nuclear diplomacy and is eroding the middle ground that has so far sustained the nonproliferation regime. The paper argues that South Africa’s middle power diplomacy has allowed it to punch above its weight in the nuclear realm, but its pursuit of international reforms has resulted in the drawing of a fault line between developed and developing countries. It is in the interest of nuclear non-proliferation to regain the middle ground by forming broad coalitions amongst all actors interested in nuclear disarmament. URI: http://hdl.handle.net/10566/481 Files in this item: 1
PretoriusNuclearPolicy2009.pdf (124.0Kb) -
Conradie, Ernst (University of Kwazulu-Natal School of Theology, 2000)[more][less]
Abstract: On the background of the current sense of despair concerning the environmental crisis, this article follows the basic intuition that a Christian environmental praxis can only be empowered on the basis of an adequate understanding of Christian hope. Christian eschatology has traditionally responded to three distinct aspects of the human predicament - human self-enclosure, and finitude in both time and space; instigated by an unacceptable present reality, it articulates the conviction of an upcoming transformation into what it ought to be. Investigating the theme of hope in some major ecclesial documents and literature that explicitly addresses the topic written during the struggle, it is argued that the strength of the eschatology developed during that period consists in its return to the prophetic roots of Christian hope. Its concentration on the anthropological aspect of the liberation from the predicament from human sin makes it necessary to rediscover the impact of eschatology on the salvation of creation and the theocentric aspect of hope. URI: http://hdl.handle.net/10566/409 Files in this item: 1
ConradieEschatology2000.pdf (1.633Mb) -
Joubert, Jane; Puoane, Thandi (South African Medical Association, 2007)[more][less]
Abstract: OBJECTIVE: To estimate the burden of disease attributable to excess body weight using the body mass index (BMI), by age and sex, in South Africa in 2000. DESIGN: World Health Organization comparative risk assessment (CRA) methodology was followed. Re-analysis of the 1998 South Africa Demographic and Health Survey data provided mean BMI estimates by age and sex. Population attributable fractions were calculated and applied to revised burden of disease estimates. Monte Carlo simulation-modelling techniques were used for the uncertainty analysis. SETTING: South Africa. SUBJECTS. Adults ≥ 30 years of age. OUTCOME MEASURES. Deaths and disability-adjusted life years (DALYs) from ischaemic heart disease, ischaemic stroke, hypertensive disease, osteoarthritis, type 2 diabetes mellitus, and selected cancers. RESULTS: Overall, 87% of type 2 diabetes, 68% of hypertensive disease, 61% of endometrial cancer, 45% of ischaemic stroke, 38% of ischaemic heart disease, 31% of kidney cancer, 24% of osteoarthritis, 17% of colon cancer, and 13% of postmenopausal breast cancer were attributable to a BMI ≥ 21 kg/m2. Excess body weight is estimated to have caused 36 504 deaths (95% uncertainty interval 31 018 - 38 637) or 7% (95% uncertainty interval 6.0 - 7.4%) of all deaths in 2000, and 462 338 DALYs (95% uncertainty interval 396 512 - 478 847) or 2.9% of all DALYs (95% uncertainty interval 2.4 - 3.0%). The burden in females was approximately double that in males. CONCLUSIONS: This study shows the importance of recognising excess body weight as a major risk to health, particularly among females, highlighting the need to develop, implement and evaluate comprehensive interventions to achieve lasting change in the determinants and impact of excess body weight. URI: http://hdl.handle.net/10566/284 Files in this item: 1
PuoaneEstimating2007.pdf (412.1Kb) -
Hersh, Marion A.; Tucker, William D. (Elsevier, 2005)[more][less]
Abstract: There are a number of pressures on researchers in academia and industry to behave unethically or compromise their ethical standards, for instance in order to obtain funding or publish frequently. In this paper a case study of Deaf telephony is used to discuss the pressures to unethical behaviour in terms of withholding information or misleading participants that can result from mono-disciplinary orthodoxies. The Deaf telephony system attempts to automate multiple aspects of relayed communication between Deaf and hearing users. The study is analysed in terms of consequentialist and deontological ethics, as well as multi-loop action learning. Discussion of a number of examples of bad practice is used to indicate both the compatibility of ethical behaviour and good scientific method and that ethical behaviour is a pre-requisite for obtaining meaningful results. URI: http://hdl.handle.net/10566/466 Files in this item: 1
HershTuckerUnethicalBehaviour2005.pdf (86.66Kb) -
Bozalek, Vivienne (Department of Social Work, University of Johannesburg, 2007)[more][less]
Abstract: This article describes the design and implementation of a module on Advanced Social Work Ethics using a blended learning approach and relying substantially on e-learning as a pedagogical tool. The design is contextualised by elaborating on the parameters in which the module was developed – viz. the minimum standards of the Bachelor of Social Work pertaining to ethics, as well as the e-learning and assessment policies at UWC. The module design and implementation was informed by constructivist pedagogical principles, and made use of the notion of ‘critical friends’ as a means of providing opportunities for students to interact as peers and provide input on each others’ learning, thus decentralising the traditional role of the university lecturer. Examples of assessment tasks devised for the module to illustrate the pedagogical principles are also provided. Students’ responses to their experiences of undertaking the module are drawn from their final journal entries and provide an indication of how the module was operationalised. URI: http://hdl.handle.net/10566/49 Files in this item: 1
Bozalek_Ethics(2007)[1].pdf (205.9Kb) -
Taliep, Naiema; Florence, Maria (Psychological Society of South Africa, 2012)[more][less]
Abstract: The absence of a suitable measure to assess the health-related quality of life (HRQoL) of children and adolescents in South Africa, led to the use of the KIDSCREEN-52 questionnaire which was developed and standardised in Europe. The current study is part of a broader study conducted in the Western Cape, which used the KIDSCREEN-52 to explore the influence of exposure to community violence on the subjective HRQoL of a sample of South African adolescents. This study aimed to investigate the reliability and construct validity of the KIDSCREEN-52 in a South African context. The broader study employed stratified interval criterion sampling to select 565 Grade 9 learners, aged 14-18. Participants were selected from six public schools in areas specified by the South African government as comprising key nodal areas in terms of crime in the Western Cape. The dataset for the current study comprised all participants (N=565) of the primary study. As the initial step in validation of the KIDSCREEN-52 in South Africa, the current study examined its factor structure by means of exploratory factor analysis, using principal component analysis with oblimin rotations. It also assessed the internal consistency reliability of each of the scales, using Cronbach’s alpha. Exploratory factor analysis extracted 10 factors as identified by previous studies, with some deviation in the loadings of the last three factors. Items of two scales (“Feelings” and “About Yourself”) divided into three scales, and “Bullying” items were not sufficiently presented in the factor solution. Internal consistency of the measure was shown to be acceptable to good, with Cronbach’s alpha values ranging from 0.76 to 0.81 for the 10 scales. URI: http://hdl.handle.net/10566/402 Files in this item: 1
TaliepQualityofLife2012.pdf (262.4Kb) -
Goga, Ameena; Dinh, Thu-Ha; Jackson, Debra (South African Medical Research Council, National Department of Health South Africa and PEPFAR/US Centers for Disease Control & Prevention, 2012)[more][less]
Abstract: Aims and Objectives: The overall aim of this evaluation was to conduct a national facility-based survey to monitor the effectiveness of the South African National PMTCT programme. The primary objective was to measure rates of early MTCT of HIV at six weeks postpartum. The secondary objective was to periodically estimate coverage of key PMTCT interventions and services (e.g., HIV testing, CD4 cell count testing, infant antiretroviral (ARV) prophylaxis, infant feeding counselling). URI: http://hdl.handle.net/10566/462 Files in this item: 1
GogaPMTCT2012.pdf (5.124Mb) -
Tylleskar, Thorkild; Jackson, Debra; Meda, Nicolas; Ingrebetsen, Ingunn Marie S; Chopra, Mickey; Diallo, Abdoulaye Hama; Doherty, Tanya; Ekström, Eva-Charlotte; Fadnes, Lars T; Goga, Ameena; Kankasa, Chipepo; Klungsøyr, Jørn I; Lombard, Carl; Nankabirwa, Victoria; Nankunda, Jolly K; Van de Perre, Philippe; Sanders, David; Shanmugam, Rebecca; Sommerfelt, Halvor; Wamani, Henry; Tumwine, James K; PROMISE-EBF Study Group (Elsevier, 2011)[more][less]
Abstract: Background: Exclusive breastfeeding (EBF) is reported to be a life-saving intervention in low-income settings. The effect of breastfeeding counselling by peer counsellors was assessed in Africa. Methods:24 communities in Burkina Faso, 24 in Uganda, and 34 in South Africa were assigned in a 1:1 ratio, by use of a computer-generated randomisation sequence, to the control or intervention clusters. In the intervention group, we scheduled one antenatal breastfeeding peer counselling visit and four post-delivery visits by trained peers. The data gathering team were masked to the intervention allocation. The primary outcomes were prevalance of EBF and diarrhoea reported by mothers for infants aged 12 weeks and 24 weeks. Country-specific prevalence ratios were adjusted for cluster effects and sites. Analysis was by intention to treat. This study is registered with ClinicalTrials.gov, number NCT00397150. Findings 2579 mother–infant pairs were assigned to the intervention or control clusters in Burkina Faso (n=392 and n=402, respectively), Uganda (n=396 and n=369, respectively), and South Africa (n=535 and 485, respectively). The EBF prevalences based on 24-h recall at 12 weeks in the intervention and control clusters were 310 (79%) of 392 and 139 (35%) of 402, respectively, in Burkina Faso (prevalence ratio 2·29, 95% CI 1·33–3·92); 323 (82%) of 396 and 161 (44%) of 369, respectively, in Uganda (1·89, 1·70–2·11); and 56 (10%) of 535 and 30 (6%) of 485, respectively, in South Africa (1·72, 1·12–2·63). The EBF prevalences based on 7-day recall in the intervention and control clusters were 300 (77%) and 94 (23%), respectively, in Burkina Faso (3·27, 2·13–5·03); 305 (77%) and 125 (34%), respectively, in Uganda (2·30, 2·00–2·65); and 41 (8%) and 19 (4%), respectively, in South Africa (1·98, 1·30–3·02). At 24 weeks, the prevalences based on 24-h recall were 286 (73%) in the intervention cluster and 88 (22%) in the control cluster in Burkina Faso (3·33, 1·74–6·38); 232 (59%) and 57 (15%), respectively, in Uganda (3·83, 2·97–4·95); and 12 (2%) and two (<1%), respectively, in South Africa (5·70, 1·33–24·26). The prevalences based on 7-day recall were 279 (71%) in the intervention cluster and 38 (9%) in the control cluster in Burkina Faso (7·53, 4·42–12·82); 203 (51%) and 41 (11%), respectively, in Uganda (4·66, 3·35–6·49); and ten (2%) and one (<1%), respectively, in South Africa (9·83, 1·40–69·14). Diarrhoea prevalence at age 12 weeks in the intervention and control clusters was 20 (5%) and 36 (9%), respectively, in Burkina Faso (0·57, 0·27–1·22); 39 (10%) and 32 (9%), respectively, in Uganda (1·13, 0·81–1·59); and 45 (8%) and 33 (7%), respectively, in South Africa (1·16, 0·78–1·75). The prevalence at age 24 weeks in the intervention and control clusters was 26 (7%) and 32 (8%), respectively, in Burkina Faso (0·83, 0·45–1·54); 52 (13%) and 59 (16%), respectively, in Uganda (0·82, 0·58–1·15); and 54 (10%) and 33 (7%), respectively, in South Africa (1·31, 0·89–1·93). Interpretation: Low-intensity individual breastfeeding peer counselling is achievable and, although it does not affect the diarrhoea prevalence, can be used to effectively increase EBF prevalence in many sub-Saharan African settings. URI: http://hdl.handle.net/10566/516 Files in this item: 2
TylleskarExclusiveBreastfeeding2011.pdf (1.030Mb) -
September, Rose (University of Johannesburg, 2007)[more][less]
Abstract: The author reflects on the findings of a study commissioned by the Human Science Research Council (HSRC). A qualitative research methodology was used to explore the perceptions of service providers in the early childhood development (ECD) sector on job creation through government’s Expanded Public Works Programme (EPWP). The EPWP is aimed at drawing significant numbers of unemployed people into productive work by increasing their capacity to earn a sustainable income through training. In response, the national departments of Social Development, Health, and Education developed a Social Sector Plan (SSP) for EPWP in which the ECD sector was identified as one of the key areas for expansion. From a developmental social work perspective, both Early Childhood Development and productive employment are important strategies to alleviate persistent poverty. This article is intended to create dialogue, further research and action towards realizing the potential of the ECD sector to create more sustainable jobs in order to improve the quality of people’s lives. URI: http://hdl.handle.net/10566/210 Files in this item: 1
SeptemberExpandedWorks2007.pdf (220.1Kb) -
Piper, Laurence; von Lieres, Bettina (Institute of Development Studies, 2011)[more][less]
Abstract: Summary: The paper argues that the practice of democratic mediation is an increasingly common, yet under-researched, component of engagements between citizens and public authorities across the globe. While the actors who mediate (and their tactics) are diverse and are not necessarily of the marginalised group, they share a commitment to overcoming representational, knowledge or ideological deficits in decision-making for the marginalised group. While the ‘speaking for’ nature of democratic mediation clearly opens up critical legitimacy problems, the practice of democratic mediation appears to be remarkably common, and even effective. The paper demonstrates this by surveying at least three kinds of democratic mediation observed across a large number of cases. First is ‘mediation as professional advocacy’. The mediator in these cases is more an ‘interested intermediary’ in contentious policy politics. In a context of skewed powerrelations where certain groups remain systematically marginalised, not least through knowledge and representational deficits, a degree of advocacy is required to get more egalitarian policy dialogue. Second is ‘mediation as representational entrepreneurship’. This refers to engagements between citizens and forms of public authority that stretch from the local to the global level. In more ‘global-local’ mobilisations, mediators are often experts, professionals, and international NGOs. In more ‘local – global’ movements, the mediators are ‘hybrid activists’ deeply rooted in the local identities and associations. However, in either case the actor is distinguished by the taking of initiative to include the voices of the marginalised in a domain of power-relations which is multi-level. Lastly, ‘mediation as citizenship development’ refers to forms of activism typically associated with community and capacity development, and usually involves limited advocacy by civil society organisations (CSOs). Hence there 04 IDS WORKING PAPER 364 may be little by way of explicit mediation in local governance decision-making in these cases, although the empowerment of communities has a demonstrable and mostly positive impact on local governance. URI: http://hdl.handle.net/10566/480 Files in this item: 1
PiperDemocraticMediation2011.pdf (1.662Mb) -
Stern, Ruth; Puoane, Thandi; Tsolekile, Lungiswa (Centers for Disease Control and Prevention, 2010)[more][less]
Abstract: Introduction Noncommunicable diseases are increasing in developing countries, exacerbated by growing urbanization. We examined the experiences and perceptions about noncommunicable diseases of people who migrated from rural areas to urban Cape Town, South Africa. Methods We conducted a qualitative study in an impoverished periurban township that has a noncommunicable disease prevention program, including health clubs. We used in-depth interviews, participatory reflection and action groups, and focus group discussions. Results Participants described changes in eating patterns and levels of physical activity. These changes were a result of socioeconomic and environmental constraints. However, respondents were not concerned about these changes. Despite hardships, they were pleased with their urban lifestyle. Furthermore, they approved of their weight gain because it signified dignity and respect. Participants who attended health clubs found them informative and socially and emotionally supportive. Conclusion The study highlighted the complexity of the risk factors for noncommunicable diseases and the need to develop prevention strategies that extend beyond the traditional focus on diet and exercise. URI: http://hdl.handle.net/10566/292 Files in this item: 1
PuoaneExplorationNCD2010.pdf (381.1Kb) -
Nankwanga, Annet; Phillips, Julie; Neema, Stella (Faculty of Community and Health Sciences, University of the Western Cape, 2009)[more][less]
Abstract: Introduction: This paper presents HIV/AIDS experiences of elderly persons in Uganda as revealed by an ongoing descriptive cross-sectional study covering eight districts, namely: Pallisa, Kampala, Jinja, Lira, Nebbi, Ntungamo, Luwero and Mbarara. These districts represent both the rural and urban areas of the four regions of Uganda, including: Western, Northern, Eastern and Central region. Methods: The study employed a mixed method approach using a sequential exploratory strategy. Data was collected using not only focus group discussions and in-depth interviews held with 165 elderly persons but also a validated interview schedule administered to 50 key informants. Elderly persons participated in the study by providing data on their HIV/AIDS-related experiences. Key respondents were selected to provide data on strategies that could be adopted to curb the effects of the epidemic. This paper is based on one of the study's objectives, which focussed on exploring the effects of HIV/AIDS on Uganda's elderly people; coping mechanisms used to deal with HIV/AIDS; and strategies for curbing its effects. Data was analysed using content analysis and the descriptive method of SPSS. Results: Results show that HIV/AIDS affected most of the elderly people in Uganda by killing their children and spouses, and leaving them with a big burden of taking care of AIDS orphans; yet majority of these people were financially too incapacitated to shoulder it amply. HIV/AIDS also infected the elderly people. The epidemic introduced the need for ARVs and other health services that elderly people found too difficult to access due to poor health service delivery systems in Uganda. Most elderly people used food cultivation as a mechanism for coping with the burden of orphans. These results lead to recommending that government should economically empower elderly people through formulation and effective implementation of welfare policies regarding pension and special fund for these people. Conclusion: There is a need for the government to provide adequate and free HIV/AIDS-related health services and also increase educational support for HIV/AIDS orphans. URI: http://hdl.handle.net/10566/121 Files in this item: 1
AnnetHIV2009.pdf (178.8Kb) -
Muntingh, Lukas (Community Law Centre, University of the Western Cape, 2009)[more][less]
Abstract: In the past 15 years much research has been conducted on the prison system in South Africa focusing on governance, law reform and human rights. It is, however, of particular concern that the voices of prisoners and ex-prisoners had not been heard in the current discourse. This marginalisation of prisoners’ views is in all likelihood symptomatic of their marginalisation in broader society. This research project gathered information from ex-prisoners about their experiences during and after imprisonment. URI: http://hdl.handle.net/10566/231 Files in this item: 1
MuntinghExprisonersViews2009.pdf (309.7Kb) -
Moshabela, Mosa; Schneider, Helen; Silal, Sheetal; Cleary, Susan (BioMed Central, 2012)[more][less]
Abstract: Background: In low-resource settings, patients’ use of multiple healthcare sources may complicate chronic care and clinical outcomes as antiretroviral therapy (ART) continues to expand. However, little is known regarding patterns, drivers and consequences of using multiple healthcare sources. We therefore investigated factors associated with patterns of plural healthcare usage among patients taking ART in diverse South African settings. Methods: A cross-sectional study of patients taking ART was conducted in two rural and two urban sub-districts, involving 13 accredited facilities and 1266 participants selected through systematic random sampling. Structured questionnaires were used in interviews, and participant’s clinic records were reviewed. Data collected included household assets, healthcare access dimensions (availability, affordability and acceptability), healthcare utilization and pluralism, and laboratory-based outcomes. Multiple logistic regression models were fitted to identify predictors of healthcare pluralism and associations with treatment outcomes. Prior ethical approval and informed consent were obtained. Results: Nineteen percent of respondents reported use of additional healthcare providers over and above their regular ART visits in the prior month. A further 15% of respondents reported additional expenditure on self-care (e.g. special foods). Access to health insurance (Adjusted odds ratio [aOR] 6.15) and disability grants (aOR 1.35) increased plural healthcare use. However, plural healthcare users were more likely to borrow money to finance healthcare (aOR 2.68), and incur catastrophic levels of healthcare expenditure (27%) than non-plural users (7%). Quality of care factors, such as perceived disrespect by staff (aOR 2.07) and lack of privacy (aOR 1.50) increased plural healthcare utilization. Plural healthcare utilization was associated with rural residence (aOR 1.97). Healthcare pluralism was not associated with missed visits or biological outcomes. Conclusion: Increased plural healthcare utilization, inequitably distributed between rural and urban areas, is largely a function of higher socioeconomic status, better ability to finance healthcare and factors related to poor quality of care in ART clinics. Plural healthcare utilization may be an indication of patients’ dissatisfaction with perceived quality of ART care provided. Healthcare expenditure of a catastrophic nature remained a persistent complication. Plural healthcare utilization did not appear to influence clinical outcomes. However, there were potential negative impacts on the livelihoods of patients and their households. URI: http://hdl.handle.net/10566/547 Files in this item: 1
MoshabelaAntiretroviralTherapy2012.pdf (419.5Kb) -
Kanyoni, Maurice; Phillips, Julie (Faculty of Community and Health Sciences, University of the Western Cape, 2009)[more][less]
Abstract: Background: The size of the elderly population both in numbers and proportions of the whole world is increasing rapidly. The increase in the number of elderly people in the world will exert a big impact on health and social services. It is established that physical activity is one way of limiting age related disabilities. Objectives: This study aims to asses the levels of physical activity and the factors associated with it among older adults in selected institutions for the elderly in the Southern Province of Rwanda. Method: A cross-sectional descriptive study was conducted at 2 institutions for older adults in Rwanda. An interview questionnaire with close-ended questions was used to collect data. Results: More than one-third of the study sample was categorized as sedentary. Physical activity levels decrease with age. Females reported higher prevalence of physical activity than males. Conclusion: Older adults should be encouraged to engage in physical activity to gain the physical and mental health benefits associated with it. URI: http://hdl.handle.net/10566/114 Files in this item: 1
KanyoniPhysicalActivity2009.pdf (62.78Kb) -
Mabunda, Jabu; Bradley, Hazel A. (LAM Publications Ltd, 2011)[more][less]
Abstract: The purpose of the study was to assess factors contributing to poor performance of Directly Observed Treatment Short-Course (DOTS) in Mopani district of Limpopo Province, South Africa. An exploratory qualitative approach was used to investigate the factors that contribute to poor performance of the DOTS Strategy. Four focus group discussions were conducted, two with Directly Observed Therapy (DOT) Supporters and two with patients on treatment for more than 6 months. The focus groups (4) discussions were tape-recorded. Data collected were descriptively analyzed using thematic methods. The patients generally found supervision of TB treatment helpful as they were motivated and encouraged to continue treatment. Some of the aspects identified as being unhelpful were the inconvenient times for treatment support and stigma due TB supporters’ visit to patients home. Patients often preferred family members as supporters, whereas health workers favoured trained volunteers as DOT supporters. Other factors affecting DOTS were poverty, food shortage, cultural beliefs, and side-effects of the medication. Patients receiving disability grants prefer to remain uncured so as to continue receiving the grant. Behavioural factors seem to play a major role in noncompliance with TB treatment. The findings of the study support the importance of initial counseling and motivation of patients in improving adherence in the programme. Self-motivation was mentioned rather than the motivation from the DOT supporters. Further exploration of alternative DOTS supporters other than trained volunteer demands further investigation. URI: http://hdl.handle.net/10566/315 Files in this item: 1
MabundaTBDOTS2011.pdf (108.3Kb) -
Figaji, Tamara; Phillips, Julie (Faculty of Community and Health Sciences, University of the Western Cape, 2010)[more][less]
Abstract: BACKGROUND: Although the health benefits of physical activity have been proven, many children and adolescents still do not meet the recommended guidelines for sufficient physical activity. The purpose of this investigation was thus to examine the levels of PA, and learners perception of support from teachers, family and friends at an independent school in the Western Cape. Furthermore, the investigation aimed to examine the influence of social support on physical activity. METHOD: A cross-sectional design using quantitative methods was used in this study, which included 100 learners in the senior phase of the school (i.e. grades 5 to 7). The data was obtained with a self-admininstered questionnaire. The data was analyzed with the Statistical Package for Social Sciences (SPSS) version 16.0. The Chi-square test was used to explore associations between nominal and numerical data. The T-test was used to determine statistical significance between groups (independent t-tests) and within groups (paired sample t-test). RESULTS: Overall the sample responded positively when asked about support for physical activity from teachers. Furthermore, the study sample had a positive perception of both physical education (PE) and physical activity (PA) enjoyment. Boys participated in vigorous physical activity significantly more regularly than girls. CONCLUSION: As children are spending a considerable time at school, teachers, friends and parents should be encouraged to be supportive of their participation in physical activity. URI: http://hdl.handle.net/10566/181 Files in this item: 1
FigajiPhillips2010.pdf (58.32Kb) -
Piper, Laurence (University of Natal Press, 2009)[more][less]