Social Work / M.A. Social Science (Mental Health)

This study sets out to analyse the relevance of cultural values and perceptions, which form the basis of the "local knowledge" of grassroots people, in the natural resource management of the Laka of Mapela who live in the former Lebowa homeland in the Northern Province of South Africa. Due to the fact that political transitions affect the traditional authority system, it further explores the role of traditional leaders regarding control and decision-making over natural resources as well as the activities of oppositional groups at local level, and their attitudes towards land tenure issues. Natural resource management is approached holistically because, in grassroots perceptions, the natural world does not "stand on its own" and is not dissected into manageable units but forms part of a wider cosmos which is made up of human beings, nature and the supernatural. A happy life of people, fertile soils and rich botanical resources are inseparable from harmony in the cosmos. Misfortune, natural resource degradation and scarcity are consequently explained with a state of flux, or imbalance, in these cosmic relationships which have to be restored by people in order to survive. The general conclusions suggest that these local perceptions of natural resource management cannot be ignored from the development arena as well as by outside scientists and practitioners. Rather, in order to develop more progressive approaches for sustainable management in the former homelands, policies and plans have to be compatible with the worldview of local people to enhance their acceptance and implementation. / Anthropology and Archaeology / D. Litt. et Phil. (Anthropology)

Community participation is a concept meant to ensure that community members are an integral part of processes that determine their destination in relation to their development needs. It is a means of empowering people by developing their skills and abilities to enable them to negotiate and make appropriate decisions for their development. Community participation, however, is not without its challenges. In most development projects initiated by local municipalities and other government departments in South Africa, community participation appears to be an afterthought. Most often, community members are consulted after decisions are made by government agencies with regards to the kind of development projects that need to be implemented. As a consequence, community development projects which are intended to improve the quality of life of the majority of communities in South Africa, do not meet this objective. The aim of this study was to evaluate community participation in rural development projects and focuses on the Mokgalwaneng community in the North West province of South Africa as a case study. The research asks the following questions: What is the nature of and extent to which community members participate in rural development projects? What are the challenges to community participation in rural development projects and how can these challenges be addressed? An evaluative research design and qualitative and quantitative methodologies were used. The sample groups were the community members and the DRDLR officials and semi-structured questionnaires as interview guides for data collection were used. The study revealed that the majority of the respondents did not participate in the initiation and planning stages of the projects. And the study further revealed that no income and low-income, politics, favoritism, long working hours, illiteracy, low self-esteem, lack of training, lack of resources, lack of communication, lack of information and transparency about the projects are the challenges of participation. It is therefore recommended that, the government should support the community in all levels to ensure a strong commitment to participation in their development projects. It is anticipated that this study will enable the community members and all role players involved in the Mokgalwaneng development projects to realize the importance and advantages of community participation and that they will work through the challenges in order to increase community participation in development projects. / Development Studies / M.A. (Development Studies)

Submitted in fulfilment of the requirements of the Masters of Technology: Quality, Durban University of Technology, 2012. / There were several problems facing Reconstruction and Development Programmes (RDP) housing projects caused by contractors using unskilled labour, misuse of funds, fraudulent claims, contractors asking for additional money or having left site. The overall scope of projects had no plan and no clear definition, poor project management and there was a lack of strategies to improve the quality of projects. This study recommends that it is imperative that project team members involved in the management of RDP housing projects have the necessary skills and level of education to execute their duties. Moreover, the Department of Housing and Local Government (DHLG) should draft a policy on Quality Management Systems (QMS)/good practices in respect of its project scope of works so that all stakeholders conform to the set standards. The people who are due to benefit from this housing are left in a state of despair, confusion and loss of hope from Government promises, with a subsequent increase in informal settlements. The aim of the study was to investigate factors influencing the success rate of RDP housing in the Eastern Cape. This case study employed a quantitative approach to collect data. Questionnaires were analysed using descriptive and inferential statistics, namely, correlation t-test and Anova. The purposive sampling technique was used to select a sample size of 50 respondents from the Department of Housing and Local Government (DHLG) in the Eastern Cape Province. The advantage of this sampling technique is to reduce data to an intelligible and interpretable form so that the relationship between research problems can be studied and tested and conclusions drawn. The DHLG could significantly improve the quality management of low-cost homes if it adopts the Project Alignment Model. / National Research Foundation

Community-based projects are established in most of the communities as a strategy to create jobs and alleviate poverty. In the area under investigation community-based projects were established by members of communities but some of them failed and others are not sustainable in economic terms. This study investigated the reasons for failure of community-based projects at Folovhodwe area. The objectives of the study were to determine the reasons for failure of community-based projects, to provide community development officials with a guideline of the role they must play in community projects and to provide strategies for the improvement and future development of community-based projects. The study was both qualitative and quantitative. Questionnaires and interviews were employed to collect information. The study revealed that lack of funds, poor project management, poor management of funds, lack of commitment and motivation, low level of education of project members, lack of youth involvement in community-based projects, lack of monitoring and evaluation by government officials and community leaders, lack of training and unavailability of workshops for project members and lack of government involvement in addressing project challenges were identified as the reasons for failure of community-based projects. / Business Management / M.Tech. (Business Administration)

Thesis (DPhill (Social Work))—University of Stellenbosch, 2005. / South Africa has high levels of social need which are steadily growing. While the third sector is large and contributes substantially to social service provision, it together with government is seemingly incapable of providing adequate social services, particularly in the more poverty-stricken rural areas of the country. Among other, at the root of the third sector’s inability to adequately serve the needy, is a lack of funding caused by poor funding policies and uninformed financial resource allocation decision making. As such, this study set out to develop an automated financial resource allocation decision making model that would provide extensive organised data to better inform the allocation decision making process – the first component of the study. It was also purposed to provide a range of otherwise lacking empirical data on the third sector to determine service and staffing norms, patterns of funding and to assess financial management of this sector. In so doing the Community Chest of the Western Cape was selected to serve as the locus of the study – their existing manual allocation approach was analysed and a new more sophisticated automated model was developed. Data generated by the model pointed to a further research need, that of a better understanding of the funding and financial management practices of the third sector. This gave rise to the third component of the study, a survey of 232 beneficiary organisations of the Community Chest. An analysis of the data generated by the model and collected from the survey highlighted yet another need, the poor financial management acumen of the sector. In order to address this need and hence the efficacy of the model, a survey of 207 University of Cape Town management accounting students was conducted to determine the feasibility of using their financial management knowledge and skills to support financially and IT-illiterate organisations – the fourth component of the study. The study primarily adopted a quantitative research paradigm; the research design was exploratory-descriptive and used a primary data design with limited secondary data analysis. Data was captured in MS Access and analysed using Statistica and MS Excel. Results indicated that the country’s funding policies were wanting and that the allocation of state and state-controlled funding agency resources were not being allocated in concert with adopted policy. In almost all cases the poorer rural areas had and received fewer resources. Most organisations surveyed were not financially secured and their ability to fundraise was very limited. Their financial management ability was not good. Fortunately a substantial number of accounting students indicated a willingness to improve the financial management ability of such needy organisations. The study concludes by recommending further development of the model, utilisation of accounting students and calls for a major assessment of third sector needs, its funding and financial management. It also recommends the formulation of new funding policies.

Thesis (PhD)--University of Stellenbosch, 2003. / ENGLISH ABSTRACT: This study is a case study of the motivation for and application of a theory-driven evaluation approach to a community development programme in South Africa. The motivation for a theory-based approach is explicated within the context of the inability of experimental or ‘black box’ designs to evaluation to provide the requisite information to programme implementers, programme managers as well as policy makers. It also argues that experimental design in evaluation has not lived up to its promise of producing systematic and robust evidence about the impact of projects or programmes. Instead, experimental designs have struggled to maintain the integrity of the designs and are fraught with deficiencies that influence the quality of the results. The research context of a South Africa in the midst of political, economic and social transformation from 1994 to the present, is presented to highlight the complex challenges facing the country in terms of economic upliftment, poverty alleviation and social transformation. The need to evaluate the various interventions and initiatives through policy changes and development programme is then established. One such intervention, a community development programme initiated by the Centre for Community Development (CCD), is introduced as an example of an intervention with the objectives to deal with the challenges listed above. The history and development of programme evaluation as an interdisciplinary, applied field of research are presented to illuminate the multiple purposes assigned to programme evaluation and to create the platform for further arguments for the use of a theory-based approach to evaluation. The history, growth and potential benefits of a theory-driven approach are shared as well as the barriers and critiques from various quarters. A meta-theoretical analysis of the philosophical debates about the paradigmatic choices available to researchers is used to construct the ontological,epistemological and methodological landscape that influences various orientations to research. It shows how different researchers interpret this landscape or framework and locates the theory-based approach to evaluation within a particular brand of realist ontology. Community development is showcased in terms of its central concepts, that is ‘community’ and ‘development’. These concepts, individually and their interconnections, are interrogated and explained for the purposes of generating a conceptual and theoretical framework that is used later in the analysis of the evaluation findings. The research context of the community development programme is then introduced and the evaluation findings are outlined and discussed. The analysis of the evaluation findings reveals the essence of the community development programme and provides guidance for further refinement of the theory-based approach. / AFRIKAANSE OPSOMMING: Die gevallestudie ondersoek die motivering vir die gebruik en implementering van `n teoriegedrewe benadering vir die evaluering van `n gemeenskapontwikkelings program in Suid Afrika. Die motivering vir `n teoriegedrewe benadering word bespreek in die konteks van die onvermoë van eksperimentele of ‘black-box’ benadering tot evaluering om genoegsame informasie aan program implementeerders, program-bestuurders en beleidmakers te verskaf. Daar word ook geargumenteer dat die eskperimentele benadering tot evaluering, ondanks die belofte om sistematiese en gegronde bewyse van die uitwerking van projekte of programme daar te stel, nie aan hierdie belofte voldoen nie. Die eksperimetele benadering worstel ook om die integriteit van die ontwerpe te behou en dit beïnvloed die kwaliteit van die resultate. Die politieke, ekonomiese en sosiale transformasie in Suid Afrika, vanaf 1994 tot die hede, word beskryf as die navorsing-konteks om sodoende die uitdagings van ekonomiese opheffing, armoede verligting en sosiale transformasie uit te lig. Die dringende behoefte om verskeie initiatiewe en intervensies, wat in die lewe geroep is deur beleids-veranderinge en ontwikkelings-programme, te evalueer word vervolgens bespreek. `n Voorbeeld van so `n initiatief is die van die Sentrum vir Gemeenskaps- Ontwikkeling (CCD) wat ten doel het om van die sosiale uitdagings, hierbo genoem, vas te vat. Verdere argumente vir die gebruik van die teoriegedrewe benadering tot program evaluering word aangevoer deur middel van `n uitbreiding van die geskiedenis en ontwikkeling van program-evaluering . Program-evaluering word uitgebeeld as `n interdissiplinêre toegepaste veld van navorsing en word aangewend vir verskeie doeleindes. Die geskiedenis, groei en potensiële voordele van die teoriegedrewe benadering tot evaluering word bespreek asook die probleme van, en kritiek teenoor die benadering. Die ontologiese, epistemologiese en metodologiese raamwerk wat die sosiale wetenskappe omskryf en beïnvloed, word bespreek deur `n meta-teoretiese analiese van die filosofiese debatte oor die paradigmatiese keuses wat navorsers maak en beïnvloed. Dit wys ook hoe navorsers hierdie raamwerk interpreter en die teorie-aangedrewe benadering tot evaluering word vas gele binne `n bepaalde soort realistiese ontologie. Gemeenskaps-ontwikkeling word ook ontleed in terme van die sentrale konsepte naamlik ‘gemeenskap’ en ‘ontwikkeling’. Hierdie konsepte word ontleed en verduidelik met die doel om `n teoretiese raamwerk te ontwikkel wat later gebruik word in die analise van die evaluasie resultate.Die navorsings-konteks van die gemeenskaps ontwikkeling program word ook uitgebeeld en die resultate van die evaluasie aangebied en bespreek. Die ontleding van die resultate van die evaluasie ontbloot die kern van die gemeenskaps ontwikkeling program en bied riglyne vir die verdere verskerping van die teoriegedrewe benadering tot evaluasie.

Thesis (MPhil)--University of Stellenbosch, 2007. / ENGLISH ABSTRACT: The Department of Water Affairs and Forestry (DWAF) maintains that its people-centred Participatory Forest Management (PFM) program contributes to rural poverty eradication through provision of employment, skills training and sharing of benefits of sustainable forest management. It also asserts that local people in the forested parts of South Africa interactively participate in designing systems and institutions that shape forest resources use and management and hence influence their livelihood strategies. Furthermore, the department asserts that the PFM program has taken off exceptionally well in the Southern Cape Forests than anywhere else in South Africa. This means that local people that inhabit the margins of the Southern Cape Forests benefit from the management of these forests. Consequently, this study set out to investigate the socio-economic contribution of the PFM intervention to the two forest-dwelling communities of Diepwalle and Covie within the Southern Cape Forests. The investigation employed an outcome based evaluation approach and was summative in nature. Data were gathered by conducting a 100% survey of the two communities and also through a workshop. Informal interactions and discussions as well as visual observations were used to verify data as the purpose of the study was to present an unbiased, multi-voiced account of the socio-economic contributions of the PFM intervention to the Diepwalle and Covie communities. The results of this research show that the outcomes of the PFM intervention have not been met in the two communities. It was found that the vast majority of the households in the two communities were not aware at the time of this study of the PFM program. There were at the time of the study no PFM-based incentives for local communities to actively participate in the sustainable use and management of the indigenous forests in the vicinity of Diepwalle and Covie. Almost all the householders in the two communities stressed that they do not benefit from the management of the indigenous forests. The existing management approach followed in the Southern Cape Forests does not appear to have more socio-economic and environmental gains than the conventional approach which excludes local people from the planning, designing, implementation and evaluation of institutions and systems which affect their physical environment. The study recommends, among others, regular evaluation of the PFM program to fast track its successful implementation and to ensure that the National Forests Act of 1998 that establishes PFM is fully implemented to realize the socio-economic benefits of forest conservation. / AFRIKAANSE OPSOMMING: Volgens die Departement Waterwese en Bosbou (DWB) dra die Mensgesentreerde Deelnemende Bosbestuursprogram (Participatory Forest Management of PFM) by tot die uitwissing van armoede op die platteland deur werkverskaffing, vaardigheidsopleiding en die deel in voordele van volhoubare bosbestuur. Die DWB beweer dat inwoners van die woudgebiede van Suid-Afrika deelneem aan die ontwerp van stelsels en instellings wat die gebruik en bestuur van woudhulpbronne vorm en daarom hulle broodwinningstrategieë beïnvloed. Verder voer die DWB aan dat die PFM-program aansienlik beter in die Suid-Kaapse Woude weggespring het as op enige ander plek in Suid-Afrika. Dit beteken dat plaaslike mense wat in buitewyke van die Suid-Kaapse Woude woon, voordeel trek uit die bestuur van die woude. Hierdie studie is onderneem om die sosio-ekonomiese bydrae van die PFM-intervensie tot twee woudgemeenskappe, Diepwalle en Covie, in die Suid-Kaapse Woude te ondersoek. Die ondersoek het 'n uitkomsgebaseerde evaluasiebenadering gevolg en was summatief van aard. Gegewens is deur 'n 100%-opname van die gemeenskappe en tydens 'n werkswinkel versamel. Informele interaksies en besprekings asook visuele waarnemings is gebruik om gegewens te verifieer, omdat die doel van die studie was om 'n onbevooroordeelde, veelstemmige verslag van die sosio-ekonomiese bydraes van die PFM-intervensie tot bogenoemde gemeenskappe daar te stel. Die navorsingsresultate toon dat die uitkomste van die PFM-intervensie nie in die twee gemeenskappe bereik is nie. Die oorgrote meerderheid huishoudings was ten tye van die studie onbewus van die program en daar was geen PFM-gebaseerde aansporings vir plaaslike gemeenskappe om aktief aan die volhoubare gebruik en bestuur van die inheemse woude in die Diepwalle- en Covie-omgewing deel te neem nie. Bykans al die huishouers het benadruk dat hulle geen voordeel uit die bestuur van die inheemse woude trek nie. Geen getuienis is gevind wat bevestig dat bekwaamhede bevorder is as gevolg van die PFM-program nie. Alle deelnemers ontken vaardigheidsontwikkeling wat deur die PFM geinisieer is. Dit blyk dat die bestaande bestuursbenadering wat in die Suid-Kaapse Woude gevolg word, nie meer sosio-ekonomiese en omgewingsvoordele lewer nie as die konvensionele benadering wat plaaslike mense uitsluit van die beplanning, ontwerp, implementering en evaluasie van instellings en stelsels wat hulle fisiese omgewing beïnvloed. Die studie beveel onder andere gereelde evaluasie van die PFM-program aan om die suksesvolle implementering daarvan te bespoedig en te verseker dat die Wet op Nasionale Woude van 1998 volledig geïmplementeer word sodat die sosio-ekonomiese voordele van woudbewaring kan realiseer.

Thesis (MPA)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: A public meeting is one of the strategies for public participation outlined by the International Association for Public Participation (IAP2). It is a strategy that is commonly used, but tends to yield poor outcomes. Its purpose is often misunderstood and it is therefore used as a “soft” public participation option that hastens the project at hand. However, it can be a most effective strategy if it is used correctly. Its intended outcome should be to create an interest in public participation within the community, especially when it comes to community-based development. The public should be left empowered and be given scope to influence, direct and own each and every development within its community. In this study the Khayamandi community has been used as a case study. It became apparent that at Khayamandi public meetings are not used correctly as a public participation strategy, and hence the public often felt left out of developments that took place in the community. Even though there are clear constitutional/legislative guidelines on public participation, Khayamandi has not yet achieved the required level of authentic and empowering public participation. In the light of the model developed in this study for public participation that empowers communities, it is evident that public participation at Khayamandi is at a level of tokenism, where information is shared with the public but the public is not expected to participate fully in the developmental agenda. The Khayamandi community, the local municipality and the developers will have to take steps jointly in order to meet the constitutional/legislative requirement on public participation. The ideal level at which the Khayamandi community needs to be is that of citizen power, where the public becomes a change agent and assumes the role of influencing, directing and taking ownership of its own development. This study has adopted a qualitative research paradigm. Interviews and rating-scale questionnaires (on the basis of a probability sampling), focus group and observation are the tools used to collect primary data. This study follows an evaluative research design, which aims at answering the question of whether an intervention, a programme or a strategy has been successful or effective. One of the major recommendations is that the public participation model which has been developed be used by the Khayamandi community in order for the public to be empowered and have the scope to influence, direct and own community-based development and decision-making processes. The public should make use of this model for optimal results. If the public participation strategy is used correctly, Khayamandi can be in a position to achieve the appropriate level of citizen power. Once that happens, the impact on integrated community-based development and decision-making processes will be positive, with improved service delivery as a consequence. / AFRIKAANSE OPSOMMING: ’n Publieke vergadering is een van die strategieë vir publieke deelname soos omlyn deur die Internasionale Assosiasie vir Publieke Deelname (IAP2). Dit is ’n strategie wat algemeen gebruik word, maar dit neig om ‘n swak uitkoms te lewer. Die doel daarvan word dikwels verkeerd verstaan, en gevolglik word dit gebruik as ’n niksseggende openbare deelname-opsie wat die gang van die voorgenome projek versnel. Dit kan egter een van die mees doeltreffende strategieë wees as dit korrek toegepas word. Die beoogde uitkoms behoort te wees om belangstelling in publieke deelname binne die gemeenskap aan te wakker, veral waar dit gemeenskapsgebaseerde ontwikkeling betref. Die publiek behoort daardeur bemagtig gelaat en geleentheid gegee te word om ieder en elke ontwikkeling binne die gemeenskap te beïnvloed, te bestuur en te eien. In hierdie studie is die gemeenskap van Khayamandi as studie-onderwerp gebruik. Dit het geblyk dat publieke vergaderings in Khayamandi nie korrek as ’n openbare deelnamestrategie gebruik word nie, daarom voel die publiek dikwels uitgesluit uit ontwikkelings wat in die gemeenskap plaasgevind het. Alhoewel daar duidelike grondwetlike/wetgewende riglyne oor publieke deelname is, het Khayamandi nog nie die gewensde vlak van egte en bemagtigende openbare deelname bereik nie. Beoordeel volgens die model wat in hierdie studie ontwikkel is vir openbare deelname wat gemeenskappe bemagtig, is dit duidelik dat openbare deelname in Khayamandi op ‘n simboliese vlak is waar inligting aan die gemeenskap gegee word, maar die publiek word nie verwag om ten volle aan die ontwikkelingsagenda deel te neem nie. Die gemeenskap van Khayamandi, die plaaslike munisipaliteit en die ontwikkelaars sal gesamentlik stappe moet neem om die grondwetlike/wetgewende voorskrifte omtrent publieke deelname na te kom. Die ideale vlak waarop die gemeenskap van Khayamandi behoort te wees, is dié van burgerlike mag, waar die publiek die agent van verandering word en die rol aanvaar om sy eie ontwikkeling te beïnvloed, te bestuur en te eien. Hierdie studie het ’n kwalitatiewe navorsingsparadigma nagevolg. Onderhoude en vraelyste met ‘n assesseringskaal (volgens ‘n waarkynlikheidsteekproef), ’n fokusgroep en waarneming is metodes wat gevolg is om primêre data in te samel. Hierdie studie volg ’n evalueringsnavorsingsplan, wat ten doel het om die vraag te beantwoord of ’n ingryping, ’n program of ’n strategie suksesvol of effektief was. Een van die hoofaanbevelings is dat die publiekedeelnamemodel wat ontwikkel is, deur die gemeenskap van Khayamandi gebruik word, sodat die publiek bemagtig word en geleentheid het om gemeenskapsgebaseerde ontwikkelings- en besluitnemingsprosesse te bestuur, te eien en te beïnvoeld. Die publiek behoort hierdie model vir optimale resultate te gebruik. As die publiekedeelnamestrategie korrek gebruik word, kan Khayamandi in staat wees om die gepaste vlak van burgerlike mag te bereik. Sodra dit gebeur, sal die impak op geïntegreerde gemeenskapsgebaseerde ontwikkeling en besluitnemings-prosesse positief wees, met verbeterde dienslewering as gevolg.

Thesis (MPhil)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: An exploration of the integrated nature of sustainable development planning and health care was done in the context of people living and working in the town of Grabouw in the Western Cape. The problem that was investigated was that people working within local government and community health networks treated sustainable development planning and health care as separate issues. The notion of wellness, as different from health, was used as a central theme in the study. It allowed for an acknowledgement of the multidimensionality and contextual nature of human well-being. The notion of sustainable community wellness was used to guide the research, and was viewed as a complex phenomenon. The meanings of sustainable community wellness to people who work and live within local government and community health networks in Grabouw were observed and documented. Complexity theory was then used to discuss the observed perspectives on sustainable community wellness. Two factors informed the selection of Grabouw as a research site: Firstly, a comprehensive sustainable development programme was being carried out in the town of Grabouw during the research. Secondly, a few community health care initiatives were also being implemented at the time. Community care workers who worked in one of the community health organisations participated as primary research participants. The research combined conceptual and empirical research. The conceptual research consisted of a literature review of perspectives on wellness in Grabouw. The empirical research methods that were used combined ethnography in the form of participant observation, and participatory action research in the form of participatory photography. The researcher accompanied community care workers on their daily visits to patients. The care workers took photographs of aspects of their surroundings that represented sustainable community wellness, or the lack thereof, to them. Photographs were analysed through focus group discussions and pertinent themes were subsequently identified. Three meanings of sustainable community wellness were discovered. The first was the structural, governmental meaning that gave importance to health and socio-economic statistics, based on the mortality profile of the area. Wellness was seen from this perspective as a challenge that could be met with strategic planning. The second meaning was the community-based experience of environmental factors in Grabouw that had an impact on wellness, such as water, community forums and living spaces. In this case, wellness was experienced as a rich and diverse set of factors, both social and environmental. The third meaning was observed as instances where the apparent separate entities of local government, the community, and the physical environment were seen as one socio-ecological system, of which sustainable community wellness was an emergent property. These instances demonstrated the importance of managing the quality of relationships within the system, the need to enhance the autonomy of people working in the system and the potential of community care workers to be agents of sustainable community wellness. / AFRIKAANSE OPSOMMING: Ondersoek is gedoen na die geïntegreerde aard van volhoubare ontwikkelingsbeplanning en gesondheidsorg in die konteks van mense wat in die dorp Grabouw in die Wes-Kaap woon en werk. Die probleem wat ondersoek is, is dat mense wat in plaaslike regerings- en gemeenskapsgesondsheidnetwerke werk, volhoubare ontwikkelingsbeplanning en gesondheidsorg as afsonderlike sake beskou. Die begrip ‘welstand’, wat in betekenis van ‘gesondheid’ verskil, is as 'n sentrale tema in die studie gebruik, en is soortgelyk aan die begrip ‘welwees’. Dit het erkenning verleen aan die meerdimensionele en kontekstuele aard van menslike welwees. Die begrip volhoubare gemeenskapswelstand wat as 'n komplekse verskynsel beskou is, het die ondersoek gerig. Die betekenis van volhoubare gemeenskaps-welstand vir mense wat in plaaslike regerings- en gemeenskapsgesondheidnetwerke in Grabouw woon en werk, is waargeneem en gedokumenteer. Kompleksiteitsteorie is voorts gebruik om die waargenome perspektiewe op die volhoubare gemeenskaps-welstand te bespreek. Twee faktore het die besluit om Grabouw as 'n navorsingsgebied te gebruik, beïnvloed: Eerstens was daar tydens die navorsingstydperk reeds 'n omvattende volhoubare ontwikkeling program in Grabouw aan die gang. Tweedens was 'n paar gemeenskapsgesondheidsorg-inisiatiewe ook in dié tydperk aktief. Gemeenskapgesondheidswerkers wat in een van die gemeenskapsgesondheidsorganisasies gewerk het, was primêre deelnemers aan die navorsing. In hierdie ondersoek is konseptuele en empiriese navorsing gekombineer. Die konseptuele navorsing het uit 'n literatuuroorsig van perspektiewe op welwees in Grabouw bestaan. Die empiriese navorsingsmetodes wat gebruik is, het etnografie in die vorm van deelnemende waarneming, asook deelnemende-aksie-navorsing in die vorm van deelnemende fotografie, behels. Die navorser het gemeenskapsgesondheidswerkers op hul daaglikse besoeke aan pasiënte vergesel. Hierdie werkers het foto's geneem van die aspekte van hul omgewing wat na hulle mening die volhoubare gemeenskaps-welstand, of die gebrek daaraan, verteenwoordig. Foto's is tydens fokusgroepbesprekings ontleed en relevante temas is daardeur geïdentifiseer. Drie betekenisse van die volhoubare gemeenskaps-welstand het tydens die ondersoek na vore gekom. Die eerste is die strukturele, regeringsverwante betekenis wat bestaan het uit gesondheidsen sosio-ekonomiese statistiek, gebaseer op die sterftesyferprofiel van die gebied. Welstand is vanuit hierdie perspektief gesien as 'n uitdaging wat deur middel van strategiese beplanning aangepak kon word. Die tweede betekenis is die gemeenskapsgebaseerde ervaring van omgewingsfaktore wat 'n uitwerking op welstand het, soos water, gemeenskapsforums en leefareas in Grabouw. Welstand is in hierdie geval ervaar as bestaande uit 'n reeks ryke en diverse faktore wat beide sosiaal en omgewingsverwant is. Die derde betekenis is waargeneem deur die identifisering van die gevalle wat die kompleksiteit van die stelsel wat bestudeer is, verteenwoordig het. In hierdie gevalle is die oënskynlike aparte entiteite van plaaslike regering, die gemeenskap, en die fisiese omgewing gesien as 'n sosio-ekologiese sisteem waarvan volhoubare gemeenskaps-welstand 'n ontluikende element is. Deur hierdie gevalle is daar aangetoon dat dit belangrik is om die gehalte van die verhoudings binne die stelsel te bestuur en om die outonomie van die mense wat binne die stelsel werk te ondersteun. Ten slotte is die potensiaal van gemeenskapsgesondheidswerkers om as agente van die volhoubare gemeenskaps-welstand op te tree, uitgelig.