KwaZulu-Natal Research Articles

Social entrepreneurship and networking challenges: Impact on sustainable development in South Africa

The overwhelming complexity of achieving sustainable development globally, including in South Africa, requires the networking and partnerships of all stakeholders. This paper reports networking challenges affecting social entrepreneurship’s contribution to sustainable development. The study aimed to investigate and analyze the impact of networking challenges on social entrepreneurship contribution to sustainable development in the townships in KwaZulu-Natal (KZN) province. The study is quantitative and was conducted in three KZN township communities. The sample consisted of 90 social entrepreneurs selected using a snowball sampling technique. The respondents completed a self-administered close-ended questionnaire (employing a five-point Likert scale). The data were analyzed using SPSS (27.0 version). Cronbach’s Alpha of 0.808 indicated the reliability of the questionnaire as a measuring instrument for this study. The study revealed that lack of partnerships and networking with other social entrepreneurs, insufficient networking and partnership with corporate organizations, absence of networking and partnerships with government, and lack of platform use for social networking, affect social entrepreneurs’ activities. A chi-square test also revealed that all the tested variables were statistically significant, with a p-value = .000.

Diabetes in the public healthcare sector of four South African provinces: A comparative analysis.

The growing burden of diabetes has long been under the radar in developing countries such as South Africa (SA). In recent years, there has been an unprecedented and exponential increase in recorded and undiagnosed diabetes mellitus (DM) cases. Unreliable data collection, overburdened health systems and poor infrastructure have all proved to be barriers to achieving optimum disease management. The District Health Information System (DHIS) serves as the data collection tool for the SA public healthcare sector. It is used in all nine SA provinces to gather data without individual patient identifiers. To analyse and compare the DM data collected by the DHIS in the Western Cape (WC), Eastern Cape (EC), KwaZulu-Natal (KZN) and Gauteng provinces of SA. An audit of diabetes-related data from the DHIS for 2016 was conducted. The data were then analysed using Excel. Time-series and cross-sectional analyses were made possible using pivot tables. Graphics were designed using Thinkcell software. Of the four provinces surveyed, Gauteng recorded the highest incidence of DM, 67% higher than the reported global DM incidence estimate, while the WC had the lowest incidence. A similar pattern was also noted regarding the incidence of DM in people aged <18 years, with Gauteng having the highest and WC the lowest prevalence results. When comparing the number of DM-related consultations conducted in each province, the metropolitan districts were highlighted as hotspots of activity for DM care. This study found a moderate inversely proportional relationship between the incidence of DM in all provinces and education deprivation (p<0.05). Among the provinces that collected data on screening (excluding EC), KZN recorded the highest number of diabetic screenings. Metropolitan areas were highlighted as areas to be targeted, further reinforcing the current connection observed between urbanisation and DM in SA. The presence and recording of screening efforts is an excellent step in the right direction for the SA public healthcare sector and the DHIS. With improved interprovincial co-ordination regarding standardisation of the criteria and specifications of data collection fields, and enhanced training for data officers and primary collection agents, good quality and rich data is a very close possibility.

Mapping the spatial distribution of underutilised crop species under climate change using the MaxEnt model: A case of KwaZulu-Natal, South Africa

Knowing the spatial and temporal suitability of neglected and underutilised crop species (NUS) is important for fitting them into marginal production areas and cropping systems under climate change. The current study used climate change scenarios to map the future distribution of selected NUS, namely, sorghum (Sorghum bicolor), cowpea (Vigna unguiculata), amaranth (Amaranthus) and taro (Colocasia esculenta) in the KwaZulu-Natal (KZN) province, South Africa. The future distribution of NUS was simulated using a maximum entropy (MaxEnt) model using regional circulation models (RCMs) from the CORDEX archive, each driven by a different global circulation model (GCM), for the years 2030 to 2070. The study showed an increase of 0.1–11.8% under highly suitable (S1), moderately suitable (S2), and marginally suitable (S3) for sorghum, cowpea, and amaranth growing areas from 2030 to 2070 across all RCPs. In contrast, the total highly suitable area for taro production is projected to decrease by 0.3–9.78% across all RCPs. The jack-knife tests of the MaxEnt model performed efficiently, with areas under the curve being more significant than 0.8. The study identified annual precipitation, length of the growing period, and minimum and maximum temperature as variables contributing significantly to model predictions. The developed maps indicate possible changes in the future suitability of NUS within the KZN province. Understanding the future distribution of NUS is useful for developing transformative climate change adaptation strategies that consider future crop distribution. It is recommended to develop regionally differentiated climate-smart agriculture production guidelines matched to spatial and temporal variability in crop suitability.

Mapping and auditing digital literacy of civil servants in selected South African government departments

As digital technology becomes ubiquitous, workers will increasingly need an appropriate set ofdigital skills to access and process information, using digital systems and tools. Hence, the aimof the study was to map and audit the digital literacy of civil servants in selected South Africangovernment departments in KwaZulu-Natal (KZN). Through a survey, four government departments,considered to be central to service delivery, were targeted. To obtain a representative sample, asystematic sampling method was applied. Data were analysed using the SPSS statistical analysisprogramme. The results suggested that not enough is being done to equip civil servants with thedigital literacy skills they require to improve service delivery. As technology changes, so does theneed for training in new technologies. Developing digital literacy in the workplace is a definite wayfor businesses and organisations to increase their work productivity and creativity. It is importantto note that digital literacy is an essential requirement for effective and optimal participation in theworld’s economy. The digital era is not going to disappear, and the need for education to respondto the growing digital tide is rapidly increasing. A digitally literate workforce is crucial if governmentis serious about improving work productivity and creativity in the public sector.

Eradication of Solar Power Unsustainability through Cost-Benefit Analysis: KwaZulu Natal Case Study

As a developing country, South Africa relies on electricity as the most critical amenity needed for development. KwaZulu-Natal (KZN) is one of the nine provinces in South Africa that faces an energy supply challenge. KZN is also the warmest province among them all due to its location. As one of the warmest provinces, solar power could be utilised to assist in dealing with the energy crisis. This paper focuses on the cost uncertainties attributed to the implementation of solar power which will assist in meeting the demand of energy in the region. The unsustainability of energy has led to a near collapse of the region’s economy. This study also contributes to improving the scientific implementation of solar power in the region to deal with the unsustainability criteria observed. The employment of Cost Benefit Analysis (CBA) revealed solar power as one of the most reliable renewable energies for planned implementation bases. With the development of the Economical, Methodological and Environmental (EME) strategic framework which addresses all social cohesion of solar power, the early turn around has been seen through the use of cost-benefit analysis (CBA) in the region of KZN.

A Survey of Telemedicine Use by Doctors in District Hospitals in KwaZulu-Natal, South Africa.

There is anecdotal evidence of informal telemedicine activity in KwaZulu-Natal (KZ-N), South Africa. Aim: To determine the current extent of telemedicine in district hospitals in KZ-N; the range of clinical activities and technologies used; additional services needed; current knowledge and practice regarding legal, ethical, and regulatory issues; and the need to formalise telemedicine activities. Method: A cross-sectional survey of telemedicine use by 143 doctors working at 22 District hospitals in KZ-N. Results: Most doctors (96%) participated in some form of telemedicine across a spectrum of disciplines, but more than half did not consider their activities to constitute telemedicine. To meet their needs, doctors have started their own informal services with colleagues, using mostly instant messaging and chat groups (WhatsApp). Some doctors indicated the need to formalise these services and establish additional services. Few doctors were aware of the national telemedicine guidelines and the required written informed consent for telemedicine was seldom obtained. This could have serious legal, regulatory, and ethical implications. Conclusions: Practical clinical and technical guidelines and standard operating procedures need to be developed with the active participation of the clinical workforce. These should encourage innovation and greater use of telemedicine, including the use of instant messaging apps.

The distribution and type B trichothecene chemotype of Fusarium species associated with head blight of wheat in South Africa during 2008 and 2009.

Fusarium head blight (FHB) of wheat occurs commonly in irrigation regions of South Africa and less frequently in dryland regions. Previous surveys of Fusarium species causing FHB identified isolates using morphological characters only. This study reports on a comprehensive characterisation of FHB pathogens conducted in 2008 and 2009. Symptomatic wheat heads were collected from the Northern Cape, KwaZulu-Natal (KZN), Bushveld and eastern Free State (irrigation regions), and from one field in the Western Cape (dryland region). Fusarium isolates were identified with species-specific primers or analysis of partial EF-1α sequences. A representative subset of isolates was characterized morphologically. In total, 1047 Fusarium isolates were collected, comprising 24 species from seven broad species complexes. The F. sambucinum (FSAMSC) and F. incarnatum-equiseti species complexes (FIESC) were most common (83.5% and 13.3% of isolates, respectively). The F. chlamydosporum (FCSC), F. fujikuroi (FFSC), F. oxysporum (FOSC), F. solani (FSSC), and F. tricinctum species complexes (FTSC) were also observed. Within the FSAMSC, 90.7% of isolates belonged to the F. graminearum species complex (FGSC), accounting for 75.7% of isolates. The FGSC was the dominant Fusaria in all four irrigation regions. F. pseudograminearum dominated at the dryland field in the Western Cape. The Northern Cape had the highest species diversity (16 Fusarium species from all seven species complexes). The type B trichothecene chemotype of FGSC and related species was inferred with PCR. Chemotype diversity was limited (15-ADON = 90.1%) and highly structured in relation to species differences. These results expand the known species diversity associated with FHB in South Africa and include first reports of F. acuminatum, F. armeniacum, F. avenaceum, F. temperatum, and F. pseudograminearum from wheat heads in South Africa, and of F. brachygibbosum, F. lunulosporum and F. transvaalense from wheat globally. Potentially novel species were identified within the FCSC, FFSC, FOSC, FSAMSC, FIESC and FTSC.

The Pongola Bush: Tree diversity assessment in a KwaZulu-Natal forest patch

The Pongola Bush Nature Reserve lies in a narrow band along the escarpment between Mpumalanga and KwaZulu-Natal (KZN). Although referred to as ‘bush’, this vegetation type may be considered to fit into the intersection of two types of scarp forest: the Northern Afrotemperate Forest and the Southern Mistbelt Forest. The area was heavily logged in the early 1900s with the need for timber for the emerging gold mining industry in Barberton. The forest fragment is now protected but lacks formal tree diversity assessments, and this study sets out to establish its community composition and richness using a range of standard techniques. Distributed throughout the forest, 127 circular plots (each 80 m2) were surveyed. In these, 1152 stems were measured for species, height, and diameter at breast height (DBH). Four species contributed roughly 70% of the 70 Mg ha−1 above ground woody biomass. Stem size class distributions showed a high recruitment rate of small stemmed individuals and few large individuals. This pattern is consistent with the disturbance history of the site, with limited recruitment of certain species, mainly limited to early successional species. The Pongola Bush forest is particularly diverse in terms of tree species: 41 species were recorded, and it is estimated from the species area curve that there may be 70 tree species present.Conservation implications: This survey is the first formal tree diversity survey conducted on the Pongola Bush which may assist future research and conservation strategies.

Field evaluation of the tuberculin skin test for the detection of Mycobacterium tuberculosis complex infection in communal goats (Capra hircus) in KwaZulu-Natal, South Africa

In South Africa, animal tuberculosis (TB) control programs predominantly focus on domestic cattle and African buffaloes (Syncerus caffer) despite increasing global reports of tuberculosis in goats (Capra hircus). Left undetected, Mycobacterium tuberculosis complex (MTBC) infected goats may hinder TB eradication efforts in cattle and increase zoonotic risk to humans. Since the publication of animal TB testing guidelines in 2018, prescribing the use of the tuberculin skin test (TST) for goats in South Africa by the Department of Agriculture, Land Reform, and Rural Development (DALRRD), there have been no published reports of any field application of the prescribed test criteria in goat herds. Therefore, this study aimed to evaluate the performance of these DALRRD guidelines using the single intradermal cervical tuberculin test (SICT) and the single intradermal comparative cervical tuberculin test (SICCT). Between October and December 2020, 495 goats from communal pastures of Kwa-Zulu Natal (KZN), where M. bovis infection has been identified in cattle and where cattle and goats cohabitate, were tested using the SICT and SICCT (M. bovis-exposed group). Additionally, 277 goats from a commercial Saanen dairy herd, with no history of M. bovis, were also tested (M. bovis-unexposed group). Estimated apparent prevalence of TST positive goats was determined based on published test interpretation criteria as described by DALRRD. When proportions of test-positive goats were compared between different DALRRD criteria, the ≥ 4 mm cut-off criterion for the SICCT resulted in the lowest proportion of positive results in the presumably uninfected group (1/277 positive in the unexposed group). The apparent prevalence of TB in the exposed group was estimated at 3.0% (95% CI: 1.7–4.9%), which is similar to previous reports of M. bovis prevalence in cattle from this area (6%). The detection of a significantly greater proportion of SICCT positive goats in the M. bovis-exposed group compared to the unexposed group suggests that MTBC infection is present in this population. Further investigations should be undertaken, in conjunction with confirmatory molecular tests, mycobacterial culture, and advanced pathogen sequencing to establish whether MTBC infection in domestic goats is a true under-recognized threat to the eradication of animal TB in South Africa.

Stakeholder knowledge and attitudes toward the use of predictive genetic testing in South Africa.

The use of predictive genetic testing, particularly for risk profiling in non-communicable diseases (NCDs), has the potential to benefit public health by decreasing the disease burden and alleviating the pressure on healthcare. It is thus important to assess knowledge and uptake among stakeholders. This study aimed to assess end users’ (community, medical practitioners and medical students) knowledge and attitudes regarding the use and support of genomic medicine. A descriptive cross-sectional survey was conducted in Kwazulu-Natal (KZN) among 3 groups of stakeholders (n = 170): medical practitioners from both private and public healthcare, medical students from UKZN and community members represented by teachers. Three structured questionnaires using a Likert scale were administered. Responses were stratified by practice type, and a scoring scale was developed. Principal component analysis (PCA) was used to reduce data on all constructs that made up each variable. All three groups showed adequate knowledge and a positive attitude towards use, apart from medical students who were not as keen to support future use in their own practice. Although medical practitioners supported the use of this technology, with necessary guidelines, expertise and affordability, only 18% from private practice reported having used it. PCA reduced data to fewer parsimonious constructs for all 3 groups: common threads included an awareness that genetic testing may improve health and disease outcomes; guidelines for use; and the provision of education to increase awareness, training to bolster expertise and confidence to use these services. Participants in this study attributed a lack of uptake to limited expertise and professional support, and a lack of legislative guidelines. We recommend updating continuing professional development for medical practitioners and promoting community education concomitantly. Provision of guidelines and increased accessibility to resources are important.Supplementary InformationThe online version contains supplementary material available at 10.1007/s12687-022-00606-y.

Audiologists' presbycusis and associated tinnitus counselling practices within the KwaZulu-Natal province.

BackgroundCounselling plays an integral part in the management of presbycusis and tinnitus. Counselling can be conducted by implementing patient-centred care (PCC), showing improved patient outcomes; however, it has been poorly implemented in healthcare in South Africa (SA), particularly in the field of audiology for this condition.ObjectivesThis study aimed to report on audiologists’ presbycusis and tinnitus counselling practices as guided by the PCC framework within KwaZulu-Natal (KZN).MethodQuantitative semi-structured online surveys were conducted using purposive sampling of 41 audiologists practising in both the public and private sectors within KZN.ResultsThis study revealed that 7.3% (n = 3) of participants provided only compensation for hearing loss without counselling, and only 2.4% (n = 1) of participants offered group counselling. Apart from this, 7.9% (n = 3) reported that tools and resources in counselling were not useful, whilst 12.5% (n = 5) reported that counselling was not multiculturally sensitive. Furthermore, a p = 0.044 suggests the public sector reported a dire need for improved training in counselling as compared with the private sector.ConclusionAudiologists have been providing services within PCC to the best of their capabilities and their environments; however, there is still room to better implement PCC for improved patient outcomes. PCC has not been fully implemented into counselling practices in terms of patient preferences, emotional support, involvement of significant others, integrated care and education.

Patient’s perceptions of presbycusis and associated tinnitus counselling practices within the KwaZulu-Natal province

BackgroundCounselling manages the psychosocial effects of presbycusis and associated tinnitus, which is best conducted through patient-centred care (PCC). However, there is a paucity of research on implementing PCC within audiology and on patients’ perceptions of counselling practice, making the focus on patient benefit and satisfaction crucial. Furthermore, PCC has been documented to be suitable in addressing the psychosocial effects of hearing loss and associated tinnitus, as it focuses on the adult patient playing an integral part of the management processes, providing improved patient outcomes.ObjectivesThis study aimed to explore patients’ perceptions of presbycusis and associated tinnitus counselling practices by audiologists within KwaZulu-Natal (KZN).MethodQualitative phenomenological semi-structured telephonic interviews were conducted through purposive sampling, consisting of seven patients with presbycusis and associated tinnitus who were recruited from private and public facilities in KZN. Data were analysed through hybrid thematic analysis following Braun and Clark’s steps.ResultsSix categories were identified: perceptions on counselling methods, efficacy and tools, audiological rehabilitative training, multicultural sensitivity, patient satisfaction and recommendations on improving counselling practices as PCC adaptation. Themes were then extracted from these categories. The overall outcome of the study found that patients had positive perceptions of methods and tools, and audiologists were viewed as adequately trained. Furthermore, they were satisfied and benefitted from counselling practices and found clinicians to be culturally sensitive in their practice. However, recommendations were made towards linguistic sensitivity and satisfaction evaluations.ConclusionTherefore, implementing PCC into counselling practice may achieve positive patient perceptions, thus highlighting the need to identify barriers and improve the implementation of PCC into practice, especially in resource-constrained contexts.

Completeness of the road-to-health card and factors affecting knowledge and practices of growth monitoring and promotion in caregivers of young children in KwaZulu-Natal

Introduction: Malnutrition is an increasing public health challenge in low- and middle-income countries. Growth Monitoring and Promotion (GMP) is a United Nations International Children’s Emergency Fund (UNICEF) strategy to combat malnutrition. This study aimed to measure factors associated with knowledge and practices of GMP in caregivers of children from birth to 24 months referred to Inkosi Albert Luthuli Central Hospital (IALCH) from health facilities in KwaZulu-Natal (KZN) during 2018. Methods: An observational, analytic cross-sectional study design was used. The study sample comprised 383 caregivers of these children. Data were obtained from interviewer-administered questionnaires. Results: Most caregivers (n = 201, 52%) were between the ages of 21 and 30 years; 95% (n = 360) had more than primary education. Most (n = 341, 89%) caregivers presented the Road-to-Health Card (RTHC) for assessment, but only 7.6% (n = 26) were complete. Most caregivers (n = 281, 73%) had an excellent overall knowledge of how an RTHC contributes to GMP. However, only 38 (10%) had the skill to interpret all four of the test growth charts. There was a statistically significant association (p < 0.05) between some caregivers’ variables and their knowledge of the RTHC. Conclusion: Despite having good theoretical knowledge concerning the information in the RTHCs, most caregivers could not correctly interpret the growth charts. The education of caregivers and health workers on the importance of appropriate use of the RTHC for GMP is recommended.

Can Infopreneurship be an Employment Option for Library and Information Science Students?

The study aimed to determine if infopreneurship can be an employment option for Library and Information Science (LIS) students and graduates in KwaZulu-Natal (KZN), South Africa. Specifically, it investigated LIS graduates involved in infopreneurship, the requisite competencies, areas of infopreneurship, and challenges. Guiding the research was the interpretive paradigm. Employing a qualitative methodology, the study used the case-study design. Data were collected through triangulation of interviews, content analysis and observations. Non-probability sampling methods were used, i.e., purposive sampling and snowball sampling. A total number of 60 infopreneurs from KZN were interviewed. The results of the study revealed that infopreneurship is practised in South Africa, though a minimal number of graduates from LIS practise it. Furthermore, infopreneurship is constantly developing, as are the infopreneurship activities that infopreneurs can perform. Notwithstanding its challenges, the majority of the infopreneurs identified have been practising it for over five years. These results suggest that infopreneurship can be an option for employment for LIS students and graduates. Ultimately, there is a need for a curriculum review and development to best prepare students to be infopreneurs. Furthermore, there is a need to include infopreneurship policies for the fight against unemployment among graduates.

Food Insecurity and Risky Sexual Behaviors among University Students in KwaZulu-Natal, South Africa

Objective: Risky sexual behavior (RSB) is associated with increased rates of sexually transmitted infections (STIs), Human Immunodeficiency Virus (HIV) infection, and unwanted pregnancies among university students. In view of its global impact on public health, the potential association between food insecurity and RSBs among university students requires investigation. This study aimed to determine the association between food security status and the likelihood to engage in RSBs amongst university students in KwaZulu-Natal (KZN), South Africa (SA). Methods: This cross-sectional study was conducted at four public sector higher educational institutions (HEIs) in KZN. A convenience sampling strategy was used to recruit participants (N = 375). All data were analyzed using STATA version 15 software. Results: Our data shows that food insecurity increased the odds of students engaging in transactional sex for “money” or “to meet basic material needs.” Participants who were food insecure were two times more likely to have multiple sexual partners. Conclusions: Our findings demonstrate a significant association between food insecurity and RSBs. It is recommended that interventions targeting the alleviation of food insecurity, should be developed and implemented by HEIs to reduce RSB participation.

Nurse Managers’ Views of Measures to Improve Nurse Retention at a Selected Hospital in KwaZulu-Natal, South Africa

The massive global nursing shortage in health care settings increases nurses’ workloads and complicates workflow. Health care personnel employed in public hospitals generally work under appalling working conditions. As disease burdens increase, high vacancy rates and workloads increase, thereby producing chronic staff shortages. Nursing managers can commit to their role in designing and maintaining strategies for effective management of human resources for health. The purpose of the current study was to explore and determine the views of nurse managers regarding staff turnover and retention, and make recommendations to improve nurse retention. An exploratory, descriptive, qualitative study was conducted using purposive sampling to select nurse managers at a selected hospital in KwaZulu-Natal (KZN), South Africa. Focus group discussions (FGDs) were conducted with 18 nurse managers from the hospital. The FGDs were transcribed verbatim and analysed using thematic analysis from which four themes were generated, namely: staff turnover challenges; current retention strategies; measures to improve retention; and strategies to strengthen management. The participants believed that excessive workload and the lack of human resources compromised the quality and efficiency of patient care. Retention strategies recommended included: improving benefits and rewards; increasing staff development; developing nursing support systems; maintaining adequate resources for optimal functioning; using emerging technology applications; and strengthening leadership roles. The current study revealed weak retention measures in the selected hospital and recommended new and improved retention measures to retain nurses and curtail turnover.

Occupational risk factors and their impact on migration of radiographers from KwaZulu-Natal, South Africa

Radiography is one of the allied healthcare professions known to be stressful. It is often associated with long working hours, ethical dilemmas, high patient demands and frequent disruptions from ancillary departments, which are all known to result in negative physical and psychosocial effects that may motivate migration. In this context, migration means; leaving one health sector to seek employment in another (i.e. private and public), resignation to join other professions or moving to a foreign country to practise radiography. The aim of this study was to identify occupational-risk factors that contribute to the migration of radiographers in order to provide input for mechanisms that can be put in place to alleviate the negative physical and psychosocial effects identified, thereby improving staff wellbeing and service delivery in KwaZulu-Natal. A cross-sectional, quantitative study, using a questionnaire as the data collection instrument was employed. The study targeted three categories of respondents: radiographers who left the profession (n=19), those who emigrated (n=29) and those who were employed in KwaZulu-Natal (KZN) (n=300). The results revealed that of the 348 participants, 221 (63 %) responded. The ages ranged from 19 to 60 (mean 39) years. The common negative occupational risk factors found across the three categories of radiographers included headaches, neck pain and spasms, lower back pain, knee pain and painful feet. The negative psychosocial effects identified were; job dissatisfaction, anxiety, stress, insomnia, depression and a sense of isolation. The study revealed that the identified occupation-related risk factors resulted in negative physical and psychosocial effects that could contribute to the migration of KZN radiographers. The introduction of employee assistance programmes and improved reporting systems are recommended to reduce the negative impact of occupation-related factors on radiographers and thereby improve staff wellbeing and reduce migration.&#x0D; Keywords: Radiography; workload; physical; psychosocial; migration

Coastal adaptations on the eastern seaboard of South Africa during the Pleistocene and Holocene? Current evidence and future perspectives from archaeology and marine geology

The use of marine resources and the settlement of coastal settlements may have influenced the bio-cultural evolution and dispersal of PleistoceneHomo sapiensin Africa. In order to test such scenarios, however, we require evidence for these behaviours deriving from an expanded spatio-temporal archaeological record. The Stone Age of South Africa documents the richest and longest record of coastal adaptations. In contrast to abundant evidence of coastal sites on the western and southern seaboard, the eastern Indian Ocean coast has not played a role in recent discussions. Considering the important and well-known Middle and Later Stone Age (MSA/LSA) record from inland sites of KwaZulu-Natal (KZN), this region may be an underappreciated area for further study. Here we provide a systematic overview of marine resource use and the settlement of coastal landscapes during the Late Pleistocene and Holocene in KZN. For the first time, we contextualize these archaeological findings with a review and new data on the changing marine and coastal geomorphology in the context of GIS modelling and offshore marine geophysical investigations. Our review finds evidence for long-term dietary and non-dietary use of marine resources during the MSA and LSA from a few stratified sites, with many more surface occurrences particularly for the MSA along the modern KZN coastline indicating human habitation. Comparisons to other areas of South Africa, GIS modelling and geological considerations suggest that current data on the eastern seaboard are not reflective of the original extent and nature of the consumption of marine foods and settlement of coastal landscapes. By contextualizing the biased and patchy MSA and LSA record with results on the dynamic marine and coastal geomorphology of KZN, we develop productive lines of future studies to assess open questions on potential coastal adaptations in this region. These research strategies include the identification of areas with high potential for finding new sites within a 10 km transect along the current coastline as well as dedicated off-shore projects including underwater archaeology aided by new marine geological work in the southwest Indian Ocean.

Conservation status and historical relatedness of South African communal indigenous goat populations using a genome-wide single-nucleotide polymorphism marker.

Indigenous goats form the majority of populations in smallholder, low input, low output production systems and are considered an important genetic resource due to their adaptability to different production environments and support of communal farming. Effective population size (N e ), inbreeding levels, and the runs of homozygosity (ROHs) are effective tools for exploring the genetic diversity and understanding the demographic history in efforts to support breeding strategies to use and conserve genetic resources. Across populations, the current N e of Gauteng was the lowest at 371 animals, while the historical N e across populations suggests that the ancestor N e has decreased by 53.86%, 44.58%, 42.16%, and 41.16% in Free State (FS), North West (NW), Limpopo (LP), and Gauteng (GP), respectively, over the last 971 generations. Genomic inbreeding levels related to ancient kinship (F ROH > 5 Mb) were highest in FS (0.08 ± 0.09) and lowest in the Eastern Cape (EC) (0.02 ± 0.02). A total of 871 ROH island regions which include important environmental adaptation and hermo-tolerance genes such as IL10RB, IL23A, FGF9, IGF1, EGR1, MTOR, and MAPK3 were identified (occurring in over 20% of the samples) in FS (n = 37), GP (n = 42), and NW (n = 2) populations only. The mean length of ROH across populations was 7.76 Mb and ranged from 1.61 Mb in KwaZulu-Natal (KZN) to 98.05 Mb (GP and NW). The distribution of ROH according to their size showed that the majority (n = 1949) of the detected ROH were > 5 Mb in length compared to the other categories. Assuming two hypothetical ancestral populations, the populations from KZN and LP are revealed, supporting PC 1. The genomes of KZN and LP share a common origin but have substantial admixture from the EC and NW populations. The findings revealed that the occurrence of high N e and autozygosity varied largely across breeds in communal indigenous goat populations at recent and ancient events when a genome-wide single-nucleotide polymorphism (SNP) marker was used. The use of Illumina goat SNP50K BeadChip shows that there was a migration route of communal indigenous goat populations from the northern part (LP) of South Africa to the eastern areas of the KZN that confirmed their historical relatedness and coincides with the migration periods of the Bantu nation.

Quality Maternity Care: Implementation of the Guidelines for Hypertensive Disorders in Pregnant Teenagers in KwaZulu-Natal, South Africa

The government of a country is responsible and accountable for the provision of quality healthcare services to its citizens. Teenage pregnancy and its complications occur worldwide. Hypertensive disorders in pregnancy (HDP) are considered the third leading cause of maternal mortality in South Africa. The current study investigated the implementation of the 2016 Department of Health Guidelines for Maternity Care in South Africa for HDP in teenagers. A retrospective quantitative research design was used. A sample of 173 maternity records of pregnant teenagers diagnosed with hypertension were systematically sampled from the period of January 2019 to December 2019 in six district hospitals and one community health centre in one district in KwaZulu-Natal (KZN), South Africa. The respondents were aged between 13 and 19 years. A pretested structured checklist was used to record the data. The Social Sciences Statistics Software IBM SPSS version 26.0 was used to analyse the data, and simple descriptive statistics to present the findings. The findings revealed that maternity care for pregnant teenagers with hypertension was not implemented according to the prescribed GMCSA. None of the pregnant teenagers received aspirin as prophylaxis against the development of hypertension; 82% were not assessed for oedema during the initial visit; and 90.17% were not assessed during antenatal care (ANC) periods. Mental state assessment was done on only 1.7% of the pregnant teenagers. The study found discrepancies in the implementation of the GMCSA for HDP, compromising maternity care among teenagers. Strategies for improving the quality of maternity care for pregnant teenagers are deemed necessary.