3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item Modelling the differential incidence of child abuse, neglect and exploitation in poor households in South Africa(2012-09-19) Mbecke, Za-Mulamba PaulinChild abuse is rife and on the increase in South Africa. The review of five theories of child abuse shows that each theory is unitary, limited and isolated and proposes an incomplete understanding of and solution to child abuse. The ineffectiveness of prevention, intervention actions against child abuse and the poor management and control of child abuse cases are the consequence of unfocussed and disintegrated policies and programmes biased towards overestimated poor economic conditions. This research argues that poor economic conditions are not the sole important variables contributing to child abuse. This hypothesis is confirmed by the observation of the Memorial Institute‟s child abuse database. The purpose of this research is therefore to facilitate a clear understanding of child abuse in order to assist decision making for the prevention of, interventions against and management of child abuse cases. The research proposes the Integrated Modelled Theory that combines variables from different theories to facilitate a clear understanding of child abuse and consequently inform prevention, intervention and management actions through integrated and focused policies and programmes.Item Development of a dust exposure level index (Deli) for South African underground coal mine workers(2006-11-17T11:18:12Z) Belle, Bharath KumarInhaling excessive amounts of respirable coal dust will lead to work-related lung disease commonly known as Coal Worker’s Pneumoconiosis (CWP) or black lung. Prevention and control of CWP requires accurate knowledge of the dose-response relationship to set-up and review occupational exposure limits (OELs), which do not exist in SA. Due to historical reasons, poor emphasis of occupational health on the mines resulted in inadequate exposure data in SA. The new Mine Health and Safety Act (1996) overcame the deficiencies of the past and require quantifying the dust exposure and efficiency of dust control measures, and continuous risk assessments for dust exposure. The current method of exposure assessment is expressed using an Air Quality Index (AQI) which is the ratio of the measured dust level and OEL of coal dust. The difficulties with the usage of AQI are poor descriptions of dust problem areas and its magnitude, poor quality of the data leading to “no dust problem situation” and failure to extract information on ‘dose in milligram’ to relate them to the disease rate. Gravimetric size-selective dust sampling was introduced for the first time in 1990 in SA. Due to the lack of critically important coal dust exposure data available, this thesis has set out to examine several critical exposure related parameters and determine dust levels underground. This research study had the objective of the development of a pragmatic diagnostic tool (method) called the Dust Exposure Level Index (DELI) to evaluate the exposure of workers. The DELI incorporates a set of controllable parameters and influential areas and prioritises them to manage and reduce the worker exposure. The DELI model was to provide critical information as an index, i.e., to show whether the environment is dusty, border line or relatively free of dust and effectiveness of administrative and engineering dust control measures. The research work in this thesis has led to very explicit conclusions, which were based on extensive dust measurements in various coal mines over a five year period. Conclusions obtained for the various sets of controllable parameters used in the DELI model are as follows: 1. A previous analysis of the dust data during 1990 indicated that the dust levels have increased with mechanisation. The contamination of coal dust samples due to stone dusting can result in high dust levels giving a “false” indication of the efficiencies of the dust-control systems. 2. The dust exposure levels during coal cutting indicated that a worker positioned inside the cabin of a CM during the cutting of a 24 m coal block is at a higher dust exposure risk than the worker when cutting a 12 m coal block. Also, the miner who is operating in a heading is exposed to higher dust exposure risk than in a split. 3. The analyses of measured real-time dust data showed a clear relationship between the average dust levels and the frequency of occurrence of “peak” dust levels. The study demonstrated a clear method of using real-time dust data for assessing exposure. 4. The average measured section intake dust level was 0.80 mg/m3 and 60 % of the collected data exceeded the 0.5 mg/m3 limit indicating that this is a base dust level to which the worker is exposed without carrying out any additional work in the section. 5. The average measured section return dust level was greater than 2.0 mg/m3 indicating the high exposure levels of workers, and ineffectiveness of the ventilation and dustcontrol systems. 6. The results of this research study indicated that there is no conclusive relationship between the rate of coal production and respirable dust levels. Also, the type of dust control system used has pronounced effect on dust levels in the sections. The capture efficiency of any dust control system is not one hundred percent at any given time. During any cutting process for a given time and dust control type, part of the escaped respirable dust is added to the coal face atmosphere through air re-circulation. Therefore, respirable dust levels can be expected to increase with time during the shift, even at constant production levels. 7. A limited number of particle size analyses have indicated that there is no clear relationship between the dust concentration in mg/m3 and total surface area (m2) of the respirable dust sample. 8. For the first time, a clear delineation of coal types (semi-bituminous and semianthracite) that possess the most inherent respirable dust generation potential (IRDGP) was possible (p = 0.000). Also, there was no conclusive relationship (p = 0.373) between different semi-bituminous coal seams (1, 2, 4 and 5) and IRDGP. 9. The laboratory roll-crusher test results of South African coal types indicated that average inherent silica for the test coals was 3.54 %. The DELI model took into account, the merits of personal exposure data in exposure assessment, but the limitations and quality of data one obtains in the South African situation overweighed use of the fixed-point sampling. The “limits of acceptability” used in DELI are based upon acceptable guidelines prescribed by the authorities such as National Institute of Occupational Safety and Health (NIOSH), Mine Safety and Health Administration (MSHA), South African Department of Minerals and Energy Affairs (DME) and latest information on epidemiological studies. The DELI model gives the visual “colour” coding and descriptive categories for easy interpretation and understanding of exposed dust level to uneducated workforce. This type of DELI index representation gives a clear and concise picture of the mine or various section dust conditions. The DELI model exposure assessment technique gives accurate feedback because it was based on latest recommended size-selective sampling methods and instrument and vast amount of measured data, which was not previously available. The application of the developed DELI model for exposure assessment and its comparison with AQI were evaluated for coal mine dust data. The study demonstrated that the DELI model is a practical diagnostic tool that gives a fair reflection and information on dust levels and is an exposure assessment tool for the coal mining industry that will assist in reduction of CWP in South Africa.Item Beliefs and Practices regarding HIV/AIDS awareness and prevention among service providers for adults with Intellectual Disability in Gauteng(2006-11-02T12:54:34Z) Levin, TamarThe aim of the study was to determine the beliefs and practices regarding HIV/Aids awareness and prevention among service providers working in the field of intellectual disability. In order to investigate this aim, a cross-sectional survey research design was employed which incorporated a purposive sampel that consisted of 28 participants representing 21 organizations catering for adults with intellectual disability in Gauteng. These participants were interviewed using a structured interview schedule and the data were analysed using both descriptive statistics and content analysis. The results indicated that the majority of participants perceived that their organization had a role to play in raising awareness and preventing the spread of HIV/Aids and considered adults with intellectual disability to be a risk for contracting HIV.