ANT Perspective of Healthcare Big Data for Service Delivery in South Africa

2022 ◽  
pp. 1071-1089
Author(s):  
Tiko Iyamu ◽  
Sibulela Mgudlwa
Keyword(s):  
South Africa ◽  
Big Data ◽  
Service Delivery ◽  
Qualitative Methods ◽  
South African ◽  
Rural Areas ◽  
Healthcare Service ◽  
Qualitative Data ◽  
Actor Network Theory ◽  
Healthcare Facility

In South Africa, there has been for many years challenges in how healthcare big data are accessed, used, and managed by facilities, particularly the small health facilities. The challenges arise from inaccuracy and inconsistency of patients' data and have impact on diagnoses, medications, and treatments, which consequently contributes to fatalities in South Africa, particularly in the rural areas of the country. The problem of inaccuracy and inconsistency of patients' data is often caused by lack of or poor analysis (or analytics) of data. Thus, the objective of this research was to understand the factors that influence the use and management of patients' big data for healthcare service delivery. The qualitative methods were applied, and a South African healthcare facility was used as a case in the study. Actor network theory (ANT) was employed as a lens to guide the analysis of the qualitative data. Based on the findings from the analysis, a model was developed, which is intended to guide analytics of big data for healthcare purposes, towards improving service delivery in the country.

scholarly journals ANT Perspective of Healthcare Big Data for Service Delivery in South Africa

2021 ◽  
Vol 23 (1) ◽  
pp. 65-81
Author(s):  
Tiko Iyamu ◽  
Sibulela Mgudlwa
Keyword(s):  
South Africa ◽  
Big Data ◽  
Service Delivery ◽  
South African ◽  
Network Theory ◽  
Rural Areas ◽  
Healthcare Service ◽  
Qualitative Data ◽  
Actor Network Theory ◽  
Healthcare Facility

In South Africa, there has been for many years challenges in how healthcare big data are accessed, used, and managed by facilities, particularly the small health facilities. The challenges arise from inaccuracy and inconsistency of patients' data and have impact on diagnoses, medications, and treatments, which consequently contributes to fatalities in South Africa, particularly in the rural areas of the country. The problem of inaccuracy and inconsistency of patients' data is often caused by lack of or poor analysis (or analytics) of data. Thus, the objective of this research was to understand the factors that influence the use and management of patients' big data for healthcare service delivery. The qualitative methods were applied, and a South African healthcare facility was used as a case in the study. Actor network theory (ANT) was employed as a lens to guide the analysis of the qualitative data. Based on the findings from the analysis, a model was developed, which is intended to guide analytics of big data for healthcare purposes, towards improving service delivery in the country.

Influence of Knowledge Management Practices on Public Service Delivery by Municipalities

Mousaion ◽  
2019 ◽  
Vol 37 (3) ◽  
Author(s):  
Charleen Musonza ◽  
Ndakasharwa Muchaonyerwa
Keyword(s):  
South Africa ◽  
Knowledge Management ◽  
Service Delivery ◽  
Public Service ◽  
Qualitative Data ◽  
Management Practices ◽  
Integrated System ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Public Service Delivery

This study examines the influence of knowledge management (KM) practices on public service delivery by municipalities in the Eastern Cape province of South Africa. The study sought to determine the factors that have triggered the implementation of KM practices; the effectiveness of KM practices towards public service delivery; and the extent to which KM practices have influenced public service delivery by municipalities in the Eastern Cape province of South Africa. Both quantitative and qualitative methods were employed in this study. Quantitative data were collected through a survey questionnaire administered to a sample of 202 employees at the Raymond Mhlaba Municipality in the Eastern Cape. Qualitative data were collected through observations and interviews of 2 senior managers. The data collected gave a response rate of 72 per cent. The quantitative and qualitative data were analysed descriptively and presented verbatim respectively. The results indicated that the internal and external factors included in this study have contributed to the implementation of KM practices in the municipality. Furthermore, the effective use of KM practices has increased the organisational KM initiative, as well as the provision of services such as electricity, education, transport, and social services by the municipality. The study recommends the establishment of KM awareness and the establishment of an integrated system that will assist in effective knowledge sharing, retention and acquisition across municipalities in the Eastern Cape.

Effective Planning for Rural Development in A Democratic South Africa: The Prospects of Rural Cooperatives

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
France Khutso Lavhelani Kgobe
Keyword(s):  
South Africa ◽  
Rural Development ◽  
South African ◽  
Rural Areas ◽  
Social Capital Theory ◽  
Capital Theory ◽  
Rural Cooperatives ◽  
The Government ◽  
Almost All ◽  
Effective Planning

This paper explores the potency of rural cooperatives for the effective planning and implementation of rural strategies to address poverty. Rural cooperatives function as a participatory approach that provides the potential to equip and empower people in rural areas with various skills. Hence, rural cooperatives represent the means and strategies to unshackle rural people from the vicious circle of poverty. The contestation about a deadlock of rural development has become pertinent in the recent and ongoing political transformation in South Africa. This paper is grounded on the social capital theory and its ideals. As such, it depends on a literature review for its premise, argument, crux and purpose, as well as drawing up results and conclusions. The paper gathers information in respect of various scholars’ notions on rural cooperatives and rural development from related articles, journals and books. The paper reveals that where the South African government is confronted and characterised by some form of upheaval and service delivery challenges, so rural cooperatives are fit to capacitate citizens to avoid depending on the government for scarce resources. The paper further reveals that rural cooperatives are deemed to ameliorate the long-standing patterns of developmental backlogs in almost all South African municipalities. The conclusion that can be made from this paper is that the authentic promotion of rural development in the formulation of a well-informed legislative framework, that is clear and unambiguous, can deal effectively with the challenges of rural cooperatives.

scholarly journals The Use of Density-Based Spatial Clustering of Application With Noise (DBSCAN) for Record Linkage in An Observational HIV Cohort

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Victor Olago ◽  
Lina Bartels ◽  
Tafadzwa Dhokotera ◽  
Lina Bartels ◽  
Julia Bohlius ◽  
...  
Keyword(s):  
South Africa ◽  
Big Data ◽  
South African ◽  
Record Linkage ◽  
Patient Record ◽  
Data Deduplication ◽  
Resource Limited Settings ◽  
Dbscan Clustering ◽  
Resource Limited ◽  
F Measure

IntroductionThe South African HIV Cancer Match (SAM) study is a probabilistic record linkage study involving creation of an HIV cohort from laboratory records from the National Health Laboratory Service (NHLS). This cohort was linked to the pathology based South African National Cancer Registry to establish cancer incidences among HIV positive population in South Africa. As the number of HIV records increases, there is need for more efficient ways of de-duplicating this big-data. In this work, we used clustering to perform big-data deduplication. Objectives and ApproachOur objective was to use DBSCAN as clustering algorithm together with bi-gram word analyser to perform big-data deduplication in resource-limited settings. We used HIV related laboratory records from entire South Africa collated in the NHLS Corporate Data Warehouse for period 2004-2014. This involved data pre-processing, deterministic deduplication, ngrams generation, features generation using Term Frequency Inverse Document Frequency vectorizer, clustering using DBSCAN and assigning cluster labels for records that potentially belonged to the same person. We used records with national identification numbers to assess quality of deduplication by calculating precision, recall and f-measure. ResultsWe had 51,563,127 HIV related laboratory records. Deterministic deduplication resulted in 20,387,819 patient record deduplicates. With DBSCAN clustering we further reduced this to 14,849,524 patient record clusters. In this final dataset, 3,355,544 (22.60%) patients had negative HIV test, 11,316,937 (76.21%) had evidence for HIV infection, and for 177,043 (1.19%) the HIV status could not be determined. The precision, recall and f-measure based on 1,865,445 records with national identification numbers were 0.96, 0.94 and 0.95, respectively. Conclusion / ImplicationsOur study demonstrated that DBSCAN clustering is an effective way of deduplicating big datasets in resource-limited settings. This enabled refining of an HIV observational database by accurately linking test records that potentially belonged to the same person. The methodology creates opportunities for easy data profiling to inform public health decision making.

The Interplay of Agents in Improvising Telecommunication Infrastructures' Services to Rural Community of South Africa

2015 ◽  
pp. 208-225
Author(s):  
Sharol Mkhomazi
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
South African ◽  
Service Provider ◽  
Rural Areas ◽  
Service Providers ◽  
Telecommunication Network ◽  
Structuration Theory ◽  
Telecommunication Service ◽  
Network Service Provider

The deployment of telecommunication infrastructures is a challenge in many parts of South Africa particularly in the rural areas. The challenge has impact of communities' members as they do not have network coverage for Internet in some areas. The challenge gets worse with individual telecommunication service provider. Hence there is technological proposal for sharing of infrastructure by the service providers. However, the sharing of infrastructure is not as easy as notion by many individuals and groups institutions included. The article presents findings from a study on how a South African telecommunication network service provider could deploy shared infrastructures in the country's rural communities. The sharing of infrastructure is described by the structure and actions of agents within the infrastructure sharing process. Structuration theory was employed as a lens in the data analysis. The key findings include insufficient distribution of infrastructure, ownership responsibility, competitiveness, infrastructure deployment cost, and signification of regulation.

Social innovation and service delivery in Belgium and South Africa

2019 ◽  
Vol 13 (2) ◽  
pp. 143-158 ◽  
Author(s):  
Maréve Inge Biljohn ◽  
Liezel Lues
Keyword(s):  
South Africa ◽  
Service Delivery ◽  
South African ◽  
Citizen Participation ◽  
Organizational Context ◽  
Social Innovation ◽  
Value Proposition ◽  
Content Type ◽  
Public Sector Service ◽  
Sector Service

Purpose Social innovation (SI) remains a latent area in the South African local government (LG) sphere despite its growing use in public-sector service delivery globally. This paper aims to investigate the use of SI in the service delivery of LG through a comparison between the City of Ghent (CoG) (Belgium) and the Mangaung Metropolitan Municipality (MMM) (South Africa). Design/methodology/approach Through a comparative case study approach, qualitative research methods were used to both collect and analyze the data. Data collection instruments included document analysis (naturally occurring data), semi-structured interviews (generated data) and focus group discussions (generated data). Findings Although LG is obliged to collaborate with citizens, various factors influence citizens’ ability to make contributions, even when platforms are created. Collaborative initiatives aid in the realization of collective development visions and enhance citizen participation in a more responsive and inclusive approach to service delivery. Collaborations would require citizens and LG officials to be empowered by finding new ways of working together, as well as developing skills. Practical implications Citizens’ participation when SI is used to enhance service delivery should be meticulously planned. Co-producing services require a conducive internal organizational context that advances citizen participation in the governance and decision-making of service delivery, which is likewise optimal for enhancing the use of SI during the respective co-production service delivery stages. Achieving a conducive internal organizational context is influenced by the role of LG officials and politicians in understanding the value proposition of participation in service delivery to citizens. This value proposition is crucial to building and establishing a trust relationship between citizens, LG officials and politicians. Finally, consensus concerning the concept of SI and its use and implementation is important to ensure its consistent use and application by a municipality, and thus calls for further in-depth investigation. Originality/value SI is a nascent area for which the discourse is still under development, and it is a concept that is often the subject of debate in literature. This paper is justified by the fact that the use of SI in the South African LG sphere lags behind the growing use thereof in public-sector service delivery by LGs globally. In addition, the study presents novel insights regarding similarities and differences in the use of SI through a comparison between two LGs, namely, the MMM and the CoG.

scholarly journals Migration and Urbanization in Post-Apartheid South Africa

2019 ◽  
Vol 34 (2) ◽  
pp. 509-532 ◽  
Author(s):  
Jan David Bakker ◽  
Christopher Parsons ◽  
Ferdinand Rauch
Keyword(s):  
South Africa ◽  
South African ◽  
Rural Areas ◽  
Natural Experiment ◽  
Rapid Urbanization ◽  
South Africans ◽  
Black South Africans ◽  
Migration Cost ◽  
Process Of Urbanization ◽  
Positive Population

Abstract Although Africa has experienced rapid urbanization in recent decades, little is known about the process of urbanization across the continent. This paper exploits a natural experiment, the abolition of South African pass laws, to explore how exogenous population shocks affect the spatial distribution of economic activity. Under apartheid, black South Africans were severely restricted in their choice of location, and many were forced to live in homelands. Following the abolition of apartheid they were free to migrate. Given a migration cost in distance, a town nearer to the homelands will receive a larger inflow of people than a more distant town following the removal of mobility restrictions. Drawing upon this exogenous variation, this study examines the effect of migration on urbanization in South Africa. While it is found that on average there is no endogenous adjustment of population location to a positive population shock, there is heterogeneity in the results. Cities that start off larger do grow endogenously in the wake of a migration shock, while rural areas that start off small do not respond in the same way. This heterogeneity indicates that population shocks lead to an increase in urban relative to rural populations. Overall, the evidence suggests that exogenous migration shocks can foster urbanization in the medium run.

DEATH ‘ON THE MOVE’: FUNERALS, ENTREPRENEURS AND THE RURAL–URBAN NEXUS IN SOUTH AFRICA

Africa ◽  
2011 ◽  
Vol 81 (2) ◽  
pp. 226-247 ◽  
Author(s):  
Rebekah Lee
Keyword(s):  
South Africa ◽  
South African ◽  
Rural Areas ◽  
Urban Areas ◽  
Eastern Cape ◽  
Funeral Directors ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Cultural Mediators ◽  
The Dead

ABSTRACTThis article primarily concerns the intersection of the changing management of death with the problems and possibilities presented by the growing mobility of the African, and specifically Xhosa-speaking, population in South Africa from the latter half of the twentieth century to the present day. I am interested in how shifts in the practices and beliefs around death are mediated by individuals, households and businesses who have an historical affinity towards movement, particularly across what has been called the ‘rural–urban nexus’. In what ways has this more mobile orientation influenced the perception of rites and responsibilities surrounding death? And how have more mobile ‘ways of dying’ in turn created new subjectivities and new ways in which to imagine relations between the living and the dead? I argue that African funeral directors based in Cape Town and the rural areas of the Eastern Cape – a steadily more numerous and prominent group of entrepreneurs – are well-placed to shape these processes, through their role as cultural mediators and technological innovators, and their particular emphasis on maintaining a flow of bodies (both dead and alive) between rural and urban areas. I focus on two aspects of contemporary South African funerals – embalming and exhumations – that are suggestive of how the migration dynamic, and the continuing demands from mobile mourners for innovations via the funeral industry, have encouraged new perceptions of and relations to the dead body.

scholarly journals Brand Consciousness of BOP Consumers in South Africa

2017 ◽  
Vol 9 (3(J)) ◽  
pp. 82-100
Author(s):  
Pravina Devpersadh Oodith ◽  
Sanjana Brijball Parumasur
Keyword(s):  
South Africa ◽  
South African ◽  
Rural Areas ◽  
Brand Management ◽  
Management Strategies ◽  
Brand Awareness ◽  
Bottom Of The Pyramid ◽  
Purchase Decisions ◽  
Consumer Decision Making ◽  
Business Organizations

Bottom of the pyramid (BOP) consumers are not just basing their purchase decisions on price and affordability but on the value derived from good-quality brands. Hence, this study assesses the brand-consciousness of South African BOP consumers in terms of brand awareness, differentiation, recognition, loyalty, trust and preferences for leading brands. The aim is to understand the brand consciousness of the South African BOP market so that suitable brand management strategies may be formulated to profitably serve the needs of this market. The population (2 556 422 elements) included BOP consumers living in relative poverty within the rural areas of South Africa from which a sample of 600 subjects was drawn using area sampling. Data was collected using a self-development questionnaire whose psychometric properties were statistically assessed and analyzed using descriptive and inferential statistics. The findings reflect that there is a high degree of brand awareness amongst BOP consumers, the majority of BOP consumers are able to easily differentiate between the various brands based on the brands’ logos, design and/or coloring, a significant segment displays brand loyalty which alters when price becomes a factor for consideration and BOP consumers lack trust where new brands are concerned and prefer good quality brands. Furthermore, BOP consumers’ brand consciousness and purchase decisions are influenced by education and income respectively. It can also be concluded that the majority of South African BOP consumers are brand-conscious; hence, brands play an influential role in their consumer decision-making process. Beneficial recommendations are presented for business organizations.

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