No abstract available. / Thesis (M.S.U.R.P.)-University of Natal, Durban, 1998.

Background:- The HIV and AIDS epidemic is a major catastrophe that affects millions of people worldwide. Antiretroviral medication combinations have revolutionised HIV treatment since 1996, transforming the virus from a death sentence to a manageable condition. In order to obtain full therapeutic benefits it is vitally important that patients adhere to their prescribed medication. Being informed about the disease and medication contributes to patient adherence and management. Pharmacists are considered to be the most accessible health professional and can help HIV -infected patients deal with barriers to medication access, manage adverse effects and medication interactions, and adhere to medication regimens by appropriate counselling. The public sector is defined as that part of an economy that is controlled by the state. At the study site, which is a public sector facility, the roll out of antiretroviral medication started in 2006. At the time all patients were counselled by trained counsellors, before seeing a doctor. At the pharmacy the medication was collected with no intense counselling by a pharmacist as the patients would have visited the trained counsellors first. Subsequently it was found that there were many queries regarding HIV and AIDS. It was then decided in October 2007, that the pharmacist support the counselling done by the counsellors in that they should reinforce what was said by the counsellors, together with giving detailed information to patients on their health and medication. This study was therefore undertaken to measure pharmacists' role in the management and adherence of HIV infected patients at this institutional facility. Method: The study was undertaken at a public sector health facility using anonymous structured questionnaires and was divided into 3 phases: Pre-Intervention, Intervention and Post-Intervention phases. After obtaining patient consent the questionnaires were administered during the 1st phase. A month later all patients visiting the pharmacy were counselled intensely on various aspects of HIV and the antiretroviral medication. Thereafter patients who took part in phase 1 were asked to participate in the 2nd phase. After obtaining their consent again, the same questionnaire was administered to them. Quantitative variables were compared between pre and post intervention using paired t-tests or Wilcoxon signed ranks tests. Categorical variables were compared using McNemar's chi square test (Binary) or McNemar-Bowker test for ordinal variables. Results: A response rate of 87.5% was obtained with the majority of the patients being female. Almost 70% of the participants were in the age-range of 21-40 years old. The majority of the participants did not have post school education. Most of the participants (95.4%) did not know that HIV is a virus that causes AIDS in the pre intervention phase, but this decreased to 93.7% in the post intervention phase. The participants knowledge of people who have sexually transmitted diseases are least at risk of getting HIV, healthy food will cure HIV and smoking and drinking alcohol will weaken the HIV virus, increased significantly from the pre-intervention phase to the post intervention phase. Knowledge on the modes of transmission either increased or remained unchanged. Overall the mean knowledge score on the disease itself had increased significantly (SD 6.6%) [p<0.01] after the pharmacists' intervention (pre-intervention was 82.1 %, post-intervention was 86.3%). In both phases, over 40% of all patients stored their medication in the cupboard. The majority of the patients took their medication either with or without food at both phases of the study. After the intervention, the frequency of taking medication with a fatty meal or any time they remember was decreased to 0. A significant improvement was noted in the overall knowledge score with regards to medication taking and storage (p<0.05). Conclusion: Pharmacist intervention had a positive impact on HIV infected patients' HIV and AIDS knowledge on the disease and on the antiretroviral medication use and storage. / Thesis (M.Pharm.)-University of KwaZulu-Natal, Durban, 2011.

This thesis attempts to define the role of tribal authorities in the structures of the democratic government in the South African province of KwaZulu-Natal. However, the major difficulty lies in the nature of the institution of tribal authorities itself. In African tradition, leadership is hereditary. It is not subject to any electoral process. Besides this, the hereditary process is fundamentally male primogeniture and by nature excludes women. This contradicts the principles of democracy and the bill of rights which the democratic government of South Africa has adopted. Nevertheless, the institution of tribal authorities is not new in South Africa. It has existed and worked hand in hand with previous governments in South Africa since the period of the British colonial rule in the early 19th century. During the apartheid era, tribal authorities served as the local government in the rural areas of the KwaZulu Bantustan. Chiefs only lost this status after the formation of the Government of National Unity in 1994. However, most chiefs still have great influence and respect among the traditional people who live in rural areas. Besides this, among the Zulus, the institution of tribal authorities symbolizes Zulu nationalism and culture. Because of their closeness to the people at the grassroots, chiefs have good relationships with different political parties, particularly the Inkatha Freedom Party and the African National Congress. Probably they are seen by these political parties as potential allies and agents for political mobilization and recruitment in rural tribal areas. Consequently, abandoning the institution of tribal authorities in the democratic dispensation is unrealistic and irresponsible. To meet the political realities of KwaZulu-Natal, a certain form of representation in the structures of democratic government at both the provincial and local levels needs to be given to the institution of tribal authorities as part of the democratization process, and also as a means of expanding the scope of democracy in rural areas. This also fulfils one of the precepts of democracy which entails including all the concerned groups of people in a society, irrespective of colour, creed, sex, race, tradition and culture. Nevertheless, to achieve this, some adjustment is necessary to make possible the incorporation of the institution of tribal authorities in the structures of the democratic government. How can this institution be accommodated? What will the status and position of chiefs be in these structures? What will be their new role? How well can democratically elected structures work with non-elected ones? Is the inclusion of tribal authorities in the democratic government not going to conceptualize ethnicity? In other words, does ethnicity have any room in South Africa's democratic dispensation? To address these questions, this thesis assesses a number of aspects, which include examining the role chiefs played in the previous government, their relationships with the people, the Bantustan government and Inkatha Yenkululeko Yesizwe, and other political parties especially in the democratic dispensation. The thesis also examines legislation passed by the Government of National Unity, as well as the constitutional proposals of the Inkatha Freedom Party, the African National Congress and other political parties in the provincial government of KwaZulu-Natal concerning the role of tribal authorities. / Thesis (M.Soc.Sci.)-University of Natal, Pietermaritzburg, 1996.

The overwhelming number of people residing outside country of origin has created anxiety and fear in the immigrant receiving countries over the potentially destabilising effect on the country’s resources. This may provoke controversy because of the fears that they may be competing unfairly with hosts for jobs, housing and other welfare services. Hence, migrants are increasingly becoming vulnerable to racism, xenophobia and discrimination. The justice system protects the rights of migrants. Equal access to justice entails the right of migrants to initiate and proceed with legal matters through the justice system without hindrances. On the side of the state, access to justice also includes the obligation of the state to investigate violations and persecute the perpetrators according to the law. Hence, with this context in mind, this study explored the perception of justice system personnel on the services they provide to non-South African citizens, specifically to Ethiopian Immigrants in the Newcastle area. It also explored the experience of Ethiopian asylum seekers and refugees in interacting with the locals and in accessing justice system within the greater Newcastle area in the KwaZulu Natal Province. In total, 20 interviews were conducted, of which 8 are justice system personnel and 12 Ethiopian asylum seekers and refugees. The findings suggest that the majority of justice system personnel perceive that foreigners are equal in the eyes of the law and get equal treatment as that of South Africans. It was found that the majority of justice system personnel lack knowledge of refugee law and this has been an obstacle in day to day running of courts. The findings also show that language services and Legal Aid are available to locals and as well as foreigners. It was also found that case dockets get lost due to corruption and negligence, and this resulted in impunity for some of the perpetrators of xenophobic violence. The findings also suggested that asylum seekers and refugees agreed that the justice system is fair and that there are good provisions that accommodate everyone. Some, however, expressed discontent and claimed that they faced discrimination. They portray the police as unfriendly and indicated that they have experienced abuse and discrimination. The findings also suggest that police harass and abuse refugees by invading their premises without a search warrant. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2012.

No abstract available. / Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2004.

Although it is acknowledged in the Southern African literature that children living in conditions of poverty have always assumed more household responsibilities, the AIDS epidemic has exacerbated this and significantly changed the nature of childhood as an increasing number of children face life without parents. The study sought to gain insight into the experiential lives of six “child” heads of households and their siblings and to explore, in particular, how they construct their sense of self and family. For the purposes of the study a child-headed household was deemed a household in which a child of 18 or under or still in school was the household head in the absence of any other dependable, permanent adult figure. The study used a narrative approach and thematic analysis and the results emerging from the children's accounts of themselves were focused around the core themes of adult responsibility in the absence of adult status and relationships with adults in the extended family and wider community. The idea of children or adolescents competently running households, taking responsibility for themselves and their futures and adopting a more democratic and shared means of decision making, further challenges conventional conceptions of the „borders‟ between childhood and adulthood and family structure that have been contested and shifting through history. However, being on the front line of social change comes at a cost. Challenging society's popular understanding of children as passive, dependent and innocent positions these young people outside of the norm and what they report is that they feel alone, unheard and victimised. The findings are discussed within the context of Burman's critique of psychology's traditional theoretical notions of universal and innately driven development and a re-conceptualisation of children‟s experiences in terms of the context in which they live, and Crossley's perspective on narrative which emphasises agency grounded within cultural forms of sense-making. A new way of discussing these unconventionally structured families is also presented through the reconfiguration of relationships between family members, recognising connections that span generations and across different household spaces. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2010.

Conservation of streams involves an understanding of their physical , chemical and biological entities. SASS5 is a biomonitoring method developed to monitor the habitat quality of a water body. It is based on differential scores attributed to various macroinvertebrate families with varying degrees of sensitivity to anthropogenic impact. This method , however, does not assess impacts on particular species. Odonata are good candidates for study at the species level as they are well researched and males are easily identified . As adults, they are known to be sensitive indicators of both riparian and river conditions. Yet Odonata cannot be an umbrella taxon for all other taxa . Therefore, the main aim of this study is to determine the complementarity of the two metrics (Odonata assemblages and SASS5), establishing whether Odonata assemblages offer additional information on, or insight into, riverine habitat quality as portrayed by SASS5. To accomplish this, certain objectives were addressed . 1) The variation of SASS5 scores and 2) Odonata assemblages between river systems, structural habitat types (open or closed canopies) and compositional habitat types (indigenous or alien vegetation). 3) Whether SASS5 scores vary to the same extent, and, 4) on the same spatial scale (river system and point localities) as Odonata abundance and species richness . The relationship between these two metrics was determined along three rivers in the Pietermaritzburg basin. Sampling units (SUs) with extremes in vegetation structure (sunlight and shaded SUs) and vegetation composition (alien or indigenous) were selected. Using this range of environmental conditions placed environmental extremes on the macroinvertebrate populations at point localities and having three different river systems added the dimension of variation over a broader scale, thus stretching the two metrics to investigate whether both responded similarly or in different ways. Results indicated that both metrics provide a similar portrait of overall river conditions. At the smaller spatial scale, the Odonata assemblage, unlike SASS, was highly sensitive to the riparian vegetation. Odonata species were less sensitive to vegetation composition but differentially sensitive to vegetation structure. However, landscape context is also important, with point localities being affected by the neighboring dominant habitat type. Larval Odonata alone did not provide this information. Overall, aquatic macroinvertebrates and adult Odonata provide a highly complementary pair of metrics that together provide large spatial scale (river system) and small spatial scale (point localities) information on the level of impact of stressors such as riparian invasive alien trees. / Thesis (M.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.

No abstract available. / Thesis (M.U.R.D.P.)-University of KwaZulu-Natal, 2005.

The aim of the study was to find out whether or not engagement in urban agriculture for individuals and households is a response to a lack of formal wage employment in the post-apartheid period. This period is characterised by changes in the economy of South Africa which led to an observed increase in poverty and unemployment and an increase in informal employment. The study utilised both quantitative and qualitative methods to look at urban farming issues in KwaZulu-Natal. The quantitative data came from the KwaZulu-Natal Income Dynamics Surveys (KIDS), which carried out surveys in three waves spanning the period of democratic transition over a 10-year period in 1993, 1998 and 2004. This data was analysed using the statistical package STATA and employed regression modelling techniques to investigate the odds of engagement in urban agriculture, given certain individual and household characteristics, which is a particular nuance for this study. Because of its potential in food production and income generation, a smaller-scale qualitative farmer survey was undertaken in two different communities, comparing three different categories of home gardening, community gardening and market gardening in KwaZulu-Natal, using a semi-structured questionnaire. This component sought to document, in farmers’ own words, their experiences and practice of farming in an urban environment and gave in-depth insights about the motivation of the people involved, the types of food crops grown, and so on. Key informant interviews were conducted with a community of professionals for illuminating their perspectives on the practice of urban agriculture in KwaZulu-Natal. The key findings of the study are that urban agriculture is an activity that is undertaken by people seeking a survival strategy when their preferred activity (such as formal employment) is not available and it can be an activity undertaken by entrepreneurs for income generation. According to their main activity status, the types of people that engage in urban agriculture include those in wage employment and the unemployed, as well as the non-economically active. The contribution of agricultural income to total household income represents miniscule amounts, at an average of less than one percent. Regression modelling results, combining person level and household level variables, predicted more likely odds of farming for women, by a factor of 1.67. Increase in the number of years of education decreased the odds by 0.90 times. If a person lost employment, this increased their odds of engaging in urban agriculture by 1.23 times. People in the age group 36-46 years predicted the highest likelihood for participation in urban agriculture, by a factor of 2.54. Larger household size predicted odds more likely to engage while poor households also predicted odds more likely to engage, by a factor of 2.07 times. Urban agriculture is vastly heterogeneous and is undertaken by all income groups. It is a result of both push and pull factors. People engage in it neither as a survival strategy nor an entrepreneurial strategy only. It is, however, an activity in which the poor are disproportionately represented. The potential of urban agriculture to generate employment is linked to the nature of support received from government and non-governmental organisations. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2012.

In March 2007 the KwaZulu-Natal coastline was devastated by an extreme storm event. There is international concern that such events are associated with climate change. There is evidence of global changes in climate but there is still uncertainty as to whether they are anthropogenic or part of natural decadal (or longer) cycles. The increase in frequency and intensity of extreme storm events will impact on the sediment dynamics of coastlines and the associated risks need to be modelled and quantifed so that they can be included in coastal planning and management. Durban is a coastal city on the east coast of South Africa and has been used as a case study to identify trends in wave parameters and beach profile volumes. The correlation between profile erosion, waves and tides was explored using singular spectral analysis. The dependence between wave parameters was modelled using copulas. The decadal trends were introduced into these models using a nonstationary generalised extreme value distribution. Numerical models (SWAN, SBEACH, XBEACH) were used to transform the statistical model to near shore waves and estimate the associated erosion. The copula model was used to investigate the relationship between multivariate return periods and erosion return periods. Coastal defence options were reviewed and those appropriate for Durban were identifed. This study provides a review of Durban and Richards Bay's 18 years of Waverider data. It presents wave parameter exceedance statistics and wave height return periods for Durban. Durban's wave data showed increasing trends in maximum significant wave heights, peak wave period, storm event frequencies and a trend towards a more southerly mean wave direction. However, only the increase in peak period and wave direction was statistically significant. The trend in wave direction is considered a potential coastal hazard as it has the potential to increase the littoral drift by 1 % per annum. Durban's beach profiles have shown a long term erosion trend which is due to a combination of wave and sea level trends, and a reduction in sediment supply. The reduction in sediment supply from rivers was found to be both anthropogenic and natural. Storm, wave parameter and sea level trends were estimated to contribute more than 75 % to the total long term erosion. It was found that it takes an average of 2 years for a beach to recover to its pre-storm volume. Different types of coastlines recover at different rates and these recovery rates should be considered in risk assessments. A method for estimating future impacts due to storm and sea level trends has been proposed in the form of a non-stationary copula based statistical model. In general a bivariate return period of wave height and duration was found to approximate erosion return periods, while a method for estimating an analogous multivariate storm and erosion return period was developed. Geotextile sand filled containers were found to be a suitable coastal defence as they satisfy social, environmental and political pressure. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2012.