This explorative, descriptive quantitative survey attempted to determine whether the reduced number of consultations and admissions of sick children less than five years in Emfuleni sub- district clinics is due to the utilisation of the IMCI strategy or other health services. The research population comprised of all the mothers/caretakers of children less than five years who utilised the clinics and those who consulted the private medical doctor. The convenient sample consisted of 169 candidates. Data was collected by means of a questionnaire and analysed using the SAS/Basic computer statistical software package. Findings of the study revealed a need to address the major concern about the waiting time and operational times in all the three clinics. Recommendations were made that staff allocation procedures and policies be reviewed in order to abate long waiting periods at the clinics where children with childhood illnesses are treated. / Health Studies / M.A. (Health Studies)

Emotional abuse is a problem experienced worldwide, crossing all economic, educational, social and ethnic segments of all societies. Overtime, many empirical researchers concentrated on studying the occurrence and impact of physical abuse on women but neglected to study the effects of emotional abuse on the woman's physical and mental health. But with time, researchers began to realise that emotional abuse also had a great impact on the lives of women. Therefore, a detailed exploration of emotional abuse between intimate adult partners has only recently emerged in the literature. Though it is difficult to separate emotional abuse from other forms of abuse, many women in our research who were provided with a definition of emotional abuse identified and confirmed that they have been emotionally abused in their past or are being abused in their current intimate relationships. This research project focused mainly on women who suffered and have survived the wounds of emotional abuse in intimate relationships. Group work is aimed at the growth and development of the individual. This study reports on an in-depth analysis of the arrangements and formulation of the structure of support groups, and the effectiveness of the functioning of these groups. Participants who joined the support groups in this research, were women who have undergone therapeutic intervention and are/or were engaged in a healing process that involved reintegration, implementation and maintenance of therapeutic goals. Support groups do provide a place where people can share their experiences in a safe environment, and where they can symbolise their experiences and consequently make them more acceptable to the self. It has been concluded in this research that support groups were effective in giving members the opportunity of helping each other to heal from the wounds of emotional abuse by being supportive, giving feedback, making helpful suggestions and providing useful information necessary for their growth and development. Therefore, participants who joined the support groups agreed that they have benefited by receiving the encouragement and support from one another, which contributed towards their process of healing emotionally, and in turn, caused them to change from being helpless victims to survivors of emotional abuse. / Sociology / D. Phil (Sociology)

In this study the researcher attempted to determine the current role expectations of a clinic manager in a primary health care setting, to identify factors determining and influencing the role of a clinic manager, to determine what effect the current role expectations had on the management of primary health care services rendered at the clinic, to establish the developmental needs of clinic managers to enable them to adhere to their role expectations, and to identify and recommend measures to support clinic managers in the execution of their managerial role by addressing the identified deficiencies. The researcher selected a quantitative, exploratory, descriptive and contextual design. Clinic managers of fixed clinics in the Free State province were randomly selected to participate in the study and a questionnaire was utilised as data-collection instrument. The study found that the clinic manager's role is comprehensive and varies from telephonic booking patients to assessment of the quality of primary health care programmes. A number of non-managerial functions were identified, such as consultation of patients, management of medicine, dispensing of medicine and ordering of stock. It was also found that the respondents were not involved in a number of management functions such as financial and human resource management, and adherence to the implementation of standards. Factors that negatively influenced the clinic managers' management role included: * Lack of time due to the large number of patients they had to consult due to the shortage of staff. * Shortage of staff. * The execution of non-managerial tasks. Although it was found that the current role of the clinic manager was confusing as it entailed much more than just clinic management, it is foreseen that the role of the clinic manager could in future be clarified if the recommendations are implemented. / Health Studies / D. Litt. et Phil. (Health Studies)

Text in English / Child-headed households are a reality in South Africa, and extensive research has advanced its causes and the children’s coping mechanisms. Social workers identify children in need, refer them to SASSA for social grants, facilitate foster care placements and offer psychosocial support services. This study sought to determine the nature of social work services rendered to children in such households in Virginia in the Free State. Qualitative exploratory, descriptive and contextual research was used to reach the goal of the study. Thirteen semi-structured interviews were conducted with thirteen participants who were selected through purposive sampling. The data collected was analysed using the eight steps of Tesch (in Creswell, 2009) and verified through Guba’s method of trustworthiness (Krefting, 1991). The services rendered to child-headed households (CHHs) through individual, group and community work were inadequate due to lack of resources including a shortage of social workers due to a general dissatisfaction with salaries. Participants suggested the need to build the capacity of the available staff through staff training and improved access to available resources in order to strengthen the nature of services rendered to CHHs. / Social Work / M.A. (Social Work)

Text in English / With the Acquired Immune Deficiency Syndrome (AIDS), first recognised in 1981 as a new disease that subsequently took on pandemic proportions, home-based caregivers became instrumental to ensure that, notwithstanding the encumbered health care systems, people living with HIV and AIDS (PLWHA) receive care, support and treatment within their households to live prolonged dignified lives. Despite their pivotal role in the field of HIV and AIDS care, there seems to be a dearth of literature, and research locally and internationally, from the ambit of Social Work on the topic of how HBCGs manage and cope with the work-related challenges they experience when caring for PLWHA and their need for Social Work support. Through this exploratory, descriptive, contextual and phenomenological qualitative study, I scrutinised the HBCGs’ experiences and associated challenges and the coping strategies they employ to address these challenges as well as their views on how social workers could support them in overcoming these challenges in the specific case on home-based care to PLWHA. Twenty-five HBCGs were identified and recruited through purposive and snowball sampling techniques from twelve home-based care organisations in South African provinces, namely, North West, Limpopo and Gauteng. Data was collected through individual face-to-face semi-structured interviews using an interview-guide. Data analysis was conducted through Tesch’s eight steps (in Creswell 2014:189) while Guba’s model (in Shenton, 2004) was adopted for data verification. Cast against Loretta Williams’ (2014) middle range theory of caregiving dynamics (Williams 2014), the coping theory of Lazarus and Folkman (1984) and the strength-based perspective (Saleebey, 2013) adopted as theoretical frameworks for this study, the following findings were revealed. The HBCGs were motivated by, among other factors, their mere desire to care for PLWHA; their personal experiences of caring for an ill relative; and future career aspirations to become involved in this care work. HBCGs were found to face various work-related challenges in connection with reactions from community members, the patients and their relatives; their unsafe working conditions; as well as from their colleagues, other role players and their own organisations. It was found that for most of the HBCGs their care work saddened, pained and discouraged them. In the midst of feeling sorry for their patients, they feared getting infected themselves, in addition to their work-related challenges that caused them to experience feelings of failure. The strategies adopted to cope with their work-related challenges included getting support from employers, receiving counselling and becoming involved in support groups. Finally, several suggestions were directed to the management structures of HBC organisations, the HBCGs themselves and social workers on how they could address the work-related challenges. Based on the research findings, some recommendations are forwarded concerning guidelines for Social Work support directed at work practice, policies and programmes; associated education and training endeavours; and continuous professional development initiatives, as well as avenues for further research. / Social Work / D. Phil. (Social Work)

The primary aim of this study is to describe and explain the extent of which school managers and primary healthcare facility managers possess knowledge and awareness of their roles in the implementation of the Integrated School Health Policy in Region C in the Gauteng Provincial Department of Basic Education. The study used a qualitative research method by which semi-structured interviews were conducted using a descriptive and explanative design. A sample of ten respondents was elected using a purposive sampling strategy and conventional or content analysis was utilised in the interpretation and analysis of data. The main findings of the study revealed that managers know their role in the implementation of the policy. Although managers are aware of their important roles; they are unable to fulfil them due to a lack of skills. Therefore, the study recommends that the Department of Health and the Department of Basic Education should ensure that managers are skilled and more knowledgeable in implementing the policy objectives. / Public Administration and Operations Management / M. Admin. (Public Admiistration)

The purpose of the study was to describe and explore the provision of quality care in the primary health care clinics of Limpopo within the framework of the Batho Pele principles' service standards by determining the level of implementation of these principles. The aim was to improve compliance with the Batho Pele principles. The researcher conducted a quantitative, exploratory and descriptive study in four selected primary health care clinics. Data collection was done using structured questionnaires for interviews and observation. Two groups of respondents participated in the study, namely patients (n=185) and nurses (n=21). The study highlighted the level of implementation of the Batho Pele principles in four primary health care clinics in the Capricorn District, Limpopo. The findings revealed that the Batho Pele principles were regarded as important criteria to assess quality care. Recommendations were made to improve the level of implementation of some of the principles. / Health Studies / M. A. (Health Studies)

Dealing with HIV and AIDS and parental illness and death are realities many teenagers have to face, yet little is known about their psychosocial well-being. This study gauged the psychosocial well-being of teenaged orphans in a rural area in KwaZulu-Natal. Using a narrative approached, data were collected by means of interviews. The study examined the nature of social support available to teenaged orphans and their subjective experiences of well-being. Findings suggest that these teenagers were confronted with drastic changes before and after the deaths of their parents. The ramifications of these and the different ways of coping with orphanhood were explored. Foster parents and other care-givers were found to provide differentially in the needs of the teenagers and this impacted on their well-being and coping. This study extends the literature on children made vulnerable by HIV and AIDS by considering the specific experiences of teenagers. / Social Work / M.A. (Social Behaviour Studies in HIV/AIDS)

A study of the relevant theoretical concepts and empirical research was undertaken to explore the role of the social worker pertaining to the problem of epilepsy in the black community of Mamelodi. The sample comprised 40 families in which there was a person with epilepsy. Data were obtained through an interview schedule administered by the researcher. The literature study highlighted the phenomenon epilepsy, causes of epilepsy/ psychosocial effects of epilepsy on the epileptic and his family and the treatment of the epileptic. However/ it became quite clear that a multi-disciplinary team approach is vital importance in the treatment of an epileptic Furthermore/ significant others like traditional healers, faith healers, priests, relatives and friends were identified as some of the important informal support systems. Although the findings of study cannot be generalised to the entire population they can be of great significance for further research. / 'n Studie van die relevante konsepte asook empiriese navorsing is gedoen om die rol van die maatskaplike werker met betrekking tot die probleem van epilepsie in die swart gemeenskap van Mamelodi te eksploreer. Die steekproef is saamgestel uit 'n groep van 40 gesinne met 'n epileptikus in hul midde. Inlighting is verkry deur groep van onderhoudskedule. Die literatuurstudie beklemtoon die volgende: die verskynsel van epilepsie, oorsake van epilepsie, psigososiale gevolge van epilepsie op die per soon met epilepsie en sy gesin en die behandeling van die epileptikus. Dit het egter duidelik na vore gekom dat 'n multi-dissiplinere spanbenadering van die uiterste belang is in die behandeling van die epilepsielyer. Dit het ook duidelik geword dat betekenisvolle ander persone soos tradisionele genesers, geloofsgenesers priesters, familie en vriende van die mees belangrike steunstelsels is. Alhoewel bevindinge van die studie nie veralgemeen kan word en van toepassing gemaak kan word op die bevolking as geheel nie, kan dit egter van groot belang vir verdere navorsing wees. / Social Work / M.A. (Social Science)

Text in Afrikaans / Summaries in Afrikaans and English / VIGS is 'n gesondheidsprobleem wat 'n impak uitoefen op alle gebiede in die samelewing. Voorkoming is die enigste vorm van bekamping. As gevolg hiervan, word VIGS-voorkoming binne die funksies van primere gesondheidsorg geplaas. Die persoon wat die funksies van primere gesondheidsorg uitoefen, is die gemeenskapsgesondheidswerker. Binne hierdie raamwerk is die terme primere gesondheidsorg, gemeenskapsgesondheidswerker en VIGS bespreek en die onderlinge interaksie is aangetoon. Die opleiding wat die gemeenskapsgesondheidswerker op VIGS-gebied ondergaan, is meegemaak. Die prioriteite wat op nasionale, provinsiale en plaaslike vlak bestaan is deur middel van onderhoude nagevors. Die effektiwiteit van die VIGS-voorkomingsboodskap soos oorgedra deur die gemeenskapsgesondheidswerker is tydens 'n inligtingsessie van hoerskoolleerlinge bepaal. Gevolgtrekkings en aanbevelings is in elk van bogenoemde gevalle gemaak. VIGS-voorkomingsinisiatiewe is nog in die kinderskoene in Suid-Afrika, maar het 'n belangrike rol te speel. / AIDS is a health problem that impacts on all societal spheres. Prevention is the only form of combat. Therefore, AIDS prevention falls within the functions of primary health care. The person performing these functions is the community health worker. Within this framework the terms primary health care, community health worker and AIDS were discussed and their interrelatedness illustrated. A session during which community health workers received training in aspects of AIDS was attended. Priorities existing at national, provincial and local levels were researched through interviews. The effectiveness of the community health worker in spreading the AIDS prevention message was determined during an information session for secondary school pupils. Conclusions and recommendations were made in each of these cases. AIDS prevention initiatives are still in its infancy in South Africa, but has an important role to play. / Health Studies / M.A. (Ontwikkelingsadministrasie)