Thesis (MNutr)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Background: Considering the myriad of risk factors causing nutritional deficiency, as well as the prevalence of malnutrition and feeding problems experienced by individuals with intellectual disability (ID), early detection and diagnosis of malnutrition in this population group is essential. Objectives: The main aim and objectives of the study were to determine the degree of malnutrition and body composition in individuals with ID living in a psychiatric hospital (North West Province, South Africa), to determine which degree of ID was more prone to malnutrition, to investigate the different risk factors for malnutrition in this group of individuals, and to use this data to adapt an existing screening tool used to facilitate the easier identification of malnutrition. Methodology: An observational descriptive cross-sectional study, with an analytical component, was conducted. The study consisted of two phases. During the first phase, measurements were taken of individuals with ID to determine body composition and nutritional status. During the second phase, said data, as well as other factors influencing the nutritional status of individuals with ID, were used to adapt an existing screening tool to allow for easier identification of malnutrition in the study population. The adapted screening tool was tested by nursing staff. Results: The anthropometric measurements of 244 individuals with ID were determined. The overall anthropometrical status indicated that half of the study population (52,1%, n=127) had a normal nutritional status, that 38,1% (n=93) was undernourished or at risk of becoming undernourished, and that 10,0% (n=24) was either at risk of becoming or was overnourished . Men were more prone to being undernourished or at risk of becoming undernourished (48,0%, n=73), compared to women (21,7%, n=20). Although no significant difference was found in anthropometrical status across the four severities of ID (Pearson Chi-square test (ρ=0,15)), individuals with mild ID were more likely to become obese (19,4%, n=6), and individuals with profound ID were more prone to being underweight (57,1%, n=8). It was found that 41,8% (n=102) of the total study population had a waist circumference (WC) above the normal values. A significant difference was found between increased WC and severity of ID (Pearson Chi-square test (ρ=0,00)). Other risk factors that can influence nutritional status in said population included medical conditions such as hypertension (13,0%, n=32) and epilepsy (EP) (46,0%, n=112), as well as polypharmacy (71,7%, n=175). An existing malnutrition screening tool for the population with ID was adapted by means of the addition of prevalent factors (WC measurements, presence of EP and use of medications), as well as through adaptation of the scoring system. Conclusion: Using anthropometric measurements and indices for body composition, a high prevalence of malnutrition was identified in the study population of individuals with ID. The adapted screening tool was more sensitive than the original tool in identifying individuals who were at risk of malnutrition, or who were already malnourished in this study population. The research undertaken in this respect can help health care professionals to be more aware of the interaction between the severity of ID and malnutrition. / AFRIKAANSE OPSOMMING: Agtergrond: Wanneer daar gelet word op die magdom faktore wat voedingstekorte veroorsaak en op die voorkoms van wanvoeding en voedingsprobleme onder individue met intellektuele gestremdheid (IG), is dit duidelik dat vroegtydige waarneming en diagnose van wanvoeding noodsaaklik is. Doelwitte: Die hoofdoel en doelwitte van die studie was om die graad van wanvoeding sowel as die liggaamsamestelling van individue met IG te bepaal wat in ’n psigiatriese hospitaal (Noordwes Provinsie, Suid-Afrika) inwoon. Daar is bepaal watter graad van IG individue is meer geneig tot wanvoeding. Verskillende risiko faktore van wanvoeding in hierdie groep individue is ondersoek en die data is gebruik om ’n bestaande siftingshulpmiddel aan te pas om wanvoeding makliker te kan identifiseer. Metodologie: Die studie-ontwerp was ‘n dwarssnitwaarnemingstudie met ‘n analitiese komponent. Die studie het uit twee fases bestaan. Gedurende die eerste fase is antropometriese metings van individue met IG geneem om liggaamsamestelling en voedingstatus te bereken. Gedurende die tweede fase is hierdie data, sowel as ander risiko faktore wat die voedingstatus van individue beïnvloed, gebruik om ’n bestaande siftingshulpmiddel aan te pas wat die identifisering van wanvoeding in hierdie populasie kan vergemaklik. Verpleegpersoneel het die aangepaste siftingshulpmiddel uitgetoets. Resultate: Die antropometriese metings van 244 individue met IG is bepaal. Hulle algemene antropometriese status het aangedui dat die helfte van die studiepopulasie (52,1%, n=127) ’n normale voedingstatus gehad het; 38,1% (n=93) was ondervoed of het ’n risiko gehad vir ondervoeding en 10,0% (n=24) was reeds oorvoed of het ’n risiko gehad vir oorvoeding. Mans (48,0%, n=73) was meer geneig om ondervoed te wees of het ‘n groter risiko tot ondervoeding as vroue (21,7%, n=20). Daar was geen beduidende statistiese verskille in antropometriese status tussen die vier grade van IG nie (Pearson Chi-square-toets, p=0,15), alhoewel individue met matige IG ‘n groter neiging het tot obesiteit (19,35%, n=6), terwyl uitgesproke IG ’n groter neiging tot ondergewig gehad het (57,1%, n=8). Daar is bevind dat 41,8% (n=102) van die totale studiepopulasie ’n verhoogde middelomtrek gehad het. Daar was ʼn beduidende statistiese verskil tussen verhoogde middelomtrek en graad van IG (Pearson Chi-square-toets, p=0,00). Ander risiko faktore wat die voedingstatus van hierdie populasie kan beïnvloed sluit in mediese toestande soos hipertensie (13,0%, n=32) en epilepsie (46,0%, n=112), asook die gebruik van veelvuldige medikasie (71,7%, n=175). ’n Bestaande wanvoedingsiftingshulpmiddel vir die IG populasie is aangepas deur algemene faktore (middelomtrek, voorkoms van epilepsie en gebruik van veelvuldige medikasie) in te sluit en die puntestelsel aan te pas. Gevolgtrekking: Met behulp van antropometriese metings en liggaamsmassa indekse is ’n hoë voorkoms van wanvoeding in die studiepopulasie van individue met IG waargeneem. Die aangepaste siftingshulpmiddel was meer sensitief as die oorspronklike hulpmiddel om individue wat ’n risiko loop vir wanvoeding of wat reeds wangevoed is, te identifiseer in hierdie studie populasie. Hierdie navorsing kan help om gesondheidswerkers meer bewus te maak van die interaksie tussen die graad van IG en wanvoeding.

Master of Public Health - MPH / Adherence to prescribed medications is a central feature of good clinical HIV care and a key factor in determining the effectiveness of treatment. This is especially true for HIV-infected patients, on antiretroviral treatment, where adherence is strongly associated with survival. HIV-associated tuberculosis is a major and increasing health problem, especially in sub-Saharan Africa. Clinical trials have demonstrated a benefit of isoniazid preventive therapy in preventing TB among HIV-infected persons, and its use among these patients is recommended. Nearly perfect compliance seems to be indispensable to obtain the maximum benefit from highly active antiretroviral treatment and prophylactic medications. Accurately assessing non-adherence is a necessary first step towards improving adherence to active antiretroviral treatment and isoniazid preventive therapy. The introduction of diary cards is being considered as a measure of adherence and as a tool to improve adherence among HIV-infected individuals receiving antiretroviral treatment or isoniazid preventive therapy. This was a preliminary study to evaluate the effectiveness of diary cards as intervention tool for promoting adherence to antiretroviral and prophylactic TB therapy in people living with HIV/AIDS, to evaluate the diary card as a tool to measure adherence and to evaluate the feasibility and acceptability of diary cards. / South Africa

Text in English / The purpose of this study was to explore and describe the experiences of community members regarding their participation in hospital boards in Dr Kenneth Kaunda district, North West Province. A qualitative exploratory-descriptive research was conducted on a purposively selected sample of community members who served in the board for a minimum period of two years. Data were collected by means of individual interviews and analysed by means of thematic data analysis. Three themes that emerged from data analysis were creation of opportunities, benefits and challenges. A mix of positive and negative experiences was expressed by community representatives regarding their participation in hospital boards. Participants described their experiences as enjoyable and empowering while others described it as a learning experience through which they acquired knowledge and new skills. The challenges experienced whilst serving in hospital boards included ineffective communication, poor relations and role conflict as a result of lack of role clarification. The findings from the study may be used to enhance the effectiveness of hospital governing boards through the participation of community members. / Health Studies / M.A. (Public Health)

Text in English / The purpose of this study was to explore and describe the experiences of community members regarding their participation in hospital boards in Dr Kenneth Kaunda district, North West Province. A qualitative exploratory-descriptive research was conducted on a purposively selected sample of community members who served in the board for a minimum period of two years. Data were collected by means of individual interviews and analysed by means of thematic data analysis. Three themes that emerged from data analysis were creation of opportunities, benefits and challenges. A mix of positive and negative experiences was expressed by community representatives regarding their participation in hospital boards. Participants described their experiences as enjoyable and empowering while others described it as a learning experience through which they acquired knowledge and new skills. The challenges experienced whilst serving in hospital boards included ineffective communication, poor relations and role conflict as a result of lack of role clarification. The findings from the study may be used to enhance the effectiveness of hospital governing boards through the participation of community members. / Health Studies / M.A. (Public Health)

MPM / Oliver Tambo Institute of Governance and Policy Studies

The South African Schools' Act No 84 (SASA 1996) replaced Parents, Teacher and Students' Associations ( PTSAs) with School Governing Bodies whose members are democratically elected to perform mandated duties. The study focused on the role of SGBs in improving school performance in rural areas. The purpose was to investigate the role SGBs play in improving school performance in the rural areas of Taung. The SGB, as a concept and praxis, emanated from the need to involve communities, especially parents, in education. The assumption was that school improvement is dependent on responsibilities delegated to community members, especially parents, in the affairs of public schools. The study investigated the topic by a literature review on school governance, observation and interviews conducted with SGB members in three selected schools. Six focus group interviews were conducted on parents and educator components of the SGBs. The principals of the three selected schools were interviewed individually for the views on the topic. The data collected were arranged under selected themes and manually analysed and interpreted. The study reveals that * community members, particularly parents, caregivers and guardians are beginning to see themselves as equal partners with educators in education of children * the improvement in learner performance is the co-responsibility of the home and the school * community members (parents and guardians) must be empowered with relevant skills to enable them perform their tasks as school governors. The study recommends further research into greater representivity and involvement in Education. / Educational Studies / M. Ed (Education Management)

The present study explored whether a significant relationship exists between academic procrastination and academic achievement in high school learners within South Africa. It furthermore examined whether certain personality traits of individuals are more prone to procrastination than others. It lastly investigated the relationships between gender and academic procrastination, age and academic procrastination, number of siblings and academic procrastination; and area of residence and academic procrastination. The research sample consisted of 349 high school learners aged between 12 and 19 years old (n=167 male, n=180 female, n=2 gender not disclosed). Data was collected by means of the Personal Information Questionnaire (PIQ), the Tuckman Procrastination Scale (TPS) and the Ten-Item Personality Inventory (TIPI). A significant negative correlation was found between procrastination and academic achievement. The correlations between procrastination and gender, age, area of residence and number of siblings respectively were not significant. Conscientiousness and Emotional Stability were both found to be significantly negatively related to procrastination, however, the relations between procrastination and Extraversion and Agreeableness respectively were not significant. An anomaly found in the present study was the negative relation between procrastination and Openness to Experience, and it is postulated that this finding may be due to the TIPI’s inability to measure the individual facets of each Big Five Factor domain or that it could be ascribed to the need for cognition. / Psychology / M.A. (Psychology)

Thesis (MPA)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: An effort to enhance job creation and to alleviate poverty amongst the youth as an important sector of the South African society has created a need to determine the relevance of training as a way of promoting SMME development in the KOSH area. Training is an important tool for SMME development. Based on the above analysis, the objectives of the study are to assess the relevance of training provided in relation to the economic profile and business opportunities in the KOSH area and to assess the effectiveness of training that is provided by various agencies in the KOSH area. The study also looks into the business and employment opportunities put in place to help youth participation after undergoing training. The study focuses on training as a tool for SMME development within the youth sector of the KOSH area. It mainly deals with the importance of training, which if conducted in a proper manner, should contribute to the development of SMME. While policies and institutions have been put in place to provide technical and business training skills in the KOSH area, targeting both women and youth who aspires to be entrepreneurs, there seem to be not significant expansion of the small business in order to create job opportunities. The status quo remains. Participants from these training programmes are pursuing their traditional form of business and there is little, if any, innovation and diversification in economic activities in this sector. Conclusions based on the study indicate that training should be an integral component for any SMME development strategy. Programmes promoting entrepreneurial culture should target all studying young people, and also those not enrolled at institutions of learning. The private sector seems to be playing a minimal role in the provision of training. This sector's contribution in training programmes, in a partnership with pubic institutions, is lacking. After care services to trainees is not provided for adequately. Planning for effective SMME training in the KOSH area should further take into consideration technology, social, economic, political and institutional factors which are affecting it at the moment. / AFRIKAANSE OPSOMMING: In 'n poging om werkskepping te bevorder en armoede onder die jeug te verlig, as 'n belangrike fokuspunt in die Suid-Afrikaanse gemeenskap, is dit belangrik om te bepaal wat die relevansie van opleiding is ter bevordering van SMME ontwikkeling in die KOSHgebied. Gebaseer op 'n ontleding in die verband is die oogmerke van die studie om 'n waardebepaling te doen ten opsigte van die toepaslikheid van opleiding in die KOSH-gebied, en om die doeltreffendheid van opleiding wat veskaf word deur die onderskeie agentskappe in die KOSH-gebied te evalueer. Die studie fokus op opleiding as instrument vir SMME ontwikkeling. Dit ontleed hoofsaaklik die belang en waarde van die opleiding wat, indien korrek toegepas, kan bydra tot die ontwikkeling van SMME's. Alhoewel beleid en institusionele reelings voorsiening maak vir opleiding in tegniese- en besigheidsvaardighede, en bemarking spesifiek fokus op vrouens en die jeug wat entrepreneurskap bevordering betref; blyk dit dat daar nie beduidende groei is in die skepping van werksgeleenthede nie. Die status quo word gehandhaaf; deelnemers volg hul tradisionele vorme van ondernemerskap of besigheid en daar bestaan min, indien enige vernuwende denke en diversifikasie in ekonomiese aktiwiteite. Samevattings gebaseer op die studie dui daarop dat opleiding 'n integrale element van enige SMME-ontwikkelingstrategie moet wees. Programme ter bevordering van 'n interpreneurskultuur moet gerig wees op beide jongmense in akademiese instellings en die nie-skoolgaande jeug. Vennootskapspogings deur die private- en openbare sektor, skyn te kort te skiet aan koordinering in die verskaffing van opleiding. Die privaat sektor se rol is onvoldoende en daar word nie vir 'n nasorgdiens voorsiening gemaak nie. Beplanning vir effektiewe SMME opleiding in die KOSH-gebied moet verder tegnologiese, sosiale, ekonomiese, politiese, en institusionele faktore in aanmerking neem wat dit tans beinvloed.

Thesis (PhD)--Stellenbosch University, 2013. / Bibliography / ENGLISH ABSTRACT: During the past number of years, the pressure on universities worldwide, including universities in South Africa, has increased to bridge the gap between higher education and society. This includes becoming active partners with its communities. Therefore, the importance of community engagement as one of the three pillars of higher education, alongside teaching and learning, and research, has gained considerable momentum. Higher education institutions in South Africa are also increasingly challenged to elevate the status of their teaching and to raise their levels of community engagement. This also pertains to the area of postgraduate education, which points to the need for a close relationship between teaching, learning and research. The aim of this study was to develop a contextualised and integrated curriculum framework for community-engaged teaching, learning and research in a postgraduate Play Therapy programme. This was done using a contextualised perspective on higher education with reference to current higher education legislation in South Africa as well as curriculum development in general. A literature review of community engagement provided a perspective on the current state of community engagement - nationally, as well as internationally. The study used a qualitative single case study design and an interpretive paradigm to generate empirical data. The first phase of the empirical part of the study focused on determining the current state of community engagement within the postgraduate Play Therapy programme. Data was generated using questionnaires completed by current students and lecturers. In the second phase of the empirical study, semi-structured interviews were conducted with lecturers from 13 national as well as international higher education institutions to review curriculum frameworks and content from other higher education community engagement models. The last empirical phase included two focus groups, one with current students and one with current lecturers in the postgraduate Play Therapy programme under investigation. From the findings of the study, a curriculum framework emerged which outlines community engagement within the postgraduate programme. The emerging framework points to the need for a stronger integration of teaching and learning with community engagement (service component) through service learning. In the South African context and within the programme that was investigated, service learning provides for engaged learning which includes experiential learning and opportunities for students to engage in interactive and experiential processes. The study has also pointed out that research within the postgraduate programme should reflect, in a much stronger way, links to community-based research. Such links may benefit a scholarship of engagement. Also, the research component of the programme needs to be linked more closely to teaching and learning in order to better inform the curriculum in terms of trends, needs and priorities. These activities need to take place within community partnerships with a reciprocal benefit to both the programme and the communities involved. / AFRIKAANSE OPSOMMING: Universiteite wêreldwyd, asook in Suid-Afrika, het gedurende die afgelope paar jaar druk ervaar om die gaping tussen hoër onderwys en die gemeenskap te verminder. Dit sluit in om aktiewe vennote van gemeenskappe te word. Die belangrikheid van gemeenskapsbetrokkenheid as een van die drie pilare van hoër onderwys, saam met leer, onderrig en navorsing, het dus aansienlik toegeneem. Hoëronderwysinstansies in Suid-Afrika word ook uitgedaag om die stand van hul leer en onderrig te verhoog en die vlakke van hul gemeenskapsbetrokkenheid te versterk. Dit geld ook vir nagraadse opleiding, wat neerkom op 'n hegter verband tussen leer, onderrig en navorsing. Die doel van hierdie navorsing was om 'n gekontekstualiseerde en geïntegreerde kurrikulumraamwerk vir gemeenskapsgerigte leer, onderrig en navorsing binne 'n nagraadse program in Spelterapie te ontwikkel. Dit is gedoen deur 'n kontekstuele oorsig van hoër onderwys te gee met verwysing na die huidige hoëronderwys-wetgewing in Suid-Afrika asook 'n oorsig oor kurrikulumontwikkeling. 'n Literatuuroorsig van gemeenskapsbetrokkenheid het perspektief op die huidige stand van gemeenskapsbetrokkenheid landwyd én wêreldwyd verskaf. Hierdie studie berus op 'n kwalitatiewe enkelgevallestudie-ontwerp en benut 'n interpretatiewe paradigma om die empiriese data te genereer. Die eerste fase van die empiriese gedeelte van die studie was gerig op die bepaling van die huidige stand van gemeenskapsbetrokkenheid in die meestersprogram in Spelterapie. Data is gegenereer deur die gebruik van vraelyste wat deur huidige studente en dosente ingevul is. In die tweede fase van die empiriese studie is semi-gestruktureerde onderhoude met dosente van 13 nasionale asook internasionele hoëronderwysinstansies gevoer om die kurrikulumraamwerke en inhoud van ander hoër instansies se gemeenskaps-betrokkenheidsmodelle te verken. Die laaste empiriese fase sluit twee fokusgroepe in - een met huidige studente en een met huidige dosente in die meestersprogram in Spelterapie, wat die onderwerp van hierdie studie uitmaak. 'n Kurrikulumraamwerk het vanuit die bevindinge van die studie ontstaan wat 'n uiteensetting van gemeenskapsbetrokkenheid in die meestersprogram in Spelterapie verskaf. Die opkomende raamwerk dui op die behoefte aan sterker integrasie van leer en onderrig met gemeenskapsbetrokkenheid (dienskomponent) deur middel van diensleer. In die Suid-Afrikaanse konteks en in die program wat ondersoek is, bied diensleer die geleentheid vir betrokke leer wat die volgende insluit: ervaringsleer en geleenthede vir studente om betrokke te raak by interaktiewe ervaringsprosesse. Die studie het ook uitgewys dat navorsing in die meestersprogram op 'n baie sterker wyse die verband met gemeenskapsgerigte navorsing moet reflekteer. Hierdie konneksies kan ook die vakkundigheid van betrokkenheid versterk. Daarby moet die navorsingskomponent van die program nader aan leer en onderrig beweeg sodat die kurrikulum altyd die jongste tendense, behoeftes en prioriteite weerspieël. Hierdie aktiwiteite moet in gemeenskapsvennootskappe plaasvind om voordele vir die program sowel as die betrokke gemeenskappe te bied.

The South African Schools' Act No 84 (SASA 1996) replaced Parents, Teacher and Students' Associations ( PTSAs) with School Governing Bodies whose members are democratically elected to perform mandated duties. The study focused on the role of SGBs in improving school performance in rural areas. The purpose was to investigate the role SGBs play in improving school performance in the rural areas of Taung. The SGB, as a concept and praxis, emanated from the need to involve communities, especially parents, in education. The assumption was that school improvement is dependent on responsibilities delegated to community members, especially parents, in the affairs of public schools. The study investigated the topic by a literature review on school governance, observation and interviews conducted with SGB members in three selected schools. Six focus group interviews were conducted on parents and educator components of the SGBs. The principals of the three selected schools were interviewed individually for the views on the topic. The data collected were arranged under selected themes and manually analysed and interpreted. The study reveals that * community members, particularly parents, caregivers and guardians are beginning to see themselves as equal partners with educators in education of children * the improvement in learner performance is the co-responsibility of the home and the school * community members (parents and guardians) must be empowered with relevant skills to enable them perform their tasks as school governors. The study recommends further research into greater representivity and involvement in Education. / Educational Studies / M. Ed (Education Management)