The Economic Rationale for Agricultural Regeneration and Rural Infrastructure Investment in South Africa

This paper informs government policy insofar as it relates to the agricultural and rural development sectors and infrastructure investment within these sectors. The paper first quantifies the role of agriculture in the South African economy. This is done within the context of, inter alia, food security, agriculture’s contribution to gross domestic product (GDP), economic linkages and multipliers with respect to the agricultural sector, as well as agriculture’s employment creation and external stabilisation capacity. Investment in the agricultural and rural sectors are then analysed with a view of supporting the argument that agriculture’s role in the economy is sufficiently important to warrant regenerative strategies, including renewed emphasis on agricultural and rural infrastructure investment by South African policy makers. The quantification of the agricultural sector in relation to the total economy and that of agricultural and rural infrastructure investment are investigated against the backdrop of declining government support, increasing production risks due to a variety of exogenous events like climate change, and increasing dynamic trade impacts. In this paper, the authors offer both supporting arguments in terms of current economic policy and recommendations for more decisive policy measures aimed at agricultural regeneration and rural infrastructure investment.

Perceptions on the motivational practices of transformational leaders in implementing a cervical programme in primary health care clinics

Transformational leadership involves the creation of motivational practices that encourage behaviour based on a set of shared values. These practices enhance growth, development, commitment, goal achievement, and enjoyment. During support visits in the Ekurhuleni Health District, a lack of motivation was observed in transformational leadership among facility managers at Primary Health Care (PHC) Clinics to adapt the Cervical Cancer Screening Programme in accordance with relevant health care legislation. A comparative study design was followed in order to explore and describe the perceptions of professional nurses and facility managers on motivational practices in transformational leadership exercised by the facility managers while implementing the programme at PHC Clinics. Total sampling included facility managers (n = 34) while simple random sampling for professional nurses (n = 62) was followed. The method of data collection was a survey using a similar, self-administered, structured questionnaire. Descriptive and inferential statistics were employed. Validity and reliability were ensured and ethical considerations taken into account during the research process. The Cronbach’s alpha test was applied to the full sample to test the reliability of the instrument (> 0.70). Facility managers had the highest mean scores and significant differences between the two groups indicated moderate to large effect sizes. Motivational aspects under scrutiny related to encouragement, provision of information, coaching and staff development, job creativity and allocation, quality improvement, performance appraisal, and adequate supplies of resources.Department of HE and Training approved lis

Knowledge of iodine nutrition in the South African adult population

OBJECTIVES: To determine the level of knowledge regarding iodine nutrition and its relationship with socio-economic status in the South African population. DESIGN: A cross-sectional population survey collecting questionnaire information on knowledge of iodine nutrition and sociodemographic variables in a multistage, stratified, cluster study sample, representative of the adult South African population. SETTING: Home visits and personal interviews in the language of the respondent. SUBJECTS: Data were collected from one adult in each of the selected 2164 households, and the participation rate was 98%. RESULTS: Only 15.4% of respondents correctly identified iodised salt as the primary dietary source of iodine, 16.2% knew the thyroid gland needs iodine for its functioning, and a mere 3.9% considered brain damage, and 0.8% considered cretinism, as the most important health consequence of iodine deficiency. Compared with respondents from high socio-economic households, respondents from low socio-economic households were considerably less informed about aspects of iodine nutrition covered in this study. CONCLUSIONS: The knowledge level of iodine nutrition is low among South Africans, particularly among the low socio-economic groups. These data suggest that the international emphasis on brain damage resulting from iodine deficiency has not been conveyed successfully to the consumer level in this country

Experimental and theoretical study of vibrations of a cantilevered beam using a ZnO piezoelectric sensor

Piezoelectric sensors can measure vibrations of solid structures very accurately. A model of a cantilevered beam, with a ZnO film on one side is presented. Both viscous and internal damping are considered. The output of the sensor is modeled and matched with experimental results by adjusting the damping parameters. A theoretical formulation for damage is introduced. Experimental results for a damaged beam confirm the shift in frequencies to lower values. The model is used to identify the extent of the damage

Health promotion: From malaria control to elimination

Here we reflect on the achievement of some of the diverse activities that have brought malaria under control, highlight key challenges and propose specific health promotion interventions required to move South Africa’s malaria programme from control to elimination

An electronic survey of preferred podcast format and content requirements among trainee emergency medicine specialists in four Southern African universities

CITATION: Ekambaram, K., et al. 2021. An electronic survey of preferred podcast format and content requirements among trainee emergency medicine specialists in four Southern African universities. African Journal of Emergency Medicine, 11(1): 3-9, doi:10.1016/j.afjem.2020.10.014.The original publication is available at https://www.sciencedirect.com/journal/african-journal-of-emergency-medicinestudy aims to explore the desired content, format and delivery characteristics of a potential educational, context- specific Southern African EM podcast, by investigating current podcast usages, trends and preferences among Southern African EM registrars of varying seniority. Methods: We developed an electronic survey - using a combination of existing literature, context-specific specialist-training guidance, and input from local experts – exploring preferred podcast characteristics among EM registrars from four Southern African universities. Results: The study’s response rate was 75%, with 24 of the 39 respondents being junior registrars. Ninety-four percent (94%) of respondents used EM podcasts as an educational medium: 64% predominantly using pod- casts to supplement a personal EM study program. The primary mode of accessing podcasts was via personal mobile devices (84%). Additionally, respondents preferred a shorter podcast duration (5–15 min), favoured multimedia podcasts (56%) and showed an apparent aversion toward recorded faculty lectures (5%). Eighty-two percent (82%) of respondents preferred context-specific podcast content, with popular topics including toxi- cology (95%), cardiovascular emergencies (79%) and medico-legal matters (74%). Just-in-Time learning proved an unpopular learning strategy in our study population, despite its substantial educational value. Conclusion: Podcast-usage proved to be near-ubiquitous among the studied Southern African EM registrars. Quintessentially, future context-specific podcast design should cater for mobile device-use, shorter duration podcasts, more video content, context-specific topics, and content optimised for both Just-in-Time learning.https://www.sciencedirect.com/science/article/pii/S2211419X20301312Publisher’s versio

Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey

Background: In South Africa, HIV is increasingly becoming a chronic disease as a result of advances in HIV treatment and prevention in the last three decades. This has changed the perception from a life threating to a potentially manageable disease. However, little is known about self-perceived health status of HIV-infected individuals. Self-rated health (SRH) has been shown to be a sensitive indicator of health-relatedchanges directly linked to HIV, but can also be influenced by differences in social and material conditions. The aim of this paper was to identify determinants of excellent/good SRH among HIV-infected individuals using socio-demographic, life style and health related data. Methods: The study used data from the nationally representative 2012 South African population-based household survey on HIV prevalence, incidence and behaviour conducted using multi-stage stratified cluster sampling design. Bivariate and multivariate logistic regression models were used to identify determinants of SRH among HIV-infected individuals. Results: Out of a total of 2632 HIV positive participants 74.1% (95% CI: 68.4-74.2) reported excellent/good SRH. Increased likelihood of reporting excellent/good SRH was significantly associated with being Black African [OR= 1.97 (95%CI: 1.12-3.46), p = 0.019] and belonging to least poor household [OR= 3.13 (95%CI: 1.26-7.78), p = 0.014]. Decreased likelihood of reporting excellent/good SRH was significantly associated with those aged 25 to 34 years [OR= 0.49 (95% CI: 0.31-0.78), p = 0.003], 35 to 44 years[OR= 0.27 (95% CI: 0.17-0.44), p < 0.001], 45 to 54 years [OR= 0. 20 (95% CI: 0.12-0.34), p < 0.001], and those 55 years and older [OR= 0.15 (95% CI: 0.09-0.26), p < 0.001], hospitalization in the past twelve months [OR= 0.40 (95% CI: 0.26-0.60), p < 0.001]. Conclusion: To have positive health effects and improve the perceived health status for PLWH social interventions should seek to enhance to support for the elderly HIV-positive individuals, and address the challenge of socioeconomic inequalities and underlying comorbid conditions resulting in hospitalization