To see the other types of publications on this topic, follow the link: Khayelitsha (Cape Town).
Dissertations / Theses on the topic 'Khayelitsha (Cape Town)'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Khayelitsha (Cape Town).'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Simelane, Bhekithemba Doctor. "Indigenous knowledge and vegetation utilisation in Khayelitsha, Cape Town." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4577_1209045528.
Full textAbstract:
The aim of this study was to investigate indigenous knowledge of vegetation resource utilisation, in particular the use of traditional medicinal plants in the provision of health care in the community of Khayelitsha and to determine traditional resource management approaches.
2
Nleya, Ndodana. "Citizen participation and water services delivery in Khayelitsha, Cape Town." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3394_1365671127.
Full textAbstract:
This study analyses the relationship between the manner of citizens&rsquo
engagement with the state and the level of service delivery they experience in their everyday lives, as residents of Khayelitsha. The phenomena of so-called &lsquo
service delivery&rsquo
protests across South Africa have now become a fixture of South African politics. Khayelitsha is one of the sites with frequent protests in Cape Town and is inhabited by poor people, 70 percent of whom live in informal settlements. While the lack of municipal services is undoubtedly a major problem for many poor people in South Africa, thus
far, few studies have been dedicated to investigate empirically this alleged link between service delivery and protest activity. The study utilizes mostly quantitative analysis techniques such as
regression analysis and path analysis to discover the form and strength of linkages between the service delivery and participation forms. While residents of informal settlements and therefore
poorer services were more prone to engage in protests and thus reinforcing the service delivery hypothesis, this relationship was relatively weak in regression analysis. What is more important than the service delivery variables such as water services was the level of cognitive awareness exemplified by the level of political engagement and awareness on the one hand and level of community engagement in terms of attendance of community meetings and membership of different organizations. In summary the study found relatively weak evidence to support the service
delivery hypothesis and stronger evidence for the importance of cognitive awareness and resource mobilization theories in Khayelitsha as the key determinant of protest activity.
3
Yako, Jon Piko Wycliffe. "Exploring paediatric burns : narrative accounts from caregivers in Khayelitsha, Cape Town." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/8045.
Full textAbstract:
Studies conducted in the area of burns have recently begun to document the psychological implications of the condition. Burn survivors are often reported to suffer from post-traumatic stress disorder, depression, and social withdrawal. Difficulties in the self-concept domain have also been reported. No study in the country has captured the incidence of burns and its consequences, from the caregivers' perspective. It is this group of people that have been identified as playing a vital role in the child's recovery and adjustment. It is this same group that is also considered to be at high risk for experiencing ""caregiver burden"" linked with caring for the ill child.
4
Stanford, Murray. "Struggling to become : youth and the search for respectability in Khayelitsha, Cape Town." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13269.
Full textAbstract:
This is a story about the struggle to become. In detailing the everyday lives of a group of young men from Khayelitsha, this story provides a context for (or entry point into) a wider discussion about a generation of youth who have been born into precarious social environments bereft of toeholds on the ladder to social adulthood. These youth must attempt to come of age and live respectable lives within a politically saturated predicament of bleak prospects and socio-economic exclusion. Yet this is not a story of despair, but one of aspiration. It is an ethnographic account of what Patrick Chabal refers to as ‘the politics of suffering and smiling’: a delineation of dream and drama (Gondola, 1999) amidst precarity. Despite exclusion from the realms of work and power these young men jettison despondence, drawing on association to partake in theatres of sociability that provide them with new contexts for social mobility. It is within these novel ‘hierarchies of being’ (Fuh, 2012) that they are able to position themselves as eminent social actors (i.e. the dream) by acquiring valuable social capital through strategic performances of ritual and repertoire (i.e. the drama). By presenting a detailed ethnographic description of the theatres of sociability in which these young men enact their incarnation of eminence, this dissertation contributes to an emerging perspective on the role of association in the social fantasies and possibilities of youth in precarious situations. In this regard the primary goal of this dissertation is to provide an optic into young people’s navigation of precarity, focusing on how they draw on association to reconfigure the geographies of exclusion and inclusion as they chart trajectories from social dereliction to psychosocial redemption.
5
Conradie, Ina. "Aspirations and capabilities: the design and analysis of an action research project in Khayelitsha, Cape Town." Thesis, University of the Western Cape, 2013. http://hdl.handle.net/11394/4608.
Full textAbstract:
Philosophiae Doctor - PhDThe central theme of the study is whether deliberate actions to realise aspirations can and would be likely to increase capabilities amongst the poor, and whether such attempts might reduce poverty. Capabilities are seen here as real opportunity sets which people can use to achieve what they want to be or do (Sen, 1990:43-44). In addition Amartya Sen also emphasises the important role of agency in the achievement of capabilities (Sen, 1985). The relationship between aspirations, agency and capabilities is therefore explored, with emphasis on whether people can escape a potential poverty trap by deliberate and focused use of agency. I also ask what role structural opportunities and constraints play in this process.The study has been largely inspired by the idea of Arjun Appadurai (2004) that the poor might be constrained in their efforts to escape poverty because they lack the capacity to aspire, as they might have been socialised to accept that their aspirations would not be realisable. This idea was tested in a five year action research programme in Site C, Khayelitsha, near Cape Town. The dissertation offers an analysis of the programme in which a group of women was assisted in voicing their aspirations and subsequently worked on the realisation of these aspirations with a limited amount of support and facilitation by the researcher. Although many papers have been written on the social and economic implications of Appadurai’s idea, both within and external to the human development approach, the practical implementation of the idea in a project seems to be novel. The analysis of aspirations and capabilities is contextualised in the dissertation. The history and migration of the participating women show how their lives have been shaped by colonialism, apartheid, and their own cultural practices. This is followed by a discussion of the literature which informs the research and the analysis. The capability approach is discussed with particular reference to its conceptual tools, and the differences in the approaches of Sen and Nussbaum are briefly described. I review the ways in which capabilities are generally measured, and discuss the perspectives of different authors on individualism in the approach. Adaptation and agency as seen from the perspective of the capability approach provide important conceptual material for the analysis in a later chapter. A number of studies which assessed capabilities by qualitative means are then briefly reviewed, and these again provide background information for the analysis of the Khayelitsha study. The study on the use of agency in the capability approach reveals that there are lacunae, which could possibly be addressed by amplification from other disciplines. With this in mind agency is further explored in different disciplines – economics, psychology and social theory. Particular attention is given to three classical theorists of agency, Giddens, Bourdieu and Habermas, but the work of Archer, Latour, Long and Joas is also reviewed. I then recommend that the capability approach would benefit from a hermeneutical analysis of agency, and indicate specific elements which I think can be brought forward into such an extension. The literature review also includes a section on aspirations, which takes account of the conceptual relationship between aspirations, agency and capabilities. The empirical material is introduced under the umbrella of an action research programme which spanned a five year period. As part of this programme there was a household survey to obtain benchmark data. This was followed by the presentation of a life skills course based on Participatory Action Research or PRA methods. Between late 2006 and 2010 the women implemented their decisions, and their actions were observed. The main research process during this phase was an ethno-methodological study of the participating women. During this phase a number of life histories were recorded and I also conducted a set of individual interviews which focussed on individual agency. In 2010 I assessed the women’s increase in functionings and capabilities by taking note of actions taken towards achieving their aspirations, and in 2012 I recorded seven interviews on the rural-urban dynamics in their lives. The main findings of the household survey are given in a separate chapter on research findings. The different recordings of the aspirations the women articulated, and how these changed, are also recorded in the chapter on findings. The analysis of the respondents’ increase in functionings and capabilities is done with reference to an adaptation of a diagram published by Robeyns (2005:98), which visualises the essential conceptual parts of the capability approach. I adapt the diagram for a specific social context, for aspiration formulation, for agency assessment, and for the assessment of increased capabilities. In a second analysis chapter I do a hermeneutic agency analysis of six of the participating women in the context of the capability approach, asking whether the pursuit of their aspirations had been agency-unlocking. This is followed by a concluding chapter.
6
Mbinda, Bukelwa. "Constraints facing small medium and micro enterprises in Khayelitsha, Western Cape." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/2048.
Full textAbstract:
Thesis (MTech (Business Administration))--Cape Peninsula University of Technology, 2015.The aim of this study was to determine the extent of constraints to entrepreneurial development in the townships supporting the Cape Town economy, specifically that of Khayelitsha, and to establish whether any government incentives were available to develop this township economy. These small, medium and micro sized businesses face numerous constraints. The vital role of small businesses in stimulating economic activity, in poverty alleviation, and in the raising of living standards, has been widely recognised in most countries. In fact, in several countries, small businesses are used as catalysts to generate economic activities within relatively poor communities. The City of Cape Town has developed economic initiatives to provide assistance to entrepreneurs with recommendations on how innovations should be encouraged to help entrepreneurs in such poor communities as Khayelitsha to start new businesses, and to create jobs. In order to obtain information on the Khayelitsha business community both qualitative and quantitative approaches were used. Questionnaires were employed to answer open and closed ended questions dealing with economic activities in the area, as well as interviews with formal and informal business persons. Generally, the findings reveal numerous constraints of trade facing businesses in Khayelitsha including governmental restrictions, lack of a skilled workforce, poor infrastructure, and services delivery. The recommendations made could lead to an improvement in operating conditions as this study argues that the existence of positive business conditions, in terms of social, economic, and personal factors, are necessary for business ventures and entrepreneurs to succeed. However, innovation is essential for small businesses to be able to respond effectively to the changing environment that has been triggered by globalisation forces.
7
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.
Full textAbstract:
Magister Artium (Medical Anthropology) - MA(Med Ant)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 primary health care and the quality of service in Nolungile PHC Khayelitsha, Cape Town. Primary health care (PHC) forms an integral part both of the country‘s health system and the overall social and economic development of the community. Central to the PHC approach is full community participation in the planning, provision, control and monitoring of services. Priority has to be given to the improvement of women‘s social and economic status.A much neglected perspective in health issues is that, a number of questions arise from the provision of PHC. Does PHC rely on the contribution of women and if so, why women? Women in their communities have joined their hands together as community health workers, educating community members on issues of health. The study has provided an insight of the work that women are doing in their communities, and how do they give meaning to their experiences in PHC. The study also answered questions that raise fundamental issues on gender stereotyping and disparities in PHC. The study gave me an opportunity to work closely with the women while observing the challenges that they are facing and how to they overcome them in the daily lives.Changes are called towards the attitudes of health care providers working in the formal and nonformal sectors. The provision of health education for women ultimately empowers them as health educators for the community.
8
Spengane, Zandile. "Reasons of early sexual debut of “female” adolescents attending Town-Two Clinic in Khayelitsha, South Africa." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/98080.
Full textAbstract:
Thesis (MPhil)--Stellenbosch University, 2015.ENGLISH ABSTRACT: Introduction: There is an increase in the prevalence of HIV among young females compared to their male counterparts in South Africa (Shisana, 2012). Previous studies have shown early sexual debut is one of the contributing factors to acquiring HIV. Early sexual debut being defined as first sexual intercourse below the age of 15 years as illustrated in the literature (Aji et al., 2013). The aim of the study is to determine the contributing factors to early sexual debut by female adolescents in the ages between 13-19 attending Town-Two Clinic. To establish the knowledge of adolescent females about HIV & STI transmission, to evaluate what sexual and reproductive health education and management is required by adolescents attending the clinic, and to provide guidelines to deal with the concerns and needs of female adolescents attending Town-Two Clinic as well as reproductive health education. Methods: This is an exploratory qualitative study. Twenty female adolescents between the ages 13-19 attending Town Two Clinic for family planning were voluntarily recruited. Data collection was done by means of a 20 minute interview; two participants were interviewed a day. The interview was semi-structured using open-ended questions. Socio-demographic data was obtained by means of a questionnaire; linked to the interviewee by means of a study code to maintain anonymity. Data analysis was done using inductive analysis and creative synthesis, which analyses the details of the information collected to discover important patterns, themes and interrelationships (Larry, 2014). Results: The average age of the participants was 16 years. The youngest and eldest was 13 and 19 years old respectively; average grade was grade10. Majority of participants resided with their mothers (35%), 20% lived with both parents, 20% with their elder siblings, 15% with grandparents and 5% with other relatives. Participants (45%) reported they were sexually active; average age at first sexual intercourse was 14 years. The participants’ acceptable age for sexual debut was 18yrs. Reasons contributing to early sexual debut were identified as: peer pressure, easy access to alcohol, transaction and cross-generational sex, media and social networks, crowded living conditions, sexual abuse and lack of parental supervision and communication with children. The participants (95%) said they received sex education at school;. (65%) reported they were taught about safe sex practices and using a condom every time they have sex. Knowledge gaps; (60%) of the participants reporting they would like to receive more information and teaching about STI’s, as they knew very little about them. Conclusion: The study demonstrates the contributing factors to early sexual debut amongst female adolescents as: Peer pressure, easy access to alcohol, transaction and cross-generational sex, media and social networks, crowded living conditions, sexual abuse and lack of parental supervision and communication with children, and its risk to HIV infection. Appropriate and current sex education with regards HIV, STI prevention, testing and treatment is crucial. Parents play a vital role in educating their own children and need to overcome their socio-cultural views about sex. Interdisciplinary collaboration is needed between the health sector, education, law enforcement, church youth groups, media and social networks in developing effective programs for educating youth on HIV prevention, reproductive health and dangers of substance abuse.
AFRIKAANSE OPSOMMING: Nie beskikbaar
9
Mateus, Antonio Domingos. "Perceptions of the socio economic impact of skills shortage on the community of Khayelitsha, Western Cape." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/1732.
Full textAbstract:
Thesis submitted in partial fulfilment of the requirements for the degree
Magister of Technologiae: Human Resource Management
In the Faculty of Business
At the Cape Peninsula University of Technology
2012This research focused on investigating perceptions of the socio economic impact of skills shortage on the community of Khayelitsha, Western Cape. The objectives of this study were to critically investigate the causes of skills shortage in the community of Khayelitsha; to assess the perceived social impacts that it has on the community; and to critically investigate whether skills shortage is one of the causes of unemployment. The research also went as far as examining measures, which were taken by government and other stakeholders to address skills shortage. Chapter One of the study provides information related to a background of the research under study. Chapter Two briefly considers skills shortage, globally, prior to looking thoroughly at the causes for skills shortage in Khayelitsha. It further presents evidence of skills shortage in South Africa by considering different sectors. Furthermore, the research details the social and the economic impact of skills shortage, the state of poverty and inequality, as well as the state of unemployment. Chapter Two also details the role of government and other stakeholders to address skill shortage. Chapter Three introduces the research design and methodologies that were used, while Chapter Four presents an analysis and assessment of data that was collected. Chapter Five concludes the research by making recommendations. Two types of methodologies were employed by the researcher, namely qualitative and quantitative research methodology. The researcher employed two types of data analysis, namely content analysis and descriptive statistics. These techniques were helpful for the study because they explored perceptions and evidence of skills shortage in South Africa and Khayelitsha, in particular. The study further explores the impact of skills shortage on the economic development of the country, unemployment poverty and the society at large. Finally, the research shows that respondents perceive that skills shortage does indeed have a negative impact on South Africa by being one of the causes of unemployment and poverty, and hence economic growth. While socially, respondents believe that skills shortage is the main driver of issues such as crime, violence, teenage pregnancy, prostitution, HIV/AIDS poverty and other social issues, which are prevalent nationwide.
10
Ncitakalo, Nolusindiso. "Socio-cultural influences in decision making involving sexual behaviour among adolescents in Khayelitsha, Cape Town." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_8419_1307434451.
Full textAbstract:
The aim of the study was to explore the socio-cultural influences in decision making involving sexual behaviour among adolescents in Khayelitsha, Cape Town. Cultural beliefs associated with adolescents&rsquo
decision to become sexually active were explored, as well as the social norms influences involved in adolescents&rsquo
sexual behaviour. The theoretical framework used for the study was Bronfenbrenner&rsquo
s ecological systems theory of development. The results indicated that adolescent pregnancy was perceived as unacceptable behaviour although found widespread in communities. Social influences such as peer influence, low socioeconomic status, alcohol use and lack of parental supervision were found to play a role in adolescents&rsquo
risky sexual behaviour. Cultural beliefs, cultural myths and social norms were identified as socio-cultural influences that endorsed issues such as gender disparities, which made adolescent mothers vulnerable. Findings from this study suggest that female adolescents are faced with sexual behaviour complexities.
11
Velapi, Linda. "The experiences of mothers living with HIV of the PMTCT programme in Khayelitsha, Cape Town." University of the Western Cape, 2021. http://hdl.handle.net/11394/8100.
Full textAbstract:
Magister Curationis - MCurThe pandemic of HIV is the most severe health challenge affecting children across the world and it is estimated that more than 90% of all HIV infections in children result from Mother to Child Transmissions (MTCT). The global target of <2% MTCT risk of HIV has still not been achieved despite the duration of the implementation of the programme and its great progress. The prevention of mother to child transmission (PMTCT) programme is a programme developed to enable health care practitioners to provide essential care to mothers in order to prevent the transmission of the virus to their infants.
12
Majombozi, Ziyanda. "'Luring the infant into life' : exploring infant mortality and infant-feeding in Khayelitsha, Cape Town." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/20068.
Full textAbstract:
The ethnographic data presented in this dissertation is drawn from 20 weeks of informal interviews, participant observation, and other creative research methods such as the use of social media platforms like Facebook and WhatsApp, WhatsApp interviews, focus groups and pictures. Drawing on concepts of managing risk, this dissertation demonstrates that in a world where life is precarious due to illnesses, poverty and other social ills that reflect the political economy of the different spaces, child care is about sustaining the life of an infant. This paper explores the different ways that the state (represented through the National Department of Health) and mothers imagine themselves to be sustaining infant life. It further explores the complexities that arise when the state, external health institutions as well as the mother together with her family and friends imagine the process of sustaining infant life differently. This paper argues that infant feeding choices reflect the different discourses that surround 'sustaining life' and 'managing risk'. It aims to show that the introduction of exclusive breastfeeding policies is a manifestation of the state's ideas on how to sustain infant life. In contrast, the introduction of medicine and complimentary feeds reflect the ideas mothers have for sustaining the lives of their infants. This paper suggests that, although exclusive breastfeeding is important, there are different ways to sustain infant life that are not within the biomedical framework. Alas, these are often dismissed as barriers to exclusive breastfeeding and isolated from other tools used to sustain infant life and to address infant mortality.
13
Salaam-Dreyer, Zubeida. "The Epidemiology and Evolution of Rifampicin Mono Resistant Tuberculosis in Khayelitsha, Cape Town, South Africa." Doctoral thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33896.
Full textAbstract:
Background: According to the World Health Organization Global TB report 2018, rifampicin monoresistant tuberculosis (RMR-TB) comprises 22% and 38% of all rifampicin-resistant TB (RR-TB) globally, and within South Africa, respectively. National surveys from South Africa show an increasing proportion of RMR-TB among TB cases compared to multi-drug resistant tuberculosis (MDR-TB) from 2001-02 (0.4% vs 2.9%) to 2012-14 (1.7% vs 2.8%). Data from the 2012-14 survey showed considerable variation in RMR-TB prevalence throughout the nine provinces of South Africa. Despite the above, factors associated with the rise in RMR-TB are unknown; and research is limited. This thesis aims to describe RMR-TB in more detail, by investigating the emergence and transmission of RR-TB strains in Khayelitsha, Western Cape Province, South Africa. This included: conducting a systematic review on temporal trends, transmission and risk factors associated with RMR-TB; describing the overall prevalence of RMR-TB among RR-TB; assessing the relative risk of RMR-TB versus MDR-TB among RRTB patients by HIV status during prior TB treatment; describing the distribution of rpoB mutations among RR-TB strains and assessing minimum inhibitory concentration (MIC) values in RR-TB strains with particular rifampicin-resistance (RIF R) conferring mutations; and investigating potential transmission through whole genome sequence (WGS) derived clusters among RR-TB strains. Methods: Routinely diagnosed RR-TB isolates are stored in a biobank at Stellenbosch University (SU). Clinical data (Médecins sans Frontières and additional data requested from the Western Cape Provincial Health Data Centre), together with stored RR-TB isolates from the biobank across 2013-15 inclusive were used to address research questions in Khayelitsha. To describe the overall prevalence of RMR-TB among all RR-TB over time, epidemiological data from 2008-17 were used. Laboratory techniques (sub-culturing of stored frozen cultures into mycobacterial growth indicator tubes [MGITs] for DNA extraction and quantitative phenotypic DST [q pDST]) involving the handling of live Mycobacterium tuberculosis cultures, were done in a Biosafety Level 3 laboratory at SU. Extracted DNA was sent to the University of Basel in Switzerland for library preparation and whole genome sequencing (WGS) on the Illumina HiSeq. The raw fastq WGS data files of the sequenced DNA were securely transferred to UCT. TB profiler was used to identify RIF R conferring mutations in rpoB and strain lineages. rpoB mutations were classified as high/moderate and minimal confidence in conferring rifampicin-resistance. q pDST (MGIT) was performed for isolates with minimal, moderate and rpoB confidence level mutations that were not classified. q pDST was also performed on isolates found to be rifampicin susceptible TB (RS-TB using WGS) [no RIF R conferring rpoB mutations detected] but were isolated from patients routinely diagnosed with RR-TB. A combination of software packages was used, as well as in-house developed scripts to compile a pipeline for WGS transmission cluster analysis. Computations were performed using facilities provided by UCTs ICTS High Performance Computing (HPC) team. Clusters were identified with Clusterpicker and by generating a single nucleotide polymorphism (SNP) distance matrix (SNP differences found between genomes) using R software; a SNP threshold of 12 was used to suggest recent transmission. Results: i) The overall prevalence of RMR-TB among all RR-TB remained relatively stable (17-31%) with no major temporal trend observed during 2008-17 in Khayelitsha. ii) The proportion of RMR-TB among all RR-TB was significantly higher among patients who were HIV positive during previous TB treatment compared to those who were HIV negative. iii) A high proportion (11%) of discordance was found among RIF R routinely diagnosed RR-TB patients (43% RMR-TB; 57% MDR-TB); resulting from possible mixed infections (43%), false-positive RIF R (18%) or both (39%). iv) The WGS-based DR-TB profile for rpoB mutations were distinctly different between RMR- and MDR-TB strains. The proportion of high/moderate vs minimal confidence levels for rpoB mutations was significantly higher among MDRTB (high confidence rpoB S531L mutation - Lineage 2) than for RMR-TB. v) Among RMR-TB strains, rpoB L511P (described as a disputed mutation, conferring minimal confidence for RIF R or low-level RIF R) was predominantly found among RMR-TB strains compared to MDR-TB strains. All rpoB L511P mutations (including RMR- and MDR-TB) tested phenotypically susceptible to rifampicin with MGIT; causing discrepancies between WGS and q pDST. All RMR-TB strains, including those with rpoB L511P mutations, had no other mutations conferring resistance to any of the other TB drugs. vi) Clustering was higher among MDR-TB strains compared to RMR-TB and more MDR-TB strains were clustered among strains with the rpoB S531L mutation compared to RMR-TB with the same mutation. In contrast, among strains with the rpoB L511P mutation, more RMR-TB strains were clustered compared to no clustering found among MDR-TB strains with the same mutation. Clinical data showed that RMRTB rpoB L511P clusters were due to closely related community acquired or nosocomial transmission; and SNP differences were < 5, suggesting direct transmission between RMR-TB rpoB L511P patients. Conclusion: In Khayelitsha, lower clustering of RMR-TB strains suggests reduced transmission compared to MDR-TB and along with a different rpoB mutation profile, suggests a different evolutionary mechanism of RIF R. Additionally, RMR-TB appears to be associated with HIV positivity during previous TB treatment, suggesting a role for HIV in the generation of RMR-TB. Given the association of rpoB L511P with low-level RIF R among RMR-TB strains, it is possible that different treatment approaches could be effective for these patients, as there are also no clinical trials to optimise treatment of these patients. WGS is beneficial, not only for understanding transmission of RR-TB strains, but also to be used in combination with MIC testing for individualised patient treatment regimens, in order to accurately diagnose RR-TB in future. Recommendations for preventing M.tb transmission; irrespective of HIV status; include early diagnosis and treatment initiation, and implementation of infection control programmes in various settings.
14
Wright, Yolande. "Project proposal : to construct and manage Moya weKhaya - spirit of home : a cultural centre in Khayelitsha, Cape Town." Thesis, Stellenbosch : Stellenbosch University, 2008. http://hdl.handle.net/10019.1/49433.
Full textAbstract:
Thesis (MPhil)--Stellenbosch University, 2008.ENGLISH ABSTRACT: This study consists of a proposal to construct and manage Moya weKhaya, a cultural centre on a vacant site linked to an existing park in A Section, Khayelitsha. The cultural centre is an innovative vision of urban renewal. The intention is to contribute towards addressing current social and cultural needs and challenge the historical realities of apartheid planning. The concept was initiated by two community-based organisations (CBOs) and the proposal has been developed through a series of meetings and workshops with the initiating CBOs. The approach to the project, from its inception, was based on a communicative planning approach and the intention of this proposal is to stimulate dialogue with government and other potential partners and garner support for the project. The proposal presents the rationale, vision and objectives of Moya weKhaya and describes the background and context in which the project was formulated. It locates the project within the current South African legislative and policy framework and within current planning discourse. The thematic and ecological approach to the architectural design is presented and the proposed usage of the cultural centre and the envisaged activities are described. Strategies to raise funds for capital costs and partnership options are explored. A preliminary operating budget and income generating strategies to maintain the centre are presented. Potential challenges and solutions are discussed. The proposed cultural centre is an ambitious, costly, and complex project and it raises two fundamental issues. - The challenge to the CBO partnership to raise its own capacity to implement and manage the project on its own and / or to negotiate and formalise a public-private partnership to build and manage the centre. - The challenge by the CBOs to government in particular to support the project and bridge the gap between the legislative framework that promotes grassroots driven development and the institutional mechanisms (and political will) to facilitate such processes. This proposal is an attempt to present a framework in which to address these issues.
AFRIKAANSE OPSOMMING: Die studie vervat ’n voorstel vir die oprigting en bestuur van ’n kulturele sentrum, Moya weKhaya, op ’n leë bouterrein wat grens aan ’n bestaande park in A Section, Khayelitsha. Die kulturele sentrum is ’n innoverende visie van stedelike vernuwing. Die doel is om by te dra tot die aanspreek van huidige sosiale en kulturele behoeftes en om die historiese werklikhede van apartheidera-beplannning te trotseer. Die konsep is geïnisieer deur twee gemeenskapsgebaseerde organisasies (GGOs) en die voorstel is ontwikkel aan die hand van ’n reeks vergaderings en werkswinkels met die inisiërende GGOs. Die manier waarop die projek benader is, vanaf die aanvang daarvan, is gebaseer op ’n benadering van tegemoetkomende beplanning en die doel met die voorstel is om gesprekvoering te stimuleer met die regering en ander potensiële vennote en ondersteuning in te win vir die projek. Die voorstel bied die regverdiging vir en visie en doelwitte van Moya weKhaya en beskryf die agtergrond en konteks waarin die projek geformuleer is. Dit posisioneer die projek in die huidige Suid-Afrikaanse wetgewende en beleidsraamwerk en in die huidige beplanningsdiskoers. Die tematiese en ekologiese benadering tot die argitektoniese ontwerp word aangebied en die voorgestelde gebruik van die kulturele sentrum en die beoogde aktiwiteite word beskryf. Strategieë om fondse vir kapitaalkoste te vermeerder en vennootskapopsies word ondersoek. ’n Voorlopige bedryfsbegroting en inkomsteskeppingstrategieë om die sentrum in stand te hou, word voorgestel. Potensiële uitdagings en oplossings word bespreek. Die voorgestelde kulturele sentrum is ambisieus, duur en kompleks en dit opper twee fundamentele kwessies: - Die uitdaging aan die inisiërende GGO-vennootskap om die kapasiteit op sy eie op te rig om die projek self te implementeer en te bestuur en/of om ’n openbare-private vennootskap te bewerkstellig en te formaliseer om die sentrum te bou en te bestuur. - Die uitdaging gerig deur die GGO aan veral die regering om die projek te ondersteun en die gaping te oorbrug tussen die wetgewende raamwerk wat grondvlakgedrewe ontwikkeling bevorder en die institusionele meganismes (en die politieke wil) om sodanige ontwikkeling te fasiliteer. Hierdie voorstel is ’n poging om ’n raamwerk te bied waarin hierdie kwessies aangespreek kan word.
15
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.
Full textAbstract:
Thesis (MTech (Public management))--Cape Technikon, Cape Town, 2004The 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 aspects of local health care have been upgraded. Issues such as policy making and planning, the development of human resources and training for health care and the establishment of health systems and structures requires a different approach from the previous. Effective human resources development and management in consultation with communities, can contribute towards improvement of service delivery around health issues. Personnel matters and skills development should be considered in the exercise to boost employee morale and job satisfaction. The challenge facing South Africa has been to design a comprehensive programme to redress social and economic injustices, to eradicate poverty, increase efficiency and reduce waste. In the health sector this has been ongoing to involve the complete transformation of the national health care delivery system and the relevant institutions. Health care workers jointly, require the right skills, knowledge and expertise with attitude in their duties and obligation to serve the community.
16
Abney, Kate. "Whoever said a little 'dirt' doesn't hurt? : exploring tuberculosis (TB)-related stigma in Khayelitsha, Cape Town." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/13402.
Full textAbstract:
Includes bibliographical references (leaves 94-104).This paper considers the significance of Tuberculosis (TB)-related stigma and stigmatising acts in areas of Khayelitsha Township in Cape Town, South Africa. Data is drawn from three months of in-depth participant observation, interviews and support group sessions. Stigma is a moral process which emerges within social webs of meaning making. By focusing on patient narratives and local illness transmission models (ITMs) both 'enacted' and 'felt' stigma are explored. Three themes emerged during fieldwork: the singularity of dirt as a mode of TB transmission, the paradoxical visibility of the face hidden by the clinical mask, and the ordering/disordering intentions of those who gossip. Utilising Das' (1990) idea of 'organising images' to understand these themes, it is evident they are each imbued with power and meaning within local worlds and thus extend our understanding of stigma and stigmatisation. I argue for the theoretical expansion of stigma through employing alternative literatures, such as the anthropology of violence, witchcraft and narrative studies. In addition, new methods need to be explored which mirror the adversity faced by those living with TB. In this work I suggest 'provoking' stigma is the most effective manner to understand its effects.
17
Mfaku, Abongile. "Urban agriculture a livelihood strategy for food security in the Cape Flats: A case study of community-based and home food gardens in Khayelitsha, Cape Town." University of the Western Cape, 2019. http://hdl.handle.net/11394/7032.
Full textAbstract:
Magister Artium (Development Studies) - MA(DVS)Growing urban food insecurity has prompted many researchers, NGOs, international agencies and governments to advocate for urban agriculture as a livelihood strategy to improve the household food security of the urban poor. Urban agriculture is an instrument for ensuring greater food security and a livelihood strategy for urban households. In South Africa increased attention on urban agriculture is triggered by current trends of urbanization, economic instability, high unemployment rates among the urban poor, and high food prices. Unemployment and urban food insecurity are high in low-income areas. In the Cape Flats, households with no or little disposable income, are food insecure and vulnerable to food insecurity. Income and wage employment are the main determinants of food security in urban areas. However, urban agriculture projects by two NGOs assist communities to be resourceful. Abalimi Bezekhaya, an NGO assists individuals and communities to start and maintain their own community gardens while Soil for Life promotes home food gardens. Abalimi Bezekhaya and Soil for Life seek to address the urban challenge by promoting self-sustained agriculture for food security and livelihoods. There has, however, been little empirical evidence suggesting that urban agriculture projects improve the food security and livelihoods of participants. This study assessed the potential of urban agriculture to address food security, examined the ways in which agriculture is used as a livelihood strategy for household food security, determined other livelihood strategies and coping mechanisms assumed by gardeners to become food secure, and demonstrates the contribution of NGOs in promoting agriculture in poor urban areas. Furthermore, this study addressed the following research questions: do community and household gardens provide a way of improving food and nutrition security and in what way are these impacts observable within participating households. The research followed a mixed-method methodology. The literature is mapped out using international and local papers and empirical evidence collected on the subject. This study used the sustainable livelihoods approach as the theoretical lens through which to analyse the ways in which urban agriculture can be used as a viable livelihood strategy by urban gardeners. It also classified the constraints and opportunities, assets accessible, policies and institutions that exist, livelihood strategies and outcomes of the urban gardeners. The findings of the study reveal that community and home gardens contribute moderately to livelihoods and food security in Khayelitsha. The results also reveal that 85% of the gardeners were either moderately or severely food insecure. Furthermore, 76.67% of gardeners purchased their food from supermarkets and local shops. Urban agriculture therefore plays a supplementary role in addressing household food security in Khayelitsha. The potential of community and home gardens to contribute to urban household food security and livelihoods is limited access to land and government assistance. There is a need for the City of Cape Town and the Department of Agriculture to assist and strengthen the practice of community and home gardens in Khayelitsha.
18
Jacobs, Graeme Brendon. "Investigation of the molecular epidemiology of HIV-1 in Khayelitsha, Cape Town, using serotyping and genotyping techniques." Thesis, Link to the online version, 2005. http://hdl.handle.net/10019/1056.
Full text
19
Thoya, Janet Modenyi. "Experiences of parents regarding rehabilitation of their children with cerebral palsy in Khayelitsha, Cape Town, South Africa." University of Western Cape, 2017. http://hdl.handle.net/11394/6088.
Full textAbstract:
Masters of Science - Msc (Physiotherapy)Cerebral Palsy (CP) is a disorder that affects movement and posture and lasts throughout one's life span. It is often accompanied by disturbances of sensation, perception, cognition, and communication behaviours as well as musculoskeletal problems that lead to activity limitation and participation restrictions. Rehabilitation is recommended in the management and improvement of functions, promoting independence in CP cases. However, CP management brings about different experiences and challenges to children and families affected by the condition. The aim of this study was to explore the experiences of parents regarding rehabilitation of their children with CP in Khayelitsha Township, Cape Town, South Africa. The objectives of this study were to explore the positive and negative experiences of parents of children with CP encountered in rehabilitation management and explore their coping strategies. Permission to conduct the study was obtained from all relevant stakeholders and all ethics were observed. The study was conducted at Site B and Nolungile CHC in Khayelitsha. The researcher used an explorative qualitative study design an approach that seeks to understand social challenges of individuals and groups that experience a common problem. Purposeful sampling technique was used to recruit participants. Semi-structured interview guide and probes were utilized for interviews. The interviews were conducted by a research assistant due to the language barrier, interviews were audio taped and data were collected until saturation was reached. Data were transcribed verbatim, translated from Isi Xhosa to English, coded and analysed using thematic content analysis. The researcher applied the process of confirmability, transferability and credibility. The results showed that parents had experienced both negative and positive challenges. Negative challenges included socioeconomic, emotional, marital, wrong and delayed diagnosis and lack of hope and support structures. Positive challenges included rehabilitation and family support. The parents coping strategies included sharing groups and self-motivation.
20
Ziervogel, Charlton Leslie. "Intergenerational occupational mobility among blacks in the Mitchell's Plain Magisterial District, Cape Town : evidence from the Khayelitsha." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/3844.
Full text
21
Rohleder, Poul Andrew. "What I did is just to talk; nothing else' : the experiences of HIV/AIDS counsellors attached to lifeline, Khayelitsha, Cape Town." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53717.
Full textAbstract:
Thesis (MA)--University of Stellenbosch, 2003.ENGLISH ABSTRACT: Counselling has been recognised as an important component ofHIV and AIDS care, and an essential part ofHIV testing. Counsellors are involved in a dynamic interrelationship with their clients as well as with the organisations in which they work. From a psychoanalytic framework, unconscious anxieties can playa role in the work of the counsellor. Transference and countertransference are processes, which are involved in the counselling situation. While these processes can be a source for understanding the client, they may also become problematic for the counsellor when they overwhelm the counsellor. This study explores the experiences of HIVIAIDS counsellors attached to Lifeline, Khayelitsha in Cape Town. Twenty-nine counsellors were interviewed using individual interviews and focus group discussions. Results explore the counselling training and activity; the difficulties of counselling; what helps the counsellor to cope; and the general impact that counselling has had on the counsellors' lives. The findings reveal the difficult and often distressing aspect of counselling persons with HIVand AIDS. A number of issues facing the client, as well as cultural and workplace issues may cause difficulties for the counsellor. In addition, the nature of the disease, and the issues it creates for the patient, can arouse a number of anxieties in the counsellor related to their own past. The results reveal some possible limitations to an individual client-centred approach. The study concludes that psychodynamic issues should form part of the counsellor's training, and be explored during regular counsellor supervision.
AFRIKAANSE OPSOMMING: Berading is erken as 'n belangrike komponent in HIV en VIGS sorg, en 'n essensiele deel van HIV toetsing. Beraders is betrokke in 'n dinamiese verhouding met hul kliënte so wel as die organisasies vir wie hulle werk. Vanaf 'n psigoanalitiese raamwerk kan angs in die onderbewussyn, 'n rol speel in die werk van beraders. Oordrag en teenoordrag is prosesse wat betrokke is by die beradingsituasie. Alhoewel die proses 'n bron is wat tot beter verstandhouding met die kliënt kan lei, mag dit ook die berader oorweldig. Hierdie studie verken die ervaringe van beraders verbonde aan LifeLine, Khayelitsha in Kaapstad. Nege-entwintig beraders is individueelonderhoude mee gevoer en het aan fokus groepe deelgeneem. Resultate ondersoek die berading opleiding en aktiwiteite; die problematiese aspek van berading; wat die berader help om klaar te kom; en die algemene impak wat berading het op die lewe van 'n berader. Die resultate onthul die moeilike en dikwelse stresvolle aspek van berading met HIV en VIGS pasiënte. 'n Aantal aspekte wat die pasiënte mee toe doen kry so wel as kulturele en werksplek faktore kan sake vir die berader beïnvloed. Verder kan die aard van die siekte en die probleme wat die siekte vir die pasiënt veroorsaak lei tot angs vir die berader ten opsigte van sy ofhaar eie verlede. Die resultate onthul verskeie tekortkominge tot 'n individueeie kliëntgesentreerde berading. Die studie beslus dat psigodinamiese probleme dalk deel moet vorm in die berader se opleiding, asook verder ondersoek moet word in gewone berader toesighouding.
22
Rodina, Lyudmila Alekseeva. "Lived notions of citizenship and the human right to water in Site C, Khayelitsha, Cape Town, South Africa." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/45372.
Full textAbstract:
South Africa has been undergoing significant changes over the past three decades with the dismantlement of the apartheid state, followed by a series of socio-political and economic changes. The structural transformation of the new democratic South Africa has been accompanied by many progressive developments for which the country has been widely praised - but also critiqued. Major elements of this transformation have been improving service delivery for formerly marginalized populations and redressing structural historical inequalities. The main goal of this work is to investigate how these changes affect on-the-ground realities in areas of Cape Town, South Africa, by focusing on the micro level, namely on communities and individuals in marginalized urban areas. This manuscript-based thesis is founded on Master’s research conducted in 2012, with a follow up in 2013, in Site C, Khayelitsha, a partly informal township in Cape Town, South Africa. It investigates the conditions of water access in Site C, the different meanings people attach to water access as well as associated implications for experiences of the human right to water and citizenship more broadly. Chapter 2 analyzes the ways in which the post-apartheid state is encountered in Site C through access to services, and water in particular. It traces the significance of service delivery to previously marginalized populations, such as informal settlements and black townships, as foundational in defining the relationships these populations have with the post-apartheid state. This chapter concludes that these relationships vary significantly along the lines of formality, whereby the housing formalization process contributes to the marginalization of shack dwellers. Chapter 3 focuses more specifically on the human right to water, for which South Africa has been widely praised in both academic and policy realms. This chapter adopts a “lived notions of rights” conceptualization and draws attention to the material conditions as well as the emotive and discursive meanings of water access for residents of Site C. This thesis contributes to a more nuanced understanding of the everyday lived dimensions of relative marginalization, proceeding alongside the housing formalization process in Cape Town and South Africa as a whole.
23
Ladur, Alice Norah. "Factors influencing male involvement in prevention of mother-to-child transmission services in Khayelitsha, Cape Town, South Africa." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11287.
Full textAbstract:
This study sought to explore the role of men in the prevention of mother-to-child transmission services in Khayelitsha, South Africa. Two focus group discussions were held with 25 men of unknown status and one focus group discussion held with 12 HIV-positive women in the community. In-depth interviews were also conducted with four HIV-positive couples and five service providers purposely sampled from the community and a health facility, respectively.
24
Cragg, Carol Diane. "Evaluating viral load monitoring in antiretroviral-experienced HIV-positive pregnant women accessing antenatal care in Khayelitsha, Cape Town." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16490.
Full textAbstract:
Includes bibliographical referencesBACKGROUND: A viral load monitoring algorithm in the 2013 Western Cape Department of Health PMTCT guidelines include VL measurement in women who are antiretroviral (ART)-experienced at presentation for antenatal care, the timing of subsequent VL measurements and criteria for regimen change. The study evaluates the implementation of the algorithm in women who are virologically nonsuppressed and determines the outcomes of virological resuppression and infant PCR status. METHODS: This retrospective cohort study focused on all ART-experienced women who presented for antenatal care at one of two primary level Maternity Obstetric Units (MOUs) in Khayelitsha, Cape Town between July 2013 and June 2014. The study used routine data from facility registers, clinical records and electronic monitoring systems at the MOU, and referral ART sites and hospitals. Data collected included age, ART clinic, start date and regimen, and maternal VL and infant PCR results. RESULTS: Forty percent of the 1412 HIV-positive pregnant women, were ART-experienced, of whom 14.1 % were VNS. Predictors of being VNS included a duration on ART of more than 4 years (p= 0.04), attending an ART clinic other than that in the facility (p= 0.02), being on a second-line ART regimen (p=0.07) and being younger than 25 years (p= 0.05). The algorithm was correctly followed in up to 87.5% of women identified as VNS. The rate of virological resuppression by three months postpartum was 70.0% to 82.3%. Excluding three neonates who died, all of the 82.2% of infants tested were PCR negative. CONCLUSIONS: Nearly 15% of ART-experienced women were virologically nonsuppressed on presentation for antenatal care. Levels of adherence to the guideline, and virological resuppression rates of up to 82.3% are encouraging. The implementation of the VLM algorithm could be improved by the integration of obstetric and ART care, the adoption of a single electronic monitoring system and the use of standardised integrated clinical stationery.
25
Ekole-Chabanga, Harrite Achu. "Experiences of nurses caring for youth victims of violence at a community health centre in Khayelitsha." University of the Western Cape, 2013. http://hdl.handle.net/11394/5484.
Full textAbstract:
Magister Curationis - MCurThe introduction of primary health care in South Africa in 1994 marks a new beginning for the majority of the marginalised population in South Africa during the apartheid era. This introduction has improved access to health care in most communities. Health services are now more decentralised with community health centres that are primarily run by nurses. Violence continues to take its toll in post-apartheid South Africa and the youth remain the most affected group of most communities. It often leaves the youth shattered and traumatised with alarming psychological effects, including poor self-esteem. There is a steady increase of youths who are visiting community health centres to seek health care from nurses with a subsequent increased workload for the nurses at these centres. Previous research has dwelt more on either violence on its own, or the youth affected by violence but very little is known about the nurses caring for these youth victims of violence. It is unclear how nurses who are working at a community health centre experience caring for youth victims of violence. The purpose of this study was to explore and describe the experiences of nurses caring for youth victims of violence at a community health centre in Khayelitsha and to develop guidelines for supporting nurses caring for youth victims. A qualitative, exploratory, descriptive, and contextual design was used. The accessible population (N = 40) included all nurses who are registered under Section 31(1) of the Nursing Act No 33 of 2005 in order to practice nursing or midwifery, and who were working at a community health centre in Khayelisha. Purposive and snowball sampling were used. The data collection method comprised an individual unstructured interview while using an audio recorder and documenting field notes. Tesch's descriptive method of open coding was used for data analysis. Trustworthiness was ensured by means of applicability, dependability, transferability and confirmability. The findings from this study indicated that the experience of nurses who were caring for youth victims of violence was particularly related to a number of factors. These factors included challenges faced by the youth in the community, their socio-economic situation, violence and abuse, gangs, substance abuse, illiteracy, teenage pregnancy; as well as challenges face by nurses, under-preparedness, staff shortage, increase workload, rudeness, and verbal and physical abuse of the nurses. They also emphasised some rewarding experiences. There were some psychological effects on nurses and their emotional responses reported by these nurses. The study also revealed the different coping mechanism these nurses were using and their need for support. Guidelines were developed to support nurses. Recommendations for future implementation are presented in the last chapter.
National Research Fund (NRF)
26
De, Vaal Sybrand Johannes. "Late booking at the Michael Mapongwana antenatal clinic, Khayelitsha : understanding the reasons." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/95545.
Full textAbstract:
Thesis (MFamMed) Stellenbosch University, 2011.ABSTRACT: Background: The initiation of antenatal care (“booking”) is universally recommended in the first trimester. While working in the Michael Mapongwana antenatal clinic (ANC) in Khayelitsha, the researcher noticed that late booking was prevalent, with consequent impaired antenatal care and increased potential for adverse outcomes. The objective of this qualitative study was to understand why women book late at this specific ANC. Methods: Twenty-three in-depth, open-ended interviews were conducted with 23 late bookers (i.e. who booked after 18 weeks) who attended the ANC between June and October in 2009. The interviews were recorded, transcribed, and analysed according to the “Framework” model. Results: The mean gestational age at booking was 26,4 weeks (range: 20 to 34 weeks). The majority were multigravid, unmarried and unemployed. A high incidence of previous or current obstetric problems was noted. Important personal barriers included ignorance of purpose of antenatal care, ignorance of ideal booking time, and denial or late recognition of an unplanned pregnancy. Provider barriers appeared to be significant, especially the cumbersome booking system, absence of an ultrasound service, and perceived poor quality of care. Conclusion: A combination of personal and provider barriers contributed to late booking at this clinic - it seems that the perceived effort of attending this antenatal service outweighed the perceived value thereof. Provider barriers should be addressed by accommodating patients’ needs, optimising nurse-patient interaction, provision of an ultrasound service and improvement of the booking system. Public awareness of early booking and the holistic value of antenatal care should also be enhanced.
27
Isaacs, Roshan. "Comparison of physical activity practices and dietary habits of health club members and community controls in Khayelitsha, Cape Town." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4386_1256889698.
Full textAbstract:
Chronic diseases pose public health concerns globally with an increasing trend in developing countries. The development of interventions to minimize or prevent the burden associated with chronic diseases has therefore become a necessity. In 2002 the School of Public Health of the University of the Western Cape developed a health club intervention in Khayelitsha. This intervention focused on promoting healthy lifestyles, particularly improved diet and physical activity. The objectives of this study was to determine whether members were more physically active than non-members and to determine whether members made healthier dietary choices than non-members.
28
Alobwede, Samuel Muabe. "Perception of stigma experienced by people living with HIV at a health facility in Khayelitsha sub-district, Cape Town." University of the Western Cape, 2018. http://hdl.handle.net/11394/6874.
Full textAbstract:
Magister Curationis - MCurHIV stigma is still affecting People Living with HIV (PLHIV) despite biomedical and structural interventions to reduce this phenomenon. Stigma, particularly health facility related stigma, experienced by PLHIV is reported to fuel poor access to services. As a result, considerable interventions to reduce the stigma among PLHIV have been proposed. However, poor HIV indicators are still reported. Little is reported about PLHIV’s lived experiences of stigma, especially at health facilities, which might be the contributor to poor health outcomes. Hence, this study sought to explore and describe the stigma experienced by PLHIV at a health facility in Khayelitsha Sub-District, Cape Town, South Africa. A qualitative approach, using an exploratory design was followed. Participants were purposively selected, and unstructured interviews were conducted. In total, 15 participants were anticipated to be interviewed. However, saturation occurred after 12 participants were interviewed, but the researcher went further to interview 14 participants. Audiotaped interviews were transcribed verbatim by the researcher (those in English) and assistant researchers (isiXhosa and Afrikaans). Data were then organised and entered into ATLAS.Ti version 8, a Computer Assisted Qualitative Data Analysis Software (CAQDAS) used for analysis of large sets of data. An independent coder was given raw data, and the two outcomes were discussed to reach a consensus on generated themes. The supervisor reviewed the analysed data. Rigour was ensured through the criteria of credibility, dependability, transferability and conformability. The ethical clearance for this study was obtained from the Biomedical Research Ethics Committee (BMREC) at the University of the Western Cape and the City of Cape Town. Six themes emerged from the data because of participants’ experience of stigma at the facility. These include: existence of stigma triggers, participants’ experience of stigma at the clinic, direct stigmatising behaviour, and PLHIV’s characterisation of stigma types, PLHIV’s directed health outcomes, and activism as a secondary health outcome. The results of the study revealed that stigma was perpetuated in the health facility in numerous forms. These were: physical demarcation of the facility, negative behaviour of nurses towards People living with HIV and incompetence of the nurses. This gave rise to recommendations in nursing practice, to policymakers and a need for further research on the topic.
29
Sentwa, Kuhle. "Exploring digital literacy practices of 12- to 15-year-old children from Philippi and Khayelitsha townships in Cape Town." University of the Western Cape, 2018. http://hdl.handle.net/11394/6275.
Full textAbstract:
Magister Artium - MA (Linguistics, Language and Communication)Despite the spread of digital communication technologies and the integration of mobile phones into everyday life, young children's literacy practices are changing rapidly, and schools are struggling to address the potential of these digital communication technologies for learning. Mobile phones are currently a key consumer item, an image of social capital, and they initiate their users into a portable web of numerous applications including those literacy related. Much research has been done on children's relationship with digital technologies and the implications of this for their literacy learning and education in general, but there is almost no research on this in the global south, and almost none in South Africa. Filling this gap is crucial given the crisis in South Africa in basic education. The main aim for this research is to establish the kinds of digital technology and information systems affordances (internet facilities, tablets, books, magazines, newspapers, radios, TVs, video and computer games, etc.) in the homes of the selected children to explore how these digital technologies and information system affordances could be used to enhance the academic literacy development of 12- to 15-year-old children in informal settlements or townships in Cape Town.
30
Gqada, Ichumile. "The spatial mismatch hypothesis and the use of social networks for job search in Site C, Khayelitsha, Cape Town." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/12037.
Full textAbstract:
Includes abstract.Scroll down to electronic link to access the thesis.
This is a study on the spatial mismatch hypothesis, unemployment and the use of social networks for job search in Site C, Khayelitsha. The spatial mismatch hypothesis proposes that where employment centres are located a significant distance from low-income residential areas, the result is unemployment, low wages and limited access to information for people residing in these peripheral residential areas.
31
Fako, Sipho. "An examination of the role of the Public Library in Cape Town, in support of Early Childhood Development, with special reference to Harare Public Library, Khayelitsha." Thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/29978.
Full textAbstract:
The purpose of this study was to investigate the role of the Harare Public Library, Khayelitsha, in empowering Early Childhood Development Centres (crèches and nursery schools) in its community. The researcher focused on the relationships the library has with Early Childhood Development Centres in its community, and the non-profit organisation (NPO) providing educational services. It is argued that the provision of ECD will help reduce the cycle of poverty by strengthening the educational foundation of South Africa’s children. The main finding of the study is that strong relationships between libraries and other community stakeholders are critical in offering a better future for the children of disadvantaged communities.
32
Juurikka, Montonen Jonna, and Shabbo Khalighi. "Kvinnor med HIV/AIDS i Kapstaden i Sydafrika : En frivilligorganisations arbete med och syn på kvinnor med HIV/AIDS." Thesis, Ersta Sköndal högskola, Institutionen för socialvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-1343.
Full textAbstract:
Sammanfattning HIV/AIDS är en epidemi i Sydafrika och antalet kvinnor som lever med denna sjukdom ärhögre än män. Studiens frågeställningar var, att genom organisationsrepresentanterna ta reda på; vad berodde detta på, hur smittades dessa kvinnor och hur upplevde och hanterade de sin sjukdom. Vilken hjälp och stöd fick de för att de skulle kunna leva ett någorlunda normalt liv samt hur behandlades dessa kvinnor av omgivningen? Studiens metod var en kvalitativ studie bestående av fem intervjuer med personer som arbetar med dessa kvinnor inom den frivilliga organisationen, Treatment Action Campaign (TAC) i Kapstaden i Sydafrika.Vidare genomfördes en observationsstudie för att ge en ram för de genomförda intervjuerna. Studien visade att de olika kulturernas syn på kvinnor, kvinnornas ekonomiska beroende av sina män, männens sexvanor, fattigdom, våldtäkter och okunskap om sjukdomen var de faktorer som bidrog till att flest kvinnor än män blev smittade av HIV/AIDS. Genom TAC fick vi också kunskap om att HIV/AIDS var en stigmatiserad sjukdom vilket gjorde det svårt för vissa av dessa kvinnor att tala öppet om sin status vilket i sin tur gjorde att de inte kunde få hjälp, stöd, vård och medicinerig. Dessa kvinnor kunde bli misshandlade, stenade eller dödade på grund av sjukdomen, både av sina män och av andra i deras omgivning. Studien belyser även HIV/AIDS ur ett könsperspektiv eftersom det var fler kvinnor som smittades av sjukdomen.
33
Bonani, Khwezi. "An investigation into pre-university factors that could inhibit access to higher education for learners from low socio-economic backgrounds: the case of high school x in Khayelitsha, Cape Town." University of the Western Cape, 2014. http://hdl.handle.net/11394/4229.
Full textAbstract:
Magister Artium (Development Studies) - MA(DVS)This study investigated the factors inhibiting learners from low socio- economic backgrounds from accessing higher education. The intention to investigate and identify these inhibiting factors was motivated by the growing body of evidence that suggests that there is a correlation between poverty and lack of education. The aim of the study was to investigate which pre-university factors have the most inhibiting impact on learners from low socio-economic backgrounds. The objective was to identify these factors in order to find ways in which they could be overcome and/or prevented. It was argued that, if the impact of the inhibiting factors could be minimised or eliminated, more learners would be able to access higher education successfully. The theoretical framework used in the study was based on Sen’s Capabilities approach. The list of capabilities applied to analyse the data were education and skill, economic resources, employment and working conditions, housing, and family and social integration. The study was positioned within a qualitative, interpretive research paradigm and used a case study design. The research site was a high school in Khayelitsha near Cape Town. Research participants were purposively selected and consisted of a total of twenty-nine learners from across Grade 10, 11 and 12, as well as three educators.The study used multiple sources of data instruments: secondary data (statistics and other census information about Khayelitsha), the participants’ June 2014 progress reports, a demographic information sheet, a reflective questionnaire and three focus group interviews (one per Grade).Content analysis was used to analyse the qualitative data through a three-stage open coding process. The list of inhibiting factors discussed in the literature, namely poor schooling, a lack of financial means, a lack of knowledge and information, and socio cultural factors was indeed confirmed by the data collected in this study. Other factors emerged from the data and these were regarded as new knowledge that this study contributes towards the body of knowledge. Lastly, the findings suggest that the inhibiting factor which had the greatest impact on learners from low socio-economic backgroundswas a lack of knowledge and information because this factor negatively impacted on all the capabilities listed above. Based on these findings, recommendations were proposed for the parents and community, school and educators, the Department of Basic Education, the Department of Higher Education and Training, and for higher education institutions.
34
Mvula, Wandile. "The effect of mobile marketing on the purchase of staple products: a case of bottom of the pyramid consumers in Khayelitsha." Master's thesis, Faculty of Commerce, 2019. http://hdl.handle.net/11427/30979.
Full textAbstract:
The growth of mobile penetration in Africa has seen a rise in marketers seeking new ways of using mobile marketing to improve their business and develop sustainable marketing strategies. An empirical study on BOP consumers living in Khayelitsha, Cape Town, comprising a survey of a sample of 385 respondents, was conducted. The measurement items were assessed through six hypotheses using Structural Equation Modelling with Smart PLS 3 software. The results confirm that there is a significant relationship between social influence and trust, price sensitivity and purchase intention, service quality and trust and lastly, between service quality and satisfaction. The relationship between trust and purchase intention and the relationship between satisfaction and purchase intention are not significant. The relationship between service quality and satisfaction showed the strongest significance amongst the hypotheses, whereas the weakest relationship showing the least significance effect amongst the hypotheses is between satisfaction and purchase intention. Implications of the study suggest that managers should consider the BOP consumer differently when marketing to them as they have different consumer behaviours to other market segments. For future research, more research should be done on the BOP with regard to their adaptions to mobile marketing as this will help marketers to find better marketing strategies for their businesses to better serve this market segment. Recommendations and limitations on mobile marketing adoption within BOP are discussed.
35
Kehoe, Kathleen. "Long-term virologic responses to responses to antiretroviral therapy among patients entering adherence clubs in Khayelitsha, Cape Town South Africa." Master's thesis, Faculty of Health Sciences, 2018. http://hdl.handle.net/11427/30158.
Full textAbstract:
Introduction: In 2017, approximately 36.9 million people were living with HIV and 58.1% were accessing antiretroviral therapy (ART) worldwide. In South Africa, ART coverage was 48.6% in 2015, and has since increased due to the implementation of universal Test and Treat. Given the need for lifelong care for millions of individuals, differentiated models of care for ART services are required. One such model, adherence clubs (ACs) for stable ART patients, has been successfully scaled-up in the Cape Metro Health District. In this study, we describe long-term virologic outcomes of patients who have ever entered ACs.
Methods: Adult patients enrolled in ACs in Khayelitsha between January 2011 and June 2017 were eligible for inclusion. Time to, and risk factors for, an elevated viral load (first viral load >1000 copies/mL) and confirmed virologic failure (two consecutive viral loads >1000 copies/mL two to nine months apart) were estimated using the Kaplan-Meier estimator and Cox proportional hazards models. Viral load completeness was assessed at 4, 16, 28, 40 and 52 months of follow up.
Results: Of 11 830 patients, 74% were female and 45% were aged 35-44 years at AC enrolment. The median time on ART at enrolment was 4.7 years (interquartile range (IQR) 2.7-7.1). An elevated viral load was observed in 517 patients (4%), 141 (27%) of whom subsequently experienced confirmed virologic failure. The median time from an elevated viral load to confirmed virologic failure was 137 days (IQR 112-168). Risk of an elevated viral load and confirmed virologic failure was higher among patients with a longer duration on ART and lower among older patients. The proportion of completed viral load tests ranged from 79% at 4 months to 75% at 52 months. Over 90% of patients with viral load assessments remained virologically suppressed (<400 copies/mL).
Conclusion: This study demonstrates low rates of confirmed virologic failure among patients who entered ACs. The majority of patients remained stable despite the rapid growth of ACs, supporting the continued expansion of the model, particularly for men. Monitoring was generally consistent, but suboptimal among those who experienced an elevated viral load. Patients referred to ACs, younger patients and those with longer duration of ART should be prioritised to ensure they remain stable on lifelong ART.
36
Muhoro, Gloria Nyawira. "Towards innovative approaches for affordable housing in the gap market : a case study of Khayelitsha Township in Cape Town, South Africa." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/19889.
Full textAbstract:
Post-apartheid South Africa has been criticized for failing to satisfactorily achieve its election promise of redistribution and poverty alleviation. While success has been noted in the provision of affordable housing and subsequently home ownership for lower income households, housing demand continue to far outstrip delivery capacity. Those excluded from homeownership include key public sector workers and laborers who face common, but divergent constraints. They are either too rich to qualify for housing subsidy, or too poor to afford homes in the prime market. They constitute the 'gap market'. Utilizing qualitative data from in-depth semi-structured interviews conducted with banks, property developers, government and residents in Khayelitsha (a state-subsidized housing settlement in the city of Cape Town), this thesis sought to understand the current challenges faced by the housing market in addressing the needs of the gap market in Cape Town, South Africa. The research identifies the major impediments to meeting the current housing demand in urban South Africa and points to new policy directions that could address the housing gap. Key findings indicate that the major obstacles to home ownership in the gap market include affordability constraints, over-indebtedness, poor credit ratings, and inadequate supply for this income bracket. While these obstacles show little indication of abating, this research's findings and recommendations suggest new pathways for formulating new housing policies that address the housing backlog in the gap market. This also suggests that government policies are critical in developing a healthy and inclusive housing market.
37
Cloete, Jacob. "Public participation, political representation and accountability: the case of violence prevention through urban upgrading (VPUU) in Harare Khayelitsha, in Cape Town." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/3790.
Full textAbstract:
Magister Commercii - MComThe aim is to deepen the South African democracy at all levels of government. However, as local government is “the closest to the people” it is regarded by government as the most appropriate sphere to implement participatory democracy mechanisms. Pertaining to this, ward committees were introduced as the main participatory vehicle of local governance and in addition, the government has also implemented alternative instruments such as izimbizos and the integrated development planning (IDP) process to engage citizens in local governance.
38
Boakye, Alex. "Examining the relationship between socioeconomic status and obesity. A case study of Khayelitsha in the Western Cape province of South Africa." University of the Western Cape, 2019. http://hdl.handle.net/11394/6932.
Full textAbstract:
Master of Public Health - MPHBackground: Obesity in South Africa is a critical public health issue. Previously considered a problem of the affluent, obesity is now reported among all populations in South Africa regardless of age, race, gender or geographical location. Although a body of literature suggests that sociocultural, environmental and behavioural factors are likely to explain the increasing levels of obesity in South Africa, few studies have examined the relationship between socioeconomic status and obesity. As such, there is dearth of evidence showing how socioeconomic status influences obesity in the country. Given the multiplicity of challenges associated with controlling obesity, understanding the link between socioeconomic status and obesity is critical for informing and developing effective prevention programmes. This study therefore examines the nexus between socioeconomic status and obesity by using Khayelitsha as a case study area. Goal and objectives: Guided by the conceptual framework of the Theory of Planned Behaviour, the overall goal of this study is to determine how education status and income level influence dietary and weight control behaviours in relation to obesity. The objectives are to 1) examine the role of social factors on food consumption behaviour; 2) investigate the influence of income levels on food consumption; 3) explore the relationship between education levels and food choices and 4) provide recommendations for policy review. Methods: This research is embedded within a larger study conducted by researchers from the Institute for Social Development on factors that influence food choices and eating habits of residents in Khayelitsha and Mitchells Plain. The epistemological position forming the basis of this research was guided by the concepts of positivist and interpretivist paradigms, as both perspectives were deemed relevant for achieving the study objectives. Moreover, the study combined both qualitative and quantitative research methodologies to analyze the gathered data. Results: The study identified cereals, bread, pasta, milk products, processed meat, fried chicken, fish and oil fat, soft drinks, fruit and vegetables as the main kinds of food consumed by residents in Khayelitsha. However, among these food groups, fruit and vegetables consumption was found to be low. In general, cost was identified as the main barrier for the frequent consumption of fruit and vegetables. The study also discovered a positive relationship between education and eating habits, with most educated individuals’ demonstrating high intentions to consume healthy foods compared to people with lower education. However, in contrast to the hypothesis of this study, the impact of education on dietary behaviour was found to be insignificant. Similarly, the impact of education on weight control behaviour was found to be insignificant although the relationship between these two variables was equally found to be positive. With regards to the association between income and food choices the study discovered an overall positive relationship between the two variables. However, the general effect of income on food choice was not statistically significant. Cost of food and low family income were found to be key barriers to the purchase and consumption of healthy foods. Conclusion and recommendations: This study has demonstrated that education and income status correlate positively with dietary lifestyle as well as weight management practices. However, contrary to the hypotheses outlined in this study, neither education nor income status was found to significantly impact on dietary and weight control behaviours. In general, other factors such as culture, price of foods, television advertisement and perception of weight status were found to also contribute to respondent’s dietary lifestyle and weight management practices. Given these findings, a multidisciplinary approach involving the promotion of proper dietary patterns as well as physical activity are recommended. Specifically, the strategies should focus on 1) the development of policy measures that regulate the high cost of healthy foods, 2) the roll-out of food voucher interventions that promote frequent consumption of fruit and vegetables and 3) the promotion of physical exercises in religious and health centers.
39
Nkwenkwezi, Thandabantu Sydney. "An evaluation of selected housing strategies with special reference to Khayelitsha." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51598.
Full textAbstract:
Thesis (MAdmin)--Stellenbosch University, 2000.ENGLISH ABSTRACT: This thesis attempts to provide alternative solutions to housing and developmental problems faced by the government in South Africa's urban/metropolitan areas in general and in Khayelitsha in particular. The root causes of the problems have been identified and linked to urbanisation-related government policies of the past. The Group Areas "urban model of development" influenced the planning, management and development (spatial policies) in the urban/metropolitan areas. The rural-urban migration process through the migrant labour system during the industrialisation period was engineered by the "Corporate State" and consolidated by the introduction of tax systems and laws regulating land ownership by the African people (Natives). These have impoverished the African people both in rural and urban/metropolitan areas. The existing gap in development between rural and urban/metropolitan areas, in particular in the peri-urban areas, is evident in persistent poverty and unemployment as effects of the conditions which generate increased migration. In this context, Khayelitsha is used as a case study to illustrate study variables (urban policies and management, rapid urbanisation and their impact on housing and development) at grassroots level. Comparison is made undertaken between South African housing and developmental problems and those of other developing countries. Tanzania and Zimbabwe as African countries and former British Colonies (African connection) have been chosen for this purpose. Data were gathered through questionnaires, interviews and participatory observation. This makes the study objective, but also subjective. The research concludes that there is a need to devote more resources to rural development programmes accompanied by decentralisation strategies. This will help to reduce the gap between rural and urban development. It is hoped that the information contained in this thesis will provide a basic background to meet the social and economic challenges by addressing housing and developmental problems, in Khayelitsha in particular and South Africa in general.
AFRIKAANSE OPSOMMING: In hierdie tesis word daar gepoog om moontlike oplossings te vind vir die behuisings en ontwikkelingsprobleme wat deur die Suid-Afrikaanse regering en stedelike/metropolitaanse gebiede oor die algemeen en Khayelitsha in die besonder ondervind word. Die kernoorsake van die probleme word geïdentifiseer en verbind aan die vorige regering se verstedelikingsbeleide. Beplanning, bestuur en ontwikkeling (ruimtelike beleide) in die stedelike/metropolitaanse gebiede is beïnvloed deur die Groepsgebiede-model vir stedelike ontwikkeling. Die landelike-stedelike migrasieproses, geïnisieer deur die trekarbeidstelsel gedurende die industrialiseringsera, is deur die "Korporatiewe Staat" bewerkstellig en gekonsolideer deur die instelling van belastingstelsels en wette ter regulering van grondbesit deur swart mense. Dit het gelei tot die verarming van swart mense in landelike en stedelike/metropolitaanse gebiede. Die bestaande gaping in ontwikkeling tussen landelike en stedelike gebiede, in die besonder in buitestedelike gebiede, blyk duidelik uit gevestigde armoede en werkloosheid as uitvloeisels van die omstandighede wat tot toenemende migrasie lei. In hierdie konteks is Khayelitsha gebruik as 'n gevallestudie om die studieveranderlikes (stedelike beleide, stedelike bestuur, snelle verstedeliking en die impak daarvan op behuising en ontwikkeling) op voetsoolvlak te illustreer. Vergelykings is getref ten einde Suid-Afrikaanse behuisings- en ontwikkelingsprobleme met ander ontwikkelende lande te vergelyk. Vir die doel is Tanzanië en Zimbabwe as Afrikalande en eertydse Britse kolonies (Afrika-konneksie) gekies. Data is ingesamel deur middel van vraelyste, onderhoude en deelnemende waarneming. Dit het daartoe gelei dat die studie nie alleen objektief nie, maar ook subjektief is. Die studie kom tot die gevolgtrekking dat meer hulpbronne tesame met desentraliseringstrategieë gerig op landelike ontwikkelingsprogramme benodig word. Dit sal bydra tot vernouing van die gaping tussen landelike en stedelike ontwikkeling. Daar word derhalwe gehoop dat die inligting vervat in hierdie tesis basiese agtergrond sal verskaf om die sosiale en ekonomiese uitdagings die hoof te bied deur die bestaande behuisings - en ontwikkelingsprobleme in Khayelitsha in die besonder en Suid-Afrika oor die algemeen aan te spreek.
40
Cooper, Diane. "Women's social position and their health : a case study of the social determinants of the health of women in Khayelitsha, Cape Town, South Africa." Doctoral thesis, University of Cape Town, 1995. http://hdl.handle.net/11427/14955.
Full textAbstract:
Includes bibliographical references.This thesis examines the social determinants of women's health status, health knowledge and knowledge and use of health services in a peri-urban area, using Kbayelitsha in Cape Town, South Africa as a case study. It argues for the importance of women's health as a specific focus, looks at some trends in women's health internationally over the past two decades and reviews the main factors affecting women's health. Some key issues in women's health of special relevance to developing countries such as South Africa are discussed. There is a special focus on newly urbanised women in peri-urban areas. Against this background the results of a community-based survey, preceded by indepth interviews, and conducted amongst 659 women in Kbayelitsha in 1989 and 1990 are presented. Data collected were statistically analysed using unIvariate,, bivariate and multivariate analysis. A number of priority social and health problems are identified: poverty; poor environmental conditions; lack of education, partlcularly skills training appropriate for finding work and the subordinate social status of women. Major health concerns included reproductive tract infections, especially sexually transmitted diseases, infertility, contraceptive use and ante-natal care during pregnancy. There were inadequacies in cervical screening conducted by health services and deficiencies in respondents' knowledge of AIDS. cervical smears and where to obtain various health services . Young, newly urbanised women, living in the poorly serviced and unserviced informal housing areas were partlcularly vulnerable in their socio-economic and health status within a peri-urban African community such as Khayelitsha. They also had poorest health knowledge and least knowledge of where to acquire health services. Some recommended interventions focussing on certain of these areas are suggested. It is argued that changes in the provision of women's health services within a primary health care setting can only be part of the process of improving women's health. Improvements in women's economic status and their social status are fundamental to any initiatives to improve their health status.
41
Mvo, Ntombizodumo. "A study of the relationship between maternal obesity and child under-nutrition in African women attending a child health clinic in Khayelitsha, Cape Town." Master's thesis, University of Cape Town, 1999. http://hdl.handle.net/11427/26599.
Full textAbstract:
Background: Malnutrition, manifesting as obesity in women and under-nutrition in children, is a major public health problem in South Africa. There is a multitude of epidemiological evidence reflecting the extent and health effects of these problems, specifically among the African communities. However, at a family level, there is a paucity of information regarding the relationship between obesity in mothers and under-nutrition in children. Studies set to explore this relationship and determinants of body size and nutrition from a cultural perspective are long overdue. Such studies would assist in identifying intervention strategies that are appropriate and effective for the population at risk. Objective: This study, therefore, investigated the relationship between the child's nutritional status and that of the mother in a peri-urban African community. It further explored knowledge, attitudes and perceptions of body size as possible determinants of obesity and under-nutrition. This will make information available for further screening and planning of culturally sensitive nutrition interventions for the population under study. Methods: The study was conducted in two phases. The first phase was an exploratory qualitative design used mainly to develop a questionnaire for the second phase. In-depth interviews were conducted with 10 obese African mothers, whose children were categorised on the 'Road-to-Health' card, as underweight. The interviews provided an understanding of the African women's' perceptions of their body sizes and nutrition regarding the child. The second phase utilised a cross-sectional analytic study design to investigate the relationship between the mother's weight and the child's weight. It further investigated the knowledge, attitudes and perceptions found in the first phase in a larger sample using appropriate statistical techniques. A systematic sample of 365 mother-child pairs attending a child health clinic over a two-month period, starting from August 1997, was selected. The sample included women between the ages of 16 and 49 years old and their children between the ages of 2 and 5 years old attending a child health clinic in Khayelitsha, a peri-urban area outside Cape Town. Anthropometric measurements of children and mothers were taken and a structured questionnaire was administered to the mothers. Findings: The qualitative study showed attitudes and perceptions of body size that were tolerant of a 'big' body image. There was a lack of knowledge regarding causes of obesity and effective ways of reducing weight, preventing chronic diseases of lifestyle and what constitutes 'good' nutrition for the child. All these findings were confirmed in the second phase of the study. The main study showed that less than half (42%) of the mothers were able to estimate their body weights. These mothers underestimated their weights, on average, by 5 kg (p=0.0001 CI: 3.5-6.8). In the total sample, 37.3% of the mothers were obese (BMI> 30kg/m2) and 33.4 % were overweight (25
42
Woolley, Anya. "Young peoples’ experiences and understandings of ‘home’ and ‘family’ living in safety homes, Khayelitsha, Cape Town : exploring the strengths and limits of the ‘social family’." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/11168.
Full textAbstract:
Includes abstract.Includes bibliographical references.
This dissertation draws on qualitative research conducted in 2012 with foster mothers and young people living and having lived in three household-style ‘safety homes’ in the township of Khayelitsha, Cape Town. Unlike large formalised residential care facilities, with high staff turnover and high ratios of children to caregivers, these settings are intimate long-term spaces of care that provide stable parenting. This finding of stable parenting and of proper care of young people in the safety homes forms the crux of this thesis and challenges the dominant view that care other than within the biological family is inferior and ‘out of home’ and ‘out of family’ care. The research highlighted that the social (non-biological) family has both strengths and limitations.
43
Lusinga, Shanon. "An exploratory study into energy consumption activities, energy-saving activities, and the factors that influence energy saving among Grade 7 children in Khayelitsha, Cape Town." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27327.
Full textAbstract:
Energy is the engine that drives most human activity and is it very important today in the context of global warming and the high cost of energy. Yet there is limited research focusing on children's energy use in developing countries, including the ways in which they use energy, save energy and the factors that influence such activities. This is a serious deficit in energy literature and problematic because in the near future, today's children will make decisions about energy systems and climate change. This study gained insight into the ways in which Grade 7 children in Khayelitsha, Cape Town, use and save energy, and the factors that influence their energy saving. The study adopted a case study design, and mixed-methods approaches were used, including surveys, energy diaries, an interview and a focus group. The results show that children in Khayelitsha demonstrated a broad understanding of the concept of energy including topics on the environment, basis of life and thermal energy. The children displayed understanding of broader socio-economic, environmental and health issues as they were cognisant of national and community issues, such as limited energy access and the dangers of indoor use of coal. They had lower scores on more abstract and technical topics such as energy transitions and differentiating between renewable and non-renewable sources on energy. 86% of the children in this study acknowledged the importance of saving energy, while more than 50% failed to recognise the importance of caring for the environment and moving away from fossil fuels. The study results show that children use multiple sources of energy at home and that the majority of their energy activities were performed at home, followed by school and church. The children reported several energy consumption activities including cooking for others, using the kettle for bathwater and ironing their clothes - findings contrary to activities reported by children in developed countries. For some of the children, the results suggest that energy use may be accompanied by guilt as children want to reduce financial pressures at home, a finding consistent with existing literature. Energy-saving activities included switching off and removing appliances from the wall plug. Children were found to be motivated to save energy by several factors, of which financial considerations were the most dominant. The children demonstrate altruistic tendencies, as motivation to save energy seems to be influenced by the desire to help their families and communities. The study further identified that parents, the community, the school, peers and the relationship between the school and government departments had either a direct or an indirect influence on children. Parents with a positive attitude towards energy saving and the environment were more likely to talk to their children about energy saving, which tended to focus on related financial issues. A conceptual framework is presented to analyse the data, which incorporates existing psychological and sociological frameworks and theories used to explain energy behaviour in addition to theories on child development.
44
Belebema, Michael Nguatem. "In the Best Interest of the Child: Food Choices and Body Mass Index of Adult and Children Living in Urban Peripheral Townships in Cape Town." University of the Western Cape, 2020. http://hdl.handle.net/11394/7742.
Full textAbstract:
Philosophiae Doctor - PhDThe increase in overweight and obesity worldwide is described as a global health epidemic. A great proportion of this epidemic is now found in low- and middle-income countries with higher levels of prevalence, particularly in emerging economies. In sub-Saharan Africa, South Africa ranks high in the prevalence of obesity at all levels. Since the inception of democracy in 1994, the government is yet to overcome the burden of poverty and inequality routed in its apartheid past. Apartheid systematically and unjustly disintegrated and segregated black Africans and people of Colour, denying them access to economic opportunity, thus leaving them on a dependency status. Khayelitsha and Mitchells Plain are the relics of apartheid policies. Obesity and associated diseases are highly correlated with gender dynamics, economic conditions, nutritional status, poverty, and urbanisation. It is increasingly evident that poor urban dwellers, especially women and children are at risk of obesity-related factors such as diabetes, hypertension, and heart diseases. The increasing incidence of obesity especially amongst children is concerning. The prevalence of child poverty is in South Africa is a cause for concern. Over 18.5million children are in South Africa, 64% of which are dependent on CSG. With poverty and inequality affecting millions of households, access to food and quality food has reached crises level. Yet, it is a basic human right that has received little empirical response amongst policymaker in South Africa. The South African food system is complex, poverty is endemic and poor households are most vulnerable to unhealthy eating habits. This research critically analysis the link between food choices, overweight and obesity in adults and children living in urban peripheral communities in Cape Town. The study was designed to interrogate the kinds of food eaten by urban peripheral dwellers, their socioeconomic status and how the policy of the BIC addresses the problem of child obesity in South Africa. This research aimed to empirically explore the relationship between BMI and food choices of adults and children living in urban peripheries in Cape Town. The study also aimed at evaluating the BIC in urban townships in Cape Town in the context of child obesity, to understand the views of the children and to understand how poor households are ensuring the BIC in relation food access, food availability and child protection from obesity. The study further aimed at comparing the and contrasting the socioeconomic dynamics of the two population to understand the progress and gaps in their economic and health status. Empirical data were collected from households in Khayelitsha and Mitchells Plain using a two-stage sampling technic to identify clusters and households. A sample of about 4300 individuals in 1052 households was sampled. A 24H dietary recall was used to capture food types of the population. The World Health Organisation guidelines for BMI adults and children were applied through the study. A BIC Index was developed to assess the right to food from the views of the child. First, the study found significant differences in the socioeconomic and demographic profiles of the population. Poverty and the risk of falling into poverty were higher in Khayelitsha than in Mitchells Plain. Two-third of the population (65%) of adults we found to be overweight and obese. Overweight and obesity amongst children was 29% and 68% of children reported that they buy food at school or on their way to school. Over 83% children stated that their parents give them money to take to school. There was a significant association between children buying food and parents giving money at X2 91.4643, P<= 0.000. Carbohydrate represents 40% and sugar 35% of food types children eat away from home. In terms of the BIC, 43% of the children
45
Rode, Noluvo. "The prevalence of depression in HIV positive individuals who are on anti retro-viral treatment (ART) conducted at a selected primary health care (PHC) clinic in Khayelitsha, Cape Town." University of the Western Cape, 2020. http://hdl.handle.net/11394/7279.
Full textAbstract:
Magister Curationis - MCurDepression is defined as a psychiatric condition, wherein a person experiences extreme sadness, social withdrawal, and expresses self-deprecating thoughts. Across the world, millions of people with Human Infectious Virus (HIV) suffer from depression each year. Depression is regarded as the most common disabling medical condition that affects both HIV-positive and HIV-negative individuals, globally. It is further reported that depression is the most common neuropsychiatric disturbance observed in HIV infected individuals. In South Africa, the prevalence of depression symptoms among Antiretroviral Therapy (ART) clients is reported to be 25.4%. However, depression among this group is often underdiagnosed and untreated in Primary Health Care settings. The need for routine screening is encouraged by studies confirming that depression and anxiety disorders accelerate the progression of HIV disease. Methods A quantitative descriptive research design was used. The study population included 1 440 males and females, aged eighteen years and over, who were HIV positive and received ART at the Clinic. A randomly selected sample of 372 respondents were recruited, but 110 had to be excluded because of eligibility issues; therefore, 262 respondents completed the Beck Depression Inventory (BDI) questionnaire. Mann-Whitney U test, Fisher’s exact test and the Spearman Rank test were used to analyse the data, using GraphPad Prism software. Depression symptoms were evaluated, using BDI, and a score of -> 10 indicated depression. Results Of the 262 respondents, 52% had club membership, compared to 48%, who were only on ART. There were significantly more female respondents (44%) involved in Adherence Clubs, as opposed to their male counterparts (8%), a difference of 36% overall (p=0.016). In summary, the number of individuals, who were suffering from some form of depression, enrolled in ART Adherence Clubs was 8.4% of the total sample, compared to 10% of those who were not in ART adherence clubs. The overall prevalence of depression in this current study was 18.4 %, which was in line with other studies conducted in a South African context, and a similar setting. Clinical depression status represents the main outcome of interest in this research project. The model category was 0-10, which indicated that a significant majority, 69.5%, n= 182, of the enrolled respondents were classified as healthy, in terms of clinical depression status. Beck depression scores were consistent across gender. Depression seemed to be more severe in the 35-44 age category. Fisher’s exact test confirmed the absence of any statistical difference between ART club membership and their depression status. Spearman rank correlation coefficient of -0.02 indicates a very low association between length of HIV seropositivity and Beck Depression score. Conclusion This is the first study reporting on the prevalence of depression, in relation to HIV infection, as well as ART treatment, and the associated adherence programme in Cape Town. Further research on a similar topic is recommended, using other instruments in the same geographic area.
46
Durandt, Nicola Estelle. "Outcome of a home-visiting intervention to improve social withdrawal assessed with the m-ADBB in six-month old infants in Khayelitsha, Cape Town : a cluster randomised controlled trial." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/96009.
Full textAbstract:
Thesis (MSc)--Stellenbosch University, 2014.ENGLISH ABSTRACT: Pregnant women living in South African peri-urban settlements face many challenges for their health and the health of their infants. Current health care services face many constraints and are not able to meet all the needs of pregnant mothers. Home-visiting programmes implemented by community health workers can alleviate these constraints. The current RCT assessed the effectiveness of the Philani Plus Intervention Program that addressed HIV, alcohol, maternal and child nutrition and mental health. The effectiveness of the intervention was assessed by measuring infant social withdrawal behaviour using the modified Alarm Distress Baby Scale (m- ADBB). A total of 681 cases were randomised into control (N=330) and intervention groups (N=351) and assessed using the m-ADBB. A cut-off score of two and above was used to determined significant social withdrawal behaviour. Data was analysed using descriptive statistics and cross-tabulation initially, followed by analysis of variance and multilevel modelling. Results indicated a prevalence of 46.7% of social withdrawal behaviour; however, no significant differences between groups were found. The current prevalence was substantially higher in comparison to the only other published study using the m-ADBB. Furthermore, the prevalence rate was also significantly higher compared to the majority of other studies using the original Alarm distress Baby Scale (ADBB). The high prevalence of social withdrawal behaviour found in this study indicates an increased risk for suboptimal infant development. Further research regarding social withdrawal behaviour and the casual mechanisms associated with the development of such behaviour is needed. Furthermore, validation of the m-ADBB in different settings is needed.
AFRIKAANSE OPSOMMING: Swanger vroue wat in Suid-Afrikaanse buitestedelike nedersettings woon staar baie uitdagings in die gesig met betrekking tot hul gesondheid en die gesondheid van hul babas. Huidige gesondheidsdienste is baie beperk en is nie in staat om in al die behoeftes van swanger moeders te voorsien nie. Huis-besoek programme wat deur gemeenskaplike gesondheidswerkers geïmplementeer word, kan hierdie beperkings verlig. Die huidige RCT het die effektiwiteit van die Philani Plus Intervensie Program wat MIV, alkohol, voeding en geestelike gesondheid aanspreek, geassesseer. Die effektiwiteit van die intervensie is geassesseer deur sosiale onttrekkingsgedrag met behulp van die gewysigde Alarm Nood Baba Skaal (m-ADBB) te meet. ‘n Totaal van 681 gevalle is lukraak in kontrole (N = 330) en intervensie groepe (N = 351) verdeel en geëvalueer volgens die m-ADBB. 'n Afsnypunt van twee en hoër is gebruik om beduidende sosiale onttrekkingsgedrag te bepaal. Data is aanvanklik ontleed met behulp van beskrywende statistiek en kruis-tabulering, gevolg deur analise van variansie en multi-modelle. Resultate toon 'n 46,7%-voorkoms van sosiale onttrekkingsgedrag, maar het egter geen beduidende verskille tussen groepe getoon nie. Die huidige voorkoms was aansienlik hoër in vergelyking met die enigste ander gepubliseerde studie wat gebruik gemaak het van die m- ADBB. Verder was die voorkomssyfer ook aansienlik hoër in vergelyking met die meerderheid van die ander studies wat gebruik gemaak het van die oorspronklike Alarm Nood Baba Skaal (ADBB). Die hoë voorkoms van sosiale onttrekkingsgedrag dui op 'n verhoogde risiko vir suboptimale baba ontwikkeling. Verdere navorsing oor sosiale onttrekkingsgedrag en die meganismes wat verband hou met die ontwikkeling van sulke gedrag, is nodig. Verder word die bekragtiging van die m-ADBB in verskillende instellings benodig.
47
Jung, Manfred. "Theological reflections on the spread of Islam and attitudes in churches : a case study on three black townships in Cape Town." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50506.
Full text
48
Tsolekile, Lungiswa. "Urbanization and lifestyle changes related to non-communicable diseases: An exploration of experiences of urban residents who have relocated from the rural areas to Khayelitsha, an urban township in Cape Town." Thesis, University of the Western Cape, 2007. http://hdl.handle.net/11394/2073.
Full textAbstract:
Magister Public Health - MPHThe prevalence of non-communicable diseases such as hypertension and diabetes including obesity has increased among the black population over the past few years. The increase in these diseases has been associated with increased urbanization and lifestyle changes. No studies have documented the experiences of people who have migrated to urban areas. Aim: To describe the type of lifestyle changes, reasons for the lifestyle changes and the barriers to adopting a healthy lifestyle among people who have migrated from rural areas to urban areas in the past 5 years and reside in Khayelitsha. Objectives: (1) To identify people who have moved from rural to urban areas in the past 2-5 years; (2) To explore reasons for moving to the city; (3) To explore experiences of respondents on moving to the city; (4) To identify the types of lifestyle changes related to chronic diseases among respondents on arrival to the city; (5) To identify reasons for the lifestyle changes among respondents; (6) To identify coping strategies that have been adopted by respondents; (7) To identify barriers to healthy lifestyle among respondents; (8) To make recommendations for development of appropriate interventions that will enable migrating populations to adjust better to city life. Rural-urban migration (urbanization) was associated with factors such as seeking employment, better life and working opportunities. On arrival in the city migrants face a number of challenges such as inability to secure employment and accommodation. Faced with these challenges, migrants change their lifestyle including buying fatty foods, increasing frequency in food consumption and decreasing in physical activity. In the city factors such as poverty, environment including lack of infrastructure, and lack of knowledge about nutrition, social pressures and family preferences were identified as hindrances to a healthy lifestyle. Conclusion: This study identified various factors that influence the decision to migrate from rural areas. Lifestyle changes in an urban setting are due to socio-economic, environmental and individual factors. Perceived benefits of moving to urban areas can pose challenges to health and this may have negative health-outcomes.
South Africa
49
Kirya, Viola. "A mixed methods study to explore the outcomes, experiences and perceptions of women who attended a new counselling model for HIV-positive pregnant women accessing antenatal services in Khayelitsha, Cape Town, South Africa." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/21194.
Full textAbstract:
Objectives: The aim of this study was to explore the experiences and perceptions of counsellors and patients towards a new counselling model for HIV-positive pregnant women on Option B+ at an antenatal clinic in South Africa and to describe the cohort of HIV-positive pregnant women who experienced the new counselling model. Methods: A mixed methods study design was employed. The quantitative data collection involved using retrospective cohort quantitative data of women that were initiated on Option B+ during the period of 1 October 2013 to 30 June 2014. The variables of interest included: age, gravidity, antiretroviral therapy initiation date, viral load result and number of counselling sessions completed. These were obtained from patient folders and from the Department of Health patient electronic health record. The data was analysed using STATA 12. The qualitative data involved semi-structured interviews of patients and counsellors who had experienced the counselling model. Results: The number of women who completed a total of 1, 2, 3 or 4 counselling sessions was 25%, 26%, 48% and 1% respectively. The percentage of women that were retained in care for more than 8 weeks postnatal was 53%. Of the women with VL results, 92% were virally suppressed. The Fisher's exact test showed a P-value of 0.05 at a level of significance of P ≤ 0.05. Therefore there is sufficient evidence to show that there is a positive association between the number of counselling sessions completed and number of postnatal days in care. The study also found that from the counselling, the women gained social support, knowledge about: antiretroviral therapy, HIV, drug side effects and infant feeding. Conclusion: The poor uptake of the counselling intervention includes poor communication, service delivery challenges and social factors. The main motivation for initiating ART and maintaining adherence to treatment was to protect the baby and as a result, some women maintained adherence despite not completing the counselling. Women valued the education that they received during the counselling sessions and this influenced their adherence. Psychosocial support from the counsellors and peers was found to be vital to the women and this highlighted the need to incorporate a support group for the pregnant women, as part of the intervention. The findings also suggest that when offering counselling interventions to pregnant women, a balance between psychosocial support, practical support and patient education needs to be struck. Finally, education of the community on the importance of counselling is important in order to improve the uptake of the counselling because interventions aimed at mothers do not always take into account the influence of the social environment on the uptake of the intervention.
50
Nqadini, Mlungisi Patrick. "Development challenges in Khayelitsha : an analysis of related issues." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51684.
Full textAbstract:
Thesis (MAdmin)--Stellenbosch University, 2000.ENGLISH ABSTRACT: Apartheid statutes like the former Group Areas Act created what is referred as "Apartheid Dormitory Cities". Khayelitsha is a typical creation of apartheid. As a result Khayelitsha faces many socio-economic challenges such as poverty, low standard of living characterised by low income distribution or no income, high rate of unemployment, illiteracy, education problems, housing problems, health problems and poor economic conditions. Attempts were made to create civic associations and development structures to deal with socio-economic challenges in Khayelitsha, but all those attempts never brought about development solutions. The Khayelitsha community tends to have a poor participatory planning role in development related issues. Khayelitsha as an apartheid legacy city will take a long time to dismantle in social, economic and purely practical terms. Rebuilding Khayelitsha equitably will be a tough exercise. The government strives to develop South Africa from a society of racially based compartmentalisation into a non-racial, developed country with equal opportunities, better education, health, housing and employment.These challenges are Khayelitsha's major problems which cannot be solved overnight. The problem faced is the re-integration of the separated zones of the former group areas. This makes it difficult to share the economic resources that are needed in Khayelitsha in order to solve its socio-economic problems. The integration of cities will only come about if the restructuring is in accordance with specific needs of the Khayelitsha community. People of Khayelitsha should be involved in the planning of their own city and be able to make informed decisions. The objective of this thesis is to analyse related development issues and challenges in Khayelitsha and to provide possible solutions contributing to development. Government and development agencies can draw lessons from the recommendations of this thesis and come up with sustainable and people-centred development-related strategies.
AFRIKAANSE OPSOMMING: Eertydse Apartheidswetgewing soos die herroepte Groepsgebiedewet as een van die wetgewende elemente van die Apartheidsperiode, was verantwoordelik vir die skepping van sogenaamde "apartheidslaapdorpe". Khayelitsha kan beskou word as 'n tipiese voorbeeld en skepping van so 'n "slaapdorp" as gevolg van Apartheid. As direkte resultaat hiervan ervaar Khayeltisha talle sosio-ekonomiese uitdagings soos armoede, lae lewenstandaarde gekenmerk deur huishoudings met lae inkomste verdelings en in sommige gevalle geen inkomstes, hoë werkloosheid, ongeletterdheid, onderwysprobleme, behuisingsprobleme, gesondheidsprobleme en algemene swak ekonomiese omstandighede. Pogings is wel in die verlede aangewend om burgerlike organisasies in Khayelitsha van stapel te stuur, maar hierdie pogings het daarin gefaal om werklike en meetbare ontwikkelingsoplossings te bewerkstellig. Die Khayelitsha gemeenskap vervul 'n beperkte deelnemende beplanningsrol in ontwikkelinggebaseerde aangeleenthede. In praktyk sal Khayelitsha, as apartheidstad, lank neem om volwaardig te ontluik in terme van sosiale-, ekonomiese-, en verwante aanwysers en sal die regverdige en verteenwoordigende heropbouingsproses nie sonder struikelblokke ervaar word nie. Die Suid-Afrikaanse Regering strewe daarna om die land te ontwikkel vanaf 'n samelewing gekenmerk deur rasgebaseerde kompartementalisering na 'n nie-rasgebonde gemeenskap met gelyke geleenthede in terme van onderwys, gesondheid, behuising en werksgeleenthede. Hierdie aangeleenthede vorm deel van die uitdagings wat Khayelitsha in die oog staar. Oplossings sal nie sommer oornag gevind word nie. Die probleem wat oorkom moet word is die herintegrasie van aparte sones as gevolg van eertydse geskepte groepsgebiede. As gevolg hiervan is dit moeilik om ekonomiese hulpbronne, wat dringend in Khayelitsha benodig word, te herverdeel en te versprei ten einde die omvangryke sosio-ekonomiese probleem te verlig. Die integrasie van stede en spesifiek Khayelitsha, sal alleenlik suksesvol wees indien die herstruktueringsproses plaasvind met inagneming van die spesifieke benodighede en tekortkominge van die gemeenskap. Die gemeenskap van Khayelitsha moet betrek word in die beplanning van hul eie stad en deurgaans deel vorm van effektiewe konsultasie ten einde ingeligde besluite te kan maak, iets wat tans ontbreek.