D.Ing. (Civil Engineering) / The thesis investigates the whole life cycle of the community ablution facilities in the eThekwini municipality, and aimed to identify the technical success factors in rolling out communal ablution facilities as an interim measure in the upgrading of informal settlements throughout South Africa. The eThekwini municipality is based on the east coast of South Africa. Approximately 12% of the 3.4 million inhabitants of eThekwini are housing informally in one of the 420 informal settlements scattered around the urban and peri-urban areas. The municipality is responsible for the provision of basic interim services to these informal settlements within their jurisdiction and is in the process of rolling out containerised ablution facilities to all informal settlements as an interim measure. They have successfully provided 302 communal ablution blocks from 2009. The findings of this thesis were based on the rollout of these communal ablution blocks. The thesis is structured in the life cycle of the community ablution blocks. The thesis required a broad set of data from a number of stakeholders in order to understand each stage in the life cycle, using a number of different data sources, such as (i) interviews with the municipality, professional service providers, and the caretakers, (ii) municipal and project related documentation and data, (iii) surveys of the existing community ablution blocks, and (iv) data logging of the water meters at the community ablution blocks. The pre-implementation stages of the community ablution blocks investigated the planning, design and construction stages of the project. In the planning stage, the municipality prioritised each settlement based on a set of technical criteria, such as location to existing infrastructure, transport routes, bulk water and sanitation services, social infrastructure, the population of the settlement; to ensure that all interim infrastructure are considered within an integrated framework in order to reduce fruitless capital expenditure. Each settlement required community buy-in for both the placement and provision of the ablution facility and the selection of the caretaker. The design stage deals with the hydraulic design of the water supply and sewerage pipes as these were unknown parameters. The ablution structure and the sanitary fittings were discussed, but these were not significant in the design due to the space constraints within the containerised ablution facilities. There were significant delays found in the construction phase, which increased the initial estimated time required for construction by a factor of approximately three, which not only places a burden on the municipality to maintain the momentum of the project at scale but also increases the budget required for construction. The post-implementation stages were not found to function as intended. The key success factors in the post-implementation stages were dependent on the quality of the caretaker and the quality of the support given to the caretaker. Furthermore, all maintenance work has to be performed rapidly to ensure that the caretakers remain proactive in ensuring the facility remains operational. The consequence of poor operation and maintenance has detrimental effects on the community, who have to resort to open defecation and other unimproved forms of sanitation. The thesis adds to the shared water and sanitation body of knowledge. The thesis provides both quantitative and qualitative data on the post-implementation stage of the community ablution blocks, an area which is often neglected in practice.

The first indentured Indians arrived in South Africa in 1860. Their importation was a consequence of the British, who wanted cheap labour from their colony, India, to serve the Empire’s needs in South Africa. Several of these Indians, upon completion of their term of their indenture, chose South Africa as their new ‘motherland’. They settled in Durban and its surroundings with some migrating inland. Consequently, the largest community of Indians in South Africa is still located in the Durban area. Indian communities globally show clear socio-economic development coupled with a strong association to religion and worship. The South African Indian diaspora is no different. Religion is deeply embedded in the fabric of this community. Rooted within most Indian religious practices are strong ties with music. The immigrants who arrived in South Africa shared common religious associations with India, the major religions being Hinduism, Islam and Christianity. Christianity in South Africa includes established and mainline church denominations such as Roman Catholic, Anglican, Methodist, Baptist, Presbyterian, Lutheran and Pentecostal movement. The Pentecostal movement includes the Full Gospel Church of God, Assemblies of God and Apostolic Faith Missions. Music, a subsidiary to worship within the Pentecostal church movement, provides certain unique dimensions to the religious service as opposed to the traditional repertoire and instrumentation (hymns being sung with organ accompaniment) of the mainline churches. To date, little is known about the music education, performance practice and music praxis in these churches. The lack of data on the latter provides the basis for this current investigation into Church Music praxis within the Pentecostal movement. A mixed method research approach which integrates both the qualitative as well as quantitative is adopted for this study. This approach allows for greater insight into the target population and their phenomena. The qualitative phase which consisted of informal structured interviews and a review of literature, provided in-depth knowledge and thematic data that informed the quantitative phase. The sample population used in the quantitative phase draws on six of the largest churches in the predominantly Indian areas of Durban. A questionnaire was developed specifically for this study, submitted for review to an expert, and administered to the sampled population. The results were coded and entered into a statistics database (SPSS) for analysis. Findings suggest that there is a unique stylistic development and performance tradition within these churches. Results reveal that the majority of Pentecostal church musicians in the Durban area have no formal training in music, yet are able to function as musicians within their congregations. Many musicians indicated their inability to read music as their greatest challenge. Consequently, this led to a great deal of time being spent on learning music. In almost all of the latter cases this occurred either autodidactally, communally and/or simply aurally. Musicians also indicated that financial difficulties were a setback, in that several were unable to purchase instruments and the necessary equipment to engage with their core music functions within the church. Many relied heavily on church support to assist with this need. These musicians possess an ability to perform technically and musically challenging music repertoire that demands advanced music skills and knowledge. This phenomenon attests to the power of informal music education. Many of these musicians go on to pursue successful careers as musicians and music educators. / Art History, Visual Arts and Musicology / D. Litt. et Phil.

Within the international context, energy has become a central factor in our everyday ways of life. There is increasing dependence on energy resources such as electricity to improve people quality of life. In developing countries, many people still do not have access to energy due to several challenges that have hindered infrastructural development and economic growth. At the same time, there is a growing interest in the protection of the environment and addressing issues of climate change. Green technologies such as solar water heaters are identified as technologies that meet the need of both its end-users and the environment through the provision of hot water. Access to 'hot water' is seen to be an important element resulting in an improved quality of life. In addition, several methods of heating water are explored to assess the attitudes and perceptions that people have towards solar water heaters. The dissertation involved in-depth interviews with residents from low income RDP houses in Kwandengezi Coffee Farm and government officials from eThekwini Municipality involved in the solar water heater programme for low income communities. The interviews revealed that renewable energy interventions such as the solar heater programme for low income communities contribute significantly to an improvement in people‘s quality of life. The availability of solar heaters allows people to enjoy hot water at a free cost, hence an improvement in the quality of life. The research further revealed that such renewable energy interventions can contribute to a reduction in negative environmental impacts, hence facilitating the acquisition of hot water with less dependence on electricity resources. / M.Dev.Studies University of KwaZulu-Natal, Durban 2013.

This study was designed to evaluate the quality of informed consent practiced by healthcare professionals in South Africa using an empirical quantitative methodology combined with medicolegal analysis to produce an interdisciplinary thesis on bioethics and medical law. Informed consent is an ethical and legal doctrine derived from the principle of respect for autonomy, whereas the rights to bodily integrity, privacy and human dignity are constitutionally protected in South Africa. The National Health Act 61 of 2003 codified requirements for informed consent by stipulating that healthcare providers must inform healthcare users about diagnosis, risks, benefits, treatment options, and the right of refusal, while taking into consideration users language and literacy levels. However, African communities are inherently challenged by problems of poverty, poor education, power asymmetry, and unfamiliarity with libertarian rights-based autonomy, which could affect informed consent practice. An empirical study was conducted at randomly selected public hospitals in EThekwini metropolitan municipality involving 927 participants; comprising 168 medical doctors, 355 professional nurses, and 404 patients. The study showed that healthcare professionals had limited knowledge regarding ethical and legal requirements for informed consent, and were partially compliant with current informed consent regulations. Barriers to informed consent identified were language, poor education, workload, and lack of interpreters. Most patients attending public hospitals were indigent, but preferred full information disclosure, and a shift from informed to shared-healthcare decision-making. The study recommends that a corps of trained interpreters should be introduced at public hospitals. This will improve providerpatient communications and minimize workloads, increase job satisfaction, and the overall quality of healthcare service delivery. Analysis of recent South African case law on informed consent revealed vacillations between the “reasonable doctor” and “prudent patient” standards of information disclosure which are inconsistent with the jurisprudence from comparative foreign common law jurisdictions. Therefore, South African court judgments on informed consent ought to be re-evaluated to establish a uniform standard of information disclosure consistent with international jurisprudence, current legislation, and constitutional protections relating to human dignity and security of the person. / Jurisprudence / LL. D.

Intensifying interventions to improve the quality of care that children receive from parents/ primary caregivers is mandated by several strategic objectives, such as the National Plan of Action for Children 2012-2017 (South Africa 2012), the White Paper on Families in South Africa (2013), and the Children’s Amendment Act 41 of 2007 (South Africa 2007). Parenting programmes remain popular parenting interventions (Daly, Bray, Bruckauf, Byrne, Margaria, Pecnik & Samms-Vaughan 2015:18; Richter & Naicker 2013:9) reporting outcomes of enhanced parent-child relationships, improved behaviour of children, and reduced parental stress. There is a concern that parenting programmes offered in South Africa lack evidence of their efficacy (Wessels 2012:9) and cultural and contextual relevance for the recipients (Begle, Lopez, Cappa, Dumas & de Arellano 2012:56; Richter & Naicker 2013:1). The study developed a locally specific parenting support intervention for parents/ primary caregivers living in the low-cost housing development of Welbedacht East using the Intervention Development Design model. Parents/ primary caregivers were involved throughout the study, contributing to the intervention’s applicability, as well as its contextual and cultural relevance. Bioecological and social inclusion theories framed the study. A qualitative research approach supported by an exploratory, descriptive and contextual design was used. Two purposive samples (parents/ primary caregivers and community champions) were recruited. Semi-structured interviews were conducted to collect the data. Thematic analysis (Braun & Clarke 2006) produced the findings that were presented at a consultation workshop attended by research participants and relevant stakeholders where the parameters of the intervention were determined. These were subsequently developed into the elements and intervention protocols by four indigenous community experts following the Delphi process. Lincoln and Guba’s (1985) approach to trustworthiness as presented by Porter (2007:85) and Thomas and Magilvy (2011:152) was used. Cultural competence was maintained throughout and ethical considerations were observed to circumvent harm to participants and uphold the integrity of the research process. The perceptions of the parents/ primary caregivers were consistent with scholarly indicators of ‘good enough’ parenting, but the contextual stressors they experienced challenges their ability to fulfil some of these indicators. An intervention was needed to increase parental capacity to improve parent-child relationships, cultivate life skills for improved psychological health, and advance the financial independence of parents. It was concluded that a parenting programme on its own would fail to address the most pressing needs of parents/ primary caregivers living in disadvantaged circumstances and custom-made parenting support interventions were needed to increase parental capacity to manage the structural challenges that compromised parenting, such as socioeconomic interventions of a social developmental nature. / Social Work / D. Phil. (Social Work)

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)

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)

The Housing Department of the eThekwini Municipality implemented a home-ownership programme in Durban, KwaZulu-Natal Province. The programme aimed at selling state-financed flats to tenants of the Municipality. The sale of these flats was in terms of the Sectional Title development scheme. The research study undertaken was to analyze and evaluate the implementation of this programme. In conducting the research study, a global perspective on the delivery of public housing was obtained. There are challenges globally; there is inadequate delivery of housing by governments both in developing and developed countries. Whilst there are new strategies being formulated by governments, for e.g. housing associations and social housing; there is lack of support by government to sustain these housing programmes. The research study was undertaken within a systems approach. The use of this approach enabled a holistic enquiry process into the study. Through the systems approach the researcher was able to look at not only the components in the system, but also the interaction and the connectedness between components. The Critical Systems Thinking as a meta-methodology allowed the use of more than one methodology for the research study, i.e. Critical Systems Heuristics and Quantitative Study. The Critical Systems Heuristics methodology was used to analyze and evaluate a policy decision made by Government to sell State-Financed flats to tenants. This research study focused on the officials of the eThekwini Municipality. The second research study was Quantitative and targeted trustees within bodies corporate. The analysis of the data that was collated highlighted the following: While the decision for the sale of flats to tenants in order to promote home ownership emerged as a good decision, there is never the less a need to include in the programme an extensive post sales programme that includes training, education and a support network for bodies corporate The communication between tenants and the Housing Department was extensive until the transfer of the flats to the tenants and thereafter communication was very limited One of the main challenge faced in this programme is the financial management of bodies corporate There appears to be challenges of promoting and maintaining social cohesion. Whilst the programme to promote home-ownership has been well-received by beneficiaries, the progamme lacked a supportive post-sales programme and hence viewed as incomplete. Two broad recommendations were: Ongoing programme with bodies corporate: There needs to be training and education programmes available for the post sales period. The programmes should be designed to benefit both newly appointed trustees and exiting ones Supportive Network: The Housing Department needs to initially provide funding and facilitate a process to for the creation and sustainability of network forums. / Thesis (M.Com.)-University of KwaZulu-Natal, Westville, 2010.

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.

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)