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Browsing Wits Business School (ETDs) by SDG "SDG-11: Sustainable cities and communities"
Item An outcomes evaluation of the ‘differentiated care’ antiretroviral therapy delivery in South African urban township(University of the Witwatersrand, Johannesburg, 2022) Tebeila, TebogoWith the high prevalence and massive expansion of antiretroviral therapy (ART), alternative ART delivery models are needed in scaling up, delivering ART, and maintaining high-quality services to people living with HIV. Various differentiated care ART delivery models were implemented in health facilities across South Africa, notable results from the literature suggest that differentiated care ART delivery models were piloted and implemented at scale, nevertheless, there is little evidence on the scale-up of these models on patients’ outcomes in South African urban townships. Ultimately, the research seeks to assess the outcomes of the differentiated care ART delivery models in a South African urban township called Tembisa in the Ekurhuleni Metropolitan Municipality. The research is a quantitative, retrospective cohort analysis. Logistic regression and Chi- square tests were used to determine rates of retention and factors associated with loss to follow-up. Behavioural theories were used to interpret the research findings. The research findings revealed that rates of retention were at 91.8 per cent and loss to follow-up was at 8.2 per cent. Furthermore, health facility, age at enrollment and duration on ART were associated with the probability of being lost to follow-up, nonetheless, there was no difference in sex and no association with modality. The finding from the study confirms that alternative ART care models are important in scaling up and delivering ART within an urban township setting, although there was poor viral load specimen collection at the scheduled clinic appointment good rates of retention in care and viral load suppression were achieved. Overall, the implementation of the intervention in a similar setting should be customized to patients aged between 18-24 years or younger, and those with a duration on ART of fewer than 24 months at enrollment differentiated care ART delivery models to reduce the probability of being lost to follow up after enrollmentItem Studies on philanthropy and impact investment in Ghana(2021) Osei, Dennis BoaheneAnecdotal evidence of practices and institutions has accumulated over the years through oral traditions and all over the psyche of the African. While giving to good causes is not new in the Ghanaian traditional system and culture, there is a general paucity of literature regarding recent developments on the topic. Studies regarding investments that simultaneously generate financial, as well as social and /or environmental returns, are equally lacking. Using Ghana as a case study, this thesis contributes to the literature on three thematic areas in accordance with identified gaps in the philanthropy and impact investment literature. Specifically, the thesis relies on quantitative (instrumental variable probit model) and qualitative (content analysis, multiple-case study) research techniques to examine the relationships, and determinants of formal and informal charitable giving; uncover the motives, priorities, strategies, opportunities, and challenges of corporate foundation giving; and explore the approach to impact investing. These are critical issues whose understanding is theoretical and western-oriented, lacking empirical attention in the emerging literature of African philanthropy and impact investment. Given this, the thesis produced three independent essays to address these salient gaps in the philanthropy and impact investment literature. Empirical findings evolving from these essays are instructive and generally present crucial insights on African philanthropy and impact investment which is relevant for policy and practice. The first essay examines the extrinsic (socio-demographic) and intrinsic (personality) determinants of both formal and informal charitable giving. In addition, it explores whether the relationship between different types of charitable giving –cash and in-kind donations as well as time donations (volunteering) – is substitutable or complementary. Our findings, based on survey data from 1,533 households and instrumental variable probit model revealed that while marital status, education, v household size, religiosity, ethnicity, and empathic concern are important predictors of formal cash and in-kind giving, informal giving of cash and in-kind is driven by income, religiosity and empathic concern. On the other hand, it was evident that formal volunteering is mainly determined by income, household size, religiosity, and empathic concern, whereas gender and religiosity influence informal volunteering. We established that, in both spheres of formal and informal giving, the relationship between cash and in-kind giving and volunteering is complementary. Premised on these findings, we recommend non-profits and policymakers to recognise the complementary role and distinctive determinants of the spheres of giving in designing tools and policies to raise the levels and effectiveness of fundraising and volunteering campaigns. In the second essay, the practice of corporate philanthropy was explored through the lens of corporate foundations. Specifically, we investigate the motives, priority areas, strategies, opportunities, and challenges of corporate foundation giving. Based on qualitative content analysis, our findings revealed that corporate foundations are influenced by both altruistic and instrumental motives of giving, and that, their approach to giving prioritises multiple areas of national interest such as education, health, economic empowerment, environment/social amenities, and sports. We also found that corporate foundations rely on a combination of strategies (request, media-lead, adoption, and contest) to identify potential beneficiaries and implement their giving programmes. Further evidence indicates that giving of corporate foundations presents opportunities to both foundations (serve society, get partnership offers from other companies, and obtain goodwill from the public) and their parent companies (indirect business and advertising opportunities). However, corporate foundation giving is constrained by insufficient funding, lack of support from stakeholders, managing expectations of individuals, poor maintenance culture, and cultural rites. The findings have implications for practitioners as it presents insights which could vi serve as a model to guide new entrants into the corporate foundation landscape of developing economies. In addition, the findings could assist the development of government interventions necessary to foster greater corporate giving. The third essay applies a change in perspective to explore the approach to impact investing from a supply-side standpoint. This contrasts existing studies which are mostly theoretical and provide an understanding that is western-oriented and from a demand-side viewpoint. Using multiple-case study design and qualitative data from two Ghanaian organisations, we provide evidence of an impact investment approach characterised by concurrent motive of financial and social/environmental returns, longer time horizon, and engagement or provision of non-financial support. We conclude that this approach leverages the tools of venture capital to realise social or ecological purposes. The findings can potentially assist investors and entrepreneurs to make informed decisions and navigate the complexity surrounding the emerging impact investment environment in Ghana and economies of similar nature. Additionally, it can help in developing explicit policies to regulate the sector, increase its awareness, widens its appeal, and use to serve the intended purpose of aItem The effect of information and communications technologies deployment on citizen engagement in a South African metropolitan municipality(2022) Khumalo, MusawakheEven though the South African government has joined other nations across the globe to embrace the use of selected technologies for citizen engagement, there has not been much meaningful impact on the decision-making process or governance because the government failed to realise that their engagement mechanisms were poor, their selected applications were not user-friendly, and they required more technicalities for participation with little or no protection for users. This study is designed to assess the effect of the deployment of information and communication technologies (ICTs) on citizen engagement in the City of Tshwane Municipality. This quantitative study adopted a survey research design. The study sampled 136 councillors randomly out of 205 councillors in the City of Tshwane via a structured questionnaire. The retrieved questionnaires were analysed using charts, simple percentage and frequency, cross-tabulation, chi-square and linear regression. In the end, the findings of the study revealed that the most critical operational changes needed to enhance citizen engagement in the City of Tshwane Municipality were improved support from the IT division/department, acquisition of technological tools for councillors, and regular live online Q&A sessions with citizens (e.g. Facebook Live, Twitter Spaces). In addition, the study found that improving the IT division/department support would enhance citizen engagement in the City of Tshwane Municipality the most. Based on the findings of this study, the research recommended, among other things, that the municipality should see the selected technologies for policy creation and public participation and comments/projects and ward monitoring as a potent tool for enhancing accountability, feedback, and municipal development rather than as a tool for political campaigning or propaganda since technology usage significantly affects citizen engagement