Background: Antenatal care is essential care that assists in maintaining a state of good health for the woman and her unborn baby. Globally the use of antenatal care services remains a challenge and this tendency is closely associated with maternal and neonatal mortalities and morbidities. South Africa has adopted a free service policy for pregnant women, their infants and for children up to the age of six. Despite this policy, the problem of limited utilisation of antenatal care services by pregnant women is still observed in this country and is associated with increased maternal and neonatal mortalities and morbidities.The purpose of the current proposed study was to explore and describe the reasons for limited utilisation of antenatal care services in the Mnquma sub-district, and to develop guidelines to assist the midwives to encourage the use of antenatal care services. Objectives:To explore and describe the reasons for the limited utilisation of antenatal care services by pregnant women at Mnquma sub-district.To explore and describe the knowledge of antenatal care services by the pregnant women.To develop guidelines to facilitate empowerment of midwives to enhance utilisation of antenatal care services by pregnant women in the Mnquma sub-district in Eastern Cape Province. The study was conducted in Mnquma sub-district during the months of July to January in 2016 using a qualitative, exploratory, descriptive and contextual research design. The research population were post-delivery women and the purposive sampling was used to identify women who met the stated criteria. One-on-one audio-taped semi-structured interviews were conducted and field notes were kept to justify some of the themes identified. Thirteen interviews were conducted and transcribed verbatim. Collected data was analysed using Tesch’s data analysis method. Trustworthiness was maintained through the standards of truth value, credibility, transferability, dependability and conformability. The ethical considerations of beneficence, justice, autonomy, non-maleficence and veracity were maintained. From the findings it emerged that the participants raised various concerns with regard to barriers influencing limited utilization of antenatal care services. The participants had limited knowledge of antenatal care services. Furthermore, participants recommended some solutions to enhance utilization of antenatal care services. Recommendations were made with regard to clinical practice, nursing education and nursing research. Guidelines were formulated to assist midwives to enhance the utilization of antenatal care services by pregnant women in the Mnquma sub-district in the Eastern Cape.

The DoE is structured in such a way that in all the provinces there are Districts which are formed by clusters. The performance of each province is measured according to that of the different Districts. This District performance reflects back to the schools in the clusters where they are found. Everyone is keen to know which District will be the top performer in the Grade 12 results in the Eastern Cape; because this is where performance of each school is measured. In the past years it was sad to notice that the Eastern Cape schools have had a very low pass rate. The DoE (PE) District has a challenge to change the situation in which the province finds itself. This research seeks to address the challenges encountered by the schools which are not able to improve their pass rate. It focuses on the school management systems of low pass rate schools; and how can they be modified. It is vitally important to manage the organisation or institution in a way which will optimize performance. That is the reason for discussing and debating the way school management is operated in the high pass rate schools, so that differences between the two categories of schools are noted and good strategies are utilised in low pass rate schools. For the PE District to improve; the schools in the circuits must improve in their performance. Each circuit is allocated an Educational Development Officer (EDO). It is the duty of the EDO to monitor and evaluate the schools in their circuits. These departmental officials have to ensure that schools are managed well; that is, that the school management systems are functioning properly. They need to assist the schools in any way they can, in order to improve the performance of the schools. This research study seeks to bring forward the challenges faced by the low performing schools so that every stakeholder in the schools and in the DoE is on board to improve the situation. Improvement in the circuit will help the province to enhance its overall performance.

This thesis examines the impact of the recapitalisation and development programme on cattle producing farmers in Joe Gqabi and Chris Hani Districts. This research is based on the insight that most of the Eastern Cape cattle producing farmers are facing financial problems and their farms are dilapidated even though there are interventions from the Department of Rural Development and Agrarian Reform and Rural Development and Land Reform through programmes such as CASP and RADP for rescuing the cattle producing farmers. The major challenges faced by the cattle producing farmers into getting the funding will be established in this study. The main focus is on the farms that have already got the funding and also on the ones that are still in the pipeline for being funded by the Department of Rural Development and Land Reform. To a lesser extent, the thesis draws on findings from careful considerations of case studies comprising ten farms, thus five farms from Joe Gqabi and five from Chris Hani Districts. The research methods under this research design yielded data that was descriptive and exploratory based on human experiences and are associated with discovering changes in situations. The research findings show that delays in releasing recapitalisation and development funds for land reform beneficiaries have been recognised as one of the main reasons for the collapse of land reform projects. In most cases the funds are arriving long after they were needed for important faming activities. The delays are also leading to permanent closure of the farms. Therefore, it is essential for the success of land reform programmes to ensure that the production model is designed so as to generate benefits for land reform beneficiaries. This thesis is concluded by making recommendations to the Department of Rural Development and Land Reform in order to address the identified Recapitalisation and Development Funding challenges as well as to identify what can be considered as effective financial support to the land reform projects.

The purpose of this research was to investigate the impact of rural development projects on food insecurity and malnutrition at Siyazama food garden project in Sakhisizwe Municipality. The study followed a qualitative approach which included in-depth interviews of twenty-six (26) Siyazama food garden project members and four (4) municipal officials. The process of collecting data also made use of observations. Data was analyzed qualitatively, using thematic analysis of the content of the data, which employed an interpretative approach, resulting in a presentation of data, which is textual rather than statistical. The study found that the level of food insecurity and malnutrition in the studied area is still regarded as being high as most of the participants reported that they still have a problem in accessing all the vital nutritional elements which constitute a balanced diet. Also, the study also found that although most of the rural development projects like the Siyazama food gardening project have a profound effect in tackling food insecurity and malnutrition on household level, in South Africa there is a debate about the sustainability or such projects in solving this issue. The study found a number of challenges facing the Siyazama Food gardening project which include: theft, poor management, lack of support, lack of agricultural expertise and conflict amongst members. The study concluded by making some recommendations with to view of resolving the above mentioned challenges.

Small and medium-sized enterprises (SMEs) are recognised internationally and in South Africa as a critical component of the economic development of a country as a result of their contribution to job creation, alleviation of poverty, sustainability and innovation. Furthermore, the majority of SMEs are also family-owned and play an increasingly important role in the South African economy, making up approximately 84 per cent of businesses in the country. Despite the critical role that family and non-family SMEs play in economic development, they are still plagued with high failure rates and unique challenges that make it difficult for them to survive. These challenges include, amongst others, regulatory burdens, restrictive labour policies, a lack of access to finance, markets and technology, as well as an overwhelmingly constant emphasis on survival. As a result of the added dynamic of family relationships within family-owned SMEs, they face additional challenges such as conflict between family members and inadequate succession planning. Focus is often placed on the factors leading to failure, but little is known about success-aiding behaviours that could reduce the high failure rate and improve the success rate of these businesses. As a result, it is important to examine what determines success and how it is measured. Success can be defined as the attainment of goals, therefore the achievement of goals plays a critical role in the success of the business.

Background: Research has shown that men who have sex with men (MSM) experience stigma, discrimination, negative and judgmental attitudes and homophobia when accessing health care services. This has resulted in limited uptake of existing HIV and AIDS services. Further, the experiences serve as barriers to seeking and accessing public primary health care services. Negative psychological outcomes and in unique cases, adverse mental health outcomes have resulted from these experiences. Aim: The study aimed to explore and describe the experiences of a sample of MSM when accessing public health care services in Nelson Mandela Bay Municipality (NMBM). Method: A purposive sample of twenty-one MSM aged 22 to 30+ years, mainly black who lived in NMBM participated in semi-structured in-depth interviews. The study used the exploratory-descriptive qualitative design and thematic analysis was used to summarize findings. Findings: Findings from the study showed that MSM experience internalized stigma, perceived stigma, experienced stigma and HIV related stigma, resulting in minority stress. Experiences with health care services included long waiting time, lack of supplies, being attended to by different health care providers, health care provider insensitivity, comfort with health care provider and a need for integrating health services for MSM with general health services. Effects of stigma expressed by the men were non-disclosure of sexual orientation, reluctance to use public health facilities, negative mental health outcome and conformity to society. Conclusion: The study suggests that MSM public health services need to be improved and barriers to health access among MSM need to be addressed. Lastly, there is a need to address the health, psychological and social effects of stigma suffered by MSM.

Despite the efforts by government to support and direct resources and institutions to address high levels of poverty through co-operative programmes, the Eastern Cape Province remains one of the poorest provinces in the country. Even in the relatively more prosperous Cacadu District in the western portion of the Province, the socio- economic landscape is punctuated by pockets of acute poverty. In order to support government policies to promote co-operatives as a means to address past exclusions from the agricultural sector, as well as to promote socio-economic development in one of its poorest local municipalities, the Cacadu District Municipality has been implementing a support and mentoring programme to agricultural co-operatives in the Ikwezi Local Municipality. Furthermore, Ikwezi was selected because it has the highest concentration of co-operatives in the region supported by the District Municipality and by other Sector Departments from the National and Provincial Governments. The relationships between the support that is provided by Cacadu District Municipality to co-operatives and the extent to which supported co-operatives harness these advantages to grow and sustain their enterprises, forms the cornerstone of this research. As such, the hypothesis that will be tested reads as follows: The government support provided by Cacadu District Municipality to co-operatives in its area of jurisdiction has resulted in the growth and sustainability of the co-operative enterprises. The literature review considers the significant role that co-operatives play in local economic development. It provides a historical overview of co-operatives, as well as the policy framework on co-operatives in South Africa. The role of Cacadu District Municipality with regards to co-operatives and local economic development is reviewed, as well as its co- operative support and mentorship programme. An overview of the socio-economic profile of the Ikwezi Local Municipality and the agricultural co-operatives in the area concludes the literature review. The research approach is based on a mixed method between the qualitative and quantitative research families, with a bias towards the qualitative approach. The study placed more emphasis on the data gathered from individual co-operative businesses and the personal experiences of individuals involved in the co-operative sector. This approach requires qualitative techniques such as interviews and observations. The internet was used as a source for the gathering of relevant data related to the stated research objectives. Other relevant information is gathered through documents reviewed and case studies. The study used questionnaires to interview a sample of agricultural co-operatives in Ikwezi. The collected data was analysed and presented according to a set of themes that formed the basis for the analysis. The analysis provided insights into the background and history of the selected co-operatives, the challenges that they face to survive and the support that they require from government and other potential support structures. The analysis furthermore focussed on the perception of the members of the co-operatives of the impact – whether positive or negative – of the Cacadu co-operatives support and, in particular, it’s mentorship programme. The findings revealed that there was overwhelming support from the co-operative members for the intervention and mentorship provided by the Cacadu District Municipality. It became clear that accessing agricultural land and providing funding and inputs to emerging farmers and co-operatives is not enough. There needs to be a building and nurturing of an entrepreneurial spirit and business mentality accompanied by appropriate training and capacity building interventions for the co- operatives to become successful enterprises. This study reveals that this is possible given all the resources at the disposal of the state. In conclusion, the hypothesis that the support provided by Cacadu District Municipality to co-operatives in its area of jurisdiction has resulted in the growth and sustainability of the co-operative enterprises, was found to be valid.

Construction productivity is an interesting phenomenon which was an initial study into time and motion. However this remains a vital part of the construction industry today as it takes into consideration cost-savings, a precise timeous delivery of projects and the correct usage of materials. This phenomenon itself is a huge challenge to many companies in South Africa. The construction industry in South Africa is seen as a tool to alleviate the increasing unemployment and poverty levels. The ruling party, the African National Congress (ANC), has made statements to decrease the unemployment rate and due to these promises, the imposition of the use of local unskilled labour from the local communities has become the norm on the majority of construction projects. This formed the basis of the Expanded Public Works Programme. This initiative has indeed shown a huge success but the programme lacks long-term support. The majority of these workers are taken on short-term projects and thereafter the workers are returned to the unemployment pool. The workers are also aware of the short-term projects and therefore there is a lack of motivation which inevitably affects the productivity on any construction site. This study looks at the challenges faced by contractor's in the Eastern Cape and analyses the effects of the use of unskilled labour from the local community. Questionnaires were completed as a measurement instrument to determine the motivation, leadership style and the communication levels among the unskilled, core and the managers on construction projects. The productivity achievements of the unskilled labour and the core labour will be measured and compared and the findings are discussed.

The problem investigated by the researcher is that of alignment of the Integrated Development Plan of Amathole District Municipality with those of the selected local municipalities under its area of jurisdiction. The aim of the study was to investigate the extent to which there is or there is no alignment amongst these. The study articulated the background of municipal planning in terms of the provisions of enabling pieces of legislation. It further provided a conceptual and theoretical framework for integrated development planning within the local government sphere. The literature raised critical issues revolving around the importance of the district municipality in achieving congruence of development plans of the district and those of its local municipalities. The data was collected using a combination of qualitative and quantitative approaches, to realize the objectives of the research study. The methods used to collect data included, document study, interviews, observation, and questionnaires. The study findings showed that, there is a lot of planning efforts put into achieving alignment of the IDPs of the District and local municipalities under it. The study concluded that, with this good planning by the district municipality a correlating hands on support and monitoring by the municipal unit needs to be firmed up. The recommendations are an evidence that there are processes deliberately put in place by the District municipality to ensure alignment between the IDP of the District and those of its Local Municipalities.

The current study aimed at investigating the contribution of land redistribution programme towards poverty alleviation in Misgund development project. The study was conducted in the Eastern Cape Province within Cacadu District at Koukamma Local Municipality in a rural town of Misgund. The study employed qualitative research method, with a sample of ten project beneficiaries who are both men and women. The unstructured interviews were used to collect data for the study and supplemented by scholarly texts, journals articles, policy documents, reports, newspapers and magazines articles. The data was analysed using coding, listing, categorising and content analysis as data analysis methods. After the data was analysed it was interpreted to obtain information to address problems and come up with recommendations. The study revealed the effects that the land redistribution programme has in the lives of the rural people of Misgund, which include amongst others, poverty alleviation, women empowerment and job creation. The involvement of the project beneficiaries in the conception of the project and their participation in decision making is of importance as it contributes to the sustainability of the project. It is recommended that the Department of Land Reform should consider involving the communities when deciding on the choice of the project that will be funded, so as to obtain information and history of the project to be purchased. It is also important to determine the estimated time of harvesting and when the project will start producing dividends so as to sensitise the project beneficiaries.