Community participation has been hailed as the panacea for most community programmes. Community participation at high levels empowers communities, increases self-reliance, selfawareness and confidence in self-examination of problems and seeking solutions for them Behavioural changes are promoted and utilisation and support of services is facilitated, which is of great importance in antenatal care and generally in this present day of HIV/AIDS. The purpose of this study was to determine the extent to which women were participating in the provision of antenatal care. Secondly, the study sought the pregnant women's perceptions and expectations regarding their participation in the provision of antenatal care and to find out at what level if any, the women wanted to be involved in the provision of antenatal care. The theoretical model guiding this study was Rifkin' s model for evaluating community participation. A guided interview was conducted with 30 conveniently selected pregnant mothers residing in the area of the Chinamhora clinic. The results indicated limited participation in the five process indicators of community participation. However, all the women regarded community participation as being important. The majority of the women wished to be involved at high levels of participation. The results of this study should be valuable to health care professionais in formulating strategies and modifying existing programmes to enhance community participation, with the decentralisation of health services in Zimbabwe. / Health Studies / M.A. (Advanced Nursing Sciences)

本研究は、介護労働者の職場定着のあり方について、就業前から就業後にかけての職業キャリアに着目しながら分析し、主に教育・研修等の人材育成の視点から実証的に考察した。検証の結果、労働環境の整備、教育機関との連携、介護の社会的意義等の理解促進等の人材確保策、職業キャリアに着目した労働条件の改善とメンタルヘルス対策及び能力等に対する目標設定と評価基準の導入、並びに職員への教育や指導で生じる負担軽減等の職場定着策、コミュニケーション能力向上を目的とした教育・研修及び非正規職員への教育・研修、並びに実施した研修・講習の効果測定等の人材確保策を提起した。 / 博士(政策科学) / Doctor of Philosophy in Policy and Management / 同志社大学 / Doshisha University