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Cultural practices and diet adherence of patients living on haemodialysisRamkelawan, Verosha 10 1900 (has links)
Text in English with abstracts in English and isiZulu / Poor adherence to their prescribed diet, medications and treatment contributes to increased mortality and morbidity in patients with end-stage renal disease. These patients must change their diet when receiving dialysis treatment, but cultural beliefs and practices can affect their adherence to the prescribed diet.
The purpose of this qualitative, descriptive, exploratory study was to improve health education on prescribed diet adherence to patients living on haemodialysis at a haemodialysis unit in eThekwini Municipality. Data from a sample of 20 patients was collected using semi-structured interviews and analysed using qualitative content analysis.
The findings revealed that haemodialysis patients’ prescribed diet adherence was influenced by cultural and religious views, and by family support. Food availability, patients’ geographical location and patients’ financial means hindered their adherence to their prescribed diet. A multi-disciplinary health care team including nurses, should be sensitive to patients’ different cultural beliefs and practices when providing health education. / Ukungabambeleli endleleni emisiwe yokudla, amakhambi nasekwelashweni kunomthelela ekwandiseni izimpawu zesifo sezinso esingapheli (ESRD) futhi kwandisa isibalo sabantu ababulawa yilesisifo. Iziguli ezinalesisifo zidinga ukushitsha indlela yokuphila, iziphuzo kanye nokulandela indlela emisiwe yokudla kakhulukazi mabe ngaphansi kokwelashwa ngokuhlanzwa kwegazi ngomshini (dialysis). Izinkolelo zamasiko nendlela zokuphila ezihambisana namasiko kwenze imfundiso nge ezempilo maqondana nendlela emisiwe yokudla yaba lukhuni.
Inhloso yalolucwaningo bekuwukwandisa ulwazi nemfundiso ngezempilo mayelana nokulandela indlela emisiwe yokudla kwiziguli izithola ukulashwa ngokuhlanzwa kwegazi ngomshini (haemodialysis) esikhungweni esikuMasipala weTheku.
Kusetshenziwe indlela yokwenza ucwaningo esezingeni elifanele, Imininingwano eqoqiwe eqembini (sample) leziguli ezingamashumi amabili (20) ezithola ukwelashwange haemodialyisis. Imininigwane iqoqwe kusetshenziswa izingxoxo ezihleliwe. Imigomo elawula ukuhlaziya ilandeliwe yonke ngenkathi kwenziwe lolucwaningo.
Lolucwaningo luveze ukuthi indlela yokudla emisiwe yeziguli ezikwi dialysis iphazanyiswa imobono yamasiko, inkolo kanye nokusekelwa nokuzimbandakanya kwamalungu omndeni. Izinselelo ezinjengokutholakala, indawo isiguli esihlala kuyo nezinkinga zemali zivimbela ukubambelela endleleni emisiwe yokudla. Abasebenzi bezempilo kumele banakekele indima edlalwa izinkolelo namasiko uma befundisa ngezempilo ezigulini eziphethwe izinso. / Nursing Science / M.A. (Nursing Science)
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Learning experiences of inner city early childhood development managers who participated in an ECD forum: a social work perspectiveMcLean, Barbara Anne 05 1900 (has links)
Early childhood development is one of the critical services to support the development of young children from conception to age six. Children raised in vulnerable inner cities, with limited access to quality, well-resourced ECD services, are at risk of perpetuating cycles of disadvantage and exclusion. Even though ECD centres exist in abundance in the inner city of Durban, eThekwini Municipality, KwaZulu-Natal, managers of ECD centres face challenges such as meeting rigorous registration norms and standards, a lack of finances, resources, trained staff and socio-economic factors which affect the wellbeing of children.
Using a qualitative approach, this study communicates the role played by the Inner City ECD Forum in the learning experiences of seven ECD managers through their participation in inter-sectoral stakeholder interventions and capacity building trainings. It further outlines the benefits of networking and collective support. Based on the findings, recommendations for practice, policy and further research are made. / School of Social Sciences / M.A. (Social Work)
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An interpretation of political violence in Lamont and KwaMashu.Booth, Douglas George. January 1987 (has links)
The field of political violence is introduced with an overview of anti-State political violence in South Africa between 1 January 1977 and 21 July 1985. Incidents of political violence in that period were classified into one of three categories, each of which reflects different sources of political violence. Subsequently, the research analysed what is referred to 'spontaneous' collective violence in two of Durban's townships Lamont and KwaMashu. The theoretical framework for the analysis of this type of behaviour is provided by T.R. Gurr using the formula: MPV = RD + (RD x JUST x BALANCE) where MPV is the magnitude of political violence; RD is discontent; JUST is the justifications for engaging in violence; and BALANCE is the ratio of support for, and coercive capacity of, dissidents vis-a-vis the State. The weight of each variable (RD, JUST and BALANCE) was assessed in Lamont and KwaMashu through interviews with 25 group leaders from both townships and by various inferential techniques. While discontent was found to be universal in both townships, the justifications for engaging in violence as a strategy to alleviate that discontent and alter existing power relations were found to be a function of ideology. For the purposes of this research two ideological classifications were employed: 'reactionaries' (those organisations operating within government created institutions, including bantustans, e.g. Inkatha); and 'progressives' (those organisations operating outside government created institutions and which are popularly labelled the Left e.g. the United Democratic Front). In Durban there is a specific spatial distribution of ideology which has resulted in support for, and the coercive capacity of, reactionaries' being greatest in bantustan townships ' (e.g. KwaMashu), while among 'progressives' support and coercive capacity are highest in townships in 'white' South Africa (e.g. Lamont). The distribution of ideology has its origins in historical forces which are discussed in detail. The question to be answered thus remains at what point does political violence reach a crescendo? This question was answered by identifying the issues precipitating political violence in Lamont and KwaMashu and then analysing specific incidents. Frequently, the most intense collective violence erupted when resistance to State hegemony was interpreted by the State, or its proxies, as challenging the existing status quo. In Lamont the State has directly intervened to crush resistance through the use of its security forces while in KwaMashu Inkatha vigilantes have acted as proxies for the State. / Thesis (M.Soc.Sci.)-University of Natal, Durban, 1987.
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Post democratic urban regeneration in South Africa.The case of eThekwini Municipality inner city.Stephanus, Maresce. January 2013 (has links)
This dissertation aimed at establishing the extent to which eThekwini Municipality aligned its Inner City projects to principles for urban regeneration and spatial planning objectives as outlined in the City’s Integrated Development Plan. The study makes reference to two distinctive inner city precincts; examining what led to current state of each precinct, through political, economic, environmental and social transformation. The Central Business District is looked at as a prime example of a degenerated space within the city and the Kings Park Sporting Precinct is looked at as an example of a successful regeneration endeavour within Durban. Information was obtained through primary and secondary sources. The bulk of the information gathered was through key informant interviews, shop keeper interviews, site visits, official reports and from eThekwini Municipality Shape File Data on the Geographical Information System. Through the analysis of data collected, the study found that eThekwini Municipality’s efforts to regenerate the Durban CBD have not been successful to date. The CBD is still in a severe state of urban decay with sustainable development only occurring in areas that are controlled by the elite. The study also found that the Kings Park Sporting Precinct has undergone extensive regeneration and proves to be a great asset to Durban for present and future generations. Its success however, also carries social challenges with the common perception that the precinct is an exclusive space. Almost 20 years post democracy, the eThekwini Municipality, is still struggling to maintain the integrity of its Inner City. Parts of the Inner City have improved but there and other parts that are still subject to extreme urban decay. The study makes recommendations for the economic, environmental and social improvement of the Durban CBD and for the social enhancement of the Kings Park Sporting Precinct. / M.T.R.P. University of KwaZulu-Natal, Durban 2013.
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Experiences of access and choices of contraceptives for DRC refugee women living in eThekwini Metropolitan Area.Bibiche, Bazola Luvisa. January 2011 (has links)
This study documents the experiences of DRC Durban-based refugee women;
i.e. their access to and choice of contraceptives. When the decisions that
concern a person are made by her, that individual is able to make the best
choices for herself and to take responsibility for her live. Being able to make
the decisions regarding the issues of one's reproductive health, the control of
one's fertility in particular is most definitely basic to the empowerment of the
individual and central to the emancipation of that individual. Reproductive
health consists of a wide range of issues that have to do with the reproductive
capacities and health of women. For the purpose of this study, however,
reproductive health is seen in the light of contraception and its uses and
access. For this study, the term contraceptives refers to a form of birth control
which could be a regimen of one or more actions, devices, or medications used
with the intention to purposefully prevent or reduce the likelihood of
pregnancy or childbirth.
A qualitative methodology appeared to be appropriate in order to better
understand DRC refugee women's choices that arise from varied experiences
in accessing contracept ives. The findings of this study show that the access and
choice of contraceptive methods among DRC refugee women in Durban is
gendered and is a product of society. Changes therefore are necessary in order
to eliminate all negative attitudes towards contraceptive access and choices. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2011.
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Residential care facilities for children with physical and sensory disabilities in the eThekwini Municipality.Raghu, Anusha. January 2008 (has links)
The research study explored the responsiveness of children's homes to the admission of children with physical and sensory disabilities. The research study was undertaken in the Ethekwini Municipality. Access to appropriate alternate care is enshrined in the Constitution of the country and the provision of residential care is one option for children who are found in need of care. The objectives of the research study were to identify gaps in the provision of residential services for children with disabilities and to explore what challenges are faced by children's homes in admitting children with physical and sensory disabilities. The theoretical
framework that was used to guide the study was ecosytems theory. The
ecosystems approach provided an understanding of the impact of barriers to inclusion. It also provided an understanding on the reciprocity that exists between children's homes and other systems. A qualitative research approach was used. A sample of ten children's homes was
selected in the Ethekwini region, using the non-probability sampling technique. Data was collected using in-depth interviews, observation and a perusal of records. In-depth interviews were conducted with the assistance of an interview guide. The data was recorded and analysed according to common themes and trends. The results of the research study show that children's homes do not have the capacity to respond to the needs of children with disabilities. All the children's homes faced similar challenges, in the form of funding, human resources, building
structures and access to resources that hinder the admission of children with physical and sensory disabilities to their facility. One of the major findings was that children with disabilities made up less than one percent of the total population of children in the children's homes. None of the children's home had developed inclusive admission policies for children with physical and sensory disabilities. There was a clear indication that the government would need to strengthen existing residential care facilities to make them more inclusive in nature. / Thesis (LL.M.)-University of KwaZulu-Natal, Durban, 2008.
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An assessment of carbon emissions reduction potential through zero waste activities in South African municipalities.Jagath, Rohini. January 2010 (has links)
The inception of global warming has resulted in mitigation efforts across all relevant
sectors. Waste management activities produce approximately 12% of methane
emissions in South Africa. The current scope of waste management favours
sustainable strategies targeting zero waste and waste diversion, however landfill
disposal of municipal solid waste (MSW) is still the primary strategy employed by South
African municipalities. This study evaluated the greenhouse gas (GHG) impacts of
various waste management scenarios that included recycling, composting, anaerobic
digestion, and landfill gas recovery through case studies of the eThekwini Municipality
(Mariannhill landfill) and uMgungundlovu District Municipality (New England Road
landfill) MSW streams. Each waste management strategy was assessed on the basis
of GHG emissions, landfill space savings and economic feasibility. A waste stream
analysis (WSA) was conducted to obtain both the qualitative and quantitative data
required. The results of the WSA determined that the biogenic fraction of the MSW
stream for typical South African municipalities varies between 32-40% while the
recyclable fraction ranges between 38-44%. The Waste Resource Optimisation Scenario Evaluation (WROSE) model was
developed for the quantification of GHG emissions and is based on the US EPA
emissions factors for landfill disposal, landfill gas recovery, recycling and composting.
An emissions factor was derived to include the GHG impacts of anaerobic digestion
using a streamlined life cycle analysis approach. The results confirmed that recycling,
anaerobic digestion and composting all produce GHG reductions, in comparison with
the baseline scenario of landfill disposal, and a combination thereof through
Mechanical Biological Treatment (MBT) produced the greatest net GHG reductions
(between -63,338 to -71,522 MTCO2e/annum for the New England Road MSW stream,
and -71,280 to -86,123/annum MTCO2e for the Mariannhill MSW stream). The results
indicated that the implementation of MBT scenarios would produce landfill space
savings of 94,375 to 103,302 m3 for the Mariannhill landfill, extending the landfill
lifespan by 12-14 years, while savings of 73,399 – 74,100 m3 could be realised for the
New England Road landfill, extending the landfill lifespan by 2-3 years. The study
concluded that while the focus of waste management has changed and zero
waste/waste diversion goals require alternative waste management methods to be
implemented, the capital and operational costs of some technologies are the main
barrier for implementation in developing countries, and that the environmental and
social benefits should be evaluated further to truly gauge the costs/benefits involved. / Thesis (M.Sc.Eng.)-University of KwaZulu-Natal, Durban, 2010.
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Perceptions and experiences of senior managers regarding organisational transformation and change within eThekwini Municipality.Moyo, Betty C. January 2013 (has links)
This study explores the perceptions and experiences of senior managers regarding organisational
transformation and change. To achieve this objective, a qualitative methodology was undertaken
and twelve open-ended questions were formulated for the study. Twenty-two semi-structured
interviews were conducted. A non-probability sampling technique was utilised, along with
snowball sampling and judgement sampling methods to select participants for the study. The
sample consisted of twenty-two senior managers from different Units and Departments within
the eThekwini Municipality. The data collected were then qualitatively analysed using thematic
analysis. The findings of the study were presented under key themes that had emerged during
the study. The main findings of the study showed that the municipality had radically
transformed in response to the new political dispensation in South Africa, as of 1994. The study
highlighted the general consensus amongst senior managers that fundamental transformation of
the Municipality was imperative. The participants of the study expressed the view that the former
municipal organisation had become misaligned with its environment. It was therefore imperative
to ensure fundamental transformation of the municipality. Most senior managers, however, felt
that the transformation process was poorly managed. These negative views were attributed to,
inter alia, the long period of transformation, poor change management, and lack of a clearly
articulated organisational culture coupled with some poorly implemented systems. Although
negative views were expressed with regard to the transformation process, most senior managers
were satisfied with their specific jobs. This surprising finding was attributed to positive
personality characteristics and humanistic-existential perspectives that most senior managers
were found to possess. Existentialists believe in people taking responsibility for their lives and
the humanists stresses the importance of self-actualisation. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2013.
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An assessment of resident and business perceptions of the 2010 FIFA World Cup (WC) stadium development in the eThekwini Municipality, KwaZulu-Natal, South Africa.January 2010 (has links)
Thesis (M.Sc.)-University of KwaZulu-Natal, Durban, 2010.
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Guidelines for the training of participants in the clean community systemCaws, Guy Cubitt 11 1900 (has links)
The Clean Community System (CCS) is a method of waste management education widely used in the USA by the Keep America Beautiful organization. The CCS has been applied by the eThekwini Municipality since 1981. The training of staff and volunteers in the CCS has to date been limited and based on the American model. The aim of this study is to provide guidelines for the training of participants in the Clean Community System in the South African context. This will be achieved by a study of two community groups that have successfully applied the CCS. The results of the research will be compared with the principles of the CCS and relevant literature. The conclusions drawn from the study will provide guidelines for the training of participants in the CCS. / Further Teacher Education / M. Ed. (Didactics)
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