Living and responding to multiple stressors in South Africa—Glimpses from KwaZulu-Natal

2006 ◽  
Vol 16 (2) ◽  
pp. 195-206 ◽  
Author(s):  
Paul Reid ◽  
Coleen Vogel
Keyword(s):  
South Africa ◽  
Multiple Stressors ◽  
Kwazulu Natal

scholarly journals Ecological Risk of Water Resource Use to the Wellbeing of Macroinvertebrate Communities in the Rivers of KwaZulu-Natal, South Africa

2020 ◽  
Vol 2 ◽  
Author(s):  
Olalekan A. Agboola ◽  
Colleen T. Downs ◽  
Gordon O'Brien
Keyword(s):  
South Africa ◽  
Bayesian Networks ◽  
Bayesian Network ◽  
Best Management Practices ◽  
Management Practices ◽  
Multiple Stressors ◽  
Anthropogenic Activities ◽  
Management Tool ◽  
Macroinvertebrate Communities ◽  
Kwazulu Natal

The rivers of KwaZulu-Natal, South Africa, are being impacted by various anthropogenic activities that threaten their sustainability. Our study demonstrated how Bayesian networks could be used to conduct an environmental risk assessment of macroinvertebrate biodiversity and their associated ecosystem to assess the overall effects of these anthropogenic stressors in the rivers. We examined the exposure pathways through various habitats in the study area using a conceptual model that linked the sources of stressors through cause-effect pathways. A Bayesian network was constructed to represent the observed complex interactions and overall risk from water quality, flow and habitat stressors. The model outputs and sensitivity analysis showed ecosystem threat and river health (represented by macroinvertebrate assessment index – MIRAI) could have high ecological risks on macroinvertebrate biodiversity and the ecosystem, respectively. The results of our study demonstrated that Bayesian networks can be used to calculate risk for multiple stressors and that they are a powerful tool for informing future strategies for achieving best management practices and policymaking. Apart from the current scenario, which was developed from field data, we also simulated three other scenarios to predict potential risks to our selected endpoints. We further simulated the low and high risks to the endpoints to demonstrate that the Bayesian network can be an effective adaptive management tool for decision making.

scholarly journals Business ethics of private general practitioners in KwaDuKuza, Kwazulu-Natal

2010 ◽  
Vol 2 (1) ◽  
Author(s):  
Indiran Govendor ◽  
Gary Morris
Keyword(s):  
South Africa ◽  
General Practitioners ◽  
Multiple Stressors ◽  
High Stress ◽  
Best Interests ◽  
National Study ◽  
Fee For Service ◽  
Cross Sectional ◽  
Kwazulu Natal ◽  
Unethical Practice

Background: Private general practitioners (GPs) have been criticised by the lay press citing unethical practice and the acceptance of kickbacks. In 2003, the Ethics Institute of South Africa conducted a national study of all doctors and also accused private GPs of unethical practice. In countries such as South Africa, with a practice of fee-for-service payments, there may be a temptation to put material interests above the best interests of patients. Private GPs, on the other hand, are of the opinion that the press and the Ethics Institute publication have unfairly singled them out.Objective: To detect whether private GPs in KwaDukuza perceive their colleagues to be practising ethically.Method: The study entailed a cross-sectional descriptive study design, in which all 30 private GPs based in KwaDukuza, KwaZulu-Natal, were asked to complete a self-administered questionnaire during 2003. The survey was done on a voluntary basis and anonymity and confidentiality was maintained.Results: Twenty-five doctors returned completed questionnaires (an 83.3% response rate). Seventy per cent perceived their peers to be practicing ethically, while 48% (12/25) reported that they did not observe any medical misconduct by their colleagues. The majority of the respondents (76%) reported that they did not know of any colleague who supplemented his or her income through the over-servicing of patients. The majority of the respondents (84%) also reported that their colleagues never accepted cash payments that were not declared for income tax purposes. Medically unnecessary tests are a form of unethical behaviour pertaining to over-servicing, and 64% of the respondents reported that medically unnecessary tests to satisfy patient requests were not an important reason for performing these tests. The doctors expressed high stress levels from multiple stressors in their occupation.Conclusion: GPs in KwaDukuza indicated that they were under stress, but still practised ethically. The GPs emphasised the need for more training in medical ethics at all levels of the medical career. The majority of GPs of KwaDukuza perceive their colleagues to be practising ethically.

Adverse Events Reporting System as Experienced by Critical-Care Nurses in KwaZulu-Natal, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Thusile Mabel Gqaleni ◽  
Busisiwe Rosemary Bhengu
Keyword(s):  
South Africa ◽  
Critical Care ◽  
Adverse Events ◽  
Patient Care ◽  
Family Involvement ◽  
Reporting System ◽  
Legal Framework ◽  
Critical Care Nurses ◽  
Kwazulu Natal ◽  
Life Threatening

Critically ill patients admitted to critical-care units (CCUs) might have life-threatening or potentially life-threatening problems. Adverse events (AEs) occur frequently in CCUs, resulting in compromised quality of patient care. This study explores the experiences of critical-care nurses (CCNs) in relation to how the reported AEs were analysed and handled in CCUs. The study was conducted in the CCUs of five purposively selected hospitals in KwaZulu-Natal, South Africa. A descriptive qualitative design was used to obtain data through in-depth interviews from a purposive sample of five unit managers working in the CCUs to provide a deeper meaning of their experiences. This study was a part of a bigger study using a mixed-methods approach. The recorded qualitative data were analysed using Tesch’s content analysis. The main categories of information that emerged during the data analysis were (i) the existence of an AE reporting system, (ii) the occurrence of AEs, (iii) the promotion of and barriers to AE reporting, and (iv) the handling of AEs. The findings demonstrated that there were major gaps that affected the maximum utilisation of the reporting system. In addition, even though the system existed in other institutions, it was not utilised at all, hence affecting quality patient care. The following are recommended: (1) a non-punitive and non-confrontational system should be promoted, and (2) an organisational culture should be encouraged where support structures are formed within institutions, which consist of a legal framework, patient and family involvement, effective AE feedback, and education and training of staff.

CHALLENGES TO BUILDING AUTHENTIC PARTNERSHIPS: LESSONS FROM BHAMBAYI, KWAZULU-NATAL, SOUTH AFRICA

2017 ◽  
Vol 26 (2) ◽  
pp. 124-140 ◽  
Author(s):  
Tanusha Raniga ◽  
Barbara Simpson ◽  
Ntokozo Mthembu
Keyword(s):  
South Africa ◽  
Social Services ◽  
Service Providers ◽  
Informal Settlement ◽  
Mutual Trust ◽  
Open Communication ◽  
Community Based ◽  
Individual Interviews ◽  
Kwazulu Natal ◽  
Qualitative Phase

In contemporary South Africa, partnerships between service providers in government, non-governmental organisations, the private sector and community based organisations have been identified as a means to strengthen communities and the sustainability of social services. However, the unequal power relations that exists between and within these organisations often leads to fragmentation, duplication, and lack of coordination of social services. Using Fowler’s (1998) conceptualisation of authentic partnerships, this qualitative phase of a larger study explored the challenges of building authentic partnerships in Bhambayi, a predominantly informal settlement in KwaZulu-Natal, South Africa. Individual interviews and a focus group held with nine service providers revealed that intraorganisational challenges, cross-boundary and inter-organisational relations as well as political influences were obstacles to the development of authentic partnerships. The article suggests that open communication, clarity of roles and mutual trust between service providers is vital.

Transforming the Rural Agricultural Landscape Through Groundwater Optimisation: Exploring A Chinese-South African Partnership

2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Nirmala Dorasamy ◽  
Olayemi Bakre
Keyword(s):  
South Africa ◽  
South African ◽  
Agricultural Landscape ◽  
Agricultural Practices ◽  
Subsistence Farming ◽  
Water Shortages ◽  
Subsistence Farmers ◽  
Farming Communities ◽  
Standards Of Living ◽  
Kwazulu Natal

The majority of the South African rural populace is directly or indirectly engaged in agricultural practices to earn a livelihood. However, impediments such as climate change, water shortages, and inadequacy of institutional support have undermined these once thriving subsistence farming communities. Furthermore, poor leadership in hydrology, coupled with a lack of depth in skills at all government levels to facilitate the understanding of the importance of groundwater, has made it near impossible for subsistence farmers to benefit optimally from groundwater. The 2012 drought experienced in South Africa paralysed several subsistence farming communities in KwaZulu-Natal. To revamp subsistence farming and assist these farmers across South Africa, the Department of Water and Sanitation launched interventions, but despite the enormous resources expended, indicators (e.g. unsustainable farming practices, poor crop yield, pitiable living conditions, and poor standards of living) provide evidence that these interventions have not yielded the desired results. This paper seeks to suggest practicable interventions aimed at reducing the vulnerability of subsistence farmers in KwaZulu-Natal. The study pursued a qualitative approach in that it solicited the views of experts on groundwater and in related fields to gain an in-depth perspective. Some of the core challenges undermining the sustainability and growth of subsistence farming in the study area were found to be the inadequacy of experts on groundwater, water shortages, institutional deficiencies, lack of political will, and lack of coordination among stakeholders. Pragmatic recommendations are made to address these challenges, among other things to encourage a South African-Chinese partnership in the hydrology sector.

Participatory catchment management — an opportunity for Southern Africa

1995 ◽  
Vol 32 (5-6) ◽  
pp. 145-151
Author(s):  
D. B. Versfeld
Keyword(s):  
South Africa ◽  
Land Management ◽  
Southern Africa ◽  
Participatory Rural Appraisal ◽  
Catchment Management ◽  
Management Process ◽  
Participatory Methods ◽  
Top Down ◽  
Kwazulu Natal ◽  
Rural Appraisal

South Africa has hundreds of thousands of hectares of heavily populated and badly degraded landscapes. Past attempts at land management have been either through avoidance or the top-down imposition of “betterment” schemes. Participatory methods offer a new opportunity for communities living within these catchments to share their knowledge and to become involved in planning and implementing the management process. This paper discusses the use of Participatory Rural Appraisal (PRA) in a catchment rehabilitation programme in rural KwaZulu/Natal, the lessons learnt and the prospects for wider application.

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