4. Electronic Theses and Dissertations (ETDs) - Faculties submissions

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    The experiences of caregivers on their involvement in their Children’s learning during covid-19: the case of vlaaklagte Number 2, mpumalanga province
    (University of the Witwatersrand, Johannesburg, 2024-05) Matshiana, Bongi Zanele; Watermeyer, Jennifer; Pretorius, Edmarie
    The outbreak of COVID-19 affected the lives of all sections of society as people were asked to self-quarantine in their homes to prevent the spread of the virus. The pandemic affected the public's mental health and well-being in a variety of ways, including through isolation, job loss and financial instability, illness, and grief. In addition, the COVID-19 pandemic had negatively impacted teaching and learning. In many schools, the curriculum had to be adapted to an online format and parents had to take over the role of teachers and assist their children at home. The study aimed to explore how caregivers perceived their engagement in their children’s learning during COVID-19. The research approach that was utilized in this study is qualitative approach. An exploratory qualitative study grounded in phenomenographic principles. The population that was utilized in this study are the caregivers of school-going learners in Vlaaklagte Number 2 in Mpumalanga who are over the age of 18 years. The sample size was 8 caregivers and the sampling procedure utilized for this study was purposive sampling. The research instrument utilized in this study was a semi-structured interview guide. The researcher’s method of data collection was face-to-face interviews with the participants which included audio recordings that participants consented to. A thematic analysis was utilized as a data analysis technique in this study. According to the findings of this study, the mental well-being of caregivers in Vlaaklagte Number 2 has been significantly affected by the COVID-19 pandemic. A surge in anxiety and stress was noted amongst them, largely due to the high mortality rate and rapid spread of the virus. In addition to this, financial strain caused by job loss and the added responsibility of full-time parenting, supervising children, and ensuring adherence to COVID-19 protocols, further added to their already heightened levels of stress. As a coping mechanism, caregivers relied on their spiritual beliefs. Furthermore technology, particularly Google was utilised by caregivers in supporting their children’s learning during the pandemic. This study highlights the urgent need for post-pandemic assistance and support for caregivers in this community. Based on the findings of this study, caregivers in Vlaaklagte Number 2 faced challenges during the COVID-19 pandemic that were similar to those experienced by their counterparts in other areas of South Africa. The pandemic has exacerbated the impact of past traumas, underscoring the critical need for mental health support. Caregivers who were unemployed or working from home reported heightened levels of stress. Ultimately, this study underscores the significance of prioritizing the psychological welfare of caregivers and ensuring that they have access to mental health resources.
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    Parental Perception of the Impact of COVID-19 on Children’s Psychosocial and Cognitive Development
    (University of the Witwatersrand, Johannesburg, 2023-05) Chopdat, Habeebah; Schutte, Enid
    COVID-19 caused a myriad of global problems. This study aimed to establish whether the COVID-19 pandemic and the preventative measures that occurred as a result thereof had an impact on the cognitive and psychosocial development of 6–13-year-old learners in South Africa as per parental perception (N=31). A mixed methods research design was used, and the data collection occurred through an electronic survey consisting of specifically designed Likert scale items to collect numerical data, along with open-ended questions which were posed to collect qualitative data. The data was analysed by means of t-tests and a one-way ANOVA for the quantitative data analysis, whilst a thematic analysis was used to analyse the qualitative data. The t-tests and one-way ANOVA showed that there were no statistically significant differences in the cognitive and psychosocial abilities of children across gender (p>0.05), school type (p> 0.05), and the amount of school missed (p> 0.05). Certain themes emerged through the qualitative analysis including both positive and negative themes relating to the learning situation during the lockdown; behavioural changes were also evident in some of the sample; however, others did not report any differences compared to pre-COVID-19. Additionally, children were reported to have worries and concerns over the pandemic as well as the effects thereof. This study contributes to understanding the long-term effects that the measures associated with a global pandemic have on children. As per this study, it appeared that children’s development amidst a pandemic was not impacted by their socioeconomic status however, due to certain limitations of this study, including the sample recruited not being an accurate representation of the socioeconomic divide in South Africa, further studies are required.
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    The impact of work from home and hybrid mode on cybersecurity practices in South Africa
    (University of the Witswatersrand, Johannesburg, 2023) Pather, Ravashalin
    As the trend of work-from-home and remote work grows in South Africa, adopting adequate cybersecurity measures and evaluating the human aspect of security perceptions is critical in protecting organisational information and maintaining corporate integrity. Over the past two decades, cybersecurity has been viewed from technological perspective of protecting networks and information assets, this study invokes the behavioural and social concerns, and how this affects an organisation’s cybersecurity strategy in South Africa. Covid-19 and the lockdown rules triggered a national emergency, compelling a considerable proportion of South Africa's workforce to embrace a work-from-home culture. While this study began during the lockdown, leaders at large enterprises in South Africa are adopting a more hybrid way of working permanently, due to the subsequent benefits. This study aimed to evaluate employee behaviour when working environments are suddenly affected by work-from-home policies and how an employee’s behaviour transposes to a different location. The overarching question was: How has cybersecurity behaviour in South Africa manifested during work-from-home policies and what are the determinants that force correct cybersecurity compliant behaviour?. Four key factors (“Subjective Norms & Response Efficacy”, “Attitude & Perceived Vulnerability”, “Self- Efficacy” and “Perceived Severity”) were identified and combined into a new framework based of two theoretical frameworks (The Theory of Planned Behaviour and Protection Motivation theory). This study utilised a quantitative cross-sectional design using a structured closed questionnaire that was distributed electronically. The data collected from 186 participants were analysed using Exploratory factor analysis, correlation analysis and multiple regression. Overall, “Subjective Norms & Response Efficacy” emerged as a significant and most influential predicator of “Cybersecurity Compliant behaviour”. “Attitude & Perceived Vulnerability”, “Self-Efficacy” and “Perceived Severity” were insignificant. It is apparent that there is a positive perception of correct Cyber security practices amongst South African organisations however there is a recommendation for future research, due to the diversity of organisational leadership in both the private and state-owned entities, to provide a better understanding of security compliant behaviour
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    Exploring the perceived benefits and challenges of teleworking in South Africa
    (University of the Witswatersrand, Johannesburg, 2023) Mpungose, Nomvelo Carol
    Telework has long piqued the interest of scholars and policymakers because of its potential to benefit individuals, organisations, and society as a whole. Telework has existed since the advent of information and communication technology, but despite substantial technological advancements, it did not attain mainstream use until the COVID-19 epidemic. Few studies have re-examined the employee benefits and challenges following the COVID-19 epidemic in South Africa, among the various facets of telework research. The function of employee perceptions that may favourably or unfavourably affect the adoption of telework are explored in this study. This study tackles telework success as a multidimensional term by deconstructing the benefits and challenges of telework for people and organisations from previous literature. The system based telework framework was adopted for this study in particular the employee factors. Fifteen in-depth interviews were done using the purposive sampling approach. Overall, the findings supported the system-based telework paradigm since an analysis of the findings showed that the existing employee factors are still persistent. The study found that there are additional elements that are negatively impacting telework adoption in the South African context, such as load shedding, while a decrease in expenditures favourably influences telework adoption. Based on the findings of this study, the additional factors should be incorporated into the model for future research. Teleworking proved that employees could meet their job responsibilities while being flexible with where they work. Therefore, telework should not be treated as a optional type of work to organisations, but should rather form part of the organisations competitive employee attraction and retention strategy. the study found that employees prefer a hybrid way of working therefore organisational mandates that require employees to return to working from the office on a full-time basis negatively affects the adoption of telework
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    The impact of the covid-19 pandemic on essential public healthcare services in Gauteng province, South Africa
    (2024) Fonka, Cyril Bernsah
    Background: The Covid-19 pandemic like previous outbreaks has the potential to adversely impact essential healthcare services. Even though the Gauteng province was considered the epicentre of the Covid19 outbreak in South Africa, there is no comprehensive assessment of the effect of Covid-19 on the service utilisation, delivery and health outcomes of routine healthcare services in Gauteng province. Aim: To assess the impact of the Covid-19 pandemic on the utilisation, delivery and health outcomes of essential maternal, neonatal and child health (MNCH) services in Gauteng province, South Africa. Methods: This was a mixed methods study. A longitudinal study design was used to analyse data from the District Health Information Software (DHIS). We compared key MNCH indicators in the pre-Covid-19 period (March 2019-February 2020) to corresponding periods during the Covid-19 outbreak (March 2020- February 2021). The differences were analysed using time plots, linear regression, and Interrupted Time Series Analysis (ITSA) in Stata 17.0, at a 5% level of alpha for statistical significance. In-depth interviews were conducted with senior managers in the Gauteng Department of Health (GDoH) using MS Teams, to explore their perspectives on the impact of Covid-19 on routine healthcare services in the province and their recommendations for dealing with future pandemics. The interviews were recorded, transcribed, coded and analysed thematically using MS word 2016. Results: The Covid-19 pandemic disrupted the utilisation of essential MNCH services in the Gauteng province. The disruption was observed in the time trend plots, and then quantified by comparing the indicator means for the 12-month periods before and during Covid-19. The impact was a statistically significant decline in the mean of three indicators: PHC headcount <5 years declined by 77 103.9 visits (p<0.001), ANC 1st visits before 20 weeks decreased by 3.0% (p=0.002) and PNC visits within 6 days decreased by 10.2% (p<0.001) (Error! Reference source not found.). The ITS regression provided a more nuanced analysis. The decrease in PHC headcount t <5 years and PNC visits within 6 days were due to the immediate effect of the March 2020 Covid-19 lockdown which led to a drop in utilisation services. However, the effect on ANC 1st visits before 20 weeks was a continuous decline in utilisation throughout the Covid-19 period (Error! Reference source not found.). Service delivery and outcome indicators were negatively affected though not significantly. There were no significant recoveries and some indicators rather became worse post-lockdown. The nature of the adverse impact of Covid-19 on MNCH indicators was similar across all five districts, although the degree of disruption varied among the districts and services. The decline in service utilisation for PHC headcount <5 years ANC 1st visits before 20 weeks and PNC visits within 6 days was statistically significant in all districts, except for ANC 1st visits in Johannesburg (Error! Reference source not found.). The decline in PHC headcount <5 years was significantly larger in the three metropolitan districts (Johannesburg, Ekurhuleni and Tshwane) compared to the two non-metropolitan districts (Sedibeng and West Rand) (Table 5). ANC 1st visits before 20 weeks significantly declined in the Ekurhuleni, Sedibeng and West Rand districts compared to Johannesburg. While the decrease in PNC visits within 6 days significantly deteriorated in Johannesburg compared to the other four districts (Error! Reference source not found.). Pneumonia fatality <5 years significantly declined in the pooled analysis, in the Tshwane district alone. The majority of the respondents agreed that the Covid-19 pandemic disrupted essential healthcare services but a few disagreed. Several reasons were advanced for the disruption. On the supply side, they included: (i) the reallocation of resources to fighting Covid-19; (ii) healthcare worker shortages due to Covid-19 illness; (iii) healthcare facilities turning away non-Covid-19 patients; and (iv) Covid-19 screening that increased waiting times. On the demand side are; (i) restrictions on movement and limited public transport during the lockdown; (ii) fears of being infected by Covid-19 at health facilities; and (iii) misinterpretation of health information about the availability of non-Covid services. According to the respondents, the disruption of essential healthcare services had significant consequences, particularly for chronic patients, including treatment interruption, loss of follow-up, and death. The ‘catch-up’ plan and technology were used to improve service delivery during Covid-19. Conclusion: The Covid-19 pandemic disrupted the utilisation of essential healthcare services for MNCH. Although service delivery and health outcomes were less impacted, some outcome indicators at district levels went worst. While there were recovery attempts for service delivery like immunisation, some services rather deteriorated post-Covid-19 lockdown. However, there were mixed findings, fewer routine services were not affected by Covid-19. It is important to continuously assess and redress the unintended impacts of outbreaks even while they are occurring. This requires an understanding of the reasons and mechanisms of service disruption from demand and supply perspectives. Critical policies like lockdowns should be a collective decision, implemented without undermining routine services. High-level policymakers must consider addressing geographical variations of an outbreak’s impact on essential healthcare services. Covid19 may have more complex long-term effects, especially for individuals with adverse social determinants. And it may take longer for some healthcare services to fully recover hence, the need for health systems interventions to prioritise the affected services.