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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
71

Community health worker's perspective of mother–infant bonding within the the first 1000 days of life in Khayelitsha, South Africa

Bust, Ella January 2020 (has links)
Magister Artium (Psychology) - MA(Psych) / While community health workers possess valuable insight into health care delivery in South Africa, their voices and experiences are seldom sought in the acquisition of knowledge surrounding relevant social concerns. This research aimed to explore community health workers’ perspectives of mother–infant bonding within the first 1000 days of life. The first 1000 days of a child’s life are a delicate yet highly consequential period affecting future physical, cognitive, and socio-emotional growth. The bond between mother and infant within the first 1000 days is especially critical as it is within the bounds of this relationship that a child is fed, cared for, and kept safe. Furthermore, mother–infant bonding lays an essential foundation for future development. However, there is a paucity of contextualized literature, particularly regarding mother–infant bonding in the first 1000 days. In practice, mother–infant interventions are often delivered by community health workers. Through their work, community health workers gain a wealth of knowledge and information about the experiences and practices of bonding within their community. Their insights are a potentially untapped resource which could be used to supplement research and interventions with local, contextualized wisdom. The aim of this research was to explore community health workers’ perspectives of mother–infant bonding within the first 1000 days in Khayelitsha, South Africa. The study utilized a qualitative methodological framework and an exploratory research design. Semi-structured individual interviews were conducted with 15 experienced community health workers, who were purposively selected from a non-governmental organization located in Khayelitsha, South Africa. Data were thematically analysed, and five primary themes emerged from the analysis, namely: (1) the importance of the first 1000 days; (2) the centrality of mother–infant bonding within the first 1000 days; (3) effective approaches to bonding are simple, natural, and free; (4) the inhibitors of mother–infant bonding; and (5) the need for support. Trustworthiness and researcher reflexivity practices were integrated throughout the research process. Ethics considerations were prioritized, and included providing informed consent, ensuring confidentiality and anonymity, and informing participants of their rights as stipulated by the University of the Western Cape Biomedical Research Ethics Committee.
72

Addressing the HIV and AIDS stigma : a pastoral approach for church leaders in Khayelitsha

Niyukuri, Benaya 12 1900 (has links)
Thesis (MTh)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: A research study was conducted in the form of a literature review to explore the situation of HIV and AIDS stigma in Khayelitsha in order to propose a Pastoral Approach for church leaders in that township. In this regard, the research study established that HIV and AIDS related stigma is the main barrier to any effort in fighting the HIV and AIDS epidemic. The aims of the research were to understand the causes and the effects of HIV and AIDS stigma, examine the Church as a healing community, construct a biblical and theological reflection on HIV and AIDS stigma, and make recommendations useful for the church in dealing with HIV and AIDS stigma. The research indicated that 'stigma‘ is a term that was used throughout history to mean a mark put on people who are regarded as different from others. In terms of HIV and AIDS, stigma is seen as an attitude shaping the way PLWHA are treated in the community. Among the causes of stigma related to HIV and AIDS are the fear of HIV and AIDS as a dangerous and infectious disease, the link between HIV and AIDS and sexual immorality, lack or distortion of information about HIV and AIDS, lack or withdrawal of resources from PLWHA, gender imbalance, and gossip and insults directed at PLWHA. According to research, the effects that come from HIV and AIDS stigma are devastating. They include fear of disclosure of HIV and AIDS status, difficulty in providing care and support for PLWHA, and acceleration of death for PLWHA. As for the biblical and theological reflection on HIV and AIDS stigma, it has been established that leprosy was the biblical disease compared to HIV and AIDS. While the OT model isolated people living with leprosy, Jesus accepted them and healed them in the NT. The OT model has often been used by the church to marginalise PLWHA on the grounds that it is God‘s punishment for sexual sin. The research does not deny the fact that God punishes sin through disease, but it is important to note that disease is not found to be the only form of God‘s punishment, and, in fact, one may not conclude that every disease is a consequence of sin. After all, God dealt with sin by punishing Jesus, who died on the cross to pay for the debts of sinners, and they are now allowed to enter God‘s kingdom freely. The Church is thus meant to be a community where holistic healing takes place through activities such as the teaching and preaching of God‘s word, koinōnia and diakōnia, as well as through prayer. In that sense, PLWHA are also included in the Body of Christ as charismatic beings, and should receive care spiritually, emotionally, relationally, and physically just as they also contribute uniquely to the wellbeing of the Church. The research suggests that in Khayelitsha, church leaders should join hands against HIV and AIDS stigma. They first of all need to confess any former failure to take action, and then work on a paradigm shift in order to change the way they have been dealing with PLWHA in their churches. In obedience to the mission of Jesus Christ, the Bible should be interpreted in a way that does not stigmatize PLWHA, but rather stimulates church leaders in Khayelitsha to stand up and take care of those who are suffering. / AFRIKAANSE OPSOMMING: Die konteks van die studie is die situasie van MIV en VIGS binne die Township van Khayelitsha. Dit fokus op die vraagstuk van stigma ten einde 'n pastorale benadering vir kerkleiers in Khayelitsha te ontwerp. Alhoewel die faktor van deelnemende waarneming 'n rol sal speel, is die navorsing hoofsaaklik 'n literatuurstudie. Die voorveronderstelling van die navorsingsontwerp is dat stigmatisering binne die spesifieke kultuursituasie van Khayelitsha een van die groot stremmende faktore is om die epidemie doeltreffend te bestuur. Die verdere doel van die navorsing is om die oorsaaklike faktore asook die effek van stigmatisering binne hierdie Township te verken; om te bepaal wat word pastoraal verstaan onder die term "Die Kerk as 'n Helende Gemeenskap"; om vanuit 'n Bybelse perspektief teologies na te dink oor stigma binne die epidemie asook om voorstelle te maak vir doeltreffende kerklike leierskap. Die term 'stigma‘ in die geskiedenis is gebruik om mense te etiketteer as verskillend en hul sodoende van 'n bepaalde gemeenskap te isoleer. Stigmatisering dui dan op 'n bepaaldelewenstyl en houding wa tmense watleef met MIV & VIGS binne 'n bepaalde sosiale konteks te hanteer. Daar bestaan 'n noue verband tussen vrees en stigmatisering. Dit is die vrees om deur die virus geïnfekteer te raak. MIV & VIGS is inderdaad gekoppel aan die vrees vir dood en sterwe. Daarbestaanook die assosiasie van seksuele immoraliteit. Voorts is daar die faktor van ontoepaslike inligting oor die toestand en die gevaar van onvoldoende medikasie en ondersteuningstelsels. Die virus dring die gender-vraagstuk binne en gee aanleidng tot skinder en suspisie. Dit is bevind dat een van die groot stremmende faktore is die vrees om te ontsluit. Mense wil nie hul status weet nie. Daar is dikwels probleme rakende ondersteuningstelsels in die Township wat nie doeltreffend is nie. Toepaslike sorg ontbreek ook. 'n Bybelse en teologiese refleksie sien dikwelsm elaatsheid as 'n ekwivalent van die virus. In die OT is mense dikwels vanuit die gemeenskap geban. Daarteenoor het Jesus melaatses aanvaar en genees. Die verband met melaatsheid gee dikwels daartoe aanleiding dat mense wat met MIV & VIGS leef, gemarginaliseer word en dat MIV & VIGS as 'n straf van God op seksuele sonde gesien word. Die navorsing erken die verband tussen sonde en straf. Die verband sonde-siekte kan egter nie kousaal oorsaaklik gesien word as 'n verklaringsbeginsel nie. Die verband is nie logies-reglynig nie. Die feit is dat Jesus ons straf gedra het en dat sy plaasvervangende lyding 'n ander teologiese dinamika in die verband sonde-siekte-straf inbring. Sondaars is bevry en kan die koninkryk van God binnekom. Die kerk is dus die gemeenskap waarbinne holistiese heling kan plaasvind deur middel van lering en prediking van God se woord. Koinonia, diakonia en gebed speel ook in dié verband 'n rol. Mense watleef met MIV & VIGS moet as integraal in die gemeenskap van gelowiges gesien word. Hulle is geregtig op sorg. Hulle moet spiritueel, emosioneel, relasioneel en fisiek versorg word. Hulle kan 'n rol speel in die welsyn van die kerk en deel ook in die charisma van die Gees. Die navorsing stel voor dat kerkleiers in Khayalitsha saam hande moet vat in die stryd teen MIV & VIGS. Die kerk moet bewus wees van mislukte pogings in die verlede. Die kerk benodig 'n paradigma skuif ten opsigte van bedieningsbenaderings. In die lig van die sending van Christus moet die Bybel nie geïnterpreteer word om te stigmatiseer nie, maar om mense te versorg en kerkleiers te motiveer om toepaslike strategieë te ontwikkel om mense wat ly pastoraal te hanteer.
73

Diarrhoea management in primary health care facilities in the Cape metropole region: the caregivers' perspective

Sengwana, Manyeke Jeani January 2003 (has links)
Master of Public Health - MPH / This mini-thesis, assessed the use of ORT as a treatment for childhood diarrhoea in primary health care facilities in the Cape Metropole from the caregivers' perspective. Awareness and knowledge of oral rehydration therapy (ORT) and the preparation abilities of sugar salt solution (SSS) by caregivers of children younger than 5 years attending the health facilities were assessed. The availability of resources and utensils for the use of ORS packets and SSS and the accessibility to health facilities by caregivers were also determined. Using a cross sectional descriptive study design, a baseline situation review was carried out. Primary health care facilities in three heath districts namely; Khayelitsha, Nyanga and Oostenberg were purposely selected. Ninety-two caregivers in 12 facilities participated in the study. Basic analyses of quantitative data were done using Epi-Info 2002 software. Qualitative data were analysed manually. The study found that according to caregivers, all facilities used ORS packets as their immediate treatment for uncomplicated diarrhoea, and recommended sugar salt Diarrhoea Management in PHC Facilities solution as home treatment. Ninety-one percent of caregivers used ORT at home before they presented to the health facility.Of the caregivers who were advised by the health worker to use SSS at home, 60.7%, 55.8% and 60.2% in Oostenberg, Khayelitsha and Nyanga districts respectively remembered the correct ingredients and quantities to make the solution at home. Of those given ORS packets, 94.5%, 99.0% and 98.5% respectively, remembered the quantity of water to be mixed with each packet. Packets were found to be convenient and were preferred by many caregivers as compared to SSS. The advice or health education messages given to caregivers were often unclear, and there were language barriers in Brighton and Bloekombos clinics in the Oostenberg district. A litre bottle was available in 47% of caregivers' homes, 82 % had a teaspoon and all of them had access to running water. Twelve percent and 11 % admitted to not having sugar and salt respectively when they wanted to make SSS. Eighty-eight percent walked to the health facility and 12% used taxis or buses. The study concludes that ORT is widely used in primary health care facilities for diarrhoeal disease treatment, however caregiver's knowledge and preparation abilities of SSS is still limited. The resources and utensils to prepare ORT at home were fairly available in many homes, which makes SSS preparation at home feasible and acceptable.
74

The prevalence of depression in HIV positive individuals who are on anti retro-viral treatment (ART) conducted at a selected primary health care (PHC) clinic in Khayelitsha, Cape Town.

Rode, Noluvo January 2020 (has links)
Magister Curationis - MCur / Depression is defined as a psychiatric condition, wherein a person experiences extreme sadness, social withdrawal, and expresses self-deprecating thoughts. Across the world, millions of people with Human Infectious Virus (HIV) suffer from depression each year. Depression is regarded as the most common disabling medical condition that affects both HIV-positive and HIV-negative individuals, globally. It is further reported that depression is the most common neuropsychiatric disturbance observed in HIV infected individuals. In South Africa, the prevalence of depression symptoms among Antiretroviral Therapy (ART) clients is reported to be 25.4%. However, depression among this group is often underdiagnosed and untreated in Primary Health Care settings. The need for routine screening is encouraged by studies confirming that depression and anxiety disorders accelerate the progression of HIV disease. Methods A quantitative descriptive research design was used. The study population included 1 440 males and females, aged eighteen years and over, who were HIV positive and received ART at the Clinic. A randomly selected sample of 372 respondents were recruited, but 110 had to be excluded because of eligibility issues; therefore, 262 respondents completed the Beck Depression Inventory (BDI) questionnaire. Mann-Whitney U test, Fisher’s exact test and the Spearman Rank test were used to analyse the data, using GraphPad Prism software. Depression symptoms were evaluated, using BDI, and a score of -> 10 indicated depression. Results Of the 262 respondents, 52% had club membership, compared to 48%, who were only on ART. There were significantly more female respondents (44%) involved in Adherence Clubs, as opposed to their male counterparts (8%), a difference of 36% overall (p=0.016). In summary, the number of individuals, who were suffering from some form of depression, enrolled in ART Adherence Clubs was 8.4% of the total sample, compared to 10% of those who were not in ART adherence clubs. The overall prevalence of depression in this current study was 18.4 %, which was in line with other studies conducted in a South African context, and a similar setting. Clinical depression status represents the main outcome of interest in this research project. The model category was 0-10, which indicated that a significant majority, 69.5%, n= 182, of the enrolled respondents were classified as healthy, in terms of clinical depression status. Beck depression scores were consistent across gender. Depression seemed to be more severe in the 35-44 age category. Fisher’s exact test confirmed the absence of any statistical difference between ART club membership and their depression status. Spearman rank correlation coefficient of -0.02 indicates a very low association between length of HIV seropositivity and Beck Depression score. Conclusion This is the first study reporting on the prevalence of depression, in relation to HIV infection, as well as ART treatment, and the associated adherence programme in Cape Town. Further research on a similar topic is recommended, using other instruments in the same geographic area.
75

A practical theological reflection of the youth ministry in Khayelitsha

Ntetha, Mpumelelo 09 1900 (has links)
Abstracts in English and Xhosa / This research focused on how youth leaders and their senior pastors perceive youth ministry in the black township of Khayelitsha, A practical theological reflection of youth ministry in Khayelitsha. Youth ministry is an important ministry for a local church, as it is a platform to deal with youth challenges. Youth ministry has a value to add to the young people of its society, in their spiritual and development formation. The first aim of youth ministry, among other things, is to assist with spiritual formation in the lives of the young people. The underlying assumption of the study was that youth ministry in Khayelitsha was about game and entertainment with no spiritual input in the lives of young people. Research findings of this study reveal that in the black township of Khayelitsha there are a lot of activities that are happening under the banner of youth ministry, but there is a lack of a practical theological understanding of youth ministry. It was discovered also in this research that young people after they have been elected to lead a youth ministry, were not trained and developed for their task. The recommendation therefore which can help youth ministry in the black township of Khayelitsha to be practical and theologically oriented is that youth leaders need to be trained so that they may be able to develop or discover for their constituency a sound theology of youth ministry and the purpose of the youth. Youth leaders and their young people need to think about the importance of encapsulating and capturing a vision for youth ministry in their contexts, respectively. Youth leaders need to be trained on leadership issues and other youth ministry related matters, such as socio-economic and youth culture. Youth ministry is so broad, but it is important firstly for the Khayelitsha youth to get the basics right before focusing on other dynamics and dimension matters of youth ministry. It is important that youth need to know that youth ministry is about God first, not social projects. Youth ministry is just a normal youth work if it does not take the relationship young people to have with God and develop them into maturity. Youth ministry should be regarded as a national asset as it has a lot to contribute to the Khayelitsha community through the socially-focused projects that the young people engaged in for their communities. Churches should be intentional about youth ministry when they prepare young people for youth ministry by supporting these young people financially who would like to study this ministry. / Inkonzo yabantu abatsha ibaluleke kakhulu kwinkonzo nganye esekuhlaleni eKhayelitsha. Inkonzo yabantu abatsha inegalelo enalo kubantu abatsha ekuhlaleni, kubomi babo bokukholwa nakuphuhliso lwabo gabalala. Eyokuqala injongo yenkonzo yabantu abatsha enkonzweni kukunceda ukuba bakhule abantu abatsha eMoyeni. Eyona ibiyintsusa yolucwaningo kukurhanela nokukrokrela ukuba inkonzo yabatsha eKhayelitsha igxile ekudlaliseni abantu abatsha kunokukhulisa ubomi babo bakuMoya. Iziphumo ngoko zolucwaningo ziveze ukuba zininzi intshukumo nezinto ezinziwayo ezinkonzweni phantsi kwegama lenkonzo yabantu abatsha, kodwa kukhona ukuswela ulwazi lokuba umsebenzi wabatsha yipraktikali thiyoloji. Kukwafumanesekile ukuba bakuba benyulwe abantu abatsha ezinkonzweni zabo ukuba bakhokele inkonzo yabatsha, inkokheli ezo zabatsha aziyi ziqeqeshwe zixhotyiselwa umsebenzi lo wabo. Ingcebiso ngoko ngokubhekisele kwiziphumo zolu cwaningo zicebisa ukuze umsebenzi wabatsha ukuze ube yipraktikal thiyoloji yeyokuba kumelwe baqeqeshwe abantu abatsha bakuba benyulwe ukuze bazi ukuba ungantoni kanye kanye umsebenzi wabatsha enkonzweni. Inkokheli zabatsha kunye nabatsha bazo kufuneka bacinge nzulu ukuba bangawenza njani umsebenzi wabatsha uze ufanele bona nalendawo bahlala kuyo. Inkokheli zabatsha zimele ziqeqeshelwe kwezokukhokela abantu abatsha, ingxaki abantu abatsha abajongene nazo umzekelo isimo sentlalo abakuso abantu abatsha, kwaye kufuneka zazi nenkcubeko yabantu abatsha. Umsebenzi wabantu abatsha ubanzi, ugabalele ngoko kubalulekile ukuba inkokheli zabatsha zazi izinto zokuqala nezisiseko somsebenzi/inkonzo yabantu abatsha kuqala phambi kokuba bazi ezinye izinto ezingawo umsebenzi wabantu abatsha. Inkonzo yabantu abatsha ingafana nomsebenzi nje ongabantu abatsha ukuba awuyithatheli ingqalelo ubudlelwano abantu abatsha abanabo noThixo, kwaye bukhuliswe kubo.Inkonzo yabantu abatsha mayithathwe njengenkonzo enegalelo elikhulu esizweni ngenxa yezinto abantu abatsha abathi bazibandakanye kuzo ukuzama ukuphucula indawo abahlala kuzo eKhayelitsha. Inkonzo nazo maziyinike ingqwalasela nengqalelo inkonzo okanye umsebenzi wabatsha ngokuwuxhasa ngezemali kwaye zihlawulele abantu abatsha abafuna ukuyo wokufundela umsebenzi wabantu abatsha. / Practical Theology / D. Th. (Practical Theology)
76

Theological reflections on the spread of Islam and attitudes in churches : a case study on three black townships in Cape Town

Jung, Manfred 01 1900 (has links)
Thesis (MTh)--Stellenbosch University, 2005 / ENGLISH ABSTRACT: No abstract available / AFRIKAANSE OPSOMMING: Geen opsomming
77

The implications of the introduction of outcomes based education in the natural sciences curriculum at Cape College of Education: the assessment of perceptions of squatter camp teachers in Khayelitsha towards the outcomes based education / The assessment of perceptions of squatter camp teachers in Khayelitsha towards the outcomes based education

Booi, Kwanele January 2000 (has links)
1. This pilot study is a survey of practices of natural sciences educators at Cape College of Education to establish if they reflect the conceptual development, development of skills, change of attitudes and values that are the pillars of the Outcomes Based Education (OBE). Their approaches of lecturing have been assessed to determine if they incorporate investigative approaches based on social constructivism, the theory underpinning Curriculum 2005. The status of science education in the college has been analyzed to establish whether the curriculum can adapt itself to the specifications of the new curriculum. It has been concluded that the educators at Cape College of Education need to be empowered about strategies that will help them function along the principles embracing Curriculum 2005 specifications. The educators have shown not to be ready to practice social constructivism and the assessment strategies incorporated in their programmes do not embrace a variety of approaches that will enable their learners to develop conceptually, skill wise and enable them to develop change in attitudes and values. Investigative approaches to practical work appear to be lacking in the college teaching/learning and this also indicates that Curriculum 2005 will take time to be properly implemented at Cape College of Education. 2. This study is based on the practices of science educators in the squatter-camp school in Khayelitsha, a densely populated area for blacks near Cape Town. Teachers at Vuselela primary school were interviewed about their teaching assessment strategies to establish whether they incorporate a learner centred approach, which is the necessity for the Outcomes Based Education approach. Also some of the lessons they taught were observed in order to find out whether they validate what transpired from the interviews through a process of triangulation. It has become evident that the teachers are to some extent aware of the changes the education system is going through in South Africa. It also became clear from the study that the teachers are still lacking expertise as to how to practice along the lines of Curriculum 2005, the South African version of Outcomes Based Education (OBE). They also showed that they are keen to learn and practice OBE even though more opportunities need to be created for their epistemological empowerment as well as empowerment on the content of science.
78

A Novel Approach to Youth Crime Prevention: Mindfulness Meditation Classes in South African Townships / A Novel Approach to Youth Crime Prevention : Mindfulness Meditation Classes in South African Townships

Kneip, Katharina January 2020 (has links)
Children growing up in poor areas with high crime rates are shown to easily get involved in violent actions and criminal gangs. In South Africa, despite considerable efforts to reduce youth delinquency, youth crime rates are still disturbingly high – specifically, in the townships of the Cape Flats. This paper points out an important aspect previously unaddressed by most youth crime prevention: the subconscious roots of youth crime. What if we could develop youth crime prevention programs that manage to impact the subconscious behavioral patterns of youth in high crime areas? This paper proposes a  promising and cost-effective approach that has great potential to affect multipe causes of crime: mindfulness meditation. Built upon newest findings in Neuroscience, this paper suggests that mindfulness meditation classes are associated with a reduction in aggressive behavior, a risk factor for youth crime, and an increase in self-efficacy, a protective factor. The impact of mindfulness classes at a high school in Khayelitsha, a poor and violent-stricken township of Cape Town, is analyzed. Self-reported aggression and self-efficacy are measured via a psychometric survey questionnaire created from two well-tested and validated scales. Regression analyses of 384 survey answers provided mixed results. Whilst novice meditators were not associated with higher self-efficacy and lower aggression, long-term meditators performed better in several dimensions of self-efficacy and aggression, yet no significant relationship was found. Further research specifically needs to investigate the moderating effect of age (a proxy for psychological development) on meditation. This study aims to bridge the gap between the outdated paradigms of youth crime prevention and ancient wisdom via ground-breaking new evidence from the field of Neuroscience. This study furthermore hopes to point policy makers toward developing new, integrative and sustainable approaches to youth crime prevention – approaches that give back agency to our youth. / <p>Anders Westholm har inget med betygssättningen att göra annat än i rent formellt hänseende (examinator). Det är han som rapporterar in och skriver under men i sak är det seminarieledaren som har beslutet i sin hand. Statsvetenskapliga institutet har som princip att skilja på handledning och examination vilket innebär att handledaren inte får vara seminarieledare. Seminarieledare och personen som satt betygget var i det här fallet Sven Oskarsson: Sven.Oskarsson@statsvet.uu.se</p>

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