Thesis (MPhil)--University of Stellenbosch, 2004. / ENGLISH ABSTRACT: South Africa's history led to an unequal distribution in land ownership, which is not conducive to democratic consolidation. Land refortn is the means to address this problem. However, land reform, part of the larger process of transformation, is a potentially dangerous process: it can have negative implications on the rule of law. The objective of this study is to provide an analysis of the dynamic relationship between land reform, the rule of law and transformation in South Africa, within the debate on democratic consolidation. One can distinguish two paradigms regarding democracy: the liberal paradigm and the liberationist paradigm. These two paradigms have divergent views on the way land reform and transformation should be implemented, and what the goal of these two processes is. The liberal paradigm would seem to be more favourable for democratic consolidation, while the liberationist paradigm is a breeding ground for populist transformation. Furthermore, the negotiated constitutional settlement has left land reform with an ambiguity. On the one hand the constitution forces the govemment to address land reform, but on the other hand it firmly entrenches the private property rights by enforcing the 'willing buyer, willing seller' principle, which makes the process more costly and time consuming. The main hypothesis of this study is: Demographic indicators (race, party affiliation and provincial setting) influence support or rejection of the land reform policies of the South African govemment. Tbe dependent variable is 'support or rejection of the government's land reform policies'. Support for the govemment's land reform policies is indicative of the liberal paradigm and rejection of the govemment's policies is indicative of the liberationist paradigm. It is found that the majority of South Africans reject the govemment's land reform policies. However, strong divisions are evident. Respondents differ along racial, party affiliation and provincial lines. Thus, the liberationist paradigm dominates, but the liberal paradigm has a strong presence, creating an ideologically divided society. This means that the legitimacy of South Africa's land reform project, as well as the legitimacy of the constitution, is under stress. This does not bode well for democratic consolidation, as the rule of law is under severe threat. Thus, one can conclude that land reform is not going to make a positive contribution to the consolidation of South Africa's democracy, if a substantial financial injection is not found to increase the efficiency of the process. / AFRIKAANSE OPSOMMING: Suid-Afrika se geskiedenis het aanleiding gegee tot 'n ongelyke verspreiding van grondeienaarskap. Dit is nie gunstig vir demokratiese konsolidasie nie. Grondhervorming IS die mamer waarmee die probleem aangespreek kan word. Grondhervorming, deel van die groter proses van transformasie, is egter 'n potensieel gevaarlike proses: dit kan negatiewe implikasies vir regsoewereiniteit hê. Die doel van hierdie tesis is om 'n analise van die dinamiese wisselwerking tussen grondhervorming, regsoewereiniteit en transformasie te verskaf, binne die debat oor demokratiese konsolidasie. Daar kan aangaande demokrasie tussen twee paradigmas onderskei word: die liberale paradigma en die bevrydings (liberationist) paradigma. Hierdie twee paradigmas het teenstrydige perspektiewe oor die manier waarop grondhervorming, sowel as transformasie, geïmplementeer behoort te word, sowel as wat die doel van hierdie twee prosesse is. Die liberale paradigma is meer geskik vir demokratiese konsolidasie, terwyl die bevrydings paradigma 'n teelaarde vir populistiese transformasie is. Verder het die onderhandelde grondwetlike skikking grondhervorming in 'n teenstrydigheid geplaas. Aan die een kant vereis die grondwet dat die regering grondhervorming moet aanspreek, maar aan die anderkant bied dit 'n ferm onderskraging van private eiedomsreg deur op die 'gewillige koper, gewillige verkoper' beginsel aan te dring. Dit maak die grondhervormings proses langer en duurder. Die hoof hipotese van die studie is: Demografiese indikatore (ras, partyaffiliasie en provinsie) beïnvloed ondersteuning of verwerpmg van die regering se grondhervormingsbeleid. Die afhanklike veranderlike IS 'ondersteuning of verwerping van die regering se grondhervormingsbeleid '. Ondersteuning van die regering se grondhervormingsbeleid dui op die liberale paradigma, en die verwerping daarvan dui op die bevrydings paradigma. Daar word bevind dat die meerderheid Suid-Afrikaners die regenng se Respondente verskil volgens ras, partyaffiliasie en provinsie. Dus, die bevrydings paradigma domineer, maar die liberale paradigma het ook 'n sterk teenwoordigheid. Dit sorg vir 'n ideologies verdeelde samelewing. Dit beteken dat die legitimiteit van Suid-Afrika se grondhervormings projek, sowel as die legitimiteit van die grondwet, in gedrang is. Dit is nie 'n goeie teken vir demokratiese konsolidasie nie, aangesien dit regsoewereiniteit in die gedrang bring. Daarom kan daar tot die gevolg gekom word dat grondhervorming nie 'n positiewe bydrae ten opsigte van die konsolidasie van Suid-Afrikaanse demokrasie sal maak nie, tensy daar 'n beduidende finansiële inspuiting gevind kan word.

Thesis (MPA)--University of Stellenbosch, 2003. / ENGLISH ABSTRACT: The implementation of national policies is a key function of government through its various departments. This is very crucial in the health sector where lives of individuals are involved. The implementation of the national HIV/AIDS policy is very important in dealing with the epidemic. This study combined both quantitative and qualitative methods to analyse the implementation of the South African government’s national HIV/AIDS policy in the Vhembe District of the Limpopo Province. The quantitative phase involved the stratified sampling process, resulting in identifying 2 health workers from each of the 25 health units in the district comprising of 22 community clinics, the infection control unit, the counselling unit at the hospital and 2 from among the doctors. A total of fifty respondents were selected from a workforce of about 500. The staff profile indicates that 76 % of the health workers interviewed were below 40 years of age and 28% of them were chief professional nurses. Of the health workers, 78 % had been in the current position for between 1 and 5 years, 6 % for 6 to 10 years, 6 % for 16 or more years and 10 % for less than one year. All of them had a diploma as a minimum qualification, 8 % had 2 diplomas, 2 % had 3 or more diplomas, 2% had degrees and 2 % had a degree plus diplomas. In terms of HIV/AIDS policy implementation, 100% of all the facilities provided HIV prevention information to clients, 60% of these facilities worked with other organisations in HIV prevention, but only 4% had voluntary counselling and testing (VCT) services. In these health units only 28% had had staff trained regarding HIV/AIDS issues. In addition 96 % of the health units had the male condom stocked at any one time and only 12 % stocked the female condom. In terms of sexually transmitted diseases (STD) control, all clinics were using the syndromic approach in management of STDs and also claimed to have youth-friendly services. On the other hand only 80 % of the facilities had had staff trained in STD management using the syndromic approach. In the area of prevention of mother-to-child transmission of HIV, (PMTCT) none of the clinics had VCT services for pregnant women and only 8% of them had PMTCT counsellors. Because of the lack of VCT services only 4% of the clinics had known HIV positive mothers attending the antenatal care services. On the issue of post-exposure prophylaxis (P.E.P.) all clinics had protocols for this and 88% of them had antiretroviral drugs (ARVs) stocked for post-exposure treatment for health workers. However, only 8% of these clinics had a betadine douche as the only post-exposure intervention for raped women. In the area of treatment care and support for patients none of these clinics offered ARVs, 24 % had protocols for prevention and management of opportunistic infections, 4% were involved in any form of home-based care, 4% had HIV/AIDS dedicated services and 24% collaborated with community non-governmental organisations (NGOs) in HIV/AIDS care. The qualitative phase of the study highlighted what health workers perceived as prominent features of the national HIV/AIDS policy and these included prevention of HIV by use of condoms, faithfulness and pre-test counselling. The respondents also interpreted the social response by government to include provision of home-based care, care of orphans, food provision and safe guarding rights of victims. Other issues that were perceived to be part of the national HIV/AIDS policy were STD management, health education, provision of training to health workers in HIV/AIDS issues, provision of home-based care and occupational health and safety for health workers. The government was also perceived to have a negative attitude towards AIDS NGOs, not providing adequate numbers of the female condom and denying patients antiretroviral drugs (ARVs). The recommendations made on the basis of the study therefore include strengthening the training of health workers in HIV/AIDS care and management, improved provision of VCT services, wider distribution of the female condom, provision of prevention of mother-to-child transmission of HIV (PMTCT) services and the linking of research and care to provide evidence-based practice. Other recommendations are that there should be support programmes for health workers with HIV, addressing gender issues in implementation and provision of ARVs especially where it is already known that they help. / AFRIKAANSE OPSOMMING: Die implementering van nasionale beleid is ‘n sleutelfunksie van die regering, verrig deur sy onderskeie departemente. Dit is veral deurslaggewend in die gesondheidsektor waar die lewens van individue op die spel is en die implementering van die nasionale MIV/VIGS- beleid is baie belangrik in die hantering van die epidemie. In hierdie studie is beide kwalitatiewe en kwantitatiewe metodes gekombineer om implementering van die Suid-Afrikaanse regering se nasionale MIV/VIGS -beleid in die Vhembe-distrik van die Limpopo-provinsie te analiseer. Die kwantitatiewe fase het ‘n gestratifiseerde steekproefproses behels, wat gelei het tot die identifisering van 2 gesondheidswerkers uit elk van die 25 gesondheidseenhede in die distrik, bestaande uit 22 gemeenskapsklinieke, die infeksie-beheereenheid, die beradingseenheid by die hospitaal en die geledere van die dokters. So is ‘n totaal van 50 respondente geselekteer uit ‘n arbeidmag van ongeveer 500. Die personeelprofiel dui aan dat 76% van die gesondheidswerkers wat ondervra is jonger as 40 jaar was en dat 28% van hulle hoof professionele verpleegsters was. Van die gesondheidswerkers was 78% vir 1 tot 5 jaar in hul bestaande posisie , 6% vir 6 tot 10 jaar, 6% vir 16 of meer jare en 10% vir minder as 1 jaar. Almal van hulle het ‘n diploma as ‘n minimum kwalifikasie gehad, 8% het 2 diplomas, 2% het 3 of meer diplomas, 2% het grade en 2% het ‘n graad plus diplomas gehad. In terme van die MIV/VIGS beleidsimplementering het 100% van die fasiliteite MIV- voorkomingsinligting aan kliënte verskaf, 60% van hierdie fasiliteite in samewerking met ander organisasies , terwyl slegs 4% vrywillige berading en toetsdienste verskaf het. Slegs 28% van die gesondheidseenhede het oor personeel beskik met opleiding in MIV/VIGSkwessies. Verder het 96% van die gesondheidseenhede die manlike kondoom in voorraad gehad teenoor slegs 12% eenhede die vroulike kondoom. In terme van die seksueel-oordraagbare siektebeheer, het al die klinieke die sindroom-benadering in die bestuur van seksueel- oordraagbare siektes toegepas en het beweer dat hulle dienste jeugvriendelik is. Daarteenoor het slegs 80% van die fasiliteite beskik oor personeel wat opgelei was in seksueel- oordraagbare siektebestuur met toepassing van die sindroombenadering. Op die terrein van voorkoming van moeder- na- kind- oordraging van HIV het geen van die klinieke oor vrywillige berading en toetsdienste vir swanger vroue beskik nie en slegs 8% van hulle het wel moeder-na-kind– oordragingsberaders gehad. As gevolg van die gebrek aan vrywillige berading en toetsdienste het slegs 4% van die klinieke kennis gedra van HIV- positiewe moeders wat voorgeboortelike sorgdienste bygewoon het. Wat na-blootstellingsvoorbehoeding aanbetref, het alle klinieke protokolle gehad en 88% het antiretrovirale medisyne in voorraad gehad vir nablootstellingsbehandeling van gesondheidswerkers. Slegs 8% van hierdie klinieke het egter ‘n betadine-spoeling(“douche”) as die enigste nablootstelling intervensie vir verkragte vroue gehad. Op die gebied van die behandeling van en ondersteuning aan pasiënte het geen van hierdie klinieke die antiretrovirale medisyne aangebied nie, 24% het protokolle vir die voorkoming en bestuur van geleentheidsinfeksies gehad, 4% was betrokke in enige vorm van tuisgebaseerde sorg, 4% het oor MIV/VIGS -gerigte dienste beskik en 24% het met gemeenskapsvrywilligerorganisasies saamgewerk in die voorsiening van MIV/VIGS-sorg. Die kwalitatiewe fase van die studie fokus op wat gesondheidswerkers beskou as prominente kenmerke van die nasionale MIV/VIGS- beleid en wat insluit die voorkoming van HIV deur die gebruik van kondome, getrouheid en voortoets- berading. Die respondente vertolk die regering se sosiale reaksie as insluitend die verskaffing van tuisgebaseerde sorg, die versorging van weeskinders, voedselvoorsiening en die beveiliging van slagoffers se regte. Ander kwessies wat ook gesien word as deel van die nasionale MIV/VIGS beleid is seksueel- oordraagbare siektebeheer, gesondheidopvoeding, die verskaffing van opleiding aan gesondheidswerkers in MIV/VIGS-probleme, die voorsiening van tuisgebaseerde sorg en beroepsgesondheid en veiligheid vir gesondheids werkers. Die regering se houding teenoor VIGS vrywilligerorganisasies is ook as negatief vertolk deur onvoldoende hoeveelhede van die vroulike kondoom te verskaf en antiretrovirale medisyne te weerhou van pasiënte. Die aanbevelings wat op grond van die studie gemaak is, sluit in die verbeterde opleiding van gesonheidswerkers in MIV/VIGS-sorg en -bestuur, verbeterde verskaffing van vrywillige berading en toetsdienste, wyer verspreiding van die vroulike kondoom, verskaffing van MIV-dienste vir die voorkoming van moeder-na-kind-oordraging en die konnektering van navorsing en sorg om ‘n inligtingsbaseerde praktyk te skep. Ander aanbevelings is dat daar ondersteuningsprogramme vir gesondheidswerkers met MIV behoort te wees wat geslagskwessies aanspreek in die implementering en verskaffing van antiretrovirale medisyne waar dit reeds bekend is dat dit wel help.

Thesis (MAdmin)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: The study is devoted to the determination of an appropriate financial management and budgeting system to support a transforming South Africa. Given the challenges and opportunities presented by the new political dispensation, both locally and abroad, the evolution of financial management and budgeting systems is analysed. Specifically, elements of each budgetary system that stood the test of time to the present, are studied. International case studies of countries that have undergone (or are undergoing) the transformation process successfully, or otherwise, are fully discussed to serve as invaluable lessons and experience for South Africa on its quest for a smooth and swift transformation, to prevent it from ending up as just another unsuccessful transformation. This then serves as a broad foundation for an appropriate financial management and budgeting system which is proactive in the transformation process. South Africa will not reinvent the wheel. Unlike other countries that waited for transformation problems to fall upon them, the South African financial management and budgeting system manipulates the financial management policies. It achieves this by broadly defining the objectives to be achieved through prioritisation and reprioritisation, formulate clear strategies for shortterm, medium-term and long-term plans, goals, processes, functions and activities. It applies all the positive elements of input-orientated systems, activity/ performance measuring systems, objective/goal-orientated system, medium term expenditure framework and multi-year budgets studied and drawn from lessons and experience of other countries. South Africa's appropriate financial management and budgeting system is a broad crosswalk model vacillating between all systems from a broad definition of objectives, goals, processes and activities ending up with a strong financial management tool. / AFRIKAANSE OPSOMMING: Dié studie word gewy aan die daarstelling van 'n Geskikte Finansiële Bestuur en Begrotingstelsel om 'n veranderende Suid-Afrika te ondersteun. Teen die agtergrond van die uitdagings daargestel deur die nuwe politieke bestel word die revolusie van finansiële bestuur- en begrotingstelsels plaaslik en in die buiteland ontleed en in perspektief geplaas. Meer spesifiek is die elemente van elke begrotingstelsel wat die toets van die tyd deurstaan het, bestudeer. Internasionale studies van lande wat die veranderingsproses suksesvol ondergaan het (of tans daarmee besig is), of andersins, word volledig bespreek om as 'n onskatbare les en ondervinding vir Suid-Afrika in sy soektog na 'n gladde en vinnige transformasie te dien en om te verhoed dat dit op net nog 'n onsuksesvolle transformasie uitloop. Dit dien dan as 'n breë grondslag vir 'n Geskikte Finansiële Bestuur- en Begrotingstelsel wat proaktief in die Suid-Afrikaanse transformasieproses is. Suid-Afrika sal nie die wiel kan heruitvind nie. Anders as in ander lande wat op transformasieprobleme gewag het om hulle te tref, kan die Suid- Afrikaanse Finansiële Bestuur- en Begrotingstelsels finansiële bestuursbeleid pro-aktief ondersteun. Dit word bewerkstellig deur 'n omvattende bepaling van die mikpunte wat bereik moet word deur priorisering en herpriorisering van planne, doelwitte, prosesse, funksies en aktiwiteite op die kort, medium en lang termyn. Dit is moontlik indien al die positiewe elemente van verskillende finansiële bestuur- en begrotingsteiseis, soos bestudeer in en geleer uit ander lande se ondervindings toegepas word. Suid-Afrika se Finansiële Bestuur- en Begrotingstelsel behels 'n breë omvattende model wat put uit al die stelsels wat 'n bepaling van doelstellings, mikpunte, prosesse en aktiwiteite bevat ten einde te eindig met 'n sterk Finansiële Bestuurswerktuig.

Thesis (MPhil)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: South Africa is one of the most energy-intensive economies in the world, with around 90 per cent of its electricity generated using coal as a primary resource. As such, the South African energy system remains on a highly unsustainable path, and the potential for long-term growth and prosperity of the economy is thwarted. The alternative to conventional energy, renewable energy, has unfortunately been relatively slow to take off in the South Africa market. This is disappointing considering the country’s wealth of natural resources required for renewable energy generation. The potential of renewable energy to contribute to the South African energy mix is thus significant. The transition to a green economy, and subsequently a more sustainable energy future, is therefore achievable and realistic. However, national policies aimed at promoting the deployment of renewable energy have been thwarted by inconsistencies, lack of coordination, and proved relatively ineffective at increasing the country’s renewable energy capacity to its full potential. The recent policy changes from a feed-in tariff to a competitive tender approach dented investor confidence in the South African renewable energy industry significantly. Nevertheless, renewable energy policy in South Africa is still in its infancy, and valuable lessons are still to be learnt and incorporated into future policies going forward. A critical analysis of the current policy identifies the need for amendment to the structure of the policy landscape. The current policy strongly favours larger, more established and mature renewable technologies, whilst completely neglecting smaller and less mature ones. This not only results in a highly undiversified renewable energy mix, which has considerable negatives in itself, but also reduces the ability of the policy to capture a host of significant opportunities and advantages associated with small-scale renewable energy projects. The importance of diversifying South Africa’s renewable energy mix was therefore ones of the principal stances of this study, and intervention that ensured diversification within the industry was therefore vital. This study fundamentally designs and proposes a revised policy system that makes use of both competitive tenders and feed-in tariffs within the policy framework. In essence, this would allow for greater diversification within the renewable energy industry. The competitive tender component should be used for larger, more established technologies and projects, while the feed-in tariff should be used to drastically stimulate investment in smaller technologies and projects. By making use of a dual-mechanism system, the benefits associated with small-scale renewable energy projects can be realized without any noteworthy opportunity costs foregone. These benefits include diversification of the renewable energy mix; stimulation of smaller technologies; increased job creation; and stabilisation of supply volatility. This study recommends that the current renewable energy policy in South Africa be reassessed for both its relevancy within the South African context as well as its ability to effectively promote the deployment of alternative energy technologies. In an ever-changing and globalising world, where exogenous influences on national policies are stronger than ever, it becomes necessary and of utmost importance that policies are evaluated constantly in order to ensure their effectiveness is at optimal level. / AFRIKAANSE OPSOMMING: Die Suid-Afrikaanse ekonomie is een van die energie-intensiefstes ter wêreld, met steenkool as hoofbron vir sowat 90 persent van die land se kragopwekking. Die Suid-Afrikaanse energiestelsel as sulks bly dus op 'n onstabiele pad, en die potensiaal vir langdurige ekonomiese groei en welvaart word geknel. As teenvoeter vir konvensionele krag het hernubare energie steeds stadig veld gewen in die plaaslike mark – wat teleurstellend is as die land se rykdom aan natuurlike bronne vir hernubare energie-opwekking in ag geneem word. Hernubare energie het dus 'n aansienlike potensiaal om tot die Suid-Afrikaanse energiemengsel by te dra. Die oorgang na 'n groen ekonomie, en gevolglik na 'n volhoubaarder energie-toekoms, is daarom bereikbaar en realisties. Nasionale beleide oor hoe die uitrol van hernubare energie bevorder word, is egter tot dusver gestrem deur ongereeldhede en 'n gebrek aan koördinasie, en was gevolglik relatief ondoeltreffend om die land se hernubare energiekapasiteit ten volle te verhoog. Die onlangse beleidsveranderinge vanaf 'n toevoertarief na 'n mededingende tenderbenadering het beleggersvertroue aansienlik geskaad. Suid-Afrika se hernubare energiebeleid is nietemin nog in sy kinderskoene, met kosbare lesse wat geleer kan word en vir die pad vorentoe in toekomsplanne ingewerk kan word. 'n Kritiese ontleding van die huidige beleid wys hoe nodig 'n aangepaste struktuur vir die beleidsraamwerk is. Die huidige beleid begunstig groter, meer gevestigde en ontwikkelde tegnologieë terwyl kleiner en minder ontwikkeldes heeltemal afgeskeep word. Dit het tot gevolg nie net 'n hoogs ongediversifiseerde mengsel van hernubare energie nie, wat op sigself 'n aantal nadele inhou, maar boonop verminder dit die beleid se vermoë om vele betekenisvolle geleenthede en voordele aan te gryp wat gepaard gaan met kleinskaalse projekte vir hernubare energie. Dat die diversifisering van Suid-Afrika se hernubare energiesamestelling belangrik is, was dus een van dié studie se hoofbenaderings, asook dat ingryping ter wille van diversifisering binne die bedryf onontbeerlik is. Hierdie studie bied 'n ingrypende ontwerp en voorstel vir 'n hersiene beleidstelsel, met mededingende tenders asook toevoertariewe binne die beleidsraamwerk. Dit sal in wese ruimte laat vir groter diversifikasie binne die hernubare energiebedryf. Die mededingende tendergedeelte behoort vir groter, meer gevestigde tegnologieë en projekte gebruik te word, terwyl die toevoertariewe kan dien om belegging in kleiner tegnologieë en projekte te stimuleer. Deur 'n stelsel van tweeledige meganismes kan die voordele van kleinskaalse hernubare energieprojekte realiseer sonder die inboet van noemenswaardige geleentheidskoste. Dié voordele sluit in, om enkeles te noem, die diversifikasie van die hernubare energie-toneel; die stimuleer van kleiner tegnologieë met gepaardgaande groter werkskepping; en toenemende plaaslike produkvervaardiging. Met dié studie word aanbeveel dat Suid-Afrika se huidige beleid oor hernubare energie heroorweeg word, rakende die relevansie daarvan binne die landskonteks asook die beleid se vermoë om die ontplooiing van alternatiewe energietegnologieë doeltreffend te bevorder. In 'n voortdurend veranderende en globaliserende wêreld, met buite-invloede op nasionale beleidsrigtings sterker as ooit, word dit noodsaaklik en uiters belangrik dat beleide voortdurend heroorweeg word om die doeltreffendheid daarvan op die gunstigste vlak te verseker.

Thesis (MHumanRehabSt)--Stellenbosch University, 2014. / ENGLISH ABSTRACT:Background In the past, a lack of policy guidelines in the area of rehabilitation often resulted in underdeveloped or no rehabilitation services in many areas. This led to the development of The South African National Rehabilitation Policy (NRP) which was finalised in 2000. This policy is guided by the principles of development, empowerment and the social integration of persons with disabilities. It aims to provide improved access to rehabilitation services for all and forms part of a strategy to improve the quality of life of persons with disabilities. South Africa ratified the United Nations Convention for the Rights of Persons with Disabilities (UNCRPD) in 2001. The UNCRPD is an international rights based document and focuses on equalisation of opportunities for people with disabilities and their inclusion in development. Aim The aim of thestudy was to describe and analyse the organizational framework of rehabilitation services at the Gugulethu Community Health Centre (CHC) in Cape Town and to determine if the framework used complied with the objectives of the National Rehabilitation Policy. Method This was a case study that made use of both qualitative and quantitative methods of data collection. The Kaplan framework, the objectives of the NRP and the five relevant articles of the UNCRPD were used to design three questionnaires for data collection. The first questionnaire was for service providers and answered by seven participants. The second questionnaire was completed by the Facility Manager of Gugulethu CHC and the third questionnaire was answered by the managers of 2 purposively sampled NGOs in Gugulethu. Qualitative data was collected from interviews held with three of the service providers and the facility manager as well as from two focus groups held with service users. Results The results of the study showed that there was some coherence between the rehabilitation services provided and the objectives of the NRP such as good access to the service for clients coming to the Centre for rehabilitation and adequate resources to provide assistive devices with. However, in other areas there was little or no adherence. Limited evidence of intersectoral collaboration was found. There was no evidence of the inclusion of persons with disabilities in the planning, implementation and managing of rehabilitation services. Similarly services were not monitored and evaluated in a constructive way and while the therapists did engage in skills development activities the suitability of the courses attended for their role is questioned. Conclusion The findings showed a facility based curative rehabilitation service that was accessible for clients who came to the facility, but did not expand to provide community based rehabilitation. Thus it was concluded that the organisation in its current form lacked the ability to effectively address the needs of the community that it served. At Gugulethu Community Health Centre rehabilitation services need to be planned according to community based rehabilitation strategies by the manager, the service providers and the community. Only when implementation of the NRP and UNCRPD takes place will the benefits become tangible to the entire community. Key Words Rehabilitation, Disability, National Rehabilitation Policy, UNCRPD, Organisational capacity. / AFRIKAANSE OPSOMMING: Agtergrond In die verlede het ‘n gebrekaanbeleidsriglyne in die rehabilitasievelddikwelsgelei tot onderontwikkelde of geenrehabilitasiedienste in baiegebiede. Die gevolghiervan was die ontwikkeling van dieSuidAfrikaanseNasionaleRehabilitasieBeleid (NRB) wat in 2000 gefinaliseer is. Die fokusvan hierdiebeleid is ontwikkeling, bemagtiging en die sosialeintegrasie van persone met gestremdhede. Die doel van die NRB is omtoeganklikheid van rehabilitasiediensteviralmalteverbeter en ditvormdeel van die strategieom die lewensgehalte van persone met gestremdhede to verbeter. SuidAfrika het die VerenigdeNasies se Konvensievir die Regte van Persone met Gestremdhede in 2001 bekragtig. HierdieKonvensie is ‘n internasionaleregsgebaseerdedokument and fokus opgelykeregtevirpersone met gestremdhede en hulinsluiting in ontwikkeling. Doelstelling Die doel van die studiewas om die organisatorieseraamwerk van die rehabilitasiedienste by die GugulethuGemeenskapsGesondheidssentrum in Kaapstadtebeskryf enteontleed, ten eindevastestel of die raamwerk, in ooreenstemming is met die doelwitte van die NasionaleRehabilitasieBeleid. Metode `n Gevallestudie is gedoen. Data is deurmiddel van kwantitatiewe en kwalitatiewemetodesingesamel. Die Kaplanraamwerk, doelwitte van die NasionaleRehabilitasieBeleid en toepaslike 5 artikels van die VerenigdeNasie se Konvensievir die Regte van Persone met Gestremdehede is gebruikomdrievraelysteteontwerp. Die eerstevraelys was virdiensverskaffers en sewedeelnemers het ditbeantwoord. Die tweedevraelys is deur die Fasiliteitsbestuurder van GuguletuGemeenskapsGesondheidssentrumbeantwoord en die derdevraelysdeur twee bestuurders van twee doelbewustegekoseNie-staatsOrganisasies in Guguletu. Onderhoude is met drie van die diensverskaffers en die fasiliteitsbestuurdergebruikomkwalitatiewe data in tesamelsowel as twee fokusgroepe met diensverbruikers.Resultate Die resultate van die studietoondatdaarwel ‘n mate van belyningtussenrehabilitasiedienste by die studiesentrum en die doelwitte van die NasionaleRehabilitasieBeleid is. Ditsluit in goeietoeganklikheidna die diensvirklientewat die sentrumbesoekvirbehandeling en voldoendebronneomhulpmiddelstevoorsien.In andergebiede was daaregter min of geenbelyningnie. Daar is min bewyse van intersektoralesamewerking en geenbewyse van die insluiting van persone met gestremdhede in die beplanning, implementering en bestuur van die rehabilitasiedienstenie. Dienste is nie in ‘n opbouendemaniergemonitor of geevalueernie en terwyl die terapeutewelaanontwikklingsprogrammedeelgeneem het, kan die toepaslikheid van die kursussebevraagteken word. Gevolgtrekking Die bevindingswys op ‘n kuratiewerehabilitasiedienswattoeganklik is virklientewatna die sentrum toe kom. Daar word egterniegemeenskapsbaseerderehabilitasieverskafnie.Dus, is die gevolgtrekkingdat die organisasie in syhuidigevormnie die vermoe het om die behoeftes van die gemeenskapwatditdien, effektiefaantespreeknie.Dierehabilitasiedienste by GuguletuGemeenskapssentrummoetbeplan word volgensgemeenskapsgebaseerderehabilitasiestrategiee, deur die bestuurder, diensverskaffers en die gemeenskap. Eerswanneer die NasionaleRehabilitasieBeleid en die VerenigdeNasie se Konvensievir die Regte van Persone met Gestremdhedetoegepas word sal die helegemeenskapbaatvind by rehabilitasie.

Thesis (M Human RehabSt)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Rehabilitation services, mainly rendered by therapists employed by the Department of Health, forms a critical part of the Primary Health Care (PHC) package of care. Different policies, within the Department of Health (DOH), provide guidance on rehabilitation service delivery. However, implementation of these policies remains a challenge. The current study aimed to describe and analyse the organisational capacity of rehabilitation services at the study site and to assess how congruent the rehabilitation service at the study site was with existing rehabilitation policy. A descriptive methodology was applied making use of both quantitative and qualitative methods in analyzing the organisational capacity of this study site and the alignment of rehabilitation services offered, with the National Rehabilitation Policy (NRP). The study used the Kaplan framework, the objectives of the NRP and specific selected articles of the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) to develop indicators to be used for the description and analysis of the organisational capacity of the rehabilitation services at TC Newman Community Day Centre. Questionnaires based on seven objectives from the NRP were developed to collect quantitative data from five service providers, the facility manager of TC Newman CDC and the managers of two Non- Governmental Organisations (NGO) working in the drainage site. Face to face, audio recorded, semi- structured interviews were used to collect qualitative data from the five service providers. A folder audit and document review was used to enhance quantitative findings. After analysis of the data, I still felt the need for additional information and thus developed an open ended questionnaire for participants to complete. Barriers (e.g. defaulting of clients, a lack of standard documentation, poor monitoring and evaluation) and facilitators (e.g. outreach and support, competent staff and multi-disciplinary team) were identified in implementing the NRP. Participants highlighted the importance of accessing rehabilitation services with a focus on the outreach to peripheral clinics and funded NGO’s. Intersectoral collaboration is evident, but mainly with funded NGO’s. A lack of standardised documentation, inadequate monitoring and evaluation systems and uniformed documentation were some of the challenges identified by participants. The absence of participation by persons with disabilities was noted by all participants. With reference to the organisational capacity, the participants had a good understanding of rehabilitation within the PHC context. Participants felt confident in delivering rehabilitation services and were able to identify shortcomings in service delivery. It is concluded that rehabilitation services are not delivered exactly in accordance with the objectives of the NRP. However the organisation demonstrated capacity to deliver rehabilitation services at PHC level, but there is still a need to enhance service delivery on community based level. The results of this study gave me as a manager and implementer of health policy in the District Health System the opportunity to gain deeper insight as to how rehabilitation services are currently rendered. Results from the study highlighted how coherent rehabilitation service delivery is with current policy in health and the capacity of the organisation to deliver rehabilitation services. This gave me the opportunity to adjust and review current rehabilitation service delivery and implement changes, as the study progressed. / AFRIKAANSE OPSOMMING: Rehabilitasie word hoofsaaklik deur terapeute in die departement van gesondheid gelewer binne fasiliteite en vorm ‘n belangrike deel van die Primêre Gesondheid Sorg dienste (PGS). Daar is verskillende beleid binne die Departement van Gesondheid beskikbaar, wat rehabilitasie definieer. Ten spyte van beleid, bly die implimentering van hierdie beleide ‘n uitdaging. Hierdie studie het ontstaan om the kapasiteit van die organisasie te beskryf, om rehabilitasie dienste te implimenteer en ook te bepaal hoe hierdie dienste ooreenstem met die Nasionale Rehabilitasie Beleid (NRB). ‘n Beskrywende metodologie was gebruik, wat uit ‘n kwantitatiewe en kwalitatiewe deel bestaan het. ‘n Vraelys is ontwikkel op grond van die 7 doelwitte beskryf binne die NRB. Dit is gebruik vir die versameling van kwantitatiewe data, by vyf diensversakffers, `n gesondheidsbestuurder en die bestuurders van twee nieregerings organisasies. Kwalitatiewe data is verkry deur onderhoude met die vyf diensverskaffers. ‘n Oudit van pasiënt lêers en die evaluering van dokumente het kwantitatiewe data versterk. Na die analisering van data en die behoefte vir addisionele inligting, is ‘n oop-end vraelys ontwikkel en versprei na deelnemers om te voltooi. Die studie het die organisatoriese kapasiteit van die organisasie ontleed deur gebruik te maak van Kaplan se raamwerk vir organisasie kapasiteit en die doelwitte van die NRB, asook sekere geselekteerde artikels uit die “United Nations Convention of the Rights of Persons with Disabilities” UNCRPD. Deelnemers het belangrikheid van toegang tot rehabilitasie dienste bevestig, met ‘n fokus op uitreik na perifêre klinieke in die sub distrik en befondse Nie-Regerings Organisasies (NRO). Intersektorale skakeling was beskryf, maar beperk tot befondse NRO’s. Verskillende uitdagings soos bv. gestandardiseerde dokumentasie, onvoldoende monitering en evalueringssisteme en die dokumentering van inligting was geïdentifiseer. Die afwesigheid van persone met gestremdhede en hulle deelname by terapie was genoem deur deelnemers. Verskillende uitdagings asook fasiliteerders was geïdentifiseer deur deelnemers t.o.v die implementering van bestaande beleid.

This study was concerned with the social construction of HIV/AIDS at the policy level in contemporary South Africa, and how such constructions shape the manner in which the epidemic is understood in popular discourse.

M.A. (Social Work) / Please refer to full text to view abstract

M. Comm. / No country's economy can survive if the majority of its population remains without income, basic services, and tangible assets that will allow for a secure and sustainable livelihood. Addressing poverty and its causes is therefore a core developmental challenge facing the world economy. Throughout history, various explanations and theories have been advanced in the attempt to understand the causes and persistence of poverty. These theories have evolved into an understanding of the complex phenomenon of poverty, as it is perceived today. The importance of these theories is evident in the creation of poverty alleviation strategies and policies, thus a sound understanding of poverty and its complexities is essential. The new poverty agenda formulated by the DFID in conjunction with other international agents has developed strategic guidelines for the alleviation of poverty that have been based on past experience and theoretical literature. These guidelines include the need for economic growth, equality, security, participation, opportunities, and sustainability. South Africa has effectively incorporated these guidelines into its own poverty activities that consider the nature of South Africa's poverty situation. South Africa has a high incidence of poverty, and its society is characterised by extreme inequality. Poverty is disproportionately divided between South Africa's nine provinces, localities, race groups, genders, and age groups. Inequalities and high poverty rates are caused by political, social, economic, and environmental factors. Politically, South Africa was shaped by the apartheid regime that manifested inequality amongst race groups by oppressing and exploiting the black population in favour of the white minority. Social dimensions, such as the inadequacy of food security, lack of education and other basic needs have also contributed to impoverishment. Contributing economic factors include the poor growth of South Africa's economy since the 1980s that has inevitably lead to increases in poverty and unemployment rates. Poor and inadequate living conditions common in South Africa have resulted in environmental degradation, and this has further impoverished the population.

Thesis presented in partial fulfilment for the degree of Master of Management (in the field of Public and Development Management) to the Faculty of Commerce, Law, and Management, University of the Witwatersrand, 2016 / The research aimed to find out whether one of the unintended outcomes of governments’ top-down implementation of the child support grant was increased fertility among recipients in the rural areas, which generally have higher levels of fertility in the country. South Africa does not have a fertility problem, but development is still much needed in the rural areas. The plight of government, having inherited one of the most unequal society is not minimised. According to Mcnicoll (1998), public transfers among age groups are fertility related. Government directs public expenditures towards social services benefiting the poor. Such expenditures and transfers may significantly modify the economics of fertility as seen by prospective parents. Rural households are more vulnerable because of the economic unviability rooted in the apartheid system. Our study has tried to show how the environment in Lenyenye Township and surrounding villages could make it a possibility for women to see the increment of births as a rational solution for the survival of their family. The theory of bounded rationality was used to demonstrate that rationality is more adaptive to situations based on the environmental constraints. / XL2017