Schistosomiaisis, commonly referred to as bilharzia is a neglected tropical parasitic water borne disease prevalent in developing countries and is endemic in KwaZulu-Natal, South Africa. The World Health Organisation (WHO) aims to eliminate bilharzia as a public health problem by the year 2020 and as a measure to work towards this goal, the South African Department of Health (DoH) Ugu District, KwaZulu-Natal commenced a Mass Treatment Campaign (MTC) targeted at rural schools to decrease bilharzia infection intensity and prevalence levels. The DOH MTC utilises communication materials to communicate with stakeholders and the public to create awareness of the campaign and bilharzia. This study specifically explored the perceptions of learners towards the communication materials used by the DOH MTC to communicate with the learners in order to generate improvements for the current communication strategy. The ability of an individual to receive information is commonly impacted by the community, social networks and the environment and infrastructural settings of the community. The Social Ecological Model of Communication and Health Behaviour (SEMCHB) acknowledges that such factors may have an impact on how the individual receives information. The study utilises the broader social ecological perspective, and particularly the SEMCHB as a framework for understanding and exploring the perceptions of learners. The study made use qualitative data through focus group discussions, semi- structured interviews and participant observations to gain insights from learners. The study discovered that many incorrect perceptions about bilharzia still surround the learners. The perceived messages communicated through the DoH MTC still need to be communicated with learners, since some learners face challenges in understanding the preferred message. The encoding of the communicated messages through the poster, pamphlet and consent forms is influenced by the individuals social networks hence this study recommends that future communication message are designed with reference to the SEMCHB. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2013.

Water-related disease is a problem faced by many communities in the Mngeru and Msunduzi River valleys, both those living in a rural setting, and those within thedty bounds. Treatment and management of water-related diseases such as SchistosorrUasis and Hepatitis are, however, overshadowed by the priority management of more serious illnesses such as HIV/ AIDS, and are therefore at risk of spreading unchecked. These diseases, while not often fatal, have a high morbidity and place unnecessary burden on communities and individuals that could otherwise make a positive contribution to the social and economic structure of the country. The impacts of water-related disease are felt by all water-users, including those recreational users such as fishermen, swimmers and canoeists. Following a discussion of the issues and impacts of water-related disease at both a global and local scale, the research formulated a survey of the impact of water-related disease on canoeists training and racing on the Mngeni and Msunduzi Rivers as a starting point in determining the impacts on all communities using the resource. The methods employed were twofold, a Schistosoma haematobium infection- survey was conducted using urine samples; and a questionnaire-type survey of participants in the 2006 Dusi Canoe Marathon was conducted. The results of the Schistosomiasis survey revealed that 4.07% (20/491) of the respondents were positive in this survey. Analysis of the questionnaire filled in by all participants further revealed that 73% of respondents tested positive for Schistosomiasis infection at some point in their canoeing career. The post Dusi Marathon questionnaire survey was answered by 941 (54 %) participants. A total of 588 (63 %) reported experiencing illness as a result of taking part in the 2006 event. A further 362 individuals reported having experienced water-related illness on previous Dusi Marathons, indicating that 77% of the respondents have been ill on the Dusi in this and previous years' events. In addition, water quality samples were taken during the race and were shown to be significantly higher than the guidelines for safe recreational use of water resources. The results also showed a radical overnight change in the E.coli levels following a heavy rain event on the evening before the start of the race. The research revealed that there is a serious problem of water contamination and resultant spread of disease among canoeists using the rivers for recreational and professional sport. Contamination resulting from failure of sewage processing facilities during high rainfall events and industrial discharge into the river system results in excessive and unacceptable levels of E.coli and other water-related pathogens that are a severe health risk not only to canoeists but to all communities utilising this water resource. / Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2006.