Utilising a case study design in the Gauteng Province of South Africa, this study explores the perceptions of ECD practitioners regarding the professionalisation of the ECD sector. With a purposive sample of fifteen ECD practitioners teaching children aged between birth and four years this study sought to find out what is exactly happening in the sector regarding the birth of the new qualification for ECD teachers in the South African education system; which attempts to standardise a B.Ed. curriculum for new teachers in the ECD sector. Adopting the Uncertainty Reduction Theory (URT) as a lens, the study revealed that the Government and the Non-Governmental Organisations (NGOs) were not giving adequate support to the sector while parents viewed ECD centres as places of play and sleep rather than educational. The study concludes that the ECD sector is indispensable for the South African Education system to perform on par with other world countries and recommends that everyone; not only government; should come to the party to fix this challenge of the education system. / Dissertation (MEd)--University of Pretoria, 2017. / Early Childhood Education / MEd / Unrestricted

Magister Artium - MA (Child and Family Studies) / Early childhood centres play a profound role in shaping the behaviour of children. Research indicates that early childhood centres contribute to the holistic development of children, encompassing their motor, congnitive and behavioural skills. Research has further shown that the South African authorities have an early childhood policy which spans various aspects of childhood development. To establish the nexus between early childhood centres and the behaviour of children, this study explored the role of practitioners in early childhood development centres in shaping the behaviour of children. The study uses the Ecological Systems Theory to interrogate its tenets of the theory and the research findings. The study engaged a qualitative approach to explore this phenomenon. Semi-structured interviews, field notes and observations were used to obtain data from parents, principals and practitioners at early childhood centres. Data was analysed thematically and as such, three main themes emerged from the research: the behaviour of children in early childhood development centres; practitioners' perceptions of their own roles in early childhood development centres; and the attitudes of practitioners towards their roles in early development centres.

Sensory inputs of hearing and vision during early childhood development support the achievement of language, speech and educational milestones. The early detection of sensory impairment is essential for facilitating early childhood development, socio-emotional well-being and academic success, in addition to obtaining sustainable educational development goals. The majority of children with sensory impairment live in low- and middle-income countries where services are often unavailable or inaccessible, because of the absence of systematic screening programmes for children, prohibitive equipment cost, a shortage of trained personnel and centralised service-delivery models. Therefore, research is needed to investigate whether a community-based mobile health (mHealth) supported service-delivery model for hearing and vision screening can increase access to hearing and vision services for children in resource-constrained settings. This study aimed to describe an implemented hearing and vision screening programme and evaluate its success in terms of acceptability (consent return numbers), coverage (number of eligible children screened), referral rates and quality indicators (duration of tests and number of hearing tests conducted under conditions of excessive noise levels). The study also explored the challenges faced during a community-based screening programme and the strategies developed to address these. Four non-professionals were appointed and trained as community health workers (CHWs) to conduct combined sensory screening using mHealth technology (hearScreen application, hearXGroup, South Africa and Peek Acuity application, Peek Vision, United Kingdom) on smartphones at preschools in low-income communities in Cape Town, South Africa. The consent form return rate was 82.0%, and the coverage rate was 94.4%. An average of 501 children were screened each month, at a cost of US$5.63 per child. The number of children who failed hearing and vision screening was 435 (5.4%) and 170 (2.1%), respectively. Failing of hearing tests was associated with longer test times (odds ratio [OR]: 1.022; 95% confidence interval [CI]: 1.021–1.024) and excessive background noise levels at 1 kHz (e.g. OR for left ear: 1.688; 95% CI: 1.198–2.377). Failing of visual screening tests was associated with longer test duration (OR: 1.003; 95% CI: 1.002–1.005) and younger age (OR: 0.629; 95% CI: 0.520–0.761). The study also aimed to describe and compare the performance of two screening protocols that were used in this preschool hearing screening programme to determine optimal referral criteria that is responsive to available resources. Secondary data analysis was done to compare a protocol using a single-frequency fail criterion (which 2,147 children were screened with between 1 October 2017 and 25 February 2018) with a screening protocol using a two-frequency fail criterion (which 5,782 children were screened with between 26 February 2018 and 30 November 2018). For both protocols, screening was done at a 25 dB hearing level (HL) at 1000, 2000 and 4000 Hz. Both protocols included an immediate rescreen at the frequencies that were failed. The referral rate was 8.7% (n = 186) for the one-frequency fail protocol and 4.3% (n = 250) for the two-frequency fail protocol. Compared to the one-frequency fail protocol, children screened with the two-frequency fail protocol were 52.9% less likely to fail (OR: 0.471; 95% CI: 0.385–0.575). Gender (OR: 0.807; 95% CI: 0.531–1.225) and age (OR: 0.996; 95% CI: 0.708–1.402) had no significant effect on screening outcomes. Maximum permissible ambient noise levels (MPANLs) were exceeded in 44.7% of cases in at least one ear at 1000 Hz across both protocols. There was no significant difference between the protocols for both true positive cases and false positive cases. Protocol (OR: 1.338; 95% CI: 0.854–2.098), gender (OR: 0.807; 95% CI: 0.531–1.225) and age (OR: 0.996; 95% CI: 0.708–1.402) demonstrated no significant effect on the odds of producing true positive results. Average time for conducting the screening was 72.8 s (78.66 SD) for the one-frequency fail protocol and 64.9 s (55.78 SD) for the two-frequency fail protocol. Estimating the prevalence and describing the characteristics of sensory loss in a preschool population in low-income communities are important steps to ensure adequate planning and successful implementation of community-based hearing and vision care in this context. The study therefore also investigated the prevalence and characteristics of hearing and vision loss among preschool children (4 to 7 years) in an underserved South African community after implementing mHealth-supported community-based hearing and vision services. Children who failed hearing and vision screening were seen for follow-up assessments at their preschools. Follow-up assessments were also performed with smartphones and hearing and vision testing applications (hearTest application, hearX Group, South Africa and PeekAcuity app, Peek Vision, United Kingdom). A total of 10,390 children were screened at 298 preschools over 22 months. Of the children screened, 5.6% and 4.4% of children failed hearing and vision screening, respectively. Community-based follow-up hearing tests were done at the preschools on 88.5% (514) of the children, of whom 240 children (54.2% female) presented with hearing loss. A preschool-based follow-up vision test was conducted on 400 children (88.1%). A total of 232 children (46.1% female) had a vision impairment, and a further 32 children passed the test but had obvious signs of ocular morbidity. Logistic regression analysis found that age was a significant predictor of vision loss (p < 0.001): with every 1-year increase in age, participants were 51.4% less likely to have vision loss (OR: 0.49, 95% CI: 0.39–0.60). Age was not a significant predictor for hearing loss (OR: 0.821; 95% CI: 0.667–1.011). Gender was not a significant predictor of hearing loss (OR: 0.850; 95% CI: 0.658–1.099) or vision loss (OR: 1.185; 95% CI: 0.912–1.540). The prevalence of hearing loss at a pure tone average (PTA) of 25 dB HL ranged between 2.3% (240 out of 10,390; assuming none of the non-attenders and children who were unable to be tested had hearing loss) and 3.1% (321 out of 10,390; assuming all the non-attenders and children who were unable to be tested presented with hearing loss). The prevalence of vision loss ranged between 2.2% (232 out of 10,390; assuming none of the non-attenders had vision loss) and 2.8% (286 out of 10,390; assuming all the non-attenders presented with vision loss). Findings of this research project indicate that mHealth-supported CHW-delivered hearing and vision screening in preschools provide a low-cost, efficient and accessible service that can improve the provision of affordable hearing and vision care. This service-delivery model is affordable and scalable, because the same staff, needing minimal training, and the same equipment are used to screen for both vision and hearing. Timely identification of sensory losses is essential to ensure optimal outcomes and can be facilitated through community-based hearing and vision services by trained CHWs using mHealth technology. Future studies should aim to report on outcomes and the uptake and impact of interventions on the children diagnosed with sensory impairments following identification through a decentralised screening programme. / Thesis (PhD (Audiology))--University of Pretoria, 2021. / Sonova AG / Hear the World Foundation / Speech-Language Pathology and Audiology / PhD (Audiology) / Unrestricted

Thesis (Ph.D. (Social Work)) -- University of Limpopo, 2021 / The purpose of this study was to explore and describe the impediments of the ECD programme with the intention to develop an integrated strategy. The study was qualitative. The study used applied research. Within the context of applied research, exploratory-descriptive a" multiple-case study research design was utilized to accomplish the goal of the study." In this study, the researcher" utilized two sets of the population to participate in the study. The study used "non-probability sampling and, specifically, purposive sampling. The criteria to select the participants were used. The participants included in the study were, Early "Childhood development Practitioners and social workers coordinating the ECD programme in Vhembe District Municipality. The focus group interviews and one-to-one individual interviews (structured one-toone interview) was used to collect data from the participants. Data were analysed using thematic analysis. The study findings revealed that ECD centres have different types of impediments that affect the smooth-running of the ECD programme. The following are issues that impede the proper implementation of the ECD programme in Vhembe District Municipalities: infrastructure (e.g. no running water, no electricity and no proper building), poor financial support from the government, lack of resources within the centre, lack of community support and inadequate financial support by local businesses. The findings reveal that other ECD centres were established without basic training by the government. The study found that ECD centres admit children that exceed the expected number. Secondly, the ECD practitioner-child ratio was not considered. The study revealed that ECD practitioners from all municipalities showed different perceptions and attitudes towards services that are rendered, which is also based on the treatment that they get from social workers and the poor support received from the parents of the children. The study also found that ECD centres are being monitored by three different offices, the district office; NPO, and the local social worker. An ECD integrated strategy was developed to address the impediments that impact the proper implementation of the ECD programme. / National Institute for the Humanities and Social Sciences (NIHSS)

Poverty is a global concern and the implementation of a quality early childhood development (ECD) programme is one of the most powerful ways of breaking the poverty cycle. Although research has been done regarding ECD centres in impoverished, marginalised and predominantly black communities (informal settlements), there is little, if any, similar research regarding predominantly white settlements. The purpose of this narrative study is to explore and understand the experiences of ECD practitioners regarding their work in impoverished and marginalised predominantly white communities. I, therefore, conducted this study from a social constructivist paradigm. The participants constructed their realities based on their lived experiences and interaction with others. The experiences of the participants were also influenced by their entire ecological system – their everyday experiences in their work and lives, as well as more distal influences for example South-Africa’s socio-political dispensation and cultural influences. Consequently the study was framed within the Ecological Systems Theory of Bronfenbrenner. I collected data through narrative interviews with two participants (ECD practitioners), and through field notes from observations, documents, photographs and artefacts. From the coded data, four main themes emerged – social and personal experiences, experiences concerning place, experiences with camp leadership and experiences concerning support infrastructure. These themes will be useful to determine the kind of support that practitioners need to ensure the quality of ECD programmes to support the optimal development of the children. / Armoede is ʼn globale probleem en kwaliteit kleinkinderontwikkelingsprogramme (KKO-programme) is een van die kragtigste maniere om die armoede-siklus te verbreek. Alhoewel daar navorsing omtrent KKO-sentra in verarmde en gemarginaliseerde oorwegend swart gemeenskappe (informele nedersettings) gedoen is bestaan daar min, indien enige, soortgelyke navorsing in oorwegend blanke nedersettings. Die doel van hierdie narratiewe studie is om die ervarings van KKOpraktisyns in hulle werk in verarmde en gemarginaliseerde oorwegend blanke nedersettings te ondersoek en te verstaan. Daarom het ek hierdie studie vanuit ‘n sosiaal-konstruktivistiese paradigma uitgevoer. Die deelnemers het hulle realiteite geskep gebaseer op hulle geleefde ervarings en interaksies met ander. Die ervarings van die deelnemers is ook beïnvloed deur hulle hele ekostelsel – hulle daaglikse ervarings in hulle werk en lewens, asook verwyderde stelsels van invloed soos Suid-Afrika se sosio-politieke bedeling en kulturele invloede. Gevolglik is hierdie studie geformuleer binne die Ekologiese Sisteemteorie van Bronfenbrenner as raamwerk. Ek het data versamel deur narratiewe onderhoude te voer met twee deelnemers (KKO-praktisyns), en deur veldnotas van waarnemings, dokumente, foto’s en artefakte. Uit die gekodeerde data het vier hooftemas navore gekom – sosiale en persoonlike ervarings, ervarings met betrekking tot plek, ervarings met kampleierskap en ervarings rakende ondersteuningsinfrastruktuur. Hierdie temas sal bruikbaar wees om die soort ondersteuning te bepaal wat praktisyns benodig om ʼn kwaliteit KKOprogram te verseker om sodoende die optimale ontwikkeling van die kinders te ondersteun. / Early Childhood Education / M. Ed. (Socio-Education)

This study was conducted in order to assess the effectiveness of practitioner training in underprivileged early childhood settings. The quantitative study set out to test a target group of 800 Grade R children, ranging in age from five to six and a half years, in order to determine the impact that practitioner training on early intervention has on young children. A pre-test evaluated the initial level of each child‟s abilities, including physical-motor, language and speech, cognitive, play and social and emotional development. Children were placed into control and experimental groups through random selection of practitioners. The experimental group's teachers (practitioners) underwent an eight-month part-time intervention programme which focused on the importance of early intervention, the domains of development, planning, preparation and assessment as well as encouraging community awareness. The control and experimental groups continued with their normal school programmes, but the practitioners in the experimental group were developing a deeper understanding of early childhood development and activities which enhance development in children. The results indicate that the impact of effective practitioner training and enhancing a deep understanding of stimulation in young children can have positive, long-term results in children's cognitive ability, laying foundational concepts and scope for development. Vast differences were noted in the ability level of children which were stimulated, as compared with those children who were not as stimulated. / Psychology of Education / D. Ed. (Psychology of Education)

This study was conducted in order to assess the effectiveness of practitioner training in underprivileged early childhood settings. The quantitative study set out to test a target group of 800 Grade R children, ranging in age from five to six and a half years, in order to determine the impact that practitioner training on early intervention has on young children. A pre-test evaluated the initial level of each child‟s abilities, including physical-motor, language and speech, cognitive, play and social and emotional development. Children were placed into control and experimental groups through random selection of practitioners. The experimental group's teachers (practitioners) underwent an eight-month part-time intervention programme which focused on the importance of early intervention, the domains of development, planning, preparation and assessment as well as encouraging community awareness. The control and experimental groups continued with their normal school programmes, but the practitioners in the experimental group were developing a deeper understanding of early childhood development and activities which enhance development in children. The results indicate that the impact of effective practitioner training and enhancing a deep understanding of stimulation in young children can have positive, long-term results in children's cognitive ability, laying foundational concepts and scope for development. Vast differences were noted in the ability level of children which were stimulated, as compared with those children who were not as stimulated. / Psychology of Education / D. Ed. (Psychology of Education)