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Madlopha, Sboniso Charles. "A needs analysis of an employee wellness programme : the case of the Financial Services Regulatory Authority (FSRA) of Swaziland." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1018912.
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In 2010, the Financial Services Regulatory Authority (FSRA) of Swaziland noticed a significant increase in employee absenteeism which they discovered was related mainly to: poor health (sick leave), personal and financial stress (garnishee orders were increasing), and low staff morale, the consequence of which was low productivity and missed deadlines (FSRA, 2010:7). High levels of absenteeism meant that a sizeable number of employees were unable to complete their daily tasks (FSRA, 2010:7). Consequently, in 2011, the FSRA Human Resource Department started a wellness programme for all employees in the organization in an attempt to respond to the human resource challenges reported in 2009/10 financial year. By the end of 2012, FSRA management reported that the introduction of the EWP had not yielded the expected results. This therefore prompted management to request an evaluation of the FSRA employee wellness programme. The aim of this research was to identify and prioritize the needs of employees in terms of requirements of a wellness programme and how it should be delivered. The specific objectives of the study are as follows: to identify the wellness needs of employees, to identify employee preferences in terms of the type of interventions to be included in a wellness programme, to identify the preferred mode of delivery of the wellness programme and to make recommendations to management on the design of a wellness programme. Questionnaires with closed ended questions were used to collect data for this survey. The questionnaire used is attached as Appendix A. By means of a needs analysis survey, this research was designed to assess the FSRA employees’ needs in terms of an employee wellness programme, as well as the preferred EWP delivery methods. About 70 percent of FSRA employees participated in the survey. The respondents completed the questionnaire and submitted it online over a period of 10 working days (2 weeks). This report is structured into three sections, namely; section one, which is the evaluation report that gives details of the importance of the study, highlights research methods and then present the results, discussions and recommendations. Section two deals with the literature review while section three reports on the research methodology, research design and procedures and the limitation of the study. In light of the findings on the wellness needs of employees, 72 percent of the respondents felt the current wellness programme was very inadequate and a further 10 percent added that it was inadequate in addressing their wellness needs largely because the needs were not known. The most important wellness needs identified included: exercise, nutrition, personal hygiene, disease awareness and treatment of illness, coping with stress, coping with workload, ventilation, safety, bereavement, personal debt, and retirement planning. The most preferred wellness interventions that respondents proposed include Flexible Work Schedule, Safe Workplace, Improved Ventilation, Retirement Planning Advice and Gymnasium. Further analysis done using correlation analysis indicated that there was a significant positive relationship between the wellness needs and the wellness interventions. Concerning the delivery of the wellness programme, most of the employees indicated that outsourcing certain services was better than having them in house. The highest ranking of the services for out sourcing were nutrition education and medical checkups that ranked between 82 percent and 75 percent respectively. The respondents indicated that they want almost all the chosen interventions to be outsourced. Time slots should also be taken into consideration to ensure employee participation in the wellness programme services. The respondent FSRA employees seem to prefer interventions of an educational nature to be during the lunch hour. These include Nutrition Education, Health Education, Hygiene Education and Medical Check ups and Treatment, whereas Gymnasium was preferred to be after working hours.
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Swannack, Robyn Danielle. "Deaf Futures: Challenges in Accessing Health Care Services." Master's thesis, Faculty of Humanities, 2019. http://hdl.handle.net/11427/31279.
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The purpose of this research is to explore the structural forces that limit the access to health care services for Deaf people. Literature has acknowledged the disconnection between the Deaf and hearing worlds, particularly in health care. Much of the existing literature exploring these fields have failed to include input from the Deaf community members. As such, hearing perspectives dominate the research and hence also in the lives of Deaf individuals. The narrative presented indicates that hearing people need to be made more aware of Deaf people’s own perspectives and respect the policy of self-representation so that laws and regulations do not negatively affects Deaf people’s lives. Using ethnographic methods, including narratives, participant observation, informal and semi-structured interviews, and photo-elicitation interviews, this study highlights the structural violence experienced in accessing health care by six Deaf people in Cape Town, South Africa. The findings confirm previous studies’ assertions that the dominant biomedical view towards deafness negatively affects Deaf people overall, particularly because of lack of communication access to health care.
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Reynolds, Gillian. "Accessibility and consumer knowledge of services for deaf adolescents." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1977.
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The percentage of deaf and hard of hearing people who need mental health crisis services is similar to the percentage of the general population needing such services. Yet, coordinated mental services for deaf and hard of hearing individuals are virtually nonexistent. People who are deaf and hard of hearing, like everyone else, find themselves, from time to time, in need of mental health services.
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Staten, Frederick Douglass. "Examining the influence of the residential school for the deaf experience on deaf identity." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/2773.
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This study explored the impact of the residential school for the deaf experience on deaf identity development. The researcher utilized qualitative methodology, constant comparative analysis, and semi-structured interviews with 5 current students and 5 alumni from the Oregon School for the Deaf. The triangulation of participant interviews collectively yielded 67 textural codes and 8 structural categories in response to the four research questions: 1. Were there experiential factors that contributed to current students and alumni making the decision to attend the residential school for the deaf? 2. What, if any, is the impact of the residential school for the deaf on the identities of those who experience it? 3. How do the participants perceive their experience at the residential school for the deaf as preparation for life after graduation? 4. Based on participants' experiences with helping professionals, are there competencies, from their perspective, that helping professionals need in order to best serve individuals who are deaf?
The data in the form of participant responses revealed that the immersive nature of the residential school for the deaf experience led to unfettered communication and comfort through sign language, thus making their educational experience more comfortable; increased personal and social Deaf cultural identification; and perceived readiness for life after graduation. In reference to helping professional competencies, participants reported professionals need to know the language and culture of the individuals who are being served.
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Crickmore, Barbara Lee. "An historical perspective on the academic education of deaf children in New South Wales 1860s - 1990s." Diss., Connect to this title online, 2000. http://www.newcastle.edu.au/services/library/adt/public/adt-NNCU20030228.130002/index.html.
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Spain, Sherri Lee. "Working Alliance Between Interpretive and Noninterpretive Therapy Services for Deaf Individuals." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4257.
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Deaf individuals typically have access to 2 types of therapeutic services: interpretive (with an interpreter) and noninterpretive (with a sign-fluent therapist). Previous research indicates that the presence of an interpreter may hinder development of working alliance and attachment. There is a lack of empirical evidence assessing the effect of working alliance and attachment based on whether or not therapy incorporates an interpreter. The working alliance theory and the attachment theory were the theoretical foundations for this study. This study examined the difference between the strength of working alliance and attachment to the therapist given the presence or absence of an interpreter in therapy for Deaf individuals (N = 39) utilizing the Working Alliance Inventory and the Client Attachment to Therapist Scale. A multivariate analysis of variance was utilized to examine the differences between interpretive and noninterpretive services. The results indicated that individuals who received noninterpretive services had stronger working alliance and attachment with their therapist, which suggests that the type of therapy services Deaf individuals receive should strongly be considered. Accordingly, an increase of sign-fluent therapists would promote social change by providing more appropriate services that would remove barriers that hinder working alliance and attachment to the therapist.
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Woreta, Fikadu. "Maternal and foetal outcomes of deliveries attended to at Emkhuzweni Health Centre in Swaziland." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/688.
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Thesis (M Med(Family Medicine)) -- University of Limpopo, 2010.Abstract AIM The aim of the study was to measure the maternal and foetal outcomes of the deliveries attended to at Emkhuzweni Health Centre, Swaziland. Objectives The objectives of the study were: .:. To determine maternal outcomes of the deliveries attended to at Emkhuzweni Health Centre. .:. To determine foetal outcomes of the deliveries attended to at Emkhuzweni Health Centre. .:. To identify risk factors that affect maternal and foetal outcomes at Emkhuzweni Health Centre Methods A retrospective chart review was performed for all 520 deliveries at Emkhuzweni Health Centre between January 1,2007 and December 31 2007. Labouring mothers were eligible for the study if they met the inclusion criteria. The study was conducted after ethical approvals from the relevant authorities were obtained. Data were obtained from records for the following variables: age, address, gravidity, parity, health service where ANC was attended, risk factor, mode of delivery, maternal condition after delivery and post-delivery maternal hospital stay. For each foetus, the APGAR score at the first and fifth minute, weight and sex of the neonate and condition after delivery were recorded. Results The results revealed that the maternal outcomes after delivery were normal for 89.85% of the mothers; 3.4% of those who delivered at EHC had PPH, 5.4% developed puerperal sepsis, 1 % PIH and 0.2% cases resulted in maternal death. The majority of mothers (61.7%) were discharged from the maternity ward in less than 24 hrs. As far as foetal outcomes were concerned, normal babies accounted for 68% of births, early onset neonatal sepsis for 1.9%, congenital malformation (0.6%), stillbirth (1.5%), low birth weight (9.2%), preterm babies (17.8 %) and neonatal death (0.4%0. Conclusion This study found that the maternal outcomes at Emkhuzweni Health Centre in 2007 were similar to those in Swaziland as a whole and in other developing countries, except that there was a higher rate of pre-term delivery among pregnant women assisted at Emkhuzweni Health Centre. The foetal outcomes of Emkhuzweni Health Centre in 2007 were similar to the data from developing countries. Additionally, however; significant numbers of pre-term babies were delivered and a high incidence of neonatal sepsis was observed at the Health Centre. Some of the risk factors for the observed maternal and foetal outcomes were poor antenatal care attendance, distance of the Health Centre from the home state of the pregnant woman, preterm labour, under age and teenage pregnancies.
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Williams, Heidi Maria. "SUPPORT SERVICES FOR MAINSTREAM DEAF COLLEGE STUDENT WRITERS: THREE INSTITUTIONAL CASE STUDIES." OpenSIUC, 2017. https://opensiuc.lib.siu.edu/dissertations/1397.
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This dissertation acknowledges the fact that research regarding deaf student writers at the post-secondary level is practically void. To initiate an avenue of research that is meant to foreground future research regarding support services for deaf college student writers, I set out to find how college institutions are serving deaf student writers through academic support services by designing three institutional case studies. The first goal of this project was to synthesize research on the topic of deaf college student writers by organizing existing literature relevant to deaf education and language acquisition. The second goal of this project was to generate descriptive portraits of three institutions by illustrating how the schools are serving deaf student writers. The synthesis of the literature, descriptive portraits of the institutions, and discussion of emergent themes revealed from my study will speak to how the fields of Deaf Studies, Disability Studies, and Rhetoric and Composition might proceed in order to make the most of support services for deaf student writers.
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Chake, Nkhululeko. "Evaluation of support and training sign language services at Setotolwane Secondary School." Thesis, University of Limpopo, 2018. http://hdl.handle.net/10386/2351.
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Thesis (M. A.. (African Languages)) -- University of Limpopo, 2018Support and training services serves as a key to easy life for the deaf community. The whole experience allows deaf people to batter people who understand who they are and how life should be. The purpose of this study was to evaluate the support and training Sign Language services provided at Setotolwane Secondary School. Data was collected from Setotolwane Secondary School using semi-structured interviews. Qualitative approach was used where ten (10) people were interviewed. Among then there were five (5) deaf learners and five (5) Sign Language teachers. Finally, the results show that deaf people are being provided with support and training Sign Language service. The services provided are not enough that are further recommendations to improve in the situation. This study aims to indicate how relevant support and training can improve and empower the deaf community around the world. Keywords Sign Language, support services, training services
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Murray, Christopher J. L. "The determinants of health improvement in developing countries : case-studies of St. Lucia, Guyana, Paraguay, Kiribati, Swaziland and Bolivia." Thesis, University of Oxford, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.304625.
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Green, Colleen Marie, and Colleen Marie Green. "Improving Experiences of Culturally Deaf Individuals when Accessing Healthcare and Mental Health Services." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/624999.
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Yoshida, Minoru. "Barriers for telecommunication accessibility and needs assessment of video relay services (VRS) : utilization of VRS for the deaf community /." Online version of thesis, 2008. http://hdl.handle.net/1850/6923.
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Tovide, Anuoluwapo Esther Semande. "A mobile design of an emergency service system for deaf people." University of Western Cape, 2021. http://hdl.handle.net/11394/8178.
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>Magister Scientiae - MScThe importance of mobile technology in improving the quality of life is not restricted to only a Hearing person, and the use of mobile devices among Deaf people is no longer limited, due to the advancements in technology Hearing loss cannot be seen but its effect is clearly visible to the persons suffering the loss. This results in a limited ability to communicate with the large world of hearing people. This research effort aims to design a SignSupport for emergency mobile application for Deaf people in Cape Town, empowering them with the same access to emergency service resources as hearing people. The proposed approach is to use a mobile application to contact standard emergency services on behalf of a Deaf person to a representative. The app will use a phone's GPS module to share the location of the victim and contact the nearest emergency service provider to attend to the Deaf victim; as well as keep the victim’s circle of family and friends informed. The app design is intuitive, simply requiring the Deaf victim to launch the app and choose an emergency type from the available options.
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Castino, Kelly M. "An Analysis of Training Needs for Providers of Transition Services for the Deaf/Blind." Thesis, NSUWorks, 2017. https://nsuworks.nova.edu/fse_etd/112.
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There is a lack of knowledge in the area of training needs for Deaf/Blind vocational rehabilitation and/or independent living service providers in Florida. This quantitative study utilized self-report surveys of Deaf/Blind providers in Florida to determine what needs to be done related to professional development. The researcher attempted to determine what service providers identify as areas of strength, and what areas they perceive to be those which require additional professional development training. The study participants were 31 professionals who worked at state agencies, non-profits, for-profits, private, or federal agencies that provide services to the Deaf/Blind population in Florida in the areas of vocational rehabilitation and/or independent living. The survey was developed by the researcher based on previous research in the areas of best practice in vocational rehabilitation and independent living. The areas that the survey addressed are interagency collaboration/relationship building, self-determination, parent involvement/parent support, and additional training areas. There were 18 questions on the survey that took participants no longer than 15 minutes to complete. Quantitative data were collected using a commercial platform to keep respondents’ information confidential and analyzed using descriptive statistics which include percentages and other data. Key areas were identified in which providers to the Deaf/Blind may need additional training in the areas of vocational rehabilitation and independent living. The results suggested that the background training of Deaf/Blind providers is varied. Even though Deaf/Blind providers’ training is varied, perceived strengths and weaknesses were suggested.
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Antia, Shirin D., and M. Christina Rivera. "Instruction and Service Time Decisions: Itinerant Services to Deaf and Hard-of-Hearing Students." OXFORD UNIV PRESS, 2016. http://hdl.handle.net/10150/621712.
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The purpose of this study was to (a) describe the specific kinds of services provided by itinerant teachers to deaf and hard-of-hearing (DHH) students in general education settings, (b) examine the relationship between student academic performance and instructional support provided by the itinerant teacher, and (c) examine how service provision decisions are made by itinerant teachers. We used quantitative and qualitative data collected during a 5-year longitudinal study. Data were obtained from teacher questionnaires, standardized achievement tests, and interviews. Results indicated that itinerant teachers of DHH students provided direct academic instruction to 60% of students with the majority of students receiving instruction in reading and writing. They provided instruction in nonacademic areas to 80% of students with a majority of students receiving instruction in self-advocacy. Low-achieving students were the most likely to receive academic instruction from the itinerant teacher. Decisions regarding service time were influenced by student needs and performance, age, parental request, and transitions.
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方玉英 and Yuk-ying Theresa Fong. "To study the hearing impaired children's academic and social adjustment in ordinary schools and the supportive services theyrequired." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B31977315.
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Wilson, Gwendolyn Dianne. "A hearing services program for rural elderly individuals based upon their knowledge, preferences, attitudes and needs for these services /." Access Digital Full Text version, 1991. http://pocketknowledge.tc.columbia.edu/home.php/bybib/1116119x.
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Thesis (Ed.D.) -- Teachers College, Columbia University, 1991.Typescript; issued also on microfilm. Sponsor: Seymour Rigrodsky. Dissertation Committee: Eleanor B. Morrison. Includes bibliographical references: (leaves 82-87).
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Perreault, Stéphane-D. "Intersecting discourses : deaf institutions and communities in Montreal, 1850-1920." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=82944.
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Before 1920, the deaf of Montreal share with their counterparts elsewhere a common experience of residential schooling and training in manual trades, which introduced them to other deaf people and led to their socialising. In countries such as France and the United States in the latter half of the nineteenth century, the deaf were encouraged to be active members of political and social movements. There was no such activism evident in the deaf of Montreal. At the end of the nineteenth century, a deaf culture was visible in the U.S. and France, but despite the presence of three schools for the deaf in Montreal, no such culture seems to have existed at that time.Deaf education in Montreal was carried out according to recognised teaching methods, and its teachers were part of a network of educators of the deaf abroad. Local influences unique to Montreal, such as religion and budding national and linguistic pride, however, changed the experience of both educators and the deaf. The bilingual character of the city, as well as the existence of two main Christian religions gave deaf life a different flavour. Historical narratives of deaf oppression at the hands of hearing educators common in France and the United States do not apply to the Montreal experience.
In many ways, deaf associative life in Montreal depended on the involvement of hearing educators. Experiences were different for Catholics and for Protestants, as well as for men and for women. The most prominent deaf association was made up of Catholic men, who joined an alumni association, the Cercle Saint-Francois-de-Sales, and started a newspaper destined not only for deaf Catholic men and women, but also for a readership consisting of the hearing. Their association also developed support networks for those deaf who suffered from economic and social disadvantage.
This association took on much of the ideological character of French-Canadian society, and was supported by the Catholic clergy. Its national and religious character was paramount and welcomed all members of the deaf family, which extended beyond audiological deafness to anyone interested in the deaf. Rather than participating in the deaf discourse in the United States or France, this association took on characteristics of the greater French-Canadian Catholic cultural group of which it was a part.
This thesis examines the conditions that led to these differences in the Montreal deaf experience between 1880 and 1920. It is concerned with the emergence of deaf networks of sociability and solidarity connected with Montreal's schools for the deaf and how such networks were made possible by the involvement of their educators. By examining the intellectual, religious, and national elements that gave rise to these deaf networks, this work aims at understanding the social dynamics steering Quebec society at the turn of the twentieth century.
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Macias, Gayle. "Mentoring in the Department of Access Services at the National Technical Institute for the Deaf /." Online version of thesis, 2006. http://hdl.handle.net/1850/5038.
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Fong, Yuk-ying Theresa. "To study the hearing impaired children's academic and social adjustment in ordinary schools and the supportive services they required." [Hong Kong : University of Hong Kong], 1993. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13745128.
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Lux, Judith Ellen. "An exploratory study of child protective services social worker knowledge of the culture of the deaf." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1792.
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Kritzinger, Janis. "Exploring the barriers and facilitators to health care services and health care information for deaf people in Worcester." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17907.
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Thesis (MA)--Stellenbosch University, 2011.ENGLISH ABSTRACT: The deaf community face similar access barriers to health care services and information as do other linguistic minority groups. Amongst others, this includes limited access to English communication, misunderstanding of medical terminology, irregular contact with health care professionals of the same language and cultural background and the need to overcome the challenges experienced by using others as interpreters in a health care setting. Barriers to the written and spoken word limit access to health care information as deaf people cannot overhear conversations, have limited access to mass media and present with low literacy rates. The South African Constitution stipulates that every citizen has an equal right to health care services and should not be unfairly discriminated against, on the basis of language. Unfortunately, despite what is written in the Constitution, the reality is that many South Africans are denied equal access or receive compromised access to health care services because of language barriers. The lack of access to interpreters at health care facilities across South Africa inhibits patients from expressing themselves correctly and limits the providers’ professional ability to make a correct diagnosis and provide relevant information. The current study explores the barriers and facilitators to accessing health care services and health care information for people who are deaf in a relatively well-resourced setting. A sample of deaf participants from the National Institute for the Deaf in Worcester were interviewed to gain an understanding of problems experienced with accessing health care services and health care information. Participants reported communication and socio-economic factors as barriers to accessing health care services. The main barrier to accessing health care information was considered to be the inaccessibility of the mass media. Recommendations were made by participants on ways to improve access to health care services and health care information for the deaf population of South Africa. Keywords: Health care acces, Health care information, Deaf, Worcester, Barriers and facilitators to health care services.
AFRIKAANSE OPSOMMING: Die dowe gemeenskap ervaar soortgelyke struikelblokke as ander linguistiese minderheidsgroepe met toegang tot gesondheidsdienste en inligting. Dit sluit onder andere in beperkte toegang tot Engelse kommunikasie, wanbegrip van mediese terminologie, ongereelde kontak met mediese dienspraktisyne van dieselfde taal en kulturele agtergrond, en die uitdaging wat oorkom moet word om ander mense te gebruik as tussenganger en tolk in ’n mediese situasie. Hindernisse met geskrewe- en spreektaal beperk die toegang tot gesondheidsinligting. Dowe mense kan nie na gesprekke luister nie, het beperkte toegang tot massamedia en vertoon oor die algemeen 'n laer geletterdheidsprofiel. Die Suid Afrikaanse Grondwet stipuleer dat elke burger ’n gelyke reg tot gesondheidsdienste het en verbied onregverdige diskriminasie op grond van taal. Ten spyte van die Grondwet is die realiteit dat baie Suid Afrikaners nie gelyke toegang het nie en ’n laer vlak van mediese dienslewering ervaar as gevolg van taalprobleme. Die ontoereikende beskikbaarheid van tolke by gesondheidsfasiliteite reg oor Suid Afrika beperk die vermoë van pasiënte om hulself behoorlik uit te druk. Dit beperk daarom ook die mediese praktisyn se vermoë om ’n korrekte diagnose te maak en relevante inligting rakende die diagnose aan die pasiënt oor te dra. In die huidige studie is die struikelblokke en fasiliteerders vir toegang tot gesondheidsdienste en inligting ondersoek vir dowe mense in ’n relatief goed toegeruste omgewing. ’n Steekproef van dowe deelnemers is by die Nasionale Instituut vir Dowes in Worcester geselekteer. Deur middel van onderhoude is die probleme wat ondervind word met toegang tot gesondheidsdienste en gesondheidsinformasie geïdentifiseer. Deelnemers het kommunikasie en sosio-ekonomiese faktore as struikelblokke tot die toegang van gesondheidsdienste geïdentifiseer. Die grootste struikelblok met toegang tot mediese inligting was die beperkte toegang tot massamedia. Voorstelle is deur die deelnemers gemaak vir die verbetering van die toeganklikheid tot mediese dienslewering en gesondheidsinligting vir die dowe populasie in Suid Afrika.
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Ealy, Barbara Smith. "Parental Level of Satisfaction Regarding Early intervention Services for Children Who Are Deaf or Hard of Hearing." Thesis, Piedmont College, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3600986.
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This qualitative study explores the level of satisfaction of parents regarding early identification/intervention services for children who are deaf or hard of hearing (D/HH). The purpose of this study is to compare the progress of children who are D/HH with their hearing peers on elements used to measure the readiness of students to enter the first grade as measured by teacher and parental perception/satisfaction. This study will include a qualitative exploration of assistive strategies and parental choices regarding early-intervention services, amplification, and modes of communication. Furthermore, it will provide and analyze data concerning teacher and parent perception of the relative success of the various pre-school interventions for children with hearing losses.
The study employs a qualitative case-study methodology using an in-depth guided-interview format to collect data. Participants include four families of children who are deaf or hard of hearing. Triangulation of data sources is achieved through guided in-depth interviews with parents, document review, verbatim transcripts of all interviews, and personal observations. The findings reveal levels of functioning for children who are D/HH upon entry into the school system through the end of their kindergarten year and levels of parental satisfaction concerning their choices made about early-intervention services prior to their children's entry into the school system.
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Steinberg, Joyce Sidra. "The use of existing videoconferencing technology to deliver video remote interpreting services for deaf vocational rehabilitation clients." Diss., The University of Arizona, 2003. http://hdl.handle.net/10150/289988.
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This research examined the effectiveness of using existing videoconferencing technology, originally designed to deliver distance learning, to support Video Remote Interpreting (VRI). The purpose of the study was to demonstrate that the technology could facilitate a two-way counseling exchange between a non-signing Vocational Rehabilitation (VR) counselor and a deaf ASL client, in situations when there are no local interpreters available. The study involved 37 deaf clients who participated in VR interviews in which American Sign Language (ASL) interpreting, by CI/CT certified interpreters, was delivered either locally [control condition] or on video from a remote location [experimental condition]. Comprehension of VR programmatic material and satisfaction with the interview process were measured using a questionnaire developed by the researcher. The data were analyzed using group means, Standard Deviations, and t-tests of Independent Means. Results supported acceptance of the null hypotheses that there were no observed differences in either comprehension or satisfaction among the participant groups, regardless of whether interpreting was delivered in a traditional way or through VRI. Analysis further demonstrated the frame rate speed and bandwidth of the existing videoconferencing network could support real-time signing and fingerspelling. Best practice recommendations are included for consideration by other professionals planning to implement Video Remote Interpreting.
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Tsang, Lai-yuen Lance. "Perceptions of students, parents and professionals towards supportive remedial services and integration." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B18887259.
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Mngadi, Patricia Thuli. "Adolescent pregnancy and parenthood in Swaziland : quality of care, community support and health care service needs /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7140-725-2/.
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Obure, C. A. "Economics of integrating HIV and sexual and reproductive health services : an examination of technical and cost efficiency in Kenya and Swaziland." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2015. http://researchonline.lshtm.ac.uk/2124341/.
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Within high HIV prevalence settings, the integration of HIV and SRH services has been widely regarded as beneficial in not only improving individual outcomes and reducing HIV transmission, but also improving the efficiency of service delivery. However, while ample evidence exists on the behavioural, health and social outcomes, evidence on the economic benefits of integrating these services remains scarce which is a barrier to creating effective policy. This thesis therefore aimed to contribute to the understanding of the optimal organisation of HIV and SRH services in high and medium HIV prevalence settings. To achieve this aim, data was collected from 40 health facilities providing integrated HIV and SRH services in Kenya and Swaziland. Costs of providing these integrated services were estimated and the impacts of integration (among other organizational and contextual factors) on the technical and cost efficiency explored using non-parametric and parametric methods respectively. This thesis presents the first study to analyse both technical and cost efficiency in this context. It further extends the literature on efficiency measurement in low and middle income settings by considering two particularly relevant aspects of health care provision: quality of care and the impact of organisational and contextual factors on the technical efficiency of health facilities. The findings from this thesis are especially relevant to the on-going discussions of the optimal organisation of HIV and SRH services in resource constrained settings. These findings not only show that inefficiencies exist in the provision of integrated HIV and SRH services but underscore the importance of investigating both technical and cost efficiency as the results differ depending on the type of efficiency analysed.
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Ma, Zhenyu. "Semi-synchronous video for Deaf Telephony with an adapted synchronous codec." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2950_1370593938.
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Communication tools such as text-based instant messaging, voice and video relay services, real-time video chat and mobile SMS and MMS have successfully been used among Deaf people. Several years of field research with a local Deaf community revealed that disadvantaged South African Deaf
people preferred to communicate with both Deaf and hearing peers in South African Sign Language as opposed to text. Synchronous video chat and video
relay services provided such opportunities. Both types of services are commonly available in developed regions, but not in developing countries like South
Africa. This thesis reports on a workaround approach to design and develop an asynchronous video communication tool that adapted synchronous video
codecs to store-and-forward video delivery. This novel asynchronous video tool provided high quality South African Sign Language video chat at the
expense of some additional latency. Synchronous video codec adaptation consisted of comparing codecs, and choosing one to optimise in order to
minimise latency and preserve video quality. Traditional quality of service metrics only addressed real-time video quality and related services. There was no
uch standard for asynchronous video communication. Therefore, we also enhanced traditional objective video quality metrics with subjective
assessment metrics conducted with the local Deaf community.
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Oliveira, LÃvia Ferreira de Melo. "AvaliaÃÃo de serviÃos de triagem auditiva neonatal de Fortaleza, CearÃ." Universidade Federal do CearÃ, 2013. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10516.
Full textAbstract:
IntroduÃÃo: Os ServiÃos de Triagem Auditiva Neonatal de Hospitais e Maternidades realizam a triagem dos recÃm-nascidos normais e com risco para deficiÃncia auditiva antes da alta hospitalar. A testagem dos neonatos de UTIN deve incluir obrigatoriamente o PEATE, e tem que haver o monitoramente dos bebÃs com IRDA. A lei federal 12.303/2010 obriga todos os Hospitais e Maternidades da realizarem gratuitamente um dos exames da Triagem Auditiva Neonatal. Neste estudo, objetivou-se avaliar os ServiÃos de Triagem Auditiva Neonatal instalados nos Hospitais e Maternidades pertencentes ao Sistema Ãnico de SaÃde e da rede privada da cidade de Fortaleza, CearÃ. Metodologia: Consistiu em estudo transversal, realizado em duas etapas, identificaÃÃo dos Hospitais/Maternidades que possuem e nÃo possuem STAN e caracterizaÃÃo da Estrutura, Processo e Resultados dos serviÃos. Os locais sem STAN responderam os motivos de nÃo implantaÃÃo do serviÃo, e os locais com STAN responderam questionÃrio sobre Estrutura, Processo e Resultados, cuja avaliaÃÃo foi categorizada em satisfatÃria e insatisfatÃria de acordo com a comparaÃÃo com recomendaÃÃes internacionais. Foi ainda caracterizado um STAN de Hospital de Fortaleza avaliado. Os resultados foram apresentados de forma descritiva, e as variÃveis categÃricas foram testadas atravÃs do qui-quadrado. Resultados: Dos 15 Hospitais/Maternidades de Fortaleza, 33% possuem STAN e 67% nÃo possuem. Entre a rede pÃblica 57% possuem STAN e na rede privada 13% possuem. 90% dos Hospitais/Maternidades que nÃo possuem STAN encaminham os recÃm-nascidos para outros locais e a falta de recursos financeiros (70%) foi motivo mais relatado para nÃo implantaÃÃo do serviÃo. As instituiÃÃes pÃblicas (100%) conhecem a lei 12.303 e 57% das instituiÃÃes privadas nÃo conhecem. SÃo 5 STAN em funcionamento nos Hospitais e Maternidades de Fortaleza, sendo somente 1 na rede privada. O nÃmero de profissionais nos STAN foi 2 (40%) e 1 (40%). O Ãndice de Cobertura variou entre 24 e 99%, tendo uma mÃdia de 63%. A mÃdia do Ãndice de Falha na triagem correspondeu a 20%. Os quesitos da Estrutura avaliados como satisfatÃrios foram: entrega do resultado da triagem (100%), presenÃa do profissional audiologista (100%), presenÃa do pediatra/neonatologista (100%), tecnologia usada na realizaÃÃo do exame (100%), local de realizaÃÃo da triagem (80%), registro do prontuÃrio ou livro de registro (80%), serviÃo de avaliaÃÃo audiolÃgica completa. E os insatisfatÃrios foram: profissional otorrinolaringologista, serviÃo de avaliaÃÃo mÃdica e serviÃo de intervenÃÃo terapÃutica(80%). Os quesitos do Processo avaliados como satisfatÃrios foram: escolha do protocolo da TAN (100%) e realizaÃÃo de reteste na prÃpria instituiÃÃo (80%), enquanto os insatisfatÃrios: seguimento da crianÃa (80%) e protocolo de triagem das crianÃas com permanÃncia em UTIN (60%). Os Ãnicos quesitos dos Resultados dos STAN avaliados como satisfatÃrios foram: Controle mensal das crianÃas que nÃo passaram na primeira triagem (100%) e Ãndice de crianÃas encaminhadas para diagnÃstico audiolÃgico (60%). Os resultados do STAN do Hospital mostrou falha em 43,9% da amostra, maior chance de passar na triagem ao realizar EOAT (p<0,001), maior chance em falhar (60,2%) se a crianÃa tivesse permanecido em UTIN (p<0,001) ou se fosse portadora de IRDA (64,3%), maior chance de apresentar algum encaminhamento (93,6%) se falhar na triagem. ConclusÃo: A lei federal 12.303/2010 nÃo està sendo cumprida na cidade de Fortaleza e apesar dos STAN de Fortaleza apresentarem uma Estrutura satisfatÃria, estÃo ocorrendo Processos e Resultados insatisfatÃrios. Recomenda-se o aprofundamento do tema para a melhoria da qualidade dos ServiÃos de Triagem Auditiva Neonatal de Fortaleza-CE.
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Dube, Servious. "Development of a low cost screen to identify hearing loss in young children and appropriate services for deaf children in Binga, Zimbabwe." Thesis, University College London (University of London), 2003. http://discovery.ucl.ac.uk/1382938/.
Full textAbstract:
There is a high prevalence of hearing loss estimated between 8 and 16% in young children in rural areas in Zimbabwe. Deaf children are usually identified late and do not benefit from early interventions. This study was conducted to evaluate a questionnaire screen in identifying permanent hearing loss in excess of 50dBHL of the better ear, compared with the pure-tone audiometric screen, in children aged 36-72 months living in Binga district, Zimbabwe. Subjects were recruited into the study by using two questions which identified 417 at-risk children who were registered as "Failing" children. In addition, 417 children were recruited as controls who were matched by age and sex and were registered as "Following" children (n=834). The "Questionnaire" screen used for this study had two parts; "Part I" had 8 general questions for every child, while "Part 2" had 3 age specific sections (A, B and C) with a set of 10 questions in each section and took between 20-25 minutes to administer for each child. The screen was administered on 747 (90%) children of the original sample (n=834) by four trained Tonga fluent interviewers, 87 children (10%) having dropped out. An experienced audiologist administered the gold standard pure-tone audiometry screen on the same 747 (90%) children who were "Questionnaire" screened. There were four test sound frequencies used: 0.5k, lk, 2k and 4k set at a flat cut-off point of 50dBHL generated by a calibrated Kamplex screening audiometer. The pure-tone screen administration required 10 - 15 minutes per child. Pass or fail results were plotted on the audiogram. For reliability testing of both the "Questionnaire" and the pure-tone screens, repeats were administered on 131 and 110 children respectively who were randomly selected from 747 children. Children with marked physical malforination, neurological problems and those for whom Tonga was not their first language were excluded from the study. The results revealed that the "Questionnaire" screen had a sensitivity of 79% and specificity of 96%. It was inter-and intra-user reliable (r---0.89) in identifying permanent hearing loss in children aged 36-72 months (p>0.05). The "Questionnaire" was easy to use and found to be a low-cost screen that can be appropriately adapted and used in service delivery or research programmes in different cultural settings in developing countries.
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Anderson, Melissa L. "Barriers and Facilitators to Deaf Trauma Survivors’ Help-Seeking Behavior: Lessons for Behavioral Clinical Trials Research: A Master’s Thesis." eScholarship@UMMS, 2005. http://escholarship.umassmed.edu/gsbs_diss/816.
Full textAbstract:
Deaf individuals experience significant obstacles to participating in behavioral health research when careful consideration is not given to accessibility in the design of study methodology. To inform such considerations, we conducted a secondary analysis of a mixed-methods study that explored 16 Deaf trauma survivors’ help-seeking experiences. Our objective was to identify key findings and qualitative themes from consumers' own words that can be applied to the design of behavioral clinical trials methodology. In many ways, the themes that emerged are what we would expect of any research participant, Deaf or hearing – a need for communication access, empathy, respect, strict confidentiality procedures, trust, and transparency of the research process. However, additional considerations must be made to better recruit, retain, and engage Deaf trauma survivors. We summarize our findings in a “Checklist for Designing Deaf Behavioral Clinical Trials” to operationalize the steps researchers should take to apply Deaf-friendly approaches in their empirical work.
32
Anderson, Melissa L. "Barriers and Facilitators to Deaf Trauma Survivors’ Help-Seeking Behavior: Lessons for Behavioral Clinical Trials Research: A Master’s Thesis." eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsbs_diss/816.
Full textAbstract:
Deaf individuals experience significant obstacles to participating in behavioral health research when careful consideration is not given to accessibility in the design of study methodology. To inform such considerations, we conducted a secondary analysis of a mixed-methods study that explored 16 Deaf trauma survivors’ help-seeking experiences. Our objective was to identify key findings and qualitative themes from consumers' own words that can be applied to the design of behavioral clinical trials methodology. In many ways, the themes that emerged are what we would expect of any research participant, Deaf or hearing – a need for communication access, empathy, respect, strict confidentiality procedures, trust, and transparency of the research process. However, additional considerations must be made to better recruit, retain, and engage Deaf trauma survivors. We summarize our findings in a “Checklist for Designing Deaf Behavioral Clinical Trials” to operationalize the steps researchers should take to apply Deaf-friendly approaches in their empirical work.
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Tsang, Lai-yuen Lance, and 曾麗婉. "Perceptions of students, parents and professionals towards supportive remedial services and integration." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31959854.
Full text
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Alajlan, Mohammed. "Knowledge and Attitudes of Faculty Members at a Saudi University Toward Deaf and Hard of Hearing Students in Higher Education." ScholarWorks@UNO, 2017. http://scholarworks.uno.edu/td/2288.
Full textAbstract:
In Saudi Arabia, deaf and hard of hearing (D/HH) individuals rarely gain admission to Saudi universities, even though there is a law (i.e. the Disability Code) passed in 2000 to ensure that people with disabilities have equal access to post-secondary educational opportunities as their non-disabled peers. In the 16 years since the passage of this law, some attempts were made to enroll D/HH students in Saudi universities. Unfortunately, most of these attempts failed and therefore the actual enrollment of D/HH students in higher education is still limited. Possible reasons may include faculty members’ insufficient knowledge about, and negative attitudes toward, people who are deaf and hard of hearing. A literature review revealed few studies investigating faculty members’ knowledge and attitudes toward D/HH students. This study is designed to investigate the level of knowledge and the attitudes Saudi faculty members have about deaf and hard of hearing students. Data were collected through a convenience survey of selected faculty members in a single Saudi university. All participants in the study were faculty members (N=224) in the Humanities Colleges and Scientific Colleges at the university. A quantitative descriptive correlational analysis on the data revealed that faculty members who participated in the study generally have adequate knowledge about hearing loss and positive attitudes towards enrollment and instruction of this population of students. However, age, college type, academic rank and length of teaching experience were found to have significant effects on the knowledge and attitudes of faculty members, whereas gender was not a discriminating factor. Implications for deaf education in higher education institutions and recommendations for further study are provided based on the results of this study.
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Ramos, Eliane de Souza 1980. "A diferença e as rasuras de um ensino inclusivo : aproximações e distanciamentos entre o atendimento educacional especializado realizado com alunos surdos, e o acontecimento de Deleuze." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/250809.
Full textAbstract:
Orientador: Maria Teresa Elgér MantoanDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Educação
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Resumo: O desafio da diferença nas escolas mobiliza transformações no ensino por elas ministrado. O Atendimento Educacional Especializado/AEE realizado com alunos surdos colabora com estas transformações, pois permite conexões entre a Filosofia, a Ciência, a Arte e a Vida. Aproximações e distanciamentos se dão conforme os limites de um plano de imanência. Nas palavras de seu criador, o filósofo contemporâneo Gilles Deleuze (2010), sem um plano de imanência nos perderíamos no infinito do pensamento e nos manteríamos no caos. Um plano de imanência intensifica a criação na medida em que possibilita o trânsito entre o caos e o já existente no sujeito. Proponho neste estudo o roubo criativo de conceitos, teorias e tendências para assumir a aula/encontro no AEE como um Acontecimento (Deleuze, 2010), a partir da rememoração de uma experiência por mim vivida enquanto professora do AEE, ao atender um aluno surdo cursando o ensino superior em 2009 e 2010. Este trabalho compõese de narrativas chamadas Mônadas (BENJAMIN, 2011). Elas retratam momentos de ensino da Língua Brasileira de Sinais/LIBRAS, da leitura na Língua Portuguesa e são acompanhadas por comentários que articulam constructos teóricos de Deleuze, Guatarri, Benjamin, Bauman, Santos, Larrosa, Mantoan e demais autores. Parto dos estudos de Deleuze para defender que educar é agenciar, produzir dispositivos de agenciamento. Neste estudo evidencia-se que de fato é impossível planejar, prever e controlar o Acontecimento no AEE. Algumas experiências educacionais narradas neste estudo fizeram emergir elementos que o impedem. Dentre eles destaco: dar a ler o que os alunos não sabem; ensinar o que se sabe e afastar-se do conceito de diferença humana. Tais elementos surgiram durante o Atendimento Educacional Especializado/AEE que realizei com um aluno que tem surdez, foco deste trabalho, mas podem estar presentes tanto no ensino regular como na Educação Especial.
Abstract: The challenge of difference in schools mobilizes some transformations on the teaching supplied by them. The Specialized Educational applied to deaf people contributes to these transformations because it is opened the connections among Philosophy, Science, Arts and Life which get close and get distant according to the limits of the immanence plan. This one, in its turn, potentizes the creation course as it opens to chaos, and it also enables the return so that the existent one is modified. On the words of its creator, the contemporary French philosopher Gilles Deleuze, without an immanence plan we would lose ourselves in the infinite of thought and we would fall in chaos. I propose through this study the creative steal of concepts, theories and tendencies to take over the class/encounter like the Deleuze Happening, from the recall of an experience I went through, while a SES teacher, with a deaf college student in 2009 and 2010. Its setting was made with some narrations called monads, methodology created by Walter Benjamin. They depict teaching moments of the Brazilian Signs Language /LIBRAS, of Portuguese Language reading and are followed by commentaries which articulate theoretical constructs of Deleuze, Guatarri, Benjamin, Bauman, Santos, Larrosa, Mantoan and other selected author for its execution. Educate is to negotiate, to produce negotiation instruments, to open to the Happening. Is it possible to plan it? Deleuze studies show us that it is not because if it is planned, it potentizes the obstacles for its execution. This study evinces the impossibilty of planning, foreseeing and controlling the Happening at the same time its breaches make emerge some of its impending elements. Among them I emphasize: provide some reading which the students don't know, via classes/encounters intending the texts comprehension, instead of providing reading experiences and creative thinking; teach what I know, reducing the learning possibilities to the reproduction of the already thought/created; search some specialization idealizing the understanding of the other by definitions and representation sustained on deficiencies, difficulties and disturbances and get far from the difference concept, bringing to the center of our educational concepts, organization and execution of the pedagogic work, attaching and imposed identities. These elements connect themselves to the SES carried out with deaf students, the focus of this study, but they can also be articulated with the teaching executed in Special Education as well as in the Regular Education.
Mestrado
Ensino e Práticas Culturais
Mestra em Educação
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Forssell, Beatrice. "Biblioteksservice för vuxna döva." Thesis, Uppsala universitet, Institutionen för ABM, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-160702.
Full textAbstract:
The aim of this two years master thesis is to explore the relationship between public libraries and deaf adults. I want to know if deaf adults are a prioritized group in Swedish public libraries. Deaf adults use Swedish sign language witch is a visual language and differs from Swedish. I discuss the difference in Swedish Sign Language and Swedish and the importance of Sign Language literature. I also explore what methods can be used for mak-ing the library service towards the deaf group more customer centered and service oriented.The lack of sign language knowledge among the library personnel can lead to communication barriers. I want to illustrate these communication barriers, both psychological and semantic barriers, with Richard Dimble-by and Graeme Burton´s interpersonal communication theory. The psychological barriers consist of negative attitudes and prejudices. In this case these psychological barriers prevent the libraries from further proceedings with the marketing of their service, all based on the notion of deaf being uninterested in library service. This, on the other hand, leads to deaf people not knowing what public libraries can offer and therefor has become some-what of an invisible group in the libraries today.I performed ten surveys on ten public libraries in Sweden and a more detailed questioner to Teckenhörnan in Örebro public library. Thees surveys was done based on the IFLA Guidelines for Service for Deaf People. The result of this survey shows that deaf adults are not a prioritized group in public libraries. The lack of knowledge among library personnel about deafness, sign language and an understanding of the situation of deaf people is an obstacle. It is important to separate deaf from other disabled groups since deaf is more a linguistic minority then a disabled group.
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Haumba, Samson Malwa. "Best practice guidelines to monitor and prevent hearing loss related to drug resistant tuberculosis treatment." Thesis, 2015. http://hdl.handle.net/10500/21189.
Full textAbstract:
The purpose of the study was to develop best practice guidelines to prevent permanent hearing loss associated with the management of multi-drug resistant tuberculosis (MDR-TB) through raised awareness and monitoring. The Human Immunodeficiency Virus (HIV) and MDR-TB are global public health problems requiring urgent scale-up of treatment services. Irreversible sensorineural hearing loss (SNHL) is one of the adverse drug reactions of the current World Health Organization (WHO) recommended MDR-TB chemotherapy fuelling another public health problem, that disabling hearing loss, which is the second highest contributor of Years Lived with Disability (YLD) according to the World Health Report (2003). Expansion of MDR-TB treatment threatens to increase incidence of SNHL unless there is urgent implementation of intervention towards preservation of hearing for patients on treatment. This empirical study determined and documented the incidence of SNHL in HIV positive and HIV negative patients on MDR-TB treatment, the risk factors for SNHL, from the time treatment initiation to SNHL. Based on the findings, developed and improved the understanding of best practice guidelines for monitoring and prevention of MDR-TB treatment-related SNHL.
The empirical study recruited a cohort of 173 patients with normal hearing status, after diagnosis with MDR-TB and enrolled on MDR-TB therapy over thirteen month period. Patients in the cohort received monthly hearing sensitivity testing during the intensive MDR-TB therapy when injectable aminoglycoside antibiotics are part of the treatment regimen. The three study endpoints included completion of the eight-month intensive treatment phase without developing hearing loss, development incident hearing loss or loss to follow up. Data was analysed using STATA statistical software and summarised using frequencies, means, proportions, and rates. The study documented incidence of SNHL, time to hearing loss and risk factors for hearing loss. Recommendations to prevent and monitor hearing loss are made based on the the study findings.Health Studies
D. Litt. et Phil. (Health Studies)
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Buchner, Denise Lynn. "Deafness in Swaziland: a social-cultural study of deafness at the Siteki School for the Deaf." Thesis, 1998. http://hdl.handle.net/2429/8001.
Full textAbstract:
Although the social and cultural position of deafness in Western nations is a topic which
has received considerable attention, very little is known about the social experience of
being deaf and living in a non-Western culture. The composition which follows derives
from data which were collected over a ten month period and offers an interpretation of the
social experience of being deaf in the Kingdom of Swaziland. By engaging narratives,
images and discourse the composition henceforth tells a story about deafness in Swaziland
which encompasses issues having to do with the deaf community in Swaziland, the
creation of identity and the experience of personhood and liminality. From this project it
becomes known that the experience of being deaf is a social construct which cannot be
defined cross-culturally. Further, this project offers a view of deafness which describes
deaf individuals in Swaziland who exist as socially valued members of their hearing
communities.
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Mkhabela, Mildred Penelope Sbongile. "An empowerment programme for nurses working in voluntary counselling and testing services in Swaziland." Thesis, 2007. http://hdl.handle.net/10500/2182.
Full textAbstract:
The HIV/AIDS epidemic is described as a crisis by the Global Report (UNAIDS 2004:13). Swaziland¡¦s King Mswati III also declared the HIV/AIDS epidemic as a disaster when the HIV/AIDS prevalence rate increased from 3.9% in 1992 to 42.6% in 2004 (MOHSW 2004:3). In responding to the increasing numbers, the Government of Swaziland established various programmes; one of them being the Voluntary Counselling and Testing (VCT) services to meet societal needs.
The MOHSW designed guidelines to be utilized when training nurses to be pre and post HIV test counselors (TASC 2003:2). The period of training ranges between 1 to 2 weeks, after which they are deployed to the VCT centres where nurses provide counseling and testing, treatment of opportunistic infections and distributing antiretroviral drugs. Much research has been done in Swaziland on HIV/AIDS however; there is insufficient knowledge on the impact of HIV/AIDS on nurses working at the VCT services.
The objectives of the study were to:
,,« Explore and describe the experiences of nurses working in the VCT services.
,,« Explore and describe the experiences of clients receiving VCT services.
,,« Design and develop an empowerment programme for nurses working in the VCT services in Swaziland.
,,« Formulate and describe guidelines for the implementation of the programme.
In this qualitative study, the exploratory descriptive and contextual methodology was utilized to look into lived experiences of nurses and clients. This was done within the adaptation of the intervention Design and Development genre proposed by Rothman and Thomas (1994). Data was collected through purposive sampling and analysed according to Tesch¡¦s methods (Tesch 1990:890)
The study revealed one major theme; constant experience of stress that was related to psychological and physical factors (categories). Nurses identified the complexity of HIV/AIDS, shortage of staff, lack of social support, lack of a supportive working environment, and a need for staff development under psychological factors. Clients identified stigma and discrimination. Constant exhaustion and development of medical conditions were identified as physical factors that led to constant experience of stress.
Conclusions drawn from the data analysis revealed that nurses were stressed and felt disempowered at working in the VCT services. An empowerment programme was designed and developed to enable these nurses to deal with issues and VCT services for rendering quality care and enjoy the work they do.
Guidelines were formulated to implement the empowerment programme. The study concluded with the identification of limitations and recommendations for future endeavours.Health Studies
D.Litt. et Phil.
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Ziyane, Isabella Simoyi. "Factors which deter Swazi women from using family planning services." Thesis, 2002. http://hdl.handle.net/10500/668.
Full textAbstract:
Deterrents to family planning practices were investigated among Swazi women between 1999-
2001. A total of 171 adolescents, women and men participated in focus group interviews.
Information obtained in this way served as a framework for designing structured interview
schedules. The views of 205 women were investigated, concerning factors deterring them
from using family planning practices by means of conducting face to face studied interviews.
Qualitative data were analysed using the NU*DIST and for the quantitative data the SPPS
computer programs were used respectively. The results revealed that socio-cultural deterrents
to family planning included high cultural value of children determining women's social status,
the lack of knowledge about contraceptives, women's dependence on their husbands'
decisions concerning reproductive issues and inefficient family planning services.
Recommendations included that specific adolescent reproductive health services should be
instituted and that the policy on reproductive health for Swaziland be revised. Reproductive
health issues should be addressed in the school curriculum. All Swazi men and women, both
adolescents and adults, should be educated about contraceptives.Health Studies
D. Litt. et Phil. (Advanced Nursing Sciences)
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Sibanda, Joyce. "Factors influencing primary health care services utilisation by children living in child-headed households in a rural community of Swaziland." Diss., 2015. http://hdl.handle.net/10500/19195.
Full textAbstract:
Text in EnglishBackground: Children living in child-headed households have health needs that require treatment and care. Matsanjeni is one of the poorest socio-economic areas of Swaziland with the high number of children orphaned by HIV and AIDS who are often living without adequate family and social supports. These conditions are known for increasing people vulnerability to diseases and hindering access and utilization of health services. However, children living in child-headed households in Matsajeni community do attend the primary health care (PHC) services on regular basis. What influence the utilization of the above services by children living in child-headed households in the Matsanjeni community is not clear and well documented. Aim of the study: To explore and describe the views of children living in child-headed households in a rural community of Swaziland regarding factors influencing their utilization of PHC services. Design: A qualitative descriptive design was used to guide the study. Purposive sampling was used to select the most senior child from child-headed households in a rural community. Semi-structured individual face-to-face interviews were used to generate data. Data saturation was reached after twenty interviews. Thematic content analysis was used to analyse data. The researcher used Andersen behavioural model was to identify and organised the emerged themes. Ethical clearance was obtained from the Ethics Committees of the University of South Africa and the Ministry of Health of Swaziland. Results: Fear to develop a deadly disease, perceived seriousness of the condition, desire for compliance to medical treatment, and community support emerged as enablers of primary health care services utilisation among children living in child-headed households. While lack of money, ignorance, shortage of healthcare personnel, negative behaviour and attitude of health professionals, long waiting hours, unreliable transportation system, and long distance emerged as inhibitors of primary health care services utilisation among children living in child-headed households. Conclusion and recommendation: The results of this study add to our understanding factors that positively and negatively influence the utilisation of primary health care services among children living in child-headed households in rural communities. The findings suggest that the utilisation of primary health care services among children living in child-headed households is influenced by need for care-enabling resources-experience of care triad. Behavioural and social welfare interventions are needed to enhance the utilisation of primary health care services among this vulnerable section of the community in Swaziland. Recommendation for further research is also articulated.
Health Studies
M.A. (Public Health)
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Dlamini, Sibonile Promise, and 司白尼. "Women’s Satisfaction with Post Abortion Care Services Rendered in Regional Hospitals in Swaziland." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/96121289320591191818.
Full textAbstract:
碩士國立臺北護理健康大學
護理研究所
102
Aims and objectives: To describe the women's satisfaction with post abortion care services rendered in regional hospitals in Swaziland, its relationship with socio-demographics, accessibility and post abortion elements and the predictors of women's satisfaction. Background: About 210 millions of women get pregnant each year worldwide resulting in two thirds live births and the other third either stillbirth, miscarriage or induced abortion. Half of induced abortions are mainly unsafe. There has been an increase in abortion related complications in Swaziland and the leading cause of all maternal deaths. Abortion is illegal in the country but there are many news on the newspapers about unsafe abortions which end up flocking the hospitals for post abortion care services. Methodology: This is a cross-sectional predictive study looking at women's satisfaction of the services as to whether they are not at all satisfied, slightly satisfied, moderately satisfied, very satisfied or extremely satisfied. Data was collected from 135 women using a structured questionnaire in a 1 to 5 Likert scale format. For analysis, descriptive statistics and inferential analysis with t-test, ANOVA, correlation and multiple hierarchical regression was used. Data analysis was done using Statistical Product and Service Solutions (SPSS) version 18.0. Results: The results indicated a satisfaction mean of 3.68 out of 5. Parity, waiting time and cost of services were significantly associated with women's satisfaction. The predictors of women satisfaction were information and counselling, accessibility, treatment, cost of services and parity. Conclusion: This study has revealed that women satisfaction with post abortion care mean was above moderate satisfaction at 3.68 thus a dire need to improve services in terms of treatment, accessibility, family planning, information and counselling and attendance to other reproductive needs. Relevance to clinical practice: Women's satisfaction can be improved by attending to post abortion elements namely; treatment, family planning, information and counselling and attendance to other reproductive needs plus accessibility.
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Fakudze, Simangele. "Young people's perceptions of access to sexual and reproductive health services in Manzini, Swaziland." Diss., 2018. http://hdl.handle.net/10500/25472.
Full textAbstract:
The purpose of the study was to explore and describe young people’s perceptions of access to sexual and reproductive health (SRH) services in Swaziland. The study provided insights into the SRH services currently available to the young people of Swaziland and reveals the opportunities that can be used to improve accessibility and utilisation of the current reproductive health services. The findings will inform policy-making and appropriate future interventions for young people’s sexual and reproductive needs and services.
Data were collected through a descriptive exploratory study design. Colaizzi’s seven steps of data analysis were used. The study provides ample evidence that young people face sexual health risks that justify their need to access and utilise SRH services. The findings revealed that access to service is an important but complex element of quality care, as it determines whether a client gets to the service provider.Health Studies
M.A. (Health Studies)
44
Alyami, Huda M. M. "Deaf and hard of hearing children in Saudi Arabia : status of intervention services." Diss., 2015. http://hdl.handle.net/2263/50621.
Full textAbstract:
The aim of the research was to describe the status of early intervention services provided to families of children with hearing loss in two main state hospitals in Riyadh, Saudi Arabia, from the parent’s perspective. As parental satisfaction is frequently included as a component of evaluating services for children with disabilities and their families, it is important to determine their perceptions of the status of EI services and to identify to what extent they benefit from the services provided.
Early intervention becomes possible with hearing screening. Without systematic hearing screening programmes to identify infants with hearing loss early, losses will only be detected after critical language development periods have passed, resulting in severely restricted prospects for literacy, academic, and vocational outcomes.
A descriptive quantitative research design was implemented in order to gather data. A semi-structured interview based on a questionnaire was conducted with 60 research participants from two main state hospitals that provide early detection and intervention services, according to the purposive sampling technique. Descriptive and inferential statistical analyses were performed on the data collected.
The results of this study indicated that participants’ children were identified, fitted with hearing aids and enrolled into EI programmes at a significant later age than recommended by Joint Committee on Infant Hearing. Although the amount and location of intervention services were problematic for some families, the majority were satisfied with the professionals who worked with them and with the ongoing services that were provided. The statistical analysis also showed that a significant relationship was found between the participants’ geographical location and timely access to EI services and fitting with amplification; children who lived out Riyadh were later fitted with amplification than those living in the city. Lastly, the delivery of information emerged as a weakness in the EI system for the majority of participants.
The implications of this study are discussed and recommendations regarding future research endeavours are presented.Dissertation (MComm Path)--University of Pretoria, 2015.
tm2015
Speech-Language Pathology and Audiology
MComm Path
Unrestricted
45
Mthembu, Eugenia Makhosazana. "The Black deaf person in his work situation." Diss., 1994. http://hdl.handle.net/10500/17530.
Full textAbstract:
An exploratory study was undertaken to research the effect
of hearing impairment on employment and socialisation of
black hearing impaired persons and the role of social
workers and job placement officers in supporting these
hearing impaired persons in their work situation.
The Council and Affiliates should disseminiate information
on the effect of deafness on employment to the public and
also embark on social work services to Deaf employees.
Future socio-demographic data with a central register of
interpreters and post-lingually hearing impaired employees
should be embarked on by the Council as well as the effect
of preparation of the hearing impaired for the open labour
market and environmental barriers on their employment
opportunities.Social Work
M.A. (Social Work)
46
Dlamini, Thabile A. "Evaluating the health education for clients with diabetes mellitus by nurses in a hospital in Swaziland." Diss., 2018. http://hdl.handle.net/10500/25588.
Full textAbstract:
The purpose of the study was to evaluate the health education for clients diagnosed with diabetes mellitus by nurses working in the diabetes clinic of the specific hospital. The quantitative descriptive cross sectional design used two questionnaires to collect data from all 20 nurses working in the diabetes clinic and from a convenient sample of 132 clients diagnosed with diabetes mellitus, making use of the health services at the diabetes clinic of the hospital. Data was analysed by a computer program, statistical package for social science (SPSS). Measures were taken to ensure acceptable ethical practice, validity and reliability of the study. Findings revealed the absence of official documents to guide the health education and other factors, such as not knowing the learning needs of the clients, not utilising teaching methods optimally. Recommendations address the development of standard procedures, lesson plans, recording of health education sessions and education skills development for the nurses.Health Studies
M. A. (Nursing Science)
47
Ram, Ansuya. "An investigation into the social identity of the South African deaf community : implications for the education of deaf learners." Thesis, 1998. http://hdl.handle.net/10413/3172.
Full textAbstract:
All Deaf people in South Africa belong to the Deaf Community of
South Africa. Within this Deaf Community there is a separate,
minority language and cultural group which accepts Sign language,
as its first and natural language.
The Constitution of the Republic of South Africa calls for the
acknowledgement of and respect for all minority cultural groups, and
recognises the language of the Deaf, that is, Sign language as an
official language.
This research has attempted to investigate the views of this cultural
group and how they want to be perceived by the hearing people,
how they want to conduct their lives within the realm of an
overarching hearing society and more importantly, the implications
of this acquired identity for the education of Deaf learners in South
Africa.
To document the data on Deaf Culture and the implications for
education, the researcher engaged in qualitative research using the
questionnaire approach. This instrument was administered to 18
profoundly Deaf adults from various provinces throughout South
Africa and representative of the demographic population profile of
the Deaf Community of South Africa.
The study confirmed an emerging Deaf Culture and concluded that
there needs to be redress and change with regard to the curriculum,
the educators, the issue of mainstreaming, the status of Sign
language and the provision of tertiary education in order for Deaf
learners to be educated in the most enabling environment.Thesis (M.Ed) - University of Natal, Durban, 1998.
48
Tsabedze, Bhekisisa Senzo. "Association between malnutrition and diagnosed drug susceptible tuberculosis amongst children aged zero to fifteen years old in Swaziland." Diss., 2018. http://uir.unisa.ac.za/handle/10500/25634.
Full textAbstract:
Background: In 2015, Swaziland had a tuberculosis (TB) prevalence of 733 per 100 000
population and HIV prevalence of 27.5%. Baylor College of Medicine Children’s
Foundation Swaziland (BCMCFSD) reported 83% prevalence of malnutrition amongst
children in 2014. No study has described the association between malnutrition and
childhood TB in Swaziland. Purpose: To examine the association between malnutrition and diagnosed drug susceptible tuberculosis (TB) amongst children aged zero to fifteen years old in Swaziland. Method: The Mixed Method approach was used to conduct the study. A total of 306
children’s electronic records were extracted, then 12 children’s caregivers interviewed.
Extracted data were cleaned and exported to an excel database, then analysed using
STATA version 14 by a statistician. Qualitative data were analysed using NVIVO version
11 post the analysis of the quantitative data. Triangulation of quantitative and qualitative
results was conducted to obtain a comprehensive picture of the study. Validity, reliability,
trustworthiness and adherence to ethical considerations were maintained.
Results: History of previous TB treatment, HIV status and age were strongly associated
with poor TB outcome (<0.001) and severe malnutrition (<0.002). Sex, regions and TB
type were statistically insignificant. Nutritional situation at home and nutritional support
from the health care facility, emerged as themes. Conclusion: TB and Malnutrition are significant predictors of children mortality, thus the children caregivers need consistent health education and support.Health Studies
M. P. H
49
Mkhonta, Nkosazana Ruth. "Guidelines for support of orphaned and vulnerable children being cared for by their grandparents in the informal settlements of Mbabane, Swaziland." Thesis, 2008. http://hdl.handle.net/10500/2958.
Full textAbstract:
The AIDS pandemic has generated a large number of orphaned and vulnerable children (OVC) in Swaziland, as it affects the reproductive age group. Most of the OVC are being cared for by their grandparents who are old, poor and suffer from degenerating diseases of old age. The purpose of this study was to explore and describe the needs and support available for OVC under the care of grandparents in the informal settlements of Mbabane, Swaziland in order to develop guidelines for their care and support. A qualitative, exploratory, descriptive and contextual study was conducted to identify the needs of the OVC and type of support provided by organizations for these children. Data was collected using unstructured and semi-structured interviews.
The study was conducted in three phases each addressing a research objective. In the first phase which was to identify the needs of OVC, twelve grandparents who cared for OVC in the informal settlements participated. For the second phase seven managers of organizations that provide support to OVC in the informal settlements participated. The third phase was the development of guidelines by the researcher and validated by participants and experts. The study highlighted the needs of OVC, the nature of the existing support structure and type of support provided by organizations for these children. The findings revealed that the OVC have developmental support, protection support, psychosocial support and support for survival needs. The themes identified from the analysis of the type of support provided by organizations were developmental, partnership, protection, psychosocial and support for survival needs. The organizations' support was inconsistent and inadequate to meet these needs due to the large number of OVC. Some
of the weaknesses of organizations were indicated as donor dependency and lack of coordination and collaboration among organizations. The study highlighted partnership as fundamental to the successful implementation of the guidelines.Health Studies
D. Litt. et Phil. (Health Studies)
50
Dlamini, Phumzile Lucia. "Knowledge, attitudes and practices associated with PMTCT among breastfeeding mothers living with HIV in a King Sobhuza II public health unit, Swaziland." Diss., 2015. http://hdl.handle.net/10500/19240.
Full textAbstract:
Thesis in English, Annexure E: Consent form (leaf 81) as well as KABP Survey Questionnaire (leaves 87-91) in English and SiSwati.The purpose of the study was to assess knowledge, explore attitudes and determine practices of breastfeeding mothers living with HIV regarding post-natal PMTCT interventions and services. The study was quantitative and descriptive in nature, utilising a retrospective cohort design. The study sample included breastfeeding mothers living with HIV, who attended the King Sobhuza II public health unit in the Manzini region of Swaziland. A written questionnaire was administered to a non-random sample of 90 consecutively selected mothers living with HIV attending the above-cited public health unit for post-natal health purposes. The overall study results revealed that the majority of breastfeeding mothers living with HIV in the afore-mentioned region (77.8%) presented high levels of knowledge on PMTCT, and 90% demonstrated a positive attitude; while a further 90% also demonstrated positive behaviour towards PMTCT. However, stigma and discrimination among family members, non-disclosure of HIV status to sexual partners; as well as poverty and fear of future drug-resistance are the cause of non-adherence to ARV prophylaxis. Furthermore, inconsistent condom use, mixed-feeding methods and wet-nursing also emerged as other contributing factors to the increase of post-natal mother-to-child transmission of HIV among breastfeeding mothers living with HIV.
Health Studies
M.A. (Nursing Science)