A dissertation submitted to the Faculty of Arts, University of the Witwatersrand, in partial fulfilment of the requirements for the Degree of Master of Arts, Clinical Psychology. Johannesburg, September 1992 / No abstract provided.

Thesis ((M. A. (Media Studies)) --University of Limpopo, 2018 / This is a comparative study on the coverage of the consumption of nyaope in two South African tabloid newspapers, namely the Sowetan and the Daily Sun. The study examines how the tabloids understudy reported on the consumption of the street drug; nyaope, by determining the frequency and nature of news reports, assessing the quality of the news reports and comparing the news reporting styles adopted by both newspapers. The research report draws from media effects theoretical propositions, namely the agenda setting and framing theories. Detailed literature review on tabloids and coverage of illicit drugs particularly nyaope is discussed in this study. The study adopted quantitative-qualitative as the research approach through the use of descriptive design. In addition, data were collected through quantitative-qualitative content analysis. The study used the check list as a method of collecting data. Subsequently, Interpretative Phenomenological Analysis (IPA) was adopted for the data analysis process. The study noted that the quality of any tabloid newspaper is centred on the manner in which it reports on societal issues like drug use and abuse, crime, health issues, politics, et cetera. The study results revealed that both tabloids’ frequency on the coverage of the consumption of nyaope was minimal as part of the requisite contribution towards combating drug use among young people. Furthermore, the study noted that the quality of news reports in both newspapers was truthful, accurate, fair, and balanced. The styles of news reporting indicated that the two newspapers made conscious efforts to avoid deliberate derogatory or discriminating references discriminatory towards nyaope users. In conclusion, the study examined the employment of mechanisms by the South African print media (tabloids) to ensure frequent, non-sensational, informed and detailed reporting, regarding issues on the consumption of illicit drugs particularly nyaope.

Thesis (MSc (Mathematical Sciences))--University of Stellenbosch, 2011. / Includes bibliography / ENGLISH ABSTRACT: The production and abuse of methamphetamine has increased dramatically in South Africa, especially in the Western Cape province. A typical methamphetamine use cycle consists of concealed use after initiation, addiction, treatment and recovery. The model by Nyabadza and Musekwa in [32], is extended to include a core group, fast and slow progression to addiction. The model is analysed analytically and numerically using mass action incidence function and non-linear incidence function. The analysis of the model with mass action incidence is presented in terms of the methamphetamine epidemic threshold R0. The analysis shows that the drug free equilibrium is locally asymptotically stable when R0 < 1 and drug persistent equilibrium is locally asymptotically stable when R0 > 1. The model also exhibits a backward bifurcation. Sensitivity analysis of the model on R0 is performed. The most sensitive parameters are transmission rate and recruitment rate of individuals into the core group. The non-linear incidence incorporates innovators and behaviour change. Analytically, the model is analysed in the absence of behaviour change. With behaviour change two cases were considered. Firstly without innovators and secondly with innovators. In the absence of innovators the non-linear incidence reduced to standard incidence and similar results to the ones in the first model were obtained. With the presence of innovators there is no drug free equilibrium. Numerically we fit the model to data on the number of patients who enter into treatment centers for rehabilitation. Using the fitted model, we determine the prevalence and incidence of methamphetamine abuse. We investigate the impact of behaviour change, ‘reinfection’ rate as well as uptake rate into treatment on prevalence. Our results suggest that intervention and prevention programs focusing on behaviour change and uptake rate into treatment would reduce the prevalence. Projections are made to determine the possible long term trends of the prevalence of methamphetamine abuse in the Western Cape. We give suggestions related to data that should be collected from a modelling perspective. / AFRIKAANSE OPSOMMING: Die vervaardiging en misbruik van metamfetamien het dramaties in Suid-Afrika toegeneem, veral in die Wes-Kaap provinsie. ’n Tipiese metamfetamien gebruiksiklus bestaan uit heimlike gebruik na aanvang, verslawing, behandeling en herstel. Die model deur Nyabadza en Musekwa in [32], is uitgebrei om ’n kerngroep in te sluit, vinnige en stadige verloop tot verslawing. Die model is analities en numeries ontleed deur van massa-aksie insidensie funksie en ’n nie-liniêre insidensie funksie gebruik te maak. Die ontleding van die model met massa-aksie insidensie word voorgestel in terme van die metamfetamien epidemiese drempel R0. Die ontleding toon dat die dwelmvrye ewewig lokaal asimptoties stabiel is as R0 < 1 en die dwelmblydende ewewig is lokaal asimptoties stabiel as R0 > 1. Die model beeld ook ’n terugwaartse bifurkasie uit. Sensitiwiteitsontleding van die model ten opsigte van R0 is uitgevoer. Die mees sensitiewe parameters is die oordraagbaarheidskoers en die rekrute koers van individue in die kerngroep in. Die nuwelinge en gedragsverandering word deur die nie-liniêre insidensie opgeneem. Analities, is die model ontleed in die afwesigheid van gedragsverandering. Met gedragsverandering is twee gevalle beskou. Eerstens sonder nuwelinge en tweedens met nuwelinge. In die afwesigheid van nuwelinge is die nie-liniêre insidensie herlei tot standaard insidensie en soortgelyke resultate is verkry, as dié wat in die eerste model verkry is. Met die aanwesigheid van nuwelinge is daar geen dwelmvrye ewewig nie. Numeries pas ons die model aan die data wat betrekking het met die aantal pasiënte wat in rehabilitasie sentra opgeneem word vir behandeling. Deur die gepaste model te gebruik, het ons die voorkoms en insidensie van metamfetamien misbruik bepaal. Ons ondersoek die impak van gedragsverandering, “re-infeksie” koers sowel as die koers van opname in behandeling op voorkoms. Ons resultate toon dat intervensie- en voorkomingsprogramme sal voorkoms verlaag, wat op die gedragsverandering en die koers van opname in behandeling konsentreer. Die model is ook gebruik om die aantal metamfetamien gebruikers te projekteer. Ons maak voorstelle verwant aan die data, wat vanuit ‘n modellerings-oogpunt ingesamel moet word.

Thesis (M Social Work)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: The Western Cape is notorious for its high prevalence of gangs and resulting gang violence. This is confirmed in the multitude of frequent reports of homicides attributed to gangs. This area of South Africa further has elevated substance abuse statistics. Literature clearly states that gangs and drugs are inextricably linked. The nature of the interaction is however unclear, although the effects of the interaction is significantly apparent as the consequences of gang activities is often felt by innocent bystanders. It is concerning that gangsterism and drug usage is normalised and ceases to be viewed as deviant in some communities. The consequences of the interaction between gangs and drugs has ramifications for community safety and further places much strain on the health, social welfare, as well as defence sectors. Effective interventions need to be informed by insight into the interaction between gangs and drugs. The best source of reliable information in this regard would be gang members. A dearth of research with regards to the gang members‟ perspective on the connection between gangs and drugs thus motivated the study. The study was conducted with male gang members within the setting of a substance treatment centre, where drug usage is normalised. An empirical study with a combination of a qualitative and quantitative approach was used, where a semi structured questionnaire was administered with individual participants as well as a focus group. The study illustrated that gangs attract members through their ability to meet the individuals‟ needs. These needs are linked to those indentified within motivational theory. Gangs met physiological needs through access to drugs, safety needs through providing protection, and self esteem needs through the provision of money and status. Significantly, gangs were identified as meeting individuals‟ belonging needs. Commonality was established in risk factors for involvement in a gang and as well as in the usage of substances. The study showed unstable home environments with absent fathers and multiple stressors such as exposure to high levels of violence and abuse. Disconnectedness within families was further highlighted. The participants were exposed to elevated levels of substance misuse within their families as well as elevated levels of familial involvement in the sale of drugs. Familial involvement in gangs was also high within participants. The findings of the study indicate that drugs are enmeshed within gang activities. Drug usage occurs before and after going out and committing crimes. Drugs were used to heighten gang members‟ fortitude, diminishing inhibitions. Participants spoke about being incapable of undertaking violent acts, without first using drugs. Gang members used drugs to quieten the conscience and in self medicating after completing a task, in order to cope with flashbacks and intrusive thoughts and images. Gang norms with regards to the sanctioning of drugs is a complex issue. The study demonstrated that gangs make a distinction between drugs, for example heroin usage is not encouraged by all gangs due to the associated tolerance and severe withdrawal symptoms. Gangs tread a thin line between condoning and discouraging drug usage. Supporting drug usage may benefit the gang, as it encourages and motivates gang activities. Gang members who become dependent on drugs are however a risk for the gang, as they become unreliable and disloyal, as their absolute devotion to the gang is challenged by their physiological needs. Gang members however perceive the gangs‟ prohibition of certain drugs, as motivated by a concern for their wellbeing rather than self interest. The temporal order of drug usage and gang membership illustrated that drug usage preceded involvement in a gang. Drug usage however significantly increased and progressed after inclusion in a gang. Recommendations emphasised a need to acknowledge the link between drugs and gangs. Insight provided by gang members is needed in order to inform effective interventions. Within the substance dependence field, the gang member presents with unique treatment needs, which must be understood in order to gain optimum results. Ill-informed, generic treatment is ineffective, irresponsible and costly for service providers, communities affected by gangsterism, and those gang members with some willingness to change. / AFRIKAANSE OPSOMMING: Die Wes-Kaap is berug vir dié provinsie se hoë voorkoms van bendes en gepaardgaande bendegeweld. Dít word bevestig deur die menigte gereelde berigte van moord waarby bendes betrek word. Hierdie gebied van Suid-Afrika toon boonop verhoogde middelmisbruik-statistieke. Literatuur stel dit onomwonde dat bendes en dwelmmiddels op onlosmaaklike wyse verbind is. Die aard van hierdie wisselwerking is onduidelik, hoewel die uitwerking daarvan onmiskenbaar is: Veral onskuldige omstanders word dikwels deur die gevolge van bendebedrywighede geraak. Dit is kommerwekkend dat bendes en dwelmmisbruik oënskynlik genormaliseer en in sommige gemeenskappe nie meer as afwykend bestempel word nie. Die wisselwerking tussen bendes en dwelms hou ernstige gevolge in vir gemeenskapsveiligheid, en plaas daarbenewens heelwat druk op die gesondheid-, maatskaplikewelsyn- sowel as verdedigingsektor. Doeltreffende intervensies moet gerig word deur insig in die wisselwerking tussen bendes en dwelms. Die beste bron van betroubare inligting in hierdie verband is natuurlik bendelede self. Tog is daar ‟n gebrek aan navorsing oor bendelede se eie beskouings van die verband tussen bendes en dwelms, en dít het dus as beweegrede vir hierdie studie gedien. Die studie is onder manlike bendelede in ‟n behandelingsentrum vir middelmisbruik onderneem, waar dwelmgebruik genormaliseer word. ‟n Empiriese studie met ‟n kombinasie van ‟n kwalitatiewe en kwantitatiewe benadering is gebruik, en ‟n semigestruktureerde vraelys is onder individuele deelnemers sowel as ‟n fokusgroep afgeneem. Die studie toon dat bendes lede werf deur hul vermoë om in die individu se behoeftes te voorsien. Hierdie behoeftes stem ooreen met die behoeftes wat in motiveringsteorie uitgewys word. Bendes voorsien in sielkundige behoeftes deur toegang tot dwelms te bied; hulle voorsien in veiligheidsbehoeftes deur beskerming te verleen, en hulle voorsien in selfbeeldbehoeftes deur geld en status beskikbaar te stel. In die besonder is bevind dat bendes in individue se behoefte voorsien om iewers tuis te hoort. Daar is ‟n gemeenskaplikheid uitgewys in die risikofaktore vir bendebetrokkenheid en vir middelmisbruik. Die studie lewer bewys van onstabiele huislike omgewings met afwesige vaderfigure en veelvuldige stressors, soos blootstelling aan hoë vlakke van geweld en misbruik. ‟n Gebrek aan familiebande kom voorts aan die lig. Die deelnemers is in hulle families aan verhoogde vlakke van middelmisbruik sowel as verhoogde vlakke van betrokkenheid by dwelmhandel blootgestel. Familiebetrokkenheid by bendebedrywighede blyk ook algemeen te wees onder deelnemers. Die bevindinge van die studie toon dat dwelms en bendebedrywighede ineengevleg is. Dwelmgebruik vind plaas voor sowel as nadat misdaad in bendeverband gepleeg word. Dwelms word gebruik om bendelede moed te gee en hul inhibisies te laat verdwyn. Deelnemers noem dat hulle nie geweld kan pleeg sonder om eers dwelms te gebruik nie. Bendelede gebruik dwelms om hul gewete te sus en hulself ná die voltooiing van ‟n taak te behandel om terugflitse en aanhoudende gedagtes aan die gebeure te kan hanteer. Bendenorme met betrekking tot die goedkeuring van dwelms is ‟n komplekse saak. Die studie toon dat bendes tussen verskillende soorte dwelms onderskei: Alle bendes moedig byvoorbeeld nie heroïengebruik aan nie weens die verwante toleransie en ernstige onttrekkingsimptome. Vir bendes is daar ‟n baie fyn lyn tussen die kondonering en ontmoediging van dwelmmisbruik. Die ondersteuning van dwelmgebruik kan tot voordeel van die bende wees, want dit dien as aansporing en motivering vir bendebedrywighede. Tog hou dwelmafhanklike lede ook ‟n gevaar vir die bende in, aangesien hulle onbetroubaar en ontrou raak wanneer hulle absolute toewyding aan die bende teen hul fisiologiese behoeftes te staan kom. Bendelede beskou egter die bende se verbod op sekere dwelms as ‟n teken van hul besorgdheid oor hulle lede se welstand eerder as selfbelang. Die tydsorde van dwelmgebruik en bendelidmaatskap toon dat dwelmgebruik bendebetrokkenheid voorafgaan. Dwelmgebruik het egter beduidend toegeneem en verhewig ná insluiting by ‟n bende. Aanbevelings beklemtoon die behoefte om die koppeling tussen bendes en dwelms te erken. Insigte wat van bendelede bekom word, is nodig ten einde doeltreffende intervensies te rig. Op die gebied van middelafhanklikheid het die bendelid unieke behandelingsbehoeftes wat verstaan moet word ten einde optimale resultate te behaal. Generiese behandeling sonder die nodige agtergrondinligting is ondoeltreffend, onverantwoordelik en duur vir diensverskaffers, gemeenskappe wat deur bendebedrywighede geraak word, sowel as daardie bendelede wat wél bereid is om te verander.

There is a paucity of research in the area of women abusing substances and the effects thereof on family cohesion. Lameman (2008:83) has claimed that “women substance abuse is surrounded by secrecy owing to the societal position and history of women in South Africa and worldwide”. Because women abuse substances in private it is reasonable to assume that there is little known on the effects of such abuse on especially the family and society at large. Mammam (2006:55) points out that “families continue to evolve like any other system as a way of adapting to the environment and responding to the changes around it”. Families continue to survive because of the attractiveness the family has to its members. Studies on family cohesion such as by Grisham and Adele (2008) reflect some of the most important reflectors of family cohesion as respect, sharing values and beliefs, emotional support, trust, intimacy and the ability to confide in each other. The survival of the family therefore rests on cohesion. Since a family is a unit there are different roles played by each member and in rural settings where roles, status and perceptions in terms of gender are slow to change, the question was how substance abuse by a woman would possibly affect family cohesion. The United Nations Office on Drugs and Crime (UNODC) 2011 World Drug Report indicated that South Africa is a major African hub for certain drugs such as heroin and cannabis (marijuana), as well as a major producer of others, including methamphetamines. Large numbers of South African citizens also abuse drugs and alcohol, and the country has one of the world’s highest alcohol consumption levels per drinker. Possibly the greatest negative effect of drug and alcohol abuse is that it slows down or stops emotional and psychological development, preventing people from reaching their full potential, (UNODC, 2011). Added to this is the burden placed on society by health care and criminal justice costs related to substance abuse, as well as the costs associated with decreased productivity in the workplace, increased HIV transmission, domestic violence, injury and death (UNODC, 2011).

Thesis (MSc)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Clinical results have indicated that abuse of multiple drugs/substances has devastating health and social consequences. The combined abuse of alcohol and the highly addictive methamphetamine has worsened the drug epidemic in South Africa, especially in the Western Cape Province. Using non-linear ordinary differential equations, we formulate a deterministic mathematical model for alcohol-methamphetamine coabuse epidemic. We prove that the growth of the co-abuse epidemic is dependent on the threshold parameters of the individual substances of abuse. The substance with the maximum reproduction number dominates the epidemic. We also prove that the equilibria points of the co-abuse sub-models are locally and globally asymptotically stable when the sub-model threshold parameters are less than unity. Using parameters values derived from the sub-model fittings to data, a population estimate of co-users of alcohol and methamphetamine under treatment is estimated with a prevalence of about 1%. Although the results show of a small proportion of co-users of alcohol and methamphetamine in the province, the prevalence curve is indicative of a persistent problem. Numerical simulation results reveal that co-abuse epidemic would persists when both reproduction numbers are greater than one. Results from sensitivity analysis shows that the individual substance transmission rates between users of methamphetamine and/or alcohol and the general susceptible population are the most vital parameters in the co-abuse epidemic. This suggests the need to emphasise on preventive measures through educational campaigns and social programs that ensure minimal recruitment into alcohol or methamphetamine abuse. Model analysis using the time-dependent controls (policies) emphasizes the need to allocate even more resources on educational campaigns against substance abuse and on effective treatment services that minimizes or eliminates rampant cases of relapse into substance abuse. / AFRIKAANSE OPSOMMING: Kliniese resultate toon dat die misbruik van meer as een dwelmmiddel verwoestende gesondheids-en sosiale gevolge het. Die gekombineerde misbruik van alkohol en die hoogsverslawende methamphetamine het die dwelm-epidemie in Suid-Afrika vererger, veral in die Wes-Kaapse provinsie. Deur van nie-lineere gewone diffensiaalvergelykings gebruik te maak, formuleer ons ’n deterministiese wiskundige model vir epidemie van die gesamentlike misbruik van alkohol en methamphetamine. Ons toon aan dat die groei van die sogenaamde mede-misbruik epidemie afhanklik is van die drumpelparameters van die individuele middels wat misbruik word. Die middels met die grootste voortbringende syfer domineer die epidemie. Ons bewys ook dat die ekwilibriumpunte van die mede-misbruik submodelle plaaslik en globaal asimptoties stabiel is wanneer die sub-model drumpelparameters kleiner as een is. Deur die submodelle op werklike data te pas word waardes vir die drumpelparameters afgelei en word daar beraam dat daar ongeveer 1% van die populasie mede-misbruikers van alkohol en methamphetamine onder behandeling is. Alhoewel die data ’n klein persentasie van mede-misbruikers van alkohol en methamphetamine in die provinsie toon, dui die voorkomskurwe op ’n groeiende endemie en voortdurende probleem. Resultate uit numeriese simulasie toon dat die mede-misbruik epidemie sal voortduur indien beide reproduserende syfers groter as een sal wees. Resultate van sensitiwiteitsanalise toon dat die individuele middeloordragkoerse tussen gebruikers van methamphetamine en/of alkohol en die gewone vatbare populasie die mees noodsaaklike parameters in die mede-misbruik epidemie is. Dit stel voor dat daar meer klem gelê moet word op voorkomingsmaatreëls deur opvoedkundige veldtogte en sosiale programme om te verseker dat minder alkohol en/of methamphetamine misbruik sal word. Model-analise wat gebruik maak van tyd-afhanklike kontroles (beleide) lê verder klem op die feit dat selfs meer hulpbronne aan opvoedkundige veldtogte teen dwelmmisbruik toegewy moet word, asook die effektiewe behandeling wat gevalle van terugval in dwelmmisbruik sal minimeer of elimineer.

The purpose of this study is to explore and describe the nature and extent of school health nurses’ roles and responsibilities in the prevention of drug abuse by learners in schools. The study was conducted at two high schools in Eldorado Park Extension 4 (Region G), in Johannesburg West. A mixed-methods (triangulated) research approach was opted for, in terms of which structured focus group interviews, self-administered questionnaires, and participant observations optimised and complemented the data collection process. The non-probability simple random sampling technique was utilised to select 35 research participants consisting of 9 (nine) educators, 1 (one) school health nurse and 25 community healthcare workers. The 1 (one) school health nurse and the 25 community-based healthcare workers were involved in the study by means of structured self-administered questionnaires, while the nine (9) educators (who were not part of the 26) only participated in the study’s two focus group interview sessions. Among others, the study’s findings indicate that the distribution of professionally trained and registered school health nurses is not yet proportionally commensurate to addressing the problem of drug and substance abuse in schools. There has been a need to augment the shortage of school health nurses with community-based school health workers. / Health Studies / M.A. (Nursing Science)

South Africa has experienced a notable increase in adolescent drug use during the country’s transition from apartheid to democracy (Central Drug Authority [CDA], 2006). These findings are verified by epidemiological studies and two national youth risk behaviour surveys, highlighting the need for effective drug prevention interventions. Whilst drug use spans across age, gender and social strata, the rapid increase in both legal and illicit drug use among adolescents in the Northern Areas communities of Port Elizabeth has been particularly pronounced. The South African Community Epidemiology Network on Drug Use (SACENDU) statistics, which reflects on racial demographics in accordance with the Population Registration Act of 1950 (South Africa, 1950), reports that, in the year 2011, the ‘Coloured’ population constituted 62 percent of those individuals seeking treatment for drug abuse, compared to 15 percent ‘African’ treatment seekers in Port Elizabeth (Dada, Plüddemann, Parry, Bhana, Vawda & Fourie, 2012:44). Furthermore, methamphetamine use by persons under the age of 20 years in Port Elizabeth increased fivefold in a three-year period, i.e. from 7 percent in 2008 to 39 percent in 2011 (Dada et al., 2012), with the ‘Coloured’ population group accounting for the majority of methamphetamine users. These statistics reinforce a long-standing racial stereotype that associates ‘Coloured’ racial identity with an enhanced susceptibility to drug use. The National Drug Master Plan (South Africa, 2012a), and the Prevention of and Treatment for Substance Abuse Act (Act no 70 of 2008) propose that drug prevention programmes should address the values, perceptions, expectations and beliefs that the community associates with drug abuse (South Africa, 2008b). This view emphasises the importance of drug preventions interventions that are culturally sensitive and contextually relevant. The current study was guided by two conceptual frameworks, i.e. the Social Constructionist Framework and the Ecological Risk/Protective Resilience Framework, and focused on the Northern Areas of Port Elizabeth, a historically marginalised community inhabited by a predominantly ‘Coloured’ indigenous/ethnic group. The goal of the study was to enhance understanding of the socio-cultural meaning attributed to cultural identity, drug use, non-use and drug prevention in the Northern Areas of Port Elizabeth, with the view to developing guidelines for drug prevention interventions that are culturally sensitive and contextually relevant. The following objectives were formulated in order to achieve the goal of the study: • To explore adolescent narratives regarding the constructs ‘Coloured’, drug use, non-use and drug prevention programmes of three distinct groups of adolescents (drug users, non-users, and TADA peer mentors) from the Northern Areas. • To explore and describe the social service practitioners’ (social workers and social auxiliary workers’) constructions of drug use, non-use and drug abuse prevention in relation to adolescents from the Northern Areas, and how such constructions inform the drug prevention services rendered to adolescents from these communities. • To review the data collected from the adolescent narratives and the social service practitioners’ reflections on their drug prevention programmes against existing theory and models for drug prevention. • To synthesise the above information with a view to developing guidelines for culturally sensitive drug prevention programmes relevant and responsive to the specific social constructions of adolescents from the Northern Areas. A qualitative research approach, located in a narrative tradition of inquiry research design, was employed to achieve the goal of the study (Riessman, 2008). The study was conducted in two phases. The first phase involved an empirical study with the four sample groups (i.e. adolescent drug users, adolescent non-drug users, Teenagers against Drug Abuse [TADA] peer mentors and social service professionals (i.e. social workers and social auxiliary workers)). Phase two involved the co-construction of the practice guidelines for culturally sensitive and contextually relevant drug prevention interventions. Phase one started with the informal exploration of community stakeholders’ views on the identified research problem and the process of gaining access to the research population. Several gatekeepers (i.e. teachers, social workers, the Families Against Drugs [FAD] Support Group representatives, a minister of religion and a community stakeholder) were engaged to assist in recruiting participants from the four sample groups. A non-probability purposive sampling method was employed to purposively recruit 29 adolescent non-drug users and ten adolescent peer mentors (via the TADA Programme at one school). The same sampling method, followed by a snowball sampling technique, was employed to recruit the two remaining sample groups of ten adolescent drug users (in the recovery process) and nine social workers and social auxiliary workers respectively. The sample sizes were determined by the principle of data saturation.The data generation method used in respect of the non-users took the form of semi-structured written narratives, administered in a group context during school time, followed by a second round of data generation. The life-grid (Wilson, Cunningham-Burley, Bancroft, Backett-Milburn & Masters, 2007:144), a qualitative visual tool for mapping important life events, was employed to guide the co-construction of the biographical narratives generated during the individual semi-structured interviews with the sample of adolescent drug users. Focus group interviews were used to enhance an understanding of the peer mentors and social service practitioners’ views on the construct ‘Coloured’ and their existing drug prevention programmes. Each of the individual and focus group interviews was audio-recorded, transcribed and complemented by the field notes. Informal data gathering occurred through participant observation of two drug prevention programmes, attendance of a FAD Support Group meeting, and interviews with community volunteers and the South African Police Services (SAPS) Youth Development Forum. Both the content and the context of the narratives were analysed to arrive at the research themes, sub-themes and categories. The content of the narratives was analysed by employing categorical content analysis, whilst the form of the narratives (i.e. how the stories were told) was analysed by using the socio-cultural approach to narrative analysis (Grbich, 2007:130). The journey metaphor emerged from the adolescent drug users’ narratives, depicting a prototypical storyline of a drug use journey, starting with experimentation and culminating in abuse and dependence for some and an early exit from the journey for others. The conclusions that can be drawn from these findings illuminate key protective factors and processes at a multisystemic level that can be strengthened to enhance the adolescents’ resistance to drug use and/or delay the onset of use. Embedded in the participants’ narration of the drug use journey were nuances relating to internalised stereotypes of ‘White’ supremacy and ‘Coloured’ inferiority as an explanatory framework for venturing onto and prolonging the journey.The two themes that emerged during the process of content and narrative analysis of the qualitative data (from both adolescent drug users and non-users) were as follows: Constructing drug use as a ‘Coloured’ phenomenon and reconstructing ‘Coloured’ identity; Risk and protective factors located at individual, family, peer, school, community and societal domains. The four themes that emerged during the data analysis of the peer mentors and social service practitioners’ narratives were as follows: Construction of ‘Coloured’ identity; socio-cultural meaning construction about the reasons for drug use amongst adolescents from the Northern Areas; description of drug prevention services rendered in the Northern Areas; and reflection on barriers to rendering drug prevention interventions.

MPH / Department of Public Health / Globally, substance use is a significant public health problem around the world. Many schools encounter the challenge of learners using substances in and outside of the school premises. This problem affects the education system because learners who use substances display behaviours that negatively affect the quality of learning and teaching. The study aimed to determine the educators’ knowledge of the factors contributing to substance use among secondary school learners in Greater Giyani Municipality, Limpopo Province. A descriptive research design was employed, and the participants were selected using purposive sampling. Data was collected utilising a structured questionnaire and analysed using the Statistical Package for Social Sciences (SPSS) version 25 programme. The study findings show substance use as a significant public health problem in schools. Some of the factors identified that contributed to substance use among learners by most educators were low-self-esteem, poor self-control, depression, meagre finances, academic environment, background, peer pressure, accessibility and availability of substances. Based on the findings a number of recommendations were made such as capacitating parents on parenting skills and also on strategies to assist teachers to fight against substance use by students. Instead of the media only displaying lucrative advertisements of alcohol, it must also provide education and awareness about substance use/abuse and its consequences. Further research is necessary to investigate learners’ and parents’ knowledge of the factors contributing to substance use. / NRF

MPH / Department of Public Health / The abuse of substances among the youth is a global health problem which has a negative impact on their health and wellbeing, families, educational and professional life, as well as communities and limits their hopes and dreams. An estimated 246 million persons globally (about one out of twenty people) between 15 and 64 years have abused substances in the past three years. The global drug problem has increased to such an extent that more than 1 out of 10 drug abusers is affected by either disorder or drug dependence. The aim of the study was to explore the factors contributing to substance abuse among the youth in Atteridgeville, Tshwane Metropolitan Municipality. The study was conducted in Atteridgeville community. Atteridgeville is a portion of the City of Tshwane Metropolitan Municipality, west of Pretoria in South Africa. The design was qualitative in nature, using exploratory design. The researcher purposively chose the participants from the target population. The population and sampling method was on participants aged between 15 and 35 years, with substance abuse problem, who were referred to Atteridgeville Medical Health Centre for counselling. The researcher used a semi-structured interview guide for gathering data. In-depth interview was used to collect data. A proposed total of number of 20 participants was suggested, and it was guided by data saturation. Data was analysed by using thematic content analysis. A measure of trustworthiness was ensured. Ethical consideration was observed in this study. The findings states that substance abuse problem was identified and certainly noticed by everyone in the community. New drugs remain unchallenged, drug dealers are known, yet, not a single law enforcement institution attempt to raid their houses to search and arrest them. Community involvement is not enough to end the scourge of substance abuse problems in the community. Some police officers were identified and known to be part of drug dealings or have family relatives who are drug dealers. The researcher therefore recommends that parents should be involved in the community forums to deal with substance abuse problems. The community policing and law enforcement should be equipped by developing a tactical team specifically looking at the drug problems in the local communities. In conclusion, the research revealed that, South African citizens are people who see a problem happening but lacks to implement strategies to deal it immediately. / NRF