Browsing by Title
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Njoki, Emma; Frantz, Jose M.; Mpofu, Ratie (Informa Healthcare, 2007)[more][less]
Abstract: Purpose. To determine the health promotion needs through an exploration of health-related behaviours and the factors that influence the behaviour of physically disabled youth with spinal cord injury. Methods. A descriptive and exploratory study that utilized a qualitative approach was carried out among ten participants aged between 15 and 29 years who were purposely selected. Information was obtained from individual face-to-face interviews and a focus-group discussion. Results. The participants were involved in risky health behaviours including sedentary lifestyles, use of alcohol, tobacco, and drugs. Various factors that influenced their participation in these behaviours were identified including personal struggles with identity and adjustment issues. Conclusions. The results emphasize that participants were involved in health-risk behaviours, which are associated with development of secondary conditions such as respiratory problems, heart diseases, and stroke. Health-promotion strategies employed for these individuals should address the psychological impact of spinal cord injury (SCI) on the individual as an influence to participation in health risk behaviours. URI: http://hdl.handle.net/10566/399 Files in this item: 1
FrantzHealthPromotion2007.pdf (246.3Kb) -
Uwimana, Jeannine; Jackson, Debra; Hausler, Harry; Zarowsky, Christina (Wiley-Blackwell, 2012)[more][less]
Abstract: In South Africa, the control of TB and HIV co-infection remains a major challenge despite the availability of international and national guidelines for integration of TB and HIV services. This study was undertaken in KwaZulu-Natal, one of the provinces most affected by both TB and HIV, to identify and understand managers’ and community care workers’ (CCWs) perceptions of health systems barriers related to the implementation of collaborative TB⁄ HIV activities, including prevention of mother to child transmission of HIV (PMTCT). We conducted 29 in-depth interviews with health managers at provincial, district and facility level and with managers of NGOs involved in TB and HIV care, as well as six focus group discussions with CCWs. Thematic analysis of transcripts revealed a convergence of perspectives on the process and the level of the implementation of policy directives on collaborative TB and HIV activities across all categories of respondents (i.e. province-, district-, facility- and communitybased organizations). The majority of participants felt that the implementation of the policy was insufficiently consultative and that leadership and political will were lacking. The predominant themes related to health systems barriers include challenges related to structure and organisational culture; management, planning and power issues; unequal financing; and human resource capacity and regulatory problems notably relating to scope of practice of nurses and CCWs. Accelerated implementation of collaborative TB⁄ HIV activities including PMTCT will require political will and leadership to address these health systems barriers. URI: http://hdl.handle.net/10566/457 Files in this item: 1
UwimanaHealthSystemBarriers2012.pdf (205.7Kb) -
Sjoling, Sara; Cowan, Donald A. (Springer Verlag, 2003)[more][less]
Abstract: The microbial diversity in maritime meltwater pond sediments from Bratina Island, Ross Sea, Antarctica was investigated by 16S rDNA-dependent molecular phylogeny. Investigations of the vertical distribution, phylogenetic composition, and spatial variability of Bacteria and Archaea in the sediment were carried out. Results revealed the presence of a highly diverse bacterial population and a significantly depthrelated composition. Assessment of 173 partial 16S rDNA clones analyzed by amplified rDNA restriction analysis (ARDRA) using tetrameric restriction enzymes (HinP1I 5'GVCGC3'and Msp I. 5'CVGG3', BioLabs) revealed 153 different bacterial OTUs (operational taxonomic units). However, only seven archaeal OTUs were detected, indicating low archaeal diversity. Based on ARDRA results, 30 bacterial clones were selected for sequencing and the sequenced clones fell into seven major lineages of the domain Bacteria; the a, c, and d subdivisions of Proteobacteria, the Cytophaga–Flavobacterium– Bacteroides, the Spirochaetaceae, and the Actinobacteria. All of the archaeal clones sequenced belonged to the group Crenarchaeota and phylogenetic analysis revealed close relationships with members of the deep-branching Group 1 Marine Archaea. URI: http://hdl.handle.net/10566/148 Files in this item: 1
Sjoling16SrDNA.pdf (543.4Kb) -
Moodley, Colleen; Phillips, Julie (Africa Association for Health, Physical Education, Recreation, Sport and Dance/LAM Publications Limited, 2011)[more][less]
Abstract: The impact of the HIV/AIDS pandemic is mostly felt by adolescents as half of all new HIV/AIDS infections have occurred in people aged 15-24 years. Statistics show that campaigns implemented by the South African government have failed to bring about positive behavioural change among young people. The aim of this study was to determine the HIV/AIDS-related knowledge among students at a college and the association between knowledge, self-efficacy, self-concept in sexual practices. This study was conducted at a Further Education and Training College in Cape Town. Data were collected using self-administered questionnaires consisting of five sections including demographic information; sexual practices; knowledge of HIV/AIDS, levels of self-efficacy; and self-concept. Fifty four percent of the participants indicated no condom use when having sex, either by themselves or by a partner; 43% indicated that they had more than 2 sexual partners in the 12 months prior to the study. The odds that a person with higher HIV/AIDS knowledge will use a condom were 1.047 times greater than someone with less HIV/AIDS knowledge. The odd’s ratio for self-efficacy indicates a positive relationship with the number of partners of an individual. The findings of the present study suggest adequate/high HIV/AIDS knowledge among the study sample. The study further highlights that for males, there is a greater likelihood that lower self-efficacy would predict more sexual partners in comparison to females. The results further suggest that although governmental organisations’ efforts improved knowledge of HIV/AIDS, programmes avidly promoting self-efficacy for males should be implemented. URI: http://hdl.handle.net/10566/505 Files in this item: 1
MoodleySexualHealth2011.pdf (139.7Kb) -
Scott, Vera; Chopra, Mickey; Conrad, Liz; Ntuli, Antoinette (Health and Medical Publishing Group, 2005)[more][less]
Abstract: OBJECTIVES. To assess the extent of inequalities in availability and utilisation of HIV services across South Africa. DESIGN. Cross-sectional descriptive study. Setting. Three districts reflecting different socio-economic conditions, but with similar levels of HIV infection, were purposively sampled. Outcome measures. Availability and utilisation of HIV services and management and support structures for programmes were assessed through the collection of secondary data supplemented by site visits. RESULTS. There were marked inequalities in service delivery between the three sites. Compared with two poorer sites, clinics at the urban site had greater availability of HIV services, including voluntary counselling and testing (100% v. 52% and 24% respectively), better uptake of this service (59 v. 9 and 5.5 clients per 1 000 adults respectively) and greater distribution of condoms (15.6 v. 8.2 condoms per adult male per year). Extra counsellors had also been employed at the urban site in contrast to the other 2 sites. The urban site also had far more intensive management support and monitoring, with 1 manager per 12 health facilities compared with 1 manager per more than 90 health facilities at the other 2 sites. CONCLUSION. The process of scaling up of HIV services seems to be accentuating inequalities. The urban site in this study was better able to utilise the extra resources. In contrast, the poorer sites have thus far been unable to scale up the response to HIV even with the availability of extra resources. Unless policy makers pay more attention to equity, efficacious interventions may prove to be of limited effectiveness. URI: http://hdl.handle.net/10566/172 Files in this item: 1
ScottHowEquitable2005.pdf (307.4Kb) -
Sparks, Conrad, A.J.; Gibbons, Mark J. (Taylor & Francis and NISC, 2003)[more][less]
Abstract: A total of 242 zooplankton samples from the upper 100 m of the water column was collected discontinuously from March 1997 to January 1999 off the Orange River mouth on the west coast of southern Africa. Six species of hydromedusae were recovered at generally low abundance, of which Euphysa aurata, Leuckartia octona and Proboscidactyla menoni were dominant. E. aurata and L. octona showed evidence of seasonality in abundance. The low diversity of the fauna was remarkable and it is hypothesized that this might be attributable in part to sedimentation from the Orange River, and in part to locally weak circulation and the wide extent of the continental shelf. URI: http://hdl.handle.net/10566/380 Files in this item: 1
SparksHydromedusaeOrangeRiver2003.pdf (57.50Kb) -
McMillan, Wendy (Routledge, 2004)[more][less]
Abstract: This paper is conceptually informed by a reading of Peter McLaren's work (1993). Drawing on the relationship that he signals between identity, narrative, and social action, it sets out to examine the ways in which identity shapes narratives of academic performance and consequent action. Speci®cally, I present the narratives of academic performance of a social grouping within a cohort of preprimary teacher education students. These students are all women, historically classi®ed `coloured' and of working class origin. Argument is presented that students interpret and reconstruct their personal histories and particular social locations through the material and discursive contexts to which they have access. The students are presented as active agentsÐ producing themselves within existing, and often potentially contradictory, material and discursive contexts. Evidence is marshalled to frame an argument that students' narratives shape their social action as agents of history, and are implicated in the distribution of privilege within society. URI: http://hdl.handle.net/10566/83 Files in this item: 1
McMillan_Factory2004.pdf (277.8Kb) -
Ngara, Rudo; Ndimba, Roya; Borch-Jensen, Jonas; Jensen, Ole Nørregaard; Ndimba, Bongani (Elsevier, 2012)[more][less]
Abstract: Sorghum bicolor, a drought tolerant cereal crop, is not only an important food source in the semi arid/arid regions but also a potential model for studying and gaining a better understanding of the molecular mechanisms of drought and salt stress tolerance in cereals. In this study, seeds of a sweet sorghumvariety, MN1618, were planted and grown on solid MS growth medium with or without 100mM NaCl. Heat shock protein expression immunoblotting assays demonstrated that this salt treatment induced stress within natural physiological parameters for our experimental material. 2D PAGE in combination with MS/MS proteomics techniques were used to separate, visualise and identify salinity stress responsive proteins in young sorghum leaves. Out of 281 Coomassie stainable spots, 118 showed statistically significant responses (p<0.05) to salt stress treatments. Of the 118 spots, 79 were selected for tandem mass spectrometric identification, owing to their good resolution and abundance levels, and of these, 55 were positively identified. Identified proteins were divided into six functional categories including both known and novel/putative stress responsive proteins. Molecular and physiological functions of some of our proteins of interest are currently under investigation via bioinformatic and molecular biology approaches. URI: http://hdl.handle.net/10566/543 Files in this item: 1
NdimbaSweetSorghum2012.pdf (765.8Kb) -
McMillan, Wendy (School of Education, University of KwaZulu-Natal, 2003)[more][less]
Abstract: Drawing on a qualitative study of a cohort of final year preprimary teacher college students, this paper motivates for narrative analysis as a suitable tool for accessing ‘insider accounts’ of social reality. Through an analysis of the voices of these young people, I make the argument that narrative analysis allows us to develop an explanation of how people interpret their social locations and personal histories through the discourses and material contexts to which they have access. I commence by presenting the narrative of academic performance of one of the social groupings within the cohort. The material and discursive parameters that framed their narrative account are outlined. Similarities and differences between individual accounts are highlighted, and explanations for these similarities and differences posited. The ways in which multiple social locations nuance identity as nested are explicated. The paper concludes with a discussion of the potential contribution of narrative analysis as a conceptual tool for understanding social identity. URI: http://hdl.handle.net/10566/55 Files in this item: 1
McMillan_narrative(2003).pdf (215.0Kb) -
van Ryneveld, Hannelore (Peter Lang, 2008)[more][less]
Abstract: José Oliver is a multilingual poet of Andalusian descent who writes poetry in German. His first poetry was published in the mid-eighties and his writings were seen as part of migrant literature (also referred to in the seventies as guestworker literature). He has however moved beyond those boundaries and has written himself into („eingeschrieben”) the German language and his poetry is characterised by a breaking- up („auf-brechen”) of the language and thereby creating sound and word structures which strip away the common usage in an attempt to regain the original meanings of words.The interview with José Oliver was conducted in February 2005 in Hausach in the Black Forest. URI: http://hdl.handle.net/10566/207 Files in this item: 1
VanRyneveldImGesprach2008.pdf (538.8Kb) -
Cousins, Ben (PLAAS, University of the Western Cape, 2011)[more][less]
Abstract: This report describes the ‘living law’ of land in one part of Msinga, a deep rural area of KwaZulu-Natal. It presents research findings from the Mchunu and Mthembu tribal areas, where a three-year action-research project was carried out by staff of the Mdukutshani Rural Development Programme. Launched in 2007, at a time when implementation of the Communal Land Rights Act of 2004 (CLRA) appeared imminent, the project aimed to gain a detailed understanding of land tenure in Msinga, facilitate local-level discussion of potential solutions to emerging problems around land rights, provide information on the CLRA to residents and authority structures, and help generate ideas on how local people could engage with the new law. Meetings, interviews and focus groups convened by the project between 2007 and 2009 generated lively discussions and debates on a range of issues and problems related to land tenure in Msinga. Policy-makers need to consider how to convene conversations of this kind, on a large scale, before they launch a new round of tenure reform policy formulation and law making. Our experience suggests that well designed processes are critically important to ensure informed discussion, but also that ordinary rural people, not just their leaders, are more than ready to engage in debates about policies that could have major impacts on their lives. URI: http://hdl.handle.net/10566/390 Files in this item: 1
CousinsLandMsinga2011.pdf (3.011Mb) -
Hall, Ruth (PLAAS, University of the Western Cape, 2007)[more][less]
Abstract: This report investigates emerging trends evident in the limited literature available on the impact of land restitution on livelihoods, and suggests ways of thinking about, and planning for, livelihoods. The report has a two-fold emphasis: its primary focus is on rural restitution claims where land has been restored, but it also addresses rural land reform more generally. Where land ownership has been transferred to land reform beneficiaries, similar patterns and challenges may arise, regardless of whether the land was acquired through the redistribution or the restitution route. URI: http://hdl.handle.net/10566/90 Files in this item: 1
Hall_Impact2007.pdf (1.418Mb) -
Puoane, Thandi; Hughes, Gail (South African Medical Association, 2005)[more][less]
Abstract: HIV/AIDS continues to ravage sub-Saharan Africa, and in South Africa accounts for 30% of all mortality, making it the leading cause of death. The epidemic has had other negative effects, which have not been fully realised. Among these is the fact that, paradoxically, the awareness programmes implemented to prevent major spread of HIV/AIDS have complicated the prevention of non-communicable diseases (NCDs). URI: http://hdl.handle.net/10566/283 Files in this item: 1
HIV and NCDs m_samj_v95_n4_a6.pdf (219.2Kb) -
Rena, Ravinder (Ottawa United Learning Academy & Denfar Transnational DevelopmentOttawa United Learning Academy & Denfar Transnational Development, 2012)[more][less]
Abstract: About two thirds of the WTO’s around 150 members are developing countries. They play an increasingly important and active role in the WTO because of their numbers, because they are becoming more important in the global economy, and because they increasingly look to trade as a vital tool in their development efforts. An attempt is made in this paper to examine whether the WTO policies have positive or negative effect on the trade of developing countries. The paper further discusses that the Doha Round of Talk is a myth, a fiction, or is it a reality. Can the spirit of Doha, which launched a new round of negotiations and work with an explicit pledge to deliver development-friendly results, be redeemed or not? Finally, it analyses the special differential treatment (SDT) for developing countries. URI: http://hdl.handle.net/10566/531 Files in this item: 1
RenaWTO-Policies2012.pdf (245.6Kb) -
Powell, Derek (SUN Press, 2012)[more][less]
Abstract: Local government is a mirror of the larger political and economic forces, cleavages and problems that are shaping South African society. It is these deeper fault lines in society, rather than the Zuma government’s turnaround strategy or the 2011 local elections result, which will drive future policy and determine its effects. This is the first lesson of local government reform in all four terms of national government examined in this chapter. In each term, national policy reforms were moulded by shifting political and economic circumstances and larger national interests, not simply by the unfolding logic of the original blueprint for local government in the 1998 white paper. The outcome of eighteen years of policy reform, however, was not the new society imagined in the white paper, but an imperfect transition that is local government today: where peaceful electoral competition coexists with violent public protests, racial group areas endure in fact, even if not in law, pockets of good governance survive amidst systemic corruption and mismanagement, and national policy goals consistently exceed local government’s capacity to deliver them and the economy’s skills base. The second lesson flows from that reality – due to the fact that the problems of local government are so nested in the broader problems of our society, further local government policy reform and sweeping national turnaround strategies are likely to have imperfect impacts on ‘the problem of local government’ in South Africa. URI: http://hdl.handle.net/10566/551 Files in this item: 1
PowellLocalGovernment2012.pdf (198.7Kb) -
Labonte, Ron; Sanders, David; Baum, Fran; Schaay, Nikki; Packer, Corinne (CSIRO, 2008)[more][less]
Abstract: Primary health care (PHC) is again high on the international agenda. It was the theme of The World Health Report in 2008, thirty years after the Alma-Ata Declaration, and has been the topic of a series of significant conferences around the world throughout 2008. What have we learnt about its impact in improving population health and health equity? What more do we still need to know? These two questions framed a four-year international research/capacity-building project, “Revitalizing Health for All” (RHFA), funded by the Canadian Global Health Research Initiative, which began in 2007. The findings of a global literature review conducted by this Initiative, and focusing on comprehensive primary health care - and how it has been implemented since Alma Ata are presented. The way in which the political context has affected the comprehensiveness of PHC is considered - along with a series of proposed future PHC research areas. URI: http://hdl.handle.net/10566/476 Files in this item: 1
LabontePrimaryHealthCare2008.pdf (235.2Kb) -
Puoane, Thandi; Sanders, David; Ashworth, Ann; Chopra, Mickey; Strasser, Susan; McCoy, David (Oxford University Press, 2004)[more][less]
Abstract: OBJECTIVE. To improve the clinical management of severely malnourished children in rural hospitals in South Africa. STUDY DESIGN. A pre- and post-intervention descriptive study in three stages: assessment of the clinical management of severely malnourished children, planning and implementing an action plan to improve quality of care, and monitoring and evaluating targeted activities. A participatory approach was used to involve district and hospital nutrition teams in all stages of the research. SETTING. Two rural Wrst-referral level hospitals (Mary Theresa and Sipetu) in Mount Frere District, Eastern Cape Province. MAIN MEASURES. A retrospective record review of all admissions for severe malnutrition to obtain patient characteristics and case fatality rates, a detailed review of randomly selected cases to illustrate general case management, structured observations in the paediatric wards to assess adequacy of resources for care of malnourished children, and in-depth interviews and focus group discussions with nursing and medical staff to identify barriers to improved quality of care. RESULTS. Before the study, case fatality rates were 50% and 28% in Mary Theresa and Sipetu hospitals, respectively. Information from case studies, observations, interviews, and focus group discussions revealed many inadequacies in knowledge, resources, and practices. The hospital nutrition team developed and implemented an action plan to improve the quality of care and developed tools for monitoring its implementation and evaluating its impact. In the 12-month period immediately after implementation, case fatality rates fell by ∼25% in both hospitals. CONCLUSION. Participatory research led to the formation of a hospital nutrition team, which identiWed shortcomings in the clinical management of severely malnourished children and took action to improve quality of care. These actions were associated with a reduction in case fatality rates. URI: http://hdl.handle.net/10566/294 Files in this item: 1
PuoaneHospitalManagement2004.pdf (2.647Mb) -
Lalu, Premesh (Southern African Literature and Culture Centre, UKZN, 2004)[more][less]
Abstract: This paper gathers together deliberations surrounding Steve Biko’s I Write What I Like as it simultaneously registers the critical importance of the text as an incomplete history. Rather than presupposing the text as a form of biography or following a trend of translating Biko into a prophet of reconciliation, I argue that the text leads us towards the postcolonial problematic of self-writing. That problematic, I argue, names the encounter between self-writing and an apparatus of reading. The paper stages the encounter as a way to make explicit the text’s postcolonial interests and to mark the onset of an incomplete history. This, I argue incidentally, is where the postcolonial critic may set to work to finish the critique of apartheid. Incomplete histories call attention to how that which is unintelligible in a text makes an authoritative reading difficult. URI: http://hdl.handle.net/10566/298 Files in this item: 1
LaluIncomplete2004.pdf (54.09Kb) -
Tumusiime, David; Frantz, Jose M. (Africa Association for Health, Physical Education, Recreation,Sport and Dance/LAM Publications Limited, 2006)[more][less]
Abstract: Physical inactivity is one of the leading causes of the major non-communicable diseases, which contribute substantially to the global burden of diseases, death and disability. The burden of mortality, morbidity and disability attributable to non-communicable diseases is currently greatest and is continually growing in the developing countries. Most declines in physical activity (PA) occur during the transition period when a person goes from high school to College or University. The objectives of this study were to identify perceived benefits of and barriers to PA and determine whether previous participation in PA does have an influence on these perceptions. A cross- sectional and descriptive study with quantitative design was conducted. Five hundred (500) tertiary institution students were randomly sampled from purposively selected departments and classes at each of the five government educational tertiary institutions in Rwanda. A pre-coded self-administered questionnaire with a small number of open-ended questions was administered to the students. A response rate of 425 (85%) was obtained. Descriptive and inferential statistics were used to analyse the data, by means of SAS version 8 software. Frequencies and percentages for mean score values with standard deviations for each perception variable were descriptively obtained. False Discovery Rate (FDR) at 5% for multiple test adjustment and Spearman’s correlation (r) tests were used to identify the significant influence of previous participation on perceptions. More than 70% students were not participating in PA at tertiary level. Psychological benefits of PA were some of the most important perceived benefits cited by the students. Most of the important barriers cited concerned equipment and time constraints to exercising. Associations were found between previous participation and the current perceptions of PA. The findings of this study demonstrate that previous participation can influence perceptions of PA among the students. Physical activity promotion programmes should consider the role of these factors which should be emphasised from childhood. URI: http://hdl.handle.net/10566/397 Files in this item: 1
TumusiimePhysicalActivity2006.pdf (127.2Kb) -
Rowe, Michael (Faculty of Community and Health Sciences, University of the Western Cape, 2008)[more][less]
Abstract: Information and communication technology has been shown to be increasingly important in the education and professional practice of healthcare workers. The World Health Organisation (WHO) discusses the benefits of using ICT in the Primary Healthcare setting in terms of better access to information, improved communication between colleagues, facilitating continuing professional development and providing learning tools for healthcare professionals, patients and the community as a whole. This review of the literature describes the role of information and communication technology (ICT) in the education and professional practice of healthcare workers and goes on to outline the challenges facing the widespread adoption of ICT. The conclusion is that ICT does indeed have a positive role to play in both the education and professional practice of healthcare workers, including physiotherapists, as long as it is implemented as an adjunct to established and proven practice, and not a replacement. URI: http://hdl.handle.net/10566/61 Files in this item: 1
Rowe_Information2008.pdf (398.8Kb)