This research study was initiated by the desire to identify the constraining and enabling factors experienced by environmental health officers (EH Os) and their management in the implementation of environmental health education and promotion programmes in the environmental health sector. The research contextualises the issues of health promotion, the role of education in health promotion, and community-based environmental health service provision with specific reference to the role of the EHO in relation to these issues. The foremost value ofthis study lies in the fact that it profiles the need for change in the delivery of community-based environmental health education and promotion programmes and identifies distinctive policy changes and skills development needs in the field of environmental health promotion which are central to improved and sustainable community-based environmental health education and promotion. / Educational Studies / M. Ed. (Environmental Education)

Understanding the sexual behaviour patterns that can place the adolescent at risk for the development of sexually transmitted diseases is crucial in the HIV I AIDS epidemic era. An explorative descriptive survey was conducted among adolescents in the age group 14 to 19 years attending sexually transmitted disease services in the Vaal Region clinics. The purpose of the study was to explore the sexual behaviours of the adolescents and the impact the life style health education programme had on their sexual practices. Of the 89 respondents who attended the sexually transmitted disease clinic more than half were found to be engaging in sexual intercourse on a weekly basis. The study further revealed that the adolescents lacked in-depth information on sex and sexuality and expressed the need for change in the implementation of the adolescent life style health education programme. / Health Studies / M.A. (Nursing Science)

Injuries, illnesses and deaths happening in schools are a growing menace in Gauteng province, South Africa. This qualitative research study sought to evaluate the administrative efficacy of first aid (FA) provisioning in Gauteng schools in the wake of rampant injuries, deaths and disfigurement among learners and teachers, as documented in the local print and electronic media. An emergent research design underpinned by a phenomenological theoretical perspective unravelled the administrative efficacy of the provisioning of FA in two pre-schools, two primary schools and two high schools in Gauteng province. Observations in one school, semi-structured face-to-face interviews with one pre-school manager, three FA appointed persons, one deputy headmaster and a subject head of department, as well as focus group discussions with learners and teachers in two schools, were the data-gathering tools. A thematic analysis approach was the method adopted to analyse data. Research findings indicate very low levels of FA literacy and competency among learners, teachers, pre-school managers and principals in the sampled schools. I recommend and advocate a national conversation aimed at instituting a massive drive to make it mandatory for all learners and teachers to be trained in FA. / Educational Leadership and Management / D. Ed. (Education Management)

Adolescent sexual health has been identified as a significant health and development problem facing South Africa. Limited amounts of research on sexual interactions have been undertaken, with information on adolescents’ romantic relationships being particularly scarce. Qualitative research needs to foster an understanding of the dynamics of sexual interactions in specific settings, and with emphasis in the past on cognitive health psychology models, very little is thus known about how adolescents negotiate and make sense of their sexual experiences. This highlights the need to investigate the complexities of human sexuality in a contextual manner. In response, this study explores the lived experiences of four young black women as they negotiate their agency and sexuality in a local context. By way of in-depth qualitative interviews, which were analysed for recurrent themes using interpretative phenomenological analysis, this project examines the participants’ experiences regarding sex, relationships, communication, sexual health care, as well as HIV and pregnancy prevention. The results reveal that communication about sexuality in the participants’ homes was limited if not absent altogether. When seeking sexual health care, they found clinic nurses to be judgemental and rude. Regarding sexuality and HIV education, the participants stressed the need for outside educators to teach in more practical ways to increase efficacy. In their dating relationships, most participants revealed their boyfriends had a great deal of influence over their sexual initiation. Unwanted pregnancy surfaced as a greater fear than HIV in their accounts due to pressure to finish their education and attain well-paying jobs in the future. The participants felt unable to stop their boyfriends’ infidelity and had limited agency when facing sexual demands. Their accounts revealed that they negotiate their agency in an atmosphere of coercion and the threat of rape. However, areas of agency included their consistent condom use even when facing pressure to have unprotected sex, and their active accessing of sexual health services for hormonal contraception. These insights serve to better inform sexual and reproductive health education and intervention programmes for young women. Moreover, educators, researchers and programme developers alike may gain useful insights from the personalised accounts derived from this study.

MPH / Department of Public Health / The prevalence of sexually transmitted infections (STIs) among High Schools has reached an epidemic level, calling for public health intervention. The study purpose was to investigate the knowledge, attitudes and risk behaviours related to STIs among learners at a selected high school in Collins Chabane Municipality. A quantitative-descriptive study was carried among 2018 officially registered high school learners in Malamulele. Malamulele West was conveniently selected because of the accessibility and Photani High School was selected purposefully. A simple-random sampling technique was used to select 252 respondents. Data collected with self-administered questionnaires was analysed using SPSS software version 25.0, the response rate was 100%. Chi-square test was used to determine the relationships between more categorical variables. Statistical significance level was set at p<0.05. Majority (63.1%) of the respondents never knew of STIs. Majority of respondents (31%) incorrectly identified the types and causative organisms of STIs. Poor knowledge on the modes of transmission was found amongst 73% of the population. Majority of the respondents (67%) did now know that STIs are infections. A large proportion (54%) had a positive attitude on STIs as they emphasised the importance of STI screening. Misconceptions regarding STIs is rife, 61% and 59.9% of the respondents believed preventing STIs by going to church every Sunday and sleeping with virgins respectively. 95.6%) were sexual active and 29% of the respondents had poor knowledge on risk sexual behaviours. Respondents had adequate knowledge regarding treatment as 56% of the respondents reported knowing where to seek treatment. However, 92.1% respondents reported bad treatment by nurses. Each high school should be allocated a social worker and a nurse for the coordination of awareness campaigns on STIs. Churches should offer formal programs regarding STIs to their congregants in collaboration with universities and clinics. / NRF

Abstracts in English and Southern Sotho / Affordable and accessible preventive health programmes within the South African Police Service (SAPS) could be the best measures for managing epidemic diseases in the organisation. Employee health and wellness (EHW) programmes, including those dealing with the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS), are often the subjects of debate among scholars and human resource management practitioners within the context of developing effective and efficient interventions in the workplace to enhance the health management of employees. This study explores the nature and extent of the employee wellness programmes that focus on HIV/AIDS in the SAPS. In particular, the research examines how EHW practitioners in the SAPS experience the programmes and what support they receive regarding HIV/AIDS in the workplace. Data were collected from six EHW practitioners using semi-structured interviews. The study finds that HIV/AIDS programmes are categorised into different interventions, each with advantages and purpose. The findings will help determine if the HIV/AIDS programmes effectively cater to the health needs of employees within the SAPS. The findings from this study are limited to six EHW practitioners’ experiences in relation to how they perceive the employee wellness programmes in the SAPS, more specifically, the HIV/AIDS programmes. / Go hwetšagala ga mananeo a maphelo a thibelo ao a bolokegilego, ao a sa turego le a go fihlelelega ka gare ga Tirelo ya Maphodisa ya Afrika Borwa (SAPS) e ka ba legato le lekaone la thibelo la go laola malwetši a leuba ka gare ga tirelo ye. Mananeo a bophelo bjo bokaone bja bašomi, go akaretšwa ao a šomago ka twatši ya go palediša mašole a mmele go šoma (HIV) le bolwetši bja go šitwa ga mašole a mmele (AIDS), gantši ke seo se dirago gore dirutegi di ngangišane le bašomi ba lefapha la bašomi mabapi le go tšweletša ditsenogare tšeo di šomago gabotse le tša go hloka mathata ka mošomong ka nepo ya go maatlafatša taolo ya maphelo a bašomi. Maikemišetšomagolo a dinyakišišo e bile go utolla sebopego le bogolo bja mananeo a maphelo a makaone a bašomi ka go SAPS ao a lebeletšego kudu HIV/AIDS. Dinyakišišo di dirilwe go tseba ka fao bašomi ba maphelo a bašomi le go phela gabotse (EHW) ga bona ka SAPS ba itemogetšego mananeo ao le gore ke thekgo efe ye ba e hwetšago mabapi le HIV/AIDS ka mošomong. Dipotšišo tša dipoledišano tšeo di nyakago gore baarabi ba fe mabaka di dirilwe ka nepo ya go kgoboketša tshedimošo go tšwa go bašomi ba tshela (6) ba EHW ba ka SAPS bao ba kgathilego tema ka dinyakišišong. Dikutollo di laetša gore mananeo a HIV/AIDS a hlophilwe ka mehuta ye e fapafapanego ya ditsenogare, gomme le lengwe le le lengwe le na le menyetla le maikemišetšo a lona. Dikutollo tše di tla ba mohola go tseba ge eba mananeo a HIV/AIDS a šoma gabotse go hlokomela dinyakwa tša maphelo tša bašomi ka gare ga SAPS. Dikutollo go tšwa ka mo dinyakišišong tše di tšwa fela go maitemogelo a bašomi ba tshela ba EHW mabapi le ka fao ba bonago mananeo a mabapi le go phela gabotse ga bašomi ka SAPS, kudukudu, mananeo a HIV/AIDS. / Business Management / M. Com. (Business Management)

The study was about the process evaluation of the development of the YOUNG WORKERS CAMPAIGN (YWC) Programme to document and analyses the involvement and participation of stakeholders in the development process. The purpose of the study was on the assessment of stakeholder participation and involvement in the development of the YWC to maximise the effectiveness, acceptability and sustainability of the intended programme. Informant interviews, focus group interviews and document analysis were the primary means of collecting data for this research study. The main findings are as follows: Few of the stakeholders were involved in the conceptualisation phase of the YWC Programme and their roles in the development process were not clearly described. Stakeholder analysis was not done and their involvement in decision-making was limited. In order to address the problem of participation, YWC stakeholders should pass through a process of stakeholder analysis, that is, they should be assessed in terms of contribution and value-adding to the development process. / Sociology / M.A. (Social Behaviour Studies HIV/AIDS)

The aim of this study was to firstly examine via a literature study, the response of the South African Department of Education (DoE) to HIV/AIDS. This required contextualizing this response in national as well as global terms. South African policies that impact on HIV/AIDS and the role of stakeholders in Education were focussed on. The various models of health behaviours were also examined. The efficacy of the Department of Education's response was then evaluated by conducting an empirical study at selected schools. Areas focussed on were: educators' and learners' knowledge of HIV/AIDS-related issues, their attitudes to HIV/AIDS and persons with HIV/AIDS, as well as their health behaviours. Research findings indicated that HIV/AIDS-related policies in Education were in place since 1999. The DoE, however, had not communicated these policies effectively to educators and learners, who were therefore unaware of the Universal Precautions related to safer behaviour practices in respect of HIV/AIDS. The DoE had not been effective in its response to HIV/AIDS in changing educator' and learners' risk behaviours. / Educational Studies / M.Ed. (Guidance and Counselling)

The global spread of HIV and Aids has greatly exceeded the most pessimistic projections. Infection rates are not declining and human tragedy is escalating. South Africa is a nation in mourning. If one is not infected, one is affected. Notwithstanding the catastrophic effects that are already being experienced, the full consequences of the pandemic seem yet to be felt. Developmental psychology and ecological systems theory were used in this study to examine the research problem. It has become necessary to determine the level of knowledge that adolescents have of HIV and Aids and whether Life Skills programmes stimulate any change in behaviour. This initially took the form of a quantitative study in which questionnaires were administered. A combination of quantitative and qualitative research (focus group interviews) was applied for verification. The goals of the research were achieved, providing valuable findings, confirming that there has been no behaviour change and adolescent knowledge remains inadequate. South African adolescents have insufficient knowledge of responsible sexual behaviour. Recommendations with regard to the content and course of the programme as well as further research are formulated as a result of the conclusions. / Educational Studies / M.Ed. (Socio-Education)

Three years into the human territory, the fight against HIV/AIDS still prevails. According to Fuller (2008), it is estimated that by 2025, 80 million Africans will have been killed by this pandemic, while 90 million are estimated to be infected by HIV. Close to 3 thousand women are infected with HIV daily. In the beginning of 2008, some 22,5 million sub-Saharan Africans were living with HIV (Fuller 2008). In South Africa, 5 million people are estimated to be infected with HIV, 250 thousand die each year due to AIDS-related deaths, while a thousand people die daily and 17 hundred get infected daily. South African women are the hardest hit population group, compared to their male counterparts (Fuller 2008; Zuberi 2004). In South Africa this epidemic crawled under the shadow of denial, fear, ignorance, stigma and discrimination, which disrupted efforts to prevent further spread and care for the infected and the affected individuals and groups. South African women are subjected to gender inequality, sexual violence and rape, and in the presence of HIV/AIDS their plight became exacerbated. They became subjected to blame and rejection because people do not want to associate themselves with this group, who possess the deadly infectious disease which is associated with commercial sex workers, intravenous drug users and homosexuals. The aim of this research was to investigate the plight of anticipated and enacted stigma among the South African women who receive treatment as outpatients in the Chris Hani Baragwanath Hospital. The study was conducted among six women who are living with HIV/AIDS over a period of four weeks, with a qualitative research design adopted as research method. In-depth interviews were used as the primary tool for data collection. This study was conducted in order for the researcher to obtain insight into the subject of HIV- and AIDS-related stigma and to highlight the experiences of participants for policy and programme designing and development purposes.