The health restructuring taking place within the health sector is a direct result of the unfolding socio-political processes presently sweeping across the country's very young democracy. The adoption of a Primary Health Care approach and the transition to a district-based health system is an attempt to bring the health services closer to the people and to correct or redress the way in which money is spent to keep people healthy. Given that 'in South Africa more people die from preventable diseases, a Primary Health Care approach is more appropriate to deal with the country's health needs. However, many also die from degenerative diseases such as heart disease, stroke and cancer and are dependent upon curative hospital-based care. Their health needs have to be catered for as well. Since the declaration of Alma Ata in 1978, the concept of Primary Health Care has been broadened to include other determinants of health such as water, sanitation and health education. As a result, collaboration with other service sectors became essential to support such a holistic view of health. The District Health System is the unit of management of the health system that is best able to compliment an intersectoral collaboration. The technology that is best suited to analyse health resources within a District Health System is a Geographical Information System. The delineation of the boundaries for the proposed New Hanover District Health System was essentially a consultative process. An assessment of the health resources within the proposed district revealed spatial inequalities between the areas of the former Republic of South Africa and the areas of the former Kwa-Zulu. The former Kwa-Zulu areas are disadvantaged in term of health care facilities, health care personnel, health services, water, sanitation, roads and economic opportunities.In collaboration with the Department of Health and the New Hanover Primary Health Care and Development Programme, five potential fixed clinic sites and two mobile clinic points were identified using a Geographical Information System. This study goes beyond considering population as the only and most important variable in the identification of potential sites. Other important variables such as the road network density, the number of primary schools and the number of mobile clinics within a 10 kilometre radius of each site were taken into consideration. The siting of the Khanyile and nKululueko mobile clinic points has demonstrated yet another way by which primary health care services could be made more accessible. Community participation was crucial in identifying and confirming each potential site. A mathematical formula named Pregan's PCs formula was specifically devised to determine the 'potentiality' of each site. For example, if the PCs value was less than one then the site was not considered. In the proposed New Hanover District Health System all sites were considered. The lack of health care facilities and lack of personnel along the densely populated eastern border of the proposed New Hanover District Health System were two major factors that affected access to primary health care services . It is envisaged that the five potential fixed clinic sites and the two mobile clinic points which were identified would help to improve access to primary health care services and at the same time redress the spatial inequalities that exist within the proposed health district. This study concluded that a Geographical Information System is a useful tool for addressing questions of access to primary health care services within a district-based health system. / Thesis (M.A.)-University of Natal, Pietermaritzburg, 1997.

Unpaved forestry roads can significantly affect surface runoff and sediment production, with consequential impacts for stream water quality. The potential impact of road runoff on stream water quality is mitigated by the redistribution of runoff into the forest compartments through road drains. The objective of this study was to assess runoff and the associated nutrient loads from unpaved forest access roads, and to evaluate the effectiveness of road runoff redistribution onto the forest compartments. Unpaved road segments in Mondi Forest Plantation in Seele Estate, New Hanover, South Africa were instrumented for runoff measurement in response to natural rainfall. Two road segment classes were investigated for water quality from unbounded runoff plots: steep sloped road segments of road gradients of 9.5° and 7.5°, and gentle sloped road segments of road gradients of 1.6° and 2.0°. Water quality was also assessed by monitoring road runoff, and stream water quality was analysed for water quality parameters including; pH, Nitrates, Nitrites, Phosphates, Total dissolved Oxygen, Oxygen consumption, Ammonium and temperature upstream and downstream of the Estate. The effectiveness of road runoff redistribution into the forest compartments was evaluated through relating water distribution to tree breast height diameter. Two sets of road drains corresponding to the plots of different road gradients were selected as for runoff, and sampled, and corresponding plots or allotments were established to determine tree breast height diameter measurements. The results of the study revealed that, as might have been expected, runoff production increases with the increasing road gradient. The quality of road runoff water was lower than the stream water. There were no significant differences observed in nutrient levels upstream and downstream of the road stream crossings. The nutrient concentrations however, were higher upstream of the estate than downstream. Significant differences in tree breast height diameter were noted between plots of different road gradients. This suggested that the gradient determines the infiltration of redistributed runoff and hence the availability of the water that can be used by the trees within a compartment. The results of the study suggest that unpaved roads are important in the generation of nutrient loads. Much of the nutrient value is redistributed within the compartment itself rather than being transferred to the stream. This suggests that, provided that road runoff can be contained within the compartments, the potentially negative impact of road runoff can be mitigated and may enhance tree growth. / Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2011.

No description available.

Magister Artium (Social Work) - MA(SW) / Despite the vast research on drugs, gang violence and gangsterism in South Africa and specifically in the Western Cape, little is known about the experiences of school-going adolescents who reside in the areas ravaged by these gangs. The general image that emerges from the literature is negative and apathetic about the plight of adolescents residing in gang infested communities as they are usually seen and referred to as part of the problem. Previous studies and literature have therefore omitted the actual experiences of non-gang related adolescents as a result of the existence of gangs and gangsterism in their communities. This research explored these experiences in detail focusing specifically on school-going adolescents between the ages of 16 to 18 and mostly targeting Grade 11 in Hanover Park- Western Cape. The population of the study was therefore all adolescents within the area of Hanover Park with the specific sample of study targeting mainly the school-going non-gang affiliated adolescents of Hanover Park, preferably those doing Grade 11 and registered at a Hanover Park school. The researcher also explored and looked at the experiences of the school-going adolescents through use of focus groups with at least eighteen (18) learners from each of the two selected high schools in Hanover Park. These 18 participants from each school were divided into three different groups implying that the researcher ran three separate focus groups at each of the schools. This was also be supported by the use of qualitative semi- structured interviews that were conducted with at least 6 participants from the focus group sessions with 1 participant being selected from each group. This ultimately gave perspective on the unexplored views and experiences of school-going learners in Hanover Park that are assumed to be non-gang affiliated but experience the pressures and existence of gangs in their communities

Thesis (PhD)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Violence is considered a global mental health problem. The rate of violence in South Africa is amongst the highest in the world and much of this violence is disproportionately skewed towards the poorer and historically disadvantaged communities. Low-income communities continue to bear the brunt of historical legacies of violence which are perpetuated through current ongoing cycles of interpersonal and community violence. While much has been documented about trauma and resilience in environments where the violence or traumatic event has ceased, there is a dearth of literature conceptualising trauma and resilience in contexts where the violence persists. Furthermore, even fewer studies have captured how trauma and resilience are conceptualised from the perspectives of the voices who experience this violence daily. The social constructionist framework of this study aims to contribute to the knowledge of how trauma and resilience is constructed by those who experience ongoing violence, and whether resilience and healing does occur in an environment of continuous traumatic stress. The voices of the participants of the study provide an additional perspective from that of community-based counsellors. Their dual experience of living and working in a violent community gives a rich insight into the relationship between trauma and resilience. The study is located in Hanover Park, a low-income community, notorious for its high levels of community violence. The participants are community-based counsellors who volunteer at Organisation X, a community-based ecological intervention that has been developed in response to addressing the cyclical impacts of ongoing violence and continuous trauma. The research design is a purposive in-depth case study of eighteen counsellors, investigating the narratives of their lives within its real-life context. Follow-up focus groups held with the counsellors were guided by ideas and practices of narrative theory. The narratives were analysed using thematic content and experience-centred form analysis. Multi-level themes related to trauma and resilience were constructed by the participants. It was revealed that the trauma effects related to systemic ongoing violence are viewed as maladaptive features of negative resilience. At the same time positive resilience which promotes healing, empowerment and transformation is possible despite negative and violent environments. The perspectives of community counsellors which offer critically important insight into their experience of the context of violence, and the complex interconnecting of individual, interpersonal and social aspects of trauma and healing in disadvantaged communities, could also inform future evidence-based interventions, provide alternate paradigms within which mental health professionals could position themselves to engage in issues of social justice and psychosocial health. / AFRIKAANSE OPSOMMING: Geweld word wêreldwyd as 'n geestesgesondheidsprobleem beskou. Die voorkoms van geweld in Suid-Afrika, is tans een van die hoogstes in die wêreld en die meeste van hierdie geweld neig om veral die armer en histories benadeelde gemeenskappe negatief te raak. Gemeenskappe in die laer inkomstegroepe is dus die mense wat die spit afbyt, omdat hierdie historiese nalatenskap van geweld deur die huidige voortdurende kringloop van interpersoonlike en gemeenskapsgeweld voortleef. Alhoewel daar alreeds baie dokumentêre bewyse bestaan oor trauma en veerkragtigheid in omgewings waar geweld of traumatiese gebeure beëindig is, is daar 'n gebrek aan literatuur wat trauma en veerkragtigheid vasvang waar geweld die orde van die dag is. Daar is verder nog minder studies wat vaslê hoe trauma en veerkragtigheid uit die oogpunt van die betrokkenes wat geweld daagliks ervaar, gekonseptualiseer word. Die sosiale konstruksionisme raamwerk van hierdie studie beoog om 'n bydrae te lewer oor hoe , indien wel, trauma en genesing beleef word deur diegene wat voortdurende geweld ervaar in 'n omgewing waar aanhoudende traumatiese stres voorkom. Die deelnemers aan hierdie studie verskaf 'n addisionele perspektief van die van gemeenskapsberaders. Hul tweeledige ervaring van leef en werk in 'n gewelddadige gemeenskap verskaf 'n dieper insig in die verhouding tussen trauma en veerkragtigheid. Die buurt waar die studie gedoen is, is Hanover-park - 'n lae inkomste gemeenskap wat berug is vir hoe vlakke van gemeenskapsgeweld. Die deelnemers is beraders uit die gemeenskap wat vrywillige werk doen by Organisasie X - 'n gemeenskapsgebaseerde ekologiese intervensie wat ontwikkel is om die sikliese impak van voortdurende geweld en trauma te verminder. Die navorsingstudie is 'n doelgerigte diepgaande gevallestudie van agtien beraders wat hul lewensverhale binne die werklike konteks ondersoek. Die beraders het die opvolg fokus-groepe gelei deur idees en die narratiewe teorie in die praktyk toe te pas. Die vertellings is geanaliseer deur gebruik te maak van die tematiese inhoud en 'n ervarings-gesentreerde analitiese formaat. Veelvlakkige temas wat verband hou met trauma en veerkragtigheid is deur die deelnemers saamgestel. Dit het aan die lig gebring dat die effek van trauma wat verband hou met voortdurende sistemiese geweld geag word as wanaangepaste kenmerke van negatiewe veerkragtigheid. Terselfdertyd is die positiewe veerkragtigheid wat genesing, bemagtiging en verandering evorder moontlik, ten spyte van negatiewe en gewelddadige omgewings. Die vooruitsigte van die gemeenskapsberaders wat belangrike en kritiese insig in hul ervarings binne geweldsverband bied, die ingewikkelde verbondenheid van die indiwiduele, interpersoonlike en sosiale aspekte van trauma en genesing in benadeelde gemeenskappe kan insiggewend wees vir toekomstige ingryping. Dit kan alternatiewe modelle voorsien waarvolgens beroepslui in die geestesgesondheidveld hulself kan inrig om kwessies van sosiale geregtigheid en psigo-sosiale gesondheids-toestande aan te spreek.

Fiction collection centered around an African-American family living in Hanover, Virginia.

Magister Psychologiae - MPsych / The following study aimed to explore the development of resilience within male youth, despite exposure to numerous factors traditionally classified as high-risk. The research focussed on the developmental process of six male youth who engaged in positive coping through actively seeking protection in a high-risk environment, in the form of a non government organization within their community. The study assumed that the active seeking of a protective environment by high-risk youth is an indication of resilience. A phenomenological approach was used to understand the processes that aided the development of resilience within the individuals, through semi-structured in-depth interview guides. Qualitative thematic analysis was utilized to attain and understand common themes. An ecosystemic approach was used in conceptualizing the findings of this research. Indications of resilient development within male youths, relating to systemic factors, which contributed to resilience were explored. The major findings of this research were congruent with past research, both in South Africa and internationally. Three primary themes of support, control, and security emerged from the analysis. The research findings indicated that individuals possessing an internal locus of control were able to cope with adversity and had hence developed resilience. The participants in this sample were confident in their abilities, possessed motivation and belief in success. Systemic factors that were elicited as important in the optimal development of resilience were belief in the youth’s ability, and faith in their capacity to achieve,as well as providing support and guidance to youth when needed. The research found that if youth were faced with factors understood as high-risk, and were able to overcome them, these risk factors served to further enhance resilience. This research offers researchers and community organizations further insight into effective intervention programs to promote optimal youth development in high-risk areas.

in English language: This thesis deals with the political and economic development of the Kingdom of Hanover as an example of a medium-sized state in the German Confederation. In addition to its relationship with Great Britain, with which was Hanover associated in personal union in the years 1714-1837, a new definition of relations between these states before 1866 and the annexation of Hanover by Prussia are also discussed, as well as the impact of the significant events in Europe in that time on the functioning of the Guelph domain. Closer to be discussed are the personalities of British Queen Victoria and Hanoverian King and Duke of Cumberland Ernest August, who were key actors at the end of the personal union in 1837, and in addressing the sensitive political issues that followed. Apart from the emphasis on political history, this thesis also deals with economic history, primarily in connection with Hanover's relationship with the German Customs Association (Zollverein). This institution, guarded by Prussia, represented to Hanover in certain stages of its development as an independent kingdom, first of all, competition and then a path to the short-term solution of its internal problems. Above all, however, this was one of the many situations where Hanoverian interests clashed with the interests...

Tittle: Students' perception survey of teacher quality in lower and upper secondary school Author: Jan Juříček Department: Department of Education Supervisor: PhDr. RNDr. Hana Voňková, Ph.D., Ph.D Abstract: The aim of " Students' perception survey of teacher quality in lower and upper secondary school" is to inform readers about the concept of getting feedback for teachers from their students. The feedback is based on four surveys, namely I Know My Class, My Student Survey, 7C, and YouthTruth. We also present the advantages and disadvantages of this kind of a feedback. The summary of available information about surveys dealing with students' feedback for teachers and the analyses of those surveys belong among the main points of the theoretical part. The aim of the empirical part is to compare the key categories among the surveys and to generalise the basic educational themes and issues the surveys are dealing with. Another goal is to examine, whether the content of the surveys is similar and can be compared to our educational reality. We will analyse this through the comparison of the surveys' key categories and the proposed Czech and German teacher standards. We also compare the content of the surveys with the Czech general didactics literature. Final step is to present the surveys and their topics to...