This study identifies the alcohol intaKe patterns of 274 white patients attending an Urban General Practice. The average consumption rate was 6.5 drinKs per person per weeK (d/p/w). 40X of the surveyed group did not consume any alcohol. The drinkers averaged 11 dIp/wo 72X of the males drank and 501: of the females dranK. 4.31: of the population surveyed were drinking more than 28 dIp/wo Marital status made no real difference to consumption rates but unemployment (16 d/p/w) and being a manual labourer (11.7 d/p/w) did. People who had lost either their occupation (11.7 d/p/w) or a close family member (9.3 d/p/w) in the preceeding year had higher than average (6,5 d/p/w) consumption levels and these were increased further if they had identified an alcohol abuser in their family. This study also identifies the useful supportive services available to this particular community and its health care worKers with a brief discussion of the type of service prOVided and method of access to the service. The appendix contains a list of the services with the relevant address. telephone number and where possible the name of a contact person. / Thesis (M.Prax.Med.)-University of Natal, Durban, 1986.

Since 2001 the South African Department of Basic Education has been working towards implementing Inclusive Education over a twenty year period. This is in accordance with international trends in education. This study set out to investigate the implementation of Inclusive Education in a South African context by conducting a case study at an Eastern Cape no‐fee‐paying primary school. It looked at how the government policy, as set out in Education White Paper 6 (EWP6) (DoE, 2001), is understood and being implemented by teachers at the Welcome Primary school. The study further investigated the introduction of the National Strategy on Screening, Identification, Assessment and Support (SIAS strategy) (DoE, 2008a) to gain insight into how teachers identify and assess barriers to learning in an ordinary primary school. In addition it looked at emerging factors that could impact on the implementation of this policy. With 16 years teaching experience in ordinary and private schools and 19 years experience in a special needs school as a teacher, head of department and then principal, I have personal experience of the crisis in the Eastern Cape Department of Basic Education. This awareness provided the impetus and interest in researching Inclusive Education policy implementation. It is my view that only when we begin to grapple with the problems right at the source of the education crisis within the majority of the no‐fee‐paying schools that informed decisions about policy and policy implementation can be made. As I am able to understand and converse in isiXhosa, I was able to observe and experience the implementation of EWP6 and the SIAS strategy in a school that is an isiXhosa‐medium ordinary primary school and similar to the majority of ordinary public schools in the district. A qualitative research approach based within an interpretive paradigm using the case study method was used for this study. Semi‐structured interviews, detailed field notes as well as documents generated by meetings and education conferences helped me to investigate and refine my research goals. The research found that the implementation of EWP6 and the SIAS strategy posed a major challenge for the Department of Basic Education, and highlighted the significant gap between ordinary primary schools and special needs schools. However, the fact that there is a partial engagement with the process of providing inclusive education, does present some measure of hope for a better future for those learners that have experienced the injustice of exclusion from education and society. The Eastern Cape Department of Basic Education will have to ‘catch up’ to other provinces in its delivery of every child’s constitutional right to education in an inclusive school environment. Factors emerged from the study that showed that the assessment of learners’ barriers to learning with the resultant support needs was a relatively new concept, as teachers tended to rely on traditional classroom tests and simple informal classroom assessments to assess the learners. Teachers expressed a good verbal knowledge of learners with support needs but found it very challenging to put this verbal knowledge into a written document. In addition there was inadequate support from the District Based Support Team to implement the SIAS strategy. This study showed that the medical model of assessment was still being adhered to in the research district with little evidence of a move to a social model of assessment in terms of the SIAS strategy. In addition, factors emerged indicating the serious impact that alcohol abuse has on children and the society in which they live. The evidence of increasing numbers of children with Fetal Alcohol Spectrum Disorder (FASD) in a single educational district is a matter of grave concern from an educational and financial perspective. It is my contention that this is a matter of national urgency and that the Department of Basic Education must confront the escalating problem of alcohol abuse and the resultant challenges of a large number of learners with serious barriers to learning that need to be included in the education system.

Researchers agree that there is a relationship between alcoholism and domestic violence but theoretical perspectives have not established a correlation between the variables. Alcoholism and domestic violence are a manifestation of a complex system of family interactions characterized by inadequate communication skills.

BACKGROUND: Harmful drinking among students in tertiary institutions has become a major public health issue worldwide. Botswana is among the countries that are experiencing this problem. Abuse of alcohol amongst students is linked to road crushes, intentional and unintentional injuries, raping and an array of communicable diseases notably HIV/AIDS. Drinking among students could be a function of personal and environmental factors. PURPOSE: The purpose of the study was to identify factors that are consistent with abuse of alcohol among students in tertiary institutions in Gaborone. METHOD: This is a quantitative, non-experimental, cross sectional descriptive study. Data were collected from a sample of students in tertiary institutions. SPSS was used for the analysis of data. RESULTS: The study has revealed hazardous drinking among students. The use of alcohol was predicted on demographic, psychological and environmental factors of respondents. Influence from a close friend, year level of study and area of residence were correlates of drinking among students. Institution based educational interventions that focus on building leadership skills of students are critical in addressing issues of alcohol in tertiary institutions. Statutory measures are necessary to limit students’ access to alcohol. CONCLUSION: The study has identified factors that are related to abuse of alcohol among students. The findings could be used to strengthen evidence based planning and implementation of interventions for tackling issues of alcohol in tertiary institutions. There is a need for future research on this area using qualitative approach. / Health Studies / M.A. (Public Health)

BACKGROUND: Harmful drinking among students in tertiary institutions has become a major public health issue worldwide. Botswana is among the countries that are experiencing this problem. Abuse of alcohol amongst students is linked to road crushes, intentional and unintentional injuries, raping and an array of communicable diseases notably HIV/AIDS. Drinking among students could be a function of personal and environmental factors. PURPOSE: The purpose of the study was to identify factors that are consistent with abuse of alcohol among students in tertiary institutions in Gaborone. METHOD: This is a quantitative, non-experimental, cross sectional descriptive study. Data were collected from a sample of students in tertiary institutions. SPSS was used for the analysis of data. RESULTS: The study has revealed hazardous drinking among students. The use of alcohol was predicted on demographic, psychological and environmental factors of respondents. Influence from a close friend, year level of study and area of residence were correlates of drinking among students. Institution based educational interventions that focus on building leadership skills of students are critical in addressing issues of alcohol in tertiary institutions. Statutory measures are necessary to limit students’ access to alcohol. CONCLUSION: The study has identified factors that are related to abuse of alcohol among students. The findings could be used to strengthen evidence based planning and implementation of interventions for tackling issues of alcohol in tertiary institutions. There is a need for future research on this area using qualitative approach. / Health Studies / M.A. (Public Health)

Purpose: The purpose of this study was to investigate the magnitude, behavioural issues and other contributing factors for alcohol and substance abuse, in order to develop a strategy for alcohol and substance abuse among Ethiopian university students. Method: An explorative, mixed method approach research was used. Data were collected from adolescents at Arbaminch and Wolaita Sodo universities that were purposively selected for this study. Review of literature resulted in the researcher developing questionnaire items for quantitative data (N=738) (Annexure F). Framework: The theory of planned behavior change was applied to guide the study. The theory was applied to enable understanding of behavioural intentions, individual attitudes and subjective norms surrounding performance of a specific behavior. This theory was applied to understand the problem among the student and as a framework for developing the strategy. Research Findings: The study highlighted alcohol and substance abuse among the university students was widespread. Behavioural findings showed that respondents have favorable attitudes but no intention to discontinue the use of alcohol and substances. Various factors including behavioural, environmental and policy issues have contributed to the problem. However, intervention packages and strategies to respond to the growing problem were non-existent or very minimal. Conclusion: Alcohol and substance abuse among university students has become global public health problem. However, university management did not have plans in place to attend to the problem. The researcher envisages that the implementation of these strategies would provide a workable intervention in reducing alcohol and substance abuse among students at the Ethiopian Higher Learning Centres. Recommendations: University management should step in and initiate urgent intervention measures. Adequate coordination among various stakeholders to respond to such a multi-dimensional problem is a necessity. The parliament has to revisit the current alcohol, drug and substance advertisement, circulation and trading related legislations including the use of ‘Khat which is Ethiopia’s unique problem. / Health Studies / D.Litt. et Phil. (Health Studies)