Browsing by Author "Mthembu, Mbali Emerald."

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Early childhood development and South Africa: a literature review.
(University of KwaZulu-Natal., 2016-08-01) Mbarathi, Nduta.; Mthembu, Mbali Emerald.; Diga, Kathleen.
Early Childhood Development (ECD) has become a priority sector within South Africa, particularly in respect to ensuring equity and high quality of care for the youngest members (ages 0 to 5 years old) of the population. South Africa is also burdened with high levels of poverty, inequality and unemployment as well as unequal levels of service delivery and public provision of infrastructure. Given the recent development and request for feedback on the provisional ECD policy, there would be a benefit to examine the current state of this draft policy, its respective white papers, and its national and international mandates as well as to understand their relationship to South Africa’s context of poverty. Furthermore, child poverty remains a major concern in the country, particularly in respect to the geographical and living conditions where children live, study and play. This paper wishes to bring to light literature on poverty and, from a multi-dimensional lens, understand how early childhood development provision, whether it be through its programming or the physical centres themselves, are affecting the lives of children, particularly those within households living in urban poverty. ECD are intended to provide children with a safe facility to stay and with some standards of conditions which would allow children to learn and improve their skills. ECD also provides parents with the ability to leave their children in safe places so that they can work or learn. The proximity of ECD centres, their costs, the staffing and their physical conditions influence the choices of parents to leave their children at an ECD centre. The ECD centres within informal settlements are also explored in this paper, given the need for further understanding of such physical infrastructures within a municipality’s planning. Planning for ECD centres within the ‘grey areas’, such as informal settlements or those located in traditional land, can be problematic, especially for ECD managers or principals in gaining access to much needed ECD resources through the appropriate departments. Those parents who have limited and erratic income stream are provided with inadequate choices which may put a mother and/or father in difficult situations of child care. The ECD policy would benefit poor households, particularly those living within informal settlements, through understanding the conditions of the poor and their limitation of choices in ECD centres. In understanding their limitation, government could help provide a more meaningful policy which caters to their needs.
Factors affecting men's health care seeking behaviour and use of services : a case study of Inanda Township, Durban.
(2015) Mthembu, Mbali Emerald.; Maharaj, Pranitha.
Men play a significant role within households and societies. Studies point out that women seek more health assistance and report more incidents of illness than men. Hence, this is one of the reasons why men’s life expectancy is short and women live longer than men. This has implications for human development, affecting life expectancy for present and future generations. The overall objective of this research is to provide insights into men’s health care seeking behaviour and factors affecting their utilisation of health care services. The study used a combination of quantitative and qualitative methods to collect data. A survey was used to collect data on the various factors that influence health care seeking behaviour of men. In addition, semi structured, in-depth interviews were used to explore factors influencing men’s utilisation of health care facilities. The study recruited men aged 18 years and over residing in Inanda, Durban. Men indicated that they had access to various health care facilities. They pointed to a number of factors facilitating and inhibiting use of available health care services. Men viewed health care facilities as institutions that are important in accessing health care assistance. They indicated that health care facilities are useful for the diagnosis and treatment of certain illnesses. The study found that men preferred the private health care services; however they could not afford to access these services because of high levels of unemployment. Some men prefer to treat themselves through the use of traditional medicine. Men encountered negative attitudes of the health care workers and poor service within the public health care facilities. They pointed out that health care providers are often females, which made it difficult to discuss some of their health conditions. In addition, most men indicated that they did not seek health care assistance immediately they felt ill. The study suggests a need for men-friendly health care services. Further health care interventions are required to improve men’s health care seeking behaviour and use of services.