Browsing by Title
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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]
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Malherbe, Vertrees C.(University of Cape Town) (Published by History Department, University of the Western Cape, 2010)[more][less]
Abstract: In the wake of the mineral revolution, and the Cape Colony’s attainment of responsible government, Cape Town’s population doubled in the nineteenth century’s latter years. Its largely British ruling class, seeing opportunities for wealth and a greater significance in empire and world, sought to construct a social order conducive to those goals. Faced with increasing ethnic heterogeneity, gender imbalance due to the numbers of male immigrants, and frustration in combating the endemic poverty and slums, city fathers and their closest colleagues – doctors, clergy – perceived the way forward in terms not of extending rights but of moral reform. This article carries the ongoing investigation of family life and law in Cape Town through the Victorian period. It examines legal enactments and social developments where they impacted on marriage, divorce, concubinage and related matters, with particular reference to the welfare of children and those born out of wedlock. URI: http://hdl.handle.net/10566/205 Files in this item: 1
MalherbeFamilyLaw2010.pdf (257.8Kb) -
Hughes, Gail; Hoyo, Catherine; Puoane, Thandi (South African Medical Association, 2006)[more][less]
Abstract: BACKGROUND: In South Africa, former apartheid laws encouraged rural males seeking employment to migrate to urban areas, moving weekly, monthly or annually between their rural families and urban workplaces. The combination of the migrant labour system and long family separations caused an explosion of serious health consequences, among others sexually transmitted infections (STIs) in the migrant population. OBJECTIVE: To describe some correlates of male migration patterns for the rural women left behind, especially the fear of STIs that this engendered in them and their risk-avoidance behaviour. Setting and subjects. In KwaZulu-Natal, 208 prenatal patients who were partners of oscillating male migrant workers were interviewed to determine their demographic and behavioural characteristics, and their fear of STIs. RESULTS: Thirty-six per cent of the rural women said that they were afraid of contracting STIs from their returning migrant partners. Women who saw their partners infrequently were more fearful of STI transmission, and were less able to have sexual communication. However, almost none of the women protected themselves, while only 8% used condoms, primarily for contraceptive purposes. CONCLUSIONS: These results reflect the gender-based power relationships of South African male migrants and their rural partners, the social and economic dependency of the women on their migrant partners, and the women’s social responsibility to bear children. The results point to the need to go beyond interventions that simply seek to modify behaviour without altering the forces that promote risk taking and discourage risk reduction, and the need to develop appropriate interventions to curb STIs and decrease HIV. URI: http://hdl.handle.net/10566/260 Files in this item: 1
PuoaneSTIs2006.pdf (563.5Kb) -
Dewing, Sarah; Matthews, Catherine; Schaay, Nikki; Cloete, Allanise; Simbayi, Leickness; Chopra, Mickey (Springer, 2011)[more][less]
Abstract: This case study with one lay adherence counsellor assessed the implementation of Options for Health, a sexual risk-reduction intervention based on Motivational Interviewing (MI), in an antiretroviral clinic in Cape Town, South Africa. In most cases Options was not delivered with fidelity and less than one-third of intended recipients received it; the counsellor often forgot to do Options, was unsure how to deal with particular cases and felt that there was not always time to do Options. Options was not implemented in a way that was consistent with MI. Revisions to the implementation plan and training programme are required. URI: http://hdl.handle.net/10566/473 Files in this item: 1
DewingAntiretroviralClinic2011.pdf (162.5Kb) -
Khan, Sadika (South African Dental Association (SADA), 2009)[more][less]
Abstract: This article focuses on educational research conducted at the newly merged UWC faculty of dentistry. The research emphasises the change in teaching methods employed to address the concerns experienced in teaching the new large classes as observed in the prosthetic techniques module. These educational interventions were conducted over 5 years and the study design included the principles of action research. Students were assisted in learning the theory of the practical procedures and the subsequent completion of these procedures with the accurate application of the theoretical concepts. Changes in the teaching methods enhanced students learning and successful translation of the theory into practical work. The active learning exercises incorporated into the teaching further motivated and assisted students with deep learning. The debates indicated that students know and accept the value of the module as part of their training. URI: http://hdl.handle.net/10566/224 Files in this item: 1
KhanActionResearch2009.pdf (354.1Kb) -
Fessha, Yonatan Tesfaye (Centre International de Formation Européenne, 2012)[more][less]
Abstract: The history of federalism in Africa is a history of ambivalence. In the run up to independence, federalism was an idea that galvanized several political movements that, following the retreat of colonial powers, emerged to represent the interest of ethnic groups that were anxious about their political status in post colonial Africa. But it was also an idea that was subsequently rejected by those that wield state power and thrown into historical dustbins. Recent developments indicate that the federal idea that was never given a chance to develop and was being strangled at birth is now re-entering the constitutional scene of several African countries. This short article examines how African federations have responded to the ethnic diversity that characterizes their societies. In particular, it examines how the territorial autonomy solution, implicit in these federations, have helped to deal with the challenges of ethnic diversity. URI: http://hdl.handle.net/10566/534 Files in this item: 1
FesshaEthnicDiversityAfrica2012.pdf (203.3Kb) -
Gibbons, Mark J.; Stuart, V (NISC and Taylor & Francis, 1994)[more][less]
Abstract: The feeding biology and the vertical migration of Sagitta friderici were examined over 24 h at two stations in the southern Benguela during spring (October) 1987. Together with studies conducted during summer (February 1991) and winter (May 1984), they serve to allow valuable generalizations of the biology and ecology of this abundant chaetognath. Populations migrate vertically and feed nocturnally, although the timing and the extent of migration vary between studies. S.friderici exhibits ontogenetic layering and the cross-shelf distribution of maturity stages differs, suggesting that it is able to take advantage of cross-shelf water movement in order to maintain populations in the nearshore waters of the West Coast. S.friderici prey almost exclusively on copepodg (cannibalism is rare), and there is a positive relationship between the lengths of predator and prey that is influenced by the size structure of the prey environment. This casts doubt on the validity of a chaetognath species-specific relationship between predator and prey size. S. friderici selects its prey on the basis of size, and not species. Daily ration is related linearly to prey density, so reflecting the low density of prey and providing support for theoretical predictions regarding ingestion rates under oceanic conditions. The impact of S. friderici predation on the copepod assemblage is generally less than 3% of the standing stock, although it could be much higher under conditions of low copepod biomass and poor secondary production. URI: http://hdl.handle.net/10566/306 Files in this item: 1
GibbonsFeeding1994.pdf (866.4Kb) -
Chitedze, Zimani; Tucker, William D. (Telkom, 2012)[more][less]
Abstract: This paper shows that mobility management protocols for infrastructure Internet may be used in a wireless mesh network environment. Mesh topology tends to be an unplanned graph and routes change dynamically and in this research Mobile IPv6 and Fast Handover for Hierarchical Mobile IPv6 are successfully implemented in a wireless mesh network environment. Horizontal handover simulation with ns2 involved Mobile IPv6 and Fast Handover for Hierarchical Mobile IPv6 applied to wireless mesh networks. Mobile IPv6 was used as a baseline to compare the performance of the two protocols. The results show that in mesh networks, Fast Handover for Hierarchical Mobile IPv6‘s performance is superior to Mobile IPv6. Fast Handover for Hierarchical Mobile IPv6 generates more throughput and less delay than Mobile IPv6. Furthermore, Fast Handover for Hierarchical Mobile IPv6 drops fewer data packets than Mobile IPv6. Even though MIPv6 and its extensions are for infrastructure networks, they can be used effectively in mesh networks. URI: http://hdl.handle.net/10566/424 Files in this item: 1
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du Toit, Francois (Juta Law, 2007)[more][less]
Abstract: This contribution focuses on two matters pertinent to the office of trustee. First, the fiduciary nature of the office of trustee is investigated, with particular reference to the essence of a trustee’s fiduciary duty. Secondly, the protection afforded by a trustee’s fiduciary office to trust beneficiaries, particularly contingent beneficiaries, is examined. It is shown that the protection enjoyed by contingent trust beneficiaries is frequently ascribed to their “vested interests in the proper administration of a trust” (which, it is submitted, means that each contingent trust beneficiary enjoys a personal right against the trust’s trustee for proper trust administration as counterpart to such trustee’s fiduciary duty). The question is then posed whether, as some commentators contend, such an interest in or right to proper trust administration allows extending a direct action, through the actio legis Aquiliae, to contingent trust beneficiaries for claiming delictual damages from an errant trustee in breach of trust. URI: http://hdl.handle.net/10566/225 Files in this item: 1
DuToitFiduciaryOffice2007.pdf (430.8Kb) -
McMillan, Wendy (American Association of Dental Schools, 2009)[more][less]
Abstract: There is increasing awareness in the health sciences of the potential of qualitative research to address questions that quantitative research cannot satisfactorily answer. While a growing number of studies in health sciences and health sciences education discuss the value of such research or describe the methodology and data collection processes, few detail how analysis was carried out. Reliability and validity of findings from qualitative research depend on the quality of data management, retrieval, and interpretation or identification of meaning. The robustness of data analysis is therefore an important factor in the rigor of qualitative research. This article uses a study of dental students’ conceptual learning to illustrate strategies that ensure rigor in qualitative analysis. Factors that informed the decisions regarding analysis are discussed in detail. The use of both grounded theory and literature is discussed. The role that deductive and inductive reasoning played in the analysis is outlined. A brief section illustrates the kinds of conclusions that can be made about conceptual learning when qualitative data are rigorously analyzed. Finally, potential shortcomings in the study and alternatives or additional mechanisms for ensuring validity and reliability of analysis are discussed. URI: http://hdl.handle.net/10566/86 Files in this item: 1
McMillan_Qualitative2009.pdf (131.5Kb) -
Benjamin, Anita; Tucker, William D. (Telkom, 2003)[more][less]
Abstract: We have built a hybrid voice/text web–board that utilizes floor control for handling resources such as microphone and interface events. The aim of this research is to determine the most appropriate floor control mechanism for a hybrid communication tool that allows conventional text and audio users to communicate with one another using a common interface. Research on floor control mechanisms provides many implementations for arbitration that are application-specific. Myers proposes a categorical explanation of the most widely used mechanisms for providing floor control and discusses these different dimensions with respect to a project called Pebbles. We have chosen to model our arbitration policies along these categories. The application will be implemented as a Java applet and gives users a view of both the text and audio aspects of the exchange. To facilitate the multi-modality of the system we will provide media conversion, using the Nuance system’s Java API. Our hypothesis is that well–known multi-tasking arbitration protocols such as FCFS, Round Robin, Token – based, and many more can be adapted to create a conferencing floor control policy for the interface of a hybrid communication environment so as to facilitate free–flowing multi-modal conversation. Measurements to determine which floor control implementation provides the best arbitration in terms of user interaction with the system will be calculated using RPT, ORT and usage tests based on the Kirkpatrick Model. We hope to show that users benefit more from an implicit arbitration mechanism than they do from an explicit one. URI: http://hdl.handle.net/10566/538 Files in this item: 1
BenjaminTuckerHybridVoice2003.pdf (123.3Kb) -
Nasson, Bill (Stellenbosch University) (Published by History Department, University of the Western Cape, 2009)[more][less]
Abstract: This article, an expanded version of a 2008 public lecture, explores the life and times of Adolph Gysbert ʻSailorʼ Malan, a South African who rose to prominence as a combatant in the 1940 Battle of Britain and who, after his post-war return to the Union, became a notable personality in liberal reform politics. A classic Anglo-Afrikaner empire loyalist or ʻKingʼs Afrikanerʼ, Malan became ʻSailorʼ through his interwar merchant marine service, joining the Royal Air Force in the later 1930s. An exceptional fighter pilot, his wartime role as an RAF ace in defending Britain turned him into a national hero, a migrating loyal Springbok who had sprung selflessly to the defence of Great Britain. Subsequently, as an ex-serviceman, Malan drew on his wartime sensibilities and beliefs to return to political battle in his home country, in opposition to post-1948 Afrikaner nationalism and its apartheid policies. The mini-biography of Sailor Malan analyses several key life-story elements, including his seafaring apprenticeship, British wartime identity and combat experience, and troubled relationship with post- 1945 South Africa as a gradualist liberal. URI: http://hdl.handle.net/10566/101 Files in this item: 1
NassonSailor2009.pdf (3.678Mb) -
Conradie, Ernst (Stellenbosch University, 2008)[more][less]
Abstract: This essay reconstructs the way in which Douglas John Hall tells the story of God's work. The argument of this essay is that Hall's entire theology could be described as an exposition of the famous formula in John 3:16, "for God so loved the world". His emphasis on a theology of the cross is explored with reference to the doctrines of creation, humanity, providence, redemption, the church and the eschatological consummation. It is argued that Hall's strength (his Christological focus on a theology of the cross) is also his weakness, given his underdeveloped pneumatology. It would therefore be important to further investigate Hall's understanding of the filioque problem. URI: http://hdl.handle.net/10566/513 Files in this item: 1
ConradieDouglasJohnHall2008.pdf (146.5Kb) -
Hall, Ruth (PLAAS, University of the Western Cape, 2009)[more][less]
Abstract: The new cabinet ushered in after the 2009 national elections features new and renamed ministries. Those expected to take the lead in a new initiative to resuscitate the rural economy are the Ministry of Rural Development and Land Reform and the Ministry of Agriculture, Forestry and Fisheries. While the newfound priority placed on rural development is welcome, its separation from the dynamic subsectors in the rural economy is not. This brief shows how existing policies are bifurcated between BEE models for the better off and welfare for the poor. There is now a danger that the two ministries will replicate the dualism of the so-called ‘first’ and ‘second’ economies – an approach that deepens exclusion from and legitimises exploitation in the economic core, and prevents the creation of a ‘missing middle’ of successful small producers. What is needed instead is rural development that restructures the commercial sectors of agriculture, forestry and fisheries, and the exploitative class relations (with workers and small producers) on which they are based, and which breaks down the concentration of capital and market power in few hands. Only then can redistributing land, forests and fishing quotas create new pathways for ‘the rural poor’ to participate, and produce, in these sectors in ways that create livelihoods and jobs, and set South Africa on a different and more appropriate growth path. URI: http://hdl.handle.net/10566/69 Files in this item: 1
Hall_Fresh2009.pdf (351.8Kb) -
Charman, Andrew; Petersen, Leif; Piper, Laurence (University of KwaZulu-Natal, 2012)[more][less]
Abstract: Small, home-based grocery stores, known as spaza shops, are ubiquitous throughout the township areas of urban South Africa, constituting an important business in the informal economy. In recent years, this retail market has become a site of fierce competition between South African shopkeepers and foreign entrepreneurs, especially Somalis, and is often cited in the media as one reason behind the xenophobic attacks on foreigners. Drawing on original data collected in the Delft township in the city of Cape Town, this paper demonstrates that foreign entrepreneurs, overwhelmingly Somalis, have come to own around half of the sizeable spaza market in Delft in the last five years. This increase is attributable to larger scale and price competitive behaviour as these entrepreneurs operate collectively in terms of buying shops, and stock, as well as in stock distribution. Also important are some more customer friendly services too. Compared to the more 'survivalist' local business model where individual owners look to supplement existing household income rather than generate an entire livelihood, the Somali business model has rapidly outcompeted local owners, bringing spaza prices down and forcing many locals to rent out their shop space to foreign shopkeepers. Consequently, while South African shopkeepers resent the Somali influx, most consumers appreciate the better prices and improved service. The rise of Somali shopkeepers thus represents a transformation of business practice in the spaza sector from survivalist to entrepreneurial modes URI: http://hdl.handle.net/10566/517 Files in this item: 1
CharmanSpazaDelft2012.pdf (3.113Mb) -
Thompson, Lisa; Conradie, Ina (Unisa Press, 2011)[more][less]
Abstract: This article examines how women organise themselves in community structures to claim socio-economic rights through participation. The discussion is based on case study research undertaken in Khayelitsha, Site C, where women involved in incomegenerating projects (IGPs) have also been involved in a dual strategy of trying to improve their living conditions through active engagement. The article looks at the intermediary institutions, the South African national Civics Association (SANCO) and the Khayelitsha Development Forum (KDF) which mediate the participatory spaces for engagement created by local government, and how these organisations serve ordinary men and women from the townships in terms of helping them to attain a better quality of life. URI: http://hdl.handle.net/10566/575 Files in this item: 1
ThompsonWomenParticipation2011.pdf (1.631Mb)