The medical scheme industry in South Africa is competitive in relation to international standards. The medical scheme sector, as part of the healthcare industry, is negatively affected by the high rate of fraud perpetrated by providers, members and syndicates, which results in medical schemes funding fraudulent claims. The purpose of the study was to explore strategies to mitigate fraud in medical scheme claims. A qualitative research methodology was followed in this study, which adopted a case study approach. Empirical data was analysed through thematic analysis, with the aid of ATLAS.ti software. The study found that healthcare service providers mainly defraud medical schemes by submitting false claims. A holistic approach should be followed to mitigate fraud in medical scheme claims. This approach should encompass regularly identifying trends in fraudulent claims and implementing appropriate control strategies. Collaboration within the medical scheme industry and with other stakeholders would also help to elevate the fight against medical scheme fraud to a new level. Implementing the recommendations from the study will assist medical schemes to reduce the funds expended on fraudulent claims, thereby improving their financial viability and decreasing the rate of increase in medical scheme contributions for members. / Business Management / M. Com. (Business Management)

The usage of autonomous vehicles is starting to appear in several different domains and the domain of public safety is no exception. Wallenberg Artificial Intelligence, Autonomous Systems and Software Program (WASP) has created a research arena for public safety (WARA-PS) to explore experimental features, usages, and implementation of autonomous vehicles within the domain of public safety. Collaborating in the arena are several companies, universities, and researchers. This thesis examines, in collaboration with Combitech, a company partnered in WARA-PS, how the implementation of autonomous vehicles affects the sociotechnical system of a search and rescue operation during a drifting boat with potential castaways. This is done by creating a case together with domain experts, analyzing the sociotechnical system within the case using cognitive work analysis and then complementing the analyses with the unmanned autonomous vehicles of WARA-PS. This thesis has shown how the WARA-PS vehicles can be implemented in the case of a drifting boat with potential castaways and how the implementation affects the sociotechnical system. Based on the analyses and opinions of domain experts’ future guidelines has been derived to further the work with sociotechnical aspects in WARA-PS. / WARA-PS

2017 became the beginning of the Childbirth Crisis of Sweden, as a result of underbudgeting and understaffing, creating an environment where patient safety and availability was questioned. Additionally, information and communication technology rapidly take a larger role in the field of healthcare, nourishing new solutions for old processes. This explorative research was conducted to answer how information and communication technologies, and communication techniques, are used and could be used to provide safe care for patients. This study was conducted with 10 participants working as medical staff at a Swedish neonatal care unit. The medical staff who participated consisted of registered nurses, certified pediatric nurses, pediatric nursing assistants, and one nursing assistant. The approach of this research was through system thinking in the tradition of soft systems thinking. The data collection was performed with a combination of semi-structured interviews and card sorting. The collected data were processed, organized, and interpreted with the three c’s of analysis and thematic analysis. The results of this study are complemented by rich pictures. The empirical findings of this study describe a neonatal care unit known at its hospital to be the one unit holding the largest number of different devices. The medical staff at the researched NCU are using information and communication technology in a combination together with specific communication techniques, to create an understanding of their patients’ conditions. The study connects a state of safe care to the training and knowledge of the information and communication technologies, and communication techniques used at the neonatal care unit. The combination of the information and communication technologies, and communication techniques used at the NCU are vital tools, conclusive to the medical staff when providing safe care for patients. This study provides an insight into one Swedish neonatal care unit, based on the interpretations of its medical staff.

This applied social sciences case study examines the efficiency of the ‘Yumbe Local Action Plan on Women, Peace, and Security’ in addressing the perceived and experienced adversities of women refugees in the Bidibidi refugee settlement, Uganda. This is done by collecting data from the Bidibidi settlement through interviews and discussions with the refugee and host population, as well as with relevant organizations and governmental actors. The findings have been contrasted with a document analysis of the Yumbe Local Action Plan and identifies significant deviances between the challenges faced by women refugees and the objectives outlined in the action plan. These deviances include particular exposure to direct, sexual, and structural violence as a result of limited access to resources in the settlement, such as food and water, coupled with interventions resembling the criticized ‘Women in Development’-paradigm, and a constrained political will for action. This study recommends policymakers of the action plan to enhance collaboration among stakeholders, address the structural factors contributing to women’s inequality, and strengthen evaluation and legal mechanisms in place to bridge the identified gap between policy and practice.

Transpersoner i Sverige har en ökad risk för psykisk ohälsa, samtidigt som cirka hälften har god livskvalité. Då de positiva hälsofaktorerna för gruppen är underbeforskat, framför allt för ickebinära transpersoner, var studiens syfte att undersöka vilka positiva erfarenheter (minoritetglädje) ickebinära transpersoner har av att tillhöra minoritetsgruppen. En kvalitativ intervjustudie gjordes med åtta deltagare som sedan analyserades med tematisk analys. Det huvudsakliga resultatet visar att minoritetsglädjen främst utgörs av en stark gemenskap med andra transpersoner och att leva ett autentiskt liv i relation till sig själv och omgivningen. Även att utvecklas som person och att transtillhörigheten blir ett verktyg för att förstå världen och andra människor är viktiga fynd. Resultaten går i linje med tidigare forskning om positiva hälsofaktorer för gruppen. Nya fynd är framför allt att upplevelsen av frihet från tvåkönsnormen tycks kunna utgöra en extra stor positiv faktor för den ickebinära gruppen.

<p>This dissertation investigated a psychoeducational intervention’s effectiveness in nurturing concern for others in adolescents with high intellectual abilities. The intervention was implemented at two research sites in a city in western India with 130 participants. Concern for others was conceptualized as an interplay of empathy, compassion, and prosocial behavior, and interrelationships among them were examined using correlational and regression analyses of self-reported survey data. Results indicated that prosocial behavior is positively associated with empathy (i.e., perspective taking and empathic concern) and other-compassion (i.e., compassion for others and compassion for other living beings) with correlations ranging from medium to strong (.46 ≤ <em>r</em> ≤ .79). Compassion for self, however, is not associated with prosocial behavior (<em>r</em> = .01) or any other key variables of having a concern for others (-.06 ≤ <em>r</em> ≤ .09). Compassion for others and perspective taking are the strongest predictors of prosocial behavior. Predicted self-reported prosocial behavior in girls is, on average, significantly greater than that in boys. Participants were then randomly assigned to treatment and control (delayed treatment) groups. The intervention’s effectiveness was evaluated using a convergent mixed-methods design by combining repeated-measures multivariate analysis of variance (RM-MANOVA) of self-reported survey data and thematic analysis of interview data. Classroom quality was perceived to be high. Moreover, on average, participants’ level of adherence to the intervention was high, especially for session attendance (93%), and self-reported home activity completion (89%). The RM-MANOVA results showed that the self-reported concern for others varied significantly over the time of participants’ participation in the intervention with a large effect (treatment group: ηp2 = .57; delayed treatment group: ηp2 = .47); however, the effects did not seem to sustain over the next three months. Univariate <em>post-hoc</em> analyses indicated significant differences with moderate effect size in prosocial behavior and compassion for others. Overall, the intervention was perceived to be a largely positive experience—appealing, meaningful, and supportive of belongingness—yet there is a scope for improvement, especially regarding active participation. Emotional regulation, mindful engagement, responsible communication, relationship building, kindness, and gratitude were described as key intervention affordances. The mixed-methods integration of results provided preliminary evidence for the effectiveness of the intervention. (IRB #1812021447)</p>

Unemployment among young, less-educated coloured individuals is a major problem in the community of Worcester in the Western Cape. The purpose of the research study is to gain in-depth insight into the impact of unemployment on psychological well-being among young coloured people in Worcester. The study is based on a qualitative approach by conducting semi-structured interviews with twelve unemployed, coloured persons in Worcester. The ages of the participants ranged from 18 to 30 years, with the median age of 20.33 years. Purposive sampling and snowball techniques were used to select these unemployed young persons. Two instruments, a demographic questionnaire and a semi-structured interview guide, were used to gather data on the research participants. The transcribed data were analysed by means of content thematic analysis and aided by thematic network analyses. The findings of the study suggest that unemployed participants experience negative feelings daily as a result of their unemployment. Some participants blamed themselves for previous mistakes that they had made, they feel a sense of failure to provide for their children's needs as parents, they expressed feelings of guilt or shame, and compared themselves with employed peers, which is indicative of low self-esteem. Furthermore, unemployment has a financial impact on participants which includes financial dependency on others, unemployment serving as a barrier to being able to fulfil future plans and aspirations as well as unemployment having an effect on the social life of participants in that participants appear to withdraw from social interaction and isolate themselves. For some participants there was a loss of a sense of purpose experiencing difficulties in structuring their time and generally spent their time with passive and purposeless activities. Despite being unemployed, certain other participants seek a sense of purpose and try to spend their time engaging in menial tasks or social activities. Participants expressed an overall positive attitude towards employment which includes regarding work as being very important as well as remaining optimistic about their chances of finding a job. Coping with unemployment daily emerged as one of the struggles experienced by the participants in the study. The process of coping with unemployment daily includes utilising a variety of coping strategies to manage their unemployment as well as to manage negative feelings that emerge from being unemployed. The coping strategies indicated by the participants include listening to music, sleeping, reading the Bible, and talking to their friends or family members. Participants also revealed that they needed and received two types of social support from family and friends to help them cope with their unemployment predicament; including a need for emotional support and a need for instrumental support. Participants in the study experienced judgment by community and family members daily because of their unemployed status which includes stigmatising comments. These comments are internalised by participants which may exert a negative impact on their psychological well-being. Limitations of the study includes, participants could have answered the questions of the semi-structured guide in a socially desirable manner as well as the audio-recorded interviews were transcribed into Afrikaans and translated into English and as such, some of the meaning of what the participants had said could have been lost in the translation process. Recommendations for further research includes exploring whether perceived support have a greater beneficial effect on the psychological well-being of unemployed individuals than received support, as well as the role such types of support play in coping with unemployment. / Psychology / M.A. (Psychology)

Text in English / The aim of the current study was to explore the impact of the Educhange and Research Foundation (ERF) self-awareness programme on the participants’ reactions, experiences, and changes in opinion regarding their knowledge of concepts of self-awareness. This study constitutes an evaluation of a workshop presented by the ERF which is a Non-Governmental Organisation (NGO) aimed at generating solutions toward a better education for all learners through the application of Kirkpatrick’s model of evaluating education and training programmes. Kirkpatrick’s model follows the goal-based evaluation approach and is based on four levels of evaluation. These four levels are widely known as reaction, learning, behaviour, and results. Due to the feasibility of the research, only the reaction and learning evaluation levels were researched. The population identified for the study comprised 15 grade 9 to 11 secondary school learners from Soweto in South Africa which were encouraged to volunteer to take part in the study at their convenience. The sample consisted of all the learners who attended the self-awareness workshop, in effect making this a purposive, convenience sampling. The ERF Board were responsible for the sample selection for their scholarship programme. One of the minimum criteria of selection to take part in the programme was that the learner must have obtained 70% and stem from poor backgrounds. The relatively small sample size possesses the potential to limit the generalisation of the findings. A mixed method approach was employed for this research. Positivist paradigm is the epistemological stance adopted due to the social reality investigated. The sources of data consisted of pre- and post-evaluation questionnaires on self-awareness. The results were thematically and statistically analysed. Thematic analysis included familiarisation with the data and first finding meaning, and then identifying patterns of recurring meaning by generating initial codes and lastly generating themes that run through these meanings.Statistical analysis was conducted through comparison of the data before and after the workshop using chi-square. Objective self-awareness theory and the self-regulation theory were the theoretical framework that informed the current research study. The main finding from this study was that the programme was perceived to have raised positive subjective opinions and feelings of most of the participants, although one participant raised negative subjective opinions about the programme and made suggestions for improvement. After the workshop, the participants felt that they had gained a better understanding of the key concepts of self-awareness, although most items were found to be statistically insignificant. / Psychology / M.A. (Psychology)

Prader-Willi syndrome (PWS) is a genetic disorder resulting from a mutation of chromosome 15. It can manifest in physiological characteristics, cognitive impairment, behavioural problems, and sometimes also psychiatric disturbances. Taking care of an individual with PWS has a detrimental impact on the primary caregiver and also affects others around them. This considered, the current study aimed to learn more about the experiences and challenges of individuals diagnosed with PWS and their primary caregivers, in Gauteng and North-West Provinces, South Africa. Purposive sampling was used to select five families which then participated in the study. Qualitative research was used to conduct the study. As it was also crucial to generate a comprehensive understanding of participant experiences, collective instrumental case studies were used ̶ making use of participatory action research, ethnography and elements of auto-ethnography. Data were gathered by conducting semi-structured interviews, which were then analysed using thematic analysis. The data were organized around certain topics and common themes which emerged in each case study and the findings were then integrated with the literature which had been extensively reviewed. Based on these experiences and challenges, interventions were suggested that addressed the challenges and needs of the PWS individuals, their caregivers and families, and those around them (including school teachers). The main findings confirmed that not all individuals diagnosed with PWS manifest all the physiological characteristics, psychiatric disturbances and behavioural problems which have been documented in the literature. Furthermore, the symptoms vary in severity from one individual to the next. Cognitive impairment was, however, common to all individuals in the study. The findings also suggest that having a child diagnosed with PWS has a significantly negative impact on the primary caregiver, and taking care of PWS children is emotionally overwhelming and time-consuming. The use of a client-centred approach, implementing behaviour therapy techniques and doing psycho-education, all proved to be effective in managing some of these behaviours displayed by the individual patients and the challenges experienced by primary caregivers. / Psychology / Ph. D. (Psychology)

Unemployment among young, less-educated coloured individuals is a major problem in the community of Worcester in the Western Cape. The purpose of the research study is to gain in-depth insight into the impact of unemployment on psychological well-being among young coloured people in Worcester. The study is based on a qualitative approach by conducting semi-structured interviews with twelve unemployed, coloured persons in Worcester. The ages of the participants ranged from 18 to 30 years, with the median age of 20.33 years. Purposive sampling and snowball techniques were used to select these unemployed young persons. Two instruments, a demographic questionnaire and a semi-structured interview guide, were used to gather data on the research participants. The transcribed data were analysed by means of content thematic analysis and aided by thematic network analyses. The findings of the study suggest that unemployed participants experience negative feelings daily as a result of their unemployment. Some participants blamed themselves for previous mistakes that they had made, they feel a sense of failure to provide for their children's needs as parents, they expressed feelings of guilt or shame, and compared themselves with employed peers, which is indicative of low self-esteem. Furthermore, unemployment has a financial impact on participants which includes financial dependency on others, unemployment serving as a barrier to being able to fulfil future plans and aspirations as well as unemployment having an effect on the social life of participants in that participants appear to withdraw from social interaction and isolate themselves. For some participants there was a loss of a sense of purpose experiencing difficulties in structuring their time and generally spent their time with passive and purposeless activities. Despite being unemployed, certain other participants seek a sense of purpose and try to spend their time engaging in menial tasks or social activities. Participants expressed an overall positive attitude towards employment which includes regarding work as being very important as well as remaining optimistic about their chances of finding a job. Coping with unemployment daily emerged as one of the struggles experienced by the participants in the study. The process of coping with unemployment daily includes utilising a variety of coping strategies to manage their unemployment as well as to manage negative feelings that emerge from being unemployed. The coping strategies indicated by the participants include listening to music, sleeping, reading the Bible, and talking to their friends or family members. Participants also revealed that they needed and received two types of social support from family and friends to help them cope with their unemployment predicament; including a need for emotional support and a need for instrumental support. Participants in the study experienced judgment by community and family members daily because of their unemployed status which includes stigmatising comments. These comments are internalised by participants which may exert a negative impact on their psychological well-being. Limitations of the study includes, participants could have answered the questions of the semi-structured guide in a socially desirable manner as well as the audio-recorded interviews were transcribed into Afrikaans and translated into English and as such, some of the meaning of what the participants had said could have been lost in the translation process. Recommendations for further research includes exploring whether perceived support have a greater beneficial effect on the psychological well-being of unemployed individuals than received support, as well as the role such types of support play in coping with unemployment. / Psychology / M.A. (Psychology)