Thesis (PhD)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: The prevention of mother-to-child transmission (PMTCT) of HIV is a key maternal and child health intervention in the context of the HIV/AIDS pandemic in South Africa. Accordingly, the PMTCT programme has been incorporated in the District Health Management Information System (DHMIS) that collects monthly facility-based data to support the management of public health services. To date, there has not been a comprehensive evaluation of the PMTCT information system. By comparing the experiences in two health districts, using the Performance of Routine Information System Management (PRISM) framework and tools, this study seeks to evaluate the availability, quality and use of process and output indicators for monitoring PMTCT interventions. A comparative analytical and observational study was undertaken using a multi-method approach which included: a self-administered survey of health information personnel to assess confidence and competence levels for routine health information system (RHIS) tasks, an assessment of the routine PMTCT data for quality, completeness, accuracy, and data use; and a facility survey of RHIS processes and resources. In addition, in-depth interviews with 22 key informants and observations in health facilities were conducted. Data were collected from 57 health facilities in a convenience sample of two health districts, and also from 182 health information personnel in the 57 health facilities, three sub-districts, and two district offices. Descriptive statistics, χ2-test, correlation and multiple regression analyses were conducted using STATA® Version 13. A general inductive approach was also used to analyse the qualitative data, which was used for triangulation. The study revealed considerable data quality concerns for the PMTCT information with an average accuracy between the register and routine monthly report of 51% and between the routine monthly reports and DHMIS database of 84% suggesting that the primary point of departure for accurate transfer of data is during the collation process. The importance of human factors was emphasised by the observation that the average confidence level for performing RHIS-related tasks (69%) was not commensurate with the average competence levels (30%). Education was found to be associated with competence, implying that levels of education may be associated with the level at which RHIS competencies are acquired; and that three years or more of post-matriculation education is necessary. Motivation, on the other hand was not associated Stellenbosch University https://scholar.sun.ac.za iv with competence. The study observed the absence of processes such as data-quality checks and data-analysis in place in facilities. There was a general absence of a culture of information use, as a result of lack of trust in the data, and the inability of programme and facility managers to analyse, interpret and use information. We observed differences in the data accuracy by organisational authority, and multivariate analysis and qualitative information suggested that feedback may be an essential process to ensure quality. Although the PRISM framework has been developed from a multi-disciplinary evidence base, this study has been able to validate some of the internal assumptions but has also found some aspects that were not supported such as motivation and data display. Data collected from a larger number of facilities will be required to investigate this further. Institutional capacity to improve RHIS processes, ensure core competencies for RHIS-related tasks are needed, and in the longer term, measures to tackle problems associated with low pass rates in numeracy subjects among high school learners are needed. Further exploration of the possible factors that may influence data accuracy, such as supervision, training and leadership are needed as well as investigating the relationships between human and institutional agency-related aspects, in particular, how individual actions can bring about changes in institutional routines. Further study is needed to determine how decision for planning and evaluating key programmes such as PMTCT are made, and what informs such decisions if not routine data. / AFRIKAANSE OPSOMMING: In die lig van Suid Afrika se MIV/VIGS-pandemie kan ’n ingryping op gesondheidsvlak ’n belangrike rol speel om moeder-na-kind-oordrag (beter bekend as PMTCT) van MIV te voorkom. ’n Inligtingstelsel vir distriksgesondheidsbestuur – die DHMIS – was ontwerp vir die invordering van maandelikse fasiliteitsdata, wat gebruik kan word om die bestuur van openbare gesondheidsdienste en -programme te ondersteun. Die inligtingstelsel self was nog nie omvattend evalueer nie. Hierdie studie het die ervarings van twee gesondheidsdistrikte vergelyk met behulp van die PRISM- (Performance of Routine Information System) raamwerk en -instrumente. Derhalwe het hierdie studie die beskikbaarheid, gehalte en gebruik van proses- en uitsetaanwysers probeer bepaal om die PMTCT-ingrypings te monitor. ’n Vergelykende analitiese en waarnemingstudie is onderneem met behulp van ’n veelvuldige benadering. Die verskillende metodes het ’n selfopname onder gesondheidsinligtingspersoneel ingesluit om hul selfvertroue en bevoegdheid in roetinegesondheidsinligtingstelsel (RHIS)-take te evalueer. Daar was ook ’n assessering van die PMTCT-roetinedata om datagehalte, -volledigheid, -akkuraatheid en -gebruik te beoordeel.’n Fasiliteitsopname oor RHIS-prosesse en –hulpbronne was ook gedoen. Ander navorsingsmetodes het diepte-onderhoude met 22 sleutelpersone ingesluit, sowel as waarnemings in gesondheidsfasiliteite. Data is van 182 gesondheidsinligtingpersoneel van die 57 gesondheidsfasiliteite in ’n geriefsteekproef van twee gesondheidsdistrikte ingesamel. Deskriptiewe statistiek, χ2-toetsing, korrelasie en veelvoudige regressie is met behulp van STATA® weergawe 13 ontleed. ʼn Algemene induktiewe benadering is ook gevolg om die kwalitatiewe data te ontleed. Die studie toon dat menslike faktore ’n impak op datagehalte en -inligting kan hê, met ’n gemiddelde akkuraatheidsyfer van 51% van beide die register en roetine maandelikse verslae. Die akkuraatheid van die maandelikse verslae en RHIS databasis is 84%, wat aandui dat akkuraatheid slegs toegepas word indien inligting uit die staanspoor korrek aangeteken word. Die impak van menslike hulpbronafaktore was beklemtoon toe daar bevind was dat hoewel 69% van RHIS-dataverwerkers vertroue getoon het in die gebruik van RHIS-verwante take, slegs 30% wel bevoeg was om die werk te doen. Opvoeding was grootliks geassosieer met bevoegdheid, wat moontlik voorstel dat sekere vlakke van opvoeding benodig word vir spesifieke RHIS-bevoegdhede. Minsten drie jaar tersiêre opleiding word aanbebeel. Motivering was nie met Stellenbosch University https://scholar.sun.ac.za vi bevoegdheid geklassifeer nie. Die studie het bevind dat daar te min aandag aan datagehalte en –analise gegee word in fasiliteite. Oor die algemeen was daar nie ’n ordentlike kultuur van inligtinggebruik nie, a.g.v. die feit dat daar nie vertroue in die data was nie. Terselftertyd was program- en fasiliteitbestuurders nie bevoeg om inligting te analiseer en ontleed nie. Ons het verskille in die akkuraatheid van data opgetel wat deur organisasie-hoofde gedoen was. Meervoudige analise en kwalitatiewe informasie stel voor dat terugvoering ’n belangrike deel van die proses moet wees om kwaliteit te verseker. Hoewel die PRISM-raamwerk saamgestel was uit ’n multi-dissiplinêre bewyslewering, kon hierdie studie sommige van die interne voorneme valideer, maar daar was aspekte wat nie gestaaf kon word nie. Inligting van ’n groter aantal fasiliteite sal benodig word om verder hierna ondersoek in te stel. Institusionele kapasiteit word benodig om RHIS-prosesses te verbeter en basiese vaardighede vir RHIS-verwante take te verseker. Op langtermynvlak moet daar ook gekyk word na probleme wat lei tot laë slaagsyfers in syfervaardighede in hoërskoolleerders. Verdere ondersoek moet ingestel word om vas te stel watter faktore moontlik akkurate data teweeg kan bring. Dit sluit toesig, opleiding en leierskap, asook die verhoudings tussen menslike en agentskap-verwante aspekte in. Die feit dat optrede op individuele vlak veranderings in institusionele roetines kan aanbring, moet spesifiek na gekyk word. Verdere studies kan help om vas te stel hoe besluite vir beplanning en evaluaring vir hoofprogramme soos PMTCT gemaak word – asook hoe die besluite gemaak word indien hulle nie roetine voorafgaan nie.

La constatazione che in ambito sanitario il prodotto finale dei processi terapeutico-assistenziali, ovvero il miglioramento delle condizioni di salute dei cittadini, non possa essere definito soltanto in termini puramente economici e in un contesto in cui gli aspetti monetari costituiscono il perno intorno al quale si muovono tutte le strategie politiche, sociali ed economiche nazionali ed europee, costituisce il primum movens di questo progetto di ricerca. L’Azienda Sanitaria rappresenta, infatti, un locus in cui si embricano e sovrappongono le esigenze di numerose categorie di stakeholders (politici, fornitori, utenti e lavoratori) che, pur calati in un ambiente che possiede caratteristiche aziendali indissociabili da valutazioni finanziarie, non possono considerarsi esaurite nelle sole dimensioni economico-monetarie. Il valore finale dei processi di output di un’Azienda Sanitaria, sinteticamente riassumibile nel concetto di “soddisfacimento dei bisogni di salute della popolazione” riconosce, fra le componenti intrinseche del processo produttivo, cogenti sollecitazioni di carattere etico che presuppongono il rispetto di garanzie di equità, legittimità e imparzialità, irrinunciabili nella costruzione del prodotto finale. Questo lavoro di ricerca concentra, quindi, la propria attenzione sul processo di creazione di valore nell’Azienda Sanitaria, a partire dalle suggestioni bibliografiche inerenti le principali variabili economiche e organizzative, per giungere a indagare le corrispondenze derivanti dalle componenti intangibili. / The finding that the final product in the health-care therapeutic process, namely the improvement of citizens' health, can not only be defined in purely economic terms and in a context where the monetary aspects are the pivot around which move all the political strategies, social and economic national and European, it is the primary cause of this research project. The Health Service is, in fact, a locus where they overlap the needs of various categories of stakeholders (politicians, suppliers, users and workers) who, although dropped in an environment that has business features inseparable from financial ratings, were not exhausted only in the economic and monetary dimensions. The final value of the output processes of a company Health, succinctly summed up in the concept of "meeting the health needs of the population" recognizes, among the intrinsic components of the production process, mandatory stress ethical which require compliance with guarantees of fairness , legitimacy and impartiality, essential in the construction of the final product. This research focuses, therefore, its attention on the process of value creation in the Company Health, from bibliographical suggestions regarding the main economic and organizational variables, to come to investigate the matches resulting from intangible assets.

ASSIS, Elisa Maria. Gestão do sistema tutorial, à luz do imaginário do tutor e do aluno. 2007. 116f. Dissertação (Mestrado em Tecnologia da Informação e Comunicação na Formação de EAD) – Universidade Federal do Ceará, Programa de Pós-Graduação em Tecnologia da Informação e Comunicação na Formação de EAD, Londrina-PR, 2007. / Submitted by Maria Josineide Góis (josineide@ufc.br) on 2012-06-26T15:30:51Z No. of bitstreams: 1 2007_Dis_EMAssis.pdf: 834855 bytes, checksum: 6512e205e6ea04b3a9f46d67fda29ba4 (MD5) / Approved for entry into archive by Maria Josineide Góis(josineide@ufc.br) on 2012-06-27T12:38:08Z (GMT) No. of bitstreams: 1 2007_Dis_EMAssis.pdf: 834855 bytes, checksum: 6512e205e6ea04b3a9f46d67fda29ba4 (MD5) / Made available in DSpace on 2012-06-27T12:38:08Z (GMT). No. of bitstreams: 1 2007_Dis_EMAssis.pdf: 834855 bytes, checksum: 6512e205e6ea04b3a9f46d67fda29ba4 (MD5) Previous issue date: 2007 / The distance Education system management must follow the paradigms of the contemporary times, valuing the subjectivity that considers the man as a multifaceted and controversial being. From this starting perception, the present study aimed at clarifying the imaginary of the relationship between on-line tutors and undergraduate distance learning students at a university in the south area of Brazil. This study is quantitative and qualitative and associated statistic analysis with the meaning research, conferring privilege on the researched topic comprehension and the gathered data interpretation. As a research tool, a questionnaire with open and closed questions was applied to the students and on-line tutors. The closed questions dealt with the online tutor assessment by the student and a tutorial practice self-assessment by participant tutors. The student’s imaginary, as well as the tutors´, were grasped through the analyses of the discourse produced during the free speech question about the tutorial practice. The data analysis was conducted through the quantitative and qualitative approach. The quantitative data was submitted to a specific statistic treatment to make it possible to identify frequency. The qualitative analysis was based on the discourse analysis and meaningful speech excerpts were categorized and considered. From the interpretative process, three categories emerged: The tutor as present being and mediator; dialogicity and interactivity; affection and the psychological proximity. The emerged categories were discussed based on the relevant literature, the observation and the researcher subjectivity. The results allowed an on-line tutor system management proposal delineation to be implemented in the researched institution. It is expected that the adoption of this imaginary based type of management comes to be the beginning of the insertion of novelty in the distance learning system management. / A gestão de sistemas de Educação a Distância deve acompanhar os paradigmas da contemporaneidade, que valorizam a subjetividade em que o homem é visto como um ser multifacetado e controverso. Partindo dessa percepção foi realizado estudo cujo objetivo foi compreender o imaginário da relação entre tutor on-line e alunos de cursos superiores ofertados na modalidade à distância em uma instituição de ensino superior do sul do país. Para tanto optou-se por estudo exploratório, com abordagem metodológica o estudo de caso. O estudo é quanti/qualitativo, dado que associa análise estatística à pesquisa dos significados, privilegiando melhor compreensão do tema estudado e a interpretação dos dados obtidos. O instrumento de pesquisa utilizado foi composto de questões abertas e fechadas, aplicado a alunos e tutores on-line As questões objetivas de tal instrumento de pesquisa abordaram uma avaliação do tutor pelo aluno e uma auto-avaliação da prática tutorial pelo próprio tutor participante. O imaginário tanto dos alunos quanto dos tutores foi apreendido por meio da análise do discurso das falas registradas na questão de fala livre, sobre a prática tutorial. A análise dos dados foi realizada por meio da abordagem qualitativa e quantitativa. Os dados quantitativos foram submetidos a tratamento estatístico específico para a identificação de freqüências. Já a analise qualitativa foi baseada na analise do discurso, considerando recortes de falas significativas, utilizando a categorização de tais recortes. Do processo interpretativo emergiram três categorias: o tutor como ser presença e mediador da aprendizagem; Dialogicidade e Interatividade, e Afetividade e proximidade psicológica. Tais categorias foram discutidas à luz da literatura, da observação e da subjetividade do pesquisador. Os resultados obtidos permitiram o delineamento de uma proposta de gestão do sistema de tutoria on-line a ser implementada na instituição objeto do estudo. Espera-se que a adoção de uma forma de gestão fundamentada no imaginário, seja o inicio da inserção do novo na gestão de sistemas em Educação a distância

Die Marktbedingungen in der Automobilindustrie sind durch kürzere Entwicklungszeiträume, eine zunehmende Anzahl an Komfortfunktionen und Fahrzeugderivaten sowie steigende Erwartungen an Qualität, Effizienz und Sicherheit geprägt. Die reale Erprobung ist ein kritischer Pfad im Entwicklungsprozess. Die vorliegende Arbeit beschreibt ein neues Prüfsystemkonzept für die Komponentenerprobung, welches diesen Anforderungen Rechnung trägt. Das Herzstück ist eine softwarebasierte Systemarchitektur zur Automatisierung von Prototypentests. Schwerpunkte sind die Flexibilität in der Praxisanwendung, die Ausweitung der Messdatenerfassung mit zweckmäßiger Verwaltung zur Bauteilüberwachung und Fehlerrekonstruktion sowie eine aufgabenorientierte Schnittstelle zur Integration von Robotern. Diese übernehmen die mechanische Betätigung von beweglichen Fahrzeugkomponenten. Anhand von zwei konkreten Beispielen, einem Prüfstand zur Absicherung von Fahrzeugtüren sowie einem Prüfstand für Steifigkeitsmessungen wird die Praxistauglichkeit nachgewiesen.

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The main focus of thesis are two information systems in the company and their overall analysis. These key systems are Orsoft information system and Oracle system. An important objective is the economic information systems to assess, describe and compare their use in accounting, the advantages and disadvantages, to propose any improvement of the economic information systems. The prime objective is an assessment of these two information systems and their proposals for possible improvements. The company Fezko Thierry first used 13 years of information system Orsoft. Then it was decided to implement Oracle system. One of these information systems will be described more in depth, the different accounting modules, the use of, any improvement of this system and the work of this information system. The operational objective of work is the development of economic systems, accounting modules and a description of the implementation of the Oracle accounting system to the company. After experience with both systems, it was found that the system is reliable Orsoft. Workers are also of the opinion that it is better to work with reliable data in the system Orsoft than working with many and many dates in Oracle.

Supply Chain Event Management (SCEM) bezeichnet eine Teildisziplin des Supply Chain Management und ist für Unternehmen ein Ansatzpunkt, durch frühzeitige Reaktion auf kritische Ausnahmeereignisse in der Wertschöpfungskette Logistikleistung und -kosten zu optimieren. Durch Rahmenbedingungen wie bspw. globale Logistikstrukturen, eine hohe Artikelvielfalt und volatile Geschäftsbeziehungen zählt die Modeindustrie zu den Branchen, die für kritische Störereignisse besonders anfällig ist. In diesem Sinne untersucht die vorliegende Dissertation nach einer Beleuchtung der wesentlichen Grundlagen zunächst, inwiefern es in der Modeindustrie tatsächlich einen Bedarf an SCEM-Systemen gibt. Anknüpfend daran zeigt sie nach einer Darstellung bisheriger SCEM-Architekturkonzepte Gestaltungsmöglichkeiten für eine Systemarchitektur auf, die auf den Designprinzipien der Serviceorientierung beruht. In diesem Rahmen erfolgt u. a. auch die Identifikation SCEM-relevanter Business Services. Die Vorzüge einer serviceorientierten Gestaltung werden detailliert anhand der EPCIS (EPC Information Services)-Spezifikation illustriert. Abgerundet wird die Arbeit durch eine Betrachtung der Nutzenpotenziale von SCEM-Systemen. Nach einer Darstellung von Ansätzen, welche zur Nutzenbestimmung infrage kommen, wird der Nutzen anhand eines Praxisbeispiels aufgezeigt und fließt zusammen mit den Ergebnissen einer Literaturrecherche in eine Konsolidierung von SCEM-Nutzeffekten. Hierbei wird auch beleuchtet, welche zusätzlichen Vorteile sich für Unternehmen durch eine serviceorientierte Architekturgestaltung bieten. In der Schlussbetrachtung werden die wesentlichen Erkenntnisse der Arbeit zusammengefasst und in einem Ausblick sowohl beleuchtet, welche Relevanz die Ergebnisse der Arbeit für die Bewältigung künftiger Herausforderungen innehaben als auch welche Anknüpfungspunkte sich für anschließende Forschungsarbeiten ergeben.