Walter Sisulu University
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Prevalence and Implications of Telecommunication Counselling
Get PDFABSTRACT The purpose of the present study was to explore prevalence and implications of telecommunication counselling. Available literature suggests that telecommunication counselling may have far-reaching implications in the mental health practice in general, and particularly in psychology. This study was guided by the social information processing theoretical framework. A total number of 26 mental health practitioners aged from 22 to 45 were selected using purposive sampling. In this study questionnaires were distributed to respondents through email, email was also used to collect the research data. Research ethics, such as confidentiality, anonymity, and voluntary participation, were strictly observed. The Statistical Package for Social Sciences version 23 was used to analyse the data. The analysed data are presented in frequency tables and graphs. This study found that there are effectiveness and efficiency factors associated with the use telecommunication counselling. Furthermore, the findings imply that the popularity of this type of counselling has been growing steadily in the past few years, especially in urban areas. Furthermore, despite the increase and growing popularity in the use of telecommunication counselling, the results suggest the presence of ethical dilemmas that confront the practitioners.Thesis (Masters) -- Faculy of Humanities, Social Sciences and Law, 202
The effects of supply chain cooperation on humanitarian relief operations: A case of Cyclone Idai in Zimbabwe
Get PDFBackground: The increased frequency of occurrence and complexity of disasters, the world over, have called for increased cooperation amongst stakeholders to deliver humanitarian aid. Objectives: This study came as a result of the growing interest focussed on creating and implementing cooperation to facilitate management of supply chain-related activities in the humanitarian sector. This study therefore sought to gain a better understanding of the effectiveness of supply chain cooperation in aid delivery performance variables, specifically in the context of Cyclone Idai humanitarian relief operations in Zimbabwe. Method: A pragmatic research paradigm was adopted, where the researchers took a mixed approach informed by both quantitative and qualitative research tools. Results: Findings of this study show a significant and positive impact of humanitarian supply chain (HSC) cooperation in achieving output, resource and flexibility performance in the delivery of aid. These findings will change the shape of humanitarian response to have more cooperation amongst organisations rather than responding as single entities. Conclusion: This study will therefore contribute to how humanitarian organisations improve their approach to future disasters through cooperation in their supply chain activities. Theoretically, the study will show how supply chain cooperation is key to humanitarian responses, thus improving effectiveness of HSC when put into practice. Policymakers can use these findings to develop a standard framework of how humanitarian organisations should collectively respond to disasters. Keywords: cyclone; humanitarian logistics; relief operations; supply chain; supply chain cooperation
Primary healthcare approach to substance abuse management
Get PDFSubstance abuse is common amongst patients attending primary healthcare settings. Despite the substantial impact on one’s health, substance abuse is often underdiagnosed by primary care providers owing to a lack of training and time for screening. Self-reported screening tools are easy to administer and efficient to make a substance abuse diagnosis in primary care settings. Comorbid mental illness and intimate partner violence are common amongst patients presenting with substance abuse in primary care. An early diagnosis and a brief behavioural change counselling are effective in managing substance abuse before it develops into dependency. A brief motivational communication rather than a confrontation during substance abuse screening, counselling and treatment is important to achieve optimum patient outcomes. Keywords: substance abuse; primary healthcare setting; screening tools; brief behavioural change counselling; co-morbidit
The impact of the COVID-19 pandemic on accessing HIV care: A case report
Get PDFThe coronavirus disease 2019 (COVID-19) pandemic has had an enormous impact on the provision of human immunodeficiency virus (HIV) services amongst people living with HIV. Many people have adopted different health-seeking behaviour in alignment with the lockdown provisions during the COVID-19 pandemic. These lockdown regulations have had a huge impact on healthcare access for people on chronic medication. The disruption of antiretroviral therapy (ART) has a profound effect on HIV-associated morbidity and mortality. The impact on HIV programmes as a result of the interruption in ART could be bigger than the HIV pandemic alone. Keywords: COVID-19; pandemic; HIV; ART; lockdown; morbidity and mortality
A Critical Review of Environmental Governance, Land Restitution, and Tourism in Protected Areas
Get PDFNatural areas, when protected, conserve the natural environment and function as social spaces in which tourism brings increased income, employment, and financial support for conservation. The inclusion of local community members in the planning and management of protected areas has been on the rise since the early 1900s. Tourism has been advocated as a strategy that can help in achieving economic development, especially in rural areas. However, governance issues and potential negative impacts of tourism development have been under inspection. Conservation efforts in Southern Africa especially in the late 1800s and early 1900s had negative impacts on the local communities since this led to many communities being displaced or having limited access to these protected areas. This has seen the need for ways and efforts to get local community members' despondency and attitudes towards protected areas change such that in the 20th century, there were efforts to use conservation models that included community members in the decision-making and benefit-sharing process to garner their support for protected areas. This paper reviews literature on environmental governance, land restitution in protected areas, tourism in protected areas, co-management, and the importance of community participation. These concepts are reviewed using Manyeleti Game Reserve as a case study. Keywords: Tourism, land restitution, environmental governance, wildlife resources, and stakeholder participatio
Rural Tourism and Inclusive Development in Port St. Johns - South Africa
Get PDFThe purpose of this study was to explore ways of achieving an inclusive approach to tourism development in rural communities. Although tourism has generally been recommended as a means of orchestrating development in rural communities, achieving this laudable goal has often been illusive due to the fragmented approach adopted by tourism stakeholders. An exploratory quantitative research approach was adopted by using a structured survey instrument to generate 307 valid responses from community members in Port St. John in the Eastern Cape Province (ECP) of South Africa. Results obtained reveal similarities and some differences based on demographic characteristics with regards to the benefits of rural tourism to the community. Importantly, the study illuminates the fragmented way in which residents perceive tourism benefits, both from a gender perspective and personal benefit versus community dichotomy. The paper discusses policy as well as practical local economic development implications. Keywords: Rural tourism; community; Port St. Johns; inclusive development; sustainable developmen
Covid-19 and the restrictive measures: The national security conundrum for Zimbabwe
Get PDFThe emergence of the COVID-19 pandemic at the onset of the year 2020 brought unprecedented suffering to humanity. Economic activities in virtually all nations across the globe were brought to a shuddering halt, with the third world suffering the worst effects on the economic front. The health security of nations across the globe was shaken, as nations came to terms with the surging health needs for the infected citizens. In order to grapple with the pandemic, nations took drastic measures, chief among them being the implementation of lockdowns, coupled with harsh restrictions. These measures, however, came at a cost. This paper explores the impacts of the restrictive measures that were implemented by the Zimbabwean government to combat COVID-19 pandemic. The paper interrogates these measures in the context of the national security discourse. In the analysis, the paper also makes reference to South Africa- a more developed nation and Zimbabwe’s neighbour. Keywords: COVID-19 , national security, health security, lockdow
Knowledge, Attitudes and Perceptions Towards HIV Testing Among IsiXhosa-Speaking Men in The Zithulele Catchment Area of The Rural Eastern Cape Province, South Africa
Get PDFBACKGROUND South Africa carries the largest burden of Human Immunodeficiency Virus (HIV) in the world, with over 7.9 million people infected and over 70 000 HIV-related deaths in 2019. Men are 25% more likely to die from Acquired Immune Deficiency Syndrome (AIDS) compared to women, even though women are more likely to be infected. Despite these numbers, only 24.1% of HIV-positive men compared to 64.8% of HIV-positive women were aware of their status. Statistics indicate that men in South Africa are not testing for HIV until it is too late. In order to focus efforts on the prevention of HIV transmission, there is a need to understand why men are not accessing HIV testing and treatment services earlier. This study aims to explore the knowledge, attitudes, and perceptions towards HIV testing of isiXhosa-speaking men in the Zithulele catchment area of the rural Eastern Cape. METHODS This was a qualitative study using the phenomenological approach. It was conducted among a purposive sample of isiXhosa-speaking men from the Zithulele catchment area, in the OR Tambo district of the Eastern Cape Province. Ten semi-structured interviews and one focus group were conducted in isiXhosa. Interviews were audiorecorded, transcribed, and translated into English. The interviews were thematically analysed using an inductive approach. RESULTS Participants from the study had a good understanding of HIV and HIV transmission. They perceived HIV infection as a death sentence, a consequence of immoral behaviour and an indication of failure as man. Reluctance to test for HIV was due to the perception that testing hastens the onset of symptoms and death, whereas disclosure of an HIV-positive status was described as difficult due to the fear of stigmatization. Some of the barriers to accessing HIV testing services included masculine norms, the belief that sickness is equated with weakness, a perceived lack of confidentiality at health facilities and how female-dominated clinics were not male-friendly spaces. Suggestions to improve HIV testing among men included improving targeted education, home-based testing services and utilizing traditional meetings to address men. CONCLUSION The findings of this study may suggest that healthy men in the Zithulele catchment area of the rural Eastern Cape are not accessing HIV testing and treatment services. The reasons behind this reluctance include false beliefs around HIV and testing, the fear of discrimination, disruption of masculine norms and reluctance to access care at female-dominated health facilities. Further research is needed to explore ways to reach, educate and encourage men to test earlier for HIV.Thesis (Masters) -- Faculty of Health Sciences, 202
Monitoring and Management Mechanisms on Stress in HEI in Eastern Cape Province in South Africa: Critical Review
Get PDFStress is a global phenomenon that affects everyone regardless of gender, resources and environment. Although this phenomenon is well researched, teachers’ experiences of stress remains a worrying challenge particularly to schools’ effectiveness. This study sought to establish how monitoring and management mechanism that can assist teachers to cope with stress challenges. These are some of the recommendation: that the school disciplinary committee should be trained in various disciplinary measures that may be implemented in the school to curb learner ill-discipline and lack of commitment, that working relationship should be built between schools and the Department of Basic Education, motivational speakers and educational counsellors should meet with all learners on a regular basis to motivate them to have high desire for and interest in education and to build their self-confidence in the classroom, providing all the schools with healthy environment in classrooms, provision of learning and teaching materials to all schools, schools should set up an effective school-parents partnership in order to promote a safe drug and alcohol free environment, employ enough teachers in all secondary schools and the Department of Basic Education at district level should make room for stress management workshops for teachers
Molecular Detection of Antibiotic-Resistant Genes in Pseudomonas aeruginosa from Nonclinical Environment: Public Health Implications in Mthatha, Eastern Cape Province, South Africa
Get PDFEvaluation of resistant profiles and detection of antimicrobial-resistant genes of bacterial pathogens in the nonclinical milieu is imperative to assess the probable risk of dissemination of resistant genes in the environment. .is paper sought to identify antibiotic-resistant genes in Pseudomonas aeruginosa from nonclinical sources in Mthatha, Eastern Cape, and evaluate its public health implications. Samples collected from abattoir wastewater and aquatic environment were processed by membrane filtration and cultured on CHROMagarTM Pseudomonas medium. Species identification was performed by autoSCAN-4 (Dade Behring Inc., IL). Molecular characterization of the isolates was confirmed using real-time polymerase chain reaction (rPCR) and selected isolates were further screened for the possibility of harboring antimicrobial resistance genes. Fifty-one Pseudomonas species were recovered from abattoir wastewater and surface water samples, out of which thirty-six strains were Pseudomonas aeruginosa (70.6%). .e P. aeruginosa isolates demonstrated resistance to aztreonam (86.1%), ceftazidime (63.9%), piperacillin (58.3%), cefepime (55.6%), imipenem (50%), piperacillin/tazobactam (47.2%), meropenem (41.7%), and levofloxacin (30.6%). Twenty out of thirty-six P. aeruginosa displayed multidrug resistance profiles and were classified as multidrug-resistant (MDR) (55.6%). Most of the bacterial isolates exhibited a high Multiple Antibiotic Resistance (MAR) Index ranging from 0.08 to 0.69 with a mean MAR index of 0.38. In the rPCR analysis of fifteen P. aeruginosa isolates, 14 isolates (93.3%) were detected harboring blaSHV, six isolates (40%) harbored blaTEM, and three isolates (20%) harbored blaCTX-M, being the least occurring ESBL. Results of the current study revealed that P. aeruginosa isolates recovered from nonclinical milieu are resistant to frontline clinically relevant antipseudomonal drugs. .is is concerning as it poses a risk to the environment and constitutes a public health threat. Given the public health relevance, the paper recommends monitoring of multidrug-resistant pathogens in effluent environments