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1

Mainland, Ingrid L. "An evaluation of the potential of dental microwear analysis for reconstructing the diet of domesticated sheep (Ovis aries) and goats (Capre hircus) within an archaeological context." Thesis, University of Sheffield, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.582143.

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2

SOMENZI, ELISA. "INVESTIGATION ON SMALL RUMINANTS BIODIVERSITY AND ADAPTATION." Doctoral thesis, Università Cattolica del Sacro Cuore, 2022. http://hdl.handle.net/10280/119859.

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Le specie zootecniche costituiscono un elemento chiave della biodiversità agraria. In questa tesi si è contribuito al processo di caratterizzazione e conservazione del patrimonio genetico dei piccoli ruminanti tramite lo studio della demografia e struttura di popolazione, della diversità molecolare e dell’adattamento ambientale di diverse razze ovi-caprine. In questo contesto sono stati perseguiti cinque differenti obiettivi. In primo luogo, è stato sviluppato un algoritmo per la selezione di marcatori genetici in grado di identificare i soggetti ibridi originati dall’incrocio di pecora per mu
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3

Hodkinson, Peter William. "Developing a patient-centred care pathway for paediatric critical care in the Western Cape." Doctoral thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/17259.

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Includes bibliographical references<br>Background: Emergency care of critically ill or injured children requires prompt identification, high quality treatment and rapid referral. This study examines the critical care pathways in a health system to identify preventable care failures by evaluating the entire pathway to care, the quality of care at each step along the referral pathway, and the impact on patient outcomes. Methods: A year-long cohort study of critically ill and injured children was performed in Cape Town, South Africa, from first presentation until paediatric intensive care unit ad
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4

Jaffer, Khadija. "Child safety in day care centres within the Western Cape." Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/27004.

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The aim of the study is to explore aspects of child safety in registered day care centres situated in a lower socio-economic area of the Cape Town Metropole. This can be achieved by: a) describing the physical environment in day care centres b) assessing the infrastructure of day care centres to deal with potential injurjes c) reviewing injury reporting systems already in place d) highlighting the issue of child safety in the course of conducting the study.
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5

Achmat, Asma. "Professional health care workers' experiences of care at two Community Day Clinics on the Cape Flats." University of the Western Cape, 2016. http://hdl.handle.net/11394/4896.

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Magister Artium (Social Work) - MA(SW)<br>Primary Health Care (PHC) is the cornerstone of health care globally, nationally and locally and, therefore, should be regarded as the foundation of health care provision. In South Africa, Community Day Clinics (CDCs) are part of the bouquet of services that is being offered at a PHC level. There are various factors that generate inconsistency in the provision of care to people accessing these CDCs. The purpose of this study was to identify and explore how these factors impact on the care practices that health care professional’s provide. Research sugg
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6

Carré, Sonia. "Développement de réactions modèles pour la caractérisation de l'acido-basicite de catalyseurs et d'adsorbants." Poitiers, 2008. http://theses.edel.univ-poitiers.fr/theses/2008/Carre-Sonia/2008-Carre-Sonia-These.pdf.

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Les alumines sont très largement utilisées dans les procédés industriels, les propriétés acido-basiques de ces solides jouent un rôle dans le développement de nouveaux catalyseurs, il est donc important de bien connaître leurs propriétés. Ces oxydes sont généralement caractérisés par des méthodes physico-chimiques classiques, la plus employée étant l’adsorption (désorption) de molécules sondes suivie par spectroscopie infrarouge. Cependant les conditions étant assez éloignées des conditions de catalyse, il est souvent difficile de prévoir le comportement réel d’un catalyseur. L’utilisation de
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7

Rohard, Dominique. "Le centre ville du Caire : émergence d'un centre d'affaires dans un cadre hérité." Phd thesis, Université François Rabelais - Tours, 1995. http://tel.archives-ouvertes.fr/tel-00503158.

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Durant la deuxième moitié du XIXème siècle, la ville du Caire se dédouble sous l'impulsion urbanistique du Khédive Ismaïl. Ce cadre haussmannien a pu accueillir l'essentiel des fonctions du tertiaire supérieur jusqu'à la veille de la Seconde guerre mondiale. Depuis, il est devenu trop étroit pour répondre aux besoins d'espace sans cesse accrus de ces fonctions. La ville s'est très vite développée horizontalement d'une manière tentaculaire. La multiplicité des sites tertiaires a abouti à un polycentrisme. Le centre ville ne perd cependant pas sa primauté à l'échelle du Grand Caire. La dualité e
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8

Saulse, Bernice. "Interpreting within the Western Cape health care sector : a descriptive overview." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/4213.

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Thesis (MPhil (Afrikaans and Dutch))--University of Stellenbosch, 2010.<br>ENGLISH ABSTRACT: Over the past decade many studies have shown that ad hoc interpreting services are still the norm for the health care sector in the South African context. The health care sector of South Africa, specifically in the Western Cape, is characterised by primarily Afrikaans- and English-speaking doctors, or medical practitioners in general, who do not understand Xhosaspeaking patients. In order to bridge this language gap, ad hoc interpreting services are employed, which are rendered by family members o
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9

Daniels, Alexandra. "Paediatric Palliative Care - describing patient needs and the experiences of caregivers and health care workers in a Cape Town Paediatric Intermediate Care Facility." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33603.

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Aim: The study describes the population (and care needs) of children admitted to the facility, the experiences of their primary caregivers and the health care workers caring for them. Methodology: This was a descriptive study that utilised elements of both prospective and crosssectional design. The health records of 25 patients were reviewed and matched caregivers partook in a three-part questionnaire. Focus group discussions were conducted with 15 health care workers at a single point during the study. Results: The majority (48%) of patients were referred to the facility for transitional care
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10

Martin, Sedeeka. "Quality care during childbirth at a midwife obstetric unit in Cape Town, Western Cape: Women and midwives’ perceptions." University of the Western Cape, 2018. http://hdl.handle.net/11394/6892.

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Magister Curationis - MCur<br>Globally, there has been significant progress in reducing preventable maternal deaths and disability, and growing attention on improving the quality of care in maternal health care facilities. The World Health Organization (WHO) describes quality care as delivering healthcare that is effective, efficient, accessible, acceptable, patient–centred, equitable and safe (WHO, 2014). Midwives are the backbone of midwifery and therefore the primary care giver for pregnant women accessing maternal care and women’s ability to access quality midwifery care during
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11

Nathan, Lisa. "Noise levels in a neonatal intensive care unit in the Cape Metropole." Thesis, Stellenbosch : University of Stellenbosch, 2007. http://hdl.handle.net/10019.1/2339.

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Thesis (MScMedSc (Interdisciplinary Health Sciences. Speech-Language and Hearing Therapy))--University of Stellenbosch, 2007.<br>Noise is a noxious stimulus with possible negative physiological effects on the infant, especially in the Neonatal Intensive Care Unit (NICU). The present study conducted a detailed noise assessment in a NICU of a state hospital in the Cape Metropole and documented 6 infants’ physiological responses to noise levels. Noise levels ranged from 62.3-66.7dBA (LAeq), which exceed all American and British standards (50dBA -60dBA) for a NICU. Continuous exposure to noise of
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Cornick, Ruth. "'You must tune your TB programme well...' : integrating TB, HIV and ARV care in Cape Town primary care setting." Master's thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/9328.

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Includes bibliographical references (leaves 86-91).<br>This study occurred in the context of three problems that have arisen within the South African HIV/AIDS crisis: the prevalent HIV and tubertulosis (TB) co-epidemic, the concern that antiretroviral (ARV) provision might compromise the existing TB control programme, and that the Western Cape's current limited vertical model of ARV roll-out will soon reach capacity. This study evaluated whether and how TB control changed following ARV introduction in a Cape Town primary care TB clinic and explored the process of integration of the TB and ARV
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Zeeman, Celeste. "Exploring the barriers and facilitators of access to care as experienced by caregivers of children who were admitted to a specialised tuberculosis hospital." University of the Western Cape, 2020. http://hdl.handle.net/11394/7269.

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Master of Public Health - MPH<br>Tuberculosis (TB) continues to be a major cause of ill health and the leading cause of death from a single infectious agent worldwide. Furthermore, young children, especially those under five years old and infants, are at risk of developing more severe forms of TB. TB cases continue to cluster among disadvantaged groups such as the poor whose lives are characterised by adverse living conditions. Defaulting from treatment poses a severe threat to children’s health because untreated TB or breaks in treatment could lead to a child developing more severe forms of T
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Adam, Ferrial, Thomas Cousins, Belinda Breetzke, and Mike Wood. "An initial evaluation framework for responsible tourism in Cape Town : based on a case study of the Cape Care Route." Master's thesis, University of Cape Town, 2003. http://hdl.handle.net/11427/4830.

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15

Mabunda, Sikhumbuzo Advisor. "An evaluation of the role of an Intermediate Care facility in the continuum of care in Western Cape, South Africa." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15602.

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BACKGROUND: A comprehensive Primary Health Care approach includes clear referral and continuity of care pathways. South Africa lacks data that describe Intermediate Care (IC) services and its role in the health system. This study aimed to describe the model of service provision at an IC facility and the role it plays in the continuity of care in Cape Town. METHODS: Sixty-eight patients (65% Response Rate) were recruited in a prospective cohort design over a one-month period in mid-2011. Patient data were collected from a clinical record review and an interviewer-administered questionnaire, adm
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Mafuwa, Edgar Ngonidzashe. "Experiences of Zimbabweans on the provision of health care at selected public health care centers in Cape Town, 1994-2009." University of the Western Cape, 2015. http://hdl.handle.net/11394/4856.

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Magister Artium - MA<br>There is a widely held assumption that immigrants have difficulties in accessing public health care services in South Africa. This assumption derives from the experiences of some immigrants in accessing public health care services at some public health care facilities which are all required by law and policy to provide such services. The main aim of the study was to investigate the experiences of Zimbabwean immigrants in accessing public health care services at some public clinics and hospitals in Cape Town. Foucault’s theory on power was used to unpack the experiences
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17

Hartmann, Andre. "An assessment of telemedicine services within the Western Cape public health care system." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86225.

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Thesis (MEng)--Stellenbosch University, 2014.<br>ENGLISH ABSTRACT: Telemedicine is de ned as an electronic exchange of medical information and/or the delivery of clinical health care over a distance, by means of Information and Communication Technology (ICT). South Africa is faced with the problem of providing health care to a population in urban, as well as across vast rural areas. In addition to this, the South African health care system must deal with economical imbalances and a shortage of human resources to provide quality health care. Telemedicine services could provide a solution.
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Barlow, Hilary Joan. "An evaluation of neonatal nursing care in selected hospitals in the Western Cape." Thesis, Stellenbosch : University of Stellenbosch, 2003. http://hdl.handle.net/10019.1/16253.

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Thesis (MCUR)--University of Stellenbosch, 2003.<br>ENGLISH ABSTRACT: South Africa has a proud history of a high standard of health care delivery in State funded hospitals. This implies that high standards of education and care in both medical and nursing training have been achieved. The care of sick and premature newborn infants by nurses is a speciality that has evolved worldwide over the last forty years as a result of various technological developments. In order to ensure the standard of care delivered, protocols of care should be available for nurses to refer to and to measure their
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19

Matshikiza, Wonga. "Barriers to acute stroke care at a tertiary hospital in the Western Cape." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/30928.

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Background Stroke guidelines recommend treatment of acute stroke as a medical emergency. In many countries prolonged delays occur before patients with acute stroke receive medical attention. Only a small percentage of patients are assessed in hospital within the time window for reperfusion therapy. There is limited available published data concerning barriers to acute stroke care in South African patients. The aim of this study was to determine the pre-hospital barriers and in-hospital delays to emergency care for patients presenting to Groote Schuur Hospital (GSH) with acute stroke. Meth
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Marepula, Lindiwe Oscarine. "Patient satisfaction with the care provided in a psychiatric hospital in Cape Town." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/3698.

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Magister Curationis - MCur<br>Background: Patient satisfaction is a well-researched area in general medicine worldwide, yet a full exploration of patient satisfaction amongst psychiatric patients appears to be lacking in South Africa. Patient satisfaction has become important because of the awareness of the patient’s human rights. There is an increasing practice of applying a consumer viewpoint to health care, while safeguarding patients’ rights and taking their views into account. This has been brought about by the inception of the Mental Health Care Act no. 17 of 2002.Purpose: The purp
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Evans, Katya. "Prehospital care providers' decision to transport the patient with a suicide attempt refusing care in the Cape Town Metropole, Western Cape: A survey based on the Mental Healthcare Act of 2002." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16478.

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Includes bibliographical references<br>Anecdotally incidents of inappropriate refusal of treatment or transportation by patients referred to hospital under the Mental Healthcare Act of 2002 have been noted. There is little documented about the knowledge and understanding of prehospital providers of the mental healthcare act, their responsibilities and the issues around patient competence and refusal of care. The transportation of patients presenting with a suicide attempt who have not yet been formally assessed for involuntary admission poses a particular problem. Aim: To determine the knowled
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Mgwili, Victoria Nokwanele. "Experiences of the disabled women attending the state-provided reproductive health care services regarding the quality of care rendered by health care professionals in the Eastern Cape." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/11374.

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The purpose of this study was to explore and describe the experiences of disabled women, attending the state-provided reproduction health services, regarding the quality of care rendered by health professionals in the Eastern Cape. The study was conducted on disabled women at Flagstaff and Lusikisiki self-help group project sites.
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Rosant, Celeste. "Knowledge of and attitudes towards kangaroo mother care in the Eastern Subdistrict, Cape Town." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7613_1277072386.

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<p>Kangaroo mother care (KMC) was first initiated in Colombia due to shortages of incubators and the incidence of severe hospital infections of new-born infants during hospital stay (Feldman, 2004). Currently it is identified by UNICEF as a universally available and biologically sound method of care for all new-borns, particularly for low birth weight infants (Department of Reproductive Health and Research, 2003) in both developed and developing countries. The Western Cape Provincial Government implemented a policy on KMC as part of their strategy to decrease the morbidity and mortality of pre
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Aylward, Louise Annet. "Exploring the role of patient care workers in private hospitals in the Cape Metropole." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/97029.

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Thesis (MCur)--Stellenbosch University, 2015.<br>ENGLISH ABSTRACT: Controversy was observed regarding the opinions of nursing managers on the role of patient care workers (PCWs) in private hospitals. These opinions ranged from praise for their contribution towards patient care to serious concerns about the impact of their role on patient safety. The aim of this study was therefore to explore the role of PCWs in private hospitals in the Cape Metropole, South Africa. A qualitative approach with a descriptive design was applied to explore the role of PCWs as perceived by unit managers, nurs
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Mlenzana, Nondwe Bongokazi. "The evaluation of processes of care at selected rehabilitation centres in the Western Cape." University of the Western Cape, 2013. http://hdl.handle.net/11394/4078.

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Doctor Scientiae<br>Following the introduction of the Health Act of 1995, the Primary Healthcare Package for South Africa, a set of norms and standards was developed in 2000, to ensure good quality of care and to act as a guide to provide good service at this level of care. Related to this, and bringing health services to the people, was the aspect of rehabilitation. It was highlighted that rehabilitation services should be restructured and strengthened in order to improve access to these services for those who did not have them before. This led to the development of the National Rehabil
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Kali, Julia Mamosiuoa. "Understanding women’s involvement in primary health care: a case study of Khayelitsha (Cape Town)." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4095.

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Magister Artium (Medical Anthropology) - MA(Med Ant)<br>Women are the principle providers of their families when it comes to issues of health care, even though their health needs and efforts are neglected. The contributions that they make to health development seem to be undervalued, and their working conditions ignored. Societies depend heavily on women as role players in the welfare of their families and of national economics together with their physical well-being which determines the ability to be productive. The study has provided an overview of the experiences of women concerning primar
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Krause, S. R. "An evaluation to asses [i.e. assess] the holistic care of tuberculosis patients with palliative care needs in the Western Cape, South Africa." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/13441.

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Engle, Eugene David. "Perceptions of patients and dietitians on the quality of nutrition care service delivery in primary health care facilities of the Western Cape Metro." University of the Western Cape, 2020. http://hdl.handle.net/11394/8010.

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Magister Scientiae (Nutrition Management) - MSc(NM)<br>The provision of quality nutrition care services is needed to address the national burden of diseases, and to reduce under- and overnutrition in South Africa. Globally, there is a lack of information and data about the perceptions, experience of, and satisfaction with the quality of nutrition care services, both from patients and dietitians. Patients and dietitians are in the best position to provide useful information pertaining to their perception and experience of nutrition care service delivery. The aim of this study was to determine t
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Somahela, Khanyisa Judith. "Professional nurses’ perceptions on quality patient care in one of the Eastern Cape state hospitals." Thesis, University of Fort Hare, 2014. http://hdl.handle.net/10353/d1021141.

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The focus of this study was to explore the perceptions of professional nurses in the quality of care rendered by nurses in the public hospitals. Nursing is a challenging, demanding, and yet fulfilling profession, whose goal is to provide quality care to individuals, families and communities. However, there are inconsistencies regarding the quality of care rendered by nurses in the public hospitals. The media and the public portray nurses as providing poor quality care in the health care facilities. Conversely, the nurses view that they are doing their best, considering the challenging circumst
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Sengwana, Manyeke Jeani. "Diarrhoea management in primary health care facilities in the Cape metropole region: the caregivers' perspective." Thesis, University of the Western Cape, 2003. http://hdl.handle.net/11394/4594.

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Master of Public Health - MPH<br>This mini-thesis, assessed the use of ORT as a treatment for childhood diarrhoea in primary health care facilities in the Cape Metropole from the caregivers' perspective. Awareness and knowledge of oral rehydration therapy (ORT) and the preparation abilities of sugar salt solution (SSS) by caregivers of children younger than 5 years attending the health facilities were assessed. The availability of resources and utensils for the use of ORS packets and SSS and the accessibility to health facilities by caregivers were also determined. Using a cross sectional des
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Beukes, Daniel Wilhelm. "How to improve diabetic care in the Wesbank/ Ilingu Lethu suburb of Malmesbury, Western Cape." Thesis, Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/20439.

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Thesis (MMed) -- Stellenbosch University, 2010.<br>Bibliography<br>Introduction: Diabetes in Africa has been described as a pandemic, with the prevalence in South Africa estimated at 4.5% of the population. Despite clear national guidelines from the Society of Endocrinology, Metabolism and Diabetes of South Africa, an unpublished quality improvement cycle in 2007 has shown poor patient knowledge with associated uncontrolled glycaemic and hypertensive control in diabetic patients in a district health system. The purpose of the study was to identify possible reasons for this and to find solution
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Beukes, Daniel Wilhelm. "How to improve diabetic care in the Wesbank/ Ilingu Lethu suburb of Malmesbury, Western Cape." Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97216.

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Introduction: Diabetes in Africa has been described as a pandemic, with the prevalence in South Africa estimated at 4.5% of the population. Despite clear national guidelines from the Society of Endocrinology, Metabolism and Diabetes of South Africa, an unpublished quality improvement cycle in 2007 has shown poor patient knowledge with associated uncontrolled glycaemic and hypertensive control in diabetic patients in a district health system. The purpose of the study was to identify possible reasons for this and to find solutions for improving diabetic care within the Wesbank/ Ilingu Lethu subu
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Hepburn, Mary Patricia. "An exploration of environmental understanding among primary health care providers in an Eastern Cape community." Thesis, Rhodes University, 1999. http://hdl.handle.net/10962/d1003415.

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This study explores environmental understanding among the health care practitioners serving a rural community in the Eastern Cape Province in South Africa. During the preliminary phases of the research, the decision was made to adopt a participatory approach to the inquiry as far as was possible. Semi-structured interviews, participant observation and focus group discussions were the techniques chosen to focus the participants' thinking about: the meaning of environment, environmental issues and problems which impact on health, and, environmental education in practice. Comparisons between the
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Mandizvidza, Vimbai. "Quality of current ischaemic stroke care practices in the Cape Metro Health District, South Africa." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27457.

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The aim of this study was to assess the acute and post-acute services for ischaemic stroke patients in the Cape Metro Health District in relation to the South African ischaemic stroke guideline. Part A: Protocol - The protocol outlines the purpose of the study and highlights the importance of conducting this study by analysing the literature on stroke care in both high and low and middle-income countries. The literature also highlights the gaps in stroke care in South Africa which justify the need for this study. The protocol also outlines the methods of data collection and analysis as well as
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Kruger, Irma. "Paediatric and neonatal admissions to an intensive care unit at a regional hospital in the Western Cape." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86757.

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Thesis (MMed)--Stellenbosch University, 2014.<br>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 Afri
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Cakata, Zethu. "Epidemiology of sexually transmitted infections in selected primary health care centres in the Eastern Cape Province." Thesis, University of the Western Cape, 2004. http://hdl.handle.net/11394/4599.

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Magister Psychologiae - MPsych<br>An epidemiological study was conducted with the main goal of describing the occurrences of the various STIs in the Eastern Cape province as well as biographical factors such as age, gender, and geographical location influencing them. Ten primary health care (PHC) centres located throughout the province served as sentinel sites for surveillance data collection for a period of 3 months using Daily and Monthly Report Forms. The surveillance data was analysed using relative frequencies to determine STIs prevalence. The main findings from the present study suggest
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Magana, Grace Wanjeri. "Contextual factors influencing the turnover of nurses in specified intensive care units in the Cape Metropole." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80149.

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Thesis (MCurr)--Stellenbosch University, 2013.<br>ENGLISH ABSTRACT: The shortage of nurses in the intensive care units (ICU) affects both the nurse and the patient with regard to quality care and the quality of work life. Job satisfaction as well as factors within the organisation and work environment predisposes dissatisfaction. Identifying these factors may improve the quality of life at work and reduce staff shortages. The aim of this study is to evaluate the contextual factors influencing the turnover of intensive care nurses in specified hospitals in the Cape Metropole. The objectives we
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Skiti, Vuyi. "Barriers in implementing total quality management in Kraaifontein public health care facility in the Western Cape." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/964.

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Thesis (MBA (Business Management))--University of Stellenbosch, 2009.<br>ENGLISH ABSTRACT: Purpose – The health care industry is faced with numerous challenges ranging from rising medical costs, poor state of hospitals, deteriorating health care services and an increasing number of hospital deaths. All these disparities present tremendous challenges for the health care managers in charge of the health care services. As a result, they are forced to try new management methods that will assist their organizations to remain cost effective and efficient. Total Quality Management (TQM) constitu
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Tsoabisi, Sello. "Investigating the extent and efficiency of community participation in primary health care in Khayelitsha, Cape Town." Thesis, Cape Technikon, 2004. http://hdl.handle.net/20.500.11838/1669.

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Thesis (MTech (Public management))--Cape Technikon, Cape Town, 2004<br>The evolution of the South African health system has been characterised by inequities, imbalances as well as fragmentation. The unification of South Africa in 1910 did not consolidate public health administration, which was characterised by increasing institutionalisation, professionalism and organisation. This was the status-quo up until after 1990, whereby there were marked efforts and endeavours to effect defragmentation. In the context of the dramatic political changes that the country has seen over recent years, many a
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Röhrs, Stefanie. "Nurses decision-making in termination of pregnancy services at health care facilities in the Western Cape." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/9427.

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Includes bibliographical references.<br>Using the theory of "street-level bureaucrats" , this thesis examines the implementation of the South African Choice on Termination of Pregnancy Act by exploring nurses' decision-making in termination of pregnancy services. As front-line providers, nurses play a critical role in the implementation of termination of pregnancy services. Nurses may be required to assist in informing, preparing or counselling women who request a termination of pregnancy and, if appropriately trained, nurses can perform terminations of pregnancy. Research suggests, however, t
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Leon, Natalie H. "District health systems development : functional integration at joint primary health care facilities in the Western Cape." Master's thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/10769.

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Bibliography: leaves 65-68.<br>South Africa has embarked on a range of health sector reforms since the start of the democratic government in 1994. The Primary Health Care approach has been accepted as a way of delivering cost effective, efficient and accessible comprehensive health care at the primary care level. The district health system has been promoted as the best model for the delivery of primary health care because it decentralizes power to the local, district level and it is able to integrate fragmented primary care services under one management and governance structure. In the absence
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42

Jimoh, Azeezat M. "Evaluation of Burnout, Coping Strategies and Resilience in Paediatric Oncology Health Care Workers in Cape Town." Master's thesis, Faculty of Health Sciences, 2018. http://hdl.handle.net/11427/30100.

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Background: Burnout is a work-related condition with a significant footprint in the medical profession. It is characterised by emotional exhaustion (EE), depersonalisation (DP), and a low sense of personal accomplishment (PA) at one’s job. Depending on situational and individual factors, the prevalence of burnout among healthcare workers (HCWs) has shown an upward trajectory with peaks in certain medical specialities. Paediatric oncology unit (POU) HCWs are at a high risk of developing burnout because of the immense physical and emotional involvement that can be associated with caring for chil
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43

Roelofse, Maryke. "Investigating factors contributing to late initiation of antenatal care in a health facility in Cape Town." University of the Western Cape, 2018. http://hdl.handle.net/11394/6849.

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Magister Curationis - MCur<br>Despite the awareness of the importance of initiating antenatal care in the first trimester of a pregnancy (before 12 weeks gestation), late initiation of antenatal care (on or after 24 weeks of gestation) remains a common trend amongst pregnant women. The late initiation of antenatal care poses such a risk, to both the pregnant women and their unborn babies that it can contribute to maternal and foetal mortality and morbidity. The late initiation of antenatal care, an entirely avoidable occurrence, has an impact on targets set by the United Nations Millennium Dev
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44

Gubitzer, Luise, and Katharina Mader. "Care-Ökonomie. Ihre theoretische Verortung und Weiterentwicklung." Beirat für gesellschafts-, wirtschafts- und umweltpolitische Alternativen (BEIGEWUM), 2011. http://epub.wu.ac.at/5296/1/Care%2D%C3%96konomie.pdf.

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45

Van, Driel Adrian Edgar. "An exploratory study into the benefits of the new health care system in South Africa, with specific reference to health care providers in the Western Cape." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The research explored the new health care service vehicle of South African with special reference to health service providers in Western Cape Department of health for the period 1995-2001. A study was made of the District Health System and the shift of emphasis from tertiary and secondary level of health care to the more cost effective Primary Health Care Service rendered at District level.
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46

Turton, Mervyn Sydney. "Barriers to Oral Health Care among People Living with HIV in Kwazulu Natal and the Western Cape." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_1170_1274314831.

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<p>HIV/AIDS is a major problem in South Africa with more than 25 percent of the adult population infected with HIV. Oral lesions and various opportunistic infections characterize the progression of HIV making it imperative for people living with HIV to have access to good quality oral care. There is a need to examine accessibility and use of dental services in South Africans living with HIV as very little research in this regard, has been undertaken. Aim: To investigate the barriers to oral health care for people living with HIV in the KZN and the WC. Research Design and Methodology: A cross-s
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47

Borrageiro, Filomena. "Clinical learning environment and supervision : student Nurses experiences within private health care settings in the Western Cape." Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86616.

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Thesis (MPhil)--Stellenbosch University, 2014.<br>ENGLISH ABSTRACT: Background - Student nurses indicated that the clinical environment was not conducive to learning because they were part of the ward staff ratio and clinical supervision was inadequate. Upon observations by the researcher and feedback from student nurses’ a study was planned to identify the clinical experiences and supervision. The study itself was conducted within private health care settings in the Western Cape Province of South Africa. Objectives - The objective of this study was to determine the experiences of student nur
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Cornoc, N. S. "Quality improvement cycle for cardiac failure in primary health care : Elsies River community health centre, Cape Town." Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97226.

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Abstract Introduction The study aimed to assess and improve the quality of care for congestive cardiac failure in a public sector, primary health care setting, in Cape Town. There is currently no literature available on the quality of care for the management of congestive cardiac failure in primary health care in South Africa. Methods A disease register was constructed by identifying patients prescribed Furosemide and checking the medical records. Altogether 95 patients with CCF were identified. The study followed the usual steps for a quality improvement cycle: Formation of an audit tea
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Hsiao, Nei-Yuan. "Analysis of HIV early infant diagnosis and linkage to care in the Western Cape: a laboratory perspective." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/12274.

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Includes abstract.<br>Includes bibliographical references.<br>Prevention of mother-to-child transmission (PMTCT) of HIV is the cornerstones of HIV prevention programs. The principle of using antiretrovirals (ARV) to reduce the risk of transmission from mother to child is well established as a range of PMTCT regimens with varying efficacies have been widely studied and reviewed1. In South Africa and other Sub-Saharan countries, single dose Nevirapine, amongst other cost- effective regimens, have been adopted as part of the national HIV prevention program2 since 2003.
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Ndango, Immaculate Nyonka. "Parents’ perception of nursing support in neonatal intensive care units in private hospitals in the Western Cape." University of the Western Cape, 2018. http://hdl.handle.net/11394/6867.

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Magister Curationis - MCur<br>Parents undergo negative experiences that include parental anxiety, depression, and posttraumatic stress when their new-born babies are hospitalised in neonatal intensive care unit. During this stressful period, parents need assistance from staff in order to cope. A quantitative, descriptive survey design was used to describe parents’ perception of nursing support during their baby’s admission in neonatal intensive care units (NICU) at three selected private hospitals in the city of Cape Town in the Western Cape Province. A structured existing 21- item Likert typ
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