The need for the focus for inclusion of Indigenous Knowledge (IK) into policy is largely informed by a globalisation process that is characterised by increased knowledge sharing of different cultural and lingual groups. Indigenous knowledge has been an essential survival tool for humans since time immemorial and there is a connection between IK and disaster risk reduction (DRR). Increasingly indigenous knowledge is being valued internationally as a useful resource for dealing with modern problems. The thesis made a case of effectively including IK into DRR policy in Zimbabwe. Focus group discussion, transect walks, document analysis and participatory interviewing methods involving more than 138 participants were employed to gain insights of IK practices and measures used for DRR in four districts (Mangwe, Hwedza, Lupane and Guruve) in Zimbabwe. There are no easy answers for advocating for the inclusion of IK into DRR policy for obtaining IK from participants take time and there is need for patience. However, the main categories of IK emerging from this study contribute to the emerging IK/DRR practices body of knowledge, spanning social science disciplines. The research found that the most used IK domains for components of DRR identified are individual inherited knowledge and knowledge known to the community. Other IK domains used are knowledge practiced by individuals if known to individuals, acquired the skill to practice it faithfully without modification, individual rights to use the modified and unmodified knowledge according to same rules and acquired the skill to practice it faithfully with modification. Communities that have inherited IK, have abilities to observe their surroundings using plants (environmental ethic) and animals (ecological ethic) to develop indicators that can be used to predict disaster risk. There are many IK experts in rural communities for human and animal health. IK use in DRR is about agency, notwithstanding political and economic context. Rural communities’ agency are continuously reviving and becoming more innovative in developing IK technologies for DRR. The inclusion of IK into DRR policy becomes very relevant in that IK categories identified can be used for DRR. Finally, on the basis of the findings suggestions and road map for the inclusion of IK through a broader education strategy has been provided. The suggestion for the inclusion of IK into DRR is either through decentralisation, partnership or devolution. With decentralisation, responsibilities can be delegated with limited authority to dispersed units of hierarchical jurisdiction while in devolution there is a creation of some realms of authority that have autonomy. The thesis recommended that IK requires institutional linkages reinforcement between DRR and rural sectors (local government, village assemblies, traditional leaders, IK experts) and improving quality of education, and incorporating IK for DRR in the education curriculum from primary schools to university level. / PhD (Development and Management), North-West University, Potchefstroom Campus, 2015

The Swedish Association of Local Authorities and Regions (SALAR) and the Swedish National Board of Health and Welfare (NBHW) have published a yearly report called “Open Comparisons of Quality and Efficiency in Swedish Health Care –Regional Comparisons” since the year 2006 to compare medical outcomes, patient experience, availability and costs among hospitals and counties. In this paper, inspired by the region profiles attached to the report, we describe several possible measurement methods for comparing dichotomous data: Risk Difference (RD), Relative Risk (RR), Relative Risk Reduction (RRR) and Odds Ratio (OR), mainly by using a geometric approach as a basis for further discussion. A standard scores method is also presented as a means for more efficient comparisons.

The increasing impacts of climate change bear new challenges for the international community. The exacerbation of natural disasters in frequency and scope also confronts the national governments with newly arising problems. Disaster-induced displacement isan increasing phenomenon occurring the last years, which particularly vulnerable regions with a high exposure to national hazards are affected by. The present study addresses the inclusion of disaster IDPs in Disaster Risk Reduction frameworks on international and national level and argues that there is a need to recognize disaster-induced displacement as an increasing issue that should explicitly be addressed and included in policy frameworks on both levels. This was addressed through analyzing international and national key strategies in Disaster-Risk-Reduction. A case comparison of the earthquake in Haiti in 2010 and the yearly recurring floods in Mozambique since 2000 illustrates the implementation of these frameworks in regard to the issue of displacement. Although efforts have been made on both levels to improve the situation of IDPs in the response and recovery phase, it is argued that an inclusion through a community-based approach is needed in all the phases of disaster management to appropriately address the needs of disaster IDPs in the pre-and post-disaster phases.

Both Disaster Risk Reduction (DRR) and Climate Change Adaptation (CCA) aim at reducing the vulnerabilities and enhancing the capacities of men and women when facing natural hazards and climate change. Despite conceptual bridges existing between both sectors, the literature suggests a lack of practical integration of objectives and approaches in the design and implementation of climate change-related and DRR initiatives as well as a lack of attention to gender issues. In parallel, studies repeatedly stress the necessity to (i) provide more empirical studies that re-contextualise climate change as just one of many issues faced on a daily basis by local communities, and (ii) emphasise the gender dimension of vulnerability to understand differences between men’s and women’s realities in relation to disasters and climate change. This research explores the local dimension of the (lack of) integration of DRR and CCA through using gender as a lens. It uses the case study of the Himalayan province of Ladakh in India where the predicted impacts of climate change could seriously undermine inhabitants’ access to water. Embedded within the theoretical frames of DRR and feminist political ecology, this research draws on concepts of gender, marginalisation, vulnerability and capacity in order to understand the local impacts of environmental degradation and the implications for policies and development projects. When analysing the ways in which Ladakhi communities experience climate change and natural hazards in relation to their everyday risks, the vulnerability and capacity assessment conducted in this research shows that men and women face different everyday constraints which shape their views of their environment. The gender sensitive methodology and analysis also contribute to focus the attention away from hazards to emphasise the way people’s vulnerabilities are inherently linked to unsustainable development which stresses the importance of designing integrated responses. Yet, when examining current interventions to tackle disaster risk and climate change in relation to Ladakhi communities’ contexts, priorities and needs, a focus on gender and DRR highlights the gap between theories, policies and practices. Evidence from Ladakh contributes to show the dichotomy between the ineffectiveness of top-down interventions targeting climate change and disasters, and the gendered experiences of local communities in the face of a multitude of everyday risks that extend beyond climate change and natural hazards. Current DRR and CCA policies and projects reproduce a dominant focus on hazards and do not challenge established development models that are male-dominated and which promote people’s (and disproportionately women’s) vulnerability. However, development interventions, in the context of Ladakh, appear more adequate to improve people’s livelihoods with greater scope for inputs from the community level, which contribute to enhancing their capacities. Therefore, this thesis argues that emphasis should be placed on sustainable development practices in order to better address disaster risk and climate change as well as communities’ everyday risks. It finally underscores the need to recognise and assess the interconnection of different structures and their impacts on people’s daily lives at the onset of development strategies and to ensure that these are part of a sustainable, holistic and integrated approach to reducing vulnerability.

The theory of planned behavior (TPB) is a useful model for understanding social-cognitive determinants (i.e. attitude, perceived norms, and perceived behavioral control) of sexual risk reduction among adolescents. However, research using the TPB has emphasized main effects and has not considered the possibility of moderated associations. In addition to testing main effects, this study assessed the interactions between TPB constructs and investigated the influence of previous sexual experience when predicting adolescents’ intentions to use condoms and delay sexual activity. Results indicate that the TPB functions differently depending on previous sexual experience and type of risk reduction behavior. Perceived norms were the only consistent predictor of intentions for condom use and delay. Attitude moderated perceived behavioral control when predicting condom use intentions among sexually experienced youth. However, no other interaction effects were detected. Future directions for research and implications for practice are discussed.

Problem If current trends in disasters are anything to go by, we can expect more complex disasters in the future as a population, perhaps already weakened by conflict, climate or disease, is hit by a natural disaster.  This then requires a multifaceted and complex intervention of humanitarian actors. Therefore, the adaptations increasingly require identification of themes to mitigate the complex vulnerabilities that come with these challenges like reforms, collaboration and specialization of tasks between humanitarian organizations inter alia. Purpose The purpose of this thesis is to identify the underlying factors that lead to global and humanitarian challenges in order to suggest effective adaptations to address them in the preparedness phase. Methodology The paper takes a qualitative approach, adopting a phenomenological research. In depth interviews are used to identify the most outstanding themes and patterns in sync with the humanitarian challenges and adaptations identifies in the AlertNet Poll (2011) and DARA humanitarian response index (2011). The themes are used to narrate solutions to the research questions Findings The results suggest that the adaptations identified in the reports regulate humanitarian and global challenges. The humanitarian challenges effective adaptations to overcome these challenges have been identified but not limited to collaboration of humanitarian logistics actors, emphasis on preparedness and disaster risk reduction and the unification of relief and developmental policies and frameworks to ensure long term planning and assessment of disasters Conclusion The research concludes that disaster risk reduction and preparedness, humanitarian logistics reforms and collaboration in all humanitarian aspects are the most effective adaptation to the global and humanitarian challenges. If current trends in disasters are anything to go by, we can expect more complex disasters in the future as a population, perhaps already weakened by conflict, climate or disease, is hit by a natural disaster. This then requires a multifaceted and complex intervention of humanitarian actors. Therefore, the adaptations increasingly require identification of themes to mitigate the complex vulnerabilities that come with these challenges like reforms, collaboration and specialization of tasks between humanitarian organizations inter alia. Purpose The purpose of this thesis is to identify the underlying factors that lead to global and humanitarian challenges in order to suggest effective adaptations to address them in the preparedness phase. Methodology The paper takes a qualitative approach, adopting a phenomenological research. In depth interviews are used to identify the most outstanding themes and patterns in sync with the humanitarian challenges and adaptations identifies in the AlertNet Poll (2011) and DARA humanitarian response index (2011). The themes are used to narrate solutions to the research questions Findings The results suggest that the adaptations identified in the reports regulate humanitarian and global challenges. The humanitarian challenges effective adaptations to overcome these challenges have been identified but not limited to collaboration of humanitarian logistics actors, emphasis on preparedness and disaster risk reduction and the unification of relief and developmental policies and frameworks to ensure long term planning and assessment of disasters Conclusion The research concludes that disaster risk reduction and preparedness, humanitarian logistics reforms and collaboration in all humanitarian aspects are the most effective adaptation to the global and humanitarian challenges.

As the HIV/AIDS epidemic in the United States nears the end of its third decade, stakeholders have begun to sift through the previous experiences in prevention in order to assess progress as well as plan the next steps in this fight. The purpose of this study is aimed at understanding the factors which may affect unprotected intercourse. It is hypothesized that for men who have sex with men (MSM) there is an association between having a discussion about their HIV status and high-risk sexual behaviors. A secondary analysis was conducted using data from the National HIV Behavioral Surveillance (NHBS) System. Binary logistic regression was conducted to determine the degree of association of the dependent variables; unprotected receptive anal intercourse (URAI) with a main partner, URAI with a non-main partner, unprotected insertive anal intercourse (UIAI) with a main partner and UIAI with a non-main partner, with the independent variables of discussion of HIV status, age, race, educational attainment, number of partners and HIV status. When assessing the association between the discussion of HIV status with both URAI and UAIA it was found that discussion of HIV status was a non-significant factor. Despite the non-significant findings in relations to the hypotheses, being Black was found to be a significant predictor of URAI and UAIA with main partners in the logistic regression models. Having a positive serostatus and having 5 or more sexual partners proved to be significant risk factors for URAI and UIAI with a non-main partner, while being Black was found to be a protective factor.

This dissertation sought to evaluate the efficacy of brief, HIV risk-reduction counseling (versus information only) among subgroups of substance abuse treatment clients by conducting a series of post-hoc analyses of data that were collected from the CTN 0032 trial. It was hypothesized that HIV risk-reduction counseling would be associated with decreased sexual risk behaviors in several subgroups as determined by baseline characteristics. Findings of this dissertation suggest that brief, HIV risk-reduction counseling delivered in conjunction with rapid HIV testing is not efficacious in reducing number of risky sex acts among subgroups of substance abuse treatment clients. Findings suggest that brief, HIV risk-reduction counseling may be efficacious in reducing total number of sex partners among some subgroups. Findings will potentially inform the national HIV prevention agenda by helping to determine whether the current CDC recommendation on HIV testing should be applied broadly versus to specific target groups and, therefore, determine whether monetary resources for risk-reduction counseling should be allocated to specific target groups.

This study was developed to determine whether buyers expect suppliers with whom they have strong relationships to take preventative action if external events threaten to disrupt planned transactions. The alternative is that buyers perceive the relationships to be limited to contract obligations. This dissertation employed a quantitative study design to examine the buyer's view of buyer-supplier relational capital as a tool for risk reduction in the supply chain. The study is an extension of the work linking social capital, risk management, and inter-organizational network theory. The research population was a sample of 612 U.S. buyers managing global supply chains. The results were analyzed with factor analysis to evaluate the contribution of relational expectations, contract use, and organizational risk practices on the perceived risk reduction actions of the supplier. The relationships between the identified factors were determined through the development of a path model using partial least squares analysis. The data analysis suggests that the buyer does perceive relational capital to bring about specific risk prevention action from the supplier. More importantly, buyers include in their relational expectations of the supplier the reduction of any perceived supply chain risk that could impact the buying organization. The study also reveals the widespread use of preferred supplier relationships to handle the acquisition of critical goods and services. The study adds to the supply chain body of knowledge by expanding the known scope of buyer-supplier relational expectations. The work validates previous research by Ellis & Shockley (2010), which asserts that collaborative relationships lower a firm's risk profile. It also provides empirical evidence for network theories such as the study by DeWever, Vandenbempt & Martin (2005), who find that relational capital is a potential source of assistance during times of trouble.

Increasingly, the emphasis in health care is on wellness and prevention, and efforts are focused on keeping patients out of costly healthcare centres. High-risk cardiovascular patients are identified and incorporated into risk reduction and management programmes. The aim of this study was to explore the role of the nurse in such a programme and make recommendations about the expansion of this role. By conducting a literature study, the ideal role of the nurse in a risk reduction and management programme was analysed, thereby reaching the study’s first objective. The second objective was met by conducting qualitative research on the current role of the nurse in cardiovascular health risk management in South Africa. The researcher then compared the empirical data to the ideal role as it emerged from the literature. The findings were presented as areas for expansion of the role of the nurse in a cardiovascular risk management programme. / Dissertation (MCur (Clinical))--University of Pretoria, 2008. / Nursing Science / unrestricted