Learners experiencing barriers to learning often require intervention and support from multiple professionals with different areas of expertise. Collaboration between professionals is important in avoiding fragmented and incoherent service delivery. Transdisciplinary service delivery allows for maximum integration among the various role players. Disciplinary boundaries are transcended through a process of skills transference and sharing of roles and provide child-centred, coordinated and collaborative support. This study investigates professionals in the Western Cape’s perceptions of a transdisciplinary service delivery approach for supporting learners experiencing barriers to learning. A sequential mixed method approach was utilized to gain an in depth understanding of professionals’ perceptions. Data were collected in two phases. During the first phase, a quantitative questionnaire was sent to various professional categories in the Western Cape who are expected to provide services to learners experiencing barriers to learning. The aim of the quantitative study was to provide background information for the second phase in which professionals’ perceptions of a transdisciplinary approach for supporting learners experiencing barriers to learning were obtained through eight focus group discussions. Four focus groups consisted of professionals who had not previously been exposed to a transdisciplinary approach. These professionals attended a two hour informative workshop on a transdisciplinary service delivery approach prior to the focus group. The remaining four focus groups consisted of professionals who had previously been exposed to transdisciplinary service delivery. Data were systematically analysed through a hybrid process of inductive and deductive analysis. Findings indicate that professionals providing services to learners experiencing barriers to learning perceive a transdisciplinary approach as useful and much needed for services provided both in schools and in private practice. Certain aspects of the transdisciplinary approach are perceived as more or less valuable, depending on the context and specific category of learning barrier. Although professionals acknowledge all aspects of the approach as valuable, multiskilling and role release are viewed as most needed. The transference of skills among therapists, teachers, parents and caregivers is perceived to contribute to effective and feasible service delivery. / Psychology of Education / D. Ed. (Psychology of Education)

Thesis (MA)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: Rugby in South Africa has a long racial and political history. This history was a direct result of the policy of apartheid in which a deliberate attempt was made to arrange all areas of life along racial lines. One saw rugby being played and administered on the basis of race in which disparities between races became apparent. Twenty years into democracy and one has seen transformation in South African sport been increasingly prioritized by national government in which numerous policies have been developed to bring about redress and equity in sport. The South African Rugby Union (SARU) and Provincial Rugby Unions in their attempt to transform rugby have implemented numerous strategic plans to ensure greater access to the game in historically disadvantaged areas. Yet despite the efforts of both state and non-state actors rugby at a senior national and provincial level is still dominated by white players even though the majority of rugby players at a junior level are non-white. The research focused on how transformation policies in rugby have been implemented in the Western Cape. The research design was a case study, in which the author conducted a number of interviews with rugby administrators and managers, both past and present, involved at the Western Province Rugby Football Union (WPRFU). The objectives of the research was to look at what implementation initiatives have been put in place, both on and off the field, to bring about transformation of rugby in the Western Cape. The case study focused on rugby played at an intermediate level in which rugby institutions, school rugby and recruitment and club rugby in the Western Cape were explored. The research focused on how transformation policies have been implemented by those involved with rugby at a provincial and local level. Implementation of transformation policies in rugby was seen as a dynamic and complex process in which both state and non-state actors played an important role. Thus the theoretical approach of the research was a bottom-up approach to public policy implementation. The findings showed that while there was no strict enforcement of a quota on teams at the intermediate level the WPRFU have carried out a number of implementation initiatives in which transformation has been advanced. This is particularly true of transformation off the field in which employment equity and preferential procurement of the Union’s broader administrative structure has been advanced. Yet findings into school and club level rugby showed that there still existed great social and economic disparities between historically advantaged and disadvantaged groups. Thus the goal of achieving equity and access in rugby has yet to be reached at these levels. The research highlighted that transformation at a senior professional level will remain a challenge as rugby cannot escape the socioeconomic context in which it is embedded in. Therefore increase focus needs to be placed on transforming rugby at school and club level in which disadvantaged groups need to be assisted so as to ensure that rugby is played on a level playing field. / AFRIKAANSE OPSOMMING: Rugby in Suid-Afrika het ’n lang rasse- en politieke geskiedenis. Hierdie geskiedenis is die direkte gevolg van die apartheidsbeleid, wat opsetlik daarop gemik was om alle lewensfasette op grond van rasseonderskeid te organiseer. Rugby is ook op grond van ras gespeel en geadministreer, en die ongelykhede tussen rasse het duidelik daaruit geblyk. Twintig jaar sedert demokrasie ingestel is, word transformasie in Suid-Afrikaanse sport toenemend deur die nasionale regering voorop gestel. Verskeie beleide is ontwikkel om herstel en gelykheid in sport te bewerkstellig. Die Suid-Afrikaanse Rugbyunie (Saru) en provinsiale rugbyunies het talle strategiese planne implementeer in hulle poging om rugby te transformeer en groter toegang tot die spel onder histories-benadeelde gemeenskappe te verseker. Ten spyte van pogings deur regerings- sowel as nieregeringsrolspelers oorheers blanke spelers steeds rugby op senior-nasionale en -provinsiale vlak, al is die meeste spelers op junior vlak nieblank. Die navorsing fokus op die implementering van transformasiebeleide in rugby in die WesKaap. Die navorsingsontwerp is ’n gevallestudie waarin die outeur ’n aantal onderhoude met rugbyadministrateurs en -bestuurders gevoer het wat tans of in die verlede by die Westelike Provinsie Rugby Voetbalunie (WPRVU) betrokke is of was. Die navorsingsdoelwit was om te kyk na die implementeringsinisiatiewe wat ingestel is, op die veld sowel as daarvan af, om transformasie in rugby in die Wes-Kaap te bewerkstellig. Die gevallestudie het gefokus op rugby op intermediêre vlak; rugby-instellings, skoolrugby en -werwings en klubrugby in die Wes-Kaap is ondersoek. Die navorsing het gefokus op die manier waarop transformasiebeleide op provinsiale en plaaslike vlak geïmplementeer is. Beleidsimplementering het geblyk ’n dinamiese en komplekse proses te wees waarop regerings- sowel as nieregeringsrolspelers ’n belangrike invloed het. Die teoretiese benadering tot die navorsing was dus ’n onder-na-bo-benadering tot openbare beleidsimplementering. Die bevindinge toon dat, hoewel ’n streng kwotastelsel nie op spanne op intermediêre vlak toegepas is nie, die WPRVU wel transformasie deur middel van ’n aantal implementeringsinisiatiewe bevorder het. Dit geld in die besonder van transformasie weg van die veld af, waar die Unie se breër administratiewe struktuur diensbillikheid en voorkeurverkryging bevorder het. Bevindings wat rugby op skool- en klubvlak betref, het egter getoon dat daar steeds groot sosiale en ekonomiese ongelykhede tussen historiesbevoordeelde en -benadeelde groepe bestaan. Op hierdie vlak is die doelwit om gelykheid en toegang in rugby te bewerkstellig dus nog onbereik. Die navorsing beklemtoon dat transformasie op senior provinsiale vlak ’n uitdaging sal bly, aangesien rugby nie kan ontsnap aan die sosio-ekonomiese konteks waarin dit gesetel is nie. Wat dus nodig is, is ’n verhoogde fokus om rugby op skool- en klubvlak te transformeer en dat benadeelde groepe bygestaan word om te verseker dat die speelveld vir rugby gelyk gemaak word.

Thesis (MBA)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: It is estimated that at present South Africa has a backlog in spending on infrastructure, amounting to R170 billion. The state does not have the necessary funds to rectify the situation. This problem is not unique to South Africa and across the world countries are considering whether private sector enterprises should not be rendering the services and constructing the infrastructure which the state had traditionally done. One of the most successful ways of doing this is to make use of public-private partnerships (PPP's). A PPP is a joint effort by the state and the private sector party to execute a major product, whereby the resources and abilities of the two parties are combined. The risks and responsibilities of the project are allocated to the parties in an optimal manner. The efficient and effective application of the PPP mechanism poses a challenge to the Western Cape Province as it is an excellent way to improve the utilisation of state property within the Province and construct new facilities. The Elsenburg vineyard and cellar project, a PPP project in the Western Cape Province, is therefore critically assessed in terms of key success factors in the implementation of PPP's. Furthermore recommendations regarding the future utilisation of PPP's within the Province are made. A dedicated PPP unit, which will be responsible for investigating the value for money, affordability, allocation of risks and recourse requirements of projects, should be formed within the Province. Members of the unit will also handle the management of PPP projects. It is important that officials who will be involved with PPP's are trained in the theory and practise thereof. Other important aspects are that all groups who have an interest in a PPP project be identified, that attempts are not made to transfer all risks to the private sector partner and that the standardisation of steps that are common to all projects be investigated. Property projects that are suitable for the application of PPP's must be identified as it can provide momentum to the economy of the Western Cape and can also contribute towards the erasing of the backlog in the construction and maintenance of infrastructure. / AFRIKAANSE OPSOMMING: Dit word beraam dat Suid-Afrika tans 'n agterstand in besteding op infrastruktuur het wat R170 biljoen beloop. Die staat beskik nie oor genoeg fondse om die probleem aan te spreek nie. Regerings die wêreld oor ondervind soortgelyke probleme en is besig om te besin of die oprigting van infrastruktuur en die lewering van dienste wat tradisioneel deur die staat hanteer is, nie eerder aan die privaatsektor oorgelaat moet word nie. Een van die suksesvolste maniere om dit te bewerkstellig is deur die gebruik van obenbare sektor-private sektor venootskappe (OPV's). 'n OPV is 'n gesamentlike poging deur die staat en 'n privaatsektorvennoot om 'n groot projek uit te voer, waardeur die hulpbronne, sterkpunte en vermoëns van die twee partye gekombineer word. Die risiko's en verantwoordelikhede wat aan die projek verbonde is, word op optimale wyse aan die partye tot die OPV toegedeel. Die doeltreffende en doelmatige aanwending van die OPV meganisme is 'n groot uitdaging vir die Wes-Kaapse Provinsie, aangesien dit 'n uitstekende manier is om benutting van staatseiendom binne die Provinsie te verbeter en nuwe fasiliteite op te rig. Die Elsenburg wingerd- en kelderprojek, 'n OPV-projek binne die Wes-Kaapse Provinsie, word derhalwe krities geëvalueer op grond van sleutelsuksesfaktore vir die implementering van OPV's. Verder word aanbevelings rakende die toekomstige aanwending van OPV's binne die Provinsie gemaak. 'n Spesialis OPV eenheid, wat verantwoordelik sal wees om die waarde vir geld, bekostigbaarheid, toedeling van risiko's en hulpbronbenodighede van projekte te ondersoek, moet binne die Provinsie gestig word. Die bestuur van OPV projekte sal ook deur lede van die eenheid hanteer word. Dit is belangrik dat amptenare wat by OPV's betrokke sal wees, opgelei word in die teorie en praktyk daarvan. Ander belangrike aspekte is dat alle groepe wat 'n belang by 'n OPV projek het, geïdentifiseer moet word, dat daar nie gepoog word om alle risiko's na die privaatsektorvennoot oor te dra nie en dat die standardisering van stappe wat gemeenskaplik is aan alle projekte ondersoek moet word. Eiendomsprojekte wat geskik is vir die aanwending van OPV's moet geïdentifiseer word, aangesien dit as inspuiting vir die Wes-Kaapse ekonomie kan dien en kan bydra tot die uitwissing van die agterstand in die oprigting en instandhouding van infrastruktuur.

Thesis (MBA)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: The majority of small and medium - and to a much lesser extent the large - commercial lithographic printing firms situated in the Western Cape do not employ a fulltime financial director or an accountant. The result is that many managers - very often without much financial training - have to steer their firm through very turbulent economic times. Apart from being in this state of siege, managers of these commercial printing firms have their problem compounded by the fact that they do not have any industry-specific financial benchmarks against which to evaluate their firms' financial performance. Against this background, the writer has set out to determine certain industry financial benchmarks - presented in the form of ratios - for the commercial lithographic printing firms situated in the Western Cape to enable participating firms to measure their performance relative to their sector peers. As such, this study is aimed at the non-financial manager, firstly, and thereafter the financial manager. To this end an attempt has been made to keep the vocabulary as user-friendly as possible without sacrificing brevity and clarity. Lastly, this study is presented as a working document rather than a theoretical exercise. The essence of this study - to create a tool for financial evaluation - could be embodied as follows: Turnover is vanity, profit is sanity, cash flow is reality. / AFRIKAANSE OPSOMMING: Die meerderheid klein en medium - en tot 'n mindere mate groot - kommersiële litografiese drukkery firmas wat in die Wes Kaap geleë is, het nie 'n voltydse finansiële direkteur of rekenmeester in diens nie. Dit gee daartoe aanleiding dat verskeie bestuurders - dikwels sonder noemenswaardige finansiële opleiding - hul firma deur 'n baie onstuimige ekonomiese omgewing moet stuur. Buiten hierdie uitdaging is daar ook die verdere probleem dat daar tans geen industrie-spesifieke finansiële maatstawwe bestaan waarteen hul firmas se finansiële prestasie gemeet kan word nie. Teen hierdie agtergrond het hierdie studie dus ten doel gehad om sekere industrie spesifieke finansiële maatstawwe - aangebied as verhoudings - vir die kommersiële litografiese drukkery firmas wat in die Wes Kaap geleë is, te genereer sodat deelnemende firmas hul finansiële prestasie kan meet relatief tot hul sektor eweknieë. Met hierdie doel voor oë is hierdie studie dus eerstens gerig op die nie-finansiële bestuurder en daarna die finansiële bestuurder. Dienooreenkomstig is die woordeskat dus so gebruikervriendelik moontlik gehou sonder om akkuraatheid en trefkrag in te boet. Laastens is hierdie studie gemik om 'n werksdokument eerder as 'n teoretiese skrywe te wees. Die kern van hierdie studie - om naamlik 'n instrument te wees vir finansiële evaluasie - kan as volg saamgevat word: Omset is ydelheid, wins is redelikheid, kontantvloei is werklikheid.

Thesis (M.Mus)--University of Stellenbosch, 2006. / ENGLISH ABSTRACT: For many decades music has been recognised as a medium for therapy. The reasons put forward include the ability of music to inspire people, to motivate, to integrate and to promote relaxation. A strong link exists between human beings and music and this can unite people from different cultures. Music is readily available everywhere. People can attend music concerts or be part of a choir or orchestra. Music is even available in homes at the press of a button. Music therapy is a fairly new concept in which music and psychology are combined. For many years people have used music for healing. It is because music has produced such positive results in problem cases that it is being used in therapy sessions to contribute to the healing process. Although many people have an understanding of what music therapy entails, there are also those with no idea of what it entails. This thesis is an in-depth investigation into music therapy and the possible functional outcomes thereof. The focus is on the music therapist, characteristics that the music therapist should possess, how and why music is used as medium in the therapy process, different methods of therapy and the influence thereof on problems. The position of music therapy in the Western Cape was investigated. To arrive at a reliable conclusion in this regard, people who work with music therapy have been involved. Interviews were held with qualified and non-qualified persons who practice some form of music therapy in the Western Cape. Information from these interviews is interpreted, conveyed and recommendations are made as to the advancement of music therapy in the Western Cape. The purpose of the investigation is to publish information regarding music therapy and the meaning thereof. The larger public must be made aware of the complementary role music therapy can play in the healing process. Eventually music therapy should take its place in health care in the Western Cape, together with other branches of the medical profession such as psychology and career therapy. / AFRIKAANSE OPSOMMING: Vir dekades word musiek al as ’n medium vir terapie erken. Die redes wat hiervoor aangevoer word, is dat musiek beskik oor die vermoë om mense te inspireer, te motiveer, te integreer en om ontspanning te bevorder. Daar bestaan ’n wesenlike verband tussen die mens en musiek en as gevolg hiervan kan musiek mense van verskillende kulture byeenbring. Musiek is oral en vrylik beskikbaar. Mense kan musiekkonserte bywoon, óf deel van ’n koor óf orkes uitmaak. Musiek is selfs deur die druk van ’n knoppie in wonings beskikbaar. Musiekterapie is ’n relatiewe nuwe begrip waartydens musiek en sielkunde gekombineer word. Vir baie jare al word musiek gebruik om te help om mense gesond te maak. Juis omdat musiek sulke positiewe resultate in probleemgevalle getoon het, word dit tydens terapiesessies gebruik om tot die genesingsproses by te dra. Alhoewel baie mense ’n begrip het van wat musiekterapie is, is daar ook diegene wat geen benul het waaroor dit gaan nie. Hierdie tesis is ’n indringende ondersoek na musiekterapie en die moontlike funksionele uitkomste daarvan. Daar word gefokus op die musiekterapeut, eienskappe wat die musiekterapeut behoort te hê, hóé en waarom musiek as medium in die terapieproses gebruik word, verskillende terapiemetodes en hoe dit probleme beïnvloed. Die stand van musiekterapie in die Wes-Kaap is ondersoek. Om tot ’n betroubare gevolgtrekking hieroor te kom, is persone wat gereeld met musiekterapie werk, betrek. Daar is onderhoude met gekwalifiseerde asook niegekwalifiseerde persone wat die een of ander vorm van musiekterapie in die Wes-Kaap beoefen, gevoer. Inligting bekom uit hierdie onderhoude word geïnterpreteer, oorgedra en aanbevelings oor die bevordering van musiekterapie in die Wes-Kaap word gemaak. Die doel van die ondersoek is om inligting aangaande musiekterapie sowel die betekenis daarvan bekend te maak. Die breë publiek moet bewus gemaak word van die aanvullende rol wat musiekterapie in die genesende proses kan speel. Uiteindelik behoort musiekterapie, saam met ander vertakkings van die mediese beroep soos byvoorbeeld sielkunde en beroepsterapie, sy plek in die gesondheidsorg van die Wes-Kaap in te neem.

Thesis (MCur) -- University of Stellenbosch, 2005. / ENGLISH ABSTRACT: A non-experimental descriptive study was conducted in four prisons in the Western Cape. The research focussed on the standard of care within primary health care settings in the purposively selected prisons. No official written standards existed to measure the quality of care. After an in-depth literature study, structure, process and outcome standards were formulated and validated. The main findings of the study indicated that: • Standards in these three dimensions of care did not meet the pre-set level of performance as determined by the researcher; • The clients were generally satisfied with the hygiene in the clinics; • Aspects of concern were the lack of explanation offered to the clients before and after consultations and nursing care interventions. The researcher recommends the implementation of a comprehensive quality care model for the health care of the prisoners with adequate human and nonhuman resources Core words: Qualtiy care, Correctional services health care, Nursing care in prisons. / AFRIKAANSE OPSOMMING: "n Nie-eksperimentele beskrywende studie is in vier gevangenisse in die Wes- Kaap uitgevoer. Die navorsing het gefokus op die gehalte van sorg binne primere gesondheidsorgomgewings in die doelbewuste geselekteerde omgewings. Geen amptelike geskrewe standaarde om die gehalte van sorg te meet, het bestaan nie. Na 'n in-diepte literatuurstudie is struktuur-, proses- en uitkomsstandaarde geformuleer en gevalideer. Die belangrikste bevindings van die studie het aangedui dat: • Standaarde in hierdie drie dimensies van sorg het nie aan die voorafbepaalde vlak van sorg voldoen het nie soos deur die navorser bepaal is; • Die kliente was oor die algemeen tevrede met die higiene in die klinieke; • Kommerwekkende aspekte het ingesluit die gebrek aan voldoende verduidelikings aan kliente voor en na konsultasies en verpleegintervensies. Die navorser bevel aan dat In omvattende gehalteversekeringsmodel vir die gesondheidsorg van gevangenes ingestel word met voldoende beskikbare mensen ander hulpbronne. Kernwoorde: Gehaltesorg, Korrektiewe dienste gesondheidsorg, Verpleegsorg in gevangenisse.

Thesis (MCur)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: Against the background of the approach to make the follow up care to oncology patients more accessible and with the emphasis on quality care, it was indicated that this service needs to be evaluated. A study based on a combination of qualitative and quantitative methods (also called triangulation) was conducted to formulate structure, process and outcome standards for a comprehensive follow up care for the oncology patients and to evaluate this service according these standards. The most important results are: • The quality of care relating to the structure standards was optimal regarding the organization of the patient's visits, follow up treatment and referrals. A suboptimal standard was found regarding the general management system. • In the process standards focusing on the physical and psychosocial needs of the patient, a suboptimal standard was found regarding all aspects. Nursing practice leading to subobtimal care of patients is a major cause for concern. • With the outcome standards reflecting in patient satisfaction, positive as well as negative opinions and perceptions were found. Recommendations include: • Upgrading of management systems • Empowerment of the nurses with knowledge and scientific competencies • Attention to the opinions and perceptions of the patients to completely involve the patient in the service and treatment process. Keywords: Oncology follow up service I formulation of structure, process and outcome standards. / AFRIKAANSE OPSOMMING: Teen die agtergrond van die benadering om opvolgdienste meer toegangklik te maak vir onkologiese pasiënte, met die beklemtoning van gehaltesorg, is dit aangedui dat hierdie diens geëvalueer moes word. 'n Studie gebaseer op 'n kombinasie van kwalitatiewe en kwantitatiewe metodes (genoem triangulasie) is uitgevoer om struktuur, proses en uitkomsstandaarde vir 'n omvattende opvolgdiens aan onkologiepasiënte te formuleer en die diens aan die hand daarvan te evalueer. Die belangrikste resultate is: • Die gehalte van sorg wat verband hou met die struktuurstandaarde was net optimaal ten opsigte van die organisasie van die pasiënt se besoeke, opvolgbehandeling en verwysings. 'n Suboptimale standaard is gevind ten opsigte van die algemene bestuurstelsel. • In die prosesstandaarde wat fokus op die fisiese en psigososiale behoeftes van die pasiënt, is 'n suboptimale standaard in alle aspekte gevind. Verpleegpraktyk wat lei tot suboptimale sorg van pasiënte is 'n groot bron van kommer. • Met die uitkomsstandaarde wat reflekteer in pasiënttevredenheid is positiewe maar ook negatiewe opinies en persepsies gevind. Aanbevelings sluit in: • Verbetering van bestuurstelsels • Bemagtiging van die verpleegkundige met kennis en wetenskaplike vaardighede • Aandag aan pasiënte se opinies en persepsies ten einde die pasiënt ten volle te betrek by die hele diens en behandelingsproses. Sleutelwoorde : Onkologiese opvolgdiens / formulering van struktuurproses en uitkomsstandaarde.

Thesis (MOccTher)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: Participation in meaningful occupations is what defines us as human beings and is an important indicator of health and well-being. It is the way we experience the world around us and is closely linked to quality of life. As an occupational therapist at a school for learners with special educational needs, the researcher was interested in how young adults with a diagnosis of Cerebral Palsy (CP) who attended this school, experience their participation or the lack thereof in occupations and if it contributes to meaning and fulfilment in their lives? She established through informal conversation with some of these young adults or their parents, that they experience unemployment, unhappiness and poor integration within the community. The aim of this study was therefore to describe how young adults living with CP in economically disadvantaged communities within the Western Cape, experience the quality of their participation in meaningful occupations. A qualitative phenomenological study design was used, enabling the researcher to explore the value and meaning participants attach to different occupations, the participants perceptions of their experience and the factors impacting on their participation. The study population was young adults between the ages of 18-28 years with a diagnosis of CP, who attended the previously mentioned school and who exited school over the duration of the past nine years. The researcher used purposive maximum variation sampling, to ensure variation in terms of diagnosis, living arrangements, employment and marital status. Data collection took the form of ten face-to-face semi-structured individual interviews and inductive content analysis was utilized to analyse data. The following four themes emerged from the data: overcoming challenges; having equal opportunities; barriers holding me back and the future is mine to shape. These young adults participated in a variety of meaningful occupations and have learned to utilize various strategies to overcome the difficulties they faced in this process. The following factors influenced their participation positively: having meaningful relationships; accepting their disability and nurturing a positive attitude; being proud of their achievements; positive work experiences and involvement in the community. Factors contributing to these young adults not experiencing meaningful participation were the following: their perception of themselves and also how they perceived being treated by others; non-acceptance of their physical circumstances and disability; incompetence and poor self-confidence; termination of previously meaningful occupations; challenges with interpersonal relationships and unsatisfactory work experiences. The need to be as independent as possible was of utmost importance to all these young adults, as it was an indicator of being in control of their own lives. Given the above information, the researcher recommends a transition preparation program for senior phase learners that will include sessions on work habits, social skills, transportation, self-employment and integration into the community to be implemented at the school. Supported employment options should be explored as well to ensure maximum employment among these learners exiting school. A follow-up system should be established to evaluate the effectiveness of the above-mentioned program. / AFRIKAANSE OPSOMMING: Deelname in betekenisvolle aktiwiteite is uniek aan die mens en is ook ‘n belangrike aanduiding van gesondheid en welstand. Ons ervaar die wêreld rondom ons deur betekenisvolle deelname, was nou verbind word kwaliteit van lewe. Tydens haar werk as ‘n arbeidsterpeut by ‘n skool vir leerders met spesiale onderrig behoeftes, het die navorser begin belangstel in hoe jongmense met ‘n diagnose van serebraalgestremdheid (wat oudleerders is) hulle deelname aan aktiwiteite of die gebrek daaraan ervaar en of dit bydra tot betekenisvolheid en vervulling in hulle lewens. Sy het deur informele gesprekke met van hierdie jongmense of hul ouers vasgestel dat hulle ervaring ongelukkig, werkloos and swak geïntegreed in hulle gemeenskap is. Die doel van hierdie studie was dus om te beskryf hoe jongmense met ‘n diagnose van serebraalgestremdheid wat in ekonomies benadeelde gemeenskappe binne the Weskaapse Provinsie woon, die kwaliteit van hul deelname aan betekenisvolle aktiwiteite ervaar. Die navorser het ‘n kwalitatiewe fenomenologiese studie ontwerp gebruik sodat sy die volgende aspekte kon verken: die waarde en betekenis wat die studie deelnemers aan spesifieke aktiwiteite heg; hulle persepsie van hulle ervaringe, asook die faktore wat deelname beïnvloed. Die studiepopulasie was jongmense tussen die ouderdomme van 18-28 jaar oud met ‘n diagnose van serebraalgestremdheid, wat die bogenoemde skool bygewoon en verlaat het in die afgelope nege jaar. Die navorser het ‘n doelgerigte maksimum variasie steekproef gebruik, om sodoende variasie in terme van diagnose, verblyf, werk en getroude status te verseker. Data was ingesamel deur middel van tien semi-gestruktureerde individuele onderhoude. Induktiewe inhoud-analise was gebruik om die data te ontleed en die volgende vier temas het na vore gekom naamlik: om uitdagings te oorkom; om gelyke geleenthede te hê; hindernisse wat my terughou en die toekoms is myne om te vorm. Hierdie jongmense neem deel aan ’n groot verskeidenheid aktiwiteite en het deur ondervinding verskeie strategieë aangeleer om die probleme wat hulle ervaar het te oorkom. Die volgende faktore het hulle deelname positief beïnvloed: betekenisvolle interpersoonlike verhoudings; aanvaarding van hulle gestremdheid en koestering van ‘n positiewe houding; trots op hulle prestasies; positiewe werkservaringe en betrokkenheid in hulle gemeenskap. Die faktore wat bygedrae het tot swak deelname aan aktiwiteite was die volgende: hul self-persepsie, asook hul persepsie van hoe ander hulle behandel; nie-aanvaarding van hulle gestremdheid en fisiese omstandighede; swak selfvertroue en gevoelens van onbevoegdheid; die staking van vorige betekenisvolle aktiwiteite; uitdagings in hulle verhoudings en onbevredigende werkservaringe. Hul onafhanklikheid is vir hierdie jongmense van uiterste belang, want dit is ‘n aanduiding dat hulle in beheer is van hulle eie lewens. Na aanleiding van bogenoemde informasie, maak die narvorser die volgende aanbeveling: Om ‘n voorbereidings program vir senior fase leerders te begin, wat sessies van werksgewoontes, sosiale vaardighede, transport, self-indiensneming en integrasie in die gemeenskap insluit. Die moontlikheid van ondersteunde indiensneming moet ook verken word, om maksimale indiensneming onder hierdie jongmense te verseker. ‘n Opvolg sisteem moet ook in plek gestel word om die doeltreffendheid van bogenoemde program te bepaal.

Thesis (MMed)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Objective: The aim of the study was to determine the outcome of critically ill neonates and children admitted to a general intensive care unit in a large regional hospital (Worcester) in the Western Cape. A secondary aim of the study was to determine the risk factors for death in these neonates and children. Methodology: This was a retrospective descriptive survey of all paediatric admissions (under 13 years of age; July 2008 till June 2009) to an intensive care unit at a large regional hospital in Worcester, South Africa. Data collected included: demography, admission time, length of stay, diagnoses, interventions and outcome. Outcome was defined as successful discharge, death or transfer to a central hospital. Results: There were 194 admissions including children and neonates. The files of 185 children and neonates were analysed, while 8 children were excluded due to incomplete data set and one patient was a surgical admission. The male: female ratio was 1.3: 1 and the majority of patients (83%) admitted, were younger than 12 months of age at admission with a mean age of 8.5 months (median age 3.7 months; range 0 to 151 months). The majority (70%) of admissions were successfully discharged, nearly a quarter (24%) transferred to central hospitals in Cape Town and only 6% died (all younger than 5 years of age). Causes of death included acute lower respiratory tract infections (33%), acute gastroenteritis (25%), birth asphyxia complicated by pulmonary hypertension (16%) and prematurity (16%). Patients requiring airway assistance, were more likely to experience an adverse event (p=0.0001) and invasive ventilation was associated with an increased risk for a poor outcome (p=0.00). Conclusion: The majority of children requiring access to a paediatric ICU are younger than one year of age. The common causes of death are acute lower respiratory tract infections, acute gastroenteritis, prematurity and neonatal asphyxia. A regional hospital in South Africa should offer intensive care to children as the majority of their admissions can be successfully cared for without transfer to tertiary hospitals. To our knowledge, this is the first study reporting admissions and outcome of neonates and children cared for in a mixed intensive care unit in a large regional hospital in South Africa. This study suggests that large regional hospitals in South Africa should have mixed intensive care units to improve child survival.

Thesis (DPhill (Social Work))—University of Stellenbosch, 2005. / South Africa has high levels of social need which are steadily growing. While the third sector is large and contributes substantially to social service provision, it together with government is seemingly incapable of providing adequate social services, particularly in the more poverty-stricken rural areas of the country. Among other, at the root of the third sector’s inability to adequately serve the needy, is a lack of funding caused by poor funding policies and uninformed financial resource allocation decision making. As such, this study set out to develop an automated financial resource allocation decision making model that would provide extensive organised data to better inform the allocation decision making process – the first component of the study. It was also purposed to provide a range of otherwise lacking empirical data on the third sector to determine service and staffing norms, patterns of funding and to assess financial management of this sector. In so doing the Community Chest of the Western Cape was selected to serve as the locus of the study – their existing manual allocation approach was analysed and a new more sophisticated automated model was developed. Data generated by the model pointed to a further research need, that of a better understanding of the funding and financial management practices of the third sector. This gave rise to the third component of the study, a survey of 232 beneficiary organisations of the Community Chest. An analysis of the data generated by the model and collected from the survey highlighted yet another need, the poor financial management acumen of the sector. In order to address this need and hence the efficacy of the model, a survey of 207 University of Cape Town management accounting students was conducted to determine the feasibility of using their financial management knowledge and skills to support financially and IT-illiterate organisations – the fourth component of the study. The study primarily adopted a quantitative research paradigm; the research design was exploratory-descriptive and used a primary data design with limited secondary data analysis. Data was captured in MS Access and analysed using Statistica and MS Excel. Results indicated that the country’s funding policies were wanting and that the allocation of state and state-controlled funding agency resources were not being allocated in concert with adopted policy. In almost all cases the poorer rural areas had and received fewer resources. Most organisations surveyed were not financially secured and their ability to fundraise was very limited. Their financial management ability was not good. Fortunately a substantial number of accounting students indicated a willingness to improve the financial management ability of such needy organisations. The study concludes by recommending further development of the model, utilisation of accounting students and calls for a major assessment of third sector needs, its funding and financial management. It also recommends the formulation of new funding policies.