Capacity-building activities related to climate change vulnerability and adaptation assessment and economic valuation for Fiji

The Terms of Reference for this work specified three objectives to the Fiji component: Objective 1a: to provide a prototype FIJICLIM model (covered under PICCAP funding) Objective 1b: to provide training and transfer of FIJICLIM Objective 1c: to present and evaluate World Bank study findings and to identify future directions for development and use of FIJICLIM (2-day workshop) Proceedings of the training course and workshop were prepared by the Fiji Department of Environment. The summaries from these proceedings reflect a very high degree of success with the contracted activities

'The big buzz': a qualitative study of how safe care is perceived, understood and improved in general practice

Background: Exploring frontline staff perceptions of patient safety is important, because they largely determine how improvement interventions are understood and implemented. However, research evidence in this area is very limited. This study therefore: explores participants’ understanding of patient safety as a concept; describes the factors thought to contribute to patient safety incidents (PSIs); and identifies existing improvement actions and potential opportunities for future interventions to help mitigate risks. Methods: A total of 34 semi-structured interviews were conducted with 11 general practitioners, 12 practice nurses and 11 practice managers in the West of Scotland. The data were thematically analysed. Results: Patient safety was considered an important and integral part of routine practice. Participants perceived a proportion of PSIs as being inevitable and therefore not preventable. However, there was consensus that most factors contributing to PSIs are amenable to improvement efforts and acknolwedgement that the potential exists for further enhancements in care procedures and systems. Most were aware of, or already using, a wide range of safety improvement tools for this purpose. While the vast majority was able to identify specific, safety-critical areas requiring further action, this was counter-balanced by the reality that additional resources were a decisive requirment. Conclusion: The perceptions of participants in this study are comparable with the international patient safety literature: frontline staff and clinicians are aware of and potentially able to address a wide range of safety threats. However, they require additional resources and support to do so

Purity or pragmatism? : Reflecting on the use of systematic review methodology in development

Systematic review methodology pioneered in health care has been increasingly applied to development questions of importance in lower- and middle-income countries. This paper reports one such review on the topic of microfinance in sub-Saharan Africa and reflects on the number of pragmatic methodological compromises made when applying the method to a new field. These compromises relate to multidisciplinary teamwork, application of regional filters, drawing on evidence from additional study types and exploring mechanisms for change through the development and testing of a causal pathway. The paper concludes that a pragmatic rigorous approach to systematically reviewing evidence of effectiveness is needed for international development

THE CASE OF GOVERNMENT OF THE REPUBLIC OF ZIMBABWE v LOUIS KAREL FICK: A FIRST STEP TOWARDS DEVELOPING A DOCTRINE ON THE STATUS OF INTERNATIONAL JUDGEMENTS WITHIN THE DOMESTIC LEGAL ORDER

The Fick case which was decided by the Constitutional Court on 27 June 2013 was the first time since its inception that the Constitutional Court was confronted with the status of a binding international decision within the domestic legal order. It concerned a binding decision by the (now suspended) Southern African Development Community (SADC) Tribunal against Zimbabwe, which was also enforceable in South Africa. A key issue before the Court was whether or not the South African statutory rules of civil procedure for the enforcement of foreign judgments also covered judgments of international courts and tribunals (as anticipated by Article 32(1) of the Protocol on the SADC Tribunal). As none of the relevant statutory legislation was applicable in this instance, the common law remained the only possible avenue through which the SADC Tribunal’s decision could be enforced in South Africa. At the time of the decision, the common law on the enforcement of civil judgments had developed only to a point where it provided for the execution of judgments made by domestic courts of a foreign state (ie decisions of other national courts). The Court was therefore confronted with whether or not an international decision in the form of a cost order of the SADC Tribunal amounted to a “foreign judgment” as recognized by the South African common law. The Court answered this question in the affirmative by relying on those clauses in the Constitution that committed South Africa to the rule of law, as well as its obligations under international law, and to an international-law friendly interpretation of domestic law. Although the decision is to be welcomed and applied the law correctly to the facts of the case, it does raise the issue of the wisdom of equating international judgments with foreign judgments on a more general scale. This relates to the fact that it is generally accepted in most jurisdictions that the recognition and enforcement of a “foreign judgment” can be denied where it would result in a violation of domestic public policy. The public policy exception does not, however, fit well in a regime based on public international law, which does not permit States to use their domestic law as an excuse for not implementing their international obligations

The Medical Ethics of Clinical Therapeutic Trials

The pharmaceutical industry is continuously providing the doctor with new potent drugs for his armamentarium, to be used in the endless battle against disease. The basic requirements for a good drug is efficacy combined with a wide safety margin. To be able to establish this, the new chemical substances must be tested in man. As clinical investigators of new substances, we have a moral obligation towards patients and humanity to conduct these investigations on a sound scientific basis, taking heed not to violate the rights and privacy of man. A personal ethical conscience is the prime prerequisite for conducting clinical therapeutic trials.S. Afr. Med. J., 47, 1 (1973

No longer in their proper place : anthropology in search of its subject-matter : inaugural lecture delivered at Rhodes University

Inaugural lecture delivered at Rhodes UniversityRhodes University Libraries (Digitisation

The effect of colonic propionate and the acetate : propionate ratio on risk markers for cardiovascular disease in westernised African men

Thesis (D. Tech.) -- Central University of Technology, Free State, 200