Housing delivery and issues relating to housing delivery have long been a complicated subject for most SA municipalities and government departments tasked with these responsibilities. The aforementioned complications stem from our inherited apartheid planning that was mainly focused on inequality, racial segregation and spatial fragmentation of land use. Corruption, lack of skills, financial constraints and lack of resources are issues further considered to be contributors to the complications related to housing delivery. The study to be conducted seeks to play a part in dealing with the complicated nature of housing delivery through being a toolof assessment. The study is in the form of an evaluation as it mainly deals with obtaining answers relating to the views of the respondents on the sustainable human settlement program implemented as part of the DVRI in the BCMM. In doing so it, seeks to provide answers to some of the challenges faced by municipalities and other government departments so as to ensure that going forward, best practices are adopted in the housing delivery process. The findings from the study revealed primarily that, what is planned on paper is not often what is implemented on the ground. In evaluating the aims and objectives of the two sustainable human settlement pilot projects implemented as the BNG pilot projects through the DVRI, a considerable number of the objectives of the projects have not been met according to the beneficiaries. The reasons for the lack of satisfaction relating to the two projects as cited by the respondents included, amongst other things; dissatisfaction with the quality of the structure, lack of adequate services, lack of employment opportunities, lack of recreational facilities, lack of social facilities, lack of safe and reliable transportation and the general maintenance of the settlement. Solutions to the identified issues include; improved and meaningful participation between government, planners and the beneficiaries of such housing projects, so as to ensure that the views of the beneficiaries are considered and that they have a considerable influence on the decisions taken, thus promoting a bottom-up approach to the housing delivery process. The provision of key recreational and social amenities and the improved maintenance of the general settlement were also identified by the respondents as solutions.

The Film Industry is regarded as a vital part of the South African economy. One of the advantages of this sector is the potential to create jobs. This has been evidenced over the years by direct jobs created for people in the entire film value chain. The Film industry has also generated many more jobs indirectly and sectors such as transport, catering and hospitality benefited enormously. The NFVF (2010) 10 years review of the Film and Video industry states that the South African government has identified the film industry as one of the catalytic vehicles for job creation and economic growth. Given the importance of the contribution of the Film Industry to job creation and economic development, there is a demand for SMMEs in this sector to be supported by Government. Not until recently the support given to Filmmakers was biased to Gauteng, Cape Town and Kwa-Zulu Natal as a result film makers would go to these Provinces for opportunities. This study has examined the challenges faced by SMMEs in the film industry in the Nelson Mandela Bay Municipality in acquiring Government support and to seek ways of addressing the challenges. There has been limited research undertaken on the support given to SMMEs in film particularly the Eastern Cape Province. After a comprehensive literature review was undertaken on SMMEs, the following variables were identified as conceivably affecting growth and development of SMMEs in the film industry: Enabling Legal and regulatory environment; Financial support; Technological support; Managerial support. This study followed a quantitative research method. A measuring instrument in the form of a questionnaire was compiled from secondary sources of literature. The respondents were identified through convenience sampling technique. The sample comprised of 35 out of 50 SMMEs in film. The empirical results showed that all of the variables, enabling legal and regulatory environment, financial support, technological support and managerial support had a relationship with growth and development of SMMEs in film.

Vaccines have greatly contributed to the control of vaccine preventable diseases. The adoption of the Decade of Vaccines (DoV) by the World Health Assembly in 2011 is an indication of how the global community values the benefits of vaccines. Efforts by many countries to introduce new vaccines are a significant move towards attaining this vision. However, new vaccines put strain on vaccine supply chains. The immunization programme in South Africa has similar challenges, with indications of vaccine stock outs in clinics since the introduction of three new vaccines in 2009. This study set out to establish the status of availability of vaccines in Tshwane government clinics and associated factors. Method: A cross-sectional study was conducted in a sample of randomly selected government clinics in Tshwane health district of Gauteng province. Data was collected using a structured measurement instrument during a visit to each of the participating clinics. Data was collated and analysed using excel based software. Results: A total of 31 clinics participated. In the preceding 12 months, clinics experienced vaccine stock outs, especially of the 3 new vaccines: pneumococcal conjugate vaccine (PCV), rotavirus (RV) vaccine and Pentaxim ®. These were also out of stock for a long duration; for over 2 weeks in a majority of clinics. The causes of vaccine stock outs were: poor management of stock, depot out of stock, unreliable deliveries, lack of pharmacy assistants, and limited fridge capacity. Further burdening the situation is the emergency ordering system that does not function effectively. Conclusion: Significant vaccine shortages occur in Tshwane government clinics. It is recommended that the vaccine supply chain should be restructured and overhauled with the use of advances in technology. Urgent measures should be taken to address the identified causes of stock outs including ensuring reliable deliveries of stock and emergency orders.

Background: Obesity is a chronic and complex metabolic disease with associated comorbidities. The prevalence of excess body weight has risen substantially in both affluent developed countries and in developing countries worldwide. In 2008 it was estimated that 43 million children under the age of five were overweight, with developing countries accounting for 75 percent of these rates. Furthermore, with 75 percent of these children developing adulthood obesity, mortality rates due to obesity will continue to increase unless preventative interventions are implemented. Objective: To identify the prevalence of obesity and overweight among urban seven to 10 years old children in Quintile five English-medium schools in the Nelson Mandela Metropolitan municipality in the Eastern Cape, South Africa. Design and Methods: A quantitative descriptive one-way cross-sectional research design utilising random sampling was used. A total of 713 children participated in the study. A onceoff survey consisted of anthropometrical assessment of height, weight and waist circumference. To classify children into weight categories, the International Obesity Task Force cut-off values were used. A validated physical activity – related behaviour questionnaire was completed to explore and identify the daily level of physical activity expressed in MET values. Using one-way ANOVA’s and Chi-squared tests, significance between variables was analysed. Results: Overweight prevalence was 20.9 percent and obesity prevalence was 9.8 percent. A significant relationship was found between obesity and overweight levels for gender, age, ethnicity and culture. No significant relationship was found for obesity and overweight prevalence and physical activity. Conclusion: Results highlight the rising prevalence of obesity and overweight amongst urban children from affluent primary schools and the necessity for further research to explore sociocultural factors that impact on obesogenic behaviour in South African youth.

South Africa is confronted by waste management challenges and the need to redress environmentally acceptable waste management practices. In seeking to address this challenge, the South African government has introduced waste management legislation, policies and strategies. Despite the legislation, policies and strategies on waste management, illegal waste dumping continues to exist as a major challenge in particular for the Nelson Mandela Bay Municipality. This study focuses on illegal waste dumping in Nelson Mandela Bay Municipality which negatively impacts on development. The study seeks to make recommendations which will assist the Nelson Mandela Bay Municipality to improve its waste management services. This study involved a community participatory approach by communities in Motherwell, New Brighton and Gelvandale. The research follows a mixed method approach, employing both qualitative and quantitative approach. A Public Perception Survey is used as a method of data collection aimed at determining the present public opinions regarding the waste management services currently offered by the Nelson Mandela Bay Municipality (NMBM). The study found that despite interventions by the NMBM to address illegal dumping, the problem continues to exist. Poor service provision by the NMBM in terms of waste collection services combined with the lack of awareness of the community‟s responsibility towards the cleanliness of its communities leads to littering and illegal dumping of waste by communities. The NMBM is not effective in the planning, coordination and implementation of its waste management services. Recommendations have been presented with regard to how effective waste management services in NMBM can be enhanced.

Community participation is a concept that has been advocated for by bodies such as the World Health Organization (WHO) for over two decades. In South Africa, community participation was included in the National Health Act (61 of 2003). Clinic and Community health facility committees were legislated as a method of involving communities in promoting health and improving health outcomes. During the year 2010, a process was initiated by the Nelson Mandela Bay Municipality (NMBM) to establish and train health committees at all health facilities. The purpose of this research report was to evaluate the effectiveness of community health committees within the Nelson Mandela Bay Municipality, since 2010. Guidelines given in the Policy on the Establishment and Functioning of Clinic and Community Health Centre Committee (2009) were utilized as a point of reference for this study. The results showed that the community health committees trained in 2010 were functioning effectively as a result of the policy guidelines given. There still needs to be an improvement in the involvement of ward councilors, as stipulated in the National Health Act (61 of 2003), as well as in the implementation of the fundraising role, as set out in the Health Departments policy guidelines for health committees to implement.

This research study examines the food security strategies adopted in the face of environmental degradation in the Nelson Mandela Bay Municipality (NMBM), South Africa. The NMBM is the only metropolitan municipality in the Eastern Cape Province. Over time, this area has experienced significant environmental degradation that has greatly affected food security. The municipality has responded by launching livelihood activities to promote food security and protect the environment. These include local food production projects and urban agricultural projects. This research study investigates whether or not the food security strategies adopted by the NMBM are sustainable and whether more needs to be done to enable the municipality to achieve its objectives. The study employed a mix of qualitative and quantitative methods, using interviews and questionnaires as the main tools for data collection. A sample of 20 participants was selected from the NMBM. The participants included municipal workers, private consultants, non-governmental organizations (NGOs) and an engineering firm working in the field of environmental sustainability. Their inputs are analyzed and discussed in order to arrive at the findings. Critical amongst the findings is that the NMBM should improve education on environmental issues. This should be geared towards building resilience to climate change which is the greatest environmental threat to food security.

South Africa has a complex healthcare system. The provision and financing of health care in South Africa occur within two fundamentally different systems: the public healthcare sector and non-governmental not-for-profit organisations, on the one hand, and the private healthcare system, on the other hand. The socioeconomic status of an individual in South Africa is the primary determinant of the system through which he or she will receive access to healthcare. The healthcare services provided by the public and private sectors are perceived to be unequal. The introduction of healthcare reforms by the South African government through the National Health Insurance (NHI) aims to address these disparities. The primary objective of this study was to contribute to the successful implementation of the proposed South African NHI by identifying critical success factors that would impact such implementation. A sample of managerial representatives of the following healthcare institutions in the Nelson Mandela Bay Municipality (NMBM) was drawn: Large private hospitals groups; Eastern Cape Department of Health; Independent medical practitioners groups; South African Dental Association; Pharmacy Association of South Africa; Optometrist Association of South Africa. A total of 250 questionnaires were distributed among these institutions and approximately 233 usable questionnaires were returned (response rate 93.2 percent). A literature review was conducted to identify the various viewpoints (critical success factors, as well as positive and negative perceptions) on NHIs in other countries, as well as the proposed one in South Africa. About 43 of such viewpoints were identified. The 233 respondents were surveyed on these 43 viewpoints. The empirical results revealed the following three critical success factors for the successful implementation of the South African NHI: The projected benefits for stakeholders, with specific reference to medical aid schemes; the projected benefits to the private healthcare sector in servicing the public sector; and strategic leadership. The empirical results also showed that the healthcare managers, who serve the poor versus the affluent geographical areas of the NMBM, differ with regard to their projected success of the NHI. Finally, the study highlighted these health managers’ general perceptions about the envisaged benefits and shortcomings of the NHI.

This study is an assessment of the effect of absenteeism on service delivery in the Eastern Cape Department of Health: Nelson Mandela Bay District Municipality. The work was a corollary of repetitive negative feedback from the press that the researcher was concerned and embarked to investigate possible causes of these allegations by the press. The Department of Health being a public entity has a responsibility to provide quality health services to the community. Government introduced a service delivery mechanism which is enshrined in the White Paper on the Transformation of the Public Service in 1997, through the Batho Pele principles. The researcher argued that if the Batho Pele principles were practiced in the delivery of services the aforementioned repetitive feedback on health services would be minimal. Among a variety of possibilities that could cause the Batho Pele principles not to be practiced the researcher was interested to ascertain if absenteeism could be among them. The researcher asserted that, if human capital is the delivery tool of services, the absence of the human capital therefore posed a negative effect on the delivery of such services. Therefore an inverse relationship exists between absenteeism and service delivery. This relationship was affirmed by the responses of participants through the analysis of questionnaires on absenteeism and service delivery. Absenteeism is a management aspect that has a negative effect in both the financial and delivery aspect of the organisational performance. It is therefore the researchers’ sincere hope that the Department of Health will consider the deductions drawn from this study and recommendations thereof. The researcher further hopes that this study contributes to the existing body of knowledge in relation to organisational behaviour and becomes employer ammunition for service delivery.

Literature indicates that the sustainability of Non-Profit Organisations (NPOs) is important as they provide pivotal services to the community. In this study, the researcher investigates common problems associated with strategy formulation and implementation in NPOs in the Nelson Mandela Metropole. The researcher reports on the importance of strategy within all organisations and outlines a strategy process that can be used as a guide to measure strategic planning in NPOs. In pursuit of conducting qualitative research, a self-constructed questionnaire was used to perform telephonic interviews with managers of NPOs. The study yielded a low response rate, but based on the analysis of the data collected, findings indicate that the main problem is not with strategy formulation or implementation, but with the understanding of the concept of strategic planning. During the interview process, it became evident that there is a common misconception that the annual operations planning constitutes a strategic plan. A major limitation to this study was the absence of a benchmark against which to measure success. Unlike a for-profit organisation where success is measured by profit margins, NPOs have different priorities and therefore successful strategic planning differs from one organisation to another. A recommendation for managers at NPOs is that they start thinking strategically about their organisation, its planning, and methods for doing so (which is discussed in Chapter Five).