206 research outputs found

    Secondary education reform in Lesotho and Zimbabwe and the needs of rural girls: Pronouncements, policy and practice

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    Analysis of the educational needs of rural girls in Lesotho and Zimbabwe suggests a number of shortcomings in the current form of secondary education, and ways in which it might be modified so as to serve this sizeable group of students better. Several of the shortcomings, notably in relation to curricular irrelevance and excessive focus on examinations, have long been recognised, including by politicians. Yet political pronouncements are seldom translated into policy, and even where policy is formulated, reforms are seldom implemented in schools. This paper makes use of interviews with educational decision-makers in the two southern African countries and a range of documentary sources to explore why, despite the considerable differences between the two contexts, much needed educational reforms have been implemented in neither

    Validation of the spiritual distress assessment tool in older hospitalized patients

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    ABSTRACT:¦BACKGROUND: The Spiritual Distress Assessment Tool (SDAT) is a 5-item instrument developed to assess unmet spiritual needs in hospitalized elderly patients and to determine the presence of spiritual distress. The objective of this study was to investigate the SDAT psychometric properties.¦METHODS: This cross-sectional study was performed in a Geriatric Rehabilitation Unit. Patients (N = 203), aged 65 years and over with Mini Mental State Exam score ≥ 20, were consecutively enrolled over a 6-month period. Data on health, functional, cognitive, affective and spiritual status were collected upon admission. Interviews using the SDAT (score from 0 to 15, higher scores indicating higher distress) were conducted by a trained chaplain. Factor analysis, measures of internal consistency (inter-item and item-to-total correlations, Cronbach α), and reliability (intra-rater and inter-rater) were performed. Criterion-related validity was assessed using the Functional Assessment of Chronic Illness Therapy-Spiritual well-being (FACIT-Sp) and the question "Are you at peace?" as criterion-standard. Concurrent and predictive validity were assessed using the Geriatric Depression Scale (GDS), occurrence of a family meeting, hospital length of stay (LOS) and destination at discharge.¦RESULTS: SDAT scores ranged from 1 to 11 (mean 5.6 ± 2.4). Overall, 65.0% (132/203) of the patients reported some spiritual distress on SDAT total score and 22.2% (45/203) reported at least one severe unmet spiritual need. A two-factor solution explained 60% of the variance. Inter-item correlations ranged from 0.11 to 0.41 (eight out of ten with P < 0.05). Item-to-total correlations ranged from 0.57 to 0.66 (all P < 0.001). Cronbach α was acceptable (0.60). Intra-rater and inter-rater reliabilities were high (Intraclass Correlation Coefficients ranging from 0.87 to 0.96). SDAT correlated significantly with the FACIT-Sp, "Are you at peace?", GDS (Rho -0.45, -0.33, and 0.43, respectively, all P < .001), and LOS (Rho 0.15, P = .03). Compared with patients showing no severely unmet spiritual need, patients with at least one severe unmet spiritual need had higher odds of occurrence of a family meeting (adjOR 4.7, 95%CI 1.4-16.3, P = .02) and were more often discharged to a nursing home (13.3% vs 3.8%; P = .027).¦CONCLUSIONS: SDAT has acceptable psychometrics properties and appears to be a valid and reliable instrument to assess spiritual distress in elderly hospitalized patients

    Idioms of accumulation: corporate accumulation by dispossession in urban Zimbabwe

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    ​David Harvey’s accumulation by dispossession has inspired a wide range of studies in different places. But it has hardly registered in the area of urban land grabbing in Africa and the role of local capital in these processes. Using archival data, field observations and insights from key informant interviews in Harare, this paper examines how the 1990s neo-liberalism and post 1999 Zimbabwe crisis created new opportunities for accumulation of wealth through irregular and fraudulent transfer of public urban land into private hands including those of reputable corporate institutions. It speaks to the literature on contemporary land grabbing and raises questions and new insights for comparative understanding of the transformative role and nature of the state, postcolonial African cities, anti-capitalist struggles, the status and meaning of planning in different settings

    The Nationalist movement in Zimbabwe A critique with special emphasis on the period 1975-1980

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    SIGLEAvailable from British Library Document Supply Centre- DSC:D39730/82 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

    Fludarabine-Related Myeloid Leukemia

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    Mapping Israel’s Virtual Water Trade

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    <p>Virtual water trade is the hidden flow of water when food or other commodities are traded from one place to another. For instance, it takes 40 liters of water on average to produce and ship one slice of toast. When a country like Israel imports a slice of toast, it indirectly imports 40 liters of water on average. The precise volume of virtual water in any commodity is affected by climatic conditions and agricultural practice (Allan 2).</p> <p>Aggregate virtual water trade is a good indicator of how strong a country’s agricultural sector is and how much agricultural products are consumed in the origin country and how much are exported abroad. Aggregate virtual water trade is also a strong indicator of how economically and environmentally sound a country is. When countries import large amounts of virtual water, it may indicate that the country’s economy is strong and the country can engage in international trade (Allan 19). Countries that import more virtual water than they export may be in a water deficit – its freshwater sources cannot sustain its inhabitants’ water needs. Still, relatively few people understand the concept or realize its significance to the world’s economy and the natural environment.</p

    Isn’t There Someone to Blame?

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