Academic literature on the topic 'Social psychology – Zimbabwe – Bulawayo'

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Journal articles on the topic "Social psychology – Zimbabwe – Bulawayo"

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Clark, Thomas S., Gerhard K. Friedrich, Methembe Ndlovu, Torsten B. Neilands, and Willi McFarland. "An Adolescent-targeted HIV Prevention Project Using African Professional Soccer Players as Role Models and Educators in Bulawayo, Zimbabwe." AIDS and Behavior 10, S1 (June 22, 2006): 77–83. http://dx.doi.org/10.1007/s10461-006-9140-4.

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Nyakutombwa, Content P., Wilfred N. Nunu, Nicholas Mudonhi, and Nomathemba Sibanda. "Factors Influencing Patient Satisfaction with Healthcare Services Offered in Selected Public Hospitals in Bulawayo, Zimbabwe." Open Public Health Journal 14, no. 1 (April 20, 2021): 181–88. http://dx.doi.org/10.2174/1874944502114010181.

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Introduction: Patient satisfaction with health care services is vital in establishing gaps to be improved, notably in public health facilities utilised by the majority in Low and Middle-Income Countries. This study assessed factors that influenced patient satisfaction with United Bulawayo Hospitals and Mpilo Hospital services in Bulawayo in Zimbabwe. Methods: A cross-sectional survey was conducted on 99 randomly selected respondents in two tertiary hospitals in Bulawayo. Chi-squared tests were employed to determine associations between different demographic characteristics and patient satisfaction with various services they received. Multiple Stepwise Linear regression was conducted to assess the strength of the association between different variables. Results: Most of the participants who took part in the study were males in both selected hospitals. It was generally observed that patients were satisfied with these facilities' services, symbolised by over 50% satisfaction. However, patients at Mpilo were overall more satisfied than those at United Bulawayo Hospitals. Variables “received speciality services,” “average waiting times,” and “drugs being issued on time” were significant contributors to different levels of satisfaction observed between Mpilo and United Bulawayo Hospitals. Conclusion: Generally, patients are satisfied with the services and interactions with the health service providers at United Bulawayo Hospitals and Mpilo Hospitals. However, patients at Mpilo were more satisfied than those at United Bulawayo Hospitals. There is generally a need to improve pharmaceutical services, outpatient services, and interaction with health service provider services to attain the highest levels of patient satisfaction.
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Grant, Miriam. "Difficult Debut: Social and Economic Identities of Urban Youth in Bulawayo, Zimbabwe." Canadian Journal of African Studies / Revue Canadienne des Études Africaines 37, no. 2/3 (2003): 411. http://dx.doi.org/10.2307/4107245.

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Grant, Miriam. "Difficult Debut: Social and Economic Identities of Urban Youth in Bulawayo, Zimbabwe." Canadian Journal of African Studies / Revue canadienne des études africaines 37, no. 2-3 (January 2003): 411–39. http://dx.doi.org/10.1080/00083968.2003.10751274.

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Dube, Thulani, Saziso Sibanda, and Phibion Chiwara. "Adapting peri-urban agriculture to climate change in Bulawayo, Zimbabwe: A qualitative assessment." Cogent Social Sciences 7, no. 1 (January 1, 2021): 1944486. http://dx.doi.org/10.1080/23311886.2021.1944486.

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Carreira, Shirley De Souza Gomes. "A reconfiguração da identidade cultural em Precisamos de Novos Nomes, Noviolet Bulawayo." Ilha do Desterro A Journal of English Language, Literatures in English and Cultural Studies 72, no. 1 (February 1, 2019): 145–58. http://dx.doi.org/10.5007/2175-8026.2019v72n1p145.

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The aim of this article is to analyze the reconfiguration of the cultural identity of the protagonist of We Need New Names, by Noviolet Bulawayo. In this coming-of-age novel, the author narrates Darling’s story from her childhood, in Harare, Zimbabwe, until she became an adult, as an immigrant in the United States. The novel’s background is the economic, political and social crisis that plagued the country in the post-independence period, aggravated by the spread of AIDs. Like many compatriots, the protagonist builds a utopian image of America, which, years later, melts away due to the difficulties faced by immigrants on American soil.
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Tsang, Eileen Yuk-ha, Shan Qiao, Jeffrey S. Wilkinson, Annis Lai-chu Fung, Freddy Lipeleke, and Xiaoming Li. "Multilayered Stigma and Vulnerabilities for HIV Infection and Transmission: A Qualitative Study on Male Sex Workers in Zimbabwe." American Journal of Men's Health 13, no. 1 (January 2019): 155798831882388. http://dx.doi.org/10.1177/1557988318823883.

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Male sex workers are marginalized in most societies due to intersectional stigma between prostitution and homosexuality. In Zimbabwe, a proliferation of male sex workers in major cities such as Harare and Bulawayo has been reported. However, there is a shortage of studies that explore their lives. The current qualitative study aims to describe the practices of sex work, life contexts, and HIV risks and vulnerabilities based on in-depth interviews among 15 male sex workers in Bulawayo. Our studies suggest that the stigma against male sex workers comes from diverse sectors including culture (“homosexuality is un-African, introduced by the Whites”), religion (“same sex is a sin before the God”), law and police (“homosexuality is illegal in Zimbabwe. Engaging in it can send one to prison”), media (“the media is hostile to sex workers particularly men as we are regarded as abnormal and unclean”), and their family (“should they get to know about it, they will disown me”). In this context, male sex workers were excluded from national HIV prevention and treatment programs. They had limited knowledge and many misconceptions about HIV. The stigma and discrimination from health-care providers also discouraged them from health seeking or HIV testing. The non-disclosure to female partners of convenience and sexual relations further increased their vulnerabilities to HIV infection and transmission. Current efforts to address the HIV epidemic should pay attention to male sex workers and tackle the intersecting stigma issues. male sex workers need support and tailored HIV prevention and treatment services to improve their HIV prevention practices, health, and well-being.
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Sibanda, Lwazi. "Teaching Social Skills as a Proactive Discipline Management Strategy: Experiences of Selected Secondary Schools in Bulawayo Metropolitan Province, Zimbabwe." American Journal of Educational Research 6, no. 12 (December 18, 2018): 1636–45. http://dx.doi.org/10.12691/education-6-12-8.

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Rubin, Joshua D. "Assembling emergence: making art and selling gas in Bulawayo." Africa 89, no. 3 (July 16, 2019): 479–98. http://dx.doi.org/10.1017/s0001972019000482.

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AbstractThis article is an ethnographic investigation of the labours of making art and selling liquid petroleum gas (LPG) in Bulawayo, Zimbabwe. It locates these activities within a shared social world, centred on one of Bulawayo's major art galleries, and it demonstrates that artists and LPG dealers use similar strategies to respond to the political conditions of life in the city. This article frames these conditions as unpredictable, insofar as they change frequently and crystallize in unexpected forms, and it argues that both groups are attempting to act within these conditions and shape them into emergent assemblages. In adopting this term ‘assemblage’, which has been elaborated theoretically by Gilles Deleuze, Félix Guattari and their many interlocutors, this article emphasizes both the mutability and the unpredictability of these formations. The artists who work in the gallery, for their part, make their art by assembling their chosen media. The processes by which they choose their media constitute assemblages as well, in that artists have to adapt their artistic visions to the materials that Zimbabwe's market can provide. Street dealers in gas also produce emergent assemblages against the backdrop of unpredictability. If they want to make natural gas available to consumers, dealers must shepherd their medium through an always emergent process of distribution. They participate in transnational networks of trade, but they also theorize innovative strategies of procurement, develop circuits of trust and loyalty, and conjure up visions of a predatory state. Like artists, they use their work to construct dynamic representations of the world around them. Artists may produce images, and dealers circulate gas, but this article shows that conceptualizing these practices in terms of ‘assemblages’ calls their commonalities into view. In doing so, it also demonstrates that these practices complicate easy distinctions between aesthetics, economics and politics.
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Mazonde, Nomusa B., and Teresa Carmichael. "The influence of culture on female entrepreneurs in Zimbabwe." Southern African Journal of Entrepreneurship and Small Business Management 8, no. 1 (December 1, 2016): 10. http://dx.doi.org/10.4102/sajesbm.v8i1.101.

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<strong>Background:</strong> There is an increasing interest in female entrepreneurship, not only to realise the potential for economic growth, but also in light of the opportunities for female expression, emancipation, agency and empowerment. Literature has found that many female entrepreneurs are profoundly affected by the traditional sociocultural context in which they operate, and that they have needed to work around patriarchal barriers in order to succeed. This study explores the ways in which they do this.<p><strong>Aim:</strong> The aim of this paper was to contribute to an understanding of how female entrepreneurs in a patriarchal African society can work within cultural constraints to achieve success within their own terms of reference.</p><p><strong>Setting:</strong> The study took place in Zimbabwe among female entrepreneurs who had recently formalised their businesses</p><p><strong>Methods:</strong> Using a qualitative interpretive research design, in-depth, face-to-face interviews were conducted with 43 African female entrepreneurs running their own businesses in the Zimbabwean cities of Harare and Bulawayo.</p><p><strong>Results:</strong> The complex interplay of macro- (national cultural characteristics), meso- (institutional and social factors), and micro- (individual identity) level factors shaped the ways in which the women dealt with the shackles of patriarchy, inequality and high power distance that had historically impeded their economic participation. Through their own agency, they mobilised their public and private identities separately, balancing the seemingly incompatible roles of home-maker vs entrepreneur.</p><p><strong>Conclusion:</strong> Zimbabwean women successfully managed the interaction between their different social roles and identities to balance domestic obligations with income generation to better the lives of their families.</p>
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Dissertations / Theses on the topic "Social psychology – Zimbabwe – Bulawayo"

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Khumalo, Senziwani. "An investigation into how Zimbabwe's Bulawayo viewers negotiate the gay storyline in Generations." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1017784.

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This study seeks to evaluate how aspects of religion, culture, political context, education and class, amongst others, impact on the manner with which Zimbabwe’s Bulawayo residents make sense of media messages which explore issues of homosexuality, as encountered in the soap opera Generations. This is against the backdrop of Zimbabwean legislation, such as the Sexual Deviancy Act, which criminalises homosexuality and the state victimisation of gays and lesbians in this country. The inclusion of homosexual liberties was rejected by all political parties and both public and private media in the recent drafting of a new rule of law. The legislation, including gay rights exclusion in the new constitution, and state action has perpetuated an impression that Zimbabwe is a deeply homophobic society. As a starting point the study examines the claims of the media imperialism thesis which supposes an all-consuming power of western media and next examines Straubhaar’s thesis of ‘cultural proximity’ which argues that there is often a preference for regional media, which is proximate to viewers’ local culture, language and identity. The study explores the prominence of South Africa as a regional media player and that proximate identities with some cultures in that country have played a role in drawing some Bulawayo viewers to South African television, as they feel slighted by Zimbabwean media. Utilising qualitative research methods, the study explores whether or not the representation of gay images on this South African soap opera provides viewers with opportunities for ‘symbolic distancing’. The concept highlights that when people have insight into lifestyles that are different from their own, they use that as a resource to critically analyse their own lives and cultural understandings. The study evaluates if Bulawayo viewers’ sentiments towards homosexuality has been challenged and changed through their interface with the soap opera, Generations.
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Stuart, Osmond Wesley. "'Good boys', footballers and strikers : African social change in Bulawayo, 1933-1953." Thesis, SOAS, University of London, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325071.

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Mabweazara, Hayes Mawindi. "An investigation into the popularity of the Zimbabwean tabloid newspaper, uMthunywa: a reception study of Bulawayo readers." Thesis, Rhodes University, 2007. http://hdl.handle.net/10962/d1002908.

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The development of the tabloid press has stirred heated debate among media scholars. Critics have argued against the relevance of tabloids in society, often framing them as the ‘journalistic other’ deserving no place in ‘serious’ journalism. Much of this criticism, however, has not been based on a close interrogation of the phenomenon, or an examination of the reasons for their popularity amongst readers. It is against this background that this study investigates the reasons behind the popularity of the Zimbabwean state-controlled tabloid newspaper uMthunywa, among its Bulawayo readers. In particular, it explores the meanings obtained from the content of the paper and the relevance of this content to the readers’ everyday lives. In undertaking this investigation, the study draws primarily on qualitative research methods, particularly qualitative content analysis and in-depth interviews (both group and individual). As the study demonstrates, these methods uncover the complex manner in which Bulawayo readers are attracted to uMthunywa and how they appropriate its textual meanings to their lived realities. The study establishes that despite uMthunywa being state-controlled, it offers space through which the conventional ways of presenting reality are challenged, and the importance of the newspaper being written in isiNdebele. As the study indicates, the popularity of the newspaper is largely dependent on its excessive formulaic and sensational stories, which cover issues experienced by its readers in their lived circumstances. The study thus argues that the newspaper constitutes an alternative mediated public sphere that finds space in the deeper social conditions that have alienated the people of Bulawayo from the macropolitical life of the nation and the ‘power bloc’.
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Ndlovu, Sinqobile Sichelesile. "Circumstantial social entrepreneurship: Exploring inclusive, social innovation in the transition from shadow to mainstream economic spaces. A case study of informal sector recycling activities in Bulawayo, Zimbabwe." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28401.

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As global solid waste management systems evolve to include wider elements of sustainability, developing countries are struggling with how best to work with a growing informal sector. This research seeks to investigate how developing country mainstream solid waste management systems can harness the opportunities presented through the informal recycling sector. This research explores the dialogue around „formalisation of the informal‟ and „integration of informal recycling sector into mainstream solid waste management systems‟, approaching this from an informal sector perspective. The research endeavours to offer insights to this discourse from an inclusive, social innovation approach. The research looks at what business models the informal recycling sector use as they adopt or adapt industrialised practices and how these harness inclusion and social innovation. The research area is Bulawayo, Zimbabwe with the informal recycling sector as case study. The main research question is “How can we harness inclusion and social innovation as the informal sector transitions into mainstream economic spaces?” The research employs an inductive qualitative approach through a rapid ethnography, focus group discussions and semi-structured key informant interviews. Key concepts explored in this research include „circumstantial social entrepreneurship‟, „generational informality‟, „value chain alliances‟, „public, private, community and informal sector partnerships (PPCIPs)‟ and „inclusive development as a pre-requisite to formalisation‟. By unpacking the business models employed by the informal recycling sector and how inclusive, social innovation opportunities inherent in these can be harnessed during the transition from shadow to mainstream economy spaces, this research intends to offer progressive approaches on how to unlock shared value during the graduation of the informal recycling sector from shadow to mainstream socio-economic spaces. Additionally, the outputs of this research aim to contribute to context-specific knowledge on types of non traditional social entrepreneurial activity within informal spaces and how these push boundaries of inclusive, social innovation.
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Sivalo, Delta Mbonisi. "A sociological understanding of urban governance and social accountability: the case of Bulawayo, Zimbabwe." Thesis, Rhodes University, 2019. http://hdl.handle.net/10962/71515.

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This thesis seeks to understand the ways in which urban governance and urban-based civic participation interact with each other in contemporary Zimbabwe, with a particular focus on the factors influencing and shaping social accountability and effective citizen involvement in urban governance processes. This main objective is pursued with specific reference to Bulawayo, which is one of two metropolitan centres in Zimbabwe. The focus is specifically on questions around social accountability, citizen participation and centralised urban governance. In this regard, it is important to recognise that social accountability and urban governance need to be understood in the context of their inherent relationship and how these both shape and determine each other. In this respect, there is need to probe the foundations that shape the lived experiences of communities, through social accountability and urban governance, and how these pattern development and social change. Zimbabwe for over a decade now has gone through a series of economic and political crises which have impacted detrimentally on urban governance. With the economy in free-fall, local authorities have had to pursue a range of strategies to sustain themselves. These socio-economic conditions have forced a change in relations between the state, cities and citizens. Many studies have examined this regarding the politics of contestation between the ruling party (ZANU-PF), the state, and the main opposition party (MDC) in urban governance in Zimbabwe. However, this study zeros in on social accountability and how it is shaped by the prevailing socio-economic and political environment in Zimbabwe. At the same time, the lived experiences of communities vary and this variance influences and affects social accountability interventions and outcomes in cities like Bulawayo. Importantly, the thesis offers a longitudinal study which can map the contextual factors affecting and influencing social accountability in Bulawayo over time. Though recognising the debilitating effects of centralised urban governance on social accountability, the thesis also raises questions about the shifting, and often tenuous, relationship between the city and the central state, on one hand, and the city and its citizens on the other. In doing so, it considers the role of citizens, institutions and actors in responding to the impacts of urban governance and social accountability. In pursuing this thesis, a range of mainly qualitative research methods were used, including key informant interviews, focus group discussions, observation and use of documents. In the end, the thesis offers a nuanced analysis of the everyday complexities and challenges for social accountability in urban Bulawayo, Zimbabwe and thereby contributes to theorising social accountability and urban governance in Africa more broadly.
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Palmiere, Andrew D. "The social and economic impacts of HIV/AIDS on high-density households in Bulawayo, Zimbabwe." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0018/MQ55167.pdf.

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Ndlovu, Mphathisi. "Constructions of nationhood in secession debates related to Mthwakazi Liberation Front in Bulawayo's Chronicle and Newsday newspapers in 2011." Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1001846.

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This study investigates the constructions of nationhood in two Bulawayo newspapers, the Chronicle and Newsday. Against the backdrop of the emergence of a secessionist movement, Mthwakazi Liberation Front (MLF), this research examines the discourses of nationhood in the secessionist debates raging in these two newspapers. This study is premised on a view that nationhood constructions cannot be understood outside the broader context in which these newspapers are embedded. Accordingly, it traces the roots and resurgence of Matabeleland separatist politics, exploring the political-historical forces that have shaped a distinctive Ndebele identity that poses a threat to the one, indivisible Zimbabwean national identity. Further, the study situates Matabeleland separatist politics within the broader African secessionist discourse challenging the post-colonial nation-building project on the continent. Informed by Hall’s (1992, 1996) constructivist approach to identity, it considers national identities as fragmented, multiple and constantly evolving. Thus, this study is framed within Hall’s (1997) constructivist approach to representation, as it examines the constructions of nationhood in and through language. The study uses qualitative research methods, as it examines the meanings of nationhood in key media texts. Informed by Foucault’s discourse theory, this research employs critical discourse analysis (CDA) to analyse 12 articles from the two newspapers. The findings confirm that the representations of nationhood in the two newspapers are influenced by their position within the socio-political context. The state-owned Chronicle legitimates the unitary state discourse advocated by ZANU PF. On the other hand, Newsday’s representations are informed by the discourses of the opposition political parties and civil society that challenge the dominant nation-building project. Thus, within this paper, secession and devolution emerge as alternative imaginaries that contest the authoritarian discourse of nationhood
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Pascall, Juliet Carol. "A narrative analysis of Zimbabwean landowners’ experiences of displacement from their land as a consequence of the land redistribution programme." Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/23433.

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Given the use of a social constructionism approach, the emphasis within the research is to include the listener in the on-going conversation when considering expropriation and the construction of identity around that experience. The question of how the experience of expropriation contributes to the construction of meaning and identity for the Zimbabwean farmer is posed. Gergen (1994) emphasised that identity is not an entity that is possessed by the individual nor a product of an individual’s cognitive processes; rather it is a possession of social interchange and relationships in a given context. The “self” or identity is “a linguistic implement embedded within conversational sequences of action and employed in relationships in such a way as to sustain, enhance or impede various forms of action” (Gergen, 1994, p.188). This particular story from farming to eviction offers the reader a unique look into the construction of reality by Zimbabwean farmers as well as an opportunity to examine the fluidity of identity as it is constructed around agreed meaning or conversations and context.
Dissertation (MA)--University of Pretoria, 2011.
Psychology
unrestricted
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Phuthi, Kesiwe. "Investigating the psycho-social needs of orphaned adolescent learners in the context of HIV and AIDS : a case study of a high school in Bulawayo, Zimbabwe." Diss., 2014. http://hdl.handle.net/10500/14331.

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Orphans from child care institutions and from extended families attend the same schools as non-orphans. They are often given the same psycho-social support yet it is clear that they have different psycho-social needs. Their backgrounds are usually different from those of other adolescent learners because, often, they would have observed or nursed sick parents who eventually died from AIDS-related illnesses. This qualitative study aimed at investigating the psycho-social needs of orphaned adolescent learners in child care institutions and those in extended families in the context of HIV and AIDS. The study further sought to find out how the psycho-social needs affected the HIV- and AIDS-affected orphans’ school performance and social behaviour. In-depth interviews were conducted with four orphaned learners from child care institutions and four from extended families using open-ended questions. Thematic analysis was used to analyse the data. Findings of the study were that the psycho-social needs of AIDS-affected orphans in families were met by relatives more than those of AIDS-affected orphans in child care institutions. The results of the study also revealed that there was not much difference in school performance between HIV- and AIDS-affected orphans from extended families and those from child care institutions. Thus this study contributes to Sociological and Behavioural literature in the area of HIV and AIDS as well as the education literature of the vulnerable groups like orphans. The school offered psycho-social support en masse with no special programme for orphans affected by HIV and AIDS for fear of stigmatising the orphans.
Health Studies
M.A. (Social Behaviour Studies in HIV/AIDS)
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Chimhenga, Sylod. "Behaviour problems of adolescents in secondary schools of Bulawayo: causes, manifestations and educational support." Diss., 2002. http://hdl.handle.net/10500/1031.

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Behaviour problems are a problem in many secondary schools in Zimbabwe. This study attempts to investigate the causes and manifestations of behaviour problems of adolescent learners and to develop guidelines for teachers on how to assist learners with behaviour problems in the classroom. This is a qualitative study using focus group and semi-structured interviews. The main findings contributing to the causes of behaviour problems among adolescent learners are environmental factors, such as the family and the school and peer pressure. Behaviour problems are manifested by adolescents as disruptive behaviour, aggressive and antisocial behaviour, telling lies and theft. The findings highlight important guidelines, which teachers can use to assist and understand learners with behaviour problems in the classroom. The guidelines present an endeavour to solve problem behaviour in the classroom.
Educational Studies
M.Ed. (Special Needs Education)
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Books on the topic "Social psychology – Zimbabwe – Bulawayo"

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O, Ranger T. Bulawayo burning: The social history of a southern African city, 1893-1960. Woodbridge, Suffolk, UK: James Currey, 2010.

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Council, Population, Horizons Program, Regional Psychosocial Support Initiative, and Catholic Relief Services. STRIVE Program, eds. Orphans and vulnerable youth in Bulawayo, Zimbabwe: An exploratory study of psychosocial well-being and psychosocial support programs. New York: Population Council, 2006.

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Moyo, Melton. Problems of teaching Ndebele as a second language at M.S.S. 1997.

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Dahlin, Olov. Zvinorwadza: Being A Patient In The Religious And Medical Plurality Of The Mberengwa District, Zimbabwe (European University Studies: Theology, 23). Peter Lang Publishing, 2002.

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Zvinorwadza: Being a Patient in the Religious and Medical Plurality of the Mberengwa District, Zimbabwe (European University Studies: Theology, 23). Peter Lang Publishing, 2002.

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Book chapters on the topic "Social psychology – Zimbabwe – Bulawayo"

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"Coping with water scarcity: The social and environmental impact of the1982-1992 droughts on Makokoba Township, Bulawayo, Zimbabwe." In African Cities, 157–85. BRILL, 2009. http://dx.doi.org/10.1163/ej.9789004162648.i-308.45.

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Reports on the topic "Social psychology – Zimbabwe – Bulawayo"

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Clarke, Alison, Sherry Hutchinson, and Ellen Weiss. Psychosocial support for children. Population Council, 2005. http://dx.doi.org/10.31899/hiv14.1003.

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Masiye Camp in Matopos National Park, and Kids’ Clubs in downtown Bulawayo, Zimbabwe, are examples of a growing number of programs in Africa and elsewhere that focus on the psychological and social needs of AIDS-affected children. Given the traumatic effects of grief, loss, and other hardships faced by these children, there is increasing recognition of the importance of programs to help them strengthen their social and emotional support systems. This Horizons Report describes findings from operations research in Zimbabwe and Rwanda that examines the psychosocial well-being of orphans and vulnerable children and ways to increase their ability to adapt and cope in the face of adversity. In these studies, a person’s psychosocial well-being refers to his/her emotional and mental state and his/her network of human relationships and connections. A total of 1,258 youth were interviewed. All were deemed vulnerable by their communities because they had been affected by HIV/AIDS and/or other factors such as severe poverty.
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