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Browsing *School of Human and Community Development (ETDs) by SDG "SDG-3: Good health and well-being"
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Item Balancing the roles of Employee Aad Primary Child Caregiver: Experiences of Single Mothers formally Employed in Otjiwarongo, Namibia(University of the Witwatersrand, Johannesburg, 2020) Markus, Julia NdeyapewaThe number of single mothers entering the workforce is an ever-increasing trend throughout the world, including countries in sub-Saharan Africa, such as Namibia. Usually, single mothers face many challenges fulfilling the roles of employee and primary caregiver simultaneously. Although the challenges experienced by employed, single mothers have been well researched in developed Western and European countries, there is a gap of knowledge regarding how formally employed, single mothers in sub-Saharan Africa, including Namibia, experience trying to balance the responsibilities of employee and primary caregiver of their children. Occupational social workers can play a meaningful role in supporting employees in the workplace, including employed, single mothers who are facing caregiving challenges that are negatively impacting on their work responsibilities. The main aim of this research was thus to explore how employed single mothers in Namibia experience trying to balance the roles of primary caregiver and employee, so that key role players within the workplace, especially occupational social workers, can gain more insight into how these challenges can best be addressed. To realise this aim, a qualitative research approach was adopted using the phenomenological research design. Fifteen employed mothers in Otjiwarongo, a small town of about 28 000 inhabitants in the Otjozondjupa region, were purposively selected as the research sample. Data were gathered by conducting individual interviews with the participants. The research tool was pre-tested with an employed single mother who met the sample selection criteria. Thematic analysis was employed to analyse data. The main findings based on data analysis were that fulfilling the role of mother is difficult when facing work pressure and working long hours. Stress experienced in the work environment is often carried over to the home environment, and vice versa. Focus on work activities can also be undermined when experiencing concerns about the well-being of their children, especially if they are young. Women try to balance their simultaneous roles by employing reliable caregivers to take on the responsibility of caregiving when they are at work. Based on research findings, it is recommended that occupational social workers work towards implementing policy and practice within the work environment that facilitates personal contact between mother and child.Item Experiences of loveLife Trust telephone counsellors about the EWP employed within Gauteng(University of the Witwatersrand, Johannesburg, 2022) Mpekana, RebeccaGlobally, most Non-Profit Organisations (NPOs) do not prioritise employee wellness programmes (EWPs). NPOs’ funding is often allocated for rendering their primary programmes rather than improving their employees’ wellness. Employees in NPOs are left to devise their own means to best cope with work-related stress and challenges. Some employees rely on support from community-based organisations or their colleagues. loveLife Trust is a South African NPO that operates nation-wide. loveLife Trust recently introduced EWP to be utilised by its employees who are telephone counsellors. As of year 2022, loveLife Trust employs about 12 telephone counsellors. The loveLife Trust counsellors render psychological support to youth country-wide. Dealing with the youth’s presenting problems exposes the telephone counsellors to burnout and anxiety. This study aimed to explore how telephone counsellors experience the loveLife Trust EWP service. This was a qualitative study that allowed the participants to openly share their views. The total participants for this study were 12 telephone counsellors who were working on the toll-free line which is based in Gauteng. In addition, two key informants; the team supervisor and an EWP account manager, were interviewed. All participants were interviewed through ZOOM Cloud Meetings. A qualitative interview schedule that was guided by open-ended one-on-one interview questions was used for data collection. Thematic data analysis was used to derive different themes for the study. The aim of the study was to explore the experiences of telephone counsellors on EWP at loveLife Trust. The telephone counsellors are based in the call centre in Gauteng. The study revealed that telephone counsellors have not utilised the EWP as a way of support. The telephone counsellors prefer collegial support for taking care of their wellness. To spark interest amongst telephone counsellors to utilise the service, loveLife management should prioritise EWP awareness.Item Experiences of probation officers working at Department of Social Development, Gauteng, JHB Metro Region on occupational stress and their coping mechanisms(University of the Witwatersrand, Johannesburg, 2022) Monnye, OlebogengThe United Nations Children’s Fund (UNICEF) states that the majority of children in conflict with the law have committed petty crimes such as alcohol abuse, begging, absenteeism from school and vagrancy. Probation officers have an important role to play in the lives of people in conflict with the law. Some of their responsibilities include conducting thorough investigations to assess the offenders who have committed crimes. It can be understood that the nature of their job can at times cause occupational stress. The aim of the study was to explore the occupational stressors and coping mechanisms adopted by probation officers working at the Department of Social Development (DSD), Johannesburg (Jhb) Metro Region in the Gauteng province of South Africa. A qualitative approach was used to conduct the study. Fifteen participants were selected using non-probability purposive sampling. Face to face in-depth interviews were conducted to collect the data. The interviews were audio recorded and the data was analysed using thematic analysis. It was anticipated that insights into the occupational stressors and coping strategies adopted by probation officers would be revealed. This study revealed that probation officers have high caseloads, but have good coping mechanisms to curb occupational stress in that they confide in their supervisors and their colleagues. The significance of the study for social work was that it may help probation officers to determine how they can better deal with occupational stress. Little research has been conducted in South Africa regarding probation officers’ occupational stressors. Therefore, this study contributed to literature on the matter.Item Exploring the mental health and well-being experiences of high school learners during covid-19 in Sebokeng, Vanderbijlpark(University of the Witwatersrand, Johannesburg, 2023-06) Nkomo, Andile Prudence; Pretorius, Edmarie; Watermeyer, JenniferThe coronavirus that causes COVID-19 is an acute infection that affects people. The World Health Organization declared it a pandemic on March 11, 2020, and an international public health emergency on January 30, 2020. Residents of Sebokeng in South Africa suffered throughout the lockdown stages brought by COVID-19, finding it difficult to maintain a regular way of life in the face of the unique circumstances due to a shortage of money and business closures. The pandemic caused unimaginable disruptions in many aspects of society, including interruptions for learners in the classroom. It presented high school learners with challenges that increased their likelihood of developing mental health issues. Thus, the study aimed to explore high school learners' experiences of mental health and well-being during COVID-19 in Sebokeng, Vanderbijlpark. Against this background, the objective of the study was to gain an in-depth understanding of the lived experiences of high school learners in Sebokeng, Vanderbijlpark during COVID-19 and, explore the perceived influence of the pandemic on learners' mental health and well-being. The study used semi-structured one-on-one interviews to gather data. The framework for analysing and comprehending the results of my research was provided by the social context perspective, a subset of the ecological systems theory method. The data were analyzed using thematic analysis. The key themes and subthemes that emerged from the data are presented in this study, along with the research findings. The impact of COVID-19 on the learner's mental health will be investigated initially. The impact of COVID-19 on participants' academic progress, financial losses as a result of COVID-19, and overall COVID-19 experiences are then explored. Therefore, there has never been a more ideal time to investigate how learners' COVID-19 experiences may have affected their mental health. This study provides some insight into the use of support treatments for mental health issues.Item Exploring the pandemic: COVID-19 lockdown response levels as predictor of working memory performance and associated emotional responses(University of the Witwatersrand, Johannesburg, 2023-11) Oyejide, Aderemi Oyewunmi; Brooks, Samantha; Besharati, SahbaThe unprecedented outbreak of the COVID-19 pandemic has altered the course of many lives, resulting in multiple health and social challenges. Due to the speed with which this andemic spread, various public health ‘lockdown’ measures were introduced to mitigate its spread. The outcome of adherence to these measures has revealed the possible influence on ndividuals varying cognitive abilities. Therefore, this study aimed at exploring the predicting relationship between lockdown responses to COVID-19 restrictions and working memory performance and associated emotional responses, while looking at the socio-demographic influences of age, gender, and level of education. Participants were drawn from a secondary dataset of an international online survey study of 1634 individuals between 18 – 75 years across 49 countries. Participants’ demographic questionnaires, working memory measures (free memory recall and digit span forward tasks), and hospital anxiety and depression scale were employed to collect data for analysis. A 4-way MANOVA and hierarchical multiple regression were utilised to explore the mean differences and predicting relationships between the study variables respectively. Significant differences were found in general memory performance, anxiety and depression scores across lockdown groups, but with no significant difference in working memory. The regression analysis indicated socio-demographic variables as non-predictive markers between lockdown responses and memory performance, while age and gender were significant predictors between lockdown responses and anxiety. The current study provides valuable information for interventions that may improve peoples’ psychological appraisals in preparation for any new potential waves or future pandemics.Item First-year psychology students' understanding of traditional healing and treatment of mental illness(University of the Witwatersrand, Johannesburg, 2022-07) Mkansi, Akani Patience; Human, LeonieMental illness has shown high prevalence in local South African communities, however, the lack of knowledge and understanding of mental illness has an impact on the treatments that patients choose. Research shows that most individuals understand mental illness and define mental illness somatically and as resulting from biological causes (Memon et al., 2016), whereas there are other reasons for developing mental illness. Although patients consult psychologists and psychiatrists there is still a high number of individuals that consult traditional healers for the treatment of mental disorders (Zingela, 2019). Culture, beliefs, and the value placed on traditional healers results in continued consultation with traditional healers. A shared understanding of culture can help address barriers related to resistance due help-seeking behaviour (Zhou et al., 2021). The objective of the study is to explore first-year psychology students' understanding of mental illness and treatments. The data was collected using phenomenological interviews with ten first year psychology students registered with the University of the Witwatersrand, aged 18 and above. Semi-structured and open-ended interviews were conducted virtually using the Zoom meeting platform and lasted about 45 minutes to one hour. The data was analysed using thematic content analysis. The following themes were identified from the collected data: (1) understanding of mental illness (2) Healing of mental illness (3) role of traditional healers (4) reasons for consulting with traditional healer (5) The role of indigenous South African Cultural Understanding of mental illness (6) African cosmology and mental illness (7) challenges to understanding mental illness. The results presented various understandings of mental illness and treatments. Participants have identified culture, beliefs and several challenges as having an impact on access to mental healthcare services, therefore, it is noteworthy to have future interventions that consider a culturally accommodative and comprehensive framework for understanding mental illness.Item Investigation of Middle Ear Function Through Wideband Absorbance Measure in Adults Living with Human Immunodeficiency Virus in Gauteng Province, South Africa(University of the Witwatersrand, Johannesburg, 2022-06) Sebothoma, Ben; Khoza-Shangase, KatjahBackground: The association between the human immunodeficiency virus (HIV) and auditory pathologies, including middle ear pathologies, has been extensively researched. However, most of this research has documented the middle ear pathologies of people living with HIV using conventional tympanometry with single probe tone, which has been shown to have poor sensitivity and specificity. Consequently, middle ear function and pathologies of people living with HIV may not have been accurately represented. While wideband acoustic immittance (WAI) such as wideband reflectance or/and absorbance measures emerged as a potential measure that can accurately identify early signs of middle ear pathologies and provide an accurate picture of the middle ear function, little is known about middle ear function and pathologies of adults living with HIV using wideband acoustic immittance. The value of preventive audiology in this population that comprises a big component of South Africa’s quadruple burden of disease cannot be overemphasized. Purpose: The primary purpose of this study was to investigate middle ear function through WAI in adults living with HIV. Specific objectives included to: review evidence on trends of middle ear pathologies in adults living with HIV; determine current practices employed by South African audiologists in identifying middle ear pathologies; determine the usefulness of using tele-practice to identify middle ear pathologies in adults living with HIV; determine the usefulness of wideband absorbance measures in identifying middle ear pathologies in adults living with HIV; determine the sensitivity, specificity, and characteristics of wideband absorbance measures in adults with and without HIV; determine the combined effects of HIV and comorbidities on hearing function; and explore risk factors that influence the development of middle ear pathologies in adults living with HIV. Participants: A non-probability purposive sampling was used to recruit and select participants. South African adults aged 18 years and above who were diagnosed and living with HIV in the Gauteng Province and attending an HIV clinic, as well as adults who are HIV negative as a control group were recruited and included in the study. Design: While the general methodology for this research comprised of a quantitative, cross-sectional design, each research article that forms part of this study has its own specific research design and methodology, and this is presented in each article. Data analysis: Data were analysed using the STATA version 1.5. For each paper (presented as chapters in this thesis), specific statistical analysis procedures were adopted, and are reflected in each of the chapters. Results: Findings in this study revealed that middle ear pathologies are common and highly prevalent in adults living with HIV, reaching approximately 60% in the current sample. These pathologies vary according to type and severity, and this is influenced by the middle ear measure used for assessment. The common middle ear pathologies in this study were otitis media with effusion, chronic suppurative otitis media, with conductive hearing loss. Despite the existence and occurrence of middle ear pathologies, some audiologists do not regularly incorporate tympanometry into their clinical practice. Asynchronous tele practice, through video-otoscopy, was found to be useful and feasible in the identification of middle ear pathologies in adults living with HIV, with substantial agreement (K=0.5801 to 0.6047) between otorhinolaryngologists. The wideband absorbance measure was found to be more accurate in identifying middle ear pathologies than the tympanometry with 226Hz probe tone and pure tone audiometry using air/bone gap. The sensitivity of wideband absorbance reached 88%, while that for tympanometry with 226Hz probe and pure tone audiometry was below 20%. In addition, the wideband absorbance patterns, measured at ambient pressure and tympanometric peak pressure, were also established for participants with normal middle ear function and middle ear pathology. While there was a difference between the wideband absorbance pattern of participants with normal middle ear function and middle ear pathologies, with middle ear pathologies being lower in the low to mid frequencies (226Hz to approximately 3000) for both ambient pressure and tympanometry peak pressure, this difference was not statistically significant between and within groups. Finally, findings of this study indicated that adults living with HIV, with comorbidities such as hypertension and hypercholesterolemia, and risk factors such as advancing age and an extended use of ART, have an increased the risk of developing various types of hearing loss. Conclusion: Current findings highlight the importance of preventive tailored care for adults living with HIV. The study indicated that middle ear pathologies and hearing loss are high in adults living with HIV. The development of these pathologies is associated with comorbidities and other risk factors. Wideband absorbance measures appear to offer promise as a diagnostic measure for middle ear pathologies in this population. However, wideband absorbance must be used in conjunction with other middle ear measures such as video otoscopy to improve early identification and intervention of middle ear pathologies. While this study indicates that middle ear pathologies are common in adults living with HIV, the patterns of wideband absorbance suggest that middle ear function in this population may not be different to HIV negative control group. Findings of this study also highlighted the importance of training facilitators to capture quality video otoscopic images that can be used for tele practice in a South African context where demand versus capacity challenges exist in as far as ear and hearing care healthcare practitioners are concerned. Finally, this study raises implication for resource distribution, ensuring that accurate measures such as wideband absorbance measures are available in clinical setting, which will improve early identification and intervention in adults living with HIV.Item Rendering services to people with substance use disorders: perceptions of Social Workers in Ehlanzeni District, Mpumalanga Province(University of the Witwatersrand, Johannesburg, 2020) Singwane, Thembinkosi PeterSubstance use disorders are a global challenge with detrimental effects on health, wealth and security of nations. Historically social workers have been and continue to be among the primary service providers to individuals who experience Substance Use Disorders (hereafter referred as SUDs). Although substance use disorders are a prevailing treatment issue, addiction remains under-identified as a primary practice area for clinical social workers. Since social workers play a crucial role in the identification and treatment of people with substance use disorders, their perceptions of these patients have consequences on the nature and quality of services delivered to them. The researcher’s interest in the study was informed by the ever-escalating increase of people with SUDs in South Africa. Over the past five years, according to statistics as reported by the South Community Epidemiology Network on Drug Use, the Ehlanzeni District Municipality in Mpumalanga Province has seen an extensive spread of SUDs. For this reason, this study adopted the qualitative approach by employing the multiple case study design to execute this research. The purpose of the study was exploratory and descriptive in nature. The population consisted of social workers who specialize (or work) on substance/ addiction management from two Non-Governmental Organizations (hereafter referred as NGOs) namely; South African National Council on Alcoholism and Drug Dependence (SANCA) Lowveld and National Institute for Crime Prevention and Reintegration of offenders (NICRO). The study also included social workers (practicing in the substance/ addiction management) from the Department of Social Development (hereafter referred as DSD) who work with SUDs, 4 (four) social workers in the focus group from DSD. Since Social workers from SANCA (6) and NICRO (7) were numerical minority, they were included in two separate focus group respectively. The study made use of focus group discussions for both NGOs and the DSD after participants (Only from Ehlanzeni district) have been identified through the purposive sampling technique. The researcher used thematic analysis for analyzing data.Item The audiological profile of singers’ and musicians’ in South Africa(University of the Witwatersrand, Johannesburg, 2023-03) Flowers, Aimee Lee; Pillay, DhanashreeIntroduction: Excessive exposure to loud music is shown to have a negative impact on hearing, necessitating studies that explore the impact of music on the audiological profile of musicians and singers. The tonotopic arrangement of the cochlea plays an important role in the perception of music. Audiological testing can provide insight into the functioning of the auditory system of musicians and singers and it can provide information about the possible noise/music induced impact of music on the auditory system. The rationale for this study was to fill in the gaps in knowledge pertaining to the effects of noise/music induced hearing loss on musicians and singers in South Africa. Methodology: The study aimed to document the audiological profile of musicians and singers in South Africa. The participants were recruited using purposive and snowball sampling. The study consisted of 57 participants. The age range was 13 years to 75 years of age. The design of the study was exploratory and data were collected via a case history questionnaire and a diagnostic audiological investigation. The data were analysed using qualitative and quantitative analyses. Results: Music induced hearing loss (MIHL) is present among musicians and singers however, age and years of experience are influential factors in this result. The results of the current study indicated that 88% of the participants did not use HPDs for various reasons such as stigma or lack of awareness. Participants showed knowledge related to ear cleaning and high noise levels, however, there was a lack of insight into the importance and good ear hygiene practices. Fifty-one participants indicated that there is a need for the implementation of programs to inform the general public about good ear hygiene. The results of the diagnostic audiological testing indicated age was a significant factor in relation to pure tone thresholds and distortion product otoacoustic emissions(DPOAEs). Noise notches were evident at 3000Hz and 6000Hz and correlated with both the pure tone threshold and DPOAE results. The DPOAE results indicated that being a professional singer was also a significant factor. Conclusion: The current study highlights the effects of music on the auditory system. The effects of music can be detrimental to a musician and singer’s hearing, and the incorrect ear care can have devastating effects for performers. Therefore, the need for the implementation of programs to educate musicians and singers about ear hygiene, the correct ear hygiene practices and the effects of music on the audiological system as well as the correct way to mitigate these effects is imperative.Item The navigation of sexual identity between novice therapists and their queer clients: therapists’ perspectives(University of the Witwatersrand, Johannesburg, 2021) Kgosamang, Rebaone; Prof Carol LongQueer research related to psychotherapy is relatively scarce. The necessary emphasis of queer research on the HIV epidemic, social inclusion and exclusion and political and legislative issues surrounding the queer community has resulted in a relative neglect of mental health issues. Given the historical context of homophobia in psychology and psychiatry, therapists’ experiences of working with queer clients are important to investigate. The current study aimed to explore how novice therapists navigate sexual identity with their queer clients in therapy. A qualitative study was conducted in which six (6) participants were interviewed using a semi-structured interview schedule. The study’s sample comprised of an intern Clinical Psychologist, a newly qualified Educational Psychologist and four newly qualified Clinical Psychologists who are all in private practice. Demographically, there were two white men both of whom are cisgendered and identify as queer and four black women of whom are all cisgendered with one identifying as queer and the rest as heterosexual. A thematic analysis was conducted on the results that emerged from the interviews with the participants. The following three major themes emerged: Disclosing sexual identity, Taking care to avoid pathologising queer clients and therapy shaped by therapists’ own sexual identity. The results indicated the complexity involved in navigating sexual identity in psychotherapy. Therapists experienced a process of initial unexpected openness, followed by an awareness of guardedness as well as a growing awareness of their clients’ expectations of prejudice in their encounter with sexual identity in therapy. This appeared to be influenced by clients’ internalised homophobia. Additionally, therapists’ own sexual identity influenced how they broached sexual identity in the room, with heterosexual therapists noting a fear around misunderstand and queer therapists acknowledging a struggle with overidentification. The results implicitly revealed a gap within training programmes. Implications for practising therapists are discussed.Item Towards the development of a screening tool for Anorexia Nervosa in men(University of the Witwatersrand, Johannesburg, 2022) Reeves, Megan Moya; Prof. Sumaya LaherAnorexia Nervosa (AN) in men is still not wholly understood and is often misdiagnosed. The primary aim of this tri-phasal exploratory, mixed methods study was to propose content domains and items that may be used to inform the development of future quantitative tests to screen for AN in men. It has been reported that there is currently no quantitative instrument available, which has been specifically designed to measure anorexic symptomatology in men (Darcy et al., 2012; Murray et al., 2012). The quantitative content domains and test items developed in this study may be used in future self-report screening measures to help improve the accurate recognition of AN symptoms in men. These items will help to counter the effects of gender biases evident in current AN screening tools and biases held by clinicians and psychiatrists that are reported when screening for AN in men. These test items and content domains were developed in the third phase of this study and were derived from the findings of the first two phases. In phase one, a comprehensive thematic list of symptoms reportedly experienced by men diagnosed with AN was developed from an integrative literature review of peer-reviewed journal articles published between July 2000 to July 2013 on PsychINFO, SA ePublications, and Google Scholar. The data from phase one were supplemented by a thematic analysis of 14 interviews with South African clinical psychologists and psychiatrists, conducted under phase two, which deconstructed their beliefs regarding AN in men. Ultimately, the study’s three phases cumulatively showed how the symptoms reportedly experienced by men differed to those of women, deconstructed the beliefs held by a sample of South African clinical psychologists and psychiatrists, recommended a gender sensitive and identity based conceptualisation of AN that served to explicate theory, and finally proposed original test items that may be used in future research to develop a test to more validly and reliably screen for AN symptomatology in men.