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Schools and districts are implementing more change initiatives because of an increase in accountability through national, state, and city requirements. Teachers and administrators are responsible for adhering to change initiatives and producing the results to bring the reform initiative to a successful fruition. This study explores the attitudes that are prevalent in the schools regarding reform initiatives and the change process. A qualitative research method was used to explore the prevailing attitudes about change among teachers and administrators. Teachers were not opposed to changing if their students would benefit from the change; however, changing just for change sake was not acceptable. Themes of teacher empowerment and voice were prevalent. Teachers wanted to be heard because they had the expertise within the classroom with their students and they wanted the autonomy to shape reform initiatives to fit the needs of their classrooms. School support, district support, and community support were important systems to ensure success of reform initiatives. Within each support system were important roles and responsibilities teachers depended upon for resources as a reform initiative progressed. In addition, teachers spoke candidly about essential professional development opportunities and collaboration within their schools. Teachers addressed the 4 reform initiatives pertinent to this study and discussed the impact of the initiatives on the classrooms. Reform initiatives are not cure-alls for what is ailing the public schools; however, there is a place for reform within each school and district. Teachers want to have valid data and clear cut goals and objectives to support the reform. Principals and superintendents have roles and responsibilities before, during, and after a reform initiative because teachers look to them for cues regarding reform. The 4 reform initiatives studied are still having an impact on classes today, some more than others. This study adds to the development of knowledge about the change process and change initiatives. It provides a framework for administrators involved with change to understand the preconceived notions and explore ways to reshape those notions. It may also aid future developers of reform initiatives as they develop programs for schools to adopt.

Early diagnosis and prompt treatment is one of the malaria control strategies used to minimize malaria morbidity and mortality. One of the mechanisms to implement early diagnosis and prompt treatment is community access to diagnostic services and effective antimalarial drugs. However, in Ethiopia the health system is underdeveloped and much of the rural population has limited access to modern health services. Therefore, the Ethiopian government introduced the Health Extension Programme(HEP) which is a community-based health care delivery system aimed at accessing essential health services through its health extension workers (HEWs). Involvement of the HEWs in prescribing and dispensing antimalarial drugs is shown to have improved community access to antimalarial drugs. However, there is insufficient knowledge of HEWs compliance to malaria treatment guidelines and patient adherence of patients treated by HEWs. The objectives of this study has been to describe the HEWs practice in malaria treatment, to evaluate adherence of patients to antimalarial drugs, to explore the factors influencing the HEWs malaria treatment practice and patient adherence, and to develop the guidelines to support the HEWs in malaria treatment practice. A qualitative study design was used to study the HEWs practice in malaria treatment along with patient adherence. Data were collected using in-depth face-to-face interviews, focus group discussion and patient medical record review and were analysed according to Tesch’s steps. The study revealed that the HEWs adequately comply with malaria treatment guidelines during diagnosis of malaria, as well as during the prescribing and dispensing of antimalarial drugs. However, there are some factors influencing the performance of HEWs. These are: shortage of diagnostic kit/RDT, shortage of antimalarial drugs, patient pressure to obtain coartem, work load, and community beliefs with regard to antimalarial drugs effectiveness. This study also revealed that the HEWs follow up after treatment of patients and good community support systems improved patient adherence to antimalarial drug use. Factors negatively influencing patient adherence were identified to include: forgetfulness, fear of shortage of drugs, adverse drug effects, duration of treatment, rapid relief of malaria symptoms and inadequate awareness of the consequence of incomplete dosage. Guidelines were developed to support the HEWs in malaria treatment practice with the aim to improve patient adherence to antimalarial drugs / Health Studies / D. Litt. et Phil. (Health Studies)

Citizens’ trust in government institutions and their political support for development are important preconditions for a democratic and sustainable form of development. In the context of tourism, it is important that residents of a destination endorse development and tourism policies of the government to ensure sustainability and good governance of the sector. Recognition that communities are central to tourism development and one of the most important groups of stakeholders has led researchers to conduct numerous studies on residents’ support for tourism development and its antecedents. While early studies on this topic were of an atheoretical nature, researchers have increasingly made use of theories such as social exchange theory (SET), originally drawn from sociology, to understand the ways in which residents’ react to tourism development and the circumstances that prompt them to do so. While on one hand use of SET has strengthened the theoretical base of and has made significant contributions to this area of research, on the other hand, some researchers have found the theory to lack predictive power in explaining residents’ support for tourism development. This is probably because researchers have failed to consider all important variables of the theory simultaneously in an integrative framework. Key constructs such as power and trust have been left out by the majority of studies on this topic. It is also important that SET is complemented with other theoretical approaches so that new insights are uncovered in this area of study. Grounded in political economy, this study attempted to make a ‘complete’ use of SET by integrating its key components (trust, power, benefits, costs, and support) in a model that predicted residents’ trust in government actors involved in tourism and their political support for the sector’s development. The research drew widely from the political science literature and made use of two competing theories to investigate the determinants of residents’ trust in government actors: institutional theory of political trust and cultural theory of political trust. Based on the three different theories (SET, institutional theory of political trust, and cultural theory of political trust), the conceptual model of the study was developed. As postulated by SET, the model posited that political support is determined by residents’ trust in government actors, perceived benefits of tourism, and perceived costs of tourism. The latter two variables were also proposed to influence trust in government actors. An inverse relationship between perceived benefits and perceived costs of tourism was also hypothesized. The model further suggested that residents’ perceptions of their level of power in tourism influenced their perceptions of the benefits and costs of tourism development. As predicted by institutional theory of political trust, residents’ perceptions of the economic and political performance of local government actors and their perceived level of power in tourism were proposed to influence their trust in those actors. Drawing from cultural theory of political trust, interpersonal trust was hypothesized to be positively related to residents’ trust in government actors. Twelve hypotheses emanated from the model and were tested using responses collected from 391 residents of Niagara Region, Ontario, Canada, using an online panel. Hierarchical regression analysis was used to test the proposed hypotheses. In addition, the mediating effects implied in the proposed model were investigated (although no formal hypotheses were originally proposed) using Baron and Kenny’s (1986) recommended steps and the Sobel z test. Findings provided support for eight of the twelve proposed hypotheses. Contrary to what researchers have assumed so far, residents’ trust in government actors was a better predictor of political support that their perceptions of the costs of tourism development. Perceived benefits remained the best predictor of political support as advocated in several studies. Residents’ perceptions of the benefits of tourism were also inversely related to perceived costs, suggesting that interactions among residents’ perceptions of the different impacts of tourism exist. Residents’ perceived level of power in tourism was a significant determinant of perceived benefits, but did not significantly predict perceived costs. Residents’ perceptions of the political performance of government actors in tourism was the strongest predictor of their trust, followed by their perceptions of the economic performance of government actors, and their perceptions of the benefits of tourism development. Residents’ perceived level of power in tourism, their perceptions of the costs of tourism, and interpersonal trust were found to be insignificant predictors of their trust in government actors. Findings also suggested that residents’ perceptions of the costs of tourism and their trust in government actors partially mediated the relationships between perceived benefits of tourism and political support. The results partially supported SET because some of the theory’s postulates and predictions were not empirically supported. Findings also confirmed the superiority of institutional theory of political trust over cultural theory of political trust. The theoretical and practical implications of the study’s findings were discussed. The limitations of the study were recognized and some recommendations for improving future research were made. Overall, the study suggested that political trust is a promising construct in studies on community support for development policies and deserves further attention by researchers, scholars, and practitioners given the paucity of research on this topic in the tourism literature. The search also suggests that researchers should recognize that residents’ trust in government actors and their support for tourism development are complex issues that are determined by several factors. A single theory is unlikely to provide a comprehensive understanding of these concepts, raising the need for researchers to investigate these issues from different theoretical perspectives.

Citizens’ trust in government institutions and their political support for development are important preconditions for a democratic and sustainable form of development. In the context of tourism, it is important that residents of a destination endorse development and tourism policies of the government to ensure sustainability and good governance of the sector. Recognition that communities are central to tourism development and one of the most important groups of stakeholders has led researchers to conduct numerous studies on residents’ support for tourism development and its antecedents. While early studies on this topic were of an atheoretical nature, researchers have increasingly made use of theories such as social exchange theory (SET), originally drawn from sociology, to understand the ways in which residents’ react to tourism development and the circumstances that prompt them to do so. While on one hand use of SET has strengthened the theoretical base of and has made significant contributions to this area of research, on the other hand, some researchers have found the theory to lack predictive power in explaining residents’ support for tourism development. This is probably because researchers have failed to consider all important variables of the theory simultaneously in an integrative framework. Key constructs such as power and trust have been left out by the majority of studies on this topic. It is also important that SET is complemented with other theoretical approaches so that new insights are uncovered in this area of study. Grounded in political economy, this study attempted to make a ‘complete’ use of SET by integrating its key components (trust, power, benefits, costs, and support) in a model that predicted residents’ trust in government actors involved in tourism and their political support for the sector’s development. The research drew widely from the political science literature and made use of two competing theories to investigate the determinants of residents’ trust in government actors: institutional theory of political trust and cultural theory of political trust. Based on the three different theories (SET, institutional theory of political trust, and cultural theory of political trust), the conceptual model of the study was developed. As postulated by SET, the model posited that political support is determined by residents’ trust in government actors, perceived benefits of tourism, and perceived costs of tourism. The latter two variables were also proposed to influence trust in government actors. An inverse relationship between perceived benefits and perceived costs of tourism was also hypothesized. The model further suggested that residents’ perceptions of their level of power in tourism influenced their perceptions of the benefits and costs of tourism development. As predicted by institutional theory of political trust, residents’ perceptions of the economic and political performance of local government actors and their perceived level of power in tourism were proposed to influence their trust in those actors. Drawing from cultural theory of political trust, interpersonal trust was hypothesized to be positively related to residents’ trust in government actors. Twelve hypotheses emanated from the model and were tested using responses collected from 391 residents of Niagara Region, Ontario, Canada, using an online panel. Hierarchical regression analysis was used to test the proposed hypotheses. In addition, the mediating effects implied in the proposed model were investigated (although no formal hypotheses were originally proposed) using Baron and Kenny’s (1986) recommended steps and the Sobel z test. Findings provided support for eight of the twelve proposed hypotheses. Contrary to what researchers have assumed so far, residents’ trust in government actors was a better predictor of political support that their perceptions of the costs of tourism development. Perceived benefits remained the best predictor of political support as advocated in several studies. Residents’ perceptions of the benefits of tourism were also inversely related to perceived costs, suggesting that interactions among residents’ perceptions of the different impacts of tourism exist. Residents’ perceived level of power in tourism was a significant determinant of perceived benefits, but did not significantly predict perceived costs. Residents’ perceptions of the political performance of government actors in tourism was the strongest predictor of their trust, followed by their perceptions of the economic performance of government actors, and their perceptions of the benefits of tourism development. Residents’ perceived level of power in tourism, their perceptions of the costs of tourism, and interpersonal trust were found to be insignificant predictors of their trust in government actors. Findings also suggested that residents’ perceptions of the costs of tourism and their trust in government actors partially mediated the relationships between perceived benefits of tourism and political support. The results partially supported SET because some of the theory’s postulates and predictions were not empirically supported. Findings also confirmed the superiority of institutional theory of political trust over cultural theory of political trust. The theoretical and practical implications of the study’s findings were discussed. The limitations of the study were recognized and some recommendations for improving future research were made. Overall, the study suggested that political trust is a promising construct in studies on community support for development policies and deserves further attention by researchers, scholars, and practitioners given the paucity of research on this topic in the tourism literature. The search also suggests that researchers should recognize that residents’ trust in government actors and their support for tourism development are complex issues that are determined by several factors. A single theory is unlikely to provide a comprehensive understanding of these concepts, raising the need for researchers to investigate these issues from different theoretical perspectives.

Early diagnosis and prompt treatment is one of the malaria control strategies used to minimize malaria morbidity and mortality. One of the mechanisms to implement early diagnosis and prompt treatment is community access to diagnostic services and effective antimalarial drugs. However, in Ethiopia the health system is underdeveloped and much of the rural population has limited access to modern health services. Therefore, the Ethiopian government introduced the Health Extension Programme(HEP) which is a community-based health care delivery system aimed at accessing essential health services through its health extension workers (HEWs). Involvement of the HEWs in prescribing and dispensing antimalarial drugs is shown to have improved community access to antimalarial drugs. However, there is insufficient knowledge of HEWs compliance to malaria treatment guidelines and patient adherence of patients treated by HEWs. The objectives of this study has been to describe the HEWs practice in malaria treatment, to evaluate adherence of patients to antimalarial drugs, to explore the factors influencing the HEWs malaria treatment practice and patient adherence, and to develop the guidelines to support the HEWs in malaria treatment practice. A qualitative study design was used to study the HEWs practice in malaria treatment along with patient adherence. Data were collected using in-depth face-to-face interviews, focus group discussion and patient medical record review and were analysed according to Tesch’s steps. The study revealed that the HEWs adequately comply with malaria treatment guidelines during diagnosis of malaria, as well as during the prescribing and dispensing of antimalarial drugs. However, there are some factors influencing the performance of HEWs. These are: shortage of diagnostic kit/RDT, shortage of antimalarial drugs, patient pressure to obtain coartem, work load, and community beliefs with regard to antimalarial drugs effectiveness. This study also revealed that the HEWs follow up after treatment of patients and good community support systems improved patient adherence to antimalarial drug use. Factors negatively influencing patient adherence were identified to include: forgetfulness, fear of shortage of drugs, adverse drug effects, duration of treatment, rapid relief of malaria symptoms and inadequate awareness of the consequence of incomplete dosage. Guidelines were developed to support the HEWs in malaria treatment practice with the aim to improve patient adherence to antimalarial drugs / Health Studies / D. Litt. et Phil. (Health Studies)

Self-injurious behaviour (SIB) is recognised as a difficult behaviour to work/deal with and Community Support Workers (CSW‟s) who work with this behaviour may not have any formal training in the field of SIB. This study was therefore aimed at assessing the needs of CSW‟s working in the field of self-injurious behaviour amongst adolescents. A qualitative approach was used, the study was of an explorative nature and the researcher made use of purposive non-probability sampling to select respondents who were willing to participate in one-on-one semi-structured interviews with the researcher. This data was then analysed by the researcher making use of Creswell‟s spiral of analysis. The data collected was sorted into themes, sub-themes and categories and interpreted according to literature. The study identified that there are specific needs amongst CSW‟s who work with adolescent SIB in the specific areas of support and education/training. / Social Work / M. Diac. (Play Therapy)

The purpose of this study was to determine factors influencing skilled delivery service utilisation in order to develop strategies to improve utilisation of skilled birth attendance service in North West Ethiopia. The objectives were to explore and describe the perceptions and experiences of the community regarding skilled utilisation of the birth attendance service; explore reasons for non-utilisation of skilled birth attendance service; asses the health system experience of provision of skilled birth attendance service; and formulate strategies to improve utilisation of skilled birth attendance service. The study employed a qualitative, descriptive, and explorative research design to address the research questions formulated by the researcher. The study used focus group discussion guide to obtain information from pregnant women and women who gave birth recently. Furthermore, the study used an interview guide to gather information from health extension workers, midwives, health centre heads, district health office technical experts and heads. It also employed and inductive thematic analysis approach to analyse the qualitative data. The study further used the Atlas ti version 7 for the data analysis. The steps followed for the analysis were data immersion, coding, displaying, reduction, and interpretation. Overall, nine themes emerged from the analysis of the data. Consequently, the researcher used the findings of the study to develop strategies to improve the utilisation of skilled birth attendance service. / Health Studies / D. Litt. et Phil. (Health Studies)

Self-injurious behaviour (SIB) is recognised as a difficult behaviour to work/deal with and Community Support Workers (CSW‟s) who work with this behaviour may not have any formal training in the field of SIB. This study was therefore aimed at assessing the needs of CSW‟s working in the field of self-injurious behaviour amongst adolescents. A qualitative approach was used, the study was of an explorative nature and the researcher made use of purposive non-probability sampling to select respondents who were willing to participate in one-on-one semi-structured interviews with the researcher. This data was then analysed by the researcher making use of Creswell‟s spiral of analysis. The data collected was sorted into themes, sub-themes and categories and interpreted according to literature. The study identified that there are specific needs amongst CSW‟s who work with adolescent SIB in the specific areas of support and education/training. / Social Work / M. Diac. (Play Therapy)

Since 2012 more than 295 676 migrants have arrived in South Africa. Somalis form one of the most visible migrant minorities in the country. Since various studies have been conducted into the mistreatment of migrants and its psychological effects, this study aimed to investigate the reasons that led to the resilience of the Somali community residing in Fordsburg/Mayfair, Johannesburg despite the challenges they encountered. The sample for the study was selected using the purposive sampling technique. Data were collected through the use of face-to-face semi-structured interviews and subsequently analysed following Colaizzi’s (1978) descriptive phenomenological method of data analysis. The findings of the study show that the participants experienced several challenges en route to South Africa and once they reached the country. Their resilience can be attributed to reasons such as individual determination to achieve change, the Somali communal culture, religion and spirituality, the family spirit, gender role adaptation and hard work. / Psychology / M.A. (Research Consultation)