South Africa is a country steeped in decades of conflict and animosity. Apartheid and its consequences do not simply die: it has created a society struggling for survival. Against the backdrop of a country and its people still experiencing an extended social crisis, these struggles are socially constructed through various forms of aggressive, traumatic and violent behaviours such as crime victimisation. The resultant effect is that many South Africans are traumatised and require assistance to manage and deal with the impact of traumatic exposure. Counselling and psychological services within the South African context are limited, potentially expensive and often inaccessible to the poor. One way to address the needs of victims of crime and violence, is through the establishment of one-stop multidisciplinary crisis centres that specialise in short term crisis intervention service delivery. One such a crisis centre is the Sinoville Crisis Centre (SCC). The purpose of the study is to present an exploratory qualitative and participatory action research account of the SCC's endeavours and ongoing challenges in providing crisis intervention services as well as to serve as a guideline for future development. Research interviews with seven (7) SCC counsellors were complimented with a focus group interview. Subsequent conclusions were grounded in relation to relevant subject theory. Three (3) broad categories of recommendations are provided. Specific recommendations are levelled in relation to: * The SCC's crisis intervention models * The SCC's need to manage organisational change and loss; and * The SCC's role within the Victim Empowerment Programme. / Psychology / M.A. (Psychology)

The registered midwives are engaged in continuous health education lessons In antenatal visits, discouraging antenatal clients from using hannful traditional and cultural practices in an attempt to preserve pregnancy to tenn. Despite the registered midwives' efforts, the clients continue to use hannful cultural methods, which are life-threatening to both the mother and the foetus In utero. The prenatal clients perceive the registered midwives as not being sensitive to their culture. The results of this study revealed that health education in antenatal clinics should be collaborative: that is, the people who have influence over the clients' pregnancy, like me mother-in-law, the traditional practitioners, cUents and their family members, should be involved by the midwives during the preparation of pregnancy lessons and health education lessons on how to preserve pregnancy to term according to· scientifically proven methods. / Health Studies / M.A. (Health Studies)

The research study focuses on transformation management in a welfare organisation and is aimed at developing a framework for a prospective model for management of a transformation process in a welfare organisation. The research was directed by two components, the nature, and the management of transformation, and was initiated with a literature study on these two concepts. The research study is limited to the Gauteng area, and only child and family welfare organisations which were already active participants of a transformation process were targeted. Data collection process was initiated by means of a structured interview schedule, completed by managers/senior social workers/ Board chairpersons (the target group). Results of the study indicate that a majority of the twenty targeted organisations had undergone an unstructured transformation process. A structured, well formulated, and planned transformation management process was required as a guideline, with a view to developing a prospective model for the management of a transformation process in a welfare organisation. Results and conclusions drawn from this study can be generalised in the broader spectrum of welfare organisations for the management of a transformation process. Further research is needed to develop the required model. / Social Work / M. Diac. (Social Work)

Primary health care represents a change from curative approach to preventive approach to rendering health care services. The study analyses the problems encountered in the administration of primary health care in South Africa with specific reference to the Emfuleni Local Authority. The study describes the role of international institutions in the administration of primary health care in South Africa. Furthermore, the. historical development, the role of the National Department of Health in the administration of primary health care services is outlined. The study also investigates the role of the Gauteng Provincial Department of Health regarding the implementation of district health system, health promotion, the involvement of the private sector and NGO's in primary health care. Problems encountered by the Emfuleni Local Authority such as la~k finance, personnel shortages, security, urbanisation, non-involvement of traditional healers and citizen apathy are investigated. Lastly, governmental relations for primary health care are described. / Public Administration and Management / M. Admin (Public Administration)

Text in Afrikaans / Die probleem wat in die studie ondersoek word is: wat die aard van die behoefte aan gemeenskapgesondheidsinligtingdienste (GGID) in Suid-Afrika, met besondere verwysing na Bloemfontein en Mangaung, is. Daar word van 'n verkennende studie gebruik gemaak om die navorsingsdoelstellings te bereik. Die metodes wat gebruik is, is literatuurstudie, gevallestudie en opname. Die tegnieke wat gebruik is, is vraelys, skedule en onderhoud. 'n Oorsig oor gesondheidsorg, met die klem op primere gesondheidsorg as agtergrond vir gesondheidsopvoeding en -inligting, word gegee. Daar word verwys na die rol van verskillende biblioteektipes en die bibliotekaris. Redes vir die ontstaan van gemeenskapgesondheidsinligting, die verspreiding van GGID in die buiteland en die fvksionering daarvan word beskryf. 'n Ondersoek is in Mangaung en Bloemfontein gedoen om die behoefte aan GGID en die aard van gesondheidsinligting te probeer bepaal. 'n Model word saamgestel uit die behoeftebepaling en die literatuurstudie / The subject investigated by this study is: the nature of the need for community health information services (CHIS) in South Africa, with special reference to Bloemfontein and Mangaung. An exploratory study has been used to achieve the research objectives. The methods used are review of the literature, case study and a survey. The techniques used are a questionnaire, schedule and interview. A review of health care, emphasizing primary health care as a backgound to health education and information, is given. The role of different types of libraries and the librarian is discussed. Reasons for the development of community health information, the distribution of CHIS overseas and their functioning are described. An investigation was done in Bloemfontein and Mangaung to gauge the need for CHIS and the nature of health information. A model has been formulated, based on this survey and the literature review / Information Science / M. Bibl. (Inligtingkunde)

The research study focuses on transformation management in a welfare organisation and is aimed at developing a framework for a prospective model for management of a transformation process in a welfare organisation. The research was directed by two components, the nature, and the management of transformation, and was initiated with a literature study on these two concepts. The research study is limited to the Gauteng area, and only child and family welfare organisations which were already active participants of a transformation process were targeted. Data collection process was initiated by means of a structured interview schedule, completed by managers/senior social workers/ Board chairpersons (the target group) . Results of the study indicate that a majority of the twenty targeted organisations had undergone an unstructured transformation process. A structured, well formulated, and planned transformation management process was required as a guideline, with a view to developing a prospective model for the management of a transformation process in a welfare organisation. Results and conclusions drawn from this study can be generalised in the broader spectrum of welfare organisations for the management of a transformation process. Further research is needed to develop the required model. / Social Work / M.Diac. (Social Work)

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)

Young women working in SMEs are increasingly being affected by HIV and AIDS, and SMEs are expected to respond to HIV and AIDS through workplace policies and programmes. This requires commitment from SMEs to help young women who face various gendered vulnerabilities to HIV and AIDs. The study, whose purpose was to investigate young women workers’ experiences of the HIV and AIDS response of small and medium enterprises in a semi urban area in KwaZulu-Natal, used a qualitative approach and collected data from three SMEs in Pietermaritzburg during the period of the study. Findings of the study indicate that the majority of respondents from all three SMEs agree on experiencing limited or no HIV and AIDS policies and programmes in SMEs. With reference to incomplete or limited responses, two SMEs provide financial assistance for funerals. However, some aspects such as education and awareness, monitoring, management commitment, provision of medical aid, facilitation of peer education, appointment of an HIV officer and more were not evident. Thus recommendations were made on how SMEs should respond, and future research ideas were outlined. / Health Studies / M. A. (Social Behaviour Studies in HIV/AIDS)

Infant feeding in the context of HIV/AIDS poses a challenge among mothers. The implementation of UNICEF guidelines on infant feeding, which state that “when replacement feeding is acceptable, feasible, affordable, sustainable and safe, avoidance of all breastfeeding by HIV-infected mothers is recommended” (WHO, 2003:12) are not easy to meet. In more developed countries, where these criteria are met, almost all HIV-infected mothers have ceased to breast feed. Consequently, infants of mothers in these countries are less likely to be infected with HIV postnatally. In South Africa, more specifically in the Eastern Cape, infant feeding is a challenge as a number of UNICEF criteria cannot be met. The Eastern Cape is one of the poorest Provinces in South Africa, with a number of rural communities. Earlier studies have shown that, if mothers select either exclusive breast feeding or exclusive formula feeding, this reduces mother-to-child transmission of HIV. A limited number of studies on adherence to the method of infant feeding selected before delivery were found in the literature, hence the need for the current study. The purpose of the study was to explore adherence to exclusive breast feeding and exclusive formula feeding among mothers with HIV infection and to determine the problems that mothers may be facing in implementing their pre-selected methods.

MCur / Department of Advanced Nursing Science