No abstract available.

The use of MEPLAN by the Metropolitan Transport Planning Branch of the Cape Town City Council since 1984 was not successful due to apartheid anomalies. EMME/2 was then introduced in 1991 in replacement of MEPLAN. The strengths and weaknesses of both MEPLAN and EMME/2 are recorded in this study.

Assignment (MPA)--University of Stellenbosch, 2002. / ENGLISH ABSTRACT: Primary Health Care (PHC) approach is currently receiving tremendous attention worldwide as a mechanism to ensure effective and efficient public health services. The concept has evolved from the Alma Ata conference (1978). Since then many countries began to reorient their health services to achieve the goals of availability, accessibility and affordability of health care for all citizens and a number of management issues came to the forefront. Therefore, the provision of comprehensive PHC services is the key aspect to improving health services. A district health system has been identified as an ideal model for comprehensive PHC services to all the citizens in South Africa. Public health services in the Cape Metropolitan Area are characterised by functional fragmentation. Two public authorities render Primary Health Care services, namely the: Provincial Administration of the Western Cape through CHSO, and the Municipal Health Department. The fragmented nature of the public health services, which result in poor coordination of service delivery between the two health authorities, compromises the quality of service delivery. Historically, PHC services in the Cape Metropolitan Area - and indeed in the whole South Africa - have developed in a skewed manner. This work is an attempt at conceptualising the implications and consequences of this skewed health development. South Africa is presently undergoing fundamental reform, which has brought the PHC into disarray of fundamental change. Since the South African health care system is a highly complex institution, attempts have been made to critically analyse those aspects and features of inequality, inaccessibility, and inequity. Among these is the historical and present development of Cape Metropolitan Area health care and the structural features it assumed with the passing of time, trends and characteristics. In order to examine the theory in practice, the evolvement of PHC in the Cape Metropolitan Area will be analysed. The analysis highlights how different political formations have affected the development of PHC services and points out obstacles and limitations throughout the process, which had to be dealt with. Transformation of the existing health services, based on the principles of PHC, requires the redressing the imbalances of the past. Therefore, the integration of the two health authorities into one entity would best achieve the principles of district health system and will ensure comprehensive PRe. / AFRIKAANSE OPSOMMING: Die Primêre Gesondheidsorg benadering geniet tans wereldwyd erkenning as 'n meganisme om doeltreffende openbare gesondheidsdienslewering te versker. Die konsep, wat ontwikkel en gegroei het uit die Alma Ata-konferensie van 1978, is reeds deur verskeie regerings ge-implementeer ten einde die doelwitte van beskikbaarheid, toeganklikheid en bekostigbaarheid van gesondheidsorg vir alle landsburgers te verseker. Die voorsiening van omvattende Primêre Gesondheidsorgdienste word erken as 'n noodsaaklike middelom gesondheidsorg te verbeter. Die Distrikgesondheid-stelsel is geidentifiseer as 'n ideale model vir die implementering van omvattende Primêre Gesondheidsorgdienste in Suid Afrika. Publieke Gesondheidsdienste in die Kaapse Metropolitaanse-gebied word gekenmerk deur die feit dat dit funksioneel gefragmenteer is. Twee publieke owerhede, te wete die Provinsiale Administrasie van die Wes Kaap en die Kaapse Stadsraad lewer Primêre Gesondheidsorgdienste, wat aanleiding gee tot swak koordinering met die gevolg dat dienslewering daaronder ly. Primêre Gesondheidsdienste in die Kaapse Metropolitaansegebied, soos in die res van Suid Afrika, het op 'n onlogiese, skewe manier ontwikkel Hierdie werk is 'n poging om die gevolge en implikasies van die onlogiese, skewe gesondheids-ontwikkeling te konseptualiseer. Daar is gepoog om die uiters gekompliseerde gesondheidsdiens-stelsel in Suid Afrika krities te analiseer met spesifieke verwysing na die kenmenrke van ongelykheid, ontoeganklikheid en onbillikheid. Dit sluit die historiese en huidige ontwikkeling van gesondheidsorg in die Kaapse Metropolitaanse gebied en die strukturele kenmerke in wat deur die loop van jare as gevolg van verskeie invloede en neigings sigbar geraak het. Die ontwikkeling van Primêre Gesondheidsorg in die Kaapse Metropolitaanse-gebied word ge-analiseer ten einde bogenoemde teorie in die praktyk te bevestig. Die analise beklemtoon die invloed van verskillende politieke rolspelers op ,die ontwikkeling van Primêre Gesondheidsorgdienste en bevestig die struikelblokke en beperkings wat deurentyd opgeduik het. Transformasie van gesondheidsdienste soos dit tans daaruit sien, gegrond op die beginsels van Primêre Gesondheidsorg, vereis dat die ongelykhede van die verlede aangespreek word. Die integrasie van die twee gesondheidsdiensowerhede sal die beginsels van die Gesondheidsdistrik-stelsel verwesenlik, wat daartoe sal aanleiding gee dat omvattende Primêre Gesondheidsorg 'n werklikheid word.

Thesis (MScFor) (Forest and Wood Science)--University of Stellenbosch, 2007. / While the contribution of non-timber forest products (NTFPs) in sustaining livelihoods of the poor is gaining global attention, the importance of woodcarving trade in sustaining the livelihoods of the poor people has been poorly researched. A study was conducted in Cape Town area of the Western Province, South Africa to assess the contribution of woodcarving trade to the livelihoods of the traders and the dynamics of the trade, and institutional constraints impacting on the development of the trade. A total of 61 traders in wood carving, as well as municipal authorities and key informants, were interviewed using structured questionnaires; note taking, personal observations, and in-depth interview based open-ended questions. The findings of the study revealed that the woodcarving trade is a highly male (69%) dominated activity. Most traders were married (55%) and most of the respondents (63%) fell within the active age group of 21-35 years. The wood carving trade was dominated by highly literate people with 66% and 25% having reached secondary and tertiary education, respectively. The study also revealed that “earning a living” represented the single most important factor (70%) that pushed people into the wood carving trade. Most traders (85%) did not own property but for those who owned property, 56% were South Africans followed by Zimbabweans (22%). The study showed that most of the woodcarving products arriving in the Western Cape come from the SADC region accounting for 78% of the products. Malawi (36%), Zimbabwe (30%) and Kenya (13%) are the main sources of the wooden crafts curio into the Western Cape woodcraft market. The study also found that Dalbergia melanoxylon from Zimbabwe (47%) and Malawi (16%) and Brachylaena huillensis from Kenya (47%) and Afzelia quanzensis from Zimbabwe (27%) represent the most traded wood species. The wood for carving was mainly accessed through intermediate agents (48%) and on site purchase (43%); and polishing represented the most important process (80%) of value adding compared to painting and shining. Personal cars (38%) and buses (36%) were the main means of transportation used compared to other forms of transport. It was shown that cost (48%) and customer based price (33%) represented the main pricing methods used by traders. Shop owners had an average income estimated at R 6, 450 and R 2, 692 in good and lean month sales, respectively. In addition, seasonality represented the single most important factor (56%) threatening the woodcarving industry and the livelihood of urban traders compared to factors such as quality of wood product (18%) and scarcity of the resource (10%). This study found that traders had difficulties accessing physical infrastructures (87%); social assets (50%) and human capital (74%). On the other hand, 62% of the traders did not seem to have problems accessing natural assets. As a livelihood strategy, traders also undertook multiple activities including sale of minor products as well as soliciting extra help from companions and/or hiring extra help during peak seasons. For the sustainability of the woodcarving trade in the Western Cape, there is a need for sustained, long-term management of wood species used for carving through domestication and use of alternative wood species. In addition, policies should promote: (i) integrated resource use that will ensure maximum utilisation of the wood from a single tree e.g. timber and wood carving, (ii) the culture of association and cooperation among traders, (iii) collaborative mechanisms involving all players from the forest and the tourism sector as well as the traders, (iv) secure traders’ livelihood assets, (v) an environment favourable to business venture’s expansion and growth through micro-finance and micro-credit schemes.

Thesis (MA (Geography and Environmental Studies))--Stellenbosch University, 2009. / ENGLISH ABSTRACT: Gated developments (GDs) are a global phenomenon with their presence and numbers increasing in many cities throughout the world. This is also true for cities in South Africa, including Cape Town which has seen a dramatic increase in the number of GDs during the last decade. GDs pose significant challenges to their surrounding urban environments and to cities as a whole because of the spatial and social fragmentation associated with such developments. The challenges created by GDs are especially relevant in the context of the post-apartheid planning goals of integration and sustainability of cities in South Africa. There is a pressing need to understand these GDs in their social and spatial contexts. This study examined aerial photographs to establish the spatial distribution of GDs, ascertain their growth over time and determine clustering of the phenomenon in the north-eastern suburbs of Cape Town. The architectural characteristics and the security measures employed by the GDs were investigated through field observations of a sample of GDs. The socio-economic and demographic features, as well as the daily activity spaces of the residents of the GDs, were determined in a questionnaire survey of a sample of these inhabitants. These investigations provided a detailed look at the gating phenomenon as it manifests in a post-apartheid city, namely Cape Town. The study is of particular interest to urban geographers, town and regional planners, and urban policy makers dealing with the integration of post-apartheid cities. The study found that the GDs constrain progress toward reaching the post-apartheid planning goals of integration and urban sustainability by their contribution to increasing urban fragmentation and urban sprawl through their clustering close to the urban edge. The GDs also promote social segregation through their high perimeter defences with low visual permeability which effectively separate the developments from their neighbourhoods. The use of a larger sample on which to base the socioeconomic and demographic profiles of GD residents as well as the use of more recent aerial photography will enhance future studies of the gating phenomenon. A thorough analysis of travel patterns and traffic volumes in neighbourhoods with large clusters of GDs will advance an understanding of this phenomenon’s effects on urban segregation and fragmentation. / AFRIKAANSE OPSOMMING: Sekuriteitsoorde is ʼn globale verskynsel wat toenemend in teenwoordigheid en getalle wêreldwyd in die meeste stede voorkom. Dit is ook die geval in Suid-Afrikaanse stede, insluitend Kaapstad wat in die laaste dekade ʼn dramatiese toename in die getal sekuriteitsoorde beleef het. Sekuriteitsoorde hou ʼn paar gewigtige uitdagings vir die omliggende stedelike omgewings en dié vir die groter stad in as gevolg van die ruimtelike en sosiale fragmentasie wat met hierdie ontwikkelings geassosieer word. Hierdie uitdagings is veral relevant vir die huidige Suid-Afrikaanse beplanningsbeleid wat na 1994 in werking getree het en wat stedelike integrasie en volhoubare stedelike ontwikkeling beklemtoon. Dit is belangrik om sekuriteitsoorde binne hulle sosiale en ruimtelike kontekste te bestudeer. Lugfoto’s is bestudeer om die ruimtelike manifestasie (ligging, groei en konsentrasie) van hierdie verskynsel in Kaapstad se noordelike voorstede te ontleed. Verder is ʼn steekproef van sekuriteitsoorde ter plaatse ondersoek om die argitektoniese kenmerke en die sekuriteit maatreëls van die ontwikkelings te bestudeer. Die sosio-ekonomiese en demografiese profiele sowel as die daaglikse aktiwiteitsruimtes van sekuriteitsoordinwoners is deur middel van ʼn vraelysopname van ʼn steekproef van inwoners vasgestel. Hierdie ondersoeke het ʼn diepgaande blik op geslote ontwikkelings in stede wat gekenmerk is deur apartheidstyl beplanning (soos Kaapstad) gegee. Die bevindings is dus veral relevant vir stedelike geograwe, stads- en streeksbeplanners en stedelike beleidmakers wat met die integrasie van na-apartheidstede te doen het. Die studie het bevind dat hierdie ontwikkelings die bereiking van die na-apartheidsbeplanningsdoelwitte van stedelike integrasie en volhoubare stedelike ontwikkeling belemmer deur stedelike fragmentasie en stedelike wildgroei te bevorder deur konsentrasies van hierdie ontwikkelings naby die stedelike grens te vestig. Sosiale fragmentasie word ook deur hierdie ontwikkelings aangehelp deur hulle neiging om hoë grensmure met lae visuele deursigtigheid te gebruik wat effektief die ontwikkelings van hul buurt afsonder. Die studie kan verbeter word deur ʼn groter steekproef te gebruik om die sosioekonomiese en demografiese profiele op te baseer, asook om jonger lugfoto’s in te span. ʼn Deeglike ondersoek van reispatrone en verkeersvolumes in die woonbuurte met groot konsentrasies geslote ontwikkelings sal ʼn beter begrip van die verskynsel se impakte op stedelike segregasie en fragmentasie bevorder.

Thesis (MNutr)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: Background: Omega-3 fatty acids and supplementation is very topical, attracting both public and interest from the industry. Findings from various research studies led a number of authorities to encourage the general population to consume more omega-3. This is the first study of its kind to be conducted in this population. Objective: To determine the current knowledge and trends of omega-3 (n-3) supplementation in parents of children at public primary schools in the City of Cape Town. Design: An observational and analytical and descriptive and cross-sectional study was performed. Methods: Purposive sampling was used to select a minimum of 150 parents from the six (6) randomly selected public primary schools. The schools were then divided into three different living standard measure (LSM) groups. The research questionnaire was made available at the Parent Teachers meetings where all parents had the option to complete the questionnaire anonymously at the meeting. Results: Six hundred and fifty seven (n=657) parents, mostly mothers, with a mean age of 37 years, completed and returned the questionnaires. The mean monthly income (p=0.00, SD=2.63) and the education level (p=0.00, SD=1.37) differed significantly between each of the three LSM groups. Prior to the study, 80.1% of parents (n=526) had heard of omega-3 supplements and overall knowledge of omega-3 was significantly better in this group (p=0.00) when compared to the group that had not heard of omega-3 previously. The overall mean omega-3 knowledge score for the three LSM groups (n=657) was 71%. The high and low LSM groups differed significantly in terms of omega-3 knowledge (p=0.02), but not statistically significantly once adjusted for income and education level (p=0.75). The main sources of information, where all parents (n=526) indicated having heard of omega-3 supplements, was from television (n = 230, 35%), books (n= 220, 33.5%) and the health worker (n=199, 30.3%). A total of 38.5% (n=253) of parents indicated that they gave their children omega-3 supplements. The overall omega-3 knowledge was significantly better (p=0.00) in parents who gave their children omega-3 supplements than the group that did not give supplements to their children. Income and the education level differed between all three LSM groups for those giving their children omega-3 supplements, but these variables did not influence the choice to give omega-3 supplements. Doctors (n=58, 22.9%) and the parents’ own decision (n=60, 23.7%) to supplement were the most favoured sources of recommendation indicated overall. Most parents indicated that the omega-3 supplement they administered was from a marine source (n=105, 41.5%). Only 35.2% (n=89) of parents giving omega-3 supplements indicated they knew the dose they were administering. Most of the children (n=90) were taking 500 mg omega-3 supplements daily. Conclusions and Recommendations: Statistically significant differences existed between the three LSM groups regarding various aspects of omega-3 knowledge and the sources from which parents had been informed and those who gave their children omega-3 supplements. Recommendations include education and public health programs supplying information to parents on omega-3 supplementation, as well as on omega-3 in the children’s diets. / AFRIKAANSE OPSOMMING: Agtergrond: Omega-3 vetsure en supplementasie is ‘n baie aktuele onderwerp, wat beide die belangstelling van die publiek en industrie betrek. Bevindinge van verskeie navorsingstudies het daartoe gelei dat verskeie instansies die algemene publiek aanmoedig om meer omega-3 in te neem. Dit is die eerste studie van sy soort wat in dié populasie groep gedoen is. Doelwit: Om die huidige kennis en tendensies/neigings in omega-3(n-3) supplementasie in ouers van kinders by publieke laerskole in die stad Kaapstad te bepaal. Ontwerp:’n Waarnemende- en en analitiese en beskrywende- dwarsdeursnitstudie is gedoen. Metode: Daar is gebruik gemaak van ‘n doelgerigte steekproefneming om ‘n minimum van 150 ouers uit ses (6) ewekansig geseleteerde publieke laerskole van uit te kies. Die skole is in drie verskillende lewenstandaardgroepe (LSM) verdeel. Die navorsingsvraelys is by ‘n Ouer-Onderwyservergadering beskikbaar gestel en alle ouers het ‘n geleentheid gehad om die vraelys anoniem by die vergadering te voltooi. Resultate: Seshonderd sewe-en-vyftig (n=657) ouers, meestel moeders, met ‘n gemiddelde ouderdom van 37 jaar, het die vraelyste voltooi en teruggegee. Die gemiddelde maandlikse inkomste (p=0.00, SD=2.63) en vlak van opvoeding (p=0.00, SD=1.37) het noemensvaardig tussen elk van die drie LSM groepe verskil. Voor die studie het 80.1% van die ouers (n=526) al van omega-3 supplemente gehoor en die algehele kennis van die groep was beduidend beter (p=0.00) as die groep wat voorheen nie van omega-3 gehoor het nie. Die gemiddelde algehele omega-3 kennistelling vir die drie LSM groepe was 71%. Die hoë en lae LSM groepe het beduidend ten opsigte van omega-3 kennis (p=0.02) verskil, maar nie statisties- beduidend wanneer dit vir inkomste en opvoedingsvlak (p=0.75) aangepas is nie. Die hoofbronne van inligting waar al die ouers (n=526) wat aangedui het dat hulle van omega-3 supplementasie gehoor het, was deur televisie (n=230, 35%), boeke (n=220, 33.5%) en die gesondheidswerker (n=199, 30.3%). ‘n Totaal van 38.5% (n=253) ouers het aangedui dat hulle hul kinders omega-3 supplemente gee. Die algehele omega-3 kennis van ouers wie hulle kinders omega-3 supplemente gee was statisties beduidend beter (p=0.00) in vergelyking met die groep wat nie supplemente vir hulle kinders gee nie. Die inkomste en opvoedingsvlak het verskil tussen all drie LSM groepe wat hulle kinders omega-3 supplementasie gegee het, maar hierdie veranderlikes het nie die keuse om omega-3 supplemente te gee beïnvloed nie. Mediese dokters (n=58, 22.9%) en die ouer se eie besluit (n=60 23.7%) om te supplementeer, was die gunsteling bronne van aanbeveling in die algemeen. Die meeste ouers het aangedui dat die omega-3 supplement wat hulle gegee het van ‘n visbron afkomstig (n=105, 41.5%) is. Net 35.2% (n=89) van die ouers wat omega-3 supplemente gee het aangedui dat hulle die dosis kenwat hulle gee. Meeste van die kinders (n=90) het 500mg omega-3 supplemente daagliks gekry. Gevolgtrekking en aanbevelings: Statistiese beduidende verskille is tussen die drie LSM groepe ten opsigte van verskeie aspekte van omega-3 kennis en bronne waaruit ouers ingelig is, sowel as die ouers wie hulle kinders omega-3 supplemente gegee het, gevind. Aanbevelings sluit opvoeding en publieke gesondheidsprogramme in, wat inligting aan ouers sal verskaf oor omega-3 supplementasie sowel as omega-3 in die kinders se diëte.

The aim of this study is to explore and describe the coping skills of registered nurses in a changed working environment. The research is conducted in the City Health clinics. The objectives of the study are:  to identify strategies which nurses use to cope with the changes in the health care services;  to explore appropriate support systems that will enhance the coping skills of registered nurses in clinics in the City Health Department; and  to deduce guidelines on how to support staff from the literature study and the results of the research. The research problem is the following: nurses in primary health care facilities do not adequately cope with major changes in health care delivery. A qualitative approach for the research was chosen. Personal interviews and focus group discussions were used to identify the coping skills of registered nurses. Data analysis was done manually. Transcriptions of recordings of the individual interviews and group discussions were done. Themes were organized and categorized into meaningful links and relationships. The findings indicate that the following factors improve the coping skills of registered nurses:  team-work and support;  to voice your opinion when necessary and good communication between staff;  regular breaks during working hours;  inherent factors for example strong spiritual and emotional strength that assist registered nurses to cope;  family support;  the provision of quality care is rewarding;  the assistance and support from the church (congregation);  the effective re-organisation of health services;  continuous support programs for staff; and  continuous education to develop skills of registered nurses. / Advanced Nursing -- Psychological aspects / M.A.

Thesis (MTech (Tourism and Hospitality Management))--Cape Peninsula University of Technology, 2017. / The hotel sector has been identified as experiencing the largest numbers of employees leaving their jobs within a short period of employment when compared to other sectors of the economy. The large number of employees leaving hotels within a short period of employment is perceived as detrimental towards business’ success. This research is about testing the strength of the relationship between employee retention variables and employee retention in hotels in Cape Town, South Africa. The researcher firstly consulted literature (secondary data) in order to understand the hotel employee retention phenomenon. From the literature findings, the objectives of this research were formulated. The research objectives were built based on the literature findings in order to assess the strength of relationships between employees’ perceptions of employee development, employee compensation, work engagement, good working relationship between line managers and subordinates, long working hours on the one hand; and employee retention in the hotel sector on the other hand. As the research aimed at testing relationships between variables, a quantitative research method was deemed the appropriate approach. Structured questionnaire surveys, using non-probability sampling, were applied in the form of a convenience approach. Hotels willing to participate in the study were selected, as Cape Town has a large population of hotels. Data for this study was collected over a period of ten months. A bivariate analysis was applied in this research in the form of correlation and Chi-square tests, after descriptive statistics were done. Reliability tests also measured the level of internal relatedness of the variables used to explain employee retention and related constructs. The variables and constructs used in this study were tested for relationships. The major results showed that there are highly significant relationships between employee retention, on the one hand, and employee compensation, employee development, working relationship, work engagement, and working hours, on the other hand.

The South African wine industry faces unique challenges in the socio-economic development of its farm labourers due to its historical context and development over the past three centuries. A long history of malpractice, a lasting paternalistic mentality, and only partial compliance to regulations to reduce inequality and improve livelihoods for farm labourers hinders the success of industry-wide transformation. Despite studies regarding the current state of living and working conditions in the wine industry and types of socio-economic development needed for successful transformation, little research has been done to address whether these initiatives are creating a lasting impact on the well-being of labourers. Research on current intervention strategies aimed at empowering labourers must take into account the origin of wine in the Cape region, the legacy of Apartheid, and the current state of socio-economic inequality amongst wine industry workers. The purpose of this research is to provide a better understanding of how and to what degree initiatives and programmes designed for socio-economic development are actually making an impact within the industry. The central research question asks: “to what extent has socio-economic development initiatives aimed at the transformation of wine farm labourers influenced perceptions of well-being?” This research combines both document analysis and qualitative comparative case study methods in assessing the impact these initiatives have had on labourers’ perceptions and attitudes towards personal development and a better standard of living. At the end of the study, the researcher wants to know how the labourers perceive socio-economic initiatives; do they actually believe themselves has having gained increased levels of respect, dignity, and equality, and have these perceptions been impacted by current socio-economic initiatives?.

This cross-sectional study looks at the health profiles of street children both in institutions and on the street between May and November 1989. The former group had a clinical examination, with blood and urine investigations done where possible; the latter group were only interviewed. 159 street children were interviewed of whom 47 were interviewed on the street. 73 children had clinical examinations; 64 of these had blood and urine investigations. The age range was 8 years to 19.8 years. 18.2% were females and 28.3% were black. 59,6% of those interviewed on the street had not been in an institution or shelter for street children. 27, 2% of the total group had been on the street for more 3 years. 3 7, 1 % perceived colds and chest complaints as their main physical health problem. This was confirmed by the fact that 69,2% had a history of respiratory problems. 44,7% said that they would go to a hospital if they injured themselves or were ill; however, 36,5% said they would not use or get any medication for problems such as a headache or a bad cold. 37·, 7% of children used a hospital while they were on street but 59, 7% had not used any facility while on the street. Most street children (72,8%) washed themselves at least occasionally and 61% washed their clothes. 47,2% had suffered trauma significant enough to seek hospital attention. 56% had skin problems (including lice and scabies) while on the street. 15,7% complained of visual problems and 10,7% complained of reduced hearing. Dental problems appeared to be of major concern with 37,7% complaining of either toothache or dental caries (23,3% had obvious caries on examination). 73,4% admitted to solvent abuse, 49,9% had never taken alcohol and 12,7% had never smoked. 43% had tried dagga, 10,8% white pipe (mixture of dagga and "Mandrax" which is smoked) and only 7,6% "Mandrax" alone. 10, 9% of boys and 10, 0% of girls indicated that they had been sexually exploited. Of the 67 examined 32,8% were below 90% of expected height for age, 44,8% were below 80% of expected weight for age and 8,6% had a circumference of head below 95% of standard. There is a 9,4% Hepatitis Bs ag carrier rate. No HIV (human immunodeficiency virus) antibodies were detected in 64 sera tested. On the basis of these results, the following are recommended: 1) Improving accessibility of health care resources. 2) Improving the availability of health care resources. 3)· Initiating contacts with street children by employing field health workers. 4) Drawing up a health care policy for street children institutions and field care workers. 5) Limit venereal disease management to single dose treatment where possible. 6) Further studies need to be undertaken in the following areas: - solvent abuse - utilisation of health care resources utilisation institutions of street children shelters and Further breakdown of habits, physical problems and results of examinations are presented.