Dissertations / Theses on the topic 'Town district'
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Fink, Ryan. "District-led Instructional Improvement in a Remote Town." Thesis, The George Washington University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3614841.
Full textThis study examined how stakeholders in one school district located in a remote town perceived the instructional improvement efforts of the district, as well as the constraints and enablers of implementing instructional reforms. A qualitative approach, consisting mainly of interviews with teachers, principals, district administrators, and other school-level staff, was used to examine the perceived effects of the district's instructional reforms in five areas: (1) adopting a set of goals to guide the district's actions; (2) implementing instructional reform; (3) improving professional development; (4) supporting district and school administrators to become instructional leaders; and (5) encouraging the use of data to diagnose student learning needs and guide instruction. School-level interviews were conducted within four of the district's elementary schools selected to represent the district on a number of demographic and academic variables. The overall findings for these five areas were as follows. Respondents spoke primarily about changes to reading instruction as the district's top priority. The district's efforts to reform classroom instruction resulted in all elementary schools implementing, in varying degrees, the structures the district established for teaching reading. These levels of implementation were achieved through a gradual process and were met with initial resistance from principals and teachers. The district's shift to providing job-embedded professional development proved to be a major support in establishing a consistent teaching approach. Literacy coaches represented the main source of job-embedded professional development and played an important role in providing teacher professional development. Principals strove to achieve the district's expectation for them to become instructional leaders in their buildings, although some struggled with the content expertise required to be an instructional leader, while others expressed difficulty in managing their time between being a building manager and an instructional leader. Finally, the district's instructional improvement efforts were informed by student achievement data and teacher observation data, as teachers used formative and summative assessments to monitor students' progress and to provide appropriate levels of intervention to students.
Liaw, Lily Rita, and 廖莉莉. "Role of district board in new town development: a case study of Shatin District Board." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B31963821.
Full textLiaw, Lily Rita. "Role of district board in new town development : a case study of Shatin District Board /." [Hong Kong : University of Hong Kong], 1990. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12816905.
Full textNajjaar, Leilah. "Bed utilisation trends in selected wards across eight district hospitals in the Cape Town district." University of the Western Cape, 2018. http://hdl.handle.net/11394/6889.
Full textBackground: The largest focus areas for the department of health is ensuring access to quality healthcare. The district health system (DHS) model remains the vehicle used by the district managers to deliver on the health department’s goals, objectives and priority focus areas. Strengthening the district health system platform is therefore important to the department to improve access and quality of care to the clients serviced in the province. The district hospitals play a fundamental role since they support primary health care (PHC) and serve as the entry point to more specialised care. The efficient management of beds in the district hospitals is the key in ensuring access to care and preventing bed blocking. Bed Utilisation Rate (BUR) and Average Length of Stay (ALOS) are indicators used to measure the efficiency of hospital beds. This study provides a description of the trends in bed utilisation within the inpatient wards of eight district hospitals in the Cape Town metro district in the 2016-2017 financial period. Methodology: To analyse and compare wards a quantitative approach was used. Inpatient ward activity reports for eight district hospitals were accessed from the department of health’s routine data collection repository. A total of fifty-five wards were compared across small and large hospitals for BUR and ALOS during the financial year period 1 April 2016 to 31 March 2017. Data entry was done in MS EXCEL and analyses were done using STATA 11.0.
Barnett, Naomi. "Race, housing and town planning in Cape Town, c.1920-1940 : with special reference to District Six." Master's thesis, University of Cape Town, 1993. http://hdl.handle.net/11427/21704.
Full textLi, Xiaoyan. "Clinic delivery trends : public health clinics in Cape Town Central district." Thesis, Cape Technikon, 2003. http://hdl.handle.net/20.500.11838/780.
Full textThis is a retrospective (descriptive) study ofclinic delivery trends rendered in Cape Town Central District between July 1995 and June 2002. The study describes the history of clinic service delivery in Cape Town Central District, which includes the Primary Health Care model, as well as the District Health system. Clinic delivery trends for the following three periods are determined: I:] Before the implementation ofthe New Health Plan: July 1995 - July 1996; I:] During the implementation of the New Health Plan: July 1997 - June 1998; I:] After the implementation of the New Health Plan: July 1998 - June 2002. The study also determines and compares the nature ofpublic health clinic services delivered during the study period. No official annual health reports were compiled by Cape Town Administration since July 1997. This study therefore serves to determine disease and clinic trends for the periods where no such aonual reports are available. It is important to determine health delivery trends for future strategic plaoning purposes. Changes to the nature and extent ofservices rendered by public health clinics were brought about by the following factors: Cl One approach of Primary Health Care is to refer more patients to public health clinics in order to release pressure from the major tertiary hospitals. If this Primary Health Care (PHC) model is provided appropriately, about 80% ofhealth problems should be solved without referral to another level of care; Cl A number of free public health clinic services have been introduced since the democratization of South Africa in 1994, such as free services to expectant mothers as well as free clinic services to children younger than six years; Cl New clinic services have been added, such as provision ofmedication to stabilized mental health patients; Cl HIV/AIDS has become an international pandemic over the past decade and has shown a 660.8% increase in Cape Town Central District; Cl A limited (19.8%) increase in the population for that area during the study period; Cl Clinic services have been legislated as a nurse driven service since 1997, with an additional emphasis on the curative roles of nurses (traditional roles of nurses at public health clinics were largely preventive and promotive).
Rawana, Yolisa. "Primary education and rural community development in King William's Town District." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1007750.
Full textChan, Ka-man Carmen. "Museum of fashion in a district of fashion." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25954763.
Full textTuyen, Nghiem Phuong. "Town-village interactions and the roles of district towns in the development process in Vietnam's northern mountain region." 京都大学 (Kyoto University), 2005. http://hdl.handle.net/2433/144613.
Full text0048
新制・課程博士
博士(地域研究)
甲第11805号
地博第23号
新制||地||7(附属図書館)
23545
UT51-2005-F835
京都大学大学院アジア・アフリカ地域研究研究科東南アジア地域研究専攻
(主査)教授 速水 洋子, 教授 田中 耕司, 助教授 河野 泰之
学位規則第4条第1項該当
Mgijima, Khayakazi. "Integrated quality-management systems in selected schools : King William's Town Education District." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1018892.
Full textRideout, Timothy William. "Development in Cape Town's Central Business District : the office component." Master's thesis, University of Cape Town, 1985. http://hdl.handle.net/11427/22395.
Full textThe first part of the thesis covers the background to the research, namely (a) a selective review of previous work in the field of office development and location studies and the subsequent identification of the objectives of the present research, (b) a summary of the historical development of the central area of the City of Cape Town, (c) the definition of the study area, this being the Central Business District of the city of Cape Town and (d) a discussion of the collection of land use and gross floor area data, the identification and resolution of problems in the data and the administering of a postal Questionnaire to 1,400 office establishments in the CBD. This section also covers the problem of identifying and delimiting land use clusters. The technique selected for use in such delimitation was that developed by D. H. Davies (1965) augmented by the development of three 'indices of clustering '. The second part of the thesis presents, by means of thirty-three detailed maps, a comprehensive analysis of office land use patterns in the Cape Town CBD in 1983. Clusters are indicated according to the Davies technique. It was found that many office functions exhibited clustering in distinct parts of the CBD and, moreover, certain functions appeared to show close similarities in their respective location patterns. A factor analysis identified six groups of similarly located land uses, on which basis a model of the spatial organization of the CED was proposed. Data, derived from the postal questionnaire, on the characteristics and requirements of individual office functions was used to explain the location patterns. Previous studies have usually considered linkages as being the primary locational determinant for the office sector, but in this case it was found that clustering and the existence of similar location patterns between office functions usually arose from a combination of common locational requirements. The major locational determinants were found to be the rent paying ability of establishments, the relative importance of the accessibility of the establishment to either general public or commercial clients, the existence of strong linkages with other functions (especially where such functions were eccentrically located with respect to the CBD, such as the Docks) and in some cases the importance of occupying prestige premises. The comparatively minor role of linkages with other functions was considered to be a reflection of the relatively small size of the CBD. The thesis concludes with a study of past trends and future projections of the development of the CBD. The growing dominance of the office sector is clearly revealed, as is the effect of the Foreshore Reclamation Scheme in promoting a northward migration of the Office Core while leaving the Retail Core largely unchanged from its 1957 location. On the basis of current development projects it was projected that there would be considerable short-term vacancy in the office sector by late 1986. In the longer term, though, gross floor area requirements for all uses are predicted to rise by almost 50% to 3.475 million square metres by the year 2000. Such development of all of the space currently permitted by the Town Planning Scheme raises the possibility of space shortages and the loss of remaining historic buildings.
Summerton, Jane. "District heating comes to town : the social shaping of an energy system /." Linköping : Linköping studies in arts and sciences, 1992. http://catalogue.bnf.fr/ark:/12148/cb37664211s.
Full textBeyers, Chris. "Land restitution in District Six, Cape Town : 'community', citizenship and social exclusion." Thesis, University of Sussex, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.413321.
Full textMabece, Victor Nkosabantu. "Implementation of procurement procedures in the education district of King William's Town." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1018670.
Full textHayes-Roberts, Hayley Elizabeth. "Frameworks of representation: A design history of the District Six Museum in Cape Town." University of the Western Cape, 2020. http://hdl.handle.net/11394/7282.
Full textSince 1994, the District Six Museum, in constructing histories of forced removals from District Six, Cape Town, commenced as a post-apartheid memory project which evolved into a memorial museum. Design has been a central strategy claimed by the museum in its process of making memory work visible to its attendant publics evolving into a South African cultural brand. Co-design within the museum is aesthetically infused with sensitively curated exhibitions and a form of museumisation, across two tangible sites of engagement, which imparts a unique visual language. The term design became extraordinarily popular in contemporary Cape Town, where the city was - in 2014 -the World Design Capital. Yet at the same time as design was being inscribed into the public imaginary, it was simultaneously curiously undefined although influential in shifting representational aesthetics in the city. This research seeks to ask questions about this proliferation of interest in design and to examine this through a close reading of the work of the District Six Museum situated near District Six. In particular, micro and macro design elements are explored as socio-cultural practice in re-imagining community in the city that grew out of resistance and cultural networks. Various design strategies or frameworks of representation sought to stabilize and clarify individual and collective pasts enabling and supporting ex-residents to reinterpret space after loss, displacement and separation and re-enter their histories and the city. Post-apartheid museum design modes and methodologies applied by the District Six Museum as museumisation disrupts conventional historiographies in the fields of art, architectural and exhibition design, where the focus is placed on temporal chronologies, in a biographic mode profiling examples of works and designers/artists. Instead, the research contextualises the work of design as making in a more open sense, of exploring the very constructedness of the museum as a space of method, selection, process and representation thereby asking questions about this reified term design as method and practice. The designing ways of the District Six Museum contribute to understanding idioms mediated through design frameworks allowing for a departure from the limited ways design history has been written. Through an unlayering of projects, practices and an examination of archival case studies, exhibition curation, the adaptive reuse of buildings and through institutional rebranding my argument is that the particularities of the claims to design work at the District Six Museum provide a rich case for relating to other contemporaneous processes of making apartheid’s spatial practices visible as projects such as this claim community. Therefore seeking to demystify how this community museum ‘making’ has been fashioned through an investment in various design disciplines, forms and practices revealing the inherent complexity in doing so.
Gryzagoridis, Alexia Voula. "A spatial development framework for the Northern Inner Cape Town Sub-metropolitan District." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/7528.
Full textJulius, Chrischené. "Oral history in the exhibitionary strategy of the District Six Museum, Cape Town." Thesis, University of the Western Cape, 2007. http://hdl.handle.net/11394/2864.
Full textDistrict Six was a community that was forcibly removed from the centre of Cape Town after its demarcation as a white group area in 1966. In 1989, the District Six Museum Foundation was established in order to form a project that worked with the memory of District Six. Out of these origins, the District Six Museum emerged and was officially opened in 1994 with the Streets: Retracing District Six exhibition. The origin moments of the museum in the 1980s occurred at the same moment that the social history movement assumed prominence within a progressive South African historiography. With the success of Streets, the decision to ‘dig deeper’ into the social history of District Six culminated in the opening of the exhibition, Digging Deeper, in a renovated museum space in 2000. Oral history practice, as means of bringing to light the hidden and erased histories of the area, was embraced by the museum as an empowering methodology which would facilitate memory work around District Six. In tracing the evolution of an oral history practice in the museum, this study aims to understand how the poetics involved in the practices of representation and display impacted on the oral histories that were displayed in Digging Deeper. It also considers how the engagement with the archaeological discipline, during the curation of the Horstley Street display as part of Streets, impacted on how oral histories were displayed in the museum.
South Africa
Ronoti, Zamikhaya Sydwell. "Empowerment of school governing bodies in selected schools, King William's Town education district." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/6585.
Full textLiebenberg, Christiaan Rudolf. "An analysis of Cape Town Municipality's approach to urban regeneration in the central business district and other business nodes." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52656.
Full textENGLISH ABSTRACT: According to certain writers urban regeneration as an idea encapsulates both the perception of city decline (in local economies, in the use of land and buildings, in the equality of the environment and social life) and the hope of renewal, reversing trends in order to find a new basis for economic growth and social wellbeing. Rebuilding the city, clearing away obsolete buildings and vacant sites, and producing new building forms and designs symbolised the renewal in action. But urban regeneration also has different components or evolution criteria like, the major strategy (the focus of the renewal project), an economic focus, a social content, a physical emphasis or an environmental approach. The economic change that occurred in cities throughout the world in the past decade, has been paralleled not only by the physical reshaping of the city, but it has been accompanied by institutional restructuring (the rise of new firms, new working practices and relationships designed to exploit new market opportunities). The physical, economic, social and cultural projects launched through the process of urban regeneration, reconstruct the economic, socio-cultural, political-institutional and physicalenvironmental fabric of cities. It battles urban decay and redevelop the city to such a extend that it brings back the original appeal of the city, which lured people to the central city for decades. But not all urban renewal projects are aimed at the inner city; some are launched in a much wider context and would focus on blighted or previously disadvantaged and marginalised areas. Renewal projects in Cape Town and elsewhere in South Africa in cities like Durban and Johannesburg are still ongoing and form an important part of rebuilding cities of modem South Africa. It is however important to remember that not all urban renewal projects proved to be a success, some do fail. In the Cape Town Metropole and the Central City local government has neglected many areas for much too long. Recent efforts to restore the beauty of Cape Town and really address the urban challenges that arose from the Apartheid legacy shows a commitment from the Cape Town Municipality to create a much more liveable and economic viable urban environment. This study investigated the City of Cape Town Municipality's approach towards urban regeneration in the Central Business District and other specific business nodes. A literature review gave an intellectual background to the study and helped to build a logical framework. Secondary analysis helped define the goal of the study and qualitative field research assisted the investigation through direct observation and semi-structured interviewing. The study did not aim to prove that every urban renewal project that was launched was aimed at eradicating the problems associated with the Apartheid City. An important factor to take in account is that different business areas (The Victoria and Alfred Waterfront) and nodes (The Wetton-Landsdowne Phillipi Corridor), the focus of this study, make use of different redevelopment strategies. This study focused on how and why some work and must be built upon, and delivered critique on why some failed and should convert to a more successful renewal approach. The study concluded that the City of Cape Town's approach towards urban regeneration do compare positively with redevelopment strategies followed in other parts of the world such as America and Britain. The study tried to show the direction urban regeneration could take for the future, based on an evaluation of urban regeneration evolution criteria namely: • The major strategy and orientation and key actors and stakeholders. • The economic focus. • The social content. • The physical emphasis.
AFRIKAANSE OPSOMMING: Stedelike vernuwmg omvat beide die konsep stedelike verval (met betrekking tot plaaslike ekonomieë, die fisiese gebruik van grond en gebou en wat betref die kwaliteit van die omgewing) en die hoop van vernuwing of herontwikkeling, met die idee om die rigting van strategie te verander sodat 'n nuwe basis vir ekonomiese groei en sosiale welstand gevind kan word. Die herontwikkeling of opbou van die stad beteken nie net die verwydering van nuttelose en ongebruikte geboue en vakante grond nie. Stedelike hernuwing het verskeie komponenete of evolusie kriteria, soos die hoof strategie (die fokus van die hernuwingsprogram), 'n ekonomiese fokus, 'n sosiale inhoud, 'n fisiese klem of 'n omgewingsbenadering. Die ekonomiese verandering wat oor die laaste dekade in die wêreld plaasgevind het is vergesel nie net deur 'n fisiese herstrukturering van die wêreld se hoof stede nie, maar ook institusionele hervorming (die opkoms van nuwe firmas en venootskappe en nuwe ekonomiese en mark geleenthede) Die fisiese, ekonomiese sosiale en kulturele komponente wat deel vorm van stedelike hernuwingstrategieë dra by tot die heropbou en herontwikkeling van die ekonomiese, sosiokulturele, polities-institusioneel en fisiese-omgewingsfabrikaat van stede. Stedelike verval word beveg en die stad word tot so 'n mate herontwikkel dat dit die oorspronklike aantrekkingskrag van die stad herstel. Maar nie alle hernuwingstrategieë is gemik op die Sentrale Sakekern nie, sommige word in 'n wyer konteks geloods, en fokus op areas van verval, vorige benadeelde en gemarginaliseerde areas met as doelwit 'n meer interkonnektiewe stad. Hernuwingsprojekte word steeds op 'n konstante basis geloods in stede soos Kaapstad, Durban en Johannesburg met die oog op die belangrike herontwikkeling van kern areas in die stede. Dit is egter belangrik om in ag te neem dat nie elke stedelike hernuwingsprojek 'n seker sukses is nie, soos die Wetton-Landsdowne Phillipi Korridor Program. Binne die Kaapse Metropool en in die Sentrale Sakekern is kern areas vir lang tye verontagsaam en toegelaat om te verval. Die onlangse pogings (1999 - 2002) wat aangewend word deur die Kaapstad Munisipaliteit dui op 'n verbintenis van die organisasie se kant aftot stedelike hernuwing. Die organisasie, deur middel van die Stedelike Hernuwingsprogram van 2002, is ook verbind tot areas wat voorheen deur Apartheidsbeleid benadeel en gemarginaliseer is. Hierdie studie fokus op Kaapstad se benadering tot stedelike hernuwing in die Sentrale Sakekern en ander spesifieke besigheidsnodusse. 'n Literêre oorsig het gehelp om die intellektuele agtergrondmateriaal en logiese raamwerk van die studie te vorm. Sekondêre analise het die doel Stellenbosch University http://scholar.sun.ac.za van die studie bepaal en kwalitatiewe veldwerk het die ondersoek aangehelp deur observasie en semi-gestruktureerde onderhoude. Die studie sal nie probeer bewys dat elke hernuwingsprojek wat deur die Kaapstad Munisipaliteit geloods word gemik is op die uitwis van stedelike probleme geassosieer met die Apartheidsbeleid nie. Die evaluasie aan die einde van die studie poog om dit uit te wys. Dit is belangrik om te beklemtoon dat elke verskillende area wat die potensiaal toon vir herontwikkeling soos die Victoria en Alfred Waterfront of die Wetton-Landsdowne Phillipi Korridor (die fokus van die studie) volg verskillende strategieë ten einde hul hernuwingsdoelwit te bereik (ekonomiese ontwikkeling, sosiale fokus of omgewingsbeklemtoning). Die studie het wel die gevolgtrekking gemaak dat van Kaapstad se stedelike hernuwingstrategieë tog ooreenstem met herontwikkelingstrategieë in die res van die wêreld soos in Amerika en Brittanje. Die studie fokus en poog ook om die rigting aan te dui vir toekomstige stedelike hernuwingstrategieë op grond van 'n evaluering van stedelike hernuwingsevolusie kriteria naamlik: • Die hoofstrategie en rolspelers. • Die ekonomiese fokus. • Die sosiale inhoud en • Die fisiese beklemtoning van hernuwingselemente.
Marquard, Andrew Keith. "The political significance of the liberal media coverage of District Six from 1949 to 1970." Thesis, Rhodes University, 1996. http://hdl.handle.net/10962/d1003012.
Full textEpo, Emilienne Ewee Ndofor. "Trade of fish imported from Sub-Saharan Africa in the Cape Town Business district." University of the Western Cape, 2017. http://hdl.handle.net/11394/6453.
Full textFish remains a vital source of food, income, nutrition and livelihoods for millions of people in Africa. This study investigated the modalities of trading in fish imported from sub-Saharan Africa into South Africa in the Cape Town Metropolitan area. The research analyses the opportunities and constraints faced by retail fish traders and importers regarding the South African and Southern African Development Community (SADC) policies that are in place, to ascertain how far the policies go in facilitating the intra-regional fish trade. In addition, the study analyses consumer factors underlying the attractiveness of imported fish, the channels used for importation as well as the types and forms of fish imported into South Africa. The study employs a qualitative approach using semi-structured interviews with purposively selected key informant retailers, traders and City of Cape Town officials to collect the information. Findings show that shop owners and traders face challenges in relation to obtaining the required documents for trading, sanitary and phytosanitary certification and tariff and non-tariff barriers at borders. Some of these challenges include long and tedious procedures to acquire documents, as well as the limitations placed on the amount of goods traders can import. Consumers (mostly from the diaspora) prefer the taste of fish that they are used to, thereby creating an increasing demand for imported fish. National and regional policies put in place do not facilitate the trade in fish as well as current municipal regulations for retailing imported fish and other food types. The study also raises critical questions about the implementation of sanitary and phytosanitary standards by officials in the food shops. The thesis concludes that is it critical for national and regional policies to be coordinated and harmonised for enhanced intra-regional fish trade, which could contribute towards increased food security, nutrition and livelihoods.
Janmohammed, Aliasgher M. "Unpacking road safety at a district level - the case of Cape Town, South Africa." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27942.
Full textDlani, Siyongwana Archibald. "Teachers’ perceptions of the mentoring of novice teachers in the King William’s Town District." Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1006244.
Full textBai, Kunyu. "Maximum Sustainability : Organic Urban Renewal of Gudaoxiang Historical District in Changsha." Thesis, KTH, Stadsbyggnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-98308.
Full textQomfo, Luyanda Shylock. "An assessment of the feasibility of implementing a district health system in the City of Cape Town." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52098.
Full textENGLISH ABSTRACT: The South African Government of National Unity, through its adoption of the Reconstruction and Development Programme (RDP) in 1994, committed itself to the development of a District Health System (DHS) based on the Primary Health Care (PHC) approach as enunciated at Alma Ata in 1978. This approach is the philosophy, on the basis of which many health systems around the world have been reformed, and out of which has developed the concept of the DHS. District-based health systems are now applied successfully in many countries, and have been adapted to a wide variety of situations, from developing countries on our own continent, to more sophisticated systems elsewhere. A National Health System based on this approach is as concerned with keeping people healthy as it is with caring for them when they become unwell. The concepts of "caring" and "wellness" are promoted most effectively and efficiently by creating decentralised comprehensive management units of the health system, adapted to cater for local needs. These units will provide the framework for our district-based health system, in which a district health authority can take responsibility for the health of the total population in its area. This population-based model allows for constant assessment and monitoring of health problems in the district, the facilities and system provided, and leads to efficient and rational planning. The researcher conducted interviews with key stakeholders, used structured questionnaires and observation and reviewed the relevant National and Provincial documentation and performed a literature review, to assess the feasibility of implementing DHS in the City of Cape Town. The main findings of this research are that the City of Cape Town does have the capacity to implement and sustain the DHS, that it is necessary to implement the DHS in the CCT in order to improve the quality of life of the population, and that there is enough personnel to take the process forward. The main recommendations include the need for training of staff, the promotion of communication and transparency in relation to finances and an ongoing support system from the provincial and national health departments. The research assignment has revealed that the move towards DHS has the blessings of the top management and politicians of the eeT. In addition, it has been established that the Cï.T possesses good infrastructure, technical skills, and human resource capacity. There is also willingness on the part of the unions to take this process forward. There are also challenges that need to be addressed, such as difficulties around staff attitudes, and the training of officials so as to accommodate the requirements of a comprehensive primary health care system, effective and efficient utilisation of available resources and change management.
AFRIKAANSE OPSOMMING: Die Suid-afrikaanse regering van nasionale-eenheid het met die aanvaarding van die Herekonstruksie en Ontwikkelings program (Hop) in 1994, Suid Afrika tot die ontwikkeling van gesondheidsdistrik stelstel verbind. Hierdie stelsel is gebaseer op die primere gesondheidsorg (POS) benadering wat te Alma Alta in 1978 geformuleer is. Die POS is die dryfkrag agter die verandering van verskeie gesondheidstelsels die wereld oor. Vanuit hierdie POS het die distriksgesondheidstelsel ontwikkel. Hierdie distriksgesondheidstelsel word tans suksesvol in baie lande toegepas en is aanpasbaar by verskillende omstandighede, van die Afrika kontinent tot meer gesofistikeerd stelsels op ander kontinente. 'n Nasionale gesondheidstelsel gebaseer op hierdie benadering is ewe besorg om mense gesond te hou asook om na hulle om te sien wanneer hulle ongesond is. Die begrippe van besorgheid en welsyn word effektief en doeltreffend bevorder deur die skepping van n gedesentraliseerde omvattende bestuurseenheid van die gesondheidstelsel wat aangepas is vir plaaslike behoeftebevrediging. Hierdie eenhede voorsien die raamwerk vir n eie distriksgebaseerde gesondheidstelsel, waarbinne die distriksgesondheidsregeerders verantwoordelikheid vir die gesondheid van die totale bevolking en hul gebied aanvaar. Hierdie bevolkingsgebaseerde model laat toe vir voortdurende beoordeling en monitering van gesondheidsprobleme binne die distrik. Dit bepaal watter beskikbare fasiliteite en dienste voorsien moet word sodat doeltreffende en rasionele beplanning kan geskied. Navorsing is onderneem om die lewensvatbaarheid van die implementering van n distrikgesondheidstelsal binne die stad Kaapstad, met 'n speciale fokus op finansiele en menslike hulpbronne, te bepaal. Die navorser het gebruik gemaak van 'n gestruktureerde vraelys en literatuurstudie om die lewensvatbaarheid tydens die implementering van die distrikgesondheidstelsel vir die stad Kaapstad te bepaal. Die belangrikste gevolgtrekking met betrekking tot hierdie navorsing is dat die stad Kaapstad oor die vermoe beskik om 'n distrikgesondheidstelsel te implementeer en te onderhou ten einde die lewenskwaliteit van mense te verseker. Daar is verder bevind dat daar genoeg personeel is om hierdie proses te voltooi. Die belangrikste aanbeveling sluit in die opleiding van personeel, die bevordering van kommunikasie en deursigtigheid in verhouding tot finansies en voortdurende ondersteuning vanaf provinsiale en nasionale gesondheids departmente.
Halaby, Peter, and Natalia Kudryashova. "Selecting location for a retail business : Comparing shopping mall and down-town commercial district in Jönköping." Thesis, Jönköping University, Jönköping International Business School, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-894.
Full textIn every market, competition is a vital ingredient for any working market economy. Large stores like IKEA, OnOff and El-Giganten are often positioned in locations near each other. Shopping areas like Gekås have proven to have large attraction power towards the customers. In down-town shopping areas it is common that large stores take advantage of each other’s capabilities to invoke customers’ interest. By doing so, businesses work together to create a large customer base.
The purpose of this paper is to determine how owners and managers of medium sized retail stores should choose location for their shop.
Both a qualitative and quantitative approach were used in this thesis; the qualitative approach was used for conducting interviews with 6 people involved in running the stores and municipality. This was done to collect information from actors that had the experience and knowledge about the subject of the thesis. The quantitative approach involved a survey done upon shopping habits of consumers in the same area. The reason for conducting both these researches was to diminish the biased answers that we would have got from conducting the research from one group only. By asking the store managers/owner and customers, as well as a representative of the municipality, we were able to provide a complete perspective on the situation.
Our findings showed that there were some major differences between a down-town shopping area and a shopping mall. It also became clear that the preferences and capabilities of the stores were important for selecting locations. Consumer preference on where to go shop was showed to be almost the same for A6 and down-town with a slight advantage towards A6. Still, the requirements on opening a store in a shopping mall oppose down-town was different.
Swarts, Elfriede. "The outcome of prenatal sonographic diagnosis of fetal talipes in the Cape Town Metro district." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27550.
Full textJessa, Sirhan. "Cultural heritage regeneration of District Six: a creative tourism approach." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/1614.
Full textThis study is aimed at determining whether the potential exists for further developing cultural and heritage tourism activities in the redeveloping District Six. A rich and diverse cultural heritage provides the basis from which the study examines whether the implementation of a cultural heritage tourism plan in the redeveloping area, is appropriate, will help address issues of restitution and ultimately contribute to the country’s cultural heritage tourism assets. Currently no formal tourism plan for District Six exists. A historical study provides an assessment of the areas’ cultural heritage assets, manifested in politics, music and dance, art, literature, and architecture. A search of existing cultural and heritage tourism literature was conducted in order to gain insight into the descriptive, theoretical and conceptual research questions identified. Relevant development policies and frameworks impacting and supporting potential tourism development in the area were examined. These include the DFD6 (2011) and the National Heritage Tourism Strategy (2012). Creative tourism was further examined as a tool to augment the tourism product and positively contribute to cultural regeneration. Business and functional linkages to assist the integration of District Six tourism into the broader economy were then identified. A comparative analysis of the introduction of a cultural heritage tourism plan in Genadendal is made. This area experienced similar socio- political and historical conditions as District Six. Thus, parallels of the potential challenges were drawn and opportunities identified. A theoretical model for cultural heritage tourism in District Six is then presented by identifying and explaining elements of model theory, discussing models applicable to the research area and adapting a normative framework for cultural heritage tourism on the Cape Flats. The model recommends solutions to problems such as a lack of capacity and skills, funding and investment, public participation and stakeholder engagement. Furthermore, an empirical survey in the form of in-depth interviews was administered to seventeen relevant academics, heritage and tourism practitioners, resident representatives and development consultants. The methodology included extracting qualitative data through transcribing interviews and thematically presenting and analysing the data. Finally, a list of recommendations is provided.
Radoni, Bonisile Wellington. "An investigation into the role of school-governing bodies with reference to the Kuyasa Secondary School, King William's Town District." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1164.
Full textTabe, Fidelis Ebot. "Street trading in the central business district of Cape Town 1864- 2012: a study of state policies." University of the Western Cape, 2014. http://hdl.handle.net/11394/4151.
Full textThis thesis seeks to examine the making of official policies on street trading in Cape Town’s city centre and the impact of such policies. It covers an extensive period from colonial times to the Union era and from apartheid to democracy. The local government and its role in controlling the trade is the centre of focus but the thesis also explores how the oral testimonies of street traders in the city centre contribute to our understanding of the activity as well as the impact of policy. This thesis poses several questions. What influences policy? What is the impact of policy? Are there continuities or discontinuities in policy? How does one understand street trading and the impact of policy from the perspectives of street traders themselves? Given that there are significant studies of street trading in other municipalities, how does a history of street trading in Cape Town compare? Is there anything distinctive about Cape Town?` Several factors have influenced policy. These have been similar to other local authorities. These have been the desire to raise revenue for the city, to protect the interest of established businesses who feared competition from street traders, the city’s desire to maintain a clean, beautiful and orderly city, as well as traffic and sanitation considerations. Like other local authorities, strategies have included: issuing licenses to street traders and the development and implementation of street trading regulations which either restricted or prohibited street trading. In contrast to studies of other cities, this thesis explores the practice of registration as a measure of control which nonetheless confers rights. This thesis marks the 1980s as representing a decisive shift in policy from one characterized by the prosecution of street traders to a more sympathetic and supportive approach towards street traders. The post-apartheid context saw significant changes in policy motivated by the desire to seek solutions to unemployment and poverty alleviation. Thus permanent stands for street traders in the city centre have been provided, traders have been involved in decision making and power has been devolved to associations. The latter practice has been significant in Cape Town. This thesis has also found that out of the major South African cities, Cape Town comes after Johannesburg in having progressive street trader policies. This measure of progressive is seen in the number of street traders, in the provision of infrastructure such as stands and the encouragement of the sector. While the Cape Town city council has a developmental continuum plan which sees street trading leading to formal businesses, it has yet to put resources to further this. Oral histories have been particularly useful in highlighting that street trading is not only the occupation of the urban poor. This thesis highlights individuals with skills and education and who see the sector as bearing many advantages. The thesis points to the sector as being differentiated. Further, the distinction between the formal and informal gets blurred in the contemporary era. This thesis highlights the hereditary nature of street trading in Cape Town thus challenging ideas of street trading as a transitory occupation. With regard to policy, interviews highlighted the negative impact of policy during apartheid. While traders see the advantages of the democratic era, they nonetheless argue too that the encouragement of the sector has seen an increase in the number of street traders but no significant increase in a customer base. There is thus some nostalgia for the pre-1994 years. This study has allowed one to track continuity and discontinuity and to explore the idea of a progressive policy and to make comparisons with other cities drawing from official and oral sources.
Gibson, Joshua Glynn. "A descriptive study of the use of troponin I testing at a Cape Town district hospital." Master's thesis, Faculty of Health Sciences, 2018. http://hdl.handle.net/11427/31227.
Full text蔡錦龍 and Kam-lung Franky Choi. "Re-generation of the city hub in Central: intermingle of old and new urban developments for year 2030." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B43894963.
Full textWong, Lok-yin Lloyd. "Theatre, matrix of urban space : community's focus on Gough Street /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25954635.
Full textHo, Kim-kam Bonita. "A study of rural comprehensive development/redevelopment area in the Sai Kung district : workshop report /." Hong Kong : University of Hong Kong, 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14014737.
Full textMaina, Mary Wairimu. "Human experiences affecting governance in energy-efficient buildings in Cape Town's central business district." Thesis, Cape Peninsula University of Technology, 2011. http://hdl.handle.net/20.500.11838/1319.
Full textTypically the design of interior environments in the commercial spaces are conceptualised and built to create artificial environments. These environments fail to take into account the amounts of energy used to perpetuate the conditions in the spaces used.The main area of misuse lies in the usage of the interior environmental systems by occupants, which contributes to the inefficiency of these components.
Pereira, Catherine Jane. "Understanding fruit and vegetable consumption : a qualitative investigation in the Mitchells Plain sub-district of Cape Town." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86712.
Full textENGLISH ABSTRACT: Introduction Adequate fruit and vegetable consumption can provide many health and nutrition benefits, and can contribute to nutritional adequacy and quality of the diet. Despite existing strategies, most people in South Africa do not consume the recommended intake of five fruits and vegetables per day, and micronutrient intakes remain low. Aim The aim of this study was to describe underlying factors that influence individual and household fruit and vegetable consumption, in an area of the Mitchells Plain sub-district, by engaging with community members in a participatory manner in accordance with a human rights-based approach. Methodology This study was cross-sectional and descriptive. Data collection was conducted from November 2012 until January 2013, in an area of Mitchells Plain. Focus group discussions were conducted to gain a broad understanding of factors that influence fruit and vegetable consumption in the community and to identify individuals for individual interviews. In-depth interviews were conducted with strategically selected community members considered to be influential in food preparation, distribution or consumption, in order to gain in-depth understanding of specific factors associated with fruit and vegetable consumption. Results Four focus group discussions were conducted with 40 participants in total, allocated to three different groups (18 to 29 year old females, 30 to 70 year old females, 18 to 60 year old males). Fifteen in-depth interviews were conducted with community leaders, individuals involved in food production (kitchen managers) or sale thereof (an informal vendor and a tuck shop owner), individuals involved in health education (a professional nurse) and basic education (a grade one educator), and others. Dominant themes discussed included fruit and vegetable consumption patterns (religious, cultural and traditional dishes, seasonal variation), fruit and vegetable preparation techniques and commonly prepared dishes, fruit and vegetable access (purchasing, vegetable gardens and direct provision) and changes in fruit and vegetable consumption patterns. Barriers to fruit and vegetable consumption included that although most participants considered them to be important, fruit and vegetables were not considered a priority food item (inadequate time and effort is allocated to food purchasing and preparation), negative side-effects of consumption, fruit and vegetables are perishable and benefits of fruit and vegetable consumption are not immediately apparent. Facilitators of fruit and vegetable consumption were personal preference, traditional dishes prepared that include fruit or vegetable ingredients, individuals who sell or grow fruit and vegetables having increased availability, use of convenience fruit and vegetable items, and modelling and discipline in children. Suggestions to improve consumption included education using practical advice such as fruit recipes to improve the appeal of fruit and vegetable dishes, and methods to decrease preparation time and cost. Conclusions Limited fruit and vegetable consumption is not simply determined by limited nutrition knowledge or poor decision-making by households, but rather by a much wider set of social, economic and spatial processes. Creative and innovative behaviour-changing strategies are required that target individuals but also take cognisance of wider structural barriers, and work to create an enabling environment that is supportive of healthy eating and an adequate consumption of fruit and vegetables.
AFRIKAANSE OPSOMMING: Inleiding Voldoende inname van vrugte en groente hou baie gesondheids- en voedingsvoordele in, en kan bydra tot voedingstoereikenheid en kwaliteit van die dieet. Ongeag bestaande strategieë, neem die meeste mense in Suid-Afrika nie die aanbevole vyf vrugte en groente in nie, en mikronutriënt inname bly laag. Doelwit Die doel van hierdie studie was om die onderliggende faktore wat indiwiduele en huishoudelike vrugte- en groenteverbruik in 'n area van die Mitchells Plein subdistrik beïnvloed, te beskryf, deur met lede van die gemeenskap in 'n deelnemende manier betrokke te raak in ooreenstemming met 'n menseregte-gebaseerde benadering. Metodes Hierdie deursnee studie was beskrywend. Data-insameling het vanaf November 2012 tot Januarie 2013 in 'n gedeelte van Mitchells Plein plaasgevind. Fokusgroepbesprekings is gehou om 'n breër begrip van die faktore wat vrugte- en groenteverbruik in die gemeenskap beïnvloed, te bekom en om indiwidue te identifiseer vir indiwiduele onderhoude. In-diepte onderhoude is gevoer met strategies verkose gemeenskapslede wat beskou word as invloedryk in voedselvoorbereiding, verspreiding en verbruik, om 'n dieper begrip van spesifieke faktore wat met vrugte- en groenteverbruik verband hou, te bekom. Resultate Vier fokusgroep-besprekings is gehou met 'n totaal van 40 deelnemers, versprei oor drie verskillende groepe (18 - 29 jarige vroue, 30 - 70 jarige vroue, 18 - 60 jarige mans). Vyftien in-diepte onderhoude is gevoer met gemeenskapsleiers (polities en godsdienstig), indiwidue betrokke by voedselverwerking (kombuisbestuurders) of verkope (informele verkoper en snoepwinkeleienaar), indiwidue betrokke by gesondheidsopvoeding (professionele verpleegster) en basiese onderrig (graad een opvoeder) en andere. Oorheersende temas sluit in vrugte- en groenteverbruikspatrone (godsdienstige, kulturele en tradisionele disse, seisonale wisseling in gebruik), vrugte en groente voorbereidingstegnieke en alledaagse disse, toegang tot vrugte en groente (aankoop, groentetuine en direkte voorsiening) en verandering in vrugte- en groenteverbruikspatrone. Hindernisse tot vrugte- en groenteverbruik sluit in dat hoewel die meeste deelnemers vrugte- en groenteverbruik belangrik ag, word vrugte en groente nie as 'n prioriteitsvoedsel gesien nie. Voldoende tyd en aandag word nie aan voedsel-aankope en -voorbereiding afgestaan nie, daar is negatiewe newe-effekte aan verbruik, vrugte en groente is bederfbaar en die voordele van vrugte en groenteverbruik is nie duidelik waarneembaar nie.Persoonlike voorkeur is bevorderlik vir vrugte- en groenteverbruik, sommige tradisionele disse word met vrugte of groente bestanddele voorberei, asook die groter beskikbaarheid van indiwidue wat vrugte en groente verkoop of kweek, die gebruik van vrugte en groente gemaksitems, en die gedragsmodellering en dissiplinering van kinders. Voorstelle om verbruik te verbeter het ingesluit opvoeding met praktiese raad soos vrugte en groente resepte om die aantreklikheid van vrugte en groente disse te verhoog en metodes om voorbereidingstyd en onkoste te verminder. Gevolgtrekking Beperkte vrugte en groente verbruik word nie net bepaal deur beperkte voeding kennis of swak besluitneming deur huishoudings nie, maar deur 'n veel wyer reeks van maatskaplike, ekonomiese en ruimtelike prosesse. Skeppende en innoverende gedragsveranderende-strategieë wat gemik is op indiwidue is nodig, asook aandag aan wyer strukturele hindernisser. Sodoende kan ‘n bemagtigende omgewing geskep word om gesonde eetgewoontes en die verbruik van voldoende vrugte en groente te ondersteun.
DeCort, Amanda J. "A Preservation Plan for the Fairfield Avenue Historic District in Bellevue, Kentucky." University of Cincinnati / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1086102239.
Full textWong, Eve. "The Doctor of District Six: exploring the private and family history of Dr Abdullah Abdurahman, City Councillor for District Six of Cape Town (1904-1940)." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/22903.
Full textMohamed, Samatha Ann. "The feasibility of a congestion charge for Cape Town central business district from a traffic engineering perspective /." [S.l. : s.n.], 2008. http://dk.cput.ac.za/cgi/viewcontent.cgi?article=1068&context=td_cput.
Full textMohamed, Samantha Ann. "The feasibility of a congestion charge for Cape Town central business district from a traffic engineering perspective." Thesis, Cape Peninsula University of Technology, 2008. http://hdl.handle.net/20.500.11838/1036.
Full textThere is an ever increasing need to introduce travel demand measures as the ability to construct new and upgrade existing roads to accommodate additional traffic volumes decreases. The City of Cape Town, hereinafter referred to as the City, has forecasted that traffic in the city could continue to increase by two and a half percent per year. To mitigate against the increased traffic volumes, the City is proposing a number of travel demand strategies, including a park and-ride facilities and high occupancy vehicle initiatives in the short term. The City’s draft travel demand management strategy identifies congestion charging as a measure more possible implementation in the medium term. This study investigates the feasibility of introducing a congestion charge from a traffic engineering perspective. This entails determining if there could be a reduction in traffic entering the Central Business District, what type of congestion charge is most suited for Cape Town and what type of technology is most appropriate at this point in time. In determining the type of charge and technology for introduction in Cape Town, international experience and trials were drawn upon in terms of case studies and research completed. These included developed and developing cities that had either introduced a congestion charge or considered it. To determine the potential level of traffic reduction, transportation elasticities for road pricing/congestion charging were used. This method of calculating the traffic reduction has been used on similar studies and provides a reasonable indication of the potential percentage reduction which could be achieved. The elasticities were based on post-implementation studies undertaken in cities which had introduced a congestion charge or road user pricing. For this study, elasticities between -0.1 and -0.5 were used. The study found that of the types of congestion charging available, a simple cordon charge, around the central business district (CBD) was most feasible. A cordon area would be more appropriate due to the small charge area involved, the flexibility that it allows and because it does not need to be visually intrusive in terms of roadside and enforcement equipment. The location of the cordon area also allows the key roads around the CBD to become the bypass route for vehicles that currently pass through the area. In terms of the charge payment system, it was found that presently, a manual payment system would be more appropriate for the city than a tag and beacon system.
Grammer, Kathryn. "Case Study: Commissioning of Du Noon Community Health Centre in the City of Cape Town Health District." Master's thesis, Faculty of Commerce, 2018. http://hdl.handle.net/11427/30091.
Full textZiervogel, Charlton Leslie. "Intergenerational occupational mobility among blacks in the Mitchell's Plain Magisterial District, Cape Town : evidence from the Khayelitsha." Master's thesis, University of Cape Town, 2006. http://hdl.handle.net/11427/3844.
Full textSikiti, Siyabonga. "Integrated quality management system for improving performance of selected schools in the King Williams Town Education District." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1021028.
Full textHayes-Roberts, Elizabeth Hayley. "From family business to public museum: the transformation of the sacks futeran buildings into the homecoming centre of the district six Museum." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4101.
Full textThrough a grant from the Atlantic Philanthropies Foundation the District Six Museum Foundation Trust purchased the Sacks Futeran buildings in 2002 with a view to creating new spaces of engagement that worked with exhibitions, issues of social justice and District Six returnees. The Futeran family, as a gesture of philanthropic donation, sold the building below market value thus enabling the museum to take ownership. This related directly to civic public giving that the work of the District Six Museum entails and was consistent with an understanding of community museums. Acquiring, transforming and museumising the set of five interconnected Sacks Futeran buildings to create the District Six Homecoming Centre has influenced and extended the notion of civic public giving in the museum work of the District Six Museum in relation to District Six returnees and the public. The examination of a history in and through buildings and more specifically the transformation in use, design, purpose and naming in this complex of buildings associated with a family business, E. Sacks Futeran & Co., is the purpose of this research. The oral histories of Martin and Gordon Futeran reveal the origins of their family wholesale clothing and fabric business established in 1906 by their great grandfather Elias Sacks and by extension the Jewish histories of District Six. The apartheid denial of ‘home’ within the Cape Town city bowl, resulting in forced removals of the inhabitants of District Six and the formation of the District Six Museum as a transactive community museum model on the heritage landscape of post-apartheid South Africa is examined. With reference to architectural materiality, the set of buildings as transitional space is ‘mapped’ as it has become the Homecoming Centre of the District Six Museum.Rennie Scurr Adendorff Architects blended older histories of the site with architectural aesthetic and technical expertise, and the Museum’s visions, philosophies and concepts were an integral part of the redevelopment. Over a number of years the Sacks Futeran buildings were restored and internally reconfigured and have been developed to dovetail with existing methodologies supporting the broader land restitution process. Through its spaces, a museum community is being nurtured by means of activism, notions of citizenship transforming District Six, the city and community museum practice in the process. The Fugard Theatre is an integral part of the Homecoming Centre and these buildings are experienced as a multi-functional cultural landmark within the District Six Cultural Heritage Precinct. By harnessing memory and materiality this study is relevant as a means of constituting historical urban fabric and a sensitivity of reconstructing a sense of place.
Weeder, Michael Ian. "The palaces of memory: a reconstruction of District One, Cape Town, before and after the Group Areas Act." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&.
Full textRickett, Michelle. "Locating the past in a shifting present : spaces of memory, identity and change around District Six, Cape Town." Thesis, University of Manchester, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.498798.
Full textHameed-Ikram, Sarwat. "Penetrating cardio-thoracic injuries at a district level hospital in Cape Town South Africa : A retrospective case audit." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27826.
Full textHenney, Nicolette M. "Successes and challenges of the Baby Friendly Hospital Initiative in accredited facilities in the Cape Town Metro Health District." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_1276_1361370155.
Full textBreastfeeding impacts on the health of both the mother and infant and has been noted as being influenced by physiological, physical, socio-economic and environmental factors. The undisputed benefit of exclusive breastfeeding for both the mother and child has led to the global prioritisation of the promotion, protection and support of breastfeeding with the adoption of the Baby Friendly Hospital Initiative (BFHI) strategy. Baby Friendly Hospital (BFH) status is awarded to a maternity unit when they are found to be complying with set criteria (&ldquo
Ten Steps to successful Breastfeeding&rdquo
). South Africa has implemented a re-evaluation system for retention of accreditation status, by reassessing accredited facilities every three years. The respective provinces are tasked with monitoring the implementation of BFHI in their public health facilities. Internal monitoring reports, completed by the Western Cape Provincial Department of Health, reflect erosion of key steps between national reassessments. Aim: To describe the experiences, challenges and successes of BFHI implementation in the BFH accredited facilities in the Cape Town geographical health district. Methodology: An explorative qualitative study was conducted. One key informant interview, ten in-depth interviews with champions for BFHI in the maternity facilities and two focus group discussions with frontline staff working at these facilities were used to collect data. The data was analysed using thematic content analysis to identify the main themes related to the successes and challenges experienced with the maintenance of the required practices related to BFHI accreditation. Results: Participants reported that the implementation of the BFHI impacted positively on the health of both mothers and infants. Fewer children were being admitted for common childhood illnesses such as diarrhoea subsequent 
to BFHI implementation. Mothers were recovering more quickly after delivery and less complications related to delivery, such as postpartum bleeding, were observed after the implementation of BFHI. BFHI implementation had a positive impact on the attitudes of maternity staff to breastfeeding promotion, protection and support. Subsequent to being awarded BFH status, facilities are tasked with maintaining the implemented practices. Challenges to maintaining the practices included lack of implementation of BFHI practices at clinics, lack of support from facility managers and support staff such as counsellors. The internal assessments implemented as supportive monitoring structures are considered by participants to be a demotivating process and concerns were raised about non nursing staff assessing 
nursing practices. Conclusion: The potential impact of this strategy on infant and maternal health must be realized by the implementers of BFHI, before the strategized aim is achieved. Co-ordination and support by all role players is vital to the success and elimination of challenges experienced with implementation and maintenance of the BFH strategy.
Alobwede, Samuel Muabe. "Perception of stigma experienced by people living with HIV at a health facility in Khayelitsha sub-district, Cape Town." University of the Western Cape, 2018. http://hdl.handle.net/11394/6874.
Full textHIV stigma is still affecting People Living with HIV (PLHIV) despite biomedical and structural interventions to reduce this phenomenon. Stigma, particularly health facility related stigma, experienced by PLHIV is reported to fuel poor access to services. As a result, considerable interventions to reduce the stigma among PLHIV have been proposed. However, poor HIV indicators are still reported. Little is reported about PLHIV’s lived experiences of stigma, especially at health facilities, which might be the contributor to poor health outcomes. Hence, this study sought to explore and describe the stigma experienced by PLHIV at a health facility in Khayelitsha Sub-District, Cape Town, South Africa. A qualitative approach, using an exploratory design was followed. Participants were purposively selected, and unstructured interviews were conducted. In total, 15 participants were anticipated to be interviewed. However, saturation occurred after 12 participants were interviewed, but the researcher went further to interview 14 participants. Audiotaped interviews were transcribed verbatim by the researcher (those in English) and assistant researchers (isiXhosa and Afrikaans). Data were then organised and entered into ATLAS.Ti version 8, a Computer Assisted Qualitative Data Analysis Software (CAQDAS) used for analysis of large sets of data. An independent coder was given raw data, and the two outcomes were discussed to reach a consensus on generated themes. The supervisor reviewed the analysed data. Rigour was ensured through the criteria of credibility, dependability, transferability and conformability. The ethical clearance for this study was obtained from the Biomedical Research Ethics Committee (BMREC) at the University of the Western Cape and the City of Cape Town. Six themes emerged from the data because of participants’ experience of stigma at the facility. These include: existence of stigma triggers, participants’ experience of stigma at the clinic, direct stigmatising behaviour, and PLHIV’s characterisation of stigma types, PLHIV’s directed health outcomes, and activism as a secondary health outcome. The results of the study revealed that stigma was perpetuated in the health facility in numerous forms. These were: physical demarcation of the facility, negative behaviour of nurses towards People living with HIV and incompetence of the nurses. This gave rise to recommendations in nursing practice, to policymakers and a need for further research on the topic.
Laubscher, C. J. (Constant Johannes). "Die geskiedenis van grondbesit in Distrik Ses tot 1984 met spesiale verwysing na die invloed van die Groepsgebiedewet na 1966." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/49724.
Full textENGLISH ABSTRACT: District Six originated in the eighteen fifties on neighbouring wine farms close to Cape Town's city centre. The first inhabitants were Europeans, but were later joined by free slaves. By 1849 the total number of inhabitants was 2943 and as a municipal area became known as the sixth district of Cape Town. Over the years District Six developed an own unique cosmopolitan character and despite a stigma as a backward residential area District Six developed as a multiracial community with its own vibrant spirit. By 1966 there were 3700 properties of which 56% were owned by Whites, 26% by Coloureds and 18% by Indians. In the same year the area had 21 schools and 17 places of worship. One of the main causes of physical deterioration was overpopulation. The occupancy figure by the 1850's was approximately 2,5 persons per habitable room. Overcrowding led to subletting of even the smallest rooms and resulted in gross exploitation of tenants, horrific crime and moral decay, all of which contributed to the slum status of the area. In 1962 the City of Cape Town devised a pilot plan for the rehabilitation of the area, but this plan was never implemented. Years of neglect of municipal services worsened the degredation of many historic buildings as well as decent living conditions for its residents. In 1962 the Group Areas Board recommended that District Six be declared a Coloured Group Area. The N.P. government rejected this recommendation and on 11 February 1966 through Proclamation 43, declared 94 hectares of the traditional District Six as an area for White occupation. Between 1965 and 1975 the government froze all property transactions in District Six to enable them to plan the redevelopment of the area. The state made financial offers to property owners, but only 10% accepted these. The majority declined these and blamed this on inflexible property valuations of the state. By 1980 the state had spent R25 million on the acquisition of properties in District Six. Government demolition of structures took place between 1968 and 1982 and resulted in the flattenning of most buildings except for a few churches. Expropriated Coloured and Indian residents were removed to the newly created residential areas on the Cape Flats. Although some previous residents of District Six were happy with their accommodation most objected to the high bond repayments on their new homes, higher transport cost to work and the breakdown of existing communities. The biggest opposition to the declaration of District Six as an area for White occupation came from local groups, namely: The Friends of District Six and the District Six Residents', Rent and Ratepayers Association (RRR). Opposition political parties and the press used the physical and mental suffering of the residents to challenge the government. The redevelopment of District Six was characterised by continous changes to proposed plans. In 1964 the government appointed the Niemand Committee to investigate the replanning and redevelopment of District Six. In 1970 a master plan for redevelopment was recommended . In 1974 the first properties were sold to white people by the government. In 1975 the neighbouring Walmer Estate was declared a Coloured Group Area and three years later District Six was renamed as Zonnebloem. In 1979 parts of the neighbouring Woodstock and Salt River were declared Coloured Group Areas. In 1982 the Presidents Council recommended that part of District Six be returned to the Coloured community, but the government rejected this and in October 1982 year the first whites settled in District Six. The following year a part of District Six was declared Coloured area.
AFRIKAANSE OPSOMMING: Distrik Ses het in die vyftigerjare van die negentiende eeu op aanliggende wynplase van Kaapstad ontstaan. Aanvanklik het Blankes van verskillende nasionaliteite daar gevestig en later het vrygestelde slawe die inwonertal laat toeneem. Teen 1849 was die inwonertal ongeveer 2943 en in 1867 het die gebied bekend geword as die sesde distrik van Kaapstad . Distrik Ses het n eiesoortige en unieke kosmopolitiese karakter ontwikkel. Ten spyte van n stigma van agterlikheid het die gebied n borrelende en veelrassige gemeenskap gehad. In 1966 was daar ongeveer 3700 eiendomme in Distrik Ses waarvan 56% aan Blankes, 26% aan Kleurlinge en 18% aan Indiers behoort het. Teen 1966 was daar 21 skole en sewentien plekke van godsdienstige aanbidding in die gebied. Oorbevolking was een van die grootste oorsake van verval in die gebied. In die vyftigerjare was die besettingsyfer van geboue ongeveer 2,5 persone per bewoonbare vertrek. Die gevolg was onderverhuring, gruwelike uitbuiting van huurders, misdaad en sedelike verval wat aan die gebied n slumstatus besorg het. Jarelange verwaarlosing van munisipale dienste het tot vervaI van gebouestrukture en Iewenstoestande gelei. Die stadsraad se loodsplan vir opruiming in 1962 is nooit geimplementeer nie. Die Groepsgebiederaad het in 1962 aanbeveel dat die gebied as n Kleurling-groepsgebied verklaar moes word. Ten spyte van die aanbeveling is 94 hektaar van die tradisionele Distrik Ses op 11 Februarie 1966 volgens Proklamasie 43 van 1966 as n Blanke Groepsgebied verklaar. Die regering het vanaf 1965 tot 1975 aile eiendomstransaksies in Distrik Ses gevries om sodoende die herontwikkeling van die gebied te beplan. Ongeveer 10% van die eienaars het die staat se aanbod vir hul eiendom aanvaar. Die meeste het egter beswaar gemaak teen die staat se onbuigsame skattings. Teen 1980 het die staat R25 miljoen bestee aan die verkryging Slopingswerk in Distrik Ses het tussen 1968 en 1982 plaasgevind. Byna aIle geboue is gesloop en slegs enkele kerke is behou. Inwoners is na verskeie woonbuurte op die Kaapse Vlakte verskuif Alhoewel sommige vorige inwoners van Distrik Ses tevrede was met hulle nuwe woonplekke was die meeste ontevrede oor die hoe verbandkoste van nuwe wonings, hoer reiskoste en die verbrokkeling van gemeenskappe. Die grootste opposisie teen die Blankverklaring van Distrik Ses was The Friends of District Six en die District Six Residents', Rent and Ratepayers' Association (RRR). Opposisiepolitieke partye en die pers het die regering se rassebeleid aangeval deur te konsentreer op die ontberinge van die inwoners. Die herontwikkeling van Distrik Ses is gekenmerk deur voortdurende verandering. In 1964 is die Niemand-komitee aangestel om die herbeplanning en herontwikkeling van Distrik Ses te ondersoek. In 1970 is n meesterplan vir die ontwikkeling van Distrik Ses aanbeveel. In Julie 1974 het die regering die eerste eiendom in Distrik Ses aan Blankes verkoop. In 1975 is die aangrensende Walmer Estate tot Kleurlinggroepsgebied verklaar. Distrik Ses is in 1978 herdoop en R9 rniljoen is bewillig vir die rehabilitasieskema. In 1979 is dele van die aangrensende Woodstock en Soutrivier tot Kleurlinggroepsgebiede verklaar. In 1980 is ri gewysigde plan vir die ontwikkeling van Distrik Ses voorgele. In 1981 het die regering die Presidentsraad se aanbeveling dat n gedeelte van Distrik Ses aan die Kleurlinggemeenskap teruggegee moes word, verwerp. In Oktober 1982 het die eerste blankes in Distrik Ses gevestig. In 1983 is n gedeelte van Distrik Ses as Kleurlinggebied verklaar.