Academic literature on the topic 'Umhlathuze (KwaZulu-Natal)'

Background: Mothers living with HIV are at risk for mental health problems, which may have a negative impact on the management of their HIV condition and care of their children. Although South Africa has a high prevalence of HIV, there is a dearth of studies on sociodemographic predictors of postnatal depression (PND) among HIV-positive women in South Africa, even in KwaZulu Natal, a province with the highest prevalence of HIV in the country. Objective: The objective of the study was to determine sociodemographic factors associated with the prevalence of postnatal depression symptoms among a sample of HIV-positive women attending health services from primary healthcare facilities in Umhlathuze District, KwaZulu Natal. Methods: A quantitative cross-sectional survey was used to collect data from 386 HIV-positive women who had infants aged between 1 and 12 weeks. The Edinburgh Postnatal Depression Scale (EPNDS), to which sociodemographic questions were added, was used to collect data. Results: The prevalence of PND symptoms among this sample of 386 HIV-positive women was 42.5%. The age of the mothers ranged from 16 to 42 years, with a mean of 29 years. The majority of the mothers were single or never married (85.5%; n = 330), living in a rural setting (81.9%; n = 316%), with a household income of less than R 2000 (estimated 125 USD) per month (64.9%; n = 120). The government child support grant was the main source of income for most of the mothers (53%; n = 183). PND symptoms were significantly associated with the participant’s partner having other sexual partners (p-value < 0.001), adverse life events (p-value = 0.001), low monthly income (p-value = 0.015), and being financially dependent on others (p-value = 0.023). Conclusion: The prevalence of PND symptoms among the sample is high, with a number of social and demographic factors found to be significantly associated with PND. This requires the consideration of sociodemographic information in the overall management of both HIV and postnatal depression. Addressing the impact of these factors can positively influence the health outcomes of both the mother and the baby.

This paper focuses on the criminal activities which have been identified as hindering and crippling the tourism industry at uMhlathuze Local Municipality in the KwaZulu-Natal Province, South Africa. The main aim of the study was to establish if any mechanisms are in place to curb crime and enhance the safety of tourists within the study area. A structured questionnaire survey and face-to-face interviews were used to collect data. The study used a convenience sampling method to select 124 participants, from different parts of the study area. The results indicate that even though there are some mechanisms in place criminal activities continue occurring in and around uMhlathuze Local Municipality. Some of these criminal activities are not reported to the local authorities and are not known by the community members and thus downplayed. This study recommends that organizations such as Tourism KwaZulu-Natal that are responsible for marketing and promoting tourism, together with uMhlathuze Local Municipality tourism support officers should bring some safety measures and crime tourism awareness by organizing workshops and seminars related to tourist’s safety and security at different towns and villages of the local municipality, targeting youths.

The COVID-19 pandemic has affected the world in extra-ordinarily negative ways. Its impact has been felt in government circles, families, communities and churches globally. Spiritual leadership together with church members or congregants has also suffered a great deal. The pandemic has successfully disorganized societies and religious communities. Its spiritual impact has been felt by church leaders and congregants alike. This study investigated the spiritual impact COVID-19 has imposed on church leadership and congregants. It also explores how some church leaders performed their pastoral ministry under COVID-19 conditions. To achieve the set objective, a qualitative methodology and interpretive paradigm were adopted. In-depth individual interviews with church leaders and church members from Christian churches were used to inform the study. Ten churches that operate within the Esikhaleni raternity, in KwaZulu-Natal, South Africa, under uMhlathuze municipality participated in the data generation process. The study comprised a sample size of four church leaders and eight church members from ten churches. A total number of 12 twelve heterogeneous individual participants were purposively selected. Findings revealed that the prevalence of COVID-19 led to lockdown restrictions and as such, church house closure impacted the church family positively as well as negatively. The study recommends that church leaders be proactive in accommodating change and equip their congregants accordingly. Secondly, churches should adapt to multi-staff ministry where lay people are actively involved in educating congregants about pandemics in general and how to cope spiritually. Third, it is argued church leadership should embrace virtual and internet ministry so as to continue to offer spiritual support to congregants.

Background: Refractive errors and convergence insufficiency play major roles in reading efficiency. Uncorrected refractive errors are a primary cause of binocular anomalies, including convergence insufficiency. Symptoms of asthenopia in both refractive and binocular vision anomalies are similar. Despite the relationships that exist between them, the extent of association between refractive errors and convergence insufficiency has not been studied extensively.Aim: The aim of this study was to determine the prevalence of convergence insufficiency and refractive errors and investigate their associations with gender and age in a sample of high school children.Methods: The study design was cross-sectional and comprised data from 1056 African high school students aged 13–18 years, who were randomly selected from 13 high schools in uMhlathuze municipality in the province of KwaZulu-Natal, South Africa. In the final sample, 403 (38%) were males and 653 (62%) were females. The participants’ mean age and standard deviation were 15.89 ± 1.58 years and median age was 16 years. Refractive errors, heterophoria, near point of convergence, fusional vergences and accommodative functions were evaluated.Results: Prevalences for convergence insufficiency were as follows: low suspect 12.4% (confidence interval, [CI] 10.2–14.4), high suspect 6.3% (CI, 5.0–7.9), definite 4.6% (CI, 3.4–5.9), and pseudo-convergence insufficiency 2.1% (CI, 1.2–3.0). Refractive errors were: hyperopia 6.8% (CI, 5.3–8.4), myopia 6.0% (CI, 4.6–7.5), astigmatism 2.3% (CI, 1.8–3.2), anisometropia 1.3% (CI, 0.7–2.0) and emmetropia 86.2% (CI, 85.1–89.1). There were no significant associations between convergence insufficiency and gender (p = 0.32), age (p = 0.38), grade levels (p = 0.99) or refractive errors (p = 0.08).Conclusion: The prevalence of clinically significant convergence insufficiency and refractive errors was low in this sample of black high school students in South Africa, and there was no significant correlation between them.

Background: Heterophoria is an error of binocular alignment that manifests only during monocular viewing or in conditions that disrupt binocular vision. Heterophoria is compensated for by fusional vergence through a mechanism that involves both sensory and motor fusion. The distribution of heterophoria has not been studied extensively in schoolchildren in South Africa and studies quantifying the magnitude of association between heterophoria and fusional vergences are scarce.Purpose: The aim of this study was to determine the prevalence of heterophoria and investigate its associations with fusional vergences and refractive errors.Methods: This was a cross-sectional study design and comprised data from 1056 high school students aged 13–18 years, who were randomly selected from 13 out of a sample frame of 60 high schools in uMhlathuze municipality in the province of KwaZulu-Natal, South Africa. The sample comprised 403 (38%) males and 653 (62%) females. The participants’ mean age was 15.89 ± 1.58 years. Visual acuity, refractive errors, heterophoria and fusional vergences were evaluated using conventional optometric techniques.Results: The overall prevalence of orthophoria at distance was 80.1% (95% confidence interval [CI]: 77.7% – 82.6%), that of exophoria was 13.9% (CI: 11.9% – 16.0%), while that of esophoria was 6.0% (CI: 4.5% – 7.4%). At near, the prevalence estimates were as follows: exophoria, 542 (51.3%, CI: 48.3% − 54.2%); orthophoria, 36.6% (CI: 33.9% − 39.5%); esophoria, 12.1% (CI: 10.2% − 14.0%). On the severities of near phoria, the frequencies were as follows: mild (1–7 prism dioptres [pd]), 41% (CI: 38.3% – 44.1%); moderate (8–13 pd), 9.7% (CI: 7.8% – 11.5%); and severe (> 13 pd), 1.1% (CI: 0.6% – 1.8%). For the severities of fusional vergences, the distributions were as follows: positive fusional vergences, mild (15–22 pd), 88.3% (CI: 86.4% – 90.4%); moderate (> 7 to < 15 pd), 10.1% (CI: 8.2% – 11.9%); and severe (≤ 7 pd), 1.6% (CI: 0.9% – 2.4%). For negative fusional vergences, the percentage of anomalous cases (≥ 22 pd) was 14.2% (CI: 12.3% – 16.3%), while that for normal (< 22) was 85.8% (CI: 83.7% – 87.7%). For vertical phoria, the prevalence was 2.7% and 3.6% at near. There was a weak but significant inverse correlation between near exophoria and positive fusional vergence break (r = −0.10, p = 0.01), whereas exophoria and negative fusional vergence break were positively correlated (r = 0.14, p = 0.01). Esophoria was inversely correlated with negative fusional vergence break values (r = 0.13, p= 0.01) and was positively correlated with positive fusional vergence break (r = 0.13, p = 0.03). Chi-square tests showed that exophoria was associated with astigmatism (p = 0.01), while esophoria was significantly associated with myopia (p = 0.01), astigmatism (p = 0.01) and anisometropia (p = 0.01).Conclusion: The data for far and near distance, horizontal and vertical heterophoria were not normally distributed. Orthophoria was most prevalent at far, exophoria at near and there was a significant association between phoria and fusional vergence. The significant associations between phoria and fusional vergence were at lower levels of fusional vergences.

A dissertation submitted in partial fulfillment of the requirements for the degree of Master of Arts (Counselling Psychology) in the Department of Psychology in the Faculty of Arts at the University Of Zululand, South Africa, 2012.
The overarching aim of this study was to explore the use of mental health services in UMhlathuze district. A further aim was to explore the experiences and opinions of mental health users. Sixty mental health users participated in the study. The mental health needs of the predominantly poor, black population and people in rural areas are consequently left unmet. For mental health services to be improved and stay effective, constant evaluation is necessary. This will allow the use of mental health services as well as delivery to build upon its strengths as well as respond to short comings and new emerging needs indicated by research participants. This study investigated the use of mental health service in certain parts of UMhlathuze district. It records valuable aspects of the mental health services usage and identifies experiences and opinions for improvement. Findings in this study were guided by mental health service users from different service providers. The procedure for data collection involved direct conversations in which participants reflected on their experiences when mental health services are offered to them. A convenient sample was used in that the criterion of inclusion of participants in the sample was based on people consulting at health care facilities for mental health services, for example mental health users from psychology clinic, district hospital and NGOs. The opinions given were speaking back to the experiences thus participants came up with suggestions on how mental health services can be improved. Participants' experiences of the mental health service delivery were generally positive and negative on the other hand. The experiences of mental health users mainly appreciated for the essential services provided to the community and the fact that it also easy to access services because of providing psychological services at affordable rates.
National Research Foundation

Thesis (MBA)--Stellenbosch University, 2012.
This study gives an overview of the sustainability of potable water supply in rural areas of South Africa in general and four rural areas of uMhlathuze in particular. Three key challenges in achieving sustainable rural water supply are discussed in more detail and later on used to evaluate the inadequacy of financial revenues to cover the full operation, maintenance and replacement of infrastructure. This research study analysed the factors pertaining to the tariff structure used in maintaining and sustaining rendered service. It analysed the current tariff structure that includes the poorest and most marginalised in line with revenue needed to cover recurrence costs. It was the purpose of this study to examine the adequacy of the management system used to sustain the supply of potable water in rural areas, taking into cognisance the costs of rendering the account and of illegal connections combined with high water losses. The study also attempted to link these points to the challenges faced by the rural areas. The sustainability of rural water supply was analysed, based on financial factors, affordability and on the willingness to pay for the service. The researcher first compared the water billing (levies) and payment patterns of each customer in rural areas of uMhlathuze Municipality with others; and secondly, compared the primary data against theory and the literature. Differences and similarities between the collected data and theory were at the core of the analysis The research results determined that the municipality has the capacity to maintain and sustain the potable water supply network in these areas, while dealing with management questions and recommending to management what is needed to ensure that the water reticulation system is run on a sustainable basis. Sustainability of rural water supply seems to be dependent on factors like policy, legal framework and economic factors such as an ability to meet the costs and willingness to pay for rendered service.

A dissertation submitted to the Faculty of Education in fulfilment of the requirements for the Degree of Master of Education in the Department of Educational Psychology and Special Needs at the University Of Zululand, South Africa, 2015
There is compelling evidence that parental involvement positively influences children‟s academic achievement. Its benefits occur across all socio-economic classes. This study sought to establish parental involvement in grade 7 learners‟ achievement in Empangeni in the uMhlathuze District, KwaZulu-Natal. The attribution theory was used not only to substantially explain the status of parental involvement in uMhlathuze District, but also to generate strategies to promote parents‟ participation in their children‟s school education. Open-ended questions for school management teams and for parents were used in this study covering three primary schools in three settings. Respondents were selected through the use of random sampling in the three schools (one rural school, one township school, and one multiracial school). A total of 75 participants were selected. This study confirms that parental involvement has an effect on learner performance. The empirical findings indicate that parental involvement alone is not sufficient in the achievement of learners. It can therefore be concluded that parental involvement alone does not lead to the improvement of learner achievement. There could be other factors associated with academic achievement such as learner motivation, Intelligent Quotient (IQ), Emotional Intelligence/Quotient (EQ) and teachers‟ support which could also be at play. It seemed to be the case that children coming from rural schools sometimes do not perform well because they lack facilities and infrastructure. However, no such research analysis has been undertaken to support or disprove this hypothesis. This study recommends further investigation as this can be another gap that needs attention from researchers in the field.

A thesis submitted to the Faculty of Arts in partial fulfillment of the requirements for the Degree of Masters Of Arts in the Department of Anthropology and Development Studies at the University of Zululand, 2018
The main aim of this study was to establish an association between social grants and access to sufficient food within beneficiary households and how these households cope with food insecurity. A data set of 100 respondents from uMhlathuze city was used to determine the effectiveness of social grants. Firstly, the results of the regression analysis show the relationship between characteristics of the household caregiver such as gender, educational attainment, marital status and employment status, with food (in) security. The intention was to determine whether such features reduce or augment household access to adequate food, and it was discovered that most of these characteristics do not significantly affect food (in) security levels. Households running out of food, the skipping of meals and reasons for skipping meals were used as predictors of food insecurity. Also, other methods were utilised to comprehensively assess the significance of social grants, such as: reviewing how the households utilised the income from the grants, the percentage contribution of the grants to the general household income and what other sources of income the households had. It was evident that grant income was pooled amongst household members to support various household necessities other than food. When households received grants, they spent them on food, education, medical costs, clothes, payment of loans, water bills, starting a small business and building a home, and very few could afford to make savings or investments. The majority of households admitted that they would be incapable of surviving without the grants, as they were a necessary contribution towards food access. It had been fully established that households were food insecure and sometimes hungry; therefore, there was a necessity for assessing the types of adopted coping strategies. Unfortunately, many used mechanisms that were harmful to the households in the long run, such as taking loans, skipping meals and purchasing cheap food. To assess the importance of caregiver characteristics for food security, a simple correlation analysis was used. It was discovered that the progression of food insecurity does not subside or grow within the household on account of caregiver socio-demographic characteristics. They were ineffectual in sufficiently achieving food access. In conclusion, social grant beneficiary households at Umhlathuze are food insecure. This is an unfortunate state of affairs, as access to sufficient food is a basic human right, according to Section 27 of the South African Constitution.

A dissertation submitted in fulfilment of the requirements for the degree of Masters in Development Studies in the Department of Anthropology and Development Studies, Faculty of Arts at the University of Zululand, 2017.
The aim of this study was to examine partnerships between the local municipality, host communities and the selected multinational companies in community development activities. Numerous studies have been conducted in pursuit of the role of multinational corporations (MNCs) in developing countries. Whilst it has been understood that MNCs are essential for the development of less economically developed countries (LEDCs), other studies have discovered that LEDCs face the challenge of limited benefits from MNCs which does not necessarily address the root causes of underdevelopment. As a result, exploring factors that inform corporate social responsibility (CSR) of the selected MNCs in the City of uMhlathuze was the point of departure in this study. In this regard, the study sort to find out if there were any partnerships between MNCs and the local Municipality during the execution of CSR activities, and whether were there laws or documentations that guide and support partnerships amongst the MNCs, host communities and the local municipality. The study followed a qualitative research approach and thereby used qualitative data collection tools to help achieve its objectives. It was found that the type of partnerships that exist between MNCs and the municipality are erratic and not formal. This is entirely caused by the absence of governmental binding laws and documentations between MNCs and municipalities in the city of uMhlathuze, South Africa, and LEDCs in general. Given that the local municipality is the custodian of the communities, particularly in the area of community development, the study concluded that community development partnerships between MNCs and the local municipality are essential. The completion of this study has helped realise that partnership are essential and that they can help achieve community development goals and address the root causes of poor livelihoods for the City of uMhlathuze and communities in the developing countries, if they could be properly managed.

A Dissertation Submitted to the Faculty of Arts in Partial Fulfilment of the Requirements for the Master's in Recreation and Tourism at the Department of Recreation and Tourism, University of Zululand, 2009.
Recreation and Tourism as a profession is new in South Africa. In the past not much concern was given to the provision and utilisation of recreation and Tourism facilities for the previously disadvantaged communities. Recreation has not been taken as a significant component of life for Blacks because of the apartheid system that existed. In the recent history of South Africa, recreation facilities were mainly made available to the White population areas, with Black areas and being neglected. As such there has been alienation between communities, tourists and hosts, as well as tourism service providers and tourism authorities. These stakeholders have not successfully tackled tourism problem, and more specifically that of tourism crime, safety and security. The focus of this study was to investigate the tourism crime, safety and security in uMhlathuze District Municipality, with special reference to policy formulation and its practise. The main objectives of this study are the following; • To find out whether the local community understands the importance of tourism crime, safety and security in the study area. • To establish the extent to which tourists feel safe and secure in and around the uMhlathuze District area. • To reveal whether there are adequate policies that address situations of tourism safety and security in the study area. • To investigate the levels to which tourism policies are practiced or implemented in the study area. • To indicate the perceived management of tourism crime, safety and security in the near future for the study area. Data was collected by means of interviews and questionnaires that were administered to 124 participants in uMhlathuze District to establish the state of tourism crime, safety and security, affecting domestic and international tourism. Data analysis was accomplished through using the Statistical Package for the Social Science (SPSS) computer technique. The method used for analysing information appeared to be effective because clear outcomes of the finding were achieved. The most important findings were that, there are criminal activities that are occurring in the study area and some of these activities are not reported and the policies and practices are not known by the members of the community and some of the tourism officials and authorities. The latter suggests that the local people should be taught about the importance of tourism and the tourist in the study area. It was further discovered that some of the crimes that takes place are done by the local people because they do not understand the importance of the tourists in the study area. The importance of safety and security is not known to them and they are not told about it. The local people needs to be told about the importance of tourism activities that are taking place in the study area and they should be encouraged to participate in the activities that can make them to see how important is the tourism and its resources. Safety and security should be applied in order to protect the study area. It was also discovered that the Umhlathuze tourism association should be a major role in making the policy and practices to be known by everyone in the study area who can promote the safety and security of the tourists in the study area. This is the big challenge that the local government is facing. Since local municipality is the government that is closest to the people and represents the interests of the residents, it is responsible for fulfilling the developmental role (DLG; 1998). Therefore, it is clear that local people should be taught about the importance of tourism activities and to make the tourism policies and practices to be known by every stakeholder that is involved in promoting the safety and security in the study area. Further that the local government needs to play a leading role to ensure that they provides the training to the local community about the safety and security of the tourist in the study area even the destination itself.

Rapid growth of cities is a global phenomenon exerting much pressure on land resources and causing associated environmental and social problems. Sustainability of land resources has become a central issue since the Earth Summit in Rio de Janeiro in 1992. A better understanding of the processes and patterns of land cover change will aid urban planners and decision makers in guiding more environmentally conscious development. The objective of this study was firstly, to determine the location and extent of land use and land cover changes in the uMhlathuze municipality, KwaZulu-Natal, South Africa between 1992 and 2002, and secondly, to predict the likely expansion of urban areas for the year 2012. The uMhlathuze municipality has experienced rapid urban growth since 1976 when the South African Ports and Railways Administration built a deep water harbour at Richards Bay, a town within the municipality. Three Landsat satellite images were obtained for the years, 1992, 1997 and 2002. These images were classified into six classes representing the dominant land covers in the area. A post classification change detection technique was used to determine the extent and location of the changes taking place during the study period. Following this, a GIS-based land cover change suitability model, GEOMOD2, was used to determine the likely distribution of urban land cover in the year 2012. The model was validated using the 2002 image. Sugarcane was found to expand by 129% between 1992 and 1997. Urban land covers increased by an average of 24%, while forestry and woodlands decreased by 29% between 1992 and 1997. Variation in rainfall on the study years and diversity in sugarcane growth states had an impact on the classification accuracy. Overall accuracy in the study was 74% and the techniques gave a good indication of the location and extent of changes taking place in the study site, and show much promise in becoming a useful tool for regional planners and policy makers.
Thesis (M.Env.Dev.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.

This research focused on the success and failure factors that impact on small, formal businesses operating within the City of uMhlatuze which incorporates Richards Bay, Empangeni and surrounding former townships. The research on success factors in business supports government’s noble aim of wanting to eliminate poverty and thus creating employment. Small business plays a large role in job creation. This research is significant as its recommendations are of value to people venturing out into the commercial and industrial sectors. The research methodology employed was quantitative in essence though a qualitative component was included in order to ensure depth to the responses. The questionnaire elicited views on eighteen success and failure factors drawn from the literature review. A face to face questionnaire utilising a five point Likert scale was used. Each question was comprised of two parts, the first being theoretical, requiring the respondent to indicate whether or not the factor was important to success. In the second part respondents indicated their level of knowledge of that factor when they commenced trading. The open ended questions ensured that respondents were afforded an opportunity to mention additional issues relevant to the topic. A sample of 46 formal, established businesses that had traded for several years was used. Though this is a small scale study its findings are of value and the recommendations, if heeded will assist business owners to avoid failure and increase their chances of success. Findings were consistent with the literature sources. Key findings being that sound planning, strict financial management, self-discipline and good client and supplier relationships are vital if one is to succeed.
Thesis (M.Com.)-University of KwaZulu-Natal, Westville, 2011.

This research examines planning for recreational facilities and open spaces in townships. In this regard, various planning methods and approaches to planning for recreational facilities open spaces have been reviewed. Both primary and secondary sources of data were used in the study. Secondary sources were used in defining the nature of recreational facilities and spaces whereas the primary sources provided experiential knowledge. The study assessed the adequacy and appropriateness of recreational facilities and open spaces for the youth in the township. Different methods were employed in data collection and analysis. This includes the use of a questionnaire, check lists and documents. Questionnaires presented responses from the youth on the topic whereas check list represents the researchers' observations gathered through field survey. The research focus examined suitability, quality and quantity of recreational facilities and open spaces for the youth in ESikhawini. The results reveal that recreational open spaces show varying degrees of suitability and quality. Poor quality of spaces was characterized with lack of visual appropriateness as a result of littering, maintenance and lack of open space furniture. As such conclusion and recommendations to improve the situation are made. These findings are useful to planners, urban designers, architects and developers in making decisions in the planning for recreational facilities and spaces in township environment.
Thesis (M.T.U.R.P.)-University of KwaZulu-Natal, Durban 2009.

The fundamental benefit of Strategic Environmental Assessment (SEA) in South Africa is the integration of the concept of sustainability into plans and programmes. This provides the means to incorporate the environmental and social objectives of districts and regions into their policy, planning and investment decision-making processes. At present, there is limited legislative support for SEA in South Africa, and there is little incentive for municipalities to pursue SEAs. All municipalities in South Africa are however, required by the Municipal Systems Act (Act 32 of 2000) to undertake an Integrated Development Planning (IDP) process to which SEA can add value, by providing a practical guide to integrating the concept of sustainability into the planning process. Furthermore, by integrating SEA with the IDP process, the ethos of sustainable development and the country's Integrated Environmental Management (IEM) policy and legislation can be effectively applied to local government development planning. The uMhlathuze Municipality embarked on an SEA linked to their IDP process in 2002. The City of uMhlathuze is unique in that it has a rapidly evolving industrial sector within a poor community base. Basic priorities include job creation and fostering a better quality of life, whilst allowing for further development in an already polluted environment. An attempt was made by the Municipality to integrate an SEA with the IDP process to allow for environmental and sustainability considerations to be reviewed against the prevailing environmental conditions. The CSIR was commissioned to undertake this study. In theory, SEA incorporated into the IDP process would ensure that the urban plan for the Municipality is along a sustainability trajectory. This study critically assesses SEA by reviewing its origins, logical connection to the IEM framework and, its application in South Africa. The study also critically evaluates the uMhlathuze Municipality's IDP reports, to determine whether there is value in SEAs integrated into the IDP process. The challenges faced and lessons learnt for the development of a common approach to the integration of SEA into the IDP process are highlighted.
Thesis (M.A.)-University of KwaZulu- Natal, Durban, 2005.

This study comparatively investigates the integration of medical records management requirements in the ICTs/electronic health systems in two hospitals: a public and private hospital in the Umhlathuze Area, KwaZulu-Natal Province, South Africa. The study made a comparison and examined whether the current management practices support service delivery in the context of the Batho Pele principles. In doing this, the study reviewed extensive literature on records management by assessing the depth of the integration of ICTs in the management of medical records in South Africa. The targeted study sample in both the public and private hospital was 193.