The purpose of the study was to investigate and describe the experiences of a mobile injection team for multi drug resistant-tuberculosis outpatients, and to design and recommend a mobile injection team guideline based on the experiences of the team members in Ugu District, KwaZulu-Natal and to indicate the support that the MIT require. Phenomenological research was conducted. Convenient census sampling was used as all the seven members of the Ugu District mobile injection team were included. The inclusion criteria was at least six months’ working experience with MDR-TB patients in a mobile injection team at Ugu District, be an enrolled nurse registered with the South African Nursing Council as an enrolled nurse and must have an annual practicing certificate, or be a TB assistant, be willing to participate in the study and be located at the decentralised and satellite site. Data were collected through individual in-depth interviews with the participants. Data were analysed using Giorgi’s method of data analysis. The research findings revealed four broad themes (the perceptions held by the team, challenges, available support and needs to promote the service) and 73 sub-themes. The findings of the study indicate that the MDR-TB outreach injection teams experience many challenges in the community and need to be supported by their management in order to provide quality care to the patients. This study contributes to the development of guidelines to assist the mobile injection teams to provide quality patient care and effective service delivery. Based on the findings, the recommendation is that an intervention study be performed to compare the utilisation of the mobile MDR-TB injection team after implementing the recommendations made and the guidelines developed in this study / Health Studies / D. Litt. et Phil. (Health Studies)

The start of the 21th century is notable for the apparent lack of safe drinking water and sanitation. Over one billion people in all parts of the world lack access to clean water. Most live in developing countries, such as Africa. Unsafe water and poor sanitation have been primary causal factors in the vast majority of water-borne diseases, especially diarrheal ones. The South African Constitution (Act 108 of 1996, Chapter 2, Section 24) states: “Everyone has the right: (a) To an environment that is not harmful to their health and their wellbeing; and (b) To have the environment protected, for the benefit of present and future generations, through reasonable legislative and other measures that prevent pollution and ecological degradation; promote conservation; ecologically sustainable development, and the use of natural resources, while promoting justifiable economic and social development.” Secondly, section 27 states that: “Everyone has the right to have access to: (a) Health-care services, including reproductive health care; (b) Sufficient food and water; and (c) Social security, including, if they are unable to support themselves and their dependants, appropriate social assistance.” These factors have prompted this research within the Ugu District Municipality on the perceptions of inadequate rural water service delivery. This study reveals information on those areas in the Ugu District Municipality, which do not have access to clean water, and on the health hazards that might lead to death if residents’ lack of access to clean water persists. The Ugu District Municipality, is situated in KwaZulu-Natal Province, and covers a surface area of 5866 km2. There are six local municipalities in this district. These are: Ezinqoleni, Umzumbe, Umziwabantu, Hibiscus Coast, Umdoni and Vulamehlo. The node is 77% rural and 23% urban, and the total population for this area is 704027 (Ugu District Municipality IDP 2nd 2011/2012:19). / M. Development and Management (Water Studies), North-West University, Potchefstroom Campus, 2012

The start of the 21th century is notable for the apparent lack of safe drinking water and sanitation. Over one billion people in all parts of the world lack access to clean water. Most live in developing countries, such as Africa. Unsafe water and poor sanitation have been primary causal factors in the vast majority of water-borne diseases, especially diarrheal ones. The South African Constitution (Act 108 of 1996, Chapter 2, Section 24) states: “Everyone has the right: (a) To an environment that is not harmful to their health and their wellbeing; and (b) To have the environment protected, for the benefit of present and future generations, through reasonable legislative and other measures that prevent pollution and ecological degradation; promote conservation; ecologically sustainable development, and the use of natural resources, while promoting justifiable economic and social development.” Secondly, section 27 states that: “Everyone has the right to have access to: (a) Health-care services, including reproductive health care; (b) Sufficient food and water; and (c) Social security, including, if they are unable to support themselves and their dependants, appropriate social assistance.” These factors have prompted this research within the Ugu District Municipality on the perceptions of inadequate rural water service delivery. This study reveals information on those areas in the Ugu District Municipality, which do not have access to clean water, and on the health hazards that might lead to death if residents’ lack of access to clean water persists. The Ugu District Municipality, is situated in KwaZulu-Natal Province, and covers a surface area of 5866 km2. There are six local municipalities in this district. These are: Ezinqoleni, Umzumbe, Umziwabantu, Hibiscus Coast, Umdoni and Vulamehlo. The node is 77% rural and 23% urban, and the total population for this area is 704027 (Ugu District Municipality IDP 2nd 2011/2012:19). / M. Development and Management (Water Studies), North-West University, Potchefstroom Campus, 2012