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Transferability of Policies and Organisational Practices across Public and Private Health Service Delivery Systems: A Case Study of Selected Hospitals in the Eastern Cape: Exploring Lessons, Ambiguities and ContradictionsMpofana, Mziwonke Milton January 2016 (has links)
Philosophiae Doctor - PhD / Since the advent of South Africa‘s democracy in 1994 there have been several changes in the policy and legislative arena specifically promoting public-private-partnerships in the health sector. These initiatives have given rise to opportunities for inter-sectoral policy transfer under the rubric of ―best practices‖. This exploratory study examines the character, obstacles and contested nature of a selection of policy transfers between private and public health institutions in a single province of South Africa. The study looks at the dynamics at play around envisaged, current and past transfers of policies and organisational practices in relation to administrative systems and technologies used in four different hospital settings – two public and two private hospitals in the Eastern Cape Province of South Africa. This thesis explores the views of managers and labour organisations about policy transfer focusing on local contexts, and how various parties construct policy transfer, hence providing a perspective of policy at the ―plant‖ level. In this research, special focus is placed on different agents‘ role and understandings of their contexts and how and why policies move and contradictions of these developments. In-depth interviews were conducted at four major Eastern Cape hospitals. The thesis argues that in practice, policy transfer is messy, politicized and traversed by power and vested interests and that organised labour plays a key role in policy transfer process. The thesis focuses on the different philosophical/ideological underpinnings, socio-political values and operational environments in each sector. This study is designed to contribute to existing knowledge on practices particularly between the public and private sectors in order to widen the understanding of the complexity of transferability.
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The archaeology of the lower Sundays River Valley, Eastern Cape province, South Africa: an assessment of Earlier Stone Age alluvial terrace sitesLotter, Matt Geoffrey 19 September 2016 (has links)
A thesis submitted to the Faculty of Science, University of the Witwatersrand,
Johannesburg, in fulfillment of the requirements for the degree of Doctor of
Philosophy
Johannesburg, 2016 / The lower Sundays River Valley, within the Eastern Cape Province of South Africa,
has featured in a range of papers over the last century. A large portion of these
focuses on improving our understanding of a series of river terraces that border the
present channel. Earlier Stone Age (ESA) artefacts were first noted to occur in these
deposits in the 1950s, but since this initial research there has been no attempt to
investigate these further.
Our understanding of the Eastern Cape’s early archaeology is poor and this can be
attributed to a lack of research. Only a single ESA site, Amanzi Springs, has been
fully excavated for the entire province, and although the artefacts here provide some
indication as to what characterises this region’s early archaeology, the significance of
this site is limited by our inability to date it. Well-dated ESA sites are thus completely
absent in the Eastern Cape.
More recently, a study has provided a series of dates for the Sundays River terraces.
Most importantly, this research confirmed the presence of these ESA – more
specifically Acheulean – artefacts within three of these dated deposits, namely: Atmar
Farm dated to 0.65 ± 0.12 Ma (millions of years ago), Bernol Farm dated to 1.14 ±
0.2 Ma, and Penhill Farm date to <1.37 ± 0.16 Ma and more recently constrained by
this research to >0.485 ± 0.051 Ma. Accordingly, it has been the purpose of this
research to investigate these deposits through both survey and excavation, and to
provide details on this archaeology.
This research thus provides the first ever comprehensively described and dated ESA
sites for this region, and from this we can now begin to construct our understanding of
the local Acheulean Tradition. This research also provides a contextual assessment for
the formation of these deposits and what processes have influenced their formation
and modification. Furthermore, from the detailed analysis of the artefacts, we can
begin to understand the strategies employed in their production.
Our investigations have shown that largely different contextual conditions are present
at each of the three sites. This has had significant impacts on the integrity of these
assemblages, and the preservation and retention of assemblage components are highly
variable between them. All of the artefact assemblages show the following
characteristics: simple strategies in core reduction, low levels of reduction in both
cores and formal tools, simple and expedient production of retouched artefacts with
little emphasis on careful edge modification, and large cutting tools (LCTs) that are
flaked bifacially but have limited shaping overall.
For the first time in half a century our research now provides comparative material
from three dated sites that can be used to help understand variability in the local
Acheulean Tradition. This has important implications for not only the Eastern Cape,
but also to sites elsewhere in the interior. / MT2016
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Multiple perspectives on the teaching and learning of mathematics in rural South African schools in the context of national curriculum reformMorar, Tulsidas January 2003 (has links)
This study investigates the teaching and learning of mathematics in four rural schools in the Eastern Cape Province of South Africa. The study is set against the backdrop of Curriculum 2005 (C2005) - an outcome based curriculum reform initiative that has been introduced to all South African schools. The objective of the study is to investigate the teaching and learning practices of four rural teachers of mathematics in this complex reform milieu. The following broad research question guides this study: "How do teachers interpret and implement the new mathematics curriculum in terms of a political perspective (how teachers and learners are connected to the curriculum); a socio cultural perspective (what adjustments the teacher makes to accommodate the learners' circumstances); and a practical perspective (how the teacher implements the goals of C2001?" The South African situation provides a unique and particularly challenging context for teaching and learning and curriculum reform. It is understood that schools differ - and therefore curriculum issues cannot be solved through general pronouncements but rather viewed from a multiplicity of perspectives. In this thesis, I examine the teaching and learning of mathematics in four rural classrooms in the Eastern Cape. By way of honouring the contextual complexity of the situation, 1 have adopted a multiple perspectives approach to analysing what goes on in these four classrooms. I use a political perspective to help understand how power operates in the curriculum process. / I employ a socio cultural perspective to examine how the curriculum process attends to the local circumstances of teachers and learners. A practical perspective is used to examine how the curriculum is implemented in a technical sense. This constructivist interpretive study employs the techniques of case study and narrative inquiry to study the curriculum practices of four teachers. Multiple methods - including interviews, participant observation and video recording - were used to gather data. Narrative accounts of the teaching and learning of mathematics were constructed and then analysed using the three perspectives. The study concludes that the curriculum can be interpreted at different levels formal, perceived, operational and experiential - and each level can be analysed in terms of the political, socio cultural and practical. Bringing these three perspectives together is a challenging, but necessary task in order to understand and act upon the complexities of educational reform in rural South African classrooms.
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Implications of the geological structure of the Qoqodala dolerite ring complex for groundwater dynamics.Nhleko, Olivia Lebogang. January 2008 (has links)
<p>The chief aim of this project is to investigate the groundwater flow dynamics of the various fractured-rock aquifers (deep and shallow) associated with Karoo dolerite ring complexes in the Qoqodala area (northeast of Queenstown in the Eastern Cape Province).</p>
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Implications of the geological structure of the Qoqodala dolerite ring complex for groundwater dynamics.Nhleko, Olivia Lebogang. January 2008 (has links)
<p>The chief aim of this project is to investigate the groundwater flow dynamics of the various fractured-rock aquifers (deep and shallow) associated with Karoo dolerite ring complexes in the Qoqodala area (northeast of Queenstown in the Eastern Cape Province).</p>
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Transferability of policies and organisational practices across public and private health service delivery systems : a case study of selected hospitals in the Eastern Cape : exploring lessons, ambiguities and contradictionsMpofana, Mziwonke Milton January 2016 (has links)
Philosophiae Doctor - PhD / Since the advent of South Africa's democracy in 1994 there have been several changes in the policy and legislative arena specifically promoting public-private-partnerships in the health sector. These initiatives have given rise to opportunities for inter-sectoral policy transfer under the rubric of ―best practices‖. This exploratory study examines the character, obstacles and contested nature of a selection of policy transfers between private and public health institutions in a single province of South Africa. The study looks at the dynamics at play around envisaged, current and past transfers of policies and organisational practices in relation to administrative systems and technologies used in four different hospital settings – two public and two private hospitals in the Eastern Cape Province of South Africa. This thesis explores the views of managers and labour organisations about policy transfer focusing on local contexts, and how various parties construct policy transfer, hence providing a perspective of policy at the ―plant‖ level. In this research, special focus is placed on different agents' role and understandings of their contexts and how and why policies move and contradictions of these developments. In-depth interviews were conducted at four major Eastern Cape hospitals. The thesis argues that in practice, policy transfer is messy, politicized and traversed by power and vested interests and that organised labour plays a key role in policy transfer process. The thesis focuses on the different philosophical/ideological underpinnings, socio-political values and operational environments in each sector. This study is designed to contribute to existing knowledge on practices particularly between the public and private sectors in order to widen the understanding of the complexity of transferability.
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Cut-off lows over South Africa and their contribution to the total rainfall of the Eastern Cape ProvinceMolekwa, Samuel January 2013 (has links)
Cut-Off Lows (COLs) are certainly amongst the most important synoptic-scale rain producing weather systems in South Africa. Rainfall associated with COLs is usually widespread, while about 20% of COLs are associated with heavy rainfall. Both these attributes of rainfall associated with COLs are important to agriculture. Widespread rainfall secures good grazing potential, while heavy rainfall not only contributes largely to maintaining dam levels that are needed for irrigation, but also to flooding and erosion. Agriculture in the Eastern Cape Province of South Africa is predominantly rain-fed, while agricultural activities that depend on irrigation are mostly located along the western coastal belt of the province. Despite of the fact that all COLs do not pass directly over the Eastern Cape Province, most of them appear to have a direct or indirect influence on the rainfall of the province, and in turn, impact on agricultural production and even the economy. In this study, the contribution of COLs to rainfall over the Eastern Cape Province is investigated. In order to achieve this, a climatology of COLs for the period 1979 to 2009 (31 years) was constructed by utilizing the National Centers for Environmental Prediction-National Center for Atmospheric Research (NCEP-NCAR) reanalysis data to create 6-hourly contour images of geopotential heights and air-temperatures at the 500 hPa pressure level. All COLs that occurred over South Africa bounded by 200S to 400S and 00E to 500E from the day they started (at the formation of a closed low pressure system) until the day they ended (at the disappearance of the closed low pressure system), and that were cold cored, were considered as potential COLs in this study. In addition, low level circulation maps obtained from the South African Weather Service’s (SAWS’s) daily weather bulletins were used to ensure that the defined COLs were indeed extending from the 500 hPa pressure level to the land surface. Daily rainfall totals from 22 well-distributed weather stations over the Eastern Cape Province were used to determine the contribution of COLs to the rainfall over the province. It was found that 64% of COLs that lasted for more than 24-hours over the study domain had an influence on the total rainfall over the Eastern Cape Province. Monthly frequency distribution of COLs reveal that April and May had the highest occurrences, while December and January have the least occurrence. Long-term seasonal frequencies distributions of COLs show the highest occurrence during March-April-May (MAM) with the least occurrences during December-January-February (DJF). Most COLs lasted for 2-4 days over South Africa and the Eastern Cape Province for the study period of 31-years. The contribution of rainfall associated with the occurrence of COLs is found to be approximate 37-38% annually along the coastal areas, while it is less than 10% annually over the interior of the Eastern Cape Province. / MSc / gm2014 / Geography, Geoinformatics and Meteorology / unrestricted
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Assessing the implementation of the government funded community health worker programme in selected clinics of the Eastern Cape Province, South AfricaMatwa, Princess Nonzame January 2007 (has links)
Magister Public Health - MPH / From 2004 the Eastern Cape Department of Health (ECDoH) started implementing the new community health worker (CHW) programme in all its clinics, but so far little is known about its implementation process, its successes and challenges. The aim of this study was to assess the implementation of the new government funded CHW programme at three clinics of the Eastern Cape Province. / South Africa
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Implications of the geological structure of the Qoqodala dolerite ring complex for groundwater dynamicsNhleko, Olivia Lebogang January 2008 (has links)
Magister Scientiae - MSc / The chief aim of this project is to investigate the groundwater flow dynamics of the various fractured-rock aquifers (deep and shallow) associated with Karoo dolerite ring complexes in the Qoqodala area (northeast of Queenstown in the Eastern Cape Province). / South Africa
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A critical analysis of the prevalence and nature of employee assistance programmes in the Eastern Cape Buffalo City municipal areaGovender, Thiloshni 06 September 2010 (has links)
The researcher has since 1996 been involved professionally in the field of Employee Assistance and has been witness to its evolution, growing complexity and potential to make a positive impact on the development of individuals and organizations through employer-employee relationship and workplace dynamics. The motivation for this study came from an interest to gain deeper understanding of the concept and implementation of EAPs by organizations in the researcher’s immediate environment and circle of potential influence. The development of EAPs in South Africa, influenced by various professions, has evolved as a result of different organizational needs which occur in varying forms and levels of sophistication depending on staffing, availability of resources and capacity within organizations. There is limited information available to EAP as a developing profession in terms of how programmes occur in South Africa. This study sought to analyze the prevalence and nature of EAPs in work organizations within the Buffalo City Municipal Area (BCMA) in the Eastern Cape Province, mainly to obtain reliable information on these programmes so that implementation of employee assistance can be evaluated and improved. This investigation provides a critical description of the implementation of EAPs in the BCMA with a view to establish prevalence, critically analyze the nature of EAPs, and to benchmark against existing Employee Assistance Professional Standards. The literature review includes a detailed examination of the history of EAPs in South Africa, contributions of the different professional disciplines, definitions of EAP, models currently in practice with the advantages, disadvantages and factors that influence the organizations choice of model and core technology of EAPs, as well as a critical examination of the 27 EAPA-SA Standards of 2005. The study is quantitative, exploratory and descriptive in nature as it sought to measure prevalence and provide descriptions of implementation methodologies in terms of form, shape, scope, staffing and services offered. These descriptive elements are benchmarked against the Standards for EAPs in South Africa, developed by the EAPA-SA, the official voice of the EAP profession. Questionnaires were administered to respondents that attended the local EAPA Branch and Occupational Health Nurses Association as well as Provincial Forum for Public Sector EAPs meetings. The respondents that were not reached this way were administered questionnaires personally. The population included organizations from both the private and public sector that employed a minimum staff compliment of two hundred. Since there are only 47 such organizations in the BCMA (both public and private sector), the entire population consisted of respondents and no sample was selected. Univariate analysis was used to assess data collected. The findings of the study indicate that EAPs are prevalent in BCMA organizations but they vary considerably in the way they have been developed and implemented. Benchmarked against the EAPA-SA Standards it is evident that while employee assistance programmes have certain basic elements in common, the overall design and implementation is fortuitous at best. Since the EAPA-SA standards have been developed concurrently with EAPs it is hoped that newly established EAPs will be a product of careful design rather than an inadvertent incident. EAPA-SA, educational institutions and business development forums need to collaborate and partner to provide comprehensive support to organizations and EAP practitioners to strengthen their EAPs. Correctly implemented, capacitated and resourced, EAPs can assist organizations to effectively manage their human resource behavior and health risks, maximize productivity as well as support individual employees to optimally manage personal and work challenges and function at their best. Copyright / Dissertation (MSW)--University of Pretoria, 2010. / Social Work and Criminology / unrestricted
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