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Asthma is a chronic disease of the airways and affects many people regardless of their age, gender, race and socioeconomic status. Since asthma is recognised as one of the major causes of morbidity and mortality in people and especially in South Africa, the prescribing patterns, prevalence and medication cost of asthma in South Africa are saliently important and need to be investigated. A non-experimental, quantitative retrospective drug utilisation review was conducted on medicine claims data of a pharmaceutical benefit management company in a section of the private health care sector of South Africa. The study period was divided into four annual time periods (1 January 2008 to 31 December 2008, 1 January 2009 to 31 December 2009, 1 January 2010 to 31 December 2010 and 1 January 2011 to 31 December 2011). The prescribing patterns and cost of asthma medication were investigated and stratified according to province, age and gender. Patients were included if the prescriptions which were provided by the health care practitioners matched the Chronic Disease List (CDL) of South Africa and the International Classification of Disease (ICD-10) coding for asthma and chronic obstructive pulmonary disease (COPD). Data analysis was conducted by means of the SAS 9.3® computer package. Asthma patients were divided according to different age groups (there were five different age groups for this study), gender and geographical areas of South Africa. The study indicated a steady increase in the prevalence of asthma patients from 0.82% (n = 7949) in 2008 to 1.18% (n = 15 423) in 2009 and reached a minimum of 0.79% (n = 8554) in 2011. Analysis of the prevalence regarding geographical areas in South Africa suggested that Gauteng had the highest number [n = 17 696, (0.85%)] of asthma patients throughout the study period, followed by KwaZulu Natal [n = 8 628, 1.16%)] and the Western Cape [(n = 8513, 0.97%) (p < 0.05)]. The prevalence of asthma in female patients [0.89% (n = 26 588)] was higher than in their male counterparts [0.79% (n = 19 244)] (p > 0.05). The results showed that asthma was not as common chronic disease in children. The total number of asthma patients younger than 7 years represented 0.64% (n = 2 909). It was found that patients over 65 years of age showed the highest prevalence of the five age groups [1.94% (n = 13 403) (p < 0.05)]. The average number of asthma prescriptions per patient per year was 8.28 (95% CI, 8.16- 8.40) and 5.15 (95% CI, 5.06-5.23) in 2008 and 2011, respectively. The number of asthma items per prescription varied from 1.55 (95% CI, 1.55-1.56) in 2008 to 1.40 (95% CI, 1.39- 1.40) in 2011. Medication from the MIMS® pharmacological group (anti-asthmatics and bronchodilators) was used to identify asthma medication. The top three asthma medication with the highest prevalence in the study period were the anti-inflammatory inhaler of fluticasone (n = 39 721) followed by the single item combination product of budesonide/ formoterol (n = 25 121) and salbutamol (n = 24 296). The influence of COPD on asthma treatment and the costimplication thereof were investigated. Medication from the MIMS® pharmacological group (anti-asthmatics and bronchodilators) was used to identify COPD medication. This study also showed that COPD had an influence in the economic burden of the South African asthma population. The cost of medication is responsible for the single largest direct cost involved in the economic burden of asthma. This study showed that asthma represented 0.88% of the direct medication cost in the study (excluding hospitalisation and indirect cost). The average cost per prescription and average cost per asthma item both increased throughout the study period. The prescribing patterns for the different medication used in the treatment of asthma were investigated and recommendations for further research in this field of study were made. / MPharm (Pharmacy Practice), North-West University, Potchefstroom Campus, 2014

As societies across the world are facing grim problems regarding the consumption of tobacco products and alcohol, the Governments of these societies are adapting their strategies to reduce the consumption of these harmful products. These demarketing strategies are implemented to discourage the use of these products and increase the health of consumers. These strategies include a strenuous legal limit when driving under the influence of alcohol, enforcing the placement of warning labels on both cigarette packages as well as alcoholic beverages. Also included are penalties when failing to adhere to these laws, increasing prices, limiting the availability, restricting promotion and advertising, the list goes on. It is therefore seen fit to examine the attitudes of black Generation Y students’ towards the demarketing of smoking and alcohol consumption, because of the research gap concerning black Generation Y students. The primary purpose of this research study was to conclude the attitudes towards the demarketing of smoking and alcohol consumption amongst black Generation Y students within South Africa, and more specifically the Vaal Triangle region. The target population for this study comprised black Generation Y students, aged 18 to 24. A non-probability convenience sample of 200 respondents at each of the two higher education institutions was randomly chosen to participate in this research study making the total sample size 400. A self-administered questionnaire was handed out to each of the respondents to complete. The questionnaire consisted of three sections; Section A – demographical information, Section B – tobacco questionnaire and Section C – alcohol questionnaire. It was required of the respondents to complete the three sections, indicating their agreement or disagreement towards demarketing on a five-point Likert scale. The literature review included in this study comprised marketing as an organisational philosophy and function, market segmentation, targeting and positioning, as well as demarketing. The traditional marketing mix, consumption patterns within South Africa concerning smoking and alcohol, demarketing as a form of social responsibility were also discussed. The term demarketing, the marketing mix in terms of demarketing and the Generation Y cohort were also included within the literature review. The main finding obtained from the main survey questionnaire was that black Generation Y students’ had a positive attitude towards the demarketing of smoking and alcohol consumption. The remaining findings obtained are discussed in order to enhance the understanding of the black Generation Y students’ cohort attitudes. The recommendations for this study are given to guide the successful implementation of demarketing of cigarettes and alcohol. It is concluded from the research, that black Generation Y students’ attitudes towards the demarketing of smoking and alcohol consumption is positive, and that they are in favour of persuading consumers to reduce consumption and ultimately quit the consumption of these products. Therefore, organisations and the Government should continue to implement these demarketing strategies towards smoking and alcohol, especially amongst the black Generation Y students. / Thesis (MCom (Marketing management))--North-West University, Vaal Triangle Campus, 2013

This thesis deals with the topic of childbirth and birth delivery in Eastern Africa. The theoretical part tackles mostly the high birth rates, midwifery and hygiene habits and rituals, health system, alternative approaches in midwifery care and traditional healing methods, post-natal care as well as high maternal and infant mortality rates. It uncovers the taboo topic of female circumcision and the impact that it has on giving birth. It furthermore describes a case of an especially complicated labour of a Ugandan girl called Fatima Mirembe who gave birth in a prison hospital. The practical part of this paper consists of a research survey that, using questionnaires, aims to find out what the women from the Ugandan Nyakyera Village and the communities nearby experience during and after the delivery and what the quality of local post-natal care is. It also describes the abortion rate in the area and common causes of abortions and it also describes the knowledge of the true story of Fatima Mirembe. Keywords African women, Fatima Mirembe, childbirth, birthrate, Uganda, East Africa, health care, female circumcision

In 1796, the first time the British occupied the Cape, a former Dutch colony in 1806 then definitely. British colonial policy in South Africa was initially influenced by the former practice of the Dutch East India Company. Problems inherited from the past involving government, law and the institution of slavery. Very thorny questions were slave trade and land ownership. In 1807 a law was adopted to ban the import of slaves in the colonies of the British Empire. In 1809 was issued collection of laws by Lord Calendon called Calendon code. In 1811 Governor John Cradock established circulation courts. In 1820 arrived in the Cape Colony of British settlers in 4000 to increase proportion of the white population of British origin. In 1828 was issued Ordinance 50, in 1833 Britain abolished slavery law with effect from 1838. These government actions led to disputes with the Boer population, which peaked in 1836, leaving Boers in the so-called Great Trek, which had a significant impact on indigenous communities strains disrupted at the time mfecane and led to the establishment of the independent Boer republics. Key words: Africans - Boers - Cape of Good Hope - colonial policy - emancipation - Great Britain - Great Trek - South Africa - slavery

The thesis introduces the media image of Africa in the public of broadcasting Czech Television from 2009 to 2013. Africa is the continent with huge potential but in the minds of people it is connected with coup d'etat, wars, poverty and famine. Czech Television is the public media which should offer viewers the most balanced broadcasting due to its position in the media market. The theoretical part of this thesis presents the theory of media construction of reality, the principle of agenda-setting and news values and some of these the analytical part has confirmed. The thesis also approches to the African continent from political-economic and geographical perspectives. The analytical part of this thesis was based on quantitative and qualitative content analysis. The thesis researches the news, opinion journalism and documentary with notion of Africa, also focuses on differences between the media image of each geographical area of Africa and distinguishes between Czech and foreign production.

The work deals with development aid. Diploma thesis is focused on development, development aid, then the thesis is focused on the performance of the different actors of development aid and ways to help in the past and today. The diploma thesis describes the MDGs, examples of potential obstacles to development assistance, also it describes development assistance offered by the Czech Republic. Finally, thesis focuses on the development assistance in education, which is actually the more specific goal of this work. The work describes a Zambia circumstances and non-profit organization Njovu, which operates its projects in the poorest parts of Lusaka. Another goals of the work describe the personal experience of Zambia - from the position of a woman who three months taught children English, led the afternoon activities etc. KEYWORDS Africa, development aid, development cooperation, the Millennium Development Goals (MDG's), education in Zambia, a non-profit organization, Njovu

Das Guinea-Savanne-Wald-Mosaik Westafrikas weist einen hohen Reichtum an Pflanzenarten auf, deren Samen durch Frugivore ausgebreitet werden. Afrikanische Savannen beherbergen zudem die artenreichste Dungkäferfauna weltweit. Dennoch wurden Interaktionen zwischen Fruchtpflanzen, Primaten und Dungkäfern in Savannenökosysteme bisher kaum erforscht. Meine Untersuchungen am Anubispavian (Papio anubis Lesson 1827, Cercopithecinae) im Comoé Nationalpark (CNP), im NO der Elfenbeinküste, zeigten, dass sich westafrikanische Pavianpopulationen in verschiedener Hinsicht von Populationen in Ostafrika unterscheiden. Paviane werden zumeist vornehmlich als Prädatoren der Samen ihrer Nahrungspflanzen angesehen. Im Savannen-Wald-Mosaik Westafrikas ernähren sie sich jedoch überwiegend frugivor und sind bedeutende Samenausbreiter einer Vielzahl von Gehölzpflanzenarten mit unterschiedlichen Fruchttypen und Samengrößen. Sie breiten intakte Samen von mind. 22% der regionalen Gehölzpflanzenarten aus. Ihr "Ausbreitungspotential" bzgl. Samenzahl und Samengröße ist mit dem der großen Menschenaffen vergleichbar. Der Anteil der Baumarten im Nahrungsspektrum der Paviane ist signifikant höher als es aufgrund des Anteils im regionalen Artenpool der Gehölzpflanzen zu erwarten wäre. Fruchtarten, die von Pavianen gefressen wurden, waren signifikant größer als nicht konsumierte Arten. Von verschiedenen morphologischen Fruchtmerkmalen eignen sich Fruchttyp und Farbe am besten, um vorherzusagen, ob die Früchte einer Art Nahrungsbestandteil der Paviane im CNP sind. Fruchttyp und Samengröße wiederum sind am besten geeignet, um auf die Art der Nutzung (Samenausbreitung bzw. -prädation) zu schließen. Die Samengröße einer Pflanze ist ein wichtiges Fitnessmerkmal, das verschiedene Abschnitte von der Fruchtentwicklung bis zur Etablierung des Keimlings beeinflussen kann. Sie weist bei vielen Pflanzenarten erhebliche intraspezifische Schwankungen auf. Primaten könnten aus unterschiedlichen Gründen Früchte mit bestimmter Samengröße auswählen, zum Beispiel um unverdaulichen Ballast zu reduzieren oder um den Fruchtfleischgewinn pro Frucht zu optimieren. Bei acht von zehn untersuchten Pflanzenarten, die sich in Fruchttyp, Samenzahl und Samengröße unterscheiden, erwiesen sich die Paviane als selektiv in Bezug auf die Samengröße. Für die intraspezifische Fruchtauswahl der Paviane scheint unter anderem das je nach Frucht- und Samenform unterschiedlich variierende Verhältnis von Fruchtfleisch zu Samen eine Rolle zu spielen. Als Habitatgeneralisten (mit einer Präferenz für Waldhabitate), die relativ große Gebiete durchstreifen, scheinen Paviane besonders wichtig für den genetischen Austausch der Pflanzen zwischen entfernten Waldinseln. Da die meisten Gehölzpflanzenarten im Savannen-Wald-Mosaik des CNP mittelgroße bis große Früchte und Samen haben, kommt den Pavianen eine herausragende Rolle bei der Samenausbreitung und natürlichen Regeneration dieses Ökosystems zu. Die Bedeutung der Paviane für die Samenausbreitung von Pflanzenarten mit kleinen Früchten sollte jedoch nicht unterschätzt werden. Meine Untersuchungen an typischen "vogelausgebreiteten" Baumarten, von denen Vögel fast ausschließlich unreife Früchte fraßen, weisen darauf hin, dass eine qualitative und quantitative Beurteilung verschiedener Frugivorengruppen allein aufgrund der Fruchtsyndrome nicht immer zuverlässig ist. Anubispaviane breiten in der Regel mehrere Pflanzensamen in einzelnen Fäzes aus was üblicherweise als ungünstig für die Pflanze angesehen wird. Die Samen aller Pflanzenarten, die in Pavianfäzes im CNP während Zeiten saisonal hoher Dungkäferaktivität zu finden waren, können jedoch potentiell von Dungkäfern ausgebreitet werden. Die Dungkäfer-Aktivität im Untersuchungsgebiet an Pavianfäzes war hoch, es wurden 99 Arten aus 26 Gattungen nachgewiesen. Sowohl die Wahrscheinlichkeit sekundärer Samenausbreitung durch Dungkäfer als auch das sekundäre räumliche Ausbreitungsmuster hängen von der Struktur und Zusammensetzung der Dungkäfergemeinschaft am Ort der primären Ausbreitung ab. Die Dungkäfergemeinschaft wiederum scheint stark von der Vegetation beeinflusst zu sein. Im Savannen-Wald-Mosaik Westafrikas erwartete ich daher deutliche Unterschiede in der sekundären Ausbreitung zwischen Samen, die von Pavianen in die Savanne bzw. in den Wald ausgebreitet werden. Experimente ergaben, dass Samen, die von Pavianen in die Savanne ausgebreitet werden, eine höhere Wahrscheinlichkeit haben (a) überhaupt sekundär durch Dungkäfer ausgebreitet zu werden, (b) horizontal von Telekopriden vom Ort der primären Ausbreitung wegbewegt zu werden, (c) relativ schnell aus den Fäzes entfernt zu werden und (d) über relativ größere Distanzen ausgebreitet zu werden als Samen im Wald. Generell sollten Savannenpflanzen und Habitatgeneralisten unter den Pflanzenarten, deren Samen von Pavianen in die Savanne ausgebreitet werden, am ehesten von sekundärer Ausbreitung durch Dungkäfer profitieren. / The Guinea savanna-forest mosaic of West Africa is particularly rich in animal-dispersed plants. African savannas harbour the richest dung beetle community worldwide. The role of primates and dung beetles in natural plant regeneration and biodiversity maintenance in this ecosystem, however, is still poorly understood. The present study on olive baboons (Papio anubis Lesson 1827, Cercopithecinae) at Comoé National Park (CNP), north-eastern Ivory Coast, revealed that western olive baboon populations differ in several ways from their eastern conspecifics. Baboons are commonly regarded as predators of the seeds of their food plants. In the savanna-forest mosaic of West Africa, however, they are highly frugivorous and are important seed dispersers of a high number of woody plant species that differ in fruit type and seed size. They disperse intact seeds of at least 22% of the woody plant species of the regional plant pool. Their "seed dispersal potential", regarding seed number and seed sizes, is comparable to that of the much larger great apes. Relative to the availability in the regional pool of woody plant species, baboons preferred trees to shrubs and lianas as fruit sources and especially included larger fruit into their diet. Among several morphological fruit traits investigated, fruit type and fruit colour best described whether baboons included a species into their diet, whereas fruit type and seed size best predicted whether baboons predated upon the seeds of a food plant species. Seed size is an important plant fitness trait that can influence several steps between fruiting and the establishment of a plant´s offspring. Seed size can vary considerably within and among individuals of the same species. Primates may select for certain seed sizes within a species for a number of reasons, e.g. to decrease indigestible seed load or to increase pulp intake per fruit. Within eight out of ten plant species investigated, which differed in fruit type, seed number and seed size, olive baboons were selective in fruit choice regarding seed size. Seed size selection by olive baboons seems to be influenced, among other traits, by the amount of pulp rewarded per fruit relative to seed load, which varies with fruit and seed shape. Being a habitat generalist (with a preference for forest habitats) and able to move comparatively long distances, the olive baboon might be especially important for the biodiversity maintenance of distant forest islands. Because most woody plant species at the study site had medium-sized to large fruits and seeds, olive baboons may be crucial for seed dispersal and plant recruitment in this ecosystem. Their importance for seed dispersal of plants with small fruits should not, however, be underrated. Observation of frugivores at a typical "bird-dispersed" tree species showed that classification of seed dispersers on the basis of fruit syndromes alone can be misleading. Olive baboons disperse seeds in their faeces in a clumped manner, which generally is regarded disadvantageous for plants. Yet, seeds from all plant species being naturally present in baboon dung during seasonal peaks of dung beetle activity apparently can be scattered locally by dung beetles. Dung beetle activity at baboon faeces deposited in the two habitats was high, totalling 99 species from 26 genera. The probability and pattern of secondary seed dispersal by dung beetles depend on the structure and composition of the dung beetle community, which, in turn, seems to be strongly determined by vegetation type. I thus expected pronounced differences in secondary seed dispersal by dung beetles between seeds deposited by baboons in the savanna and in the forest. Experiments indicated that compared to seeds dispersed by baboons into the forest, seeds that end up in the savanna generally have a higher probability of (a) being removed by dung beetles, (b) being horizontally scattered by telecoprids, (c) being rapidly removed from the place of primary deposition and (d) being secondarily dispersed over larger distances. In general, savanna plants and plant habitat generalists the seeds of which baboons disperse into the savanna should profit most from secondary seed dispersal by dung beetles.

Summary: The thesis comprises from the introduction and five main parts: three of them are published papers, the rest two are manuscripts prepared for submitting to the scientific journals. The first two are published phylogenetic studies of the cichlasomatine cichlids based on (1) molecular characters, and (2) both morphological and molecular data with the description of a new genus Andinoacara. The third (3) is the already published description of the new species Andinoacara stalsbergi from Peru combining both morphological and phylogenetic approaches and including the detailed phylogeny of the genus Andinoacara. The next unpublished manuscript (4) is the more detailed comprehensive phylogeography of the two non-relative genera (including Andinoacaras) of the trans-Andean cichlids. Including all valid species from the majority of their distribution areas it was reconstructed the ancestral area of both genera in the Choco region, Colombia, and revealed the directions of their distribution spreading. The last (5) unpublished manuscript is the phylogeographical study of the cichlid genus Serranochromis from the headwaters of the totally unknown Central Angola. It showed several evidences of the faunal exchange among the adjacent river systems. Lastly, the thesis is supplemented by several appendices...

Die Ernährungssicherung der Bevölkerung im ländlichen Raum in Sub-Sahara Afrika ist eine der dringlichsten Herausforderungen unserer Zeit. Der Großteil der Bevölkerung ist von der eigenen landwirtschaftlichen Produktion für die Ernährung und die Existenzsicherung abhängig. Eine nachhaltige Entwicklung kleinbäuerlicher Landwirtschaft ist daher eine Grundvoraussetzung für Ernährungssicherung und Armutsbekämpfung. Eine Vielzahl von Entwicklungsmaßnahmen zielt auf die Verbesserung der Agrarproduktion von Kleinbauern und Kleinbäuerinnen ab, um die Ernährungssituation zu verbessern. Die Konsequenzen dieser Entwicklungsmaßnahmen sind oft vielfältig; neben gewollten, intendierten Wirkungen, können sich Entwicklungsmaßnahmen auch negativ auswirken. Daher ist es essentiell ein ex-ante impact assessment vor der Umsetzung durchzuführen, um eventuelle negative Auswirkungen frühzeitig zu identifizieren und die geplanten Maßnahmen dementsprechend anzupassen. Der theoretische Diskurs hinsichtlich der Charakteristika von ex-ante sustainability impact assessment ist sehr umfassend erarbeitet. Hier werden vor allem die gleichwertige Integration der drei Nachhaltigkeitsdimensionen (Soziales, Wirtschaft und Ökologie), die aktive Partizipation verschiedener Stakeholder auf unterschiedlichen Ebenen und der Austausch- und Lernprozess in den Mittelpunkt gerückt. In der Praxis wird die lokale Bevölkerung hingegen selten in ex-ante Wirkungsanalysen von geplanten Entwicklungsmaßnahmen involviert. Auch wenn in sustainability impact assessment ein interaktiver Einbezug der lokalen Bevölkerung unterstrichen wird, existieren kaum einfach anwendbare methodische Vorgehensweisen, um dies durchzuführen. Zudem gibt es bisher nur wenige Fallstudien, die das Einbeziehen von lokalen Stakeholdern beschreiben, systematisch analysieren und den Mehrwert für die Planung von landwirtschaftlichen Entwicklungsmaßnahmen herausstellen. Die vorliegende Arbeit hat zum Ziel diese Forschungslücke zu schließen. Im Rahmen der Dissertation wurde ein methodischer Ansatz für ein ex-ante sustainability impact assessment für die Anwendung mit der lokalen Bevölkerung entwickelt. Diese Methode wurde angewendet, um die positiven und negativen Auswirkungen von geplanten landwirtschaftlichen Entwicklungsmaßnahmen aus Sicht der Kleinbauern und Kleinbäuerinnen zu analysieren. Die Forschung wurde in vier Dörfern im semi-ariden Dodoma und im semi-humiden Morogoro in Tansania durchgeführt. / Food security remains a major challenge in Sub-Saharan Africa. Sustainable agricultural development is fundamental for food security and poverty alleviation, notably in developing countries. Many development initiatives focus on enhancing smallholder production because the majority of poor people in developing countries live in rural areas where agriculture is the main source of livelihood. However, the consequences of these development initiatives are often diverse, having intended effects as well as unforeseen adverse impacts. Therefore, there is a need to assess development strategies/projects prior to their implementation to reduce the risk of possible negative impacts and to allow for adjustments, if necessary. This can be achieved by applying ex-ante sustainability impact assessment. The theoretical discourse on ex-ante sustainability impact assessment is comprehensive, emphasising the equal integration of all three sustainability dimensions (social, economic and environmental), the active involvement of stakeholders at every step of the assessment process and a focus on exchange and learning among the involved stakeholders. In practice, local communities are rarely involved in ex-ante impact assessment. Moreover, despite a strong emphasis on their involvement in theory, there remains a lack of easily applicable frameworks for sustainability impact assessment. Hence, there are only few concrete case studies having analysed the value added by applying sustainability impact assessment with local stakeholders and its benefit for planning agricultural measures to enhance food security and sustainable development. This PhD thesis closes the gap by developing and applying an ex-ante impact assessment approach that is based upon the Framework for Participatory Impact Assessment (FoPIA) method and is applicable at small-scale farmer level in the development context. The framework was applied to assess the sustainability of upgrading strategies along the farmers’ food value chains to improve food security in rural Tanzania at four contrasting case study villages in the semi-arid Dodoma Region and the semi-humid Morogoro Region.