Submitted in fulfillment of the requirements for the degree of Master of Technology: Environmental Health, Durban University of Technology, Durban, South Africa, 2016. / South Africa, like many other developed countries, is challenged by the under attendance and delay in initiation of antenatal care (ANC) services among pregnant adolescents. Adolescents are more vulnerable to pregnancy related complications, which may contribute to maternal and child mortality and morbidity. This study aimed at evaluating the under attendance and/or delay in initiation of ANC services among young pregnant adolescents (13-16 years old) as a risk for adverse maternal and birth outcomes. The research was based at a district hospital on the North Coast of Kwazulu-Natal. A retrospective review of all young adolescent (13-16 years old) maternity case records for the period from 2011-2013 was conducted. Data collected included ANC trends in attendance, obstetric and perinatal outcomes. A total of 314 pregnancies were recorded among young adolescents at this single hospital over a period of 3 years. Adolescent pregnancy was associated with a risk of late ANC booking and reduced ANC visits. The prevalence of anaemia (32%) was relatively high among the girls. Fifty percent of all adolescents received episiotomies while, 45(14%) experienced perineal tears. Logistic regression models found that the condition of perineum was significantly associated with HIV status (OR= 0.36; 95% CI=0.16; 0.84; p<0.05). HIV positive mothers were more likely to have an intact perineum post-delivery. However, HIV positive adolescents were twice as likely to be diagnosed with anaemia compared HIV negative mothers (results not significant). Underutilisation of ANC (i.e less than 4 visits) was significantly associated with lower gestational age (< 37 weeks) (OR=2.64; 95% CI=1.04; 6.74; p<0.05). Fifteen percent of young mothers delivered early (< 37 weeks), 10% delivered babies with a low birth weight (< 2500g) and 15% of the neonates suffered fetal distress. Low birth weight, low Apgar scores as well as the incidence of maternal anaemia and Pregnancy Induced Hypertension (PIH) were found to be related to late ANC booking. Qualitative findings highlighted the perceived barriers of ANC by pregnant adolescents. Interviews identified the following as factors that hindered access of care; financial barriers, attitudes of Health Care Workers (HCW), system barriers and fear of HIV testing. Urgent population based strategies are required to encourage timeous initiation of ANC among adolescents. Strengthening of health education programs on the benefits of ANC attendance among adolescents can be utilized as part of an approach to address the current public health concern. / M

Thesis (PhD)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: Good health is a major imperative for social, economic and personal development, thus an important dimension of quality of life. Quality of life, in turn, is significantly influenced by access to the goods and services provided by the State. Access to infrastructure and services such as water and sanitation, has direct effects on health. Thus, the delivery of health, water and sanitation services should ensure improved access to basic needs, enhance the health profile of poor communities and their access to employment opportunities. Safe clean water supplies and adequate sanitation services therefore are among the major determinants of health. Health-related services such as water and sanitation should ensure a certain average life expectancy and eliminate mass disease and ill health. Mindful of the fact that there are many factors that determine the quality of life, the aim of the study was to investigate the impact of health, water and sanitation services in improving the quality of life among poor communities. To do this, this study adopted a comparative qualitative analysis approach between poorly serviced and adequately serviced areas. Subsequent to the findings, this study espouses constructive suggestions and recommendations that could act as guidance to community development agencies' strategies in amelioration of the quality of life among poverty-stricken communities. The research was based on a narrow model of services (health, water and sanitation services) that have impact on improving the quality of life among poor communities. The empirical findings of this study indicate these services to be insufficient to draw conclusive findings in other aspects of the survey. The research was conducted in a sample of 573 households in 6 communities in the Eastern Cape and Western Cape Provinces in South Africa. The sample comprised 3 communities in the category classified as poorly serviced with health, water and sanitation services, and 3 communities that were regarded as adequately provided with these services. The data was gathered by means of structured questionnaires, administered by the researcher with the assistance of a trained field worker. Additional, the data was gathered by means of a semi-structured, open-ended interview with a Sister-in-Charge of a clinic in the rural villages. The interaction between variables on the improvement of the quality of life were explored by means of basic statistics, which made it possible to assess the effects of independent and dependent variables. The results of data analysis provided support for the proposition contained in the premise of the study that although the provision of health, safe clean water and adequate sanitation services lead to improvement in the standard of living, their impact alone does not incorporate all the attributes that enhance quality of life as suggested by mainstream schools of thought in the health sector. Poverty-related factors also have to be taken into account. As such, the findings of this study have shown that poverty, combined with poor public health conditions, inadequate nutrition, overcrowded poor quality housing, lack of accessible drinking water and sanitation, renders communities vulnerable to ill health. Given the poor socio-economic conditions prevalent in the communities under investigation, it was not surprising that tuberculosis was most prevalent in all areas. In line with the premise of this study, there were instances that povertyrelated factors such as income, housing and nutrition had significant influences with regard to improvement in the quality of life. It became evident therefore that in certain instances, health, water, and sanitation services alone are not sufficient to make conclusive findings. Thus, the impact of povertyrelated factors such as income, housing and nutrition necessitate expansion of factors that impact on the quality of life to include their influence. / AFRIKAANSE OPSOMMING: Goeie gesondheid is 'n belangrike vereiste vir sosiale, ekonomiese en persoonlike ontwikkeling, en dus ook 'n wesenlike aspek van 'n goeie lewensgehalte. Toegang tot goedere en dienste wat deur die staat voorsien word, het ook 'n beduidende invloed op lewensgehalte. Boonop het die toegang tot infrastruktuur en dienste soos water en sanitasie 'n direkte invloed op gesondheid. Die lewering van gesondheids, water- en sanitasiedienste verseker dus die bevrediging van basiese behoeftes, onderwyl arm gemeenskappe se gesondheidsprofiel en daarmee saam hul toegang tot werksgeleenthede verbeter word. Toegang tot veilige en skoon waterbronne en voldoende sanitasiedienste is gevolglik van die belangrikste gesondheidsbepalers. Gesondheidsverwante dienste soos water en sanitasie verseker 'n sekere gemiddelde lewensverwagting, en verminder die moontlikheid van wydverspreide siektetoestande. Met inagneming van die feit dat lewensgehalte deur talle faktore beïnvloed kan word, was die doel van hierdie studie om ondersoek in te stel na die invloed van gesondheids, water- en sanitasiedienste op die verbetering van lewensgehalte in arm gemeenskappe. Gevolglik is 'n vergelykende analise tussen areas met swak dienslewering en areas met bevredigende dienslewering uitgevoer. Op grond van die bevindinge word sekere voorstelle en aanbevelings gemaak wat kan dien as riglyne vir ontwikkelingsagentskappe ter bevordering van die lewensgehalte in arm gemeenskappe. Die navorsing was gegrond op 'n beperkte model van dienste (gesondheids, water- en sanitasiedienste) wat die verbetering van lewensgehalte in arm gemeenskappe beïnvloed. Die empiriese bevindinge van die studie toon aan dat hierdie dienste onvoldoende is om as basis te dien vir beslissende uitsprake oor ander aspekte van die opname. Die studie het 'n steekproef van 573 huishoudings in 6 gemeenskappe in die provinsies van die Oos-Kaap en Wes-Kaap in Suid-Afrika ingesluit. Die steekproef het bestaan uit 3 gemeenskappe met swak gesondheids, water en sanitasiedienste, en 3 gemeenskappe waar sulke dienste op 'n bevredigende vlak voorsien word. 'n Gestruktureerde vraelys is gebruik om die navorsingsinligting in te samel, wat deur die navorser en 'n opgeleide veldwerker toegedien is. Bykomende inligting is bekom deur 'n semigestruktureerde onderhoud met die verpleeghoof van 'n kliniek in 'n landelike gemeenskap. Die invloed van die verskillende veranderlikes op lewensgehalte is deur middel van basiese statistiese analise geëvalueer. Die resultate van die data-analise verleen 'n mate van steun vir die premis van die studie dat hoewel die voorsiening van gesondheid, veilige, skoon water en voldoende sanitasie tot 'n beter lewenstandaard kan lei, die uitwerking daarvan as sodanig nie alle vereistes insluit vir 'n beter lewenstaard nie, soos voorgestaan deur hoofstroom denkskole in die gesondheidsektor. Faktore wat met armoede verband hou moet ook in ag geneem word. Die studie se bevindinge dui dus daarop dat armoede, tesame met swak openbare gesondheidstoestande, onvoldoende voeding, gebrekkige behuising en swak water- en sanitasiegeriewe gemeenskappe meer kwesbaar maak. Weens die swak sosio-ekonomiese toestande in die gemeenskappe in die steekproef, is gevind dat tuberkulose wydverspreid voorkom. Alhoewel die studie se hipotese met betrekking tot verskeie aspekte bevestig is, was daar ook gevalle waar armoede-verwante faktore soos inkomste, behuising en voeding 'n beduidende rol gespeel het. Dit het dus geblyk dat gesondheids, water- en sanitasiedienste nie in alle gevalle voldoende is om swak lewensgehalte te verklaar nie. Dus sal die faktore wat op lewens kwaliteit 'n impak maak, uitgebrei moet word om vir die invloed van armoede-verwante faktore soos inkomste, behuising en voeding voorsiening te maak.

Thesis (M Social WOrk (Social Work)--University of Stellenbosch, 2007. / This research provides an overview of foster care and investigates the support and training of foster parents as well as the issues foster parents need to manage on a regular basis. The basic premise for this research is the importance of social workers becoming aware of the issues foster parents manage on a regular basis as well as the support and training needs of foster parents. It is important for foster parents to receive support as well as social workers and family care organisations to develop and implement appropriate training programmes for foster parents on an ongoing basis. Fostering affects and requires the involvement of the entire foster family as well as relevant role players and professionals. It is therefore necessary to consider the foster parents and foster family as part of the larger fostering arena, and not to be supported and trained in isolation. The nature of the foster placement will inevitably influence the development of the foster child, meeting the needs of the foster child as well as the effect that the placement has on the foster family. The purpose of this research is to broaden the theoretical knowledge of professionals working with foster parents, and specifically social workers and family care organisations, in identifying foster parent’s training and support needs. This research report includes an investigation of the issues foster parents and foster families manage on a regular basis as well as the nature of and benefits of support and training for foster parents. Knowledge of these issues foster parents manage while fostering will increase the awareness and the ability of the social worker or other professionals to provide training and support to the relevant foster parents.

A qualitative and quantitative approach was chosen together with an exploratory and descriptive design in order to obtain knowledge, insight and understanding regarding the utilization of social support network of teenage mothers in Botshabelo. It is necessary for social workers to identify the social support systems that exist in a social support network of teenage mothers in order to select those systems which would be relevant to meet the needs of teenage mothers. The aim of this study is to present guidelines for social workers to empower teenage mothers to utilize social support networks to fulfil their roles as parents. A sample of ten teenage mothers (14 years to 19 years of age) who are from the service area at the J clinic in Botshabelo was involved in the study. A qualitative investigation was carried out by means of conducting interviews with the aid of a semi-structured interview guide. The responses of the participants and the findings of the study were analyzed and compared with the findings of previous studies. The results of the investigation confirmed that the findings of the literature study namely that teenage parenting severely impacts daily functioning of teenage mothers. These challenges include aspects related to financial problems, responding to the baby’s needs, attending classes or seeking for a job, while expected to play a mother’s role at the same time. The results of the study gave an indication of the nature of social work intervention that is needed for this target group: talking to someone, distributing information regarding teenage parenting, distributing information regarding available services, participating in a support group and learning to cope with daily activities. The findings of the research can be used as guidelines by social workers who need to empower teenage mothers to utilize their social support network.

Thesis (MSocialWork)--Stellenbosch University, 2005. / ENGLISH ABSTRACT: As poverty is becoming a growing concern in South Africa, poor families should not be seen as service recipients but more concern should be directed to their empowerment. Community work is an essential method to utilize for the empowerment of poor families since it involves working with people from individual up to community level. The Department of Social Development does not have guidelines based on the utilization of community work; as a result this method is not utilized to its full potential. The purpose of the study was to formulate guidelines on the utilization of community work on the family level. In order to achieve this aim, the objectives of this study, which mainly focused on describing the socio-economic circumstances of the poor families and the utilization of community work, were explored. An exploratory study was utilized in order to achieve the stated goal and objectives. The population for the study consisted of practicing social workers in the Department of Social Development. Purposive sample was used. The research methodology was a quantitative design with a data collection instrument being in the form of a questionnaire. To be able to gain insight about the utilization of community work, the questionnaire consisted of both closed and open-ended questions. Literature review enabled the researcher to compile a questionnaire. The empirical study focused on the knowledge and skills of social workers in utilizing community work. In addition, data was obtained on the community work process as a main procedure to follow when implementing community work. Despite the respondents' theoretical knowledge of community work, it was concluded that community work is utilized at a minimal level. The most utilized social work method by the respondents is casework. The reason for the lack of community work practice is based on the fact that the Department of Social Development does not have guidelines with regards to community work. It was recommended that the Department of Social Development should formulate a new regulation that will oblige the social workers to practice community work. In-service training should be held quarterly. Supervision should be offered regularly. Relevant qualification and extensive social work experience should be considered as a minimum requirement for managerial positions. / AFRIKAANSE OPSOMMING: Alhoewel armoede 'n al groter probleem in Suid-Afrika raak, behoort arm gesinne in 'n toenemende mate nie net slegs as ontvangers van dienste beskou word nie, maar moet ook aandag geskenk word aan hulle bemagtiging. Aangesien gemeenskapswerk betrokke is by die persoon sowel as die persoon in die gemeenskap, kan dit beskou word as die aangewese metode om arm gesinne te bemagtig. Die Departement Maatskaplike Ontwikkeling beskik oor geen riglyne vir die aanwending van gemeenskapswerk nie en gevolglik word die metode nie ten volle benut nie. Die studie het ten doel om riglyne vir die implementering van gemeenskapwerk op die vlak van die gesin te formuleer. Derhalwe word die klem op die beskrywing van die sosio-ekonomiese omstandighede van arm gesinne en die gebruik van gemeenskapswerk as metodiek geplaas. 'n Verkennende studie is gebruik om die navorsingsoogmerke te bereik. Respondente vir die studie was praktiserende maatskaplike werkers in diens van die Departement van Maatskaplike Ontwikkeling. 'n Doelbewuste steekproef is benut. Daar is hoofsaaklik op kwantitatiewe navorsing gefokus en inligting is deur middel van vraelyste ingewin. Ten einde insig te ontwikkel in die gebruik van gemeenskapswerk is beide oop en geslote vrae gebruik. Die literatuurstudie het die navorser in staat gestel om die vraelys saam te stel. Die empiriese studie was gerig op die kennis en vaardighede waaroor gemeenskapswerkers beskik en hoe dit geïmplementeer word. Addisionele empiriese inligting is ook ten opsigte van die proses van gemeenskapswerk verkry. Dit het aan die lig gekom dat ten spyte van voldoende teoretiese kennis van gemeenskapswerk die metode minimaal gebruik word. Gevallewerk word steeds die meeste tydens intervensie aangewend. 'n Gebrek aan riglyne vir die gebruik van gemeenskapswerk, word as die rede waarom gemeenskapswerk nie implementeer word nie, aangevoer. Dit word aanbeveel dat die Departement Maatskaplike Ontwikkeling regulasies vir die uitvoering van dienste deur middel van die gemeenskapswerk metode moet instel. Hierdie riglyne behoort maatskaplike werkers te inspireer om die voordele van gemeenskapswerk te ondersoek en aan te wend. Indiensopleiding behoort op 'n kwartaallikse basis te geskied. Supervisie moet geredelik beskikbaar wees. Relevante kwalifikasies en uitgebreide praktykervaring as minimum vereistes vir bestuursposte sal oorweeg moet word.

Thesis (MSocialWork)--Stellenbosch University, 2005. / ENGLISH ABSTRACT: This study attempts to gain insight into social welfare programmes for street children. In order to achieve this, a literature study was undertaken to explore social welfare programmes for street children and to describe street children as a social phenomenon. An empirical study was undertaken by means of interviewing through a structured questionnaire. The study indicates that the majority of street children have contact with their parents. The street children are mostly males between 13 and 16 years of age. The dominant socioeconomic aspects contributing to this social phenomenon are housing problems, unemployment and a lack of means. The following socio-cultural aspects were identified: the composition of the family, social pathology as well as an absent father figure. The majority of the street children have limited education and were not encouraged to continue their education. It was found that the street children and their families did not take part in prevention programmes that focus on the direct causes of family disintegration and support services. Welfare organisations had been involved with the majority of the families even before the children moved to the streets. The street children have the necessary knowledge regarding outreach programmes and take part in such programmes. It was found that street children would like to contribute to the compilation of these programmes. The study indicates that educational as well as occupational and vocational programmes are experienced as an opportunity for self-maintenance. It was found that the majority of street children do not want to return to their families and seek alternative care. It was concluded that street children come from families that do not have definite boundaries and structures. The majority of the street children do not experience their family setup as pleasant. The children developed insight into the correlation between education and selfimprovement only after they had left school. The needs of street children can be divided into two categories, namely the need for self-development and the need for better family circumstances. Recommendations are made regarding social welfare service / AFRIKAANSE OPSOMMING: In hierdie studie is ondersoek na die maatskaplikewerkprogramme vir straatkinders ingestel. 'n Literatuurstudie ten opsigte van die straatkind as maatskaplike verskynsel en maatskaplikewerkprogramme vir straatkinders is onderneem. Daarna is 'n empiriese studie deur middel van onderhoudvoering met 'n gestruktureerde vraelys gedoen. Navorsing dui aan dat die meerderheid straatkinders wel kontak met hulle ouers het. Die straatkinders is meestal seuns tussen die ouderdom van 13 en 16 jaar. Die prominentste sosio-ekonomiese aspekte wat tot hierdie maatskaplike verskynsel aanleiding gee, is behuisingsprobleme, werkloosheid en 'n gebrek aan bestaansmiddele. Die volgende sosiokulturele aspekte is ge'identifiseer: gesinsamestelling, sosiale patologie, en die afwesige vaderfiguur. Die meerderheid straatkinders het beperkte skoolopleiding ontvang en is nie aangemoedig om terug te keer skool toe nie. Daar is bevind dat straatkinders en hulle gesinne nie ingeskakel het by voorkomingsprogramme wat op die direkte oorsake van gesinsverbrokkeling en ondersteuningsdienste fokus nie. Welsynsorganisasies was reeds by die meeste van die gesinne betrokke voordat die kinders na die straat beweeg het. Die straatkinders is bekend met en neem deel aan uitreikprogramme. Daar is ook bevind dat die straatkinders wel 'n bydrae tot die samestelling van sodanige programme wil lewer. Die navorsing dui daarop dat opvoedkundige programme asook beroeps- en ambagontwikkeling beskou word as 'n ontwikkelingsgeleentheid om selfonderhoudend te wees. Daar is bevind dat die meerderheid straatkinders nie na hulle ouerhuis wil terugkeer nie, maar van alternatiewe versorging wil gebruik maak. Die gevolgtrekking word gemaak dat straatkinders uit gesinne kom waar daar nie definitiewe grense en strukture in plek is nie. Die meerderheid van die straatkinders ervaar nie hulle gesinsopset as positief nie. Nadat die straatkinders die skool verlaat het, het insigontwikkeling plaasgevind rakende die verband tussen skoolopleiding en die verbetering van eie funksionering en ontwikkeling. Die behoeftes van straatkinders kan in twee kategoriee verdeel word, naamlik die behoefte aan eie ontwikkeling en die behoefte aan beter gesinsomstandighede. Aanbevelings word ten opsigte van maatskaplikewerkdienslewering in gasheergemeenskappe asook gesinsherenigings- en voorkomingsdienste gemaak.

Thesis (MSocialWork) -- University of Stellenbosch, 2002. / ENGLISH ABSTRACT: Since 1988 it became practice for welfare organisations to submit an evaluation of their welfare programme as part of their application for state funding for the next year. Included in this evaluation is a section on the cost efficiency of the programme. After the first democratic election in 1994 a number of processes were started to develop new welfare policies for the country. In all of these processes cost efficiency is seen as a principle, but in spite of this, so it seems from the documents, is the evaluation of cost efficiency still a problem. The question therefore arises: What is the present status of the evaluation of the cost efficiency of social services after twelve years of program evaluation? Only a few studies on the methodology of the evaluation of cost efficiency within the South African context were found through the literature study. An exploratory study was therefore undertaken to determine what the reasons could be why so little progress was made with cost effiency evaluation. The empirical study focussed on residential facilities for older persons and was done within one welfare organisation in the Western- and Southern Cape. A sample of twenty managers was randomly selected and fifteen respondents returned the questionaire. It is a potential danger that managers of residential facilities for older persons could see the evaluation of the services rendered as just another administrative task, because of the very strong link between evaluation and the application for state funding. The researcher therefore wanted to ascertain what the attitude of the managers is towards the evaluation of their services, and especially the evaluation of the cost-efficiency thereof. It was found that the managers are positive towards program evaluation and the evaluation of cost efficiency, but the majority of them responded that the lack of guidelines and manuals is a deficiency. The lack of proper measuring instruments was also stressed. The research also shown that the managers conceptualize cost efficiency mainly in terms of costs and not as a relation between the outcomes of the programme and the costs thereof. The managers of residential facilities uses the evaluation document that was send out by the department, because it forms part of the application for state funding. This means that the level of program evaluation is actually determined by the department. It was found that this document focused mainly on the measuring of inputs and outputs and not so much of the evaluation of the outcomes of the programme. Based on the results of the study the researcher proposed guidelines to promote the evaluation of the cost efficiency of social services. / AFRIKAANSE OPSOMMING: Dit is sedert 1988 praktyk dat vrywillige welsynsorganisasies jaarliks 'n evaluering van hulle maatskaplikewelsynsprogram moet indien as deel van die aansoek om staatsubsidie vir die volgende jaar. By hierdie evaluering van die maatskaplikewelsynsprogramme is die evaluering van die kostedoeltreffendheid van die program ingesluit. Na die eerste demokratiese verkiesing in 1994 het verskeie prosesse aan die gang gekom om nuwe maatskaplikewelsynsbeleid vir Suid-Afrika te ontwikkel. In al die dokumente wat deur die prosesse ontwikkel is, word die kostedoeltreffendheid van maatskaplikewelsynsdienste as 'n belangrike beginsel gestel. Tog blyk dit, uit die verslae van sommige van die prosesse, dat die evaluering van kostedoeltreffendheid 'n probleem blyk te wees. Die vraag ontstaan dan tereg: Wat is die huidige stand van die evaluering van die kostedoeltreffendheid van maatskaplikewelsynsprogramme twaalf jaar sedert die implementering van programevaluering? Uit die literatuurstudie het dit geblyk dat daar min studies in Suid-Afrika bestaan wat handel oor die metodiek van kostedoeltreffendheidsevaluering van maatskaplikewelsynsprogramme. Verkennende navorsing is onderneem om vas te stel waarom daar oënskynlik min vordering gemaak is met die evaluering van kostedoeltreffendheid van maatskaplikewelsynsprogramme. Die empiriese studie het gefokus op residensiële fasiliteite vir ouer persone en die navorsing is uitgevoer by een welsynsorganisasie in die Wes- en Suid-Kaap. 'n Steekproef van twintig bestuurders is op ewekansige wyse geselekteer en vyftien respondente het die vraelys teruggestuur. Die gevaar bestaan dat, vanweë die sterk verband tussen die evaluering van die program en die aansoek vir subsidie, die evaluering van die maatskaplikewelsynsprogram bloot net as nog 'n administratiewe taak gesien kan word. Daarom wou die navorser vasstel wat die bestuurders van residensiële versorgingsprogramme vir ouer persone se houding jeens programevaluering en die evaluering van die kostedoeltreffendheid van die program is. In die studie is bevind dat die bestuurders positief jeens programevaluering en die evaluering van die kostedoeltreffendheid van die programme is, maar die oorgrote meerderheid bestuurders het aangedui dat hulle dit as 'n leemte sien dat daar min riglyne of handleidings bestaan. Die gebrek aan meetinstrumente is ook beklemtoon. Uit die studie het dit verder geblyk dat die bestuurders die konsep kostedoeltreffendheid hoofsaaklik in terme van koste verstaan, en nie in terme van 'n verhouding van die uitkomste van die program tot die koste daarvan nie. Die bestuurders van residensiële fasiliteite voltooi jaarliks die evalueringsdokument van die betrokke staatsdepartement, omdat dit deel vorm van die aansoekprosedure vir staatsubsidie. Hierdie dokument bepaal derhalwe die vlak van programevaluering. Dit het uit die studie geblyk dat die dokument wat gebruik word grootliks fokus op die meting van insette en uitsette en nie soseer op die uitkomste van die welsynsprogramme nie. Gebaseer op die bevindinge van die navorsing is riglyne voorgestel wat sal meewerk om die evaluering van die kostedoeltreffendheid van maatskaplike dienste te bevorder.

Thesis (M Social Work)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: Adolescence is the developmental stage between childhood and adulthood. This indicates a growth process the goal of which is maturity. This growth process is regarded as a turbulent phase as there are various adolescent developmental tasks to be mastered that bring about certain challenges. These challenges have resulted in youths engaging in risk-taking behaviour, such as antisocial behaviour and committing crime. Several factors or social problems in South Africa lead to the vulnerability of youths, which leads to crime. The purpose of this study was to investigate the perspectives of probation officers regarding the contribution of diversion programmes for male juvenile offenders to prevent re-offending. The research was done on the basis of an extensive literature review, which focused on the nature and extent of youth crime, the legal points of departure of the Child Justice Act (75 of 2008) and diversion programmes to prevent re-offending. A combined quantitative and qualitative research approach and an exploratory and descriptive research design was utilized in this study because the researcher wanted to develop a better understanding of the social problem or phenomenon and the perspectives of probation officers with respect to the contribution of diversion programmes for male juvenile offenders, as well as the factors that lead to re-offending in South Africa. The respondents consisted of all probation officers employed by government organizations in the Eden-Karoo Region who have the necessary knowledge and experience regarding the topic. A purposive, non-probability sampling was used. Data were gathered through a semi-structured questionnaire in 20 separate interviews. The composition of the questionnaire was based on the information obtained from the literature review. Based on the results arising from the literature and empirical research, appropriate conclusions and recommendations were made. The results were largely confirmed by the literature review, namely that diversion programmes contribute to the prevention of re-offending if correctly implemented, that significant resources in the intervention should be involved and follow-up care and monitoring after the programmes or interventions must take place. / AFRIKAANSE OPSOMMING: Adolessensie is die ontwikkelingstadium tussen die kinderjare en volwassenheid. Dit dui op ’n groeiproses waarvan die doelwit volwassenheid is. Hierdie groeiproses word beskou as ’n stormagtige fase aangesien die adolessent verskeie ontwikkelingstake moet bemeester wat sekere uitdagings meebring. Die uitdagings het tot gevolg dat die jeugdiges riskante gedrag toon, soos antisosiale optrede en die pleeg van misdaad. Verskeie faktore of maatskaplike probleme in Suid-Afrika lei daartoe dat jeugdiges kwesbaar is en betrokke raak by misdaad. Die doel van hierdie studie is om ondersoek te doen na die sieninge van proefbeamptes rakende die bydrae van afwentelingsprogramme vir manlike jeugoortreders om hermisdaadpleging te voorkom. Die ondersoek is gedoen aan die hand van ’n uitgebreide literatuurstudie, wat gefokus het op die aard en omvang van jeugmisdaad, die wetlike vertrekpunte van die Wet op Kindergeregtigheid (75 van 2008) en afwentelingsprogramme vir die voorkoming van hermisdaadpleging. ’n Gekombineerde kwantitatiewe en kwalitatiewe navorsingsbenadering en ’n verkennende en beskrywende navorsingsontwerp is in hierdie studie benut, omdat die navorser ’n beter begrip wou verkry van die maatskaplike probleem of fenomeen en die sieninge van proefbeamptes met betrekking tot die bydrae van afwentelingsprogramme vir manlike jeugoortreders. Die faktore wat aanleiding gee tot hermisdaadpleging in Suid-Afrika word ook verken. Die universum bestaan uit alle proefbeamptes werksaam by regeringsorganisasies in die Eden-Karoo Streek wat oor die nodige kennis en ervaring van die onderwerp beskik. ʼn Doelbewuste, nie-waarskynlikheid-steekproeftrekking is benut. Gegewens is ingewin deur middel van ’n semi-gestruktureerde vraelys in twintig afsonderlike onderhoude. Die samestelling van die onderhoudskedule is gegrond op die inligting wat uit die literatuuroorsig verkry is. Op grond van die resultate voortspruitend uit die literatuurstudie en empiriese ondersoek, kon toepaslike gevolgtrekkings en aanbevelings gemaak word. Die resultate het grotendeels die literatuuroorsig bevestig, naamlik dat afwentelingsprogramme bydra tot die voorkoming van hermisdaadpleging indien dit korrek geïmplementeer word, dat betekenisvolle hulpbronne in die intervensieproses betrek moet word en dat nasorg en monitering na afloop van die programme of maatskaplike intervensies moet geskied.

Thesis (MPhil (Rehabilitation))--University of Stellenbosch, 2000. / ENGLISH ABSTRACT: The South African National Census (1996) reports a disability prevalence of 6,6% in South Africa. In November 1999 the government paid out 635 881 temporary or permanent disability grants. Legislation is in place to allow the Department of Social Services to administer the grants. For this study demographic information of disability grant recipients in a semi-rural area was sought in order to improve understanding of disability and to assist in service delivery. The study was executed in Kleinmond, a coastal town in the Western Cape with a population of 3 918, where 189 people reported a disability during the 1996 census. Objective The objective of this study was to determine the disability profile, caregiver utilization and needs of disability grant recipients in Kleinmond, Western Cape, South Africa. METHODS A descriptive survey was the study design of choice. The study population consisted of recipients of a permanent disability grant who collected their grants at the Kleinmond Post Office in June 1999. In order to capture the necessary information, a questionnaire was developed based on the disability catalogue of the International Classification of Impairment, Disability and Handicap (ICIDH) of the World Health Organisation. Pilot studies were conducted and the researcher interviewed 29 grantees during the main study in Kleinmond in June/July 1999. Repeatability of the questionnaire was tested. Ninety six percent of the responses were the same on the second visit to four randomly selected grantees. Data was analysed with the statistical software package STATISTICA. RESULTS The response rate was 90% (29/32). The mean age of the mainly male grantees was 42 years (range: 18 - 64). Most grantees were single, but the majority stayed with someone else. Ninety three percent (27/29) were unemployed while 69% (20/29) felt they were able to work. Most grantees took regular medication and the majority accessed health services at the primary level local clinic. Twenty five grantees (86%or 25/29) reported multiple disabilities, while one person did not fit into any of the categories. The most common disability category was situational disability (82% or 24/29). Nineteen persons with disabilities (66% or 19/29) relied on help which was mainly given by the parents. Assistance was needed with activities such as collecting the disability grant, shopping and managing money. With regard to needs of grantees, most found it important to have the clinic closer to their homes (52% or 15/29), to increase the amount of the disability grant (76% or 22/29) and to raise awareness of disability in the community (69% or 20/29). CONCLUSION Most disability grant recipients in this study reported problems in many of the seven disability categories of the ICIDH, i.e. multiple disabilities. This is consistent with the assumption that only severely disabled people qualify for a permanent disability grant in South Africa. This might explain why the majority of the grantees utilized a caregiver for some tasks. Needs with regard to health and social services of this defined group of persons with disabilities in Kleinmond will be brought to the attention of the authorities, who are planning a new community centre and clinic. / AFRIKAANSE OPSOMMING: Volgens die Nasionale Sensus opname van 1996 is die prevalensie van ongeskiktheid in Suid- Afrika 6.6%. Bevindinge dui aan dat 635881 individue 'n ongskiktheidstoelaag ontvang. Hierdie toelae word volgens wetgewing deur die Departement van Maatskaplike Dienste ge-administreer. In hierdie studie is demografiese inligting van individue wat 'n ongeskiktheidstoelaag ontvang ingesamel in 'n poging om insig in gestremdheid en dienslewering aan gestremdes te verbeter. Die studiepopulasie het bestaan uit individue wat 'n ongeskiktheidstoelaag in die Wes-Kaapse kusdorp Kleinmond ontvang. Kleinmond het 'n populasie van 3 918 waarvan 189 individue ongeskik is volgens die 1996 sensus. DOEL Die doel van die studie was om 'n ongesiktheidsprofiel van individue in Kleinmond te bepaal, asook te evalueer of hulle versorgers benodig het en om hulle behoeftes te bepaal. METODOLOGIE Daar is gebruik gemaak van 'n beskrywende studie. Die studiepopulasie het bestaan uit aile individue woonagtig in Kleinmond wat 'n permanente ongeskiktheidstoelaag ontvang het en dit by die poskantoor afgehaal het. Data is deur middel van 'n vraelys ingesamel. Die vraelys is gebaseer op die ongeskiktheids katalogus van die Internasionale Klassifikasie van Gebrek, Ongeskiktheid en Gestremdheid (ICIDH) van die Wereld Gesondheidsorganisasie. Die vraelys is getoets deur middel van loodsstudies. Die betroubaarheid van die vraelys is ook getoets deur tydens die navorsing dieselfde vrae tydens 'n tweede besoek aan vier kandidate te stel. Hierdie vier individue is ewekansig geselekteer en 96% van die response het ooreen gestem met die van die eerste besoek. Data is verkry van 29 individue gedurende Junie/Julie 1999. Data analise is met behulp van STATISTICA, 'n statistiese sagteware pakket, gedoen.RESULTATE Die responskoers was 90% (29/32). Die meerderheid van die studiepopulasie was manlik met 'n gemiddelde ouderdom van 42 jaar (rykwydte: 18 - 64). Individue was meerendeels ongetroud en het wonings met ander persone gedeel. Uit die studiepopulasie was 93% (27/29) individue werkloos. Van hierdie groep het 69% (20/29) egter gevoel dat hulle wei een of ander vorm van arbeid kan verrig. Bykans aile individue uit die studiepopulasie het gereeld medikasie gebruik. Die plaaslike prirnere gesondheids kliniek is deur die meeste individue benut vir gesondheidssorg. Meeste individue (86% of 25/29) het meer as een ongeskiktheid gehad en een persoon het nie in enige van die kateqoriee ingepas nie. Die ongeskiktheid wat die mees algemeenste voorgekom het was situasie-gebonde ongeskiktheid (82% of 24/29). Hulp is hoofsaaklik deur ouers verskaf en 66% individue (19/29) het van hulp gebruik gemaak. Hierdie hulp was meestal nodig met aktiwiteite soos die afhaal van die ongeskiktheidtoelaag, die doen van inkopies en die bestuur van persoonlike finansies. Die studiepopulasie het 3 groot behoeftes uitgespreek naamlik 'n kliniek nader aan hulle wonings (52% of 15/29), 'n verhoging in die ongeskiktheidstoelaag (76% of 22/29) en .n groter bewustheid van ongeskiktheid in die gemeenskap (69% of 20/29). Samevatting Baie van die individue uit die studiepopulasie het ongeskikthede in meer as een van die ongeskiktheidskategoriee aangedui. Hierdie bevinding is in ooreenstemming met die aanname dat in Suid-Afrika slegs individue met erge ongeskiktheid n ongeskiktheidstoelaag ontvang. Dit kan moontlik ook verklaar waarom die meerderheid van die populasie versorgers benodig het vir die uitvoer van sekere take. Die behoeftes van hierdie studiepopulasie sal onder die aandag van die plaaslike owerheid, wat tans besig is met die beplanning van 'n nuwe gemeensskapssentrum en kliniek, gebring word.

There is a growing sense of apathy and lack of focus amongst the youth, which contributes to the threat of social integration. Constructive alternatives are therefore needed to curb gangsterism, drug abuse and other criminal activities among youth at risk. It has become imperative to challenge the present situation in which crime has become one of the most attractive options facing our youth. Through a programme of contructive engagement, a substantial difference can be made in their rehabilitation and ultimately their active participation in building a safer society. A strong emphasis should be placed on the development and implementation of effective restorative justice principles, alternative sentencing and community-based rehabilitation programmes, particularly for young people in marginalised communities.