scholarly journals Indigenous healers in the North West province: A survey of their clinical activities in health care in the rural areas

Curationis ◽  
1996 ◽  
Vol 19 (4) ◽  
Author(s):  
S. N. Shai-Mahoko
Keyword(s):  
Health Care ◽  
Random Sample ◽  
Southern Africa ◽  
Rural Areas ◽  
Demographic Variables ◽  
Simple Random Sample ◽  
North West ◽  
The North ◽  
Clinical Conditions

The purpose of this study was to explore the clinical conditions brought to indigenous healers by people in the rural areas in search of health care. The demographic variables and preventive, promotive, curative and follow-up activities of indigenous healers were investigated. Data were collected from a simple random sample of 35 indigenous healers. A questionnaire designed by Mogoba (1984) for investigation of training and functioning of traditional doctors in Southern Africa was modified and used to collect data.

Systemic School Improvement Interventions in South Africa

2014 ◽  
Keyword(s):  
School Improvement ◽  
South African ◽  
Rural Areas ◽  
Eastern Cape ◽  
North West ◽  
Household Level ◽  
The North ◽  
Improvement Interventions ◽  
Academic Review

Looking at two smaller-scale systemic school improvement projects implemented in selected district circuits in the North West and Eastern Cape by partnerships between government, JET Education Services, and private sector organisations, this book captures and reflects on the experiences of the practitioners involved. The Systemic School Improvement Model developed by JET to address an identified range of interconnected challenges at district, school, classroom and household level, is made up of seven components. In reflecting on what worked and what did not in the implementation of these different components, the different chapters set out some of the practical lessons learnt, which could be used to improve the design and implementation of similar education improvement projects. Many of the lessons in this field that remain under-recorded to date relate to the step-by-step processes followed, the relationship dynamics encountered at different levels of the education system, and the local realities confronting schools and districts in South Africa's rural areas. Drawing on field data that is often not available to researchers, the book endeavours to address this gap and record these lessons. It is not intended to provide an academic review of the systemic school improvement projects. It is presented rather to offer other development practitioners working to improve the quality of education in South African schools, an understanding of some of the real practical and logistical challenges that arise and how these may be resolved to take further school improvement projects forward at a wider district, provincial and national scale.

MORE ON THE QUESTION OF RURAL AREAS MULTIFUNCTIONALITY

2020 ◽  
Vol 10 (10) ◽  
pp. 2397-2415
Author(s):  
A.I. Kostyaev ◽  
◽  
S.B. Letunov ◽  
Keyword(s):  
Rural Areas ◽  
Agricultural Production ◽  
Production Functions ◽  
North West ◽  
The North ◽  
Regional Markets ◽  
Specially Protected Natural Areas ◽  
Protected Natural Areas ◽  
Market Perception ◽  
Market Consequences

The approaches of Russian and foreign scientists to studying rural areas multifunctionality differ significantly. Domestic researchers consider this problem from the standpoint of public goods in agricultural production, agricultural production diversification, rural population livelihoods, land use, and sustainable development of rural areas. In all cases, we are talking about implementation of functions within rural areas without raising the question of buying and selling their intangible attributes. In foreign publications, two pragmatic approaches are seen within the concept of multifunctionality. The first approach is the market perception of rural areas as consumer spaces. In this case, the intangible attributes of the territories (landscape, nature, heritage or culture) are considered as a sold and bought product. The second approach is an approach from the standpoint of protection against negative market consequences in international food trade. The non-productive functions of agriculture are taken into account in the WTO negotiations as non-trade factors. This helps to protect the agriculture of many countries from the destructive effects of foreign trade. The article proposes to move from staged studies of the issue of multifunctionality to a constructive consideration of the material and non-material potential for implementing the rural areas' production and non-production functions. The purpose of the study is to determine the material and non-material basis of rural areas multifunctionality using the example of the North-West of Russia. The objectives of the study are to establish the capabilities of rural areas to perform their functions of: a) the international, b) the federal, c) the regional and d) the local significance; and on the basis of the idea of multifunctionality, to determine the ways for creating consumer spaces in rural areas. The following methods were used: decomposition of goals, the index one, the monographic and the grouping method. We used the materials by: Rosstat, Ministry of Natural Resources of Russia, Ministry of Culture of Russia. Municipal areas with the orientation of agricultural products to the international, federal and regional markets have been identified. The characteristic of intangible attributes - the carriers of non-production functions of rural areas for the international, federal, regional and local levels - was given. The objects of specially protected natural areas and objects of cultural heritage are considered in accordance with their level of importance. The sequence of forming the consumer spaces in rural areas has been established in the direction from defining a geographical image through creating an image to developing a brand.

scholarly journals The role of triage to reduce waiting times in primary health care facilities in the North West province of South Africa

2018 ◽  
Vol 23 ◽  
Author(s):  
Anna-Therese Swart ◽  
Catherina E. Muller ◽  
Tinda Rabie
Keyword(s):  
South Africa ◽  
Health Care ◽  
Waiting Time ◽  
Waiting Times ◽  
Health Care Facilities ◽  
Score System ◽  
North West ◽  
The North ◽  
Care Facilities ◽  
Cape Triage Score

Background: Worldwide, patients visiting health care facilities in the public health care sector have to wait for attention from health care professionals. In South Africa, the Cape Triage Score system was implemented successfully in hospitals’ emergency departments in the Cape Metropole. The effective utilisation of triage could improve the flow of primary health care (PHC) patients and direct the patients to the right health care professional immediately.Aim: No literature could be traced on the implementation of triage in PHC facilities in South Africa. Consequently, a study addressing this issue could address this lack of information, reduce waiting times in PHC facilities and improve the quality of care.Setting: PHC facilities in a sub-district of the North West province of South Africa.Method: A quantitative, exploratory, typical descriptive pre-test–post-test design was used. The study consisted of two phases. During phase 1, the waiting time survey checklist was used to determine the baseline waiting times. In phase 2, the Cape Triage Score system that triaged the patients and the waiting time survey checklist were used.Results: Data were analysed using Cohen’s effect sizes by comparing the total waiting times obtained in both phases with the waiting time survey checklist. Results indicated no reduction in the overall waiting time; however, there was a practical significance where triage was applied. Referral was much quicker to the correct health professional and to the hospitals.Conclusion: Although the results indicated no reduction in the overall waiting time of patients, structured support systems and triage at PHC facilities should be used to make referral quicker to the correct health professional and to the hospitals.

Excavations beside the North-West Gate at Veii, 1957–58

1959 ◽  
Vol 27 ◽  
pp. 38-79 ◽  
Author(s):  
J. B. Ward-Perkins
Keyword(s):  
Archaeological Research ◽  
North West ◽  
The North ◽  
British School

The excavations here described were undertaken by the British School at Rome on behalf of the Superintendency of Antiquities for Southern Etruria, through the courtesy of its Superintendent, Professor Renato Bartoccini, who has done so much to foster active archaeological research within an area that is undergoing drastic and archaeologically disastrous change, and with the active and cordial collaboration of his staff. The purpose of the excavations was the strictly limited one of examining, while there was yet time, one of the few remaining stretches of the defences of Veii where ploughing in recent years had revealed (and is now rapidly destroying) substantial remains of the ancient walls. In the course of the work such other features as came to light were examined and recorded so far as this limited purpose permitted; but no attempt was, or could be, made to follow up the larger implications of these discoveries, which must await another occasion and other hands.The work was undertaken in two short campaigns, each of between two and four weeks' duration. The first of these, in November and December 1957, was hampered by the ravages of Asian influenza, the work of supervision being shared in succession by Mrs. Selina Tomlin (now Mrs. Ballance), Mr. Guy Duncan and Mr. Michael Ballance; and it is greatly to their credit that, despite these difficulties, a satisfactory and coherent result was obtained. The second campaign took place in October-November 1958, and was supervised throughout by Mrs. P. W. Murray Threipland. Both in the field and the work-room a great deal of volunteer help was received both from students of the School and from friends and visitors, outstanding among the latter being Mrs. Anne Kahane and Mrs. Betty Eastwood and, during the second campaign, Mr. Eric Gray.

scholarly journals The meaning and effect of HIV/AIDS stigma for people living with AIDS and nurses involved in their care in the North West Province, South Africa

Curationis ◽  
2007 ◽  
Vol 30 (2) ◽  
Author(s):  
M. Greeff ◽  
R. Phetlhu
Keyword(s):  
South Africa ◽  
Health Care Providers ◽  
Southern Africa ◽  
People Living With Hiv ◽  
Care Providers ◽  
North West ◽  
The North ◽  
Aids Stigma ◽  
North West Province ◽  
Hiv Aids

The five countries with the highest HIV prevalence rates in the world are situated in southern Africa, and South Africa, with an estimated 4,7 million people living with HIV (PLWA), has more cases of HIV/AIDS than any other country. AIDS stigma and discrimination continue to impact on those living with and affected by the HIV disease and their health-care providers, particularly in southern Africa, where the burden of AIDS is so significant. Stigma has become a major problem in the provision o f care for PLWA in Africa. A five-year multinational African study on perceived AIDS stigma was undertaken. The North West Province in South Africa formed part of this study. The first phase focused on exploring and describing the meaning and effect o f stigma for PLWA and nurses involved in their care. This article focuses on the data for the North West Province, South Africa. An exploratory descriptive qualitative research design was used. Through focus groups the critical incident method was applied to gain respondents’ emic and etic views. The study was conducted in the Potchefstroom district and the Kayakulu area. Purposive voluntary sampling was utilised. The open coding technique was used for data analysis. Three types of stigma (received, internal and associated stigma) and several dimensions for each type o f stigma were identified. Recommendations for interventions, a measuring scale and the formulation of a conceptual model were formulated.

Population Geography and Settlement Studies

1989 ◽  
Vol 20 ◽  
pp. 251-258
Author(s):  
R. I. Lawless
Keyword(s):  
Rural Areas ◽  
Service Sector ◽  
Urban Migration ◽  
Interregional Migration ◽  
North West ◽  
North East ◽  
The North ◽  
Mass Migration ◽  
Rural To Urban Migration ◽  
Settlement Studies

Oil wealth has transformed Libya, a desertic and sparsely populated country, bringing dramatic demographic changes (Zoghlami 1979). El Mehdawi and Clarke (1982) and Lawless and Kezeiri (1983) describe and analyse the growing polarisation of the population in the north-west and north-east coastal regions which contain the two largest cities, Tripoli and Benghazi. They show that in recent years spatial duality has been sharply intensified by strong rural to urban migration and also by an increase in interregional migration. The concentration of new development programmes in certain urban centres has been the main cause of the development differential among the regions. As a result the regions which include the most important urban centres have become the most prosperous and the others have become less developed or even depressed. This has been the main cause of the rapid increase in both rural to urban migration and interregional migration. The inhabitants of the less developed regions have continued to move in increasing numbers to those which are more developed. The large majority of migrants who moved from these less developed regions are represented by rural people who have changed their place of residence and their occupation. They have left their work in the rural sector to seek employment in the industrial and service sector. As a result agricultural production has declined. The agrarian sector now employs less than a quarter of the Libyan workforce and the percentage of nomads and semi-nomads has declined to under 10% of the population. Albergani and Vignet-Zunz (1982) have shown that colonial invasion and occupation followed by the Second World War threatened the Bedouin of the Jebel Akhdar with extinction, not through sedentarisation but through the mass migration of a devastated rural population. The advent of oil and the high salary levels available in urban centres further encouraged this tendency. Gannous (1979) studied the movement of Bedouin from rural areas to the town of Al Abiyar and the erosion of Bedouin culture by urban values.

scholarly journals Profil Epidemiologique De La Leishmaniose Cutanee Dans La Region Du Gharb- Maroc De 2006 À 2014

2016 ◽  
Vol 12 (3) ◽  
pp. 243
Author(s):  
Aziz El Aasri ◽  
Alaoui Zakaria ◽  
Khadija El Kharrim ◽  
Driss Belghyti ◽  
Yassine Aqachmar ◽  
...  
Keyword(s):  
Cutaneous Leishmaniasis ◽  
Rural Areas ◽  
Urban Areas ◽  
Age Groups ◽  
Children And Young People ◽  
North West ◽  
Rural And Urban Areas ◽  
The North ◽  
Rural And Urban ◽  
Leishmaniose Cutanée

Between 2006 and 2014, 439 cases of cutaneous leishmaniasis were recorded in the region of Gharb Chrarda Beni Hssen in the north-west of Morocco. With an annual incidence of 49.1 cases per year and a sex-ratio (M / F) of 0.71. The disease has affected all age groups. The most stricken population is children and young people between the ages of 6 months and 30 years with more than 60.26 % of cases. Therefore, Cutaneous leishmaniasis almost hits the rural and urban areas but with an uneven impact. It is higher in rural areas where they are registered with a percentage of 56.7% of cases in contrast to a percentage of 43.3% in urban areas.

scholarly journals Rural areas of russia’s north-west borderland: problems and development paths

Baltic Region ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 93-113
Author(s):  
Аlexander I. Kostyaev
Keyword(s):  
Rural Areas ◽  
Agricultural Production ◽  
Resource Potential ◽  
North West ◽  
Internal Resources ◽  
The North ◽  
Major Development ◽  
Development Paths ◽  
Development Trajectories ◽  
Recreational Resources

This article focuses on the rural areas of Russia’s North-West borderlands, particularly, the municipal districts and towns that are closest to the national border. The study aims to identify problems in the development of these territories and provide solutions to them. The methodological framework employed is the neo-endogenous approach, which suggests the maximal multifunctionality-driven use of internal resources, bottom-up initiatives supported by the authorities, extensive use of innovations, the Internet, and scientific knowledge. The study takes into account and assesses the heterogeneity of rural areas by producing a typology of districts built on the structure of agricultural production, using the Hall-Tideman index. The study used several indicators to identify the role and place of border districts in their respective regions. Three types of districts were distinguished according to the structure of agricultural production: districts dominated by agricultural organisations, districts dominated by small farms, and mixed-type districts. Cross-district differences in output dynamics were described. The socially essential functions of rural areas and the economic entities performing those functions were identified. The analysis of the recreational resources of border districts helped to determine the directions in which the transformation of rural areas into consumer spaces was moving. The major development trajectories of rural areas were plotted using the non-endogenous approach and differentiated by the district types. The rural areas of the North-West borderlands were confirmed to have a unique and diverse resource potential that is sufficient to ensure their sustainable development based on the non-endogenous approach.

scholarly journals 768 Impact Of COVID-19 And BOAST Standards on Surgical Management of Upper Limb Injuries in A Large Teaching Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
T Naylor
Keyword(s):  
Teaching Hospital ◽  
Upper Limb ◽  
Day Case ◽  
North West ◽  
The North ◽  
Large Teaching Hospital ◽  
Limb Injuries ◽  
Upper Limb Surgery ◽  
Limb Fractures

Abstract Aim During the first peak of the COVID-19 pandemic, the BOA recommended that upper limb surgery for trauma should be avoided if possible, or performed as day-case if unavoidable, to reduce the risk of COVID-19 related negative outcomes. This audit assessed compliance with recommendations and impact on proportion of injuries managed conservatively due to COVID-19 risks, inpatient stay duration, COVID-19 infections, and corrective surgical intervention rates. Method Data was collected for all referrals to orthopaedics for upper limb fractures/dislocations at a large NHS teaching hospital in the North West over a 10-week period from April 4th to June 12th. Follow up was performed to 6 months after date of injury. Care was audited against the “British Orthopaedic Association Standard in Trauma: Management of patient with urgent orthopaedic conditions and trauma during the coronavirus pandemic”. Results A total of 112 patients were referred. 76% of patients were discharged from Emergency Department, with surgery indicated in 48%. Of those, 11% (n = 6) were not operated on due to COVID-19 risks and 1 patient from this group (16.7%) has required secondary corrective surgery. Surgery was completed as day-case procedure in 50%. COVID-19 swabs were not taken in 46% of referrals, 50% had a negative test and 4% positive. No patients tested positive after discharge following treatment. Conclusions Few cases were managed conservatively based on COVID-19 risk, and only 1 patient has required secondary surgery. More upper limb injuries may be managed conservatively, as per BOAST standards, with day-case procedures better utilised as an alternative.

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