Factors in Toddlers With Late Language Emergence in a Middle-Income South African Sample

2021 ◽  
pp. 152574012110547
Author(s):  
Elmien Kraamwinkel ◽  
Alta Kritzinger
Keyword(s):  
South Africa ◽  
Environmental Factors ◽  
South African ◽  
Maternal Education ◽  
Receptive Language ◽  
Control Group ◽  
Play Skills ◽  
Middle Income ◽  
Language Emergence ◽  
Genetic And Environmental Factors

Late language emergence (LLE) may result from genetic and environmental factors. Little is known about environmental factors in LLE in South Africa. The study describes the nature of differences in language functioning between toddlers with LLE and without LLE, and which factors were associated with LLE in a middle-income area in South Africa. Toddlers, aged 24 to 36 months with LLE ( n = 20) were matched with a control group (CG, n = 21) for household income, age, gender, maternal education, and parental employment. The research group (RG) showed moderate delays in expressive and receptive language, and play skills, while the controls exhibited no delay. Significant differences in early feeding history and multilingual exposure were found between the groups. As far as known, it is the first study utilizing a South African middle-income sample indicating that multilingual exposure may play a role in LLE. The study focuses the attention on environmental factors which are potentially modifiable in LLE.

The Oxford Handbook of the South African Economy

2021 ◽  
Keyword(s):  
South Africa ◽  
South African ◽  
Economic History ◽  
Economic Policies ◽  
The South ◽  
Economic Sectors ◽  
Middle Income ◽  
Strategic Issues ◽  
Middle Income Countries ◽  
Depth Analysis

While South Africa shares some characteristics with other middle-income countries, it has a unique economic history with distinctive characteristics. South Africa is an economic powerhouse with a significant role not only at the southern African regional and continental levels, but also as a member of BRICS. However, the country faces profound developmental challenges, including the ‘triple challenges’ of poverty, inequality and unemployment. There has been a lack of structural transformation and weak economic growth. Ongoing debates around economic policies to address these challenges need to be based on rigorous and robust empirical evidence and in-depth analysis of South African economic issues. This necessitates wide-ranging research, such as that brought together in this handbook. This volume intends to provide original, comprehensive, detailed, state-of-the-art analytical perspectives, that contribute to knowledge while also contributing to well-informed and productive discourse on the South African economy. While concentrating on the more recent economic challenges facing the country, the handbook also provides historical and political context, an in-depth examination of strategic issues in the various critical economic sectors, and assembles diverse analytical perspectives and arguments that have implications for policymaking.

scholarly journals A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
K. Sorsdahl ◽  
D. J. Stein ◽  
S. Pasche ◽  
Y. Jacobs ◽  
R. Kader ◽  
...  
Keyword(s):  
South Africa ◽  
Controlled Trial ◽  
Adverse Outcomes ◽  
Feasibility Trial ◽  
Control Group ◽  
Brief Treatment ◽  
Middle Income ◽  
Methamphetamine Use ◽  
Intention To Treat

Abstract Background Effective brief treatments for methamphetamine use disorders (MAUD) are urgently needed to complement longer more intensive treatments in low and middle income countries, including South Africa. To address this gap, the purpose of this randomised feasibility trial was to determine the feasibility of delivering a six-session blended imaginal desensitisation, plus motivational interviewing (IDMI) intervention for adults with a MAUD. Methods We enrolled 60 adults with a MAUD and randomly assigned them 1:1 to the IDMI intervention delivered by clinical psychologists and a control group who we referred to usual care. Feasibility measures, such as rates of recruitment, consent to participate in the trial and retention, were calculated. Follow-up interviews were conducted at 6 weeks and 3 months post-enrollment. Results Over 9 months, 278 potential particiants initiated contact. Following initial screening 78 (28%) met inclusion criteria, and 60 (77%) were randomised. Thirteen of the 30 participants assigned to the treatment group completed the intervention. Both psychologists were highly adherent to the intervention, obtaining a fidelity rating of 91%. In total, 39 (65%) participants completed the 6-week follow-up and 40 (67%) completed the 3-month follow-up. The intervention shows potential effectiveness in the intention-to-treat analysis where frequency of methamphetamine use was significantly lower in the treatment than in the control group at both the 6 week and 3-month endpoints. No adverse outcomes were reported. Conclusions This feasibility trial suggests that the locally adapted IDMI intervention is an acceptable and safe intervention as a brief treatment for MAUD in South Africa. Modifications to the study design should be considered in a fully powered, definitive controlled trial to assess this potentially effective intervention. Trial registration The trial is registered with the Pan African Clinical Trials Registry (Trial ID: PACTR201310000589295)

Challenges and Complexities of the South African Economy

2021 ◽  
pp. 2-25
Author(s):  
Fiona Tregenna ◽  
Arabo K. Ewinyu ◽  
Arkebe Oqubay ◽  
Imraan Valodia
Keyword(s):  
South Africa ◽  
South African ◽  
Growth And Development ◽  
The Political ◽  
Economic Data ◽  
Growth Path ◽  
The South ◽  
Middle Income ◽  
Policy Context ◽  
Key Characteristics

This chapter discusses the key characteristics and core challenges of the South African economy in the post-apartheid era. South Africa shares some commonalities with other African and middle-income economies, yet has a unique history and some distinctive economic features. South Africa’s economic complexities and challenges are discussed here with reference to six comparator countries. We examine South Africa’s growth path, considering the low rates of economic growth as well as the lack of structural transformation and the unsustainable and non-inclusive nature of this growth. The ‘triple challenges’ of poverty, inequality, and employment are both a manifestation of the nature of this growth path and a constraint on overall growth. This is also briefly evaluated in the context of the political economy and policy context of growth and development in South Africa. The chapter reviews South African economic data, with a focus on microeconomic survey data.

scholarly journals Doctors’ Extended Shifts as Risk to Practitioner and Patient: South Africa as a Case Study

2020 ◽  
Vol 17 (16) ◽  
pp. 5853
Author(s):  
Koot Kotze ◽  
Helene-Mari van der Westhuizen ◽  
Eldi van Loggerenberg ◽  
Farah Jawitz ◽  
Rodney Ehrlich
Keyword(s):  
South Africa ◽  
South African ◽  
Medical Practice ◽  
Health And Safety ◽  
Working Hours ◽  
Middle Income ◽  
The Impact ◽  
Safe Working ◽  
Working Hour

Extended shifts are common in medical practice. This is when doctors are required to work continuously for more than 16 h, with little or no rest, often without a maximum limit. These shifts have been a part of medical practice for more than a century. Research on the impact of fatigue presents compelling evidence that extended shifts increase the risk of harm to patients and practitioners. However, where the number of doctors is limited and their workloads are not easily reduced, there are numerous barriers to reform. Some of these include a perceived lack of safer alternatives, concerns about continuity of care, trainee education, and doctors’ preferences. As such, working hour reorganisation has been contentious globally. South Africa, a middle-income country where extended shifts are unregulated for most doctors, offers a useful case study of reform efforts. The South African Safe Working Hours campaign has promoted working hour reorganization through multi-level advocacy efforts, although extended shifts remain common. We propose that extended shifts should be regarded as an occupational hazard under health and safety legislation. We suggest options for managing the risks of extended shifts by adapting the hierarchy of controls for occupational hazards. Despite the challenges reform pose, the practice of unregulated extended shifts should not continue.

Is Entrepreneurial Education at South African Universities Successful?

2007 ◽  
Vol 21 (3) ◽  
pp. 221-232 ◽  
Author(s):  
E.R. Mentoor ◽  
C. Friedrich
Keyword(s):  
South Africa ◽  
South African ◽  
Entrepreneurial Orientation ◽  
Formal Education ◽  
Control Group ◽  
First Year ◽  
South Africans ◽  
Entrepreneurial Attitude ◽  
Post Test ◽  
First Year University

After more than ten years of democracy in South Africa, many of the previously disadvantaged segments of the community, especially Blacks, would have hoped that a new economic order would have been created. Instead, South Africa still has very high unemployment and even young Black South Africans with a degree are not guaranteed a job. The purpose of this research was to ascertain whether a traditional first-year university business management course with an entrepreneurial component can contribute to the entrepreneurial orientation of students. The major features of entrepreneurs and innovators are knowledge, skills and attitudes. While the imparting of knowledge and the development of skills development receive, respectively, thorough and sketchy attention in formal education, attitude is hardly addressed. The need for achievement, innovation, locus of control and self-esteem are the variables of attitude that have been most commonly used in research on business motivation and the entrepreneur. To determine the success of an enterprise education course, therefore, the change in attitude of the students can be used as a measure. The instrument that was used to gauge the entrepreneurial attitude orientation of the students was an adaptation of an Entrepreneurial Attitude Orientation (EAO) scale. The authors tested 463 students using a pre-test and post-test approach, incorporating an experimental group and a control group. The results of this study do not augur well for the improvement of the entrepreneurial orientation of students.

scholarly journals The Participation of Children with Intellectual Disabilities: Including the Voices of Children and Their Caregivers in India and South Africa

2020 ◽  
Vol 17 (18) ◽  
pp. 6706
Author(s):  
Shakila Dada ◽  
Kirsty Bastable ◽  
Liezl Schlebusch ◽  
Santoshi Halder
Keyword(s):  
South Africa ◽  
Intellectual Disabilities ◽  
South African ◽  
Middle Income ◽  
African Languages ◽  
Middle Income Countries ◽  
Child Reports ◽  
Children’S Participation ◽  
Child Assessments ◽  
Children's Participation

There is a shortage of research on the participation of children with intellectual disabilities from middle-income countries. Also, most child assessments measure either the child’s or the caregiver’s perceptions of participation. Participation, however, is an amalgamation of both perspectives, as caregivers play a significant role in both accessing and facilitating opportunities for children’s participation. This paper reports on both perceptions—those of children with intellectual disabilities and those of their caregiver, in India and South Africa. A quantitative group comparison was conducted using the Children’s Assessment of Participation and Enjoyment (CAPE) that was translated into Bengali and four South African languages. One hundred child–caregiver dyads from India and 123 pairs from South Africa participated in the study. The results revealed interesting similarities and differences in participation patterns, both between countries and between children and their caregivers. Differences between countries were mostly related to the intensity of participation, with whom, and where participation occurred. Caregiver and child reports differed significantly regarding participation and the enjoyment of activities. This study emphasises the need for consideration of cultural differences when examining participation and suggests that a combined caregiver-and-child-reported approach may provide the broadest perspective on children’s participation.

scholarly journals Naturally acquired antibodies to Bacillus anthracis protective antigen in vultures of southern Africa

2008 ◽  
Vol 75 (2) ◽  
Author(s):  
P. C.B. Turnbull ◽  
M. Diekman ◽  
J. W. Killian ◽  
W. Versfeld ◽  
V. De Vos ◽  
...  
Keyword(s):  
South Africa ◽  
Bacillus Anthracis ◽  
South African ◽  
Southern Africa ◽  
Protective Antigen ◽  
Control Group ◽  
North West ◽  
Age Related ◽  
Significant Difference ◽  
And Control

TURNBULLP, P.C.B. DIEKMANNM,M., KILIAN, J.W., VERSFELDW, W.,DE VOS, V., ARNTZENL, L.,WOLTER, K., BARTELS, P. & KOTZE, A. 2008.N aturally acquired antibodies to Bacillusa nthracisp rotective antigeni n vultureso f southern Africa. Onderstepoort Journal of Veterinary Research, T5:95-102 Sera from 19 wild caught vultures in northern Namibia and 15 (12 wild caught and three captive bred but with minimal histories) in North West Province, South Africa, were examined by an enzyme-linked immunosorbenats say( ELISA)f or antibodiesto the Bacillus anthracis toxin protective antigen (PA). As assessed from the baseline established with a control group of ten captive reared vultures with well-documented histories, elevated titres were found in 12 of the 19 (63%) wild caught Namibian birds as compared with none of the 15 South African ones. There was a highly significant difference between the Namibian group as a hole and the other groups (P < 0.001) and no significant difference between the South African and control groups (P > 0.05). Numbers in the Namibian group were too small to determine any significances in species-, sex- or age-related differences within the raw data showing elevated titres in four out of six Cape Vultures, Gyps coprotheress, six out of ten Whitebacked Vultures, Gyps africanus, and one out of three Lappet-faced Vultures, Aegypiust racheliotus, or in five of six males versus three of seven females, and ten of 15 adults versus one of four juveniles. The results are in line with the available data on the incidence of anthrax in northern Namibia and South Africa and the likely contact of the vultures tested with anthrax carcasses. lt is not known whether elevated titre indicates infection per se in vultures or absorption of incompletely digested epitopes of the toxin or both. The results are discussed in relation to distances travelled by vultures as determined by new tracking techniques, how serology can reveal anthrax activity in an area and the issue of the role of vultures in transmission of anthrax.

scholarly journals The Economic Cost of Smoking in South Africa, 2016

2020 ◽  
Author(s):  
Micheal Kofi Boachie ◽  
Laura Rossouw ◽  
Hana Ross
Keyword(s):  
South Africa ◽  
Tobacco Control ◽  
South African ◽  
Healthcare Costs ◽  
Economic Cost ◽  
Economic Costs ◽  
Middle Income ◽  
Middle Income Countries ◽  
Productivity Losses ◽  
Premature Deaths

Abstract Introduction Chronic, noncommunicable diseases are on the rise globally, with tobacco consumption being an important contributing risk factor. These increases result in significant economic costs due to increased healthcare costs, productive lives lost, and productive days lost due to illness. Estimates of these economic costs are scarce in low- and middle-income countries. Methods Drawing on a diverse range of data sources, direct healthcare costs, and productivity losses due to illness and premature deaths were estimated using the cost-of-illness approach. The present value of lifetime earnings was used to estimate productivity losses from premature deaths. Results We estimate that 25 708 deaths among persons aged 35–74 in 2016 are smoking-attributable. The economic cost of smoking was R42 billion (US$2.88 billion), of which R14.48 billion was for healthcare costs (hospitalization and outpatient department visits). The economic cost of smoking amounted to 0.97% of the South African GDP in 2016, while the healthcare cost of smoking-related diseases was 4.1% of total South African health expenditure. The costs are lower for women because of their lower smoking prevalence. Conclusion The economic burden of smoking calls for a further scaling-up of tobacco-control interventions in South Africa. Implications This article addresses the paucity of research on the detailed economic costs of smoking in low-and middle-income countries, including South Africa. Our calculations, based on an extensive range of recent data, provide the most detailed estimate to date and include quantification of the direct and indirect costs of smoking in South Africa. We found that the magnitude of the costs related to smoking in South Africa is larger than in the previous estimates and that for every Rand received in the form of cigarette tax, society loses 3.43 Rands. This article provides an economic case for evidence-based tobacco control in South Africa.

scholarly journals Environmental influences, employee resourcing strategies and small and medium-sized enterprises performance: Case of South African small restaurants

2019 ◽  
Vol 17 ◽  
Author(s):  
Honest Mupani ◽  
Crispen Chipunza
Keyword(s):  
South Africa ◽  
Environmental Factors ◽  
South African ◽  
Small Businesses ◽  
Business Performance ◽  
Environmental Influences ◽  
Research Literature ◽  
Business Failure ◽  
Managerial Implications ◽  
Value Add

Orientation: Small businesses’ contribution to economic growth and employment creation cannot be disputed in South Africa, amid operating in an environment that is highly competitive and reports of small and medium-sized enterprise (SME) high failure rates, in general. In view of this, and to our knowledge, no known theoretical study has been conducted in South Africa examining how certain environmental factors might influence the use of appropriate resourcing strategies for improved small businesses’ performance.Research purpose: This theoretical article investigates the relationships between environmental influences, employee resourcing strategies and business performance among South African small restaurants.Motivation for the study: There is a paucity of literature that has explored whether a relationship exists between the three variables among small restaurant businesses in South Africa, justifying the need for such an investigation.Research approach/design and method: This article, which is conceptual in nature, adopted a systematic literature review which entails combining all existing research literature related to the three variables so as to arrive at logical inferences.Main findings: The research contends that a relationship exists between the three variables.Practical/managerial implications: Small businesses need to be aware of the environmental influences that may contribute to business failure so that they attune employee resourcing strategies to the environment to achieve high performance.Contribution/value add: The article contributes to extant literature on the interplay between environmental factors, resourcing strategies and firm performance in small restaurant businesses of emerging economies.

scholarly journals Industry strategies in the parliamentary process of adopting a sugar-sweetened beverage tax in South Africa: a systematic mapping

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Safura Abdool Karim ◽  
Petronell Kruger ◽  
Karen Hofman
Keyword(s):  
South Africa ◽  
South African ◽  
Manufacturing Industry ◽  
Sugar Content ◽  
Self Regulation ◽  
Public Consultation ◽  
The South ◽  
African Region ◽  
Middle Income ◽  
Industry Response

Abstract Background In 2016, the South African government became the first in the African region to announce the introduction of an SSB tax based on sugar content as a public health measure to reduce obesity. This tax was introduced against the backdrop of South Africa having a large sugar production and SSB manufacturing industry, as well as very high unemployment rates. The introduction of fiscal measures, such as a SSB tax, has been met with well-coordinated and funded opposition in other countries. Methods The aim of this study is to describe and analyse the arguments and strategies utilised by industry during policymaking processes to oppose regulatory actions in LMIC. This study analyses arguments and strategies used by the beverage and related industries during the public consultation phase of the process to adopt the South African SSB tax. Results Industry opposition to the SSB tax was comprehensive and employed several tactics. First, industry underscored its economic importance and the potential job losses and other economic harms that may arise from the tax. This argument was well-received by policymakers, and similar to industry tactics employed in other middle income countries like Mexico. Second, industry discussed self-regulation and voluntary measures as a form of policy substitution, which mirrors industry responses in the US, the Caribbean and Latin America. Third, industry misused or disputed evidence to undermine the perceived efficacy of the tax. Finally, considerations for small business and their ability to compete with multi-national corporations were a unique feature of industry response. Conclusions Industry opposition followed both general trends, and also introduced nuanced and context-specific arguments. The industry response experienced in South Africa can be instructive for other countries contemplating the introduction of similar measures.

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