Thesis submitted in fulfilment of the requirements for the degree Master of Technology Occupational Health Nursing in the Faculty of Health and Wellness Sciences at the Cape Peninsula University of Technology 2015 / Purpose of study: The purpose of this study was to explore the injury on duty prevention and management strategies that are currently used in different higher education settings. The study intended to shed light on specific areas of policy and practice discrepancies related to the disjuncture between employee interactions, regulated directives and organizational goals. Aims and objectives: One of the aims was to determine the types of work-related injuries that occur in HEI’s by verifying the injuries reported on Employers Reports of an Accident. A second aim was to examine strategies that have been put in place to prevent injuries in the workplace by reviewing policies and procedures related to injury prevention. The final aim was to examine systems in-place to manage occupational injuries by looking at staff health or employee wellness service flow charts or models used at the HEIs. Population and sample: Permanently employed personnel at two HEI’s in the Western Cape were participants in a multiple case study. The sample units consisted of health and safety representatives, human resources, maintenance personnel, estates and custodial, traffic services and departmental managers. Methodology: This study applied a mixed-method using a multiple case study design as an approach to the enquiry. Methods of data collection: Documents, questionnaires, and semi-structured interviews were be used to obtain data to answer the research questions. Process of analysis: Qualitative and quantitative themes will be analysed in a matrix. The three data sources were triangulated to validate the findings. Benefits of the study: Injury prevention benefits the employer and employee in many ways, including increased employee performance leading to increased productivity as well as cost savings. Main findings: Injuries that were reported are mostly musculoskeletal injuries; however other types of injuries may not be reported due to under reporting of injuries being common in this setting. Health and safety training and knowledge sharing was not well supported and injury prevention strategies were not optimized. The application of health and safety policies and procedures were not adequately communicated, enforced or monitored. Staff health and employee wellness strategies operate independently and do not facilitate a coordinated response to manage occupational injuries in this setting. Lack of monitoring, organizational support, training and knowledge sharing and communication were the four main challenges to injury prevention management systems. Conclusions: The implementation of an effective injury prevention and management programme could benefit the organization and translate into increased operational value (organizational quality). Key words: Higher Education Institutions, Occupational Injury prevention, Management of occupational injury.

Text in English / The study, which considers that the construction industry is a high risk one due to the physical work demand and nature of the working environment, was conducted to develop practical guidelines for workers and employers that promote occupational health and safety (OHS) in the construction industry in Namibia. The study, conducted at 13 study sites in Windhoek, Namibia, used a quantitative descriptive study method to gather data regarding the OHS status of the construction industry. Data was collected from the 13 study sites using a site interviewer-led questionnaire for 549 construction workers. In addition, both a site inspection checklist and document review checklist were used to collect the data from ten construction sites. A review of documents concerning occupational accidents, diseases and injuries encountered at construction sites that were held by the Ministry of Labour, Industrial relations and Employment creation for the five-year period from April 2011 to March 2016 was carried out. Data was analysed using the Statistical Package for Social Sciences (SPSS) software version 23. The study findings show that most of the workers at the study sites were young and male, with most participants lacking awareness of OHS issues, which may hinder accidents and injuries prevention. It also emerged that occupational hazards are prevalent at the study sites and yet there were poor mechanisms for hazard prevention or mitigation measures. The study notes that there was a high rate of occupational accidents and injuries, as well as a few incidences of health hazards, as indicated by few participants, although there was no documented occupational disease. It is also noted that most study sites do not comply with OHS legislations, such as having OHS policies that indicate the employer’s commitment towards OHS, which placed workers at risk of hazard exposure, occupational accidents, injuries and diseases. Practical guidelines to promote OHS in the construction industry of Windhoek, Namibia are developed as the primary output of this project. / Health Studies / D. Litt. et Phil. (Health Studies)