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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
171

Self-efficacy and beliefs about medications: implications for antiretroviral therapy adherence

Adefolalu, Adegoke Olusegun 27 September 2013 (has links)
The earlier optimism generated by the efficacy of antiretroviral drugs in human immuno-deficiency virus (HIV) patients has been dissipated in the face of the enormous chal-lenge of maintaining a nearly perfect adherence indefinitely. This study set to determine the influence of HIV adherence self-efficacy and beliefs about medicines on antiretrovi-ral therapy adherence, with the aim of developing a framework for enhancing antiretrovi-ral therapy (ART) adherence through focused intervention on modifiable factors from study variables that are strongly associated with ART adherence. A descriptive correlational design was used to assess the predictive relationships of HIV adherence Self-Efficacy, Beliefs about Medicines and ART adherence among 232 HIV-infected patients in a large public health facility in Pretoria. Participants' medication be-liefs were assessed using the Beliefs about Medicines Questionnaire, HIV adherence self-efficacy was assessed with HIV adherence self-efficacy scale (HIV-ASES) and ART adherence was assessed using the AIDS Clinical Trial Group questionnaire. Pearson correlation analysis was used to assess bivariate associations among the variables, and multiple regression analysis was used to examine the relationships among the inde-pendent variables and ART adherence. Mean adherence for the 232 participants was 95% (SD=13.2). Correlation analysis re-vealed positive bivariate associations between perceived general harm and overuse of medications, and ART adherence (p<0.05); between specific necessity and concerns about ARVs, and perceived general harm and overuse of medications (p<0.05); be-tween HIV adherence self efficacy and ART non-adherence (p<0.05). Multiple regres-sion analysis showed significance for perceived general harm and overuse of medica-tions on ART adherence (F(1;231)=11,583;p<0,001) with perceived general harmful ef-fects and overuse of medications explaining 4.8% of the variance. There was signifi-cance for HIV adherence self-efficacy on ART non-adherence (F(1;41)=4.440; p<0.041), with HIV-ASES explaining 9,8% of the variance. Based on the results, a framework for enhancing ART adherence was developed. Activities in the framework consist of baseline screening for adherence facilitators and barriers using the beliefs about medicine questionnaire and HIV ASES, this is followed by focused interventions on identified barriers of ART adherence / Health Studies / D.Litt. et Phil. (Health Studies)
172

Factors associated with the HIV transmission rate in 18 to 24 month-old children enrolled in the prevention of mother-to-child transmission programme at the City of Tshwane clinics

Moloko, Sophy Mogatlogedi 15 August 2014 (has links)
The purpose of the study was to identify factors associated with the HIV transmission rate in 18 to 24 month-old children enrolled in the PMTCT programme at two selected City of Tshwane clinics. Mother-to-child transmission of HIV during labour and breastfeeding accounts for 40% of all HIV infection in children. The prevention of mother-to-child transmission of HIV programme is one effective strategy to reduce the rate of HIV infection in children. The HIV transmission rate was low at six weeks of age but increases at 18 to 24 months of age due to several factors. The researcher selected a descriptive retrospective correlational research design. A structured questionnaire was used to collect data from 60 mothers of children aged 18 to 24 months on the PMTCT programme and a data-collection form to collect data from 152 clinic records of children of the same age on the programme. The study found that the PMTCT guidelines were not properly adhered to by the nurses and the respondents. Prophylactic treatment was not provided as required and mixed feeding was prominent. The uptake of HIV test at 18 to 24 months was low compared to at 6 weeks. The transmission rate was high at 18 to 24 months compared to at 6 weeks. No factors were associated with the transmission rate / Health Studies / M.A. (Public Health)
173

An exploration of the success and failures of developmental local government on service delivery: a case of Tshwane Metropolitan Municipality

Mello, Richardson Mathibe January 2020 (has links)
Developmental local government is regarded as a remedy for the deep-rooted structural socio-economic challenges in South Africa. Many of these challenges are a legacy of apartheid and colonialism, so the ascent to power of a democratic government after the 1994 democratic elections was seen as a watershed for the development of policies and programmes to ameliorate poverty, unemployment and gross inequality. The Constitution of the Republic of South Africa Act, 108 of 1996, positions South Africa as a developmental state (defining developmentalism as a capable state with strong economic growth and professionalized public institutions). The White Paper on Local Government, 1998, was also introduced to mitigate poverty and unemployment. The adoption of a democratic developmental state model that empowers local government, as the coalface of service delivery, was seen as the solution. The developmental trajectory posited by the national government was thus predicated on the efficacy of municipalities. This study therefore explores the success and failure of developmentalism in South Africa, using the Tshwane Metropolitan Municipality as a case study. Analysis and comparison regarding the best model for South Africa was done on the basis of a literature review of international and local studies and official documents and legislation. The review shows that the now defunct developmentalist Reconstruction and Development Programme (RDP) was adopted in 1994 to address the socio-economic ills associated with colonialism and apartheid, but it was replaced by the neoliberal Growth Employment and Redistribution policy. Most developing countries use East Asia as a template to replicate developmental models. Developmentalism thrived in Asia because these countries are not democratic. However, South Africa is a constitutional democracy, which means that the public and public participation must be taken into consideration in policy-making and decision-making, especially for local government to address local socio-economic problems, particularly those affecting the poor. This was not found to be the case in the Tshwane Metropolitan Municipality, where developmentalism is overshadowed by endemic problems around leadership, patronage and a lack of consultation with the people, leaving their needs largely unmet. Neo-liberal policies, clearly not aligned with developmentalism, have been espoused, so a developmental local government model has not been implemented systematically in the Metro. Recommendations to prioritize truly developmental local economic growth and socio-economic development include extensive training and higher appointment criteria. / Development Studies / M.A. (Development Studies)
174

The management of parent involvement in historically disadvantaged secondary schools in Tshwane West District, Gauteng

Ramadikela, Phillip Mahlodi 06 1900 (has links)
The aim of this study was to examine the management of parent involvement in historically disadvantaged secondary schools in Tshwane West district, Gauteng. A literature study was undertaken to investigate the existing theories and models of parent involvement as well as their practical application. A literature study was also done to explore the historical development of the management of parent involvement in South Africa. The advantages of and barriers to parent involvement were also investigated through the review of both local and international literature. An interpretive, qualitative approach was adopted and an investigation of the management of parent involvement was conducted in three of the selected historically disadvantaged secondary schools in Tshwane West district, Gauteng. In-depth interviews were conducted with principals and focus-group interviews were held with three teachers as well as three members of the School Governing Bodies of each of the three selected schools. The overall impression was that the extent of parent involvement in the education of their children was very minimal due to the inability of the School Management Teams, especially school principals, to initiate, facilitate and sustain organisational structures and management processes which would ensure the effective involvement of parents in the education of their children. As a result of those findings, it was realised that a need existed to equip members of the management teams, including school principals, with appropriate skills that would assist in the implementation and sustenance of effective parent involvement programmes. / Educational Leadership and Management / M. Ed. (Education Management)
175

Municipal cultural policy and development in South Africa: a study of the city of Tshwane metropolitan municipality

Nawa, Lebogang Lancelot 25 April 2013 (has links)
This study examines the relationship, or lack thereof, between cultural policy and development at the local government sphere in South Africa and, ascertains the extent to which the City of Tswane Metropolitan Municipality (CTMM), as the focus of the case study, involves culture in its development framework. The research is informed by an observation from internationa best- practices that local government, as a sphere of governance closect to the people, is one of the best platforms on which the centrality of culture in the development matrix of any country is located and upheld. The research was arranged in three sections or phases, namely: exploration, discovery and the consolidation. / African Languages / D. Litt. et Phil.
176

A public-private partnership initiative for the rebuilding of the Tshwane municipal headquarters : City of Tshwane, South Africa

Qomoyi, Nontando 12 1900 (has links)
Thesis (MDF)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: South Africa boasts significant cumulative public-private partnership experience when compared to other African countries. However, little has been done to investigate the success and failure of implemented projects versus those registered on the National Treasury database. There is a limited amount of documented progress of public-private partnerships in South Africa, these being successes and failures in project implementation as well as the contributing factors for such outcomes, and these would serve as critical lessons for future partnerships. The main objective of this study is to investigate the challenges faced in the implementation of municipal public-private partnerships, especially concerning the City of Tshwane’s accommodation public-private partnership. A case study approach was adopted, reviewing the City of Tshwane’s public-private partnership initiative by looking at some of the reported challenges faced as well as the process followed during the implementation of the project. The results of this research assignment indicate that major strides have been made in acquiring sufficient experience and knowledge relating to public-private partnerships as they relate to the South African environment, and the main project team members, who have been involved long enough to understand the objectives of the project. However, of concern is the constant change of project team members taking into account that for each project phase a new team is established. The implication of this is that project knowledge may be lost due to changes in the structure of the project team. It should be noted that at the submission of this assignment the City of Tshwane accommodation public-private partnership was still in progress and in the initial stages of physical construction.
177

Aspects influencing decision-making regarding responsible business practices in SMME's in the Tshwane district

Cronje, Lynette 11 1900 (has links)
While the concept of Corporate Social Responsibility (CSR) is widely used, it is not seen as the most appropriate to describe responsible business activities in Small, Medium and Micro-sized Enterprises (SMMEs). The concept of Responsible Business Practices (RBP) is better suited to SMMEs, although the theory is still based in the broader literature of CSR. Choices and decisions made by the owners/managers of SMMEs regarding the expenditures for RBP may reflect various influences. These influences may be conscious and purposely orientated toward a personal set of beliefs, but may also be indirectly, subconsciously influenced. This research will explore the influences behind expenditure decisions. Structured questionnaires will be used to reveal conscious influences that play a role in decision-making in SMMEs. The primary objective of this study is to investigate the aspects that consciously influence the decision-makers at SMMEs in Tshwane, South Africa, to expend resources on RBP. The study also aims to determine the awareness of, perceptions about and attitudes towards RBP among SMME decision-makers, as well as to determine the RBP activities SMMEs are involved in. Relationships between the extent of RBP engagement and the level of RBP awareness, the activities involved in, and the respondents’ highest level of education will be discussed. Key differences between the respondents’ age, highest level of education and gender with regards to the influencing aspects are also covered. The study contributes to the body of knowledge on individual-level studies in the RBP field and makes a contribution to the South African SMME literature that focuses on the doing of responsible business. It also addresses the gap in RBP knowledge by investigating the influences on RBP decisions in SMMEs, as the small business decision-making processes might prioritise influencing aspects differently than that in larger organisations. / Business Management / M. Com. (Business Management)
178

Municipal cultural policy and development in South Africa: a study of the city of Tshwane metropolitan municipality

Nawa, Lebogang Lancelot 25 April 2013 (has links)
This study examines the relationship, or lack thereof, between cultural policy and development at the local government sphere in South Africa and, ascertains the extent to which the City of Tswane Metropolitan Municipality (CTMM), as the focus of the case study, involves culture in its development framework. The research is informed by an observation from internationa best- practices that local government, as a sphere of governance closect to the people, is one of the best platforms on which the centrality of culture in the development matrix of any country is located and upheld. The research was arranged in three sections or phases, namely: exploration, discovery and the consolidation. / African Languages / D. Litt. et Phil.
179

The management of parent involvement in historically disadvantaged secondary schools in Tshwane West District, Gauteng

Ramadikela, Phillip Mahlodi 06 1900 (has links)
The aim of this study was to examine the management of parent involvement in historically disadvantaged secondary schools in Tshwane West district, Gauteng. A literature study was undertaken to investigate the existing theories and models of parent involvement as well as their practical application. A literature study was also done to explore the historical development of the management of parent involvement in South Africa. The advantages of and barriers to parent involvement were also investigated through the review of both local and international literature. An interpretive, qualitative approach was adopted and an investigation of the management of parent involvement was conducted in three of the selected historically disadvantaged secondary schools in Tshwane West district, Gauteng. In-depth interviews were conducted with principals and focus-group interviews were held with three teachers as well as three members of the School Governing Bodies of each of the three selected schools. The overall impression was that the extent of parent involvement in the education of their children was very minimal due to the inability of the School Management Teams, especially school principals, to initiate, facilitate and sustain organisational structures and management processes which would ensure the effective involvement of parents in the education of their children. As a result of those findings, it was realised that a need existed to equip members of the management teams, including school principals, with appropriate skills that would assist in the implementation and sustenance of effective parent involvement programmes. / Educational Leadership and Management / M. Ed. (Education Management)
180

A comparative evaluation of water supply perceptions and overall stewardship in Hammaskraal amd Attridgeville

Mthimunye, Keitumetse 12 1900 (has links)
This research focused on evaluating and comparing the perceptions, water-use behaviour, water conservation awareness and overall water stewardship of participants residing in Hammanskraal and Atteridgeville who have experienced intermittent water supply in their domestic households – due to either water contamination incidents caused by dilapidated infrastructure or water restrictions implemented by the City of Tshwane Metropolitan Municipality during the 2016–2017 drought in the Gauteng Province. The research concluded that the municipality needs to implement proactive water conservation awareness initiatives on an ongoing basis to reduce high water demands and to create a culture of water stewardship, especially in Atteridgeville. Transparent communication is also required from the municipality to instil the necessary trust among the public. It is recommended that the municipality attends to water leaks and ongoing complaints from the public timeously to reduce the current apathy from the public against reporting water-related issues and to ultimately ensure compliance to water restrictions. / Hierdie navorsing fokus op die evaluering en vergelyking van deelnemers wat in Hammanskraal en Atteridgeville woon se persepsies, waterverbruiksgedrag, waterbewaringsbewustheid en algehele waterrentmeesterskap, wat onderbroke watervoorsiening in hulle huishoudings ervaar het – as gevolg van waterbesoedelingsvoorvalle wat deur vervalle infrastruktuur veroorsaak is en waterbeperkings wat deur die Stad Tshwane Metropolitaanse Munisipaliteit gedurende die 2016 tot 2017-droogte in Gauteng ingestel is. Die navorsing het tot die gevolgtrekking gekom dat die munisipaliteit proaktiewe waterbewaringsbewustheidsinisiatiewe op ’n deurlopende grondslag moet implementeer om hoë wateraanvraag te verminder en ’n kultuur van waterrentmeesterskap, veral in Atteridgeville, te skep. Deursigtige kommunikasie word ook van die munisipaliteit vereis om die nodige vertroue by die publiek te kweek. Daar word aanbeveel dat die munisipaliteit betyds aandag aan waterlekkasies en deurlopende klagtes van die publiek sal gee om die huidige onverskilligheid van die publiek by die aanmeld van waterverwante aangeleenthede te verminder en om uiteindelik te verseker dat die publiek die waterbeperkings eerbiedig. / Patlisiso ena e ne e tsepame hodima ho lekola le ho bapisa maikutlo, boitshwaro ba tshebediso ya metsi, tsebo ka poloko ya metsi le tlhokomelo e akaretsang ya metsi ke bankakarolo ba dulang Hammanskraal le Atteridgeville ba bileng le phepelo ya metsi e kgaohang malapeng a bona – e ka ba ka lebaka la diketsahalo tsa tshilafatso ya metsi e bakilweng ke dipeipi tse senyehileng kapa ho kgaolwa ha metsi ho kentsweng tshebetsong ke Masepala wa Motsemoholo wa Metropolitan wa Tshwane nakong ya komello ya 2016–2017 porofenseng ya Gauteng. Patlisiso e fumane hore masepala o hloka ho kenya tshebetsong matsholo a ho atisa tsebo ka poloko ya metsi ka mokgwa o tswellang e le ho fokotsa tlhokeho e phahameng ya metsi le ho theha ditlwaelo tsa tlhokomelo ya metsi, haholo ho la Atteridgeville. Ho boetse ho hlokeha puisano e hlakileng e nang le ponaletso ho tswa ho masepala e le hore setjhaba se be le tshepo ho ona. Ho kgothaletswa hore masepala a sebetsane le diketsahalo tsa ho dutla ha metsi le ditletlebo tse tswellang tse tswang ho setjhaba ka potlako e le ho fokotsa maikutlo a ho tsotelle a tswang ho setjhaba mabapi le ho tlaleha mathata a amanang le metsi le ho netefatsa hore batho ba latela melawana ya phokotso ya metsi. / Geography / M. Sc. (Geography)

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