Thesis (M. Development and Management)--North-West University, Potchefstroom Campus, 2006.

The White Paper on National Transport Policy (SA, 1996:12) identified the fragmentation of functions between different spheres of government as one of the main obstacles besetting the effective development and management of the transport system. It endorsed one of the principles in the Constitution of the Republic of South Africa Ad 108 of 1996, to devolve functions to the lowest appropriate sphere of government if it could be more effectively handled and if there was capacity to perform the functions. In pursuing the above objective, the purpose of this study was to determine the functionality of the West Rand District Municipality in terms of administrative as well as economic and transport management principles to fulfil the role as a transport authority in terms of the NLTTA for its present area of jurisdiction. The study therefore addressed the legal framework as well as transport and economic indicators defining the functional area of a transport authority. In determining the nature and extent of functions as fulfilled by the respective municipalities, use was made of dichotomous questionnaires. These findings were also supported with technical data based on surveys conducted through the Gauteng Household Travel Survey (2000) and the Operating Licensing Strategy (200212003). To further operationalise the research objectives of this study, and touching on Great Britain's transport experience over the past 75 years, a comparison was made between the present status of Transport Authorities in the United Kingdom, compared to those in South Africa (Gauteng Province). Upon analysing the empirical findings it was evident that the establishment of a Transport Authority for the area of jurisdiction of the West Rand would enable the WRDM to deliver on the following number of fronts: • Coherent Alignment to a Common Vision • Integration of Transport System • Control over Transport Modes • Optimised Utilisation of Funds To create a conducive environment for a West Rand Transport Authority to improve its functionality, it was recommended that serious attention be given to aspects such as funding mechanisms, legality of municipal entities, clarity on the status of transport powers at municipal level of government, assignment of functions and human resource capacity. Upon conclusion it was agreed that the successful implementation of a functional transport authority for the West Rand will be dependant, not only upon technical expertise and management and by resolving the above issues, but also on political support. / Thesis (M. Development and Management)--North-West University, Potchefstroom Campus, 2006.

Thesis (M.Phil.)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: The aim of this research is to identify the various levels of health care units, their relationships and the problems hindering an effective referral system. To achieve this goal, use is made of a case study of the West Rand area in Gauteng. The standpoint is that, to achieve Primary Health for all South Africans referral systems within health care units and levels must be reciprocal. It is argued that for Primary Health Care to be successful, it must satisfy the goal of affordability appropriateness and accessibility. Results from the research revealed that four health care levels, namely traditional healers, health NGOs, Clinics, and Hospitals. Though there is some degree of referral in the study area, it was observed that referrals in the study area were not reciprocal. Amongst the major problems identified as hindering an effective referral system in the study area, include lack of cooperation between health institutions, poor health infrastructure and communication network as well as lack of other health paraphernalia. The research also found that government policy towards some of the health institutions (Traditional healers) contributes to the inefficiency of proper referrals in the study area. / AFRIKAANSE OPSOMMING: Die oogmerk van hierdie ondersoek is om die verskillende vlakke van gesondheidsorgeenhede, hulonderlinge verbande en die probleme wat doeltreffende verwysings in die wiele ry, te identifiseer. Dit word gedoen aan die hand van 'n gevallestudie van die Wes-Randarea in Gauteng. Die uitgangspunt is dat doeltreffende Primêre Gesondheid vir alle Suid- Afrikaners afhang van resiprokale verwysingsisteme tussen gesondheidsorgeenhede en -vlakke. Suksesvolle Primêre Gesondheidsorg vereis bekostigbaarheid, toepaslikheid en toeganklikheid. Die ondersoek het vier gesondheidsorgvlakke aan die lig gebring: tradisionele genesers, gesondheids-nie-regerings-organisasies, klinieke en hospitale. Hoewel daar 'n mate van onderfinge verwysing in die studie-area bestaan, was dit nie wederkerig nie. Onder die vernaamste struikelblokke vir 'n doeltreffende verwysingsisteem tel swak samewerking tussen gesondheidsinstellings, gebrekkige gesondheidsinfrastruktuur en kommunikasienetwerk, en 'n skaarste aan ander gesondheidsmiddelle. Die ondersoek het ook bevind dat regeringsbeleid aangaande sommige van die gesondheidsinstellings (tradisionele genesers) bydra tot die ondoeltreffendheid van verwysings in die studie-area.