Gauteng Province Of South Africa Research Articles

Contested and nervous spaces: exploring the environment of healthcare provision for international migrants in the Gauteng province of South Africa

ABSTRACT Background Notwithstanding the global goal of inclusive universal health coverage, and the notion of migrant-sensitive health systems, limited healthcare access or the exclusion of migrants from national health systems persists. South Africa has a rights-based constitution, but there is an inability or a failure of the health system to recognise and address the health needs of migrants. Objective To explore the intersection of the environment of healthcare provision for migrants and the everyday practices and behaviours of health workers and patients in the Gauteng province of South Africa. Methods The conceptual frameworks of health system responsiveness and social exclusion informed this institutional ethnographic study at 13 healthcare facilities in Gauteng province. We developed an observation guide to explore the intersection of culture and environment and its influence on healthcare provision to patients, especially migrants. Following ethics approval, we observed the facilities for 234 person-days. We used thematic analysis to analyse the data. Results Busy, frantic or nervous spaces, and contestations between patients and health workers, and among health workers formed part of the social and cultural environment of healthcare provision. The presence of migrant patients during busy periods served as a detonator for rude or discriminatory remarks, exacerbated by staff shortages and language barriers. Simultaneously, migrants exercised their agency by rebutting or confronting rude health workers. We also observed encouraging examples of kindness, caring and professionalism of health workers. Conclusion The study has implications for achieving a migrant-sensitive health system in South Africa.

Differentiated Service Delivery Model in Improving HIV Treatment Outcomes Among Female Sex Workers in Gauteng Province of South Africa: A Protocol Paper

Differentiated Service Delivery Model in Improving HIV Treatment Outcomes Among Female Sex Workers in Gauteng Province of South Africa: A Protocol Paper

Experiences of maternal healthcare delivery in South Africa: Perinatal women's viewpoints.

Becoming a mother should be an exciting experience in woman's life. No mother should have to endure adverse encounters. while seeking healthcare in any maternal services facility. this is a phenomenon occurring globally. Delivery of these maternal healthcare services has a bearing on the obstetrical outcomes of mothers from preconception until six weeks after delivery. The study aims to understand the experiences of perinatal women regarding maternal healthcare services in the public hospitals of Gauteng province in South Africa. This study followed an exploratory and descriptive qualitative approach using a purposive sampling method. The study was conducted in three selected public hospitals representing different levels of care namely, district, tertiary provincial, and academic in the Gauteng province. A total of forty-six perinatal women were selected to take part in six focus groups. Data were thematically analysed following the six steps given by Braun and Clarke (2013). Three themes emerged as follows: 1) individual 2) interpersonal reasons and 3) impact of poor complaints procedure on maternal healthcare. The study showed that maternity services rendered to perinatal women in the three selected public hospitals are affected by several factors, such as midwives' attitudes, knowledge and skills, professional ethics, communication, and delayed maternal healthcare. These findings demonstrate an urgent need for practice and policy interventions that go beyond just a routine service but quality and organised maternal healthcare services provided in public hospitals, for improved healthcare outcomes at the point of service.

A principal component analysis of corporate dispositions for sustainable building construction in South Africa

Corporate dispositions have been associated with implementing sustainable building construction (SBC). Prior studies have underscored the need for institutions to adopt sustainable development concepts as an integral part of their operations. Nonetheless, there remains ambiguity about the characteristics essential for enabling SBC, particularly for construction companies. Consequently, this study explored the corporate dispositions influencing SBC implementation in South Africa. The respondents included built environment professionals in the Gauteng province of South Africa. Descriptive and principal component analyses were used to determine the essential characteristics or features. The study found that top management support, competency, availability of finance for the project operation, good project management culture, stakeholders’ involvement and commitment, and commitment to innovative construction are the most critical corporate disposition features for SBC implementation. These formed a principal cluster called corporate capability and commitment. The insight from the critical corporate dispositions analysis is anticipated to trigger improvement initiatives and mitigate unsustainable practices and the unaffordability of smart houses in the South African construction industry. The findings suggest that mobilising competent human and financial resources for project operation among construction firms will support the adoption of modern building techniques and the erection of smart houses. Similarly, competitive advantage and committed involvement of the relevant stakeholders, including government and community, can lead to subsidy, alignment of local needs and aspirations, and reducing the high price of erecting sustainable/smart buildings and rental costs.

Assessing the impact of Escherichia coli on recreational water safety using quantitative microbial risk assessment

ABSTRACT Recreational water activities have become an integral part of society for entertainment, health, and fitness. The water quality for these activities plays an integral role in the health and safety of the participants. This study aimed to monitor the presence of Escherichia coli in selected recreational water bodies, specifically rowing in the Gauteng Province of South Africa. Water samples were collected (upstream, midstream, and downstream) from three recreational water sites, i.e., Klip Rivier, Wemmer Pan, and Germiston Lake, monthly from May to October 2022. The presence of E. coli was determined using the Colilert® Quanti-Tray®/2,000 (IDEXX) assay and ChromoSelect agar. Pathotypes were confirmed using a multiplex PCR. The MPN for E. coli from all the samples exceeded the recommended guidelines of <2,000 microbes/100 mL. Pathogenic E. coli was detected in all three sites, with EPEC, ETEC, EAEC being most prevalent. The E. coli isolates showed 66% ESBL resistance and 94% carbapenemase resistance. Risk assessment showed recreational activities (rowing and swimming) posed a significant health risk as exceeded the annual risk benchmark limit of 1 × 104. The results obtained provide insights into the health risk associated with recreational activities within these water bodies and highlight the need for seasonal monitoring.

Waste management practices amongst small businesses in the townships of Gauteng province in South Africa

ABSTRACT This paper investigated waste management practices of small businesses in the selected townships of Gauteng province, South Africa. Surveys were conducted by means of questionnaire-administered interviews and primary data were analysed by descriptive and inferential statistics. Results indicated that most businesses generated wastes in the form of plastics (59–75%), cardboards (31–61%), and food remains (21–37%). Approximately 64–68% of small businesses relied on the municipality for waste collection and disposal. By contrast, 10–20% of businesses gave away their recyclable materials to informal waste reclaimers while only a few were recycling (7–14%) or reusing (6–12%) their wastes, respectively. The survey found a significant association between the formality of businesses and certain types of wastes that they were generating, namely, office paper, glass, metals, food items, and other waste materials. Based on these findings, some recommendations are suggested for improving existing waste management practices and maximising waste reduction efforts in the townships.

Equipping Civil Technology Teachers with Hands-On Skills and Educational Resources for Effective Teaching of Practical Lessons

Continuous professional development for teachers will always be prioritized, especially in cases where there are obvious and conspicuous gaps in their subject-matter expertise and when they handle practical skills exercises with inadequate planning and delivery. Hence, this study explores the effects of equipping Civil Technology teachers with hands-on skills and provision of educational resources for effective teaching of practical lessons. This study purposefully sampled nine (09) Civil Technology teachers from Ekurhuleni East, Gauteng province of South Africa. This study was hinged on Stronge’s qualities of effective teachers as its framework. This study adapted a mixed method design where closed-ended questionnaires and semi-structured interviews were considered relevant data collection instrument and sources. A sequential explanatory design was used to analyze the collected data. The findings reveal that even though teachers get continuous hands-on skills training from the Gauteng Department of Education (GDE) annually, the trainings are often too generic and do not adequately boost teachers with confidence to teach specific skills (i.e., construction and plumbing) to learners. As a result, Civil Technology teachers could not actualize their continuous professional development training as an element of learning to become innovative skills teachers. The survey found that while certain Ekurhuleni East schools have instructional tools, some of the teachers were not trained to use them, which made it difficult to effectively teach practical lessons in Civil Technology. Therefore, this study recommended that the Gauteng Department of Education should focus on discipline specific instructional strategies that will promote innovation in skills-based activities in Civil Technology.

Why do some government support structures fail to aid the growth of SMEs in the Gauteng Province of South Africa?

Why do some government support structures fail to aid the growth of SMEs in the Gauteng Province of South Africa?

Blockchain application in energy trading for grid-connected prosumers

The Gautrain railway link in the Gauteng province of South Africa is a crucial transportation facility that has faced considerable energy-related difficulties and hence a dependable power supply is essential to ensure the continuous operation of railway processes. The total number of passenger trips on the Gautrain, in a year, is two million plus. The railway system, which has always relied on grid electricity to power trains, stations, lights, security, and operations is facing increasing difficulties because of rising electricity demand and costs, and power-related outages. To address these issues, the study designed an optimised power generation system for the Gautrain railway link (GRL) using a photovoltaic (PV) system with energy storage connected to the grid to lower energy costs, promote economic growth, and satisfy its energy demand. The Advanced Interactive Multidimensional Modelling System (AIMMS) tool was used to optimise the incorporation of solar energy generation and battery energy storage into the GRL power system. This study contributes to sustainable energy development by leveraging renewable solar energy, optimising the GRL power system, and integrating blockchain technology for peer-to-peer (P2P) energy trading. A smart contract is compiled and deployed within the Remix Online IDE to apply a logic that manages energy generation, consumption, and P2P energy trading amongst prosumers. It furnishes a replicable model for the advancement of electrical energy systems within diverse transportation networks, therefore fostering the adoption of energy-efficient practices.

Enhancing youth involvement in community development: A pragmatic strategy for local churche

This article reports on the findings of the Christian youth ministry involvement in community development in the Mayibuye community of Tembisa, in the Gauteng province of South Africa. The article employed Richard Osmer’s model of the four tasks of practical theological interpretation. These tasks have been used to understand better what is happening in youth ministry and community development contexts in the Mayibuye community by utilising documentary analysis and in-depth semi-structured interviews. The findings divulged that the Mayibuye community faces several socio-economic challenges. Most importantly, young people are the most affected. Furthermore, the findings exposed that youth involvement is limited in community development processes within local communities. As a result, the article proposes implementing a pragmatic strategy to enhance the youth ministry’s involvement in community development. Various principles of the youth ministry have been presented in the study as the essential principles that need youth leaders’ attention for functional youth ministry, and to achieve developmental outcomes. The study also recommended further empirical studies on youth culture, the importance of young people’s inclusion in leadership roles and the use of young people as catalysts for community transformation.Intradisciplinary and/or interdisciplinary implications: The anticipated outcomes of this research endeavour are poised to make a valuable contribution to the current corpus of knowledge in various academic domains, including Practical Theology, Youth Ministry, Theology and Development, Community Development, Congregational Studies, Missiology, Anthropology, and Sociology. This contribution suggests that adopting a pragmatic strategy is likely to yield positive outcomes for local churches, youth ministry, and community development as a whole.

The effect of repeated washings on thermal protective performances of one most used structural firefighting turnout gear in the Gauteng Province in South Africa

Fire performance measurements of one of the most used firefighting protective ensembles (also called turnout gears), in terms of thermal and smoke hazards, were determined with the cone calorimeter, that of thermal stability were determined with thermogravimetric analyzer, the physical inspection (physical degradation) of the surface done with the scanning electron microscopy, and energy dispersive spectroscopy measurements determined the elemental compositions of the detergent used in washing and the residual elements in the turnout gears. The cone calorimeter results indicated that the values of the thermal performance parameters, namely: peak heat release rate, maximum average rate of heat emission, and fire growth rate index, all decrease with increasing number of washing cycles, while the smoke parameters: peak smoke production rate, smoke growth rate index, total smoke release, and related sustained flaming values, all increase with increasing number of washing cycles. From the thermogravimetric analyzer measurements, the thermal stability of the turnout gears decrease with increasing number of washings.

A Qualitative Inquiry Into the Occupational Challenges Faced by Home-Based Caregivers of People Living With HIV in South Africa’s Gauteng Province

Community home-based caregivers caring for people living with human immunodeficiency virus (PLWHIV) are instrumental in relieving the demand pressures experienced by healthcare service centers. Although their contributions to the healthcare system are essential, they do so under difficult conditions necessitating social work support. This study was conducted in the Gauteng province of South Africa in 2017 to explore the occupational challenges faced by community home-based care caregivers of PLWHIV. Following the qualitative research approach, eighteen caregivers were identified and sampled using purposive and snowball sampling techniques in semi-structured interviews. The data was manually analyzed according to Tesch’s eight steps of qualitative data analysis. This gave rise to four themes: reception by community members, uncooperative clients and families, unsupportive healthcare professionals, and working in unsafe conditions. Following relevant ethical principles such as informed consent, confidentiality, and anonymity throughout the study, trustworthiness was continuously upheld through the principles of prolonged engagement, triangulation, member checking, thick description, and audit trail. The need for psychosocial support programs for caregivers, community and family educational programs, and strengthening partnerships for caregivers, communities, and healthcare professionals is recommended, given the success of community home-based care (CHBC) services for PLWHIV.

Detection and characterisation of microplastics in tap water from Gauteng, South Africa

This study reports the presence, concentration, and characteristics of microplastics (MPs) in tap water in three suburbs in Gauteng Province in South Africa. Physical characterisation was conducted using stereomicroscopy and scanning electron microscopy following staining of MPs with the Rose Bengal dye. The concentrations of MPs in all samples ranged from 4.7 to 31 particles/L, with a mean of 14 ± 5.6 particles/L. Small-sized (<1 mm) and fibrous-shaped MPs were most abundant in all samples. Fibers accounted for 83.1% of MPs in samples from all the three areas, followed by fragments (12.4%), pellets/beads (3.1%), and films (1.5%), with a minor variation in the distribution of shapes and sizes in samples from each area. Raman microspectroscopy was used for chemical analysis, and five polymers were identified, namely: high-density polyethylene, polyurethane, polyethylene terephthalate, poly(hexamethylene terephtalamide), and poly(acrylamide-co-acrylic acid). C.I Pigment Red 1, C.I. Solvent Yellow 4, Potassium indigotetrasulphonate, and C.I Pigment Black 7 were the colourants detected. These colourants are carcinogenic and mutagenic and are potentially toxic to humans. The prevalence of MPs in tap water implies their inadequate removal during water treatment. For instance, the presence of poly(AM-co-AA) suggests that drinking water treatment plants may be a potential source of MPs in tap water. Other polymers, e.g., high-density polyethylene may be released from pipes during the transportation of drinking water. The estimated daily consumption of MPs from tap water was 1.2, 0.71, and 0.50 particles/kg.day for children, men, and women, respectively. The findings of this study provide evidence of the presence of MPs in drinking water in South Africa, thus giving some insights into the performance of treatment plants in removing these contaminants and a benchmark for the formulation of standard limits for the amount of MPs in drinking water.

Absence of Tuberculosis-Causing Mycobacteria from Slaughtered Livestock Tissues and Environmental Samples, Gauteng Province, South Africa.

Mycobacterium tuberculosis complex (MTBC) is a group of bacteria responsible for causing tuberculosis in animals and humans. In South Africa (S.A), slaughterhouses are registered by the government and closely inspected and audited for hygienic slaughter practices. Meat inspection to detect lesions has been used for passive surveillance, monitoring, and diagnosis of the disease status. Information on the current status of bovine tuberculosis (bTB) in livestock in the country is limited. Hence, we investigated the occurrence of Mycobacterium spp. in the tissues of slaughtered livestock and environmental samples in abattoirs in Gauteng province of South Africa (S.A). The cross-sectional study employing random sampling from cattle, pigs, and sheep (with the collection of liver, lung, spleen, and different lymph nodes) irrespective of lesions was carried out in 19 red meat abattoirs. Five hundred animals were sampled, comprising cattle (n = 369), pigs (n = 90), and sheep (n = 41). Additionally, 19 environmental samples were collected from feedlots, or where animals drink water while awaiting slaughter, to identify mycobacterial species using culture, acid-fast bacteria staining, and polymerase chain reaction (PCR). The Chi-square and Fisher's Exact tests were used to detect statistically significant differences in the frequency of detection of Mycobacterium spp. according to the variables investigated (types of tissues, livestock, abattoirs, etc.). The PCR assays detected no MTBC complex species DNA in the bacterial isolates from cattle (n = 32). Sequence analysis (16S rDNA) of the isolates from eight cattle confirmed only two species, namely Mycobacterium colombiense (99.81% identity) and Mycobacterium simiae (99.42% identity). The remaining isolates were identified as members of the Actinomadura species. From the environmental samples, bacterial isolation was made from three samples, and two could only be identified up to the genus level (Mycobacterium species) while the remaining isolate was identified as Mycobacterium senuense (99.22% identity). The study revealed the absence of bovine tuberculosis-causing pathogens in red meat abattoirs of the Gauteng province. Although non-tuberculous Mycobacteria have been implicated as potentially causing tuberculosis-like diseases in livestock, their occurrence in the current study was found to be low, but the potential to cause disease cannot be ignored.

Listing of Small and Medium Enterprises on the Alternative Exchange in the Gauteng Province in South Africa – A Model of Factors that Lead to a Successful Listing

Listing of Small and Medium Enterprises on the Alternative Exchange in the Gauteng Province in South Africa – A Model of Factors that Lead to a Successful Listing

Core academic language skills as a predictor of academic success in Grade 6 South African learners

With this article I explore the relationship between core academic language skills (CALS) – a construct representing a set of high-utility language skills needed to manage the linguistic features prevalent in academic texts across content areas – and schooling outcomes. There has long been an understanding that there is a distinction between academic language and colloquial language, originally described by Jim Cummins (1976) as cognitive academic language proficiency (CALP) and basic interpersonal communication skills (BICS). The construct has only recently been operationalised (Uccelli, Phillips Galloway, Barr, Meneses &amp; Dobbs, 2015) as the individual skills and competencies that underlie CALP. The CALS construct describes an empirically testable set of competencies that address this need. This has been used in the development of an assessment instrument aimed at South African learners – the CALS-I-ZA (MacFarlane, Barr &amp; Uccelli, 2022) – and I investigate whether a measurable link exists between this assessment and schooling outcomes for a sample of Grade 6 learners in 2 public schools in the Gauteng province of South Africa. Schooling outcomes have been measured using the Gauteng Provincial Common Assessments – a provincial examination intended to measure schooling outcomes on a comparable assessment instrument. The study reported on here shows a moderately strong correlation between the CALS I ZA and the provincial common examinations (r = 0.64 and r = 0.65). This predictive relationship between CALS and schooling outcomes leads to an argument for direct instruction in CALS as an embedded feature of pedagogy in South Africa.

Unblocking the System to Strengthen Implementation of Early Childhood Development Policies and Practice in South Africa

Government sectors responsible for early childhood development (ECD) often have competing priorities and obligations which manifest through fragmentation, silo conflicts, and power dynamics, thus failing to implement ECD policies in South Africa effectively. This article aims to provide a framework for strengthening the implementation of ECD policies to enhance quality early childhood care and education (ECCE) in the Gauteng province of South Africa. Using a qualitative approach within an interpretive paradigm, data was obtained through open-ended semi-structured interviews, observations, and field notes. Key stakeholders, including ECD managers, practitioners, and education officials, were purposely sampled. The conceptual lens was used for exploring the current implementation of ECD policies at the systems level in the theoretical framework. The findings revealed communication and information blockages at the level of national, provincial, and district offices. As a result, ECD centers were left uninformed of the new policies and frameworks for implementation. A framework that stipulates standardized training for the Department of Education officials, support for ECD principals, managers, and practitioners, and open communication through bi-annual conferences and monthly community of practice (CoP) virtual meetings will ensure that policies are implemented and that quality ECD education is achievable in South Africa.

Development of collaboration guidelines for nursing education and related healthcare services.

A theory-practice gap in nursing education often occurs, and the staff from the nursing education institution and the associated healthcare services should find ways to improve their collaboration to reduce the gap during the training of nursing students. This study aimed to develop context-specific collaboration guidelines for a nursing education institution and associated healthcare services. Private hospital in the Gauteng province of South Africa. Guidelines were developed from the findings of an integrative literature review. Thereafter, it was contextualised in a qualitative study with focus group discussions (FGDs) involving 9 theoretical lecturers and 10 clinical facilitators. In the partnership between the nursing education institution and the associated healthcare services, bilateral communication, cooperation between the theoretical lecturers and the clinical facilitators in delivering evidence-based patient care, intensified innovation in teaching and learning practices and an environment conducive to theory-practice integration should be emphasised. A set of context-specific guidelines was developed to enable the theoretical lecturers and the clinical facilitators to collaborate in supporting nursing students to apply their theoretical knowledge in the development of clinical competencies. The guidelines can be adjusted to suit the context of other nursing education institutions and their associated healthcare services to improve collaboration between theoretical lecturers and clinical facilitators to the benefit students' skills development in theory-practice integration.

Substance use patterns in an adolescent psychiatric unit in Johannesburg, South Africa.

Substance use among adolescents carries a significant public health and socioeconomic burden with potential long-term consequences for the adolescent substance user (SU). Adolescents with mental health challenges are vulnerable to substance use and substance use worsens outcomes in this population. This study aimed to describe the substance use patterns among inpatients admitted to a specialised tertiary adolescent inpatient unit in Johannesburg over a 4-year period. This study was conducted at the Tara H. Moross Centre (Tara Hospital), in Johannesburg in the Gauteng province of South Africa. This was a retrospective comparative record review of all patients admitted to the adolescent unit over the 4 years. A lifetime history of substance use was documented in 44.1% (n = 52) of the 118 patient's records included in the final analysis. Cannabis was the most frequently used substance (n = 36, 69.2%). There were significant differences between the SU and substance nonuser groups regarding family structure (p = 0.012), family history of substance abuse (p = 0.046) and conflict within the family (p < 0.001). The high prevalence of substance use in this sample demonstrates the dual burden of mental health disorders and substance use in an adolescent treatment programme in Johannesburg. Primary caregiver burden and relational difficulties within the family unit should be observed for planned multidisciplinary interventions. The findings of this review provide an update on the pattern and prevalence of substance use among this adolescent mental healthcare user group, highlighting potential therapeutic targets.

Identifying the Adverse Health Impacts of Conventional Buildings for Residential Occupants

Abstract Numerous issues and environmental concerns are attributed to the construction and operation of conventional buildings globally. Dire among these issues are the health impacts of these buildings on their occupants. The study aims to identify the adverse health impacts of conventional buildings on occupants in South Africa based on construction professionals’ perspectives. A field survey was carried out among construction professionals in the Gauteng Province of South Africa to identify the adverse health impacts of conventional buildings on occupants. The study used a simple random sampling method to select participants to avoid sampling bias. A well-structured, closed-ended questionnaire survey was developed and administered to respondents to gather data for the study. The questionnaire comprised twenty-six (26) adverse health impacts identified through an extensive literature review. The collected data from 159 respondents were then subjected to descriptive and inferential analyses using exploratory factor analysis (EFA) methods. The study’s findings showed that sensitivity to odours, daytime dysfunction, and fatigue were the highest-ranked adverse health impacts on conventional buildings’ occupants. The EFA returned five factors that provided a relevant understanding of the adverse health impacts of conventional buildings on occupants: respiratory symptoms, neurological and cognitive effects, general body discomfort, infectious diseases, and sensory sensitivity. In conclusion, the study emphasises the need for attention to the indoor environment and its potential impact on occupants’ health and well-being with evidence that factors in conventional buildings, such as air quality, lighting, noise, temperature, and hygiene practices, play a significant role in influencing occupants’ health outcomes.