https://ir.unisa.ac.za/handle/10500/13602 Wed, 06 May 2026 08:57:51 GMT 2026-05-06T08:57:51Z https://ir.unisa.ac.za/handle/10500/32423 "Raw is law": exploring sexual behaviours of gay men who use pre-exposure prophylaxis (PrEP) in Gauteng, South Africa Gama, Dalisu Dumisani Thanduxolo This study explored the sexual behaviours of gay men who use pre-exposure prophylaxis (PrEP) in Gauteng, South Africa, through the perspectives of Erving Goffman’s stigma theory and Berger and Luckmann’s social constructionism theory. Employing these two theories, the study examined how sexual identities and the stigma associated with human immunodeficiency virus (HIV) and PrEP influence the sexual behaviours and decision-making processes of gay men. Consequently, the study explored the stigma and related barriers to accessing PrEP and its influence on sexual behaviours of gay men. Data were collected through in-depth interviews with 10 gay men in the Gauteng province of South Africa. The key findings are presented through three major themes. The first theme highlights the prevalence of risky sexual behaviours among most gay men who take PrEP, including condomless sex and multiple sexual partners, both before and after initiating PrEP. The second theme underscores that PrEP does not solely dictate sexual behaviour; rather, many participants continued to use it alongside other HIV-prevention strategies, such as condoms. The third theme addresses the stigma related to PrEP and uncovers the ongoing experiences of shame and negative labelling by friends, family, partners, healthcare professionals, and society as a whole. Overall, the study reveals a complex interaction between PrEP uptake, sexual behaviours, and stigma. While PrEP serves as an important method of HIV prevention, its impact varies among the gay men who use it. The persistent stigma surrounding PrEP highlights the urgent need for targeted education and awareness, continuous screening for sexually transmitted infections, and stigma-reduction initiatives to support and encourage informed and safe sexual health practices by gay men. The limited data available suggest that research focusing exclusively in gay men who take PrEP has not been sufficiently explored in South Africa. This research contributes to the body of knowledge on how PrEP affects various aspects of the lives of men who identify as gay and thus contributes by enhancing existing HIV-prevention methods. In addition to the wider prevention strategies, the research proposes how the methods can be better tailored for gay men. Additionally, the study also proposes a number of strategies to address various stigmas and social challenges faced by gay men who take PrEP. Based on the findings, recommendations were developed to inform strategies for HIV prevention, advance awareness and education in communities, reform healthcare practices, and influence health policy in inclusive and affirming ways. Sat, 01 Nov 2025 00:00:00 GMT https://ir.unisa.ac.za/handle/10500/32423 2025-11-01T00:00:00Z https://ir.unisa.ac.za/handle/10500/32401 Improving e-government services implementation in Nigeria: an organisational development perspective Akwuebu, Henry Ejike E-government services are gaining grounds in Nigeria and this is attributable to the liberation of the telecommunications sector which enabled internet network coverage and subscriptions. Despite these achievements, there are still organisational development challenges impacting the implementation of e-Government services in Nigeria. The purpose of this study was to investigate the organisational challenges that impact the successful implementation of e-Government services in Nigeria looking through the lens of the Nigeria e-Government Master Plan and the e-Government Capacity Building Programme. To accomplish this, a qualitative research approach was adopted, based on the social – technological theoretical framework. The socio-technical systems design (STS) have been applied in various literature that relate to e-Government. Both primary and secondary data were collected in this study. Primary data were gathered through interviews and focus group discussions from public servants at the Nigerian Federal Ministry of Communications, Innovations and Digital Economy. Secondary data were gathered through a review of literature on e-Government initiatives and this included relevant textbooks, journals, published thesis and other internet materials. The qualitative data gathered in this study were analysed using thematic analysis and document analysis. The study recognised the need to improve e-Government implementation in Nigeria from a public policy driven organisational development approach to solving the problems confronting the Federal Ministry of Communication, Innovation and Digital Economy as it charts the course for other Ministries, Departments and Agencies to facilitate ICT as a key tool in the economic growth of Nigeria and transformation agenda for the entire country. From the analysis and findings, it is apparent that improving Nigeria's e-government services depends on a systematic strategy that involves the need to understand issues impacting e-government services, processes relating to the implementation of e-government services, some of the socio-technical concerns that must be addressed for the implementation of e-government services in Nigeria and how an organisational development framework can improve e-government services in Nigeria Fri, 01 Aug 2025 00:00:00 GMT https://ir.unisa.ac.za/handle/10500/32401 2025-08-01T00:00:00Z https://ir.unisa.ac.za/handle/10500/32355 The role of public healthcare facilities in improving the health security of impoverished people in Fetakgomo Tubatse Local Municipality in Limpopo Province Mogaladi, Mogau The success of achieving health security is depended on healthcare facilities, thus making comprehensive healthcare service provision fundamental. This study aimed to formulate strategies to ease the serve delivery of quality healthcare in public healthcare facilities in Fetakgomo Tubatse Local Municipality. Quality healthcare is a crucial need for every individual. Good health nurtures happiness and fosters a positive self-esteem. However, numerous public healthcare facilities are facing a number of hurdles that hinder good service delivery for communities nationwide, especially those in rural settings. For instance, overcrowding is one of the main issues highlighting poor service delivery, resulting in people not receiving good quality of care. This affects the patients’ healthcare experience and outcomes. The prevailing challenges emphasise the fundamental issues of healthcare in society. The difficulties faced by both healthcare workers and patients due to poor service delivery spiral out of control. Some of the common issues include inadequate facilities, insufficient resources, poor infrastructure, shortage of medical equipment and supplies, shortage of staff and no consistent water supply among others. The study adopted the Batho Pele Principles and Donabedian Model to understand and analyse the role public healthcare facilities play in improving health services. By examining how these facilities contribute to overall health security. The study aimed to acquire to acquire knowledge into the efficacy of public healthcare facilities in achieving health security. Qualitative methods were adopted for this study. The study population was constituted by auxiliary nurses, assistant nurses, professional nurses, operational managers, home-based care workers, counsellors, patients, and/or community members. Fieldwork was conducted using observations, semi-structured interviews, and focus group discussions with healthcare workers and patients who were the community members. The study area was Fetakgomo Tubatse Local Municipality; however, the research was undertaken only in the Fetakgomo Municipal area, excluding the Tubatse Municipal area, as the two municipalities are now amalgamated. Findings shows that limited facilities, a shortage of resources, a lack of 24-hour services, and poor infrastructure hinder healthcare access. Despite these challenges, patients are generally satisfied with the health services, although issues such as slow services and medication shortages persist. The findings of the study contributes to the advancement, awareness and comprehension of the role management of the facilities play in ensuring effective healthcare provision and that vulnerable populations have access to public healthcare services. Furthermore, the study greatly contributes to the achievement of public health and provides nuances and understanding on the strides, challenges and way forward for attaining health for all and ultimately contributing to broader discussions on public healthcare, sustainable development and poverty alleviation in South Africa. The study concludes that the healthcare facilities in Fetakgomo contributes to health security; however, they face structural and operational challenges. There is a need for policy interventions in healthcare to enable facilities to narrow down the quality care provision gap that already exist. This also study contributes to the current policy dialogue and serve as a foundation for proven methods aimed at enhancing healthcare security for the impoverished people and assisting the country to achieve universal health coverage.; Katlego ya go fihlelela tšhireletšo ya maphelo e ithekgile godimo ga mafelo a tlhokomelo ya maphelo, ka go realo e dira gore kabo ya tirelo ya tlhokomelo ya maphelo ye e feletšego e be ya motheo. Maikemišetšo a nyakišišo ye ke go hlama maano a go nolofatša kabo ya ditirelo tša tlhokomelo ya maphelo ya maemo a godimo ka mafelong a tlhokomelo ya maphelo a setšhaba ka gare ga Mmasepala wa Selegae wa Fetakgomo Tubatse. Tlhokomelo ya maphelo ya boleng ke tlhokego ye bohlokwa go motho yo mongwe le yo mongwe. Bophelo bjo bobotse bo godiša lethabo le go hlohleletša boitlhompho bjo bobotse. Efela, mafelo a mantši a tlhokomelo ya maphelo a setšhaba a lebane le mapheko a mmalwa ao a šitišago ditšhaba nageng ka bophara go hwetša kabo ye botse ya ditirelo, kudu tšeo di lego ditikologong tša dinagamagaeng. Go fa mohlala, go tlala kudu ke e nngwe ya ditaba tše dikgolo tšeo di laetšago kabo ye e fokolago ya ditirelo, yeo e feleletšago ka go dira gore batho ba se hwetše tlhokomelo ya maemo a mabotse. Se se ama maitemogelo a tlhokomelo ya maphelo a balwetši le dipoelo. Ditlhohlo tše di lego gona di gatelela ditaba tša motheo tša tlhokomelo ya maphelo setšhabeng. Mathata ao bobedi bašomi ba tlhokomelo ya maphelo le balwetši ba lebanego le ona ka lebaka la kabo ye mpe ya ditirelo a tšwela pele ka ntle ga taolo. Tše dingwe tša ditaba tše di tlwaelegilego di akaretša mafelo a a sa lekanego, methopo ye e sa lekanego, mananeokgoparara a mabe, tlhaelelo ya didirišwa tša kalafo le disapholaye, tlhaelelo ya bašomi le kabo ya meetse ye e sego ya ka mehla. Nyakišišo e amogetše melawana ya Batho Pele le mmotlolo wa Donabedian go kwešiša le go sekaseka tema yeo mafelo a tlhokomelo ya maphelo ya setšhaba di e kgathago go kaonafatša ditirelo tša maphelo, ka go hlahloba ka moo mafelo a a nago le seabe ka gona go tšhireletšo ya maphelo ka kakaretšo. Maikemišetšo a nyakišišo ye ke go hwetša tsebo ka ga go šoma gabotse ga mafelo a tlhokomelo ya maphelo a setšhaba go fihlelela tšhireletšo ya maphelo. Mekgwa ya khwalithethifi e amogeletšwe nyakišišo ye. Bakgathatema ba nyakišišo ba bopša ke baoki ba okesilari, bathušabaoki, baoki ba profešenale, balaodi ba tshepedišo, batlhokomelabalwetši ba ka magaeng, bathobamatswalo, balwetši le/goba maloko a setšhaba. Mošomo wa kgoboketšo ya tshedimošo o dirilwe ka go šomiša ditemogo, dipoledišano tša peakanyoseripa le dipoledišano tša sehlophanepišo ka bašomi ba tlhokomelo ya maphelo le balwetši bao e bego e le maloko a setšhaba. Lekala la nyakišišo e be e le Mmasepala wa Selegae wa Fetakgomo Tubatse; efela, nyakišišo ye e dirilwe fela Mmasepaleng wa Fetakgomo, go sa akaretšwe Mmasepala wa Tubatse, ka ge bjale mebasepala ye mebedi ye e kopantšwe go ba o tee. Dikutullo di laetša gore mafelo a a sa lekanego, tlhaelelo ya methopo, tlhaelelo ya ditirelo tša diiri tše 24 le mananeokgoparara a mabe di šitiša phihlelelo ya tlhokomelo ya maphelo. Ntle le ditlhohlo tše, balwetši ka kakaretšo ba kgotsofetše ka ditirelo tša maphelo, le ge e le gore ditaba tša go swana le ditirelo tša go nanya le tlhaelelo ya dihlare di sa dutše di le gona. Dikutullo tša nyakišišo di na le seabe go tšwetšopele, temošo le kwešišo ya tema yeo taolo ya mafelo e e kgathago go kgonthiša kabo ya tlhokomelo ya maphelo ye e šomago gabotse le gore badudi bao ba lego kotsing ba na le phihlelelo ya ditirelo tša tlhokomelo ya maphelo ya setšhaba. Go feta moo, nyakišišo ye e na le seabe kudu go phihlelelo ya maphelo a setšhaba gape e fa dintlha le kwešišo ka ga dikgato, ditlhohlo le dikgato tse di latelago go fihlelela maphelo a bohle, mafelelong e ba le seabe go dipoledišano tše di nabilego ka ga tlhokomelo ya maphelo a setšhaba, tlhabollo ya moyagoile le phokotšo ya bodiidi ka Afrika Borwa. Nyakišišo e tšea sephetho sa gore mafelo a tlhokomelo ya maphelo ka Fetakgomo a na le seabe go tšhireletšo ya maphelo; efela, a lebane le ditlhohlo tša popego le tša tshepedišo. Go na le nyakego ya magato a tsenogare a pholisi ka go tlhokomelo ya maphelo go kgontšha mafelo go fokotša sekgoba sa kabo ya tlhokomelo ya boleng seo se šetšego se le gona. Nyakišišo ye gape e na le seabe go poledišano ya bjale ya pholisi gape e šoma bjalo ka motheo wa mekgwa ye e hlatsetšwego yeo e lebantšhitšwego go kgodišo ya tšhireletšo ya tlhokomelo ya maphelo go batho bao ba ihlokelago le go thuša naga go fihlelela kakaretšo ya maphelo ya lefase ka bophara.; Ku humelela ko fikelela vusirhelri bya rihanyu swi lawuriwa fi switirhisi swa nhlayisorihanyu, ku endla nyiketo wo nhlayisorihanyu wo twisiseka na vukorhekeri byo sungula. Dyondzo leyi ley iyi kongomisa ku vumba switirateji ku olovisa vukorhokeri bya nkoka bya nhlayiso rihanyu eka switirhirhisi swa nhlayisorihanyu eMasipala wa Xikaya wa Fetakgomo Tubatse Nhlayisorihanyu wa nkoka i xilaveko xa nkoka ka munhu un’wana. Rihanyu ra kahle ri byara ntsako no kondltela vumunhu kahle. Hambiswiritano, switirhisi swa nhlayisorihanyonyingi swi na swiphiqo swo tala leswi kavanyetaka vukorhokeri bya kahle migangeni ya tiko hinkwaro, ngopfu eka lava nga etindhawini ta le matikoxikaya. Xikombiso, ku tala ka vona ii xin’wana xa swiphiqonkulu swo kombiso vukorhokeri bya le hansi swo va vanhu va nga kumi nhlayiso wa nkoka wa kahle. Leswi swi khumba nhlayiso wa xipiriyoni xa vavabyi na mimbuyelo. Mitlhotlho yi nga kona yi tiyisisa masungulo ya swiphiqo swa nhlayiso wa rihanyu evanhwini. Ku nonohwa loku langutaneke hi vatirhi va hinkwavo va nhlayisorihanyu na vavabyi hikwalaho ka vukorhokeri bya le hansi a bya ha lawuleki. Swin’wana swa swiphiqo swo fanana swi katsa switirhisiwa swi nga ringaniki, swithirisi swi nga ringanelangiki, swimakiwa swa le hansi, vuhlayiseki bya swa vutshunguri na miphakelo, ku kayivela ka vatirhi na nkayivelo wo phakela mati nkarhi un’wana na un’wana. Dyondzo yi tirhisile milawu ya Batho Pele na modele wa Donabedian ku twisisa no hlela ntirho wa switirhisiwa swa vanhu swa nhlayisorihanyu swi wu tlangaka ku antswisa vukorhokeri bya rihanyu, hi ku kambisisa leswi switirhisiwa swi nga na xiae ka vusirheleri hinkwabyo bya rihanyu. Dyondzo yi kongomisa ku kuma vutivi mayelana na vuswikoti byo humesa mbuyelo wa switirhisi swa vanhu swa nhlayiso wa rihanyu. Maendlelo ya nkoka ya tirhisiwile ka yondzo leyi. Eka vanhu hinkavo va dyondzo leyi ku na vaongori va le kaya, vapfuneta vaongori, vaongori va xiphurofexinali, vafambisi va swa matirhelo, vatirhi vo hlayisa va le kaya, vatsundzuxi va swa miehleketo, vavabyi na/ kumbe swirho swa muganga. Ntirho wa le handle ka hofisi wu endliwile ku tirhisiwa vuxoperi, swihlolahlola swa swivutiso fanana na mikanerisano ya ntlawa nkongomo hi vavabyi na vatirhi va nhlayiso rihanyo lava a va va ri swirho swa miganga. Nkongomo wa dyondzo a ku ri wa Masipala wa Xikaya wa Fetakgomo Tubatse, hambiswiritano, ndzavisiso wu endliwile ntsena endhawini ya Masipala wa Fetakgomo, ku nga katsiwi Masipala wa nhawu ya Tubatse, tanihihileswi timasipala letimbirhi tikatsiweke. Swikumiwa swi komba leswaku ku na switirhisiwa swo pimiwa, ku kayivela ka switirhisiwa, pfumaleko wa vukorhokeri bya 24-awara na swimakiwa swa le hansi swi kavanyetaka mfikelelo wa nhlayisorihanyu. Handle ka mitlhontlho leyi, vavabyi va enetekile hi vukorhokeri bya rihanyu, hambileswi swiphiqo swo fana na vukorhokri byo nonoka na nkayivelo wa mirhi ya vutshunguri yi yaka emahlweni. Swikumiwa swa dyondzo swi na xiave ka yiso emahlweni, mipfhumba na matwisiselo ya ntirho wa mafambiselo ya switirhisiwa wu nga na nkoka ku endlela ku va na nyiketo wa nhlayisorihanyu na vanhu hinkwavo va nga riki na ntshembo wo fikello ka vukorhokeri bya vanhu va nhlayisorihanyu. Ku yisa emahlweni, dyondzo yin a xiavenkoka ka ku kuma rihanyu ra vanhu no nyika mavonelo yo hambana na matwisiselo ya magoza, mitlhontlho no yisa emahlweni ku kuma rihanyu ra hinkwavo, emakumu ku va na xiave ka mikanerisano yo anamanyana eka nhlayisorihanyu wa vanhu, nhluvkiso wo yisa emahlweni no susa vusiwani eAfirika Dzonga. Dyondzo yi gimeta leswaku switirhisi swa le Fetakgomo swi na xiave ka vusirheleri bya rihanyu; hambileswi, swi nga na mitlhontlho ya swa xivumbeko na swa matirhelo. Ku na xilaveko xa manghenelelo ya pholisi eka nhlayisorihanyu ku endla leswaku switirhisi swi tsongahata nyiketo wa vangwa ra nkoka wa nhlayiso lowu nga kona. Dyondzo leyi yi na xiave ka n’wangulano wa pholisi ya sweswi no tirha tanihi masungulo ya maendlelo ya vumbhoni yo kongomisiwa ku fikelela mphutselo wu nga pimiwiki wa rihanyu. Summary in English, Northern Sotho and Tsonga Sun, 01 Feb 2026 00:00:00 GMT https://ir.unisa.ac.za/handle/10500/32355 2026-02-01T00:00:00Z https://ir.unisa.ac.za/handle/10500/32324 Strategies to promote optimal utilisation of maternal healthcare services at primary healthcare centres in Pemba Island, Zanzibar Mwasha, Loveluck Kusirieli Maternal healthcare is healthcare services provided to women during pregnancy, childbirth, and postnatal period. Underutilisation of maternal healthcare services, specifically during delivery and postnatal period, is a deterrent to the efforts to reduce maternal mortality and morbidity globally. In middle and low-income countries, Tanzania among them, many women attend at least one antenatal care, but only a few make the recommended eight contacts due to health policy and population-related reasons. Additionally, some women do not deliver at health facilities and do not continue with postnatal services as they do not see the need. This study aimed to explore community perceptions of utilising facility-based maternal healthcare services in Wete Pemba Island and develop strategies to promote optimal utilisation. A qualitative explorative descriptive design was used to obtain data through individual interviews with women (n=16) and men (n=15), as well as four focus group discussions with nurse-midwives (NMs) (n=19). Data collection was done using a semi-structured interview guide and analysed thematically using MAXQDA2020. The emergent themes are categorised into perceived promoters and impeders of optimum utilisation of facility-based maternal healthcare services, and the third theme was the participants’ suggestions for enhancing facility-based maternal health service utilisation. The promoters include good maternal healthcare services, family and spouse support, comprehensive services under one roof, and good education, counselling, and advice. The impeders are cultural practices, family power relations and decision-making, religious beliefs, distance to health facilities, trust in traditional birth attendants (TBAs), fear of testing for HIV, health professionals’ attitudes, shortage of staff, unconducive physical infrastructure, inadequate medical equipment, and supplies, including medicines. The suggestions from the findings were: ensure the availability of medical supplies, medical equipment, and ambulance; staffing issues – shortage and attitude toward patients (Pts);emphasise health education/information to the community; and upgrade physical infrastructure. The study results were evaluated using the SWOT analysis to develop strategies for promoting optimal utilisation of facility-based maternal healthcare services. In conclusion, the findings indicate that the utilisation of facility-based maternal healthcare services within the community is generally appreciated. However, there is a need to reinforce the identified promoters and address impeders to achieve optimal utilisation. Hence, the proposed strategies will be presented later in the study.; Moedergesondheidsorg behels gesondheidsorgdienste wat verleen word aan vroue tydens swangerskap, bevalling en die nageboortetydperk. Onderbenutting van moedergesondheidsorgdienste, spesifiek tydens bevalling en die nageboortetydperk, werk pogings teë om moedersterftes en -morbiditeit wêreldwyd te verminder. In middel- en lae-inkomste lande, insluitend Tanzanië, woon baie vroue ten minste een voorgeboortesorgsessie by, maar vir gesondheidsbeleid- en bevolkingsverwante redes woon slegs ’n paar die aanbevole agt kontaktsessies by. Verder skenk sommige vroue nie by gesondheidsfasiliteite geboorte nie en gaan nie voort met nageboortedienste nie, aangesien hulle nie die behoefte sien om dit te doen nie. Die studie is uitgevoer om gemeenskappersepsies van die gebruik van fasiliteit-gebaseerde moedergesondheidsorgdienste in Wete Pemba-eiland te ondersoek en strategieë te ontwikkel om optimale benutting te bevorder. ’n Kwalitatiewe eksploratiewe beskrywende ontwerp is gebruik om data te bekom deur individuele onderhoude met vroue (n = 16) en mans (n = 15), asook deur vier fokusgroepbesprekings met verpleegster-vroedvroue (n = 19). Data-insameling is gedoen met behulp van ’n semi-gestruktureerde onderhoudsgids en data is tematies ontleed deur gebruik te maak van MAXQDA2020. Drie temas het na vore gekom, naamlik waargenome bevorderaars van optimale benutting van fasiliteit-gebaseerde moedergesondheidsorgdienste, waargenome belemmerings van die benutting van hierdie dienste, en deelnemers se voorstelle vir die verbetering van fasiliteit-gebaseerde moedergesondheidsdiensbenutting. Bevorderaars het goeie moedergesondheidsorgdienste, gesin- en eggenoot-ondersteuning, omvattende dienste onder een dak, en goeie opvoeding, berading en advies ingesluit. Die bevindinge het gewys dat belemmerings kulturele praktyke, gesinsmagsverhoudinge en -besluitneming, godsdienstige oortuigings, afstand na gesondheidsfasiliteite, vertroue in tradisionele geboorteverpleërs, vrees vir toetsing vir MIV, gesondheidswerkers se houdings,tekort aan personeel, onvoldoende fisiese infrastruktuur, en onvoldoende mediese toerusting, voorrade en medisyne insluit. Voorstelle is gemaak om die beskikbaarheid van mediese voorrade, mediese toerusting en ambulanse te verseker; personeelprobleme soos personeeltekorte en swak houding teenoor pasiënte op te los; gesondheidsopvoeding/inligting aan die gemeenskap te beklemtoon; en fisiese infrastruktuur op te gradeer. Die studieresultate is geëvalueer deur ’n SWOT-analise te gebruik om strategieë te ontwikkel vir die bevordering van optimale benutting van fasiliteit-gebaseerde moedergesondheidsorgdienste. Die bevindinge dui daarop dat fasiliteit-gebaseerde moedergesondheidsorgdienste oor die algemeen binne die gemeenskap gebruik word. Vir optimale benutting moet die geïdentifiseerde bevorderaars egter versterk word en die belemmerings oorkom word. Voorgestelde strategieë is aangebied.; Ukunakekelwa kwezempilo komama kuhlanganisa izinsizakalo zokunakekelwa kwezempilo ezidluliselwa kwabesifazane ngesikhathi sokukhulelwa, ukubeletha, kanye nesikhathi sangemva kokubeletha. Ukungasetshenziswa kancane kwezinsiza zokunakekelwa kwezempilo komama, ikakhulukazi ngesikhathi sokubeletha nangemva kokubeletha, kuphambene nemizamo yokunciphisa ukushona komama kanye nokugula emhlabeni jikelele. Emazweni anemali engenayo emaphakathi nephansi, okuhlanganisa neTanzania, abesifazane abaningi bahambela okungenani isikhathi esisodwa sokunakekelwa kwabakhulelwe, kodwa ngenxa yenqubomgomo yezempilo kanye nezizathu ezihlobene nenani labantu abambalwa kuphela abenza ukuxhumana okuphakanyisiwe okuyisishiyagalombili. Okunye futhi, abanye besifazane ababelethi ezikhungweni zezempilo futhi abaqhubeki nezinsiza ngemuva kokubeletha, ngoba abasiboni isidingo sokwenza lokho. Ucwaningo lwenzelwe ukuhlola imibono yomphakathi ngokusebenzisa izinsizakalo zokunakekelwa kwezempilo komama esikhungweni sase-Wete Pemba kanye nokusungula amasu okukhuthaza ukusetshenziswa ngendlela efanele. .Umklamo ochazayo osezingeni wasetshenziswa ukuze kutholwe imininingwane ngezingxoxiswano zabantu besifazane (n=16) namadoda (n=15), kanye nangezingxoxo ezine zamaqembu okugxilwe kuwo nabahlengikazi (n=19). Ukuqoqwa kwemininingwane kwenziwa kusetshenziswa inhlolokhono enesakhiwo esincane futhi imininingwane yahlaziywa ngokwengqikithi kusetshenziswa i-MAXQDA2020. Kwavela izindikimba ezintathu, okungabagqugquzeli bokusetshenziswa ngokugcwele kwezinsizakalo zokunakekelwa kwezempilo komama ezikhungweni, okucatshangwa ukuthi kubathiya ukusetshenziswa kwalezi zinsizakalo, kanye neziphakamiso zabahlanganyeli zokuthuthukisa ukusetshenziswa kwensizakalo yezempilo komama. Abagqugquzeli bahlanganisa nezinsizakalo ezinhle zokunakekelwa kwezempilo komama; ukwesekwa komndeni nomlingani; izinsizakalo ezibanzi ngaphansi kophahla olulodwa, kanye nemfundo enhle, ukwelulekwa, nezeluleko. Izithiyo kutholakale ukuthi imikhuba yamasiko, ubudlelwano bamandla omndeni nokuthathwa kwezinqumo, izinkolelo zezenkolo, ibanga lokuya ezikhungweni zezempilo, ukwethemba ababelethisi bendabuko, ukwesaba ukuhlolelwa igciwane lesandulela ngculazi, isimo sengqondo sochwepheshe bezempilo, ukushoda kwabasebenzi, ingqalasizinda engokomzimba eyanele, kanye nemishini yezokwelapha enganele kanye nokokusebenza, okuhlanganisa nemithi. Iziphakamiso bekuwukuthi: qinisekisa ukutholakala kwezinsiza zokwelapha, izinto zokwelashwa, nama-ambulensi; ukuxazulula izinkinga zabasebenzi njengokushoda kwabasebenzi kanye nesimo sengqondo esingesihle ngeziguli; gcizelela imfundo/ulwazi lwezempilo emphakathini; kanye nokuthuthukisa ingqalasizinda ebonakalayo. Imiphumela yocwaningo yahlolwa kusetshenziswa ukuhlaziya kwe-SWOT ukuze kwakhiwe amasu okukhuthaza ukusetshenziswa okuphelele kwezinsizakalo zokunakekelwa kwezempilo komama ezisekelwe esikhungweni. Imiphumela ikhomba ukuthi izinsizakalo zokunakekelwa kwezempilo komama ezisekelwe esikhungweni emphakathini zivame ukusetshenziswa. Kodwa-ke, ukuze kutholakale ukusetshenziswa okuphelele, abathuthukisi abahlonziwe badinga ukuqiniswa futhi kunqotshwe izithiyo. Amasu aphakanyisiwe ayethulwa. Abstracts in English, Afrikaans and Zulu Mon, 01 Jan 2024 00:00:00 GMT https://ir.unisa.ac.za/handle/10500/32324 2024-01-01T00:00:00Z