WorldWideScience

Sample records for cape town south

  1. Perspectives of wild medicine harvesters from Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Leif Petersen

    2017-09-01

    Full Text Available Cape Town is a fast-growing cityscape in the Cape Floristic Region in South Africa with 24 formally protected conservation areas including the World Heritage Table Mountain National Park. These sites have been protected and managed as critical sites for local biodiversity, representing potentially one-third of all Cape Floristic Region flora species and 18% of South Africa's plant diversity. Cape Town is also inhabited by a rapidly growing culturally and economically diverse citizenry with distinct and potentially conflicting perspectives on access to, and management of, local natural resources. In a qualitative study of 58 locally resident traditional healers of distinct cultural groups, we examined motivations underlying the generally illicit activity of harvesting of wild resources from Cape Town protected areas. Resource harvester motivations primarily link to local economic survival, health care and cultural links to particular resources and practices, 'access for all' outlooks, and wholesale profit-seeking perspectives. We describe these motivations, contrast them with the current formal, legal and institutional perspectives for biodiversity protection in the city, and propose managerial interventions that may improve sustainability of ongoing harvest activities. Significance: The study reveals, for the first time in the Cape Floristic Region, informal economy viewpoints on terrestrial nature and how its direct use has important economic and cultural roles – specifically in wild medicine harvesting and trade. We contrast the formal and informal approaches to nature conservation in the city and propose new considerations for conservation managers.

  2. Urban Ecology in Cape Town: South African Comparisons and Reflections

    Directory of Open Access Journals (Sweden)

    Sarel S. Cilliers

    2012-09-01

    Full Text Available Little urban ecological research has been done in South Africa. The papers in the Ecology and Society special feature Urban Ecological and Social-Ecological Research in the City of Cape Town make, therefore, an important contribution to the development of urban ecology locally and globally. Different approaches have been used in the study of urban ecology of different urban areas in South Africa. Cape Town is situated in a biodiversity hotspot and is the only South African city which includes a national park. As a result the urban ecological studies were mainly driven by urban nature conservation concerns. In other cities such as Durban, open space planning and environmental management were the major issues which focused ecological studies on urban areas whereas other studies of urban areas in the Eastern Cape and North-West provinces included private and public open spaces and man-made habitats. We reflect on the Cape Town studies in a South African context and highlight conservation of biodiversity, protection of ecosystem services, management of control measures, and the conflict between humans and nature. A brief synthesis has also been given of South African urban ecological research in general.

  3. Development of a virtual wave buoy system for the Port of Cape Town, South Africa

    CSIR Research Space (South Africa)

    Rossouw, Marius

    2005-07-01

    Full Text Available The Port of Cape Town is located in Table Bay on the south-west coast of South Africa. Since the port experiences advese weather conditions, especially during the winter period, the monitoring of marine weather and wave conditions forms an integral...

  4. Education, Ethnic Homogenization and Cultural Hybridization (Brussels, Belgium, and Cape Town, South Africa).

    Science.gov (United States)

    Leman, Johan, Ed.

    1999-01-01

    The eight chapters of this theme issue examine the ways in which autochthonous communities regard the supply side of education. The supply side is segregational in nature, and immigrants themselves move toward ethnic homogenization. The focus is on urban minorities in Brussels (Belgium). Compares the situation in Cape Town (South Africa). (SLD)

  5. No decrease in annual risk of tuberculosis infection in endemic area in Cape Town, South Africa

    NARCIS (Netherlands)

    Kritzinger, Fiona E.; den Boon, Saskia; Verver, Suzanne; Enarson, Donald A.; Lombard, Carl J.; Borgdorff, Martien W.; Gie, Robert P.; Beyers, Nulda

    2009-01-01

    To estimate the change in annual risk of tuberculosis infection (ARTI) in two neighbouring urban communities of Cape Town, South Africa with an HIV prevalence of approximately 2%, and to compare ARTI with notification rates and treatment outcomes in the tuberculosis (TB) programme. In 1998-1999 and

  6. Popular Education in Three Organisations in Cape Town, South Africa

    Science.gov (United States)

    Endresen, Kristin

    2013-01-01

    In the past, non-formal education in South Africa was committed to supporting the Mass Democratic Movement (MDM) in opposition to apartheid. Such non-formal political education was concerned with education for democracy. Post 1994, South African adult education policy has exclusively concentrated on vocational training, shifting the focus away…

  7. Molecular detection of airborne Emergomyces africanus, a thermally dimorphic fungal pathogen, in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Ilan S Schwartz

    2018-01-01

    Full Text Available Emergomyces africanus is a thermally dimorphic fungus that causes a systemic mycosis in immunocompromised persons in South Africa. Infection is presumed to follow inhalation of airborne propagules. We developed a quantitative PCR protocol able to detect as few as 5 Es. africanus propagules per day. Samples were collected in Cape Town, South Africa over 50 weeks by a Burkard spore trap with an alternate orifice. We detected Es. africanus in air samples from 34 days (10% distributed over 11 weeks. These results suggest environmental exposure to airborne Es. africanus propagules occurs more commonly in endemic areas than previously appreciated.

  8. Molecular detection of airborne Emergomyces africanus, a thermally dimorphic fungal pathogen, in Cape Town, South Africa.

    Science.gov (United States)

    Schwartz, Ilan S; McLoud, Josh D; Berman, Dilys; Botha, Alfred; Lerm, Barbra; Colebunders, Robert; Levetin, Estelle; Kenyon, Chris

    2018-01-01

    Emergomyces africanus is a thermally dimorphic fungus that causes a systemic mycosis in immunocompromised persons in South Africa. Infection is presumed to follow inhalation of airborne propagules. We developed a quantitative PCR protocol able to detect as few as 5 Es. africanus propagules per day. Samples were collected in Cape Town, South Africa over 50 weeks by a Burkard spore trap with an alternate orifice. We detected Es. africanus in air samples from 34 days (10%) distributed over 11 weeks. These results suggest environmental exposure to airborne Es. africanus propagules occurs more commonly in endemic areas than previously appreciated.

  9. Exploring urban health in Cape Town, South Africa: an interdisciplinary analysis of secondary data

    Science.gov (United States)

    Mumm, Rebekka; Hänselmann, Eva; Freund, Johanna; Wirsching, Michael; Gärtner, Jan; Gminski, Richard; Vögtlin, Katrin; Körner, Mirjam; Zirn, Lena; Wittwer-Backofen, Ursula; Oni, Tolu

    2017-01-01

    Background: With modern information technology, an overwhelming amount of data is available on different aspects of societies. Our research investigated the feasibility of using secondary data sources to get an overview of determinants of health and health outcomes in different population strata of Cape Town, a large city of South Africa. Methods: The methodological approach of secondary-data analysis was similar in the different disciplines: Biological Anthropology, Public Health, Environmental Health, Mental Health, Palliative Care, Medical Psychology and Sociology at the University of Freiburg and Public Health at the University of Cape Town. The teams collected information on Cape Town through Internet searches and published articles. The information was extracted, analyzed, condensed, and jointly interpreted. Results: Data show the typical picture of a population in epidemiological and demographic transition exposed to often difficult social, mental, and physical environmental conditions. Comparison between low and higher socioeconomic districts demonstrated that the former had higher air pollution, poorer water quality, and deficient sanitary conditions in addition to sub-optimal mental health services and palliative care. Conclusion: Although important information gaps were identified, the data draw attention to critical public health interventions required in poor health districts, and to motivate for pro-equity policies. PMID:28093045

  10. Tourist Profile and Destination Brand Perception: The Case of Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Ikechukwu O. Ezeuduji

    2016-08-01

    Full Text Available Tourists pay for destination brands. This study checked for the relationships between tourists’ profile and how they perceived the destination brand of Cape Town. A questionnaire survey of 220 tourists visiting Cape Town was done. This study found that repeat visit, age of tourist, length of stay, and tourist origin, have significant influences on how tourists visiting Cape Town perceived the destination. The top three destination attributes of Cape Town (cognitive images, which enhance visitor experience satisfaction are (1 the overall level of service quality at facilities in Cape Town, (2 the city being one of the best places the tourists have visited, and (3 the destination’s good value for money. The top three emotional valuations of destination attributes (affective images which enhance visitor experience satisfaction in Cape Town include (1 memorable visit, (2 valuable visit, and (3 friendly and hospitable population. It is therefore recommended that tourism businesses in Cape Town develop relationship marketing tools to attract and retain its tourists segments of loyal, advanced in age, long-staying and domestic tourists. Results from this research could be compared with related findings in the international arena and have related implications, especially for developing economies

  11. Firearm injuries to children in Cape Town, South Africa: impact of the 2004 Firearms Control Act.

    Science.gov (United States)

    Campbell, N M; Colville, J G; van der Heyde, Y; van As, A B

    2013-07-31

    Before the introduction of the Firearms Control Act in 2004, the epidemiology of childhood firearm injuries from 1991 to 2001 in Cape Town, South Africa, was reported. This study analyses current data as a comparator to assess the impact of the Act. Firearm injuries seen at Red Cross War Memorial Children's Hospital, Cape Town, from 2001 to 2010 were respectively reviewed. Data recorded included the patients' folder numbers, gender, date of birth, age, date of presentation, date discharged and inpatient stay, firearm type, number of shots, circumstances, injury sites, injury type, treatment, resulting morbidities and survival. These data were compared with the 1991 - 2001 data. One hundred and sixty-three children presented with firearm injuries during this period. The results showed a decrease in incidence from 2001 to 2010. Older children and males had a higher incidence than younger children and females. Most injuries were to an extremity and were unintentional. Mortality had reduced significantly from the previous study (6% to 2.6%), as did the total number of inpatient days (1 063 to 617). Compared with the earlier study, this study showed a significant reduction in the number of children presenting with a firearm-related injury. Mortality and inpatient stay were also significantly reduced. The study shows the impact that the Firearms Control Act has had in terms of paediatric firearm-related injury and provides evidence that the medical profession can play an important role in reducing violence.

  12. Inequitable access to substance abuse treatment services in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Louw Johann

    2010-11-01

    Full Text Available Abstract Background Despite high levels of substance use disorders in Cape Town, substance abuse treatment utilization is low among people from disadvantaged communities in Cape Town, South Africa. To improve substance abuse treatment utilization, it is important to identify any potential barriers to treatment initiation so that interventions to reduce these barriers can be implemented. To date, substance abuse research has not examined the factors associated with substance abuse treatment utilization within developing countries. Using the Behavioural Model of Health Services Utilization as an analytic framework, this study aimed to redress this gap by examining whether access to substance abuse treatment is equitable and the profile of variables associated with treatment utilization for people from poor communities in Cape Town, South Africa. Methods This study used a case-control design to compare 434 individuals with substance use disorders from disadvantaged communities who had accessed treatment with 555 controls who had not accessed treatment on a range of predisposing, treatment need and enabling/restricting variables thought to be associated with treatment utilization. A hierarchical logistic regression was conducted to assess the unique contribution that the need for treatment, predisposing and enabling/restricting variable blocks made on substance abuse treatment utilization. Results Findings revealed that non-need enabling/restricting variables accounted for almost equal proportions of the variance in service utilization as the need for treatment variables. These enabling/restricting variables also attenuated the influence of the treatment need and predisposing variables domains on chances of treatment utilization. Several enabling/restricting variables emerged as powerful partial predictors of utilization including competing financial priorities, geographic access barriers and awareness of treatment services. Perceived severity of

  13. HIV prevalence and risk behaviours among foreign migrant women residing in Cape Town, South Africa.

    Science.gov (United States)

    Townsend, Loraine; Giorgio, Maggie; Zembe, Yanga; Cheyip, Mireille; Mathews, Catherine

    2014-10-01

    HIV prevalence and risk behaviour among foreign migrants in South Africa has not been explored. This paper describes the effectiveness of respondent-driven sampling (RDS) to recruit foreign migrant women residing in Cape Town, reports HIV prevalence, and describes key characteristics among them. We conducted a biological and behavioural surveillance survey using RDS. After written informed consent, participants completed an audio computer assisted self-interview and provided a dried blood sample for HIV analysis. HIV prevalence was estimated to be 7 % (CI 4.9-9.5) among 935 women. HIV sero-positivity was associated with older age (p = 0.001), country of origin (p used a condom at last sex with a main partner (p = 0.007). Few women reported early sexual debut, or multiple sexual partners. RDS was successful in recruiting foreign migrant women.

  14. From Digital Divide to Digital Equity: Learners' ICT Competence in Four Primary Schools in Cape Town, South Africa

    Science.gov (United States)

    Gudmundsdottir, G. B.

    2010-01-01

    This study explores factors influencing the digital divide in four schools in Cape Town, South Africa. Three of the schools are for disadvantaged learners whereas the fourth was previously for whites only. All the schools use ICT in their curriculum delivery and thereby support the emphasis of provincial educational authorities on ICT access for…

  15. Estimates of CO2 fluxes over the City of Cape Town, South Africa, through Bayesian inverse modelling

    CSIR Research Space (South Africa)

    Nickless, A

    2018-04-01

    Full Text Available The results of a high resolution Bayesian inversion over the City of Cape Town, South Africa, are presented, which used observations of atmospheric carbon dioxide from sites at Robben Island and Hangklip lighthouses collected over a sixteen month...

  16. Acute appendicitis in the public and private sectors in Cape Town, South Africa.

    Science.gov (United States)

    Yang, Estin; Cook, Colin; Kahn, Delawir

    2015-07-01

    South Africa has a low incidence of acute appendicitis, but poor outcomes. However, South African studies on appendicitis focus solely on public hospitals, neglecting those who utilize private facilities. This study aims to compare appendicitis characteristics and outcomes in public and private hospitals in South Africa. A prospective cohort study was conducted among two public and three private hospitals in the Cape Town metropole, from September 2013 to March 2014. Hospital records, operative notes, and histology results were reviewed for patients undergoing appendectomy for acute appendicitis. Patients were interviewed during their hospitalization and followed up at monthly intervals until normal function was attained. A total of 134 patients were enrolled, with 73 in the public and 61 in the private sector. Education and employment were higher among private sector patients. Public sector patients had a higher rupture rate (30.6 vs 13.2 %, p = 0.023). Times to presentation were not statistically different between the two cohorts. Public sector patients had longer hospital stays (5.3 vs 2.9 days, p = 0.036) and longer return to work times (23.0 vs 12.1 days, p public hospitals were more severe. Public sector patients in South Africa with appendicitis have higher rupture rates, worse complications, longer hospital stays, and longer recoveries than private sector patients. Patients with perforation had longer delays in presentation than patients without perforation.

  17. Stable carbon isotopic assessment of prehistoric diets in the south-western Cape, Cape Town, South Africa

    Energy Technology Data Exchange (ETDEWEB)

    Sealy, J C

    1984-01-01

    This thesis consists of a stable carbon isotopic assessment of the diets of the Holocene human inhabitants of the south-western Cape, South-Africa. Samples of the foods these people ate were collected from each of the four major physiographic zones in the area, and their /sup 13/C//sup 12/C ratios measured. A total of more than 200 such analyses enabled the estimation of the average delta /sup 13/C values of prehistoric human diets in each zone. This information is used to interpret delta /sup 13/C measurements on a series of archaeological human skeletons. The results are consistent with a model of prehistoric subsistence behaviour in which people living at the coast made intensive use of marine food resources throughout the Holocene, consuming such a large proportion of these foods that they must have spent much, if not all of their time at the coast. Inland skeletons reflect an almost entirely terrestrial diet. These results contradict hypotheses about seasonal population movements between the coast and the interior generated from excavated archaeological material. Considerable changes in many of our current views of the Late Stone Age of the south-western Cape will have to be made in order to accommodate these data.

  18. Mediators of interpersonal violence and drug addiction severity among methamphetamine users in Cape Town, South Africa.

    Science.gov (United States)

    Hobkirk, Andréa L; Watt, Melissa H; Green, Kimberly T; Beckham, Jean C; Skinner, Donald; Meade, Christina S

    2015-03-01

    South Africa has high rates of interpersonal violence and a rapidly growing methamphetamine epidemic. Previous research has linked experiences of interpersonal violence to higher rates of substance use, and identified mental health constructs as potential mediators of this association. The aim of this study was to examine the relationship between interpersonal violence and addiction severity among active methamphetamine users in Cape Town, South Africa, and to explore symptoms of posttraumatic stress disorder (PTSD) and substance use coping as mediators of this relationship. A community sample of 360 methamphetamine users was recruited through respondent driven sampling and surveyed on their experiences of violence, mental health, coping, and drug use and severity. A series of one-way ANOVAs were conducted to examine the relationship of self-reported interpersonal violence with drug addiction severity, and multiple mediation analyses were used to determine if PTSD symptoms and substance use coping mediated this relationship. The majority (87%) of the sample reported experiencing at least one instance of interpersonal violence in their lifetime, and the number of violent experiences was associated with increased drug addiction severity. PTSD and substance use coping were significant mediators of this association. Only the indirect effect of substance use coping remained significant for the female sample when the mediation model was conducted separately for men and women. The findings point to the need for integrated treatments that address drug use and PTSD for methamphetamine users in South Africa and highlight the importance of coping interventions for women. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Pasche Sonja

    2010-03-01

    Full Text Available Abstract Background Completion of substance abuse treatment is a proximal indicator of positive treatment outcomes. To design interventions to improve outcomes, it is therefore important to unpack the factors contributing to treatment completion. To date, substance abuse research has not examined the factors associated with treatment completion among poor, disadvantaged communities in developing countries. This study aimed to address this gap by exploring client-level factors associated with treatment completion among poor communities in South Africa. Methods Secondary data analysis was conducted on cross-sectional survey data collected from 434 persons residing in poor communities in Cape Town, South Africa who had accessed substance abuse treatment in 2006. Results Multiple regression analyses revealed that therapeutic alliance, treatment perceptions, abstinence-specific social support, and depression were significant partial predictors of treatment completion. Conclusions Findings suggest that treatment completion rates of individuals from poor South African communities can be enhanced by i improving perceptions of substance abuse treatment through introducing quality improvement initiatives into substance abuse services, ii strengthening clients' abstinence-oriented social networks and, iii strengthening the counselor-client therapeutic alliance.

  20. Surviving gangs, violence and racism in cape town

    DEFF Research Database (Denmark)

    Lindegaard, Marie Rosenkrantz

    Surviving Gangs, Violence and Racism in Cape Town offers an ethnographic study of young men in Cape Town and considers how they stay safe in when growing up in post-apartheid South Africa. Breaking away from previous studies looking at structural inequality and differences, this unique book focus...... they move between "black" or "coloured" township areas and the "white" suburbs of Cape Town....

  1. A qualitative study of methamphetamine initiation in Cape Town, South Africa

    Science.gov (United States)

    Hobkirk, Andréa L.; Watt, Melissa H.; Myers, Bronwyn; Skinner, Donald; Meade, Christina S.

    2015-01-01

    Background Despite a significant rise in methamphetamine use in low- and middle-income countries, there has been little empirical examination of the factors that contribute to individuals’ initiation of methamphetamine use in these settings. The goal of this study was to qualitatively examine factors associated with methamphetamine initiation in South Africa. Methods In-depth interviews were conducted with 30 active methamphetamine users (13 women and 17 men) in Cape Town, South Africa. Interviews included narrative descriptions of the circumstances surrounding methamphetamine initiation. Interviews were audio recorded, transcribed, and translated. Transcripts were analyzed with document memos, data display matrices, and a constant comparison technique to identify themes. Results On average, participants began regularly using methamphetamine around age 21 and had used for seven years. Four major themes emerged related to the initiation of methamphetamine use. The prevalence of methamphetamine users and distributors made the drug convenient and highly accessible to first time users. Methamphetamine has increased in popularity and is considered “trendy”, which contributes to social pressure from friends, and less often, family members to initiate use. Initiation is further fueled by a lack of opportunities for recreation and employment, which leads to boredom and curiosity about the rumored positive effects of the drug. Young people also turn to methamphetamine use and distribution through gang membership as an attempt to generate income in impoverished communities with limited economic opportunities. Finally, participants described initiating methamphetamine as a means of coping with the cumulative stress and psychological burden provoked by the high rates of violence and crime in areas of Cape Town. Conclusion The findings highlight the complex nature of methamphetamine initiation in low- and middle-income countries like South Africa. There is a need for

  2. A qualitative study of methamphetamine initiation in Cape Town, South Africa.

    Science.gov (United States)

    Hobkirk, Andréa L; Watt, Melissa H; Myers, Bronwyn; Skinner, Donald; Meade, Christina S

    2016-04-01

    Despite a significant rise in methamphetamine use in low- and middle-income countries, there has been little empirical examination of the factors that contribute to individuals' initiation of methamphetamine use in these settings. The goal of this study was to qualitatively examine factors associated with methamphetamine initiation in South Africa. In-depth interviews were conducted with 30 active methamphetamine users (13 women and 17 men) in Cape Town, South Africa. Interviews included narrative descriptions of the circumstances surrounding methamphetamine initiation. Interviews were audio recorded, transcribed, and translated. Transcripts were analyzed with document memos, data display matrices, and a constant comparison technique to identify themes. On average, participants began regularly using methamphetamine around age 21 and had used for seven years. Four major themes emerged related to the initiation of methamphetamine use. The prevalence of methamphetamine users and distributors made the drug convenient and highly accessible to first time users. Methamphetamine has increased in popularity and is considered "trendy", which contributes to social pressure from friends, and less often, family members to initiate use. Initiation is further fueled by a lack of opportunities for recreation and employment, which leads to boredom and curiosity about the rumored positive effects of the drug. Young people also turn to methamphetamine use and distribution through gang membership as an attempt to generate income in impoverished communities with limited economic opportunities. Finally, participants described initiating methamphetamine as a means of coping with the cumulative stress and psychological burden provoked by the high rates of violence and crime in areas of Cape Town. The findings highlight the complex nature of methamphetamine initiation in low- and middle-income countries like South Africa. There is a need for community-level interventions to address the

  3. Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.

    Science.gov (United States)

    Lion, Ryan R; Watt, Melissa H; Wechsberg, Wendee M; Meade, Christina S

    2017-05-12

    South Africa has experienced a tremendous rise in methamphetamine use since the year 2000. Sex trading is a global phenomenon that has been observed in active drug users and has been associated with risks for HIV infection and violence. This paper describes and examines the correlates of sex trading among active methamphetamine users in Cape Town, South Africa. Through peer referral, 360 (201 male; 159 female) active methamphetamine users were recruited in a peri-urban township. Demographics, sex trading, drug use, trauma, and mental health were assessed by a structured clinical interview and computer survey. Logistic regression models were used to examine predictors of sex trading for men and women. In the past 3 months, 40% of men and 33% of women endorsed trading sex for methamphetamine or money. Among these, they reported trading with same sex partners (33%), high rates of inconsistent condom use (73%), and incidences of physical (23%) and sexual (27%) assault when sex trading. Increased drug use severity was correlated with sex trading. Women with experiences of violence and trauma were also more likely to trade sex. Conclusions/importance: The results stress a need for linkage to drug treatment, as addiction may be fueling sex trading. Targeted interventions geared towards safe sex practices may reduce risky sexual behaviors. Women need interventions that are attuned to their specific vulnerabilities. More research is needed to explore the experiences of men who have sex with men given their particularly high rates of sex trading behavior.

  4. The Influence of Load Shedding on the Productivity of Hotel Staff in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Henriëtte STEENKAMP

    2016-07-01

    Full Text Available In South Africa, ESCOM is the country’s main electricity supplier. Since 2008, Eskom has implemented load shedding on an ongoing basis as a result of insufficient electricity supply to meet the demands of all its customers. Owing to the fact that many organisations across South Africa are depended on electricity in order to function, previous research studies show that the wide-spread impact of load shedding has had an adverse on the sustainability of many of these organisations. Among these organisations are those based in the hospitality industry – imperative in relation to the stimulation of the national economy; directly related to tourism. Albeit the aforementioned, the sustainability of organisations in the hospitality industry is also heavily dependent on the productivity of their employees. For this research study the influence of load shedding on the productivity of the staff in the hospitality industry was investigated within one particular hotel (Hotel X based in Cape Town. Empirical research was deployed, making use of a mixed methods approach to obtain both quantitative data and qualitative data from respondents. Stemming from the findings it was found that load shedding did have an adverse influence on the productivity of staff in Hotel X, despite the fact that affordable measures were put in place to mitigate the disruptions caused by load shedding. Moreover, the latter dispensation was found to have an inadvertently adverse influence on the overall sustainability of Hotel X on the long run.

  5. Methamphetamine Use and Sexual Risk Behavior among High School Students in Cape Town, South Africa

    Science.gov (United States)

    Pluddemann, Andreas; Flisher, Alan J.; McKetin, Rebecca; Parry, Charles D.; Lombard, Carl J.

    2012-01-01

    Objective: To investigate whether methamphetamine use is associated with sexual risk behavior among adolescents. Method: A cross-sectional survey of 1,561 male and female high school students in Cape Town (mean age 14.9 years) was conducted using items from the Problem Oriented Screening Instrument for Teenagers (POSIT) HIV Risk Scale. Results:…

  6. Sanitation services for the informal settlements of Cape Town, South Africa

    NARCIS (Netherlands)

    Mels, A.R.; Castellano, D.; Braadbaart, O.D.; Veenstra, S.; Dijkstra, I.; Meulman, B.; Singels, A.; Wilsenach, J.A.

    2009-01-01

    Sanitation coverage in the informal settlements of Cape Town is severely lagging behind. A recent inventory showed that the main barriers to the implementation of proper sanitation systems are unsuitability of the location of many settlements (more than 40% of the sites are located on private land,

  7. Prevalence of Falls in an Urban Community-Dwelling Older Population of Cape Town, South Africa.

    Science.gov (United States)

    Zimba Kalula, S; Ferreira, M; Swingler, G; Badri, M; Aihie Sayer, A

    2015-12-01

    Falls are a major cause of disability and mortality in older adults. Studies on falls in this population have mainly been conducted in high income countries, and scant attention has been given to the problem in low and middle income countries, including South Africa. The aim of the study was to establish a rate for falls in older adults in South Africa. A cross-sectional survey with a 12-month follow-up survey. Three purposively selected suburbs of Cape Town: Plumstead, Wynberg Central and Gugulethu. Eight hundred and thirty seven randomly sampled ambulant community-dwelling subjects aged ≥ 65 years grouped according to ethnicity in three sub-samples: black Africans, coloureds (people of mixed ancestry) and whites. Data were collected on socio-demographic and health characteristics, and history of falls using a structured questionnaire and a protocol for physical assessments and measurements. Of the total baseline (n=837) and follow-up (n=632) survey participants, 76.5% and 77.2 % were females with a mean (S.D) age of 74 years (6.4) and 75 years (6.2), respectively. Rates of 26.4% and 21.9% for falls and of 11% and 6.3% for recurrent falls, respectively, were calculated at baseline and follow-up. Fall rates differed by ethnic sub-sample at baseline: whites 42 %, coloureds 34.4% and black Africans 6.4 % (p=0.0005). Rates of 236, 406 and 354 falls per 1000 person years were calculated for men, women and both genders, respectively. Recurrent falls were more common in women than in men. Falls are a significant problem in older adults in South Africa. Effective management of falls and falls prevention strategies for older people in South Africa, need to be developed and implemented.

  8. The psychological well-being of children orphaned by AIDS in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Cluver Lucie

    2006-07-01

    Full Text Available Abstract Background An estimated 2 million children are parentally bereaved by AIDS in South Africa. Little is known about mental health outcomes for this group. Methods This study aimed to investigate mental health outcomes for urban children living in deprived settlements in Cape Town. 30 orphaned children and 30 matched controls were compared using standardised questionnaires (SDQ on emotional and behavioural problems, peer and attention difficulties, and prosocial behaviour. The orphan group completed a modified version of a standardised questionnaire (IES-8, measuring Post-Traumatic Stress symptoms. Group differences were tested using t-tests and Pearson's chi-square. Results Both groups scored highly for peer problems, emotional problems and total scores. However, orphans were more likely to view themselves as having no good friends (p = .002, to have marked concentration difficulties (p = .03, and to report frequent somatic symptoms (p = .05, but were less likely to display anger through loss of temper (p = .03. Orphans were more likely to have constant nightmares (p = .01, and 73% scored above the cut-off for Post-Traumatic Stress Disorder. Conclusion Findings suggest important areas for larger-scale research for parentally-bereaved children.

  9. Length of Service versus Employee Retention Factors: Hotels in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Ikechukwu O. Ezeuduji

    2017-04-01

    Full Text Available Employee retention can be measured quite accurately by the actual number of years that employees have worked in an organisation. This study investigates relationships between hotel employees’ length of service and responses to individual variables explaining employee retention factors. A structured questionnaire survey of 217 hotel employees in Cape Town, South Africa was used to obtain information that were subjected to bivariate and multivariate analyses. Key results show that the employees who have worked longer in the hotel have particular characteristics: they perceive that working hours in the hotel do not infringe on their personal quality time with friends; they perceive it will be difficult for them to leave the hotel; they want to remain in the hotel for a long time; and quite interestingly, they perceive they do not receive continuous training in the hotel. Further costs of hiring and developing new employees can be reduced if loyal and talented employees are retained for longer periods through continuous career development. This study is of particular interest to the hotel sector management, as it is focussed on retaining those staff who really want to build a career in the hospitality industry.

  10. Family Ties and Young Fathers’ Engagement in Cape Town, South Africa

    Science.gov (United States)

    Clark, Shelley; Cotton, Cassandra; Marteleto, Leticia J.

    2015-01-01

    Young South African fathers are often engaged in their children’s lives even if they do not live together. Using longitudinal data on children (n = 1,209) from the Cape Town area, the authors show that although only 26% of young fathers live with their children, 66% of nonresidential fathers maintain regular contact, and 61% provide financial support. The father–child relationship, however, is embedded in broader family ties. The type of father–mother relationship is strongly associated with whether fathers coreside with their children, but not with fathers’ contact with nonresidential children. Close mother and maternal grandmother bonds reduce the likelihood that fathers live with their children, whereas close ties between fathers and paternal grandmothers increase the chance that fathers visit nonresidential children. Family ties do not affect fathers’ financial contributions, which are driven by men’s current economic situation. These findings illustrate that father–child relationships are best understood in the context of interacting family systems. PMID:25774066

  11. Use of crystal methamphetamine among male adolescents in Cape Town, South Africa: Caregivers' experiences.

    Science.gov (United States)

    Asante, Kwaku Oppong; Lentoor, Antonio G

    2017-03-27

    Against the background that crystal methamphetamine (colloquially known as "tik") is extensively used by the emerging working class Coloured youth in Cape Town, South Africa, this exploratory qualitative study was conducted to explore the experience of mothers whose children use methamphetamine. The researchers conducted one-to-one semi-structured in-depth interviews with sixteen (16) purposively selected caregivers (mothers) whose sons use methamphetamine. Interviews were recorded and simultaneously translated and transcribed. Thematic analysis was used to identify themes related to the experiences of caregivers of youth with methamphetamine problems. Findings showed that youth misbehaviour provided a context that led to feelings of shame and embarrassment. Participants also experienced personal challenges which included emotional problems, fear and self-blame. Participants also expressed family disruptions and financial drain as adverse experiences as a results of their sons' misbehaviour. The study results highlight the psychosocial challenges for caregivers of children who use methamphetamine. These findings underscore the need for effort to be directed at the development of formal support interventions for mothers of youth who are troubled with addiction.

  12. Pricing landfill externalities: emissions and disamenity costs in Cape Town, South Africa.

    Science.gov (United States)

    Nahman, Anton

    2011-01-01

    The external (environmental and social) costs of landfilling (e.g. emissions to air, soil and water; and 'disamenities' such as odours and pests) are difficult to quantify in monetary terms, and are therefore not generally reflected in waste disposal charges or taken into account in decision making regarding waste management options. This results in a bias against alternatives such as recycling, which may be more expensive than landfilling from a purely financial perspective, but preferable from an environmental and social perspective. There is therefore a need to quantify external costs in monetary terms, so that different disposal options can be compared on the basis of their overall costs to society (financial plus external costs). This study attempts to estimate the external costs of landfilling in the City of Cape Town for different scenarios, using the benefits transfer method (for emissions) and the hedonic pricing method (for disamenities). Both methods (in particular the process of transferring and adjusting estimates from one study site to another) are described in detail, allowing the procedures to be replicated elsewhere. The results show that external costs are currently R111 (in South African Rands, or approximately US$16) per tonne of waste, although these could decline under a scenario in which energy is recovered, or in which the existing urban landfills are replaced with a new regional landfill. Copyright © 2011 Elsevier Ltd. All rights reserved.

  13. Ambient Air Pollution Exposure and Respiratory, Cardiovascular and Cerebrovascular Mortality in Cape Town, South Africa: 2001?2006

    OpenAIRE

    Wichmann, Janine; Voyi, Kuku

    2012-01-01

    Little evidence is available on the strength of the association between ambient air pollution exposure and health effects in developing countries such as South Africa. The association between the 24-h average ambient PM10, SO2 and NO2 levels and daily respiratory (RD), cardiovascular (CVD) and cerebrovascular (CBD) mortality in Cape Town (2001–2006) was investigated with a case-crossover design. For models that included entire year data, an inter-quartile range (IQR) increase in PM1...

  14. Incidence of myocardial injury after noncardiac surgery: Experience at Groote Schuur Hospital Cape Town South Africa

    Directory of Open Access Journals (Sweden)

    R Dyer

    2018-04-01

    Full Text Available Background. Myocardial injury after non-cardiac surgery (MINS is a newly recognised entity identified as an independent risk factor associated with increased 30-day all-cause mortality. MINS increases the risk of death in the perioperative period by ~10-fold. More than 80% of patients with MINS are asymptomatic, so the majority of diagnoses are missed. Awareness of MINS is therefore important for perioperative physicians.Objectives. To investigate the incidence of MINS after elective elevated-risk non-cardiac surgery at Groote Schuur Hospital, Cape Town, South Africa (SA.Methods. Patients aged ≥45 years undergoing elective elevated-risk non-cardiac surgery were enrolled via convenience sampling. The new fifth-generation high-sensitivity cardiac troponin T blood test was used postoperatively to identify MINS. Preoperative troponin levels were not measured.Results. Among 244 patients included in the study, the incidence of MINS was 4.9% (95% confidence interval (CI 2.8 - 8.5, which was not significantly different from that in a major international prospective observational study (VISION (8.0% (95% CI 7.5 - 8.4; p=0.080.Conclusions. Our SA cohort had a lower cardiovascular risk profile but a similar incidence of MINS to that described in international literature. The impact of MINS on morbidity and mortality is therefore likely to be proportionally higher in SA than in published international studies. The limited sample size and lower event rate weaken our conclusions. Larger studies are required to establish patient and surgical risk factors for MINS, allowing for revision of cardiovascular risk prediction models in SA. 

  15. The prevalence of refractive error in three communities of Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    M. Otutu

    2012-12-01

    Full Text Available The prevalence, distribution and demographic associations of refractive error in three communities in Cape Town, South Africa were assessed. In this cross-sectional study, a clustered random sampling procedure was used to recruit participants (n=176; age=40.6±14.7 years; males=76, females=96 from Khayelitsha, Milnerton, and Mitchell’s Plain. From March to May 2010, participants underwent autore-fraction and subjective refraction eye examinations.A structured interview was used to collect data on sociodemographics, age, gender, level of education, employment and race. Participants younger than 15 years, non-residents, or residents for less than six months, who declined signing the informed consent forms were excluded from the study. In this study myopia was defined as the spherical equivalent value in the better eye of −1.00D or worse and hyperopia as the spherical equivalent value in the better eye of ≥1.00D. Astigmatism was defined as −0.50 cylinder or worse in the better eye. The prevalence of myopia was 17.4% with a 90% confidence interval (CI of 12.65-22.15, hyperopia was 13.4% (90% CI 9.13-17.67, and astigmatism was 60% (90% CI 53.86-66.14. Myopia was found to be significantly associated with race and age; while hyperopia was significantly associated with age, employment and race. The results of this study may assist in planning for eye care on district level. (S Afr Optom 2012 71(1 32-38

  16. Pricing landfill externalities: Emissions and disamenity costs in Cape Town, South Africa

    International Nuclear Information System (INIS)

    Nahman, Anton

    2011-01-01

    Highlights: → The paper estimates landfill externalities associated with emissions, disamenities and transport. → Transport externalities vary from 24.22 to 31.42 Rands per tonne. → Costs of emissions (estimated using benefits transfer) vary from 0.07 to 28.91 Rands per tonne. → Disamenities (estimated using hedonic pricing) vary from 0.00 to 57.46 Rands per tonne. → Overall, external costs for urban landfills exceed those of a regional landfill. - Abstract: The external (environmental and social) costs of landfilling (e.g. emissions to air, soil and water; and 'disamenities' such as odours and pests) are difficult to quantify in monetary terms, and are therefore not generally reflected in waste disposal charges or taken into account in decision making regarding waste management options. This results in a bias against alternatives such as recycling, which may be more expensive than landfilling from a purely financial perspective, but preferable from an environmental and social perspective. There is therefore a need to quantify external costs in monetary terms, so that different disposal options can be compared on the basis of their overall costs to society (financial plus external costs). This study attempts to estimate the external costs of landfilling in the City of Cape Town for different scenarios, using the benefits transfer method (for emissions) and the hedonic pricing method (for disamenities). Both methods (in particular the process of transferring and adjusting estimates from one study site to another) are described in detail, allowing the procedures to be replicated elsewhere. The results show that external costs are currently R111 (in South African Rands, or approximately US$16) per tonne of waste, although these could decline under a scenario in which energy is recovered, or in which the existing urban landfills are replaced with a new regional landfill.

  17. Child pedestrian safety knowledge, behaviour and road injury in Cape Town, South Africa.

    Science.gov (United States)

    Koekemoer, Karin; Van Gesselleen, Megan; Van Niekerk, Ashley; Govender, Rajen; Van As, Arjan Bastiaan

    2017-02-01

    Pedestrian injuries are a leading cause of death among South African children, and young children residing in low-income communities are more at risk, due to various factors such as inadequate road infrastructure, exposure to traffic due to reliance on walking as a means of transport, and lack of supervision. This study used a cross-sectional, non-randomized self-report survey to assess pedestrian safety knowledge, road-crossing behaviour and pedestrian injuries of primary school children in selected low-income settings in Cape Town. The survey focused on three primary schools that had joined the Safe Kids Worldwide Model School Zone Project and was administered to 536 children aged 6-15 years, in their home language of isiXhosa. Descriptive and bivariate analyses as well as multivariate regression analyses were conducted to investigate potential predictor variables for pedestrian collision severity and unsafe road-crossing behaviour. Walking was the sole form of travel for 81% of the children, with a large proportion regularly walking unsupervised. Children who walk to or from school alone were younger and reported riskier road-crossing behaviour, although children who walk accompanied tended to have higher pedestrian collision severity. "Negligent Behaviour" related to road-crossing was significantly associated with higher pedestrian collision severity, with predictors of "Negligent Behaviour" including the lack of pedestrian safety knowledge and greater exposure to traffic in terms of time spent walking. More than half of the reported pedestrian collisions involved a bicycle, and older boys (10-15 years) were most at risk of experiencing a severe pedestrian injury. The findings substantiate emerging evidence that children in low-income settings are at greater risk for child pedestrian injury, and emphasise the need for evidence-based safety promotion and injury prevention interventions in these settings. Copyright © 2016. Published by Elsevier Ltd.

  18. South African Association of Physicists in Medicine and Biology: 25. Anniversary Congress, 18-22 Mar 1985, Cape Town

    International Nuclear Information System (INIS)

    1985-01-01

    The twenty-fifth anniversary congress of the South African Association of Physicists in Medicine and Biology was held from 18-22 March 1985 in Cape Town. The tremendous growth of nuclear energy and radiation technology in South Africa led to an increasing need for biophysicists, especially health physicists, for the application of radioisotopes and radiation as well as nuclear power, including the uranium industry. Papers delivered on the conference covered subjects like medical physics, radiotherapy, radiopharmaceuticals, radiation protection, the calibration of radiation monitors, radiation detectors, radiation doses and dosimetry

  19. On a Green Municipal Initiative in Cape Town (South Africa): Lessons from the Solar Water Heater Advanced Program

    International Nuclear Information System (INIS)

    Dubresson, Alain

    2013-01-01

    During the 2000's, the metropolitan municipality of Cape Town elaborated an ambitious energy transition strategy, backed up by the Energy and Climate Action Plan approved in 2010. One element of this plan is a mass solar water heater roll-out programme for households. Analysing the difficulties in the implementation of this programme, this article argues that the main limits to metropolitan action do not result primarily from local and/or multi-level governance issues but from national constraints and stakes which are deeply rooted in the political economy of South Africa. Any attempt to build an autonomous metropolitan energy policy is therefore today illusory in South Africa

  20. Women's experiences seeking informal sector abortion services in Cape Town, South Africa: a descriptive study.

    Science.gov (United States)

    Gerdts, Caitlin; Raifman, Sarah; Daskilewicz, Kristen; Momberg, Mariette; Roberts, Sarah; Harries, Jane

    2017-10-02

    In settings where abortion is legally restricted, or permitted but not widely accessible, women face significant barriers to abortion access, sometimes leading them to seek services outside legal facilities. The advent of medication abortion has further increased the prevalence of informal sector abortion. This study investigates the reasons for attempting self-induction, methods used, complications, and sources of information about informal sector abortion, and tests a specific recruitment method which could lead to improved estimates of informal sector abortion prevalence among an at-risk population. We recruited women who have sought informal sector abortion services in Cape Town, South Africa using respondent driven sampling (RDS). An initial seed recruiter was responsible for initiating recruitment using a structured coupon system. Participants completed face-to-face questionnaires, which included information about demographics, informal sector abortion seeking, and safe abortion access needs. We enrolled 42 women, nearly one-third of whom reported they were sex workers. Thirty-four women (81%) reported having had one informal sector abortion within the past 5 years, 14% reported having had two, and 5% reported having had three. These women consumed home remedies, herbal mixtures from traditional healers, or tablets from an unregistered provider. Twelve sought additional care for potential warning signs of complications. Privacy and fear of mistreatment at public sector facilities were among the main reported reasons for attempting informal sector abortion. Most women (67%) cited other community members as their source of information about informal sector abortion; posted signs and fliers in public spaces also served as an important source of information. Women are attempting informal sector abortion because they seek privacy and fear mistreatment and stigma in health facilities. Some were unaware how or where to seek formal sector services, or believed the

  1. neonatal bacterial meningitis in Cape Town children

    African Journals Online (AJOL)

    neonatal bacterial meningitis in Cape Town children. Bacterial meningitis is a major cause of childhood morbidity and mortality in South Africa. However, comprehensive regional or national epidemiological data, essential for rational public health interventions, are lacking. The purpose of this 1-year prospective study, from.

  2. Physical abuse in early childhood and transition to first sexual intercourse among youth in Cape Town, South Africa.

    Science.gov (United States)

    Tenkorang, Eric Y; Obeng Gyimah, Stephen

    2012-01-01

    This study examined the relationship of physical abuse in early childhood and timing of first sexual intercourse among young South Africans aged 14 to 22 in Cape Town. Using the Cape area panel survey and applying log-normal models, time ratios were estimated to show how rapidly or slowly youth experience first sexual intercourse. Results indicated that boys who experienced physical abuse in early childhood had faster timing to first sex. Boys and girls with violent school environments had faster timing to first sex. Race moderated the effects of physical abuse. Compared to Blacks, Coloreds who experienced higher levels of physical abuse in early childhood had faster timing to first sex. Youth with greater knowledge about HIV/AIDS and those with greater risk perception of contracting HIV/AIDS delayed first sex. On the basis of these findings, policy makers are encouraged to consider the early childhood experiences of youth when designing policies toward HIV/AIDS prevention in South Africa.

  3. Contraception usage and timing of pregnancy among pregnant teenagers in Cape Town, South Africa.

    Science.gov (United States)

    Vollmer, Linda R; van der Spuy, Zephne M

    2016-06-01

    To evaluate knowledge and use of contraception among pregnant teenagers in the Cape Town metropolitan area. A cross-sectional study enrolled women aged 16 to 19 years who were pregnant and attending prenatal clinics, and prenatal and labor wards at regional hospitals and midwife-run obstetric clinics in the Cape Town area between March 1, 2011 and September 30, 2011. Data were collected using an administered questionnaire. The study enrolled 314 participants. Of the participants, 240 (76.4%) felt their pregnancies had occurred at the "wrong time" but only 38 (12.1%) were using contraception at the time of conception. The form of contraception that participants most commonly had knowledge of was injectable hormonal contraception (274 [87.3%]). Contraception use was low, with 126 (40.1%) participants having never used contraception. The forms of contraception used most commonly were the male condom (106 [33.8%]) and injectable contraception (98 [31.2%]). The majority of participants found it easy to get contraception (192 [61.1%]) and felt that information regarding contraception was readily available (233 [74.2%]). Contraception use is suboptimal but this may not simply be a reflection of ineffective family-planning services. Further research is needed to fully explain the lack of contraceptive use in this population. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  4. New and interesting marine and littoral diatoms from sea point, near Cape Town, South Africa

    CSIR Research Space (South Africa)

    Giffen, MH

    1970-01-01

    Full Text Available Steenbras, South Western Cape and mentions that the species had not until then been re corded from South African waters. ? 591, 592. C. serpentina var. pusilla (GREvILLE) PERAGALLO. ? Small individuals of this variety, sometimes less than the 25?SO... ~ given for length (1-lusTaD 1. C.: 50) are easily overlooked when both C. serpentina var. pusilla and C. an,gu/osa are present in a sample. They can only be distin guished by counting the striae viz. 14?20 in 10 it for C. angulosa and 22?25 in 10...

  5. Perceived risks of HIV/AIDS and first sexual intercourse among youth in Cape Town, South Africa.

    Science.gov (United States)

    Tenkorang, Eric Y; Rajulton, Fernando; Maticka-Tyndale, Eleanor

    2009-04-01

    The 'Health Belief Model' (HBM) identifies perception of HIV/AIDS risks, recognition of its seriousness, and knowledge about prevention as predictors of safer sexual activity. Using data from the Cape Area Panel Survey (CAPS) and hazard models, this study examines the impact of risk perception, considered the first step in HIV prevention, set within the context of the HBM and socio-economic, familial and school factors, on the timing of first sexual intercourse among youth aged 14-22 in Cape Town, South Africa. Of the HBM components, female youth who perceive their risk as 'very small' and males with higher knowledge, experience their sexual debut later than comparison groups, net of other influences. For both males and females socio-economic and familial factors also influence timing of sexual debut, confirming the need to consider the social embeddedness of this sexual behavior as well as the rational components of decision making when designing prevention programs.

  6. Methamphetamine use and sexual risk behaviour in Cape Town ...

    African Journals Online (AJOL)

    4Department of Psychiatry & Mental Health, University of Cape Town, South Africa. Abstract. Objective: ... Keywords: Methamphetamine; Sexual behaviour; HIV; South Africa ... to high school students who had used drugs other than MA in their.

  7. Gender identity and HIV risk among men who have sex with men in Cape Town, South Africa.

    Science.gov (United States)

    Jobson, Geoffrey; Tucker, Andrew; de Swardt, Glenn; Rebe, Kevin; Struthers, Helen; McIntyre, James; Peters, Remco

    2018-04-18

    Gender identity plays a potentially important role contributing to HIV risk among MSM in South Africa. Where studies have included a focus on gender identity, MSM reporting gender non-conformity have been found to have a higher risk of being HIV positive than other MSM. This article examines HIV risk among gender non-conforming MSM in a sample of 316 MSM in Cape Town, South Africa. Reporting gender non-conformity was associated with higher HIV prevalence and increased HIV risk behaviour. Gender non-conformity was also associated with a higher likelihood of being unemployed and reporting low household incomes. These findings highlight the importance of gender-identity as a factor affecting access to HIV treatment, care, and prevention in South Africa and this is an issue that needs to be addressed in interventions targeting MSM populations.

  8. When students become patients: TB disease among medical undergraduates in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Helene-Mari van der Westhuizen

    2017-06-01

    Full Text Available Background. Medical students acquire latent tuberculosis (TB infection at a rate of 23 cases/100 person-years. The frequency and impact of occupational TB disease in this population are unknown. Methods. A self-administered questionnaire was distributed via email and social media to current medical students and recently graduated doctors (2010 - 2015 at two medical schools in Cape Town. Individuals who had developed TB disease as undergraduate students were eligible to participate. Quantitative and qualitative data collected from the questionnaire and semi-structured interviews were analysed with descriptive statistics and a framework approach to identify emerging themes. Results. Twelve individuals (10 female reported a diagnosis of TB: pulmonary TB (n=6, pleural TB (n=3, TB lymphadenitis (n=2 and TB spine (n=1; 2/12 (17% had drug-resistant disease (DR-TB. Mean diagnostic delay post consultation was 8.1 weeks, with only 42% of initial diagnoses being correct. Most consulted private healthcare providers (general practitioners (n=7; pulmonologists (n=4, and nine underwent invasive procedures (bronchoscopy, pleural fluid aspiration and tissue biopsy. Substantial healthcare costs were incurred (mean ZAR25 000 for drug-sensitive TB, up to ZAR104 000 for DR-TB. Students struggled to obtain treatment, incurred high transport costs and missed academic time. Students with DR-TB interrupted their studies and experienced severe side-effects (hepatotoxicity, depression and permanent ototoxicity. Most participants cited poor TB infection-control practices at their training hospitals as a major risk factor for occupational TB. Conclusions. Undergraduate medical students in Cape Town are at high risk of occupationally acquired TB, with an unmet need for comprehensive occupational health services and support.

  9. Methodological challenges in a study on falls in an older population of Cape Town, South Africa.

    Science.gov (United States)

    Kalula, Sebastiana Z; Ferreira, Monica; Swingler, George H; Badri, Motasim; Sayer, Avan A

    2017-09-01

    Falls are a major cause of disability, morbidity and mortality in older persons, but have been under researched in developing countries. To describe challenges encountered in a community-based study on falls in a multi-ethnic population aged ≥65 years in a low-income setting. The study was conducted in four stages: A pilot study (n=105) to establish a sample size for the survey. An equipment validation study (n=118) to use for fall risk determination. A cross-sectional baseline (n=837) and a 12-month follow-up survey (n=632) to establish prevalence and risk factors for falls. Prevalence rate of 26.4% (95% CI 23.5-29.5%) and risk factors for recurrent falls: previous falls, self-reported poor mobility and dizziness were established. Adaptations to the gold standard prospective fall research study design were employed: 1) to gain access to the study population in three selected suburbs, 2) to perform assessments in a non-standardised setting, 3) to address subjects' poverty and low literacy levels, and high attrition of subjects and field workers. Studies on falls in the older population of low- to middle-income countries have methodological challenges. Adaptive strategies used in the Cape Town study and the research experience reported may be instructive for investigators planning similar studies in such settings.

  10. Metropolises in emerging countries: actors in energy transitions? Lessons from Cape Town (South Africa)

    International Nuclear Information System (INIS)

    Jaglin, Sylvy

    2017-01-01

    The role of cities, as places and drivers of the energy transition is increasingly recognized. The research project Termos tested the robustness of this assumption in four cities of emerging countries by asking two questions: to what extent do urban local actors really drive an urban energy transition and of what kind? To what extent are their actions supporting an urban territorialisation of energy systems? The paper first presents the findings of this comparative research, which he then extends with the case study of Cape Town. It analyzes why, despite their energy and environmental voluntarism, the municipality have little room of manoeuvre, while the changes observed seem to strengthen the stranglehold of the 'central sphere' in the energy system. Analyzing this as the expression of a conflict between a strong national electricity sector and an alternative approach to energy issues carried by urban actors, it highlights the resulting tensions and their impact on the municipal actions, both limited by resistance but also 'swallowed up' by actors from the central sphere. The paper finally draws lessons from this example to enrich the general analysis of dynamics observed in other cities of emerging countries

  11. Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    R. Parker

    2009-01-01

    Full Text Available Background: The goals of a chronic pain management clinic includeincreasing patient knowledge about pain, developing pain management skillsand increasing patients’ confidence in their pain management abilities.A  Chronic Pain Management Programme (CPMP based on evidence basedguidelines was developed at a chronic pain management clinic to facilitatepatient discharge to a primary healthcare level. Aim: The aim of this study was to explore patient satisfaction with, acceptability of and the perceived success which could be due to the CPMP developed at the Chronic Pain Management Clinic of Groote Schuur Hospital,Cape Town.Methods: Patients (n=14 were referred to the pilot study from the Chronic Pain Management Clinic. A s a pilot, four courses were run over a period ofone year. In order to reach the research aim, an eleven-question, structuredopen-ended interview was conducted with all participants. Results: Fourteen patients enrolled in the CPMP. Responses were favourable with participants emphasising the roleof increased knowledge about pain, the role of exercise and of stress management techniques. Participants also recog-nised a positive change in behaviours and attitudes following participation in the CPMP.Conclusions: Findings suggest that participants found the format of the course acceptable as regards course content,structure and delivery. Participant responses suggest that the course was acceptable and perceived as useful. However,future courses would benefit from refresher courses or structured support groups.

  12. Objectively assessed physical activity and associated factors of sedentary behavior among survivors of stroke living in Cape Town, South Africa.

    Science.gov (United States)

    Joseph, Conran; Conradsson, David; Hagströmer, Maria; Lawal, Isa; Rhoda, Anthea

    2017-06-18

    To investigate objectively measured physical activity in stroke survivors living in low-income areas of Cape Town, South Africa, specifically to: (a) describe the volume of daily physical activity and time spent in different intensity levels and (b) investigate the association of factors covering the International Classification of Functioning, Disability and Health with sedentary behavior. A cross-sectional design was used, where forty-five ambulatory community-dwelling stroke survivors participated. Volume and intensity of physical activity were assessed with accelerometers for three to five consecutive days. Personal and environmental factors, along with body function and activity, were captured. Multiple linear regression was used to investigate factors associated with the percentage of days spent sedentary. The median number of steps per day was 2393, and of the average 703 minutes of wear time, 80% were spent in sedentary, 15% in light, and 5% in moderate-to-vigorous intensity physical activity. Age, stroke severity, and failing to receive outpatient rehabilitation were independently associated with sedentary, which, taken together, explained 52% of the variance. Low volumes of physical activity and high amount of sedentary time emphasize the need to develop strategies that will increase physical activity. Providing outpatient rehabilitation in a systematic manner post-stroke is a potential target of health care programs in order to reduce sedentary behavior. Implications for rehabilitation Objectively measured physical activity among community-dwelling survivors of stroke in Cape Town, South Africa was low in volume, and the majority did not meet the recommendations of 150 minutes of at least moderate intensity physical activity. The majority of stroke survivors in South Africa spent most of their time sedentary, which could further increase the risk of cardiovascular impairments. Outpatient rehabilitation should be provided to all patients after stroke

  13. “Coming to Town”: The Impact of Urbanicity, Cigarette Advertising, and Network Norms on the Smoking Attitudes of Black Women in Cape Town, South Africa

    OpenAIRE

    Williams, Chyvette T.; Grier, Sonya A.; Marks, Amy Seidel

    2008-01-01

    This study was conducted to examine the effect of urban living on smoking attitudes among black African women in South Africa. We examine how urbanicity affects attitudes toward smoking and how it moderates the relationship between both advertising exposure and network norms on black women’s smoking attitudes. Respondents were 975 black women currently living in Cape Town townships, some of which were raised in rural villages or small towns. Respondents completed a cross-sectional survey, whi...

  14. "Coming to town": the impact of urbanicity, cigarette advertising, and network norms on the smoking attitudes of black women in Cape Town, South Africa.

    Science.gov (United States)

    Williams, Chyvette T; Grier, Sonya A; Marks, Amy Seidel

    2008-07-01

    This study was conducted to examine the effect of urban living on smoking attitudes among black African women in South Africa. We examine how urbanicity affects attitudes toward smoking and how it moderates the relationship between both advertising exposure and network norms on black women's smoking attitudes. Respondents were 975 black women currently living in Cape Town townships, some of which were raised in rural villages or small towns. Respondents completed a cross-sectional survey, which included data on smoking attitudes, norms, and exposure to cigarette advertising. Multiple linear regression analysis was performed with smoking attitudes as the response variable, and urbanicity, cigarette advertising exposure, and network smoking norms as primary explanatory variables. Interactions were tested to determine whether urbanicity modified the effect of advertising exposure and network norms on smoking attitudes. Independent effects of urbanicity, exposure to cigarette advertising, and greater smoking prevalence within women's networks were associated with more favorable smoking attitudes. In addition, urbanicity moderated the relationship between network smoking norms and smoking attitudes, but not cigarette advertising exposure and smoking attitudes. Urbanicity, cigarette advertising, and networks play important roles in women's attitudes toward smoking, and potentially, smoking behavior. Overall, our results suggest that strong and creative anti-smoking efforts are needed to combat the potential for a smoking epidemic among an increasingly urbanized population of black women in South Africa and similar emerging markets. Additional research is warranted.

  15. Impact of Sexual Trauma on HIV Care Engagement: Perspectives of Female Patients with Trauma Histories in Cape Town, South Africa.

    Science.gov (United States)

    Watt, Melissa H; Dennis, Alexis C; Choi, Karmel W; Ciya, Nonceba; Joska, John A; Robertson, Corne; Sikkema, Kathleen J

    2017-11-01

    South African women have disproportionately high rates of both sexual trauma and HIV. To understand how sexual trauma impacts HIV care engagement, we conducted in-depth qualitative interviews with 15 HIV-infected women with sexual trauma histories, recruited from a public clinic in Cape Town. Interviews explored trauma narratives, coping behaviors and care engagement, and transcripts were analyzed using a constant comparison method. Participants reported multiple and complex traumas across their lifetimes. Sexual trauma hindered HIV care engagement, especially immediately following HIV diagnosis, and there were indications that sexual trauma may interfere with future care engagement, via traumatic stress symptoms including avoidance. Disclosure of sexual trauma was limited; no women had disclosed to an HIV provider. Routine screening for sexual trauma in HIV care settings may help to identify individuals at risk of poor care engagement. Efficacious treatments are needed to address the psychological and behavioral sequelae of trauma.

  16. Patients’ perceptions of the triage system in a primary healthcare facility, Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Adeloye A. Adeniji

    2016-06-01

    Full Text Available Background: In public healthcare facilities, where the patient numbers and the available resources are often disproportionate, triage is used to prioritise when patients are seen. Patients may not understand the triage process and have strong views on how to improve their experience. Aim: This study explored the views of patients who had undergone triage in the emergency centre of a primary care facility. Setting: Gugulethu Community Health Centre, Cape Town. Methods: A purposive sample consisted of five women (one coded green, three orange, one yellow and four men (one coded green and three yellow. A semi-structured qualitative interview was conducted in either Xhosa or English and the transcripts analysed using the framework method. Results: All of the respondents complained of a lack of information and poor understanding of the triage process. Those coded green experienced the process as biased and unfair and reported that the triage nurse was rude and unprofessional. By contrast, those coded yellow or orange found the triage nurse to be helpful and professional. Most patients turned to support staff (e.g. security staff or cleaners for assistance in dealing with the triage system. Most patients waited longer than the guidelines recommend and the green-coded patients complained about this issue. Conclusion: Patients did not have a good experience of the triage system. Managers of the triage system need to design better strategies to improve patient acceptance and share information. The important role of support staff needs to be recognised and strengthened. Keywords: emergency care; primary care; triage; patient satisfaction

  17. The mass miniature chest radiography programme in Cape Town, South Africa, 1948-1994: The impact of active tuberculosis case finding

    NARCIS (Netherlands)

    Hermans, S. M.; Andrews, J. R.; Bekker, L.-G.; Wood, R.

    2016-01-01

    Tuberculosis (TB) control programmes rely mainly on passive detection of symptomatic individuals. The resurgence of TB has rekindled interest in active case finding. Cape Town (South Africa) had a mass miniature radiography (MMR) screening programme from 1948 to 1994. To evaluate screening coverage,

  18. Infinity in Logic and Computation: International Conference, ILC 2007, Cape Town, South Africa, November 3-5, 2007: Revised selected papers

    NARCIS (Netherlands)

    Archibald, M.; Brattka, V.; Goranko, V.; Löwe, B.

    2009-01-01

    Edited in collaboration with FoLLI, the Association of Logic, Language and Information, this volume constitutes a selection of papers presented at the Internatonal Conference on Infinity in Logic and Computation, ILC 2007, held in Cape Town, South Africa, in November 2007. The 7 revised papers

  19. A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa.

    Science.gov (United States)

    Ameh, Oluwatoyin I; Cilliers, Lynette; Okpechi, Ikechi G

    2016-07-08

    The multi-racial and multi-ethnic population of South Africa has significant variation in their nutritional habits with many black South Africans undergoing a nutritional transition to Western type diets. In this review, we describe our practical approaches to the dietary and nutritional management of chronic kidney disease (CKD) patients in Cape Town, South Africa. Due to poverty and socio-economic constraints, significant challenges still exist with regard to achieving the nutritional needs and adequate dietary counselling of many CKD patients (pre-dialysis and dialysis) in South Africa. Inadequate workforce to meet the educational and counselling needs of patients, inability of many patients to effectively come to terms with changing body and metabolic needs due to ongoing kidney disease, issues of adherence to fluid and food restrictions as well as adherence to medications and in some cases the inability to obtain adequate daily food supplies make up some of these challenges. A multi-disciplinary approach (dietitians, nurses and nephrologists) of regularly reminding and educating patients on dietary (especially low protein diets) and nutritional needs is practiced. The South African Renal exchange list consisting of groups of food items with the same nutritional content has been developed as a practical tool to be used by dietitians to convert individualized nutritional prescriptions into meal plan to meet the nutritional needs of patients in South Africa. The list is currently utilized in counselling CKD patients and provides varied options for food items within the same group (exchangeable) as well as offering ease for the description of suitable meal portions (sizes) to our patients. Regular and continuous education of CKD patients by a multi-disciplinary team in South Africa enables our patients to meet their nutritional goals and retard CKD progression. The South African renal exchange list has proved to be a very useful tool in meeting this need.

  20. Estimates of CO2 fluxes over the city of Cape Town, South Africa, through Bayesian inverse modelling

    Science.gov (United States)

    Nickless, Alecia; Rayner, Peter J.; Engelbrecht, Francois; Brunke, Ernst-Günther; Erni, Birgit; Scholes, Robert J.

    2018-04-01

    We present a city-scale inversion over Cape Town, South Africa. Measurement sites for atmospheric CO2 concentrations were installed at Robben Island and Hangklip lighthouses, located downwind and upwind of the metropolis. Prior estimates of the fossil fuel fluxes were obtained from a bespoke inventory analysis where emissions were spatially and temporally disaggregated and uncertainty estimates determined by means of error propagation techniques. Net ecosystem exchange (NEE) fluxes from biogenic processes were obtained from the land atmosphere exchange model CABLE (Community Atmosphere Biosphere Land Exchange). Uncertainty estimates were based on the estimates of net primary productivity. CABLE was dynamically coupled to the regional climate model CCAM (Conformal Cubic Atmospheric Model), which provided the climate inputs required to drive the Lagrangian particle dispersion model. The Bayesian inversion framework included a control vector where fossil fuel and NEE fluxes were solved for separately.Due to the large prior uncertainty prescribed to the NEE fluxes, the current inversion framework was unable to adequately distinguish between the fossil fuel and NEE fluxes, but the inversion was able to obtain improved estimates of the total fluxes within pixels and across the domain. The median of the uncertainty reductions of the total weekly flux estimates for the inversion domain of Cape Town was 28 %, but reach as high as 50 %. At the pixel level, uncertainty reductions of the total weekly flux reached up to 98 %, but these large uncertainty reductions were for NEE-dominated pixels. Improved corrections to the fossil fuel fluxes would be possible if the uncertainty around the prior NEE fluxes could be reduced. In order for this inversion framework to be operationalised for monitoring, reporting, and verification (MRV) of emissions from Cape Town, the NEE component of the CO2 budget needs to be better understood. Additional measurements of Δ14C and δ13C isotope

  1. Linkage to HIV care and antiretroviral therapy in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Katharina Kranzer

    2010-11-01

    Full Text Available Antiretroviral therapy (ART has been scaled-up rapidly in Africa. Programme reports typically focus on loss to follow-up and mortality among patients receiving ART. However, little is known about linkage and retention in care of individuals prior to starting ART.Data on adult residents from a periurban community in Cape Town were collected at a primary care clinic and hospital. HIV testing registers, CD4 count results provided by the National Health Laboratory System and ART registers were linked. A random sample (n = 885 was drawn from adults testing HIV positive through antenatal care, sexual transmitted disease and voluntary testing and counseling services between January 2004 and March 2009. All adults (n = 103 testing HIV positive through TB services during the same time period were also included in the study. Linkage to HIV care was defined as attending for a CD4 count measurement within 6 months of HIV diagnosis. Linkage to ART care was defined as initiating ART within 6 months of HIV diagnosis in individuals with a CD4 count ≤200 cells/µl taken within 6 months of HIV diagnosis.Only 62.6% of individuals attended for a CD4 count measurement within 6 months of testing HIV positive. Individuals testing through sexually transmitted infection services had the best (84.1% and individuals testing on their own initiative (53.5% the worst linkage to HIV care. One third of individuals with timely CD4 counts were eligible for ART and 66.7% of those were successfully linked to ART care. Linkage to ART care was highest among antenatal care clients. Among individuals not yet eligible for ART only 46.3% had a repeat CD4 count. Linkage to HIV care improved in patients tested in more recent calendar period.Linkage to HIV and ART care was low in this poor peri-urban community despite free services available within close proximity. More efforts are needed to link VCT scale-up to subsequent care.

  2. Gender-based violence, alcohol use, and sexual risk among female patrons of drinking venues in Cape Town, South Africa.

    Science.gov (United States)

    Pitpitan, Eileen V; Kalichman, Seth C; Eaton, Lisa A; Cain, Demetria; Sikkema, Kathleen J; Skinner, Donald; Watt, Melissa H; Pieterse, Desiree

    2013-06-01

    Gender-based violence is a well-recognized risk factor for HIV infection among women. Alcohol use is associated with both gender-based violence and sexual risk behavior, but has not been examined as a correlate of both in a context of both high HIV risk and hazardous drinking. The purpose of this paper is to examine the association between recent abuse by a sex partner with alcohol and sexual risk behavior among female patrons of alcohol serving venues in South Africa. Specifically, the aim of this study is to determine whether sexual risk behaviors are associated with gender-based violence after controlling for levels of alcohol use. We surveyed 1,388 women attending informal drinking establishments in Cape Town, South Africa to assess recent history of gender-based violence, drinking, and sexual risk behaviors. Gender-based violence was associated with both drinking and sexual risk behaviors after controlling for demographics among the women. A hierarchical logistic regression analysis showed that after controlling for alcohol use sexual risk behavior remained significantly associated with gender-based violence, particularly with meeting a new sex partner at the bar, recent STI diagnosis, and engaging in transactional sex, but not protected intercourse or number of partners. In South Africa where heavy drinking is prevalent women may be at particular risk of physical abuse from intimate partners as well as higher sexual risk. Interventions that aim to reduce gender-based violence and sexual risk behaviors must directly work to reduce drinking behavior.

  3. Ethical considerations in forensic genetics research on tissue samples collected post-mortem in Cape Town, South Africa.

    Science.gov (United States)

    Heathfield, Laura J; Maistry, Sairita; Martin, Lorna J; Ramesar, Raj; de Vries, Jantina

    2017-11-29

    The use of tissue collected at a forensic post-mortem for forensic genetics research purposes remains of ethical concern as the process involves obtaining informed consent from grieving family members. Two forensic genetics research studies using tissue collected from a forensic post-mortem were recently initiated at our institution and were the first of their kind to be conducted in Cape Town, South Africa. This article discusses some of the ethical challenges that were encountered in these research projects. Among these challenges was the adaptation of research workflows to fit in with an exceptionally busy service delivery that is operating with limited resources. Whilst seeking guidance from the literature regarding research on deceased populations, it was noted that next of kin of decedents are not formally recognised as a vulnerable group in the existing ethical and legal frameworks in South Africa. The authors recommend that research in the forensic mortuary setting is approached using guidance for vulnerable groups, and the benefit to risk standard needs to be strongly justified. Lastly, when planning forensic genetics research, consideration must be given to the potential of uncovering incidental findings, funding to validate these findings and the feedback of results to family members; the latter of which is recommended to occur through a genetic counsellor. It is hoped that these experiences will contribute towards a formal framework for conducting forensic genetic research in medico-legal mortuaries in South Africa.

  4. Condom negotiation, HIV testing, and HIV risks among women from alcohol serving venues in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Eileen V Pitpitan

    Full Text Available Women in South Africa are at particularly high-risk for HIV infection and are dependent on their male partners' use of condoms for sexual risk reduction. However, many women are afraid to discuss condoms with male partners, placing them at higher risk of HIV infection.To examine the association between fear of condom negotiation with HIV testing and transmission risk behaviors, including alcohol use and sexual risks among South African women.Women (N = 1333 residing in a primarily Xhosa-speaking African township in Cape Town and attending informal alcohol-serving venues (shebeens completed anonymous surveys. Logistic regression was used to test the hypothesis that fear of condom negotiation would be associated with increased risk for HIV.Compared to women who did not fear condom negotiation, those who did were significantly less likely to have been tested for HIV, were more likely to have experienced relationship abuse, and to report more alcohol use and more unprotected sex.For women in South Africa, fear of condom negotiation is related to higher risk of HIV. HIV prevention efforts, including targeted HIV counseling and testing, must directly address gender issues.

  5. 77 FR 29929 - Safety Zone; Town of Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA

    Science.gov (United States)

    2012-05-21

    ... section of this notice. Basis and Purpose On July 4, 2012 the Town of Cape Charles will sponsor a...-AA00 Safety Zone; Town of Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA AGENCY: Coast... temporary safety zone on the waters of Cape Charles City Harbor in Cape Charles, VA in support of the Fourth...

  6. Facilitating access to English for Xhosa-speaking pupils in black township primary schools around Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Liesel Hibbert

    2013-02-01

    Full Text Available The paper results from a research project completed by the author in 1994 on the quality of language-learning environments in the Cape Town area . . Xhosa is now constitutionally enshrined as one of the eleven official languages of South Africa, and is the dominant language in Western Cape black townships. This paper questions the fruitfUlness of primary schools in black townships attempting to use English as the sole medium of instruction. The paper shows that in actual classroom situations the Ll (Xhosa is used as an aid to L2 (English medium instruction in the schools of Khayelitsha and Lagunya townships around Cape Town. The paper argues for the recognition and forther extension of such bilingual practices in primary schools to work towards more successfUl use of the L2 as the medium of instruction. It assesses the implications of such bilingual policy for classroom interaction and materials development. Hierdie artikel spruit voort uit 'n navorsingsprojek wat in 1994 deur die skrywer onderneem is in groter Kaapstad oor die kwaliteit van die omgewings waarbinne taal aange/eer word. Xhosa is volgens die konstitusie een van die elf amptelike tale in Suid-Afrika en is die oorheersende taal in die swart woonbuurte van die Wes-Kaap. In hierdie artikel word die waarde bevraagteken van die poging wat in die primere skole in die swart woonbuurte aangewend word om Engels as enigste medium van onderrig te gebruik. In die artikel word ook daarop gewys dat skole in Khayelitsha en Lagunya, twee swart woonbuurte naby Kaapstad, Xhosa (Tl gebruik as hulpmiddel by die onderrig deur medium van Engels (T2. Daar word aangevoer dat hierdie gebruik van tweetalige onderrig in primere skole erkenning behoort te kry en verder uitgebrei behoort te word sodat daar gestrewe kan word na 'n meer suksesvol/e gebruik van die tweede taal as onderrigmedium. 'n Waardebepaling van die implikasies van so 'ntweetalige beleid vir k/askamerinteraksie en die ontwikkeling van

  7. Demographic and circumstantial accounts of burn mortality in Cape Town, South Africa, 2001-2004: An observational register based study

    Directory of Open Access Journals (Sweden)

    Laflamme L

    2009-10-01

    Full Text Available Abstract Background Burns are a persisting public health problem in low- and middle-income countries; however, epidemiologic data for these settings is scarce. South Africa is no exception although there is an emerging knowledge base, especially for paediatric burns. The current study describes the epidemiology of burn mortality across the lifespan in Cape Town (2.9 million inhabitants in 2001, one of the six South African metropolitan centres. Methods The distribution of burn mortality across socio-demographic groups and also their circumstances of occurrence were investigated using four year (2001 to 2004 surveillance data from the National Injury Mortality Surveillance System (n = 1024 cases. Results Burn mortality occurred at a rate of 7.9 per 100 000 person-years (95% CI: 7.3-8.3. Males sustained fatal rates 2.2 times more than that for females (p Conclusion Besides paediatric burns, the high prevalence and circumstances of occurrence of burns among middle age men are a source of concern. There are reasons to believe that this over-representation is a reflection of detrimental living conditions, life-style and poor socio-economic status. It is recommended that there be greater prioritisation of prevention activities that involve the control or management of kerosene heat sources, the provision of alternatives to flammable housing materials, and the implementation of strategies to reduce harmful drinking practices.

  8. Community perceptions of risk factors for interpersonal violence in townships in Cape Town, South Africa: A focus group study.

    Science.gov (United States)

    Makanga, Prestige Tatenda; Schuurman, Nadine; Randall, Ellen

    2017-10-01

    Interpersonal violence is a major contributor to the burden of disease globally, and in South Africa, it is the leading cause of injury. There is an emerging consensus that the development of actionable policy and effective prevention strategies for interpersonal violence requires an understanding of the contextual matters that elevate risk for interpersonal violence. The objective of this study was to explore community perceptions of risks for interpersonal violence in five townships in Cape Town, South Africa, with high rates of violence. Focus group discussions were conducted with community members to identify key factors in that contributed to being either a perpetrator or victim of interpersonal violence. The ecological framework was used to classify the risk factors as occurring at individual, relationship, community or society levels. Some of the risk factors identified included alcohol abuse, poverty, informality of settlements and cultural norms. Differences in how each of these risk factors are expressed and experienced in the five communities are also elucidated. This approach enabled the collection of contextual community-based data that can complement conventional surveillance data in the development of relevant community-level strategies for interpersonal violence prevention.

  9. Ambient air pollution exposure and respiratory, cardiovascular and cerebrovascular mortality in Cape Town, South Africa: 2001–2006.

    Science.gov (United States)

    Wichmann, Janine; Voyi, Kuku

    2012-11-05

    Little evidence is available on the strength of the association between ambient air pollution exposure and health effects in developing countries such as South Africa. The association between the 24-h average ambient PM(10), SO(2) and NO(2) levels and daily respiratory (RD), cardiovascular (CVD) and cerebrovascular (CBD) mortality in Cape Town (2001-2006) was investigated with a case-crossover design. For models that included entire year data, an inter-quartile range (IQR) increase in PM(10) (12 mg/m3) and NO(2) (12 mg/m3) significantly increased CBD mortality by 4% and 8%, respectively. A significant increase of 3% in CVD mortality was observed per IQR increase in NO(2) and SO(2) (8 mg/m3). In the warm period, PM(10) was significantly associated with RD and CVD mortality. NO(2) had significant associations with CBD, RD and CVD mortality, whilst SO(2) was associated with CVD mortality. None of the pollutants were associated with any of the three outcomes in the cold period. Susceptible groups depended on the cause-specific mortality and air pollutant. There is significant RD, CVD and CBD mortality risk associated with ambient air pollution exposure in South Africa, higher than reported in developed countries.

  10. Ambient Air Pollution Exposure and Respiratory, Cardiovascular and Cerebrovascular Mortality in Cape Town, South Africa: 2001–2006

    Directory of Open Access Journals (Sweden)

    Kuku Voyi

    2012-11-01

    Full Text Available Little evidence is available on the strength of the association between ambient air pollution exposure and health effects in developing countries such as South Africa. The association between the 24-h average ambient PM10, SO2 and NO2 levels and daily respiratory (RD, cardiovascular (CVD and cerebrovascular (CBD mortality in Cape Town (2001–2006 was investigated with a case-crossover design. For models that included entire year data, an inter-quartile range (IQR increase in PM10 (12 mg/m3 and NO2 (12 mg/m3 significantly increased CBD mortality by 4% and 8%, respectively. A significant increase of 3% in CVD mortality was observed per IQR increase in NO2 and SO2 (8 mg/m3. In the warm period, PM10 was significantly associated with RD and CVD mortality. NO2 had significant associations with CBD, RD and CVD mortality, whilst SO2 was associated with CVD mortality. None of the pollutants were associated with any of the three outcomes in the cold period. Susceptible groups depended on the cause-specific mortality and air pollutant. There is significant RD, CVD and CBD mortality risk associated with ambient air pollution exposure in South Africa, higher than reported in developed countries.

  11. Ensuring water supply for all towns and villages in the Eastern Cape ...

    African Journals Online (AJOL)

    Eastern Cape and Western Cape Provinces of South Africa. ER Hay1, K .... The current water balance (see Fig. 1) and the .... in selected towns in the Eastern and Western Cape. Town .... work in order to reduce the risk of failure in the water supply to the town. .... Asset management, to prolong the life of the infrastructure.

  12. Focus on CSIR research in water resources: Managed aquifer recharge on the west coast north of Cape Town, South Africa

    CSIR Research Space (South Africa)

    Colvin, C

    2007-08-01

    Full Text Available The Atlantis Water Resource Management Scheme (AWRMS) located some 40 km north of Cape Town shows how insightful planning and management can expand the groundwater supply potential of a primary aquifer for bulk urban water supply. The AWRMS...

  13. Heterosexual anal intercourse and HIV infection risks in the context of alcohol serving venues, Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Carey Kate B

    2011-10-01

    Full Text Available Abstract Background The most efficient sexual behavior for HIV transmission is unprotected receptive anal intercourse. However, it is unclear what role heterosexual unprotected anal sex is playing in the world's worst HIV epidemics of southern Africa. The objective is to examine the prevalence of heterosexual unprotected anal intercourse among men and women who drink at informal alcohol serving establishments (shebeens in South Africa. Methods Cross-sectional surveys were collected from a convenience sample of 5037 patrons of 10 shebeens in a peri-urban township of Cape Town, South Africa. Analyses concentrated on establishing the rates of unprotected anal intercourse practiced by men and women as well as the factors associated with practicing anal intercourse. Results We found that 15% of men and 11% of women reported anal intercourse in the previous month, with 8% of men and 7% of women practicing any unprotected anal intercourse. Multiple logistic regression showed that younger age, having primary and casual sex partners, and meeting sex partners at shebeens were independently associated with engaging in anal intercourse. Mathematical modeling showed that individual risks are significantly impacted by anal intercourse but probably not to the degree needed to drive a generalized HIV epidemic. Conclusions Anal intercourse likely plays a significant role in HIV infections among a small minority of South Africans who patronize alcohol serving establishments. Heterosexual anal intercourse, the most risky sexual behavior for HIV transmission, should not be ignored in HIV prevention for South African heterosexuals. However, this relatively infrequent behavior should not become the focus of prevention efforts.

  14. Building freeways: piloting communication skills in additional languages to health service personnel in Cape Town, South Africa.

    Science.gov (United States)

    Claassen, Joel; Jama, Zukile; Manga, Nayna; Lewis, Minnie; Hellenberg, Derek

    2017-06-07

    This study reflects on the development and teaching of communication skills courses in additional national languages to health care staff within two primary health care facilities in Cape Town, South Africa. These courses were aimed at addressing the language disparities that recent research has identified globally between patients and health care staff. Communication skills courses were offered to staff at two Metropolitan District Health Services clinics to strengthen patient access to health care services. This study reflects on the communicative proficiency in the additional languages that were offered to health care staff. A mixed-method approach was utilised during this case study with quantitative data-gathering through surveys and qualitative analysis of assessment results. The language profiles of the respective communities were assessed through data obtained from the South African National census, while staff language profiles were obtained at the health care centres. Quantitative measuring, by means of a patient survey at the centres, occurred on a randomly chosen day to ascertain the language profile of the patient population. Participating staff performed assessments at different phases of the training courses to determine their skill levels by the end of the course. The performances of the participating staff during the Xhosa and Afrikaans language courses were assessed, and the development of the staff communicative competencies was measured. Health care staff learning the additional languages could develop Basic or Intermediate Xhosa and Afrikaans that enables communication with patients. In multilingual countries such as South Africa, language has been recognised as a health care barrier preventing patients from receiving quality care. Equipping health care staff with communication skills in the additional languages, represents an attempt to bridge a vital barrier in the South African health care system. The study proves that offering communication

  15. The clinical and molecular spectrum of galactosemia in patients from the Cape Town region of South Africa

    Directory of Open Access Journals (Sweden)

    Brown Ruth

    2002-09-01

    Full Text Available Abstract Background The objective of this study was to document the clinical, laboratory and genetic features of galactosemia in patients from the Cape Town metropolitan region. Methods Diagnoses were based on thin layer chromatography for galactosuria/galactosemia and assays of erythrocyte galactose-1-phosphate uridyltransferase (GALT and galactokinase activities. Patients were screened for the common S135L and Q188R transferase gene mutations, using PCR-based assays. Screening for the S135L mutation in black newborns was used to estimate the carrier rate for galactosemia in black South Africans. Results A positive diagnosis of galactosemia was made in 17 patients between the years 1980 to 2001. All had very low or absent galactose-1-phosphate uridyltransferase (GALT activity, and normal galactokinase levels. The mean age at diagnosis was 5.1 months (range 4 days to 6.5 months. A review of 9 patients showed that hepatomegaly (9/9, and splenomegaly, failure to thrive, developmental delay, bilateral cataracts (6/9 were the most frequent features at diagnosis. Six had conjugated hyperbilirubinemia. Four experienced invasive E. coli infection before diagnosis. Ten patients were submitted to DNA analysis. All 4 black patients and 2 of mixed extraction were homozygous for the S135L allele, while all 3 white patients were homozygous for the Q188R allele. The remaining patient of mixed extraction was heterozygous for the Q188R allele. The estimated carrier frequency of the S135L mutation in 725 healthy black newborns was 1/60. Conclusions In the absence of newborn screening the delay in diagnosis is most often unacceptably long. Also, carrier frequency data predict a galactosemia incidence of approximately 1/14 400 for black newborns in the Cape Metropole, which is much higher than the current detection rate. It is thus likely that many patients go undetected.

  16. Ethnicity and self-reported experiences of stigma in adults with intellectual disability in Cape Town, South Africa.

    Science.gov (United States)

    Ali, A; Kock, E; Molteno, C; Mfiki, N; King, M; Strydom, A

    2015-06-01

    Studies have shown that individuals with intellectual disability (ID) are aware of stigma and are able to describe experiences of being treated negatively. However, there have been no cross-cultural studies examining whether self-reported experiences of stigma vary between ethnic groups. Participants with mild and moderate ID were recruited from a number of different settings in Cape Town, South Africa. Self-reported experiences of stigma in three ethnic groups were measured using the South African version of the Perceived Stigma of Intellectual Disability tool, developed by the authors. One-way anova was used to test whether there were differences in the total stigma score between the ethnic groups. Regression analysis was performed to identify factors associated with stigma. A total of 191 participants agreed to take part; 53 were Black, 70 were of mixed ethnicity and 68 were Caucasian. There were no differences in the levels of stigma reported by the three groups but the Black African ethnic group were more likely to report being physically attacked and being stared at, but were also more likely to report that they thought they were 'the same as other people'. There was an interaction effect between ethnicity and level of ID, with participants with mild ID from the Black African group reporting higher levels of stigma compared with those with moderate ID. Younger age was the only factor that was associated with stigma but there was a trend towards ethnicity, additional disability and socio-economic status being related to stigma. Interventions should target the Black African community in South Africa and should include the reduction of both public stigma and self-reported stigma. © 2014 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

  17. Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa.

    Science.gov (United States)

    Sikkema, Kathleen J; Watt, Melissa H; Meade, Christina S; Ranby, Krista W; Kalichman, Seth C; Skinner, Donald; Pieterse, Desiree

    2011-07-01

    Alcohol-serving venues in South Africa provide a location for HIV prevention interventions due to risk factors of patrons in these establishments. Understanding the association between mental health and risk behaviors in these settings may inform interventions that address alcohol use and HIV prevention. Participants (n = 738) were surveyed in 6 alcohol-serving venues in Cape Town to assess post-traumatic stress disorder (PTSD) and depression symptoms, traumatic experiences, sexual behavior, and substance use. Logistic regression models examined whether traumatic experiences predicted PTSD and depression. Generalized linear models examined whether substance use, PTSD, and depressive symptoms predicted unprotected sexual intercourse. Men and women were analyzed separately. Participants exhibited high rates of traumatic experiences, PTSD, depression, alcohol consumption, and HIV risk behaviors. For men, PTSD was associated with being hit by a sex partner, physical child abuse, sexual child abuse and HIV diagnosis; depression was associated with being hit by a sex partner, forced sex and physical child abuse. For women, both PTSD and depression were associated with being hit by a sex partner, forced sex, and physical child abuse. Unprotected sexual intercourse was associated with age, frequency and quantity of alcohol use, drug use, and PTSD for men and frequency and quantity of alcohol use, depression, and PTSD for women. Mental health in this setting was poor and was associated with sexual risk behavior. Treating mental health and substance-use problems may aid in reducing HIV infection. Sexual assault prevention and treatment after sexual assault may strengthen HIV prevention efforts.

  18. Development of a Compendium of Local, Wild-Harvested Species Used in the Informal Economy Trade, Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    L. M. Petersen

    2012-06-01

    Full Text Available Wild harvesting has taken place over millennia in Africa. However urbanization and cash economies have effectively altered harvesting from being cultural, traditional, and subsistence activities that are part of a rural norm, to being a subculture of commonly illicit activities located primarily within the urban, cash-based, informal economy. This paper focuses on Cape Town, South Africa where high levels of poverty and extensive population growth have led to a rapidly growing informal industry based on the cultural, subsistence, and entrepreneurial harvesting and consumption of products obtained from the local natural environment. Through a process of literature reviews, database analysis, and key informant interviews, a compendium of harvested species was developed, illustrating the breadth of illicit harvesting of products from nature reserves, public open space, and other commonage within the City. The compendium records 448 locally occurring species (198 animals and 250 plants that are extracted for medicinal, energy, ornamental, sustenance, nursery, and other uses. The sustainability of harvesting is questionable; nearly 70% of all harvested flora and 100% of all collected fauna are either killed or reproductively harmed through the harvesting processes. Furthermore, for the 183 indigenous flora species currently recorded on the International Union for Conservation of Nature (IUCN Red List, 28% (51 hold assessments ranging from Declining through to Critically Endangered. With respect to the more poorly assessed fauna (46 spp., approximately 24% (11 have Declining or Threatened status.

  19. Poverty, sexual behaviour, gender and HIV infection among young black men and women in Cape Town, South Africa.

    Science.gov (United States)

    Nattrass, Nicoli; Maughan-Brown, Brendan; Seekings, Jeremy; Whiteside, Alan

    2012-12-01

    This article contributes methodologically and substantively to the debate over the importance of poverty, sexual behaviour and circumcision in relation to HIV infection, using panel data on young black men and women in Cape Town, South Africa. Methodological challenges included problems of endogeneity and blunt indicator variables, especially for the measurement of sexual behaviour. Noting these difficulties, we found that the importance of socioeconomic and sexual-behavioural factors differed between men and women. While we found a clear association between the number of years of sexual activity and HIV status among both men and women, we found that past participation in a concurrent sexual partnership increased the odds of HIV infection for men but not women. Women, but not men, who made the transition from school to tertiary education (our key indicator of socioeconomic status) were less likely to be HIV-positive than those who made the transition from school to unemployment. Both poverty and sexual behaviour matter to individuals' HIV risk, but in gendered ways.

  20. A prospective study of methamphetamine use as a predictor of high school non-attendance in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Parry Charles D

    2010-10-01

    Full Text Available Abstract Background This prospective study investigated the association between life-long methamphetamine and other drug use and high school non-attendance, in a sample of high school students in Cape Town, South Africa. Methods A random sample of 1535 high school students completed a baseline questionnaire in 2006, and were asked to complete a follow-up questionnaire 12 months later. The questionnaire included questions on substance use, including tobacco, alcohol, methamphetamine and cannabis use, demographic factors, and questions relating to school attendance and performance. Results Forty-three percent of the students surveyed at baseline did not complete a follow-up questionnaire after 12 months. Compared with students who were not using selected substances, an adjusted logistic regression model showed that life-time methamphetamine use in addition to other substances was significantly associated with non-attendance (OR = 2.58, 95% CI: 1.24 - 5.36 when other non-substance use factors (repeating a year at school and being older than the norm for current grade were taken into account. Conclusions Early identification of students with methamphetamine and other substance use problems, and a supportive rather than punitive school policy, may be valuable in improving high school completion and student retention rates.

  1. HIV viraemia and mother-to-child transmission risk after antiretroviral therapy initiation in pregnancy in Cape Town, South Africa.

    Science.gov (United States)

    Myer, L; Phillips, T K; McIntyre, J A; Hsiao, N-Y; Petro, G; Zerbe, A; Ramjith, J; Bekker, L-G; Abrams, E J

    2017-02-01

    Maternal HIV viral load (VL) drives mother-to-child HIV transmission (MTCT) risk but there are few data from sub-Saharan Africa, where most MTCT occurs. We investigated VL changes during pregnancy and MTCT following antiretroviral therapy (ART) initiation in Cape Town, South Africa. We conducted a prospective study of HIV-infected women initiating ART within routine antenatal services in a primary care setting. VL measurements were taken before ART initiation and up to three more times within 7 days postpartum. Analyses examined VL changes over time, viral suppression (VS) at delivery, and early MTCT based on polymerase chain reaction (PCR) testing up to 8 weeks of age. A total of 620 ART-eligible HIV-infected pregnant women initiated ART, with 2425 VL measurements by delivery (median gestation at initiation, 20 weeks; median pre-ART VL, 4.0 log 10 HIV-1 RNA copies/mL; median time on ART before delivery, 118 days). At delivery, 91% and 73% of women had VL ≤ 1000 and ≤ 50 copies/mL, respectively. VS was strongly predicted by time on therapy and pre-ART VL. The risk of early MTCT was strongly associated with delivery VL, with risks of 0.25, 2.0 and 8.5% among women with VL 1000 copies/mL at delivery, respectively (P pregnancy and with high VL appear substantially less likely to achieve VS and require targeted research and programmatic attention. © 2016 British HIV Association.

  2. Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa.

    Science.gov (United States)

    Yemeke, Tatenda T; Sikkema, Kathleen J; Watt, Melissa H; Ciya, Nonceba; Robertson, Corne; Joska, John A

    2017-07-01

    Traumatic events can negatively affect clinical outcomes among HIV positive women, particularly when those events result in ongoing psychological distress. Consequently, there have been calls to integrate screening and treatment of traumatic experiences and associated mental health disorders into HIV care. In South Africa, screening for traumatic experiences and mental health is not a routine part of HIV care. The goal of this study was to examine the prevalence of traumatic experiences and mental health distress among women in an HIV clinic in Cape Town, South Africa, and to explore the acceptability of routine screening in this setting. Seventy HIV positive women were screened following referral from health care workers in the clinic. Among the participants, 51% reported a history of sexual abuse and 75% reported physical intimate partner violence (physical IPV). Among all participants, 36% met screening criteria for depression; among those with traumatic experiences ( n = 57), 70% met screening criteria for posttraumatic stress disorder (PTSD). Compared with reporting no sexual abuse or physical IPV, having experienced both sexual abuse and physical IPV was significantly associated with higher odds of depression, while reporting either sexual abuse or physical IPV individually was not significantly associated with increased odds of depression. Among women reporting sexual abuse, 61% were disclosing their experience for the first time during the screening; 31% of women with physical IPV experience were disclosing for the first time. Overall, 98% of participants thought screening should be routine and extended to all women as part of clinic care. Screening women for sexual abuse and physical IPV may be an important component of ensuring HIV care engagement.

  3. Opportunities for technology-based HIV prevention programming among high school students in Cape Town, South Africa.

    Science.gov (United States)

    Ybarra, Michele L; Mwaba, Kelvin; Prescott, Tonya L; Roman, Nicolette V; Rooi, Bronwyn; Bull, Sheana

    2014-01-01

    One in three new cases of HIV in South Africa is among adolescents. Given that adolescents are particularly affected, scalable, and cost-effective prevention programs are urgently needed. This study aims to identify opportunities to integrate technology into youth HIV prevention efforts. In 2012, 1107 8th-11th graders completed a paper-and-pencil survey. Respondents were enrolled in one of three public high schools in Langa, a lower income community in Cape Town, South Africa. Eighty-nine percent of respondents have used text messaging (SMS) and 86% have gone online. If an HIV prevention program was offered online, 66% of youth would be somewhat or extremely likely to access it; slightly fewer (55%) felt the same about SMS-based programming. In comparison, 85% said they would be somewhat or extremely likely to access a school-based HIV prevention program. Interest in Internet- (60%) and SMS-based (54%) HIV prevention programming was similar for youth who had a self-appraised risk of HIV compared to youth who appraised their risk to be lower, as it was for youth who were tired of hearing messages about HIV prevention. Technology use is common - even among high school students who live in lower income communities. At the same time, these data reveal that it is not uncommon for youth to be tired of hearing messages about HIV prevention, and many of the typical topics key to HIV prevention have low interest levels among youth. HIV prevention researchers need to be mindful of the extent of existing programming that youth are exposed to. Technology-based programming may be especially amenable to meeting these requirements because of its novelty especially in developing countries, and because interactive functionality can be easily integrated into the program design. Given the preference for school- and Internet-based programming, it seems that a hybrid approach is likely feasible and acceptable.

  4. Risk factors for HIV-AIDS among youth in Cape Town, South Africa.

    Science.gov (United States)

    Simbayi, Leickness C; Kalichman, Seth C; Jooste, Sean; Cherry, Charsey; Mfecane, Sakhumzi; Cain, Demetria

    2005-03-01

    South Africa is in the midst of a devastating HIV-AIDS epidemic and most new HIV infections occur among young adults and adolescents. The current study examined risk behaviors and HIV risk factors among young people living in a Black South African township. Using community-based outreach methods of street intercept and facility-based surveying, 113 men and 115 women age 25 and younger responded to an anonymous survey. Results showed that men (68%) and women (56%) reported HIV-related high risk sexual behaviors. Although knowledge about HIV transmission was generally high, there was evidence that misconceptions about AIDS persist, particularly myths related to HIV transmission. For young men, HIV risk factors were associated with fewer years of education, lower levels of AIDS-related knowledge, condom attitudes, and Dagga (marijuana) use. Among young women, HIV risk factors were associated with beliefs that condoms get in the way of sex and rates of unprotected vaginal intercourse. Despite adequate general AIDS knowledge and risk sensitization, South African youth demonstrated high rates of sexual practices that place them at risk for HIV infection. There is an urgent need for behavioral interventions targeted to young South Africans living in the most economically disadvantaged areas.

  5. Towards Multilingual Higher Education in South Africa: The University of Cape Town's Experience

    Science.gov (United States)

    Madiba, Mbulungeni

    2010-01-01

    South African universities are required by the Language Policy for Higher Education adopted by the government on 6 November 2002 to implement multilingualism in their learning and teaching programmes. Multilingualism is recommended in this policy as a means to ensure equity of access and success in higher education, in contrast to past colonial…

  6. Firearm injuries to children in Cape Town, South Africa: Impact of the ...

    African Journals Online (AJOL)

    2013-08-03

    Aug 3, 2013 ... children throughout that period, highlighting an increasing problem. It concluded that reducing the availability of firearms could have a significant impact on the reduction of firearm injuries in children, and was to prove useful in supporting efforts to strengthen South. Africa's national gun laws. The purpose of ...

  7. Injury severity in relation to seatbelt use in Cape Town, South Africa ...

    African Journals Online (AJOL)

    Background. Injuries and deaths from road traffic collisions present an enormous challenge to the South African (SA) healthcare system. The use of restraining devices is an important preventive measure. Objective. To determine the relationship between seatbelt use and injury severity in vehicle occupants involved in road ...

  8. RECURRENT CONVULSIONS IN CAPE TOWN CHILDREN*

    African Journals Online (AJOL)

    1970-11-03

    Nov 3, 1970 ... Child Health, Medical School, University of Cape Town studied and the .... Sex Distribution (Table III) ... family history in children with brain damage is surprisingly high. .... nized that more male infants develop the respiratory.

  9. Estrogenic activity, chemical levels and health risk assessment of municipal distribution point water from Pretoria and Cape Town, South Africa.

    Science.gov (United States)

    Van Zijl, Magdalena Catherina; Aneck-Hahn, Natalie Hildegard; Swart, Pieter; Hayward, Stefan; Genthe, Bettina; De Jager, Christiaan

    2017-11-01

    Endocrine disrupting chemicals (EDCs) are ubiquitous in the environment and have been detected in drinking water from various countries. Although various water treatment processes can remove EDCs, chemicals can also migrate from pipes that transport water and contaminate drinking water. This study investigated the estrogenic activity in drinking water from various distribution points in Pretoria (City of Tshwane) (n = 40) and Cape Town (n = 40), South Africa, using the recombinant yeast estrogen screen (YES) and the T47D-KBluc reporter gene assay. The samples were collected seasonally over four sampling periods. The samples were also analysed for bisphenol A (BPA), nonylphenol (NP), di(2-ethylhexyl) adipate (DEHA), dibutyl phthalate (DBP), di(2-ethylhexyl) phthalate (DEHP), diisononylphthalate (DINP), 17β-estradiol (E 2 ), estrone (E 1 ) and ethynylestradiol (EE 2 ) using ultra-performance liquid chromatography-tandem mass spectrophotometry (UPLC-MS/MS). This was followed by a scenario based health risk assessment to assess the carcinogenic and toxic human health risks associated with the consumption of distribution point water. None of the water extracts from the distribution points were above the detection limit in the YES bioassay, but the EEq values ranged from 0.002 to 0.114 ng/L using the T47D-KBluc bioassay. BPA, DEHA, DBP, DEHP, DINP E 1 , E 2, and EE 2 were detected in distribution point water samples. NP was below the detection limit for all the samples. The estrogenic activity and levels of target chemicals were comparable to the levels found in other countries. Overall the health risk assessment revealed acceptable health and carcinogenic risks associated with the consumption of distribution point water. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Lived experiences of male intimate partners of female rape victims in Cape Town, South Africa.

    Science.gov (United States)

    van Wijk, Evalina; Duma, Sinegugu E; Mayers, Pat M

    2014-09-23

    Sexual violence in South Africa is a major public health and social problem. Sexual assault or rape is a traumatic event which disrupts not only the life of the female rape victim, but also that of her male intimate partner (MIP), irrespective of whether he witnessed or was informed of the incident. The study aimed to explore the lived experiences of MIPs of female rape victims and the meaning of these experiences in the six months following the partner's rape. We conducted a longitudinal hermeneutic phenomenological study. Nine purposively sampled adult MIPs were interviewed over a period of six months. The participants were in an intimate relationship with a female rape victim prior to and immediately after the rape; their partners had been treated at a specialised centre for victims of rape and sexual assault. Four interviews were conducted with each of the nine intimate partners of female rape victims: (1) within 14 days of, (2) a month after, (3) three months after, and (4) six months after the rape. Two major themes emerged: being-in-the-world as a secondary victim of rape, and living in multiple worlds, those of their female partners, family, friends, society, employers or colleagues, professionals and the justice system. The participant's familiar world became strange and even threatening, and his relationship with his partner became uncertain. Early supportive intervention for intimate partners of female rape victims is required to prevent on-going emotional trauma and alleviate the effects of chronic post-traumatic stress disorder and suffering at intra- and interpersonal levels.

  11. Lived experiences of male intimate partners of female rape victims in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Evalina van Wijk

    2014-02-01

    Full Text Available Background: Sexual violence in South Africa is a major public health and social problem. Sexual assault or rape is a traumatic event which disrupts not only the life of the female rape victim, but also that of her male intimate partner (MIP, irrespective of whether he witnessed or was informed of the incident.Objectives: The study aimed to explore the lived experiences of MIPs of female rape victims and the meaning of these experiences in the six months following the partner’s rape.Method: We conducted a longitudinal hermeneutic phenomenological study. Nine purposively sampled adult MIPs were interviewed over a period of six months. The participants were in an intimate relationship with a female rape victim prior to and immediately after the rape; their partners had been treated at a specialised centre for victims of rape and sexual assault. Four interviews were conducted with each of the nine intimate partners of female rape victims: (1 within 14 days of, (2 a month after, (3 three months after, and (4 six months after the rape.Results: Two major themes emerged: being-in-the-world as a secondary victim of rape, and living in multiple worlds, those of their female partners, family, friends, society, employers or colleagues, professionals and the justice system. The participant’s familiar world became strange and even threatening, and his relationship with his partner became uncertain.Conclusion: Early supportive intervention for intimate partners of female rape victims is required to prevent on-going emotional trauma and alleviate the effects of chronic post-traumatic stress disorder and suffering at intra- and interpersonal levels.

  12. A prospective study of the demographics, management and outcome of patients with acute kidney injury in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Thandiwe A L Dlamini

    Full Text Available To study the demographics and outcome of acute kidney injury (AKI at Groote Schuur Hospital, Cape Town, South Africa.A prospective observational study of AKI fulfilling the Kidney Disease: Improving Global Outcomes definition, from 8 July 2012 to 8 July 2013. Ethics approval was granted by the University of Cape Town Human Research Ethics Committee. Consent was waived because patient data was de-identified and patient management was not adversely affected by the study. A clerking sheet was used for data collection. Patients were reassessed after 3 months. Main outcomes were renal recovery and 3 month mortality. Descriptive statistics and multivariate logistic regression were carried out for risk factors. Over this period there were 10,750 hospital admissions and 366 patients with AKI giving an incidence of 3.4%. Median age was 44 years (IQR 14-82 and 214 (58.5% were male, with 152 (41.5% female. Most, 265 (72.4%, had community acquired AKI. Common underlying comorbidities were hypertension (n = 152, 41.5%, diabetes mellitus (n = 65, 17.8% Human immunodeficiency virus (HIV (n = 75, 20.6%, heart disease (n = 58, 16.1%, and chronic kidney disease (n = 37, 10.1%. Renal biopsies were performed in 36 (9.8% patients. In total, 202 (55.2% patients were in the intensive care unit, and of the whole study population 204 (55.7% were dialysed. Those admitted to ICU who required dialysis amounted to 145 (39.6%. The overall 3 month mortality was 38.8%. Among the 145 patients dialysed in ICU, there were 71 deaths (49% at 3 month follow up. Of the 119 patients with follow up serum creatinine, 95 (79.8% had full renal recovery, and 4 (3.4% had end-stage renal disease. On multivariate analysis, mechanical ventilation was associated with 3 month mortality (OR 2.46, p-value 0.019, 95% CI 1.41-4.03. Sepsis had a borderline significant association (OR 1.83, P-value 0.066, 95%CI 1.02-3.27, as did prolonged time to dialysis (OR 1.93, p-value 0.08, 095% CI 0.93-4.03. HIV

  13. Impact of the 2010 FIFA (Federation Internationale de Football Association) World Cup on Pediatric Injury and Mortality in Cape Town, South Africa.

    Science.gov (United States)

    Zroback, Chris; Levin, David; Manlhiot, Cedric; Alexander, Angus; van As, Ab Sebastian; Azzie, Georges

    2014-02-01

    To examine how a mass-gathering event (the Federation Internationale de Football Association World Cup, 2010, South Africa) impacts trauma and mortality in the pediatric (≤ 18 years) population. We investigated pediatric emergency visits at Cape Town's 3 largest public trauma centers and 3 private hospital groups, as well as deaths investigated by the 3 city mortuaries. We compared the 31 days of World Cup with equivalent periods from 2007-2009, and with the 2 weeks before and after the event. We also looked at the World Cup period in isolation and compared days with and without games in Cape Town. There was significantly decreased pediatric trauma volume during the World Cup, approximately 2/100,000 (37%) fewer injuries per day, compared with 2009 and to both pre- and post-World Cup control periods (P emergency visits corresponding with local match start time, with fewer all-cause emergency visits during the 5 hours surrounding this time (-16.4%, P = .01), followed by a subsequent spike (+26.2%, P = .02). There was an increase in trauma 12 hours following matches (+15.6%, P = .06). In Cape Town, during the 2010 Federation Internationale de Football Association World Cup, there were fewer emergency department visits for traumatic injury. Furthermore, there were fewer all-cause pediatric emergency department visits during hometown matches. These results will assist in planning for future mass-gathering events. Copyright © 2014 Mosby, Inc. All rights reserved.

  14. Respiratory microbes present in the nasopharynx of children hospitalised with suspected pulmonary tuberculosis in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Felix S. Dube

    2016-10-01

    Full Text Available Abstract Background Lower respiratory tract infection in children is increasingly thought to be polymicrobial in origin. Children with symptoms suggestive of pulmonary tuberculosis (PTB may have tuberculosis, other respiratory tract infections or co-infection with Mycobacterium tuberculosis and other pathogens. We aimed to identify the presence of potential respiratory pathogens in nasopharyngeal (NP samples from children with suspected PTB. Method NP samples collected from consecutive children presenting with suspected PTB at Red Cross Children’s Hospital (Cape Town, South Africa were tested by multiplex real-time RT-PCR. Mycobacterial liquid culture and Xpert MTB/RIF was performed on 2 induced sputa obtained from each participant. Children were categorised as definite-TB (culture or qPCR [Xpert MTB/RIF] confirmed, unlikely-TB (improvement of symptoms without TB treatment on follow-up and unconfirmed-TB (all other children. Results Amongst 214 children with a median age of 36 months (interquartile range, [IQR] 19–66 months, 34 (16 % had definite-TB, 86 (40 % had unconfirmed-TB and 94 (44 % were classified as unlikely-TB. Moraxella catarrhalis (64 %, Streptococcus pneumoniae (42 %, Haemophilus influenzae spp (29 % and Staphylococcus aureus (22 % were the most common bacteria detected in NP samples. Other bacteria detected included Mycoplasma pneumoniae (9 %, Bordetella pertussis (7 % and Chlamydophila pneumoniae (4 %. The most common viruses detected included metapneumovirus (19 %, rhinovirus (15 %, influenza virus C (9 %, adenovirus (7 %, cytomegalovirus (7 % and coronavirus O43 (5.6 %. Both bacteria and viruses were detected in 73, 55 and 56 % of the definite, unconfirmed and unlikely-TB groups, respectively. There were no significant differences in the distribution of respiratory microbes between children with and without TB. Using quadratic discriminant analysis, human metapneumovirus, C. pneumoniae, coronavirus 043

  15. Poor anticoagulation control in patients taking warfarin at a tertiary and districtlevel prothrombin clinic in Cape Town South Africa

    Directory of Open Access Journals (Sweden)

    I Ebrahim

    2018-05-01

    Full Text Available Background. Warfarin is the most commonly used anticoagulant for both primary and secondary prevention of thromboembolism. For anticoagulation efficacy, the international normalised ratio (INR needs to be within the therapeutic range for at least 65% of time on warfarin.Objectives. To describe INR control in patients on long-term warfarin and identified predictors of good INR control at two dedicated warfarin follow-up clinics in Cape Town, South Africa (SA.Methods. We reviewed clinical records of patients in care at the INR clinics at Mitchell’s Plain Community Health Centre and Groote Schuur Hospital. We included patients who had been on warfarin therapy for at least 27 months and excluded patients with <6 months of INR monitoring data or a >70-day gap between INR tests in the calculation period, and if >25% of follow-up time was at an alternative site. The time in therapeutic range (TTR over 180 days using the Rosendaal method was calculated, and we categorised INR control as good if the TTR was ≥65%. We constructed a multivariate logistic regression model to identify associations with good INR control.Results. We included 363 patients, with a median age of 55 years (interquartile range (IQR 44 - 64, of whom 65.6% were women. The most common indications for warfarin were valvular heart disease (45.7% and atrial fibrillation (25.1%. The mean TTR was 47%, with only 91/363 patients having good INR control. In a multivariate model adjusted for age, sex, clinic and target INR, patients aged ≥55 years were more likely to have good INR control than younger patients (adjusted odds ratio 1.69, 95% confidence interval 1.03 - 2.79. Poorly controlled patients had more frequent INR monitoring than those with good INR control, with a median of 8 INRs (IQR 6 - 10 v. 6 INRs (IQR 5 - 8 in the 180-day period (p<0.0001.Conclusions. Only 25.1% of patients in our study achieved good INR control, despite regular INR monitoring. There is an

  16. Parental supervision and discomfort with children walking to school in low-income communities in Cape Town, South Africa.

    Science.gov (United States)

    Simons, Abigail; Koekemoer, Karin; Niekerk, Ashley van; Govender, Rajen

    2018-05-19

    The risk of pedestrian injury is compounded for children living in low-income communities due to factors such as poor road and pedestrian infrastructure, reliance on walking as a means of transport, and compromised supervision. Parents play an important role in child pedestrian safety. The primary objective of this study was to examine the effects of child pedestrian variables on parental discomfort with regard to letting their child walk to and from school and on the frequency of adult supervision. A cross-sectional study was conducted using a convenience sample from 3 schools participating in a pedestrian safety school initiative. The schools are situated in low-income, high-risk communities in the City of Cape Town. A parent survey form was translated into isiXhosa and sent home with learners to those parents who had consented to participate. The response rate was 70.4%, and only parents of children who walk to and from school were included in the final sample (n = 359). Child pedestrian variables include the time taken to walk to school, parental rating of the child's ability to safely cross the road, and the frequency of adult supervision. More than half of parents reported that their child walked to and from school without adult supervision. About 56% of children took less than 20 min to walk to school. Most parents (61%) were uncomfortable with their child walking to school, although the majority of parents (55.7%) rated their child's ability to cross the road safely as better or significantly better than average (compared to peers). The parents did not perceive any differences in pedestrian risk factors between boys and girls or between younger (6-9 years) and older (10-15 years) children. The time spent by a child walking to school and parents' perceptions of their child's road-crossing ability were found to be significant predictors of parental discomfort (in letting their child walk). Younger children and children who spent less time walking were more

  17. The Cape Town Statement on Geoethics

    Science.gov (United States)

    Di Capua, Giuseppe; Peppoloni, Silvia; Bobrowsky, Peter

    2017-04-01

    The interest of geoscientists in (geo)ethical aspects of geoscience knowledge, education, research and practice is rising and today geoethics has a significant visibility. This prominence is the result of hard work done in the last 4 years by the IAPG - International Association for Promoting Geoethics (http://www.geoethics.org), a not-for-profit, multidisciplinary, scientific network (with more than 1350 members in 107 countries) established for widening the discussion and creating awareness about problems of ethics applied to the geosciences. IAPG has produced a strong conceptual substratum on which to base the future development of geoethics, by clarifying the meaning of the word Geoethics, formalizing its definition, and identifying a framework of reference values on which the geoscience community can base more effective codes of conduct. IAPG members have published numerous books and articles in peer reviewed international journals, and organized scientific sessions to bring geoethics at the most important geoscience conferences. Geoethical issues have been included in the European project ENVRI-Plus, dedicated to the environmental and solid Earth research infrastructures. Moreover, the most prestigious geoscience organizations around the world now recognize geoethics as an important issue that warrants attention. This success was confirmed by the high quality of contents and the large participation of scientists in the 6 technical sessions and single panel session on geoethics organized by IAPG at the 35th IGC - International Geological Congress, held in 2016 in Cape Town (South Africa), with the cooperative work of different geoscience organizations (IUGS-TGGP - Task Group on Global Geoscience Professionalism; GSL - Geological Society of London; EFG - European Federation of Geologists; EGS - EuroGeoSurveys; AGI - American Geosciences Institute; AGU - American Geophysical Union, and AAWG - African Association of Women in Geosciences). IAPG considers the 35th

  18. Supernumerary registrar experience at the University of Cape Town ...

    African Journals Online (AJOL)

    Background. Despite supernumerary registrars (SNRs) being hosted in South African (SA) training programmes, there are no reports of their experience. Objectives. To evaluate the experience of SNRs at the University of Cape Town, SA, and the experience of SNRs from the perspective of. SA registrars (SARs). Methods.

  19. The mass miniature chest radiography programme in Cape Town ...

    African Journals Online (AJOL)

    Background. Tuberculosis (TB) control programmes rely mainly on passive detection of symptomatic individuals. The resurgence of TB has rekindled interest in active case finding. Cape Town (South Africa) had a mass miniature radiography (MMR) screening programme from 1948 to 1994. Objective. To evaluate screening ...

  20. The Tijaniyya Tariqa in Cape Town | Lliteras | Journal for Islamic ...

    African Journals Online (AJOL)

    This study finds that the spiritual praxis of the Tijaniyya profoundly influences the social behaviour of its followers, as is exemplified by its impact on issues of race relations and identity in South Africa. The findings suggest that the Tijaniyya tariqa in Cape Town offers the unique opportunity to challenge racism and prejudice, ...

  1. Narrating Muslim women’s identities in Cape Town

    OpenAIRE

    Boswell, R.

    2011-01-01

    This paper considers the complexity of Muslim women’s identities in the city of Cape Town in 2010. It is argued that emerging super-diversity in the form of African immigration, the commercialisation of Islam and increasing freedoms for women in South Africa impact on women’s engagement with religion and diversifies their identity. The paper also offers glimpses into the diversity of Islam in Cape Town, suggesting that this religion is not monolithic in the city and that it is continuously di...

  2. The relevance of social contexts and social action in reducing substance use and victimization among women participating in an HIV prevention intervention in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Reed E

    2013-06-01

    Full Text Available Elizabeth Reed,1 Andrea N Emanuel,2 Bronwyn Myers,3,4 Kim Johnson,3 Wendee M Wechsberg2,5–7 1George Washington University School of Public Health, Department of Prevention and Community Health, Washington, DC, USA; 2RTI International, Research Triangle Park, NC, USA; 3Alcohol and Drug Abuse Research Unit, Medical Research Council, Cape Town, South Africa; 4Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; 5Gillings Global School of Public Health, University of North Carolina, Chapel Hill, NC, USA; 6Psychology in the Public Interest, North Carolina State University, NC, USA; 7Psychiatry and Behavioral Sciences, Duke University School of Medicine, NC, USA Objectives: To examine qualitatively how women's social context and community mobilization (eg, mobilizing women to take social action and engaging their community in social change influence substance use abstinence and victimization among women participating in a human immunodeficiency virus (HIV intervention in Cape Town, South Africa. Methods: Thirty women who had participated in a randomized controlled trial of a group-delivered intervention to address substance use, gender-based violence, and associated risk for HIV (The Women's Health CoOp were selected to participate in semi-structured interviews about their perceived impact of the intervention on their substance use and exposure to victimization. The Women's CoOp intervention involved creating a new positive social environment for women within a group setting that also fostered women's social action (eg, educating peers or family members in the community. Interviews were analyzed using content analysis and coded to examine women's descriptions of social contexts and social action, and the influence of these on women's substance use abstinence and exposure to victimization. Results: Social support (eg, via program staff and other participants and social action (eg, engaging others in the

  3. Contribution of Water Pollution From Inadequate Sanitation and Housing Quality to Diarrheal Disease in Low-Cost Housing Settlements of Cape Town, South Africa

    Science.gov (United States)

    Barnes, Jo M.; Pieper, Clarissa H.

    2011-01-01

    Objectives. We investigated the effects of failing sanitation, poor housing conditions, and fecal pollution in runoff water on the health—particularly the incidence of diarrheal disease—of residents of low-cost housing settlements in Cape Town, South Africa. Methods. In November 2009, we conducted a cross-sectional survey with structured interviews in 4 communities (n = 336 dwellings; 1080 persons). We used Colilert defined-substrate technology to determine Escherichia coli levels in runoff water samples taken from the study communities. Results. Almost 15% of households disposed of soiled products in storm water drains and 6% disposed of soiled products in the street. In only 26% of the dwellings were toilets washed daily. Approximately 59% of dwellings lacked a tap near the toilet for hand washing, and 14% of respondents suffered 1 or more attacks of diarrhea in the 2 weeks preceding their interview. E.coli counts of runoff environmental water samples ranged from 750 to 1 580 000 000 per 100 milliliters. Conclusions. A holistic and integrated approach is needed to improve housing quality and sanitation among Cape Town's low-income citizens. PMID:21566018

  4. The impact of densification by means of informal shacks in the backyards of low-cost houses on the environment and service delivery in cape town, South Africa.

    Science.gov (United States)

    Govender, Thashlin; Barnes, Jo M; Pieper, Clarissa H

    2011-01-01

    This paper investigates the state-sponsored low cost housing provided to previously disadvantaged communities in the City of Cape Town. The strain imposed on municipal services by informal densification of unofficial backyard shacks was found to create unintended public health risks. Four subsidized low-cost housing communities were selected within the City of Cape Town in this cross-sectional survey. Data was obtained from 1080 persons with a response rate of 100%. Illegal electrical connections to backyard shacks that are made of flimsy materials posed increased fire risks. A high proportion of main house owners did not pay for water but sold water to backyard dwellers. The design of state-subsidised houses and the unplanned housing in the backyard added enormous pressure on the existing municipal infrastructure and the environment. Municipal water and sewerage systems and solid waste disposal cannot cope with the increased population density and poor sanitation behaviour of the inhabitants of these settlements. The low-cost housing program in South Africa requires improved management and prudent policies to cope with the densification of state-funded low-cost housing settlements.

  5. The process of enchancing a geriatric module in undergraduate physiotherapy education in South Africa - perceived attituteds towards ageing among community-dwelling elderly persons in Cape Town

    Directory of Open Access Journals (Sweden)

    S.L. Amosun

    2014-04-01

    Full Text Available The framwork of Bloom's taxonomy was utilised in reviewing the educational outcomes of the geriatric module in undergraduate physiotherapy edication at the University of Cape Town.

  6. "I passed the test!" Evidence of diagnostic misconception in the recruitment of population controls for an H3Africa genomic study in Cape Town, South Africa.

    Science.gov (United States)

    Masiye, Francis; Mayosi, Bongani; de Vries, Jantina

    2017-02-15

    Advances in genetic and genomic research have introduced challenges in obtaining informed consent for research in low and middle-income settings. However, there are only few studies that have explored challenges in obtaining informed consent in genetic and genomic research in Africa and none in South Africa. To start filling this gap, we conducted an empirical study to investigate the efficacy of informed consent procedures for an H3Africa genomic study on Rheumatic Heart Disease (RHDGen) at the University of Cape Town in South Africa. The main aim of the study was to understand ethical challenges in obtaining informed consent in the RHDGen study. We used a qualitative study methodology involving in-depth interviews and participant observations. Our study participants were RHDGen cases (patients), healthy controls and research staff involved in the recruitment of RHDGen cases and controls. In total, we conducted 32 in-depth interviews with RHDGen cases and controls, 2 in-depth interviews with research staff and 57 direct observations of the consent procedures of RHDGen cases and controls. The interviews were conducted in English, audio-recorded and transcribed verbatim. Data were analyzed using thematic content analysis. The study was conducted in 3 sites within Cape Town, South Africa. Most healthy controls joined the RHDGen study in order to be screened for rheumatic heart disease (diagnostic misconception). A majority of RHDGen cases decided to join the RHDGen study because of therapeutic misconception. The ethical challenges that impacted on obtaining informed consent in the RHDGen study were complex. In this study, the main challenges were diagnostic misconception among RHDGen controls and therapeutic misconception among RHDGen cases.

  7. Dietary Intake of the Urban Black Population of Cape Town: The Cardiovascular Risk in Black South Africans (CRIBSA Study

    Directory of Open Access Journals (Sweden)

    Nelia P. Steyn

    2016-05-01

    Full Text Available Introduction: To determine dietary intake of 19 to 64 years old urban Africans in Cape Town in 2009 and examine the changes between 1990 and 2009. Methods: A representative cross-sectional sample (n = 544, stratified by gender and age was randomly selected in 2009 from the same areas sampled in 1990. Socio-demographic data and a 24-h dietary recall were obtained by trained field workers. The associations of dietary data with an asset index and degree of urbanization were assessed. Results: Fat intakes were higher in 19–44-year-old men (32% energy (E and women (33.4%E in 2009 compared with 1990 (men: 25.9%E, women: 27.0%E while carbohydrate intakes were lower in 2009 (men 53.2%E, women: 55.5%E than in 1990 (men: 61.3%E; women: 62%E while sugar intake increased significantly (p < 0.01 in women. There were significant positive correlations between urbanization and total fat (p = 0.016, saturated fat (p = 0.001, monounsaturated fat (p = 0.002 and fat as a %E intake (p = 0.046. Urbanization was inversely associated with intake of carbohydrate %E (p < 0.001. Overall micronutrient intakes improved significantly compared with 1990. It should also be noted that energy and macronutrient intakes were all significant in a linear regression model using mean adequacy ratio (MAR as a measure of dietary quality in 2009, as was duration of urbanization. Discussion: The higher fat and lower carbohydrate %E intakes in this population demonstrate a transition to a more urbanized diet over last two decades. These dietary changes reflect the nutrition transitions that typically occur as a longer time is spent in urban centers.

  8. Learning that circumcision is protective against HIV: risk compensation among men and women in Cape Town, South Africa.

    Science.gov (United States)

    Maughan-Brown, Brendan; Venkataramani, Atheendar S

    2012-01-01

    We examined whether knowledge of the HIV-protective benefits of male circumcision (MC) led to risk compensating behavior in a traditionally circumcising population in South Africa. We extend the current literature by examining risk compensation among women, which has hitherto been unexplored. We used data on Xhosa men and women from the 2009 Cape Area Panel Study. Respondents were asked if they had heard that MC reduces a man's risk of contracting HIV, about their perceived risk of contracting HIV, and condom use. For each gender group we assessed whether risk perception and condom use differed by knowledge of the protective benefits of MC using bivariate and then multivariate models controlling for demographic characteristics, HIV knowledge/beliefs, and previous sexual behaviors. In a further check for confounding, we used data from the 2005 wave to assess whether individuals who would eventually become informed about the protective benefits of circumcision were already different in terms of HIV risk perception and condom use. 34% of men (n=453) and 27% of women (n=690) had heard that circumcision reduces a man's risk of HIV infection. Informed men perceived slightly higher risk of contracting HIV and were more likely to use condoms at last sex (pwomen perceived lower HIV risk (pwomen but not men. Further attention should be paid to the role of new information regarding MC, and drivers of HIV risk more broadly, in modulating sexual behavior among women.

  9. Sexual relationships, intimate partner violence and STI partner notification in Cape Town, South Africa: an observational study.

    Science.gov (United States)

    Mathews, Catherine; Kalichman, Moira O; Laubscher, Ria; Hutchison, Cameron; Nkoko, Koena; Lurie, Mark; Kalichman, Seth C

    2018-03-01

    We aimed to identify individual and sexual partnership characteristics associated with partner notification (PN) among people with STI. We hypothesised that PN would be less likely in more casual sexual partnerships and in partnerships with intimate partner violence (IPV). We conducted an observational study among the first 330 patients with STI enrolled in a trial of a behavioural intervention to reduce STI incidence, at a clinic in a poor, Cape Town community. We included 195 index patients (those reporting STI symptoms), and conducted longitudinal analyses using participant-completed questionnaires on the day of diagnosis and 2 weeks later. Using partnership data for five recent sexual partners, we assessed factors associated with reported PN with logistic regressions, adjusting for repeated measurements on the same participant for each partner. The sample included 99 males with 303 partners and 96 females with 158 partners. Males reported perpetrating IPV in 46.2% of partnerships. Females reported being IPV victims in 53.2% of partnerships. Males notified 58.1%, females 75.4% of partners during the 2 weeks following diagnosis. Type of partner was an independent correlate of PN for males and females, with the odds of PN lower in more casual partnerships. For males, reporting physical IPV perpetration in the partnership was an independent correlate of PN. For females, there was no association between IPV victimisation in a partnership and PN. Efforts to decrease the pool of infectious partners need to have a strong focus on the promotion of PN in casual relationships and one-night stands. IPV was not identified as a barrier to PN. In future, we need to investigate the association between IPV with an objective measure of PN success such as partner testing or treatment, or index patient reinfection. PACTR201606001682364; Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No

  10. Age-disparity, sexual connectedness and HIV infection in disadvantaged communities around Cape Town, South Africa: a study protocol

    Directory of Open Access Journals (Sweden)

    Aerts Marc

    2011-08-01

    Full Text Available Abstract Background Crucial connections between sexual network structure and the distribution of HIV remain inadequately understood, especially in regard to the role of concurrency and age disparity in relationships, and how these network characteristics correlate with each other and other risk factors. Social desirability bias and inaccurate recall are obstacles to obtaining valid, detailed information about sexual behaviour and relationship histories. Therefore, this study aims to use novel research methods in order to determine whether HIV status is associated with age-disparity and sexual connectedness as well as establish the primary behavioural and socio-demographic predictors of the egocentric and community sexual network structures. Method/Design We will conduct a cross-sectional survey that uses a questionnaire exploring one-year sexual histories, with a focus on timing and age disparity of relationships, as well as other risk factors such as unprotected intercourse and the use of alcohol and recreational drugs. The questionnaire will be administered in a safe and confidential mobile interview space, using audio computer-assisted self-interview (ACASI technology on touch screen computers. The ACASI features a choice of languages and visual feedback of temporal information. The survey will be administered in three peri-urban disadvantaged communities in the greater Cape Town area with a high burden of HIV. The study communities participated in a previous TB/HIV study, from which HIV test results will be anonymously linked to the survey dataset. Statistical analyses of the data will include descriptive statistics, linear mixed-effects models for the inter- and intra-subject variability in the age difference between sexual partners, survival analysis for correlated event times to model concurrency patterns, and logistic regression for association of HIV status with age disparity and sexual connectedness. Discussion This study design is

  11. Pregnant in a foreign city: A qualitative analysis of diet and nutrition for cross-border migrant women in Cape Town, South Africa.

    Science.gov (United States)

    Hunter-Adams, Jo; Rother, Hanna-Andrea

    2016-08-01

    How do migrant women navigate their food environment during pregnancy? Foods are imbued with new meanings in a new place, and in low-and-middle-income countries including South Africa, a changing food environment leaves the poor, including many migrants, vulnerable to malnutrition. Thus, one of the ways economic and social vulnerability may be experienced and reproduced is via the foods one consumes. Examining food perceptions in the context of pregnancy offers a potentially powerful lens on wellbeing. Nine focus group discussions (N = 48) with Somali, Congolese, and Zimbabwean men and women, and 23 in-depth interviews with Congolese, Somali and Zimbabwean women living in Cape Town were conducted, exploring maternal and infant nutrition. We used thematic analysis to guide analysis. (1) Participants described longing for self-categorised "traditional" foods, yet had limited access and little time and space to prepare these foods in the manner they had back home. (2) Sought-after foods available-and even celebratory-for migrants in Cape Town during pregnancy tended to be calorie-dense, nutrient poor fast foods and junk foods. (3) The fulfilment of cravings was presented as the embodiment of health during pregnancy. (4) Iron-folic acid supplementation was perceived as curative rather than preventive. (5) While participants did not describe hunger during pregnancy, food scarcity seemed possible. Food perceptions during pregnancy reflected migrants' orientation towards home. Fast foods were widely acceptable and available during pregnancy. These foods were not perceived to have negative health consequences. Nutrition interventions targeting migrants should consider the symbolic nature of food, the increasingly globalised food environment in urban LMIC settings, as well as the contexts in which health perceptions evolve. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Factors associated with linkage to HIV care and TB treatment at community-based HIV testing services in Cape Town, South Africa.

    Science.gov (United States)

    Meehan, Sue-Ann; Sloot, Rosa; Draper, Heather R; Naidoo, Pren; Burger, Ronelle; Beyers, Nulda

    2018-01-01

    Diagnosing HIV and/or TB is not sufficient; linkage to care and treatment is conditional to reduce the burden of disease. This study aimed to determine factors associated with linkage to HIV care and TB treatment at community-based services in Cape Town, South Africa. This retrospective cohort study utilized routinely collected data from clients who utilized stand-alone (fixed site not attached to a health facility) and mobile HIV testing services in eight communities in the City of Cape Town Metropolitan district, between January 2008 and June 2012. Clients were included in the analysis if they were ≥12 years and had a known HIV status. Generalized estimating equations (GEE) logistic regression models were used to assess the association between determinants (sex, age, HIV testing service and co-infection status) and self-reported linkage to HIV care and/or TB treatment. Linkage to HIV care was 3 738/5 929 (63.1%). Linkage to HIV care was associated with the type of HIV testing service. Clients diagnosed with HIV at mobile services had a significantly reduced odds of linking to HIV care (aOR 0.7 (CI 95%: 0.6-0.8), p<0.001. Linkage to TB treatment was 210/275 (76.4%). Linkage to TB treatment was not associated with sex and service type, but was associated with age. Clients in older age groups were less likely to link to TB treatment compared to clients in the age group 12-24 years (all, p-value<0.05). A large proportion of clients diagnosed with HIV at mobile services did not link to care. Almost a quarter of clients diagnosed with TB did not link to treatment. Integrated community-based HIV and TB testing services are efficient in diagnosing HIV and TB, but strategies to improve linkage to care are required to control these epidemics.

  13. “Not on the agenda”: A qualitative study of influences on health services use among poor young women who use drugs in Cape Town, South Africa

    Science.gov (United States)

    Myers, Bronwyn; Carney, Tara; Wechsberg, Wendee M.

    2016-01-01

    Background Poor young women who use alcohol and other drugs (AODs) in Cape Town, South Africa, need access to health services to prevent HIV. Efforts to link young women to services are hampered by limited information on what influences service initiation. We explored perceptions of factors that influence poor AOD-using young women’s use of health services. Methods We conducted four focus groups with young women (aged 16 to 21) who used AODs and were recruited from two township communities in Cape Town. We also conducted 14 in-depth interviews with health and social welfare service planners and providers. Discussion topics included young women’s use of health services and perceived influences on service use. Qualitative data were analysed using a framework approach. Results The findings highlighted structural, contextual, and systemic influences on the use of health services by young women who use AODs. First, young women were absent from the health agenda, which had an impact on the provision of women-specific services. Resource constraints and gender inequality were thought to contribute to this absence. Second, gender inequality and stigma toward young women who used AODs led to their social exclusion from education and employment opportunities and health care. Third, community poverty resulted in the emergence of perverse social capital and social disorder that limited social support for treatment. Fourth, the health care system was unresponsive to the multiple service needs of these young women. Conclusion To reach young women who use AODs, interventions need to take cognisance of young women’s risk environment and health systems need to adapt to respond better to their needs. For these interventions to be effective, gender must be placed on the policy agenda. PMID:26797188

  14. "Not on the agenda": A qualitative study of influences on health services use among poor young women who use drugs in Cape Town, South Africa.

    Science.gov (United States)

    Myers, Bronwyn; Carney, Tara; Wechsberg, Wendee M

    2016-04-01

    Poor young women who use alcohol and other drugs (AODs) in Cape Town, South Africa, need access to health services to prevent HIV. Efforts to link young women to services are hampered by limited information on what influences service initiation. We explored perceptions of factors that influence poor AOD-using young women's use of health services. We conducted four focus groups with young women (aged 16-21) who used AODs and were recruited from two township communities in Cape Town. We also conducted 14 in-depth interviews with health and social welfare service planners and providers. Discussion topics included young women's use of health services and perceived influences on service use. Qualitative data were analysed using a framework approach. The findings highlighted structural, contextual, and systemic influences on the use of health services by young women who use AODs. First, young women were absent from the health agenda, which had an impact on the provision of women-specific services. Resource constraints and gender inequality were thought to contribute to this absence. Second, gender inequality and stigma toward young women who used AODs led to their social exclusion from education and employment opportunities and health care. Third, community poverty resulted in the emergence of perverse social capital and social disorder that limited social support for treatment. Fourth, the health care system was unresponsive to the multiple service needs of these young women. To reach young women who use AODs, interventions need to take cognisance of young women's risk environment and health systems need to adapt to respond better to their needs. For these interventions to be effective, gender must be placed on the policy agenda. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. The impact of Information Systems usage on productivity: A retrospective analysis and an empirical study in Cape Town tourism of South Africa

    Directory of Open Access Journals (Sweden)

    Anthony Bere

    2014-01-01

    Full Text Available In this article, the researchers examine the direct impact of Information Systems Usage to Productivity at Cape Town Tourism. Data for the full sample of individuals who use information systems was analysed. The results clearly demonstrate that information systems has a positive impact on productivity. This is compromised however when there is a lack of training and poor systems performance. The study determined that in order to obtain the best out of the system, end users need to be consulted before implementation of any new system. System performance was also found out to be problematic as faced by employees of Cape Town Tourism when using their information systems.

  16. Learning that circumcision is protective against HIV: risk compensation among men and women in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Brendan Maughan-Brown

    Full Text Available We examined whether knowledge of the HIV-protective benefits of male circumcision (MC led to risk compensating behavior in a traditionally circumcising population in South Africa. We extend the current literature by examining risk compensation among women, which has hitherto been unexplored.We used data on Xhosa men and women from the 2009 Cape Area Panel Study. Respondents were asked if they had heard that MC reduces a man's risk of contracting HIV, about their perceived risk of contracting HIV, and condom use. For each gender group we assessed whether risk perception and condom use differed by knowledge of the protective benefits of MC using bivariate and then multivariate models controlling for demographic characteristics, HIV knowledge/beliefs, and previous sexual behaviors. In a further check for confounding, we used data from the 2005 wave to assess whether individuals who would eventually become informed about the protective benefits of circumcision were already different in terms of HIV risk perception and condom use.34% of men (n=453 and 27% of women (n=690 had heard that circumcision reduces a man's risk of HIV infection. Informed men perceived slightly higher risk of contracting HIV and were more likely to use condoms at last sex (p<0.10. Informed women perceived lower HIV risk (p<0.05, were less likely to use condoms both at last sex (p<0.10 and more generally (p<0.01, and more likely to forego condoms with partners of positive or unknown serostatus (p<0.01. The results were robust to covariate adjustment, excluding people living with HIV, and accounting for risk perceptions and condom use in 2005.We find evidence consistent with risk compensation among women but not men. Further attention should be paid to the role of new information regarding MC, and drivers of HIV risk more broadly, in modulating sexual behavior among women.

  17. Dynamics of Indian Ocean Slavery Revealed through Isotopic Data from the Colonial Era Cobern Street Burial Site, Cape Town, South Africa (1750-1827)

    OpenAIRE

    Kootker, Lisette M.; Mbeki, Linda; Morris, Alan G.; Kars, Henk; Davies, Gareth R.

    2016-01-01

    The Dutch East India Company (VOC) intended the Cape of Good Hope to be a refreshment stop for ships travelling between the Netherlands and its eastern colonies. The indigenous Khoisan, however, did not constitute an adequate workforce, therefore the VOC imported slaves from East Africa, Madagascar and Asia to expand the workforce. Cape Town became a cosmopolitan settlement with different categories of people, amongst them a non-European underclass that consisted of slaves, exiles, convicts a...

  18. A social network typology and sexual risk-taking among men who have sex with men in Cape Town and Port Elizabeth, South Africa.

    Science.gov (United States)

    de Voux, Alex; Baral, Stefan D; Bekker, Linda-Gail; Beyrer, Chris; Phaswana-Mafuya, Nancy; Siegler, Aaron J; Sullivan, Patrick S; Winskell, Kate; Stephenson, Rob

    2016-01-01

    Despite the high prevalence of HIV among men who have sex with men in South Africa, very little is known about their lived realities, including their social and sexual networks. Given the influence of social network structure on sexual risk behaviours, a better understanding of the social contexts of men who have sex with men is essential for informing the design of HIV programming and messaging. This study explored social network connectivity, an understudied network attribute, examining self-reported connectivity between friends, family and sex partners. Data were collected in Cape Town and Port Elizabeth, South Africa, from 78 men who have sex with men who participated in in-depth interviews that included a social network mapping component. Five social network types emerged from the content analysis of these social network maps based on the level of connectivity between family, friends and sex partners, and ranged from disconnected to densely connected networks. The ways in which participants reported sexual risk-taking differed across the five network types, revealing diversity in social network profiles. HIV programming and messaging for this population can greatly benefit from recognising the diversity in lived realities and social connections between men who have sex with men.

  19. Feasibility and Acceptability of Screening and Brief Interventions to Address Alcohol and Other Drug Use among Patients Presenting for Emergency Services in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Bronwyn Myers

    2012-01-01

    Full Text Available Despite evidence from high income countries, it is not known whether screening and brief interventions (SBI for alcohol and other drug (AOD use are feasible to implement in low and middle income countries. This paper describes the feasibility and acceptability of a peer-led SBI for AOD-using patients presenting with injuries at emergency services in Cape Town, South Africa. Data were extracted from program records on the number of eligible patients screened and the number of program refusals. A questionnaire examined preliminary responses to the intervention for 30 patients who had completed the program and 10 emergency personnel. Peer counselors were also interviewed to identify barriers to implementation. Of the 1458 patients screened, 21% (305 met inclusion criteria, of which 74% (225 were enrolled in the intervention. Of the 30 patients interviewed, most (83% found the program useful. Emergency personnel were supportive of the program but felt that visibility and reach could improve. Peer counselors identified the need for better integration of the program into emergency services and for additional training and support. In conclusion, with limited additional resources, peer-led SBIs for AOD use are feasible to conduct in South African emergency services and are acceptable to patients and emergency personnel.

  20. I am not "umqwayito'': a qualitative study of peer pressure and sexual risk behaviour among young adolescents in Cape Town, South Africa.

    Science.gov (United States)

    Selikow, Terry-Ann; Ahmed, Nazeema; Flisher, Alan J; Mathews, Catherine; Mukoma, Wanjiru

    2009-06-01

    Young people in South Africa are susceptible to HIV infection. They are vulnerable to peer pressure to have sex, but little is known about how peer pressure operates. The aim of the study was to understand how negative peer pressure increases high risk sexual behaviour among young adolescents in Cape Town, South Africa. Qualitative research methods were used. Eight focus groups were conducted with young people between the ages of 13 and 14 years. Peer pressure among both boys and girls undermines healthy social norms and HIV prevention messages to abstain, be faithful, use a condom and delay sexual debut. HIV prevention projects need to engage with peer pressure with the aim of changing harmful social norms into healthy norms. Increased communication with adults about sex is one way to decrease the impact of negative peer pressure. Peer education is a further mechanism by which trained peers can role model healthy social norms and challenge a peer culture that promotes high risk sexual behaviour. Successful HIV prevention interventions need to engage with the disconnect between educational messages and social messages and to exploit the gaps between awareness, decision making, norms, intentions and actions as spaces for positive interventions.

  1. Prevalence and determinants of unplanned pregnancy in HIV-positive and HIV-negative pregnant women in Cape Town, South Africa: a cross-sectional study.

    Science.gov (United States)

    Iyun, Victoria; Brittain, Kirsty; Phillips, Tamsin K; le Roux, Stanzi; McIntyre, James A; Zerbe, Allison; Petro, Greg; Abrams, Elaine J; Myer, Landon

    2018-04-03

    Prevention of unplanned pregnancy is a crucial aspect of preventing mother-to-child HIV transmission. There are few data investigating how HIV status and use of antiretroviral therapy (ART) may influence pregnancy planning in high HIV burden settings. Our objective was to examine the prevalence and determinants of unplanned pregnancy among HIV-positive and HIV-negative women in Cape Town, South Africa. Cross-sectional analysis. Single primary-level antenatal care clinic in Cape Town, South Africa. HIV-positive and HIV-negative pregnant women, booking for antenatal care from March 2013 to August 2015, were included. Unplanned pregnancy was measured at the first antenatal care visit using the London Measure of Unplanned Pregnancy (LMUP). Analyses examined LMUP scores across four groups of participants defined by their HIV status, awareness of their HIV status prior to the current pregnancy and/or whether they were using antiretroviral therapy (ART) prior to the current pregnancy. Among 2105 pregnant women (1512 HIV positive; 593 HIV negative), median age was 28 years, 43% were married/cohabiting and 20% were nulliparous. Levels of unplanned pregnancy were significantly higher in HIV-positive versus HIV-negative women (50% vs 33%, p<0.001); and highest in women who were known HIV positive but not on ART (53%). After adjusting for age, parity and marital status, unplanned pregnancy was most common among women newly diagnosed and women who were known HIV positive but not on ART (compared with HIV-negative women, adjusted OR (aOR): 1.43; 95% CI 1.05 to 1.94 and aOR: 1.57; 95% CI 1.13 to 2.15, respectively). Increased parity and younger age (<24 years) were also associated with unplanned pregnancy (aOR: 1.42; 95% CI 1.25 to 1.60 and aOR: 1.83; 95% CI 1.23 to 2.74, respectively). We observed high levels of unplanned pregnancy among HIV-positive women, particularly among those not on ART, suggesting ongoing missed opportunities for improved family planning and

  2. The 1992 measles epidemic in Cape Town - a changing ...

    African Journals Online (AJOL)

    Over the last 6 years there has been a decline in the incidence of measles in Cape Town. However, during August 1992 an outbreak occurred, with cases reported at many schools in children presumably immunised. The objectives of this study were to characterise the epidemic in Cape Town and to determine possible ...

  3. Risk factors for meningococcal disease in Cape Town | Moodley ...

    African Journals Online (AJOL)

    Objective. To determine the risk factors associated with meningococcal disease among children living in Cape Town. Design. A case-control study was conducted from October 1993 to January 1995. Setting. The study population consisted of all children tmder the age of 14 years who were resident in the Cape Town ...

  4. Assessing the impact of a waiting time survey on reducing waiting times in urban primary care clinics in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Johann Daniels

    2017-09-01

    Full Text Available A waiting time survey (WTS conducted in several clinics in Cape Town, South Africa provided recommendations on how to shorten waiting times (WT. A follow-up study was conducted to assess whether WT had reduced. Using a stratified sample of 22 clinics, a before and after study design assessed changes in WT. The WT was measured and perceptions of clinic managers were elicited, about the previous survey’s recommendations. The overall median WT decreased by 21 minutes (95%CI: 11.77- 30.23, a 28% decrease from the previous WTS. Although no specific factor was associated with decreases in WT, implementation of recommendations to reduce WT was 2.67 times (95%CI: 1.33-5.40 more likely amongst those who received written recommendations and 2.3 times (95%CI: 1.28- 4.19 more likely amongst managers with 5 or more years’ experience. The decrease in WT found demonstrates the utility of a WTS in busy urban clinics in developing country contexts. Experienced facility managers who timeously receive customised reports of their clinic’s performance are more likely to implement changes that positively impact on reducing WT.

  5. The 13 th world congress on medical and health informatics, Cape Town, South Africa: Partnerships for effective e-Health solutions

    Directory of Open Access Journals (Sweden)

    Andrew Georgiou

    2011-01-01

    Full Text Available The 13 th World Congress on Medical and Health Informatics (Medinfo was held in 2010 between 12 and 15 September in Cape Town, South Africa. This triennial international gathering is the official conference of the International Medical Informatics Association (IMIA and brings together leading health informatics leaders, scientists, clinicians, researchers, vendors, developers and government and health care planners from around the globe. The conference attracted 905 submissions and resulted in a program that included 260 oral presentations, 349 posters presentations and 21 scientific demonstrations representing contributions from 58 countries. The Medinfo program covered all aspects of health informatics from traditional areas, such as hospital information systems, patient registries, nursing informatics, data integration, standards, interoperability issues and decision support, to innovative topics, such as translational bioinformatics, text mining, intelligent data analysis, emerging technologies, quality, social networking, workflow and organizational issues. The outgoing President of the IMIA, Professor Reinhold Haux, presented on health informatics challenges into the future, reinforcing that today and in the future, health care has to be considered as part of a continuous and coordinated life-time journey and not just as episodes of disease. Medical informatics has a key role to play in this paradigm shift. The new IMIA President, Professor Antoine Geissbuhler, was announced at the closing ceremony. The next Medinfo congress will take place in Copenhagen, Denmark, in September 2013.

  6. Is younger really safer? A qualitative study of perceived risks and benefits of age-disparate relationships among women in Cape Town, South Africa.

    Science.gov (United States)

    Beauclair, Roxanne; Delva, Wim

    2013-01-01

    Young women in age-asymmetric relationships may be at an elevated risk for acquisition of HIV, since relationships with older men are also correlated with other risk behaviors like less condom use. Qualitative studies have shown that women are motivated to participate in these relationships for money and emotional support. However, there is a paucity of research on women's perceived risks of these relationships, particularly in South Africa. To this end, we conducted in-depth interviews with 23 women recruited from three urban communities in Cape Town. A thematic question guide was used to direct the interviews. Thematic content analysis was used to explore women's perceived risks of age-disparate and non-age-disparate relationships, the benefits of dating older men, and risk perceptions that influence decisions around beginning or ending a relationship. A plurality of women thought that dating an older man does not bring any adverse consequences, although some thought that older men do not use condoms and may be involved in concurrent partnerships. Many women were less inclined to date same-age or younger men, because they were viewed as being disrespectful and abusive. This study points to the need for more awareness raising about the risks of age-disparate relationships. In addition to these initiatives, there is an urgent need to implement holistic approaches to relationship health, in order to curb intimate partner violence, improve gender equity and make non-age-disparate relationships more attractive.

  7. Is younger really safer? A qualitative study of perceived risks and benefits of age-disparate relationships among women in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Roxanne Beauclair

    Full Text Available Young women in age-asymmetric relationships may be at an elevated risk for acquisition of HIV, since relationships with older men are also correlated with other risk behaviors like less condom use. Qualitative studies have shown that women are motivated to participate in these relationships for money and emotional support. However, there is a paucity of research on women's perceived risks of these relationships, particularly in South Africa. To this end, we conducted in-depth interviews with 23 women recruited from three urban communities in Cape Town. A thematic question guide was used to direct the interviews. Thematic content analysis was used to explore women's perceived risks of age-disparate and non-age-disparate relationships, the benefits of dating older men, and risk perceptions that influence decisions around beginning or ending a relationship. A plurality of women thought that dating an older man does not bring any adverse consequences, although some thought that older men do not use condoms and may be involved in concurrent partnerships. Many women were less inclined to date same-age or younger men, because they were viewed as being disrespectful and abusive. This study points to the need for more awareness raising about the risks of age-disparate relationships. In addition to these initiatives, there is an urgent need to implement holistic approaches to relationship health, in order to curb intimate partner violence, improve gender equity and make non-age-disparate relationships more attractive.

  8. Is Younger Really Safer? A Qualitative Study of Perceived Risks and Benefits of Age-Disparate Relationships among Women in Cape Town, South Africa

    Science.gov (United States)

    Beauclair, Roxanne; Delva, Wim

    2013-01-01

    Young women in age-asymmetric relationships may be at an elevated risk for acquisition of HIV, since relationships with older men are also correlated with other risk behaviors like less condom use. Qualitative studies have shown that women are motivated to participate in these relationships for money and emotional support. However, there is a paucity of research on women’s perceived risks of these relationships, particularly in South Africa. To this end, we conducted in-depth interviews with 23 women recruited from three urban communities in Cape Town. A thematic question guide was used to direct the interviews. Thematic content analysis was used to explore women’s perceived risks of age-disparate and non-age-disparate relationships, the benefits of dating older men, and risk perceptions that influence decisions around beginning or ending a relationship. A plurality of women thought that dating an older man does not bring any adverse consequences, although some thought that older men do not use condoms and may be involved in concurrent partnerships. Many women were less inclined to date same-age or younger men, because they were viewed as being disrespectful and abusive. This study points to the need for more awareness raising about the risks of age-disparate relationships. In addition to these initiatives, there is an urgent need to implement holistic approaches to relationship health, in order to curb intimate partner violence, improve gender equity and make non-age-disparate relationships more attractive. PMID:24260585

  9. Clinical characteristics and causes of heart failure adherence to treatment guidelines and mortality of patients with acute heart failure: Experience at Groote Schuur Hospital Cape Town South Africa

    Directory of Open Access Journals (Sweden)

    P Szymanski

    2018-02-01

    Full Text Available Background. There is limited information on acute heart failure (AHF and its treatment in sub-Saharan Africa.Objective. To describe the clinical characteristics and causes of heart failure (HF, adherence to HF treatment guidelines, and mortality of patients with AHF presenting to Groote Schuur Hospital (GSH, Cape Town, South Africa.Methods. This sub-study of The Sub-Saharan Africa Survey of Heart Failure (THESUS-HF was a prospective and observational survey that focused on the enrolment and follow-up of additional patients with AHF presenting to GSH and entered into the existing registry after publication of the primary THESUS-HF article in 2012. The patients were classified into prevalent (existing or incident (new cases of HF.Results. Of the 119 patients included, 69 (58.0% were female and the mean (standard deviation age was 49.9 (16.3 years. The majority of prevalent cases were patients of mixed ancestry (63.3%, and prevalent cases had more hypertension (70.0%, diabetes mellitus (36.7%, hyperlipidaemia (33.3% and ischaemic heart disease (IHD (36.7% than incident cases. The top five causes of HF were cardiomyopathy (20.2%, IHD (19.3%, rheumatic valvular heart disease (RHD (18.5%, cor pulmonale (11.8% and hypertension (10.1%, with the remaining 20.1% consisting of miscellaneous causes including pericarditis, toxins and congenital heart disease. Most patients received renin-angiotensin system blockers and loop diuretics on discharge. There was a low rate of beta-blocker, aldosterone antagonist and digoxin use. Rehospitalisation within 180 days occurred in 25.2% of cases. In-hospital mortality was 8.4% and the case fatality rate at 6 months was 26.1%.Conclusion. In Cape Town, the main causes of AHF are cardiomyopathy, IHD and RHD. AHF affects a young population and is associated with a high rate of rehospitalisation and mortality. There is serious under-use of beta-blockers, aldosterone antagonists and digoxin. Emphasis on the rigorous

  10. Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study.

    Science.gov (United States)

    Meade, Christina S; Towe, Sheri L; Watt, Melissa H; Lion, Ryan R; Myers, Bronwyn; Skinner, Donald; Kimani, Stephen; Pieterse, Desiree

    2015-07-01

    Since 2000, there has been a dramatic increase in methamphetamine use in South Africa, but little is known about the experiences of out-of-treatment users. This mixed-methods study describes the substance use histories, addiction symptoms, and treatment experiences of a community-recruited sample of methamphetamine users in Cape Town. Using respondent driven sampling, 360 methamphetamine users (44% female) completed structured clinical interviews to assess substance abuse and treatment history and computerized surveys to assess drug-related risks. A sub-sample of 30 participants completed in-depth interviews to qualitatively explore experiences with methamphetamine use and drug treatment. Participants had used methamphetamine for an average of 7.06 years (SD=3.64). They reported using methamphetamine on an average of 23.49 of the past 30 days (SD=8.90); 60% used daily. The majority (90%) met ICD-10 criteria for dependence, and many reported severe social, financial, and legal consequences. While only 10% had ever received drug treatment, 90% reported that they wanted treatment. In the qualitative interviews, participants reported multiple barriers to treatment, including beliefs that treatment is ineffective and relapse is inevitable in their social context. They also identified important motivators, including desires to be drug free and improve family functioning. This study yields valuable information to more effectively respond to emerging methamphetamine epidemics in South Africa and other low- and middle-income countries. Interventions to increase uptake of evidence-based services must actively seek out drug users and build motivation for treatment, and offer continuing care services to prevent relapse. Community education campaigns are also needed. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  11. Depression, alcohol use, and stigma in younger versus older HIV-infected pregnant women initiating antiretroviral therapy in Cape Town, South Africa.

    Science.gov (United States)

    Wong, Marcia; Myer, Landon; Zerbe, Allison; Phillips, Tamsin; Petro, Greg; Mellins, Claude A; Remien, Robert H; Shiau, Stephanie; Brittain, Kirsty; Abrams, Elaine J

    2017-02-01

    HIV-infected pregnant women in sub-Saharan Africa are at risk for depression and alcohol abuse. Young women may be more vulnerable, but little is known about the psychosocial functioning of this population. We compared younger (18-24 years old) and older (≥25 years old) HIV-infected pregnant women initiating antiretroviral therapy (ART) in Cape Town, South Africa. Women were assessed on a range of psychosocial measures, including the Alcohol Use Disorders Identification Test and the Edinburgh Postnatal Depression Scale (EPDS). Among 625 women initiating ART, 16 % reported risky alcohol use and 21 % alcohol-related harm; these percentages were similar across age groups. When younger women were stratified by age, 37 % of 18-21 years old versus 20 % of 22-24 years old reported alcohol-related harm (p = 0.02). Overall, 11 % of women had EPDS scores suggesting probable depression, and 6 % reported self-harming thoughts. Younger women reported more depressive symptoms. Report of self-harming thoughts was 11 % in younger and 4 % in older women (p = 0.002). In multivariable analysis, age remained significantly associated with depressive symptoms and report of self-harming thoughts. Level of HIV-related stigma and report of intimate partner violence modified the association between age and depressive symptoms. Young HIV-infected pregnant women in South Africa were more likely to report depressive symptoms and self-harming thoughts compared to older women, and the youngest women reported the highest levels of alcohol-related harm. HIV-related stigma and intimate partner violence may be moderating factors. These findings have implications for maternal and infant health, underscoring the urgent need for effective targeted interventions in this vulnerable population.

  12. Factors associated with alcohol use prior to and during pregnancy among HIV-infected pregnant women in Cape Town, South Africa.

    Science.gov (United States)

    Brittain, Kirsty; Remien, Robert H; Phillips, Tamsin; Zerbe, Allison; Abrams, Elaine J; Myer, Landon; Mellins, Claude A

    2017-04-01

    Alcohol use during pregnancy is prevalent in South Africa, but there are few prospectively-collected data exploring patterns of consumption among HIV-infected women, which may be important to improve maternal and child health outcomes. We examined patterns of and factors associated with alcohol use prior to and during pregnancy among HIV-infected pregnant women in Cape Town, South Africa. Participants were enrolled when entering antenatal care at a large primary care clinic, and alcohol use was assessed using the AUDIT (Alcohol Use Disorders Identification Test). In analysis, the AUDIT-C scoring was used as a measure of hazardous drinking, and we examined factors associated with patterns of alcohol use in logistic regression models. Among 580 women (median age: 28.1 years), 40% reported alcohol use during the 12 months prior to pregnancy, with alcohol use characterised by binge drinking and associated with single relationship status, experience of intimate partner violence (IPV), and lower levels of HIV-related stigma. Of this group, 65% had AUDIT-C scores suggesting hazardous alcohol use, with hazardous alcohol users more likely to report having experienced IPV and having higher levels of education. Among hazardous alcohol users, 70% subsequently reported reduced levels of consumption during pregnancy. Factors independently associated with reduced consumption included earlier gestation when entering antenatal care and report of a better patient-healthcare provider relationship. These unique data provide important insights into alcohol use trajectories in this context, and highlight the urgent need for an increased focus on screening and intervention at primary care level. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Adherence barriers and facilitators for cervical screening amongst currently disadvantaged women in the greater Cape Town region of South Africa

    Science.gov (United States)

    De Abreu, Chantelle; Horsfall, Hannah

    2013-01-01

    Abstract Background In South Africa cervical cancer is the second most commonly occurring cancer amongst women, and black African women have the highest risk of developing this disease. Unfortunately, the majority of South African women do not adhere to recommended regular cervical screening. Objectives The purpose of this research was to explore the perceptions, experiences and knowledge regarding cervical screening of disadvantaged women in two informal settlements in South African urban areas. Method The Health Belief Model (HBM) provided a theoretical framework for this study. Four focus groups (n = 21) were conducted, using questions derived from the HBM, and thematic analysis was used to analyse the data. The ages of the women who participated ranged from 21 to 53 years. Results The analysis revealed lack of knowledge about screening as a key structural barrier to treatment. Other structural barriers were: time, age at which free screening is available, and health education. The psychosocial barriers that were identified included: fear of the screening procedure and of the stigmatisation in attending screening. The presence of physical symptoms, the perception that screening provides symptom relief, HIV status, and the desire to know one's physical health status were identified as facilitators of cervical screening adherence. Conclusion This knowledge has the potential to inform healthcare policy and services in South Africa. As globalisation persists and individuals continue to immigrate or seek refugee status in foreign countries, increased understanding and knowledge is required for successful acculturation and integration. Developed countries may therefore also benefit from research findings in developing countries.

  14. Dynamics of Indian Ocean Slavery Revealed through Isotopic Data from the Colonial Era Cobern Street Burial Site, Cape Town, South Africa (1750-1827)

    Science.gov (United States)

    Morris, Alan G.; Kars, Henk; Davies, Gareth R.

    2016-01-01

    The Dutch East India Company (VOC) intended the Cape of Good Hope to be a refreshment stop for ships travelling between the Netherlands and its eastern colonies. The indigenous Khoisan, however, did not constitute an adequate workforce, therefore the VOC imported slaves from East Africa, Madagascar and Asia to expand the workforce. Cape Town became a cosmopolitan settlement with different categories of people, amongst them a non-European underclass that consisted of slaves, exiles, convicts and free-blacks. This study integrated new strontium isotope data with carbon and nitrogen isotope results from an 18th-19th century burial ground at Cobern Street, Cape Town, to identify non-European forced migrants to the Cape. The aim of the study was to elucidate individual mobility patterns, the age at which the forced migration took place and, if possible, geographical provenance. Using three proxies, 87Sr/86Sr, δ13Cdentine and the presence of dental modifications, a majority (54.5%) of the individuals were found to be born non-locally. In addition, the 87Sr/86Sr data suggested that the non-locally born men came from more diverse geographic origins than the migrant women. Possible provenances were suggested for two individuals. These results contribute to an improved understanding of the dynamics of slave trading in the Indian Ocean world. PMID:27309532

  15. Dynamics of Indian Ocean Slavery Revealed through Isotopic Data from the Colonial Era Cobern Street Burial Site, Cape Town, South Africa (1750-1827).

    Science.gov (United States)

    Kootker, Lisette M; Mbeki, Linda; Morris, Alan G; Kars, Henk; Davies, Gareth R

    2016-01-01

    The Dutch East India Company (VOC) intended the Cape of Good Hope to be a refreshment stop for ships travelling between the Netherlands and its eastern colonies. The indigenous Khoisan, however, did not constitute an adequate workforce, therefore the VOC imported slaves from East Africa, Madagascar and Asia to expand the workforce. Cape Town became a cosmopolitan settlement with different categories of people, amongst them a non-European underclass that consisted of slaves, exiles, convicts and free-blacks. This study integrated new strontium isotope data with carbon and nitrogen isotope results from an 18th-19th century burial ground at Cobern Street, Cape Town, to identify non-European forced migrants to the Cape. The aim of the study was to elucidate individual mobility patterns, the age at which the forced migration took place and, if possible, geographical provenance. Using three proxies, 87Sr/86Sr, δ13Cdentine and the presence of dental modifications, a majority (54.5%) of the individuals were found to be born non-locally. In addition, the 87Sr/86Sr data suggested that the non-locally born men came from more diverse geographic origins than the migrant women. Possible provenances were suggested for two individuals. These results contribute to an improved understanding of the dynamics of slave trading in the Indian Ocean world.

  16. Dynamics of Indian Ocean Slavery Revealed through Isotopic Data from the Colonial Era Cobern Street Burial Site, Cape Town, South Africa (1750-1827.

    Directory of Open Access Journals (Sweden)

    Lisette M Kootker

    Full Text Available The Dutch East India Company (VOC intended the Cape of Good Hope to be a refreshment stop for ships travelling between the Netherlands and its eastern colonies. The indigenous Khoisan, however, did not constitute an adequate workforce, therefore the VOC imported slaves from East Africa, Madagascar and Asia to expand the workforce. Cape Town became a cosmopolitan settlement with different categories of people, amongst them a non-European underclass that consisted of slaves, exiles, convicts and free-blacks. This study integrated new strontium isotope data with carbon and nitrogen isotope results from an 18th-19th century burial ground at Cobern Street, Cape Town, to identify non-European forced migrants to the Cape. The aim of the study was to elucidate individual mobility patterns, the age at which the forced migration took place and, if possible, geographical provenance. Using three proxies, 87Sr/86Sr, δ13Cdentine and the presence of dental modifications, a majority (54.5% of the individuals were found to be born non-locally. In addition, the 87Sr/86Sr data suggested that the non-locally born men came from more diverse geographic origins than the migrant women. Possible provenances were suggested for two individuals. These results contribute to an improved understanding of the dynamics of slave trading in the Indian Ocean world.

  17. Adherence barriers and facilitators for cervical screening amongst currently disadvantaged women in the greater Cape Town region of South Africa

    Directory of Open Access Journals (Sweden)

    Chantelle De Abreu

    2013-07-01

    Full Text Available Background: In South Africa cervical cancer is the second most commonly occurring cancer amongst women, and black African women have the highest risk of developing this disease. Unfortunately, the majority of South African women do not adhere to recommended regular cervical screening. Objectives: The purpose of this research was to explore the perceptions, experiences and knowledge regarding cervical screening of disadvantaged women in two informal settlements in South African urban areas. Method: The Health Belief Model (HBM provided a theoretical framework for this study. Four focus groups (n = 21 were conducted, using questions derived from the HBM, and thematic analysis was used to analyse the data. The ages of the women who participated ranged from 21 to 53 years. Results: The analysis revealed lack of knowledge about screening as a key structural barrier to treatment. Other structural barriers were: time, age at which free screening is available, and health education. The psychosocial barriers that were identified included: fear of the screening procedure and of the stigmatisation in attending screening. The presence of physical symptoms, the perception that screening provides symptom relief, HIV status, and the desire to know one’s physical health status were identified as facilitators of cervical screening adherence. Conclusion: This knowledge has the potential to inform healthcare policy and services in South Africa. As globalisation persists and individuals continue to immigrate or seek refugee status in foreign countries, increased understanding and knowledge is required for successful acculturation and integration. Developed countries may therefore also benefit from research findings in developing countries.

  18. Changing sex risk behaviors, gender norms, and relationship dynamics among couples in Cape Town, South Africa: Efficacy of an intervention on the dyad.

    Science.gov (United States)

    Speizer, Ilene S; Zule, William A; Carney, Tara; Browne, Felicia A; Ndirangu, Jacqueline; Wechsberg, Wendee M

    2018-05-18

    South Africa continues to experience new HIV infections, with the highest risk among Black Africans living in poor communities. Most HIV prevention interventions target women or men separately and only a small number target couples jointly. This study examines varying strategies to engage women and men around HIV prevention and improved couple interactions. The study comprises three arms: (1) a couple-based intervention delivered to women and men jointly; (2) women and men both offered a gender-focused intervention that is delivered to them separately; and (3) an intervention offered to women only and their male partners receive standard HIV testing and counseling (comparison arm). Between June 2010 and April 2012, men were identified in and around drinking establishments in a large disadvantaged community in Cape Town and asked to participate in the study if they drink regularly, had recent unprotected sex with their partner, and have a female partner who was willing to participate in the study. A total of 299 couples completed the baseline assessment and 276 were included in the analysis of sexual risk, partner communication, conflict resolution, and gender norm outcomes at baseline and six-month follow-up. Couples that participated in the couple-level intervention and couples where both partners received the intervention separately had better couple-level gender norms than couples in the comparison arm (women only receive intervention). Further, couples in the couple-level intervention and the both partners exposed separately arms were more likely to have the man only report consistent condom use than neither partner report consistent condom use than couples in the comparison arm. Community-based HIV prevention intervention programs need to consider strategies to engage women and men and, if feasible, reach both partners jointly. Couple-level interventions are promising to improve gender norms and subsequently improve health outcomes, including reduced HIV risk

  19. Suicidal ideation and behaviour among persons seeking HIV testing in peri-urban areas of Cape Town, South Africa: a lost opportunity for suicide prevention.

    Science.gov (United States)

    Bantjes, Jason; Kagee, Ashraf; Saal, Wylene

    2017-07-01

    Suicidal ideation and behaviour (SIB) are among the psychiatric sequela of HIV/AIDS. Few studies have however examined the prevalence and correlates of SIB among persons seeking HIV testing. We set out to document the prevalence and correlates of SIB among people seeking HIV testing in peri-urban areas of Cape Town, South Africa (SA). A cross-sectional research design was used to recruit a sample (n = 500) of individuals seeking HIV testing. Self-report measures were used to assess two-week prevalence of SIB as well as life-time prevalence of suicide attempt. A structured clinical interview was used to assess common mental disorders (CMDs). Regression analysis was used to determine if CMD and socio-demographic variables predicted suicidal ideation. The mean age of the sample was 36 years, 51.6% were female and 46.6% were unemployed. The two-week prevalence of suicidal ideation was 24.27% while the two-week prevalence of suicide attempt and suicide plans was 2.8%. Suicidal ideation was not associated with age, gender, employment status, family income or household food insecurity. CMDs were significantly associated with suicidal ideation; individuals with depressive disorders were approximately 5.5 times more likely to report suicidal ideation, while those with generalised anxiety disorder, trauma-related disorders and alcohol use disorder were approximately 7, 4.7 and 2.8 times more likely to report suicidal ideation, respectively. Results suggest that persons seeking HIV testing may be a well-delineated group of persons at risk of suicide in this region of SA. Contact with the health care system during HIV testing provides an opportunity for targeted suicide prevention interventions in what appears to be a high risk group.

  20. Implementation and Operational Research: Community-Based Adherence Clubs for the Management of Stable Antiretroviral Therapy Patients in Cape Town, South Africa: A Cohort Study.

    Science.gov (United States)

    Grimsrud, Anna; Lesosky, Maia; Kalombo, Cathy; Bekker, Linda-Gail; Myer, Landon

    2016-01-01

    Community-based models of antiretroviral therapy (ART) delivery are widely discussed as a priority in the expansion of HIV treatment services, but data on their effectiveness are limited. We examined outcomes of ART patients decentralized to community-based adherence clubs (CACs) in Cape Town, South Africa and compared these to patients managed in the community health center. The analysis included 8150 adults initiating ART from 2002 to 2012 in a public sector service followed until the end of 2013. From June 2012, stable patients (on ART >12 months, suppressed viral load) were referred to CACs. Loss to follow-up (LTFU) was compared between services using proportional hazards models with time-varying covariates and inverse probability weights of CAC participation. Of the 2113 CAC patients (71% female, 7% youth ages ≤ 24 years), 94% were retained on ART after 12 months. Among CAC patients, LTFU [adjusted hazard ratio (aHR): 2.17, 95% confidence interval (CI): 1.26 to 3.73 ] and viral rebound (aHR 2.24, 95% CI: 1.00 to 5.04) were twice as likely in youth (16-24 years old) compared with older patients, but no difference in the risk of LTFU or viral rebound was observed by sex (P-values 0.613 and 0.278, respectively). CAC participation was associated with a 67% reduction in the risk of LTFU (aHR: 0.33, 95% CI: 0.27 to 0.40) compared with community health centre, and this association persisted when stratified by patient demographic and clinic characteristics. CACs are associated with reduced risk of LTFU compared with facility-based care. Community-based models represent an important development to facilitate ART delivery and possibly improve patient outcomes.

  1. Job Satisfaction among Pharmaceutical Sales force in South Africa – A Case with Special Reference to Cape Town

    Directory of Open Access Journals (Sweden)

    Vinod Kumar SINGH

    2010-09-01

    Full Text Available Job satisfaction is an attitude that employees have about their work and is based on numerous factors, both intrinsic and extrinsic to the individual. Job satisfaction is important from the perspective of maintaining and retaining the appropriate employees within the organization, it is about fitting the right person to the right job in the right culture and keeping them satisfied. Job satisfaction at salesforce level has become a topic of growing concern since significant proportion of marketing budgets, especially in harmaceutical industry of South Africa, is spent on them to achieve the assigned targets in the circular market. Although a large number of studies have been conducted to investigate job satisfaction in diverse range of the cultures, subjects and occupations yet none has attempted to explore the impact of job content and context factors on the job satisfaction among pharmaceutical salespersons in South Africa. Thus, the current study intends to determine the variance in salespersons’ overall job satisfaction through job content and context factors as a whole. This study also extends the total repercussion on the sales persons and their satisfaction level that cement the good will of the company and personal upliftment.

  2. An exploratory study of what happens to women who are denied abortions in Cape Town, South Africa.

    Science.gov (United States)

    Harries, Jane; Gerdts, Caitlin; Momberg, Mariette; Greene Foster, Diana

    2015-03-21

    Despite the change in legal status of abortion in South Africa in 1996, barriers to access remain. Stigma associated with abortion provision and care, privacy concerns, and negative provider attitudes often discourage women from seeking legal abortion services and sometimes force women outside of the legal system. What happens when women present for abortion at a designated abortion facility and are denied abortions due to gestational limits or other factors-is unknown. Whether women seek care at referral facilities, seek illegal abortion, or carry pregnancies to term has never been documented. This study, part of a multi-country Global Turnaway Study, explored the experiences of women after denial of legal abortion services. Qualitative research methods were used to collect data at two non-governmental organization health care facilities providing abortion services. In depth interviews were held with women 2 to 3 months after they were denied an abortion. Data were analyzed using a thematic analysis approach. The most common reason for being turned away was due to gestational age over 12 weeks with some women denied abortions that day because they did not have enough money to pay for the procedure. Almost all women were extremely upset at being denied an abortion on the day that they visited the health care facility. Some women were so distressed that they openly discussed the option of seeking an illegal provider or exploring the possibility of securing another health care professional who would assist them. Despite South Africa's liberal abortion law and the relatively widespread availability of abortion services in urban settings, women in South Africa are denied abortion services largely due to being beyond the legal limits to obtain an abortion. A high proportion of women who were initially denied an abortion at legal facilities went on to seek options for pregnancy termination outside of the legal system through internet searches--some of which could have

  3. A mixed-method analysis of free-time involvement and motivation among adolescents in Cape Town, South Africa

    Science.gov (United States)

    Palen, Lori-Ann; Caldwell, Linda L.; Smith, Edward A.; Gleeson, Sarah L.; Patrick, Megan E.

    2012-01-01

    Using focus group (N = 114) and survey (N = 946) data, this study employed Self-Determination Theory (SDT) as an organizing framework to examine free-time use and motivation among predominantly mixed-race adolescents from one area in South Africa. Adolescents reported participating in a broad range of activities, with socializing, media use, sports, risk behaviour, and performing arts being most frequently mentioned. All of the motivation types proposed by SDT were spontaneously mentioned by focus group participants. Free time was most strongly characterized by intrinsic motivations, such as competence, relatedness, and positive affect. Activities were also seen as a way to achieve outside goals. With few exceptions, multiple motivations were identified for the same activities, and specific motivations were reported across multiple activity types. The findings suggest that positive motivational experiences were not limited to a specific subset of activities. However, future longitudinal research on participation, motivation, and outcomes is needed to determine the developmental implications of different forms of free-time motivation. PMID:23055820

  4. Gender attitudes, sexual violence, and HIV/AIDS risks among men and women in Cape Town, South Africa.

    Science.gov (United States)

    Kalichman, Seth C; Simbayi, Leickness C; Kaufman, Michelle; Cain, Demetria; Cherry, Chauncey; Jooste, Sean; Mathiti, Vuyisile

    2005-11-01

    This study examined gender attitudes and sexual violence-supportive beliefs (rape myths) in a sample of South African men and women at risk for HIV transmission. Over 40% of women and 16% of men had been sexually assaulted, and more than one in five men openly admitted to having perpetrated sexual assault. Traditional attitudes toward women's social and gender roles, as well as rape myths, were endorsed by a significant minority of both men and women. Multivariate analyses showed that for men, sexual assault history and rape myth acceptance, along with alcohol and other drug use history, were significantly related to cumulative risks for HIV infection. In contrast, although we found that women were at substantial risk for sexually transmitted infection (STI), including HIV, women's risks were only related to lower levels of education and alcohol use history. We speculate that women's risks for STI/HIV are the product of partner characteristics and male-dominated relationships, suggesting the critical importance of intervening with men to reduce women's risks for sexual assault and STI/HIV.

  5. Towards an empowerment approach in tuberculosis treatment in Cape Town, South Africa: a qualitative analysis of programmatic change

    Directory of Open Access Journals (Sweden)

    Salla Atkins

    2012-08-01

    Full Text Available Background: Tuberculosis rates in the world remain high, especially in low- and middle-income countries. International tuberculosis (TB policy generally recommends the use of directly observed therapy (DOT to ensure treatment adherence. Objective: This article examines a change in TB treatment support that occurred in 2005 in South Africa, from DOT to the enhanced TB adherence programme (ETA. Design: Seven key individuals representing academics, policy makers and service providers involved in the development of the ETA programme or knowledgeable about the issue were purposively sampled and interviewed, and participant observation was conducted at ETA programme steering group meetings. Qualitative content analysis was used to analyse the data, drawing on the Kingdon model of agenda setting. This model suggests that three independent streams – problem, policy and politics – come together at a certain point, often facilitated by policy entrepreneurs, to provide an opportunity for an issue to enter the policy agenda. Results: The results suggest the empowerment-oriented programme emerged through the presence of policy entrepreneurs with access to resources. Policy entrepreneurs were influenced by a number of simultaneously occurring challenges including problems within the existing programme; a perceived mismatch between patient needs and the existing TB treatment model; and the TB-HIV co-epidemic. Policy entrepreneurs saw the ART approach as a possible solution to these challenges. Conclusions: The Kingdon model contributed to describing the process of policy change. Research evidence seemed to influence this change diffusely, through the interaction of policy entrepreneurs and academics.

  6. Mourning Mandela: sacred drama and digital visuality in Cape Town

    Directory of Open Access Journals (Sweden)

    Paula Uimonen

    2015-12-01

    Full Text Available The world united in unprecedented ways in mourning the global icon Nelson Mandela, an emotionally charged historical event in which digital visuality played an influential role. The memorial service for Nelson Mandela on Tuesday, 10 December 2013, gathered dignitaries and celebrities from around the world at the First National Bank Stadium in Johannesburg, to mourn the passing of Madiba and to celebrate his life work. At the Grand Parade in Cape Town, the event was broadcast on large public screens, followed by live music performances and narrowcast interaction with the audience. Building on recent research on public screens during global media events, this article addresses the mediated mourning rituals at the Grand Parade in terms of a sacred drama. Focusing on social relationality, the article discusses how digital visuality mediated a sense of global communitas, thus momentarily overcoming historical frictions between the global north and the global south, while expanding the fame of Madiba. Paying attention to the public display of visual memory objects and the emotional agency of images, it argues that digital visuality mediated social frictions between the living and the dead, while recasting a historical subject as a historical object. The article further discusses how digital visuality mediated cultural frictions of apartheid and xenophobia, through the positioning of Mandela in the pantheon of Pan-African icons, thus underlining the African origin of this global icon. The analysis is based on ethnographic observations and experiences in Cape Town.

  7. Neurodevelopmental outcome of HIV-exposed but uninfected infants in the Mother and Infants Health Study, Cape Town, South Africa.

    Science.gov (United States)

    Springer, Priscilla E; Slogrove, Amy L; Laughton, Barbara; Bettinger, Julie A; Saunders, Henriëtte H; Molteno, Christopher D; Kruger, Mariana

    2018-01-01

    To compare neurodevelopmental outcomes of HIV-exposed uninfected (HEU) and HIV-unexposed uninfected (HUU) infants in a peri-urban South African population. HEU infants living in Africa face unique biological and environmental risks, but uncertainty remains regarding their neurodevelopmental outcome. This is partly due to lack of well-matched HUU comparison groups needed to adjust for confounding factors. This was a prospective cohort study of infants enrolled at birth from a low-risk midwife obstetric facility. At 12 months of age, HEU and HUU infant growth and neurodevelopmental outcomes were compared. Growth was evaluated as WHO weight-for-age, length-for-age, weight-for-length and head-circumference-for-age Z-scores. Neurodevelopmental outcomes were evaluated using the Bayley scales of Infant Development III (BSID) and Alarm Distress Baby Scale (ADBB). Fifty-eight HEU and 38 HUU infants were evaluated at 11-14 months of age. Performance on the BSID did not differ in any of the domains between HEU and HUU infants. The cognitive, language and motor scores were within the average range (US standardised norms). Seven (12%) HEU and 1 (2.6%) HUU infant showed social withdrawal on the ADBB (P = 0.10), while 15 (26%) HEU and 4 (11%) HUU infants showed decreased vocalisation (P = 0.06). There were no growth differences. Three HEU and one HUU infant had minor neurological signs, while eight HEU and two HUU infants had macrocephaly. Although findings on the early neurodevelopmental outcome of HEU infants are reassuring, minor differences in vocalisation and on neurological examination indicate a need for reassessment at a later age. © 2017 John Wiley & Sons Ltd.

  8. Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa

    Science.gov (United States)

    Daire, Judith; Gilson, Lucy

    2014-01-01

    In South Africa, as elsewhere, Primary Health Care (PHC) facilities are managed by professional nurses. Little is known about the dimensions and challenges of their job, or what influences their managerial practice. Drawing on leadership and organizational theory, this study explored what the job of being a PHC manager entails, and what factors influence their managerial practice. We specifically considered whether the appointment of professional nurses as facility managers leads to an identity transition, from nurse to manager. The overall intention was to generate ideas about how to support leadership development among PHC facility managers. Adopting case study methodology, the primary researcher facilitated in-depth discussions (about their personal history and managerial experiences) with eight participating facility managers from one geographical area. Other data were collected through in-depth interviews with key informants, document review and researcher field notes/journaling. Analysis involved data triangulation, respondent and peer review and cross-case analysis. The experiences show that the PHC facility manager’s job is dominated by a range of tasks and procedures focused on clinical service management, but is expected to encompass action to address the population and public health needs of the surrounding community. Managing with and through others, and in a complex system, requiring self-management, are critical aspects of the job. A range of personal, professional and contextual factors influence managerial practice, including professional identity. The current largely facility-focused management practice reflects the strong nursing identity of managers and broader organizational influences. However, three of the eight managers appear to self-identify an emerging leadership identity and demonstrate related managerial practices. Nonetheless, there is currently limited support for an identity transition towards leadership in this context. Better

  9. Acceptability and challenges of rapid ART initiation among pregnant women in a pilot programme, Cape Town, South Africa.

    Science.gov (United States)

    Black, Samantha; Zulliger, Rose; Marcus, Rebecca; Mark, Daniella; Myer, Landon; Bekker, Linda-Gail

    2014-01-01

    Maternal antiretroviral therapy (ART) is a critical intervention in the prevention-of-mother-to child transmission (PMTCT) of HIV. In South Africa, many HIV-infected pregnant women commence ART late in pregnancy, and as a result, the duration of ART prior to delivery is often insufficient to prevent vertical transmission. To address this, we designed an intervention for the rapid initiation of ART in pregnancy (RAP), where patient's ART preparation occurred during rather than before treatment commencement. Here we report on the acceptability and the challenges of the RAP programme. We conducted 7 key informant and 27 semi-structured interviews with RAP participants. Participants were purposefully selected based on ART-eligibility and stage in the pregnancy to post-partum continuum. Interviews were conducted in participants' home language by trained fieldworkers, with key informant interviews conducted by the study investigators. The data were analysed using a framework analysis approach. Rapid initiation in pregnancy was acceptable to the majority of programme participants and protection of the woman's unborn child was the primary motivation for starting treatment. The key barrier was the limited time to accept the dual challenges of being diagnosed HIV-positive and eligible for life-long ART. Truncated time also limited the opportunity for disclosure to others. Despite these and other barriers, most women found the benefits of rapid ART commencement outweighed the challenges, with 91% of women initiated onto ART starting the same day treatment eligibility was determined. Many participants and key informants identified the importance of counseling and the need to make an informed, independent choice on the timing of ART initiation, based on individual circumstances. Acceptance of ART-eligibility improved with time on the programme, however, as women's principal reason for initiating ART was protection of the unborn child, monitoring and supporting adherence during

  10. Integrated water resource planning in the city of Cape Town

    African Journals Online (AJOL)

    driniev

    supply (at a 98% level of assurance) in 1999. Should ... WDM policy. The WDM Policy is based on three broad principles namely that ... and Cape Town Water Services. ... audit of all schools, which includes implementing some immediate.

  11. Temperature breaks within fruit reefer containers in the Cape Town ...

    African Journals Online (AJOL)

    kirstam

    Key words: fruit exports; reefer containers; cold chain; Cape Town Container ... challenges required for maintaining high product quality when exporting large ... perishable products due to the availability of a range of temperature settings.

  12. Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa.

    Science.gov (United States)

    Daire, Judith; Gilson, Lucy

    2014-09-01

    In South Africa, as elsewhere, Primary Health Care (PHC) facilities are managed by professional nurses. Little is known about the dimensions and challenges of their job, or what influences their managerial practice. Drawing on leadership and organizational theory, this study explored what the job of being a PHC manager entails, and what factors influence their managerial practice. We specifically considered whether the appointment of professional nurses as facility managers leads to an identity transition, from nurse to manager. The overall intention was to generate ideas about how to support leadership development among PHC facility managers. Adopting case study methodology, the primary researcher facilitated in-depth discussions (about their personal history and managerial experiences) with eight participating facility managers from one geographical area. Other data were collected through in-depth interviews with key informants, document review and researcher field notes/journaling. Analysis involved data triangulation, respondent and peer review and cross-case analysis. The experiences show that the PHC facility manager's job is dominated by a range of tasks and procedures focused on clinical service management, but is expected to encompass action to address the population and public health needs of the surrounding community. Managing with and through others, and in a complex system, requiring self-management, are critical aspects of the job. A range of personal, professional and contextual factors influence managerial practice, including professional identity. The current largely facility-focused management practice reflects the strong nursing identity of managers and broader organizational influences. However, three of the eight managers appear to self-identify an emerging leadership identity and demonstrate related managerial practices. Nonetheless, there is currently limited support for an identity transition towards leadership in this context. Better

  13. Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study.

    Science.gov (United States)

    Momberg, Mariette; Harries, Jane; Constant, Deborah

    2016-04-16

    Although abortion is legally available in South Africa, barriers to access exist. Early medical abortion is available to women with a gestational age up to 63 days and timely access is essential. This study aimed to determine women's acceptability and ability to self-assess eligibility for early medical abortion using an online gestational age calculator. Women's acceptability, views and preferences of using mobile technology for gestational age (GA) determination were explored. No previous studies to ascertain the accuracy of online self-administered calculators in a non-clinical setting have been conducted. A convenience sample of abortion seekers were recruited from two health care clinics in Cape Town, South Africa in 2014. Seventy-eight women were enrolled and tasked with completing an online self-assessment by entering the first day of their last menstrual period (LMP) onto a website which calculated their GA. A short survey explored the feasibility and acceptability of employing m-Health technology in abortion services. Self-calculated GA was compared with ultrasound gestational age obtained from clinical records. Participant mean age was 28 (SD 6.8), 41% (32/78) had completed high school and 73% (57/78) reported owning a smart/feature phone. Internet searches for abortion information prior to clinic visit were undertaken by 19/78 (24%) women. Most participants found the online GA calculator easy to use (91%; 71/78); thought the calculation was accurate (86%; 67/78) and that it would be helpful when considering an abortion (94%; 73/78). Eighty-three percent (65/78) reported regular periods and recalled their LMP (71%; 55/78). On average women overestimated GA by 0.5 days (SD 14.5) and first sought an abortion 10 days (SD 14.3) after pregnancy confirmation. Timely access to information is an essential component of effective abortion services. Advances in the availability of mobile technology represent an opportunity to provide accurate and safe abortion

  14. Spatio-temporal variation of organotin compounds in seawater and sediments from Cape Town harbour, South Africa using gas chromatography with flame photometric detector (GC-FPD

    Directory of Open Access Journals (Sweden)

    Hussein K. Okoro

    2016-01-01

    Full Text Available The spatio-temporal variation of two organotin compounds (OTCs of tributyltin and triphenyltin in the seawater and sediment of Cape Town harbour was investigated. The organotin compounds were determined by GC-FPD following prior extraction with 0.02% tropolone. The concentration of OTCs varies for locations in Cape Town harbour. The concentration of OTCs in seawater ranges from 0.067 ± 0.01 to 111.290 ± 32.20 × 10−3 μg/l for TBT while that of TPT ranges between between ND ± SD and 23008.0 ± 0.03 × 10−3 μg/l respectively between locations. Relatively higher concentrations were measured for TBT and TPT during summer than in winter and spring seasons (p ⩽ 0.05. Apparently, the observed high or low values recorded for TBT in Cape Town harbour could be the result of an increase or decrease in the traffic of ships and boats. TBT was detected in all the sediment samples analysed except for location 9 (entrance to harbour, the two control sites (which are located far away from the inner harbour where boating activities are taking place, and location 12 (Robinson dry dock 2 where the samples were not at all found. For the control sites, antifouling compounds TBT and TPT were not detected throughout except for TBT that was found in control A during summer. The seasonal variation of OTC abundance in sediment was also investigated. The results indicated that TBT is present throughout the seasons but is predominantly present in this order summer > winter > spring.

  15. Morphological modelling of the response to a shipwreck - A case study at Cape Town

    DEFF Research Database (Denmark)

    Kristensen, Sten Esbjørn; Fredsoe, Jørgen; Deigaard, Rolf

    2012-01-01

    A simulation of the morphological development and degrade of a salient behind a shipwreck located north of Cape Town, South Africa is presented. The morphological model is based on a hybrid morphological model concept which combines a 2D coastal model for calculating sediment transport with a sim......A simulation of the morphological development and degrade of a salient behind a shipwreck located north of Cape Town, South Africa is presented. The morphological model is based on a hybrid morphological model concept which combines a 2D coastal model for calculating sediment transport...

  16. Workload and casemix in Cape Town emergency departments.

    Science.gov (United States)

    Wallis, Lee A; Twomey, Michele

    2007-12-01

    Little is known about the nature of patients presenting to emergency departments (EDs) in South Africa. This study aimed to provide evidence on ED usage in Cape Town by studying patients at four community health centre (CHC) EDs, with details of the severity of their presentation and their disposal. A total of 16,392 patients presented in this 8-week prospective observational study, and 15,681 were included in the descriptive data analysis. One-quarter were children. There were clear and predictable peaks in attendance after 1600 hr and at weekends, with a steady stream of patients presenting overnight. Case severity was evenly distributed between emergency, urgent and routine care. Nearly 10% of patients were referred on to a higher level of care. The data from this study present a model for staffing and resource allocation. It has implications for the provision of emergency care in CHC EDs.

  17. Sexual risk behavior, alcohol use, and social media use among secondary school students in informal settlements in Cape Town and Port Elizabeth, South Africa.

    Science.gov (United States)

    Kaufman, Z A; Braunschweig, E N; Feeney, J; Dringus, S; Weiss, H; Delany-Moretlwe, S; Ross, D A

    2014-09-01

    South Africa's HIV prevalence among young people remains among the highest in the world. A cross-sectional study was carried out in 2012 to estimate prevalences of sexual risk behavior and hazardous alcohol use (HAU) (via the Alcohol Use Disorder Identification Test) as well as to investigate potential associations between these outcomes and social media use. In all, 4485 students (mean age 15.66 years, SD 1.39) at 46 secondary schools in informal settlements in Cape Town and Port Elizabeth completed mobile-phone-assisted, self-administered baseline questionnaires within a cluster-randomized trial. In all, 312 females (12.5 %) and 468 males (23.5 %) screened positive for HAU (AOR = 1.98, 95 % CI 1.69-2.34). 730 males (39.9 %) and 268 females (11.8 %) reported having had two or more partners in the last year (AOR = 3.46, 95 % CI 2.87-4.16). Among females, having a Facebook account was associated with reported multiple partnerships in the last year (AOR = 1.81, 95 % CI 1.19-2.74), age-disparate sex in the last year (AOR = 1.96, 95 % CI 1.16-3.32) and HAU (AOR = 1.97, 95 % CI 1.41-2.74). Using Mxit-a popular mobile instant messaging application-was associated with higher odds of reported multiple partnerships in the last year among both males (AOR = 1.70, 95 % CI 1.35-2.14) and females (AOR = 1.45, 95 % CI 1.07-1.96) and with HAU among both males (AOR = 1.47, 95 % CI 1.14-1.90) and females (AOR = 1.50, 95 % CI 1.18-1.90). Further longitudinal and qualitative research should explore in more depth the observed links between social media and risk behavior.

  18. Research collaboration 2011-2012: A joint publication highlighting the research partnerships between the CSIR and University of the Western Cape, University of Cape Town, Stellenbosch University

    CSIR Research Space (South Africa)

    CSIR

    2012-01-01

    Full Text Available CSIR’s partnerships with the University of the Western Cape (UWC), University of Cape Town (UCT) and Stellenbosch University (SU) seek to conduct research that improves the quality of the lives of the people of South Africa by responding...

  19. Treatment guidelines and early loss from care for people living with HIV in Cape Town, South Africa: A retrospective cohort study.

    Directory of Open Access Journals (Sweden)

    Ingrid T Katz

    2017-11-01

    Full Text Available South Africa has undergone multiple expansions in antiretroviral therapy (ART eligibility from an initial CD4+ threshold of ≤200 cells/μl to providing ART for all people living with HIV (PLWH as of September 2016. We evaluated the association of programmatic changes in ART eligibility with loss from care, both prior to ART initiation and within the first 16 weeks of starting treatment, during a period of programmatic expansion to ART treatment at CD4+ ≤ 350 cells/μl.We performed a retrospective cohort study of 4,025 treatment-eligible, non-pregnant PLWH accessing care in a community health center in Gugulethu Township affiliated with the Desmond Tutu HIV Centre in Cape Town. The median age of participants was 34 years (IQR 28-41 years, almost 62% were female, and the median CD4+ count was 173 cells/μl (IQR 92-254 cells/μl. Participants were stratified into 2 cohorts: an early cohort, enrolled into care at the health center from 1 January 2009 to 31 August 2011, when guidelines mandated that ART initiation required CD4+ ≤ 200 cells/μl, pregnancy, advanced clinical symptoms (World Health Organization [WHO] stage 4, or comorbidity (active tuberculosis; and a later cohort, enrolled into care from 1 September 2011 to 31 December 2013, when the treatment threshold had been expanded to CD4+ ≤ 350 cells/μl. Demographic and clinical factors were compared before and after the policy change using chi-squared tests to identify potentially confounding covariates, and logistic regression models were used to estimate the risk of pre-treatment (pre-ART loss from care and early loss within the first 16 weeks on treatment, adjusting for age, baseline CD4+, and WHO stage. Compared with participants in the later cohort, participants in the earlier cohort had significantly more advanced disease: median CD4+ 146 cells/μl versus 214 cells/μl (p < 0.001, 61.1% WHO stage 3/4 disease versus 42.8% (p < 0.001, and pre-ART mortality of 34.2% versus 16.7% (p

  20. Action needed to help Cape Town adapt to climate change | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2016-06-09

    Jun 9, 2016 ... The impacts of climate change on the city of Cape Town, South Africa, are outlined in a new book, Climate Change at the City Scale. IDRC-supported researchers Anton Cartwright, Susan Parnell, Gregg Oelofse, and Sarah Ward argue that local governments and scientists need to work together to take ...

  1. Maintaining cold chain integrity: Temperature breaks within fruit reefer containers in the Cape Town Container Terminal

    CSIR Research Space (South Africa)

    Goedhals-Gerber, LL

    2017-08-01

    Full Text Available credibility, and fi nancial losses. Seventy percent (70%) of South African fruit exports are shipped through the Cape Town Container Terminal (CTCT). This in-depth case study provides a better understanding of the signifi cant challenges within the CTCT...

  2. The health benefits of attaining and strengthening air quality standards in Cape Town

    Directory of Open Access Journals (Sweden)

    Samantha Keen

    2016-12-01

    Full Text Available The link between pollution and poor health and mortality has been established globally. Developing countries carry most of the burden of ill health from air pollution, and urban centres like the City of Cape Town even more so. Effective air quality management to protect human health relies on the attainment of air quality standards. This study uses the Benefits Mapping and Analysis Program (BenMAP along with a locally derived exposure-response function and air quality monitor data to investigate whether the consistent attainment of current or more stringent air quality standards would avoid loss of life. The results show that attaining the PM10 24-hour mean South Africa National Standard limit and the PM10 and SO2 24-hour mean World Health Organisation guidelines in Cape Town reduces levels of pollutants and does reduce excess risk of mortality in Cape Town.

  3. Mongrel: Essays. William Dicey. Cape Town: Umuzi, 2016. 220 pp ...

    African Journals Online (AJOL)

    ey has become the literary executor of the work of a sort of doppelgänger: Michael. D'Arcy has unaccountably disappeared. Dicey's discussion of D'Arcy's works, including a voluminous exploration of. Cape Town's central thoroughfare, en- titled Main Road, sounds fascinating. One is sent scampering to Kalahari or Loot for.

  4. comparison of Cape Town and Durban business perceptions of the ...

    African Journals Online (AJOL)

    comparison of Cape Town and Durban business perceptions of the 2010 FIFA World Cup. ... African Journal for Physical Activity and Health Sciences ... In hosting future events, it is recommended that relevant government departments and stakeholders such as event managers involve and consult local businesses through ...

  5. Underrecognition and undertreatment of asthma in Cape Town ...

    African Journals Online (AJOL)

    Background. In view of the high local prevalence of asthma, the extent of recognition and appropriate managementof childhood asthma was studied in a large suburban area of Cape Town. Design. Cross-sectional study based on random community sample of schools. Method. 1955 parents of sub B pupils from 16 schools ...

  6. Evaluation of the Cape Town Protocol for the isolation of ...

    African Journals Online (AJOL)

    DRINIE

    Available on website http://www.wrc.org.za. Short communication. Evaluation of the Cape Town Protocol for the isolation of. Campylobacter spp. from environmental waters. SM Diergaardt, SN Venter*, M Chalmers, J Theron and VS Brözel. Department of Microbiology and Plant Pathology, University of Pretoria, Pretoria, ...

  7. Injured pedestrians in Cape Town - the role of alcohol

    African Journals Online (AJOL)

    pedestrians and attempt to define the role which alcohol plays in this ... Forensic Chemistry Laboratory, Department of National Health, Cape. Town. J. Monis .... Short term « 8 wks). 80. 40.8. 47. 39.2. 33. 43.4. Long tenn (;;. 8 wks). 54 27.6.

  8. Methamphetamine use and sexual risk behaviour in Cape Town ...

    African Journals Online (AJOL)

    Objective: Community studies and studies of admissions to drug treatment centers indicate a dramatic increase in the prevalence of methamphetamine use in Cape Town since 2003. There has also been a substantial increase over this time period in the prevalence of HIV infection among women attending public antenatal ...

  9. Human papillomavirus in normal cervical smears from Cape Town ...

    African Journals Online (AJOL)

    The types of HPV found in normal cervical tissue from Cape Town did not differ significantly from those found elsewhere in the world. Nine per cent (17/192) were positive for 'high-risk' HPV types which are associated with premalignant and malignant cervical lesions. In the age group 20 - 39 years, 15 of 92 (16%) were ...

  10. Human papillomavirus in normal cervical smears from Cape Town

    African Journals Online (AJOL)

    to be 13% (25/192) using Southern blot hybridisation. The types of HPV found in normaJ cervical tissue from Cape. Town did not differ significantly from those found elsewhere in the world. Nine per cent (17/192) were positive for 'high-risk' HPV types which are associated with premalignant and malignant cervical lesions.

  11. Hypertension care at a Cape Town community health centre | Lunt ...

    African Journals Online (AJOL)

    Objectives. To describe the demographic profile of hypertensive patients and the quality of care for hypertension at a Cape Town community health centre (CHC). Design. Prospective, descriptive study. Setting and subjects. Medium-sized CHC, attended by 1098 hypertensive patients during a 1-year period from 1 January ...

  12. Cape Town's central city development: A strategy of partnership and ...

    African Journals Online (AJOL)

    Cape Town's Central City (see Figures. 1 and 2), located between the city's harbour and the iconic slopes of Table. Mountain, has a vital role to play in transforming the wider metropolitan region into a more inclusive and opportunistic urban area. Stretching from Woodstock and Salt. River into the CBD and out into Green.

  13. Zoology Department, University of Cape Town

    African Journals Online (AJOL)

    Patella coneolor occurs on the east coast of South Africa and predominates in the baJanoid ... the cold west coast fauna is distinct from the warmer south coast element and the ... in et G a tew a. y u n d er licen ce gra n ted b y th e P u b lish er (d a ted. 2010). ..... The constitution of the intertidal fauna and flora of South Mrica.

  14. Impact of ART on TB case fatality stratified by CD4 count for HIV-positive TB patients in Cape Town, South Africa (2009-2011).

    Science.gov (United States)

    Kaplan, Richard; Caldwell, Judy; Middelkoop, Keren; Bekker, Linda-Gail; Wood, Robin

    2014-08-15

    To identify determinants of tuberculosis (TB) case fatality including the impact of antiretroviral therapy (ART) at different CD4 thresholds for HIV-positive adult and adolescent TB patients. Through a retrospective analysis of the electronic TB database, we identified the HIV status of newly registered patients aged ≥15 years. Multivariable Cox proportional hazard models were used to determine the risk factors for TB case fatality in these patients. In 2009, 2010, and 2011, 25,841, 26,104, and 25,554 newly registered adult TB patients were treated in primary health care clinics in Cape Town, of whom 49.7%, 50.4%, and 50.9% were HIV positive. ART uptake increased over 3 years from 43% to 64.9%, and case fatality of the HIV-positive patients decreased from 7.0% to 5.8% (P ART had a substantial decrease in case fatality. The difference in case fatality between patients on ART and not on ART was most pronounced at low CD4 counts with the positive influence of ART noted up to a CD4 count threshold of 350 cells per cubic millimeter (P ART uptake, in 2011, 21% of the patients with CD4 counts ART during TB treatment. This study showed a relatively poor uptake of ART among severely immune-compromised TB patients. Patients with CD4 counts ART during TB treatment, and ART initiation should be prioritized for this category of patients.

  15. 'When you visit a man you should prepare yourself': male community care worker approaches to working with men living with HIV in Cape Town, South Africa.

    Science.gov (United States)

    Gittings, Lesley

    2016-08-01

    Caring is typically constructed as a feminised practice, resulting in women shouldering the burden of care-related work. Health-seeking behaviours are also constructed as feminine and men have poorer health outcomes globally. Employing men as carers may not only improve the health of the men they assist but also be transformative with regards to gendered constructions of caring. Using semi-structured interviews and observational home visits, this study explored the techniques that community care workers employ when working with male clients. The empirical analysis draws on the perspectives of eight care workers and three of their male clients from the Cape Town area. Interviews reveal how care workers and clients perform and negotiate masculinities as they navigate hegemonic masculine norms that require men to act tough, suppress emotions and deny weakness and sickness. Both parties bump up against ideals of what it means to be a man as they strive to provide care and receive support. Community care workers avoid rupturing client performances of hegemonic masculinities which inhibit confession and support. To do this, they use techniques of indirectly broaching sensitive subjects, acting in a friendly way and being clear about the intention of their work.

  16. Levels of violence among nurses in Cape Town public hospitals.

    Science.gov (United States)

    Khalil, Doris

    2009-01-01

    The paper presents findings from a study examining violence in nursing. A combined ethno-phenomenology was identified as the most appropriate approach. Ethnography is to understand the culture of nursing that permits violence to occur within the profession. Phenomenology is to explore and capture nurse-on-nurse experiences of violence. The population is all nurses registered with the South African Nursing Council. The research participants are nurses employed in eight public hospitals in Cape Town during 2005. METHOD OF DATA COLLECTION: The first stage of data collection was the distributions of confidential questionnaires to nurses employed in eight hospitals and willing to participate in the study. Responses to close-ended questions were analyzed using Microsoft Excel. Responses to open-ended questions were grouped per question. The qualitative data were then compared for similarities and differences in information provided. Six levels of violence exist among nurses. The highest forms of violence among nurses occurred at the psychological level, with the least at the physical level of interaction. The other four levels of violence among nurses were vertical, horizontal, covert, and overt. All categories of nurses in the study had resorted to one or more levels of violence against other nurses during their nursing career. Professional nurses and senior nurse managers were identified as the main category of nurses that frequently resort to mistreating other nurses. However, auxiliary nurses were identified as the main perpetrators of physical violence against other nurses.

  17. The South African functional metropolis – A synthesis | Geyer | Town ...

    African Journals Online (AJOL)

    Confusing usage of terms such as metropolis and metropolitan region in planning policy in South Africa has led to the need for a fundamental investigation into the morphological and functional properties of the country's three largest cities. Using Gauteng, Cape Town and Durban as examples, the article distinguishes ...

  18. Pregnancy intent among a sample of recently diagnosed HIV-positive women and men practicing unprotected sex in Cape Town, South Africa.

    Science.gov (United States)

    Mantell, Joanne E; Exner, Theresa M; Cooper, Diane; Bai, Dan; Leu, Cheng-Shiun; Hoffman, Susie; Myer, Landon; Moodley, Jennifer; Kelvin, Elizabeth A; Constant, Debbie; Jennings, Karen; Zweigenthal, Virginia; Stein, Zena A

    2014-12-01

    Sexual and reproductive health (SRH) services for HIV-positive women and men often neglect their fertility desires. We examined factors associated with pregnancy intent among recently diagnosed HIV-positive women (N = 106) and men (N = 91) who reported inconsistent condom use and were enrolled in an SRH intervention conducted in public sector HIV care clinics in Cape Town. Participants were recruited when receiving their first CD4 results at the clinic. All reported unprotected sex in the previous 3 months. Logistic regression identified predictors of pregnancy intent for the total sample and by gender. About three fifths of men and one fifth of women reported intent to conceive in the next 6 months. In the full-sample multiple regression analysis, men [adjusted odds ratio (AOR = 6.62)] and those whose main partner shared intent to conceive (AOR = 3.80) had significantly higher odds of pregnancy intent; those with more years of education (AOR = 0.81) and more biological children (AOR = 0.62) had lower odds of intending pregnancy. In gender-specific analyses, partner sharing pregnancy intent was positively associated with intent among both men (AOR = 3.53) and women (AOR = 13.24). Among men, odds were lower among those having more biological children (AOR = 0.71) and those unemployed (AOR = 0.30). Among women, relying on hormonal contraception was negatively associated with intent (AOR = 0.08), and main partner knowing her HIV status (AOR = 5.80) was positively associated with intent to conceive. Findings underscore the importance of providing integrated SRH services, and we discuss implications for clinical practice and care.

  19. The Security and Development Nexus in Cape Town

    DEFF Research Database (Denmark)

    Jensen, Steffen Bo

    2010-01-01

    In this article, I argue that the security and development nexus takes on specific forms depending on the context, and that in Cape Town’s coloured townships it is embodied in policies and practices around what has come to be known as the ‘war on gangs’. Furthermore, the war on gangs in Cape Town...... bears resemblances to counterinsurgency strategies — not least in the sense that both are responses to a similar problem of governance. This comparison allows us explore how citizenship is being reconfigured for residents of the townships in ways that resemble what James Holston (2007) calls...

  20. The use of Hemopure® at Groote Schuur hospital, Cape Town: 4 ...

    African Journals Online (AJOL)

    Hemopure® is a cell-free haemoglobin solution that is made from bovine haemoglobin that is designed to carry oxygen in the plasma. It is approved for use in South Africa for the treatment of acute surgical anaemia. We describe the use of Hemopure® at a large tertiary hospital in Cape Town where there is a blood bank on ...

  1. Decision support with respect to facility location and fleet composition for FoodBank Cape Town

    CSIR Research Space (South Africa)

    Lanz, EJ

    2011-09-01

    Full Text Available Fleet Composition Current & Future Work FoodBank Cape Town First in South Africa Launched on 2 March 2009 Warehouse located in Philippi East [1] Majority of food sourced from DCs and retail sector Distributing to approximately 200 agencies... & Future Work Figure: Sourcing & distributing ow diagram EJ Lanz 40th Annual ORSSA Conference 11 of 36 Background Project Focus Demand & Candidate Sites Facility Location Problems Vehicle Fleet Composition Current & Future Work Data Demand Site...

  2. Non-communicable disease risk factors and treatment preference of obese patients in Cape Town

    OpenAIRE

    Manning, Kathryn; Senekal, Marjanne; Harbron, Janetta

    2016-01-01

    Background: Insights into the characteristics of treatment seekers for lifestyle changes and treatment preferences are necessary for intervention planning. Aim: To compile a profile of treatment-seeking obese patients with non-communicable diseases (NCDs) or NCD risk factors and to compare patients who choose group-based (facility-based therapeutic group [FBTG]) versus usual care (individual consultations) treatment. Setting: A primary healthcare facility in Cape Town, South Africa. ...

  3. Influences of social network sites on the occupational performance of adolescents in a secondary school in Cape Town, South Africa: a phenomenological study.

    Science.gov (United States)

    Mthembu, Thuli G; Beets, Charmaine; Davids, Gafeedha; Malyon, Kelly; Pekeur, Marchelle; Rabinowitz, Avital

    2014-06-01

    The habit of using social networking sites among adolescents has grown exponentially; there is little accompanying research to understand the influences on adolescents' occupational performance with this technology. The majority of adolescents are engaging in social network as part of their daily routines. Occupational performance is the act of doing and accomplishing a selected occupation that results from the dynamic transaction among the person, the environment and the occupation components. This study aimed to explore the influences of social networking on occupational performance of adolescents in a high school in Western Cape Province, South Africa. A phenomenological approach was used. Adolescents aged 13-17 years in a high school were purposively recruited for the study. Semi-structured interviews were conducted with four participants (two adolescents and two teachers) and two focus groups were undertaken with adolescents, analysed using thematic analysis. Four major themes emerged: 'It's a good way to keep in touch', 'It's part of me and it's not a bad thing', 'There is a time and place for it' and 'There's an urgency to be on the phone'. This study highlighted that social networking sites play a major role in the social life of adolescents, though it can result in occupational imbalance on their occupational performance. Furthermore, this study contributes to the knowledge of occupational therapists who work with adolescents in communities and health promoting school settings. Thus, collaboration between teachers, parents and occupational therapists can help to develop adolescents' time management and learning skills. © 2013 Occupational Therapy Australia.

  4. Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Parker Whadi-ah

    2012-07-01

    Full Text Available Abstract Background Due to a paucity of data regarding the availability and efficacy of equipment, health promotion methods and materials currently used by health professionals for the management of patients with non-communicable diseases (NCDs at primary health care (PHC facilities in Cape Town, an audit was undertaken. Methods A multi-centre cross-sectional study was undertaken to interview patients (n = 580 with NCDs at 30 PHC facilities. A questionnaire was used to obtain information on preferences for health promotion methods for lifestyle modification. Individual semi-structured interviews were conducted with selected health professionals (n = 14 and captured using a digital recorder. Data were transferred to the Atlas ti software programme and analysed using a thematic content analysis approach. Results Blood pressure measurement (97.6% was the most common diagnostic test used, followed by weight measurement (88.3%, urine (85.7% and blood glucose testing (80.9%. Individual lifestyle modification counselling was the preferred health education method of choice for the majority of patients. Of the 64% of patients that selected chronic clubs/support groups as a method of choice, only a third rated this as their first choice. Pamphlets, posters and workshops/group counselling sessions were the least preferred methods with only 9%, 13% and 11% of patients choosing these as their first choice, respectively. In an individual counselling setting 44.7% of patients reported that they would prefer to be counselled by a doctor, followed by a nurse (16.9%, health educator (8.8% and nutrition advisor (4.8%. Health professionals identified numerous barriers to education and counselling. These can be summarised as a lack of resources, including time, space and equipment; staff-related barriers such as staff shortage and staff turnover; and patient-related barriers such as patient load and patient non-compliance. Conclusion The majority of patients

  5. A Cross Sectional Analysis of Gonococcal and Chlamydial Infections among Men-Who-Have-Sex-with-Men in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Kevin Rebe

    Full Text Available Men-who-have-sex-with-men (MSM are at high risk of HIV and sexually transmitted infection (STI transmission. Asymptomatic STIs are common in MSM and remain undiagnosed and untreated where syndromic management is advocated. Untreated STIs could be contributing to high HIV rates. This study investigated symptomatic (SSTI and asymptomatic STIs (ASTIs in MSM in Cape Town.MSM, 18 years and above, were enrolled into this study. Participants underwent clinical and microbiological screening for STIs. Urine, oro-pharyngeal and anal swab specimens were collected for STI analysis, and blood for HIV and syphilis screening. A psychosocial and sexual questionnaire was completed. STI specimens were analysed for Neisseria gonorrhoeae (NG and Chlamydia trachomatis (CT infection.200 MSM were recruited with a median age of 32 years (IQR 26-39.5. Their median number of sex partners within the last year was 5 (IQR 2-20. 155/200 (78% reported only male sex partners while 45/200 (23% reported sex with men and women. 77/200 (39% reported transactional sex. At enrolment, 88/200 (44% were HIV positive and 8/112 (7% initially HIV-negative participants seroconverted during the study. Overall, 47/200 (24% screened positive for either NG or CT. There were 32 MSM (16% infected with NG and 7 (3.5% of these men had NG infections at two anatomical sites (39 NG positive results in total. Likewise, there were 23 MSM (12% infected with CT and all these men had infections at only one site. Eight of the 47 men (17% were infected with both NG and CT. ASTI was more common than SSTI irrespective of anatomical site, 38 /200 (19% versus 9/200 (5% respectively (p<0.001. The anus was most commonly affected, followed by the oro-pharynx and then urethra. Asymptomatic infection was associated with transgender identity (OR 4.09 CI 1.60-5.62, ≥5 male sex partners in the last year (OR 2.50 CI 1.16-5.62 and transactional sex (OR 2.33 CI 1.13-4.79 but not with HIV infection.Asymptomatic STI was

  6. Health activism in Cape Town: a case study of the Health Workers Society.

    Science.gov (United States)

    Pick, W; Claassen, J W B; Le Grange, C A; Hussey, G D

    2012-03-02

    The Health Workers Society (HWS), founded in 1980, was one of several progressive health organisations that fought for a democratic health system in South Africa. We document the sociopolitical context within which it operated and some of its achievements. HWS, many of whose members were staff and students of the University of Cape Town (UCT), provided a forum for debate on health-related issues, politics and society, and worked closely with other organisations to oppose the apartheid state's health policies and practices. They assisted with the formation of the first dedicated trade union for all healthcare workers and were one of the first to pioneer the primary healthcare approach in an informal settlement in Cape Town.

  7. Electrocotyle whittingtoni n. gen., n. sp. (Monogenea: Monocotylidae: Heterocotylinae) from the gills of a captive onefin electric ray, Narke capensis (Narkidae) at Two Oceans Aquarium, Cape Town, South Africa.

    Science.gov (United States)

    Vaughan, David B; Chisholm, Leslie A; Hansen, Haakon

    2016-09-01

    Electrocotyle whittingtoni n. gen., n. sp. (Monogenea: Monocotylidae) is described from the gills of a captive female onefin electric ray, Narke capensis, collected for exhibition at Two Oceans Aquarium in Cape Town, South Africa. Electrocotyle n. gen. is most similar to the heterocotyline genera Heterocotyle and Potamotrygonocotyle but could not be accommodated easily in either of these groups. The new genus is characterised by a haptor with one central and eight peripheral loculi, four unsclerotised structures on the dorsal surface of the haptor, a single unsclerotised non-sinous ridge on the ventral surface of the haptoral septa, large hamuli with a long handle and reduced guard, a vagina with sclerotised walls, and tetrahedral eggs. Molecular phylogenetic analyses based on 28S sequences strongly support the separate genus status of Electrocotyle n. gen and thus support our morphological conclusion. The Heterocotylinae is amended to accommodate the new genus, and the new species is fully described and illustrated herein. This is the first record of a monocotylid from the Narkidae. Electrocotyle whittingtoni n. gen. n. sp. is considered potentially pathogenic given its negative impact on the health of its captive host kept in the quarantine facility at Two Oceans Aquarium.

  8. Can Cape Town's unique biodiversity be saved? Balancing conservation imperatives and development needs

    Directory of Open Access Journals (Sweden)

    Patricia M. Holmes

    2012-06-01

    Full Text Available Cape Town is an urban hotspot within the Cape Floristic Region global biodiversity hotspot. This city of 2,460 km² encompasses four local centers of fynbos plant endemism, 19 national terrestrial vegetation types (six endemic to the city, wetland and coastal ecosystems, and 190 endemic plant species. Biodiversity in the lowlands is under threat of extinction as a result of habitat loss to agriculture, urban development, mining, and degradation by invasive alien plants. Cape Town's population is 3.7 million, increasing by an estimated 55,000 people/yr, which puts pressure on biodiversity remnants for development. South Africa is a signatory to international instruments to reduce biodiversity loss and has a good legislative and policy framework to conserve biodiversity, yet implementation actions are slow, with limited national and provincial support to conserve Cape Town's unique and irreplaceable biodiversity. The lack-of-action problem is two-fold: national government is slow to implement the policies developed to realize the international instruments it has signed, with conservation initiatives inadequately funded; and local governments are not yet recognized as important implementation partners. A further problem is created by conflicting policies such as the national housing policy that contributes to urban sprawl and loss of critical biodiversity areas. The City's Biodiversity Management Branch, with partners, is making some headway at implementation, but stronger political commitment is needed at all levels of government. Our objective is to improve the status and management of biodiversity in existing conservation areas through the statutory proclamation process and management effectiveness monitoring, respectively, and to secure priority areas of the BioNet, Cape Town's systematic biodiversity plan. The most important tools for the latter are incorporating the BioNet plan into City spatial plans; communication, education, and public

  9. Factors impacting knowledge and use of long acting and permanent contraceptive methods by postpartum HIV positive and negative women in Cape Town, South Africa: a cross-sectional study.

    Science.gov (United States)

    Credé, Sarah; Hoke, Theresa; Constant, Deborah; Green, Mackenzie S; Moodley, Jennifer; Harries, Jane

    2012-03-16

    The prevention of unintended pregnancies among HIV positive women is a neglected strategy in the fight against HIV/AIDS. Women who want to avoid unintended pregnancies can do this by using a modern contraceptive method. Contraceptive choice, in particular the use of long acting and permanent methods (LAPMs), is poorly understood among HIV-positive women. This study aimed to compare factors that influence women's choice in contraception and women's knowledge and attitudes towards the IUD and female sterilization by HIV-status in a high HIV prevalence setting, Cape Town, South Africa. A quantitative cross-sectional survey was conducted using an interviewer-administered questionnaire amongst 265 HIV positive and 273 HIV-negative postpartum women in Cape Town. Contraceptive use, reproductive history and the future fertility intentions of postpartum women were compared using chi-squared tests, Wilcoxon rank-sum and Fisher's exact tests where appropriate. Women's knowledge and attitudes towards long acting and permanent methods as well as factors that influence women's choice in contraception were examined. The majority of women reported that their most recent pregnancy was unplanned (61.6% HIV positive and 63.2% HIV negative). Current use of contraception was high with no difference by HIV status (89.8% HIV positive and 89% HIV negative). Most women were using short acting methods, primarily the 3-monthly injectable (Depo Provera). Method convenience and health care provider recommendations were found to most commonly influence method choice. A small percentage of women (6.44%) were using long acting and permanent methods, all of whom were using sterilization; however, it was found that poor knowledge regarding LAPMs is likely to be contributing to the poor uptake of these methods. Improving contraceptive counselling to include LAPM and strengthening services for these methods are warranted in this setting for all women regardless of HIV status. These study results

  10. Factors impacting knowledge and use of long acting and permanent contraceptive methods by postpartum HIV positive and negative women in Cape Town, South Africa: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Credé Sarah

    2012-03-01

    Full Text Available Abstract Background The prevention of unintended pregnancies among HIV positive women is a neglected strategy in the fight against HIV/AIDS. Women who want to avoid unintended pregnancies can do this by using a modern contraceptive method. Contraceptive choice, in particular the use of long acting and permanent methods (LAPMs, is poorly understood among HIV-positive women. This study aimed to compare factors that influence women's choice in contraception and women's knowledge and attitudes towards the IUD and female sterilization by HIV-status in a high HIV prevalence setting, Cape Town, South Africa. Methods A quantitative cross-sectional survey was conducted using an interviewer-administered questionnaire amongst 265 HIV positive and 273 HIV-negative postpartum women in Cape Town. Contraceptive use, reproductive history and the future fertility intentions of postpartum women were compared using chi-squared tests, Wilcoxon rank-sum and Fisher's exact tests where appropriate. Women's knowledge and attitudes towards long acting and permanent methods as well as factors that influence women's choice in contraception were examined. Results The majority of women reported that their most recent pregnancy was unplanned (61.6% HIV positive and 63.2% HIV negative. Current use of contraception was high with no difference by HIV status (89.8% HIV positive and 89% HIV negative. Most women were using short acting methods, primarily the 3-monthly injectable (Depo Provera. Method convenience and health care provider recommendations were found to most commonly influence method choice. A small percentage of women (6.44% were using long acting and permanent methods, all of whom were using sterilization; however, it was found that poor knowledge regarding LAPMs is likely to be contributing to the poor uptake of these methods. Conclusions Improving contraceptive counselling to include LAPM and strengthening services for these methods are warranted in this setting

  11. Managing the Risk of Flooding and Sea-level Rise in Cape Town ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Studies. Managing disasters in the context of climate change : towards sustainable urban flood management in Cape Town ... Moving through the city : gender and floods at play; a case study in Sweet Home Farm informal settlement, Cape Town ... public health, and health systems research relevant to the emerging crisis.

  12. Blood lead levels in preschool children in Cape Town

    Energy Technology Data Exchange (ETDEWEB)

    Deveaux, P.; Kibel, M.A.; Dempster, W.S.; Pocock, F.; Formenti, K.

    1986-03-29

    Blood lead levels were assessed in 293 children aged between 4 and 6 years attending preschool centers in metropolitan Cape Town in order to establish the degree of lead absorption. Anthropometric data, blood count, zinc protoporphyrin and blood lead level were obtained for each child. A questionnaire was used to determine socio-economic status, dietary habits and history of pica. Thirteen children, or 4,4% of those sampled, had blood levels of greater than or equal to 30 micrograms/dl. The majority of these children lived in close proximity to one another in a socially deprived inner urban environment. Environmental sampling for lead was carried out in the homes of children with the highest blood levels as well as in the homes of a matched control group with low levels living in the same area. The only difference was a significantly higher incidence of pica in the children with high levels.

  13. Details for Manuscript Number SSM-D-06-00290R2 “Internalized Stigma, Discrimination, and Depression among Men and Women Living with HIV/AIDS in Cape Town, South Africa”

    OpenAIRE

    Simbayi, Leickness C.; Strebel, Anna; Cloete, Allanise; Henda, Nomvo; Mqeketo, Ayanda

    2007-01-01

    AIDS stigmas interfere with HIV prevention, diagnosis and treatment and can become internalized by people living with HIV/AIDS. However, the effects of internalized AIDS stigmas have not been investigated in Africa, home to two-thirds of the more than 40 million people living with AIDS in the world. The current study examined the prevalence of discrimination experiences and internalized stigmas among 420 HIV positive men and 643 HIV positive women recruited from AIDS services in Cape Town, So...

  14. Narrative methods and socio-cultural linguistic approaches in facilitating in depth understanding of HIV disclosure in a cohort of women and men in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Diane eCooper

    2016-05-01

    Full Text Available The South African National Department of Health has rapidly extended free public sector antiretroviral treatment for people living with HIV from 2007. Approximately 6 million people are living with HIV in South Africa, with 3.1 million currently on treatment. HIV disclosure stigma has been reduced in high prevalence, generalized epidemic settings, but some remains, including in research interviews.This paper documents the unexpected reactions of people living with HIV to interviewers, It highlights shifts over time from discussing daily events with researchers to later expressing distress and then relief at having an uninvolved, sympathetic person with whom to discuss HIV disclosure. While there are commonalities, women and men had gendered responses to interviewers. These are apparent in men’s uncharacteristic emotional responses and women’s shyness in revealing gendered aspects of HIV acquisition. Both women and men expressed stress at not being allowed or able to fulfill dominant expected masculine or feminine roles. The findings underline the role of research interviewers in study participants confiding and fully expressing their feelings. This greater confidence occurred in follow up interviews with researchers in busy health facilities where time of health care providers is limited. It underlines the methodological value of narrative inquiries with research cohorts. These allowed richer data than cross-sectional interviews. They shaped the questions asked and the process of interview. They revealed participants’ increasing level of agency in expressing feelings that they find important. This research contributes to highlighting pivotal, relational aspects in research between empathetic, experienced researchers and study participants and how participant-researcher relationships progress over time. It highlights ethical dilemmas in roles of researchers as opposed to counselors, raising questions of possible blurring of lines between

  15. Cost analysis of two community-based HIV testing service modalities led by a Non-Governmental Organization in Cape Town, South Africa.

    Science.gov (United States)

    Meehan, Sue-Ann; Beyers, Nulda; Burger, Ronelle

    2017-12-02

    In South Africa, the financing and sustainability of HIV services is a priority. Community-based HIV testing services (CB-HTS) play a vital role in diagnosis and linkage to HIV care for those least likely to utilise government health services. With insufficient estimates of the costs associated with CB-HTS provided by NGOs in South Africa, this cost analysis explored the cost to implement and provide services at two NGO-led CB-HTS modalities and calculated the costs associated with realizing key HIV outputs for each CB-HTS modality. The study took place in a peri-urban area where CB-HTS were provided from a stand-alone centre and mobile service. Using a service provider (NGO) perspective, all inputs were allocated by HTS modality with shared costs apportioned according to client volume or personnel time. We calculated the total cost of each HTS modality and the cost categories (personnel, capital and recurring goods/services) across each HTS modality. Costs were divided into seven pre-determined project components, used to examine cost drivers. HIV outputs were analysed for each HTS modality and the mean cost for each HIV output was calculated per HTS modality. The annual cost of the stand-alone and mobile modalities was $96,616 and $77,764 respectively, with personnel costs accounting for 54% of the total costs at the stand-alone. For project components, overheads and service provision made up the majority of the costs. The mean cost per person tested at stand-alone ($51) was higher than at the mobile ($25). Linkage to care cost at the stand-alone ($1039) was lower than the mobile ($2102). This study provides insight into the cost of an NGO led CB-HTS project providing HIV testing and linkage to care through two CB-HIV testing modalities. The study highlights; (1) the importance of including all applicable costs (including overheads) to ensure an accurate cost estimate that is representative of the full service implementation cost, (2) the direct link between test

  16. The validity of the Substance Abuse and Mental Illness Symptom Screener (SAMISS) in people living with HIV/AIDS in primary HIV care in Cape Town, South Africa.

    Science.gov (United States)

    Breuer, Erica; Stoloff, Kevin; Myer, Landon; Seedat, Soraya; Stein, Dan J; Joska, John A

    2014-06-01

    Given the high prevalence of HIV in South Africa and co-morbid mental disorders in people living with HIV/AIDs (PLWHA) we sought to validate a brief screening tool in primary HIV care. 366 PLWHA were recruited prior to combination anti-retroviral treatment (CART) initiation from two primary health HIV clinics. A mental health nurse administered a socio-demographic questionnaire and the Mini Neuropsychiatric Interview (MINI) and a lay counsellor administered the Substance and Mental Illness Symptom Screener (SAMISS). Using the MINI, 17 % of participants were identified with either depression, anxiety disorders or adjustment disorder and 18 % with substance or alcohol abuse/dependence. The sensitivity and specificity of the SAMISS was 94 % (95 % CI: 88-98 %) and 58 % (95 % CI: 52-65 %) respectively, with the alcohol component (sensitivity: 94 %; specificity: 85 %) performing better than the mental illness component of the SAMISS (sensitivity: 97 %; specificity: 60 %). The specificity of the tool improved when the cut-off for the mental illness component was increased. The SAMISS may provide a useful first tier screening tool for common mental disorders in primary care for PLWHA.

  17. Opening Address [International Conference on Effective Nuclear Regulatory Systems: Further Enhancing the Global Nuclear Safety and Security Regime, Cape Town (South Africa), 14-18 December 2009

    International Nuclear Information System (INIS)

    Peters, Elizabeth Dipuo

    2010-01-01

    Nuclear energy is seen by many countries as providing a sustainable solution to energy security challenges. In this context, many developing countries are considering the establishment of nuclear power build programmes, while countries with mature nuclear programmes are considering the possibility of further expansion. The challenges facing countries that are embarking on this new venture include, inter alia, the development of policies, legislation as well as the establishment of appropriate institutions such as regulatory bodies with effective independence to take regulatory decisions. Regional and international cooperation and coordination are therefore of critical importance. Accordingly, the establishment of the Forum of Regulatory Bodies in Africa is a welcome initiative. We are pleased that the national nuclear programme in post-apartheid South Africa places us in a position to become active global participants in the safe use of nuclear energy for peaceful purposes. However, we all have an obligation to ensure that the presence of a plethora of cooperation mechanisms such as this body are as inclusive and as supportive as possible. This will help the global community of nations in reaping maximum benefits that surely should arise from these initiatives to ensure security of energy supply. We do not have the luxury to duplicate such bodies. The role of the International Atomic Energy Agency in nuclear safety and security cannot be over-emphasized. That alone is the reason that drove the liberation movement of the people of our country, and now the ruling party, fully to conform to all the treaties and conventions that have been drafted by this reputable institution of the peoples of the world. The same goes for the facilitation of cooperation and the sharing of knowledge and experience. The IAEA is invariably trusted to provide independent views and advice in order to strengthen safety and security while preserving the sovereignty, authority and

  18. Effectiveness of patient adherence groups as a model of care for stable patients on antiretroviral therapy in Khayelitsha, Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Miguel Angel Luque-Fernandez

    Full Text Available BACKGROUND: Innovative models of care are required to cope with the ever-increasing number of patients on antiretroviral therapy in the most affected countries. This study, in Khayelitsha, South Africa, evaluates the effectiveness of a group-based model of care run predominantly by non-clinical staff in retaining patients in care and maintaining adherence. METHODS AND FINDINGS: Participation in "adherence clubs" was offered to adults who had been on ART for at least 18 months, had a current CD4 count >200 cells/ml and were virologically suppressed. Embedded in an ongoing cohort study, we compared loss to care and virologic rebound in patients receiving the intervention with patients attending routine nurse-led care from November 2007 to February 2011. We used inverse probability weighting to estimate the intention-to-treat effect of adherence club participation, adjusted for measured baseline and time-varying confounders. The principal outcome was the combination of death or loss to follow-up. The secondary outcome was virologic rebound in patients who were virologically suppressed at study entry. Of 2829 patients on ART for >18 months with a CD4 count above 200 cells/µl, 502 accepted club participation. At the end of the study, 97% of club patients remained in care compared with 85% of other patients. In adjusted analyses club participation reduced loss-to-care by 57% (hazard ratio [HR] 0.43, 95% CI = 0.21-0.91 and virologic rebound in patients who were initially suppressed by 67% (HR 0.33, 95% CI = 0.16-0.67. DISCUSSION: Patient adherence groups were found to be an effective model for improving retention and documented virologic suppression for stable patients in long term ART care. Out-of-clinic group-based models facilitated by non-clinical staff are a promising approach to assist in the long-term management of people on ART in high burden low or middle-income settings.

  19. Anti-retroviral Therapy Based HIV Prevention Among a Sample of Men Who Have Sex with Men in Cape Town, South Africa: Use of Post-exposure Prophylaxis and Knowledge on Pre-exposure Prophylaxis.

    Science.gov (United States)

    Hugo, J M; Stall, R D; Rebe, K; Egan, J E; De Swardt, G; Struthers, H; McIntyre, J A

    2016-12-01

    Men who have Sex with Men (MSM) have been affected disproportionately by the global HIV pandemic. Rates of consistent condom-use are low and there is a need for further biomedical prevention interventions to prevent new HIV infections. Post exposure prophylaxis (PEP) can reduce the risk of HIV, but uptake among MSM is low. Pre-exposure prophylaxis (PrEP), an innovative anti-retroviral-based HIV prevention tool might be an appropriate intervention for MSM who have recently accessed PEP that involves HIV negative individuals taking daily tenofovir+emtricitabine for HIV prevention. 44 MSM, attending a primary health-care level MSM-focused sexual health clinic in Cape Town, South Africa, who had initiated PEP were enrolled in this study. Participants were followed up after 2, 4 and 12 weeks. Self-administered electronic surveys were completed at the initial, 4 and 12 week visit. Barriers and facilitators to accessing PEP and remaining adherent were examined, as was knowledge about PrEP. Thirty-two participants (80 %) were <40 years of age (range 20-65 years). 35 % of the participants reported their reason for requiring PEP as condomless receptive anal intercourse. A further 20 % required PEP following condomless penetrative anal intercourse; 27.5 % required PEP due to a broken condom during receptive anal sex and 2 participants during insertive anal sex. Three participants did not complete 28 days of PEP or were lost to follow up. Over half (58.5 %) of the participants reported being completely adherent to their regime; under a third (31.7 %) reported missing one PEP dose; and 9.8 % reported missing more than one dose. 36/40 (90 %) had heard of PrEP and 30/40 (75 %) indicated that they would use PrEP if it were accessible to them. That we enrolled 44 MSM who accessed PEP from a Department of Health affiliated clinic over 12 months, speaks to the low uptake by MSM of PEP services in South Africa. Adherence was high and demonstrates that adherence

  20. Heritage and the Development of Stellenbosch, Western Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Fabio Todeschini

    2017-06-01

    Full Text Available The jurisdiction of Stellenbosch, located adjacent to, but outside of, the Cape Town metropolitan area in the Western Cape Province of South Africa, comprises over one thousand square kilometers of landscapes spanning: spectacular mountain wilderness areas; many productive rural valleys that are an integral part of the celebrated Cape Winelands; and a number of historic, characterful urban centres founded during the 17th century. Overall, this blend of domains attracts increasing numbers of tourists, while the places are also home to a growing population. The pressures for change and growth are significant: so is the need for appropriate policies and plans in the longer-term public interest. The authors report on a three-year project they are conducting for the local authority that focuses on the definition of the natural and cultural heritage and, in principle, on how development should be channelled.

  1. Exploring how different modes of governance act across health system levels to influence primary healthcare facility managers' use of information in decision-making: experience from Cape Town, South Africa.

    Science.gov (United States)

    Scott, Vera; Gilson, Lucy

    2017-09-15

    Governance, which includes decision-making at all levels of the health system, and information have been identified as key, interacting levers of health system strengthening. However there is an extensive literature detailing the challenges of supporting health managers to use formal information from health information systems (HISs) in their decision-making. While health information needs differ across levels of the health system there has been surprisingly little empirical work considering what information is actually used by primary healthcare facility managers in managing, and making decisions about, service delivery. This paper, therefore, specifically examines experience from Cape Town, South Africa, asking the question: How is primary healthcare facility managers' use of information for decision-making influenced by governance across levels of the health system? The research is novel in that it both explores what information these facility managers actually use in decision-making, and considers how wider governance processes influence this information use. An academic researcher and four facility managers worked as co-researchers in a multi-case study in which three areas of management were served as the cases. There were iterative cycles of data collection and collaborative analysis with individual and peer reflective learning over a period of three years. Central governance shaped what information and knowledge was valued - and, therefore, generated and used at lower system levels. The central level valued formal health information generated in the district-based HIS which therefore attracted management attention across the levels of the health system in terms of design, funding and implementation. This information was useful in the top-down practices of planning and management of the public health system. However, in facilities at the frontline of service delivery, there was a strong requirement for local, disaggregated information and experiential

  2. Water supply: reshaper of Cape Town's local government a century ago

    CSIR Research Space (South Africa)

    Wall, K

    2008-08-01

    Full Text Available to go a distance of up to 50 miles from Cape Town." (Ibid) The cost would amount to about 1 500 000 pounds (Parker, 1911). During 1904, J Cook (City Engineer of Cape Town) together with R H Charters and R W Menmuir (Town Engineer of Woodstock.... In Woodstock and Maitland moreover, there being no system of surface drainage, slop water was allowed to pass into the street gutter or on to adjacent land, and ultimately to find its way into neighbouring streams - in the other suburbs, the 'very dirty slop...

  3. Emerging Societal Involvement in City Management : the case of Cape Town

    Directory of Open Access Journals (Sweden)

    Neil Dewar

    1999-02-01

    Full Text Available Since the advent of full participatory democracy in South Africa in April 1994, a fundamental revision of the norms, values and practices of urban management has occurred. A central feature of this is expressed commitment to greater transparency and public participation in decision-making and project execution. Manegerial practice has moved from being essentially technocratic and control-oriented to more pluralistic and development-oriented. The previously disenfranchised and largely impoverished sectors of the community have moved from exclusion and confrontation toward greater involvement and empowerment. This has not been without problems however. The current status of community participation in Cape Town is reviewed and explored against a theoretical model. The conclusion drawn is that, political impediments notwithstanding, a considerable energy and momentum has been generated at local level in civil society towards the goal of improvement in social and living environments in the city.

  4. Stories of Change: e/merge @ the University of Cape Town

    Science.gov (United States)

    Carr, Tony

    The Center for Educational Technology (CET) is located at the University of Cape Town, which is a leading South African research and teaching university. This implies great opportunities and challenges since we are poised between the experience of and conditions faced by colleagues in other parts of Africa and those of the colleagues in first-world countries. We have access to the intellectual and professional networks of the first world and our university features on global rankings, yet our resourcing, while generous in terms of most other universities in our continent, is a fraction of that enjoyed by first-world universities of similar size and scope. Both globalization and developmental imperatives require us to rapidly extend the effective use of educational technology in our university for teaching and learning. The received models of e-Learning integration developed mostly in first-world countries need to be adapted for contexts with scarce resources.

  5. Empowering adolescents to engage in healthy behaviours through peer leadership training in the townships of Cape Town

    DEFF Research Database (Denmark)

    Eklund Karlsson, Leena; Andersson, Mikael; Johansson, Josefine

    2014-01-01

    and qualitative interviews and analysed through thematic content analysis. The results showed that peer educators’ self-esteem, confidence and motivation increased, as did their knowledge and skills related to communication, supporting and motivating peers and clients. Additionally the results showed......This paper investigated peer educators’ perceptions of their self-empowerment, learning, and experiences of being a peer educator within the Leadership South Programme (LSP) in Cape Town, South Africa. The data about the peer educators’ perceptions was gathered through open-ended questionnaires...

  6. Bricolage: Re-Discovering History through Intermediality and Performance. A Report on the UCT/CityVarsity Production of "A Day, Across" at the Cape Town Fringe 2014

    Science.gov (United States)

    Muftic, Sanjin

    2016-01-01

    "A Day, Across," performed by the CityVarsity School of Creative Arts at the Cape Town Fringe 2014, was a student production that investigated the link between the youth of South Africa and the centennial of the start of World War I. This paper presents a brief analysis of the rehearsal process as well as certain performance sequences in…

  7. A community in trouble? The impact of gentrification on the Bo-Kaap, Cape Town

    Directory of Open Access Journals (Sweden)

    Nico Kotze

    2013-01-01

    Full Text Available The Bo-Kaap is an older inner-city, working-class neighbourhood in Cape Town, South Africa. By the 1930s, the area had degenerated into an overcrowded and run-down neighbourhood, consisting largely of dilapidated houses, but by 1941 about 150 housing units had been expropriated by the local authority for redevelopment in a comprehensive renewal scheme for the area. However, the process was halted with the formation of the so-called “Group for the Preservation of the Malay Quarter”, which fought against the demolition of the houses. At present, the area with its colourful housing units and 11 mosques is part of Cape Town’s cultural heritage and a very important tourist attraction. As in the case of De Waterkant, a gentrified neighbourhood adjacent to it, the area has seen a large number of housing units renovated and upgraded. Property prices have increased dramatically, although they are still relatively low, while the number of properties sold is also on the rise – so much so that the community leaders and especially the Muslim residents are in a constant battle to preserve the neighbourhood’s cultural identity.

  8. Potable water use of residential consumers in the Cape Town ...

    African Journals Online (AJOL)

    2016-01-01

    Jan 1, 2016 ... process for supplementary on-site water sources that was introduced by the City of Cape ... research objectives and would include relatively deep garden .... relatively shallow water table provide ideal conditions for small-.

  9. Hepatitis e virus: Western Cape, South Africa

    NARCIS (Netherlands)

    R.G. Madden (Richie); Wallace, S. (Sebastian); M. Sonderup; Korsman, S. (Stephen); Chivese, T. (Tawanda); Gavine, B. (Bronwyn); Edem, A. (Aniefiok); Govender, R. (Roxy); English, N. (Nathan); Kaiyamo, C. (Christy); Lutchman, O. (Odelia); A.A. Eijck (Annemiek); S.D. Pas (Suzan); Webb, G.W. (Glynn W); Palmer, J. (Joanne); Goddard, E. (Elizabeth); Wasserman, S. (Sean); H.R. Dalton (Harry); C.W. Spearman

    2016-01-01

    textabstractAIM To conduct a prospective assessment of anti-hepatitis E virus (HEV) IgG seroprevalence in the Western Cape Province of South Africa in conjunction with evaluating risk factors for exposure. METHODS Consenting participants attending clinics and wards of Groote Schuur, Red Cross

  10. South Africa's vital statistics are currently not suitable for monitoring ...

    African Journals Online (AJOL)

    Faculty of Health Sciences, University of Cape Town, South Africa ... Cape Town: Centre for Actuarial Research, University of Cape Town, 2004. ... Bradshaw D, Kielkowski D, Sitas F. New birth and death registration forms – A foundation for ...

  11. Non-metropolitan residential gated developments in the Western Cape Province, South Africa

    CSIR Research Space (South Africa)

    Spocter, M

    2011-07-01

    Full Text Available -metropolitan locale and the topic is also unexplored in the South African context. This research attempts to address this research gap by investigating the locations of gated developments in non-metropolitan towns of varying sizes in the Western Cape...

  12. Language Policy as a Sociocultural Tool: Insights from the University of Cape Town

    Science.gov (United States)

    Karjalainen, Magda

    2016-01-01

    This theoretically oriented article draws on the author's previous research, which examined language policy and planning (LPP) of the University of Cape Town within the context of post-apartheid transformation driven by need to redress inequalities of the past, and demands of globalization. Drawing on critical linguistics, but indicating…

  13. Introductory Astronomy Course at the University of Cape Town: Probing Student Perspectives

    Science.gov (United States)

    Rajpaul, Vinesh; Allie, Saalih; Blyth, Sarah-Louise

    2014-01-01

    We report on research carried out to improve teaching and student engagement in the introductory astronomy course at the University of Cape Town. This course is taken by a diverse range of students, including many from educationally disadvantaged backgrounds. We describe the development of an instrument, the Introductory Astronomy Questionnaire…

  14. Managing the Risk of Flooding and Sea-level Rise in Cape Town ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    The city of Cape Town is facing the dual challenge of redressing the legacy apartheid (inequality and spatial segregation) and responding to climate change. Over the past two decades, the rate of residential and commercial development in the city almost doubled. Much of the expansion took place along the coastline and ...

  15. The Tangled Web: Investigating Academics' Views of Plagiarism at the University of Cape Town

    Science.gov (United States)

    de Jager, Karin; Brown, Cheryl

    2010-01-01

    This article considers the problematic question of student plagiarism, its causes and manifestations, and how it is addressed in academic environments. A literature survey was conducted to establish how higher education institutions approach these issues, and a twofold investigation was conducted at the University of Cape Town. Data was gathered…

  16. Options for Water, Energy and Chemical Savings for Finitex, Cape Town

    DEFF Research Database (Denmark)

    Schneider, Zsig; Wenzel, Henrik

    An analysis of the options identified for saving of water, energy and chemicals was conducted at Finitex, Cape Town on the 18th October 2002. Cost savings were calculated from an estimation of the reduction in cost of water, energy and chemical usage associated with various interventions. Capital...

  17. Survival of children in Cape Town known to be vertically infected ...

    African Journals Online (AJOL)

    infected with HIV-1. G D Hussey, R M Reijnhart, A M Sebens,. J Burgess, S Schaaf, S Potgieter. Objective. To determine the survival patterns of children in. Cape Town known ... age and clinical manifestations was determined by calculation of odds .... dermatological problems (45%) and oral thrush (34%). Tuberculosis was ...

  18. Analysis of Early Childhood Development (ECD) facilities within the city of Cape Town

    CSIR Research Space (South Africa)

    Mokgalaka, H

    2011-10-01

    Full Text Available of the current situation of accessibility of ECD facilities in Cape Town in respect of both location and size. This was followed by modelling of the optimal location of a select number of new ECD Centre’s of Excellence facilities to meet the backlog in current...

  19. Alternative approaches to community participation beyond formal structures: evidence from Langa within the municipality of Cape Town

    Directory of Open Access Journals (Sweden)

    Adam Andani

    2018-05-01

    Full Text Available While ward committees and Integrated Development Planning (IDP representative forums constitute formal participatory mechanisms in South Africa’s local government, little is known about the potential of local approaches in enhancing participation in municipal planning. This paper examines alternative approaches to participation based on research conducted in Langa – a township situated on the Cape Flats of Cape Town. The paper highlights approaches to residents’ participation in planning tested during the ‘interregnum’ – the period when ward committees are in abeyance due to elections. The study found that, while IDP participatory processes facilitated awareness of participation, ward councillors were crucial in operationalising participation that reflects the diversity of the community.

  20. "They must understand we are people": Pregnancy and maternity service use among signing Deaf women in Cape Town.

    Science.gov (United States)

    Gichane, Margaret W; Heap, Marion; Fontes, Mayara; London, Leslie

    2017-07-01

    Women with disabilities are at disproportionate risk for adverse pregnancy outcomes, however, there is limited information on their pregnancy histories. This mixed-methods study focuses on signing Deaf women whose access to health care may be compromised by language barriers related to their disability. To describe and compare the pregnancy outcomes and maternity service use of a sample of signing Deaf women of child-bearing age in Cape Town to the population of the Western Cape of South Africa. We interviewed 42 Deaf women selected by non-probability snowball sampling, using a structured questionnaire in South African Sign Language in Cape Town in July 2016. Average parity of the sample was similar to that of the Western Cape population. Most women had one or two children (74%). Thirty-one percent of women had experienced a miscarriage and 19% had terminated a pregnancy. Almost all women (96%) attended at least one antenatal appointment during their pregnancies, and all deliveries occurred at a health facility. Women primarily relied on writing to communicate during antenatal visits and labor/delivery. The majority of women reported communication issues due to limited interpretation services, and some reported experiencing mistreatment from hospital staff. This study provides novel information on the pregnancy histories of Deaf women. While maternal service usage was high, the quality of services were inadequate with reports of linguistic barriers and mistreatment. Findings suggest the need to improve maternity care for Deaf women through implementing interpretation services and providing sensitivity training to health care providers. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  1. Enabling disability inclusive practices within the University of Cape Town curriculum: A case study

    Directory of Open Access Journals (Sweden)

    Chioma Ohajunwa

    2015-07-01

    Full Text Available Background: Disability inclusion in the curricula of higher education institutions contributes to socially responsive graduates with a capacity to address the cross-cutting issue of disability in development. This article discusses a study conducted at the University of Cape Town (UCT, South Africa, to explore disability inclusion. Methodology: An instrumental case study approach was adopted and a thematic analysis of data was done. Findings: Academic staff found a variety of ways to include disability, such as discussions in class, practice and service learning, but mainly as part of disciplinary requirements. Including disability as an issue of social justice stems mostly from the personal interest of staff, and is done in an ad hoc manner. Conclusion: Disability should be valued, and integrated into the curriculum in a structured manner as a perspective on diversity with which to interrogate our beliefs about ourselves and society. Theorising on disability is needed, as well as the unique perspectives that emerge across interdisciplinary boundaries, especially within the African context.

  2. Enabling disability inclusive practices within the University of Cape Town curriculum: A case study

    Science.gov (United States)

    Ohajunwa, Chioma

    2015-01-01

    Background Disability inclusion in the curricula of higher education institutions contributes to socially responsive graduates with a capacity to address the cross-cutting issue of disability in development. This article discusses a study conducted at the University of Cape Town (UCT), South Africa, to explore disability inclusion. Methodology An instrumental case study approach was adopted and a thematic analysis of data was done. Findings Academic staff found a variety of ways to include disability, such as discussions in class, practice and service learning, but mainly as part of disciplinary requirements. Including disability as an issue of social justice stems mostly from the personal interest of staff, and is done in an ad hoc manner. Conclusion Disability should be valued, and integrated into the curriculum in a structured manner as a perspective on diversity with which to interrogate our beliefs about ourselves and society. Theorising on disability is needed, as well as the unique perspectives that emerge across interdisciplinary boundaries, especially within the African context. PMID:28730025

  3. Stratigraphic and morphologic signatures of continental shelves, IGC 2016, Cape Town: an introduction

    Science.gov (United States)

    Green, A. N.; Cooper, J. A. G.

    2018-02-01

    This special issue of Geo-Marine Letters comprises seven contributions to the session "Stratigraphic and morphologic signatures of continental shelves" of the 35th International Geological Congress held in Cape Town (Republic of South Africa) on 27 August-4 September 2016. There is an additional article not presented at the conference but falling into the same general theme. The guest editors are A.N. Green and J.A.G. Cooper. The eight articles address several contemporary themes in continental shelf geology. They include the role of antecedent conditioning on the development of shelf stratigraphy and geomorphology; erosion of submerged shorelines and their preservation during (stepped) postglacial sea-level rise; the role of glacial processes (e.g. iceberg scouring during ice-sheet retreat); and the utility of archival data in addressing contemporary issues such as Holocene climate change and global oceanographic circulation systems. The continental shelf holds important information for understanding past and present global circulation and earth-ice-atmosphere interactions including sea-level change. It is hoped that these themes will spur further research that is slowly coming to the fore in several new and innovative mapping and exploration programmes emerging from an increasing number of coastal nations.

  4. Violence and injury mortality in the Cape Town metropole

    African Journals Online (AJOL)

    mortality in a South African city and demonstrate the utility of secondary ... accidents (1 130 cases; 29% of all non-natural mortality), fire (295 .... Infanticide and fatal child abuse, according to police recOf'ds. Table Ill. .... 10 the USA, targets for the reduction of injury and violence mortality ... The Department of Health recently.

  5. A Caledonian college in Cape Town and beyond: an investigation ...

    African Journals Online (AJOL)

    Adopting a historical approach, this article traces the origins of key features of the South African university system, viz the general nature of its undergraduate degrees, its heavy reliance on lectures to convey information and its extensive use of examinations to assess levels of student achievement. This historical ...

  6. "Stressed and Sexy": Lexical Borrowing in Cape Town Xhosa

    Science.gov (United States)

    Dowling, Tessa

    2011-01-01

    Codeswitching by African language speakers in South Africa (whether speaking English or the first language) has been extensively commented on and researched. Many studies analyse the historical, political and sociolinguistic factors behind this growing phenomenon, but there appears to be a little urgency about establishing a database of new…

  7. The Impact of Facebook on the Quality of Life of Senior Citizens in Cape Town

    OpenAIRE

    Rylands , Denaneer; Belle , Jean-Paul ,

    2017-01-01

    Part 14: Current Issues; International audience; Social Networking Sites (SNSs), such as Facebook, can be used to maintain social connectedness especially with friends and family, irrespective of geographical distances or physical impairments. This is particularly beneficial for older people who are more prone to social exclusion. This paper investigates the impact that the use of Facebook has on the quality of life (QOL) of senior citizens living in Cape Town. The study use a positivist appr...

  8. INTERGRATION OF LiDAR DATA WITH AERIAL IMAGERY FOR ESTIMATING ROOFTOP SOLAR PHOTOVOLTAIC POTENTIALS IN CITY OF CAPE TOWN

    Directory of Open Access Journals (Sweden)

    A. K. Adeleke

    2016-06-01

    Full Text Available Apart from the drive to reduce carbon dioxide emissions by carbon-intensive economies like South Africa, the recent spate of electricity load shedding across most part of the country, including Cape Town has left electricity consumers scampering for alternatives, so as to rely less on the national grid. Solar energy, which is adequately available in most part of Africa and regarded as a clean and renewable source of energy, makes it possible to generate electricity by using photovoltaics technology. However, before time and financial resources are invested into rooftop solar photovoltaic systems in urban areas, it is important to evaluate the potential of the building rooftop, intended to be used in harvesting the solar energy. This paper presents methodologies making use of LiDAR data and other ancillary data, such as high-resolution aerial imagery, to automatically extract building rooftops in City of Cape Town and evaluate their potentials for solar photovoltaics systems. Two main processes were involved: (1 automatic extraction of building roofs using the integration of LiDAR data and aerial imagery in order to derive its’ outline and areal coverage; and (2 estimating the global solar radiation incidence on each roof surface using an elevation model derived from the LiDAR data, in order to evaluate its solar photovoltaic potential. This resulted in a geodatabase, which can be queried to retrieve salient information about the viability of a particular building roof for solar photovoltaic installation.

  9. The profile of disability grant applicants in Bishop Lavis, Cape Town ...

    African Journals Online (AJOL)

    Background: Disability grants in South Africa increased from 600 000 in 2000 to almost 1.3 million in 2004. This rise can be attributed to the HIV/ AIDS epidemic, South Africa's high rate of unemployment and possibly an increased awareness of constitutional rights. The Western Cape, which has a disability prevalence of ...

  10. Ecological correlates of multiple sexual partnerships among adolescents and young adults in urban Cape Town: a cumulative risk factor approach.

    Science.gov (United States)

    Muchiri, Evans; Odimegwu, Clifford; Banda, Pamela; Ntoimo, Lorreta; Adedini, Sunday

    2017-07-01

    Studies in South Africa have reported unsafe levels of risky sexual behvaiours among adolescents and young adults, with the country reporting the highest burden of HIV/AIDS globally, as well as a high rate of teenage pregnancy. While determinants of risky sexual behaviours have been investigated for factors occurring at the individual and household levels, not fully explored in the literature is the effect of community level factors. Furthermore, it is unclear whether risk factors occurring within the ecology of adolescents and young adults act cumulatively to influence their sexual practices. This article aims to address this knowledge gap using a case study of the Cape Area Panel Study of adolescents and young adults in urban Cape Town, South Africa. The ecological framework was adopted to guide the selection of risk factors at the individual, household, and community levels. Multivariate linear discriminant function analyses were used to select significant risk factors for multiple sexual partnerships and used to produce risk indices for the respondents. The cumulative risk approach was applied to test whether significant risk factors acted cumulatively. Findings point to the importance of ecological factors in influencing outcomes of multiple sexual partnerships among respondents and further demonstrate that ecological risk factors may act cumulatively. These findings are important for South Africa that is grappling with teenage pregnancy and disproportionate HIV epidemic among the youth.

  11. Anxiety, depression, health attitudes and coping strategies in doctors and teachers in a Cape Town setting

    Directory of Open Access Journals (Sweden)

    H van der Bijl

    2007-06-01

    Full Text Available Objective. To investigate two professional groups (doctors and teachers with regard to symptoms of anxiety and depression as a measure of psychological distress, as well as perceptions regarding job satisfaction, workload and adequacy of remuneration. To assess health care behaviour as evidenced by substance use, psychotropic medication use, self-prescribing habits (in doctors, help-seeking behaviour as well as negative coping strategies as indicated by the intention to emigrate and/or leave the profession. Design. Data were collected from randomly distributed questionnaires which included a validated objective screening instrument, the Hospital Anxiety and Depression Scale (HADS. Subjects and setting. Questionnaires were distributed among 260 physicians at Tygerberg Academic Hospital and 200 teachers from five different schools in the northern suburbs of metropolitan Cape Town. Results. We found high levels of job dissatisfaction and symptoms of anxiety and depression in both groups, with teachers more affected than doctors. A large proportion of respondents with clinically significant levels of anxiety and depression remain untreated. Many respondents displayed a passive attitude with regard to seeking help. A significant proportion of doctors self-prescribed antidepressant and benzodiazepine medications. Only a small minority of doctors had a general practitioner whom they would consult when ill. Twenty-nine per cent of doctors indicated their intention to emigrate and 40% of teachers were planning to leave their profession. Conclusion. Our results suggest that doctors and teachers in South Africa are two professional groups at high risk for developing serious mental health problems, with low levels of recognition and intervention at present.

  12. Proportionality in enterprise development of South African towns

    Directory of Open Access Journals (Sweden)

    Maitland T. Seaman

    2012-05-01

    Full Text Available We investigated proportionalities in the enterprise structures of 125 South African towns through examining four hypotheses, (1 the magnitude of enterprise development in a town is a function of the population size of the town; (2 the size of an enterprise assemblage of a town is a function of the town’s age; (3 there are statistically significant relationships, and hence proportionalities, between the total number of enterprises in towns and some, if not all, of the enterprise numbers of different business sectors in towns; and (4 the implications of proportionalities have far-reaching implications for rural development and job creation. All hypotheses were accepted on the basis of statistically significant (p < 0.05 correlations, except for the second hypothesis – the age of a town does not determine the size of its enterprise assemblage. Analysis for the fourth hypothesis suggested that there are two broad entrepreneurial types in South African towns: ‘run-of-the-mill’ entrepreneurs and ‘special’ entrepreneurs, which give rise to different enterprise development dynamics. ‘Run-of-the-mill’ enterprises are dependent on, and limited by, local demand and if there is only a small demand, the entrepreneurial space is small. By comparison, ‘special’ enterprises have much larger markets because their products and/or services are exportable. We propose that the fostering of ‘special’ entrepreneurs is an imperative for local economic development in South African towns.

  13. Research to action to address inequities: the experience of the Cape Town Equity Gauge

    Directory of Open Access Journals (Sweden)

    Reagon Gavin

    2008-02-01

    Full Text Available Abstract Background While the importance of promoting equity to achieve health is now recognised, the health gap continues to increase globally between and within countries. The description that follows looks at how the Cape Town Equity Gauge initiative, part of the Global Equity Gauge Alliance (GEGA is endeavouring to tackle this problem. We give an overview of the first phase of our research in which we did an initial assessment of health status and the socio-economic determinants of health across the subdistrict health structures of Cape Town. We then describe two projects from the second phase of our research in which we move from research to action. The first project, the Equity Tools for Managers Project, engages with health managers to develop two tools to address inequity: an Equity Measurement Tool which quantifies inequity in health service provision in financial terms, and a Equity Resource Allocation Tool which advocates for and guides action to rectify inequity in health service provision. The second project, the Water and Sanitation Project, engages with community structures and other sectors to address the problem of diarrhoea in one of the poorest areas in Cape Town through the establishment of a community forum and a pilot study into the acceptability of dry sanitation toilets. Methods A participatory approach was adopted. Both quantitative and qualitative methods were used. The first phase, the collection of measurements across the health subdistricts of Cape Town, used quantitative secondary data to demonstrate the inequities. In the Equity Tools for Managers Project further quantitative work was done, supplemented by qualitative policy analysis to study the constraints to implementing equity. The Water and Sanitation Project was primarily qualitative, using in-depth interviews and focus group discussions. These were used to gain an understanding of the impact of the inequities, in this instance, inadequate sanitation

  14. Container terminal spatial planning - A 2041 paradigm for the Western Cape Province in South Africa

    Directory of Open Access Journals (Sweden)

    Jan Havenga

    2012-11-01

    Full Text Available This paper investigates the suitable location for an intermodal inland container terminal (IICT in the city of Cape Town. A container market segmentation approach is used to project growth for container volumes over a 30-year period for all origin and destination pairings on a geographical district level in an identified catchment area. The segmentation guides the decision on what type of facility is necessary to fulfil capacity requirements in the catchment area and will be used to determine the maximum space requirements for a future IICT. Alternative sites are ranked from most suitable to least suitable using multi-criteria analysis, and preferred locations are identified. Currently, South Africa’s freight movement is dominated by the road sector. Heavy road congestion is thus prevalent at the Cape Town Container Terminal (CTCT. The paper proposes three possible alternative sites for an IICT that will focus on a hub-and-spoke system of transporting freight.

  15. Non-communicable disease risk factors and treatment preference of obese patients in Cape Town

    Directory of Open Access Journals (Sweden)

    Kathryn Manning

    2016-06-01

    Full Text Available Background: Insights into the characteristics of treatment seekers for lifestyle changes and treatment preferences are necessary for intervention planning. Aim: To compile a profile of treatment-seeking obese patients with non-communicable diseases (NCDs or NCD risk factors and to compare patients who choose group-based (facility-based therapeutic group [FBTG] versus usual care (individual consultations treatment. Setting: A primary healthcare facility in Cape Town, South Africa. Methods: One hundred and ninety-three patients were recruited in this cross-sectional study. Ninety six chose FBTG while 97 chose usual care. A questionnaire, the hospital database and patients’ folders were used to collect data. Weight, height and waist circumference were measured. STATA 11.0 was used for descriptive statistics and to compare the two groups. Results: The subjects’ mean age was 50.4 years, 78% were women and of low education levels and income, and 41.5% had type 2 diabetes, 83.4% hypertension and 69.5% high cholesterol. Mean (s.d. HbA1c was 9.1 (2.0%, systolic BP 145.6 (21.0 mmHg, diastolic BP 84.5 (12.0 mmHg, cholesterol 5.4 (1.2 mmol/L, body mass indicator (BMI 39.3 (7.3 kg/m2 and waist circumference 117 (12.6 cm. These figures were undesirable although pharmacological treatment for diabetes and hypertension was in place. Only 14% were physically active, while TV viewing was > 2h/day. Mean daily intake of fruit and vegetables (2.2 portions/day was low while added sugar (5 teaspoons and sugar-sweetened beverages (1.3 glasses were high. Usual care patients had a higher smoking prevalence, HbA1c, number of NCD risk factors and refined carbohydrate intake, and a lower fruit and vegetable intake. Conclusion: Treatment seekers were typically middle-aged, low income women with various modifiable and intermediate risk factors for NCDs. Patients choosing usual care could have more NCD risks. Keywords: Non-communicable diseases; primary health care; family

  16. Spatial and temporal disaggregation of anthropogenic CO2 emissions from the City of Cape Town

    Directory of Open Access Journals (Sweden)

    Alecia Nickless

    2015-11-01

    Full Text Available This paper describes the methodology used to spatially and temporally disaggregate carbon dioxide emission estimates for the City of Cape Town, to be used for a city-scale atmospheric inversion estimating carbon dioxide fluxes. Fossil fuel emissions were broken down into emissions from road transport, domestic emissions, industrial emissions, and airport and harbour emissions. Using spatially explicit information on vehicle counts, and an hourly scaling factor, vehicle emissions estimates were obtained for the city. Domestic emissions from fossil fuel burning were estimated from household fuel usage information and spatially disaggregated population data from the 2011 national census. Fuel usage data were used to derive industrial emissions from listed activities, which included emissions from power generation, and these were distributed spatially according to the source point locations. The emissions from the Cape Town harbour and the international airport were determined from vessel and aircraft count data, respectively. For each emission type, error estimates were determined through error propagation techniques. The total fossil fuel emission field for the city was obtained by summing the spatial layers for each emission type, accumulated for the period of interest. These results will be used in a city-scale inversion study, and this method implemented in the future for a national atmospheric inversion study.

  17. An analysis of the influence of logistics activities on the export cold chain of temperature sensitive fruit through the Port of Cape Town

    Directory of Open Access Journals (Sweden)

    Leila L. Goedhals-Gerber

    2015-09-01

    Full Text Available Background: South Africa exports a large variety of different fruit types and cultivars worldwide. Yet, there is concern in the South African fruit industry that too much fruit and money is lost each year due to breaks along the fresh fruit export cold chain. Objective: The objective of this article was to identify the influence of logistics activities on breaks along the South African fruit export cold chain. The focus is specifically on temperature sensitive fruit, exported in refrigerated containers to Europe and the United Kingdom through the Port of Cape Town. This supply chain was selected as this was the most accessible supply chain in terms of retrieving the necessary temperature data. Method: The cold chain was investigated from the cold store, through all segments, until the Port of Cape Town. Temperature data collected with temperature monitoring devices from different fruit export supply chains of grapes, plums and pome fruit (apples and pears were analysed to identify the percentage of temperature breaks and the length of temperature breaks that occur at each segment of the cold chain. Results: The results show that a large number of breaks are experienced along South Africa’s fruit export cold chain, specifically at the interface between the cold store and the truck. In addition, the findings also show that there has been an improvement in the number of breaks experienced in the Port of Cape Town following the implementation of the NAVIS and Refcon systems. Conclusion: This article concludes by providing the fruit industry with areas that require addressing to improve operational procedures along the fruit export cold chain to help ensure that the fruit arrives at its final destination at optimal quality.

  18. Compensation for What? An Analysis of the Outcome in Arun Property Development (PTY LTD v Cape Town City

    Directory of Open Access Journals (Sweden)

    Bradley Slade

    2016-04-01

    Full Text Available In Arun Property Development (Pty Ltd v Cape Town City the Constitutional Court awarded compensation for land that vested in the City of Cape Town in terms of a regulatory framework. The regulatory framework, sections 25 and 28 of the Cape Land Use Planning Ordinance of 1985 (LUPO, provides that land needed for public streets and places and indicated as such on a subdivision plan should vest in the local authority concerned, but without compensation if that land is based on the normal need of providing the particular development with such public streets and places. The appellant argued that since land in excess of the normal need also vested in the City, it had a right to be compensated for the excess land that vested in the City. The Court, overturning two Supreme Court of Appeal decisions, awarded compensation. The Court hinted that the compensation was for the expropriation of the appellant's land that was excess to the normal need. In the absence of a formal expropriation procedure, this case note investigates whether the compensation could have been awarded for statutory expropriation or constructive expropriation. Therefore, the question that is posed is whether the alleged expropriation for which the Court awarded compensation can be classified as either statutory expropriation or constructive expropriation. It is pointed out that the Court accepted that section 28 of the LUPO constitutes a development contribution for the land based on the normal need. In terms of the notion of development contributions, a developer has to donate land to the local authority concerned if that land is required to provide the particular development with public streets and places. A development contribution, as part of the administrative process of approving developments, is regulatory in nature and its validity is judged in terms of the requirements for a valid deprivation of property. It is argued that since the Court interpreted section 28 of the LUPO to

  19. From medical manners to moral reasoning: an historical overview of bioethics in the University of Cape Town's Faculty of Health Sciences.

    Science.gov (United States)

    Benatar, Solomon R; Benatar, David

    2012-03-02

    The history of bioethics in the Faculty of Health Sciences of the University of Cape Town (UCT) follows a similar pattern to elsewhere. At first, bioethics received little formal attention, but there has been a flowering of interest over the last few decades. There has also been a shift from a professionally insular view of bioethics to one informed by non-medical disciplines. While this pattern is to be found in many parts of the world, there are some distinctive, but not unique, features of bioethics at South Africa's oldest medical school.

  20. Town engineers in South Africa before 1910, with reference to water supply

    Directory of Open Access Journals (Sweden)

    Harri Mäki

    2013-07-01

    Full Text Available This article looks at the town engineers in South Africa prior to Union in 1910. It briefly examines the growth in the number of municipalities and town engineers in the country in this period and investigates the background and training of these engineers; why municipalities decided to appoint an engineer; and what kind of appointment processes were followed. Finally the relations between engineers and town councils and the prevailing circumstances at the end of the engineers’ tenures is studied. The article also presents ten specific cases which have reference to the development of water supply. It emerges that most early town engineers received training via apprenticeship for the positions they held, and that there was added pressure from elected councillors in municipalities who were prone to monitor assiduously how officials were spending public money. It is also clear that engineers who did not have earlier municipal experience were bound to have problems in their interaction with town councillors. Keywords: Municipal history, civil engineering, water supply, sanitation, Cape Colony, Natal, Orange Free State, Transvaal Disciplines: History, Engineering, Public Management

  1. Typhoid fever: A report on a point-source outbreak of 69 cases in Cape Town.

    Science.gov (United States)

    Popkiss, M E

    1980-03-01

    In 1978, after a party in a Cape Town suburb attended by several hundred people, 69 persons were treated for typhoid fever. The precise source of the infection could not be traced, although it is reasonable to suppose that food eaten at the party had been contaminated by the main caterer. All 57 cultures of Salmonella typhi phage-typed were of phage type 46, including that obtained from the stool of the main caterer, who was asymptomatic. An epidemiological profile of the cases and an account of the management of the outbreak is given. There were no deaths and no patient became a carrier. Although the outbreak was contained, certain problems relating thereto are aired, including in particular the potential hazard of food-borne disease wherever housing and environmental standards are low.

  2. Introductory astronomy course at the University of Cape Town: Probing student perspectives

    Directory of Open Access Journals (Sweden)

    Vinesh Rajpaul

    2014-11-01

    Full Text Available We report on research carried out to improve teaching and student engagement in the introductory astronomy course at the University of Cape Town. This course is taken by a diverse range of students, including many from educationally disadvantaged backgrounds. We describe the development of an instrument, the Introductory Astronomy Questionnaire (IAQ, which we administered as pre- and posttests to students enrolled in the course. The instrument comprised a small number of questions which probed three areas of interest: student motivation and expectations, astronomy content, and worldview. Amongst our findings were that learning gains were made in several conceptual areas, and that students appeared to develop a more nuanced view of the nature of astronomy. There was some evidence that the course had a positive impact on students’ worldviews, particularly their attitudes towards science. We also identified a promising predictor of course success that could in the future be used to identify students requiring special teaching intervention.

  3. BARRIERS TO COMMUNITY PARTICIPATION IN CRIME PREVENTION IN LOW INCOME COMMUNITIES IN CAPE TOWN

    Directory of Open Access Journals (Sweden)

    Jean Claude Manaliyo

    2016-01-01

    Full Text Available Community participation in crime prevention has been embraced byanti-crime organizations as apanaceaforcrime problems. Thisapproach gained its preeminent status after governments realisedthatlaw enforcement alone cannot reducecrimewithout involvingcommunities.This paper provides insight into challenges facingcommunityparticipationinone of the Cape Town townships. Thestudy employed qualitative method and participants such as ordinarycitizens and representatives of anti-crime organizati ons operating inKhayelitshawere purposively selected. Data was collected using in-depthface-to-faceinterviews. Key findings show that Khayelitsharesidentspatrolstreets during the night undera neighborhood watchproject; and by reporting committed crimes to police or providingpolice with informationon potential crimes, this same communitypatrol helps decrease potential criminal activities.Communityparticipation in Khayelitsha however, faces some impediments suchaspoverty among the community residents, and ineffective policeresponse to crimes.

  4. Temporal trends in TB notification rates during ART scale-up in Cape Town: an ecological analysis

    NARCIS (Netherlands)

    Hermans, Sabine; Boulle, Andrew; Caldwell, Judy; Pienaar, David; Wood, Robin

    2015-01-01

    Although antiretroviral therapy (ART) reduces individual tuberculosis (TB) risk by two-thirds, the population-level impact remains uncertain. Cape Town reports high TB notification rates associated with endemic HIV. We examined population trends in TB notification rates during a 10-year period of

  5. Account of the littoral diatoms from Langebaan, Saldanha bay, Cape province, South Africa

    CSIR Research Space (South Africa)

    Giffen, MH

    1975-01-01

    Full Text Available collec ted in a small bay near the holiday resort of Langebaan (long. 18,02 E, lat. 33,05 5) on the eastern shore of Saldanha Bay. Saldanha Bay is situated on the western coast of South Africa some 110 km north of Cape Town, and forms a long narrow... per annum about 79% during April to September (i.e. winter rainfall). The region can therefore be regarded as semi-desert. The salinity of the sea water at Langebaan was 35 0/00. The average temperature range of the air in summer is from 16.5? C...

  6. Measures to Facilitate Necessity Entrepreneurship : Western Cape South Africa

    OpenAIRE

    Macura, Alexander; Sjölund, John

    2005-01-01

    Problem- In the townships and rural areas of the Western Cape province of South Africa unemployment can be as high as 60%. For many, starting a business is the only viable option to survive. There are many organizations seeking to help entrepreneurs to successfully start and manage a business, but services are significantly lacking. We therefore wish to determine what business service providers in the Western Cape are doing today to help necessity entrepreneurs succeed, and what can be done b...

  7. Evaluation of a Cape Town Safety Intervention as a Model for Good Practice: A Partnership between Researchers, Community and Implementing Agency

    Directory of Open Access Journals (Sweden)

    Tali Cassidy

    2015-05-01

    Full Text Available VPUU has a wealth of experience to share and is engaged with broader national and international policymakers and implementing agencies. Researchers are grappling with the difficulty of providing a rigorous project evaluation for these collaborations which could identify project elements that work with a view to their replication. This paper traces the evolution of an evidence-based approach to violence prevention in the Western Cape Province of South Africa. The Violence Prevention through Urban Upgrading (VPUU project in Cape Town uses such an approach, and relies on a ‘whole-of-society’ methodology as well. The project and the difficulty of its evaluation are discussed. A partnership between VPUU, researchers, the community and local government has revealed both opportunities and obstacles, which are the subjects of a case study described here.

  8. "By working together and caring for one another we can win this fight": A qualitative exploration of a traditional healer's perspectives of care of people with epilepsy in a South African urban township in Cape Town.

    Science.gov (United States)

    Keikelame, Mpoe Johannah; Swartz, Leslie

    2018-02-01

    There is a gap in knowledge about the construction of care in the Global South where biomedical care remains largely inaccessible to many people, resulting in people seeking health care from the indigenous sector of health care. As part of a larger study, in this, article we present findings from a single individual interview with an indigenous healer using a semi-structured interview guide that was based on Kleinman's Explanatory Model Framework. Key themes that emerged from the thematic analysis of our indigenous healer's audio-recorded transcribed transcript were about "care". The four overarching subthemes were the following: (i) care in the family, (ii) care in the community, (iii) care in the health system, and (iv) respondents' construction of care. A key feature of care, for this healer, is its explicit location in lineages of community - care is seen not as an individual or organizational issue, but part of the shared social fabric. We argue that it is crucial to attend to the lay understandings and practices of care which reflect diverse ways of understanding care and relationality in context. Future research is needed to close this gap. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Assessment of completion of early medical abortion using a text questionnaire on mobile phones compared to a self-administered paper questionnaire among women attending four clinics, Cape Town, South Africa.

    Science.gov (United States)

    Constant, Deborah; de Tolly, Katherine; Harries, Jane; Myer, Landon

    2015-02-01

    In-clinic follow-up to assess completion of medical abortion is no longer a requirement according to World Health Organization guidance, provided adequate counselling is given. However, timely recognition of ongoing pregnancy, complications or incomplete abortion, which require treatment, is important. As part of a larger trial, this study aimed to establish whether women having a medical abortion could self-assess whether their abortion was complete using an automated, interactive questionnaire on their mobile phones. All 469 participants received standard abortion care and all returnees filled in a self-assessment on paper at clinic follow-up 2-3 weeks later. The 234 women allocated to receive the phone messages were also asked to do a mobile phone assessment at home ten days post-misoprostol. Completion of the mobile assessment was tracked by computer and all completed assessments, paper and mobile, were compared to providers' assessments at clinic follow-up. Of the 226 women able to access the mobile phone assessment, 176 (78%) completed it; 161 of them (93%) reported it was easy to do so. Neither mobile nor paper self-assessments predicted all cases needing additional treatment at follow-up. Prediction of complete procedures was good; 71% of mobile assessments and 91% of paper assessments were accurate. We conclude that an interactive questionnaire assessing completion of medical abortion on mobile phones is feasible in the South African setting; however, it should be done later than day 10 and combined with an appropriate pregnancy test to accurately detect incomplete procedures. Copyright © 2015 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  10. Adolescents’ experience of a rapid HIV self-testing device in youth-friendly clinic settings in Cape Town South Africa: a cross-sectional community based usability study

    Science.gov (United States)

    Smith, Philip; Wallace, Melissa; Bekker, Linda-Gail

    2016-01-01

    Abstract Introduction: Since HIV testing in South African adolescents and young adults is sub-optimal, the objective of the current study was to investigate the feasibility and acceptability of an HIV rapid self-testing device in adolescents and young people at the Desmond Tutu HIV Foundation Youth Centre and Mobile Clinic. Methods: Self-presenting adolescents and young adults were invited to participate in a study investigating the fidelity, usability and acceptability of the AtomoRapid HIV Rapid self-testing device. Trained healthcare workers trained participants to use the device before the participant conducted the HIV self-test with device usage instructions. The healthcare worker then conducted a questionnaire-based survey to assess outcomes. Results: Of the 224 enrolled participants between 16 and 24 years of age, 155 (69,2%) were female. Overall, fidelity was high; 216 (96,4%) participants correctly completed the test and correctly read and interpreted the HIV test result. There were eight (3,6%) user errors overall; six participants failed to prick their finger even though the lancet fired correctly. There were two user errors where participants failed to use the capillary tube correctly. Participants rated acceptability and usability highly, with debut testers giving significantly higher ratings for both. Younger participants gave significantly higher ratings of acceptability. Conclusions: Adolescents and young adults found HIV self-testing highly acceptable with the AtomoRapid and they used the device accurately. Further research should investigate how, where and when to deploy HIV self-testing as a means to accompany existing strategies in reaching the UNAIDS goal to test 90% of all individuals worldwide. PMID:28406597

  11. Adolescents' experience of a rapid HIV self-testing device in youth-friendly clinic settings in Cape Town South Africa: a cross-sectional community based usability study.

    Science.gov (United States)

    Smith, Philip; Wallace, Melissa; Bekker, Linda-Gail

    2016-12-23

    Introduction : Since HIV testing in South African adolescents and young adults is sub-optimal, the objective of the current study was to investigate the feasibility and acceptability of an HIV rapid self-testing device in adolescents and young people at the Desmond Tutu HIV Foundation Youth Centre and Mobile Clinic. Methods : Self-presenting adolescents and young adults were invited to participate in a study investigating the fidelity, usability and acceptability of the AtomoRapid HIV Rapid self-testing device. Trained healthcare workers trained participants to use the device before the participant conducted the HIV self-test with device usage instructions. The healthcare worker then conducted a questionnaire-based survey to assess outcomes. Results : Of the 224 enrolled participants between 16 and 24 years of age, 155 (69,2%) were female. Overall, fidelity was high; 216 (96,4%) participants correctly completed the test and correctly read and interpreted the HIV test result. There were eight (3,6%) user errors overall; six participants failed to prick their finger even though the lancet fired correctly. There were two user errors where participants failed to use the capillary tube correctly. Participants rated acceptability and usability highly, with debut testers giving significantly higher ratings for both. Younger participants gave significantly higher ratings of acceptability. Conclusions : Adolescents and young adults found HIV self-testing highly acceptable with the AtomoRapid and they used the device accurately. Further research should investigate how, where and when to deploy HIV self-testing as a means to accompany existing strategies in reaching the UNAIDS goal to test 90% of all individuals worldwide.

  12. Assessing the role of socio-economic values on entrepreneurial intentions among university students in Cape Town

    Directory of Open Access Journals (Sweden)

    Vivence Kalitanyi

    2017-12-01

    Full Text Available Background: This article presents the findings of an empirical fieldwork study conducted in Cape Town, South Africa. Aim: The aim of the study was to establish how socio-economic values (income, economic development, employment or unemployment in the university students’ direct environment shape their entrepreneurial intentions. Setting and method: The study was built on Ajzen’ psychological model on entrepreneurial intentions, and used a semi-structured questionnaire to collect data from 274 entrepreneurship university students. Cronbach’s alpha was used to measure the reliability of the questionnaire, where six variables out of nine, had a coefficient alpha of more than 0.7, while the remaining three had a coefficient alpha of between 0.5 and 0.7. This instrument was assessed by both statisticians and academics who are experts in their fields to ensure its validity. Multivariate tests of statistical significance were conducted, where correlation and regression statistics were used to analyse the data. Results: Findings suggest that socio-economic factors have an impact in shaping entrepreneurial intentions of the university students. Conclusion: The study formulates the recommendations to the government, businesses, civil society organisations as well as the community within which students live.

  13. The role of urban food policy in preventing diet-related non-communicable diseases in Cape Town and New York.

    Science.gov (United States)

    Libman, K; Freudenberg, N; Sanders, D; Puoane, T; Tsolekile, L

    2015-04-01

    Cities are important settings for production and prevention of non-communicable diseases. This article proposes a conceptual framework for identification of opportunities to prevent diet-related non-communicable diseases in cities. It compares two cities, Cape Town in South Africa and New York City in the United States, to illustrate municipal, regional, national and global influences in three policy domains that influence NCDs: product formulation, shaping retail environments and institutional food practices, domains in which each city has taken action. Comparative case study. Critical analysis of selected published studies and government and non-governmental reports on food policies and systems in Cape Town and New York City. While Cape Town and New York City differ in governance, history and culture, both have food systems that make unhealthy food more available in low-income than higher income neighborhoods; cope with food environments in which unhealthy food is increasingly ubiquitous; and have political economies dominated by business and financial sectors. New York City has more authority and resources to take on local influences on food environments but neither city has made progress in addressing deeper social determinants of diet-related NCDs including income inequality, child poverty and the disproportionate political influence of wealthy elites. Through their intimate connections with the daily lives of their residents, municipal governments have the potential to shape environments that promote health. Identifying the specific opportunities to prevent diet-related NCDs in a particular city requires intersectoral and multilevel analyses of the full range of influences on food environments. Copyright © 2014 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  14. Meteorological and oceanographic aspects of a winter storm over the south-western Cape Province, South Africa

    International Nuclear Information System (INIS)

    Jury, M.R.; Shillington, F.A.; Prestidge, G.; Maxwell, C.D.

    1986-01-01

    In May the southern hemisphere circumpolar jet stream accelerates in response to a growing temperature gradient between the pole and equator. Initially, the jet stream may 'spin up' in pulses, causing the upper air current to become unstable and to meander equatorwards out of the higher latitudes (40-50 degrees S). Winter storms induced by the jet stream and which move, from west to east, to the south of the African continent are then guided by the upper air currents further north. Between 15 and 17 May 1984, such a sequence of synoptic weather events developed and the south-western Cape came under the influence of the 'roaring 40's'. In this article a chronology of the storm and its meteorological effects are described using data collected at the Koeberg nuclear power station, the Cape Town Airport Weather Office and across the south-western Cape. The destructive effects of the storm, particularly felt along the coast as a result of large swells and a significant storm surge, are discussed

  15. Cytomegalovirus retinitis in Cape Town, South Africa: Clinical ...

    African Journals Online (AJOL)

    has been shown to have a better pharmacokinetic profile than intravitreal ... therapy. At the time of this study, intravitreal ganciclovir alone, ... The diagnosis and management of CMV retinitis differ among treatment centres in SA. S Afr Med J ...

  16. Cytomegalovirus retinitis in Cape Town, South Africa: Clinical ...

    African Journals Online (AJOL)

    Macular (central vision) involvement had a significant adverse effect on visual outcome compared with cases in which the macula was uninvolved (p=0.005). Conclusions. Independent risk factors that predict final visual outcome include presenting VA, number of retinal quadrants involved, macular involvement and being on ...

  17. The burden of imported malaria in Cape Town, South Africa

    African Journals Online (AJOL)

    of Home Affairs registered 778 600 new asylum applications, with. Zimbabweans accounting for more than half of these.[2] However, as ... Many foreign migrants come from malaria-endemic areas and present to SA healthcare services after ...

  18. Substance abuse and trauma in Cape Town | Peden | South African ...

    African Journals Online (AJOL)

    Alcohol consumption was assessed by means of the lion SD2 alcolmeter. Chronic alcoholism was assessed using the CAGE questionnaire. Each patient's urine was analysed for four drugs (cannabis, morphine, opiates and methaqualone) using conventional 'wet' analysis. Sweat was tested for cannabis using a Drugwipe.

  19. High rates of bacterial vaginosis and Chlamydia in a low-income, high-population-density community in Cape Town

    Directory of Open Access Journals (Sweden)

    Katie S. Lennard

    2017-12-01

    Full Text Available Young South African women, from resource-poor communities, face several sexual and reproductive health challenges. Here we describe the vaginal microbiota and sexually transmitted infection (STI prevalence of 102; 16–22-year-old, HIV-negative South African women from a low-income, high-population-density community in Cape Town (CPT. Vaginal microbiota were profiled using 16S rRNA amplicon sequencing; bacterial vaginosis (BV status was established using Nugent scoring and STIs were determined by multiplex polymerase chain reaction. STIs were common, with 55% of women having at least one STI; 41% were infected with high-risk human papilloma virus (HPV and a further 28% with low-risk HPV; 44% were infected with Chlamydia, 16% of whom had at least one additional STI. Similarly, BV rates were very high, with 55% of women classified as BV-positive (Nugent score ≥7, 7% as BV-intermediate (Nugent score 3–6 and 38% as BV-negative (Nugent 0–2. Group B Streptococcus (Streptococcus agalactiae, the leading cause of neonatal sepsis, was present in 25% of BV-positive women and 28% of BV-negative women, and was significantly more abundant among BV-negative women. Both Chlamydia infection and BV may adversely affect reproductive health and place these women at additional risk for HIV acquisition. The high abundance of Prevotella amnii, in particular, may increase HIV risk, given its inflammatory capacity. Laboratory-based testing for STIs (Chlamydia and Gonorrhoeae in particular appear to be warranted in this community, together with further monitoring or treatment of BV. Research correlation: This article is the original version, of which an Afrikaans translation was made available to provide access to a larger readership, available here: https://doi.org/10.4102/satnt.v36i1.1495

  20. Intertwining lives and logics: Household and informal economies in Cape Town

    Directory of Open Access Journals (Sweden)

    Sophie Oldfield

    2014-07-01

    Full Text Available Enabling households to make ends meet, the practices of small, informal businesses are not simple, but bound up in the struggles of households and the social and economic relationships that weave local economies together. This paper draws on stories of local businesses in an impoverished Cape Town township to situate these diverse logics and strategies, the histories and aspirations that shape small business success and struggle. Drawing on interviews and mapping every informal sector business in the neighbourhood, I reflect on the specific difficulties of running a business in the context of poverty, including unreliable and inadequate incomes, difficulties of credit, as well as the challenges of operating business on a small scale. This material demonstrates the community-based, as well as livelihood, logics that motivate local business owners as well as sustain their livelihoods. The paper concludes with an argument that the neighbourhood economy, instead of a vehicle driven primarily to maximize profit, forms an intimate part of peoples’ lives. This more multifaceted and embedded analysis stretches overly narrow notions of the informal economy, its limits and logics.

  1. Relationship between firewood usage and urinary Cr, Cu and As in informal areas of Cape Town.

    Science.gov (United States)

    Dalvie, Mohamed Aqiel; Africa, Algernon; Naidoo, Sivapregasen

    2013-09-03

    The study investigated whether wood usage by informal food vendors and household residents in Cape Town results in the absorption of arsenic (As), chromium (Cr) and copper (Cu) owing to release of these metals in the burning of chromated copper arsenate (CCA)-treated wood. The participants (N=78) selected included an equal number of food vendors and non-vendors from 2 informal settlements. All participants answered a questionnaire concerning exposure and were tested for urinary Cr, Cu and As, while the urine of 29 participants was also tested for toxic As (As(tox)). Multivariate analysis showed that the time spent in close proximity to the wood, as well as the quantity of wood used for cooking and for household use, was weakly positively associated with urinary levels of As, Cr and the sum of As, Cr and Cu. The study provides evidence that use of wood likely to contain CCA as a fuel for informal food outlets and household purposes may increase the absorption of inorganic As, Cu and Cr.

  2. The Impact of Computer and Mathematics Software Usage on Performance of School Leavers in the Western Cape Province of South Africa: A Comparative Analysis

    Science.gov (United States)

    Smith, Garth Spencer; Hardman, Joanne

    2014-01-01

    In this study the impact of computer immersion on performance of school leavers Senior Certificate mathematics scores was investigated across 31 schools in the EMDC East education district of Cape Town, South Africa by comparing performance between two groups: a control and an experimental group. The experimental group (14 high schools) had access…

  3. Gender-based violence and HIV sexual risk behavior: alcohol use and mental health problems as mediators among women in drinking venues, Cape Town.

    Science.gov (United States)

    Pitpitan, Eileen V; Kalichman, Seth C; Eaton, Lisa A; Sikkema, Kathleen J; Watt, Melissa H; Skinner, Donald

    2012-10-01

    Gender-based violence is a key determinant of HIV infection among women in South Africa as elsewhere. However, research has not examined potential mediating processes to explain the link between experiencing abuse and engaging in HIV sexual risk behavior. Previous studies suggest that alcohol use and mental health problems may explain how gender-based violence predicts sexual risk. In a prospective study, we examined whether lifetime history of gender-based violence indirectly affects future sexual risk behavior through alcohol use, depression and post-traumatic stress disorder (PTSD) in a high-risk socio-environmental context. We recruited a cohort of 560 women from alcohol drinking venues in a Cape Town, South African township. Participants completed computerized interviews at baseline and 4 months later. We tested prospective mediating associations between gender-based violence, alcohol use, depression, PTSD, and sexual risk behavior. There was a significant indirect effect of gender-based violence on sexual risk behavior through alcohol use, but not mental health problems. Women who were physically and sexually abused drank more, which in turn predicted more unprotected sex. We did not find a mediated relationship between alcohol use and sexual risk behavior through the experience of recent abuse or mental health problems. Alcohol use explains the link between gender-based violence and sexual risk behavior among women attending drinking venues in Cape Town, South Africa. Efforts to reduce HIV risk in South Africa by addressing gender-based violence must also address alcohol use. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. Quantitative Literacy Interventions at University of Cape Town: Effects of Separation from Academic Disciplines

    Directory of Open Access Journals (Sweden)

    Vera Frith

    2012-01-01

    Full Text Available The aim of the Numeracy Centre at the University of Cape Town is to develop students’ quantitative literacy (QL in a manner consistent with their programmes of study and intended roles in the community. Our theoretical perspective on the nature of QL is in line with that of the New Literacies Studies and sees academic QL as practices in different academic disciplinary contexts. This means that for us the ideal curriculum structure for developing QL would fully integrate it into the teaching of the disciplines. This is in practice not achievable in most cases, especially since many students do not have the necessary foundations of mathematical and statistical knowledge and skills. The unavoidable deviation from the ideal curriculum structure presents challenges to the design of QL interventions. Two illustrative examples which display different degrees of separation from the disciplinary teaching are described and discussed. This discussion is based on lecturers’ reflections on the teaching experience and on student evaluations. The ‘stand-alone’ QL course for Humanities and Law students, which uses a context-based approach, is the least integrated with the disciplinary curriculum, and presents challenges in terms of tensions in the classroom between the contexts and the mathematical and statistical content, as well as challenges in terms of student motivation. The QL intervention for medical students is more closely integrated into the medical curriculum and presents fewer challenges. Both interventions are intended to provide ‘foundations’ in terms of QL and suffer from difficulties in providing students with authentic motivation.

  5. Emergency medicine educational resource use in Cape Town: modern or traditional?

    Science.gov (United States)

    Kleynhans, A C; Oosthuizen, A H; van Hoving, D J

    2017-05-01

    The integration of online resources and social media into higher education and continued professional development is an increasingly common phenomenon. To describe the usage of various traditional and modern educational resources by members of the divisions of emergency medicine at Stellenbosch University and the University of Cape Town. Members affiliated with the divisions during 2014 were invited to participate in an online survey. Participants were given 8 weeks to complete the questionnaire; with weekly reminders until they responded or the deadline expired. Summary statistics were used to describe the variables. Eighty-seven divisional members completed the survey (69.6% response rate). The resources most preferred were textbooks (n=78, 89.7%), open access educational resources (n=77, 88.5%) and journals (n=76, 87.4%). Emergency medicine trainees (n=31, 92.1%) and respondents ≤30 years (n=17, 94.4%) were more inclined to use social media. International Emergency Medicine and Critical Care blogs are frequently being used by 71% of respondents. YouTube (35%) and podcasts (21%) were the most commonly used multimedia resources. Computers (desktop and laptop) were most frequently used to access educational resources except for social media where smart phones were preferred. The use of modern and electronic resources is relatively common, but traditional educational resources are still preferred. This study illustrates an opportunity for greater integration of online resources and social media in educational activities to enhance multimodal and self-directed learning. Specific training in the use of these resources and how to appraise them may further improve their utility. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  6. MACCSAND (Pty Ltd v CITY OF CAPE TOWN 2012 (4 SA 181 (CC

    Directory of Open Access Journals (Sweden)

    Nic Olivier

    2012-12-01

    Full Text Available The Constitutional Court in Maccsand (Pty Ltd v City of Cape Town (CCT 103/11 2012 ZACC 7 decided that the granting of mining rights or mining permits by the Minister of Mineral Resources in terms of the Mineral and Petroleum Resources Development Act 28 of 2002 does not obviate the obligation on an applicant to obtain authorisations in terms of other legislation that deals with functional domains other than minerals, mining and prospecting. This applies to all other legislation, irrespective of whether the responsible administrator of such other legislation is in the national, provincial or local sphere of government. The effect of the decision is that planning and other authorities which derive their statutory mandate and powers from other legislation retain all their powers as regards planning and rezoning, for instance. In addition, the Minister of Mineral Resources cannot make a decision on behalf of, or for, such functionaries. The judgement also clarified the question of whether or not a national Act can supersede provincial legislation dealing with a distinctly different functional domain. In principle, the decision also indicates that the fact that a range of authorisations are required in terms of separate statutory instruments (each with its own functional domain and administered by its own functionary does not necessarily amount to conflicts between these instruments. An owner of land may now insist that his land may not be used for mining purposes if it is not zoned for such purposes. It is submitted that, in order to provide certainty to land owners, developers and government functionaries, and to promote investor confidence (especially in the mining sector, an intergovernmental system for the consideration of applications by the functionaries responsible for the separate statutory instruments needs to be developed as a high priority.

  7. Book review: Don Pinnock, Gang town | van der Spuy | South African ...

    African Journals Online (AJOL)

    Title: Gang town. Publisher: Tafelberg, Cape Town, 2016. Price: 312. Pages: R196 Availability: Published ISBN: 9780624067894. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for ...

  8. The Humansdorp Cape Griffon Site

    African Journals Online (AJOL)

    ZeldaH

    Figure 1. The cliff north-west of the town of Humansdorp, Eastern Cape, South Africa, where a small group of Cape Griffons Gyps coprotheres roosted, and reportedly bred, until the end of the. 19 th century. The trees seen in the picture are all alien, invasive, black wattles Acacia mearnsii. (Photo: A Boshoff).

  9. Evaluating private land conservation in the Cape Lowlands, South Africa.

    Science.gov (United States)

    Von Hase, Amrei; Rouget, Mathieu; Cowling, Richard M

    2010-10-01

    Evaluation is important for judiciously allocating limited conservation resources and for improving conservation success through learning and strategy adjustment. We evaluated the application of systematic conservation planning goals and conservation gains from incentive-based stewardship interventions on private land in the Cape Lowlands and Cape Floristic Region, South Africa. We collected spatial and nonspatial data (2003-2007) to determine the number of hectares of vegetation protected through voluntary contractual and legally nonbinding (informal) agreements with landowners; resources spent on these interventions; contribution of the agreements to 5- and 20-year conservation goals for representation and persistence in the Cape Lowlands of species and ecosystems; and time and staff required to meet these goals. Conservation gains on private lands across the Cape Floristic Region were relatively high. In 5 years, 22,078 ha (27,800 ha of land) and 46,526 ha (90,000 ha of land) of native vegetation were protected through contracts and informal agreements, respectively. Informal agreements often were opportunity driven and cheaper and faster to execute than contracts. All contractual agreements in the Cape Lowlands were within areas of high conservation priority (identified through systematic conservation planning), which demonstrated the conservation plan's practical application and a high level of overlap between resource investment (approximately R1.14 million/year in the lowlands) and priority conservation areas. Nevertheless, conservation agreements met only 11% of 5-year and 9% of 20-year conservation goals for Cape Lowlands and have made only a moderate contribution to regional persistence of flora to date. Meeting the plan's conservation goals will take three to five times longer and many more staff members to maintain agreements than initially envisaged. © 2010 Society for Conservation Biology.

  10. An assessment of care provided by a public sector STD clinic in Cape Town.

    Science.gov (United States)

    Mathews, C; van Rensburg, A; Schierhout, G; Coetzee, N; Lombard, C J; Fehler, H G; Ballard, R C

    1998-11-01

    A study was undertaken in a Cape Town public sector STD clinic to evaluate the content and quality of care provided since it has been recognized that appropriate improvements in the management of conventional sexually transmitted diseases (STDs), including provision of correct therapy, health education, condom promotion and partner notification, could result in a reduced incidence of HIV infection. Our objectives were to assess patients' needs for health education and to assess the quality of STD management in terms of health education, condom promotion, partner notification, the validity of the clinical diagnoses and the adequacy of the treatments prescribed. The study subjects were sampled systematically, according to their gender. Patients included in the study were given a standardized interview and their clinical records reviewed. Specimens were collected for laboratory investigations. For each STD detected, the treatment was defined as adequate if drugs currently known to be active against that infection were prescribed. One hundred and seventy men and 161 women were included in the study (median age: females 22 years, males 26 years). While almost all patients believed their STD may have been caused by unprotected sexual intercourse, many also believed it may have been caused by other factors, such as bewitchment with traditional medicine. Only 21% of male and 37% of female patients received any education about STD transmission during the clinic visit, and only 25% of male and 36% of female patients received education about condom use. As a result of the low sensitivity of the clinicians' diagnoses, 16% of men and 61% of women left the clinic with at least one infection inadequately treated. The majority of patients were not receiving education for the prevention of STDs including HIV. Many were not receiving adequate treatment for their infections. The introduction of a syndromic management protocol in this setting would substantially reduce the proportion

  11. The enduring and spatial nature of the enterprise richness of South African towns

    Directory of Open Access Journals (Sweden)

    Daan F. Toerien

    2017-03-01

    Full Text Available Enterprise richness (measured by the number of enterprise types showed a statistically significant log-log relationship (or power law with the total number of enterprises in (1 towns in different regions of South Africa and (2 towns in the same region but seven decades apart. Entrepreneurial space in towns develops or disappears in a regular way as towns grow or regress, which is further proof of orderliness in the enterprise dynamics of South African towns. The power laws are very similar to one another, which was powerfully illustrated by the fact that one relationship extracted from seven-decade-old information could accurately predict the enterprise richness of modern towns in South Africa. The enterprise richness power law of towns in South Africa extends over space and time. Recent reviews of research on small towns and local economic development in South Africa have ignored the orderliness detected in their enterprise structures. Islands have provided laboratories for the study of natural evolution and the MacArthur-Wilson Species Equilibrium Model based on island biogeography was a main contributor to progress in ecology. Research on regional economic geography in South Africa should move beyond the merely descriptive/narrative to more quantified research. In considering the lack of employment and poverty in South Africa, the National Development Plan suggests that towns and rural areas are important cogs in efforts to overcome these problems. Development plans that are out of sync with the observed regularities are perhaps bound to fail.

  12. Comparison of nectar foraging efficiency in the Cape honeybee ...

    African Journals Online (AJOL)

    1987-03-17

    Mar 17, 1987 ... Comparison of nectar foraging efficiency in the Cape honeybee, Apis mellifera capensis Escholtz, and the African honeybee, Apis mellifera adansonii Latreille,. , in the western Cape Province. P.V. W-Worswick*. Department of Zoology, University of Cape Town, Rondebosch 7700 Republic of South Africa.

  13. A survey of trainee specialists experiences at the University of Cape Town (UCT): impacts of race and gender.

    Science.gov (United States)

    London, Leslie; Kalula, Sebastiana; Xaba, Bonga

    2009-05-27

    Efforts to redress racial and gender inequalities in the training of medical specialists has been a central part of a dedicated programme in the Faculty of Health Sciences at the University of Cape Town (UCT). This study aimed to describe trends in race and gender profiles of postgraduate students in medical specialties (registrars) from 1999 to 2006 and to identify factors affecting recruitment and retention of black and female trainees. Review of faculty databases for race and gender data from 1999 to 2006. Distribution of an anonymous self-administered questionnaire to all registrars in 2005/2006. The percentage of African registrars doubled from 10% to 19% from 1999 to beyond 2002. The percentages of Africans, Coloureds and Indians rose steadily from 26% to 46% from 1999 to 2005, as did that of women from 27% to 44%. The institution's perceived good reputation, being an alumnus and originating from Cape Town were common reasons for choosing UCT for training. A quarter of respondents reported knowledge of a friend who decided against studying at UCT for reasons which included anticipated racial discrimination. Black respondents (23%), particularly African (50%), were more likely to describe registrarship at UCT as unwelcoming than white respondents (12%). Specific instances of personal experience of discrimination were uncommon and not associated with respondents' race or gender. Registrars who had had a child during registrarship and those reporting discrimination were more likely to rate the learning and research environment as poor (Odds Ratio, 4.01; 95% CI 0.98 - 16.47 and 1.99 95% CI 0.57 - 6.97, respectively). The proportion of black and female registrars at the University of Cape Town has increased steadily from 1999 to 2006, most likely a result of systematic equity policies and procedures adopted in the faculty during this period. The data point to a need for policies to make the institution more welcoming to diversity and for strategies to address

  14. A survey of trainee specialists experiences at the University of Cape Town (UCT: Impacts of race and gender

    Directory of Open Access Journals (Sweden)

    Xaba Bonga

    2009-05-01

    Full Text Available Abstract Background Efforts to redress racial and gender inequalities in the training of medical specialists has been a central part of a dedicated programme in the Faculty of Health Sciences at the University of Cape Town (UCT. This study aimed to describe trends in race and gender profiles of postgraduate students in medical specialties (registrars from 1999 to 2006 and to identify factors affecting recruitment and retention of black and female trainees. Method Review of faculty databases for race and gender data from 1999 to 2006. Distribution of an anonymous self-administered questionnaire to all registrars in 2005/2006. Results The percentage of African registrars doubled from 10% to 19% from 1999 to beyond 2002. The percentages of Africans, Coloureds and Indians rose steadily from 26% to 46% from 1999 to 2005, as did that of women from 27% to 44%. The institution's perceived good reputation, being an alumnus and originating from Cape Town were common reasons for choosing UCT for training. A quarter of respondents reported knowledge of a friend who decided against studying at UCT for reasons which included anticipated racial discrimination. Black respondents (23%, particularly African (50%, were more likely to describe registrarship at UCT as unwelcoming than white respondents (12%. Specific instances of personal experience of discrimination were uncommon and not associated with respondents' race or gender. Registrars who had had a child during registrarship and those reporting discrimination were more likely to rate the learning and research environment as poor (Odds Ratio, 4.01; 95% CI 0.98 – 16.47 and 1.99 95% CI 0.57 – 6.97, respectively. Conclusion The proportion of black and female registrars at the University of Cape Town has increased steadily from 1999 to 2006, most likely a result of systematic equity policies and procedures adopted in the faculty during this period. The data point to a need for policies to make the

  15. “All Like and Yet Unlike the Old Country:” Kipling in Cape Town ...

    African Journals Online (AJOL)

    The Woolsack was commissioned by Cecil John Rhodes, mining magnate, sometime Cape prime minister and fervent builder of the British Empire. Designed by Rhodes's protégé, the architect Herbert Baker, this sunny atrium protected from the winds that buffet Devil's Peak was first occupied by that empire's most famous ...

  16. Interannual variability of seasonal rainfall over the Cape south coast of South Africa and synoptic type association

    CSIR Research Space (South Africa)

    Engelbrecht, CJ

    2015-09-01

    Full Text Available The link between interannual variability of seasonal rainfall over the Cape south coast of South Africa and different synoptic types as well as selected teleconnections is explored. Synoptic circulation over the region is classified into different...

  17. Exploration of Deaf People's Health Information Sources and Techniques for Information Delivery in Cape Town: A Qualitative Study for the Design and Development of a Mobile Health App.

    Science.gov (United States)

    Chininthorn, Prangnat; Glaser, Meryl; Tucker, William David; Diehl, Jan Carel

    2016-11-11

    Many cultural and linguistic Deaf people in South Africa face disparity when accessing health information because of social and language barriers. The number of certified South African Sign Language interpreters (SASLIs) is also insufficient to meet the demand of the Deaf population in the country. Our research team, in collaboration with the Deaf communities in Cape Town, devised a mobile health app called SignSupport to bridge the communication gaps in health care contexts. We consequently plan to extend our work with a Health Knowledge Transfer System (HKTS) to provide Deaf people with accessible, understandable, and accurate health information. We conducted an explorative study to prepare the groundwork for the design and development of the system. To investigate the current modes of health information distributed to Deaf people in Cape Town, identify the health information sources Deaf people prefer and their reasons, and define effective techniques for delivering understandable information to generate the groundwork for the mobile health app development with and for Deaf people. A qualitative methodology using semistructured interviews with sensitizing tools was used in a community-based codesign setting. A total of 23 Deaf people and 10 health professionals participated in this study. Inductive and deductive coding was used for the analysis. Deaf people currently have access to 4 modes of health information distribution through: Deaf and other relevant organizations, hearing health professionals, personal interactions, and the mass media. Their preferred and accessible sources are those delivering information in signed language and with communication techniques that match Deaf people's communication needs. Accessible and accurate health information can be delivered to Deaf people by 3 effective techniques: using signed language including its dialects, through health drama with its combined techniques, and accompanying the information with pictures in

  18. Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013)

    Science.gov (United States)

    Sayed, Abdul-Rauf; le Grange, Cynthia; Bhagwan, Susheela; Manga, Nayna; Hellenberg, Derek

    2016-01-01

    Background Major health sector reform and the need for baseline measures of performance to determine impact. Aim Baseline audit of primary healthcare (PHC) performance. Setting Cape Town and Cape Winelands (rural) PHC facilities (PCFs) in Western Cape Province, South Africa. Method The South African cross-culturally validated ZA PCAT to audit PHC performance on 11 subdomains associated with improved health and reduced costs. Adult PCF users systematically sampled. All full-time doctors and nurse practitioners in PCFs sampled and all PCF managers in sub-districts sampled invited into the study. Results Data from 1432 users, 100 clinicians and 64 managers from 13 PCFs in 10 sub-districts analysed (figures show stakeholder percentages scoring subdomain performance ‘acceptable to good’). 11.5% users scored access ‘acceptable to good’; community orientation and comprehensive services provided 20.8% and 39.9%, respectively. Total PHC score for users 50.2%; for managers and practitioners 82.8% and 88.0%, respectively. Among practitioners access was lowest (33.3%); PHC team (98.0%) and comprehensive services available (100.0%) highest. Among managers, access (13.5%) and family centredness (45.6%) are lowest; PHC team (85.9%) and comprehensive services available (90.6%) highest. Managers scored access, family centredness and cultural competence significantly lower than practitioners. Users scored comprehensive services available, comprehensive services provided and community orientation significantly lower than practitioners and managers. Conclusion Gaps between users’ experience and providers’ assessments of PHC performance are identified. Features that need strengthening and alignment with best practice, provincial and national, and health policies are highlighted with implications for practitioner and manager training, health policy, and research. PMID:27247157

  19. Mental illness in the Western Cape Province, South Africa: A review ...

    African Journals Online (AJOL)

    attending routine HIV follow-up care in Cape Town had mental disorders, including ... e.g. alcohol abuse is associated with depression and anxiety disorders and is also a risk factor for .... Poorly trained nursing staff. Lack of appropriate ...

  20. Over-the-counter and prescription medicine misuse in Cape Town ...

    African Journals Online (AJOL)

    Results. OTC and prescription medicine misuse places a burden on health and social services in South Africa. This is ... benzodiazepine misuse is psychological and physiological ... one of two categories: opioid analgesics (e.g. morphine and.

  1. The influence of environmental variables on the presence of white sharks, Carcharodon carcharias at two popular Cape Town bathing beaches: a generalized additive mixed model.

    Directory of Open Access Journals (Sweden)

    Kay Weltz

    Full Text Available Shark attacks on humans are high profile events which can significantly influence policies related to the coastal zone. A shark warning system in South Africa, Shark Spotters, recorded 378 white shark (Carcharodon carcharias sightings at two popular beaches, Fish Hoek and Muizenberg, during 3690 six-hour long spotting shifts, during the months September to May 2006 to 2011. The probabilities of shark sightings were related to environmental variables using Binomial Generalized Additive Mixed Models (GAMMs. Sea surface temperature was significant, with the probability of shark sightings increasing rapidly as SST exceeded 14 °C and approached a maximum at 18 °C, whereafter it remains high. An 8 times (Muizenberg and 5 times (Fish Hoek greater likelihood of sighting a shark was predicted at 18 °C than at 14 °C. Lunar phase was also significant with a prediction of 1.5 times (Muizenberg and 4 times (Fish Hoek greater likelihood of a shark sighting at new moon than at full moon. At Fish Hoek, the probability of sighting a shark was 1.6 times higher during the afternoon shift compared to the morning shift, but no diel effect was found at Muizenberg. A significant increase in the number of shark sightings was identified over the last three years, highlighting the need for ongoing research into shark attack mitigation. These patterns will be incorporated into shark awareness and bather safety campaigns in Cape Town.

  2. Adherence challenges encountered in an intervention programme to combat chronic non-communicable diseases in an urban black community, Cape Town

    Directory of Open Access Journals (Sweden)

    Nasheetah Solomons

    2017-10-01

    Full Text Available Background: Chronic non-communicable diseases (CNCD have become the greatest contributor to the mortality rate worldwide. Despite attempts by Governments and various non-governmental organisations to prevent and control the epidemic with various intervention strategies, the number of people suffering from CNCD is increasing at an alarming rate in South Africa and worldwide. Objectives: Study's objectives were to explore perceived challenges with implementation of, and adherence to health messages disseminated as part of a CNCD intervention programme; to gain an understanding of participants' expectations of CNCD intervention programmes;, and to explore the acceptability and preference of health message dissemination methods. In addition, participants' awareness of, and willingness to participate inCNCDs intervention programmes in their community was explored. Methods: Participants were recruited from the existing urban Prospective Urban Rural Epidemiology study site in Langa, Cape Town. Focus group discussions were conducted with 47participants using a question guide. Summative content analysis was used to analyse the data. Results: Four themes emerged from the data analysis: practical aspects of implementation and adherence to intervention programmes; participants' expectations of intervention programmes; aspects influencing participants' acceptance of interventions; and their preferences for health message dissemination. The results of this study will be used to inform CNCDs intervention programmes. Conclusions: Our findings revealed that although participants found current methods of health message dissemination in CNCDs intervention acceptable, they faced real challenges with implementing and adhering to CNCDs to these messages.

  3. In search of an African dining experience: International visitors views on service at V&A Waterfront restaurants in Cape Town

    Directory of Open Access Journals (Sweden)

    Takawira Windy Mutsago

    2011-01-01

    Full Text Available Culturalism and ethnicity form integral parts of destination attractions in tourism and hospitality. The article explores the degree of African authenticity expected by international travelers from a dining experiences in restaurants located in a popular tourist hub, the Victoria and Alfred Waterfront in Cape Town. The research reveals that integrating traditional African values and standards to five star dining international standards is difficult and problematic. Consequently international diners seeking authentic African dining experience in popular tourists’ hubs have been disappointed. The paper revealed that the majority 75.3% perceived the dining experience in the V&A Waterfront as just a copy of the Western countries, 19, 2% percent noted some African traits largely diluted by foreign standards and 6, 5% believed it was truly an African dining experience. The article recommends that, for commercial purposes a staged African experience be created using such strategies as manipulating the architecture, the music, interior décor, staff uniforms and anything that immediately identifies with Africa or South Africa on a more local level.

  4. Hereditary angio-oedema in the Western Cape Province, South Africa.

    Science.gov (United States)

    Coovadia, K M; Chothia, M-Y; Baker, S G; Peter, J G; Potter, P C

    2018-03-28

    Hereditary angio-oedema (HAE) is an autosomal dominant condition caused by a deficiency in the C1-esterase inhibitor protein, resulting in increased bradykinin release. It presents clinically with recurrent attacks of angio-oedema, commonly affecting the limbs, face, upper airway and gastrointestinal tract. Little is known about this condition in sub-Saharan Africa. To analyse and report on the clinical presentation and treatment of patients with HAE in the Western Cape Province, South Africa. A retrospective analysis was conducted on a series of 60 cases of HAE seen between 2010 and 2015 at the Allergy Diagnostic and Clinical Research Unit, University of Cape Town Lung Institute, and the Allergy Clinic at Groote Schuur Hospital, Cape Town. The findings in 43 cases of type 1 HAE are described. Parameters assessed included age, gender, age of diagnosis, duration of illness, family history, identifiable triggers, average duration of attack, number of attacks per year and type of attack. A total of 43 patients were included in this study. Of these, 65.1% (28/43) were female. The median age at diagnosis was 20 years (interquartile range (IQR) 10 - 27) and the median duration of illness 10.5 years (IQR 6 - 22). Of the patients, 62.8% (27/43), 32.6% (14/43) and 4.7% (2/43) were of mixed ancestry, white and black African, respectively; 51.2% (22/43) were index cases, with the remaining 48.8% (21/43) diagnoses via family member screening, 12 families making up the majority of the cohort. The mean (standard deviation) duration of an acute attack was 49 (25.8) hours, and 64.3% (27/42), 71.4% (30/42), 14.3% (6/42) and 88.1% (37/42) of patients experienced facial or upper airway, abdominal, external genitalia and limb attacks, respectively. Danazol for long-term prophylaxis was used in 21 patients, while C1-inhibitor concentrate (Berinert) was accessed for short-term prophylaxis in only four patients. Acute life-threating attacks were treated with fresh frozen plasma in 11

  5. Alcohol and Other Drug Use during Pregnancy among Women Attending Midwife Obstetric Units in the Cape Metropole, South Africa

    Directory of Open Access Journals (Sweden)

    Petal Petersen Williams

    2014-01-01

    Full Text Available Little is known about the nature and extent of alcohol and other drug (AOD use among pregnant women in Cape Town, South Africa, despite the very high levels of AOD use in this part of the country. A cross-sectional survey was conducted among pregnant women attending 11 Midwife Obstetric Units (MOUs in greater Cape Town. A two-stage cluster survey design was used. In total, 5231 pregnant women were screened to assess self-reported prevalence estimates. Of these, 684 (13.1% were intentionally subsampled and completed an interviewer-administered questionnaire and provided a urine sample for biological screening. Urinalyses showed that 8.8% (95% CI: 6.7–10.9 of the subsample tested positive for at least one illicit drug. This is higher than the self-reported prevalence (3.6%. In addition, 19.6% (95% CI: 16.3–22.8 of the sub-sample tested positive for alcohol which is lower than the self-reported prevalence (36.9%. There are high levels of substance use among pregnant women attending public sector antenatal clinics. There is a need for routine screening for AOD use and appropriate responses depending on the women’s level of risk.

  6. Description of a new moss frog from the south-western Cape (Anura ...

    African Journals Online (AJOL)

    A new species of moss frog, genus Arthroleptella, is described from the Kleinrivier mountains of the south-western Cape. It is morphologically indistinguishable from the other three species in the area. The four Cape species are allopatric, each has a unique male advertisement call, and preliminary molecular data shows ...

  7. The birds of the alien Acacia thickets of the South-western Cape

    African Journals Online (AJOL)

    About 1876, the Cape Superintendent of Plantations began using the Australian Acacia cyanophylla and A. ... Strandveld; but 38 % of all nests recorded in the South-western Cape are in Acacia. S. senegalensis is .... of mixed exotic trees, often including some Acacia but also Eucalyptus, Pinus, Quercus,. Populus and other ...

  8. Inshore small-mesh trawling survey of the Cape south coast. Part 5 ...

    African Journals Online (AJOL)

    Inshore small-mesh trawling survey of the Cape south coast. Part 5. Crustacea, Stomatopoda, Isopoda and. Decapoda. B. Kensley and C.D. Buxton. Port Elizabeth Museum, Port Elizabeth. Forty-six species of Crustacea from the shallow marine waters of the southern Cape coast are listed. Five new records for the area.

  9. Foraging range and habitat use by Cape Vulture Gyps coprotheres from the Msikaba colony, Eastern Cape province, South Africa

    Directory of Open Access Journals (Sweden)

    Morgan B. Pfeiffer

    2015-05-01

    Full Text Available Despite the extent of subsistence farmland in Africa, little is known about endangered species that persist within them. The Cape Vulture (Gyps coprotheres is regionally endangered in southern Africa and at least 20% of the population breeds in the subsistence farmland area previously known as the Transkei in the Eastern Cape province of South Africa. To understand their movement ecology, adult Cape Vultures (n = 9 were captured and fitted with global positioning system/global system for mobile transmitters. Minimum convex polygons (MCPs,and 99% and 50% kernel density estimates (KDEs were calculated for the breeding and non breeding seasons of the Cape Vulture. Land use maps were constructed for each 99% KDE and vulture locations were overlaid. During the non-breeding season, ranges were slightly larger(mean [± SE] MCP = 16 887 km2 ± 366 km2 than the breeding season (MCP = 14 707 km2 ± 2155 km2. Breeding and non-breeding season MCPs overlapped by a total of 92%. Kernel density estimates showed seasonal variability. During the breeding season, Cape Vultures used subsistence farmland, natural woodland and protected areas more than expected. In the non-breeding season, vultures used natural woodland and subsistence farmland more than expected, and protected areas less than expected. In both seasons, human-altered landscapes were used less, except for subsistence farmland. Conservation implications: These results highlight the importance of subsistence farm land to the survival of the Cape Vulture. Efforts should be made to minimise potential threats to vultures in the core areas outlined, through outreach programmes and mitigation measures.The conservation buffer of 40 km around Cape Vulture breeding colonies should be increased to 50 km.

  10. Managing invasive species in cities: A decision support framework applied to Cape Town

    Czech Academy of Sciences Publication Activity Database

    Gaertner, M.; Novoa, Ana; Fried, J.; Richardson, D. M.

    2017-01-01

    Roč. 19, č. 12 (2017), s. 3707-3723 ISSN 1387-3547 R&D Projects: GA ČR GB14-36079G Institutional support: RVO:67985939 Keywords : stakeholder engagement * South Africa * tree invasions * urban invasions * management Subject RIV: EH - Ecology, Behaviour OBOR OECD: Ecology Impact factor: 2.473, year: 2016

  11. The handling of fruit reefer containers in the Cape Town container terminal

    CSIR Research Space (South Africa)

    Goedhals-Gerber, LL

    2014-10-01

    Full Text Available South Africa is one of the world’s largest fresh fruit exporters, exporting a vast number of different fruit types and cultivars. The fresh fruit industry has seen significant growth in the past few years with the future looking promising. However...

  12. Nuclear microanalysis of tooth enamel from a community in the Western Cape, South Africa

    Energy Technology Data Exchange (ETDEWEB)

    Pineda-Vargas, C.A. [MRG Group, iThemba LABS, P.O. Box 722, Somerset West 7129 (South Africa) and Groote Schuur Hospital, Private Bag, Observatory 7935 (South Africa)]. E-mail: pineda@tlabs.ac.za; Naidoo, S. [Faculty of Dentistry, P/Bag X1, Tygerberg 7505 (South Africa); Eisa, M.E.M. [Sudan University of Science and Technology, Department of Physics, P.O. Box 407, Khartoum (Sudan)

    2007-07-15

    Extracted teeth collected from a Black African community living in the Gugulethu suburb of Cape Town, South Africa were studied by nuclear microscopy. Analysis by PIXE (with 3.0 MeV protons) of permanent extracted incisor and molar teeth from males and females of different ages showed a homogeneous elemental profile distribution for iron, zinc and strontium, irrespective of gender and/or age. Fluorine content as determined simultaneously from the 110 keV gamma-ray yield from proton bombardment had a similar mean value (females: 1.8% by mass and males: 1.6% by mass) for both genders. However, the mean content of strontium for females (97 {mu}g g{sup -1}) was about 40% lower than that for males (69 {mu}g g{sup -1}). In addition, a sub-group of children showed a smaller standard deviation on the distribution of zinc and fluorine. Previous results on the trace elemental concentration of the enamel of molar teeth, showed a depletion of up to 50% by mass for strontium after 20 h of exposure in acidic solution. Although the strontium level for the African female group fits this profile it is not certain what the demineralization observed was due too.

  13. Four decades of water recycling in Atlantis (Western Cape, South Africa): Past, present and future

    CSIR Research Space (South Africa)

    Bugan, Richard DH

    2016-10-01

    Full Text Available The primary aquifer at Atlantis (Western Cape, South Africa) is ideally suited for water supply and the indirect recycling of urban stormwater runoff and treated domestic wastewater for potable purposes. The relatively thin, sloping aquifer requires...

  14. The Philani Mentor Mothers Intervention: Neighbourhood wide impact on child growth in Cape Town's peri-urban settlements.

    Science.gov (United States)

    Tomlinson, Mark; Hartley, Mary; le Roux, Ingrid; Rotheram-Borus, Mary Jane

    2016-01-01

    The purpose of this research was to determine whether or not routine home visiting (by the Philani Maternal Child Health and Nutrition Project) influences the prevalence of stunted, wasted and underweight children in Cape Town peri-urban settlements. The study was a cross-sectional cohort in which weight and height measurements were collected for all children from 24 matched neighbourhoods; three years earlier 12 of these neighbourhoods were randomized to receive the home visiting intervention and 12 did not. The research took place at all households located within the 24 neighbourhoods in Khayelitsha and Mfuleni peri-urban settlements. Participants included 8715 children aged 0-6 years old (4694 intervention; 4021 control). A total of 41.3% of children were stunted, 3.1% were underweight and 1.4% were wasted. Children in the intervention group were significantly less likely to be underweight or severely underweight for age than children in the control group. While the rates of stunting were also significantly lower in intervention areas, the effect was not clinically significant, and no significant differences were found between the study arms on the prevalence of wasting. The Philani model is effective in the prevention and rehabilitation of underweight children. Philani could strengthen their intervention by focussing specifically on screening for child stunting in addition to underweight children. The results also suggests that efforts to address the long-term adverse effects of undernutrition require structural and economic transformation, in addition to socio-medical intervention.

  15. The early printed Books of Hours in the Grey Collection in Cape Town: evidence of an information revolution

    Directory of Open Access Journals (Sweden)

    F C Steyn

    2014-11-01

    Full Text Available Printed books of hours, the best-seller of the late medieval trade in books, provide evidence of an information revolution equal to that occasioned by the Internet today. The Grey Collection of the National Library in Cape Town possesses eight books of hours, printed between 1498 and 1530, and they are almost completely unknown. Yet these valuable incunabula, all of them printed on vellum with hand-painted initials, and some of them with hand-painted miniatures, are of importance to anybody interested in books, the history of the book, the dissemination of information, the art of the late 15th to the early 16th centuries and early printing. They are also religious books, and of value to people interested in that discipline. The books are therefore eminently suitable as subjects for transdisciplinary research through which the subjects of history, sociology, art and religion can be drawn together. Two of these books, printed by Thielman Kerver in Paris, are discussed in detail in this article. The books are especially remarkable for their many illustrations that include pictures around the borders of each page as well as full-page illustrations. The pictures are neither metal cuts nor woodcuts, as were usual in that period, but relief prints. The most important part of the texts is a sequence of prayers to the Virgin Mary. Soon after these books were printed , in 1571, Pope Pius V prohibited the use of all existing books of hours.

  16. A Second Chance: The University of Cape Town's Diploma in Education

    Directory of Open Access Journals (Sweden)

    June Saldanha

    2009-11-01

    Full Text Available This paper describes a curriculum that gives men and women from predominantly black working class communities a second chance to acquire a formal qualification at a higher education institution in South Africa. The curriculum provides the space for adult students to think critically about themselves and their practice and to develop a confident voice to express themselves. Through this process they develop both learner and educator identities and begin to see how the two intersect. The paper gives some of the historical background of the course, and shows how lecturers who have taught on the programme at different times have helped shape the curriculum. It goes on to discuss the changing nature of the student intake, the curriculum content and structure and ends with a discussion of the impact of the course, on students, staff and on the university as a whole. One very visible impact of the diploma is to be seen in the students who have gone on to acquire other postgraduate qualifications in adult education studies. On a university-wide level, through the involvement of adult education lecturers in other programmes and curricula, knowledge of and interest in adult learning is shared and encouraged.

  17. Hyperglycaemic crisis in the Eastern Cape province of South Africa ...

    African Journals Online (AJOL)

    . ... of admission and mortality rates) for various types of hyperglycaemic crisis. ... to Nelson Mandela Academic Hospital, Mthatha, E Cape, from 1 January 2008 to ... N=119), and non-hyperosmolar diabetic ketoacidosis (NHDKA, N=97) were ...

  18. Pioneers in South African Anaesthesia:

    African Journals Online (AJOL)

    Dr Heymie Samson (Figure 1) was born in Cape Town in. 1911, matriculated at the South African College School in. 1928, and studied medicine at London University. In 1938, he returned to general practice in Cape Town and married his wife, Phyllis. He volunteered for military service when war broke out in September ...

  19. A qualitative study on the experiences and perspectives of public sector patients in Cape Town in managing the workload of demands of HIV and type 2 diabetes multimorbidity.

    Science.gov (United States)

    Matima, Rangarirai; Murphy, Katherine; Levitt, Naomi S; BeLue, Rhonda; Oni, Tolu

    2018-01-01

    Current South African health policy for chronic disease management proposes integration of chronic services for better outcomes for chronic conditions; that is based on the Integrated Chronic Disease Model (ICDM). However, scant data exist on how patients with chronic multimorbidities currently experience the (re)-organisation of health services and what their perceived needs are in order to enhance the management of their conditions. A qualitative study was conducted in a community health centre treating both HIV and diabetes patients in Cape Town. The study was grounded in the Shippee's Cumulative Complexity Model (CCM) and explored "patient workload" and "patient capacity" to manage chronic conditions. Individual interviews were conducted with 10 adult patient-participants with HIV and type two diabetes (T2D) multimorbidity and 6 healthcare workers who provided health services to these patient-participants. Patient-participants in this study experienced clinic-related workload such as: two separate clinics for HIV and T2D and perceived and experienced power mismatch between patients and healthcare workers. Self-care related workloads were largely around nutritional requirements, pill burden, and stigma. Burden of these demands varied in difficulty among patient-participants due to capacity factors such as: positive attitudes, optimal health literacy, social support and availability of economic resources. Strategies mentioned by participants for improved continuity of care and self-management of multi-morbidities included integration of chronic services, consolidated guidelines for healthcare workers, educational materials for patients, improved information systems and income for patients. Using the CCM to explore multimorbidity captured most of the themes around "patient workload" and "patient capacity", and was thus a suitable framework to explore multimorbidity in this high HIV/T2D burden setting. Integration of chronic services and addressing social

  20. Interannual rainfall variability over the Cape south coast of South Africa linked to cut-off low associated rainfall

    CSIR Research Space (South Africa)

    Engelbrecht, CJ

    2014-10-01

    Full Text Available The influence of cut-off low (COL) associated rainfall on interannual rainfall variability over the Cape south coast region of South Africa for the period 1979-2011 is investigated. COLs are objectively identified and tracked on daily average 500 h...

  1. Utilizing NASA Earth Observations to investigate habitat suitability of the Cape Vulture in the Western Cape Province of South Africa

    Science.gov (United States)

    Gray, D.; Estes, M. G., Jr.; Griffin, R.; Estes, S. M.

    2017-12-01

    As the global urban population rapidly increases, many wild species lose habitat to human development. The Western Cape of South Africa contains one of Earth's 35 biodiversity hotspots, with remarkably high levels of species richness and endemism. Understanding the relationship between anthropogenic changes and key species in this region is crucial for conservation of its threatened ecosystems. The objective of this research was to investigate the effect that climate change and urbanization each have on habitat suitability of the Cape Vulture. This research utilized NASA satellite data and crowdsourced species sightings to model past, current, and future habitat suitability for this key species in the Western Cape. Data used from NASA Earth Observations included: Landsat 8- derived Land Cover, Modis Land Surface Temperature, Digital Elevation Models from the Shuttle Radar Topography Mission, and precipitation data which integrated in-situ stations with Infrared data. Species observations were sourced from the Global Biodiversity Information Facility online database. A geospatial modelling framework was used to generate maps of present, past and future suitable habitats for analysis and comparison. Changes in precipitation and temperature may be a factor in the extreme loss of habitat since 1995, and predict even more drastic loss in the future. This research provides insights on anthropogenic effects on a species' range which may be used to inform discussions of conservation as an element of environmentally sustainable development.

  2. The Cape Times's portrayal of school violence | de Wet | South ...

    African Journals Online (AJOL)

    The findings shed light on the victims and their victimisation, the perpetrators, as well as the context of the violence, identifying gangsterism, as well as school administrative and community factors as the reasons for violence in WC schools. It is argued that school violence and gangsterism are inextricably linked to the Cape ...

  3. Tuberculosis drug resistance in the Western Cape | Weyer | South ...

    African Journals Online (AJOL)

    Objectives: Drug resistance is a serious problem in the treatment of tuberculosis and a threat to successful tuberculosis control programmes. Local health workers have expressed concern that the increasing tuberculosis epidemic in the Western Cape is partly attributable to drug resistance. The aim of this study was to ...

  4. Yersinia enterocolitica in the Western Cape | Finlayson | South ...

    African Journals Online (AJOL)

    Yersinia enterocolitica, serotype 3, phage type 9a, has been isolated for the first time in the Western Cape. Sera from 59 abattoir workers were investigated for the presence of 0 and H agglutinins. These were present in one sample, suggesting a past infection. Sera from 115 Nama-speaking adults of the Kuboes area ...

  5. South African Journal of Cultural History

    African Journals Online (AJOL)

    South African Journal of Cultural History. ... attempt to change the Afrikaner's views of San rock art · EMAIL FULL TEXT EMAIL FULL TEXT ... Two unknown music fragments in the Grey Collection of the South African Library, Cape Town ...

  6. Predictors of Alcohol Use during Pregnancy among Women Attending Midwife Obstetric Units in the Cape Metropole, South Africa.

    Science.gov (United States)

    Petersen-Williams, Petal; Mathews, Catherine; Jordaan, Esmé; Parry, Charles D H

    2017-12-08

    Little is known about the nature and extent of substance use among pregnant women in Cape Town (South Africa) despite the very high levels of substance use and related consequences such as FASD in this part of the country. The aim of the study was to determine predictors of alcohol use among pregnant women. A cross-sectional survey was conducted among pregnant women attending 11 Midwife Obstetric Units (MOUs) in greater Cape Town. A two-stage cluster survey design was used. In total, 5231 pregnant women were screened to assess self-reported prevalence estimates. Of these, 684 (13.1%) were intentionally sub-sampled and completed an interviewer-administered questionnaire and provided a urine sample for biological screening. Univariate and multivariate statistical procedures were used to determine factors predictive of alcohol use. Findings highlight various demographic, social and partner substance use predictors for both self-reported and biologically verified alcohol use in two different models. Being Coloured, having a marital status other than being married, experiencing violence or aggression in the past 12 months compared to more than 12 months ago, having a partner who drinks, and partner drug use are all independently associated with higher odds of self-reported alcohol use. In contrast, only partner tobacco use is independently associated with higher odds of biologically verified alcohol use. Knowing the risk factors for alcohol use in pregnancy is important so that intervention efforts can accurately target those women in need of services. Intervention programs addressing risk factors of high-risk pregnant women are needed.

  7. The profile of people reporting with low back pain to a resource poor clinic in Cape Town

    Directory of Open Access Journals (Sweden)

    D.L. Yates

    2010-01-01

    Full Text Available In order to provide targeted information regarding understanding and  management  of  low  back  pain  (LBP,  it  is  necessary  to  understand  the life situation of patients. The objective of this study was to develop a profile of patients with LBP seeking care in an under-resourced area of Cape Town.The subjects were all patients attending a community health centre with a primary diagnosis of LBP. A self-designed questionnaire was used to gather relevant information such as BMI, smoking, physical activities at home and work and  potentially  stressful  life  events.  Questions  about  perceptions  of  LBP,  the role of health personnel, income and employment were included.  Subjects could also identify which information they would like to be given by their health care providers. Fifty  subjects  were  interviewed,  74%  were  female.  The  mean  ages  were  50.7  years  (SD  14.0  and  54.1  years (SD  15.1  for  males  and  females  respectively.  There  was  a  high  prevalence  of  smoking  and  obesity,  low  levels  of  education, and many reported high stress levels. There were a high percentage of manual workers and the nature of their activities could put them at risk for development and exacerbation of LBP. Few people knew what to expect with regard to the likely outcome of their pain and the majority identified the need for communication about the duration, prognosis, implications and management of LBP. Conclusion: A profile developed of the typical LBP patient in this community provided valuable information, which can be utilized to develop appropriate intervention strategies.

  8. Transplantation of the heart: An overview of 40 years' clinical and research experience at Groote Schuur Hospital and the University of Cape Town: Part II. Laboratory research experience.

    Science.gov (United States)

    Hassoulas, J

    2012-03-29

    Extensive experimental research on various aspects of heart transplantation was undertaken during the first 2 decades. An overview of this work is presented, and some still unpublished work has been included. Experimental laboratory investigation was an integral activity of the cardiac transplantation programme at the University of Cape Town over these years, and has remained so ever since. These studies provided invaluable fundamental information upon which future clinical work was based. It is therefore necessary to briefly mention and discuss this information, most of which has been published in detail by the various investigators concerned.

  9. Observations on inshore and pelagic Dolphins on the South-Eastern Cape coast of South Africa

    Directory of Open Access Journals (Sweden)

    G. S Saayman

    1972-12-01

    Full Text Available The occurrence, size and seaward distribution of schools of inshore and pelagic dolphins is described for three study areas on the south-eastern Cape coast (Algoa Bay; the Tsitsikama Coastal National Park and Plettenberg Bay. Inshore dolphins {Tursiops and Sousa sp. frequented the coastline in relatively small schools whereas pelagic dolphins {Delphinus delphis and Stenella caeruleoalba occurred in very large schools far out to sea. Different ecological zones were used by Sousa for feeding and for social behaviour and maintenance activities. The frequency of occurrence of Sousa at Plettenberg Bay was not affected by seasonal fluctuations in sea surface temperatures. The role of dolphins as predators and their implication in the regulation of the ecosystem of the Tsitsikama Coastal National Park is discussed.

  10. Trends in admissions, morbidity and outcomes at Red Cross War Memorial Children’s Hospital, Cape Town, 2004 - 2013

    Directory of Open Access Journals (Sweden)

    Y Isaacs-Long

    2017-03-01

    Full Text Available Background. Routinely collected patient information has the potential to yield valuable information about health systems and population health, but there have been few comprehensive analyses of paediatric admissions at South African (SA hospitals. Objectives. To investigate trends in hospitalisation and outcomes at Red Cross War Memorial Children’s Hospital (RCWMCH, a major referral hospital for children in the Western Cape and SA. Methods. Using routinely collected observational health data from the hospital informatics system, we investigated admissions between 2004 and 2013. Clinical classification software was used to group International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10 codes to rank causes during 2008 - 2013, when ICD-10 codes were widely available. Analyses examined trends in medical and surgical admissions over time. Results. There were 215 536 admissions over 10 years of 129 733 patients. Admissions increased by 9.3%, with increases in the general medical wards (5%, medical specialty wards (74%, the burns unit (73%, and the intensive care unit (16%. In contrast, admissions decreased in the trauma unit (21% and short-stay medical wards (1%. In-hospital mortality decreased by 54% (p-trend <0.001 over 10 years. Diarrhoea and lower-respiratory tract illness were the most common causes for medical admissions, although admissions and deaths due to these conditions decreased between 2008 and 2013, which coincided with the national introduction of related vaccines. Similarly, tuberculosis admissions and deaths decreased over this period. These trends could be owing to a concurrent decrease in HIV comorbidity (p-trend <0.001. Trauma was the most common reason for surgical admission. Conclusion. Paediatric in-hospital mortality decreased consistently over a decade, despite an overall increase in admissions. Pneumonia and diarrhoea admissions decreased markedly over a 6-year period, but

  11. Quality of asthma care: Western Cape Province, South Africa | Mash ...

    African Journals Online (AJOL)

    Background. Asthma is the eighth leading contributor to the burden of disease in South Africa, but has received less attention than other chronic diseases. The Asthma Guidelines Implementation Project (AGIP) was established to improve the impact of the South African guidelines for chronic asthma in adults and ...

  12. Water for firefighting in five South African towns

    African Journals Online (AJOL)

    2012-10-22

    Oct 22, 2012 ... The fire flow requirements, specified in South African guidelines, as well as some international stand- ards, were ... the required flow of water for fighting fires would be readily ..... fires, (iii) vegetation, grass, veld and refuse fires that were typi- ..... towards full time post-graduate research was provided by the.

  13. Cervical HPV natural history among young Western Cape, South African women: The randomized control EVRI Trial

    NARCIS (Netherlands)

    Sudenga, Staci L.; Torres, B. Nelson; Botha, Matthys H.; Zeier, Michele; Abrahamsen, Martha E.; Glashoff, Richard H.; Engelbrecht, Susan; Schim van der Loeff, Maarten F.; van der Laan, Louvina E.; Kipping, Siegfried; Taylor, Douglas; Giuliano, Anna R.

    2016-01-01

    The objective of this analysis was to assess human papillomavirus (HPV) infection persistence and incidence 7-months post-enrollment by HPV vaccine study arm (vaccine or placebo). HIV-negative, sexually active women aged 16-24 years in the Western Cape, South Africa, were enrolled in the EVRI Trial

  14. Rural development and the role of game farming in the Eastern Cape, South Africa

    NARCIS (Netherlands)

    Pasmans, Thijs; Hebinck, Paul

    2017-01-01

    The analysis of game farming is set in the Eastern Cape, South Africa. Game farming reorders the use, meaning and value of land and animal species. However, what it means for rural development processes in the immediate region and beyond is not well accounted for. We perceive game farming as an

  15. How do we know how much groundwater is stored in south-western Cape mountains?

    CSIR Research Space (South Africa)

    Midgley, JJ

    2001-07-01

    Full Text Available Isotopes of water (D, O-18) in rain and streams were used to obtain an estimate of the amount of ground water in the south-western Cape Mountains. It was assumed that the groundwater reservoir is well-mixed and that the water isotope signals...

  16. ‘Irrigation by night’ in the Eastern Cape, South Africa

    NARCIS (Netherlands)

    Horst, van der Bram; Hebinck, P.G.M.

    2017-01-01

    This paper addresses water-related issues in the Eastern Cape, South Africa. Irrigation development and providing water for human consumption have been key factors in the country’s rural development planning, notably during the post-apartheid era when the Reconstruction and Development Programme

  17. Syntaxonomy and zonation patterns in coastal salt marshes of the Uilkraals Estuary, Western Cape (South Africa)

    NARCIS (Netherlands)

    Mucina, L.; Janssen, J.A.M.; O'Callaghan, M.

    2003-01-01

    Vegetation on salt marshes of the Uilkraals Estuary (near Gansbaai, Western Cape, South Africa) is described and classified into 11 associations and/or rank-less plant communities (further subdivided into a number of sub-units). These communities were grouped into 6 high-rank syntaxa (alliances and

  18. Of voyeuristic safari tours and responsible tourism with educational value: Observing moral communication in slum and township tourism in Cape Town and Mumbai

    Directory of Open Access Journals (Sweden)

    Burgold. Julia

    2013-11-01

    Full Text Available Sightseeing in the poorest quarters of southern hemisphere cities has been observed occurring in Cape Town, Rio de Janeiro, Mumbai and many other cities. The increasing global interest in touring poor urban environments is accompanied by a strong morally charged debate; so far, this debate has not been critically addressed. This article avoids asking if slum tourism is good or bad, but instead seeks a second-order observation, i.e. to investigate under what conditions the social praxis of slum tourism is considered as good or bad, by processing information on esteem or disesteem among tourists and tour providers. Special attention is given to any relation between morality and place, and the thesis posited is that the moral charging of slum tourism is dependent on the presence of specific preconceived notions of slums and poverty. This shall be clarified by means of references to two empirical case studies carried out in (1 Cape Town in 2007 and 2008 and (2 Mumbai in 2009.

  19. 76 FR 38302 - Safety Zone; Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA

    Science.gov (United States)

    2011-06-30

    ... the Town of Cape Charles will sponsor a fireworks display on the shoreline of the navigable waters of...-AA00 Safety Zone; Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA AGENCY: Coast Guard... navigable waters of Cape Charles City Harbor in Cape Charles, VA in support of the Fourth of July Fireworks...

  20. Possible impacts of sea-level rise on the Diep river/Rietvlei system, Cape-Town

    CSIR Research Space (South Africa)

    Hughes, P

    1993-10-01

    Full Text Available Many of the Cape Province's estuaries and tidal inlets have sandy connections to the sea and are often intensively developed for industrial or residential purposes. The possible impacts of sea-level rise are of considerable interest...

  1. A description of pharmacological analgesia administration by public sector advanced life support paramedics in the City of Cape Town

    Directory of Open Access Journals (Sweden)

    Ryan Matthews

    2017-03-01

    Discussion: Pre-hospital acute pain management in the Western Cape does not appear to conform to best practice as Advanced Life Support providers in the Western Cape use low doses of morphine. Chest pain is an important reason for drug administration in acute pre-hospital pain. Multimodal analgesia is not a feature of care in this pre-hospital service. The development of a Clinical Practice Guideline for and training in pre-hospital pain should be viewed as imperative.

  2. Radioactivity standardization in South Africa

    CSIR Research Space (South Africa)

    Simpson, BRS

    2002-01-01

    Full Text Available South Africa's national radioactivity measurement standard is maintained at a satellite laboratory in Cape Town by the National Metrology Laboratory (NML) of the Council-for Scientific and Industrial Research. Standardizations are undertaken by a...

  3. Yersinia enterocolitica in the Western Cape | Finlayson | South ...

    African Journals Online (AJOL)

    South African Medical Journal. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 47, No 1 (1973) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Download this PDF file. The PDF file you selected should ...

  4. Brucellosis in childhood in the Western Cape | Hendricks | South ...

    African Journals Online (AJOL)

    South African Medical Journal. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 85, No 3 (1995) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Download this PDF file. The PDF file you selected should ...

  5. Making urban land markets work better in South African cities and towns: arguing the basis for access by the poor

    CSIR Research Space (South Africa)

    Napier, Mark

    2007-05-01

    Full Text Available Contemporary and historical state interventions in South African cities and towns have distorted urban land markets affecting especially the poor. This has resulted in market failure for less wealthy individuals and households in their attempts...

  6. Flora of the Kap River Reserve, Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    E. C. Cloete

    1999-09-01

    Full Text Available A detailed analysis ot the flora of the newly proclaimed Kap River Reserve (600 ha is given. The reserve is adjacent to the Fish River and some 5 km from the Fish River Mouth It consists of a coastal plateau up to 100 m a.s.I. which is steeply dissected by the two rivers that partially form the boundary of the reserve. The flora of the reserve was sampled over a period o f three years and plants were collected in all the vegetation types of grassland, thicket and forest. 488 species were collected with a species to family ratio of 4:4. The majority of the taxa recorded represent the major phytochoria of the region. Nineteen species are endemic to the Eastern Cape, two are classed as vulnerable, five are rare, six are protected and a further seventeen are of uncertain status. The flora of the Kap River has closest affinities to that of the Alexandria Forest.

  7. Samuel Patton Impey, M.D. (Aberdeen) (1856-1928). Cape Town's primordial leprologist, dermatologist, radiotherapist and rock-art enthusiast.

    Science.gov (United States)

    Findlay, G H

    1987-03-21

    Samuel Impey was a noteworthy medical pioneer of the Cape Colony. He was the author of what was probably the first medical textbook of note to be written in South Africa, a Handbook of Leprosy, published in London in 1896. He carried much of the frontier spirit into the medical life of the time, entering vigorously into controversy and fresh developments. As an amateur artist, he also put forward some individual views on rock paintings.

  8. [Spatiotemporal differentiation of construction land expansion in a typical town of south Jiangsu Province].

    Science.gov (United States)

    Zhou, Rui; Li, Yue-hui; Hu, Yuan-man; Su, Hai-long; Wang, Jin-nian

    2011-03-01

    Choosing Xinzhuang Town in south Jiangsu Province as study area, and by using 1980, 1991, 2001, and 2009 high-resolution remote sensing images and GIS spatial analysis technology, an integrated expansion degree index model was established based on the existing indicators of construction land expansion, and the general and spatiotemporal differentiation characteristics of construction land expansion in the Town in three time periods of 1980-2009 were quantitatively analyzed. In 1980-2009, with the acceleration of rural urbanization and industrialization, the area of construction land in the Town increased significantly by 19.24 km2, and especially in 2001-2009, the expanded area, expanded contribution rate, and expansion intensity reached the maximum. The construction land expansion had an obvious spatial differentiation characteristic. In 1980-1991, the newly increased construction land mainly concentrated in town area. After 1991, the focus of construction land gradually spread to the villages with developed industries. Most of the increased construction lands were converted from paddy field and dry land, accounting for 88.1% of the total increased area, while the contribution from other land types was relatively small.

  9. A new Cyrtanthus species(Amaryllidaceae: Cyrtantheae endemic to the Albany Centre, Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    D. A. Snijman

    2003-09-01

    Full Text Available Cyrtanthus macmasteri Snijman is a rare new species from the Albany Centre of endemism. Eastern Cape. South Africa. Most closely related to C.  galpinii Baker, and autumn-flowering species with a single or rarely-flowered inflorescence from the northern regions of southern Africa. C macmasteri is distinguished by a 3 to 6-flowered inflorescence. It grows on steep banks of the Great Kei River and its tributaries and flowers in summer.

  10. Annual ryegrass toxicity in Thoroughbred horses in Ceres in the Western Cape Province, South Africa

    Directory of Open Access Journals (Sweden)

    J.D. Grewar

    2009-05-01

    Full Text Available An outbreak of annual ryegrass toxicity occurred on a Thoroughbred stud in Ceres in the Western Cape Province of South Africa. This is the 1st report of annual ryegrass toxicity in horses in South Africa, although the condition has been reported in cattle and sheep populations in the past. Annual ryegrass toxicity is characterised by a variety of neurological signs including tremors, convulsions, recumbency and in many cases death. The description of the outbreak includes the history, clinical presentation and treatment protocol administered during the outbreak. Various epidemiological variables and their influence in the outbreak are also considered.

  11. The geology of the area south of Vioolsdrif, Cape Province

    International Nuclear Information System (INIS)

    Ward, J.H.W.

    1977-10-01

    Geological reconnaissance of an area of 1 500 square km to the South of Vioolsdrif in northern Namaqualand has revealed that this region straddles the boundary between the upper crustal Richtersveld domain and the subjacent Namaqualand Metamorphic Complex. The Vioolsdrif batholith, which underlies much of the Richtersveld, is a composite body, essentially granodioritic, which was emplaced in a number of epizonal magmatic pulses into an overlying comagmatic canopy of intermediate to felsic lavas and pyroclastics during Bushveld times. It is unlikely that this volcanic carapace exceeded 9 km in thickness. During or following consolidation at about 1 800 Ma, the southern margin of the batholith was affected by a thermotectonic episode of regional extent during which the rocks of the igneous complex were foliated and lineated in sympathy with the dominant tectonic fabric of the contiguous metamorphic complex. Metamorphic mineral parageneses indicate that during the climax of this dynamothermal episode, rocks along the southern margin of the batholith were subjected to temperatures of 620 - 670 degrees and pressures of 0,4 - 0,5 MPa (4 - 5 kbar). During this deformational episode the batholith acted as a tectonic resister which preserved the overlying volcanics from incorporation into the metamorphic complex. More or less coincident with the boundary between the metamorphic complex and the Vioolsdrif batholith is a zone about 10 km in width which is characterised by the development of abundant pegmatites [af

  12. Findings from three South African studies

    African Journals Online (AJOL)

    Adele

    Findings from three South African studies. BA Robertson. Emeritus Professor, Department of Psychiatry and Mental Health, University of Cape Town, ... heterogeneous presentation including elements of anxiety, .... Washington: APA, 1994. 4.

  13. How much do South African households in towns & rural areas recycle?

    CSIR Research Space (South Africa)

    Strydom, Wilma

    2016-10-01

    Full Text Available stream_source_info Strydom_18309_2016.pdf.txt stream_content_type text/plain stream_size 15060 Content-Encoding UTF-8 stream_name Strydom_18309_2016.pdf.txt Content-Type text/plain; charset=UTF-8 How much do South...) targets of diverting 25% of recyclables from landfill sites for re-use, recycling or recovery by 2016, and all metropolitan municipalities, secondary cities and large towns have initiated separation at source programmes (Goal 1), and 80% of municipalities...

  14. Lived experiences of male intimate partners of female rape victims in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Evalina van Wijk

    2014-09-01

    Objectives: The study aimed to explore the lived experiences of MIPs of female rape victims and the meaning of these experiences in the six months following the partner’s rape. Method: We conducted a longitudinal hermeneutic phenomenological study. Nine purposively sampled adult MIPs were interviewed over a period of six months. The participants were in an intimate relationship with a female rape victim prior to and immediately after the rape; their partners had been treated at a specialised centre for victims of rape and sexual assault. Four interviews were conducted with each of the nine intimate partners of female rape victims: (1 within 14 days of, (2 a month after, (3 three months after, and (4 six months after the rape. Results: Two major themes emerged: being-in-the-world as a secondary victim of rape, and living in multiple worlds, those of their female partners, family, friends, society, employers or colleagues, professionals and the justice system. The participant’s familiar world became strange and even threatening, and his relationship with his partner became uncertain. Conclusion: Early supportive intervention for intimate partners of female rape victims is required to prevent on-going emotional trauma and alleviate the effects of chronic post-traumatic stress disorder and suffering at intra- and interpersonal levels.

  15. An upwelling filament North-West of Cape Town, South Africa ...

    African Journals Online (AJOL)

    One is the sporadic advection of warm water from the Agulhas Bank onto the southern shelf. The cruise took place following such an event. The anticipated shelf-edge jet was greatly diminished and forced inshore. The possible effect of barotropic shelf waves on the configuration of the upwelling tongue and the formation of ...

  16. Context sensitive multimodal road planning : a case study in Cape Town, South Africa

    NARCIS (Netherlands)

    Beukes, Edward; Vanderschuren, Marianne; Vanderschuren, M.J.W.A.; Zuidgeest, M.H.P.

    2011-01-01

    Road planning practice relies almost exclusively on parameters related to traffic factors, such as private vehicle speeds and volumes. In many developing countries the requirements for public transport and non-motorised transport are not explicitly integrated into the planning process, despite the

  17. Injury severity in relation to seatbelt use in Cape Town, South Africa ...

    African Journals Online (AJOL)

    implementation of road safety interventions specifically focused on high-risk groups. S Afr Med J 2014 ... EMS also provides various technical rescue services, including aquatic rescue, aviation ... Data collection and management. The METRO ..... come Data Evaluation System (CODES) database and found that admission ...

  18. Divergent and similar experiences of ‘gating’ in South Africa : Johannesburg, Durban and Cape Town

    CSIR Research Space (South Africa)

    Lemanski, C

    2008-06-01

    Full Text Available exclusionary spaces, increasing residential segregation, restricting freedom of movement and exacerbating social divides (e.g. Blakely and Snyder, 1997; Caldeira, 1999, 2000; Davis, 1992; Low, 2003; Marcuse, 1997). Indeed, only a minority of researchers... by fears that they effectively recreate the apartheid city and thwart post-apartheid goals of urban integration and inclusion. Indeed, by retreating from public spaces into private enclaves and allowing access only to those with the necessary socio...

  19. Treatment of childhood tuberculosis: caregivers' practices and perceptions in Cape Town, South Africa

    NARCIS (Netherlands)

    Bélard, Sabine; Isaacs, Washiefa; Black, Faye; Bateman, Lindy; Madolo, Lucia; Munro, Jacinta; Workman, Lesley; Grobusch, Martin P.; Zar, Heather J.

    2015-01-01

    A child's caregiver is key to the successful drug delivery and outcome of tuberculosis (TB) treatment. Understanding caregivers' practices and perceptions is important in the management of childhood TB. To investigate caregivers' practices and perceptions regarding TB treatment of children. A

  20. An evaluation of University of Cape Town medical students’ community placements in South Africa

    Directory of Open Access Journals (Sweden)

    Claudia S. Naidu

    2012-11-01

    Objectives: This study evaluated the placements as a learning experience from the perspectives of past students and community stakeholders. Methods: A total of 32 projects were randomly selected out of 232 projects undertaken during 2006, 2008 and 2009. Two students and a stakeholder involved with each project were sampled. A standardised survey was emailed to students and in-depth interviews were held with stakeholders. Results: Fifty two per cent of 64 students and 57% of 25 stakeholders responded. Most students felt that the placements enhanced their academic experience and confidence in research skills, and were an effective form of learning. Perceived challenges included time constraints and, for a minority, inadequately prepared settings and stakeholders. Stakeholders felt that the placements empowered the communities and prepared students for the realities of working as a medical professional. They viewed students as a valuable resource and believed that student projects addressed important community myths and health problems. Recommendations from students and stakeholders included more time for the Public Health block, followup interventions for greater continuity, and better alignment of projects with stakeholder programmes. Conclusion: The evaluation reveals both the importance and challenges of community placements and identifies areas of improvement. Despite the limited duration of the placements, they offered valuable community-based learning experiences for the students and worthwhile benefits for the communities.

  1. Peritonitis in children on peritoneal dialysis in Cape Town, South Africa: epidemiology and risks.

    NARCIS (Netherlands)

    Raaijmakers, R.; Gajjar, P.; Schroder, C.; Nourse, P.

    2010-01-01

    Peritonitis is a frequent complication of peritoneal dialysis (PD) in children as well in adults. Data on PD and peritonitis in pediatric patients are very scarce in developing countries. A retrospective cohort study was performed between 2000 and 2008 with the aim to evaluate PD treatment and

  2. Pricing landfill externalities: emissions and disamenity costs in Cape Town, South Africa

    CSIR Research Space (South Africa)

    Nahman, Anton

    2011-10-01

    Full Text Available ; ranging from 7% to 32% of overall costs. This illustrates the importance of taking external costs into account in comparing waste management alternatives, in order to reduce the likelihood of inappropriate decisions being made....

  3. Cameroonian Migrant Women in Cape Town, South Africa and Cross-Border Family Life

    OpenAIRE

    Kong Atwo, Margaret

    2013-01-01

    El tema de la vida familiar transfronteriza en el contexto de Camerún ha sido ignorado en gran medida por el mundo académico; utilizando el método de la historia oral, me centro en la creación de significado en relación a las relaciones familiares por parte de las mujeres migrantes camerunesas. La mayor parte del trabajo alrededor de este tema ha tendido a reflejar la idea de que la migración de las mujeres lleva a la desintegración familiar y los niños y niñas abandonados sufren un déficit d...

  4. Assessing post apartheid settlement growth patterns using remote sensing and GIWS: A case study of Cape Town metropolitan area

    CSIR Research Space (South Africa)

    Pillay, DL

    2008-11-01

    Full Text Available The significant land-use change in South African metropolitan areas, due to urbanization, created challenges of spatial development planning, infrastructure and service provision. This paper outlines the change detection analysis method applied...

  5. Improving the quality of papers submitted to dental journals: Transcription of session for editors, associate editors, publishers and others with an interest in scientific publishing held at IADR meeting in Cape Town on Wednesday, 25 June 2014.

    Science.gov (United States)

    Eaton, Kenneth A; Giannobile, William V; Sourgen, Deborah L; Balaji, S M; Honkala, Eino; Lynch, Christopher D

    2015-08-01

    This satellite symposium was the fourth in a series for editors, publishers, reviewers and all those with an interest in scientific publishing. It was held on Wednesday 25th June 2014 at the IADR International meeting in Cape Town, South Africa. The symposium attracted more than 180 attendees. This symposium placed an emphasis on how the quality of papers submitted to dental journals could be improved. The panel included representation from editors, researchers and publishers from North America, India and the Gulf States. The symposium identified a number of challenges for editors and publishers, including the poor quality of many papers submitted to dental and other scientific journals, plagiarism, attempted duplicate publication and sometimes fraudulent results. Where possible speakers are identified by name. A subsequent symposium was held during the IADR meeting in Boston on March 11th 2015. Involvement open to editors, associate editors, publishers and others with an interest in scientific publishing. Copyright © 2015. Published by Elsevier Ltd.. All rights reserved.

  6. Cape fearless.

    Science.gov (United States)

    1998-01-01

    This article describes the Ilita Labantu (IL) group in South Africa, that is working to reduce child abuse and violence against women. The group started in 1989, with the aim of reducing child rape and sexual assaults in five townships in Cape Town. Child rape is perpetuated by myths sustained by witch doctors and indigenous medicine that promote child rape as a cure-all for symptoms ranging from poverty to AIDS. IL has four satellite groups that educate rape and abuse victims and potential victims. It is assumed that girls are potential victims because of their early unawareness that gender is tied to some patterns of behavior. IL trained mass media groups to educate the general public. IL distributes public information materials on how to identify domestic violence and abuse and how to identify potential rapists within households. Materials are distributed to individuals in community programs and in training programs. Child survivors make presentations in playgroups in a nonthreatening way. IL interacts with courts of law, police stations, hospitals, and schools. The group refers 25-35 cases per day. The group is working on setting up private rooms in police stations where rape victims can make confidential complaints without public attention. IL also works to promote the use of alternative strategies for solving family conflicts.

  7. Small-scale Fisheries Governance and Understanding the Snoek (Thyrsites atun Supply Chain in the Ocean View Fishing Community, Western Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Moenieba Isaacs

    2013-12-01

    Full Text Available Postapartheid fisheries reform in South Africa, through the Marine Living Resources Act (MLRA 18 of 1998, used individual transferable quotas (ITQs to broaden resource access through allocating quotas to new entrants, even though the system has been created to reduce capacity through a reduction in the number of active fishers. The formal action space created through fisheries reform in South Africa left many artisanal fishers to operate in the informal action spaces, selling Thyrsites atun (snoek to poor communities to sustain their livelihoods. Artisanal fishers were not recognized by MLRA of 1998 and through class action case brought against the ITQ system, and in out of court settlement with the claimants in 2007, 1000 interim relief permits will be allocated to artisanal fishes and the development of a new small-scale fisheries policy for South Africa. In this case study of a fishing community in Ocean View, Cape Town I examine a snoek fishery that operates differently, through a community supply chain and informal markets, than that of the high value ITQ regulated species, yet plays a significant role in the livelihoods of artisanal fishers and in the food security of poor households. The findings of this case study show the failures of existing policy frameworks and the implications for the implementation of the new small-scale fisheries policy in South Africa.

  8. Proximate and fatty acid composition of cooked South African Cape snoek (Thyrsites atun

    Directory of Open Access Journals (Sweden)

    Suné S. Henning

    2017-05-01

    Full Text Available Cape snoek (Thyrsites atun is an important source of protein for people in South Africa; however, nutritional information thereof is limited. The proximate and fatty acid compositions of raw and cooked (80 °C snoek muscles were determined according to official AOAC methods. The mean moisture, ash, total lipids and protein for raw snoek were 72.8±1.86%, 1.3±0.09%, 4.0±1.16 and 21.5±1.35%, respectively. Cape snoek is very high in palmitic acid (24.65±1.43%, oleic acid (18.21±2.64%, eicosapentaenoic acid (EPA, 9.11±2.06% and docosahexaenoic acid (DHA, 19.70±3.25%. With the exception of total lipids, cooking significantly reduced moisture (69.40±2.03% and ash (1.12±0.12%, and increased protein (24.47±1.39% content. It is concluded that Cape snoek is very high in protein and can be classified as a low-fat fish which is rich in EPA and DHA.

  9. Causes of plant diversification in the Cape biodiversity hotspot of South Africa.

    Science.gov (United States)

    Schnitzler, Jan; Barraclough, Timothy G; Boatwright, James S; Goldblatt, Peter; Manning, John C; Powell, Martyn P; Rebelo, Tony; Savolainen, Vincent

    2011-05-01

    The Cape region of South Africa is one of the most remarkable hotspots of biodiversity with a flora comprising more than 9000 plant species, almost 70% of which are endemic, within an area of only ± 90,000 km2. Much of the diversity is due to an exceptionally large contribution of just a few clades that radiated substantially within this region, but little is known about the causes of these radiations. Here, we present a comprehensive analysis of plant diversification, using near complete species-level phylogenies of four major Cape clades (more than 470 species): the genus Protea, a tribe of legumes (Podalyrieae) and two speciose genera within the iris family (Babiana and Moraea), representing three of the seven largest plant families in this biodiversity hotspot. Combining these molecular phylogenetic data with ecological and biogeographical information, we tested key hypotheses that have been proposed to explain the radiation of the Cape flora. Our results show that the radiations started throughout the Oligocene and Miocene and that net diversification rates have remained constant through time at globally moderate rates. Furthermore, using sister-species comparisons to assess the impact of different factors on speciation, we identified soil type shifts as the most important cause of speciation in Babiana, Moraea, and Protea, whereas shifts in fire-survival strategy is the most important factor for Podalyrieae. Contrary to previous findings in other groups, such as orchids, pollination syndromes show a high degree of phylogenetic conservatism, including groups with a large number of specialized pollination syndromes like Moraea. We conclude that the combination of complex environmental conditions together with relative climatic stability promoted high speciation and/or low extinction rates as the most likely scenario leading to present-day patterns of hyperdiversity in the Cape.

  10. Desertification of subtropical thicket in the Eastern Cape, South Africa: Are there alternatives?

    Science.gov (United States)

    Kerley, G I; Knight, M H; de Kock, M

    1995-01-01

    The Eastern Cape Subtropical Thicket (ECST) froms the transition between forest, semiarid karroid shrublands, and grassland in the Eastern Cape, South Africa. Undegraded ECST forms an impenetrable, spiny thicket up to 3 m high consisting of a wealth of growth forms, including evergreen plants, succulent and deciduous shrubs, lianas, grasses, and geophytes. The thicket dynamics are not well understood, but elephants may have been important browsers and patch disturbance agents. These semiarid thickets have been subjected to intensive grazing by domestic ungulates, which have largely replaced indigenous herbivores over the last 2 centuries. Overgrazing has extensively degraded vegetation, resulting in the loss of phytomass and plant species and the replacement of perennials by annuals. Coupled with these changes are alterations of soil structure and secondary productivity. This rangeland degradation has largely been attributed to pastoralism with domestic herbivores. The impact of indigenous herbivores differs in scale, intensity, and nature from that of domestic ungulates. Further degradation of the ECST may be limited by alternative management strategies, including the use of wildlife for meat production and ecotourism. Producing meat from wildlife earns less income than from domestic herbivores but is ecologically sustainable. The financial benefits of game use can be improved by developing expertise, technology, and marketing. Ecotourism is not well developed in the Eastern Cape although the Addo Elephant National Park is a financial success and provides considerable employment benefits within an ecologically sustainable system. The density of black rhinoceros and elephant in these thickets is among the highest in Africa, with high population growth and the lowest poaching risk. The financial and ecological viability of ecotourism and the conservation status of these two species warrant expanding ecotourism in the Eastern Cape, thereby reducing the probability of

  11. Report on the first government-funded opioid substitution programme for heroin users in the Western Cape Province, South Africa.

    Science.gov (United States)

    Michie, Graeme; Hoosain, Shuaib; Macharia, Muiruri; Weich, Lize

    2017-05-24

    Although pharmacological opioid substitution treatment (OST) is a well-established treatment modality for heroin addiction, it is a relatively recent introduction in low- and middle-income countries. To report on a pilot OST programme initiated in 2013 that was the only public-funded programme in South Africa (SA) at the time. Participants were offered standard care only (n=68) or, for the OST group (n=67), standard care plus Suboxone (Reckitt Benckiser), a synthetic partial opioid agonist, in a 12-week clinician-monitored programme. Clinical records of 135 participants in the rehabilitation programme at Sultan Bahu Rehabilitation Centre in Mitchell's Plain, Cape Town, SA, from 1 January to 31 December 2014 were reviewed. Data collected included demographics and duration in treatment (retention) as well as number of urine samples provided, positive tests or self-reported use events and dates of first positive/negative tests. Significantly more participants in the OST group (65.7%) than controls (44.1%) completed the treatment (p=0.019). Among the non-completers, retention was higher in the OST group than in the standard care group (48.2 v. 30.1 days; p=0.001). The groups did not differ in respect of number of missed appointments and time to first positive test. However, the proportion of participants testing positive was higher in the OST group (80.6%) than in the standard care group (61.8%), although the former were tested nearly three times (18.3 v. 6.6 times) more. Consequently, the positive rate (proportion of positive tests) was substantially lower in the OST group (16.8%) than in the standard care group (23.3%). The results demonstrate modest success of this pilot OST programme in terms of completion and retention and should argue for a move to increase availability of and accessibility to OSTs for the management of opioid use disorder.

  12. The impact of black wattle encroachment of indigenous grasslands on soil carbon, Eastern Cape, South Africa

    DEFF Research Database (Denmark)

    Oelofse, Myles; Birch-Thomsen, Torben; Magid, Jakob

    2016-01-01

    adverse environmental impacts in South Africa. Little is known about the effects of black wattle encroachment on soil carbon, therefore the aim of this study was to investigate the impact of black wattle encroachment of natural grassland on soil carbon stocks and dynamics. Focussing on two sites...... in the Eastern Cape, South Africa, the study analysed carbon stocks in soil and litter on a chronosequence of black wattle stands of varying ages (up to >50 years) and compared these with adjacent native grassland. The study found that woody encroachment of grassland at one site had an insignificant effect...... on soil and litter carbon stocks. The second site showed a clear decline in combined soil and litter carbon stocks following wattle encroachment. The lowest stock was in the oldest wattle stand, meaning that carbon stocks are still declining after 50 years of encroachment. The results from the two sites...

  13. Health risk behaviours of stroke patients in the Western Cape, South Africa

    Directory of Open Access Journals (Sweden)

    D. Biggs

    2008-01-01

    Full Text Available Stroke is a leading cause of death and a major cause of disability globally. Individuals with physical disabilities, including thosewho have suffered a stroke are at risk of secondary complications due to the impact of their disability, which may be exacerbated by their lifestylechoices. The aim of the present study was to determine the health riskbehaviours and factors that influence these behaviours of stroke patients inthe Metropole Region of the Western Cape, South Africa. A cross – sectionalsurvey, utilizing a self-administered questionnaire on a convenient sampleof 417 stroke patients, was used to collect data. A sub-sample of 10 parti-cipants was purposively selected for in-depth, face-to-face interviews.Approximately forty percent (40.3% of the participants did not engage in physical exercise. While 30.2% smoked only9% abused alcohol. A significant association was found between age and smoking (p<0.002. Information gathered in the in-depth interviews revealed factors that influenced the behaviours of the participants. These factors includedlack of financial resources and lack of access to information. As participants were found to be at risk of secondarycomplications because of poor lifestyle choices, there is a clear need to implement health promotion programmes topromote well-ness enhancing behaviours in order to enhance the quality of health of patients who have suffered astroke in the Western Cape, South Africa.

  14. Selected environmental impacts of energy use by the automobile sector: Findings from a project focussed on Johannesburg and Cape Town

    CSIR Research Space (South Africa)

    Mapako, M

    2009-06-01

    Full Text Available associated with the upcoming controlled emitter status of vehicles will apply only to new vehicles. This leaves out old vehicles and there seemed to be no coordinated approach to deal with these. There are issues around car sharing that need to simplified..., for example the provisions of the Road Traffic Act for occupants of shared cars, and tax implications around various car sharing arrangements. Regarding the possibility of very low cost vehicles coming to South Africa from India for example, it would...

  15. Adoption and Impact of OER in the Global South | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2017-12-12

    Dec 12, 2017 ... African Minds, University of Cape Town (ROER4D), IDRC ... as well as teacher professional development in 21 countries in South America, ... funding opportunity to support Canadian-African research teams studying Ebola.

  16. The southern cape conductive belt (South Africa): Its composition, origin and tectonic significance

    Science.gov (United States)

    De Beer, J. H.; Van Zijl, J. S. V.; Gough, D. I.

    1982-03-01

    Magnetometer array studies have led to the discovery and mapping of the Southern Cape Conductive Belt (SCCB) crossing the southern tip of Africa from west to southeast coasts. The SCCB lies just south of the Namaqua-Natal Belt of cratonic rocks remobilized about 1000 m.y. B.P. It is shown that it coincides with a zone of weakness which has been exploited by three major geosynclinal accumulations over some 600 m.y. Relationships between the SCCB and the basement geochronology, geology and tectonics are considered in detail. These relationships support the view that the conductive belt was formed by an accumulation of marine sediments and oceanic lithosphere at the top of a Proterozoic subduction which stopped about 1000 to 800 m.y. B.P. Associated with this subduction we propose a Proterozoic range of Andean mountains, whose roots are now exposed in the Namaqua-Natal Belt. Later subduction further south, near the present south coast, is proposed to account for the intrusion, between the south coast and the SCCB, of the Cape Granites in the time interval 600-500 m.y. B.P. There is some evidence for a third, yet more distant, subduction episode off Permian Gondwanaland. After outlining this tectonic history, the paper turns to a closer examination of the hypothesis that the Southern Cape Conductive Belt consists of partly serpentinized basalt accumulated at the top of a Proterozoic subduction. A large static magnetic anomaly, which correlates with the SCCB over most of its length, is well fitted by a model which strongly supports this hypothesis. Bouguer gravity anomalies along western and central profiles likewise support the hypothesis. A discussion follows of the process of formation of the proposed block of serpentinized marine rocks, beginning with serpentinization of the crust near oceanic ridges by reaction of warm, porous, newly-extruded basalt with seawater convecting through it. The serpentinized basalt is stable at crustal temperatures and pressures and so

  17. Factors affecting adherence to antiretroviral therapy among pregnant women in the Eastern Cape, South Africa.

    Science.gov (United States)

    Adeniyi, Oladele Vincent; Ajayi, Anthony Idowu; Ter Goon, Daniel; Owolabi, Eyitayo Omolara; Eboh, Alfred; Lambert, John

    2018-04-13

    Context-specific factors influence adherence to antiretroviral therapy (ART) among pregnant women living with HIV. Gaps exist in the understanding of the reasons for the variable outcomes of the prevention of mother-to-child transmission (PMTCT) programme at the health facility level in South Africa. This study examined adherence levels and reasons for non-adherence during pregnancy in a cohort of parturient women enrolled in the PMTCT programme in the Eastern Cape, South Africa. This was a mixed-methods study involving 1709 parturient women in the Eastern Cape, South Africa. We conducted a multi-centre retrospective analysis of the mother-infant pair in the PMTCT electronic database in 2016. Semi-structured interviews of purposively selected parturient women with self-reported poor adherence (n = 177) were conducted to gain understanding of the main barriers to adherence. Binary logistic regression was used to determine the independent predictors of ART non-adherence. A high proportion (69.0%) of women reported perfect adherence. In the logistic regression analysis, after adjusting for confounding factors, marital status, cigarette smoking, alcohol use and non-disclosure to a family member were the independent predictors of non-adherence. Analysis of the qualitative data revealed that drug-related side-effects, being away from home, forgetfulness, non-disclosure, stigma and work-related demand were among the main reasons for non-adherence to ART. Non-adherence to the antiretroviral therapy among pregnant women in this setting is associated with lifestyle behaviours, HIV-related stigma and ART side-effects. In order to eliminate mother-to-child transmission of HIV, clinicians need to screen for these factors at every antenatal clinic visit.

  18. Risk factors for incident HIV infection among antenatal mothers in rural Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Charles Bitamazire Businge

    2016-01-01

    Full Text Available Background: The prevalence of HIV among antenatal clients in South Africa has remained at a very high rate of about 29% despite substantial decline in several sub-Saharan countries. There is a paucity of data on risk factors for incident HIV infection among antenatal mothers and women within the reproductive age bracket in local settings in the Eastern Cape, South Africa. Objective: To establish the risk factors for incident HIV infection among antenatal clients aged 18–49 years attending public antenatal clinics in rural Eastern Cape, South Africa. Design: This was an unmatched case–control study carried out in public health antenatal clinics of King Sabata District Municipality between January and March 2014. The cases comprised 100 clients with recent HIV infection; the controls were 200 HIV-negative antenatal clients. Socio-demographic, sexual, and behavioral data were collected using interviewer-administered questionnaires adapted from the standard DHS5 women's questionnaire. Multivariate logistic regression models were used to identify the independent risk factors for HIV infection. A p<0.05 was considered statistically significant. Results: The independent risk factors for incident HIV infection were economic dependence on the partner, having older male partners especially among women aged ≤20 years, and sex under the influence of alcohol. Conclusions: Therefore, effective prevention of HIV among antenatal mothers in KSDM must target the improvement of the economic status of women, thereby reducing economic dependence on their sexual partners; address the prevalent phenomenon of cross-generation sex among women aged <20 years; and regulate the brewing, marketing, and consumption of alcohol.

  19. Characterisation of STEC and other diarrheic E. coli isolated on CHROMagar™STEC at a tertiary referral hospital, Cape Town.

    Science.gov (United States)

    Kalule, John Bosco; Keddy, Karen H; Nicol, Mark P

    2018-06-08

    Shiga toxin producing E. coli (STEC) is an emerging zoonotic pathogen that can cause acute renal failure, especially in children. Clinical microbiology laboratories may fail to detect STEC and other diarrhoeic E. coli unless purposive rigorous screening procedures are followed using appropriate diagnostic technology; CHROMagar™STEC has rarely been used for isolation of African diarrhoeic E. coli hence characteristics of isolates on this medium are not yet fully understood. This study aimed to determine the prevalence and characteristics of STEC and other diarrhoeic E. coli isolated on CHROMagar™STEC from stool samples submitted to the microbiology laboratory of a South African public sector tertiary care hospital. In total, 733 stool samples were tested. Of these, 4.5% (33/733) possessed diarrhoeic E. coli. Of the diarrheic E. coli, 5/33 (15.2%) were STEC, 15/33 (45.5%) EAggEC, 6/33 (18.2%) atypical EPEC, 5/33 (15.2%) typical EPEC, and 1/33 (3%) DAEC. None of the STEC isolates had been identified by routine testing (based on using sorbitol media to test for E. coli O157: H7 strains and not the other STEC) in the laboratory. Of the 33 strains, 55% (95% CI = 40.8-72.7) showed resistance to ampicillin. CHROMagar™STEC enabled detection of tellurite - resistant diarrhoeic E. coli that would be missed using routine methods. Further studies are needed to determine the proportion and characteristics of those which might have been missed using this approach.

  20. Impacts of drought on grape yields in Western Cape, South Africa

    Science.gov (United States)

    Araujo, Julio A.; Abiodun, Babatunde J.; Crespo, Olivier

    2016-01-01

    Droughts remain a threat to grape yields in South Africa. Previous studies on the impacts of climate on grape yield in the country have focussed on the impact of rainfall and temperature separately; meanwhile, grape yields are affected by drought, which is a combination of rainfall and temperature influences. The present study investigates the impacts of drought on grape yields in the Western Cape (South Africa) at district and farm scales. The study used a new drought index that is based on simple water balance (Standardized Precipitation Evapotranspiration Index; hereafter, SPEI) to identify drought events and used a correlation analysis to identify the relationship between drought and grape yields. A crop simulation model (Agricultural Production Systems sIMulator, APSIM) was applied at the farm scale to investigate the role of irrigation in mitigating the impacts of drought on grape yield. The model gives a realistic simulation of grape yields. The Western Cape has experienced a series of severe droughts in the past few decades. The severe droughts occurred when a decrease in rainfall occurred simultaneously with an increase in temperature. El Niño Southern Oscillation (ENSO) appears to be an important driver of drought severity in the Western Cape, because most of the severe droughts occurred in El Niño years. At the district scale, the correlation between drought index and grape yield is weak ( r≈-0.5), but at the farm scale, it is strong ( r≈-0.9). This suggests that many farmers are able to mitigate the impacts of drought on grape yields through irrigation management. At the farm scale, where the impact of drought on grape yields is high, poor yield years coincide with moderate or severe drought periods. The APSIM simulation, which gives a realistic simulation of grape yields at the farm scale, suggests that grape yields become more sensitive to spring and summer droughts in the absence of irrigation. Results of this study may guide decision-making on

  1. Changing Livelihoods and Landscapes in the Rural Eastern Cape, South Africa: Past Influences and Future Trajectories

    Directory of Open Access Journals (Sweden)

    Sheona Shackleton

    2015-11-01

    Full Text Available This paper seeks to understand the drivers and pathways of local livelihood change and the prospects for transformation towards a more sustainable future. Data are used from several studies, and a participatory social learning process, which formed part of a larger project in two sites in the Eastern Cape, South Africa. Secondary information from a wealth of related work is used to place our results within the historic context and more general trends in the country. Findings indicate that livelihoods in the rural Eastern Cape are on new trajectories. Agricultural production has declined markedly, at a time when the need for diversification of livelihoods and food security seems to be at a premium. This decline is driven by a suite of drivers that interact with, and are influenced by, other changes and stresses affecting local livelihoods. We distil out the factors, ranging from historical processes to national policies and local dynamics, that hamper peoples’ motivation and ability to respond to locally identified vulnerabilities and, which, when taken together, could drive households into a trap. We end by considering the transformations required to help local people evade traps and progress towards a more promising future in a context of increasing uncertainty.

  2. 'Top, bottom, versatile': narratives of sexual practices in gay relationships in the Cape Metropole, South Africa.

    Science.gov (United States)

    Henderson, Neil John

    2017-07-13

    Sexual practices among gay and other men who have sex with men are evolving in South Africa and heteronormative stereotypes are being contested. This paper draws from a larger qualitative study on how men construct a gay identity and negotiate their relationships within contemporary South African contexts, following constitutional and legal changes, in this respect. A feminist, social constructionist approach was used to collect and analyse data from in-depth interviews with 15 self-identified gay men, aged 20 to 46 years, drawn from a university in the larger Cape Metropole, South Africa. Interviews were audio-recorded, transcribed verbatim and analysed using thematic and narrative analysis. 'Bottoms' revealed being powerful in receptive sex. Other men deconstructed the binaries of masculine/feminine and resisted heteronormativity by engaging in fluid constructions in their relationships, whereby participants 'switched' or 'flipped' or did not recognise stereotypical roles when practising sex. There may be value in making these flexible and reciprocal sexual practices better known about and promoted as non-normative African models of sexual practice.

  3. The development of hospitalbased palliative care services in public hospitals in the Western Cape South Africa

    Directory of Open Access Journals (Sweden)

    L Gwyther

    2018-02-01

    Full Text Available With the recent approval of a South African (SA National Policy Framework and Strategy for Palliative Care by the National Health Council, it is pertinent to reflect on initiatives to develop palliative care services in public hospitals. This article reviews the development of hospital-based palliative care services in the Western Cape, SA. Palliative care services in SA started in the non-governmental sector in the 1980s. The first SA hospital-based palliative care team was established in Charlotte Maxeke Johannesburg Academic Hospital in 2001. The awareness of the benefit of palliative care in the hospital setting led to the development of isolated pockets of excellence providing palliative care in the public health sector in SA. This article describes models for palliative care at tertiary, provincial and district hospital level, which could inform development of hospital-based palliative care as the national policy for palliative care is implemented in SA.

  4. Analysis of measured L-band airborne land clutter from the Western Cape region of South Africa

    CSIR Research Space (South Africa)

    De Witt, JJ

    2014-10-01

    Full Text Available -band Airborne Land Clutter from the Western Cape region of South Africa J.J. de Witt and J.J. Strydom Abstract: This paper presents backscatter analysis of L-band land clutter data, measured from an airborne platform, over various terrain types...

  5. Failure to Thrive? The Community Literacy Strand of the Additive Bilingual Project at an Eastern Cape Community School, South Africa

    Science.gov (United States)

    Hunt, George

    2007-01-01

    This paper discusses an attempt to establish community literacy procedures in an Eastern Cape community school. The school hosts the Additive Bilingual Education (ABLE) project, a cooperation between UK and South African universities and the school trust. The community literacy strand of the project encourages family members to contribute oral…

  6. Diversity and Contested Social Identities in Multilingual and Multicultural Contexts of the University of the Western Cape, South Africa

    Science.gov (United States)

    Banda, Felix; Peck, Amiena

    2016-01-01

    We draw on Rampton's "Crossing: Language and Ethnicity Among Adolescents" (2014. 2nd ed. New York: Routledge) notion of "crossing" to explore contestations in ethnolinguistic, cultural and racial affiliations at the University of the Western Cape (UWC), a university built for "Coloureds" in apartheid South Africa, but…

  7. High HIV, HPV, and STI Prevalence Among Young Western Cape, South African Women: EVRI HIV Prevention Preparedness Trial

    NARCIS (Netherlands)

    Giuliano, Anna R.; Botha, Matthys H.; Zeier, Michele; Abrahamsen, Martha E.; Glashoff, Richard H.; van der Laan, Louvina E.; Papenfuss, Mary; Engelbrecht, Susan; Schim van der Loeff, Maarten F.; Sudenga, Staci L.; Torres, Benji N.; Kipping, Siegfried; Taylor, Douglas

    2015-01-01

    Background:This study sought to assess the feasibility of conducting a phase III HIV prevention trial using a multivalent human papillomavirus (HPV) vaccine (Gardasil; Merck, Whitehouse Station, NJ).Methods:A total of 479 sexually active women aged 16-24 years in the Western Cape, South Africa, were

  8. SOUTH 4FRIC4 (1400-1881)

    African Journals Online (AJOL)

    3. G.E. Cory: The Rise of South Africa, (Cape Town,. 1965), Vol 2, P 223. 4. C.F.J. Muller. (ed): ... on the islands of the Orange River, and who. 'invade ... owned forty-three horses at the. Cape. ... sixty miles a day if they were not pushed too fast ...

  9. Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study.

    Science.gov (United States)

    Milambo, Jean Paul Muambangu; Cho, KaWing; Okwundu, Charles; Olowoyeye, Abiola; Ndayisaba, Leonidas; Chand, Sanjay; Corden, Mark H

    2018-01-01

    Current practice in the Western Cape region of South Africa is to discharge newborns born in-hospital within 24 h following uncomplicated vaginal delivery and two days after caesarean section. Mothers are instructed to bring their newborn to a clinic after discharge for a health assessment. We sought to determine the rate of newborn follow-up visits and the potential barriers to timely follow-up. Mother-newborn dyads at Tygerberg Hospital in Cape Town, South Africa were enrolled from November 2014 to April 2015. Demographic data were obtained via questionnaire and medical records. Mothers were contacted one week after discharge to determine if they had brought their newborns for a follow-up visit, and if not, the barriers to follow-up. Factors associated with follow-up were analyzed using logistic regression. Of 972 newborns, 794 (82%) were seen at a clinic for a follow-up visit within one week of discharge. Mothers with a higher education level or whose newborns were less than 37 weeks were more likely to follow up. The follow-up rate did not differ based on hospital length of stay. Main reported barriers to follow-up included maternal illness, lack of money for transportation, and mother felt follow-up was unnecessary because newborn was healthy. Nearly 4 in 5 newborns were seen at a clinic within one week after hospital discharge, in keeping with local practice guidelines. Further research on the outcomes of this population and those who fail to follow up is needed to determine the impact of postnatal healthcare policy.

  10. 'One Man Can': shifts in fatherhood beliefs and parenting practices following a gender-transformative programme in Eastern Cape, South Africa.

    Science.gov (United States)

    van den Berg, Wessel; Hendricks, Lynn; Hatcher, Abigail; Peacock, Dean; Godana, Patrick; Dworkin, Shari

    2013-02-01

    'One Man Can' (OMC) is a rights-based gender equality and health programme implemented by Sonke Gender Justice in South Africa. It has been featured as an example of best practice by the World Health Organization, UNAIDS, and the UN Population Fund, and translated into nearly a dozen languages and implemented all across Africa. South Africa has strong gender and HIV-related policies, but the highest documented level of men's violence against women in the world, and the largest number of people living with HIV. In this context, OMC seeks to improve men's relationships with their partners, children, and families, reduce the spread and impact of HIV and AIDS, and reduce violence against women, men, and children. To understand whether and how OMC workshops brought about changes in men's attitudes and practices related to parenting, an academic-non-government organisation partnership was carried out with the University of California at San Francisco, the University of Cape Town, and Sonke. The workshops appear to have contributed powerfully to improved parenting and more involved and responsible fathering. This article shares our findings in more detail and discusses the promises and challenges of gender-transformative work with men, underscoring the implications of this work for the health and well-being of women, children, and men.

  11. A synoptic decomposition of rainfall over the Cape south coast of South Africa

    CSIR Research Space (South Africa)

    Engelbrecht, CJ

    2015-05-01

    Full Text Available Reviewers: Alice Favre afavre@csag.uct.ac.za Expert in cut-off lows occurring over South Africa Chris Reason chris.reason@uct.ac.za Expert in southern Africa climate variability Michael Pook mike.pook@csiro.au Expert in developing synoptic climatology...

  12. The Cape Town Carbon Observatory

    CSIR Research Space (South Africa)

    Nickless, A

    2012-10-01

    Full Text Available in the air very precisely and continuously, and by knowing how the air moves over the Earth’s surface, it is possible to estimate where the gases came from, and in what quantity. This is called inverse modelling. The method has been developed and tested...

  13. Implementation of the biomass gasification project for community empowerment at Melani village, Eastern Cape, South Africa

    Energy Technology Data Exchange (ETDEWEB)

    Mamphweli, Ntshengedzeni S.; Meyer, Edson L. [University of Fort Hare, Institute of Technology, Private Bag X1314, Alice 5700 (South Africa)

    2009-12-15

    Eskom and the University of Fort Hare are engaged in a biomass gasification project using the System Johansson Biomass gasifier (SJBG). The SJBG installed at Melani village in the Eastern Cape province of South Africa is used to assess the viability and affordability of biomass gasification in South Africa. A community needs assessment study was undertaken at the village before the installation of the plant. The study revealed the need for low-cost electricity for small businesses including growing of crops, chicken broilers, manufacturing of windows and door frames, sewing of clothing, bakery etc. It was also found that the community had a problem with the socio-environmental aspects of burning biomass waste from the sawmill furnace as a means of waste management. The SJBG uses the excess biomass materials (waste) to generate low-cost electricity to drive community economic development initiatives. A study on the properties and suitability of the biomass materials resulting from sawmill operation and their suitability for gasification using the SJBG was undertaken. The study established that the biomass materials meet the requirements for the SJBG. A 300 Nm{sup 3}/h SJBG was then manufactured and installed at the village. (author)

  14. Three new species of Diascia (Scrophulariaceae from the Western Cape, South Africa

    Directory of Open Access Journals (Sweden)

    K. E. Steiner

    2009-08-01

    Full Text Available Three new annual species of Diascia Link & Otto are described from the Western Cape Province of South Africa. D. collina is characterized by greyish magenta flowers with two divergent yellow sacs containing oil-secreting trichomes. It is restricted to granite outcrops in the vicinity of Saldanha Bay, from the West Coast National Park and Langebaan north to Vredenburg. D. pusilla is closely related to D. collina. but differs from that species in having smaller flowers with shorter, ± parallel sacs, and posticous filaments that lack a protuberance where they bend sharply backwards towards the upper lip. It occurs in grey to whitish sands usually near seasonally moist or wet areas. It has not been found more than 35 km from the coast and ranges from Modderrivier, south o f Darling, north to Lambert’s Bay. D. appendiculata is related to D. diffusa (Thunb. Benth. and is characterized by having small, mainly reddish lilac to greyish magenta flowers, two shallow depressions in the corolla tube at the base of the upper lip, and posticous filaments with sterile appendages. It is known from only six localities in the general vicinity of Citrusdal and occurs in fynbos vegetation on lower mountain slopes or flats, in loose alluvial sands derived from Table Mountain Sandstone.

  15. Mycobacterium tuberculosis infection in cattle from the Eastern Cape Province of South Africa.

    Science.gov (United States)

    Hlokwe, Tiny Motlatso; Said, Halima; Gcebe, Nomakorinte

    2017-10-10

    Mycobacterium tuberculosis is the main causative agent of tuberculosis (TB) in human and Mycobacterium bovis commonly causes tuberculosis in animals. Transmission of tuberculosis caused by both pathogens can occur from human to animals and vice versa. In the current study, M. tuberculosis, as confirmed by polymerase chain reaction (PCR) using primers targeting 3 regions of difference (RD4, RD9 and RD12) on the genomes, was isolated from cattle originating from two epidemiologically unrelated farms in the Eastern Cape (E.C) Province of South Africa. Although the isolates were genotyped with variable number of tandem repeat (VNTR) typing, no detailed epidemiological investigation was carried out on the respective farms to unequivocally confirm or link humans as sources of TB transmission to cattle, a move that would have embraced the 'One Health' concept. In addition, strain comparison with human M. tuberculosis in the database from the E.C Province and other provinces in the country did not reveal any match. This is the first report of cases of M. tuberculosis infection in cattle in South Africa. The VNTR profiles of the M. tuberculosis strains identified in the current study will form the basis for creating M. tuberculosis VNTR database for animals including cattle for future epidemiological studies. Our findings however, call for urgent reinforcement of collaborative efforts between the veterinary and the public health services of the country.

  16. Shale Gas characteristics of Permian black shales (Ecca group, Eastern Cape, South Africa)

    Science.gov (United States)

    Geel, Claire; Booth, Peter; Schulz, Hans-Martin; Horsfield, Brian; de Wit, Maarten

    2013-04-01

    This study involves a comprehensive and detailed lithological, sedimentalogical, structural and geochemical description of the lower Ecca Group in the Eastern Cape, South Africa. The Ecca group hosts a ~ 245 million year old organic-rich black shale, which has recently been the focus of interest of petroleum companies worldwide. The shale was deposited under anoxic conditions in a setting which formed as a consequence of retro-arc foreland basin development related to the Cape Fold Belt. This sedimentary/tectonic environment provided the conditions for deeply buried black shales to reach maturity levels for development in the gas window. The investigation site is called the Greystone Area and is situated north of Wolwefontein en route to Jansenville. The area has outcrops of the Dwyka, the Ecca and the lower Beaufort Groups. The outcrops were mapped extensively and the data was used in conjunction with GIS software to produce a detailed geological map. North-south cross sections were drawn to give indication of bed thicknesses and formation depths. Using the field work, data two boreholes were accurately sited on the northern limb of a shallow easterly plunging syncline. The first borehole reached 100m and the second was drilled to 292m depth (100m percussion and 192m core). The second borehole was drilled 200m south of the first, to penetrate the formations at a greater depth and to avoid surface weathering. Fresh core from the upper Dwyka Group, the Prince Albert Formation, the Whitehill Formation, Collingham Formation and part of the Ripon Formation were successfully extracted and a detailed stratigraphic log has been drawn up. The core was sampled during extraction and the samples were immediately sent to the GFZ in Potsdam, Germany, for geochemical analyses. As suspected the black shales of the the Whitehill Formation are high in organic carbon and have an average TOC value of 4.5%, whereas the Prince Albert and Collingham Formation are below 1%. Tmax values

  17. Report on the first government-funded opioid substitution programme for heroin users in the Western Cape Province, South Africa

    Directory of Open Access Journals (Sweden)

    Graeme Michie

    2017-06-01

    Full Text Available Background. Although pharmacological opioid substitution treatment (OST is a well-established treatment modality for heroin addiction, it is a relatively recent introduction in low- and middle-income countries. Objective. To report on a pilot OST programme initiated in 2013 that was the only public-funded programme in South Africa (SA at the time. Participants were offered standard care only (n=68 or, for the OST group (n=67, standard care plus Suboxone (Reckitt Benckiser, a synthetic partial opioid agonist, in a 12-week clinician-monitored programme. Methods. Clinical records of 135 participants in the rehabilitation programme at Sultan Bahu Rehabilitation Centre in Mitchell’s Plain, Cape Town, SA, from 1 January to 31 December 2014 were reviewed. Data collected included demographics and duration in treatment (retention as well as number of urine samples provided, positive tests or self-reported use events and dates of first positive/negative tests. Results. Significantly more participants in the OST group (65.7% than controls (44.1% completed the treatment (p=0.019. Among the non-completers, retention was higher in the OST group than in the standard care group (48.2 v. 30.1 days; p=0.001. The groups did not differ in respect of number of missed appointments and time to first positive test. However, the proportion of participants testing positive was higher in the OST group (80.6% than in the standard care group (61.8%, although the former were tested nearly three times (18.3 v. 6.6 times more. Consequently, the positive rate (proportion of positive tests was substantially lower in the OST group (16.8% than in the standard care group (23.3%. Conclusions. The results demonstrate modest success of this pilot OST programme in terms of completion and retention and should argue for a move to increase availability of and accessibility to OSTs for the management of opioid use disorder.

  18. Incidence of haematological malignancies, Eastern Cape Province; South Africa, 2004-2013.

    Science.gov (United States)

    Oelofse, Diana; Truter, Ilse

    2018-04-01

    The incidence of haematological malignancies in Africa's rapidly urbanising populations is insufficiently explored. Reliable population-based cancer statistics, however, continues to be a scarce resource in Africa and tends to be urban biased with limited rural coverage. In addition, many haematological malignancies are regarded as rare cancers, a sub-group that often affects the young disproportionately and require advanced diagnostic services and facilities able to deliver costly sophisticated treatments. This study provides a first attempt to estimate the incidence of haematological malignancies among the Eastern Cape Province population of South Africa. Multiple public- and private sector data archives and resources were utilised to optimise the identification of incident cases, including clinical records; bone marrow; cytology; histology; flow cytometry and cytogenetic records. Crude incidence, age-and gender-standardised rates are presented and comparison made with existing national data and select data from other economically developed countries and global institutions. A total of 3603 incident cases were identified between 2004 and 2013. Mature lymphoid malignancies accounted for approximately 60% (n = 2153), myeloma/plasma cell neoplasms 13% (n = 465), acute leukaemia 17% (n = 596), chronic myeloid leukaemia 4% (n = 155) and other myeloproliferative neoplasms 6% (n = 234) when stratified according to conventional groups. Most subtypes increase with age, with male excess. Haematological malignancies in the Eastern Cape Province show disparities in gender and pathology-specific incidence patterns. The present study suggest that haematological malignancies are not uncommon in this region and the incidence rate of at least one rare subtype, APL, is comparable with some European populations. Copyright © 2018 Elsevier Ltd. All rights reserved.

  19. Human enteric bacteria and viruses in five wastewater treatment plants in the Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Olayinka Osuolale

    2017-09-01

    Full Text Available Monitoring effluents from wastewater treatment plants is important to preventing both environmental contamination and the spread of disease. We evaluated the occurrence of human enteric bacteria (faecal coliforms and Escherichia coli and viruses (rotavirus and enterovirus in the final effluents of five wastewater treatment plants (WWTPs in the Eastern Cape of South Africa. Human viruses were recovered from the effluent samples with the adsorption–elution method and detected with singleplex real-time RT–PCR assays. Rotavirus was detected in several effluents samples, but no enterovirus was detected. At WWTP-C, rotavirus titre up to 105 genome copies/L was observed and present in 41.7% of the samples. At WWTP-B, the virus was detected in 41.7% of samples, with viral titres up to 103 genome copies/L. The virus was detected once at WWTP-E, in 9% of the samples analysed. The viral titres at WWTP-A were below the detection limit in all 25% of the 1.25 L samples in which the virus was detected. Rotavirus was not observed at WWTP-D. Faecal coliform bacteria and E. coli were detected in all the WWTPs, but no correlation was established between the enteric bacteria and viruses studied. The occurrence of rotavirus in effluent samples discharged into surface waters highlights the importance of assessing viral contamination in the water sources used for domestic water use. Keywords: Rotavirus, Enterovirus, Wastewater, Eastern Cape, Effluent, Faecal coliforms and Escherichia coli

  20. Characterising fifteen years of continuous atmospheric radon activity observations at Cape Point (South Africa)

    Science.gov (United States)

    Botha, R.; Labuschagne, C.; Williams, A. G.; Bosman, G.; Brunke, E.-G.; Rossouw, A.; Lindsay, R.

    2018-03-01

    This paper describes and discusses fifteen years (1999-2013) of continuous hourly atmospheric radon (222Rn) monitoring at the coastal low-altitude Southern Hemisphere Cape Point Station in South Africa. A strong seasonal cycle is evident in the observed radon concentrations, with maxima during the winter months, when air masses arriving at the Cape Point station from over the African continental surface are more frequently observed, and minima during the summer months, when an oceanic fetch is predominant. An atmospheric mean radon activity concentration of 676 ± 2 mBq/m3 is found over the 15-year record, having a strongly skewed distribution that exhibits a large number of events falling into a compact range of low values (corresponding to oceanic air masses), and a smaller number of events with high radon values spread over a wide range (corresponding to continental air masses). The mean radon concentration from continental air masses (1 004 ± 6 mBq/m3) is about two times higher compared to oceanic air masses (479 ± 3 mBq/m3). The number of atmospheric radon events observed is strongly dependent on the wind direction. A power spectral Fast Fourier Transform analysis of the 15-year radon time series reveals prominent peaks at semi-diurnal, diurnal and annual timescales. Two inter-annual radon periodicities have been established, the diurnal 0.98 ± 0.04 day-1 and half-diurnal 2.07 ± 0.15 day-1. The annual peak reflects major seasonal changes in the patterns of offshore versus onshore flow associated with regional/hemispheric circulation patterns, whereas the diurnal and semi-diurnal peaks together reflect the influence of local nocturnal radon build-up over land, and the interplay between mesoscale sea/land breezes. The winter-time diurnal radon concentration had a significant decrease of about 200 mBq/m3 (17%) while the summer-time diurnal radon concentration revealed nearly no changes. A slow decline in the higher radon percentiles (75th and 95th) for the

  1. Cyclonic eddies identified in the Cape Basin of the South Atlantic Ocean

    Science.gov (United States)

    Hall, C.; Lutjeharms, J. R. E.

    2011-03-01

    Inter-ocean exchange south of Africa takes place largely through the movement of Agulhas Rings into the Cape Basin. Recent observations have shown that the highly energetic flow field in this basin consists of anti-cyclonic rings as well as cyclonic eddies. Very little is known of the characteristics of the cyclonic eddies. Using altimetric data, this study determines the location, frequency and seasonality of these cyclonic eddies their size, trajectories, life spans and their association with Agulhas Rings. Cyclonic eddies were seen to split, merge and link with other cyclonic eddies, where splitting events created child cyclonic eddies. The 105 parent and 157 child cyclonic eddies identified over a decade show that on average 11 parent and 17 child cyclonic eddies appear annually in AVISO merged absolute dynamic topography data along the continental slope. Thirty-two percent follow an overall west south-westward direction, with 27% going west north-westward. Average translocation speeds are 2.2 ± 0.1 km/day for parent and 3.0 ± 0.2 km/day for child cyclonic eddies. Parent cyclonic eddy lifespan averaged 250 ± 18 days; whereas child cyclonic eddies survived for only 118 ± 11 days. A significant difference in lifespan for parent and child cyclonic eddies identified in the north and south region of the study area was detected. Seventy-seven percent of the northern and 93% of the southern cyclonic eddies were first detected directly adjacent to passing Agulhas Rings, suggesting a vital interaction between these mesoscale eddies within the region. Topographical features appeared to affect the behaviour and lifespan of these deep cyclonic eddies.

  2. A Systems Dynamic Model for Drug Abuse and Drug-Related Crime in the Western Cape Province of South Africa

    Directory of Open Access Journals (Sweden)

    Farai Nyabadza

    2017-01-01

    Full Text Available The complex problem of drug abuse and drug-related crimes in communities in the Western Cape province cannot be studied in isolation but through the system they are embedded in. In this paper, a theoretical model to evaluate the syndemic of substance abuse and drug-related crimes within the Western Cape province of South Africa is constructed and explored. The dynamics of drug abuse and drug-related crimes within the Western Cape are simulated using STELLA software. The simulation results are consistent with the data from SACENDU and CrimeStats SA, highlighting the usefulness of such a model in designing and planning interventions to combat substance abuse and its related problems.

  3. The effects of greenbelt cancellation on land value - The case of Wirye New town, South Korea

    Science.gov (United States)

    Lee, S. G.; Yoon, H.

    2017-12-01

    In 1971, South Korean government began designating urban growth boundary around the major cities (total 4,294 in 7 metropolitan areas, and total 809 in 7 small and medium sized urban areas) to control the urban sprawl, spurred by the rapid industrialization and urbanization from the 1960s. However, due to the heated development pressure within the cities, and the recognition of its inefficiency for the original purpose, the growth limit, so-called greenbelt, has been gradually canceled since the late 1990s. In response to this change, real estate market around the greenbelt has been also changed. Extant researches suggest that designating greenbelt causes land scarcity and adds amenity value, driving up land and property price within and approaching to the boundary. On the other hand, cancellation of greenbelt consequently increases developable land and eases the land scarcity, thus can be expected to decrease land value. However, when the canceled greenbelt is to be developed, the price again increases within the boundary, while generating externalities outward. Wirye New Town is one of the government-driven housing developments on repealed greenbelt, to meet the great housing demand of the southern part of Seoul. The site area is 6.8km2 , containing 42,947 housing units, and supplementary infrastructures such as new subway lines and transit malls. Its plan was announced in 2005, and the expected completion is 2017. In 2013, after partial completion, 2,949 apartments began to be occupied. 20,810 housing units have been supplied as of 2015, and 22,137 additional units are going to be provided by 2019. This change has increased average land and housing price of the vicinity by the real demand as well as the real estate speculation. While this alteration of greenbelt has affected adjacent real estate market substantially, study has not been conducted to quantify the impact. In this backdrop, this study aims to analyze the changing externalities effect of greenbelt on

  4. Posttraumatic Stress Disorder and Barriers to Care in Eastern Cape Province, South Africa.

    Science.gov (United States)

    Topper, Kegan; van Rooyen, Kempie; Grobler, Christoffel; van Rooyen, Dalena; Andersson, Lena M C

    2015-08-01

    A range of barriers to seeking mental health care in low- and middle-income countries has been investigated. Little, however, is known of the barriers to care and help-seeking behavior among people with posttraumatic stress disorder (PTSD) in low- and middle-income countries. This was a population-based study including 977 people aged 18-40 years from the Eastern Cape Province in South Africa. Current PTSD was assessed by using a diagnostic questionnaire (Mini International Psychiatric Interview). An additional questionnaire captured socioeconomic and health-related data. The prevalence of current PTSD was 10.8%. Only 48.1% of people with current PTSD accessed health care services. Younger people aged 18 to 29 years were less likely to seek health care, OR = 0.36, 95% CI [0.15, 0.85]. People earning a salary or wage, OR = 2.91, 95% CI [1.26, 6.71]; and those with tuberculosis, OR = 11.63, 95% CI [1.42, 95.56], were more likely to seek health care. A range of barriers to seeking care were identified, the most striking being stigma and a lack of knowledge regarding the nature and treatment of mental illness. People with current PTSD may seek help for other health concerns and brief screening means those affected may be readily identified. Copyright © 2015 Wiley Periodicals, Inc., A Wiley Company.

  5. Land Use Regression Modeling of Outdoor Noise Exposure in Informal Settlements in Western Cape, South Africa.

    Science.gov (United States)

    Sieber, Chloé; Ragettli, Martina S; Brink, Mark; Toyib, Olaniyan; Baatjies, Roslyn; Saucy, Apolline; Probst-Hensch, Nicole; Dalvie, Mohamed Aqiel; Röösli, Martin

    2017-10-20

    In low- and middle-income countries, noise exposure and its negative health effects have been little explored. The present study aimed to assess the noise exposure situation in adults living in informal settings in the Western Cape Province, South Africa. We conducted continuous one-week outdoor noise measurements at 134 homes in four different areas. These data were used to develop a land use regression (LUR) model to predict A-weighted day-evening-night equivalent sound levels (L den ) from geographic information system (GIS) variables. Mean noise exposure during day (6:00-18:00) was 60.0 A-weighted decibels (dB(A)) (interquartile range 56.9-62.9 dB(A)), during night (22:00-6:00) 52.9 dB(A) (49.3-55.8 dB(A)) and average L den was 63.0 dB(A) (60.1-66.5 dB(A)). Main predictors of the LUR model were related to road traffic and household density. Model performance was low (adjusted R 2 = 0.130) suggesting that other influences than those represented in the geographic predictors are relevant for noise exposure. This is one of the few studies on the noise exposure situation in low- and middle-income countries. It demonstrates that noise exposure levels are high in these settings.

  6. Land Use Regression Modeling of Outdoor Noise Exposure in Informal Settlements in Western Cape, South Africa

    Science.gov (United States)

    Sieber, Chloé; Ragettli, Martina S.; Toyib, Olaniyan; Baatjies, Roslyn; Saucy, Apolline; Probst-Hensch, Nicole; Dalvie, Mohamed Aqiel; Röösli, Martin

    2017-01-01

    In low- and middle-income countries, noise exposure and its negative health effects have been little explored. The present study aimed to assess the noise exposure situation in adults living in informal settings in the Western Cape Province, South Africa. We conducted continuous one-week outdoor noise measurements at 134 homes in four different areas. These data were used to develop a land use regression (LUR) model to predict A-weighted day-evening-night equivalent sound levels (Lden) from geographic information system (GIS) variables. Mean noise exposure during day (6:00–18:00) was 60.0 A-weighted decibels (dB(A)) (interquartile range 56.9–62.9 dB(A)), during night (22:00–6:00) 52.9 dB(A) (49.3–55.8 dB(A)) and average Lden was 63.0 dB(A) (60.1–66.5 dB(A)). Main predictors of the LUR model were related to road traffic and household density. Model performance was low (adjusted R2 = 0.130) suggesting that other influences than those represented in the geographic predictors are relevant for noise exposure. This is one of the few studies on the noise exposure situation in low- and middle-income countries. It demonstrates that noise exposure levels are high in these settings. PMID:29053590

  7. Trends in soil erosion and woody shrub encroachment in Ngqushwa district, Eastern Cape Province, South Africa.

    Science.gov (United States)

    Manjoro, Munyaradzi; Kakembo, Vincent; Rowntree, Kate M

    2012-03-01

    Woody shrub encroachment severely impacts on the hydrological and erosion response of rangelands and abandoned cultivated lands. These processes have been widely investigated at various spatial scales, using mostly field experimentation. The present study used remote sensing to investigate spatial and temporal patterns of soil erosion and encroachment by a woody shrub species, Pteronia incana, in a catchment in Ngqushwa district, Eastern Cape Province, South Africa between 1998 and 2008. The extreme categories of soil erosion and shrub encroachment were mapped with higher accuracy than the intermediate ones, particularly where lower spatial resolution data were used. The results showed that soil erosion in the worst category increased simultaneously with dense woody shrub encroachment on the hill slopes. This trend is related to the spatial patterning of woody shrub vegetation that increases bare soil patches--leading to runoff connectivity and concentration of overland flow. The major changes in soil erosion and shrub encroachment analysed during the 10-year period took place in the 5-9° slope category and on the concave slope form. Multi-temporal analyses, based on remote sensing, can extend our understanding of the dynamics of soil erosion and woody shrub encroachment. They may help benchmark the processes and assist in upscaling field studies.

  8. Interactive simulations for promoting transdisciplinary understanding: a case study of the Western Cape fisheries, South Africa

    Directory of Open Access Journals (Sweden)

    Cecile Proches

    2012-07-01

    Full Text Available Simulations have proven beneficial in enabling participants from various backgrounds to meaningfully engage in learning from experience. The aim of this paper is to investigate how interactive simulations can play a role in navigating the changes faced in a multi- stakeholder setting, characterised by users dependent on marine resources and an authorising institution. Relevant literature in the areas of simulation and gaming, change management, systems thinking, and complexity theory was examined. A qualitative research approach and purposive sampling were employed. Interviews were first conducted with diverse stakeholders in the Western Cape fisheries of South Africa to determine the issues. A simulation was thereafter designed. The main findings from this study indicate that simulation use illustrates how the various stakeholders in a system interact, and how their actions and decisions influence each other. The simulation may be used in other areas of natural resource management, as well as in other kinds of multi- stakeholder scenarios. Keywords: Simulation and gaming, Change management, Fisheries, Multi-stakeholder scenarios, Systems thinking, Complexity theory Disciplines: Conflict Resolution, Leadership Studies, Management Studies, Natural Resource Management

  9. Braided fluvial sedimentation in the lower paleozoic cape basin, South Africa

    Science.gov (United States)

    Vos, Richard G.; Tankard, Anthony J.

    1981-07-01

    Lower Paleozoic braided stream deposits from the Piekenier Formation in the Cape Province, South Africa, provide information on lateral and vertical facies variability in an alluvial plain complex influenced by a moderate to high runoff. Four braided stream facies are recognized on the basis of distinct lithologies and assemblages of sedimentary structures. A lower facies, dominated by upward-fining conglomerate to sandstone and mudstone channel fill sequences, is interpreted as a middle to lower alluvial plain deposit with significant suspended load sedimentation in areas of moderate to low gradients. These deposits are succeeded by longitudinal conglomerate bars which are attributed to middle to upper alluvial plain sedimentation with steeper gradients. This facies is in turn overlain by braid bar complexes of large-scale transverse to linguoid dunes consisting of coarse-grained pebbly sandstones with conglomerate lenses. These bar complexes are compared with environments of the Recent Platte River. They represent a middle to lower alluvial plain facies with moderate gradients and no significant suspended load sedimentation or vegetation to stabilize channels. These bar complexes interfinger basinward with plane bedded medium to coarse-grained sandstones interpreted as sheet flood deposits over the distal portions of an alluvial plain with low gradients and lacking fine-grained detritus or vegetation.

  10. Characterizing Degradation Gradients through Land Cover Change Analysis in Rural Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Zahn Münch

    2017-02-01

    Full Text Available Land cover change analysis was performed for three catchments in the rural Eastern Cape, South Africa, for two time steps (2000 and 2014, to characterize landscape conversion trajectories for sustained landscape health. Land cover maps were derived: (1 from existing data (2000; and (2 through object-based image analysis (2014 of Landsat 8 imagery. Land cover change analysis was facilitated using land cover labels developed to identify landscape change trajectories. Land cover labels assigned to each intersection of the land cover maps at the two time steps provide a thematic representation of the spatial distribution of change. While land use patterns are characterized by high persistence (77%, the expansion of urban areas and agriculture has occurred predominantly at the expense of grassland. The persistence and intensification of natural or invaded wooded areas were identified as a degradation gradient within the landscape, which amounted to almost 10% of the study area. The challenge remains to determine significant signals in the landscape that are not artefacts of error in the underlying input data or scale of analysis. Systematic change analysis and accurate uncertainty reporting can potentially address these issues to produce authentic output for further modelling.

  11. Farmers' perceptions of goat kid mortality under communal farming in Eastern Cape, South Africa.

    Science.gov (United States)

    Slayi, Mhlangabezi; Maphosa, Viola; Fayemi, Olutope Peter; Mapfumo, Lizwell

    2014-10-01

    Rearing of goats under communal farming conditions is characterised by high kid mortality and low weaning percentages. A survey was conducted to determine farmers' perceptions on the causes of kid mortality during summer under the communal farming system in Nkonkobe Local Municipality in the Eastern Cape, South Africa. This was done by administering questionnaires to a total of 162 respondents in 14 villages around Nkonkobe Local Municipality. The study showed that majority of farmers (75 %) keep flock sizes of less than 10 goats and kids, and this indicates that goat production in Nkonkobe Local Municipality is suppressed. According to the farmers, diseases (89 %), endo-parasites (72 %) and ecto-parasites (68 %) were perceived as the major causes of kid mortality. Other causes reported include starvation (15 %), extreme weather conditions (28 %), abortion (7 %), theft (35 %), diarrhoea (43 %), accidents (10 %) and wounds (9 %). The low number of goats could be attributed to high mortalities. It was also found that all causes reported by farmers played a role in high kid mortality in Nkonkobe Local Municipality. However, the causes which require more emphasis to formulate extension support were tick-borne diseases and parasites. This study provided baseline information on possible causes of kid mortalities in Nkonkobe Local Municipality. There is, however, a need to conduct further studies to determine actual causes of high kid mortalities so as to develop preventive strategies that would minimize kid mortality for good economic returns.

  12. Two new species of Nemesia (Scrophulariaceae from the southern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    K. E. Steiner

    2010-07-01

    Full Text Available Two new species of Nemesia Vent, are described from South Africa. Nemesia fourcadei is an annual with small white flowers, a yellow-orange pubescent palate, and violet lines at the base of the upper lip. It differs from the similar looking N. lucida Benth. by having larger flowers with a more prominent spur (mostly 3.5—4.5 mm long vs < 1.5 mm and a pubescent palate. N. fourcadei is known from only two locations in the southern Cape. N. elata is a facultative perennial with white flowers, a lavender to purple reverse, and a white or very pale yellow palate. It is known only from the Langeberg and Oute-niqua Mountains between Swellendam and Montagu Pass. It is closest to N. fourcadei. but differs from that species by its more robust habit, the absence of a boss inside the corolla tube at the base of the hypochile, and a spur that is violet to purple at the base.

  13. Rabies in the Eastern Cape Province of South Africa - where are we going wrong?

    Directory of Open Access Journals (Sweden)

    S.J. Van Sittert

    2010-05-01

    Full Text Available Rabies is a growing problem in the Eastern Cape Province of South Africa. This study investigated dog ecology, vaccination coverage and rabies neutralising antibody levels in 203 randomly selected dogs within a local municipality in the former Transkei area. Responses to vaccination were also evaluated in 80 of these dogs. The population was remarkably uniform in size, breed and condition. Slightly over 1/5th of the population was between 6 weeks and 1 year of age, while very few dogs reached 10 years or older. According to owner responses, the Animal Health Technicians achieved a total vaccination coverage of 65 % of owned dogs over several years, but only 56 % within the previous 12 months. Only 32%of dogs had adequate circulating rabies virus neutralisation antibodies (≥0.5IU/ℓ. After vaccination, 83 % had seroconverted to this level. The magnitude of seroconversion was independent of body condition or age. This study proposes a different approach to vaccination strategies than those currently employed in certain areas of the province.

  14. Social media adoption among lecturers at a traditional university in Eastern Cape Province of South Africa

    Directory of Open Access Journals (Sweden)

    Obrain T. Murire

    2017-07-01

    Objective: The purpose of the study was to examine social media adoption among lecturers at a traditional university in Eastern Cape Province of South Africa. Method: The unified theory of acceptance and use of technology (UTAUT framework was used as the theoretical foundation of the questionnaire that was distributed to 300 full-time staff members. A response rate of 39% was attained. Factor analysis was used to test the relationship between variables. Contribution: The study’s contribution is to the theoretical body of knowledge that affirms that the UTAUT framework is an appropriate tool to use to test adoption of social media at traditional universities. Conclusion: The findings indicated that academics are conversant with emerging technologies and could incorporate these technologies into academic settings with an aim to increase communication and interaction among lecturers and learners. The results revealed that performance expectancy, social influence, effort expectancy and behavioural intention have a positive influence on social media adoption and continued use by academics in teaching and learning at traditional university. The facilitating condition scale was not statistically significant, but must be considered by management in order to improve the adoption of social media among lecturers.

  15. Evaluating the electronic tuberculosis register surveillance system in Eden District, Western Cape, South Africa, 2015.

    Science.gov (United States)

    Mlotshwa, Mandla; Smit, Sandra; Williams, Seymour; Reddy, Carl; Medina-Marino, Andrew

    2017-01-01

    Tuberculosis (TB) surveillance data are crucial to the effectiveness of National TB Control Programs. In South Africa, few surveillance system evaluations have been undertaken to provide a rigorous assessment of the platform from which the national and district health systems draws data to inform programs and policies. Evaluate the attributes of Eden District's TB surveillance system, Western Cape Province, South Africa. Data quality, sensitivity and positive predictive value were assessed using secondary data from 40,033 TB cases entered in Eden District's ETR.Net from 2007 to 2013, and 79 purposively selected TB Blue Cards (TBCs), a medical patient file and source document for data entered into ETR.Net. Simplicity, flexibility, acceptability, stability and usefulness of the ETR.Net were assessed qualitatively through interviews with TB nurses, information health officers, sub-district and district coordinators involved in the TB surveillance. TB surveillance system stakeholders report that Eden District's ETR.Net system was simple, acceptable, flexible and stable, and achieves its objective of informing TB control program, policies and activities. Data were less complete in the ETR.Net (66-100%) than in the TBCs (76-100%), and concordant for most variables except pre-treatment smear results, antiretroviral therapy (ART) and treatment outcome. The sensitivity of recorded variables in ETR.Net was 98% for gender, 97% for patient category, 93% for ART, 92% for treatment outcome and 90% for pre-treatment smear grading. Our results reveal that the system provides useful information to guide TB control program activities in Eden District. However, urgent attention is needed to address gaps in clinical recording on the TBC and data capturing into the ETR.Net system. We recommend continuous training and support of TB personnel involved with TB care, management and surveillance on TB data recording into the TBCs and ETR.Net as well as the implementation of a well

  16. The symptom experience of people living with HIV and AIDS in the Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Phaswana-Mafuya Nancy

    2008-12-01

    Full Text Available Abstract Background Symptom management for persons living with HIV (PLHIV or AIDS is an important part of care management. Limited information about symptom prevalence exists about HIV infected persons in South Africa, in particular in the context of antiretroviral treatment (ART. The aim of this study was to assess HIV symptoms and demographic, social and disease variables of people living with HIV in South Africa. Methods In 2007 607 PLHIV, sampled by all districts in the Eastern Cape Province and recruited through convenience sampling, were interviewed by PLHIV at health facilities, key informants in the community and support groups. Results Two-thirds of the PLHIV (66% classified themselves with being given an AIDS (advanced stage of HIV diagnosis, 48% were currently on ART, 35% were currently on a disability grant for HIV/AIDS and for 13% the disability grant had been stopped. Participants reported that on the day of the interview, they were experiencing an average of 26.1 symptoms out of a possible 64. In a regression model with demographic and social variables, higher HIV symptom levels were associated with lower educational levels, higher age, urban residence and not on a disability grant, lack of enough food and having a health insurance, and in a regression model with demographic, social and disease variables only being on ART, lack of enough food and having a health insurance were associated with HIV symptoms. Conclusion Symptom assessment provides information that may be valuable in evaluating AIDS treatment regimens and defining strategies to improve quality of life. Because of the high levels of symptoms reported, the results imply an urgent need for effective health care, home- and community-based as well as self-care symptom management to help patients and their families manage and control AIDS symptoms.

  17. Health-related quality of life of patients six months poststroke living in the Western Cape, South Africa

    OpenAIRE

    Rhoda, Anthea J.

    2014-01-01

    Background: The majority of individuals report a decline in health-related quality of life following a stroke. Quality of life and factors predicting quality of life could differ in individuals from lower income countries. The aim of this study was therefore to determine the quality of life and factors influencing quality of life of community-dwelling stroke patients living in low-income, peri-urban areas in the Western Cape, South Africa. Method: An observational, longitudinal study was u...

  18. Barriers and Incentives to Potential Adoption of Biofuels Crops by Smallholder Farmers in the Eastern Cape Province, South Africa

    OpenAIRE

    Cheteni, Priviledge; Mushunje, Abbyssinia; Taruvinga, Amon

    2014-01-01

    The main objective of this study was to identify barriers and incentives that influence the potential adoption of biofuel crops by smallholder farmers. The study utilized a semi-structured questionnaire to record responses from 129 smallholder farmers that were identified through a snowballing sampling technique. The respondents were from the Oliver Tambo and Chris Hani District Municipalities in the Eastern Cape Province, South Africa. A Heckman two-step model was applied to analyze the dat...

  19. San Personal Ornaments from the Later Stone Age at Blombos Cave and Blomboschfontein, southern Cape, South Africa

    OpenAIRE

    Vibe, Ingrid M Østby

    2007-01-01

    A critical factor that distinguishes modern humans, Homo sapiens, from animals is the ability to communicate using symbols. One example is the use of personal ornaments. People in all cultures use personal ornaments to express something about themselves, and a wide range of functions and meanings can be applied to different ornamentation. The personal ornaments from three Later Stone Age sites in the Blomboschfontein Region, southern Cape, South Africa were analysed in order to determine vari...

  20. "It's important to take your medication everyday okay?" An evaluation of counselling by lay counsellors for ARV adherence support in the Western Cape, South Africa.

    Science.gov (United States)

    Dewing, S; Mathews, C; Schaay, N; Cloete, A; Louw, J; Simbayi, L

    2013-01-01

    There is growing interest in standard care programmes for antiretroviral (ARV) adherence support. In South Africa, individual counselling following ARV initiation is a main strategy for supporting adherence in the public sector. Egan's client-centred "Skilled Helper" counselling model is the predominant model used in HIV counselling in this context. This study evaluated counselling delivered by lay ARV adherence counsellors in Cape Town in terms of adherence to Egan's model. Thirty-eight transcripts of counselling sessions with non-adherent patients were analysed based on the methods of content analysis. These sessions were conducted by 30 counsellors. Generally counsellors' practice adhered neither to Egan's model nor a client-centred approach. Inconsistent with evidence-based approaches to counselling for ARV adherence support, counsellors mainly used information-giving and advice as strategies for addressing clients' non-adherence. Recommendations for improving practice are made. The question as to how appropriate strategies from developed countries are for this setting is also raised.

  1. Dinoflagellate cysts from surface sediments of Saldanha Bay, South Africa: an indication of the potential risk of harmful algal blooms

    CSIR Research Space (South Africa)

    Joyce, LB

    2005-02-01

    Full Text Available Africa bZoology Department, University Cape Town, Rondebosch 7701, Cape Town, South Africa cCouncil for Scientific and Industrial Research, P.O. Box 320, Stellenbosch 7759, South Africa Received 14 May 2004; received in revised form 21 July 2004; accepted... 15 August 2004 Abstract The distribution and abundance of dinoflagellate cysts from recent coastal sediments in Saldanha Bay, was investigated, and compared to the cyst assemblages of the adjacent coastal upwelling system as reflected in the sediments...

  2. The Compilation of Multilingual Concept Literacy Glossaries at the University of Cape Town: A Lexicographical Function Theoretical Approach Die samestelling van veeltaligekonsep-geletterheidswoordelyste by die Universiteit van Kaapstad: 'n Leksikografiesefunksieteoretiese benadering.

    Directory of Open Access Journals (Sweden)

    Dion Nkomo

    2012-01-01

    Full Text Available

    This article proposes a lexicographical approach to the compilation of multilingual concept literacy glossaries which may play a very important role in supporting students at institutions of higher education. In order to support concept literacy, especially for students for whom English is not the native language, a number of universities in South Africa are compiling multilingual glossaries through which the use of languages other than English may be employed as auxiliary media. Terminologies in languages other than English are developed by translating English terms or coining new terms in these languages to exploit the native language competence of most students. The glossary project at the University of Cape Town (UCT which was conceived under the auspices of the Multilingualism Education Project (MEP is discussed. It is shown that the UCT glossaries are compiled using methods consistent with those employed in modern lexicography or proffered in lexicographical theory. The lexicographical function theory is specifically used to account for the glossaries and their production. It is suggested that modern lexicography can provide useful guidance for the production of glossaries, given that the earliest glossaries constitute the humble beginnings of lexicography.

    Hierdie artikel stel 'n leksikografiese benadering tot die samestelling van meertaligekonsep-geletterheidswoordelyste voor wat 'n baie belangrike rol kan speel by die ondersteuning van studente by instellings vir hoër onderwys. Om konsepgeletterdheid te ondersteun, veral vir studente vir wie Engels nie die moedertaal is nie, stel 'n aantal universiteite in Suid-Afrika meertalige woordelyste saam waardeur die gebruik van ander tale as Engels as hulpmedia aangewend kan word. Terminologieë in ander tale as Engels word ontwikkel deur Engelse terme te vertaal of nuwe terme in hierdie tale te skep om die moedertaalvaardigheid van die meeste

  3. Phylogeography of the endemic grasshopper genus Betiscoides (Lentulidae) in the South African Cape Floristic Region.

    Science.gov (United States)

    Matenaar, Daniela; Fingerle, Marcus; Heym, Eva; Wirtz, Sarah; Hochkirch, Axel

    2018-01-01

    Vicariance and dispersal are two important processes shaping biodiversity patterns. The South African Cape Floristic Region (CFR) is known for its high biotic diversity and endemism. However, studies on the phylogeography of endemic invertebrates in this biodiversity hotspot are still scarce. Here, we present a phylogenetic study of the flightless grasshopper genus Betiscoides, which is endemic to the CFR and strongly associated with restio plants (Restionaceae). We hypothesized that the genus originated in the southwestern part of the CFR, that differentiation within the genus is mainly an effect of vicariance and that the three known species only represent a minor fraction of the real genetic diversity of the genus. We inferred the phylogeny based on sequences of three mitochondrial and two nuclear genes from 99 Betiscoides specimens collected across the CFR. Furthermore, we conducted a SDIVA analysis to detect distributions of ancestral nodes and the possible spatial origin of these lineages. Strong differentiation among genetic lineages was shown. The ancestor of this genus was most likely distributed in the southwestern CFR. Five major lineages were detected, three of which were ancestrally distributed in the southwestern CFR. The ancestors of the two other lineages were distributed in the northern and eastern margins of the CFR. A total of 24 divergent evolutionary lineages were found, reflecting the geographical isolation of restio-dominated fynbos habitats. Dispersal played a more prominent role than expected in differentiation of Betiscoides. While the five main lineages were separated during a first phase via dispersal, differentiation occurred later and on smaller spatial scale, predominantly driven by isolation in montane refugia (i.e. vicariance). Our study also suggests that flightless insect taxa likely show high levels of differentiation in biodiversity hotspots with their taxonomy often being incomplete. Copyright © 2017 Elsevier Inc. All rights

  4. Petroleum Hydrocarbon Profiles of Water and Sediment of Algoa Bay, Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Abiodun O. Adeniji

    2017-10-01

    Full Text Available Petroleum hydrocarbon profiles of water and sediment samples of Algoa Bay in the Eastern Cape Province of South Africa were assessed using standard analytical procedures. Water (from surface and bottom levels and sediment samples were collected from five locations in the bay from February to June 2016. Extraction of the petroleum hydrocarbons from the water and sediment samples collected was achieved using liquid-liquid and Soxhlet extraction techniques, respectively, followed by column clean up. Target compounds were analytically determined with gas chromatography–flame ionization detector (GC-FID and quantified by integrating the areas of both the resolved and unresolved components. Physicochemical properties of the water samples were also determined on site using a SeaBird 19plusV2 CTD SBE 55 device. Estimated limit of detection, limit of quantitation and relative standard deviation for the 35 n-alkane standards ranged from 0.06 to 0.13 μg/L, 0.30 to 0.69 μg/L and 3.61 to 8.32%, respectively. Results showed that total petroleum hydrocarbon (TPH varied from 45.07 to 307 μg/L in the water and 0.72 to 27.03 mg/kg in the sediments. The mean concentrations of TPH in both the water and sediment samples from Algoa Bay revealed a slight level of pollution. The diagnostic indices used showed that the hydrocarbons in the area were from both biogenic and anthropogenic sources. Hence, there is need for adequate regulation and control of all activities contributing to the levels of petroleum hydrocarbon in the marine environment for the safety of human, aquatic and wild lives in the area.

  5. Petroleum Hydrocarbon Profiles of Water and Sediment of Algoa Bay, Eastern Cape, South Africa.

    Science.gov (United States)

    Adeniji, Abiodun O; Okoh, Omobola O; Okoh, Anthony I

    2017-10-20

    Petroleum hydrocarbon profiles of water and sediment samples of Algoa Bay in the Eastern Cape Province of South Africa were assessed using standard analytical procedures. Water (from surface and bottom levels) and sediment samples were collected from five locations in the bay from February to June 2016. Extraction of the petroleum hydrocarbons from the water and sediment samples collected was achieved using liquid-liquid and Soxhlet extraction techniques, respectively, followed by column clean up. Target compounds were analytically determined with gas chromatography-flame ionization detector (GC-FID) and quantified by integrating the areas of both the resolved and unresolved components. Physicochemical properties of the water samples were also determined on site using a SeaBird 19plusV2 CTD SBE 55 device. Estimated limit of detection, limit of quantitation and relative standard deviation for the 35 n -alkane standards ranged from 0.06 to 0.13 μg/L, 0.30 to 0.69 μg/L and 3.61 to 8.32%, respectively. Results showed that total petroleum hydrocarbon (TPH) varied from 45.07 to 307 μg/L in the water and 0.72 to 27.03 mg/kg in the sediments. The mean concentrations of TPH in both the water and sediment samples from Algoa Bay revealed a slight level of pollution. The diagnostic indices used showed that the hydrocarbons in the area were from both biogenic and anthropogenic sources. Hence, there is need for adequate regulation and control of all activities contributing to the levels of petroleum hydrocarbon in the marine environment for the safety of human, aquatic and wild lives in the area.

  6. Fish communities of the Wilderness Lakes System in the southern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Alexis A. Olds

    2016-08-01

    Full Text Available The Wilderness Lakes System, a temporarily open and closed estuary with three associated lakes situated in the southern Cape region of South Africa, was sampled using a range of sampling gears to assess the fish community. A total of 25 species were sampled throughout the system, with the highest diversity in the Touw Estuary (23 species and the lowest in Langvlei (11 species. Estuary-associated marine species (13 species dominated species richness with smaller proportions of estuarine resident (7 species, freshwater (3 species and catadromous species (2 species. Estuarine resident species dominated the catch numerically. The size–class distribution of euryhaline marine species indicated that upon entering the Touw Estuary as juveniles, the fish move up the system towards Rondevlei where they appear to remain. Three freshwater species were recorded in the system, all of which are alien to the Wilderness Lakes System. Decreasing salinity in the upper lakes appears to be a driving factor in the distribution and increasing abundance of the freshwater fishes. Sampling followed a drought, with the system experiencing substantially increased levels of mouth closure compared to a similar study conducted in the 1980s. The timing of mouth opening and the degree of connectivity between the lakes influence the nursery function of the system as a whole. Management actions need to focus on improving ecological functioning of this system, in particular how mouth opening is managed, to facilitate nursery function and limit the establishment of invasive species. Conservation implications: Key management actions are required to improve fish recruitment potential into and within the system. These include maintenance of adequate marine inflow through adherence to artificial mouth breaching protocols and improving connectivity between the lakes through sediment removal from localised deposition points within the connecting channels.

  7. Comparative life history of the south temperate Cape Penduline Tit (Anthoscopus minutus) and north temperate Remizidae species

    Science.gov (United States)

    Lloyd, Penn; Frauenknecht, Bernhard D.; du Plessis, Morné A.; Martin, Thomas E.

    2017-01-01

    We studied the breeding biology of the south temperate Cape Penduline Tit (Anthoscopus minutus) in order to compare its life history traits with those of related north temperate members of the family Remizidae, namely the Eurasian Penduline Tit (Remiz pendulinus) and the Verdin (Auriparus flaviceps). We used this comparison to test key predictions of three hypotheses thought to explain latitudinal variation in life histories among bird species—the seasonality and food limitation hypothesis, nest predation hypothesis and adult mortality hypothesis. Contrary to the general pattern of smaller clutch size and lower adult mortality among south-temperate birds living in less seasonal environments, the Cape Penduline Tit has a clutch size larger than that of the Verdin and similar to that of the Eurasian Penduline Tit, and higher adult mortality than both of the other two species. The most notable difference between the Cape Penduline Tit and the two other species is in parental behavioural strategy, with the former exhibiting bi-parental care at all stages of nesting together with facultative cooperative breeding, whereas the Eurasian Penduline Tit has uni-parental care and the Verdin has a combination of female-only incubation but bi-parental nestling care. Consequently, in comparison to the other two species, the Cape Penduline Tit exhibits greater nest attentiveness during incubation, a similar per-nestling feeding rate and greater post-fledging survival. Its relatively large clutch size, high parental investment and associated high adult mortality in a less seasonal environment are consistent with key predictions of the adult mortality hypothesis but not with key predictions of the seasonality and food limitation hypothesis in explaining life history variation among Remizidae species. These results add to a growing body of evidence of the importance of age-specific mortality in shaping life history evolution.

  8. Kuřim–the largest small town in the South-Moravian Region (Czechia)

    Czech Academy of Sciences Publication Activity Database

    Vaishar, Antonín

    2015-01-01

    Roč. 8, č. 8 (2015), s. 135-147 ISSN 2084-5456 Institutional support: RVO:68145535 Keywords : small town * suburbanization * Kuřim Subject RIV: DE - Earth Magnetism, Geodesy, Geography http://annalesgeo.up.krakow.pl/article/view/2839/2502

  9. The Development Needs of Newly Appointed Senior School Leaders in the Western Cape South Africa: A Case Study

    Directory of Open Access Journals (Sweden)

    Nelius Jansen van Vuuren

    2017-12-01

    Full Text Available The essential role that senior school leaders play in school leadership teams to ensure effective strategic leadership in schools has been the subject of intense discussion for many years. Crucial to this debate is the establishment of professional learning and leadership approaches for newly appointed senior school leaders. Recommendations for policy and practice highlight the importance of appropriate, multifaceted, developmental support initiatives for newly appointed school leaders. In many countries, including South Africa, a teaching qualification and, in most cases, extensive teaching experience is the only requirement for being appointed as a senior school leader in a school. This tends to suggest that no further professional development is required for newly appointed school leaders, the problem addressed in this paper. This paper reports on the main findings of the perceived development needs of newly appointed senior school leaders in the Western Cape, South Africa, and suggests that school leaders occupy a unique and specialist role in education, which requires relevant and specific preparation to support effective leadership. The respondents of this study report a lack of contextualised training and support before and after their appointment in their new roles creating unique development needs. This paper, therefore, employs a mixed-method approach to gather data to understand the perceived needs of twenty newly appointed senior school leaders in the Western Cape, South Africa.

  10. Scaphitid ammonites from the Upper Cretaceous of KwaZulu-Natal and Eastern Cape Province, South Africa

    Science.gov (United States)

    Kennedy, William James; Klinger, Herbert Christian

    2013-12-01

    Kennedy, W.J. and Klinger, H.C. 2013. Scaphitid ammonites from the Upper Cretaceous of KwaZulu-Natal and Eastern Cape Province, South Africa. Acta Geologica Polonica, 63 (4), 527-543. Warszawa. Scaphitid ammonites are described and illustrated from the Upper Cretaceous of the coastal region of north-eastern South Africa. Scaphites kieslingswaldensis Langenhan and Grundey, 1891, Scaphites manasoaensis Collignon, 1965, and Yezoites concinna sp. nov. occur in the Coniacian part of the St Lucia Formation in northern KwaZulu-Natal. A further Yezoites sp. may also be from this level. Argentoscaphites corrugatus sp. nov. occurs in the Santonian to Lower Campanian Mzamba Formation on the northernmost coast of Eastern Cape Province. Yezoites australis sp. nov. occurs in the Upper Santonian part of the St Lucia and Mzamba formations of these areas, and Scaphites reesidei Collignon, 1969, is recorded from the Lower Campanian part of the Mzamba Formation. The scaphitid assemblage includes species previously described from Western Europe and Madagascar, together with Argentoscaphites, previously known only from Patagonia (and possibly South India). Dimorphism is recognised in Scaphites reesidei, Yezoites concinna sp. nov. and Y. australis sp. nov. Argentoscaphites corrugatus sp. nov. and Yezoites sp. are represented by microconchs only. Dimorphism has not been recognised in Scaphites kieslingswaldensis.

  11. Inefficient procurement processes undermine access to medicines in the Western Cape Province of South Africa.

    Science.gov (United States)

    Magadzire, Bvudzai P; Ward, Kim; Leng, Henry M J; Sanders, David

    2017-06-30

    South Africa (SA) has experienced several stock-outs of life-saving medicines for the treatment of major chronic infectious and non-communicable diseases in the public sector. To identify the causes of stock-outs and to illustrate how they undermine access to medicines (ATM) in the Western Cape Province, SA. This qualitative study was conducted with a sample of over 70 key informants (frontline health workers, sub-structure and provincial health service managers). We employed the critical incident technique to identify significant occurrences in our context, the consequences of which impacted on access to medicines during a defined period. Stock-outs were identified as one such incident, and we explored when, where and why they occurred, in order to inform policy and practice. Medicines procurement is a centralised function in SA. Health service managers unanimously agreed that stock-outs resulted from the following inefficiencies at the central level: (i) delays in awarding of pharmaceutical tenders; (ii) absence of contracts for certain medicines appearing on provincial code lists; and (iii) suppliers' inability to satisfy contractual agreements. The recurrence of stock-outs had implications at multiple levels: (i) health facility operations; (ii) the Chronic Dispensing Unit (CDU), which prepacks medicines for over 300 000 public sector patients; and (iii) community-based medicines distribution systems, which deliver the CDU's prepacked medicines to non-health facilities nearer to patient homes. For instance, stock-outs resulted in omission of certain medicines from CDU parcels that were delivered to health facilities. This increased workload and caused frustration for frontline health workers who were expected to dispense omitted medicines manually. According to frontline health workers, this translated into longer waiting times for patients and associated dissatisfaction. In some instances, patients were asked to return for undispensed medication at a later

  12. Inefficient procurement processes undermine access to medicines in the Western Cape Province of South Africa

    Directory of Open Access Journals (Sweden)

    Bvudzai P Magadzire

    2017-07-01

    Full Text Available Background. South Africa (SA has experienced several stock-outs of life-saving medicines for the treatment of major chronic infectious and non-communicable diseases in the public sector. Objective. To identify the causes of stock-outs and to illustrate how they undermine access to medicines (ATM in the Western Cape Province, SA. Methods. This qualitative study was conducted with a sample of over 70 key informants (frontline health workers, sub-structure and provincial health service managers. We employed the critical incident technique to identify significant occurrences in our context, the consequences of which impacted on access to medicines during a defined period. Stock-outs were identified as one such incident, and we explored when, where and why they occurred, in order to inform policy and practice. Results. Medicines procurement is a centralised function in SA. Health service managers unanimously agreed that stock-outs resulted from the following inefficiencies at the central level: (i delays in awarding of pharmaceutical tenders; (ii absence of contracts for certain medicines appearing on provincial code lists; and (iii suppliers’ inability to satisfy contractual agreements. The recurrence of stock-outs had implications at multiple levels: (i health facility operations; (ii the Chronic Dispensing Unit (CDU, which prepacks medicines for over 300 000 public sector patients; and (iii community-based medicines distribution systems, which deliver the CDU’s prepacked medicines to non-health facilities nearer to patient homes. For instance, stock-outs resulted in omission of certain medicines from CDU parcels that were delivered to health facilities. This increased workload and caused frustration for frontline health workers who were expected to dispense omitted medicines manually. According to frontline health workers, this translated into longer waiting times for patients and associated dissatisfaction. In some instances, patients were

  13. Behavioural and chemical evidence for multiple colonisation of the Argentine ant, Linepithema humile, in the Western Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Wossler Theresa C

    2011-02-01

    Full Text Available Abstract Background The Argentine ant, Linepithema humile, is a widespread invasive ant species that has successfully established in nearly all continents across the globe. Argentine ants are characterised by a social structure known as unicoloniality, where territorial boundaries between nests are absent and intraspecific aggression is rare. This is particularly pronounced in introduced populations and results in the formation of large and spatially expansive supercolonies. Although it is amongst the most well studied of invasive ants, very little work has been done on this ant in South Africa. In this first study, we investigate the population structure of Argentine ants in South Africa. We use behavioural (aggression tests and chemical (CHC approaches to investigate the population structure of Argentine ants within the Western Cape, identify the number of supercolonies and infer number of introductions. Results Both the aggression assays and chemical data revealed that the Western Cape Argentine ant population can be divided into two behaviourally and chemically distinct supercolonies. Intraspecific aggression was evident between the two supercolonies of Argentine ants with ants able to discriminate among conspecific non-nestmates. This discrimination is linked to the divergence in cuticular hydrocarbon profiles of ants originating from the two supercolonies. Conclusions The presence of these two distinct supercolonies is suggestive of at least two independent introductions of this ant within the Western Cape. Moreover, the pattern of colonisation observed in this study, with the two colonies interspersed, is in agreement with global patterns of Argentine ant invasions. Our findings are of interest because recent studies show that Argentine ants from South Africa are different from those identified in other introduced ranges and therefore provide an opportunity to further understand factors that determine the distributional and spread

  14. 'Drinking with respect': Drinking constructions of men who live in a Cape Winelands farm community in South Africa.

    Science.gov (United States)

    Lesch, Elmien; Casper, Rozanne

    2017-03-01

    This article aims to provide a community-specific understanding of a subgroup of South African men who exhibit particularly high rates of hazardous alcohol consumption. Adopting a social constructionist framework, we interviewed 13 Cape Winelands men who lived on farms to explore their drinking constructions. We present three themes that shed light on problematic drinking in this group: (1) the notion of weekend binge-drinking as 'respectable' drinking, (2) drinking as shared activity that fulfils various psycho-social needs and (3) a sense of powerlessness to affect their own or their children's alcohol consumption. These findings are viewed against a specific socio-historical backdrop.

  15. Two new species of Erica (Ericaceae; one from Western Cape and one from KwaZulu-Natal, South Africa

    Directory of Open Access Journals (Sweden)

    E. G. H. Oliver

    2004-09-01

    Full Text Available Two new species of Erica L. from South Africa are described. E. jananthus E.G.H.Oliv. & I.M .Oliv. is confined to a single peak in the eastern Groot Swartberg Range in Western Cape and usually forms a small, gnarled, woody, shrublet growing in rock crevices with sticky white flowers and black subexserted anthers that have obtrullate decurrent appendages.E. psittacina E.G.H.Oliv. & I.M.Oliv. is from KwaZulu-Natal. It forms large woodv shrubs with numerous bright pinkflowers and occurs as a single population on a mountain near Creighton. Both descriptions are accompanied by line drawings and distribution maps

  16. Rare earth elements in the banded iron formation of the Griqualand West sequence, northern Cape Province, South Africa

    International Nuclear Information System (INIS)

    Horstmann, U.E.; Haelbich, I.W.; Cornell, D.H.

    1990-01-01

    The Proterozoic banded iron-formations (BIF) of the Griqualand West sequence of the Transvaal Supergroup in the northern Cape Province of South Africa have been investigated for their rare earth elements (REE) contents. Twenty three REE analyses were completed using an ICP-AES method. Despite diagenetic and metamorphic processes, it can be concluded from the so far available REE data that the conspicuous differences in REE patterns to those reported from elsewhere indicate the BIF of the Transvaal Supergroup to have originated in relative restricted parts or basins of the Precambrian ocean. 7 refs., 1 fig

  17. Multibeam collection for MV1203: Multibeam data collected aboard Melville from 2012-02-11 to 2012-03-30, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  18. Multibeam collection for NBP0405: Multibeam data collected aboard Nathaniel B. Palmer from 2004-07-22 to 2004-07-26, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  19. Multibeam collection for MV1202: Multibeam data collected aboard Melville from 2012-01-23 to 2012-02-08, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  20. Multibeam collection for VANC06MV: Multibeam data collected aboard Melville from 2003-01-02 to 2003-01-16, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  1. Multibeam collection for KN197-06: Multibeam data collected aboard Knorr from 2010-04-04 to 2010-04-23, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  2. Multibeam collection for VANC08MV: Multibeam data collected aboard Melville from 2003-02-14 to 2003-03-17, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  3. Multibeam collection for RC2710: Multibeam data collected aboard Robert D. Conrad from 1986-11-14 to 1986-11-30, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  4. Multibeam collection for KN210-02: Multibeam data collected aboard Knorr from 2013-02-13 to 2013-03-03, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  5. Multibeam collection for KN162L07: Multibeam data collected aboard Knorr from 2000-12-09 to 2001-01-05, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  6. Multibeam collection for EW9308: Multibeam data collected aboard Maurice Ewing from 1993-10-24 to 1993-11-11, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  7. Exposure to violence and mental health of adolescents: South African Health and Well-being Study

    OpenAIRE

    Stansfeld, Stephen A.; Rothon, Catherine; Das-Munshi, Jayati; Mathews, Cathy; Adams, Arlene; Clark, Charlotte; Lund, Crick

    2017-01-01

    Background Material and social environmental stressors affect mental health in adolescence. Protective factors such as social support from family and friends may help to buffer the effects of adversity. Aims The association of violence exposure and emotional disorders was examined in Cape Town adolescents. Method A total of 1034 Grade 8 high school students participated from seven government co-educational schools in Cape Town, South Africa. Exposure to violence in the past 12 months and post...

  8. The utilization of health care services by children with Foetal Alcohol Syndrome in the Western Cape, South Africa.

    Science.gov (United States)

    Credé, Sarah; Sinanovic, Edina; Adnams, Colleen; London, Leslie

    2011-06-01

    The rates of Foetal Alcohol Syndrome (FAS) and Partial Foetal Alcohol Spectrum (PFAS) in South Africa are the highest reported worldwide. There is a paucity of research examining the health care costs of caring for children with FAS or PFAS in this country. A cross-sectional analytical study was conducted using an interviewer-administered questionnaire amongst caregivers of children (0-12 years) with FAS/PFAS in the Western Cape to estimate the utilization of health care services; the annual direct and indirect health care costs per child as well as the total cost to society for providing health care services to children with FAS/PFAS. It was found that the median number of annual visits to public health care facilities per child was 8 (IQR 4 to 14). The total average annual cost per child was $1039.38 (95% CI: $808.68; $1270.07) and the total annual societal cost for the Western Cape was $70,960,053.68 (95% CI: $5,528,895.48; $86,709,971.13). Caregivers in receipt of a social support grant reported spending significantly less on health care for a child with FAS/PFAS (Fisher's exact p=0.004). These study results confirm the significant burden of FAS/PFAS on the Western Cape economy and the health care system which has significant implications for FAS prevention. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  9. Anglo-South African relations and the Erebus Scheme, 1936-1939 ...

    African Journals Online (AJOL)

    South African Defence Minister, Oswald Pirow, endeavoured to obtain 15-inch guns from Britain to bolster Cape Town's defences against sea-raiders. Despite her strategic interest in safeguarding the Cape sea route, Britain's own efforts at rearmament, however, made her unwilling to part with guns of that calibre. Instead, in ...

  10. Assessment of ambient air quality in Chidambaram a south Indian town

    OpenAIRE

    P. Balashanmugam; A.R. Ramanathan; V. Nehrukumar

    2012-01-01

    Worldwide preliminary studies in large number are advocated to create data base, to identify potential cities / towns that warrant “continuous ambient air quality monitoring and control mechanism” and to evolve priorities for clean air target. The results reported pertain to an eight hour random preliminary air sampling exercise carried out at each of the eight select locations in Chidambaram, a southern semi urban settlement in India. Criteria pollutants SPM, CO, SO2 and NO2 measured are fou...

  11. Feasibility of eradicating Ceratitis spp. fruit flies from the Western Cape of South Africa by the sterile insect technique

    International Nuclear Information System (INIS)

    Barnes, Brian N.; Eyles, David K.

    2000-01-01

    Fruit production (deciduous fruit, table and wine grapes, and citrus) is a major export-based industry in the Western Cape, with more than 200,000 ha under cultivation. The gross value of these fruits (excluding wine) exceeds US$400 million per annum. Deciduous fruit and table grapes make up the major portion of the industry, with approximately 110,000 ha under production. The Western Cape is host to two species of fruit flies, the Mediterranean fruit fly, Ceratitis capitata (Wiedemann), and the Natal fruit fly, C. rosa Karsch. One or both of these species attack at least 19 species of fruits in this area. Both species have very similar life cycles and habits, and can cause enormous crop losses especially to fruits, but also to some vegetables. Both commercial and resource-limited farmers are affected by fruit flies. Control of fruit flies is currently based on ground applications of insecticides, either as full-cover foliar sprays or low-volume bait sprays. Control costs and crop losses for deciduous fruit and table grapes alone are estimated at US$4 million annually. South Africa is the only southern hemisphere deciduous fruit-exporting country that is not fruit fly-free or is not currently engaged in a project to eradicate fruit flies. Unless similar steps are taken, this situation is likely to threaten the competitiveness of the Western Cape's industry. The Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture of the United Nations recently approved funding for the INFRUITEC Centre of the ARC-Fruit, Vine and Wine Research Institute in Stellenbosch to undertake a study to determine the feasibility of eradicating fruit flies from the Western Cape by the sterile insect technique (SIT). Most fruits in the Western Cape are produced in valley systems, and many valleys are isolated from one another to a greater or lesser extent. The Western Cape is itself well isolated from other areas with fruit fly hosts: by the ocean on the eastern, southern and

  12. Palystes kreutzmanni sp. n. – a new huntsman spider species from fynbos vegetation in Western Cape Province, South Africa (Araneae, Sparassidae, Palystinae

    Science.gov (United States)

    Jäger, Peter; Kunz, Dirk

    2010-01-01

    Abstract Palystes kreutzmanni sp. n. is described from habitats close to Kleinmond, in the Western Cape Province, South Africa. Spiders of this new species live in the typical fynbos vegetation of the Western Cape region. They build retreats between apical leaves of Leucadendron bushes. The systematic position of Palystes kreutzmanni sp. n. is discussed. Male and female show characters of different species groups, especially the female copulatory organ seems to be unique within the genus Palystes L. Koch, 1875. PMID:21594031

  13. Vitamin D status of older South Africans | Charlton | South African ...

    African Journals Online (AJOL)

    Objective: To detennine the vitamin D status of older 'coloured' South Africans who had not sustained a fracture. Design: Cross-sectional analytic study. Methods: A random sample of 200 non-institutionalised subjects in Cape Town aged ≥65 years was drawn using a two-stage cluster design. Trained fieldworkers ...

  14. An Empirical Assessment of Dropout Rate of Learners at Selected High Schools in King William’s Town, South Africa

    Directory of Open Access Journals (Sweden)

    Wendy Manona

    2015-12-01

    Full Text Available This study investigated and analysed factors responsible for high dropout rate of learners at selected high schools in King William’s Town District, Province of the Eastern Cape. The aim of the study is provide an understanding into inherent problems of early exit of learners in the education sector, which impede the long-term production of professionals with bright future. The main findings of this study revealed that multiple motives, associated with individual characteristics of dropouts and social problems emanating from their family background and influence of the community, prompted learners to dropout. Moreover, learner dropout is inter alia caused by social factors such as lack of resources, the effect of poverty, orphans at school, the distance between the school and the community, drug abuse, pregnancy and HIV and AIDS prevalence in schools, gangsterism and learning barriers. The results of this research suggest that the government should make resources available with regard to scholar transport, school nurses to provide education awareness programmes in relation to early pregnancies, HIV and AIDS infection to improve attendance rate. The Department of Social Development should provide information with regard to benefits available to orphaned learners. The government should ensure sustainable provision of the school nutrition programme to alleviate hunger and poverty. School management should effectively regulate the behaviour of learners to promote discipline in schools so that substance abuse is eliminated.

  15. Job Satisfaction among Pharmaceutical Sales force in South Africa – A Case with Special Reference to Cape Town

    OpenAIRE

    Vinod Kumar SINGH

    2010-01-01

    Job satisfaction is an attitude that employees have about their work and is based on numerous factors, both intrinsic and extrinsic to the individual. Job satisfaction is important from the perspective of maintaining and retaining the appropriate employees within the organization, it is about fitting the right person to the right job in the right culture and keeping them satisfied. Job satisfaction at salesforce level has become a topic of growing concern since significant proportion of marke...

  16. Estrogenic activity, chemical levels and health risk assessment of municipal distribution point water from Pretoria and Cape Town, South Africa

    CSIR Research Space (South Africa)

    Van Zijl, MC

    2017-11-01

    Full Text Available Endocrine disrupting chemicals (EDCs) are ubiquitous in the environment and have been detected in drinking water from various countries. Although various water treatment processes can remove EDCs, chemicals can also migrate from pipes that transport...

  17. Sedating children in South Africa

    African Journals Online (AJOL)

    bRed Cross War Memorial Children's Hospital, Cape Town, South Africa. cSedation and Pain ... As the authors indicate, there is increasing pressure from practitioners, funders and patients or parents for procedures to take place outside the ...

  18. Bridge management system for the Western Cape provincial government, South Africa: implementation and utilization

    CSIR Research Space (South Africa)

    Nell, AJ

    2008-10-01

    Full Text Available This paper describes the implementation and utilization of the bridge management system (BMS) of the Department of Transport and Public Works of the Western Cape Provincial Government. The implementation of the BMS as well as the visual assessment...

  19. Knowledge, attitude and practices related to visceral leishmaniasis among residents in Addis Zemen town, South Gondar, Northwest Ethiopia.

    Science.gov (United States)

    Alemu, Agersew; Alemu, Abebe; Esmael, Nuraini; Dessie, Yared; Hamdu, Kedir; Mathewos, Biniam; Birhan, Wubet

    2013-04-24

    Visceral leishmaniasis (VL), commonly known as kala-azar is a systemic disease caused by parasitic protozoan species of genus Leishmania and transmitted by species of Phlebotomus (sand flies). It is a poverty-related disease and associated with malnutrition, displacement, poor housing, weakness of the immune system and lack of resources. For the success of prevention and control programs of any disease, the most important prerequisite is community participation. Therefore, this study was aimed to assess the knowledge, attitude and practice of residents towards VL in Addis Zemen town, south Gondar, Northwest Ethiopia. Community based cross-sectional study was conducted among residents in Addis Zemen town from February to March 2012. A total of 346 households were selected by using simple random sampling techniques from three kebeles in the town. Data was collected using structured Questionnaire. For knowledge, attitude and practice variables each right response was given a score of 1 while a wrong or unsure response was scored 0. Data were double entered and analyzed using SPSS-15 statistical software. The frequency distribution of both dependent and independent variables were worked out. From a total of 346 study participants (136 males and 210 females), 87.6% heard of the disease kala-azar. From participants who heard about kala-azar 93.5% males and 86.7% females had awareness about the disease. The majority (95.7%) of participants had favourable attitude towards the treatment of kala-azar whereas 14.8% didn't use anything to prevent it. More than half of the respondents (68.6%) did practice proper methods for the prevention and control of kala-azar in the study area. In general our findings showed that the residents had good awareness and favourable attitude about the disease, but their overall practice about prevention and control of the disease was low. Therefore, our investigation call for continued and strengthened behavioral change communication and social

  20. Historical nitrogen content of bryophyte tissue as an indicator of increased nitrogen deposition in the Cape Metropolitan Area, South Africa

    International Nuclear Information System (INIS)

    Wilson, D.; Stock, W.D.; Hedderson, T.

    2009-01-01

    Information on changes in precipitation chemistry in the rapidly expanding Cape Metropolitan Area (CMA) of South Africa is scarce. To obtain a long-term record of N deposition we investigated changes in moss foliar N, C:N ratios and nitrogen isotope values that might reflect precipitation chemistry. Tissue from 9 species was obtained from herbarium specimens collected between 1875 and 2000 while field samples were collected in 2001/2002. There is a strong trend of increasing foliar N content in all mosses collected over the past century (1.32-1.69 %N). Differences exist between ectohydric mosses which have higher foliar N than the mixohydric group. C:N ratios declined while foliar δ 15 N values showed no distinct pattern. From relationships between moss tissue N and N deposition rates we estimated an increase of 6-13 kg N ha -1 a -1 since 1950. Enhanced N deposition rates of this magnitude could lead to biodiversity losses in native ecosystems. - This study of bryophyte tissue nutrient contents shows a historical increase in N deposition rates to the low nutrient adapted plant biodiversity hotspot in the Western Cape, South Africa

  1. Historical nitrogen content of bryophyte tissue as an indicator of increased nitrogen deposition in the Cape Metropolitan Area, South Africa

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, D. [Botany Department, University of Cape Town, Rondebosch 7701 (South Africa); Stock, W.D. [Botany Department, University of Cape Town, Rondebosch 7701 (South Africa); Centre for Ecosystem Management, School of Natural Sciences, Edith Cowan University, 100 Joondalup Drive, Joondalup, Perth, WA 6027 (Australia)], E-mail: w.stock@ecu.edu.au; Hedderson, T. [Botany Department, University of Cape Town, Rondebosch 7701 (South Africa)

    2009-03-15

    Information on changes in precipitation chemistry in the rapidly expanding Cape Metropolitan Area (CMA) of South Africa is scarce. To obtain a long-term record of N deposition we investigated changes in moss foliar N, C:N ratios and nitrogen isotope values that might reflect precipitation chemistry. Tissue from 9 species was obtained from herbarium specimens collected between 1875 and 2000 while field samples were collected in 2001/2002. There is a strong trend of increasing foliar N content in all mosses collected over the past century (1.32-1.69 %N). Differences exist between ectohydric mosses which have higher foliar N than the mixohydric group. C:N ratios declined while foliar {delta}{sup 15}N values showed no distinct pattern. From relationships between moss tissue N and N deposition rates we estimated an increase of 6-13 kg N ha{sup -1} a{sup -1} since 1950. Enhanced N deposition rates of this magnitude could lead to biodiversity losses in native ecosystems. - This study of bryophyte tissue nutrient contents shows a historical increase in N deposition rates to the low nutrient adapted plant biodiversity hotspot in the Western Cape, South Africa.

  2. Level II scour analysis for Bridge 37, (BRNETH00740037) on Town Highway 74, crossing South Peacham Brook, Barnet, Vermont

    Science.gov (United States)

    Burns, Ronda L.; Severance, Timothy

    1997-01-01

    This report provides the results of a detailed Level II analysis of scour potential at structure BRNETH00740037 on Town Highway 74 crossing South Peacham Brook, Barnet, Vermont (figures 1–8). A Level II study is a basic engineering analysis of the site, including a quantitative analysis of stream stability and scour (U.S. Department of Transportation, 1993). Results of a Level I scour investigation also are included in Appendix E of this report. A Level I investigation provides a qualitative geomorphic characterization of the study site. Information on the bridge, gleaned from Vermont Agency of Transportation (VTAOT) files, was compiled prior to conducting Level I and Level II analyses and is found in Appendix D.

  3. Assessment of ambient air quality in Chidambaram a south Indian town

    Directory of Open Access Journals (Sweden)

    P. Balashanmugam

    2012-06-01

    Full Text Available Worldwide preliminary studies in large number are advocated to create data base, to identify potential cities / towns that warrant “continuous ambient air quality monitoring and control mechanism” and to evolve priorities for clean air target. The results reported pertain to an eight hour random preliminary air sampling exercise carried out at each of the eight select locations in Chidambaram, a southern semi urban settlement in India. Criteria pollutants SPM, CO, SO2 and NO2 measured are found to have either crossed or on the verge of crossing the limits, necessitating the immediate installation of a continuous monitoring and control mechanism. While transport related emissions are the major sources of air contamination, increasing civil construction activities also contribute to particulates. The exponential rise in volume of vehicles, disadvantageous traffic flow pattern, differing driving cycle pattern and human interceptions deserve due attention. It is concluded that Chidambaram town is a strong case for continuous monitoring of ambient air quality due to alarming and increasing level of pollutants.

  4. Monitoring of long-term pavement performance sites in the Western Cape Province of South Africa

    CSIR Research Space (South Africa)

    Anochie-Boateng, Joseph

    2015-11-01

    Full Text Available of calibrated Highway Development and Management (HDM 4) type models. Generally, five years continuous data would give a complete view of the behaviour of the materials for the individual sites. ACKNOWLEDGEMENTS The Department of Transport and Public Works... purposes. 4. FIELD DATA COLLECTION The CSIR project team in partnership with the Department of Transport and Public Works of the Western Cape province project team conduct detailed field investigation of six sites biannually. Field (monitoring) data...

  5. Towards measuring the transaction costs of co-management in Mkambati Nature Reserve, Eastern Cape, South Africa.

    Science.gov (United States)

    Blore, M L; Cundill, G; Mkhulisi, M

    2013-11-15

    During the last three decades, there has been an increased pursuit of participatory approaches to managing natural resources. In South Africa, this has been evident in the management of protected areas. In particular, land claims, which affect much of the conservation estate in South Africa, frequently result in co-management of protected areas by claimant communities and conservation agencies. This is occurring against a backdrop of declining state subsidies and growing expectations that South African conservation agencies will finance themselves while simultaneously stimulating local economic opportunities. In this context, it is important for co-management partners to understand and monitor the cost-effectiveness of management processes in achieving both the socio-economic and ecological targets of conservation management. Transaction costs are useful in gauging the cost-effectiveness of policies and institutions; however there is little methodological guidance for measuring transaction costs empirically. This study develops and tests a transaction costs model for a co-managed nature reserve in the Eastern Cape province of South Africa. Transaction costs were quantified by taking into account the total time spent in meetings annually, the daily opportunity cost of participants' time and the travel costs associated with attending such meetings. A key limitation in the development of this model was a lack of record keeping by the conservation agency. The model developed in this study offers a practical means for co-management partners in similar contexts to monitor how transaction costs change over time. Copyright © 2013 Elsevier Ltd. All rights reserved.

  6. Integrated energy and waste water solutions to solve small town municipal service delivery problems in South Africa

    CSIR Research Space (South Africa)

    Du Plessis, C

    2010-02-01

    Full Text Available Providing municipal services such as electricity and waste water treatment is a major challenge for small towns that often lack the institutional capacity to manage and maintain the necessary infrastructure. High levels of poverty in these towns...

  7. Ecology and distribution of large branchiopods (Crustacea, Branchiopoda, Anostraca, Notostraca, Laevicaudata, Spinicaudata of the Eastern Cape Karoo, South Africa

    Directory of Open Access Journals (Sweden)

    Annah Mabidi

    2016-09-01

    Full Text Available A survey of the large branchiopod fauna of the Eastern Cape Karoo region of South Africa was undertaken to provide baseline biodiversity information in light of impending shale gas development activities in the region. Twenty-two waterbodies, including nine dams and thirteen natural depression wetlands, were sampled during November 2014 and April 2015. A total of 13 species belonging to four orders were collected, comprising five anostracans, one notostracan, six spinicaudatans and one laevicaudatan. Cyzicus australis was most common, occurring in 46% of the waterbodies. Species co-occurred in 87% of the waterbodies, with a maximum number of six species recorded from the same waterbody. Our new distribution records for Lynceus truncatus, Streptocephalus spinicaudatus and S. indistinctus represent substantial expansions of the previously known ranges for these species. Tarkastad is now the westernmost record for S. spinicaudatus, while Jansenville now constitutes the southernmost record for S. indistinctus. Large branchiopod distribution data from previous Eastern Cape records were combined with our current data, demonstrating that a total of 23 large branchiopod species have been recorded from the region to date. As the Karoo is one of the few major shale basins in the world where the natural baseline is still largely intact, this survey forms a basis for future reference and surface water quality monitoring during the process of shale gas exploration/extraction.

  8. Correlates of risky sexual behaviors in recently traditionally circumcised men from initiation lodges in the Eastern Cape, South Africa.

    Science.gov (United States)

    Nyembezi, Anam; Sifunda, Sibusiso; Funani, Itumeleng; Ruiter, Robert A C; Van Den Borne, Bart; Reddy, Priscilla S

    This exploratory quantitative study examines past risky sexual behaviors among young men who were circumcised as part of a rite of passage to adulthood embedded within a cultural and traditional belief system in the Eastern Cape Province in South Africa. Following permission from the Eastern Cape House of Traditional Leaders (ECHOTL), individual face-to-face interviews using a structured questionnaire were conducted among 114 initiates. The mean age of the participants was 18.9 years, ranging from 15 to 32 years old. About 79.8% reported already having had sex with a woman prior to initiation. Of those, 89% reported that they ever used condoms when having sex, and 61% reported consistent use. Logistic regression analysis showed that consistent condom use increased with higher educational levels. Those involved in other risky health behaviors (specifically, smoking) were also more likely to report inconsistent condom use. Most participants had positive beliefs about male circumcision and STI/HIV transmission. This study provides a first look at the sexual behaviors of young men at the time of their initiation in adulthood, a process that is intended to make it socially acceptable to initiate sexual relations and highlights a major public health challenge in integrating the protective health benefits of circumcision with indigenous cultural practices.

  9. The relationship between wellbeing indicators and teacher psychological stress in Eastern Cape public schools in South Africa

    Directory of Open Access Journals (Sweden)

    Malik L.M. Vazi

    2013-07-01

    Research purpose: The main objective of this study was to assess the relationship between indicators of wellbeing and stress and to further assess the relative importance of these wellbeing indicators in explaining stress variance in a large sample of Eastern Cape primary and high school teachers in South Africa. Motivation for the study: The majority of teacher stress studies focus on the misfit between the individual’s resources and the environmental demands. There is a scarcity of studies reporting on protective factors in teaching and we know little about their possible role as possible protective factors against stress. This is important in developing stress prevention strategies. Research design, approach and method: A cross-sectional survey was used targeting public school teachers in the Eastern Cape. The sample size was 562 randomly selected teachers from both public primary and high schools. Main findings: The results revealed that stress is prevalent amongst teachers. Subjective and psychological wellbeing factors added significantly to the explained stress variance. Also, both negative affect and role problems had significant positive correlations with stress, whilst psychological wellbeing had a strong inverse relationship with stress. Practical/managerial implications: The results implied that interventions focusing on improving psychological wellbeing and reduction of negative affect can contribute to stress prevention. Contribution/value-add: The results contributed towards a better understanding of the relative importance of wellbeing constructs as protective factors against teacher stress.

  10. Wind Atlas for South Africa (WASA) Observational wind atlas for 10 met. stations in Northern, Western and Eastern Cape provinces

    DEFF Research Database (Denmark)

    Mortensen, Niels Gylling; Hansen, Jens Carsten; Kelly, Mark C.

    As part of the “Wind Atlas for South Africa” project, microscale modelling has been carried out for 10 meteorological stations in Northern, Western and Eastern Cape provinces. Wind speed and direction data from the ten 60-m masts have been analysed using the Wind Atlas Analysis and Application...... Program (WAsP 11). The windclimatological inputs are the observed wind climates derived from the WAsP Climate Analyst. Topographical inputs are elevation maps constructed from SRTM 3 data and rough-ness length maps constructed from SWBD data and Google Earth satellite imagery. Summaries are given...... of the data measured at the 10 masts, mainly for a 3-year reference period from October 2010 to September 2013. The main result of the microscale modelling is observational wind atlas data sets, which can be used for verification of the mesoscale modelling. In addition, the microscale modelling itself has...

  11. Wind Atlas for South Africa (WASA) Observational wind atlas for 10 met. stations in Northern, Western and Eastern Cape provinces

    DEFF Research Database (Denmark)

    Mortensen, Niels Gylling; Hansen, Jens Carsten; Kelly, Mark C.

    As part of the “Wind Atlas for South Africa” project, microscale modelling has been carried out for 10 meteorological stations in Northern, Western and Eastern Cape provinces. Wind speed and direction data from the ten 60-m masts have been analysed using the Wind Atlas Analysis and Application...... Program (WAsP 11). The wind-climatological inputs are the observed wind climates derived from the WAsP Climate Analyst. Topographical inputs are elevation maps constructed from SRTM 3 data and roughness length maps constructed from SWBD data and Google Earth satellite imagery. Summaries are given...... of the data measured at the 10 masts, mainly for a 3-year reference period from October 2010 to September 2013. The main result of the microscale modelling is observational wind atlas data sets, which can be used for verification of the mesoscale modelling. In addition, the microscale modelling itself has...

  12. A Critical Appraisal of Western Cape Forum for Intellectual Disability V Government of the Republic of South Africa

    Directory of Open Access Journals (Sweden)

    Petronell Kruger.

    2015-12-01

    Full Text Available The 2011 the Western Cape Forum for Intellectual Disability v Government of The Republic of South Africa case flagged a lot of issues faced by persons with disabilities relating to access to education in South Africa. The case tackled certain perceptions about the ineducability of persons with profound and severe disability and the remaining charity-oriented perception by the South African Department of Basic Education. While the court made several important points in advancing universal access to education, the author argues that certain holes in the judgment hinders the existence of judicial finding truly infused with concerns of substantive equality. An example of this short-coming is the court's consideration of reasonableness when the right to basic education is an immediately realisable right. The author also argues that the South African developments in education policy for persons with disability, while positive, is insufficient to truly give effect to substantive equality – the claim to equality being made in the new constitutional dispensation. There is still an attitude that is too permissive of separating students based on abilism. The social model of thinking about requires a complete transformation of the education system that would not require a classification of learners by abilities but have a different constitution so as to accommodate all students and not unduly enable one group over another. The author considers the approaches from Canada and India to explore its responses to education for students with varying levels of ability. Canada's similar conception of equality and India's influence on South African constitutionalism and shared experience with massive equality gaps make these jurisdictions instructive.

  13. Drought Dynamics and Vegetation Productivity in Different Land Management Systems of Eastern Cape, South Africa—A Remote Sensing Perspective

    Directory of Open Access Journals (Sweden)

    Valerie Graw

    2017-09-01

    Full Text Available Eastern Cape Province in South Africa has experienced extreme drought events during the last decade. In South Africa, different land management systems exist belonging to two different land tenure classes: commercial large scale farming and communal small-scale subsistence farming. Communal lands are often reported to be affected by land degradation and drought events among others considered as trigger for this process. Against this background, we analyzed vegetation response to drought in different land management and land tenure systems through assessing vegetation productivity trends and monitoring the intensity, frequency and distribution of the drought hazard in grasslands and communal and commercial croplands during drought and non-drought conditions. For the observation period 2000–2016, we used time series of 250 m Vegetation Condition Index (VCI based on the Moderate Resolution Imaging Spectroradiometer (MODIS Enhanced Vegetation Index (EVI and Climate Hazard Group InfraRed Precipitation with Station data (CHIRPS precipitation data with 5 km resolution. For the assessment of vegetation dynamics, we: (1 analyzed vegetation productivity in Eastern Cape over the last 16 years with EVI; (2 analyzed the impact of drought events on vegetation productivity in grasslands as well as commercial and communal croplands; and (3 compared precipitation-vegetation dynamics between the drought season 2015/2016 and the non-drought season 2011/2012. Change in total annual vegetation productivity could detect drought years while drought dynamics during the season could be rather monitored by the VCI. Correlation of vegetation condition and precipitation indicated areas experiencing significant vegetation productivity trends showing low and even negative correlation coefficients indicating other drivers for productivity change and drought impact besides rainfall.

  14. Initial review and analysis of the direct environmental impacts of CSP in the northern Cape, South Africa

    Science.gov (United States)

    Rudman, Justine; Gauché, Paul; Esler, Karen J.

    2016-05-01

    The Integrated Resource Plan (IRP) of 2010 and the IRP Update provide the most recent guidance to the electricity generation future of South Africa (SA) and both plans include an increased proportion of renewable energy generation capacity. Given that SA has abundant renewable energy resource potential, this inclusion is welcome. Only 600 MW of the capacity allocated to concentrating solar power (CSP) has been committed to projects in the Northern Cape and represents roughly a fifth of the capacity that has been included in the IRP. Although CSP is particularly new in the electricity generation system of the country, the abundant solar resources of the region with annual DNI values of above 2900 kWh/m2 across the arid Savannah and Nama-Karoo biomes offer a promising future for the development of CSP in South Africa. These areas have largely been left untouched by technological development activities and thus renewable energy projects present a variety of possible direct and indirect environmental, social and economic impacts. Environmental Impact Assessments do focus on local impacts, but given that ecological processes often extend to regional- and landscape scales, understanding this scaled context is important to the alignment of development- and conservation priorities. Given the capacities allocated to CSP for the future of SA's electricity generation system, impacts on land, air, water and biodiversity which are associated with CSP are expected to increase in distribution and the understanding thereof deems valuable already from this early point in CSP's future in SA. We provide a review of direct impacts of CSP on the natural environment and an overview of the anticipated specific significance thereof in the Northern Cape.

  15. A link of full-scale accelerated pavement testing to long-term pavement performance study in the Western Cape Province of South Africa

    CSIR Research Space (South Africa)

    Anochie-Boateng, Joseph K

    2016-09-01

    Full Text Available of Accelerated Pavement Testing in Pavement Sustainability A Link of Full-Scale Accelerated Pavement Testing to Long-Term Pavement Performance Study in the Western Cape Province of South Africa J. K. Anochie-Boateng W. JvdM Steyn C. Fisher L. Truter...

  16. Questioning the Pace and Pathway of E-Government Development in Africa: A Case Study of South Africa's Cape Gateway Project

    Science.gov (United States)

    Maumbe, Blessing Mukabeta; Owei, Vesper; Alexander, Helen

    2008-01-01

    The paper examines e-government development in Africa. This study is based on the Cape Gateway project in South Africa, a leading e-government initiative on the continent. We observe that African countries have jumped on the e-government band wagon by looking mostly at the benefits without a clear risk assessment. We argue that African countries…

  17. The use of human resource information systems in two retail organisations in the Western Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Emmanuel Udekwe

    2017-11-01

    Full Text Available Orientation: The retail industry is the largest contributor to employment and the gross domestic product (GDP in the Western Cape, South Africa. The management of human resources in this very competitive industry is a high priority for all retailers. The successful implementation, maintenance and use of human resource information systems (HRISs are an integral part of many retailers. Research purpose: Human resource information systems are difficult to implement and maintain, and as a result, organisations cannot effectively utilise these systems to their benefit. The purpose of this paper is to explore the factors affecting the implementation, maintenance and use of HRISs in two retail organisations in the Western Cape. Motivation of study: Many retailers find it difficult to apply and utilise HRISs to their benefit and to the systems’ full potential. This study explores the challenges retailers are facing when implementing, maintaining and using HRISs. Research design, approach and method: Multiple case studies were used to conduct the research. Data were collected through a semi-structured questionnaire using interviews. Twenty-one interviews were conducted in the two retail companies to gain an understanding of the use of HRISs within these organisations. The data were analysed using a thematic method of analysis. The units of analysis were the Human Resources and the Information Technology departments of both companies. The units of observation were (21 purposively selected employees in the two mentioned departments of both retail organisations. Main findings: This research shows an under-utilisation of the HRIS in both companies as a result of poor data quality, lack of adequate training and the high cost of implementing and maintaining the system. There is a gap in terms of data analytics and report generation. This gap leads to the under-utilisation of the HRISs preventing the retailers to optimise the benefits of the HRIS. Practical

  18. Lichens as indicators of air pollution in a steal producing town in South Wales

    Energy Technology Data Exchange (ETDEWEB)

    Pratt, F B

    1970-01-01

    The lichen flora of a given region depends upon a multiplicity of factors. Some factors act directly or indirectly upon the lichen thallus; in addition the lichen thallus is capable, to some extent at least, of exerting a modifying influence upon the macro- and micro-environment. The polluted centre of Port Talbot, a steel town, has a restricted number of Crustose and rather Depauperate species. This lichen desert is quite small possibly because either (a) the atmosphere is not heavily polluted, or (b) there is a rapid dilution of pollutants. With distance away from Port Talbot there is an increase in the number of lichen species and a change in the proportion of the various growth forms. Abutting the lichen desert is a zone in which parmelia sulcata, P. saxatilis, Cladonia coniocraea, and C. fimbriata are the most widely represented species. This is followed by a further zone dominated by USNEA comosa, U. florida, Cetraria glauca, and Cladonia impexa in particular. It must be noted that these zones are not clearly defined; there is a gradation in growth forms and a gradual change in the abundance of various species.

  19. Chldren's rights and corporal punishment in Assendabo town and the surrounding area, South West Ethiopia.

    Science.gov (United States)

    Admassu, Fisseha; Nida, Hailu; Belachew, Tefera; Haileamlak, Abraham

    2006-01-01

    Corporal punishment of children has been used as a disciplinary measure to modify undesirable behavior of children worldwide. This study was conducted with the aim of determining the knowledge, attitudes and the extent that corporal punishment is practiced in the study area. A cross-sectional study was conducted among the residents of Assendabo town and its surroundings area form January 8-12, 2003. A total of 368 residents with at least one child living with them were selected and interviewed using a structured questionnaire. Data were analyzed using SPSS for windows version 11.0. The study revealed 310 (87.6%) of the parents employed child corporal punishment as a method of disciplining out of which nearly half of them claimed their action was for the ultimate benefit of their children. Only 12 (3.5%) of the parents reported infliction of trauma while punishing their children. There was no significant parental difference both in attitude and practice of child corporal punishment. Family income is found to affect both attitude and practice of corporal punishment. From this study it is concluded that the knowledge about the existence of a legal framework which protects a child from any form of abuse is low. The attitude towards avoidance of child corporal punishment is unfavorable and there is a high prevalence of child corporal punishment practiced.

  20. Reconstruction of major maternal and paternal lineages of the Cape Muslim population

    Directory of Open Access Journals (Sweden)

    Shafieka Isaacs

    2013-01-01

    Full Text Available The earliest Cape Muslims were brought to the Cape (Cape Town -South Africa from Africa and Asia from 1652 to 1834. They were part of an involuntary migration of slaves, political prisoners and convicts, and they contributed to the ethnic diversity of the present Cape Muslim population of South Africa. The history of the Cape Muslims has been well documented and researched however no in-depth genetic studies have been undertaken. The aim of the present study was to determine the respective African, Asian and European contributions to the mtDNA (maternal and Y-chromosomal (paternal gene pool of the Cape Muslim population, by analyzing DNA samples of 100 unrelated Muslim males born in the Cape Metropolitan area. A panel of six mtDNA and eight Y-chromosome SNP markers were screened using polymerase chain reaction-restriction fragment length polymorphisms (PCR-RFLP. Overall admixture estimates for the maternal line indicated Asian (0.4168 and African mtDNA (0.4005 as the main contributors. The admixture estimates for the paternal line, however, showed a predominance of the Asian contribution (0.7852. The findings are in accordance with historical data on the origins of the early Cape Muslims.

  1. Over the past decades, the Cape anchovy Engraulis capensis has ...

    African Journals Online (AJOL)

    spamer

    Data on the thermal structure, copepod biomass and production, and total number of eggs of the Cape anchovy ... To identify factors controlling the area of this water mass, a cluster ...... thesis, University of Cape Town: [vii] + 278 pp. SHANNON ...

  2. Trends of rape in the Mthatha area, Eastern Cape, South Africa

    African Journals Online (AJOL)

    Objectives: To estimate the trend of sexual assault in the Mthatha area of South Africa. Methods: ... prevention of pregnancy, HIV, and other sexually transmitted infections; .... African communities, it is considered a legitimate right of male sexual.

  3. Franchising O&M water services infrastructure in the Eastern Cape province of South Africa

    CSIR Research Space (South Africa)

    Wall, K

    2010-09-01

    Full Text Available South African research has found that franchising partnerships could alleviate and address many challenges in the operation and maintenance of water services infrastructure. Franchising brings appropriate training to those on-site, and also offers...

  4. German Submarine Offensives and South African Countermeasures

    African Journals Online (AJOL)

    Evert

    Scientia Militaria vol 44, no 1, 2016, pp 168-189. doi: 10.5787/44-1-1166 ..... report the presence of a body of German submarines moving south towards Cape Town. Despite ...... London: Arms and Armour Press, 1989, 100–101; Keegan op.

  5. Agricultural chemical exposures and birth defects in the Eastern Cape Province, South Africa A case – control study

    Directory of Open Access Journals (Sweden)

    Tyler Joanne

    2003-10-01

    Full Text Available Abstract Background South Africa is one of the major users of pesticides on the African continent. The Eastern Cape is the second largest province in South Africa. There has been growing concern about the occurrence of certain birth defects which seemed to have increased in the past few years. In this paper we investigate associations between exposure to agricultural chemicals and certain birth defects. Few such studies have been undertaken in the developing world previously. Methods Between September 2000 and March 2001 a case – control study was conducted among rural women in the area of the Eastern cape to investigate the association between women's exposure to pesticides and the occurrence of birth defects. Information on birth defects was obtained from the register of the Paediatrics Department at the Cecilia Makiwane Hospital in Mdantsane, one of the largest referral hospitals in the province. The cases were children who were diagnosed with selected birth defects. The controls were children born in the same areas as the cases. Exposure information on the mothers was obtained by interview concerning from their activities in gardens and fields. Data were analysed using conditional logistic regression. Results A total of 89 case mothers and 178 control mothers was interviewed. Babies with birth defects were seven times more likely to be born to women exposed to chemicals used in gardens and fields compared to no reported exposure (Odds Ratio 7.18, 95% CI 3.99, 13.25; and were almost twice as likely to be born to women who were involved in dipping livestock used to prevent ticks (OR 1.92, 95% CI 1.15, 3.14. They were also 6.5 times more likely to be born to women who were using plastic containers for fetching water (OR 6.5, 95% CI 2.2, 27.9. Some of these containers had previously contained pesticides (OR 1.87, 95% CI 1.06, 3.31. Conclusions These findings suggest a link between exposure to pesticides and certain birth defects among the

  6. Drought preparedness, impact and response: A case of the Eastern Cape and Free State provinces of South Africa

    Directory of Open Access Journals (Sweden)

    Makala J. Ngaka

    2012-08-01

    Full Text Available Drought is a major disaster in South Africa in terms of total economic loss and number of people affected. This study investigated and analysed the preparedness, impact of and response by the farming community to the 2007/2008 drought using the Eastern Cape and Free State provinces of South Africa as case studies. Both qualitative and quantitative approaches were used in this study. Primary data were collected through face-to-face interviews with sampled recipients of the 2007/2008 drought relief scheme. These were analysed using MedCalc® software and various statistical tests and correlations were performed to test for statistical differences on key variables. Major findings of this study included inadequacy of the extension support service, particularly as a vehicle for disseminating early-warning information. The most significant impact was livestock losses, and t-test results supported the hypothesis that there was a significant difference in terms of drought impact for the three categories of farmers (i.e. small, medium and large scale, particularly with regard to the proportion of livestock lost. A Logit analysis showed that the decision to reduce livestock during drought was influenced by access to land and race. The main constraint to the drought relief scheme, as perceived by the respondents, was the turnaround time − they felt that the relief was provided long after the disaster had occurred.

  7. Pressed flowers: notions of indigenous and alien vegetation in South Africa's Western Cape, c. 1902-1945.

    Science.gov (United States)

    Pooley, Simon

    2010-01-01

    In the early twentieth century, botanists in South Africa's Western Cape sought urgently to popularise and protect the region's unique indigenous Fynbos flora. Plants imported from the 1840s, some of which proved invasive, became a physical and symbolic focus for their advocacy. The botanists' efforts resonated with political attempts to forge a common white South African national identity that drew on notions of landscape and the indigenous flora for symbolism and that consciously exploited the politically integrative potential of the new science of ecology. Introduced by overseas-trained experts, ecological theory was, however, inappropriate for the local flora, and had unfortunate consequences for the scientifically-informed research and management particularly of the fire-maintained Fynbos. While botanists and conservationists were united in defending the local flora against invasive introduced plants, they drew distinctions between what was 'indigenous' and what was 'natural' that further complicated their attitudes to the local flora. These historical debates illuminate agendas and policies on introduced ('alien') and indigenous flora in the region today.

  8. Policy commitments vs. lived realities of young pregnant women and mothers in school, Western Cape, South Africa.

    Science.gov (United States)

    Ngabaza, Sisa; Shefer, Tamara

    2013-05-01

    Reproductive rights in South Africa continue to be undermined for young women who fall pregnant and become mothers while still at school. Before 1994, exclusionary practices were common and the majority of those who fell pregnant failed to resume their education. With the adoption of new policies in 2007, young pregnant women and mothers are supposed to be supported to complete school successfully. Notwithstanding these new policies, there are incongruities between policy implementation and young women's lived experience in school. This paper explores the experiences of pregnancy and parenting among a group of 15 young women who fell pregnant and became mothers while attending three high schools in Khayelitsha township, a working-class community in the Western Cape of South Africa. Qualitative, in-depth interviews, conducted between 2007 and 2008, highlighted two key areas of concern: continuing exclusionary practices on the part of schools, based on conservative interpretations of policy, and negative and moralistic responses from teachers and peers. Such practices resulted in secrecy and shame about being pregnant, affecting the young women's emotional and physical well-being and their decisions whether to remain in school during pregnancy and return after having the baby. Further attention is required to ensure appropriate implementation of policies aimed at supporting pregnant and parenting young women to complete their education successfully. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  9. Infant feeding practices among mothers with and without HIV in Western Cape, South Africa

    OpenAIRE

    Nordstrand, Møyfrid Elin

    2012-01-01

    Master i samfunnsernæring The HIV prevalence in adults and children in South Africa is high. South Africa is also a country where the breastfeeding rate is low and the child mortality rate is high. HIV-infected mothers have to weigh the risk of mother-to-child transmission of HIV (MTCT) through breastfeeding versus the risk of other diseases from formula feeding when choosing infant feeding practice. In 2007 researches conducted a third and last wave in a panel survey in Khayelitsha. I...

  10. Not STRAIGHT forward for gays: A look at the lived experiences of gay men, living in Cape Town, with regard to their worker roles.

    Science.gov (United States)

    Soeker, Shaheed; Bonn, Gerri-Lee; de Vos, Zahraa; Gobhozi, Thobile; Pape, Candice; Ribaudo, Shelly

    2015-06-05

    The South African constitution protects the rights of gays; however in the workplace gays experience discrimination and marginalization. As a result of marginalization they struggle to reach their potential regarding career development and the fulfilment of their worker role. The study explored the experiences and perceptions of gay males with regard to acquiring and maintaining their worker roles. The study is phenomenological and qualitative in design. Eleven of these men participated in two focus groups. One male participated in two in-depth interviews and one interview was conducted with a key informant. Three themes emerged: 1) Being boxed in, 2) The glass ceiling, 3) This is where I can wear my feather boa. The study findings clearly depicted the many barriers experienced by homosexual men and how this negatively impacts on their worker role. Minimal facilitatory factors exist, to assist gay males %in with regard to their worker role. It was found that homo-prejudice still exists in South Africa and its workplaces and has a negative impact not only on gay men's worker role but also their well-being. This significantly highlights the great need for occupational therapy intervention in the lives of these gay men, and their workplaces.

  11. Willingness to join and pay for the newly proposed social health insurance among teachers in Wolaita Sodo Town, South Ethiopia.

    Science.gov (United States)

    Agago, Tesfamichael Alaro; Woldie, Mirkuzie; Ololo, Shimeles

    2014-07-01

    Cost-sharing between beneficiaries and governments is critical to achieve universal health care coverage. To address this, Ethiopia is currently introducing Social Health Insurance. However, there has been limited evidence on willingness to join the newly proposed insurance scheme in the country. The purpose of this study is to assess willingness to join and pay for the scheme among teachers in Wolaita Sodo Town government educational institutions, South Ethiopia. A cross-sectional study was conducted from February 5 to March 10, 2012 on 335 teachers. Stratified simple random sampling technique was used and data were collected using structured interviewer administered questionnaire. Binary and multiple logistic regressions were used to estimate the crude and adjusted odds ratios for willingness to pay. Three hundred twenty-eight teachers participated in the study with response rate of 98%. About 55% of the teachers had never heard of any type of health insurance scheme. However, 74.4% of them were willing to pay for the suggested insurance scheme. About 47% of those who were willing to pay agreed to contribute greater than or equal to 4% of their monthly salaries. Willingness to pay was more likely among those who had heard about health insurance, had previous history of inability to pay for medical bills and achieved higher educational status. The majority of the teachers were willing to join social health insurance; however, adequate awareness creation and discussion should be made with all employees at various levels for the successful implementation of the scheme.

  12. Fire management in Mediterranean-climate shrublands: a case study from the Cape fynbos, South Africa

    CSIR Research Space (South Africa)

    van Wilgen, BW

    2010-01-01

    Full Text Available 19. South African National Biodiversity Institute, Pretoria. Noble, I.R. & Slatyer, R.O. (1980) The use of vital attributes to predict succes- sional changes in plant communities subject to recurrent disturbances. Vegetatio, 43, 5–21. Noble, I...

  13. Cattle and rural development in the Eastern Cape, South Africa: the Nguni project revisited

    NARCIS (Netherlands)

    Hebinck, P.G.M.; Faku, N.

    2013-01-01

    Notions of land and agrarian reform are now well entrenched in post-apartheid South Africa. But what this reform actually means for everyday life is not clearly understood, nor the way it will impact on the political economy. In the Shadow of Policy explores the interface between the policy of land

  14. Genotypic characterisation of Staphylococcus aureus isolates causing bacteraemia at Tygerberg hospital, western cape province, South Africa

    NARCIS (Netherlands)

    Orth, H.; Salaam-Dreyer, Z.; Makgotlho, E.; Sinha, B.; Wasserman, E.

    2011-01-01

    Objectives: There is a paucity of studies on the genotypic characterisation of invasive S. aureus strains and the incidence of communityacquired methicillin resistant S. aureus (CA-MRSA) infections in South Africa. In this study we characterized S. aureus isolates from bacteraemia episodes using

  15. Floral diversity, composition and distribution in a montane wetland in hogsback, the eastern cape province, south africa

    International Nuclear Information System (INIS)

    Omar, M.Y.; Tol, J.J.V.; Maroyi, A.

    2016-01-01

    The objective of this study was to evaluate plant species diversity, composition and distribution in a montane wetland in Hogsback, Eastern Cape province, South Africa. Twenty four circular plots with radius of 2m were established between March and August 2013 within Hogsback montane wetland. Within each sample plot, the habitat information and species present were recorded including Braun-Blanquet cover-abundance values for all species present in the plot. A total of 41 species belonging to 19 families and 36 genera were recorded. Of the documented species, 7.3% were exotic and endemic to South Africa, indicating diversity and dynamic nature of Hogsback montane wetland flora. Plant families with the highest number of species were: Poaceae (11 species), Asteraceae (six species), Onagraceae and Cyperaceae (three species each) and Lamiaceae with two species. The low number of exotic plant species recorded in Hogsback wetland (three species in total) indicates limited anthropogenic influences. Unique species recorded in Hogsback montane wetland were three species that are endemic to South Africa, namely, Alchemilla capensis Thunb., Helichrysum rosum (P.J. Bergius) Lees and Lysimachia nutans Nees. Five main floristic associations were identified from the Hierarchical Cluster Analysis. The Canonical Correspondence Analysis (CCA) indicated that edaphic factors, particularly area covered with water, erosion category, organic matter content and water table depth were the most important environmental variables measured accounting for the vegetation pattern present in the Hogsback montane wetland. Montane wetlands have a relatively low species richness characterised by unique species compositions which are distinctive and habitat specific. (author)

  16. When will it be Africa's turn?: prospects and challenges for South ...

    African Journals Online (AJOL)

    South Africa's hosting of the 2010 FIFA World Cup has raised critical debates relating to the ability of developing countries to successfully host events of this magnitude. Yet some cities in South Africa have indicated an interest in bidding for the Olympic Games in the future, including Cape Town, which was one of the cities ...

  17. Two new species of Indigofera L. (Leguminosae) from the Sneeuberg Centre of Floristic Endemism, Great Escarpment (Eastern and Western Cape, South Africa).

    Science.gov (United States)

    Clark, V Ralph; Schrire, Brian D; Barker, Nigel P

    2015-01-01

    Two new species of Indigofera L. (Leguminosae) are described from the Sneeuberg Centre of Floristic Endemism on the southern Great Escarpment, Eastern and Western Cape Provinces, South Africa. Both species are localised high-altitude endemics. Indigoferamagnifica Schrire & V.R. Clark is confined to the summit plateau of the Toorberg-Koudeveldberg-Meelberg west of Graaff-Reinet, and complements other western Sneeuberg endemics such as Ericapasserinoides (Bolus) E.G.H. Oliv. and Faurearecondita Rourke & V.R. Clark. Indigoferaasantasanensis Schrire & V.R. Clark is confined to a small area east of Graaff-Reinet, and complements several other eastern Sneeuberg endemics such as Euryopsexsudans B. Nord & V.R. Clark and Euryopsproteoides B. Nord. & V.R. Clark. Based on morphology, both new species belong to the Cape Clade of Indigofera, supporting a biogeographical link between the Cape Floristic Region and the Sneeuberg, as well as with the rest of the eastern Great Escarpment.

  18. Smallholder farmers’ awareness of biofuel crops in the Eastern Cape Province, South Africa

    OpenAIRE

    Cheteni, Priviledge

    2016-01-01

    In this study, 157 smallholder farmers from the OR Tambo and Chris Hani district municipality in South Africa were purposively sampled to participate in a survey. The objective was to identify the factors that influence smallholder farmers’ awareness of biofuel crops. Using a binary logistic model it was found that the variables; gender, household income, membership in association; land utilisation and qualification were statistically significant in influencing farmers’ awareness of biofuel c...

  19. Analysis of referral appropriateness in the Western Cape, South Africa, and implications for resource allocation

    Directory of Open Access Journals (Sweden)

    David B. Richards

    2012-06-01

    Discussion: 22% (60/270 of transfers could have been avoided if specific resources or training were available to CHCs or if patients requiring tertiary care were identified prior to transfer to a secondary facility. The next step will be to compare the cost of providing these resources to the savings from decreased patient transfers. We believe the techniques used in this study can serve as a model for efficiency assessment of tiered health care systems throughout South Africa and beyond.

  20. Socio-economic gradients in prevalent tuberculosis in Zambia and the Western Cape of South Africa.

    Science.gov (United States)

    Yates, Tom A; Ayles, Helen; Leacy, Finbarr P; Schaap, A; Boccia, Delia; Beyers, Nulda; Godfrey-Faussett, Peter; Floyd, Sian

    2018-04-01

    To describe the associations between socio-economic position and prevalent tuberculosis in the 2010 ZAMSTAR Tuberculosis Prevalence Survey, one of the first large tuberculosis prevalence surveys in Southern Africa in the HIV era. The main analyses used data on 34 446 individuals in Zambia and 30 017 individuals in South Africa with evaluable tuberculosis culture results. Logistic regression was used to estimate adjusted odds ratios for prevalent TB by two measures of socio-economic position: household wealth, derived from data on assets using principal components analysis, and individual educational attainment. Mediation analysis was used to evaluate potential mechanisms for the observed social gradients. The quartile with highest household wealth index in Zambia and South Africa had, respectively, 0.55 (95% CI 0.33-0.92) times and 0.70 (95% CI 0.54-0.93) times the adjusted odds of prevalent TB of the bottom quartile. College or university-educated individuals in Zambia and South Africa had, respectively, 0.25 (95% CI 0.12-0.54) and 0.42 (95% CI 0.25-0.70) times the adjusted odds of prevalent TB of individuals who had received only primary education. We found little evidence that these associations were mediated via several key proximal risk factors for TB, including HIV status. These data suggest that social determinants of TB remain important even in the context of generalised HIV epidemics. © 2018 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  1. Poverty and human immunodeficiency virus in children: a view from the Western Cape, South Africa.

    Science.gov (United States)

    Marais, Barend Jacobus; Esser, Monika; Godwin, Sarah; Rabie, Helena; Cotton, Mark Fredric

    2008-01-01

    Sub-Saharan Africa is the region affected worst by human immunodeficiency virus (HIV), with the most southern countries, including Botswana, Zimbabwe, Swaziland, and South Africa, carrying the highest disease burden. This geographic distribution represents a complex interaction among virological, political, social, cultural, and economic forces. In South Africa the HIV epidemic is seemingly unchecked, with 18% of the adult population infected. Although South Africa is a mid-developed country, there is a large chasm between the wealthy and the poor, with many living in moderate to extreme poverty. Poverty creates conditions that fuel the HIV epidemic while HIV exacerbates the multiple interlinking causes of poverty. Children are the most vulnerable members of society, severely affected by all components of the poverty cycle. Although improved health education and access to care will alleviate many problems, sustainable poverty alleviation should form an essential component of the response to AIDS. The formulation of the United Nations Millennium Developmental Goals is an important step in the right direction, but global and local political commitment is essential for success.

  2. Body weight, eating practices and nutritional knowledge amongst university nursing students, Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Violet L. van den Berg

    2012-08-01

    Objectives: To assess weight status, eating practices and nutritional knowledge amongst nursing students at the University of Fort Hare, Eastern Cape. Method: A cross-sectional descriptive survey was conducted on 161 undergraduate (51 male and 110 female students of the Department of Nursing Sciences at the University of Fort Hare. Body mass index, waist and hip circumferences and waist hip ratio were determined. Nutritional knowledge and eating practices were investigated by structured intervieweradministered questionnaires. Results: Statically, 49.7% were overweight or obese (58.2% of the females; 31.4% of the males and 65.2% had waist circumferences putting them at risk for non-communicable diseases. Most did not meet the recommendations for intakes from the vegetable group (97.5% ate <3 servings per day, the fruit group (42.2% ate <2 servings per day, and the dairy group (92.6% ate <2 servings per day; whilst 78.3% ate ≥4 serving per day of sugar or sweets. Most consumed margarine, oil or fat (68.3%, sugar (59.0% and bread (55.9% daily, but few reported daily intakes of vegetables (12.4%, fruit (23.6%, fruit juice (21.2% and milk (15.6%. Fewer than 50% knew the recommended intakes for vegetables, fruit, dairy, starchy foods and meat or meat alternatives. Conclusions: These nursing students had a high prevalence of overweight and obesity, poor eating habits and inadequate knowledge on key nutrition issues, which may impact negatively on their efficacy as future health ambassadors to the public.

  3. Taphonomic and paleoecological change in the large mammal sequence from Boomplaas Cave, western Cape, South Africa.

    Science.gov (United States)

    Faith, J Tyler

    2013-12-01

    Excavations conducted by H.J. Deacon in the 1970s at Boomplaas Cave (BPA) uncovered a stratified sequence of Middle Stone Age (MSA) and Later Stone Age (LSA) deposits spanning the last >65,000 years. This study provides the first comprehensive and integrated taphonomic and paleoecological analysis of the BPA large mammals, with a focus on its implications for understanding human adaptations and environmental changes in southern Africa's Cape Floristic Region (CFR), an area that features prominently in understanding modern human origins. Taphonomic data indicate a complex history of human, carnivore, and raptor accumulation of the large mammal assemblage. The anthropogenic signal is largely absent from the bottom of the sequence (>65,000 years ago), intermediate in MSA and LSA assemblages from ~50,000 to 20,000 years ago, and strong in LSA deposits post-dating the Last Glacial Maximum (LGM). When viewed in the broader CFR context, the inferred occupation history of BPA is consistent with the hypothesis that both MSA and LSA human populations were concentrated on the submerged coastline from ~60,000 to ~20,000 years ago. Intensive occupation following the LGM parallels an apparent increase in regional population densities, which may have been driven in part by rising sea levels. The BPA ungulate assemblage is characterized by the rise and decline of a taxonomically diverse grazing community, which peaks during the LGM. These changes are not correlated with taphonomic shifts, meaning that they are likely driven by environmental factors, namely the expansion and contraction of grassland habitats. Changes in ungulate diversity indicate that effective precipitation was highest during the LGM, corresponding with an intensified winter rainfall system. This is consistent with recent arguments that the LGM in this region may not have been extremely harsh and arid. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. The association between race and Crohn's disease phenotype in the Western Cape population of South Africa, defined by the Montreal Classification System.

    Directory of Open Access Journals (Sweden)

    Abigail Basson

    Full Text Available Inter-racial differences in disease characteristics and in the management of Crohn's disease (CD have been described in African American and Asian subjects, however for the racial groups in South Africa, no such recent literature exists.A cross sectional study of all consecutive CD patients seen at 2 large inflammatory bowel disease (IBD referral centers in the Western Cape, South Africa between September 2011 and January 2013 was performed. Numerous demographic and clinical variables at diagnosis and date of study enrolment were identified using an investigator administered questionnaire as well as clinical examination and patient case notes. Using predefined definitions, disease behavior was stratified as 'complicated' or 'uncomplicated'.One hundred and ninety four CD subjects were identified; 35 (18% were white, 152 (78% were Cape Coloured and 7(4% were black. On multiple logistic regression analysis Cape Coloureds were significantly more likely to develop 'complicated' CD (60% vs. 9%, p = 0.023 during the disease course when compared to white subjects. In addition, significantly more white subjects had successfully discontinued cigarette smoking at study enrolment (31% vs. 7% reduction, p = 0.02. No additional inter-racial differences were found. A low proportion of IBD family history was observed among the non-white subjects.Cape Coloured patients were significantly more likely to develop 'complicated' CD over time when compared to whites.

  5. Alien plant species list and distribution for Camdeboo National Park, Eastern Cape Province, South Africa

    Directory of Open Access Journals (Sweden)

    Mmoto L. Masubelele

    2009-09-01

    Full Text Available Protected areas globally are threatened by the potential negative impacts that invasive alien plants pose, and Camdeboo National Park (CNP, South Africa, is no exception. Alien plants have been recorded in the CNP since 1981, before it was proclaimed a national park by South African National Parks in 2005. This is the first publication of a list of alien plants in and around the CNP. Distribution maps of some of the first recorded alien plant species are also presented and discussed. To date, 39 species of alien plants have been recorded, of which 13 are invasive and one is a transformer weed. The majority of alien plant species in the park are herbaceous (39% and succulent (24% species. The most widespread alien plant species in the CNP are Atriplex inflata (= A. lindleyi subsp. inflata, Salsola tragus (= S. australis and cacti species, especially Opuntia ficus-indica. Eradication and control measures that have been used for specific problematic alien plant species are described. Conservation implications: This article represents the first step in managing invasive alien plants and includes the collation of a species list and basic information on their distribution in and around the protected area. This is important for enabling effective monitoring of both new introductions and the distribution of species already present. We present the first species list and distribution information for Camdeboo National Park.

  6. PHYTOCHEMICAL SCREENING, ANTI-INFLAMMATORY AND ANALGESIC PROPERTIES OF PENTANISIA PRUNELLOIDES FROM THE EASTERN CAPE PROVINCE, SOUTH AFRICA.

    Science.gov (United States)

    Mathews, Miya Gugulethu; Ajayi, Oyemitan Idris; Opeoluwa, Oyedeji Oyehan; Oluwatobi, Oluwafemi Samuel; Benedicta N, Nkeh-Chungag; Phindile, Songca Sandile; Oyedeji; Omowumi, Adebola

    2016-01-01

    Pentanisia prunelloides is a medicinal plant widely used to remedy various ailments including infections, fever and rheumatism in Eastern Cape Province of South Africa. There is scanty report on the phytochemical and biological properties of the plant; hence various solvent extracts of the dried plant materials were phytochemically screened, and its aqueous extract evaluated for acute toxicity effect, analgesic and antiinflammatory properties in rodents. Different extracts of both leaf and rhizome were obtained separately with ethanol, methanol and water. Portions of the filtrate were used for qualitative screening of secondary metabolites and remaining portions were concentrated and dried. Dried grounded leaf and rhizome of the plant were also used for quantitative screening for some major components. The aqueous extract of the leaf and rhizome were used for acute toxicity (LD 50 ) test, antiinflammatory and analgesic activities in rodents. The qualitative phytochemical screening showed the presence of several phytoconstituents with saponins, flavonoids and alkaloids constituting highest constituents in the leaf and rhizome. The LD50: of the aqueous extracts (from leaf or rhizome) was found to be ≥5000 mg/kg orally. The leaf and rhizome aqueous extract (250-500 mg/kg) significantly (pphytochemicals which could be associated with their medicinal uses. The aqueous leaf and rhizome extracts are similarly non-toxic orally, showed antiinflammatory and analgesic potentials thus rationalizing its use in folkloric medicine.

  7. Farmers’ Perceptions and Knowledge of Cattle Adaptation to Heat Stress and Tick Resistance in the Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    C. L. F. Katiyatiya

    2014-11-01

    Full Text Available The objective of this study was to determine the perceptions and knowledge of farmers of heat stress and tick resistance in cattle. A cross-sectional survey was conducted and 110 farmers in four villages in the sour and sweet velds of the Eastern Cape Province, South Africa were interviewed. The associations among area (municipality, gender, age, level of education, employment and religion were computed using Chi-square tests. The majority of the respondents had on average 4 bulls, 4 cows, 4 heifers, 4 calves, and 4 oxen. Milk was considered as the major (28.3% reason for keeping cattle. Most farmers owned non-descript (72.6%, and Nguni (45.3% cattle because of their heat tolerance (54.7%, tick resistance (54.7%, and milking ability (28.2% traits. Excessive panting (56.6% and disease transmission (76% were regarded as the major effects of heat stress and tick infestation in cattle, respectively. About 50% of the respondents agreed that hair length influences tick resistance and 47.17% considered coat colour when acquiring cattle. In the sampled areas, ticks were prevalent in the summer season (93%, and 77.36% of the respondents use acaricides every fortnight. Gall sickness was reported to be a major problem in the cattle herds by 36.79% of the respondents. Our results showed that farmers in the two municipalities had knowledge of cattle adaptation to heat stress and tick resistance.

  8. Atmospheric bromoform at Cape Point, South Africa: an initial fixed-point data set on the African continent

    Directory of Open Access Journals (Sweden)

    B. Kuyper

    2018-04-01

    Full Text Available Bromoform mixing ratios in marine air were measured at Cape Point Global Atmospheric Watch Station, South Africa. This represents the first such bromoform data set recorded at this location. Manual daily measurements were made during a month-long field campaign (austral spring 2011 using a gas chromatograph-electron capture detector (GC-ECD with a custom-built front end thermal desorption trap. The measured concentrations ranged between 4.4 and 64.6 (± 22.2 % ppt with a mean of 24.8 ± 14.8 ppt. The highest mixing ratios recorded here occurred at, or shortly after, low tide. The diurnal cycle exhibited a morning and evening maximum with lower concentrations throughout the rest of the day. Initial analysis of the data presented indicates that the local kelp beds were the dominant source of the bromoform reported. A concentration-weighted trajectory analysis of the bromoform measurements suggests that two offshore source areas may exist. These source areas appear to be centred on the Agulhas retroflection and extend from St Helena Bay to the southwest.

  9. Evaluation of a safer male circumcision training programme for traditional surgeons and nurses in the Eastern Cape, South Africa.

    Science.gov (United States)

    Peltzer, Karl; Nqeketo, Ayanda; Petros, George; Kanta, Xola

    2008-06-18

    Training designed to improve circumcision knowledge, attitude and practice was delivered over 5 days to 34 traditional surgeons and 49 traditional nurses in the Eastern Cape, South Africa. Training included the following topics: initiation rites; statutory regulation of traditional male circumcision and initiation into Manhood (TCIM); structure and function of the male sex organs; procedure of safe circumcision, infection control; sexually transmitted infections (STIs); HIV/AIDS; infection control measures; aftercare of the initiate including after care of the circumcision wound and initiate as a whole; detection and early management of common complications of circumcision; nutrition and fluid management; code of conduct and ethics; and sexual health education. The evaluation of the training consisted of a prospective assessment of knowledge and attitude immediately prior to and after training. Significant improvement in knowledge and/or attitudes was observed in legal aspects, STI, HIV and environmental aspects, attitudes in terms of improved collaboration with biomedical health care providers, normal and abnormal anatomy and physiology, sexually transmitted infections and including HIV, circumcision practice and aftercare of initiates. We concluded that safer circumcision training can be successfully delivered to traditional surgeons and nurses.

  10. Grain size statistics and depositional pattern of the Ecca Group sandstones, Karoo Supergroup in the Eastern Cape Province, South Africa

    Directory of Open Access Journals (Sweden)

    Baiyegunhi Christopher

    2017-11-01

    Full Text Available Grain size analysis is a vital sedimentological tool used to unravel the hydrodynamic conditions, mode of transportation and deposition of detrital sediments. In this study, detailed grain-size analysis was carried out on thirty-five sandstone samples from the Ecca Group in the Eastern Cape Province of South Africa. Grain-size statistical parameters, bivariate analysis, linear discriminate functions, Passega diagrams and log-probability curves were used to reveal the depositional processes, sedimentation mechanisms, hydrodynamic energy conditions and to discriminate different depositional environments. The grain-size parameters show that most of the sandstones are very fine to fine grained, moderately well sorted, mostly near-symmetrical and mesokurtic in nature. The abundance of very fine to fine grained sandstones indicate the dominance of low energy environment. The bivariate plots show that the samples are mostly grouped, except for the Prince Albert samples that show scattered trend, which is due to the either mixture of two modes in equal proportion in bimodal sediments or good sorting in unimodal sediments. The linear discriminant function analysis is dominantly indicative of turbidity current deposits under shallow marine environments for samples from the Prince Albert, Collingham and Ripon Formations, while those samples from the Fort Brown Formation are lacustrine or deltaic deposits. The C-M plots indicated that the sediments were deposited mainly by suspension and saltation, and graded suspension. Visher diagrams show that saltation is the major process of transportation, followed by suspension.

  11. Grain size statistics and depositional pattern of the Ecca Group sandstones, Karoo Supergroup in the Eastern Cape Province, South Africa

    Science.gov (United States)

    Baiyegunhi, Christopher; Liu, Kuiwu; Gwavava, Oswald

    2017-11-01

    Grain size analysis is a vital sedimentological tool used to unravel the hydrodynamic conditions, mode of transportation and deposition of detrital sediments. In this study, detailed grain-size analysis was carried out on thirty-five sandstone samples from the Ecca Group in the Eastern Cape Province of South Africa. Grain-size statistical parameters, bivariate analysis, linear discriminate functions, Passega diagrams and log-probability curves were used to reveal the depositional processes, sedimentation mechanisms, hydrodynamic energy conditions and to discriminate different depositional environments. The grain-size parameters show that most of the sandstones are very fine to fine grained, moderately well sorted, mostly near-symmetrical and mesokurtic in nature. The abundance of very fine to fine grained sandstones indicate the dominance of low energy environment. The bivariate plots show that the samples are mostly grouped, except for the Prince Albert samples that show scattered trend, which is due to the either mixture of two modes in equal proportion in bimodal sediments or good sorting in unimodal sediments. The linear discriminant function analysis is dominantly indicative of turbidity current deposits under shallow marine environments for samples from the Prince Albert, Collingham and Ripon Formations, while those samples from the Fort Brown Formation are lacustrine or deltaic deposits. The C-M plots indicated that the sediments were deposited mainly by suspension and saltation, and graded suspension. Visher diagrams show that saltation is the major process of transportation, followed by suspension.

  12. Staff and bed distribution in public sector mental health services in the Eastern Cape Province, South Africa

    Directory of Open Access Journals (Sweden)

    Kiran Sukeri

    2014-11-01

    Full Text Available Background. The Eastern Cape Province of South Africa is a resource-limited province with a fragmented mental health service.  Objective. To determine the current context of public sector mental health services in terms of staff and bed distribution, and how this corresponds to the population distribution in the province. Method. In this descriptive cross-sectional study, an audit questionnaire was submitted to all public sector mental health facilities. Norms and indicators were calculated at provincial and district level. This article investigates staff and bed distribution only. Results. Results demonstrated that within the province, only three of its seven districts have acute beds above the national baseline norm requirement of 13/100 000. The private mental health sector provides approximately double the number of medium- to long-stay beds available in the public sector. Only two regions have staff/population ratios above the baseline norm of 20/100 000. However, there are significant differences in this ratio among specific staff categories. There is an inequitable distribution of resources between the eastern and western regions of the province. When compared with the western regions, the eastern regions have poorer access to mental health facilities, human resources and non-governmental organisations.  Conclusion. Owing to the inequitable distribution of resources, the provincial authorities urgently need to develop an equitable model of service delivery. The province has to address the absence of a reliable mental health information system.

  13. Antibiotic-Resistant Pathogenic Escherichia Coli Isolated from Rooftop Rainwater-Harvesting Tanks in the Eastern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Mokaba Shirley Malema

    2018-05-01

    Full Text Available Although many developing countries use harvested rainwater (HRW for drinking and other household purposes, its quality is seldom monitored. Continuous assessment of the microbial quality of HRW would ensure the safety of users of such water. The current study investigated the prevalence of pathogenic Escherichia coli strains and their antimicrobial resistance patterns in HRW tanks in the Eastern Cape, South Africa. Rainwater samples were collected weekly between June and September 2016 from 11 tanks in various areas of the province. Enumeration of E. coli was performed using the Colilert®18/Quanti-Tray® 2000 method. E. coli isolates were obtained and screened for their virulence potentials using polymerase chain reaction (PCR, and subsequently tested for antibiotic resistance using the disc-diffusion method against 11 antibiotics. The pathotype most detected was the neonatal meningitis E. coli (NMEC (ibeA 28% while pathotype enteroaggregative E. coli (EAEC was not detected. The highest resistance of the E. coli isolates was observed against Cephalothin (76%. All tested pathotypes were susceptible to Gentamicin, and 52% demonstrated multiple-antibiotic resistance (MAR. The results of the current study are of public health concern since the use of untreated harvested rainwater for potable purposes may pose a risk of transmission of pathogenic and antimicrobial-resistant E. coli.

  14. Antibiotic-Resistant Pathogenic Escherichia Coli Isolated from Rooftop Rainwater-Harvesting Tanks in the Eastern Cape, South Africa.

    Science.gov (United States)

    Malema, Mokaba Shirley; Abia, Akebe Luther King; Tandlich, Roman; Zuma, Bonga; Mwenge Kahinda, Jean-Marc; Ubomba-Jaswa, Eunice

    2018-05-01

    Although many developing countries use harvested rainwater (HRW) for drinking and other household purposes, its quality is seldom monitored. Continuous assessment of the microbial quality of HRW would ensure the safety of users of such water. The current study investigated the prevalence of pathogenic Escherichia coli strains and their antimicrobial resistance patterns in HRW tanks in the Eastern Cape, South Africa. Rainwater samples were collected weekly between June and September 2016 from 11 tanks in various areas of the province. Enumeration of E. coli was performed using the Colilert ® 18/Quanti-Tray ® 2000 method. E. coli isolates were obtained and screened for their virulence potentials using polymerase chain reaction (PCR), and subsequently tested for antibiotic resistance using the disc-diffusion method against 11 antibiotics. The pathotype most detected was the neonatal meningitis E. coli (NMEC) ( ibeA 28%) while pathotype enteroaggregative E. coli (EAEC) was not detected. The highest resistance of the E. coli isolates was observed against Cephalothin (76%). All tested pathotypes were susceptible to Gentamicin, and 52% demonstrated multiple-antibiotic resistance (MAR). The results of the current study are of public health concern since the use of untreated harvested rainwater for potable purposes may pose a risk of transmission of pathogenic and antimicrobial-resistant E. coli.

  15. The association between ethnic identity and condom use among young men in the Eastern Cape Province, South Africa.

    Science.gov (United States)

    Nyembezi, Anam; Resnicow, Ken; Ruiter, Robert A C; van den Borne, Bart; Sifunda, Sibusiso; Funani, Itumeleng; Reddy, Priscilla

    2014-08-01

    This article reports on the association between ethnic identity and condom use among Black African men in the rural areas of the Eastern Cape Province, South Africa. Individual face-to-face structured interviews were conducted by trained community research assistants among 1,656 men who had undergone traditional initiation and male circumcision. Logistic regression analyses were used to explore the association between two components of ethnic identity (cultural affiliation and cultural alienation) and condom use. Overall, 49.2 % of the participants reported using condoms consistently and, of these users, 66.4 % used them correctly. Logistic regression adjusting for age, employment status, education level, and nation of origin showed that participants who expressed high as opposed to low cultural affiliation were significantly more likely to use condoms consistently and correctly when having sex, especially if they reported to have more than one sexual partner. Cultural alienation was negatively related with consistent condom use, whereas its association with correct use was unclear. The findings of this study suggest that positively emphasizing the ethnic identity of African black men may promote condom use.

  16. Lifestyle factors and co-morbidities associated with obesity and overweight in Nkonkobe Municipality of the Eastern Cape, South Africa.

    Science.gov (United States)

    Otang-Mbeng, Wilfred; Otunola, Gloria Aderonke; Afolayan, Anthony Jide

    2017-05-25

    Obesity is a global epidemic that affects 500 million people worldwide and is predicted to increase to one billion people by 2030. The prevalence of obesity is increasing across populations in South Africa. However, questions still remain surrounding the predisposing factors and obesity-related health problems especially in the rural areas. This study evaluated several lifestyle factors such as dietary habits, physical activity, smoking, alcohol intake, co-morbidities and their association with the prevalence of obesity and overweight in Nkonkobe Municipality of the Eastern Cape. A cross-sectional, population-based survey was conducted among 118 residents in four rural/sub-urban townships of the study area. Measurements including weight, height, body mass index (BMI), physical activity and dietary habits were determined using a validated questionnaire. The overall prevalence of obesity and overweight was 38 and 19%, respectively. The highest prevalence of obesity (70%) was observed among those who do not undertake any physical activity. Close to half (48.48%) of the respondents who eat fast foods always were obese, and 30.30% were overweight; when combined, the prevalence for obesity is 78.78%. A negative association with obesity was observed among regular smokers (26.92%) and consumers of alcohol (4.00%). Arthritis, hypertension and tuberculosis were co-morbidities significantly (P fast and fried foods, low fruit and vegetable consumption as well as arthritis, hypertension and tuberculosis were significant risk factors of obesity in Nkonkobe Municipality.

  17. Simulation of land use impacts on sediment and nutrient transfer in coastal areas of Western Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Gebel Micha

    2017-01-01

    Full Text Available A major challenge for water resource management in Western Cape, South Africa, is the reduction of the growing sediment and nutrient loads in coastal areas, which belong to the areas most affected by land use change. We used the WebGIS based software STOFFBILANZ to simulate runoff, soil loss, sediment, phosphorus, and nitrogen input in the surface water and groundwater of study area (ca. 6,450 km². The simulated runoff shows a large regional variability caused by the heterogeneous distribution of rainfall. For the reference catchment Klein River simulated total daily runoff fit the observed values of the reference year 2012. The calculation of potential input of sediment, phosphorus, and nitrogen into waters is based on aggregated or generalized information on climate data, land use types, crop and fruit types, yields, mineral fertilizers, farm manure, nitrogen fixing by leguminous plants, atmospheric nitrogen deposition, and soil denitrification. Critical source areas for potential sediment input, particulate P input and diffuse N input are mainly agricultural areas. Additionally, point sources of high relevance for N and P are found in urban areas. Based on the potential input of sediment and nutrients the impacts of current land use change on water resources were estimated. We used the web-based information system WebLand for the simulation aiming at the provision of stakeholders with information for decision making in water resource management.

  18. A survey of the Cape Floristic Region of South Africa for the presence of cyst nematodes (Nematoda: Heteroderidae).

    Science.gov (United States)

    Knoetze, Rinus; Swart, Antoinette

    2014-12-09

    A survey was performed to detect the presence of cyst nematodes in the Cape Floristic Region of South Africa. Soil was collected in the rhizosphere of the dominant plant species within blocks of indigenous vegetation and cysts were extracted from them. A total of 81 blocks of indigenous vegetation were sampled as described. Cysts were detected in 7 of these samples, representing 6 different vegetation types. One set of primers was used to amplify the ITS regions from these cysts, including the 5.8S ribosomal gene, as well as short parts of the 18S and 28S ribosomal genes. ITS-rDNA sequences from the indigenous isolates were aligned with selected sequences of other species from the Heteroderidae. Phylogenetic analyses to resolve the relationships between indigenous isolates and selected representatives of the Heteroderidae were conducted using the Maximum Parsimony method. The consensus tree resulting from alignment of the circumfenestrate cysts revealed that isolates SK18, WK1 and WK26 are included in a clade of Globodera species that parasitise non-solanaceous plants, forming a monophyletic group with G. millefolii, G. artemisiae, and an unidentified Globodera sp. from Portugal. In a tree resulting from the alignment of the Heterodera spp., isolates OK14 and WK2 are included in the Afenestrata group, forming a monophyletic group with H. orientalis.This survey unearthed at least four potentially new species of cyst nematodes, which may prove invaluable for the study of the evolution and biogeography of the group.

  19. Atmospheric bromoform at Cape Point, South Africa: an initial fixed-point data set on the African continent

    Science.gov (United States)

    Kuyper, Brett; Palmer, Carl J.; Labuschagne, Casper; Reason, Chris J. C.

    2018-04-01

    Bromoform mixing ratios in marine air were measured at Cape Point Global Atmospheric Watch Station, South Africa. This represents the first such bromoform data set recorded at this location. Manual daily measurements were made during a month-long field campaign (austral spring 2011) using a gas chromatograph-electron capture detector (GC-ECD) with a custom-built front end thermal desorption trap. The measured concentrations ranged between 4.4 and 64.6 (± 22.2 %) ppt with a mean of 24.8 ± 14.8 ppt. The highest mixing ratios recorded here occurred at, or shortly after, low tide. The diurnal cycle exhibited a morning and evening maximum with lower concentrations throughout the rest of the day. Initial analysis of the data presented indicates that the local kelp beds were the dominant source of the bromoform reported. A concentration-weighted trajectory analysis of the bromoform measurements suggests that two offshore source areas may exist. These source areas appear to be centred on the Agulhas retroflection and extend from St Helena Bay to the southwest.

  20. The December 2004-January 2005 floods in the Garden Route region of the Southern Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Johan Tempelhoff

    2009-04-01

    Full Text Available The December 2004-January 2005 floods in the Garden Route region of the Southern Cape in South Africa have had a significant impact on local development and economic activities, tourism products andlocal institutions. This article aims to capture the dynamism between a number of related fields within the context of transdisciplinary research. Qualitative research methods were used to target a representative sample of the affected population. This article considers the history of the flooding events of December 2004/January 2005 along the Garden Route, as well as the manner in which emergency/disaster management personnel responded to the crisis. The effect of the floods on the tourism sector along the Garden Route was researched in general and the effects of the floods on tourists, local residents, and particularly communities in disadvantaged areas were specifically determined. The research reflects on the disaster risk management strategies that were in place at the time of the floods to determine what local authorities could have done to cope with the potential conditions of crisis. The research found that although some tourism products were severely affected, the 2004/2005 floods did not have a significant impact on the number of tourists frequenting the area. In terms of disaster risk management, concerns remain regarding the lack of the following factors: capacity, adequate early warning systems, proper infrastructure maintenance, local institutions, and an in-depth understanding of the disaster risk profile of the area.