Yes / This article responds to a recent contribution to this journal. Procter and Radnor (2014) provide an account of teamworking in the UK Civil Service, specifically Her Majesty’s Revenue and Customs (HMRC), which focuses on the relationship between recently implemented lean work organisation and teams and teamworking. This intervention is prompted by criticism of the present authors’ published research into lean in the same locus (e.g. Carter et al, 2011a; 2011b; 2013a; 2013b). Procter and Radnor claim, without foundation we argue, that our work is ‘one-sided’ and that theirs delivers a ‘more nuanced’ analysis of lean in this government department - and it follows - of the lean phenomenon more generally. Our riposte critiques their article on several grounds. Firstly, it suffers from problems of logic and construction, conceptual confusion and definitional imprecision. Methodological difficulties and inconsistent evidence contribute additionally to analytical weakness. Included in our response are empirical findings on teamworking at HMRC, which challenge Procter and Radnor’s evidential basis and further reveal the shortcomings of their interpretation.

Yes / Public sector managers take much of the responsibility for selecting, commissioning, implementing and realising benefits from information technology (IT) projects. However, e-Government initiatives often suffer from complexity, vision failure, lack of goal clarity and insufficient commitment. These problems may stem from value traditions that are deeply ingrained in managers’ cultural environments but not always in harmony with each other. A first step towards working with value complexity is to understand it; we synthesise a model of value positions for e-Government derived from major traditions in the public administration literature. Four value positions relevant to e-Government together with their IT assumptions are identified; they reflect the ideals of professionalism, efficiency, service and engagement. A qualitative investigation of Danish local authority managers displays both value congruence and value divergence. The interpretive study results in a theoretical model that combines value positions and relationships, and the model’s implications for researchers and practitioners in focusing successful e-Government initiatives are outlined.

Thesis (PhD (School of Public Management and Planning ))—University of Stellenbosch, 2006. / Using an investigative approach the study starts by outlining the governance quandary that exists within the public sector, with observations made over the past decade by scholars and active role players in the governance arena both in the private sector and in the public sector. It continues to show a growing need for good governance in the public sector, especially in the developing economies of emerging democracies. It uses South Africa as an example in this regard, although the discussion can just as well be applied to other countries finding themselves in a similar situation. It places the governance debate in perspective and provides the background for the development of the Public Sector Integrated Financial Governance Framework (IFGF). A brief look is taken at the reasons for the growing focus on governance in general, governance in the private and public sector, the need for governance, the basic dynamics of governance, stakeholder relationships, the regulatory framework and the role of the judiciary. It then places this understanding of governance – from a financial perspective – within the South African context. Using the South African context the study discusses the need for an IFGF, the basic requirements for such an IFGF and then as a response proceeds to discuss the role of values and principles, functional application areas and governance-related activities in an IFGF. It develops a financial governance universe, which provides an overview of the various subsections within these aspects. From this basis the study proceeds to develop the IFGF by identifying specific principles and values applicable to South Africa, followed by a description of functional application areas consisting of leadership, management and control practices required as a minimum to ensure healthy public sector financial governance. It continues to develop governance-related activities based on existing frameworks recognised by public sector agencies globally and in some instance, designed for the private sector. The study proceeds to develop these areas to enable employees in the public sector to discharge their duties in a manner that can form the cornerstone in governance excellence. Having used a deductive approach during the first few chapters to develop the IFGF, the study then proceed using an inductive process to construct the conditions and the related activities required by the IFGF. It develops detailed information on specific activities that must be in place for the IFGF to be functional. These activities provide the “how” and are grouped together based on a recognised framework. Governance effectiveness depends on a situation where all areas are considered. Lastly the study focuses on the conclusions regarding the IFGF outcomes and therefore discusses the implementation of the IFGF and the impact on the accounting system, measuring governance and keeping the IFGF updated with developments internally and externally. The study shows the growing importance for developing countries and emerging economies to demonstrate healthy governance processes and practices. However, no consensus yet exists on the approach or methodology, particularly with regard to building national ownership of and political commitment to governance (Landell-Mills, 2003:369). Fortunately similar initiatives have been forthcoming from a number of countries and, although they are each focussed differently, they provide a base for developing a public sector IFGF for South Africa in particular, but can also be used as a guideline for other emerging democracies. Developing the governance universe facilitates the process of keeping track of a multitude of possibilities that are relevant in day-to-day management. The study determined the applicable criteria that an IFGF must satisfy to attract attention when funding is required from the donor community and to provide assurance to stakeholders with limited skills and knowledge that objectives are achieved effectively and efficiently in an ethical environment. The benefit of this framework is that it has passed the first scrutiny in South Africa namely that of the Provincial Treasury of the Provincial Government Western Cape (PGWC) public sector audit committees in the public sector (PGWC) and is currently being subjected to a four-year implementation process, starting with an awareness phase in all Departments of the PGWC. During this process the senior management of all the departments are being exposed to the principles contained in the IFGF and their practical observations and suggestions will be applied towards formulating an updated version of the Governance Framework of PGWC (Draft version 2.20e). This is significant, because it represents a healthy interaction between academic research and practical application, a process that is more often than not balanced, but appears to be in favour of either the one or the other.

Thesis (PhD (School of Public Management and Planning))—-Stellenbosch University, 2008. / The aim of the study is to develop an appropriate Organisational Development (OD) approach to optimise the capacity of Community-Based Organisations (CBOs) and promote Community and Civil Society Development. The following research question is examined: In what ways can OD be a suitable approach to build the capacity of CBOs and thus have an impact on Community and Civil Society Development? The study is motivated by current development challenges in South Africa1 and the role civil society can play to represent citizens’ interests in relation to state and market2. As part of civil society, CBOs are generally recognised as pivotal stakeholders in the South African development context3, but are in reality marginalised and unable to assert themselves in the development sector. Furthermore Development Theory shows that theorists have in the recent past increasingly advocated for ‘democratisation of development’, enabling previously marginalised people to participate in development processes and therefore gain power over these. Although not widely practised reality yet, ‘People centred’ and ‘Participatory development’ as bottom-up and endogenous versions of development are being promoted as sustainable development paradigms. They emphasise the importance of building capacity of civil-society organisations4. OD as an approach to development and capacity building collaborates with the goals of a people centred development and the strengthening of civil society organisations, and is “in line with several participative approaches to development”5. It is, however, relevant to cultivate a “new development practitioner”, who is competent to facilitate capacity-building processes, which will meaningfully impact at the grassroots level6. The study is guided by a postmodern philosophy and stems from a phenomenological as well as transformative approach by applying a Goethean phenomenology, Action Research, Grounded Theory, Complexity Theory and various qualitative research methodologies, such as case study work with three CBOs; and semi-structured interviews with CBOs, community leaders, OD practitioners and academics. Furthermore the research includes a sociological examination of the current development context and paradigms, and their impact in post Apartheid South Africa. During the research, findings were engaged with by a discussion forum. The research findings included the discussion of themes, which emerged through the Grounded Theory approach: ∗ CBO capacity, by examining how capacity is interpreted at a CBO level in relation to inherent capacities; ∗ Leadership, and the role of pioneer leaders in CBOs; and ∗ Relationships, within CBOs as well as with their broader environment. These themes were understood as relevant when aiming to develop CBO capacity as well as engaging with the broader capacity development sector. Further, principles and approaches for OD at a CBO level are proposed, which are ultimately related through their view of organisations as complex social systems, their emphasis on learning, and the critical examination of power asymmetries. It is intended that this study contributes to development practice concerning CBO development within and beyond South Africa. Ultimately the study aims to influence current development paradigms and contribute to an enabling development context and the building of a strong and proactive civil society.

Thesis (PhD)--Stellenbosch University, 2011 / ENGLISH ABSTRACT: The Public-Private Partnership (PPP) is a popular instrument for public service delivery. It is important that public managers will be able to recognize when a PPP would be an appropriate service delivery option, and will be able to maximize a PPP‘s chances of success when it is the chosen service delivery instrument. The research question addressed in this dissertation is: ―What are the critical factors that can be replicated that separate successful PPPs from PPPs that do not deliver or that collapse? In this dissertation critical success factors for PPPs are identified through a step-by-step process in which different sources of success factors are analysed and where successively identified sets of success factors are compared and combined in a repetitive layered process of synthesis. A list of success factors is created and expanded through an iterative process of evaluation, removal of duplications, combination of related success factors and listing of unique success factors. Success factors are found in literature while describing the PPP concept and partnership mechanics and management. Success factors are identified in partnership literature, in public governance literature, in private sector collaboration literature, in entrepreneurial studies and in a collection of perspectives on success. These perspectives include those of stakeholders, of private operators, of the third sector as well as perspectives from disciplines and knowledge and practice frameworks such as project management, corporate governance, enterprise risk management and organisational design. Additional success factors are identified in a discussion on the evaluation of partnerships, where it is shown that success factors can be derived from evaluation based on characterization, from partnership definitions, from the perspective of programme evaluation, from measuring the performance of business improvement districts, from alternating focus partnership evaluation (sector by sector, theme-based, local-level) and from service delivery evaluation. The evaluation of partnership examples also provides insight into success factors. The final filtering and synthesis of evidence uses the results of questionnaires, from which success factors are derived, to conduct a final distillation and produce the final list of success factors identified. A total of 466 individual success factors are identified in this dissertation, these factors are grouped into 43 distinct categories. The two most critical success factors for PPPs are identified as firstly delivering a publicly needed service and secondly achieving the objectives of the partnership. The answer to the research question described above is that critically, two conditions must be met to make a PPP successful, and that is that the goals of the PPP must be achieved and that a public need must be satisfied. There are many additional success factors which can further define success and degrees of success, all of which are descriptions of desired conditions from the perspective of stakeholders. The exploratory and hypothesis-generating study culminates in a hypothesis that states that if public managers are faced with a choice of service delivery options, and the use of a PPP is one option, and if the manager applies the categories of recommended critical success factors identified in this dissertation, the manager will be able to determine whether a PPP would be an appropriate service delivery vehicle, and furthermore, if PPP is chosen as service delivery vehicle, the public manager would, through the application of the success factors identified in this dissertation, have a greater chance of successful implementation of the PPP through purposeful collaboration. The study contributes to the public management body of knowledge by covering new ground in terms of the evaluation and management of public-private partnerships. / AFRIKAANSE OPSOMMING: Publiek-Privaat Vennootskappe (PPVe) is 'n gewilde instrument vir die lewering van openbare dienste. Dit is belangrik dat openbare bestuurders sal weet wanneer 'n PPV 'n goeie opsie sal wees vir openbare dienslewering en hoe om 'n PPV se geleentheid vir sukses te verhoog as dit die gekose dienslewerings-instrument is. Die navorsings-vraag wat in hierdie proefskrif aangespreek word is: Wat is die kritieke sukses-faktore wat gerepliseer kan word wat suksesvolle PPVe onderskei van PPVe wat nie presteer nie of wat ineenstort? In hierdie proefskrif word kritieke suksesfaktore vir PPVe geïdentifiseer deur 'n stap-vir-stap proses waardeur verskillende bronne van suksesfaktore ge-analiseer word en agtereenvolgende stelle van suksesfaktore vergelyk en gekombineer word in 'n herhalende, gelaagde proses van sintese. 'n Lys van suksesfaktore word geskep en uitgebrei deur ‗n iteratiewe proses van evaluasie, die verwydering van herhalings, die kombinasie van verwante faktore en die lys van unieke faktore. Suksesfaktore word gevind in literatuur terwyl die PPV konsep en vennootskap meganismes en -bestuur beskryf word. Suksesfaktore word geïdentifiseer in vennootskap literatuur, in openbare bestuur literatuur, in privaatsektor samewerkingsliteratuur, in entrepeneur studies en in 'n versameling perspektiewe op sukses. Hierdie perspektiewe sluit in die van belanghoudendes, van private operateurs, van die derde sektor sowel as perspektiewe van dissiplines en kennis en praktyk raamwerke soos projekbestuur, korporatiewe bestuur, ondernemingsrisikobestuur en organisatoriese ontwerp. Bykomende suksesfaktore word geïdentifiseer in 'n bespreking oor die evaluasie van vennootskappe, waar dit aangedui word dat suksesfaktore afgelei kan word van karakter-gebaseerde evaluasie, van die prestasiemeting van besigheidsverbeteringsdistrikte ("Business Improvement Districts"), van alternatiewelik-fokusende vennootskap-evaluasie (sektor-vir-sektor, tema-gebasseerd, plaaslike vlak) en van dienslewerings-evaluasie. Die evaluering van vennootskap voorbeelde voorsien ook insig in suksesfaktore. Die finale filtrasie en sintese van bewyse gebruik vraelyste, waarvandaan suksesfaktore afgelei word, vir 'n finale distillasie en die saamstel van 'n finale lys van geïdentifiseerde suksesfaktore. In totaal word 466 indiwiduele suksesfaktore in hierdie proefskrif geïdentifiseer, wat in 43 aparte kategorieë gegroepeer word. Die twee mees kritieke suksesfaktore wat uitgewys word is om eerstens 'n benodigde publieke of openbare behoefte te bevredig of diens te lewer, en tweedens om die doelwitte van die vennootskap te bereik. Die antwoord op die navorsings-vraag wat hierbo beskryf word is dat daar krities aan twee voorwaardes voldoen moet word om 'n PPV susksevol te maak, en dit is dat die vennootskap se doelwitte moet bereik word en dat ‗n openbare behoefte bevredig moet word. Daar is verskeie bykomende suksesfaktore wat sukses en die mate van sukses verder kan definieer, waarvan almal beskrywings is van verlangde toestande uit die oogpunt van belanghebbendes. Die uitset van die verkennende en hipotese-vormende studie is 'n hipotese wat lei dat, indien openbare bestuurders met 'n keuse van dienslewerings opsies gekonfronteer word, en indien die gebruik van 'n PPV een van hierdie opsies is, en indien die bestuurder dan die kategorieë van voorgestelde suksesfaktore wat in hierdie proefskrif geïdentiseer is toepas, sal dit vir die bestuurder moontlik wees om te bepaal of 'n PPV 'n toepaslike diensleweringsvoertuig kan wees, en verder dat, indien 'n PPV die gekose diensleweringsvoertuig is, die openbare bestuurder deur die toepassing van die susksesfaktore wat in hierdie proefskrif geïdentifiseer is 'n groter kans sal hê vir suksesvolle implementering van die PPV deur doelgerigte samewerking.

Thesis (MPhil (Public Management and Planning))--University of Stellenbosch, 2006. / ENGLISH ABSTRACT: Increasing inroads by the citizenry, at least in the Western paradigm for the past half millennium, has marked the history of the state as far as accountability is concerned. This process eventually culminated in the modern republican or associated form of democratic governance. Central to this evolutionary process was the notion of the ‘Social Contract’, famously nurtured by the late Enlightenment French philosophers. This concept relies on the notion that the state is crucial for civilized life, yet its power has to be curbed to avoid draconian excesses of power. An analogous process, it might be argued, exists in relation to the citizen-corporate social relationship: that this should come to be governed by what could be termed the ‘Socio-Corporate Contract.’ At present, the great majority of resources are mobilized by private entities, albeit at times in relation to the state, where the state plays a merely facilitating role (Cavanagh et al. 2003; Krasner 2001). This inherently goes to the core of any equity argument. The majority of resources on the planet that are mobilized by and transformed for human consumption: democratically viewed, the citizenry should have some or other governing say over the way in which the majority of resources are mobilized and the manner in which the accrued benefits are distributed (Sachs 2002). Marxist as it may sound, the foundation of such an argument could conceivably, and probably ironically, be traced back to the same type of philosophical foundations that spawned the libertarian republicanism upon which so many of our political Rechtstaat-values are inherently based. From this perspective such a ‘Socio-Corporate Contract’ seems essential, if not inevitable. The form that it would take, though, will probably continue to haunt our governors and rebels alike in the decades to come (Hutton 1995; Also see: The King Report on Corporate Governance in South Africa 2002).

Thesis (MScVoedselwet)--University of Stellenbosch, 2004. / ENGLISH ABSTRACT: The objective of this investigation was to evaluate the effects of age (adult, sub-adult and lamb), gender (male and female) and production region on the morphological characteristics of springbok (Antidorcas marsupialis). In addition, the effects of the latter on the physical, chemical and sensory quality of the M. longissimus dorsi (LD) muscle were determined. Where applicable, correlations within the various physical and chemical attributes of the meat were verified in the experiments. The sensory ratings of the meat were correlated with the data on the physical and chemical attributes of the LD muscle, where applicable. The mean live mass of male and female adult springbok differed significantly (p < 0.05) and averaged 31.7 ± 0.70 and 28.3 ± 0.60 kg respectively. Gender had no significant effect on the mean live mass of the sub-adult category. The mean dressing percentage of the males (58.83 ± 0.53%) was noted to be significantly higher than that of the females (55.79 ± 0.50%). The lambs (58.98 ± 1.07%) had the highest dressing percentage of all the age categories. An increase in carcass measurements was noted with an increase in animal age. Gender did not have a significant (p > 0.05) effect on the carcass measurements. Inverse correlations were noted between pH24 and drip loss (r = -0.26, p < 0.01) and cooking loss (r = -0.42, p < 0.0001) of the LD muscle. It was noted that stressed animals had a significantly (p < 0.05) higher ultimate pH24 (6.30 ± 0.07), as observed in the meat originating from the Caledon region and this meat consequently had a significantly (p < 0.05) lower cooking loss (27.18 ± 0.62%) and drip loss (1.79 ± 0.08%). Meat shear force values ranged between 1.67 ± 0.05 and 2.67 ± 0.16 kg. 1.27 cm-1 diameter. Age-related effects on tenderness were found to be minor in comparison to pH24 effects. The females (3.13 ± 0.28%) were noted to have a significantly (p < 0.05) higher fat content than the males (1.35 ± 0.08%). The adult (2.45 ± 0.26%) and sub-adult (2.50 ± 0.28%) animals had a significantly higher fat content in comparison with the lambs (1.32 ± 0.11%). The protein content of the springbok meat originating from the four production regions varied between 18.80 ± 0.35 and 21.16 ± 0.51%. Gender had no significant effect on the protein content, except for the meat originating from Rustfontein Nature Reserve where the females had a significantly higher protein content. The two major amino acids noted for springbok LD muscle were glutamic and aspartic acid. Phosphorous was the predominant mineral, followed by potassium and calcium. Production region had a significant (p < 0.05) effect on both the amino acid and mineral content of the meat. The saturated fatty acid (SFA) content of the LD muscle contributed 38.40 to 42.69% of the total identified fatty acids. The poly-unsaturated fatty acid (PUFA) content (36.34 - 40.98%) of the meat was very close to this range, meaning that optimal polyunsaturated to saturated (P:S) ratios (0.96 - 1.18) were present. The effects of age and gender on the fatty acid composition were minor in comparison with regional effects. Warner-Bratzler Shear force (kg. 1.27 cm-1 diameter) values were inversely correlated with the following sensory attributes: tenderness (r = -0.70, p < 0.01), residual tissue (r = -0.68, p < 0.01) and sustained juiciness (r = -0.43, p < 0.05). Decreased acceptance of the meat was noted with an increase in ultimate pH (pH24) from 5.4 to 5.8. As the ultimate pH of the meat increased, the rankings for tenderness (r = -0.46, p < 0.05) and sustained juiciness (r = -0.54, p < 0.05) decreased significantly. / AFRIKAANSE OPSOMMING: Die doel van hierdie ondersoek was om die invloed van ouderdom, geslag en produksie area op die morfologiese eienskappe van springbok (Antidorcas marsupialis) te evalueer. Die effek van laasgenoemde faktore op die fisiese, chemiese en sensoriese kwaliteit van die M. longissimus dorsi (LD) is ook ondersoek. Korrelasies in die fisiese en chemiese eienskappe van die vleis is bestudeer. Die resultate van die sintuiglike evaluering van die vleis is gekorreleer met die fisiese en chemiese data van die LD spier, indien van toepassing. Die gemiddelde gewig van die manlike (31.7 ± 0.70 kg) en vroulike (28.2 ± 0.60 kg) diere het betekenisvol (p < 0.05) verskil. Geslag het geen betekenisvolle effek op die gemiddelde gewig van die sub-volwasse diere getoon nie. Die gemiddelde uitslag persentasie van die manlike diere (58.83 ± 0.53%) was betekenisvol (p < 0.05) hoër in vergelyking met die vroulike diere (55.79 ± 0.50%). Met ‘n toename in ouderdom is ‘n toename in karkas metings waargeneem. Geslag het geen effek op die karkas metings getoon nie. Negatiewe korrelasies is genoteer tussen die finale pH (pH24) en drupverlies (r = -0.26, p < 0.05) en tussen pH24 en kookverlies (r = -0.42, p < 0.0001) van die LD spier. Gestresde diere van die Caledon area het ‘n betekenisvolle (p < 0.05) hoër pH24 (6.30 ± 0.07) getoon en gevolglik ‘n laer (p < 0.05) kookverlies (27.18 ± 0.62%) en drupverlies (1.79 ± 0.08%). Die skeurkrag waardes van die LD spier het gewissel van 1.67 ± 0.05 tot 2.67 ± 0.16 kg. 1.27 cm-1 diameter. Die effek van ouderdom op taaiheid was klein in vergelyking met die effek van pH24. Die vroulike diere (3.13 ± 0.28%) het ‘n hoër (p < 0.05) vetinhoud as die manlike diere (1.35 ± 0.08%) getoon. Die volwasse (2.45 ± 0.26%) en sub-volwasse (2.50 ± 0.28%) diere se vetinhoud was hoër as die van die lammers (1.32 ± 0.11%). The proteininhoud het gewissel van 18.80 ± 0.35 tot 21.16 ± 0.51%. Geslag het geen effek (p > 0.05) getoon op die proteieninhoud, behalwe vir die vleis van die Rustfontein Natuur Reservaat. Glutamien en aspartien suur was kwantitatief die belangrikste aminosure. Fosfor was die belangrikste mineraal, gevolg deur kalium en kalsium. Produksie area het ‘n betekenisvolle (p < 0.05) effek op die aminosuur en mineraalinhoud getoon. Die versadigde vetsuur (SFA) inhoud het gewissel van 38.40 tot 42.69% van die totale geïdentifiseerde vetsure. Die poli-onversadigde vetsuur (PUFA) inhoud het gewissel van 36.34 tot 40.98% en daarom is optimale poli-onversadigde tot versadigde (P:S) verhoudings (0.96 - 1.18) genoteer. Die effek van ouderdom en geslag op die vetsuursamestelling was minimaal in vergelyking met die effek van produksie-area. Warner-Bratzler skeurkrag (kg. 1.27 cm-1 diameter) waardes was negatief gekorreleer met die volgende sensoriese eienskappe: taaiheid (r = -0.70, p < 0.01), residuweefsel (r = -0.68, p < 0.01) en volgehoue sappigheid (r = -0.43, p < 0.05). Daar is ‘n afname in die aanvaarbaarheid van die vleis waargeneem met ‘n toename in pH24 van 5.4 tot 5.8. Met ‘n toename in pH24, het die taaiheid (r = -0.46, p < 0.05) en volgehoue sappigheid (r = -0.54, p < 0.05) van die vleis afgeneem

Thesis (MPA)--University of Stellenbosch, 2003. / ENGLISH ABSTRACT: The implementation of national policies is a key function of government through its various departments. This is very crucial in the health sector where lives of individuals are involved. The implementation of the national HIV/AIDS policy is very important in dealing with the epidemic. This study combined both quantitative and qualitative methods to analyse the implementation of the South African government’s national HIV/AIDS policy in the Vhembe District of the Limpopo Province. The quantitative phase involved the stratified sampling process, resulting in identifying 2 health workers from each of the 25 health units in the district comprising of 22 community clinics, the infection control unit, the counselling unit at the hospital and 2 from among the doctors. A total of fifty respondents were selected from a workforce of about 500. The staff profile indicates that 76 % of the health workers interviewed were below 40 years of age and 28% of them were chief professional nurses. Of the health workers, 78 % had been in the current position for between 1 and 5 years, 6 % for 6 to 10 years, 6 % for 16 or more years and 10 % for less than one year. All of them had a diploma as a minimum qualification, 8 % had 2 diplomas, 2 % had 3 or more diplomas, 2% had degrees and 2 % had a degree plus diplomas. In terms of HIV/AIDS policy implementation, 100% of all the facilities provided HIV prevention information to clients, 60% of these facilities worked with other organisations in HIV prevention, but only 4% had voluntary counselling and testing (VCT) services. In these health units only 28% had had staff trained regarding HIV/AIDS issues. In addition 96 % of the health units had the male condom stocked at any one time and only 12 % stocked the female condom. In terms of sexually transmitted diseases (STD) control, all clinics were using the syndromic approach in management of STDs and also claimed to have youth-friendly services. On the other hand only 80 % of the facilities had had staff trained in STD management using the syndromic approach. In the area of prevention of mother-to-child transmission of HIV, (PMTCT) none of the clinics had VCT services for pregnant women and only 8% of them had PMTCT counsellors. Because of the lack of VCT services only 4% of the clinics had known HIV positive mothers attending the antenatal care services. On the issue of post-exposure prophylaxis (P.E.P.) all clinics had protocols for this and 88% of them had antiretroviral drugs (ARVs) stocked for post-exposure treatment for health workers. However, only 8% of these clinics had a betadine douche as the only post-exposure intervention for raped women. In the area of treatment care and support for patients none of these clinics offered ARVs, 24 % had protocols for prevention and management of opportunistic infections, 4% were involved in any form of home-based care, 4% had HIV/AIDS dedicated services and 24% collaborated with community non-governmental organisations (NGOs) in HIV/AIDS care. The qualitative phase of the study highlighted what health workers perceived as prominent features of the national HIV/AIDS policy and these included prevention of HIV by use of condoms, faithfulness and pre-test counselling. The respondents also interpreted the social response by government to include provision of home-based care, care of orphans, food provision and safe guarding rights of victims. Other issues that were perceived to be part of the national HIV/AIDS policy were STD management, health education, provision of training to health workers in HIV/AIDS issues, provision of home-based care and occupational health and safety for health workers. The government was also perceived to have a negative attitude towards AIDS NGOs, not providing adequate numbers of the female condom and denying patients antiretroviral drugs (ARVs). The recommendations made on the basis of the study therefore include strengthening the training of health workers in HIV/AIDS care and management, improved provision of VCT services, wider distribution of the female condom, provision of prevention of mother-to-child transmission of HIV (PMTCT) services and the linking of research and care to provide evidence-based practice. Other recommendations are that there should be support programmes for health workers with HIV, addressing gender issues in implementation and provision of ARVs especially where it is already known that they help. / AFRIKAANSE OPSOMMING: Die implementering van nasionale beleid is ‘n sleutelfunksie van die regering, verrig deur sy onderskeie departemente. Dit is veral deurslaggewend in die gesondheidsektor waar die lewens van individue op die spel is en die implementering van die nasionale MIV/VIGS- beleid is baie belangrik in die hantering van die epidemie. In hierdie studie is beide kwalitatiewe en kwantitatiewe metodes gekombineer om implementering van die Suid-Afrikaanse regering se nasionale MIV/VIGS -beleid in die Vhembe-distrik van die Limpopo-provinsie te analiseer. Die kwantitatiewe fase het ‘n gestratifiseerde steekproefproses behels, wat gelei het tot die identifisering van 2 gesondheidswerkers uit elk van die 25 gesondheidseenhede in die distrik, bestaande uit 22 gemeenskapsklinieke, die infeksie-beheereenheid, die beradingseenheid by die hospitaal en die geledere van die dokters. So is ‘n totaal van 50 respondente geselekteer uit ‘n arbeidmag van ongeveer 500. Die personeelprofiel dui aan dat 76% van die gesondheidswerkers wat ondervra is jonger as 40 jaar was en dat 28% van hulle hoof professionele verpleegsters was. Van die gesondheidswerkers was 78% vir 1 tot 5 jaar in hul bestaande posisie , 6% vir 6 tot 10 jaar, 6% vir 16 of meer jare en 10% vir minder as 1 jaar. Almal van hulle het ‘n diploma as ‘n minimum kwalifikasie gehad, 8% het 2 diplomas, 2% het 3 of meer diplomas, 2% het grade en 2% het ‘n graad plus diplomas gehad. In terme van die MIV/VIGS beleidsimplementering het 100% van die fasiliteite MIV- voorkomingsinligting aan kliënte verskaf, 60% van hierdie fasiliteite in samewerking met ander organisasies , terwyl slegs 4% vrywillige berading en toetsdienste verskaf het. Slegs 28% van die gesondheidseenhede het oor personeel beskik met opleiding in MIV/VIGSkwessies. Verder het 96% van die gesondheidseenhede die manlike kondoom in voorraad gehad teenoor slegs 12% eenhede die vroulike kondoom. In terme van die seksueel-oordraagbare siektebeheer, het al die klinieke die sindroom-benadering in die bestuur van seksueel- oordraagbare siektes toegepas en het beweer dat hulle dienste jeugvriendelik is. Daarteenoor het slegs 80% van die fasiliteite beskik oor personeel wat opgelei was in seksueel- oordraagbare siektebestuur met toepassing van die sindroombenadering. Op die terrein van voorkoming van moeder- na- kind- oordraging van HIV het geen van die klinieke oor vrywillige berading en toetsdienste vir swanger vroue beskik nie en slegs 8% van hulle het wel moeder-na-kind– oordragingsberaders gehad. As gevolg van die gebrek aan vrywillige berading en toetsdienste het slegs 4% van die klinieke kennis gedra van HIV- positiewe moeders wat voorgeboortelike sorgdienste bygewoon het. Wat na-blootstellingsvoorbehoeding aanbetref, het alle klinieke protokolle gehad en 88% het antiretrovirale medisyne in voorraad gehad vir nablootstellingsbehandeling van gesondheidswerkers. Slegs 8% van hierdie klinieke het egter ‘n betadine-spoeling(“douche”) as die enigste nablootstelling intervensie vir verkragte vroue gehad. Op die gebied van die behandeling van en ondersteuning aan pasiënte het geen van hierdie klinieke die antiretrovirale medisyne aangebied nie, 24% het protokolle vir die voorkoming en bestuur van geleentheidsinfeksies gehad, 4% was betrokke in enige vorm van tuisgebaseerde sorg, 4% het oor MIV/VIGS -gerigte dienste beskik en 24% het met gemeenskapsvrywilligerorganisasies saamgewerk in die voorsiening van MIV/VIGS-sorg. Die kwalitatiewe fase van die studie fokus op wat gesondheidswerkers beskou as prominente kenmerke van die nasionale MIV/VIGS- beleid en wat insluit die voorkoming van HIV deur die gebruik van kondome, getrouheid en voortoets- berading. Die respondente vertolk die regering se sosiale reaksie as insluitend die verskaffing van tuisgebaseerde sorg, die versorging van weeskinders, voedselvoorsiening en die beveiliging van slagoffers se regte. Ander kwessies wat ook gesien word as deel van die nasionale MIV/VIGS beleid is seksueel- oordraagbare siektebeheer, gesondheidopvoeding, die verskaffing van opleiding aan gesondheidswerkers in MIV/VIGS-probleme, die voorsiening van tuisgebaseerde sorg en beroepsgesondheid en veiligheid vir gesondheids werkers. Die regering se houding teenoor VIGS vrywilligerorganisasies is ook as negatief vertolk deur onvoldoende hoeveelhede van die vroulike kondoom te verskaf en antiretrovirale medisyne te weerhou van pasiënte. Die aanbevelings wat op grond van die studie gemaak is, sluit in die verbeterde opleiding van gesonheidswerkers in MIV/VIGS-sorg en -bestuur, verbeterde verskaffing van vrywillige berading en toetsdienste, wyer verspreiding van die vroulike kondoom, verskaffing van MIV-dienste vir die voorkoming van moeder-na-kind-oordraging en die konnektering van navorsing en sorg om ‘n inligtingsbaseerde praktyk te skep. Ander aanbevelings is dat daar ondersteuningsprogramme vir gesondheidswerkers met MIV behoort te wees wat geslagskwessies aanspreek in die implementering en verskaffing van antiretrovirale medisyne waar dit reeds bekend is dat dit wel help.

Thesis (MPA)--University of Stellenbosch, 2004. / ENGLISH ABSTRACT: With the democratic reform in South Africa, The Constitution of 1996 and the White Paper on Transforming Public Service Delivery of 1997 made an important contribution to a new attitude amongst public servants and citizens regarding service delivery. It is said that these two documents ushered in a period of instilling an attitude of Batho Pele, namely ‘people first’, with public servants. The South African Police Service (SAPS) as a government entity, also had to comply, and having one of the most important functions of, ‘ensuring a safer and secure environment for all’, caused the SAPS to rethink the way they would manage this new attitude. Organisational Development and Change, Project and Programme Management and Service Delivery are a few of the approaches captured within the public administration and public management discipline, which refers to a theory of the most recent paradigm change in the way the public sector must be governed. A comparative perspective is given on how these approaches could have a positive impact on the SAPS and other organisations. The foundation of this study is based on the creation of a theoretical base relating to Organisational Development and Change Management, Project and Programme-based Management as well as Service Delivery in the Public Sector. This is the point of departure for the proposed Service Delivery Improvement Model that indicates the integration of these approaches within the organisation. The background and current situation regarding service delivery within the SAPS is also discussed. Data is collected through structured interviews with SAPS managers and opinion surveys, which were completed by service members. The interviews as well as the surveys were used to motivate the aim of the proposed model. The study concludes with recommendations that were made by the researcher with the completion of the research done. The necessity, importance of implementation and the marketing of project and programme-based management within the SAPS is emphasised. / AFRIKAANSE OPSOMMING: Met die demokratiese hervorming in Suid Afrika, het die Konstitusie van 1996 en die Wit Skrif van die Transformasie van Openbare Dienslewering van 1997 ‘n belangrike bydrae gemaak tot ‘n nuwe gesindheid onder openbare amptenare ten opsigte van dieslewering. Daar word genoem dat hierdie twee dokumente ‘n periode vir die inboesem van ‘n gesindheid van Batho Pele, naamlik ‘mense eerste’, by openbare amptenare aangekondig het. Die Suid Afrikaanse Polisie Diens (SAPD) as ‘n regerings entiteit, moes ook voldoen hieraan, met die inagneming van een van die belangrikste funksies, ’om ‘n veiliger en sekureerde omgewing vir almal te verseker’, is die SAPD genoodsaak om die wyse hoe hulle hierdie nuwe gesindheid gaan bestuur, te heroorweeg. Organisasie Ontwikkeling en Verandering, Projek en Program-gebaseerde Bestuur asook Dienslewering, is ‘n paar van die benaderings vervat binne die Publieke Administrasie en Openbare Bestuur dissipline, wat verwys na ‘n teorie van die mees onlangse paradigma verandering oor hoe die openbare sektor regeer moet word. ‘n Vergelykende perspektief word weergegee oor hoe hierdie benaderings ‘n positiewe impak op die SAPD en ander organisasies kan bewerkstellig. Die fondament van hierdie studie is gebaseer op die skepping van ‘n teoretiese basis met verband tot Organisasie Ontwikkeling en Verandering, Projek en Program-gebaseerde Bestuur asook Dienslewering. Hierdie word die vertrekpunt vir die voorgestelde Dienslewerings Verbeterings Model wat die intergrasie van hierdie benaderings binne die organisasie voorstel. Verder word die agtergrond en huidige situasie in die SAPD rakende dienslewering ook bespreek. Data word versamel deur middel van gestruktureerde onderhoude met SAPD bestuurders en opinie opnames wat deur lede van die diens voltooi is. Die onderhoude sowel as die opnames is gebruik om die doel van die voorgestelde model te motiveer. Die studie word afgesluit met aanbevelings wat na afleiding van die navorsing deur die navorser gemaak is. Die toepaslikheid, noodsaaklikheid van die implimentering en die bemarking van projek en program-gebaseerde bestuur binne die SAPD word veral beklemtoon.

Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: See ful text for abstract / AFRIKAANSE OPSOMMING: Sien volteks vir opsomming