The purpose of this study was to investigate the utilization of Postnatal Services at St. Joseph's Clinic. Sixty women of child- bearing age participated in the study. Convenience sampling was utilised. An integration of Qualitative and Quantitative approaches were used for collection and analysis of data. The results of the study showed that women had high knowledge about the sixth week PNC. Women's attitudes regarding attendance at the sixth week PNC were both positive and negative. The relationship between knowledge and attitude was significant (r = .2999, p = .044) The study concluded that, the attitudes of women towards attendance at the sixth week PNC were mostly negative. Four themes emerged from the study. Some of the recommendations of the study included a need for review of information given to mothers regarding its relevance and appropriateness; a need to foster more positive attitudes in women towards attendance at the sixth week PNC. / Health Studies / M.A. (Nursing Science)

The main objective of the study was to investigate the effectiveness of the strategies employed by the City of Harare in household solid waste management. To achieve these, structured questionnaires, interviews, observations and focus group discussions were employed in data gathering together with secondary data. The study was conducted in Harare’s low, medium and high density income suburbs. Findings revealed that organic solid waste constituted the largest proportion of waste generated in Harare and other forms are also generated yet their collection is very minimal. Residents resort to illegal night dumping, resulting in the proliferation of associated diseases. In light of these findings, it was recommended that waste collection entities be capacitated, people be educated on waste recycling, reduction and reusing. A commission was to be put in place to ensure proper enforcement of waste legislation, effective and sustainable day in running of household solid waste management in the city / Environmental Sciences / M.Sc. (Environmental Management)

Poverty has continued to be an enormous challenge for Africa. Immoral political decisions and tactics have led to the continued suffering of the landless poor in the city of Harare. With no consideration for the dignity of people, the government of Zimbabwe through Operation Murambatsvina (Operation Reject Filth) demolished shelters belonging to the poor in the city a decade and half ago. To this day, most of the victims of this destruction still lack adequate accommodation. The majority urban poor have been excluded from the community and inhabit shanty towns around Harare. Deprived of justice, the poor are alienated from their right to land, nourishment and dignified life. This complete disregard for life and African community values ought to be challenged. Ubuntu moral theory presents necessary guiding principles for human progress that achieves genuine harmony and equality among all people. In light of the experiences of deadly but preventable poverty in Harare, the will-to-live for all requires confirmation. Every human being is endowed with irrevocable intrinsic worth. The elimination of poverty requires practical philosophical resolutions that are driven by sincere respect for human life. / Philosophy, Practical and Systematic Theology / M.A. (Philosophy)

Voluntary Counselling and Testing (VCT) is vital in the management of HIV/AIDS as it is the first step in treatment, care and behavioural change. Entrenched economic and gender inequities drive an increasingly feminized HIV/AIDS pandemic. This study investigated factors influencing VCT attendance by women in the Glen View high density suburb in Harare. A survey methodology was followed using a semi-structured, self-administered questionnaire that was distributed to randomly selected women of reproductive ages in the area. The analysis showed that VCT usage is low and that factors such as fear of the consequences of testing positive for HIV, such as violence and rejection by male partners are to blame. Importantly, the findings suggest that if the vulnerability of women is not addressed, then increased VCT uptake and better reproductive health outcomes for women are also unlikely. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS)

This study was an attempt to investigate the influence of socio-cultural factors on HIV prevention strategies among HIV discordant couples in Harare, Zimbabwe. HIV sero-discordance is a scenario whereby one partner is HIV-positive and the other is HIV-negative. HIV sero-discordant couples are a unique and vulnerable population that encounters many peculiar challenges. When dealing with this population, researchers have to deal with contradictory ideas and perceptions presented by each partner making up the couples and also understand the relationship in the context of cultural values, norms and the dynamic of power and oppression. In addition to this, the concept of HIV sero-discordance and the frequency of its occurrence are poorly understood in most African communities. Despite the growing evidence of HIV discordance, HIV prevention strategies have largely focused on clinical aspects at the expense of socio-cultural issues that impact on HIV prevention strategies targeted at HIV sero- discordant couples. The study seeks to contribute to the conceptualization and design of intervention programs dealing with sero-discordance. The study is underpinned by the symbolic interactionism theory and was qualitative in design involving 13 HIV discordant couples in heterosexual relationships enrolled in the HIV Preventions Trials Network 052 Study (HPTN 052 Study) being undertaken by the University of Zimbabwe’s department of medicine. The study utilized 2 Focus Group Discussions (FGD) and 10 in-depth interviews (IDI) to collect data. The study’s findings indicate that discordant couples are in fact critical stakeholders in the uptake of all the available HIV prevention strategies. Failure to acknowledge this tenet is self-defeating as evidenced by the perception of viewing condom use within a marriage as humiliating for a woman. The study further noted that practitioners in the HIV prevention domain must guard against over-relying on the scientifically demonstrated efficacy of the strategies. The study recommends that HIV prevention strategies must be socially and culturally acceptable and embedded for them to be more efficacious. / Sociology / M.A. (Social Behaviour Studies in HIV and AIDS)

This study was an attempt to investigate the influence of socio-cultural factors on HIV prevention strategies among HIV discordant couples in Harare, Zimbabwe. HIV sero-discordance is a scenario whereby one partner is HIV-positive and the other is HIV-negative. HIV sero-discordant couples are a unique and vulnerable population that encounters many peculiar challenges. When dealing with this population, researchers have to deal with contradictory ideas and perceptions presented by each partner making up the couples and also understand the relationship in the context of cultural values, norms and the dynamic of power and oppression. In addition to this, the concept of HIV sero-discordance and the frequency of its occurrence are poorly understood in most African communities. Despite the growing evidence of HIV discordance, HIV prevention strategies have largely focused on clinical aspects at the expense of socio-cultural issues that impact on HIV prevention strategies targeted at HIV sero- discordant couples. The study seeks to contribute to the conceptualization and design of intervention programs dealing with sero-discordance. The study is underpinned by the symbolic interactionism theory and was qualitative in design involving 13 HIV discordant couples in heterosexual relationships enrolled in the HIV Preventions Trials Network 052 Study (HPTN 052 Study) being undertaken by the University of Zimbabwe’s department of medicine. The study utilized 2 Focus Group Discussions (FGD) and 10 in-depth interviews (IDI) to collect data. The study’s findings indicate that discordant couples are in fact critical stakeholders in the uptake of all the available HIV prevention strategies. Failure to acknowledge this tenet is self-defeating as evidenced by the perception of viewing condom use within a marriage as humiliating for a woman. The study further noted that practitioners in the HIV prevention domain must guard against over-relying on the scientifically demonstrated efficacy of the strategies. The study recommends that HIV prevention strategies must be socially and culturally acceptable and embedded for them to be more efficacious. / Sociology / M.A. (Social Behaviour Studies in HIV and AIDS)

Voluntary Counselling and Testing (VCT) is vital in the management of HIV/AIDS as it is the first step in treatment, care and behavioural change. Entrenched economic and gender inequities drive an increasingly feminized HIV/AIDS pandemic. This study investigated factors influencing VCT attendance by women in the Glen View high density suburb in Harare. A survey methodology was followed using a semi-structured, self-administered questionnaire that was distributed to randomly selected women of reproductive ages in the area. The analysis showed that VCT usage is low and that factors such as fear of the consequences of testing positive for HIV, such as violence and rejection by male partners are to blame. Importantly, the findings suggest that if the vulnerability of women is not addressed, then increased VCT uptake and better reproductive health outcomes for women are also unlikely. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS)

Text in English / The study focused on the characterisation and management of non-formal solid waste disposal sites in Harare, the capital city of the Republic of Zimbabwe. In many developing countries, increasing urbanisation surpasses the development of urban infrastructure and this has led to the proliferation of informal settlements, illegal dumping sites and uncontrolled vending in cities like Harare. The researcher investigated the prevalence of non-formal dumping sites in Harare, including the composition, locational attributes and internal linkages of solid waste. Practices regarding the management of non-formal solid waste disposal sites were examined and areas of good practice and conformity to international standards were complemented while recommendations and suggestions were made on areas that were found wanting. An integrated management system was recommended for the sustainable management of solid waste. To support this recommendation, management window of responsibilities (EMWR) model was created so that the Harare City Council can enhance stakeholder participation. The research results show that most residents used non-conventional ways to store waste, like mealie-meal bags and sacks, and this posed a danger to human health. It also emerged that the city of Harare has not updated some of its by-laws, some of which were enacted about 33 years ago while others remained drafts for decades. This made it difficult for the city to effectively implement them. / Environmental Sciences / M.Sc. (Environmental Management)

Text in English / The study focused on the characterisation and management of non-formal solid waste disposal sites in Harare, the capital city of the Republic of Zimbabwe. In many developing countries, increasing urbanisation surpasses the development of urban infrastructure and this has led to the proliferation of informal settlements, illegal dumping sites and uncontrolled vending in cities like Harare. The researcher investigated the prevalence of non-formal dumping sites in Harare, including the composition, locational attributes and internal linkages of solid waste. Practices regarding the management of non-formal solid waste disposal sites were examined and areas of good practice and conformity to international standards were complemented while recommendations and suggestions were made on areas that were found wanting. An integrated management system was recommended for the sustainable management of solid waste. To support this recommendation, management window of responsibilities (EMWR) model was created so that the Harare City Council can enhance stakeholder participation. The research results show that most residents used non-conventional ways to store waste, like mealie-meal bags and sacks, and this posed a danger to human health. It also emerged that the city of Harare has not updated some of its by-laws, some of which were enacted about 33 years ago while others remained drafts for decades. This made it difficult for the city to effectively implement them. / Environmental Sciences / M.Sc. (Environmental Management)

The study investigated how patients in the general wards of the Avenues Clinic perceive the nursing care they received. The study objectives were to identify how nurses in the general wards of the Avenues Clinic respond to patients' needs and if the nursing care received from the nurses matched patients' expectations. The study further sought to determine if patients would return to use Avenues Clinic nursing services and recommend services to family and friends. Data was drawn from 87 respondents by randomly distributing 100 questionnaires to three thirty-four bedded general wards of the Avenues Clinic. Findings of the study indicated that the majority of patients who received nursing care that was in line with their expectations would also return to use Avenues Clinic nursing services as well as recommend the services to family and friends. The theme "optimal care" was used to consolidate patient satisfiers while "suboptimal care" was used to describe patient dissatisfiers. / Health Studies / (M.A.(Health Studies ))