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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.
31

Implementing sustainable human settlements

Smeddle-Thompson, Lisa 03 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: In our rapidly urbanising world, the need for sustainable settlement planning, particularly for the poor in developing countries, is essential. In South Africa, apartheid spatial constructs segregated black population groups, denying them equal access to economic opportunities; housing; as well as basic and social services. After the first democratic elections in 1994, policy makers attempted to redress these inequalities. Though early housing policy aimed to provide secure tenure: permanent residential structures, and access to basic services for the poor, these policies failed to meet the objectives of the policy makers. In articulating that the state could not meet the needs of the homeless, and that housing for the poor should be delivered within a normalized market in order to attract private investment, these policies (which promoted private sector, contractor-driven development) only served to heighten inequalities previously entrenched by the apartheid regime. In 2004, after measuring delivery failures, policy makers empowered the state to become an enabler of subsidised and low-income housing delivery, rather than leaving housing provision solely to the market. The new policy included the use of multiple finance and delivery mechanisms, multiple housing typologies, and clearly expressed the need for capacity development. It also espoused the need for citizens to become participants in sustainable settlement delivery. Despite this, policy implementation continues to be fragmented and mostly ineffectual. Interviews, survey results and site visits reveal that there are some examples of integrated sustainable human settlements in the South African (SA) context. A few recent examples showcase better quality houses, a broader variety of housing options and typologies, better locations, functioning developmental relationships and the use of multiple financing mechanisms. Conversely, case studies and comparative analysis of developments reveal that most projects designated as Breaking New Ground (BNG) responsive by government officials (as defined in the study) fail to meet BNG policy objectives. This study argues that low-income housing provision continues to focus on the delivery of free-standing subsidy houses without providing a range of typologies and tenure options. It argues that basic and socialservice provision is intermittent and, at times, non-existent. It argues that current funding models for the development of sustainable human settlements in low-income communities are unable to meet basic needs within communities. It shows that skills scarcities within government prevent the acceleration of housing delivery and that participation strategies have failed to meet the policy objective of enabling citizens to become participants in sustainable settlement development. In conclusion, it recommends that the current focus on and allocations of subsidies toward ownership models for shelter and housing delivery be re-examined. It suggests that support should be provided for lending institutions to extend finance to creditworthy, low- and middle-income families. Additionally, accredited capacitybuilding programmes should be developed and funded for local authorities, enabling local government to be the sole driver of local development. It argues that capacity should be built in community organisations to speed up delivery processes, and recommends that provincial government’s power and authority be incrementally devolved to local government as capacity is increased within local authorities. / AFRIKAANSE OPSOMMING: Weens die snelle verstedeliking in Suid-Afrika het die behoefte aan beplanning van volhoubare nedersettings noodsaaklik geword, veral vir armes in ontwikkelende lande. Tydens apartheid is gesegregeerde swart gemeenskappe gelyke toegang tot ekonomiese geleenthede, behuising, sowel as basiese en maatskaplike dienste ontneem. Na 1994 het beleidmakers gepoog om hierdie ongelykhede reg te stel. Hoewel vroeë behuisingsbeleid daarop gemik was om permanente residensiële strukture wat toegang tot basiese dienste sou verseker, het hierdie beleid egter gefaal. Toe die staat nie sy doelwitte kon bereik nie, is daar besluit om private beleggings te lok. Hierdie privaatsektor gedrewe beleid, wat ontwikkeling binne 'n genormaliseerde mark sou bevorder, het egter slegs gedien om ongelykhede te verskerp. Dit is dan ook dieselfde ongelykhede wat voorheen in die apartheidsbeleid verskans is. In 2004, na besef is dat verskaffing misluk het, het beleidmakers die staat bemagtig om te verseker dat gesubsidieerde behuising vir lae-inkomste groepe verskaf word, eerder as om behuising slegs aan die private sektor oor te laat. Die nuwe beleid het ingesluit die gebruik van verskeie finansiële en leweringsmeganismes, meervoudige behuising-tipologieë, en het duidelik die behoefte aan kapasiteitsontwikkeling vergestalt. Dit het ook die behoefte onderstreep wat daar bestaan vir landsburgers om deel te neem aan die proses van lewering van volhoubare nedersettings. Ten spyte hiervan is min sukses behaal. Hierdie studie voer aan dat daar 'n paar voorbeelde van geïntegreerde volhoubare menslike nedersettings in die Suid-Afrikaanse konteks bestaan. Onlangse voorbeelde dui op huise van ‘n beter gehalte, 'n groter verskeidenheid van behuisingsopsies en tipologieë, geskikter ruimtes, die funksionering van die ontwikkelingsverhoudings en die gebruik van verskeie finansieringsmeganismes. Aan die ander kant, alhoewel regeringsamptenare die meeste projekte aanvaar as synde dat hulle voldoen aan die vereistes van Breaking New Ground (BNG), voldoen hulle nie aan die vereistes van die BNG se beleid nie. Hierdie studie voer aan dat die voorsiening van lae-inkomste-behuising bly fokus op die lewering van subsidies vir vrystaande huise sonder dat 'n reeks tipologieë en ook opsies ten opsigte van verblyfreg verskaf word. Basiese en maatskaplike diensvoorsiening is gebrekkig en soms totaal afwesig. Hierbenewens is die huidige finansiële modelle vir die ontwikkeling van volhoubare menslike nedersettings in lae-inkomste gemeenskappe nie in staat om in die basiese behoeftes van die gemeenskappe te voorsien nie. Dis duidelik dat ‘n tekort aan vaardighede binne die regering verhoed dat die lewering van behuising versnel en dat die strategieë vir deelname deur burgers aan die proses ook gefaal het. Ten slotte beveel hierdie studie aan dat die huidige stelsel vir die toekennings van subsidies vir die lewering van skuiling en behuising weer nagegaan word. Ondersteuning moet gegee word aan instellings wat finansiering voorsien en dit behoort uitgebrei te word na lae- en middel-inkomste families wat kredietwaardig is. Kapasiteitsbou-programme behoort geskep te word vir plaaslike owerhede wat dan alleen sal omsien na plaaslike ontwikkeling. Gemeenskapsorganisasies behoort ook bemagtig te word om leweringsprosesse te bespoedig. Die provinsiale regering se magte en gesag moet inkrementeel oorhandig word aan plaaslike regering soos kapasiteit binne plaaslike owerhede self uitbrei.
32

Investigating the feasibility of a locally developed carbon-offsetting scheme : the case of the Drifters Desert Nature Reserve

Gibson, Sean 03 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: In the context of both climate change and peak oil, it is clear that the tourism industry cannot continue with a business-as-usual approach. Unfettered fossil fuel use is no longer an option and novel approaches need to be explored in order to change the configuration of energy systems. Transport is particularly energy intense and consequently, since it involves travel, so is tourism. The Drifters Desert Nature Reserve (DDNR) is probably a net carbon sink. The property is large and has thousands of long lived trees and bushes: but this would be an ‘easy out’ in an industry which is has a reputation for evading tough questions. Are there affordable techniques that can be employed by the Reserve that will reduce its carbon footprint and enable it to move toward being entirely carbon neutral, without relying on sequestration? A willingness to pay (WTP) survey investigating if clients were prepared to pay a voluntary amount towards reducing the emissions of the DDNR, thereby offsetting some of their own emissions, was conducted; 121 questionnaires were completed. The results were extrapolated out to represent the WTP of the 1055 clients that visited the DDNR in the last year. It was found that 73% of all the clients who stay at the DDNR are willing to pay toward helping the DDNR change the way its systems are configured as a means to offset some of their own emissions debt in getting to the reserve. Lodge clients were prepared to pay almost double the amount clients staying at the campsite would consider. In both cases, WTP was around 10% of the value of the accommodation package chosen. The fossil fuel use and consequent carbon dioxide debt of the DDNR was calculated and emissions were found to be in the region of 30 tonnes per annum. As per the case in the greater Namibia, transport is responsible for the bulk of the carbon dioxide output, with energy provision in this off-grid reserve being a close second. Of four potential interventions considered, two were found to be financially viable, regardless of the WTP of clientele. It is speculated that WTP on a small scale is administratively laborious and the potential contribution of a voluntary offsetting payment was perhaps not high to justify the implementation of the scheme. It was however found that reconfiguring the energy systems would definitely be a worthwhile exercise. On corporate level where efficiencies of size amplify gains, Drifters, as a group of 14 lodges and an overland company, may well find that a transparent voluntary emissions reduction (VER) payment, ring-fenced, appropriately used, and properly implemented, is worthwhile. Ethically, however, injecting VER payments into a balance sheet is problematic, especially where the payback period of the technological interventions is short and the benefits derived are long term. / AFRIKAANSE OPSOMMING: Die gebruik van fossielbrandstowwe wat in die huidige tydsgewrig tot die opwekking van oormatige kweekhuisgasse lei is nie langer aanvaarbaar nie en innoverende opsies om die voortgesette generasie van energie te verseker, sal nagestreef moet word. Een van die grootste verbruikers van energie is vervoer, en vervolgens is dit ook die geval dat toerisme, wat swaar op vervoer staatmaak, ‘n groot gebruiker van energie is. Aangesien daar etlike gevestigde bome en bosse op hierdie woestynreservaat is, is die Drifters Desert Nature Reserve (DDNR) moontlik ‘n netto bespaarder van koolstofgasse, maar dit kan nie sondermeer daargelaat word in ‘n bedryf wat bekend is daarvoor dat dit graag die moeilike vrae vermy nie. Daar is dus gevra: is daar bekostigbare tegnieke wat moontlik by die DDBR aangewend kan word om die koolstofvoetafdruk te verminder en dit in staat kan stel om totaal koolstofneutraal te word, sonder om op ingryping staat te maak? Navorsing is gedoen en 121 vraelyste is voltooi om vas te stel of kliente gewillig sou wees om ‘n vrywillige bydrae te maak om die afskeid van koolstof te beheer en daardeur hul eie koolstofvoetafrdruk te verminder, in ‘n sg “gewilligheid om te betaal” oftewel “willingness to pay” (WTP) opname. Die resultate is deurgevoer as verteenwoordigend van die 1 055 kliente wat verlede jaar die oord besoek het. Daar is gevind dat 73% van die kliente wat die oord besoek bereid sou wees om die DDNR geldelik te help om sy stelsels te verander as ‘n teenrekening om hul eie koolstofbesoedeling op pad daarheen te vergoed. Kliente wat die losie gebruik het was bereid om meer te betaal as diegene wat by die kampeerterrein tuisgegaan het. Die hele reservaat se jaarlikse koolstofdioksied debiet is bereken, en die jaarlikse opwekking is op ongeveer 30-tonne vasgestel. Nes in Namibie as geheel is vervoeruitlaatgasse verantwoordelik vir die oorgrote meerderheid opwekking, met die voorsiening van energie by die afgelee oord kort op sy hakke. Van die vier moontlike ingrypings wat oorweeg is, is twee finansieel die moeite werd gevind, ongeag die kliente se gewilligheid om geldelik by te dra. Die bestuur van aanvraag is ook oorweeg, en hoewel dit nie gekwantifiseer is nie, is dit nes die moontlikheid van tegnologiese innovering, duidelik deel van die oplossing, Daar is gevind dat ‘n stelsel van betaling op plaaslike vlak moeilik sou wees om die administreer, en aangesien selfs die gewilliges nie oorgretig is nie, is daar tot die gevolgtrekking gekom dat dit nie die moeite sou loon nie. Ongeag bogenoemde beginsel van toersitebydraes is daar gevind dat dit ongetwyfeld die moeite werd sou wees om die energiestelsels aan te pas. Maar dit sal nie noodwendig op ‘n korporatiewe of ‘n makro-skaal werk nie, veral nie waar grote ‘n rol speel nie. As maatskappygroep mag Drifters vind dat met ‘n deursigtige, vrywillige uitlaatverminderingspaaiement, wat afgebaken, korrek aangewend en effektief bestuur word, die kool die sous werd sou wees.
33

'Ilima', 'Izithebe' and the 'Green Revolution' : a complex agro-ecological approach to understanding agriculture in Pondoland and what this means for sustainability through the creation of 'Living Landscapes'

Payn, Valerie 03 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: This thesis uses local narratives to explore relationships between agrarian landscapes, agrarian land use practices and the traditional cultural perspectives of traditional amaMpondo farming communities living along Pondoland‟s Wild Coast, on the East Coast of South Africa. This endeavour is based on theories that propose that human behaviour, including agrarian practice, is influenced by complex socio-cultural factors that shape cultural values, knowledge and world-views, and that are reflected in cultural narratives, and these influence the way different cultures relate to the surrounding environment. As a consequence of these cultural influences, different cultures use and shape the landscape in unique, culturally determined ways. Consequently, in human impacted landscapes attention needs to be paid to how cultural world-views, practices, customs and value systems influence the land use practices of the people inhabiting those landscapes. Amongst traditional communities with a long history of habitation within particular landscapes, traditional land use practices and customs, including agrarian practices, need to be understood from the perspective of the opportunities and constraints that particular environments present. Literature shows that a failure to understand relationships between culture and land use can led to the imposition of unsuitable development practices and policy on traditional cultures, and this can undermine cultural, agricultural and ecological diversity and lead to unsustainable models of development (Naveh, 1995; Antrop, 2005; Antrop, 2000; Capra, 2003; Capra, 1996; Nusser, 2001; Harding, S. 2006). Given the need to address development and agricultural practices that perpetuate unsustainable land use, an understanding of the nature of influencing relationships between landscape, land use and culture is particularly important Despite the debilitating influences of a colonial history, many rural communities along the Pondoland Wild Coast still retain a strong sense of cultural identity that has deep roots in a traditional agrarian system, and this has given rise to a unique indigenous landscape. This study of traditional amaMpondo farming communities presents an opportunity to gain insights into how different cultural perspectives might shape and utilize the landscape and lead to alternative land use systems than the dominant industrial norm. / AFRIKAANSE OPSOMMING: Hierdie tesis gebruik plaaslike narratiewe om die verhoudings tussen agrariese landskappe, landbou grondgebruik en die tradisionele kulturele perspektiewe van tradisionele amaMpondo boerdery gemeenskappe wat langs die Pondolandse Wildekus, aan die ooskus van Suid-Afrika voorkom te verken. Hierdie strewe is gebaseer op teorieë wat voorstel dat menslike gedrag, insluitende agrariese praktyk, beïnvloed word deur die komplekse sosio-kulturele faktore wat kulturele waardes, kennis en wêreldbeskouings vorm, en wat weerspieël word in die kulturele verhale, wat dan weer invloed het op die wyse waarop die verskillende kulture verband hou met die omliggende omgewing. As gevolg van hierdie kulturele invloede, maak verskillende kulture in unieke, kultureel bepaalde wyse gebruik van die landskap. Gevolglik, in landskappe wat deur die mens beïnvloed word, moet aandag geskenk word aan hoe kulturele wêreldbeskouings, praktyke, gewoontes en die waarde stelsels die mense in hierdie provinsies se landgebruik be-invloed. Tradisionele praktyke en kulture waaronder agrariese praktyke ingesluit is, moet in die tradisionele gemeenskappe wat 'n lang geskiedenis het van habitasie binne bepaalde landstreke, verstaan word vanuit die perspektief van geleenthede en beperkings wat hierdie besondere omgewings verteenwoordig. Litteratuur toon dat die versuim om die verhoudings tussen kultuur en grondgebruik te verstaan, kan lei tot die oplegging van ongeskikte ontwikkelings praktyke en beleid op tradisionele kulture. Dit kan' n kultuur-, landbou-en ekologiese diversiteit ondermyn en lei tot onvolhoubare modelle van ontwikkeling (Naveh, 1995; Antrop, 2005; Antrop, 2000, Capra, 2003; Capra, 1996; Nusser, 2001; Harding, S. 2006). Om die behoefte te vul wat ontwikkeling en landbou-praktyke wat nie-volhoubare grondgebruik perpetueer, is 'n goeie begrip van die aard van die beïnvloedings verhoudings tussen landskap, grondgebruik en kultuur veral belangrik. Ten spyte van die kreupelende invloed van 'n koloniale geskiedenis, het baie landelike gemeenskappe langs die Wildekus van Pondoland nog steeds' n sterk gevoel van kulturele identiteit wat diep wortels in 'n tradisionele agrariese stelsel het. Dit het aanleiding gegee tot' n unieke inheemse landskap. Hierdie studie van die tradisionele amaMpondo boerdery gemeenskappe bied 'n geleentheid aan om insig te verkry in hoe verskillende kulturele perspektiewe van die landskap kan vorm en gebruik maak en lei tot' n alternatiewe grondgebruik as die dominante industriële norm.
34

Assessing the organizational support systems for human resources development in the chief directorate : strategic health progammes (North West Province)

Setlhare, Itumeleng E. 03 1900 (has links)
Thesis (MPA)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: In order to enhance human resource development in the public service, the South African Government launched its first human resource development strategy in 2002. This strategy was implemented over a period of four years. It was subsequently followed by another strategy, called the Human Resources Development (HRD) Strategic Framework Vision 2015, which was published by the Department of Public Service and Administration (the DPSA) in 2008. One of the pillars of the latter strategy, which is also the focus of this study, is organizational support systems. The aim of this study was to determine whether the Chief Directorate: Strategic Health Programmes (CD:SHP) successfully implements, as designed in the departmental HRD plan, the three strategic interventions related to organizational support systems. The objectives were to – assess the alignment of the organizational support systems in the Chief Directorate with the overall departmental organizational support systems (as stated in the HRD plan); - identify factors that hamper proper implementation of the departmental organizational support systems in the Chief Directorate; and - propose key strategic interventions to ensure successful implementation of the departmental organizational support systems. The organizational support system pillar has eleven strategic interventions, but, due to resources constraints, only three were investigated. These are: - to promote effective human resource planning in terms of demand for skills and training in public sector organizations; - to strengthen structures, systems and processes for the performance management and development in the public service; and - to groom and foster in-house capacity through effective career planning and talent management in departments of government. The process/implementation evaluation approach, with semi-structured interviews and questionnaire, was employed for this study. A mixed methodology, which covered the breadth of the quantitative method and the depth of the qualitative method, was used in this study. The findings indicated that the CD: SHP is not successfully implementing the pillar as designed by the departmental HRD plan. Among others, the following were identified as responsible for poor implementation: - lack of policy, strategy or guideline on HRD; - understaffed HRD units; - lack of coordination and cooperation between and among the stakeholders responsible for HRD (e.g. Human Resource Management( HRM), Performance Management and Development System (PMDS) and line managers); and - abdication of the performance management responsibility vested in managers. Key strategic interventions proposed to remedy the situation, among others, include: - reviewing the structure of the HRD directorate and filling, as a matter of urgency, all vacant posts; - reviving the committee responsible for coordinating HRD activities; - implementing and coordinating all HRD activities, from the HRD directorate, aimed at developing workplace skills plans and the effective utilization of personal development plans; - developing the blueprint for succession-planning and staff-retention strategies; and - assuring that PMDS becomes one of the key performance areas of all supervisors and managers in the Chief Directorate and that, regarding non-compliance, consistent sanctions be applied across all levels. / AFRIKAANSE OPSOMMING: Die Suid-Afrikaanse regering het in 2002 sy eerste menshulpbronontwikkeling (MHO)-strategie vir die staatsdiens in werking gestel om die uitbouing van dié hulpbron te bevorder. Hierdie strategie is oor ‟n vier jaar periode geïmplementeer en in 2008 opgevolg deur nog een, naamlik die Visie 2015 Strategiese Raamwerk vir Mensehulpbronontwikkeling (SRM), soos gepubliseer deur die Departement Staatsdiens en Administrasie (DPSA). Een van laasgenoemde strategie se steunpilare, wat ook die hooffokus is van hierdie studie, is organisatoriese ondersteuningstelsels. Die doelwit van hierdie studie was om te bepaal of die Hoofdirektoraat: Strategiese Gesondheidsprogramme (H:SG) sukses behaal met die implementering van programme, soos uiteengesit in die departementele MHO-plan se drie strategiese intervensies, veral met betrekking tot die organisatoriese ondersteuningstelsels. Die doel was om – te bepaal hoedanig die gerigdheid is tussen die organisatoriese ondersteuningstelsels in die Hoofdirektoraat en die algemene departementele ondersteuningstelsels (soos uiteengesit in die MHO-plan); - te identifiseer watter faktore behoorlike implementering van die departementele organisatoriese hulpsisteme in die Hoofdirektoraat belemmer; en - strategiese sleutelintervensies voor te stel wat suksesvolle implementering van die departementele organisatoriese hulpstelsels sal verseker. Die organisatoriese ondersteuningstelsel-pilaar het elf strategiese intervensies, maar, as gevolg van beperkings op beskikbare bronne, is net drie ondersoek. Hierdie intervensies is nodig om: - die beplanning van effektiewe mensehulpbronontwikkeling, in terme van die bestaande behoefte na vaardighede en opleiding in openbaresektor organisasies, te bevorder; - strukture, sisteme en prosesse vir prestasiebestuur en ontwikkeling in die staatsdiens te versterk; en - bestaande kapasiteit ten opsigte van mensekapitaal voor te berei, touwys te maak en te koester, deur effektiewe loopbaanbeplanning en talentbestuur binne regeringsdepartemente. Die proses/implementering evaluasie-benadering, met gedeeltelik gestruktureerde onderhoude en vraelyste, is vir hierdie ondersoek gebruik. ‟n Gemengde metodiek, wat die wydte van die kwantitatiewe metode en die diepte van die kwalitatiewe metode inspan, is vir hierdie studie aangewend. Die bevindings het aangedui dat die H:SG nie daarin slaag om die betrokke pilaar, soos deur die departementele MHO-plan ontwerp, te implementeer nie. Die volgende redes is, onder andere, geïdentifiseer as verantwoordelik vir die swak implementering: - gebrek aan beleid, strategie en leiding ten opsigte van MHO; - onderbemande MHO-eenhede; - gebrek aan koördinasie en samewerking tussen belanghebbendes (asook onderling) wat verantwoordelik is vir MHO (byv. Mensehulpbronbestuur (MHB), Prestasiebestuur en Ontwikkelingsisteem (PBOS) en lynbedtuurders); en - afstandoening van hulle prestasiebestuursverpligtinge wat aan bestuurders opgedra is. Strategiese sleutelintervensies wat voorgestel word om die situasie te herstel, sluit o.a. in: - die hersiening van die struktuur van die MHB-direktoraat en, as ‟n saak van dringendheid, die vul van alle vakante poste; - die herinstelling van die komitee verantwoordelik vir die koördinering van MHO-aktiwiteite; - die implementering en koördinering van alle MHO-aktiwiteite van die MHO-direktoraat, sodat vaardighede by die werkplek ontwikkel word en die effektiewe aanwending van persoonlike ontwikkelingsplanne plaasvind; - die ontwikkeling van ‟n bloudruk vir personeel opvolgbeplanning en strategieë om personeel te behou; en - die versekering dat PBOS een van die sleutel prestasie-areas sal wees wat alle supervisors en bestuurders in die Hoofdirektoraat sal toepas en, in geval van nalatigheid in hierdie verband, strafmaatreëls op alle bestuursvlakke toegepas sal word.
35

Overcoming energy constraints on future development in Stellenbosch through energy efficiency : retrofitting of solar hot water heaters and gas stoves in middle and high income households in the residential sector

Nyabadza, Munyaradzi Christine 03 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: South Africa faces an energy crisis which presents itself in two forms; electricity generation dominated by coal fired power stations and current electricity supply capacity being unable to meet growth in demand. South Africa urgently requires new generation capacity: however, power stations take time to plan, construct and commission, meaning that South Africa has to consider other options to meet electricity demand. This necessitates quick and innovative ways of meeting future demand. Energy efficiency has been identified as “a low hanging fruit” on the energy tree to address supply constraints and reduce energy related greenhouse gas emissions. There are various energy efficiency programmes aimed at raising awareness of measures that households can take to reduce energy consumption. Some of South Africa’s key objectives of energy efficiency in the residential sector are to mitigate the effect of peak demand on power capacity and to introduce state of the art technologies. In terms of these technologies, there is an overlap between energy efficiency and renewable energy. The widespread installation of renewable energy technologies such as SWHs has the potential to delay the need to construct new power stations. SWHs are a viable renewable energy option for South Africa. It is a mature and proven technology with the potential to address South Africa’s electricity capacity problems. Not only does a SWH provide financial savings to the customer in the long run but it offers the additional benefit of a reduction in greenhouse gas emissions to society. Although awareness of the benefits of solar water heaters is increasing, SWH uptake remains low. However the uptake is increasing due to; a SWH rebate offered through Eskom, electricity price increases which are forcing consumers to seek alternatives and a national building code requiring energy efficient water heating in new buildings which is expected to come into effect in 2012. Liquid Petroleum Gas is a low carbon emitting source of fuel for cooking. In South Africa, middle–high income households rely on the electric stove for cooking. Cooking contributes to electricity peak demand. Reducing electricity demand by replacing the electric stove would help in reducing electricity peak demand from the grid. LPG use has been increasing due to the following reasons; electricity supply shortages, shifting government policy on LPG and increasing electricity tariffs forcing lifestyle changes. This case study sought to investigate the opportunities, as well as the barriers for a Stellenbosch municipality - initiated energy efficiency programme. In terms of energy supply and demand management, the municipality has identified energy efficiency and the introduction of renewable energy sources as options for achieving sustainability. One of the barriers facing energy efficient technologies is up-front costs in the case of SWHs and the cost of appropriate equipment such as gas stoves in the case LPG. The study sought to investigate financial mechanisms that the municipality could use to overcome these barriers and promote the use of SWH and gas stove in the residential sector. Data was collected through a combination of a mini Delphi – expert opinion technique, questionnaires, secondary data analysis, telephone and personal interviews with solar water heater industry stakeholders, LPG industry stakeholders and municipal officials. The conclusion drawn from this research is that Stellenbosch Municipality can initiate its own energy efficiency programme instead of waiting for national government. Although the municipality can initiate an energy efficiency programme, it needs to find another institution to fund the programme. Funding mechanisms however do overcome the barrier of high up -front costs and high gas equipment costs making energy efficient technologies affordable. / AFRIKAANSE OPSOMMING: Suid-Afrika staan voor ʼn energiekrisis wat op twee maniere gestalte kry: elektrisiteitsopwekking wat oorheers word deur steenkoolkragstasies en huidige elektrisiteitsvoorsieningsvermoë wat nie in die groeiende aanvraag kan voorsien nie. Suid-Afrika benodig dringend nuwe kragontwikkelingsvermoë. Dit neem egter tyd om kragstasies te beplan, op te rig en in diens te stel, wat beteken dat Suid-Afrika ander opsies moet oorweeg om in elektrisiteitsaanvraag te voorsien. Dit noodsaak vinnige en innoverende maniere om in toekomstige aanvraag te voorsien. Energierendement is as “ʼn laaghangende vrug” op die energieboom geïdentifiseer ten einde beperkings in kragvoorsiening die hoof te bied en kweekhuisgasuitlatings wat met energie verband hou te verminder. Daar is verskeie energiebesparingsprogramme wat ten doel het om die bewustheid te versterk van maatreëls wat huishoudings kan volg om energieverbruik te verminder. Van Suid-Afrika se vernaamste doelstellings ten opsigte van energierendement in die residensiële sektor is om die uitwerking van spitsaanvraag op kragvermoë te verlig en om die jongste tegnologie in te voer. Ingevolge hierdie tegnologieë is daar ʼn oorvleueling tussen energierendement en hernubare energie. Die algemene installering van hernubare energietegnologieë, soos sonkragwaterverwarming (SWV), het die potensiaal om die noodsaaklikheid van die oprigting van nuwe kragstasies uit te stel. SWV is ʼn lewensvatbare nuwe energieopsie vir Suid-Afrika. Dit is ʼn ontwikkelde en bewese tegnologie met die potensiaal om Suid-Afrika se probleme ten opsigte van elektrisiteitsvermoë die hoof te bied. SWV sorg nie slegs vir die kliënt vir finansiële besparing op die lang duur nie, maar dit bied ook vir die samelewing die bykomende voordeel van ʼn afname in kweekhuisgasuitlatings. Alhoewel die bewustheid van die voordele van sonkragwaterverwarming toeneem, bly die gebruik van SWV laag. Die gebruik is egter besig om toe te neem vanweë ʼn SWV-korting wat deur Eskom aangebied word, elektrisiteitsprysverhogings wat verbruikers dwing om alternatiewe te soek, en ʼn nasionale boureglement wat energiedoeltreffende waterverwarming in nuwe geboue vereis en wat na verwagting in 2012 in werking sal tree. Vloeibare petroleumgas is ʼn brandstofbron wat vir kook gebruik word en wat ʼn lae koolstofvrystelling het. In Suid-Afrika gebruik huishoudings met ʼn middelhoë inkomste die elektriese stoof om te kook. Kook dra by tot elektrisiteitspitsaanvraag. Die vermindering in elektrisiteitsaanvraag deur die vervanging van die elektriese stoof kan help om die elektrisiteitspitsaanvraag op die netwerk te verlaag. Die gebruik van VPG het toegeneem weens die volgende redes: elektrisiteitsvoorsieningstekorte, veranderende regeringsbeleid ten opsigte van VPG en die verhoging in elektrisiteitstariewe wat veranderinge in lewenstyl afdwing. Hierdie gevallestudie het gepoog om die geleenthede, sowel as die hindernisse vir ʼn energierendementprogram wat deur Stellenbosch Munisipaliteit geïnisieer is, te ondersoek. Ten opsigte van energievoorsiening en -aanvraagbestuur het die munisipaliteit energierendement geïdentifiseer en die ingebruikneming van hernubare-energiebronne as opsies om volhoubaarheid te bereik. Een van die hindernisse waarvoor energierenderende tegnologieë te staan kom, is voorkostes in die geval van SWV en die koste van toepaslike toerusting soos gasstowe in die geval VPG. Die studie het ondersoek ingestel na die finansiële meganismes wat die munisipaliteit sou kon gebruik om hierdie hindernisse te bowe te kom en die gebruik van SWV en gasstowe in die residensiële sektor te bevorder. Data is ingevorder deur middel van ʼn kombinasie van ʼn mini-Delphi – kennermeningtegniek, vraelyste, sekondêre data-ontleding, telefoon- en persoonlike onderhoude met belanghebbendes in die sonkragwaterverwarmingsbedryf, belanghebbendes in die VPG-bedryf en munisipale amptenare. Die gevolgtrekking wat uit hierdie navorsing gemaak word, is dat Stellenbosch Munisipaliteit sy eie energierendementprogram kan inisieer in plaas daarvan om vir nasionale regering te wag. Alhoewel die munisipaliteit ʼn energierendementprogram kan inisieer, moet dit ʼn ander instelling kry om die program te befonds. Befondsingsmeganismes oorkom egter die struikelblok van hoë voorkostes en hoë kostes van gastoerusting wat energierenderende tegnologieë bekostigbaar maak.
36

“Improving the existing public sector strategic planning guidelines towards integrated provincial and local government strategic planning processes : lessons learned from Eastern Cape"

Maxegwana, Malusi 03 1900 (has links)
Thesis (MPA)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: The practice of public-sector strategic planning has gained dominance in public sector management in imitation of the concept of strategy in military science and later of the practice of strategic planning in the private sector. Its institutionalisation in the public sector should be welcomed as a positive development. The policy and regulatory framework instils a culture of cooperative governance through the promotion of effective intra- and inter-governmental relations that assume a developmental approach to planning. It is this culture that sets parameters within which the practice of strategic planning should be managed in the public sector. Strategy alignment is critical in achieving cooperative governance in strategic planning, as is shown in this study. The study sought to establish the extent to which the existing strategic planning guidelines could be manipulated to achieve alignment between the provincial and local spheres of government. A qualitative study was performed. It relied on both a non-empirical literature review and an empirical investigation to generate its data. Interviews were conducted with representatives of a sample of four Provincial Departments and seven different Municipalities drawn from the three categories of Local Government, namely metropolitan, local and district Municipalities. The Eastern Cape Provincial Government structure with its composite Municipalities constituted the case selected for this study. The study revealed that strategic planning in the province assumes different formats ranging from basic and medium-term to comprehensive and long-term, as well as sector- and project-specific strategic planning processes. The public sector strategic processes are politically influenced, taking their tone from political directives, but driven mainly by administrators. Whereas the active participation of politicians in shaping integrated development plans (IDPs) as the principal strategic plans for Municipalities is acknowledged, the concern that politicians at a provincial level are playing a limited role in shaping Provincial Departments’ strategic plans remains relevant. It is vital that the political governance centre in the province; namely the premier’s office, should take charge of coordinating strategic planning and should be responsible for the alignment efforts of the government structures in the province. Strategic planning plays a significant role in defining the organisational growth path of every public-sector organisation, as well as the management of public resources, financial and non-financial. This study advocates for learning as a central organisational value and recommends that the existing strategic-planning guidelines be improved to embody a cooperative governance approach. / AFRIKAANSE OPSOMMING: Die toonaangewende posisie wat strategiese beplanningspraktyk in die openbare sektor, binne die kader van bestuur in die openbare sektor, verwerf het, het beslag gekry weens die nabootsing van strategiese beplanningskonsepte eie aan die militêre wetenskapsmilieu. Dit is later versterk deur navolging van strategiese beplanningsmodelle uit die privaatsektor. Die institusionalisering van strategiese beplanning in die openbare sektor moet as ’n positiewe ontwikkeling verwelkom word. Beleidstelling en ’n reguleringsraamwerk vestig ’n sterk korporatiewe verantwoordelikheidsin. Dit word bewerkstellig deur die bevordering van effektiewe intra- en interregeringsvehoudinge, wat ’n ontwikkelingsbenadering tot beplanning veronderstel. Hierdie kultuur omskryf die raamwerk vir die toepassing van strategiese beplanning in die openbare sektor. Soos hierdie ondersoek aandui, is ’n voorvereiste vir deelnemende bestuur, wanneer daar strategies beplan word, koördinering van strategie. Die ondersoek het ten doel gehad om te bepaal tot watter mate bestaande strategiese beplanningsriglyne aangepas kon word om gerigdheid tussen provinsiale en plaaslike regeringsfere te bewerkstellig. ’n Kwalitatiewe ondersoek is gedoen, gebaseer op navorsingsdata verkry uit sowel ’n nie-empiriese literatuurstudie as ’n empiriese ondersoek. Onderhoude is gevoer met verteenwoordigers van ’n monster werknemers, saamgestel vanuit vier provinsiale departemente en sewe verskillende munisipaliteite. Die volle spektrum van plaaslike regeringsinstellings is gedek, naamlik metropolitaanse, plaaslike en distriksmunisipaliteite. Die provinsiale regeringstruktuur van die Oos-Kaap en sy saamgestelde munisipaliteitstrukture vorm die basis vir hierdie gevallestudie. Die ondersoek het aangedui dat strategiese beplanning in hierdie provinsie verskeie vorme aanneem; dit wissel in formaat van basies en mediumtermyn tot omvattend en langtermyn, asook sektorale en projekspesifieke strategiese beplanningsprosesse. Die strategiese proses van die openbare sektor word polities beïnvloed deur die politieke ondertoon teenwoordig in direktiewe, maar dit is hoofsaaklik administrateurs wat die agenda bepaal. Alhoewel die aktiewe betrokkenheid van politici in die daarstelling van geïntegreede ontwikkelingsplanne (GOP’s), die hoof strategiese planne vir munisipaliteite, erken word, is daar steeds rede tot kommer dat politici op provinsiale vlak slegs ’n beperkte rol vervul as dit kom by die skep van die provinsiale departemente se strategiese planne. Dit is van kritieke belang dat die kern van politieke bestuur, naamlik die kantoor van die premier, in beheer van die koördinering van strategiese beplanning moet wees en verantwoordelikheid sal aanvaar vir die koördineringspogings van regeringstrukture in die provinsie. Strategiese beplanning speel ’n betekenisvolle rol wanneer die organisatoriese ontwikkelingspad vir elke openbare sektor instelling uitgestippel word, asook by die bestuur van openbare bronne; sowel finansieel as nie-finansieel. Hierdie ondersoek maak voorspraak vir die beklemtoning van kennisontwikkeling as ’n sentrale organisatoriese noodsaak en beveel aan dat bestaande strategiese beplanningsriglyne sodanig aangepas word dat dit ’n koöperatiewe bestuursplan vir beter deelnemende bestuur beliggaam.
37

Assessing the readiness for the implementation of Generally Recognised Accounting Practice (GRAP) in the Department of Transport and Public Works in the Western Cape

Solomons, Yolanda M. 03 1900 (has links)
Thesis (MPA)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: IMPLEMENTATION OF GENERALLY RECOGNISED ACCOUNTING PRACTICE (GRAP) IN THE DEPARTMENT OF TRANSPORT AND PUBLIC WORKS IN THE WESTERN CAPE. The research project was undertaken to explore one of the major obstacles in South Africa’s public sector, namely shifting the basis of accounting from modified cash accounting to accrual accounting. Contrary to cash accounting, which recognises expenditure only when cash is paid and income is received, accrual accounting recognises expenditure when the goods and services are received and income is recognised when services are rendered. Given the condition of financial reporting within departments with no accrual accounting compliant systems, no processes and policies in place to comply with accruals and lack of relevant capacity and skills, the purpose of the study was to determine the capability of the department to implement accrual accounting (mainly Generally Recognised Accounting Practice (GRAP)) in the public sector context. What needed to be determined was the readiness of the department for the implementation and the challenges and conditions that hampered the implementation of accrual accounting. The literature review explores the existing information for correlation with the implementation of GRAP and recommendations are made to departments within the public sector to ensure an approach and conversion plan that would be relevant and practical in the current environment and address all challenges and concerns identified within a reasonable time frame. The importance of the research for the public sector resides in the recognition of the need for better understanding of the implementation of accrual accounting, so that significant risks and challenges of the accrual accounting implementation may be determined within departments in the public sector. / AFRIKAANSE OPSOMMING: Hierdie navorsingsprojek is onderneem om die gereedheid van die Departement van Vervoer en Openbare Werke ten opsigte van die implementering van die toevallingsgrondslag van rekeningkunde (GRAP) in die publieke sektor te bepaal. Ondersoek is ingestel na een van die grootste struikelblokke in Suid-Afrika se publieke sektor, naamlik die verskuiwing vanaf die kontantgrondslag van rekeningkunde na die toevallingsgrondslag van rekeningkunde. Ooreenkomstig die kontantgrondslag van rekeningkunde word transaksies en ander gebeure erken wanneer kontant ontvang of betaal word. Volgens die toevallingsgrondslag van rekeningkunde word transaksies en ander gebeure egter erken wanneer dit aangegaan word en nie wanneer kontant ontvang of betaal word nie. Gegewe die toestand van finansiële verslagdoening binne die departemente, met geen voldoening aan toevallingsgrondslagrekeningkundige stelsels nie, geen prosesse en beleide in plek nie en 'n gebrek aan kapasiteit en vaardighede in die publieke sektor, was die doel van die studie om te bepaal tot watter mate die departement oor die vermoë beskik om toevallingsgrondslagrekeningkunde binne die departemente in die publieke sektor te implementeer en om die gereedheid vir die implementering en die uitdagings en struikelblokke wat die implementering kan belemmer, te identifiseer. ‘n Literatuurstudie is onderneem om die beskikbare inligting met die implementering van toevallingsgrondslagrekeningkunde (GRAP) te gekorreleer en aanbevelings word aan die departemente in die publieke sektor gemaak om te verseker dat die benadering en die omskakelingsplan hiervoor die huidige situasie toepaslik en prakties sal aanspreek en alle uitdagings en probleme binne 'n redelike tydperk die hoof sal bied. Vir die publieke sektor is die belangrikheid van die navorsing daarin geleë dat 'n beter begrip van die toepassing van toevallingsgrondslagrekeningkunde in departemente nodig is sodat die beduidende risiko's en uitdagings wat met die implementering van toevallingsgrondslagrekeningkunde binne departemente in die openbare sektor vasgestel kan word.
38

Developing a sourcing strategy in the South African Police Service Garages

Vanto, Zacharia 03 1900 (has links)
Thesis (MPA)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: research study was about finding the right sourcing strategy that would work effectively for the South African Police Service (SAPS) garages. Its purpose was to help the SAPS garages deal strategically and effectively with their work load while repairing the SAPS vehicles, as the current evidence indicated that the garages might not have sufficient capacity to cope with the volume of repairs they were receiving. The research was structured as a case study design, in which personal interviews were held with SAPS garage managers, SAPS strategy drivers (Head Office) and executive managers at the City of Cape Town, Western Cape Provincial Government Fleet, and Passenger Rail Agency of South Africa (PRASA). To follow up on these initial one-on-one interviews, a further questionnaire comprising similar, information-gathering questions was sent out to various SAPS garage managers to elicit more detailed information on the circumstances of their individual garages. A literature review, which formed the basis of the study, explains the sourcing strategy, and explores different sourcing options including how to make the best sourcing decision. In this study, three models of sourcing strategy were considered, and were supported by the case study of the City of Cape Town, Western Cape Provincial fleet management, and PRASA. This study has proved that what the different authors have written and recommended about in-sourcing and outsourcing can still be considered in conjunction with the current legislative and policy framework. The cost analysis was conducted in order to be able to assess which option would be the more expensive between in-sourcing and outsourcing. The fundamental finding of this research was that the SAPS garages could not handle all the work they were receiving, as they did not have the capacity, for various reasons, to deal with the volume of vehicle repairs that were coming in, and that the variety of sourcing strategies at the different garages were not effectively reducing the backlog. There was no clear sourcing strategy in place from the National office to guide the garages. From these findings, the recommendation is that the big garages should handle all the services and minor repairs including some major repairs, with the majority of the major repairs being outsourced to service providers, while the smaller garages should focus on services and minor repairs only, and outsource all major repairs. The vehicles that are not within a 30km radius of the SAPS garages must be directly outsourced to providers using the RT46 contract, or similar arrangement. Further research studies are needed regarding the demographic structure of the garages, and also regarding the effectiveness and efficiency of the actual running of the garages. A balance then needed to be found between in-sourcing and outsourcing, whilst ensuring that the garages were operating efficiently and outsourcing responsibly. / AFRIKAANSE OPSOMMING: Die navorsingstudie is gedoen om die effektiefste en geskikste verkrygingstrategie vir die voertuigwerkswinkels van die Suid-Afrikaanse Polisiediens (SAPD) te bepaal. Die doel was om die werkswinkels te help om strategies en effektief te werk gegewe hulle werkslading, aangesien huidige bewyse getoon het dat hulle nie voldoende kapasiteit daarvoor het nie. Die navorsing is gestruktureer as ’n gevallestudie, waartydens persoonlike onderhoude met SAPD-werkswinkelbestuurders, SAPD- strategiese drywers (Hoofkantoor), en uitvoerende bestuurders van die Stad Kaapstad, die Wes-Kaapse Provinsiale Regering-vloot en die passasier-spooragentskap van Suid-Afrika (PRASA) gevoer is. Ter opvolging van die oorspronklike individuele onderhoude is ’n verdere vraelys gebruik waarin soortgelyke vrae aan SAPD-werkswinkelbestuurders gestel is om meer inligting aangaande die toestand van hulle werkswinkels te bekom. ’n Literatuuroorsig, wat die basis gevorm het van die studie, verduidelik die verkrygingstrategie en ondersoek verskillende verkrygingsopsies, asook hoe om die beste verkrygingsbesluite te neem. In hierdie studie is drie verkrygingstrategiemodelle oorweeg, wat ondersteun is deur die gevallestudie van die Stad Kaapstad, die Wes-Kaapse Provinsiale Regering-vlootbestuur en PRASA. Die studie het bewys dat dít wat die onderskeie outeurs oor in- en uitkontraktering bevind en aanbeveel het, steeds oorweeg behoort te word, aangevul deur die bestaande wetgewing en beleidsraamwerk. Die kosteontleding is gedoen om te bevestig watter in- of uitkontrakteringsopsies die effektiefste sou wees. Die fundamentele bevinding van hierdie navorsing is dat die SAPD se voertuigwerkswinkels tans nie al die werk wat hulle ontvang, kan hanteer nie, omdat hulle om verskeie redes nie die nodige kapasiteit het om die groot aantal voertuie wat inkom, te herstel nie. Die uiteenlopende strategieë wat die onderskeie werkswinkels volg sover dit uitkontraktering betref, verminder ook nie die agterstand nie. Daar is nie ’n duidelike verkrygingstrategie van die nasionale kantoor wat riglyne aan die werkswinkels verskaf nie. Die aanbeveling na aanleiding van hierdie bevindinge is dat die groot werkswinkels al die versienings en kleiner herstelwerk, met inbegrip van sekere groot herstelwerk, moet hanteer, terwyl die kleiner werkswinkels moet fokus op versienings en kleiner herstelwerk, en alle groot herstelwerk moet uitkontrakteer. Indien voertuie buite ’n 30 km-radius van ’n SAPD-werkswinkel is, moet sodanige herstelwerk uitgekontrakteer word deur gebruik te maak van die RT46-kontrak, of ’n soortgelyke reëling. Verdere navorsingstudies is nodig oor die demografiese struktuur van die werkswinkels, asook die doelmatigheid en effektiwiteit betreffende die werklike bedryf van die werkswinkels. ’n Balans moet gevind word tussen in- en uitkontraktering, terwyl daar verseker moet word dat die werkswinkels effektief bedryf word en uitkontraktering op ’n verantwoordelike wyse geskied.
39

An evaluation of e-government within the Provincial Government Western Cape (PGWC)

Jantjies, Stephan Omar 12 1900 (has links)
Thesis (MPA (Public Management and Planning))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: Electronic government or e-Government has become a global phenomenon and is seen as a tool to strengthen the performance of government and public administration. An efficient and effective state administration is a necessary requirement for economic and social development. This study describes to what extent the e-Government policy of the PGWC compares with other e-Government policies internationally and in particular the Australian e-Government policy. South Africa as a young democracy can use the transformational power of the e- Government approach to the benefit of government, business and the citizens of the country if this approach is applied appropriately. e-Government offers the opportunity to improve public services and can even reduce the gap that exists between those who are computer literate and those who are not. E-Government in the PGWC is still in the beginning phases compared to e- Government in Australia, which has developed rapidly over the last decade. The PGWC can learn from the Australian e-Government development process, with Australians being regarded as one of the leading e-Government nations in the world, according to the United Nations Organisation. Even though the e-Government policy of the PGWC and the Australian e- Government policy use a comparatively similar approach within the demographic boundaries in which they exist, it was found that the socio-economic challenges of South Africa as a developing country, still have an enormous influence on the optimal application of the e-Government policy. / AFRIKAANSE OPSOMMING: Elektroniese regering of e-Regering het ‘n wêreldwye verskynsel geraak en kan gesien word as ‘n maatstaf vir die versterking van regeringsoptrede en publieke administrasie. ‘n Effektiewe en doeltreffende staatsadministrasie is ‘n noodsaaklike vereiste vir ekonomiese en sosiale ontwikkeling. Hierdie studie beskryf tot watter mate die e-Regeringsbeleid van die Wes-Kaapse Provinsiale Regering met ander internasionale e-Regeringsbeleide vergelyk, veral met betrekking tot die e- Regeringsbeleid van Australië. As ‘n jong demokrasie kan Suid-Afrika die transformerende invloed van die eregerings benadering tot die voordeel van die regering, besigheid en die burgers van die land gebruik indien hierdie benadering korrek toegepas word. e-Regering bied die geleentheid om publieke dienste te verbeter en kan selfs die bestaande gaping vernou tussen diegene wat rekenaargeletterd is en diegene wat nie rekenaargeletterd is nie. e-Regering in die Wes-Kaapse Provinsiale Regering is nog in ‘n betreklike vroeë stadium vergeleke met e-regering in Australië waar dit oor die laaste dekade snel ontwikkel het. Die Wes-Kaapse Provinsiale Regering kan vanuit die ontwikkelingsproses van die Australiese e-Regering leer, daar Australië deur die Verenigde Volkere-organisasie as een van die voorste e-Regeringnasies in die wêreld beskou word. Selfs al toon die beleide van die Wes-Kaapse Provinsiale Regering en die van Australië ‘n relatief eenderse benadering tot e-Regering binne die demografiese grense waarin hulle bestaan, is gevind dat die sosio-ekonomiese uitdagings van Suid-Afrika as ‘n ontwikkelingsland steeds ‘n enorme invloed op die optimale aanwending van e-Regering het.
40

Integration of African traditional health practitioners and medicine into the health care management system in the province of Limpopo

Latif, Shamila Suliman 12 1900 (has links)
Thesis (MPA (Public Management and Planning))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: The Department of Health estimates that 80 percent of South Africans consult traditional healers before consulting modern medicine. The aim of this study is to investigate the extent of the use of traditional medicine in local communities in the Limpopo Province, and add value to a draft policy that was introduced by the Minister of Health. (South Africa, Department of Health 2007a) Traditional healers are regarded as an important national health resource. They share the same cultural beliefs and values as their patients. They are respected in their communities. In South Africa, traditional healers have no formal recognition as health care professionals. Despite the advantages of modern medicine, there is a dramatic evolution in traditional medicine developing and developed countries. In recognition of the value that traditional medicine has added to people’s health needs, government organisations have realised the gap and needed to embark on public participation to bring to light the solution, by implementing a relevant policy (Matomela 2004). According to research done by Pefile (2005), positive outcomes that resulted from the use of traditional medicine include a more holistic treatment, a wider choice of health care that suits people’s needs, and scientific advancement, this paves a way forward for a policy to be put into place for the legal recognition of traditional medicine. New legislations have been brought about in regulating traditional medicine and practitioners. This paper provides a synopsis of government initiatives to close the gap and address the concerns of integrating traditional and modern medicine. The thesis addresses the challenges involved in incorporating the two disciplines for the best possible impact of local communities in accessing their rights as vested in the constitution. The study is a qualitative study where relevant practicing traditional healers, users, Western doctors, nurses, managers and government policy makers were interviewed regarding the draft policy on traditional medicine. This was to obtain information on the challenges, gaps and possible solutions regarding the integration of African traditional medicine into the health care system of Southern Africa. Findings show the following: a majority of traditional healers do not agree to scientific trialling and testing on the herbs that they prescribe, and Western doctors feel that traditional healers should only treat patients spiritually unless they have a scientifically tested scope and limitations on their field. The study also found that traditional healers want to be registered and integrated into the health care system, but do not agree to have regulated price fixing. Other conclusions included that the communities seek traditional help for cultural reasons and more benevolent purposes, but are changing their focus towards seeking medical help from clinics where it is provided for them. However, people within the communities are still confused whether to seek traditional or western medicine and therefore seek both. It was found that medications are not readily available in district clinics and hospital waiting times force people into seeking traditional help. Nurses, doctors and caregivers acknowledge that traditional healers are hampering the health care of patients by delaying hospital treatment of patients hence progressing illnesses. However, they also state that traditional healers help people spiritually and mentally. Therefore policy makers have found solutions to educate healers and create regulatory boards to limit and create a scope of practice for traditional healers. Recommendations and solutions for the relevant policy are as follows: It is recommended that traditional health practitioners should only be allowed to practice and train over the age of 21. They must be prohibited from certain procedures, for example: drawing blood, treating cancers, and treating AIDS/HIV. They should only be allowed to practice midwifery if they have had training. They should be prohibited from administering injections and supervised drugs, unless trained at a tertiary level traditional healers can be used as home caregivers, spiritual healers, and traditional advice counselling entities in the communities. Traditional healers must be prevented from referring to themselves as a ‘doctor’ or ‘professor’. This misleads people into believing that they are allopathic doctors. ‘Traditional health practitioners’ must realise that they are holistic healers, and must be addressed as such. A strong recommendation is to rename ‘traditional health practitioners’ as ‘spiritual practitioners’. With regards to regulations, it must be imperative that every practicing traditional health practitioner be registered annually with the relevant board. A good suggestion is for traditional health practitioners (THP) to attend formal training courses, under an experienced herbalist, and it should be documented on paper. A written record of the location of practice, and specialty must also be documented. There must be policies on health and safety, hygiene and sterility that need to be in place. It is suggested that training on patient confidentially must be taught and implemented. A code of conduct and a standard of professional ethics must also be implemented. Health and safety regulations pertaining to the profession and the citizens must be listed. Efforts towards dispelling myths and making people aware, thereby filtering out the positive side of the traditional medicine (e.g. medical benefits with some herbs), and rooting out the ‘quack’ practices (e.g. the use of amulets around a patient’s body to cure diseases) should be practiced. Pertaining to co-operative relationships between modern medical doctors and traditional practitioners, it is recommended that the use of exchange workshops between the two professionals needs to be developed. Also scientific information and technology must be available to traditional healers. A continued professional development (CPD) programme should be a mandatory requirement, as for all other health care professionals. It seems the development of traditional hospitals, in which a scope of practice is defined, can be used as a recovery ward and a spiritual guidance centre. The above recommendations will encourage a healthier, safer and transparent health care system in South Africa, where all disciplines of medicine co-exist in one National Health Care System. / AFRIKAANSE OPSOMMING: Nadat navorsing deur die Departement van Gesondheid gedoen is, is daar gevind dat 80 persent van Suid-Afrikaners tradisionele genesers besoek. Die doel van hierdie navorsing is om ondersoek te doen na die gebruik van tradisionele medisyne deur landelike gemeenskappe in die Limpopo Provinsie, en om ook ‘n bydrae te lewer tot die konsepbeleid wat deur die Minister van Gesondheid bekendgestel is (South Africa, Department of Health 2007a). Tradisionele genesers kan beskou word as ‘n belangrike hulpbron in die nasionale gesondheidsdiens. Hulle deel in kulturele gelowe en waardes van hulle pasiente en word ook gerespekteer in hulle gemeenskappe. Suid-Afrika egter, gee geen erkenning aan tradisionele genesers of die feit dat hulle in die gesondheidsdiens is nie. Ondanks die feit van moderne geneesmiddels, is daar ‘n dramatiese evolusie wat besig is om plaas te vind in die Westerse Wêreld. Die erkenning en waarde van tradisionele medisyne wat bydra tot mense se gesondheidkwaliteit, het daartoe gelei dat Staatsorganisasies begin insien het dat daar ‘n gaping is en dat publieke peilings gedoen word om ‘n oplossing te vind en ‘n beleidsdokument saam te stel wat tradisionele genesers insluit (Matomela 2004). Die ondersoek wat Pefile (2005) gedoen het, het positiewe resultate getoon by die gebruik van tradisionele medisyne wat ‘n holistiese behandeling in ‘n wyer verskeidendheid van medisyne insluit by gebruikers. Ook die wetenskaplike vooruitgang van tradisionele medisyne het daartoe bygedra dat ‘n beleidsdokument in plek gesit word vir die wettige erkenning daarvan. Nuwe wetgewing is in werking gestel om beheer uit te oefen oor tradisionele genesers en tradisionele medisyne. Hierdie dokument verskaf ‘n sinopsis van die Staat se inisiatiewe om die gaping tussen moderne medisyne en tradisionele medisyne aan te spreek en ook om landelike gemeenskappe toe te laat om hulle reg uit te oefen soos wat in die Grondwet vervat is. Die studie is kwalitatief waar relevante praktiserende tradisionele genesers, verbruikers, Westerse dokters, verpleegkundiges, bestuurders en staatsdiensbeleidvormers ondervra is oor ‘n konsep beleidsdokument oor tradisionele medisyne. Dit was gedoen om informasie rakende die uitdaging , gapings en 'n moontlike oplossing te vind vir die integrasie van Afrika se tradisionele medisyne in die gesondheidsorgsisteem van Suidelike Afrika. Belangrike bevindings sluit die volgende in: die meerdeerheid tradisionele genesers stem nie saam dat wetenskaplike toetse gedoen word op kruie wat hulle voorskryf nie; tradisionele genesers will geregisteer en geïntegreer word in die gesondheidsorgsisteem maar stem nie saam oor prysregulering en prysvasstelling nie; Westerse dokters is van mening dat tradisionele genesers net pasiënte geestelik moet kan behandel tensy hulle ‘n wetenskaplik getoetse doel en beperkings in hulle veld het; Westerse dokters glo dat tradisionele genesers dwarsboom die gesondheidsorgsisteem deurdat hulle behandeling vetraag; die gemeenskap soek tradisionele hulp op vir kulturele redes en ander welwillendheidsredes maar gaan soek mediese hulp by klinieke waar dit aan hulle verskaf word; mense van gemeenskappe is verward en raadpleeg beide tradisionele genesers en Westerse dokters vir hulp; sommige medisyne is nie altyd by klinieke beskikbaar nie en mense sien nie kans om in lang rye te wag by hospitale nie en dit noop dat hulle tradisionele medisyne gebruik; verpleegkundiges en gesondheidswerkers erken dat tradisionele genesers mense vertraag om gesondheidsorg en behandeling by hospitale te kry, maar verstaan ook dat tradisionele genesers aan mense geestelike hulp verleen; en besleidskrywers moet oplossings vind om tradisionele genesers op te voed en om komitees te stig wat tradisionele genesers se ruimte van praktisering in toom te hou. Die volgende word as voorstelle tot aanpassing van die genoemde beleidsdokument geïdentifiseer:- Tradisionele genesers mag alleenlik praktiseer en opleiding verskaf na die ouderdom van 21 jaar. Hulle moet verbied word om sekere prosedures, byvoorbeeld die trek van bloed; behandeling van HIV/VIGS; om voor te gee dat hulle mediese praktisyns is; om vroedvroue te wees slegs indien gekwalifiseer daartoe; om inspuitings toe te dien en medisyne uit te reik slegs indien hulle tersiëre opleiding gehad het. Tradisionele genesers se dienste kan gebruik word as gemeenskapsgesondheid hulpwerkers, geestelike genesers, en kan tradisionele advies en begeleiding aan die gemeenskap lewer. Tradisionele genesers moet belet word om die titels “Dokter” en “Professor" te gebruik. Tradisionele genesers moet daarop let dat hulle holistiese genesers is en moet daarvolgens aangespreek word. Hulle moenie pasiënte mislei deur voor te gee dat hulle allopatiese geneeshere is nie. “Tradisionele genesers” moet hernoem word na “geestelike genesers”. Tradisionele genesers moet by ‘n erkende organisasie geregistreer word en moet so-ook jaarliks registrasie hernu. Formele onderrig wat deur ‘n ervare kruiegeneser aangebeid word moet bygewoon en gedokumenteer word. ‘n Geskrewe rekord van die ligging van die praktyk en betrokke spesialisering moet bygehou word. Beleidsvoorskrifte wat verband hou met gesondheid en veiligheid, hygiene en sterilisasie moet in die tradisionele gesondheidgeneserspraktyk geïmplementeer word. Opleiding in pasiëntkonfidensialiteit moet aangeleer en toegepas word. Samewerking en werkswinkels tussen moderne mediese dokters en tradisionele gesondheidgenesers moet geïmplementeer en ontwikkel word. Mediese wetenskapsinligting en tegnologie moet aan tradisionele genesers bekendgemaak word. Voorts moet ‘n voortgesette professionele ontwikkelingsprogram (POP) aan alle gesondheidswerkers voorgeskryf word. Dit blyk wenslik te wees om tradisionele hospitale tot stand te bring waar die bestek van praktyk gedefinieer word. Sulke hospitale kan dien as plekke waar pasiënte aansterk en geestelike onderskraging geniet. ‘n Etiese kode en standaard vir professionele etiek moet geskep word vir tradisionele genesers. Gesondheids- en sekureitsregulasies moet van toepassing wees en geïmplementeer word. Pasiënte moet ingelig word oor die wegdoen van mites en fabels. Daardeur kan die positiewe sy van tradisionele medisyne (byvoorbeeld mediese voordele van kruie), en uitroei van “kwakke” (byvoorbeeld dra van gelukbringers om die lywe), verdryf word. Dit sal die aanmoediging van ‘n gesonder, sekuriteitbewuste en deursigtige gesondheidsorg sisteem bewerkstellig in Suid-Afrika waar alle dissiplines van medisyne saam bestaan in die Nasionale Gesondheidsorgsisteem.

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