4. Electronic Theses and Dissertations (ETDs) - Faculties submissions
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Item The exploration of accountability frameworks for sewage works management at the City of Mbombela LocalMunicipality(University of the Witwatersrand, Johannesburg, 2024) Selepe, Mamaropeng Marcus; Muller, MikeThis study used the City of Mbombela Local Municipality as a case study to investigate how accountability mechanisms are implemented for wastewater treatment works. Wastewater treatment works generally perform poorly and discharge poor quality effluent into our water resources causing pollution and possible health effects. The City of Mbombela Local Municipality own eight wastewater treatment works. The Green Drop progress report for 2023 showed that five of the wastewater treatment works which are managed by the municipality perform poorly compared to the three which are manged by the municipal water services provider, Silulumanzi. The purpose of the study was to determine what accountability challenges are experienced by those assigned the function of managing wastewater treatment works at the City of Mbombela Local Municipality. The study adopted a qualitative research approach and collected data through semi-structured interviews. The results of this study show that the City of Mbombela Local Municipality does not have formal accountability mechanisms in place to hold those assigned the responsibility of managing wastewater treatment works accountable for the performance thereof. This study has revealed the absence of accountability as a possible contributor to the resultant poor performance of wastewater treatment at the City of Mbombela Local Municipality. The findings of the study could inform practice and offer insights about practices in the wastewater management business. It is recommended that municipal managers include the performance of wastewater treatment works as a performance indicator in their annual performance plans as well as in performance agreements of officials responsible for the management of wastewater treatment works. This will enable municipal managers to have a handle on the performance and compliance of wastewater treatment works as these will be reported at the required frequency and subjected to appropriate scrutiny. It is further recommended that a follow up study be conducted to compare accountability mechanisms for wastewater treatment works managed by municipalities against those managed by independent water service providers.Item (Il)legitimacy of Freelance Artists: Exploring Current Government Legislation and Policies that Influence Economic Exclusion and Inclusion of South African Freelance Artists(University of the Witwatersrand, Johannesburg, 2024-03) Mmeti, Lehlohonolo Tebalelo Rudy Matome; Chatikobo, MunyaradziThe prevailing descriptors—such as "illegitimate," "non-compliant," "unprofessional," and "informal"—resonate globally, attributing a lack of structure to freelance artistry. This characterization places these artists in precarious legal and economic positions, hindering access to fundamental employment benefits, credit, loans, and housing. Therefore, it is imperative to answer the central questions, Which legislative measures and policies currently influence the economic integration, compliance and legitimacy of freelance profession within Cultural Creative Industry and Economy in South Africa? The scarcity of literature on the subject prompts an exploration into the legislative landscape, framed by the notion that policy acts as a guiding roadmap. The central argument is that existing policies failure to adequately address the unique challenges faced by South African freelance artists, leaving a critical void in understanding their economic participation. Focused on a qualitative methodology, the research examines documents and policies to unravel the impact on freelance artists' economic standing, employing lenses that navigate the intersections of formality and informality within the Cultural Creative Industries. The research underscores the imperative to bridge this knowledge gap, arguing for targeted interventions to rectify the economic disparities and (il)legitimacy associated with freelance artists in South Africa. It is through the aims and objectives of this research that I was be able to come with a concrete understating of the landscape so appropriate intervention measures can be suggested.Item Compliance of medical practitioners with diabetic treatment guidelines at Dr Yusuf Dadoo Hospital, West Rand Health District Gauteng(2024) Ohanson, N.J.Background: Diabetes (DM) is a common chronic condition. The prevalence is increasing globally and has become a common health care problem associated with multiple complications. Guidelines have been formulated to standardise care among people living with DM, with aim of optimising patient care and thus minimising the complications. Aim: The aim of this study was to assess how well health care practitioners in Dr Yusuf Dadoo Hospital complied with the most recent diabetic treatment guideline, SEMDSA 2017. Setting: This study was conducted in the out-patient department of Dr Yusuf Dadoo hospital in the Westrand Health district of Gauteng. Methods: A retrospective cross-sectional review of patient record living with diabetes was done. Three hundred and twenty-three Record of patients seen from August 2019 to December 2019 were reviewed and some of the basic variables were assessed according to the most recent diabetic treatment guidelines SEMDSA 2017. Results: Files were audited in 4 main categories. Comorbidities, Examinations. Investigations, presence of complications. In terms of monitoring parameters, only 40(12.4%) had HbA1c assessed 6monthly, with annual creatinine assessed in 179(55.4%) and lipogram 154(47.7%) of patients. More than 70% of patients had uncontrolled glycaemia. More than 70% of patients had uncontrolled glycaemia. The most frequently documented target organ screening/examinations were foot related at 8.7% (28) and all of them had established complications. Only 2 people were screened for erectile dysfunction. Conclusion: Adherence to DM treatment guidelines was found to be poor. Monitoring and control parameters were infrequently done as per guideline recommendation. The resultant effect are poor glycaemic control and therefore numerous complications. The study site and thus the West rand needs targeted strategies to improve medical practitioner adherence to guidelines including adequate interpretation of results, timely intervention, when necessary, as a way to improve DM care and thus minimise the risk of complications amongst patients in the district