Dissertations / Theses on the topic 'Community Services Training Package'
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1
Auburn, Stephen Donald, and sauburn@optusnet com au. "Trust the process: stakeholder management using a transparent, evidence-based policy approach." RMIT University. Education, 2005. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20060515.113429.
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In Australia, the development and implementation of National Training Packages has been a major tool in the drive to reform of the vocational education and training system. The main aim of the reform is to establish a national vocational and education system within a federal political system and to make vocational educations and training providers more responsive to the needs of industry, by industry specifying its skill needs through the mechanism of national Training Packages. The background to this workplace project, the Review of the Community Services Training Package, and this study, is established by a review of policy and literature in relation to national training reform issues and stakeholder management within a public policy context. This review established some principles of good practice in relation to stakeholder management. The industry context of the workplace project is discussed. The workplace project is then unpacked in some detail with specific reference to stakeholder management strategies and issues and some specific stakeholder groups. This exegesis goes on to explore stakeholder behaviour in this particular workplace project in its historical context of the introduction of Training Packages to the vocational education and training system. It explores the perspectives of teachers and industry on the implementation of Training Packages and in particular the gap between educational technologies and industry expectations of standards of work performance. The exegesis concludes with some suggestions of opportunities for enhanced workplace practice in stakeholder management and for further research. It also suggests a job of work for industry and teachers to develop new communities of practice around Training Packages as a means of bringing together their sometimes divergent interests.
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Holenstein, Hildegard. "A climate for change : education, training and the community psychiatric nurse." Thesis, Manchester Metropolitan University, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.292257.
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Petit-Mshana, Eileen J. "Training for effective district health management in Tanzania." Thesis, University of Bristol, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296685.
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Voytenko, Vitaliy L. "Community-based care in Ukraine a pastoral training program /." Theological Research Exchange Network (TREN) Access this title online, 2005. http://www.tren.com.
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Sinclair, M. "Midwives readiness to use high technology in the labour ward : implications for education and training." Thesis, Queen's University Belfast, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300999.
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Freeman, Marnie. "Evaluation of a training programme for carers working in community homes for those with learning difficulties." Thesis, University of Sussex, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.334831.
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Clark, Graham. "Rehabilitation care workers perceptions of the outcomes of a pilot training programme." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15488.
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The South African National Development Plan (NDP) (National Planning Commission, 2011, p. 1) provides the road map for a reformed public health system by 2030. The proposed health system will be facilitated by, amongst others, training an appropriate balance of healthcare professional s including a cadre of community health workers (CHWs) that have a broad skills mix suited to reaching a larger number of people with first level intervention. With this in mind, a pilot group of CHWs were up-skilled as Rehabilitation Care Worker s (RCWs). The training program was a joint project between the Division of Disability Studies and the Departments of Occupational Therapy, Physiotherapy and Speech and Language Therapy at UCT. Problem: Little is known about the perspectives of RCWs on the benefits and challenges of additional training in rehabilitation and disability related skills. Rationale: To inform the curriculum for a rehabilitation care worker (RCW) training program and the Western Cape Department of Health (WCDoH) of ways in which this cadre of worker could contribute to the realization of the 2030 Healthcare Plan. Aim: To describe the outcomes of a pilot RCW training program from the perspective of the pilot group of graduates. The objectives were to identify the areas of practice where RCWs feel competent/incompetent, to identify aspects of the health services where RCWs believe they can contribute the most/the least and to identify the facilitators/barriers they experienced when deployed in the health field. Methodology: A qualitative descriptive study was conducted. Method: Focus groups were carried out with three groups of six participants. Findings: The plot that permeated the participants’ perspectives revolved around how the RCWs were pioneers in breaking new ground for the Western Cape Department of Health (WCDoH). Two themes informed the plot: "we move health services to a new level" and "we manage change in new ways". Discussion: It is argued that the pilot RCW curriculum achieved its’ objective of equipping a cadre of worker with basic rehabilitation, care and disability inclusion skills. While the envisaged role of RCWs in the health service and in making the NDP a reality is supported, it is argued that attention needs to be given to supervision structures and to training of all other health workers in order to promote inter professional practice. Conclusions: The pilot group of RCWs believe that they have acquired a new and large variety of skills that have enabled them to make a broad and positive impact in their places of work, at home and in the broader community.
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Misbach, Sadia. "The implementation of the rehabilitation service package in the Metropole Health District, Western Cape Province, South Africa." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&.
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This research investigated the availability and nature of the rehabilitation service at primary health care level rendered by rehabilitation staff in the Metropole district health services. The aim of the study was to determine the extent to which selected elements of the rehabilitation components of the primary health care service package are currently being implemented. In doing so, the study aimed to identify obstacles within the district management as perceived by rehabilitation therapists that hinder the implementation of the rehabilitation programme, so as to make recommendations for future planning.
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Crute, V. C. "Microtraining in health visitor education : An intensive examination of training outcomes, feedback processes and individual differences." Thesis, University of Ulster, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.373500.
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Bowers, Okema S. "Adjunct faculty perception of professional development and support services." Thesis, Regent University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3571529.
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The purpose of this descriptive study was to investigate the adjunct faculty's perception of professional development and support services offered and needed at Tidewater Community College, a multicampus community college. This study involved adjunct faculty only. A survey was created and contained 58 survey questions. The majority of these were Likert-like items based on a scale from Strongly Agree, indicating a very important need or value for the adjunct, to Strongly Disagree, indicating a not important at all level of perceived value. In order to determine if other factors influenced the perception of professional development or support services, other questions asked for demographic information, such as education level, age, number of years in the professional field, and discipline/department. Except for education level, each of the independent variables accepted the null hypothesis that there is no statistically significant difference between adjunct faculty perception of institutional supports and the professional development and support services offered in terms of the independent variables. Findings from this study indicated that adjunct faculty perceived that professional development and support services are significant in improving their teaching and important to their role and success. Adjuncts want to better serve students and connect with the institution. Orientation and mentoring are highly regarded and requested to help integrate adjunct faculty into the college. The data indicated that adjunct faculty members want professional development that meets their specific instructional and student-centered needs that is offered during more accommodating times. The current professional development offerings are not well-attended and do not seem to meet the specific needs of this adjunct population. It behooves the administration to further investigate what is currently being done to support adjuncts and to address a means to improve the delivery and execution of all institutional supports. While this study provides useful information related to one community college, it is important that each community college examine closely its personal investment relative to the institutional support it provides to adjunct faculty members.
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Chaava, Thebisa Hamukoma. "Skills, training and support for carers in HIV/AIDS community home-based care: a case study of carers in Chikankata, Zambia." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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The high prevalence of HIV/AIDS in Zambia has led to the development of innovative ways of coping with sickness related to this infection. HIV/AIDS home-based care is one such innovation designed in Chikankata Hospital in 1987. Home-based care depends on the availability of family members and community volunteers in the provision of care and support for People Living with HIV/AIDS (PLWHA).This minithesis is based on a qualitative descriptive case study exploring perspectives regarding skills, supervision and support mechanisms for carers in the Chikankata HIV/AIDS Community-Home Based Care (CHBC) program. The study utilized documented research, focus group discussions with carers and structured interviews with local CHBC supervisors, national experts in CHBC, and PLWHA and their families, to collect data from 32 study participants.
The findings were that CHBC was being delivered by community volunteers with limited involvement from the local health services
that carers were highly motivated, personally and collectively mobilizing resources to meet the needs of CHBC clientele
that local arrangements for training, skills and support of carers were not aligned to national guidelines regarding process, content and duration of programmes
and that carers acquired skills in CHBC through formal and informal training processes and were facing challenges related to inadequate skills, poor infrastructure and extreme poverty in households caring for PLWHA.
Based on the findings the local arrangements for coordination of CHBC need to be strengthened and linked to formal processes for technical support, financial resources and materials for delivery of CHBC in line with existing guidelines on CHBC. The picture of the real situation of the carers that emerges from this qualitative study might inform the supervising organizations and policymakers on the gaps in the training and support of this crucial cadre in the provision of quality care for People Living with HIV/AIDS (PLWHA) at community level.
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Lombardo, Chiara. "The role of emotions in training and clinical supervision of professionals working in community mental health services : an exploration of the Lazarus model." Thesis, Durham University, 2007. http://etheses.dur.ac.uk/2483/.
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Many mental health professionals trained in psychosocial interventions (PSI) do not implement their newly acquired skills with clients. One reason for this may be the role that emotions play in training and its transfer. Therefore, the Lazarus (1991) model of emotions provided the theoretical background for this study. Objectives The objectives of the research were to:1) Describe the experience of emotions in training and transfer 2) Operationalise the Lazarus model, so as to measure emotions in training 3) Test the model, through an investigation of the possible interactions between stress, coping and emotions experienced by mental health professionals in the transfer of their learning into clinical practice. Hypotheses I. Emotions play an important role in both the acquisition and the transfer of new skills in a professional setting. II. The use of coping mechanisms facilitates the process of learning new clinical skills and their transfer Methods To achieve these objectives and to test the hypotheses, different methods were used. A semi-structured interview was constructed and administered to twenty-one mental health professionals. Data were analysed using an inductive content analysis a questionnaire was then constructed and administered to 102 trainees receiving PSI training. Links between emotions, training and transfer were assessed through bivariate correlations. Lastly, a multiple baseline design was implemented; data were collected through a daily diary from 4 supervisees. The implemented intervention consisted of "revitalised clinical supervision". Data were analysed using visual inspection of graphs, and autoregression analysis.
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Moyer, Gregory D. "The utilization of Hersey and Blanchard's situational leadership theory to develop a strategy for supporting and training a technical support department in a company serving the Christian community." Online full text .pdf document, available to Fuller patrons only, 2001. http://www.tren.com.
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Carelse, Roslind Mary. "The experiences of volunteers regarding the implementation of the training programme on HIV and AIDS community based care." Diss., Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-12082008-155641.
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Ross, Constance M. "Bridging the gaps in services for families of children with attention-deficithyperactivity disorder : examining the effectiveness of parent management training groups in a rural community." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=29557.
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Differing opinions among the disciplines involved in the diagnosis and treatment of children with attention-deficit/hyperactivity disorder (ADHD) have left parents navigating in a maze of divergent languages, explanations, and treatment recommendations. This quantitative research study addressed the question of whether a parent training program was an effective treatment for families of children with ADHD residing in a rural community. Although this community-based study did not demonstrate statistically significant outcome measures, it did reveal some interesting side effects. The limitations and the clinical significance of the findings of the study are examined for future research purposes. In particular, the implications for social work practice with families of children with ADHD residing in rural communities are explored from an ecological perspective.
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Martin, Brian C., J. Michael Stoots, Robert P. Pack, Randy Wykoff, and John J. Dreyzehner. "Potential Approaches to Address the Undergraduate Public Health Training Needs for Working Professionals: A Case Study of One Rural Area." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6334.
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The leadership of several health districts in the rural Appalachian region of northeast Tennessee and southwest Virginia has expressed interest in addressing the educational needs of their employees. The majority of these workers have not completed an undergraduate degree, but they desire to further their education. The College of Public Health at East Tennessee State University has begun preliminary discussions with these leaders to identify potential approaches to address these needs. There appear to be four approaches that should be explored by regions facing similar challenges: on-line or on-line/on-site degree completion programs; course clusters provided for academic credit; partnerships with community colleges; and training programs offered for nonacademic credit.
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Park, Meredith. "Customer satisfaction: a comparison of community college and department of employment security operated WIN Job Centers in Mississippi." Diss., Mississippi State : Mississippi State University, 2009. http://library.msstate.edu/etd/show.asp?etd=etd-03262009-115600.
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Benmostefa, Nabila. "Communautés de pratique et dynamique de la pratique professionnelle : le cas des instructeurs pilotes et techniciens d’Airbus Helicopters Training Services." Thesis, Aix-Marseille, 2020. http://theses.univ-amu.fr.lama.univ-amu.fr/200626_BENMOSTEFA_45gpvan867sp307zzdac474zfe_TH.pdf.
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Les travaux de recherche menés à partir des années 1990 sur la CoP ont apporté principalement un éclairage sur son fonctionnement au niveau collectif. Toutefois, jusqu’à présent, peu d’études se focalisent sur la dimension individuelle des membres par rapport à leur évolution dans l’exercice de la pratique. En ce sens, il est question de porter un intérêt sur la dynamique de leur apprentissage et acquisition des connaissances. L’évolution dans l’exercice de la pratique se réalise au sein de la CoP et aussi du paysage de pratique. Ainsi, il s’agit d’étudier le processus d’évolution des individus dans l’exercice de la pratique et de déterminer les facteurs qui l’influencent. Pour ce faire, nous nous appuyons sur les travaux soulevant les questions de la pratique, d’identité, de communauté, d’apprentissage, de connaissance et d’engagement collectif. De plus, notre recherche se positionne dans le paradigme épistémologique constructiviste pragmatique et s’inscrit dans une démarche qualitative réalisée à partir d’une étude de cas unique sur les communautés d’instructeurs d’AHTS (65 interviews et 5 mois d’observation non-participante). Les résultats de cette recherche exposent le processus par lequel les instructeurs développent leur maîtrise de la pratique au sein de quatre communautés formées de manière spontanée et en dépassant les frontières organisationnelles. Dès lors, nous constatons que cette évolution dans l’exercice de la pratique dépend principalement de la disponibilité des connaissances relatives à chaque pratique, permettant ainsi l’apprentissageThe research done since 1990s’ on the CP brought into the light the way it’s working at the collective level. However, until now, few studies have focused on the individual dimension of member’s evolution in practice. Evolution in practice takes place within the CP and landscape of practice. In that respect, we construct the object of our research. It is about studying the process by which individuals evolve in practice and identifying the factors that influence it within the community and landscape of practice. To do this, we use works that examine questions of practice, identity, community, learning, knowledge and collective engagement. These elements form the foundation that we mobilize to guide the empirical study and provide answers to our problem. Our research follows the pragmatic constructivist paradigm and a qualitative methodological approach based on a unique case study of pilot and technical instructors communities at AHTS (65 interviews and 5 months of non-participant observation). The results of this research expose the process by which instructors develop their mastery of practice in four communities, formed spontaneously and across organizational boundaries. In this sense, instructors access to a phase of practice basic acquisition; then a phase of growth where they evolve remarkably in the practice; and finally a phase of maturity, where they reach an expertise recognized and legitimized by their peers. Therefore, we conclude that evolution in the exercise of practice depends mainly on the availability of knowledge related to each practice, allowing learning
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DeLorge, Minges Corrie. "An Exploration of Counseling Practicum Students' Experiences in Department-Based and Community-Based Settings." ScholarWorks@UNO, 2012. http://scholarworks.uno.edu/td/1545.
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Counselor educators are continually improving the quality of their training programs. The purpose of the present study was to investigate counseling students’ practicum experiences and development in community-based and department-based settings. The framework for this study was based on Stoltenberg’s integrated developmental model, which describes stages of counselor development and supervision conditions needed for a learning environment (Stoltenberg & Delworth, 1987; Stoltenberg & McNeill, 2010; Stoltenberg, McNeill, & Delworth, 1998)
A nation-wide study was conducted utilizing counselor education practicum students enrolled in programs listed in the CACREP program directory (2008) and Counselor Preparation: Programs, Faculty, Trends (12th ed.; Schweiger, Henderson, Clawson, Collins, & Nuckolls, 2008), and subscribed to three listserves COUNSGRAD, CESNET, and COUNSLINK. A total of 435 responses were collected electronically with a completion rate of 70% (N = 305). The Demographic and Experience Questionnaire and the Supervision Level Questionnaire Revised (SLQ-R) were used.
The results of this study indicated that practicum students’ experiences differed in community-based versus department-based settings. Students in department-based settings reported their settings were more structured than did students in community-based settings. Students who rated their settings as more structured also reported they were more satisfied with the amount of structure. Direct supervision modalities were utilized more often in department-based settings than in community-based settings. Students in community-based settings were supervised by licensed professional counselors, licensed professional counselor – supervisors, and licensed clinical social workers. Students in department-based settings were supervised by counseling professors, licensed professional counselors, licensed professional counselor – supervisors, and counseling doctoral students. Despite the differences in structure, supervision modalities, and supervisors, practicum students reported similar experiences in client population types and client issues.
Additionally, no differences were found in counseling practicum students’ SLQ-R scores in community-based versus department-based settings, and no differences in students’ SLQ-R scores were found in direct supervision in comparison to indirect supervision. The number of supervision modalities used in practicum settings was not related to students’ SLQ-R scores. Significant relationships were found in two of the sub-scales on the SLQ-R: self and others awareness and autonomy with practicum students’ number of credit hours completed.
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Kafaar, Al-Ameen. "The efficacy of participatory communication training in farming communities : the case of Valley FM in the Cape Winelands District Region." Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86361.
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Thesis (MPhil)--Stellenbosch University, 2014.ENGLISH ABSTRACT: Global economic conditions are forcing donor and development agencies to reduce aid to developing countries and communities. This reduction is resulting in less developmental programmes for disadvantaged communities. To ensure that developmental programmes are implemented successfully and cost effectively, implementing agents will have to ensure that they improve their developmental communication. It is also becoming important that those who are to benefit from developmental programmes convey or identify exactly what their needs are. There should be very little speculation from development agencies about what the needs of the disadvantaged are. It is becoming necessary to review current developmental tools, methods and systems, and also to explore what other measures can be applied to ensure that speculation or time and money wasting exercises are eliminated. This study attempts to look at two things that will influence effective development communication. The first is to examine if community radio is still as an efficient developmental communication tool as perhaps two decades ago. Secondly, it looks at the possibility to tailor-make information for those who need develop, especially in the context of evolving technology.
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Ntopi, Simon Willard. "Impact of the expansion of the health surveillance assistants programme in Nkhatabay District of North Malawi." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2621_1307424733.
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This study investigated the challenges facing a category of community health workers (Health Surveillance Assistants) in rural Malawi district of Nkhatabay following the expansion of their programme funding from the Global Funding to fight AIDS, Tuberculosis and Malaria (GFATM). The study has noted that HSAs are facing serious accommodation problems due to the lack of involvement of communities in their selection and that many HSAs are recruited from outside their catchment areas. The study has put forward some recommendations to the Ministry of Health and other stakeholders like United Nations Children&rsquo
s Fund (UNICEF) and the World Health Organization (WHO) to consider in making the HSAs programme in Nkhatabay district effective. Some of the recommendations made are that supervision of the HSAs by the EHOs and the ECHNs should be intensified and that infrastructure support should be provided to the HSAs for them to be able to deliver the EHP. Infrastructure like buildings and equipment like refrigerators and bicycles should be provided to HSAs and ensure that there is a plan for their maintenance.
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Mshweshwe, Nonkululeko Mica. "Experiences of professional nurses regarding clinical placement exposure during their compulsory community service at state hospitals in Nelson Mandela Bay." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/d1021074.
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The nursing student who has undergone the four year diploma or degree training as a nurse also has to undergo compulsory community service as a requirement before she/he can be registered as a qualified professional nurse. While it has been compulsory for other health professionals such as doctors, dieticians or dentists to place students in compulsory community service, it has only been compulsory for nursing students since 2008. This means that the practice is relatively new in nursing and it is not clear how the newly qualified professional nurse experiences compulsory community service (CCS). The overall goal of this study is to determine the experiences of professional nurses placed at the state hospitals in Nelson Mandela Bay regarding compulsory community service clinical placement exposure and to use these descriptions to develop guidelines. The study followed a qualitative, exploratory, descriptive, contextual design. Literature was reviewed in order to identify research that was done previously regarding compulsory community service amongst health care professionals. The research population included professional nurses who underwent compulsory community service in the three state hospitals in the Nelson Mandela Bay. Purposive sampling was utilised to identify the participants. Semi-structured interviews were conducted to collect information and field notes were kept. The interviews were transcribed and Tech’s (1990) in Creswell, 2009:186) eight steps of data analysis were followed to create meaning from the data collected. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely credibility, transferability, dependability and conformability (Lincoln & Guba, 1999, as cited in Schurink, Fouche & de Vos, 2011:419- 421). Three themes and sub themes were identified. Literature control was done to compare the findings with existing research results. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity. All the participants in the study felt that the clinical placement exposure was a worthwhile experience. The participants expressed a feeling of gratitude that they were afforded this opportunity of practicing under the guidance of experienced professional nurses. To them it was an opportunity to master whatever they were taught as student nurses so that by the time they practice as independent practitioners they would be confident and knowledgeable. The CCS nurses indicated that orientation and mentorship were not always of good quality and professional nurses were not always available as in some units professional nurses were not readily accessible. The CCS nurses were left alone and isolated with no one to consult. If proper orientation and mentorship had been in place the CCS nurses would have enjoyed the community service year more and they felt that they would have benefited more. Had there been a mentoring system in place it could have gone a long way to ascertain that the participants gained confidence and were able to perform tasks independently and confidently. The participants overwhelmingly indicated that unit management should have been included in their CCS year placement. During the CCS year the CCS nurses were not exposed to unit management. This was seen by CCS nurses as a missed opportunity. Had they been afforded the opportunity to practice unit management under the supervision of unit nursing managers, professional growth and development in unit management could have been facilitated. That they were not afforded that opportunity deprived them of a valuable skill as well as personal and professional growth. In conclusion guidelines for placement of CCS nurses in the Nelson Mandela State hospitals have been formulated for implementation. Recommendations were made to enhance nursing practice, nursing education and nursing research.
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Munalula-Nkandu, Esther. "The development of a training model for peer learning facilitators in adolescent reproductive health in Zambia." Thesis, Stellenbosch : University of Stellenbosch, 2006. http://hdl.handle.net/10019.1/17326.
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Thesis (PhD)--University of Stellenbosch, 2006ENGLISH ABSTRACT: Zambia is reported to have high levels of maternal morbidity and mortality due to low contraceptive prevalence rates, over 50% of births not being attended to by skilled persons, and teenage pregnancies. A number of organisations (stakeholders) have invested in the training of adolescent reproductive health peer educators with the aim of empowering them to be role models to their peers in reproductive health, but Zambia does not have a generic and locally developed training programme for peer educators. The purpose of this study was to develop a training programme that would produce competent and more effective peer educators for Zambia. The objectives were to determine the characteristics of the ideal peer educator. Further objectives were to ascertain the factors that contribute to or impair the development of the ideal peer educator, and to determine whether training programmes that were being used were producing ideal peer educators and enhancing healthy lifestyle behaviours. Key stakeholders participated in group interviews were they presented and critiqued their training programmes. Emerging out of this process was a draft training programme, developed by the stakeholders. Focus Group Discussions (FGDs) were held with adolescent peer educators from Lusaka, Kafue, Livingstone and Maheba refugee camp. Data were analysed by triangulating the outcomes of the group interviews (with the stakeholders) with the outcomes of the FGDs and reviewed literature. The FGDs highlighted the characteristics of an ideal peer educator as well as factors that contribute towards his/her competence development. Numerous factors were reported that had a negative impact on the development of an ideal peer educator. The peer educators reported that their training had had a positive effect on their lifestyle behaviours. While they had gained more knowledge on HIV and AIDS, they recommended more training on other health issues. The study found that at community level, peer educators were not being given adequate respect because the concept of voluntary work was not readily accepted and they were regarded as failures in life. Major demotivating factors were the lack of payment of incentives and the fact that peer educators were not certified. Peer educators did not receive sufficient support from programme managers/coordinators to enable them to become more effective at community level. Weaknesses in the way the training programmes were conducted were also discerned. Based on the findings of this study, it is recommended that more life skills’ development be promoted for peer educators. Training should be contextualised for the communities in which the peer educators work. The developed training programme, which should be used as a guide, should be repackaged to suit the profiles (e.g. values) of the different communities. Adolescents and various social sectors (inclusive of indicated stakeholders) ought to be involved in diagnosing community needs so as to influence both peers and communities in a way that would promote adolescent reproductive health. This study also recommends a more informal way of practising peer education, which would produce trainees who would be peer educators and role models in any given setting.
AFRIKAANSE OPSOMMING: Na berig word is die hoë siekte- en sterftesyfers onder moeders in Zambië daaraan te wyte dat voorbehoedmiddels nie algemeen gebruik word nie, dat meer as 50% van geboortes plaasvind sonder die bystand van bekwame persone, en dat daar ‘n hoë voorkoms van tienerswangerskappe is. ‘n Aantal organisasies (belanghebbers) het in die opleiding van adolessent- portuurgroep-opvoeders in reproduktiewe gesondheid belê ten einde hierdie portuurgroep-opvoeders te bemagtig om as rolmodelle in reproduktiewe gesondheid op te tree. Zambië het egter nie ‘n eie generiese, plaaslik-ontwikkelde opleidingsprogram vir portuurgroep-opvoeders nie. Die doel van hierdie studie was om ‘n opleidingsmodel en opleidingsprogram te ontwikkel wat bekwame en meer effektiewe portuurgroep-opvoeders vir Zambië sou kon oplewer. Die doelstellings was om die kenmerke van ‘n ideale portuurgroep-opvoeder te bepaal en om die faktore te identifiseer wat óf tot die ontwikkeling van ‘n ideale portuurgroep-opvoeder bydra óf sy/haar ontwikkeling strem. Daar moes ook vasgestel word of bestaande opleidingsprogramme ideale portuurgroep-opvoeders oplewer en gevolglik gesonde leefstylgedrag bevorder. Die navorser het groeponderhoude gebruik en betekenisvolle belanghebbers genooi om hulle opleidingsprogramme aan te bied, te beoordeel en krities te bespreek. ‘n Konsepopleidingsprogram wat deur die belanghebbers ontwikkel is, het uit hierdie proses ontstaan. Fokusgroepbesprekings (Engels: Focus Group Discussions of FGDs) is met adolessente portuurgroep-opvoeders van Lusaka, Kafue, Livingstone en die Maheba-vlugtelingekamp gehou. Data is ontleed deur die uitkomste van die groeponderhoude (met die deelhebbers) met die uitkomste van die fokusgroepbesprekings en die bespreekte literatuur te trianguleer. Die fokusgroepbesprekings het die soeklig op die kenmerke van die ideale portuurgroepopvoeder asook op die faktore wat tot sy/haar bekwaamheidsontwikkeling bydra, laat val. Talle faktore wat ‘n negatiewe uitwerking op die ontwikkeling van ‘n ideale portuurgroep-opvoeder het, is ook vasgestel. Die portuurgroep-opvoeders het bevestig dat hul opleiding ‘n positiewe invloed op hul lewenstylgedrag gehad het. Terwyl hulle genoem het dat hulle meer kennis oor MIV en VIGS opgedoen het, het hulle aanbeveel dat daar ook meer klem op ander gesondheidskwessies behoort te wees. In hierdie studie is daar bevind dat portuurgroepopvoeders op gemeenskapsvlak nie met voldoende respek behandel word nie. Die begrip van vrywillige werk word nie geredelik aanvaar nie, en die opvoeders word as mislukkings beskou. Faktore wat besonder ontmoedigend inwerk is die gebrek aan ‘n aansporingsloon en die feit dat portuurgroep-opvoeders nie sertifikate ontvang nie. Portuurgroep-opvoeders het ook nie voldoende ondersteuning van programbestuurders/- koördineerders ontvang om hulle in staat te stel om meer effektief op gemeenskapsvlak op te tree nie. Daar is voorts swakhede opgemerk in die wyse waarop die opleidingsprogramme uitgevoer is. Gegrond op die bevindinge van hierdie studie, word daar aanbeveel dat die ontwikkeling van lewensvaardighede tot ‘n groter mate bevorder word. Opleiding behoort gekontekstualiseer te word vir die gemeenskappe waarbinne die opvoeders werk. Die bestaande opleidingsprogram, wat as ‘n riglyn gebruik behoort te word, behoort herstruktureer te word om by die profiele (bv. die waardes) van die verskillende gemeenskappe in te pas. Adolessente en verskillende sosiale sektore (insluitend die aangeduide belanghebbers) behoort betrokke te wees by die bepaling van die gemeenskap se behoeftes ten einde beide portuurgroepe en gemeenskappe so te beïnvloed dat adolessente- reproduktiewe gesondheid bevoordeel sal word. Hierdie studie beveel ook aan dat portuurgroep-opvoeding op ‘n informeler grondslag beoefen behoort te word sodat die kwekelinge uiteindelik in enige gegewe omgewing suksesvolle portuurgroepopvoeders en rolmodelle sal kan wees.
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Fernandes, Danilo Cavalcante. "Visão de professores sobre a formação em odontologia para a estratégia de saúde da família." Universidade Federal de Alagoas, 2015. http://www.repositorio.ufal.br/handle/riufal/1417.
Full textAbstract:
Dentistry experienced a long period of evolution to become what it is today. But, like any other profession, it faces challenges, and the main one is your little social impact. To face this situation, the National Curriculum Guidelines for Dentistry courses provides as expected profile of graduates a general dentist, ethical, socially sensitive, humanized and able to produce increasing levels of health in populations and to assure this training is a challenge that needs to be assumed by all higher education institutions, preparing the professional to work in the National Health System and, more specifically, in the Family Health Strategy. This study aimed to verify the opinion of Alagoas University Federal’s Dentistry professors about the formation of its graduate to work in the Family Health Strategy. This is a qualitative research carried out using the techniques of individual interview and focus group and data was analyzed using the technique of content analysis. The analysis of professors’ speeches resulted in the formation of the categories “Training of dentists to the Family Health Strategy” and “dentist insertion into the Family Health Strategy”. In discussing the training of graduates, professors see that it’s not satisfactory yet but ensure that it is already more focused on the Family Health Strategy despite the fragile contact of students with the Unified Health System and report that one of the factors that makes difficult this training is the working conditions of dentists in the strategy. From this study we prepared a technical report in order to be delivered to the Structuring Teaching Core of the FOUFAL and Alagoas Dental Regional Council and it presents the results of this research and some recommendations to remedy the flaws found; was made also a video where a dentist who works in Family Health Strategy and another one from Academy speak of training in dentistry and the SUS.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
A Odontologia vivenciou um longo período evolutivo até chegar ao que hoje representa; como toda profissão, enfrenta desafios, e um dos principais é o pouco alcance social. As Diretrizes Curriculares Nacionais do curso de Odontologia, para fazer frente a esta situação, prevê como perfil para o egresso cirurgião-dentista ser generalista, ético, socialmente sensível, humanizado e contribuindo para a produção de níveis de saúde crescentes nas populações. A garantia desta formação é um desafio que precisa ser assumido por todas as Instituições de Ensino Superior, adequando o profissional ao trabalho no Sistema Único de Saúde e, mais especificamente, à Estratégia de Saúde da Família. Este estudo objetivou verificar a opinião dos professores da Faculdade de Odontologia da Universidade Federal de Alagoas (FOUFAL), sobre a formação do egresso para atuar na Estratégia de Saúde da Família. Trata-se de uma pesquisa qualitativa que utilizou entrevista individual e grupo focal; os dados foram analisados através da análise de conteúdo de Bardin. A análise dos dados resultou nas categorias “formação do cirurgião-dentista para a Estratégia de Saúde da Família” e “Inserção do cirurgião-dentista na Estratégia de Saúde da Família”. Os professores veem a formação aquém do desejado, com pouco contato dos alunos com o Sistema Único de Saúde apesar de pensarem que ela já está mais voltada para a Estratégia de Saúde da Família; relatam que um dos fatores que atrapalham essa formação é a condição de trabalho dos cirurgiões-dentistas na estratégia. A partir desse estudo foi elaborado um relatório técnico com a finalidade de ser entregue ao Núcleo Docente Estruturante da FOUFAL e ao Conselho Regional de Odontologia de Alagoas e nele são apresentados os resultados da presente pesquisa e algumas recomendações no sentido de solucionar as falhas encontradas; foi feito, também, um vídeo onde um cirurgião-dentista da Estratégia de Saúde da Família e um cirurgião-dentista da academia falam da formação em Odontologia e o SUS.
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Londt, Natalie. "Die rol van die maatskaplike werker by die bemagtiging van vrywilligers by 'n slagofferondersteuningsentrum." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52787.
Full textAbstract:
Thesis (MSocialWork)--Stellenbosch University, 2002.ENGLISH ABSTRACT: Through the establishment of victim support centres, NICRO Eastern Cape aims to develop community networks that render available and appropriate support services to victims of crime. Social workers empower volunteers to run the centres. In order for the social workers to empower volunteers, they need to clearly understand their role in the empowerment process. The goal of the study is to clarify the role of social workers when empowering volunteers at community victim support centres. The profile, motivation and current empowerment of volunteers at NICRO Eastern Cape were determined and described by means of questionnaires. The respondents were fifteen volunteers and three social workers. Conclusions and recommendations were made which focused, among other aspects, on the training of social workers and strategic planning around empowerment. The framework of this research report can be utilized by social workers in the empowering of volunteers, which could possibly lead to victim support centres that are managed by volunteers, as representatives of communities, independently from NICRO.
AFRIKAANSE OPSOMMING: By die slagofferondersteuningsentrums te NICRO Oos-Kaap word daar gepoog om 'n gemeenskapsnetwerk te ontwikkel waardeur slagoffers van misdaad beskikbare en toepaslike ondersteuning ontvang. Dit word gedoen deur die bemagtiging van vrywilligers deur maatskaplike werkers. Ten einde die vrywilligers te bemagtig, is dit belangrik dat maatskaplike werkers hul rol in die proses van bemagtiging begryp. Die doel van die studie is om die rol van die maatskaplike werker uit te klaar met die bemagtiging van vrywilligers by 'n gemeenskapslagofferondersteuningsentrum. Die profiel, motivering en huidige bemagtiging van vrywilligers by NICRO Oos-Kaap is deur middel van vraelyste bepaal en ontleed. Die respondente het uit vyftien vrywilligers en drie maatskaplike werkers bestaan. Gevolgtrekkings is gemaak en aanbevelings gedoen wat onder andere fokus op die opleiding aan maatskaplike werkers en strategiese beplanning rondom bemagtiging. Die raamwerk van hierdie navorsingsverslag sal deur maatskaplike werkers benut kan word in die bemagtiging van vrywilligers en dit kan moontlik aanleiding gee tot slagofferondersteuningsentrums wat onafhanklik van NICRO deur vrywilligers, as verteenwoordigers van gemeenskappe, bestuur word.
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Webber, Fiona. "A study of the prevalence of refractive errors and of patients requring refractive services at 15 eye clinics in the Amathole, Chris Hani, Joe Gqabi and O. R. Tambo districts of the Eastern Cape." Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1001100.
Full textAbstract:
This is a study on the prevalence of refractive errors and patients requiring refractive services at 15 eye clinics in the Amathole, Chris Hani, Joe Gqabi and OR Tambo District Municipalities of the Eastern Cape. This is an area characterised by extreme poverty where the cost of an eye examination and prescription spectacles remains financially unobtainable for most. Optometry services are provided mainly by private optometrists who service the small proportion of the population that can afford them. Adults and children remain house bound or are labelled as dull and unproductive simply because they don’t have access to an eye examination and a pair of spectacles. Purpose The purpose of the study is to identify patients with refractive errors and those requiring refractive services at the 15 eye clinics in the Eastern Cape. Another purpose is to describe the refractive services that are available to patients attending health facilities, where the eye clinics are conducted. Lastly, the purpose is to explore the possibility of nurses providing refractive services independently or under the supervision of optometrists to supplement the lack to refracting and dispensing services. Study Method A quantitative and qualitative non-experimental descriptive design was used. Research involved the analysis of Vision Care’s eye clinic records collected from 15 eye clinics from January 2010-June 2010. Semi-structured interviews were conducted with 30 nurses working at the 15 health facilities where the eye clinics were conducted using purposive sampling. The quantitative data was analysed using excel spreadsheets and graphs and qualitative data was analysed using coding and categorizing methods. Conclusion According to Vision Care’s data of the patients assessed, 19.2 percent had a refractive error and 54 percent of the patients required refractive services. It is estimated that 71.41 percent of the patients had a refractive error according to the optometrist. Although there were some organisations active in the eradication of cataracts, there was little healthcare available in the form of refraction services. xiv Patients needed to travel an average of 63.8kms to access refraction services against the backdrop of poor roads, poverty and unemployment. 28 out of 30 nurses either ‘strongly agreed’ or ‘agreed’ that nurses could be trained to perform refractions and dispense spectacles. 29 out of 30 nurses thought that this would have a positive impact on eye care. Further research is necessary to assess the feasibility of implementing a nurse operated refractive program and whether it should be within their scope of practice to refract and dispense spectacles.
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Vellem, Babalwa Faith. "Assessing the role of cooperatives in poverty alleviation in the Eastern Cape: a the case of Amathole district municipality." Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1007113.
Full textAbstract:
The study Assess the role of Cooperatives in Poverty Alleviation in the Eastern Cape Case Study of Amathole District Municipality how cooperatives are conducted in the Amathole District Municipality and establishes the perceptions of staff and members of the public about the service rendered by the municipality, and developing the mechanisms that can be used to identify cooperatives activities and how to improve the services rendered by the municipality, and if there are any challenges, they must be resolved. The research was also to look at how the support from government and other government agencies are used to enhance the cooperatives governance. Lastly, the research was to find the best model for cooperative development and what needs to be done to enhance the capacity of the cooperatives. The literature indicates that staff must be equipped with necessary skills; however it is evident that training and development is essential for the members of the cooperative. Questionnaires and interviews were used as a method of collecting data from the respondents. In this study, both qualitative and quantitative methods were used to analyse the data. The research assumption was that cooperative development is a viable tool for economic development of the rural areas. This can help many South Africans and many communities come out of poverty. However, there are limitations that were caused by the inability of government to co-ordinate cooperative development. Despite the role that cooperatives play in South Africa, cooperatives still experience a number of challenges. These challenges are, amongst others, lack of access to finance, lack of access to market, lack of business skills, lack of infrastructural facilities and lack of knowledge about the cooperative. In view of the challenges facing the cooperatives, the government instituted a number of state departments and parastatals for funding and other necessary support. These are DTI, DEDEA (in the Eastern Cape), ECDC, South African Development Agency (SEDA), Department of Labour and municipalities. The objectives of these support institutions are to provide necessary support needed by cooperatives and to ensure that cooperative development is sustainable.
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Lee, Jennifer, and 李貞如. "The Effect of Endorsed Components of Training Package for Lab Scientists on Performance – A Case Study of MDS Pharma Services." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/36992347483704136410.
Full textAbstract:
碩士國立臺灣科技大學
管理研究所
97
This thesis reports an exploratory investigation into the effect of Endorsed Components of Training Package for Lab Scientists on Performance. Delphi Method is used to conduct focus group interviews and to develop a questionnaire design approach, achieving a sample size of 10 with the former and 55 with the later. The Endorsed Components of Training Package and Personality whether have a significant effect, and Personalities whether have any reciprocal on Endorsed Components of Training Package and Performance. The results of statistical analyses provided conclusions as follows: 1. The Endorsed Components of Training Package have positive effect on performance, and the standard competency, evaluation guideline and support materials are the most significant. 2. Personalities have not significant effect on performance. 3. Personalities have little reciprocals on Endorsed Components of Training Package and Performance.
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"The experiences of teacher education students involved in a community service-learning project." Thesis, 2010. http://hdl.handle.net/10210/3218.
Full textAbstract:
M.Ed.The aim of this study was to explore and gain a deeper understanding of the experiences of teacher education students involved in a community service-learning (CSL) project. This study comes at a time in which CSL is increasingly being incorporated into the higher education context and draws on the views of proponents of CSL who argue that it has the potential to positively benefit the academic-intellectual, personal, interpersonal and social development of those who participate in CSL activities. The research strategy for this study was grounded within the interpretative research paradigm using qualitative research methods to explore how teacher education students make sense of their realities, situations and experiences while participating in a CSL project. This qualitative study employed in-depth interviews, participant observation and photographs as data collection methods. The data was analysed using the constant comparative method of data analysis to search for recurring themes and patterns. From the findings, it was clear that the participants had overwhelmingly positive experiences of the CSL project. They reported that relationships were forged and strengthened, that their perceptions about themselves and others changed, that CSL offered another dimension to teaching and that their service encounter awoke a desire to continue service after the CSL project was complete. Students cited some limiting factors that they felt prevented them from optimally benefiting from the CSL experience. These included a perceived lack of structure, difficulty in communicating with the children at the site and the emotionally draining nature of the experience. I conclude with a number of implications for the curriculation of CSL in teacher education.
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Cooper, Karena Joan. "Enhancing active participation of learners with severe disabilities in a community purchasing activity by training staff with a multicomponent training package that includes self-monitoring /." Diss., 1997. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:9732862.
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Cooper, Roger W. "Participant perspectives of program success in a community college-based short-term skill training program." Thesis, 1996. http://hdl.handle.net/1957/34700.
Full textAbstract:
Evaluating the success or failure of work force training programs is
most often accomplished through the reporting of "objective" data. Rarely
are the students' views of their own success in such a training program
formally solicited or applied in any useful way. But participant perceptions
can be a critical barometer of quality and ought to be taken into account in
any program which aims for continuous improvement. This research was
undertaken to allow people to present their experiences and meanings in
ways which can contribute to just such program improvement.
The study was guided by the following research questions: 1. How
do student participants define success? 2. How did their Skill Center
training program meet their definition of success? It was expected that
information gathered from the study would provide information that could:
(a) provide and clarify student participant perspectives in work force
training and employment programs, and (b) help program operators who
run this and similar programs make informed decisions based on
participants' definitions of success and their perceptions of what successes
they experienced from the Skill Center program.
The data were collected through in-depth interviews with fifteen
graduates self-identified as successful. Grounded theory methodology was
followed to develop the findings. Among all informants, the most often
cited theme was that of "connecting" with instructors and fellow students.
A second component of this central theme was a "cohort" feeling; a
perception of warmth, support, and a sense of family that was common to
all of the students interviewed. Many students were balancing feelings of
anger, frustration, anxiety, and despair, and it was the human connections
with the other members of the skill training center that enabled many, if
not most, students to persist in training. For all of the interviewees, the
affective value of their training was more intrinsic (e.g., helped them build
their confidence and self-esteem) than extrinsic (e.g., helped them obtain
and retain a job). This contributes to an inherent tension between
individuals and agencies, since agency perspectives on success are based
almost solely on extrinsic measures.Graduation date: 1996
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Chiu, Wei-Yang, and 邱惟揚. "Apartment building management services research community functions and training of the people - in Taipei as an Example." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/96807277232301625439.
Full textAbstract:
碩士銘傳大學
社會與安全管理學系兩岸關係與安全管理碩士在職專班
104
This paper explored the apartment building management service person's property management functions and training, review the working conditions of the apartment building management services and the problems faced by people through in-depth interviews, and propose ideas for the property management industry improvement strategy to educate consumers, the Government departments to make recommendations on aspects of property management related ancillary legislation. The results found that the apartment building management service personnel in the provision of services, there will be insufficient knowledge, skills and attitude, because the service personnel turnover rate, poor quality of personnel, staff education and training as well as supervision and evaluation mechanism is imperfect managers not Indeed other issues, resulting in service can’t complete transfer; secondly sinks entire professional functions of the apartment building management service for professional knowledge, professional skills, professional attitude to develop specialized functional project; Furthermore the apartment building management services for the education and training of people and the regime, make recommendations and improvements. Finally, it recommends that the government establish a professional license system, fair and objective of the vendor evaluation system, improve laws and regulations, to facilitate industrial development; recommends that industry should work with international companies and attract foreign investment to the industry cooperation or cross-industry alliance, the Eli industrial development, and cooperative education and universities, to promote corporate image to attract professionals to inject; establish good communication mechanisms, in order for consumers to have a preliminary knowledge of property management; recommends that consumers in general to create awareness in the community should be proactive , thereby improving the community. Via the suggestions that the apartment building management services in the professional functions can be improved. Keywords: community, property management, people of apartment management service, competency, training
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Muwaniki, Chenjerai. "Challenges faced by Phuthanang Home Based Care in providing care and training in Mankweng Township in the Limpopo Province." Thesis, 2010. http://hdl.handle.net/10386/477.
Full textAbstract:
Thesis (M.ED (Continuing care and Training)) --University of Limpopo, 2010.This report describes the research conducted at Phuthanang Home Based Care in Mankweng Township in the Limpopo Province of South Africa. Mankweng constitute a mixture of both formal and informal settlements, both urban and rural settlements and is situated about 32 km to the east of Polokwane which is the provincial capital for Limpopo. The aim of the research was to investigate the challenges faced by Phuthanang Home Based Care (HBC) in providing care and training in Mankweng Township. Having established the challenges faced by Phuthanang Home Based Care the researcher intended to recommend possible solutions to these problems. In an attempt to meet the above mentioned aims; the following research questions were formulated: Main question: • What are the challenges faced by Phuthanang Home Based Care in providing care and training? The following sub questions were asked derived from the main question above: • What are the aims and objectives of Phuthanang Home Based Care? • What are the existing services and training programmes offered by caregivers at Phuthanang Home Based Care? • What are the experiences of caregivers in relation to training for Home Based Care? • What is the level of community participation in Phuthanang Home Based Care activities? Chapter two outlines the theoretical framework based on relevant literature on the subject under study. I also formulated assumptions about the challenges that could be facing home based care programmes; these include issues such as lack of funds, inadequate training and stigmatisation among others. In this chapter key concepts were defined and operationalised to suit this research and to avoid ambiguity in interpretation. Chapter three outlines the research methodology. It clearly explains the research design used, data collection and data analysis. This study was purely qualitative and took the form of a single case study design. This enabled a detailed and intensive study of the case as it exists in its natural setting. Data was collected according to two streams which are fieldwork and document analysis. In fieldwork the researcher used multiple data collection techniques which include open ended interviews with the Project Coordinator, Administrator and Caregivers. The other technique used was observations. A focus group interview with the Coordinator, Administrator and four caregivers was also employed during fieldwork. A data matrix was used in the analysis of data. Chapter four constitutes the presentation and analysis of findings of the study. In this chapter; I describe the setting of the organisation in terms of location, historical background as well as its aims and services rendered. It outlines the challenges encountered by Phuthanang Home Based Care in providing care and training based on the results from document analysis, interviews, observations and focus group interview with the Caregivers’, the Administrator and the Coordinator of Phuthanang Home Based Care. The findings will suggest recommendations that will help bolster the state of care giving, training, and improve the way care is rendered to people living with HIV/AIDS and other terminal illness. Chapter five presents my conclusions by outlining the challenges faced by Phuthanang Home Based Care in providing care and training. This chapter also presents recommendations that might contribute towards finding solutions to the problems faced by Phuthanang Home Based Care. After the recommendations I presented a section on reflections of the research process. In conclusion to this chapter I recommend further research on the challenges faced by home based care organisations which have an element of training in poor communities such as townships, informal settlements and rural areas.
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Mlotshwa, Langelihle. "Exploring the role of preparation, training and support received by community health workers on their experiences of providing home based care in Bushbuckridge." Thesis, 2014.
Find full textAbstract:
Training and support for community health workers is envisaged to positively shape a better effective health care system at the grass root level. All community health workers need adequate resources as they scale up treatment and support for people living in poor resource settings. The aim of this research report is to explore how the preparation and support processes for Community Health Workers influences their role in delivery of home-based care services in the Bushbuckridge Sub district during the period of April- July 2010.
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Rule, Sarah Anne. "Towards a critical curriculum for mid-level community based rehabilitation training in South Africa." Thesis, 2008. http://hdl.handle.net/10413/1057.
Full textAbstract:
This study, conducted in Pietermaritzburg and surrounding rural and township areas,
is a critical exploration of the training of mid-level Community Based Rehabilitation
workers with a specific focus on the ability of course participants to understand and
address the oppression and empowerment of people with disabilities. The aim of the
study was to develop a conceptual framework for curriculum construction of a midlevel
Community Based Rehabilitation course, through examining a Community
Based Rehabilitation course and the changes that were made to it. The study was conducted within a critical theory paradigm. The social model of disability and an understanding of disability as a form of oppression were the key
constructs that guided the research. Participatory action research was used in the
initial phase of the research, followed by a second phase that adopted a life history
approach. The initial phase of the study consisted of one cycle of action research,
beginning with a reflection on the existing curriculum. The action research cycle then
moved through stages of planning changes to the curriculum, implementing the
changes, observing the effects of the changes and reflecting again. Data collection
comprised interviews with staff members, students and community rehabilitation
facilitators who had previously completed the Community Based Rehabilitation
course, as well as focus groups with people with disabilities and parents of children
with disabilities. Several participatory rural appraisal techniques were also used with
the students. The action research cycle raised further questions about how the life
experiences of the students influenced their responses to the changed curriculum.
This stimulated the development of the second phase of the research which used life
history methodology, comprising in-depth interviews with four students. The study found that several changes occurred in the students’ attitudes and
understanding as well as in some of the activities they undertook. Some students
worked with rather than for people with disabilities, indicating a change in the power
relationship with their clients. The students were able to analyse their own oppression
and that of people with disabilities, unlike previous students. The students also
engaged in social action for the rights of people with disabilities. These findings
cannot be solely attributed to the changes in curriculum. However, they raise the
possibility that Community Based Rehabilitation personnel can work to address the
oppression of people with disabilities rather than focusing entirely on technical
rehabilitation, which is a common approach in the literature. An analysis of the life
histories revealed that those students identified as ‘activists’, more willingly engaged
in social action during the Community Based Rehabilitation course than other
students. This challenges the dominant discourse in the literature of Community
Based Rehabilitation personnel as rehabilitation workers rather than activists.
One key contribution of this thesis is to research methodology through its
combination of life history methodology and action research in the study. A second is
its proposed framework for curriculum construction that incorporates findings from
the action research and the life histories. This framework, with its macroenvironment, organisational and student influences on the curriculum, contributes to the under-theorised field of Community Based Rehabilitation training.Thesis (Ph.D.)-University of KwaZulu Natal, 2008.
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Mullin, Bernadette Therese. "Risk factors for motorcycle injury: the role of age, gender, experience, training and alcohol." 1997. http://hdl.handle.net/2292/2182.
Full textAbstract:
Introduction: Motorcyclists in New Zealand suffer a disproportionate number of road traffic crashes. In 1995, 2% of all registered vehicles in NZ were motorcycles, but 9% of reported injuries and 13% of all fatalities were in motorcycle riders. Generally there is a lack of good evidence about many postulated risk factors, with previous studies reporting inconsistent findings. Aim: To identify the role of age, gender, experience, training and alcohol consumption as risk factors for moderate to fatal injury resulting from a motorcycle crash. These factors were chosen because they are the subject of current policy debate in New Zealand. Methods: A population-based case-control study was conducted in the Auckland region over a three year period from Feb 1993. The study base was defined as motorcycles being ridden on non-residential public roads of the Auckland region over a three year period between the 15th of February 1993 and the 14th of February 1996 between 6am and midnight. A case was defined as a motorcycle crash occurring within the study base in which either or both the motorcycle driver or pillion passenger met the injury criteria: were admitted to a public hospital within Auckland; were treated in the Public Hospital Emergency Department in the region with an Injury Severity Score of 5 or greater; or died as a result of a motorcycle crash. The aim was to identify all cases using comprehensive case finding procedures included surveillance of emergency departments, the Coroner's office and injury crashes reported to the Police. Controls, or the sample of the study base, were identified from roadside surveys which were conducted at random times from 150 random sites chosen from non-residential roads. Each road was sampled in proportion to its total length. This produced a random sample of motorcycle riding from the study base. If possible, the motorcyclist was stopped at the survey site. If this was not possible, they were identified by following up their registration plate number. Interviewer-administered questionnaires were used, either face-to-face or by telephone, to obtain exposure data. Objective alcohol data were also obtained from blood and breathalyser tests. Results: Information was obtained on 477 cases and 1518 controls, with interviews completed for 94.5% of case drivers and 81.2% of control drivers. Motorcyclists aged 25 years and over had the lowest risk of moderate to fatal injury from a motorcycle crash when compared to drivers aged from 15 to 19 years (adjusted RR=0.45, 95%Cl=0.33-0.62); the risk for 20 to 24 year olds was intermediate (adjusted RR=0.72, 95%Cl=0.52-1.00). There was insufficient evidence from this study to assess whether there was a changing pattern of risk for motorcycle riders aged over 50 years. The population attributable risk for 15 to 16 year olds in this study was only 0.72%. There was no evidence of an association between gender and risk, indicating that most motorcycle injuries occur in males because most motorcycle riding is done by males. Motorcyclists with more than five years of regular on-road motorcycle riding experience were associated with some increased risk compared to those with less than two years (adjusted RR=1.57, 95%Cl=0.96-2.58), particularly among the 20 to 24 year age group. Motorcyclists who had ridden their motorcycle 10,000 kilometres or more had a lower risk compared to those who had ridden less than 1000 kilometres (adjusted RR=0.52, 95%Cl=0.35-0.79). There was no clear effect observed for other measures of experience including off-road motorcycle riding, other motor vehicle driving and familiarity with the road. There was some evidence that motorcyclists who had attended motorcycle training were at lower risk (adjusted RR=0.74, 95%Cl=0.49-1.14), but the precision of this estimate was poor. There was less clear evidence of an association with recent non-motorcycle training and risk. Motorcyclists who reported having consumed alcohol within 12 hours were at higher risk (adjusted RR=1.53, 95%Cl=1.05-2.23) with a population attributable risk of 11%. Discussion: The methods used in this study to identify and sample the study base by obtaining a random sample of motorcycle riding are likely to have provided a valid estimate of the risks associated with the exposures measured. However some limitations of the study design include the general reliance on self-reported measures of exposures, the lack of data collected on other motor vehicles on the road and the poor quality of data available on alcohol and other environmental factors. This study has identified the following groups of motorcyclists to be at increased risk of moderate to fatal injury: riders aged less than 20 years, riders with more than five years of riding, riders who have not undertaken a motorcycle training course, riders who have ridden less than 1000 kilometres on their current motorcycle and those who have recently consumed any alcohol. Given these results, combined with the information obtained from the systematic literature review, the provisions of the Graduated Drivers Licensing System should be reviewed. This should include consideration of basing restrictions for riding primarily on the age rather than the experience of the motorcyclist and the completion of specific motorcycle training courses only, rather than a training course for any motor vehicle. Further research should consider some of the shortcomings of this study that have been outlined above and also consider methods of increasing the proportion of female riders and older riders in research. The limited evidence of benefit from motorcycle training courses, while encouraging, indicates that further investigation of their benefit in controlled trials is required.
37
Monamodi, Sediego Sarah. "Perceptions of health assessment, treatment and care by community nurses." Thesis, 2012. http://hdl.handle.net/10210/4390.
Full textAbstract:
M.Cur.One of the most important qualities of the primary health care nurse is to possess the necessary psychomotor , cognitive, affective and specific managerial skills to enable her to perform her diagnostic, therapeutic and interpersonal activities. These skills enable the primary health care nurse to provide quality care through physical examination, prescribing and storing drugs and keeping the necessary written records and statistics. The White Paper on Transformation of Health Care Services recommends that . the Department of Health trains primary health care personnel according to the appropriate level of care. Primary health care nurses fall under the categories of health care providers that are regarded by the department of health as a training pnonty. This training also needs to be coordinated and, if necessary, rationalised. Particular emphasis should be placed on training personnel for rendering effective primary health care. If the curriculum for the training of primary health care nurses is to be reviewed successfully, it should reflect community needs more accurately and the teaching should place more emphasis on community-and outcome-based programmes. This research was undertaken to explore and describe the perceptions held about health assessment, treatment and care programmes by primary health care nurses ·to assist those involved in the provision of health care to render quality care. The aim of this study was to explore and describe whether primary health care nurses are equipped with the skills they require in health assessment, treatment and care. The researcher used an exploratory, descriptive and contextual, design to do this. The data was obtained through focus group interviews with community nurses in the first phase, and with patients in the second phase of data collection respectively. In the. third phase, guidelines were compiled from the data obtained in phases one and two to outline how primary health care nurses should function in health assessment, treatment and care of their patients. The results of this research show that the community nurses and patients perceive primary health care nurses to be skilful in psychomotor, cognitive and attitude aspects.
38
Brown, Megan. "Community Agency Supervisors' Experiences with Supervisory Training and Supervision that Address the Knowledge and Skill Areas of Supervision in the Social Service Field." Thesis, 2014. http://hdl.handle.net/1828/5446.
Full textAbstract:
Research shows that supervisors in the social service field require on-going training and supervision; however, we do not know much about supervisors’ training and supervision and whether it prepares supervisors for the responsibilities of their jobs. This study used a telephone survey to explore the training and supervision experiences of community agency social service supervisors. The survey directly addressed 20 supervisory knowledge and skill areas identified from the literature review as those necessary for social service supervisors to be effective. Descriptive statistics were used to analyze participants’ responses and describe their training and supervision experiences. The goal of the study was to describe the training and supervision that supervisors receive to see if they address the supervisory knowledge and skill areas identified from the literature. Although the study found that supervisors access more training and supervision than expected, it also found significant inconsistencies in the training and supervision.Graduate
0534
mahbrown@uvic.ca
39
Clarke, Marina. "The lay health worker as a member of the primary health team." Thesis, 2014. http://hdl.handle.net/10210/11780.
Full textAbstract:
M.Cur. (Community Health Nursing)During employment as a registered nurse and while rendering mobile family planning services on farms in the Eastern Transvaal, it was found that appreciable time was spent on non-nursing tasks. The impression gained, was that the people who visited the clinics were only a part of the total farm community and that possibly a mutual communication gap existed between the formal health sector and the community. The purpose of this study was to establish whether the lay health worker should be formally recognised as a member of the primary health team. The research design was a descriptive, quantitative study in a contextual framework. Data was collected using a literature study and a survey using a questionnaire. The research has confirmed that a gap exists between the formal health sector and the rural community. This gap is bridged by the lay health worker, implying that she should be formally recognised as a member of the primary health team.
40
Mitchell, Christina. "Exploration of changes in outpatient clinical presentation and diagnosis in children and adolescents at a South African community service and psychological training centre from 1987 to 2009." Thesis, 2012. http://hdl.handle.net/10413/9168.
Full textAbstract:
Child and adolescent mental health represents a key area of concern and public health relevance. Mental health disorders are one of the most prevalent illnesses affecting young people and contribute significantly to the global burden of disease. Childhood and adolescent mental health problems often persist into adulthood and as such frequently result in lifelong negative consequences. Yet despite the growing concern with regards to the mental health needs of children and adolescents, not much research, both internationally and particularly locally, has focused on the provision of mental health services to children and adolescents. Additionally, little has been published on the changes and trends in diagnostic rates and assessment procedures over time. Only a few international studies have investigated mental health trends in children and adolescents; hence, there is a crucial need for South African data to inform preventative and curative services for children in South Africa. This present study therefore investigated the trends and patterns relating to diagnostic rates and assessment practices in children and adolescents over time at a local South African psychological community service centre in Pietermaritzburg.
The study was a retrospective chart review and the sample consisted of 679 case files from children and adolescents between 3-17 years of age, who had been seen at a local psychological service centre between 1987-1989, 1997-1999 and 2007-2009. The case files were systematically analysed with regards to diagnosis and assessment practices. It was hypothesised that the years of continuous social and political conflict in the Pietermaritzburg area, namely 1987-1989, had a direct impact on the psychological development and well-being of children and adolescents from this area, and that this would be reflected in the case files from the corresponding years.
The research findings with regard to the assessment practices were comparable to the internationally observed trends relating to choice of tests and procedures. In addition, the findings of the current study also showed similar trends with regard to the increasing diagnostic rates for ADD/ADHD, Mood Disorder, and Autism Spectrum Disorders as were observed internationally. Additionally, the reported decreasing diagnostic rates for Mental Retardation and behaviour disorders were also found in this local study. However, the internationally observed increases in Anxiety Disorder diagnoses contrast with the findings of this study, where the results revealed that the rates for Anxiety Disorder and PTSD were considerably higher in the late 1980s and 1990s. This finding supports the initial hypothesis that the violence and social unrest had an effect on children’s psychological well-being.Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.
41
Sosibo, Dumisani Patrick. "Community health worker's perceptions on the training services offered by Masikhulisane : a case study of Inanda, Ntuzuma and KwaMashu in eThekwini Municipality in KwaZulu-Natal." Thesis, 2012. http://hdl.handle.net/10321/783.
Full textAbstract:
Dissertation submitted in fulfillment of the requirements for the
Master of Technology: Public Management, Durban University of Technology, 2012.Access to medical care remains a challenge worldwide. It is particularly severe in developing countries and it is estimated that one million more health care workers are needed in Africa to meet the health related Millennium Development Goals. Though many countries have made significant strides in improving health service delivery by increasing their spending on health care, many health systems remain weak. The situation is no different in South Africa. Community health workers (CHW’s) are thought to be an answer to improving health care delivery. They can be trained to do specialized tasks, such as providing sexually transmitted disease counselling, directly observed therapy and act as birth attendants. Others work on specific programmes performing limited medical evaluations and treatment. With proper training, monitoring, supervision and support, CHW’s have shown to be able to achieve outcomes in terms of health care service delivery. The researcher undertook this study to investigate the perceptions of CHW’s on the training services offered by Masikhulisane (MK). A case study of Inanda, Ntuzuma and KwaMashu (INK) used a mix method approach to determine the perceptions of community health workers on the training services offered by Masikhulisane. The researcher distributed questionnaires to six groups of CHW’s in the INK area at different venues. The findings of the study are useful in making evidence-based improvements in the MK education programme that targets various sectors, including CHW’s. From the findings of this study, it was concluded that CHW’s can make a valuable contribution to improved access and coverage of communities with basic health services. It is recommended that the Masikhulisane training programme should be accredited, the Masikhulisane sectoral approach should be broadened to reach more sectors not reached before and the training content should be revisited to ensure acceptability and appropriateness for targeted sectors.
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Arumugam, V. "Evaluation of the Wits crisis centre lay counselling training course via trainee perceptions." Thesis, 2016. http://hdl.handle.net/10539/21349.
Full textAbstract:
Abstract
Keywords:
Lay counsellors, training and evaluation.
The training of lay counselling is of great significance to the field
of Counselling Psychology. Therefore,the Health Professions
Council of South Africa (HPCSA) decided to allow for the registration
of lay counsellor training courses. However, the criteria for registration
need to be formulated. This study evaluated the Wits Crisis course
for volunteer counsellors, via illumination of the perceptions of the trainees and a measurement of their self-efficacy and personal relations before and after the training. The study included qualitative
and quantitative methodology. Past trained counsellors and trainees
were interviewed and then assessed on Self-Efficacy and Personal
Relations before and after training. A Wilcoxon Matched-Pairs Signed-Rank significance in self-efficacy or personal relations scores
after training. However, the interviews of the participants' perceptions
of the course and its impact on them supported the hypotheses. Overall, perceptions were positive. Negative perceptions were highlighted, as this information could add to the knowledge base of the program.GR 2016
43
Baloyi, Lynette Fanisa. "Problems in providing primary health care services : Limpopo Province." Diss., 2009. http://hdl.handle.net/10500/3131.
Full textAbstract:
A quantitative, descriptive, explorative design was applied to study the problems that hindered the Primary Health Care (PHC) nurses in rendering quality health care in the health facilities in Limpopo province South Africa. The sample consisted of 53 PHC nurses who completed a pre-tested questionnaire which covered various aspects related to the provision of quality PHC services. The data were analysed by computer using SPSS version 15 soft ware. The findings revealed that most of the problems could be attributed to financial constraints, poor budgeting, and shortage of staff to manage large number of patients, lack of enough support from other professional staff, unreliable referral systems and communication networks. PHC nurses work under difficult conditions and often have to improvise to care for patients, but unless more funds are allocated to rural health care facilities and these problems are addressed, more nurses will work under difficult circumstances.Health Studies
M.A. (Health Studies)
44
Brooks, Sharmayne. "Convergence of Modern-day Slavery with Poverty, Drugs, and Conflict in Vulnerable Populations: Training Rural Public Health Workers to Promote Human Trafficking Awareness." Thesis, 2018. https://doi.org/10.7916/D8W6837K.
Full textAbstract:
In spite of mass media attention and implementation of international laws in the last two decades, modern-day slavery is still active in communities across the globe. Individuals trapped in forced labor situations endure devastating physical and mental illnesses, with dire consequences that extend into families and neighborhoods. The call has been made for every citizen to join in the anti-human trafficking movement. Lawmakers, police, and border patrol officers are on alert in each major U.S. city. Yet, training some of the most valuable stakeholders who work among some of the most vulnerable populations has been largely overlooked.
Rural public health workers, specifically promotoras, serving in Texas-Mexico border communities are a key component to activate in the anti-trafficking awareness and prevention efforts in this region. The current research examined the geographic and socioeconomic situation of the colonias in the Rio Grande Valley and the effect of the drug cartel conflict directly across the border. Through an online survey, this study assessed rural public health workers’ knowledge and awareness of human trafficking and educational needs on human trafficking issues.
Results of this research indicate that limited education and training of rural public health workers on the topic of human trafficking contribute to the low rate of victim identification in the rural clinic and community settings. Recommendations for immediate training of this strategic population located on our southernmost U.S. border is proposed along with future research.
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Nompandana, Lulama Elizabeth. "The development of a training programme for traditional birth attendants in the Flagstaff district of Region E of the Eastern Cape." Diss., 1999. http://hdl.handle.net/10500/15660.
Full textAbstract:
The purpose of this study was to identify the need for a training programme and to
develop the training programme to meet the needs of traditional birth attendants in the
management of pregnancy, labour and puerperium.
The study was conducted in the Flagstaff district which is one of the districts of the north
eastern region (region E) of the Eastern Cape. The target group consisted of all the
traditional birth attendants who availed themselves at the residential clinics of Flagstaff
district and the number is not known as not all traditional birth attendants who presented
themselves are recognized by their communities as traditional birth attendants. The study
was a quantitative descriptive design and the data was collected by means of structured
interviews using a questionnaire that was designed by the researcher.
According to the findings the traditional birth attendants are functioning without being
formally trained before. They lack knowledge and skill in the management of pregnancy,
labour and puerperium. Some of their practices are reason for concern, for example
cephalic versions and not using protective devices.
There is a need for the development of the training programme in the Flagstaff district.
This programme was developed from the information obtained from the data-analysis and
is given as annexure FHealth Sciences
M.A. (Advanced Nursing Sciences)
46
Staniforth, Barbara Lynn. "Past, present and future perspectives on the role of counselling in social work in Aotearoa New Zealand : a dissertation presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Social Work at Massey University, Auckland, New Zealand." 2010. http://hdl.handle.net/10179/1276.
Full textAbstract:
Since the profession of social work began, there has been debate about whether it should be involved in helping individuals make change, or in encouraging societal change. Towards gaining an understanding of how this debate has played out in Aotearoa New Zealand, this research explores the question “What are the past present and future perspectives on the role of counselling in social work in Aotearoa New Zealand?” A mixed methodology format was used in this research. Qualitative interviews with individuals who had helped create the professions of social work, counselling and psychology were conducted to help understand the historical development of counselling within social work, and the factors which had impacted upon it. Questionnaires were then sent out to 985 members of the Aotearoa New Zealand Association of Social Workers that asked about members’ current views on, and practice of, counselling within social work. The research shows that social work developed late in New Zealand within a welfare state where governments questioned the need for it. With social work education not widely available until the 1970s there was limited training in counselling type approaches. The drive for professionalism (often aligned with those doing counselling) was tempered by those mindful of community and bicultural commitments due to differing ideologies and lack of access to education. Tangata whenua have had a major impact on the development of social work, and counselling within it. Respondents in this research were clear that aspects of counselling fell within their definitions of social work and that counselling in Aotearoa New Zealand should hold a strengths-based, collaborative stance that recognised the importance of a bicultural perspective. Most respondents indicated that they did some amount of counselling within their practice, but only 34% of respondents felt that their basic social work qualification had prepared them adequately or really well for their counselling role. The majority of questionnaire respondents had undertaken additional training to help them with their counselling role and over two-thirds indicated a strong desire to engage in further study in counselling. Registration of the helping professions presents challenges that include the potential for unhelpful competition between them. The thesis concludes that there is a need for more counselling education options for social workers and that there is a need for the profession of social work to formally define its scopes of practice.
47
Ndoro, Jorine Tafadzwa. "Examining of knowledge management systems applied by extension workers supportive community gardens in the uMgungundlovu District Municipality." Thesis, 2011. http://hdl.handle.net/10413/8539.
Full textAbstract:
South Africa as other African countries has not been spared from the rural poverty. The South African government is trying to address this problem through various government departments. One such ministry trying to address rural poverty is the Ministry of Agriculture, working together with the provincial Ministries of Agriculture in different provinces. The provision of appropriate agricultural extension services is regarded as a tool that may be used to address rural poverty and development in South Africa’s rural areas. Appropriate extension services will depend on the knowledge management system applied by the organisation making it innovative and responsive to the needs of the farmers. The objective of this research was therefore to identify knowledge management systems applied by extension workers to support community garden farmers in the uMgungundlovu District Municipality in KwaZulu-Natal. To address the objective, qualitative research methods, namely focus group discussion and semi-structured interviews, were used. In this research, it was evident that the extension workers were not efficiently managing knowledge within their department, among themselves as well as among the farmers. The extension workers have potential knowledge management methods in place, such as departmental meetings. However, the extension workers’ practices do not capture the true essence of knowledge management. There is no evidence that knowledge gained by extension workers during meetings and informal discussions in the organisation is translated into learning, which could lead to the development of new knowledge by the extension workers. The extension workers claimed that they are using appropriate methods to learn from the farmers and to share knowledge with them. However, the farmers do not believe that the extension workers make use of any methods to encourage knowledge sharing and learning. It is thus evident that extension workers do not integrate knowledge gained from the farmers into the improvement of their own agricultural extension practices. Agricultural extension organisations therefore need to adopt methods that encourage learning, reflection and engagement with the knowledge gained from the organisation and the farmers for real knowledge management to take place. This, in essence, will lead to the creation, sharing, utilization, absorption and transformation of knowledge.Thesis (M.Agric.)-University of KwaZulu-Natal, Pietermaritzburg, 2011.
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Netangaheni, Thinavhuyo Robert. "A hidden cohort: HIV and AIDS amongst the farming community." Thesis, 2008. http://hdl.handle.net/10500/706.
Full textAbstract:
Purpose
This research project was an attempt to determine situational aspects of HIV and AIDS among the designated farming communities in the Vhembe and Mopani districts of Limpopo Province. Questions arising from the pilot project were premised on the capacity of farmers in these areas to adequately address the daunting reality and prevalence of HIV and AIDS in their communities.
Research Design and Methodology
The research was designed to facilitate the integration of both qualitative and quantitative approaches. A sample of 228 respondents was involved in a triangulated participatory action research method. To the extent that the data collection techniques were triangulated in both nature and focus, HIV/AIDS-related data and information within the designated farming communities was attained with a maximum degree of validity. The data collection techniques used in this regard were: questionnaires, which were distributed to 228 respondents; participant observation; exploratory investigation; unstructured interviews; naturalistic observation; focus group interviews and discussion; and review of documents. The reviewed documents include (primary) sources on HIV/AIDS by the Department of Health and (secondary) sources of literature by various authors presenting a range of perspectives on HIV/AIDS in farming areas.
Findings
The results of the study revealed the absence of a coordinated policy on HIV/AIDS in particular, and health in general; and a vacuous prevalence of basic HIV/AIDS-related information. For instance, knowledge on condom usage as a prevention strategy was ostensibly scant. Currently, primary healthcare services in the area are not available. The sampled farm workers themselves unanimously corroborated that there was no HIV/AIDS policy on the SAFM farms.
Conclusion
Based on the main findings established above, it has become indispensable that comprehensive and multidisciplinary HIV/AIDS policy interventions be initiated by all the relevant stakeholders. Local and provincial healthcare authorities need to provide policy guidelines for the development of such policy, taking the particular needs and circumstances of farm workers. The pervasive degree of insufficient HIV/AIDS knowledge among this group necessitates that such a policy should integrate both a labour perspective and healthcare orientation, rather than perpetuating a separation of the two paradigms. This form of integration ensures that the observance of a human rights dimension becomes a sacrosanct component of the prevention of HIV/AIDS among farm workers, as well as their education concerning their healthcare-related rights as farm employees. Furthermore, the prevalence of a national HIV and AIDS policy is mainly aimed at facilitating broad guidelines, not addressing the specific contexts of every public, corporate and rural employment sector (DoH, 2007: 11-12; Muhlemann, et al., 1992: 479). In order that the education, prevention and treatment initiatives in the Vhembe and Mopani farming communities are achieved, the most important parameters of the policy should indicate:
,,X The systematic institutionalisation of local, provincial, and national HIV and AIDS programmes, notwithstanding the provision of healthcare facilities such as clinics;
,,X The promotion of basic healthcare education in general, and HIV/AIDS awareness and prevention among farm workers in particular;
,,X The development of HIV/AIDS work place policy by SAFM as employer;
,,X The systematic involvement and formation of partnerships between policy makers, local and international funders, HIV/AIDS healthcare workers and practitioners, NGOs and SAFM.
As a critical factor and unit of analysis in the study, SAFM is expected to fulfil a developmental function among its employees, their families, and the local communities. This function could be enhanced further with the collaboration between SAFM and other farmers in the distribution of basic information regarding HIV/AIDS and other sexually transmitted diseases at the workplace, as well as extensive healthcare education and training for their farming personnel. Trained personnel, especially managers, are a salient factor in the implementation of organisational health and safety requirements (DoH, 2007: 6, 8; Muhlemann, et al., 1992: 478-479).Health Studies
D. Litt. et Phil. (Health Studies)
49
Harris, Ragel Susanna. "Plaaslike owerhede se primêre gesondheidsafdelings : 'n verpleegbestuurperspektief." Diss., 1996. http://hdl.handle.net/10500/16908.
Full textAbstract:
Text in AfrikaansSummaries in Afrikaans and English
Die doel van die sensus was om 'n perspektief te verkry oar die bestuur van plaaslike owerhede in die Vrystaat se primere gesondheidsafdelings deur verpleegkundiges. Faktore rakende die omvang van die verpleegkundige in beheer se bestuursfunksies, die werksverhoudinge tussen hulle en hul hoofde, hul optimale benutting ten opsigte van bestuur en sekere aspekte van hul bestuursopleiding is ge"ldentifiseer as belangrike komponente. Ontleding van data het getoon dat verpleegkundiges en hoofde van mekaar verskil ten opsigte van hul sienings rakende die bestuursfunksies van die verpleegkundige in beheer. Werksverhoudinge tussen die verpleegkundiges en hul direkte toesighouer is nie altyd bevredigend nie. Die swak benutting van hul bestuursvaardighede blyk vir die verpleegkundiges in beheer onaanvaarbaar te wees. Sekere aspekte van die bestuursopleiding van verpleegkundiges behoort aandag te geniet. Plaaslike owerhede behoort aan verpleegkundiges geleenthede vir voortgesette bestuursopleiding te bied. Aanbevelings om die optimale benutting van verpleegkundiges in beheer van primere gesondheidsafdelings van plaaslike owerhede te bevorder, is geformuleer.
The purpose of this census was to obtain a perspective on the management of primary health services of local authorities by nurses in the Free State. Factors regarding the extent of management in primary health care services by nurses, working relationships between them and their superiors, their optimal utilisation with regard to management and certain aspects of their managerial training, were identified as important components. Analysis of data indicated that nurses and their superiors differ from one another regarding their views on managerial functions of the nurses in charge. Working relationships between nurses in charge and their superiors were not always satisfactory. Nurses found the poor utilization of their management skills unacceptable. Certain aspects of the managerial training of nurses should receive attention. Local authorities should provide opportunities for ongoing managerial training for nurses. Recommendations to utilise nurses in charge of primary health care services optimally, were formulated.
Health Studies
M.A.
50
Bezuidenhout, Lynette. "Strategic plan for the reconstruction of nursing education within a primary health care approach." Thesis, 2012. http://hdl.handle.net/10210/5770.
Full textAbstract:
M.Cur.The entire country is currently in a process of reconstruction that inevitably lead to reconstruction within the health care system. The ANC (African National Congress) formulated a National Health Plan based on primary health care that is a practical expression of providing an effective and equitable health care to all inhabitants of the country. Recognising the need for transformation, a process was initiated by the African National Congress (ANC) to develop an overall National Health Plan based on the Primary Health Care approach (ANC, 1994: 7) . In the light of these present needs, the vision is to develop a strategy to empower our professional nurses that can effectively implement primary health care whilst operating within the limitations of the existing resources (Human Resource Committee for Health, 1994:5). The context of the study is applicable to the Northern Region of the North West Province. There are various courses available to empower professional nurses to primary health care, but for the purpose of the study is the Diploma Course in Clinical Nursing Science, Health Assessment, Treatment and Care described