M.Tech. (Environmental Health) / Please refer to full text to view abstract

Presenteeism is defined as the loss in productivity when workers are on the job, but not performing to their best because of health-related issues. As with absenteeism, presenteeism is considered negative as it results in low levels of productivity and can, in the long term, have high cost implications. The research problem in this study was to identify strategies for reducing health-related presenteeism at primary health care clinics in the Nelson Mandela Metropolitan Municipality. To achieve this goal, the following actions were taken: A literature study was conducted to identify the extent of health related presenteeism at primary health care clinics as well as the management thereof. Strategies that could be utilised to prevent and reduce health-related presenteeism, ensuring that there is an ongoing service delivery in the workplace, were identified. The literature study revealed, amongst others, that those who suffer from emotional and physical stress have difficulty in performing well on the job. By law, employers have responsibilities to provide a safe environment. Hence, companies have to conduct an audit re-examining the health and safety document of the company. In addition, employers must ensure compliance within the current and developing legislative context. A balance between professional and personal demands of every employee should be promoted. In so doing, employees are able to trust their managers to share whatever problem is encountered. A commitment from the company and good management of presenteeism will result in a positive effect on productivity and customer service quality. A questionnaire was developed and administered to primary health care clinic personnel in the Nelson Mandela Metropolitan Municipality. The results from this empirical study revealed that sick or tired employees are less able to work at optimum levels. These employees have the potential to aggravate their illness, resulting in prolonged absence, or infecting their colleagues. In the study, chronic diseases were perceived as prevalent among employees at the health care clinics. It did not appear as if the management of stress received much attention or that an audit has been done to determine the state of health of employees. It is therefore necessary to educate employees about the importance of their wellbeing. Welldesigned jobs and good management can assist in minimising organisational stressors. Employers need to be convinced that investing in the health of their employees is in their best interest from a business perspective. In today’s competitive business world, companies look at maximising both profit and productivity. Hence, employee health plays a fundamental role in the success of companies. In the health care environment, the wellness of nurses will lead to more productive behaviour and better service delivery.

Health and safety management forms part of the overall risk management of medical institutions, and deals with the responsibility of an organisation to provide a risk free environment for all who are exposed to the activities of such medical institutions. Affected people include health care workers, contractors, visitors, and patients. Medical institutions, and hospitals specifically, are uniquely distinct from other industries in that they employ highly skilled staff with specific specialised knowledge. These institutions are also increasingly making use of complex technology that requires specialist staff to operate medical machines and equipment. These specific aspects are accounted for in this research. The overall purpose of this research is to determine the need for an alternative approach to the management of health and safety in medical institutions. An appropriate model will be developed that can be integrated into the existing health and safety management system. The research methodology for this study comprises the following steps: Firstly, the health and safety environment was researched in relation to all stakeholders, external and internal, that are affected by medical institutions’ activities. The effect of these activities, and how it influences health and safety management, was evaluated in a South African context. Secondly, the overall risk management approach of medical institutions and the effect of organisational culture were researched to determine the effect on health and safety performance. Thirdly, a questionnaire was sent to selected staff of five hospitals in the Eastern and Western Cape to determine their perception and experience of health and safety management. Quantitative data on incidents in Netcare Hospitals were obtained, and a comparison of the questionnaire studies was done to determine the need for a health and safety model. The final step of this study entailed the development of a health and safety model using legislative requirements and the needs identified in the research. A proposal is made to integrate specialist functions and departments into the existing health and safety management system, in order to strengthen the managerial capabilities of such a system. The importance of improving the safety and compliance culture is indicated.

This is a qualitative study that seeks to explore the workers’ perceptions towards the occupational safety and health administration (OSHA) system at the petrochemical industrial plant Sasol Infrachem in Sasolburg. It provides a platform for shop floor workers to express their subjective perceptions of the company’s OSHA measures by answering open ended questions. The study advances the notion that notwithstanding the safety managers’ efforts towards ensuring a safety regime in the workplace, however lucrative these might be, to really ensure a safe working environment in the workplace will always depend on the individual workers’ motivation to participate safely at work at any given time to ensure his/her safety and that of others. The study explores this subject by considering how they perceive these safety strategies, their vigilance, attitudes, their ownership of these and their inclination to comply with the occupational safety and health administration measures of Sasol. This study follows a Postmodernist theoretical framework emphasizing differences. Difference is a first and foremost identity feature of human beings. This goes for both their external and internal qualities. How workers perceive and relate to safety concepts will always be shaped by the differences among them. The study also makes use of the Environmental Justice Theory as a central theme, that holds that one life lost is one too many. At the forefront of industries are shop floor workers who are most vulnerable to workplace incident.The study assumes this premise with regard to their safety and health in the workplace

Occupational health is concerned with health in its relation to work and the working environment. This study was undertaken to present an overview of occupational health in South Africa, with national and international perspectives on the discipline, in the light of : (a) the recent commissions of enquiry into aspects of occupational health in South Africa (b) the development of the national and self-governing states (c) new strategies by the authorities in the form of decentralization and deregulation. Information on the health profile of its workers, current legislative and service provisions and on policies for economic development and urbanization is vital for health administrators, occupational health and safety practitioners and policy makers. Data was collected through the use of literature surveys and postal questionnaires to the various interested persons and groups involved with occupational health. The findings reveal that (a) an inadequate occupational health policy exists in that the responsibilities of government(s), employers, workers and health professionals are not defined (b) there is an absence of an organizational and service framework for an occupational health system in South Africa although the morbidity and mortality data are significant (with their concomitant economic and social consequences) (c) there is a lack of financial and human resources for the practice of occupational health in South Africa. Recommendations are made taking into account the developed and developing components of South Africa. / Thesis (M.Med.)-University of Natal, Durban, 1987.

South Africa’s Constitution and the Employment Equity Act have a major impact on the performance of medical examinations within the employment relationship. Health and safety statutes list a number of occupational medical examinations, which an employer must perform. Other legislation permits the execution of medical examinations. After listing the different statutory references to occupational medical examinations, this treatise examines under which conditions medical testing is required or permissible. The fairness of employment discrimination based on medical facts, employment conditions, social policy, distribution of employee benefits and inherent job requirement is analysed through a study of the legal texts, experts’ opinions and case studies. The particularities of the ethical and legal duties of the medical professional, performing the occupational medical examination, are also examined. Finally, a comprehensive analysis of the different forms of occupational medical examinations is compiled by combining legal and policy-related job requirements and is attached as an annexure. This is the practical result of the research in this treatise combined with the personal experience of the author.

MPM / Department of Public Health

The aim of this study was to determine the impact that Indoor Environmental Quality (IEQ) design features of green buildings, have on specific organisational outcomes. The organisational outcomes investigated were physical wellbeing, psychological wellbeing, productivity, absenteeism and job satisfaction. These outcomes were investigated within two different green buildings, belonging to a large financial institution, situated in Johannesburg and Durban. Self-report questionnaires were distributed to employees via email inviting them to participate in the study. The questionnaires contained the Warwick-Edinburg Mental Wellbeing Scale (WEMWBS), the Sick Building Syndrome (SBS) questions, and single-item questions measuring productivity and job satisfaction. Actual absenteeism records were obtained of the participating sample from the organisation. Measures were taken before the participants moved into each of the green buildings and 12 months post occupancy in the green buildings. Measures of a comparison group that did not move into either of the green buildings were also taken at the same time periods. The final sample consisted of 175 participants. The results of this study illustrated significant differences in physical wellbeing and productivity of the participants in the green building situated in Durban. Both these measures increased 12 months post occupancy in the green building. The IEQ design features that were found to most significantly impact wellbeing and productivity within the two green buildings were lighting and air conditions. This research is important as there is a growing movement towards implementing green building design initiatives, however in order to be truly effective, the benefits of green building designs must extend beyond the benefits to the environment and also consider the benefits to its occupants (Heerwagen, 2000).

Thesis (MBA) -- Stellenbosch University, 2011. / A company’s primary goal is to make money. Simple as it may seem, this is not always easily achieved, and sustainability of the business may be a serious challenge. In an effort to make a profit, important aspects of safety, health, environment and quality (SHEQ) may sometimes be neglected. Some small and medium-sized enterprises (SME) merely do not have the understanding or the capacity to address all the important aspects of SHEQ, thereby placing the company under potential financial and legal risks. A survey was conducted in SMEs based in the Durban area to ascertain their level of legislative and voluntary system standard awareness and implementation. The questionnaire responses indicated that general awareness of legislation such as the Occupational Health and Safety Act, the Compensation for Occupational Injuries and Diseases Act, the National Environmental Management Act and voluntary system standards such as ISO 9001, ISO 14001 and OHSAS 18001 was relatively good, on the whole. However, implementation of the mandatory environmental requirements associated with the National Environmental Management Act was low, as was the implementation of the voluntary standards. Management and implementation of SHEQ responsibilities and requirement in larger organisations may be divided amongst various discipline specialists. However, in the SME these various disciplines may be the responsibility of one person, and often this person is the managing director. As such, this individual may not always have adequate time or understanding of the legal requirements of SHEQ aspects. There may also be a lack of understanding of the potential cost implications in not managing SHEQ aspects, and similarly budgeting requirements of managing SHEQ aspects appropriately. This research report introduces and summarises key SHEQ legislation and voluntary management system standards, such as the Occupational Health and Safety Act, the National Environmental Management Act, local bylaws, and introduces the ISO 9001, ISO 14001 and OHSAS 18001. Since some characteristics of the disciplines of health and safety, environment and quality may overlap, combining these into an integrated management system has merit. Such an integrated system can save the company time and money. This research report reviews some pertinent business requirements associated with SHEQ and presents an integrated management system guideline for the SME business owner. Business management, today, needs to learn from past business management developments. Successful and sustainable business management is not only about making a profit, but also incorporates a significant human resource management focus, health and safety assurance, the mitigation of potential environmental impacts from operations, whilst ensuring that quality standards of products and services are competitive.

Abstract not available. / Thesis (M.Dev.Studies)-University of Natal, Durban, 2000.