Dissertations / Theses on the topic 'School hygiene Schools Sanitation'

Thesis (M. Dev.) --University of Limpopo, 2016
The purpose of this study was to investigate the social factors that affect the acceptability of the Enviro Loo sanitation technology in schools. The study adopted the anti-positivism theory. Phenomenology school of thought was used as one of the three schools of thoughts as marked under Anti-positivism. The qualitative research method had its foothold in the fact that social factors, as a human activity, occurs in a particular natural and social environment. Utilising the qualitative research design, the researcher focused on describing and understanding the social factors that influence the acceptability of the Enviro Loo sanitation technology at schools. The study utilised an interview guide to collect data. The advantage of this is that it allowed the researcher to probe and ask for clarification of some answers as given by the respondents The population of this study comprised 35 secondary schools in Limpopo Province that benefited from the implementation of the Enviro Loo sanitation technology system during the 2010/11 financial years. Non-probability sampling was used. The method used to select the schools was convenience sampling as a non-probability sampling technique where subjects are selected because of their convenient accessibility and proximity to the researcher. This is because the researcher was bound by time, money and workforce and because of these limitations, it was almost impossible to randomly sample the entire population. Three sets of focus groups were used as sample, namely; the Provincial Sanitation Task Team (PSTT), School Governing Body (SGB) and Leaner’s Representative Council (LRC). All groups were gender balanced and members participated voluntarily. Nvivo was utilised to analyse data. The audio recordings from the digital voice recorder were transcribed, translated into English, typed into word and thematic analysis was used.

Providing adequate sanitation facilities for the poor remains one of the major challenges in all developing countries. In South Africa, an estimated 11,7% of the schools are without sanitation. The South African government has a constitutional responsibility to ensure that all South Africans have access to adequate sanitation. When sanitation systems fail, or are inadequate, the impact of the health of the community, on the health of others and the negative impact on the environment can be extremely serious. In rural South African schools, many Enviro-Ioo toilets are available today. They are designed to suit a variety of water scarce areas and where there is a high risk of contamination of ground water resources. It is important to realize that any Enviro-Ioo system programme requires an education programme to ensure that the principles of use and maintenance are clearly understood by the user group. Their maintenance requires more responsibility and commitment by users. This study is an interpretive case study that indicates how sanitation in a rural Ramashobohle High School in Polokwane municipality was managed through an EcoSchools Sanitation Community of Practice, and how this developed action competence for sanitation management in the school. The study established that the earlier practice and knowledge of the Ramashobohle Eco-Schools community of practice exercised in maintaining Enviro-Ioo systems was inadequate; unhealthy and unsafe according to the data generated through focus group interviews, observations, interviews, action plan, workshops and reflection interviews. The data generated also indicates that the Eco-Schools community of practice was not committed to maintaining sanitation in their school because they were not sharing sanitation knowledge; they were not communicating and not updating one another concerning Enviro-Ioo systems maintenance as they had no adequate knowledge as to how to maintain the facilities; and the school management was also not supportive and was not taking responsibility. The study shows how this situation was turned around as an Eco-Schools Sanitation Community of Practice focussed on developing action competence in the school community. It provides a case based example of how knowledge and action competence, supported by an Eco-Schools Community of Practice, can find and implement solutions to inadequate sanitation management practices in rural schools, and shows how members of the school community can be engaged in learning how to manage and maintain school sanitation systems through a participatory process that develops action competence. The study points to important dimensions of developing action competence, such as providing knowledge and demonstrations, inviting experts to the school, involving learners in observations and monitoring and in ensuring that adequate facilities are available. In particular, a workshop conducted by Enviro-Ioo consultants, organised and supported by the Eco-Schools Sanitation COP, together with a follow up action plan, provided the main impetus for changes in practice in the school and served to support action competence development. Finally the study provides research findings and recommendations for further research.

This thesis describes research designed to quantify and describe the impact of improved access to school water, sanitation, and hygiene (WASH) access on pupils' helminth infection and diarrhoeal disease and absence from school. The research was undertaken as part of a five-year cluster-randomized trial in 185 public primary schools in Nyanza Province, Kenya that addressed school WASH impacts, knowledge diffusion, sustainability, and advocacy. One hundred eighty-five schools were randomly selected and assigned to five study arms to receive various water treatment, hygiene promotion, sanitation, and water supply improvements. All pupils at enrolled schools were dewormed at baseline and at two follow-up time pOints. A total of 11,458 pupils were interviewed over two years to compare rates of school absence, rates and intensity of reinfection with soil transmitted helminths, and risk of diarrhoeal disease. We found no overall impact of our school-based WASH intervention on pupil absence. However, a domain analysis revealed a substantial and significant reduction in absence for girls attending schools that received WASH improvements. Schools that received a hygiene promotion and water treatment (HP&WT) intervention showed statistically similar reductions to those that received HP&WT in addition to sanitation improvements. Gender-specific effects were also found for reduced reinfection of soiltransmitted helminth infection. Girls showed a significant decline in prevalence and intensity of infection with Ascaris lumbricoides, while boys showed reduced reinfection for Hookworm. Household WASH characteristics significantly modified the effect of the school-based intervention, revealing potential questions about exposure to fecal pathogens at home and at school. Schools that received HP&WT and those that received HP&WT plus sanitation improvements showed no reduction in diarrhoeal disease prevalence. However, schools allocated to the water "scarce" research group, which received water supply improvements in addition to HP&WT and sanitation, did show significant and substantial reductions in both prevalence and duration of diarrhoeal illness. While household-level WASH has been investigated extensively, this is the first comprehensive study to investigate the impact of improved WASH at schools. Overall, our results reveal the important role that school WASH can play in mitigating disease burden and lowering pupil absence. Additional research is necessary to fully explore these issues.

Magister Public Health - MPH
Background: Millennium Development Goal 7 was to ensure environmental sustainability by aiming to halve the proportion of people without sustainable access to basic sanitation and safe drinking water by the year 2015. The 2015-MDG Report estimated that the use of improved sanitation rose from 54% to 68% globally, but the target of 77% was not met, and that implies slowing the progress in the health and education sectors. Although Malawi has made significant progress in increasing access to safe water and improved sanitation in comparison to other Sub-Saharan African countries, disparities in improved water supply and sanitation within Malawi remains a challenge. In Malawi, only about a quarter of all schools have improved latrines with a ratio of one latrine for every sixty learners. While the water and sanitation situation in primary schools of Malawi is reported to be making progress, such progress remains unreported in secondary schools. Aim: The purpose of this qualitative study was to provide insight on the water and sanitation situation in secondary schools by understanding factors that influence learners' use of the water and sanitation facilities and personal hygiene practices in a girls' boarding secondary school in Zomba District, Malawi. Methodology: This study employed a descriptive qualitative study design using individual interviews, focus group discussions (FGDs) and observations. A purposive sample consisting of 12 learners participated in two FGDs, while individual interviews were conducted with 6 prefects, 2 teachers responsible for sanitation at the school and 1 matron. The FGDs and individual interviews were targeted at exploring these participants' perceptions, experiences, challenges faced in the use of water and santation facilities and perceptions of appropriate interventions to improve hygiene practices and utilization of sanitation services. Thematic analysis was used to analyze the data. Findings: The findings indicate that there were several factors that influenced learners' use of water and sanitation and their hygiene practices at the school. One of the main challenges was the irregular supply of safe water by the Southern Region Water Board which meant that alternate sources of water, which was not always potable, had to be used instead. Poor water and sanitation infrastructure and facilities including lack of privacy in shower cubicles and the poor condition of the incinerator that is meant for disposal of sanitary pads were other challenges facing the learners. There were also insufficient toilets and shower cubicles for the number of learners at the school. A good number of learners knew the importance of hand washing for their personal health at school, but limited accessibility to running water compromised their hand washing practices and personal hygiene including menstrual hygiene. Conclusion: It can be concluded that the challenging factors occur at the macro, meso and micro levels but more importantly that these levels are interrelated and impact on one another, emphasising the complexity of the water and sanitation situation in the study school, but could most likely also be the situation at other schools in Malawi. Therefore multi-level interventions will have to be put in place to address these challenges. Recommendations: The present study recommends that at macro level the Department of Education should provide an enabling environment and political will to facilitate development of a multi-sectoral approach that would complement the school operation rules to improve the adequacy of the water and sanitation facilities and hygiene practices. In addition, the Southern Region Water Board should ensure a reliable supply of safe water to the school and provide better infrastructure of piped water. At meso level (school organisational level), the school management should take more responsibility for maintaining the infratstructure. In addition, the school-board, the school management and parents'-teachers' association and learners should form a committee to discuss and implement strategies that would enhance the learner's use of water and sanitation facilities at the school and ensure their privacy and dignity. At micro level, the school, the communities including families and religious leaders should encourage personal hygiene practices repeatedly amongst everybody.

Learners at the public schools of North West Province in the Dr Kenneth Kaunda Education region, within the Matlosana Local municipality’s municipal area of jurisdiction, are exposed to unhygienic health hazard conditions due to insufficient toilet facilities used by a large number of learners and poor health conditions resulting out of it, which might cause and spread health related diseases to the users of these toilet facilities. The primary objective of this research was to investigate the nature and extent of the provisioning and maintenance of toilet facilities in the public schools within the Matlosana Local Municipality’s municipal area. A questionnaire was designed and distributed to obtain information from 57 respondents who comprised of the 3 schools principals who constituted 5% of the research population, 18 educators who constituted 32% and 36 learners who constituted 63%, all totalling 100% of the research sample size, at Are-Fadimeheng; Dominion Reefs and Nkagisang public schools. The findings revealed that the majority, which is 85% of the research population (learners and educators) as users of these facilities are affected and were generally unhappy about the prevailing conditions of the school toilet facilities. This they attribute to lack of proper budgeting as the main cause. The most aggravating factor is the absence of a janitor with plumbing skills to look after the schools’ toilet facilities. Findings highlighted that school learners and educators deserve as their human right to live under acceptable health conditions and clean environment. However it is the responsibility of the Government to expand the existing schools toilet structures which are in line with the National Building regulation ratio of 1:25 of users per toilet as recommended by Department of Water Affairs (DWA), to ensure health for all. The results of this study can assist the government to embark on strategic intervention programmes that can improve conditions of public schools toilet facilities in the North West Province, South Africa to meet the Millenium Development Goals (MDG) target in addressing sanitation backlogs by half in 2015. Conclusions for the study were drawn and recommendations were made for the improvement of conditions in the Public Schools Toilet facilities.
Thesis (M. Development and Management)--North-West University, Potchefstroom Campus, 2011.

The purposes of this study were: (1) to study the conditions that influenced the construction of early rural schoolhouses in Indiana, (2) to examine how emerging concerns for sanitation and student health surfaced from the construction of early rural schoolhouses, and (3) to provide a data base for individuals who desire to do further research on school buildings and their historic preservation. The research concentrated on the period of 1875 to .1915. Special attention was given to conditions that led to the passage of the Sanitary Schoolhouse Act of 1911.Results revealed that early schoolhouses often were constructed as little more than shelters. Virtually no consideration was given to either educational processes or the health and safety of occupants. As a result, water and other design and care of water and sewage systems resulted insanitary factors became major concerns. The inadequate serious health concerns for students and teachers. These concerns contributed to the passage of laws that eventually led to: (1) the abandonment of early rural schoolhouses, and (2) the construction of more sophisticated structures often designed by professional architects.This study also revealed that some of those early schoolhouses that survived have been converted to residential, business, or civic purposes. Photographs of such buildings in Boone, Hamilton, Hancock, Hendricks, Henry, Madison, and Tipton counties in Indiana are included in the thesis. They provide evidence that preservation is a means with which these buildings can continue to serve a useful existence.There is historical value in understanding conditions that led to the rise and fall of early rural school buildings. Collectively, data about the construction and sanitary conditions provide insights into rural culture, expand an appreciation of the uniqueness of design for these buildings, and enhance the importance and desirability of preserving these structures. The net product of this thesis is to provide a view of the construction of buildings in central Indiana of this period.
Department of Architecture

The purpose of this study was to examine the effects of a school-based wellness program, Looking Good...Feeling Great! (Zacour & Zacour, 1991), on ninth grade students' wellness levels, and to evaluate student and teacher impressions of the program. Experimental groups (n = 62) from one urban and two suburban secondary schools participated in the four day 175 minute Looking Good...Feeling Great! program, while control groups (n = 37) from the same schools followed their regular academic schedules. All participants completed TestwellTM (National Wellness Institute, Inc., 1994), a wellness inventory for high school students, as a pretest, one week later as a posttest, and one and one half months later as a follow-up test. Student focus groups and teacher interviews were conducted after the posttest. Results showed that (a) experimental group wellness scores significantly increased from pretest to posttest (ES = .22), (b) experimental groups maintained their increased wellness levels one and one half months following completion of the program (ES = .24), and (c) there was no significant effect of gender on experimental group wellness scores, although females scored significantly higher than males overall. In general, students and teachers conveyed favourable impressions of the program. However, somewhat negative impressions of the program from the students and teacher at the urban secondary school imply that this type of school may benefit from a wellness program that better suits the needs of its constituents. The results indicate that the Looking Good...Feeling Great! program can be an effective tool in helping adolescents acquire healthy lifestyles through the enhancement of wellness levels.

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Este estudo trata dos internatos na sociedade brasileira e, especialmente, sergipana, tomando como objeto os colégios-internatos, no período que se estende de 1840 a 1950. A pesquisa, utilizando abordagens culturais da história social, destaca os escolares na condição de internos (pensionistas), os espaços de internamento, as práticas culturais, os debates e as funções sociais dos internatos. A operação historiográfica consistiu em separar, reunir e transformar em documentos históricos as informações coletadas, efetuando os cruzamentos entre essas informações e/ou indícios encontrados. Para responder aos questionamentos propostos foram utilizadas fontes diversas, como relatórios, teses doutorais, almanaques, revistas, prospectos e estatutos de colégios, livros de viajantes, romances, entre outras. O internato brasileiro não ficou imune a críticas. Entre os problemas apontados pelos intelectuais, as condições físicas e de higiene do internato, especialmente os dormitórios, ocupavam um lugar de destaque. Os médicos, preocupados com questões higienistas, em suas teses de doutoramento do século XIX e início do século XX, alertavam para as insalubridades físicas e moral dos internatos e apresentavam propostas para o funcionamento higiênico destes. Os internatos foram defendidos e até utilizados na instrução pública, principalmente visando ao desenvolvimento do ensino secundário. Contudo, foi na instrução particular onde os internatos se desenvolveram utilizados por famílias ricas e médias da população para promover a instrução de seus filhos. Nos internatos, os estudantes encontravam cama, comida (pensionato) e instrução (aulas, repetições, exercícios suplementares e direção dos estudos). No século XIX, existiam pequenos internatos constituídos como uma empresa familiar e grandes internatos, instalados em casas residenciais adaptadas, em sobrados ou em prédios planejados para servirem como colégios-internatos, com vastos cômodos capazes de acomodar um grande número de pensionistas. Em Sergipe, no século XX, a história dos internatos é marcada pela permanência de pequenos internatos de organização ―familiar‖ e pelo surgimento de colégios-internatos instalados em prédios adaptados ou em edifícios-internatos. Enfim, a educação dispensada nos internatos, apesar das críticas desfavoráveis, serviu como estratégia educativa de famílias ricas e classes médias e estabeleceu distinção a esses segmentos sociais por meio de constante formação de princípios culturais que contribuíram para a perpetuação de privilégios de classe. This study is about boarding schools in Brazilian society and especially, sergipana society, taking as an object the boarding schools, from 1840 to 1950. The research which uses cultural approaches of social history emphasizes the scholars under the condition of resident students (pensioner), the spaces in boarding schools, the cultural practices, the debates and the boarding school students‘ social jobs. The historical operation consisted of separating, organizing and transforming the collected information into historical documents, and crosschecking such information with other facts found. As to answer the proposed questions several sources were used like reports, doctors‘ dissertations, almanacs, magazines, prospects, schools‘ internal rules, travelers‘ books, novels, among others. The Brazilian boarding school system was also criticized. Among the problems mentioned by intellectuals, the boarding school‘s physical and hygiene conditions, especially the dormitories were on spot. The doctors, worried about hygiene aspects, in their doctorate dissertations from XIX century and beginning of XX century, used to mention the resident students‘ physical and moral hazards and they used to propose suggestions for a better hygienic environment. The resident students were defended as well as used in public instruction, mainly aiming at developing the secondary schools teaching. However, it was in private instruction where resident students developed themselves used by rich and middle-class families‘ population to promote their children‘s education. In the boarding schools, the scholars used to have accommodation, food and instruction (classes, repetitions, supplementary exercises and instructions on how to study). In the XIX century, there were small boarding houses like a family company and big boarding schools, located in adapted houses, old houses or buildings planned to be used like boarding schools with a lot of rooms which could house a great number of pensioners. In Sergipe, in the XX century, the boarding houses‘ history is characterized by the existence of small family boarding houses and by the appearance of boarding schools located in adapted buildings or in boarding school buildings. So, education given to boarding schools students, despite the unfavorable criticism, served like an educational strategy of rich and middle-class families and established a distinction to such social groups through constant development of cultural principles which contributed to the class privileges perpetuation.
Salvador

Η πραγματοποίηση αυτής της μελέτης έγινε με σκοπό να διερευνήσει τις θεσμικές ρυθμίσεις, τις διαδικασίες και τους τρόπους με τους οποίους σχεδιάσθηκε, συγκροτήθηκε, οργανώθηκε και ασκήθηκε η εκπαιδευτική πολιτική για την Σχολική Υγιεινή στη χώρα μας κατά την περίοδο 1911 - 1949. Η εργασία εστιάζεται στη συγκέντρωση, αξιολόγηση και θεματολογική ταξινόμηση του πρωτογενούς υλικού με την μέθοδο της ιστορικής έρευνας (ιστορικοσυγκριτική ανάλυση: Καζαμίας, 2002) με στόχο την κατανόηση με φαντασία (Carr, 1983) και την ερμηνεία των ιστορικών τεκμηρίων (ιστορική ερμηνευτική προσέγγιση: Πυργιωτάκης, Ι. & Παπαδάκης, Ν., 1998). Με την ενδελεχή διερεύνηση των ιστορικών μας τεκμηρίων επιχειρούμε την ανασύνθεση της ιστορικής πραγματικότητας, αλλά και την ανάλυση και ερμηνεία των γεγονότων σε μια χρονική περίοδο (1911-1949) που καλύπτει την περίοδο, όπου παρατηρούνται οι σημαντικότερες πολιτικές κοινωνικής πρόνοιας και αντίληψης στο χώρο της σχολικής υγιεινής. Η δική μας, επομένως προσέγγιση δεν είναι γεγονοτογραφική (Δημαράς, 1988), δε μένει στο τι έγινε αλλά επιχειρεί και απαντήσεις στα γιατί; Ερμηνεύει (ερμηνεύουσα ιστορία: Δερτιλής, 1995) στηριγμένη σε θεωρητικές προσεγγίσεις περί Κράτους Πρόνοιας και Νέας Αγωγής. Χρησιμοποιώντας την ποιοτική ανάλυση περιεχομένου (Berelson, 1952), εξετάσαμε τις διαφοροποιήσεις που υπήρξαν για τη θεσμική εξέλιξή της στις χρονικές περιόδους – τομές και για τις εξής παραμέτρους – κατηγορίες ανάλυσης: την υγιεινή των διδακτηρίων, του μαθητή, των διδασκόντων, την σχολιατρική υπηρεσία και τον σχολιατρικό έλεγχο, τα μέτρα σχολικής μέριμνας που ελήφθησαν από το κράτος με ιδιαίτερες αναφορές στα μαθητικά – σχολικά συσσίτια καθώς και στην δημιουργία θεσμών ευρύτερης κοινωνικής αντίληψης όπως: οι παιδικές εξοχές – μαθητικές κατασκηνώσεις, τα υπαίθρια σχολεία, τα σχολικά λουτρά, τα μαθητικά ιατρεία – σχολικές κλινικές και τα κέντρα μαθητικής αντίληψης. Επίσης, τη διδασκαλία του μαθήματος της υγιεινής και τέλος, την εκλαΐκευση και τα περιοδικά σχολικής υγιεινής, ξεκινώντας από τις δύο βενιζελικές περιόδους, προχωρώντας στη μεταξική περίοδο και συνεχίζοντας στη μεταπολεμική περίοδο μέχρι και το 1949. Ιστορικοί, πολιτικοί, οικονομικοί, επιστημονικοί και γεωγραφικοί παράγοντες επηρέαζαν την υγεία των παιδιών, η οποία ήταν συνυφασμένη με τις πολιτισμικές και κοινωνικές συνθήκες και τους όρους διαβίωσης κάθε κοινωνικής ομάδας ή ατόμου σε κάθε εποχή στην χώρας μας. Εν κατακλείδι, η πρόβλεψη υπηρεσιών υγιεινής για τα παιδιά της σχολικής ηλικίας, σύμφωνα και με τις επιστημονικές επιταγές, κατείχε υψηλή προτεραιότητα στα προγράμματα υγειονομικής και κοινωνικής πολιτικής του κράτους, χαρακτηριζόμενη όμως, συχνά, από μια αναντιστοιχία των νομοθετημάτων με την πορεία υλοποίησης και εφαρμογής τους. Ως αιτίες αυτών των αναντιστοιχιών, πέραν των εσωτερικών πολιτικών αντιφάσεων, μπορούν να εντοπισθούν η πολιτική ρευστότητα της εποχής και η οικονομική δυσπραγία όσον αφορά στα δημοσιονομικά μεγέθη του Ελληνικού δημοσίου
The purpose of this study is to investigate the institutional regulations, processes and modes of planning, formation, organization and making education policy for the school sanitation and hygiene in Greece during the period 1911-1949. The study focuses on the collection, evaluation and thematic classification of the primary sources with the method of historical research (comparative-historical analysis: Kazamias, 2002) in order to comprehend with imagination (Carr, 1983) and to interpret the historical presumptions (an interpretive-historical approach: Pyrgiotakis, I. & Papadakis, N. 1998). Through the detailed research of our historical documents, we are attempting not only to recompose the historical reality but also to analyse and to interpret the facts during the period 1911-1949, a period characterized by the most important welfare state policies in the area of the school sanitation and hygiene. Thus, our approach is not a fact-based approach (Dimaras, 1988), it does not confine itself to what happened but it also attempts to provide answers to “why”. It interprets (interpreting history: Dertilis, 1995), based on welfare state and new education theoretical approaches. Using the qualitative content analysis (Berelson, 1952), we examined the differentiations of the institutional progress in the periods-sections and for the following parameters-analysis categories: school sanitation, students’ hygiene, teachers’ hygiene, medical and health service/control in school, medicare and perception measures in schools on behalf of the state (with special references to school lunch mess and to the creation of wider social perception institutions like: childhood countries-student camps, outdoor schools, student baths, student health centers-student clinics and the centers of student perception), hygiene education, popularization and the school hygiene magazines, from the two “venizelians” periods, the metaxian and the post war period to 1949. Historical, political, financial, scientific and geographical factors were affecting the children’s health, connected to the cultural and social conditions and the living conditions of every social group or individual during all epochs of our country. In conclusion, the health services for school age children were having a big priority in sanitation and social policy programs, characterised although quite often by discrepancy between laws and their implementation. This is due not only to the internal political contradictions but also to the political fluidity of that era and to the economic recession related to the greek state financial sizes.

Water and sanitation provision is a matter of life and death to humans, since its absence and shortage may increase incidences of waterborne diseases as well as have adverse effects on the learning environment at schools. Every human has a right to an adequate water supply as well as to proper sanitation services. The two cannot be separated; absence of either can have dire public health implications. Schools are an extension of communities and can therefore be seen as a reflection of societal trends and infrastructural conditions. In South Africa the national ministry of water affairs is the main custodian of water and sanitation services to all. However it is the responsibility of the education ministry to provide and extend water and sanitation services and build infrastructure in schools. One of the principles in the water and sanitation policy stipulates that the state has an obligation for ensuring service delivery within available resources. Other relevant stakeholders need to assist the government to augment service delivery. It is against this background that the study focuses on exploring the extent to which stakeholders are involved in providing water services to schools and whether their involvement has resulted in any service delivery improvement or not. The main themes explored in the study include profiling and demographics of the schools, the state of sanitation facilities and water infrastructure, operation and management of sanitation facilities and public health issues. The study also aims to provide an insight into service delivery challenges and includes success stories where partnerships have been involved. The study draws from theories that link water and sanitation to public health, child development and gender based on the human rights principles. Literature on various forms of institutional arrangements is explored in order to understand the regulatory framework upon which service delivery is based. The main findings indicated that sanitation facilities in the rural schools are generally poor unless there has been some type of intervention. Although it is the municipality’s responsibility to ensure potable water is supplied at a local level, these services are often not provided. Service delivery seems to be very slow for most schools. Stakeholder involvement has been at the level of providing infrastructure for the schools, whereas operations and maintenance has remained the responsibility of schools. There are still huge challenges for the government to improve service delivery in schools especially those in the rural areas. and shortage may increase incidences of waterborne diseases as well as have adverse effects on the learning environment at schools. Every human has a right to an adequate water supply as well as to proper sanitation services. The two cannot be separated; absence of either can have dire public health implications. Schools are an extension of communities and can therefore be seen as a reflection of societal trends and infrastructural conditions. In South Africa the national ministry of water affairs is the main custodian of water and sanitation services to all. However it is the responsibility of the education ministry to provide and extend water and sanitation services and build infrastructure in schools. One of the principles in the water and sanitation policy stipulates that the state has an obligation for ensuring service delivery within available resources. Other relevant stakeholders need to assist the government to augment service delivery. It is against this background that the study focuses on exploring the extent to which stakeholders are involved in providing water services to schools and whether their involvement has resulted in any service delivery improvement or not. The main themes explored in the study include profiling and demographics of the schools, the state of sanitation facilities and water infrastructure, operation and management of sanitation facilities and public health issues. The study also aims to provide an insight into service delivery challenges and includes success stories where partnerships have been involved. The study draws from theories that link water and sanitation to public health, child development and gender based on the human rights principles. Literature on various forms of institutional arrangements is explored in order to understand the regulatory framework upon which service delivery is based. The main findings indicated that sanitation facilities in the rural schools are generally poor unless there has been some type of intervention. Although it is the municipality’s responsibility to ensure potable water is supplied at a local level, these services are often not provided. Service delivery seems to be very slow for most schools. Stakeholder involvement has been at the level of providing infrastructure for the schools, whereas operations and maintenance has remained the responsibility of schools. There are still huge challenges for the government to improve service delivery in schools especially those in the rural areas.
Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

Thesis (M.M. (Public and Development Management))--University of the Witwatersrand, Faculty of Commerce, Law and Management, Wits School of Governance, 2017
Developments in information and communication technologies (ICTs) have revolutionised banking, in that consumers can make use of mobile devices to conduct daily banking, independent of a traditional bank branch. The adoption of mobile banking has continued to be low in South Africa, at 24%, while the mobile phone market has experienced a significant increase in market penetration to 96%. However, very few studies have investigated the impact of mobile banking among bottom of the pyramid consumers. Therefore, the purpose of this study is to investigate the influence of financial literacy, social pressure and perceived credibility on the adoption of mobile banking among the bottom of the pyramid consumers in South Africa. An empirical study on bottom of the pyramid consumers in Johannesburg, South Africa with a sample of 235 questionnaires was conducted. The measurement items were assessed through three hypotheses using Structural Equation Modelling with IBM SPSS 23 and AMOS 23. The results confirm that all three hypotheses are significant and supported by indicating that financial literacy, social pressure and perceived credibility have an impact on mobile banking among bottom of the pyramid consumers. The findings revealed that social pressure and mobile banking was the weakest significant relationship, while perceived credibility had the strongest significant relationship on mobile banking. This study adds to the theoretical knowledge of financial literacy, social pressure and credibility as the factors that impact on mobile banking among bottom of the pyramid consumers. The managerial implications of the study indicate that in order for managers to increase mobile banking adoption, they need to create strategies that will drive education around mobile banking, use other people as advocates and place emphasis on communicating the safety and privacy of the services. Recommendations, limitations and future research on mobile banking are discussed. Keywords: Mobile Banking, Financial Literacy, Perceived Credibility, Social Pressure, Bottom of the Pyramid
GR2018

This study investigated the impact of HIV/AIDS on education management and the self-actualization of teachers and learners in the context of HIV/AIDS and the role of the principal in dealing with this. The impact of HIV/AIDS on various key management structures including curriculum coverage, academic outcomes and control of stock and attendance registers, and importantly also the role principals should play, is probed. South Africa has the largest number of HIV infected people in the world, and also the largest number of AIDS orphans. In 2004 more than 4000 teachers died of HIV/AIDS complications and 12.5% of the teacher workforce is reported to be HIV-positive. A quarter of these are between 30 and 40 years of age, pointing to future teacher shortages. Learner absenteeism impact negatively on school management, as learners who are affected by HIV/AIDS are not able to attend school regularly. Many drop out of school due to the impact of AIDS, unplanned pregnancies and drug abuse. Absenteeism of learners and teachers, impact negatively on management structures in the school. The role of principals to provide quality education in worst affected schools is becoming increasingly complex. Sexual and substance abuse is a huge problem in many South African schools, and an aggravating factor in the spread of HIV/AIDS. In a third of sexual abuse cases teachers are implicated. Moreover, the large numbers of increasing orphans in the school system threatens to become a serious disciplinary problem. Many of these learners become disruptive and often turn to substance abuse to relieve their distress. The managerial costs of HIV/AIDS in education include costs due to absenteeism, lost productivity, hospitalization, and replacing administrative workers and teachers. These factors impact negatively on school management, academic performance and self-actualization. The most profound affects of HIV/AIDS are concentrated in education where the presentation of quality education is threatened. Principals in South Africa face the daunting task of providing quality education with an increasingly ill, absent and demoralised teacher corps, to increasingly ill, absent and disrupted learners of whom many are AIDS orphans.
Educational Studies
D.Ed.

Submitted in fulfilment of the requirements for the degree Master of Applied Science in Food and Nutrition, Durban University of Technology, 2015.
Objective: To determine the contribution of packed school lunches to the daily food intake of girls and boys in two Primary Schools in East London. Methods: The study was conducted among 199 girls and boys aged 9-13 years. Three 24-Hour recalls and a Food Frequency Questionnaire were completed during an interview with the participants to gather data on dietary patterns over a period of three consecutive days. Additionally, the contents of one lunch box per participant were recorded and weighed. Anthropometrics and socio-demographics were also completed during the interview. Results: The three 24-Hour Recall nutrient measurements revealed a low energy intake in 91 percent for the girls and 77 percent for the boys who were consuming below the recommended Estimated Energy Requirement for energy. The lunchboxes contributed one-third of the daily nutrient intake of the children. The 24-Hour recall revealed an energy-dense, carbohydrate-based diet. The contribution of total fat (30-32%) to the total energy is higher than the World Health Organization (WHO) recommendation of 15-30 percent. The daily fruit and vegetable intake (215.1g and 216.9g), according to the 24-Hour recall and lunchbox analysis respectively, was insufficient compared to the WHO-recommendation of >400g /day. Although the mean intake of most of the nutrients was sufficient, a large number of the participants did not meet requirements for the age group. The risk of overweight was high (24% for girls and 29.2% for boys) with 1.5 percent falling into the obese category. Conclusion: The results of the study indicated a high-fat and carbohydrate intake and a very low fruit and vegetable intake. The girl participants had better food choices for the lunchboxes but the majority of the participant’s daily intake did not meet the basic requirements of a balanced diet. The risk of overweight in the age category is an increasing problem among low- and high-income countries. Nutritional education should concentrate on healthy food choices in school lunchboxes as a large part of the day is spent at school.

Since the discovery of HIV/AIDS in the late 1980s, the pandemic has become the leading cause of death in South Africa and one of the leading causes worldwide. South Africa has the largest number of people infected with HIV/AIDS in the world. South African teachers, in particular, have experienced unparalleled challenges as a result of HIV/AIDS. This qualitative research study was designed to explore how principals handle the sensitive HIV/AIDS-related issues affecting teachers in schools in South Africa’s Gauteng Province. The study was carried out within the constructivist paradigm. The narrative inquiry research design within the qualitative research approach was used with purposive and network sampling of participants. The sample consisted of ten handpicked principals and eight teachers living with HIV/AIDS accessed through network sampling from around the province. Data were collected through narrative interviews and the compilation of a reflective diary. The data were analysed according to the qualitative content analysis method. Consent was elicited from participants with confidentiality, anonymity and trust maintained throughout the study. The participants’ most common responses were that teachers living with HIV/AIDS are faced with the dilemma of disclosure and stigma and discrimination. This research showed that principals are experiencing a range of challenges due to teachers living with HIV/AIDS. The goals of quality education are often defeated because of the challenges surrounding teachers living with HIV/AIDS. Once teachers succumb to the opportunistic illnesses associated with HIV/AIDS, their productivity deteriorates. Principals were clear about the inadequacy that they experience in responding to HIV/AIDS-related issues amongst teachers. They lack the training and management skills to develop long-term strategies to mitigate the impact of HIV/AIDS on teaching and learning. Teacher absenteeism is rife, causing drastically detrimental effects to teaching and learning programmes and posing serious challenges to principals, who are not equipped with the required information and resources. It was evident in this research study that infected teachers often fail to take responsibility or disclose their status; instead, they look to principals for solutions to their HIV/AIDS-related problems.
Educational Leadership and Management
D. Ed. (Education Management)

Water is an indispensable basic human need which is protected by several provisions within legislation. However, despite extensive legislation access to water is problematic for many rural schools in South Africa. The achievement of the Millennium Development Goals and national goals that are time bound are not possible with the structural barriers that loom. This research study, sketches the experiences of learners and educators who have been exposed to poor access to water within a rural primary school in Jozini, KwaZulu-Natal, South Africa. This research study employs a qualitative research paradigm using a case study method to provide an in-depth understanding of the schooling context where there is poor access to water. The main aim was to explore in-depth how the schooling community is affected and what coping strategies are employed to deal with poor access to water. The research study was approached using ecological systems and social justice perspectives. Findings suggest that the consequences of poor access to water at school level are numerous and become even more complex when there is a lack of water at community level. In a compounding manner the consequences have the potential to, in the long term, have irreversible negative effects on learners and their potential to access quality education. Furthermore educators and management are placed in an invidious position to accommodate the challenges associated with poor access to water at school as part of their everyday teaching routine. Educators are failing to teach and learners are failing to learn thus the education system is rendered dysfunctional. The recommendations echo those of the participants who maintain that the community and the school must have access to water in order to improve the quality of life of all. Changes at the structural level in terms of how access to education is defined are a necessity. Co-operative governance, more stringent monitoring and evaluation of the education system, approaching education from a child-friendly perspective, adopting a human rights approach to fiscal spending and the involvement of chapter 9 institutions to ensure social justice are examples of the structural changes required and are part of the recommendations.
Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Durban, 2010.

Health related absenteeism was identified as a problem in the schools in the Molopo region, needing a multi-disciplinary approach which included the parents. A conceptual framework on absenteeism was used as a guideline for the descriptive research design. Using a convenience sampling technique 426 absentees, 22 teachers and 2 school nurses filled in three separate questionnaires in ten schools selected to determine the extent of absenteeism due to health related and other problems, the control measures taken and the awareness of school personnel. Health problems were identified as the main reasons for absenteeism. Inadequate communication between the schools and parents as well as lack of guidelines on the control of absenteeism, were other problems identified. Recommendations made related to the provision of school health services that promote the health status of the pupils based on Primary Health Care principles, parental involvement in school health matters and the formulation of policies aimed at controlling absenteeism in schools.
Health Sciences
M.A. (Nursing Science)

Kwok Man Ki.
Accompanying CD-ROM entitled: DRAGON program 2005.
Thesis (M.Phil.)--Chinese University of Hong Kong, 2006.
Includes bibliographical references (leaves 193-203).
Abstracts in English and Chinese; appendices also in Chinese.
Abstract --- p.i
Abstract (Chinese version) --- p.iii
Acknowledgement --- p.v
Table of contents --- p.vi
List of tables --- p.xi
List of figures --- p.xviii
Presentations --- p.xix
Chapter Chapter one: --- Introduction --- p.1
Hong Kong preschoolers' nutritional health situation --- p.1
Chapter (I) --- Breastfeeding & complementary feeding practices --- p.1
Chapter (II) --- "Diet, mealtime and physical activity patterns" --- p.3
Chapter (III) --- Weight status --- p.6
Health risk factors accumulated up to preschool age --- p.8
Childhood Obesity Prevention: School-based intervention --- p.12
Chapter (I) --- Primary obesity prevention and health promoting schools --- p.12
Chapter (II) --- Feasibility of health promotion initiatives in Hong Kong kindergartens --- p.14
Chapter (III) --- Nutrition and physical activity intervention studies --- p.18
Chapter (IV) --- Hong Kong kindergarten health initiative: DRAGON Program --- p.23
Aim and scope of the DRAGON Program --- p.28
Chapter Chapter two: --- Methodology --- p.30
Kindergarten recruitment --- p.30
Formative preparatory stage --- p.32
Chapter (I) --- Teaching kit development --- p.32
Chapter (II) --- Teaching kit pretesting --- p.33
Chapter (III) --- Parents' focus group --- p.35
Chapter (IV) --- Questionnaires development --- p.35
Chapter (V) --- Ethics approval --- p.37
Subject recruitment --- p.37
Pre-intervention stage --- p.37
Chapter (I) --- Anthropometric measurements --- p.37
Chapter (II) --- Parental questionnaires --- p.38
DRAGON Program implementation --- p.38
Chapter (I) --- Preschoolers' health curriculum --- p.38
Chapter (II) --- Pre-intervention data management and analysis --- p.39
Chapter (III) --- Booster activities planning and implementation --- p.40
Chapter (IV) --- Parents' newsletters --- p.42
Post-intervention stage --- p.42
Chapter Chapter three: --- Results --- p.46
Enrollment and response rate --- p.46
Between schools baseline comparison --- p.50
Education vs. Control Schools baseline comparison --- p.53
Chapter (I) --- Demographic and socioeconomic characteristics --- p.53
Chapter (II) --- Children's dietary patterns --- p.60
Chapter (III) --- "Regular meals, snack patterns and other mealtime behaviors" --- p.65
Chapter (IV) --- Usual activity patterns --- p.67
Chapter (V) --- Parents' health knowledge and preferred communication channels --- p.72
Chapter (VI) --- Child's height and weight measurements --- p.77
Chapter (VII) --- Factors associated with children's weight status --- p.79
Chapter (VIII) --- "Associations between socioeconomic status (SES) and children's dietary, mealtime and activity patterns" --- p.81
Process and outcome evaluations of the Dragon Program --- p.90
Part a) 1st follow up after finishing all health curriculum --- p.90
Chapter (I) --- Children's dietary patterns --- p.90
Chapter (II) --- Mealtime behaviors --- p.95
Chapter (III) --- Usual activity patterns --- p.99
Chapter (IV) --- Health curriculum effectiveness evaluation by AM/PM sessions --- p.103
Part b) 2nd follow up after finishing promotional activities --- p.107
Chapter (I) --- Children's dietary patterns --- p.108
Chapter (II) --- Mealtime behaviors --- p.116
Chapter (III) --- Usual activity patterns --- p.122
Between subgroups comparisons --- p.131
Chapter (I) --- First follow up --- p.131
Chapter (II) --- Second follow up --- p.132
Parent Focus groups (baseline) --- p.136
Chapter (I) --- Awareness of local adults' and preschoolers' health status --- p.136
Chapter (II) --- Children's dietary habits and lifestyle --- p.137
Chapter (III) --- Factors affecting their children's health behaviors --- p.139
Parent Focus groups (booster activities) --- p.140
Teachers´ةquestionnaires --- p.142
Teachers after class assessment --- p.149
Teachers´ة focus groups --- p.155
Principals´ة Interviews --- p.157
Chapter (I) --- Importance of creating healthy school environment --- p.157
Chapter (II) --- Students' & teachers´ة performance in first half-year DRAGON Program --- p.158
Chapter (III) --- Comments on implementing second half-year DRAGON Program --- p.160
Chapter (IV) --- Recommendations for the development of the Program --- p.161
Chapter Chapter four: --- Discussion --- p.163
Implications of the findings --- p.164
Chapter (I) --- Socioeconomic and demographic factors associated with preschoolers' diet and lifestyle at baseline --- p.164
Chapter a) --- Association between SES and children´ةs dietary habits --- p.164
Chapter b) --- Association between SES and children's weight status and their mealtime interactions with parents --- p.166
Chapter c) --- "Association between children's weight status and their dietary mealtime, and activity patterns" --- p.167
Chapter (II) --- Local preschool age children´ةs health situation --- p.170
Chapter (III) --- Program Effectiveness assessment --- p.173
Chapter a) --- After the implementation of the one-term health curriculum --- p.173
Chapter b) --- After the implementation of health curriculum and promotional activities --- p.179
Chapter (IV) --- Program acceptability and feasibility --- p.186
Limitations --- p.189
Recommendation for future preschool health program --- p.190
Chapter Chapter five: --- Conclusion --- p.192
References --- p.193
Appendices --- p.204
Chapter A1 --- School invitation letter with program briefing details (English version) --- p.204
Chapter A2 --- School invitation letter with program briefing details (Chinese version) --- p.209
Chapter B1 --- School background information (English version) --- p.213
Chapter B2 --- School background information (Chinese version) --- p.217
Chapter C1 --- DRAGON Program Teacher's Guide for nursery grade (Chinese version) --- p.221
Chapter C2 --- DRAGON Program Teacher's Guide for lower level (Chinese version) --- p.244
Chapter C3 --- DRAGON Program Teacher's Guide for upper level (Chinese version) --- p.269
Chapter D1 --- Parents´ة focus group (Jan) (English version) --- p.297
Chapter D2 --- Parents´ة focus group (Jan) (Chinese version) --- p.301
Chapter E1 --- Teachers´ة self-administered questionnaires (English version) --- p.305
Chapter E2 --- Teachers´ة self-administered questionnaires (Chinese version) --- p.324
Chapter F1a --- Parents´ة self-administered questionnaires [baseline] (English version) --- p.344
Chapter F1b --- Parents´ة self-administered questionnaires [1st follow up] (English version) --- p.349
Chapter F1c --- Parents' self-administered questionnaires [2nd follow up] (English version) --- p.354
Chapter F2a --- Parents´ة self-administered questionnaires [baseline] (Chinese version) --- p.359
Chapter F2b --- Parents´ة'self-administered questionnaires [1st follow up] (Chinese version) --- p.364
Chapter F2c --- Parents´ة self-administered questionnaires [2nd follow up] (Chinese version) --- p.369
Chapter G1 --- Parents´ة consent form (English version) --- p.374
Chapter G2 --- Parents´ة consent form (Chinese version) --- p.376
Chapter H1a --- Sample health lesson worksheet for nursery grade (Chinese version) --- p.378
Chapter H1b --- Sample health lesson worksheet for lower level (Chinese version) --- p.379
Chapter H1c --- Sample health lesson worksheet for upper level (Chinese version) --- p.380
Chapter 11 --- Sample parents´ة newsletter (English version) --- p.382
Chapter 12 --- Sample parents´ة newsletter (Chinese version) --- p.387
Chapter J1 --- Questions for pretest parents´ة newsletter (Chinese and English version) --- p.392
Chapter K1 --- Principals´ة interview (English version) --- p.395
Chapter K2 --- Principals´ة interview (Chinese version) --- p.397
Table A_1 to A_17 --- p.399
DiscAl DRAGON Program: teaching materials for health lessons --- p.414
DiscA2 DRAGON Program: materials for three booster activities --- p.414
DiscA3 DRAGON Program: health lesson worksheets --- p.414
DiscA4 DRAGON Program: parents´ة newsletters --- p.414

The primary aim of this study is to describe and explain the extent of which school managers and primary healthcare facility managers possess knowledge and awareness of their roles in the implementation of the Integrated School Health Policy in Region C in the Gauteng Provincial Department of Basic Education. The study used a qualitative research method by which semi-structured interviews were conducted using a descriptive and explanative design. A sample of ten respondents was elected using a purposive sampling strategy and conventional or content analysis was utilised in the interpretation and analysis of data. The main findings of the study revealed that managers know their role in the implementation of the policy. Although managers are aware of their important roles; they are unable to fulfil them due to a lack of skills. Therefore, the study recommends that the Department of Health and the Department of Basic Education should ensure that managers are skilled and more knowledgeable in implementing the policy objectives.
Public Administration and Operations Management
M. Admin. (Public Admiistration)

Text in English
Learner pregnancy in secondary schools of South Africa is a public health problem that requires the involvement of parents, teachers and health workers in order to promote maternal and child health and retain learners in school. The aim of this study was to explore and describe the experiences of teachers, parents and pregnant learners regarding facilitation of health for pregnant learners and then develop a model to facilitate social support for pregnant learners attending secondary schools in order to attain and maintain health for the mother and her newborn baby and prevent school dropout. A qualitative, exploratory, descriptive and contextual theory generating study was conducted using semi-structured interviews to collect data from ten pregnant learners, ten teachers and five parents who were purposely selected and voluntarily participated. Data was analysed using Tesch’s open coding method where six themes emerged. The themes were then discussed with literature control. The findings revealed that pregnancy amongst secondary school learners in Limpopo Province is a challenge to teachers, parents and pregnant learners regarding social support for pregnant learners to continue attending school and remaining healthy. A concept analysis was performed and revealed facilitation of social support as the main concept, and then other concepts related to it were identified and classified. The model was developed through the steps of theory generation and was then submitted to a panel of experts for evaluation who found it useful to nursing practice and society in general. The model promotes interaction between the role players in education to address learner pregnancy and can also be useful in addressing other challenges in the schools. It is facilitated by a school health nurse but can also be facilitated by a teacher or a social worker in cases where a school health nurse is not available. The guidelines for the implementation of the model were formulated and described. Pregnant learners, as recipient of social support, should submit themselves to the support offered by the social network and communicate their needs openly to the professional nurse, their parents and teachers, so that they can receive adequate social support.
Health Studies
D. Litt. et Phil. (Health Studies)
1 online resource (xv, 206 pages) : illustrations (some color), maps (some color)

The problem this research seeks to address is the support educators receive in teaching HIV and AIDS topics in the classroom. The reason for the choice of topic is to contribute to the revival of HIV and AIDS education in all schools in South Africa. This exploratory study uses the empowerment theory and presents the qualitative research findings based on in-depth interviews with six educators, four school managers and two parents. Thematic content analysis is used to analyse the data. The study found out that the Department of Education had in the past two years provided training workshops for principals of schools, educators and peer educators in the last two years yet the findings from the two schools under study painted a different picture all together. Findings from the interviews show that any support from the Department of Education or any other stakeholder involved in education, such as the Teacher Unions, happened some years ago. Some of the respondents were not very comfortable on this topic as to most of them HIV and AIDS education is not really being taught as it used to years ago. Finally, the research made some recommendations to these two schools on what could be done as a way of reviving HIV and AIDS education to help children and youths to grow up better able to challenge HIV and AIDS. This is in line with the Southern and Eastern Africa Consortium for Monitoring Educational Quality (SACMEC) 2011 report that the education sector has a critical role to play in terms of the delivery of effective HIV and AIDS prevention and awareness programmes. The findings were important as they highlighted the need for the Department of Education to monitor and evaluate the implementation of HIV and AIDS policies in all public schools. They also they gave recommendations on the way forward on HIV and AIDS education in primary schools.
Health Studies
M.A. (Social Behaviour Studies in HIV and AIDS)

BACKGROUND: Studies done in both developed and developing countries have reported the tendencies of adolescents to engage in risky behaviours. Such behaviours include indulging in early and unsafe sexual activities, having multiple sexual partners, alcohol and drug use and dropping out of school among others. PURPOSE: The main aim of the study was to develop intervention strategies for reducing sexual risk practices among adolescents in Ethiopia. METHODS: A mixed method approach using quantitative and qualitative approaches was employed in order to investigate the risks of sexual practices among urban and rural adolescents in the selected area. A cross-sectional survey was used to gather data quantitatively and focus group discussions were used for the qualitative part of data collection. A total of 449 students and 72 FGD participants were selected for quantitative and qualitative study respectively using systematic random sampling technique. Logistic regression was done to identify possible factors associated with knowledge on emergency contraceptive, condom utilisation, pre-marital sex practices and perception of risky sexual practices. RESULTS: One hundred and seventy (37.9%) respondents had experienced sexual intercourse at the time of the study. The higher proportion (42.6%) of those who had engaged in sexual relationships was from the rural school compared to 33.1% in the urban schools. The proportion of sexually active respondents was higher among males (44.8%) compared to (29%) females. Multiple partners were higher in rural adolescents (44.7%) compared to 31.8% among urban adolescents. Sexually Transmitted Diseases were reported by 28.6% of the sexually active adolescents and the prevalence was higher among males (73.5%) compared to 27% females. 87% of the sexually active adolescents rarely used a condom. CONCLUSION: The study identified a knowledge gap on ASRH which limited adolescents to access reproductive services. Social, cultural and economic factors contributed to adolescent engagement in risky sexual behaviours. Based on the major findings of this study, intervention strategies targeting behavioural, biomedical and structural interventions were proposed.
Health Studies
D. Litt. et Phil. (Health Studies)