Thesis submitted in fulfillment of the requirements for the degree of Doctor of Philosophy in Psychology, School of Human and Community Development University of the Witwatersrand, May 2017 / Psychosocial support and wellbeing of orphans and vulnerable children (OVC) in sub-Saharan Africa receive a lot of attention globally. However, great concerns still persist due to a multiplicity of factors that affect the children’s quality of life. This study examines experiences of psychosocial support and wellbeing of these children in Nairobi, Kenya. While there are few existing studies on the effects of HIV and AIDS on OVC in Kenya, most focus on OVC in primary schools and high schools leaving out infants and preschool aged OVC, as is the case in sub-Saharan Africa. Thus, information that details psychosocial experiences and wellbeing of OVC in preschools in Kenya is lacking. This study focused on OVC aged between 5 and 7 years old within a resilience theoretical perspective; investigated their lived experiences, risk exposure, support structures and other adaptive experiences. A total of 57 participants (45 were children and 12 teachers) from ECDE centres in Nairobi County were purposively sampled for the study. Multiple methods utilised included: visual stimulus illustrations, face-to-face and conversational interviews, thematic drawings, focus group discussions questionnaires and infrastructural and supportive resource assessment. Thematic content analysis (TCA) which was informed by phenomenological hermeneutic approach was used to analyse data. Findings consistently showed that, OVC were not only susceptible to numerous risk experiences due to environmental and care factors at home, but also on their way to and from school, and within ECDE centres. Nonetheless, ECDE centres exposed them to cognitive skills, social networks, safety, alternative care, primary health services, nutrition and resilience nurturance. These findings indicate the crucial role of having a collective action in reduction of adverse experiences and improving resources to empower the OVC in urban ECDE centres. Directions for further research could focus on expanded population-based studies examining poverty, malnutrition, resilience and coping resources among preschool children living with, and affected by HIV and AIDS, using creative multiple qualitative approaches. A more critical understanding on variations in sexes is equally important in intervention strategies for this group of OVC. / MT2018

This paper focuses on two spatial Kiswahili demontratives. In Kiswahili, demonstratives have been traditionally treated as morphosyntactic elements that modulate various elements and realize emphatic function. Demonstratives have also been studied as elements that express and facilitate cohesive relations and elements that realize deictic functions in discourse. In this paper we look at Kiswahili demonstratives as used in the standard Kiswahili language in Nairobi city. We argue that besides the traditionally recognized functions, demonstratives in standard Kiswahili are also used to pass subtle discourse messages which can only be explained by taking into account the pragmatic strategies employed in the use of demonstratives in specific discourse settings.

The prevalence of low back pain has assumed an upsurge trend in the last five decades despite the many interventional strategies. One interventional strategy that has been unsuccessful has been patient education. Lack of positive results from many of the existing patient education programmes is probably due to the type of health information that has been presented and the method that has been used. Many of the health education programmes have been planned according to what the medical professionals assumed the individuals needed to know, assumptions that could have ignored some crucial aspects. This study explored the perceived health education needs of individuals with low back pain at the Nairobi Hospital Rehabilitation Unit in Kenya, the method used to educate the individuals, the appropriateness of the method according to the individuals in addition to identifying the source of the health education that the individuals had.

In Kenya, as in most developing countries, the provision of adequate housing for the urban poor has been an elusive exercise for the past five decades. Since the early 1960s when serious concerns were raised over housing provision for low income groups and the proliferation of slums and informal settlements, various intervention strategies have been applied without much success. The failure of these interventions has been attributed to high costs of implementation hindering their replication, and displacement of targeted beneficiaries by better endowed income groups upon their completion. As a result, the realised moderate density housing has been transforming into multi-storey housing with intense densification. Housing and the built environment in general are realised within the prevailing systems of social, physical, and economic, settings and are influenced by development and urbanization trends. The purpose of this study therefore was to identify, account and document the prevailing systems of settings and the embedded systems of activities in the informal settlements that determine and sustain them in the city of Nairobi, Kenya. The study analysed these systems at the city, the neighbourhood, and the dwelling levels with the objective of establishing relevant systems of settings and their embedded systems of activities appropriate for adaption in the regularization of informal settlements for sustainable housing development for the urban poor in Nairobi. Both qualitative and quantitative research methodology was utilised in this explorative study. The research methodology applied entailed questionnaires, interviews, observations and discussions. Three case study areas were selected representing three different settings for informal settlements namely; informal settlement on government land with minimal level of interventions; community based informal settlement upgraded for rental housing; and site-and-service settlement informally transforming into multi-storey tenements. Theories and concepts that informed this study include Environment-Behaviour Relations, Environment-Attitude Relations, Sustainable Livelihoods, Social, and Market Theories. The study was conducted in Mathare Valley informal settlement of Nairobi which is located approximately six kilometres from the city centre. The settlement was selected because of the varied informalities it hosts in addition to being the oldest informal settlement in the city. The findings of the study show that the social, economic and physical systems of settings are crucial determinants of housing outcomes and determine the location, nature and characteristics of these settlements including the activities they embody at the city, the neighbourhood and the dwelling levels. Similarly, the study shows that the dwellers adapt to the prevailing systems of settings in response to their livelihood constraints, opportunities and capabilities. As a consequence, limitations arising from economic constraints have led to the predominance of rental housing over owner-occupied housing. Limited access to land has led to crowding and densification. Poverty and unemployment has led to uncontrolled commercial activities within residential neighbourhoods. The study recommends that intervention approaches spearheading regularization of informal settlements commence by considering the problem of informal settlements at city level where their recognition and acceptance is important. This should then be related to job opportunities, ease of access to work, and other social amenities. At the neighbourhood and dwelling levels where the two are intertwined, emphasis should be given to maximum utilization of land and development of housing typologies that evolve with economic improvement of the nation. The government and local authorities should still be responsible for infrastructure development whereas private investors encouraged to develop rental housing targeting the low-income groups and on land designated for such purpose by the government. Market forces should be allowed to determine rent levels. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2011.

The prevalence of low back pain has assumed an upsurge trend in the last five decades despite the many interventional strategies. One interventional strategy that has been unsuccessful has been patient education. Lack of positive results from many of the existing patient education programmes is probably due to the type of health information that has been presented and the method that has been used. Many of the health education programmes have been planned according to what the medical professionals assumed the individuals needed to know, assumptions that could have ignored some crucial aspects. This study explored the perceived health education needs of individuals with low back pain at the Nairobi Hospital Rehabilitation Unit in Kenya, the method used to educate the individuals, the appropriateness of the method according to the individuals in addition to identifying the source of the health education that the individuals had.

Competitive national elections can play a significant role in the consolidation process of developing and established democracies alike. Nevertheless, if not handled adequately, they have the potential to bring long-existing, existential conflict lines to the surface. This electoral conflict, becoming manifest in election violence, has the potential to shy people off from voting and negatively affect their attitude towards elections and democracy in general. The present study examined the ways in which violent electoral conflict affected the political participation and the personal attitudes towards democracy of ordinary Kenyan citizens. Kenya has experienced violent electoral conflict repeatedly since the re-introduction of competitive elections in 1992 and became one of its prime examples due to the devastating 2008 post-election clashes. In order to answer the research questions, 32 semi-structured interviews with 34 victims of electoral violence coming from four main ‘hotspot areas’ of the 2008 post-election violence as well as four expert interviews were conducted. The study finds that the experience of violent electoral conflict led to diametrically opposed reactions in the behaviour of political participation among respondents. About two-thirds of them indicated a change in their behaviour of political participation. With 33% of the respondents found to be “participating more”, this group even outnumbers its “participating less” counterpart (30%). This finding is rather surprising as the experience of electoral violence is usually associated with the tendency to shy off from political participation, not only in Kenya. Based on their attitudinal dispositions towards democracy in general and towards democracy in Kenya more specifically, as well as towards Kenyan elections, politics and politicians, a fourfold typology of Kenyan citizens was developed from the sample. It includes: the voting citizen, the resigned citizen, the passive citizen, and the active citizen. The voting citizen with no further interest in politics or political participation was found to be the most prevalent type of citizen in the sample. Attention needs to be taken towards the resigned citizen, which could, in case of further violent electoral conflict and the continuing marginalization of specific ethnic groups, cause a threat to the stabilization process of Kenya’s democracy. Contributions of this study were in designing a destination identity framework as well as in discovering the identity of the city of Nelson Mandela Bay. Directions for future studies include the possibility to conduct a qualitative study on place identity so as to obtain a more nuanced understanding of sub-identities in the city.

Good governance is a critical element to economic development both at the local and national level. Devolution, which is a form of decentralization, is a means of achieving good governance if implemented appropriately. Government plays a pivotal role in the governance framework of a country. This study aimed at exploring how governance of Nairobi City can be improved under a devolved system of government to foster economic development. The study specifically looked at government effectiveness which is one of the Worldwide Governance Indicators. Through a literature review, the study looks at how devolution can improve governance, and what government effectiveness entails, not only from the World Bank perspective but also from other related literature. The major assumption of this study is that improved governance consequently leads to enhanced economic development, as argued by numerous scholars and practitioners in previous studies (Todaro and Smith, (2009) Mcneil and Malena, (2010) and UNDESA 2007). Furthermore, this study assumed that despite only focusing on one of the six indicators, an idea of good governance as a whole will be obtained. The study used a mix of qualitative and quantitative approach of a case study of Nairobi City. Nairobi City is not only a unit of devolution under the new constitution, but will also host the national government. Furthermore, it is also the financial stronghold of the country. Data was collected from two sets of respondents using two different instruments. A questionnaire was used to collect data from the citizenry, and face to face interviews were used to collect data from government officials. The questionnaire focused on capturing citizen perceptions on government effectiveness. Respondents were selected through convenient sampling at pre-determined service delivery points within Nairobi City. The face-to-face semi-structured interview gauged the level of government effectiveness of selected government institutions within Nairobi City. For the former instrument, the data was analyzed through SPSS and Microsoft Excel; and presented in tables, charts and graphs. For the latter, a descriptive discussion has been used to illustrate findings. The study found that government institutions within Nairobi to an extent have established mechanisms and systems to improve service delivery, and consequently promote government effectiveness. It is observable from the study that, the systems in place do not respond to the citizen needs and expectations as illustrated by a satisfaction index of 54 percent.

This study aimed to analyse the development and growth of the Kenyan private security sector, and to establish its role and impact on safety and security. The study included determining the impact of the private security sector in Nairobi and the mobile patrol functions on safety and security in Kenya. Furthermore, to determine the impact of the Kenyan private security sector on loss prevention functions; reviewed how special events security and private investigation functions affect the safety and security of Kenyans; and also considered how in-house security functions of the private security sector further influence safety and security in Kenya. The researcher reviewed previous studies with a view to establish academic gaps which the present study sought to bridge. This study adopted a census survey design and employed quantitative research methods as the main approach to guide the study. The research targeted all of the private security firms in Kenya. There are 23 listed security firms under the Kenya Security Industry Association (KSIA) and 44 under the Protective Security Industry Association (PSIA) - a total of 67 security firms in Kenya. The research instrument used for data collection was a questionnaire to elicit the required information from the respondents. The respondents were either the Managing Director or Head of Security at these firms, since they have a broad knowledge about the business activities being conducted by the company. Most of them have been with the company for a significant number of years. Emanating from the research findings it is recommended that the security firms should better train the private security guards in order to enhance overall security being provided to clients. Security guards must be able to respond to different changes in their environment, which include action such as traffic movement; ensure the safety of people among and inside different localities; observing and handling the admittance and exit of individuals and cars and evaluating and monitoring individuals and coming up with a policy and legal framework for regulating and observing Private Security Company (PSC) activity. The study concludes that the private security sector in Kenya impacts on and influences overall safety and security. The study, therefore, finds that there has been growth and development of the private security sector in Kenya and it continues to do so currently. Finally, advances the view that a significant relationship does exist between the functions of the private security sector and the development of the private security sector in Kenya which have had an extensive influence on levels of safety and security in that country. / Criminology and Security Science / M. Tech. (Security Management)

This study aimed to analyse the development and growth of the Kenyan private security sector, and to establish its role and impact on safety and security. The study included determining the impact of the private security sector in Nairobi and the mobile patrol functions on safety and security in Kenya. Furthermore, to determine the impact of the Kenyan private security sector on loss prevention functions; reviewed how special events security and private investigation functions affect the safety and security of Kenyans; and also considered how in-house security functions of the private security sector further influence safety and security in Kenya. The researcher reviewed previous studies with a view to establish academic gaps which the present study sought to bridge. This study adopted a census survey design and employed quantitative research methods as the main approach to guide the study. The research targeted all of the private security firms in Kenya. There are 23 listed security firms under the Kenya Security Industry Association (KSIA) and 44 under the Protective Security Industry Association (PSIA) - a total of 67 security firms in Kenya. The research instrument used for data collection was a questionnaire to elicit the required information from the respondents. The respondents were either the Managing Director or Head of Security at these firms, since they have a broad knowledge about the business activities being conducted by the company. Most of them have been with the company for a significant number of years. Emanating from the research findings it is recommended that the security firms should better train the private security guards in order to enhance overall security being provided to clients. Security guards must be able to respond to different changes in their environment, which include action such as traffic movement; ensure the safety of people among and inside different localities; observing and handling the admittance and exit of individuals and cars and evaluating and monitoring individuals and coming up with a policy and legal framework for regulating and observing Private Security Company (PSC) activity. The study concludes that the private security sector in Kenya impacts on and influences overall safety and security. The study, therefore, finds that there has been growth and development of the private security sector in Kenya and it continues to do so currently. Finally, advances the view that a significant relationship does exist between the functions of the private security sector and the development of the private security sector in Kenya which have had an extensive influence on levels of safety and security in that country. / Criminology and Security Science / M. Tech. (Security Management)

This paper focuses on two spatial Kiswahili demontratives. In Kiswahili, demonstratives have been traditionally treated as morphosyntactic elements that modulate various elements and realize emphatic function. Demonstratives have also been studied as elements that express and facilitate cohesive relations and elements that realize deictic functions in discourse. In this paper we look at Kiswahili demonstratives as used in the standard Kiswahili language in Nairobi city. We argue that besides the traditionally recognized functions, demonstratives in standard Kiswahili are also used to pass subtle discourse messages which can only be explained by taking into account the pragmatic strategies employed in the use of demonstratives in specific discourse settings.