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An investigation into births before arrival in healthcare facilities in uThungulu Health District during a period of 1 April 2014 to 31 March 2015

  • Authors: Mkhwanazi, Cynthia Nqobile Nokuthula
  • Date: 2018
  • Subjects: Childbirth Childbirth at home
  • Language: English
  • Type: Thesis , Masters , Public Health
  • Identifier: http://hdl.handle.net/10353/11161 , vital:37198
  • Description: Births Before Arrival (BBAs) in healthcare facilities is a worldwide health challenge. These births results with diverse obstetric and neonatal complications which could be avoided should delivery took place in an accredited environment. Delivery in health facility rate and Births Before Arrival is one of the vital measures used to monitor access as well as quality of Maternal and Child health services. A birth before arrival in health institutions happens accidentally and unattended by skilled health professionals outside the healthcare facilities (Lazic & Takač, 2011). It is found in both developed and developing countries with various adverse outcomes ranging from haemorrhage to death. Important strides had been taken to improve maternal and child health globally but the healthcare facilities are still experiencing an overwhelming number of births before arrival in healthcare facilities. This is a public health concern. The purpose of the study was to identify factors associated with Births before Arrival in UThungulu Health District facilities and determine the prevalence of BBAs and the neonatal and maternal morbidity and mortality associated with it. A retrospective quantitative research design was used. Maternity clinical records Reviews of 238 Births Before Arrival (BBA) in healthcare facilities that occurred between 1 April 2014 to 31 March 2015 were conducted in the six hospitals in UThungulu Health District. The births before arrival data was analysed using SPSS (Statistical Package for Social Science) version 23, for Windows and used for descriptive and inferential analysis. The reasons for BBA included poor ante natal education of mothers on early signs of labour, lack of transport, poor use of maternity waiting areas and some clinics do not conduct deliveries. The majority of study participants were single (unmarried) and this accentuates the importance of strengthening family planning coverage in this area. Poor reporting of early neonatal deaths and stillbirths was one of the significant observations made during the study. Deceased babies were left at home and buried without being registered at home affairs. Taking cognizance of diverse risks and health needs of expectant women would assist the Health department in planning for adequate coverage for provision of suitable pregnancy care that would improve the health of women and their babies.
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  • Date Issued: 2018

Perceptions, knowledge and attitudes of women towards maternal deaths at Qaukeni Sub-district in OR Tambo Health District in Eastern Cape Province, South Africa

  • Authors: Mayekiso, Nomahlubi Dorcas
  • Date: 2018
  • Subjects: Maternal health services--South Africa--Eastern Cape Mothers--Mortality
  • Language: English
  • Type: Thesis , Masters , Public Health
  • Identifier: http://hdl.handle.net/10353/11194 , vital:37203
  • Description: BACKGROUND AND AIM: Maternal mortality is a global problem, with the risk of deathever present during pregnancy, labour and postnatal, particularly in developing countries. The purpose of the study was to explore the perceptions, knowledge and attitudes of women of child-bearing age concerning maternal deaths in Qaukeni Sub-District, Eastern Cape Province, South Africa. METHODS: A descriptive, contextual, exploratory research design was used to explore the perceptions, knowledge and attitudes of child-bearing-age women. Interviews were conducted with 21 purposively selected multiparous pregnant women. FINDINGS: Some of the participants knew signs and symptoms of pregnancy as well as danger signs during pregnancy such as haemorrhage, sepsis, high blood pressure and complications of unsupervised home deliveries; while others had little knowledge about these signs and symptoms. Some participants knew about the causes of maternal deaths and a number of them had beliefs that can be construed as myths. The use of herbal medications in pregnancy, such as gwarugwaru and mbelekisane, were highlighted as a problem in maternal health, with serious complications that can lead to maternal deaths. The participants have negative attitudes towards the clinics and hospitals due to the ill treatment they received from health professionals in labour wards, which may have led to the loss of lives of women and children. Lack of resources, unskilled traditional birth attendants, lack of accountability and responsibility by health professionals were contributory factors towards maternal deaths. CONCLUSIONS: Lack of resources, unskilled traditional birth attendants, lack of accountability and the irresponsibility of professional nurses and doctors were all pointed out by participants as either direct or indirect causes of maternal deaths. The recommendations include frequent in-service training for unskilled birth attendants, and the provisions of more professional nurses and doctors. Campaigns also need to be held to highlight the risks that women are exposed to during pregnancy, and the importance of early interventions.
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  • Date Issued: 2018

Selected benefits, challenges and lessons experiences by the 2015-16 feesmustfall leaders at the University of Fort Hare (UFH), East London Campus (EL)

  • Authors: Dyakumeni, Monica
  • Date: 2018
  • Subjects: Student movements -- South Africa Universities and colleges -- South Africa -- Eastern Cape Education, Higher -- South Africa
  • Language: English
  • Type: Thesis , Masters , MSoc
  • Identifier: http://hdl.handle.net/10353/11075 , vital:37028
  • Description: There is a high amount of journalistic and academic work that has been produced to highlight the various benefits, challenges and lessons the 2015-2016 #Feesmustfall movement (henceforth, FMFM) brought in its wake for South African universities affected and for South African society in general. Save for the University of the Witwatersrand (activists from Wits produced a book on their involvement in FMF), there is a dearth of academic research on the benefits, challenges and lessons of FMF as experienced by students from affected universities, in general, and student activists and leaders, in particular. The current research study was conducted to fill the above gap, and it adopted a qualitative research philosophy in the manner the research was conducted. For the purposes of this research, 10 male FMF activists from the University of Fort Hare, East London, Eastern Cape, were interviewed using an in-depth interview technique about what they regarded as benefits, challenges and lessons stemming from their involvement as leaders of the FMF protests in their campus. The findings largely set a tone of caution that there are important considerations to be made when looking at the issue of university-based protests such as FMF; in particular, the physical and psychological impacts of these protests on student leaders, or activists. The results in this study demonstrate that those who led the 2015/6 FMF protests at UFH, EL, experienced intellectual and political leadership growth as young student leaders, among some benefits. The benefits, however, were tempered by some of the traumatic and disturbing events, which exposed these leaders to, among other things, police violence, arrests and serious psychological discomfort during and even after the protests. The results also demonstrate some continuing positive impact of the FMFM on those who led the students at UFH, that is, they are today using the knowledge and lessons from FMF to make their workplaces and their political organization’s processes more robust and democratic. These findings are significant, especially for universities in South Africa, and in Africa as a whole, as there are researchers who caution that the South African university management is quick to resort to student repression during protests. The study then goes on to discuss the relevance of the findings for universities, the state and the student activists themselves. Areas for future research are also proffered.
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  • Date Issued: 2018

Evaluating revenue collection and allocation challenges faced by Ndlambe Local Municipality (Eastern Cape Province)

  • Authors: Pieters, Nonkqubela Ntomboxolo
  • Date: 2016
  • Subjects: Municipal corporations -- Taxation -- South Africa -- Eastern Cape Municipal finance -- South Africa -- Eastern Cape Local government -- South Africa -- Eastern Cape
  • Language: English
  • Type: Thesis , Masters , MPA
  • Identifier: http://hdl.handle.net/10353/4442 , vital:28333
  • Description: In this project, the researcher evaluates revenue collection and allocation challenges faced by South African Municipalities in the case of NDLAMBE Local Municipality and this research project consist of five Chapters. Chapter one introduces and outlines the setting of the study and also provides the problem statement, research questions, research objectives and significance of the study. The chapter further clarifies the key concepts and terms that were used in the study, delimitation and limitations of the study. Chapter two provides a critical discussion of the concept of revenue collection and allocation, focusing on the various perspective of revenue. A source of municipal revenue and revenue collection and allocation model is explained as well as theoretical framework that guides it. Chapter three gives an account of the research design and methodology used in the study and in this study the researcher used the qualitative research approach as a data collection technique and document surveys were used because it is cheap and it saves time. The chapter also highlights the revenue collection and allocation applicable to the study and conclude by discussing the data analysis techniques that were used in the empirical study. Chapter four dealt with the data analysis of data collected presentation and discussion of the results and the researcher analyzed data using the filtering technique and content analysis. Chapter five drew conclusions and made scientific recommendations based on the research findings.The municipality is largely dependent on grants from upper spheres of government and generate less than 20 percent of current expenditures from own resources. As a whole, the revenue collection and allocation challenge of the NDLAMBE Local Municipality, given the current scenario of flows, is a reason for concern. Due to historical and political factors, local governments in South Africa differ substantially in terms of potential revenue base, but it may be that in many cases potential revenue is not exploited and that the high level of dependency on grants, high level of bad debts and lack of political will to be more self-reliant is the result of poor revenue in NDLAMBE Local Municipality.
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  • Date Issued: 2016

Evaluating revenue collection and allocation challenges faced by Ndlambe Local Municipality (Eastern Cape Province)

  • Authors: Pieters, Nonkqubela Ntomboxolo
  • Date: 2015
  • Subjects: Municipal corporations -- Taxation -- South Africa -- Eastern Cape Municipal finance -- South Africa -- Eastern Cape Local government -- South Africa -- Eastern Cape
  • Language: English
  • Type: Thesis , Masters , MPA
  • Identifier: http://hdl.handle.net/10353/4426 , vital:28338
  • Description: In this project, the researcher evaluates revenue collection and allocation challenges faced by South African Municipalities in the case of NDLAMBE Local Municipality and this research project consist of five Chapters. Chapter one introduces and outlines the setting of the study and also provides the problem statement, research questions, research objectives and significance of the study. The chapter further clarifies the key concepts and terms that were used in the study, delimitation and limitations of the study. Chapter two provides a critical discussion of the concept of revenue collection and allocation, focusing on the various perspective of revenue. A source of municipal revenue and revenue collection and allocation model is explained as well as theoretical framework that guides it. Chapter three gives an account of the research design and methodology used in the study and in this study the researcher used the qualitative research approach as a data collection technique and document surveys were used because it is cheap and it saves time. The chapter also highlights the revenue collection and allocation applicable to the study and conclude by discussing the data analysis techniques that were used in the empirical study. Chapter four dealt with the data analysis of data collected presentation and discussion of the results and the researcher analyzed data using the filtering technique and content analysis. Chapter five drew conclusions and made scientific recommendations based on the research findings.The municipality is largely dependent on grants from upper spheres of government and generate less than 20 percent of current expenditures from own resources. As a whole, the revenue collection and allocation challenge of the NDLAMBE Local Municipality, given the current scenario of flows, is a reason for concern. Due to historical and political factors, local governments in South Africa differ substantially in terms of potential revenue base, but it may be that in many cases potential revenue is not exploited and that the high level of dependency on grants, high level of bad debts and lack of political will to be more self-reliant is the result of poor revenue in NDLAMBE Local Municipality.
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  • Date Issued: 2015

Income generating projects in the agricultural sector in securing, maintaining and providing sustainable livelihoods : a case study of two projects in the Lukhanji Local Municipality

  • Authors: Sishuba, Siphokazi
  • Date: 2014
  • Subjects: Agricultural development projects -- South Africa -- Eastern Cape , Sustainable development -- South Africa -- Eastern Cape
  • Language: English
  • Type: Thesis , Masters , MA
  • Identifier: vital:9213 , http://hdl.handle.net/10948/d1020794
  • Description: The province consists of seven district municipalities, which include Nelson Mandela Bay Metropolitan Municipality, Cacadu, Amathole, Chris Hani, Ukhahlamba, OR Tambo, and Alfred Ndzo. It is comprised of seven local municipalities: King Sabata Dalindyebo, Nyanden, Qaukeni, Mbizana, Mhlontlo, Port St John’s, and Ntabankulu. According to Bradshaw et al. (2000:4), the Eastern Cape has the second highest poverty level of all provinces in South Africa. Forty seven percent of households are below the poverty line, a figure based on imputed monthly expenditure of R800 or less (USSA, 2000b). In addition, the province has the highest provincial unemployment rate (55 percent) in the country (SSA, 2003). Inequitable growth and development characterise this province. Due to the high level of poverty, the government has formulated strategies, such as income generating projects (IGPs), to address the need for improved living conditions, better skills and more self-employment opportunities. The income generating project as a concept seems a convincing strategy at first glance. However, there is a need to evaluate the effectiveness of income generating projects in improving living conditions and providing sustainable livelihoods. In light of this, the researcher undertook a study to evaluate these projects in order to determine the extent to which IGPs as mechanisms provide sustainable livelihoods for resource–poor rural people in the Lukhanji Local Municipality. The researcher used a combined method approach; the study includes both quantitative and qualitative research designs in an attempt to gain an in-depth understanding of the problem. The investigator employed questionnaires and interviews to gather information. Participants were project members, project leaders and key informants, as these people were contributing builders and mangers of the project. Findings reveal a lack of sustainability in income generating projects, as numerous project members left the projects studied. A lack of income to sustain project members during their membership was a common complaint. Further, a lack of skills is a crucial contributing factor, as members of another project complained of a lack of training of project members.
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  • Date Issued: 2014

The practical and theoretical implications of pretreatment and posttreatment anxiety levels in alcoholic in-patients

  • Authors: Thomson, Peter R S
  • Date: 1984
  • Language: English
  • Type: Thesis , Masters , MA
  • Identifier: vital:21129 , http://hdl.handle.net/10962/6494
  • Description: Pretreatment and posttreatment anxiety scores on the IPAT Anxiety Inventory and the Taylor Manifest Anxiety Scale were obtained from 27 alcoholic in-patients who participated in an alcoholic treatment programme. The treatment programme focused on abstinence and not on anxiety reduction. The results showed that there was a significant decrease between the pre- and the posttreatment anxiety scores on both measures . The duration of hospitalization or the attendance of group psychotherapy did not affect the decrease in anxiety scores. The implications of these results for Pattison's (1979) Multivariate Multimodal model of alcoholism are discussed.
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  • Date Issued: 1984

African art and myth

Death and transcendence in northern European art

  • Authors: Pratt, S R
  • Date: 1977
  • Subjects: Death in art , Art -- Europe, Northern
  • Language: English
  • Type: Thesis , Masters , MFA
  • Identifier: vital:2505 , http://hdl.handle.net/10962/d1015230
  • Description: [From Introduction]. Time has revealed two distinct tendencies in the history of thought and art in Europe. That development in European culture which began in Ancient Greece is marked by a positive confidence in the relationship of man to his world. Parallel with but in opposition to this development is a separate progression in culture. The continuity of art in Northern Europe appears to be associated with the adherence of Northern man to a negative, fatalistic sense of being - to a spirit which is in conflict with a hostile violent environment. The purposo of this investigation is to determine, through art the nature of this sense of being in Northern Europe. No direct definition would be capable of conveying the fullest meaning of that spirit. lt is a feeling. To understand this morbid fatalism, it is therefore necessary to refer to the pre-Christian religion of the Germanic Barbarians - through which the Northern spirit manifested itself in the form of ragnarök. Ragnarök which can be translated as a moaning obscurity, shadows, twilight, fateful destiny, was a term used by Nordic bards in its broadest sense to describe the end of the world - the inevitable destruction of life.
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  • Date Issued: 1977
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