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Socio-economic and gender determinants of immunisation coverage in the federal capital territory, NigeriaYehualashet, Yared Gettu 05 1900 (has links)
Abstracts in English and Zulu / Immunisation is a cost-effective public health intervention that contributes to the
attainment of the Sustainable Development Goals (SDGs). About 40% of children
under the age of five years die from vaccine-preventable diseases in Nigeria. Routine
immunisation has been quite low in Nigeria, where national coverage is estimated to
be 33%, according to a 2016–2017 survey. This empirical research was aimed at
determining the key socio-economic and gender determinants of immunisation in the
Federal Capital Territory (FCT), identifying gaps and proffering solutions. Mixed
methods of data collection and analysis were used. Data were gathered from several
secondary sources and from 11 key informants using semi-structured interviews and
501 household and 26 health-facility surveys using questionnaires mounted on Open
Data Kit. Lot quality assurance sampling and probability to population size methodology
were used to size the samples and identify survey locations. Odds ratio analysis and
logistic regression analysis were conducted to gauge the statistical association
between the determinants and the coverage of immunisation. The main finding that
was reached on the basis of the documents reviewed and the feedback received from
the key informants was that they were gender blind at worst and gender neural at best.
Most of the current strategies give little attention to socio-economic and gender
barriers. Over 40 immunisation variables were identified. The analysis, particularly
using the 2x2 odds ratio, yielded mixed results. The majority of the variables exhibited
a close statistical association as far as immunisation indices were concerned. These
variables included urban residency, married couples, literacy, birth at a health facility,
antenatal care experience, vaccination card possession, immunisation knowledge,
child health information, non-farming earnings, socio-economic status and tolerance of
spouse beating. On the other hand, variables that were found to have no statistical
significance included sex, marital status, marriage type, age, religion, tetanus toxoid
(TT) vaccination and adequacy of income. Immunisation and gender are intertwined,
particularly because of mothers’ biological and social attachment to their children. At
the same time, conducting vaccination avails the opportunity to access almost all
households. Moreover, it is important to recognise that socio-economic and gender
determinants are not totally in control of one ministry. Single agenda interventions will
not produce the desired result. A paradigm shift and the concerted effort of various
sectors and partners are required. Therefore, the Nigerian government should
galvanise the relevant stakeholders to bring gender and socio-economic variables into
the mainstream throughout the immunisation ecosystem and to implement integrated
development initiatives by prioritising vulnerable communities. / Ugonyo yindlela engcono yokungenela kwezempilo yabantu engathela esivivaneni
ekufinyeleleni izinhloso zentuthuko eqhubekela phambili ezaziwa ngelokuthi yi-
Sustainable Development Goals (SDGs). Cishe izingane ezifinyelela ku 40%
ezingaphansi kweminyaka emihlanu zibulawa yizifo ezivimbelekayo ngomgcabo
emitholampilo eNigeria. Ukugonya njalo kusezingeni eliphansi eNigeria, laphokhona
ukwengamela kuzwelonke kulinganiselwa ku 33%, ngokuya kocwaningo olwenziwe
phakathi kuka 2016-2017. Ucwaningo lokuthola ubufakazi lwalunenhloso yokubona
imithelela yezesimo sabantu nomnotho (socio-economic) kanye nobulili ngokugonya
kwi-Federal Capital Territory (FCT) ukubona amagebe kanye nokutholakala
kwezixazululo. Amamethodi axubene okuqokelela ulwazi kanye nohlaziyo
kwasetshenziswa. Ulwazi lwaqokelelwa ngokufunda imithombo yemibhalo (secondary
sources) kanye nakubantu ababalulekile abanolwazi (key informants) abangu 11
ngokusebenzisa ama-semi-structured interview kanye nemizi engu 501 kanye namasurvey
amafasilithi ezempilo angu 26 ngokusebenzisa uhla lwemibuzo yamaquestionnaire
ebifakelwe kwi-Open Data Kit. Kwasetshenziswa nemethodi ye-Lot
quality assurance sampling ne-probability, ngemethodoloji yobuningi babantu,
ukwenza usayizi wamasampuli kanye nokubona izindawo okumele kwenziwe kuzo
ama-survey. Kwenziwa nohlaziyo lwe-Odds ratio analysis kanye ne-logisic regression
analysis ukubona ukuhambelana kwamastatistiki phakathi kwezinto eziwumthelela
kanye nokunaba kongamelo lokwenziwa kogonyo. Okukhulu okutholakele
ngokulandela amadokhumende okufundwe kuwo, kanye nezimpendulo ezivela kulabo
abanolwazi ababalulekile (key informants) kube wukuthi bekungaboneleli ubulili
(gender blind) kanti futhi bekungachemile ngokulandela ubulili (gender neutral)
ngezinga elibi nangokungcono kakhulu. Amasu amaningi amanje awanakekeli kakhulu
izihibe ezimayelana nabantu nezomnotho kanye nezobulili. Kwaphawulwa cishe izinto
ezehlukene zama-variable ezingu 40 mayelana nogonyo. Uhlaziyo, ikakhulukazi
ngokusebenzisa i 2x2 odds ratio, lwaveza imiphumela exubene. Ezinto zama-variable
ehlukene eziningi zikhombise ukuhlobana phakathi kwamastatistiki mayelana namaindices
ogonyo. Lama variable, abandakanye ukuhlala emadolobheni, abantu
abashadile, ikhono lokubhala nokufunda, ukuzalwa kwezingane kumafasilithi ezempilo,
izipiliyoni zonakekelo lwengane ngaphambi kokuzalwa, ukuba nekhadi lomgcabo
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wasemitholampilo, ulwazi ngogonyo, ulwazi ngempilo yengane, ukuthola imali
ngemisebenzi engeyona eyokulima, isimo sabantu mayelana nezomnotho, kanye
nokuqinisela ukuhlukunyezwa ngokushaywa kwabesimame. Kanti ngakolunye
uhlangothi, ama-variable atholakale engenakho ukubaluleka ngokwamastatistiki,
abandakanya ubulili, isimo ngokomendo, inhlobo yomendo, iminyaka yobudala, inkolo,
umgcabo we-tetanus toxoid (TT), kanye nokwenela kwengeniso lemali. Ugonyo kanye
nobulili kuyangenelana nokuhambelana, ikakhulukazi ngenxa yokusondelana komama
kanye nezingane zabo. Ngaso leso sikhathi, ukwenziwa kogonyo kuhlinzeka ngethuba
lokufinyelela cishe kuwo yonke imizi eminingi. Nangaphezu kwalokho, kubalulekile
ukwamukela ukuthi isimo sabantu mayelana nezomnotho kanye nobulili kuyizinto
ezinomthelela, azinalo ulawulo oluphelele kumnyango kangqongqoshe owodwa.
Ungenelo ngento eyodwa ngeke kwaveza imiphumela efiswayo. Ukugudluka
ngokomqondo (paradigm shift), kanye nemizamo eqhubekela phambili yemikhakha
ehlukene kanye nabasebenzisani kuyadingeka. Ngakho-ke uhulumeni waseNigeria,
kumele agqugquzele ababambiqhaza abafanele ukuhlanganisa nokufaka emkhakheni
ofanele izinto ezimayelana nabantu nomnotho kanye nobulili, kuyo yonke inqubo
yokusebenzisana kwemikhakha okumele isebenzisane nehlangene ukusebenza
ngokulandela inqubo yentuthuko ehlangane ngokubonelela imiphakathi ekwizimo
ezibucayi / Development Studies / D. Phil. (Development Studies)
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A phenomenological study of an emerging financial value ecosystem: based on distributed ledger technology and novel peer to eer game structure / Ucwaningo olugxile ezigamekweni okuhlangatshezwane nazo maqondana neekhosistimu efufusayo yobunani-mali: olusekelwe phezu kwe-distributed ledger technology Kanye ne-novel peer-to-peer game structureCrafford, Francois 02 1900 (has links)
Abstracts in English, Zulu and Xhosa / The central research issue in this study is the third morphing of economies due to the externally available intelligent building blocks of technology. More specifically, it is anticipated that the widespread use of distributed ledger technology will transform the workings of organisations to such a degree that they will cease to exist in their current form. Hence, the use of distributed ledger technology is not merely a tame management problem; it poses a wicked strategic problem.
Furthermore, natural explanations add to the confusion in relation to what managers should do with distributed ledger technology. A transcendental phenomenological attitude is required to transcend the multitude of natural explanations. Phenomenology is both the philosophy and method employed in this study, which questions what human engagement in the world is about. More specifically in this study engagement with distributed ledger technology. This study closes this gap in knowledge by giving an accurate description of the essence of the distributed value ecosystem phenomenon.
The study makes a contribution to more coherent and fundamental understanding the essences of the distributed value ecosystem phenomenon is the nature of the relationship patterns that participants hold to distributed ledger technology.
The central factual finding is the nature and pattern of these relationships is transactional and circular.
The pattern preferred by most organisations is the bounded binary transactional pattern. Organisations seek primarily to have power over the socially complex aspects in transacting. However, the bounded binary transactional pattern may become an unbalanced and unfair value-subtract relationship over time. The response to unbalanced binary bounded value relationships is the unbounded transactional pattern, which gives participants greater autonomy and privacy pseudonymity, but not the transparency that is essential to transact seamlessly.
The third value relationship pattern and novel idea presented is the folded value relationship pattern in which participants balance conflicts over socially complex aspects in relation to self and others by meeting narrow micro-level near interaction conditions. This is a more folded, novel strategic game that participants can pick. The key implication for society and organisations is that it presents an alternative approach to dealing with conflict in socially complex value relationships. In essence, with the folded transactional pattern, participants seek to trade up value relationships in relation to self and with others, as opposed to making value relationship trade-offs or sacrifices that lead to either compromises in relation to self or dominance over others. However, the practical managerial implication is truly folded value relationship pattern is not easy to create and is rare. / Umbandela ophambili wophando kwesi sifundo kukuzotywa ngokutsha kwesithathu kwezoqoqosho
ngenxa yobukho bezakhi zobuchwepheshe ezinobukrelekrele. Eyona nto ingundoqo yeyokuba
kucingelwa ukuba ukusetyenziswa kakhulu kobuchwepheshe bokubhala iingxelo mali buya
kuyiguqula indlela asebenza ngayo amaqumrhu, ade ayeke ukusebenza ngale ndlela enza ngayo
ngoku. Ukusetyenziswa kobuchwepheshe bokusasaza iingxelo zogcino mali (ngesiNgesi
kusetyenziswa isishunqulelo esithi DLT) akuyongxakana nje yolawulo; kuyingxaki enkulu
nekhohlakeleyo.
Ngaphaya koko, iinkcazelo ezikhoyo zongeza ukubhideka malunga neyona nto emele ukwenziwa
ngabaphathi ngobu buchwepheshe bokusasaza iingxelo zogcino mali. Into efunekayo kukusebenzisa
indlela yophando ngokuphicotha amava nokufuna ukuqonda indlela acinga ngayo umntu, ngakumbi
kumba omalunga nobuchwepheshe bokusasaza iingxelo zogcino mali. Esi sifundo sivala isikhewu
solwazi esikhoyo ngokunika inkcazelo echanekileyo ngalo mbandela wokusasazwa kokuxabiseka
kwentsebenziswano yendalo nomntu.
Esi sifundo sinceda ekuqondeni iziseko zombandela wokusasazwa kokuxabiseka kwentsebenziswano
yendalo nomntu neepatheni zolwalamano lwabathathi nxaxheba kwicandelo lobuchwepheshe
bokusasaza iingxelo zogcino mali.
Eyona nto ingundoqo efumanisekayo kukuba ubume nepatheni yolu lwalamano iquka
intsebenziswano yorhwebo kwaye ifana nomjikelo.
Ipatheni ekhethwa ngamaqumrhu amaninzi yileyo yentsebenziswano ephakathi kwesibini.
Amaqumrhu afuna tanci ukuba nolawulo kwimiba enzima yezentlalo xa erhwebelana. Noxa kunjalo,
ipatheni yokurhwebelana ngezibini isenokudala ukungalingani nokuqhathana ngokuhamba
kwexesha. Usabelo kulwalamano lwezibini olungenalingano yiphatheni yorhwebelwano
olungabekelwanga mida, apho abathathi nxaxheba bekwazi ukuzithathela izigqibo ekhusini
bengazichazi ukuba bangoobani, nto leyo inqanda ukusebenza ekuhleni nokufunekayo
ekusebenzisaneni ngaphandle kwamagingxigingxi.
Ipatheni yesithathu kwixabiso lolwalamano kulapho ulwalamano lusongiwe, apho abathathi
nxaxheba belungelelanisa iingxabano ezingemiba yezentlalo enzima ngokufezekisa iimeko ezilula
nezincinane. Oku kufana nomdlalo osongeneyo nolicebo lobulumko onokukhethwa ngabathathi
nxaxheba. Okubalulekileyo kukuba le yindlela eyenye enokukhawulelana neengxwabangxwaba
eluntwini nakumaqumrhu. Eneneni, kwipatheni yentsebenziswano esongeneyo, abathathi nxaxheba
bazama ukutshintsha ulwalamano oluphakathi komntu nabanye, endaweni yokuncama izinto ezithile
ezinokukhokelela kwilahleko okanye ekonganyelweni ngabanye. Noxa kunjalo, ipatheni
yolwalamano olusongeneyo kulwalamano lwabalawuli ayinto ilula kwaye inqabile. / Udaba olungumgogodla walolu cwaningo wukuguquka kwesithathu kweminotho ngenxa yamandla
namakhono obuchwepheshe besimanjemane atholakala ngaphandle kwenhlangano.
Ngokuqondileyo, kubhekeke ukuthi ukusetshenziswa kakhulu kwe-distributed ledger technology
kusiguqule kakhulu isimo-sakhiwo sezinhlangano kanye nendlela ezisebenza ngayo, kangangukuthi
zigcine sezingabonakali neze ukuthi zike zaba kulesi simo-sakhiwo ezikusona njengamanje. Ngakhoke
ukusetshenziswa kwe-distributed ledger technology akuyona neze inkinga elula futhi
abangayixazulula kalula abaphathi; kepha kuyinkinga eyinkimbinkimbi futhi eyimpicabadala
okungelula nakancane ukuyixazulula.
Ngaphezu kwalokho, izincazelo zemvelo ziyengeza phezu kokudideka okuphathelene nalokho
okumele kwenziwe ngabaphathi maqondana ne-distributed ledger technology. Ukuze kudlulelwe
ngale kwenqwabanqwaba yezincazelo zemvelo ezikhona kudingeka indlela-kucabanga nendlelakubuka
evulekile yokuqonda ulwazi oluphathelene nezimo kanye nezigameko okuhlangatshezwane
nazo noma okudlulwe kuzona. Ifenomeloji iyikho kokubili ifilosofi kanye nendlela-kusebenza
esetshenzisiwe kulolu cwaningo, okuphonsa umbuzo mayelana nokuthi kuphathelene nani
ukuxhumana kanye nokubandakanywa kwabantu emhlabeni, ikakhulukazi maqondana
nokubandakanywa okuphathelene ne-distributed ledger technology. Lolu cwaningo luvala igebe
lokungabi khona kolwazi ngokuthi lunikeze incazelo enembayo yomongo we-distributed value
ecosystem.
Ucwaningo luyalekelela futhi lufake isandla ekutholakaleni kokuqonda okuhle nokuhleleke kahle
futhi okuyisisekelo komongo we-distributed value ecosystem okungukuthi lokhu kuwuhlobo
lwamaphethini obudlelwano obuboniswa ngababambiqhaza maqondana ne-distributed ledger
technology.
Umphumela osemqoka kakhulu futhi oyiqiniso otholakale ocwaningweni wukuthi ubunjalo kanye
nephethini yalobu budlelwano ibandakanya izinhloso zokuzizuzela okuthile futhi okungubudlelwano
obusasiyingi.
Iphethini encanyelwa yiningi lezinhlangano yi-bounded binary transactional pattern. Izinhlangano
zihlose ikakhulukazi ukuba namandla phezu kwezinto ezithile ezinobunkimbinkimbi emphakathini
lapho zenza umsebenzi wazo. Kodwa-ke ngokuhamba kwesikhathi i-bounded binary transactional
pattern kungenzeka ibonise ubudlelwano obungenakho ukulingana futhi obuchemile
obungenabugugu. Impendulo yokubhekana nobudlelwano obungama-unbalanced binary bounded
value relationships yi-unbounded transactional pattern, enikeza ababambiqhaza ukukhululeka
nokuzimela okukhudlwana kanye nobumfihlo bokuthi bangazidaluli noma baziveze ukuthi
bangobani, kodwa-ke lokhu akubanikezi ukusebenza ngendlela esobala okuyinto edingekayo
ekusebenzeni ngaphandle kwezihibe.
I-third value relationship pattern kanye nomqondo ophusile owethulwayo yi-folded value
relationship pattern lapho ababambiqhaza beqinisekisa ukuthi kunokulingana phakathi
kokungqubuzana noma udweshu oluphathelene nezinto eziyinkimbinkimbi emphakathini
maqondana nabo uqobo kanye nabanye abantu, ngokuthi bahlangabezane nama-narrow micro-level near-interaction conditions. Lokhu kuwumdladlwana ofongqekile wesimanjemanje futhi okhethekile nosemqoka ongasetshenziswa ngababambiqhaza. Umthelela osemqoka walokhu emphakathini nasezinhlanganweni wukuthi lokhu kuhlinzeka ngendlela ehlukile yokubhekana nokungqubuzana nodweshu kubudlelwano obuyinkimbinkimbi emphakathini. Empeleni, ku-folded transactional pattern, ababambiqhaza bahlose ukuthola okungcono kubudlelwano phakathi kwabo bona uqobo lwabo kanye nabanye abantu esikhundleni sokwakha ubudlelwano lapho izinhlangothi zonke zithola ukushintshisana okulinganayo noma ukuzidela okuthile maqondana nobudlelwano, okuyinto eholela ekutheni kube nokuvumelana phakathi kwezinhlangothi okuhambisana nokuzidela komuntu uqobo lwakhe noma-ke ukukhonya phezu kwabanye. Kodwa-ke umthelela walokho oqondene nabaphathi wukuthi akulula neze ukwakha i-folded value relationship pattern yoqobo futhi lokhu kuyivela kancane. / Business Management / D. Com. (Business Management)
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