An exploration of savings group learning in SaveAct Financial Education Programme : a case study of Sizanani Savings Group.

Master of Education in Education Studies. University of KwaZulu-Natal, Pietermaritzburg 2016.Community-based financial institutions like the stokvels, savings groups and burial societies have been active in South Africa for many years and provide important financial services to communities. This study explored the nature of learning that resulted from participation in a specific savings group. The research question was informed by the phenomenon that unsupervised savings groups grew their membership and supported the establishment of new savings groups without the support of an external organisation, and in this case, SaveAct. Savings groups would be trained, mentored and supervised by SaveAct in their first saving cycle for them to operate independently from SaveAct in the second cycle and beyond. SaveAct and other organisations that have interest in the programme, underestimate the knowledge and skills gained by participants in these groups. There is a need to identify and understand knowledge and skills gained by members of these groups which are responsible for growth. Exploratory research using documentary analysis, observations, focus group discussion and interviews had been conducted with nine members of a specific savings group in the rural community located west of the Bergville town in the province of KwaZulu-Natal, South Africa. The participants of the study were asked as to how members adhere and/or divert from the SaveAct programme post the SaveAct intervention to understand the nature of learning that occurred in their group. The study was concerned with non-formal and informal learning. Non-formal learning was provided by SaveAct through training and monthly supervision sessions. Informal learning that happened among the members of the group elevated the influence of lived experiences of the participants in the savings group. Learning was identified from the key moments of the savings group which are the establishment phase, support and supervision phase by SaveAct and the post-graduation phase. The larger part of non-formal learning was found to have happened during the establishment phase as well as the supervision phase of the group. The post-supervision phase provided evidence of informal learning. It must be noted that the post-graduation phase is when SaveAct was no longer supporting the group. Based on learning that happened in the group four main recommendations were made, namely: strengthening self-selection processes to enhance participation; embracing life skills; dedicating continuous skilling development for record keepers; and broadening financial offerings to savings groups

Environmental flows in support of sustainable intensification of agriculture in the Letaba River Basin, South Africa

This study evaluates the socioecological consequences of the potential trade-offs between maintaining environmental flows (e-flows) and providing water for sustainable subsistence agriculture and livelihoods to the vulnerable human communities living along the lower Great Letaba River in South Africa. Implementation of e-flows is now generally recognized as an essential part of water resources management as they are designed to ensure that sufficient water is retained in a river to protect river ecosystems and all the beneficiaries of services that arise from those ecosystems. Understanding the relationship between e-flows and the use of water for small-scale agriculture is important for the management of trade-offs. The Letaba River Basin and it's tributary, the Great/Groot Letaba, are located in the eastern part of the Limpopo province in South Africa. This is one of the most important river basins in the region supporting both large-scale commercial and small-scale farmers. The river sustains many vulnerable human communities who depend on the ecosystem services provided by the river. Yet, the water resources of the Letaba River are heavily overutilized due to expanding developments, including upstream dams with associated offtakes mostly for irrigation. The findings of the study indicate that irrigation water demand from subsistence agriculture in the Great Letaba Basin amounted to around 2 million cubic meters annually with median demand not exceeding 300,000 cubic meters per month. This means that irrigation water demand from smallholder agriculture only amounts to about one-tenth of the estimated e-flow requirement. However, small-scale farmers contend with an increasing crop water gap which limits irrigated agriculture, especially during the dry season. Given the need to sustainably maintain e-flows for ecological purposes, crop water gaps are only likely to increase and compromise the sustainability of irrigated agriculture. With active upstream supplementation of river flows from dams to maintain both environmental and livelihoods-oriented river flows, the crop water gap can be fully eliminated. This supplementation is not assured due to competing uses

Risk factors for Coronavirus disease 2019 (Covid-19) death in a population cohort study from the Western Cape province, South Africa

Risk factors for coronavirus disease 2019 (COVID-19) death in sub-Saharan Africa and the effects of human immunodeficiency virus (HIV) and tuberculosis on COVID-19 outcomes are unknown. We conducted a population cohort study using linked data from adults attending public-sector health facilities in the Western Cape, South Africa. We used Cox proportional hazards models, adjusted for age, sex, location, and comorbidities, to examine the associations between HIV, tuberculosis, and COVID-19 death from 1 March to 9 June 2020 among (1) public-sector “active patients” (≥1 visit in the 3 years before March 2020); (2) laboratory-diagnosed COVID-19 cases; and (3) hospitalized COVID-19 cases. We calculated the standardized mortality ratio (SMR) for COVID-19, comparing adults living with and without HIV using modeled population estimates.Among 3 460 932 patients (16% living with HIV), 22 308 were diagnosed with COVID-19, of whom 625 died. COVID19 death was associated with male sex, increasing age, diabetes, hypertension, and chronic kidney disease. HIV was associated with COVID-19 mortality (adjusted hazard ratio [aHR], 2.14; 95% confidence interval [CI], 1.70–2.70), with similar risks across strata of viral loads and immunosuppression. Current and previous diagnoses of tuberculosis were associated with COVID-19 death (aHR, 2.70 [95% CI, 1.81–4.04] and 1.51 [95% CI, 1.18–1.93], respectively). The SMR for COVID-19 death associated with HIV was 2.39 (95% CI, 1.96–2.86); population attributable fraction 8.5% (95% CI, 6.1–11.1)

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Environmental flows in support of sustainable intensification of agriculture in the Letaba River Basin, South Africa

This study evaluates the socioecological consequences of the potential trade-offs between maintaining environmental flows (e-flows) and providing water for sustainable subsistence agriculture and livelihoods to the vulnerable human communities living along the lower Great Letaba River in South Africa. Implementation of e-flows is now generally recognized as an essential part of water resources management as they are designed to ensure that sufficient water is retained in a river to protect river ecosystems and all the beneficiaries of services that arise from those ecosystems. Understanding the relationship between e-flows and the use of water for small-scale agriculture is important for the management of trade-offs. The Letaba River Basin and it's tributary, the Great/Groot Letaba, are located in the eastern part of the Limpopo province in South Africa. This is one of the most important river basins in the region supporting both large-scale commercial and small-scale farmers. The river sustains many vulnerable human communities who depend on the ecosystem services provided by the river. Yet, the water resources of the Letaba River are heavily overutilized due to expanding developments, including upstream dams with associated offtakes mostly for irrigation. The findings of the study indicate that irrigation water demand from subsistence agriculture in the Great Letaba Basin amounted to around 2 million cubic meters annually with median demand not exceeding 300,000 cubic meters per month. This means that irrigation water demand from smallholder agriculture only amounts to about one-tenth of the estimated e-flow requirement. However, small-scale farmers contend with an increasing crop water gap which limits irrigated agriculture, especially during the dry season. Given the need to sustainably maintain e-flows for ecological purposes, crop water gaps are only likely to increase and compromise the sustainability of irrigated agriculture. With active upstream supplementation of river flows from dams to maintain both environmental and livelihoods-oriented river flows, the crop water gap can be fully eliminated. This supplementation is not assured due to competing uses

Post mortem identification of Kalicephalus colubri colubri (Nematoda: Diaphanocephalidae) in a captive mole snake (Pseudaspis cana) in South Africa

Necropsy examination of a captive emaciated, dehydrated adult female Mole snake (Pseudaspis cana) in October 2007 revealed multiple cutaneous abscesses. Other findings included renal and hepatic atrophy, hepatic haemosiderosis, multifocal granulomatous hepatitis associated with acid-fast bacteria as well as pulmonary congestion and oedema. Large numbers of the nematode Kalicephalus colubri colubri were recovered from the oesophagus and stomach, representing the 1st reported case of K. colubri from a Mole snake in South Africa. The lesions caused by K. c. colubri were insignificant, but the presence of worms may have contributed to weight loss

Coal-Degrading Bacteria Display Characteristics Typical of Plant Growth Promoting Rhizobacteria

Coal mining produces large quantities of discard that is stockpiled in large dumps. This stockpiled material, termed coal discard, poses an environmental threat emphasising the need for appropriate bioremediation. Here, metagenomic analysis of the 16S rRNA from ten coal-degrading strains previously isolated from coal slurry from discard dumps and from the rhizosphere of diesel-contaminated sites was used to establish genetic relatedness to known plant growth-promoting (PGP) bacteria in the NCBI database. Measurement of indole and ammonium production and solubilisation of P and K were used to screen bacteria for PGP characteristics. BLAST analysis revealed ≥ 99% homology of six isolates with reference PGP strains of Bacillus, Escherichia, Citrobacter, Serratia, Exiguobacterium and Microbacterium, while two strains showed 94% and 91% homology with Proteus. The most competent PGP strains were Proteus strain ECCN 20b, Proteus strain ECCN 23b and Serratia strain ECCN 24b isolated from diesel-contaminated soil. In response to L-trp supplementation, the concentration of indolic compounds (measured as indole-3-acetic acid) increased. Production of ammonium and solubilisation of insoluble P by these strains was also apparent. Only Serratia strain ECCN 24b was capable of solubilising insoluble K. Production of indoles increased following exposure to increasing aliquots of coal discard, suggesting no negative effect of this material on indole production by these coal-degrading bacterial isolates and that these bacteria may indeed possess PGP characteristics