Submitted in fulfilment of the requirements for the Degree of Master of Technology in Nursing, Durban University of Technology, Durban, South Africa, 2015 / Brief background: The Expanded Programme on Immunisation (EPI) is one of the most powerful and cost-effective public health programmes to improve child survival. In South Africa the programme remained fragmented because of the system of apartheid until 1995 when the national EPI was formed through the unification of all immunisation services in the country. Since then there have been significant advances in immunisation service delivery in South Africa. Amongst the revisions that were made in 2009 was the change of the EPI schedule. Aim of the study The aim of the study was to investigate the factors that influence the uptake of the revised EPI for children between the ages of 6 to 12 years at Umlazi Township, KwaZulu-Natal in order to improve immunisation coverage. Methodology A descriptive quantitative design was used to conduct the study. A total of ten primary health care clinics were included in the study. Data was collected from child caregivers and health care workers using self-directed questionnaires. Results: It was worth noting that although the results of the study revealed that the EPI coverage for children between the ages 6 to 12 years remained low in Umlazi Township, however, the programme was well-implemented. Several factors that influenced the uptake of the immunisations were identified and these factors could be used to strengthen the EPI programme in Umlazi. Factors that had a negative influence on the uptake of immunisations were also identified and these factors could be used to develop strategies address the challenges.

Thesis (M Social Work (Social Work))--University of Stellenbosch, 2009. / AFRIKAANSE OPSOMMING: „n Beskrywende studie met „n verkennende inslag is in die studie gebruik om meer kennis en begrip oor die bydrae van maatskaplike werkers tot die aanpassing van „n pleegkind in middelkinderjare in „n pleegsorgplasing, te verkry. Die navorser het bewus geraak van die toename in die gebruik van pleegsorg vir „n sorgbehoewende kind in middelkinderjare, sowel as die tekort aan literatuur in Suid-Afrika oor die bydrae wat die maatskaplike werker lewer tot sodanige aanpassing binne „n pleegsorgplasing. Die genoemde aspekte het gedien as motivering vir die studie. Die bydrae wat maatskaplike werkers het tot die aanpassing van „n pleegkind in middelkinderjare in „n pleegsorgplasing is ondersoek. Die doel van die studie is om ʼn beter begrip te ontwikkel vir die bydrae wat maatskaplike werkers tydens pleegsorgplasing tot die aanpassing van ʼn middeljare pleegkind kan maak. Die literatuurstudie het die aard van pleegsorg ten opsigte van die pleegkind in middelkinderjare weergegee, waarna pleegsorg as „n proses beskryf is: van voorkomende dienste tot permanensieplasing. Spesifieke aandag is gegee aan die pleegkind in middelkinderjare se ontwikkelingsproses asook die bydrae wat die maatskaplike werker maak tot die aanpassing van die pleegkind in middelkinderjare in „n pleegsorgplasing. Aangesien die literatuur meestal konsentreer op die maatskaplike werker betrokke by „n pleegsorgplasing van „n pleegkind in middelkinderjare, het die steekproef bestaan uit 22 maatskaplike werkers wat by twee nie-regeringsinstansies in die Wes-Kaap en Suid-Kaap werksaam is. Die deelnemers is ten minste „n jaar reeds as geregistreerde maatskaplike werkers werksaam en het ook ondervinding in pleegsorgplasings. In die studie is daar gebuik gemaak van die kombinasie van ‟n kwalitatiewe en kwantitatiewe navorsingsbenadering, te wete „n geskeduleerde, semi-gestruktureerde vraelys wat beide oop en geslote vrae inhou wat uiteengesit is op inligting wat verkry is uit die literatuurstudie. Die ondersoek het „n bygedra gelewer tot die uitbreiding van kennis en inligting in die maatskaplikewerkpraktyk ten opsigte van die bydrae wat maatksaplike werkers lewer tot die aanpassing van „n pleegkind in middelkinderjare binne „n pleegsorgplasing. Die resultate het grotendeels die literatuurstudie bevestig, te wete dat maatskaplike werkers „n breë spektrum van dienslewering tydens die pleegsorgproses implementer, asook die ouderdom en ontwikkelingsvlak van „n pleegkind in ag neem tydens „n pleegsorgplasing. Eersgenoemde dienste word gerig tot die pleegouers, biologiese ouers, asook die betrokke pleegkinders ten einde dienslewering in die verband te bevorder. Maatskaplike werkers se aandeel in die aanpassingsproses van „n pleegkind in middelkinderjare blyk wisselend te wees. Beperkte tyd en „n groot werkslading verhoed maatskaplike werkers om op „n kontinue basis ondersteuning vir die aanpassing van „n pleegkind in middelkinderjare, sowel as vir die pleegouers in „n pleegsorgplasing te bied. In die aanbevelings is daar gefokus op drie areas insluitende, die bydrae van „n maatskaplike werker, pleegkinders en pleegsouers. Die behoefte aan meer opleiding in die gebied van pleegsorg en ondersteuning in „n pleegsorgplasing, aan maatskaplike werkers, pleegouers en pleegkinders is geïdentifiseer as die sentrale temas. As aanbeveling vir verdere navorsing kan gefokus word op verskeie faktore wat bydraend is tot onsuksesvolle aanpassing binne „n pleesorgplasing met die oog op „n in-diepte beskrywing van hierdie fenomeen, asook die daarstelling van riglyne aan die hand waarvan die aanpassingsproses van pleegkinders en pleegouers tot groter effektiwiteit bevorder kan word. Dit beteken ook dat die rol van die maatskaplike werker met betrekking tot die tersaaklike onderwerp aangepas kan word ten einde sodanige aanpassing meer effektief aan te spreek. / ENGLISH ABSTRACT: A descriptive study with an exploratory design has been used in order to obtain more information and insight on the contribution that social workers make with regards to foster children in their mid-childhood years‟ adjustment within foster care placements. The researcher became aware of the increase in the use of foster care for vulnerable children in their mid-childhood years, as well as the shortage of literature in South Africa with regards to the contribution that social workers make towards these children adjusting to a foster care placement. The abovementioned aspects lead to the motivation for this study. The contribution that social workers make towards foster children in their mid-childhood years‟ adjustment within foster care placement was studied. The aim of this study is to gain insight into the contribution that social workers make towards foster children in mid-childhood years, adjusting within foster care placements. The literature study gave a description of the nature of foster care with regards to a foster child in his/her mid-childhood years. Foster care was described as a process: from preventative services to permanency placement. Specific attention was given to the foster child in mid-childhood years‟ development process as well as the contribution that social workers make towards a foster child in mid-childhood years‟ adjustment within a foster care placement. As the literature focused mainly on the social worker‟s contribution to the foster child in mid-childhood years‟ adjustment within a foster care placement, the sample consisted of twenty-two social workers working at two non-government organisations in the Western- and Southern- Cape regions. The participants have been registered as social work practitioners for at least one year and have had at least one year of experience in the process of foster care. A combination of both a qualitative and quantitative research methodology design was used in this study that consisted of a scheduled, semi-structured questionnaire which held both open- and closed ended questions. These questions were based on information retrieved from the literature study. The study made a contribution to the expansion of insight and knowledge in the social work practice with regards to the social workers‟ contribution to foster children in mid-childhood year‟s adjustment within foster care. The results of the literature study relatively confirmed the results of the study with regards to social workers‟ broad scale of service delivery during a foster care placement, as well as the consideration for the age and developmental phase of a foster child during the process of a foster care placement. First mentioned services are focused on the foster parents, biological parents as well as the foster children in order to enhance service delivery. Social workers‟ contribution to the adjustment of a foster child in mid-childhood years within a foster care placement seems to vary. Limited time and work overload prevent social workers to continuously support foster children in mid-childhood years as well as their foster parents. The recommendations focused on three areas including the contribution of a social worker, foster children and foster parents. The need for more training in the field of- and support in the area of foster care with regards to social workers, foster parents and foster children was identified as the fundamental themes. It is recommended that future research should focus on several contributing factors to ineffective adjustment within foster care placements with the aim of in-depth description of this phenomenon. Furthermore, the creation of guidelines concerning the enhancement of the adjustment process of foster children and foster parents that will lead to successful foster care placement is also recommended. This means that the role of the social worker with regards to the subject matter should adapt accordingly in order to enhance the adjustment within foster care placements.

<p>This study discussed the effect of new information and communication technologies use on adolescents. The research also assessed whether gender and frequency of use of new information and communication technologies would interact to influence self-esteem and social support from family and friends.</p>

M.A. / The street child phenomenon is a world-wide phenomenon. However ; it is perceived to be most prominent in third world countries as compared to first world countries. The main issue is that children are forced to leave the comfort or discomfort of their homes to live on the street. This results from a number of factors. According to Schurink and Tiba in Schurink (1993:10), an extensive literature study revealed the following key factors: rapid urbanization, high rates of unemployment, poverty, inadequate housing, maladjustment to family disintegration. According to Maphatane (1993:1), today's children and youngsters face many problems and pressures arising from the changing structure of the family and the community and the breaking down of traditional systems of support and preparations for adult life. The emergence of the street child phenomenon results from poor soci-economic and political conditions. For instance according to Agnelli , as cited by Schurink (1993:13), the roots of the present clay street child phenomenon seem to lie in the historical context of economic conditions and in national and international policies accepted by various countries.

M.A. / A child's life-threatening illness has severe implications for the family. Changes in lifestyle which result from an illness of this nature influence the child-patient's own life, as well as the lives of people who are in close contact with him, i.e. his parents and healthy siblings. Literature on the subject suggests that the healthy siblings suffer due to the illness and that their needs are not addressed during the illness. They often become the victims of emotional neglect, due to the lack of meaningful contact with their parents. Literature also suggests that parents often judge their healthy children to he handling the situation of one child's lifethreatening illness far more successfully than they actually are. Healthy siblings may also develop death anxiety due to this experience. Due to these, and various other reasons, the healthy siblings of children with life-threatening illnesses constitute a population which is at risk of developing moderate and severe personal, social and psychological problems. The aim of this study was to investigate how healthy siblings experience a child's lifethreatening illness and how this experience influences the healthy siblings. The study also aimed to determine the effect of a child's life-threatening illness on healthy siblings' levels of death anxiety. These aims were achieved by conducting interviews with healthy siblings, as well as their parents. The three families which were included in this study were contacted through a local state hospital. In all three families one child had been diagnosed with a life-threatening illness. All the healthy siblings who were interviewed were between the ages of nine and 16. Both qualitative and quantitative data analyses were incorporated by this study. The qualitative data for the study was gathered by means of open-ended interviews with healthy siblings and their parents. These interviews were then analysed according to the phenomenological research method. The quantitative data for the study was gathered by means of the Death Anxiety Questionnaire for Children (Malan, 1996) which was constructed far the study. The results of the qualitative data of all the participants of the study were combined in the final analysis, to determine how healthy siblings experience a child's life-threatening illness and what effect this experience has on them. The quantitative results of the study were analysed and interpreted in association with the qualitative results. The findings of this study suggest that a child's life-threatening illness constitutes a traumatic and emotional experience for the child's healthy siblings. Various conclusions were drawn as to the effects which this experience may have on the healthy siblings. The study also determined that a child's life-threatening illness influences healthy siblings' levels of death anxiety. According to these findings hypotheses may be set for future research. The results of this study is of value to the fields of psychology, social work and medicine. In the .fields of counselling and child psychology, the results serve to improve the understanding of families, and especially , children, who are experiencing the life-threatening disease of a family member. In the fields of social work and medicine the results serve to improve the relations between professionals and families of child-patients with life-threatening illnesses.

Due to the rapid onset of westernization, there is a remarkable change in the life styles and the family structure of the black South African population in favour of smaller and economically manageable families. There is also an increase in political as well as family violence in black communities. children, adolescents and young adults are subject to these rapid changes. Family structures and life styles are also affected by these changes. The present study seeks to investigate the relationship between family structures and styles of coping with stressful life events. Hypotheses concerning this relationship are that adolescents from nuclear and extended family structures differ in handling stressful life events. Questions relating to family relations, stressful life events and ways of coping.were administered to 100 standard. 9 and ' 1 0 students, of which 80 were females and 20 were males. The level of stress was assessed by Moos' "Family Environment Scale" and coping efforts were assessed by Folkman and Lazarus' s "Ways of Coping Checklist". All these instruments were translated into zulu to avoid second language problems. A statistical analysis of the results was undertaken. The results did not show significant differences between coping styles of adolescent members of the two family structures. There were, however, some overlaps between the nuclear and the extended family structures concerning the way stressful life events were perceived. / Thesis (M.A.)-University of Natal, Pietermaritzburg, 1996.

The aim of this study was to assess the performance of the children in the study on some psychometric tests and to find out whether iron deficiency had any effect on cognitive skills as measured by the selected psychometric tests. The study also wanted to find out if there would be any gender differences on the psychometric tests. A sample of 810 children was selected from eleven schools from the rural Southern part of KwaZulu-Natal. The children were of ages eight to ten years old, were all Zulu speaking and in standard one. Blood samples were taken from all the children to determine iron levels. Psychometric tests viz., the Symbol Digit Modalities Test, Raven's Coloured Progressive Matrices, Rey's Auditory Verbal Learning Test and Young's Group Mathematics Test, were all administered to measure cognitive performance. The results showed no significant iron level effects on most of the measured cognitive skills. There were some significant gender effects on all the psychometric tests except for the Maths test. There was general low performance on all the psychometric tests. Therefore, the results highlighted the importance of designing more tests that can be standardized and thus be applicable to Zulu speaking children and other children with similar backgrounds. The tests should also be able to tap into the cognitive skills that may be affected by iron levels. There is also a great need for studies looking at the lower end of iron deficiency. / Thesis (M.Sc.)-University of Natal, Pietermaritzburg, 1998.

South African black children have been exposed to extremely high levels of violence, especially in the townships. This study was initiated in ,order to explore the effects of violence on the self-concept of the black child in South Africa. In addition the applicability of current self-concept theories and psychometric measures to this population was investigated. This study is therefore mainly exploratory. Sixty individuals of both sexes between the ages of 8 and 10 years were sampled from two schools. Thirty from one in a high violence and the other thirty from one in a low violence area. However, after finding that the experimental and control groups did not differ signifficantly these groups were reassigned according to exposure to violence rather than geographically. Direct and indirect exposure to violence as well as family and other stressors were measured with the aid of the Life Events Questionnaire (Mason and Killian, 1993). In order to determine the effect of exposure to violence on selfconcept these two groups were compared using one quantitative and two qualitative selfconcept measures. The quantitative measure was the Piers-Harris Children's SelfConcept Scale and the qualitative measures were the Human Figure Drawing Test and an Incomplete Sentences Test. Results were analysed by multivariate statistical procedures. This study concluded that violence has no significant effect.on self-concept in black children (p,>O.05). The Piers-Harris Children's Self-Concept Scale was found to be a reliable measure of self-concept in black children. Recommendations include broadening self-concept theories for black children by incorporating theories from disciplines other than psychology. The power of the present study would have been increased by using larger samples. / Thesis (M.Sc.)-University of Natal, Pietermaritzburg, 1996.

There has been a lot of research highlighting the plight of street children throughout the world in the past few years. A review of the literature on street children reveals that the problem is worse in developing countries. The number of street children can be expected to increase in South Africa as a result of rapid urbanisation and development. This will certainly pose a problem for the government and other organisations concerned with the welfare of street children. In order to combat the proliferation of the number of children in the streets, concerned parties need to know more about street children before intervention and effective policies can be designed. This study was initiated to serve that purpose: to provide information on how street children perceive themselves. The information gathered and results of the study can be used by service providers to design effective intervention programmes. Twenty street children from the Pietermaritzburg central business district and the comparison group of twenty children from a "place of safety" in Pietermaritzburg were interviewed and assessed. Children from the "place of safety" were chosen as a comparison group because their familial histories have many factors which are common to street children as well. Assessment ofthe two groups of children entailed measuring the children's self-concepts by using the Piers-Harris Children's Self-Concept Scale. Human Figure Drawings were used to identify signs and levels of emotional distress using the Koppitz Emotional Indicators procedure. Furthermore, an unstructured interview was conducted with each child. The data was analysed quantitatively using statistical sub-programs of the Statistical Package for the Social Sciences (SPSS). The following statistical tests were computed: means to measure central tendency, independent t-tests to determine the statistical significance of the difference between the two groups' self-concept scores and emotional indicators. Quatro Pro and Harvard Graphics software packages were used to analyse the data qualitatively and present it graphically . Statistical analyses of the results reveal no significant differences between the self-concept of street children and that of the comparison group of placed children. Both groups' scores on the Piers-Harris Children's Self-Concept Scale are within the average range. This means that street and placed children's perceptions of themselves, as measured by the Piers-Harris Children's Self-Concept Scale, are similar to those of other children in the general population. Signs and levels of emotional distress as measured by Koppitz' list of Emotional Indicators are within the non-pathological range for both groups. This indicates that street and placed children's levels of emotional distress are similar to those found in other children in the normal population. It is therefore concluded that despite being exposed to hazardous situations and having lived in deprived and abusive situations, street children do not display significant levels of measured emotional distress. Street children are found not to be as disturbed as previously assumed by journalists and fiction writers who tend to romanticise or politicise their plight. Placed children, who also share some of the predicaments that street children have endured in terms of turbulent childhoods, do not seem to show deficits in their self-concepts and emotional functioning either. Recommendations on how to plan intervention programmes for street children are also offered. Moreover, the standardisation of the Piers-Harris Children's Self-Concept Scale on local populations is recommended. / Thesis (M.Soc.Sci.)-University of Natal, Pietermartizburg, 1996

<p>This study discussed the effect of new information and communication technologies use on adolescents. The research also assessed whether gender and frequency of use of new information and communication technologies would interact to influence self-esteem and social support from family and friends.</p>