Waste reprocessing is a growing trend in different communities around South Africa which has become influential to the socio-economic liberalism of the people that are recycling at source in their respective areas. The focus of the research study is on the contributions of community-based organisations involved in recycling towards the social and environmental sustainability. The study explores (i) work done by community-based organisations in recycling, (ii) how the organisations turn unwanted products in to something usable and manage to sustain themselves and provide for their families, and (iii) how unpleasant municipality policies on the management of waste are to the organisations involved in recycling. As a result a comprehensive and consistent information set comprising significant contributions from the responsible stakeholders that contribute to the national waste stream will be expressed; regarding the development of relevant statutory frameworks to address and clarify issues facing reprocessing at large. South Africa is signatory to a number of international accords, hence a comprehensive international perspective on waste re-utilisation is incorporated. The notion of partnership is emphasized as it ought to be accompanied by other measures that can unleash a practical validity and influence; hence the public-private partnership strategy towards recycling is recommended as a requisite to try and tackle the challenges facing community-based organisations and the system of managing waste especially in the Emfuleni Local Municipality. The partnerships should be determined as the principle framework between the people, the private sector and the entire administration. The more serious the community-based organisations towards the system of managing waste around an area, the better it will turn out to be for the communities concerned. Unemployment is also the biggest issue thus far and strategies have long been implemented to tackle the crisis, and yet the public is still faced and halted by means that are expensive in nature. Advanced educational facilities for instance, which are still major challenges to the people around Emfuleni. The logic of responsibility now is therefore to develop, implement and enforce recently formulated legislation to encourage the masses to be involved in the process of recycling. Indeed, the lack of co-ordination by private sector, the people and local authorities has resulted in the involvement of community-based organisations being regarded as non-existing and not being intensified in South Africa. The contributions made by waste pickers in making sure that the green environment concept is maintained in societies they live in, is in fact the actual concern in undertaking these research study. The negative stigma associated with the communities involved in recycling is endured as individuals are able to support their families and themselves through recycling ingenuities. The Emfuleni Local Municipality has some of the best strategies and plans to address the involvement of community-based organisations in their disposal, and the full implementation of this category has to prioritised in order to achieve a hospitable and sustainable environment for the area. / M Development and Management (Public Management and Governance), North-West University, Vaal Triangle Campus, 2014

This study forms part of a larger SANPAD project focusing on a comprehensive community-based HIV stigma reduction and wellness enhancement intervention, responding to the continuous burden of HIV stigma on both national and international levels and the paucity of research in sustainable HIV stigma reduction interventions. HIV stigma is considered all over the world as a complex, far-reaching and powerful phenomenon that continues to affect people living with HIV (PLWH) and also people living close to them (PLC). The impact of stigma has far reaching effects on aspects like the wellness of PLWH and PLC, but also on the health behaviour of PLWH. There is paucity in research on the lasting effect of HIV stigma reduction interventions, intervention within a community context, as well as in urban and rural settings. The research objectives of this study were to test the change-over-time in HIV stigma experiences of PLWH and stigmatization by PLC with regard to the psychosocial well-being of PLWH and PLC, and with regard to health behaviour of PLWH in both urban and rural settings, following a comprehensive community-based HIV stigma reduction intervention. A quantitative experimental single system research design with a pre-test and repetitive post-tests were conducted by means of purposive voluntary sampling for PLWH and snowball sampling for PLC. The intervention was based on three tenets, namely a) the sharing of information on HIV stigma and coping with it, b) the equalisation of relationships between PLWH and PLC through increased interaction and contact, and c) empowerment of both PLWH and PLC towards leadership in HIV stigma reduction through practical knowledge and experiences of planning and implementing HIV stigma reduction projects in their own communities. Several valid and reliable scales and instruments were used to measure effect. The initial analysis indicated no statistically significant difference between stigma experiences of PLWH and stigmatisation by PLC from urban and rural settings, or between psychosocial well-being of PLWH and PLC or health behaviour of PLWH from the two different settings. The urban-rural data was therefore pooled for the further analysis. The similarity of data could possibly be ascribed to the fact that most of the participants were Setswana-speaking and living in the North West Province. Stigma experiences as well as stigmatisation could be decreased and the decrease could be sustained over a year through the comprehensive community-based HIV stigma reduction intervention. The findings also showed that changes-over-time in psychosocial well-being following the intervention were better sustained by the PLC than the PLWH. Results furthermore indicated that HIV stigma reduction positively influenced the health behaviour of the PLWH. Recommendations for further HIV stigma reduction and wellness enhancement include the continued application of this comprehensive community-based HIV stigma reduction and wellness enhancement intervention, with its supporting tenets, content and methodology. This intervention should, however, be expanded into urban and rural communities, and to different cultures as well. It would be meaningful to build HIV stigma reduction community-based networks. More effort could be made to specifically include a workshop for PLWH on psychosocial well-being as well. HIV stigma interventions should be an indisputable part of health behaviour change workshops for PLWH. / PhD (Nursing), North-West University, Potchefstroom Campus, 2014

Human Immunodeficiency Virus (HIV) remains a highly stigmatised condition for people living with HIV or AIDS (PLHA) and people living close to them (PLC) within the African context as well as in other countries. PLC often take part in HIV stigmatisation, but they are likewise often the victims thereof. This research was executed in three phases. The research objectives for the first phase of the study was to explore and describe how HIV stigma and disclosure experiences at present impact on the lives of PLHA in a country where the HIV infection rate is the highest in the world, and to explore whether there are differences between urban and rural settings. The objective of the second phase of the research was to describe the implementation of a comprehensive community-based HIV stigma reduction and wellness enhancement intervention that focused on PLHA as well as PLC from six designated groups, namely partners, children, family members, friends, spiritual leaders and community members. The objective of the third phase was to gain a deeper understanding of the experiences of both the PLHA and PLC by the six designated groups after they had undergone a comprehensive community-based HIV stigma reduction and wellness enhancement intervention. Attention was focused on their expressed experiences of the workshop and projects executed by them in their communities. During the first and third phases of the research a qualitative interpretive description approach was followed. A holistic multiple case study design was used for the second phase. Purposive voluntary sampling was used for the PLHA and snowball sampling for the PLC. Data collection during the first and third phases took place using in-depth interviews in an urban and a rural setting in the North West Province, South Africa. The data was manually analysed through open coding. Phase 2 had open coding as well as document analysis. Findings of Phase 1 indicated that HIV stigma and disclosure themes for experiences in the urban and rural settings were mostly similar, with very few differences. Experiences of stigma were still very prevalent, but also led to negative self-judgement. The intervention proved to have been successful, as was reported during the case study and in participants‟ expressed experiences. All participants reported a better understanding of HIV stigma and how to cope with it. Relationships between PLHA and PLC were enhanced. HIV stigma reduction projects developed by PLHA and PLC were executed successfully and the wider community was reached. Leadership skills were developed in order to go out into the community and be part of HIV stigma reduction actions. Some considerations for strengthening the intervention were provided. The intervention in its comprehensive nature was shown to be successful and promising for future use in reducing HIV stigma and enhancing wellness. / PhD (Nursing), North-West University, Potchefstroom Campus, 2014

The positive diagnosis of HIV impacts the lives and the relationships of both people living and HIV and AIDS (PLHA) and their partners. This could be the result of the PLHA experiencing stigmatisation from the side of his or her partner, or associated stigmatisation experienced by the partner due to living with the PLHA. The literature review makes it clear that limited research has been conducted on interventions to reduce HIV stigma in PLHA and their partners and this subsequently forms the focus of this study. The study describes the effect of a community-based HIV stigma reduction intervention on PLHA and their partners through a case study method. In addition, it explores and describes the lived experiences of these two groups during and after an intervention in both an urban and a rural setting of the North West Province, South Africa. A qualitative holistic multiple case study design and interpretive descriptive approach through in-depth interviews was used to implement and evaluate the intervention. Purposive voluntary sampling was conducted to access PLHA, and snowball sampling to reach their partners. The case record included multiple sources. Document analysis and open coding was used for analysis of the case records and open coding for the in-depth interviews. No real differences were noted between the urban and rural groups. It was evident from both the case study and the expressed experiences of participants that the intervention was successful. Follow-up interventions with PLHA and partners are suggested, as well as implementations that involve other cultural groups in other provinces of South-Africa. Such implementations could be useful to evaluate the sustainability of the intervention in various cultural groups. The intervention could further be included in educational programmes offered in health care settings or NGO‘s to nurses, health care workers and volunteers to train people in HIV-stigma reduction programmes. / MCur, North-West University, Potchefstroom Campus, 2014

Mentally ill patients need to be treated with dignity and their basic human rights must be respected. Community-based interventions are commonly used in many areas after deinstitutionalisation of mentally ill patients. However, it is unfortunate that mental health and mental disorders are neglected in many areas with no proper or standardized services in the community for treatment and support. As a result, most of the mentally ill patients roam in the streets in the rural communities. Exploring community-based interventions in rural areas could assist to improve the quality care of the mentally ill patients. The communities need to be aware of the interventions available to support the mentally ill patients and their family members so that community members who give care to mentally ill patients can be able to identify, implement, monitor and sustain effective interventions to meet the needs of the mentally ill patients in rural areas. Suggestions could also be made to the Department of Health with regard to the community-based interventions in order to improve quality of patient care. The aim of this research was to explore and describe the current community-based interventions for the mentally ill patients as well as explore recommendations by the professional nurses and community caregivers about the utilization of community-based interventions to support mentally ill patients in a rural community. In order to obtain rich in-depth data, a qualitative research approach was followed. A case study design was used to complement the holistic in-depth investigation. Purposive sampling was used to identify professional nurses as participants in the community and snow-ball sampling was used to identify further community caregivers who meet the inclusion criteria. Ethics was considered during the identification and selection of participants. Triangulation of data collection method was undertaken where structured interviews, field notes and documents were used as methods of data collection. A semi-structured interview schedule was formulated which was evaluated by experts in qualitative research. A trial run interview was conducted prior to data collection. Voice recorders were used for the purpose of audio taping the interviews, thereafter the interviews were transcribed and prepared for data analysis. The researcher ensured that field notes were taken immediately after each interview. Data was collected until saturation was reached after ten interviews and analysis of six documents. Data was analysed by means of a written record or transcripts as suggested by Neuwenhuis (2011:89). A specialist qualitative researcher was appointed as a co-coder to analyse the data. The interpretative pattern of data analysis for qualitative data analysis was followed and the guidelines prescribed by Terre Blanche, Durrheim and Kelly (2011:321) were adopted. The identified themes were current interventions and utilizing current suggested interventions. Thus conclusions were drawn in relation to identified themes that with current interventions there are different categories of caregivers that are involved in the care of mentally ill patients in rural communities. Included are the health caregivers, non-governmental organisations, police officers, faith/spiritual healers, traditional healers, families and community members. However challenges were still identified for an example defaulting of treatment, relapse and readmissions of mentally ill patients. With regard to utilizing suggested interventions, participants emphasised more on the need to develop structures in order to support the mentally ill patients in their rural communities and continued community education mental illness and mental health. The recommendations were made to nursing practice, nursing research and nursing education. / Thesis (MCur)--North-West University, Potchefstroom Campus, 2013.

This study forms part of a larger SANPAD project focusing on a comprehensive community-based HIV stigma reduction and wellness enhancement intervention, responding to the continuous burden of HIV stigma on both national and international levels and the paucity of research in sustainable HIV stigma reduction interventions. HIV stigma is considered all over the world as a complex, far-reaching and powerful phenomenon that continues to affect people living with HIV (PLWH) and also people living close to them (PLC). The impact of stigma has far reaching effects on aspects like the wellness of PLWH and PLC, but also on the health behaviour of PLWH. There is paucity in research on the lasting effect of HIV stigma reduction interventions, intervention within a community context, as well as in urban and rural settings. The research objectives of this study were to test the change-over-time in HIV stigma experiences of PLWH and stigmatization by PLC with regard to the psychosocial well-being of PLWH and PLC, and with regard to health behaviour of PLWH in both urban and rural settings, following a comprehensive community-based HIV stigma reduction intervention. A quantitative experimental single system research design with a pre-test and repetitive post-tests were conducted by means of purposive voluntary sampling for PLWH and snowball sampling for PLC. The intervention was based on three tenets, namely a) the sharing of information on HIV stigma and coping with it, b) the equalisation of relationships between PLWH and PLC through increased interaction and contact, and c) empowerment of both PLWH and PLC towards leadership in HIV stigma reduction through practical knowledge and experiences of planning and implementing HIV stigma reduction projects in their own communities. Several valid and reliable scales and instruments were used to measure effect. The initial analysis indicated no statistically significant difference between stigma experiences of PLWH and stigmatisation by PLC from urban and rural settings, or between psychosocial well-being of PLWH and PLC or health behaviour of PLWH from the two different settings. The urban-rural data was therefore pooled for the further analysis. The similarity of data could possibly be ascribed to the fact that most of the participants were Setswana-speaking and living in the North West Province. Stigma experiences as well as stigmatisation could be decreased and the decrease could be sustained over a year through the comprehensive community-based HIV stigma reduction intervention. The findings also showed that changes-over-time in psychosocial well-being following the intervention were better sustained by the PLC than the PLWH. Results furthermore indicated that HIV stigma reduction positively influenced the health behaviour of the PLWH. Recommendations for further HIV stigma reduction and wellness enhancement include the continued application of this comprehensive community-based HIV stigma reduction and wellness enhancement intervention, with its supporting tenets, content and methodology. This intervention should, however, be expanded into urban and rural communities, and to different cultures as well. It would be meaningful to build HIV stigma reduction community-based networks. More effort could be made to specifically include a workshop for PLWH on psychosocial well-being as well. HIV stigma interventions should be an indisputable part of health behaviour change workshops for PLWH. / PhD (Nursing), North-West University, Potchefstroom Campus, 2014

Human Immunodeficiency Virus (HIV) remains a highly stigmatised condition for people living with HIV or AIDS (PLHA) and people living close to them (PLC) within the African context as well as in other countries. PLC often take part in HIV stigmatisation, but they are likewise often the victims thereof. This research was executed in three phases. The research objectives for the first phase of the study was to explore and describe how HIV stigma and disclosure experiences at present impact on the lives of PLHA in a country where the HIV infection rate is the highest in the world, and to explore whether there are differences between urban and rural settings. The objective of the second phase of the research was to describe the implementation of a comprehensive community-based HIV stigma reduction and wellness enhancement intervention that focused on PLHA as well as PLC from six designated groups, namely partners, children, family members, friends, spiritual leaders and community members. The objective of the third phase was to gain a deeper understanding of the experiences of both the PLHA and PLC by the six designated groups after they had undergone a comprehensive community-based HIV stigma reduction and wellness enhancement intervention. Attention was focused on their expressed experiences of the workshop and projects executed by them in their communities. During the first and third phases of the research a qualitative interpretive description approach was followed. A holistic multiple case study design was used for the second phase. Purposive voluntary sampling was used for the PLHA and snowball sampling for the PLC. Data collection during the first and third phases took place using in-depth interviews in an urban and a rural setting in the North West Province, South Africa. The data was manually analysed through open coding. Phase 2 had open coding as well as document analysis. Findings of Phase 1 indicated that HIV stigma and disclosure themes for experiences in the urban and rural settings were mostly similar, with very few differences. Experiences of stigma were still very prevalent, but also led to negative self-judgement. The intervention proved to have been successful, as was reported during the case study and in participants‟ expressed experiences. All participants reported a better understanding of HIV stigma and how to cope with it. Relationships between PLHA and PLC were enhanced. HIV stigma reduction projects developed by PLHA and PLC were executed successfully and the wider community was reached. Leadership skills were developed in order to go out into the community and be part of HIV stigma reduction actions. Some considerations for strengthening the intervention were provided. The intervention in its comprehensive nature was shown to be successful and promising for future use in reducing HIV stigma and enhancing wellness. / PhD (Nursing), North-West University, Potchefstroom Campus, 2014

The Sachigo Lake Wilderness Emergency Response Education Initiative represented a partnership between Sachigo Lake First Nation in northern Ontario Canada, and medical professionals and university researchers from outside the community. This study was one component of a larger community-based participatory research program to develop locally relevant first response training to address the isolation from emergency healthcare in Sachigo Lake. The aim of this qualitative study was to complete a formative evaluation to understand how a five-day comprehensive training course implemented in May 2012: (a) met the local needs of Sachigo Lake; and (b) fostered resilience and community capacity. The results of this study describe the unique features of delivering first aid training in a remote context and illustrate the intrapersonal and interpersonal impacts of the program. Health promotion through community based first aid education is a model with potential to improve emergency care in the absence of formal emergency medical services.

Traditionally the approach to nature conservation in South Africa was a colonialist one, which centred on the notion that the exclusion of rural people from protected areas would result in the best possible protection of fauna and flora and their habitats. This protectionist approach resulted in the creation of ad hoc wildlife sanctuaries, mostly national parks and game reserves which excluded local communities. The notion of a more inclusive approach to communities surrounding conservation areas is a hallmark of modern conservationist thinking and has gained much favour in recent times. The involvement of communities in biodiversity conservation initiatives is especially important when considered within the context of effective environmental governance (EG). This coupled with South Africa's anthropocentric approach to environmental governance serves to lay the theoretical foundation for the proper involvement of communities in the conservation of biodiversity. Central to the notion of sustainability, is the preservation of the integrity of ecosystems, while simultaneously acknowledging the integral part that humans play in these ecosystems. This notion of sustainability, coupled with the much–favoured bottom–up approach to conservation, highlights the importance of community involvement in the formation of biodiversity conservation areas. In order to ensure effective community involvement in biodiversity conservation initiatives, it is imperative that a coherent policy and legal framework exists so as to properly facilitate community involvement in biodiversity conservation initiatives and in so doing to properly implement such projects. It is against this background that this study seeks to explore and analyse the relevant and applicable regional, sub–regional and national legal frameworks applicable to community involvement with regard to biodiversity conservation. / Thesis (LL.M. (Environmental Law))--North-West University, Potchefstroom Campus, 2011.

The purpose of this research was to determine the potential capacity for improved participation through community-based approaches to small hydroelectric development in the Indian Himalayas. The objectives of the research were: (1) to establish the current roles of the civic, public and private sectors in small hydro development; (2) to examine the potential for learning through participation during the development of small hydro projects; (3) to determine the potential for using community-based environmental assessment in future projects; (4) to investigate the benefits of community-driven small hydro development, and (5) to determine the implications of the findings for environmental policy and decision-making. Data were gathered using Participatory Rural Appraisal methods including semi-structured interviews, transect walks, and landscape analysis. There were five case study projects (Niti, Bampa, Jumma, Malari and Bamini/Badrinath), each in the Indo-Tibetan border region of the Indian Himalayas. The plants are all run of river, and range in capacity from 25 kW to 1.2 MW. Four of the villages had no electricity prior to the development of the small-hydro plants, while one had a prior connection to the state electrical grid (Bamini/Badrinath). The villages are inhabited by Bhotia tribespeople, and are occupied only during the summer growing season. The residents travel to lower altitude villages for the winter months. The most successful project examined, in the village of Malari, was one where community development and energy needs were considered simultaneously, and where the local community was highly involved in planning, construction and operation. The less successful projects were those where community involvement and development, sound planning, and detailed geographic information about the site were lacking in their development and operation; such as was observed in the village of Jumma, where the plant never began operations because it was damaged by an avalanche prior to its inauguration. PLEASE NOTE: As of January 2007 the State of Uttaranchal was renamed Uttarakhand. The change is not reflected in this thesis.