Masters of Public Health - see Magister Public Health / Introduction: HIV and AIDS continues to be a major public health challenge for Zambia, which has the highest HIV prevalence rate of 13.1% in sub-Saharan Africa. Although individuals living with HIV/AIDS in Zambia have increased access to antiretroviral treatment (ART), not all patients who are initiated on antiretroviral treatment remain in care; with some patients being lost at different points in the continuum of care. The current study aimed to explore the factors affecting retention in care among patients receiving antiretroviral treatment at three primary health facilities in the Kabwe district in Zambia. Methodology: An exploratory qualitative study design was used to explore the patient, health systems and socio-economic factors that underlie retention on ART in three purposefully selected primary health care facilities in Kabwe district. Data was collected through in-depth interviews with 45 ART patients and three focus group discussions with 20 health care providers. The content of the transcribed interviews was analyzed thematically. Findings: The overall retention rate of the ART sites was found to be 65%. The main patient factors that influenced retention in care were side effects of antiretroviral drugs and weight increase as a sign of good health. The social related factors that influenced patient retention in care were stigma and non-disclosure of HIV status, faith healing, use of herbal remedies and alcohol use. The health system factors that contributed to poor retention of patients in care were long waiting times due to staff shortage, high patient load, travel distance to ART centers and transportation cost. Other health system factors reported by participants included shortage of third line ARV drugs and inadequate space in ART clinic. Finally, food shortage and mobility of patients due to employment were some of the identified economic factors that influenced patient retention in care. Conclusions: A large proportion of adult patients initiating ART in Zambia are poorly retained in care because of patient, health system, social and economic factors. In order to improve retention, more nurses and clinical officers should be trained in ART management to improve skills and address staff shortages. It would also be useful for Zambia to introduce community drug distribution points for delivering ARV refills to reduce the workload on the existing ART sites and reduce on the distances that patients have to travel to ART centers. Additionally, efforts should also be made to improve ART care by extending ART clinic days to include all the days of the week except Sundays.

Tuberculosis (TB) has re-emerged as a major worldwide public health hazard with increasing incidence among adults and children. Although cases among children represent a small percentage of all TB cases, they are a reservoir from which many adult cases will arise. Estimates indicate that 9 million people develop TB annually, out of which 1 million (11 percent) occur in children less than 15 years old. Childhood tuberculosis is on the increase worldwide because of persisting inability to conform the diagnosis, leading to a large number of children dying of undiagnosed tuberculosis. Diagnosis of pulmonary tuberculosis has depended on bacteriological examination of sputum. In most of the developing countries sputum smear microscopy has been used as it has been found to be cheap and relative efficient. As a result of the high TB burden, there is an urgent need for improved methods of laboratory diagnosis of TB. This is especially needed in children were diagnosis is more challenging as mycobacteria is being detected in fewer than 50 percent of the cases. Children cannot produce adequate sputum samples for examination. Their sputum samples, if produced, has a low bacterial yield and making detection of mycobacteria by using the smear microscopy difficult. Therefore, gastric lavages from children are being recommended as the best specimen for culture. In this study, gastric lavages from 408 children suspected of having tuberculosis were examined for the recovery of mycobacteria. Recovery was optimized by the use of the relatively new non-radiometric fully automated BACTEC MGIT 960. BACTEC MGIT 960 produced a positivity rate of 27.2 percent against 17.2 percent that of Lowenstein-Jensen (L-J) media, which is a conventional culture method used widely. The direct microscopy which is the cheapest traditional method used in diagnosis of tuberculosis (TB) yielded a 5.6 percent positive rate. The BACTEC MGIT 960 had also a very high isolate detection rate of 98.2 percent compared to that of L-J media of 61.9 percent, and only 20.4 percent were detected with the direct microscopy. On time taken to detection or mean time to detection (TTD) of v isolates, the BACTEC MGIT 960 technique had a shorter mean time to detection, 12.5 days as compared to 34.3 days shown by the L-J media technique. The study showed that children normally get tuberculosis from adult members of the household. A positive TB case was found in the households of 55.4 percent of the suspects. The study has found that 46.4 percent of the children below the age of 4 years developed the disease, compared to 10.5 percent the older children in the age group 10 to 14 years. The study found that tuberculosis in children is mainly caused by Mycobacterium tuberculosis. Out of the 113 isolates detected, 110 (97.3 percent) were M. tuberculosis. The remaining 2.7 percent were the non-tuberculous M. avium complex and M. kansasii. It was inconclusive whether the 2.7 percent of other species were causing tuberculosis and this need to be studied further.

There is no question that effective talent management requires a well-defined process. Talent management includes all talent processes needed to optimise people within an organization. The processes include: attracting, recruiting targeted selection, performance management, succession planning, talent reviews, development planning and support, career development, and workforce planning. The hired employees should be developed to mould into the organization culture so that they support the vision and mission of the organization. Retention of key employee is critical to the long term success of business as it ensures customer satisfaction, product sales, and satisfied co-workers, reporting staff, effective succession planning and a deeply embedded organisational knowledge and learning culture. iii The research problem in this study was to investigate how successfully Talent Management and Employee Retention strategies been implemented at the Bank of Zambia. To achieve this objective a comprehensive study was undertaken on talent management and employee retention. The study involved conducting a literature survey to understand the processes that are necessary for implementation of talent management and employee retention in an organization. An empirical study was later conducted to investigate whether the processes of talent management and employee retention have been successfully implemented at the Bank of Zambia. The survey was compared to the literature review to determine whether the Bank of Zambia complied with the findings in the literature review. The main findings from this research are that for talent management to be successful, the initial step of planning right from the strategic point of aligning to talent goals to business goals through to succession planning should be well conducted. This process needed special attention. As much as the empirical study showed a case of progress towards engagement, there was concern raised regarding job security. Some employees perceived that they were insecure in their job. Compensation and rewards were also perceived to lack equity in their distribution and that promotion and career progression were below expectation for may employees The final observation from the investigation was that the organizational culture was not well adopted by respondents. . Employees perceived that the culture did not support innovation and the rewards system did not provide incentives for better performance.

In the recent past, Zambia has increased its external borrowings significantly after reaching the Heavily Indebted Poor Countries (HIPC) completion point. The Zambian government has been on an ambitious borrowing spree with the intent that most of these funds would be channelled towards building and maintenance of key national infrastructure including roads and construction of new airports. This study undertook to answer the question, does increasing external debt affect growth of a nation’s economy? The thesis commenced an econometric study between the years 1980 to 2015 using publicly available data premised on the neoclassical economic growth model. The findings from this investigation show that shocks to external debt negatively impact the economic output of Zambia which is proxied by the Gross Domestic Product (GDP). Conversely, it was found that external debt stock could not reliably forecast future economic growth for the nation, a finding which in itself provides an area of further investigations. These research findings and recommendations make it clear that Zambia requires a comprehensive debt contraction and management framework to avoid the vagaries of short-term decisions which may not always be premised on sound economic thinking.

A study entitled `Phenomenological study of ageing amongst the older persons in Zambia' was undertaken with the purpose of gaining an understanding of the ageing phenomenon within the Zambian context and provide frameworks that could be used by policy-makers and health professionals to formulate guidelines or interventions relevant to the lived experiences of older persons and the meaning attached to ageing or being old, and consequently maintain or improve the quality of life of older persons of Zambia. The objectives of the study were to describe (1) the lived experiences of the older persons of Zambia, and (2) the meaning they attached to ageing or being old within the Zambian context. A transcendental phenomenological design within the qualitative naturalistic approach was used to guide the research process and to assist the researcher to reach the purpose and objectives of the study. Focus group and in-depth individual interviews were conducted to generate data from twenty-seven (27) informants. Fifteen (15) informants participated in the focus group interviews and twelve (12) in in-depth individual interviews. In total, 24 in-depth individual interviews were conducted in term of two interviews per informants, and two focus group interviews. Data collection covered a period of three months. Coliazzi (1978) and Giorgi (1985) techniques for qualitative data analysis were used and verbatim excerpts form the transcribed interviews were used to support the themes that emerged from data and to provide a richer picture of the situation. Three frameworks derived from the findings of this study: (1) framework of the lived experiences of older persons of Zambia, (2) framework of the meaning of ageing or being old and (3) framework for understanding ageing within the Zambian context. The researcher believed that these frameworks would make a meaningful contribution toward the understanding and the development of policies and interventions that would assist in enhancing or maintaining the quality of life of older people of Zambia. The main findings of the results of this study indicated three most significant dimensions of the lived experiences of the older persons (health, socio-economic and psychosocial) that need to be taken into account when planning for any programs or interventions aimed at maintaining or improving the quality of life of older persons of Zambia. These interventions and programs should also address the negative feelings or meanings attached to the above experiences. The main findings of the results of this study also showed that the meaning of being old or ageing in Zambia does not depend on the health, socio-economic and psychosocial living experiences of the older person but it depends largely on the inner values of the older persons, such as spiritual, emotional and cultural beliefs. This means that maintaining or improving the quality of life of older persons in Zambia would require comprehensive programs or interventions that should take into account the health, socio-economic, psychosocial, spiritual, emotional and cultural needs of the older people. / Health Studies / D. Litt. et Phil. (Health Studies)

Text in English / Autonomy) which brought about the ownership of the Church by Zambians,was a turning point for the life, ministry and mission of the RCZ. Gerdien Verstraelen-Gilhuis (1982) has done a very thorough objective historical study from the perspective of looking at the scope for African leadership and initiative in the history of a Zambian mission Church. This is up to Umwini (April 1966 ). On the other hand Foston Dziko Sakala has examined ( MTh- Church History. Thesis Unisa 1996 ) the development of theological education since the missionary era. A critical analysis is therefore necessary on how the RCZ reacted and continues to react to some of the missiological challenges posed to it after Umwini. Our second purpose is to point out certain challenges which must be pondered seriously by upcoming theologically sensitive young ministers of the Gospel in the RCZ, who desire to have 'a truly African, Contextual Reformed Church In Zambia', indeed a Church that is contextually consistent with the' writing on the wall'. The political independence (1964) of Zambia from the British colonialists created an environment were the RCZ demanded for its autonomy from the Dutch Reformed Church missionaries from South Africa who had established and were running the church with all its services in education and health since 1899. challenge to the Christian Church. The consequent developments politically from colonialism to multi- party politics (which did not live long - 1964 to 1968) to one party participatory democracy( from 1 968 to 1993 ) and since 1994 up to the time of writing this dissertation, to a liberalised economic market system and democratic governance and the declaration of Zambia as a Christian nation all pose specific challenges to the Church's mission. Political, cultural and social changes of Zambia have given a clear on the mission and life of the Reformed Church In Zambia. The Zambian environment has not been the same before and after its political independence and consequently the mission of the RCZ has had its various challenges before and after umwini. It was no longer missionaries directly responsible for determining the mission and growth of the RCZ, it was and has been Zambian people themselves. / Christian Spirituality, Church History and Missiology / M. Th. (Missiology)

No description available.

Thesis (MScAgric (Soil Science))--Stellenbosch University, 2008. / The soils of north-west Zambia are largely unexplored and are regarded by local residents as problematic in providing sufficient nutrients for the staple crop of maize in the area. The area is semi-tropical, with an average rainfall of 1300mm annum-1 falling predominantly in the summer. The undulating landscape is dominated by miombo woodland interspersed with savanna grassland. Little work has been done on these soils and further information is required to understand their origin and their fertility status. The main objectives of this thesis were: 1) to classify and sample soils from a large number of small-scale agricultural lands, 2) to develop a better understanding of these soils chemical characteristics, 3) to determine the effect of vegetation clearance on soil fertility by sampling adjacent uncultivated land, and 4) to test locally derived rock dust as a soil ameliorant in pot trial. Soils from 100 agricultural and adjacent bush/forest sites were classified and analysed to determine their fertility status. They were tentatively classified according to the WRB system and are dominated by Arenosols, Acrisols and Ferralsols with infrequent occurrences of Lixisols. Most of these soils have a sandy texture. The clay fraction comprises of gibbsite, kaolinite and hydroxyl-Al interlayered vermiculite (HIV), with a few soils also having some mica present. The soils are consistently acidic with 42% of soils sampled having a pH (KCl) <4.3. Furthermore, the subsoils proved to be equally if not more acidic than the topsoils. Low nutrient levels are invariably associated with the soil acidity, with 84% of soils having <15mg/kg P, 59% of soils <50 mg/kg K, 80% soils <300 mg/kg Ca, and 44% soils <80 mg/kg Mg. Comparisons between cultivated and bushland soils showed no consistent changes to the soil acidity and fertility. This is contrary to research that was reviewed but is likely to have been affected by the spatial variability of these soils arising from the termite dominated landscape and the soils having been derived from different parent materials. Amelioration of these soils is required in order to increase yields. It is thought that lime, used with an N, P, K, Zn and B fertilizer, will best remedy the deficiencies found in these soils. Using these nutrients could raise the yields of <1t.ha-1 to in excess of 5 t.ha-1. Local soil ameliorants of crushed rock, ash, compost, green manure and termite mounds were also considered with pulverised granite being tested through factorial pot trials to determine its usefulness as a source of K and alkalinity. It raised both soil pH and K levels but is of limited value as these rises were not significant enough to affect yield. It is recommended that future research should: 1) strategically sample across the district, classify soils and determine their fertility status; 2) compile a soil yield potential map and 3) undertake field trials to test the quantities and effectiveness of fertilizers alongside local soil ameliorants.

Thesis (MBA)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: The purpose of the research was to investigate the decision-making styles of urban Zambian Generation X females shopping for apparel products. The research made use of a Consumer Styles Inventory (CSI) scale developed by Sproles and Kendall (1986) to measure the characteristics of various shopping styles. Out of 300 self-administered questionnaires distributed, 180 were used for data analysis. The Cronbach Alpha coefficients confirmed the reliability of the CSI scale on 7 out of 8 decision-making styles that could be associated with the consumers under review. The study then used Analysis of Variance (ANOVA) to establish the variation between the different decision-making styles. The findings revealed that the decision-making styles of quality consciousness and a recreational shopping orientation are highly correlated. The research findings have policy implications and recommendations for the development of marketing strategies and further research have been made. / AFRIKAANSE OPSOMMING: Die doel van die navorsing was om ondersoek te doen na die besluitnemingstyle van stedelike Zambiese vroue van Generasie X wanneer hulle klereprodukte koop. Die navorsing het gebruik gemaak van die inventaris van verbruikerstyle wat deur Sproles en Kendall (1986) ontwikkel is, ’n skaal wat in Engels as die Consumer Styles Inventory (CSI) bekendstaan, om die eienskappe van verskillende inkopiestyle te meet. Uit die 300 self-geadministreerde vraelyste wat versprei is, is 180 vir die ontleding van die data gebruik. The Cronbach Alpha-koëffisiënte kon die betroubaarheid van die CSI-skaal bevestig op 7 uit die 8 besluitnemingstyle wat geassosieer kon word met die verbruikers wat ondersoek is. Die navorsingstudie het daarna van variansieanalise gebruik gemaak om die variasie tussen die verskillende besluitnemingstyle te bepaal. Die bevindings het onthul dat die besluitnemingstyle van gehaltebewustheid en inkopies wat as rekreasie beskou word, hoogs gekorreleerd is. Die navorsingsbevindinge het implikasies vir beleid en aanbevelings is gedoen vir die ontwikkeling van bemarkingstrategieë en vir verdere navorsing.

The high prevalence of HIV/AIDS in Zambia has led to the development of innovative ways of coping with sickness related to this infection. HIV/AIDS home-based care is one such innovation designed in Chikankata Hospital in 1987. Home-based care depends on the availability of family members and community volunteers in the provision of care and support for People Living with HIV/AIDS (PLWHA).<br /> <br /> This minithesis is based on a qualitative descriptive case study exploring perspectives regarding skills, supervision and support mechanisms for carers in the Chikankata HIV/AIDS Community-Home Based Care (CHBC) program. The study utilized documented research, focus group discussions with carers and structured interviews with local CHBC supervisors, national experts in CHBC, and PLWHA and their families, to collect data from 32 study participants.<br /> <br /> The findings were that CHBC was being delivered by community volunteers with limited involvement from the local health services / that carers were highly motivated, personally and collectively mobilizing resources to meet the needs of CHBC clientele / that local arrangements for training, skills and support of carers were not aligned to national guidelines regarding process, content and duration of programmes / and that carers acquired skills in CHBC through formal and informal training processes and were facing challenges related to inadequate skills, poor infrastructure and extreme poverty in households caring for PLWHA. <br /> <br /> Based on the findings the local arrangements for coordination of CHBC need to be strengthened and linked to formal processes for technical support, financial resources and materials for delivery of CHBC in line with existing guidelines on CHBC. The picture of the real situation of the carers that emerges from this qualitative study might inform the supervising organizations and policymakers on the gaps in the training and support of this crucial cadre in the provision of quality care for People Living with HIV/AIDS (PLWHA) at community level.