An intervention study to develop a male circumcision health promotion programme at Libode Rural Communities in the Eastern Cape Province, South Africa
- Authors: Douglas, Mbuyiselo
- Date: 2013
- Subjects: Circumcision Health promotion Penis surgery South Africa -- Libode
- Language: English
- Type: Thesis , Doctoral , Ph D
- Identifier: vital:18476 , http://hdl.handle.net/11260/d1007187
- Description: The purpose of this study was to develop an intervention health promotion programme to prevent circumcision related health problem such as sepsis, botched circumcision, dehydration, penile amputation and reduce the number of deaths. The intervention programme was aimed at promoting a safe male circumcision practice affecting boys aged 12-18 years at Libode rural communities in Eastern Cape Province of South Africa. This was achieved through a mixed method design using both quantitative and qualitative approaches utilizing sequential transformative strategy to allow for the convergence of multiple perspectives of the traditional male circumcision in Libode. The study was conducted in 22 schools of the rural communities of Libode because most of the participants are still attending school. Frequencies and percentages were used to analyse the quantitative data, utilizing the Statistical Package for Social Sciences (SPSS). A total of 1036 participants, AmaXhosa circumcised young men (abafana) and uncircumcised boys (amakhwenkwe) participated in the cross-sectional survey, quantitative phase of the study. Qualitative phase of this study was composed of 7 focus group discussions with a total of 84 circumcised and uncircumcised male participants and 10 key informants’ interviews were conducted. In analysis qualitative data, the researcher found the most descriptive words for each topic and turned them into categories or sub-themes. Topics that related to each other were then grouped in order to reduce the number of categories and to create themes. The similar categories of data were grouped and analysed using Tesch’s method. Findings indicated that traditional circumcision is performed during winter and summer holidays in order to cater for the boys who are attending schools. The circumcision age at Libode ranges from 12 and 18 years of age which is against the Health Standards in Traditional Circumcision Act (Act No. 6 of 2001). Although the participants were aware of the complications of male circumcision in Libode, there was a high preference for traditional circumcision (92.3% of participants) to hospital circumcision. The participants were of the view that the benefits of traditional circumcision outweigh the complications or challenges related to traditional circumcision. They wanted to be socially accepted and wanted to learn about manhood values in the traditional circumcision which are values that cannot be achieved through the hospital based circumcision. As male circumcision initiation is seasonal and the intervention programme needed to be approved by different stakeholders, the testing of intervention programme could not happen before the programme was approved by all the stakeholders.
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- Date Issued: 2013
Towards community environmental education using current institutional resources, GIS and remote sensing, and local knowledge: a case of the Nandi Hills and Nandi Forests, Western Kenya
- Authors: Tanui, Julius Gordon
- Date: 2011
- Subjects: Environmental education -- Kenya -- Western Province , Community-based conservation -- Kenya -- Western Province , Conservation of natural resources -- Kenya -- Western Province
- Language: English
- Type: Thesis , Doctoral , DPhil
- Identifier: vital:9568 , http://hdl.handle.net/10948/d1016074
- Description: The Nandi Hills and Nandi Forests in Nandi County, Kenya are major water catchments for Lake Victoria. However, these resources have faced significant decline and degradation in recent times, thereby impacting the hydrological quality and quantity in the Lake Victoria Basin. This study was informed by the observed degradation of the Nandi Hills and Nandi Forests, epitomized by the receding forest cover, drying up of previously permanent streams, instances of mudslides and rock falls, and downstream flooding. The study therefore sought to interrogate the current institutional environmental and educational arrangements and practices which are pertinent to the sustainable management of the Nandi Hills Forests, the perceptions and understandings of the local population in terms of forest resources and land use, and the information that can be provided by GIS and Remote Sensing data, in order to produce a heuristic for planning community environmental education in the Nandi County. To achieve this, a mixed methodological design which incorporated both qualitative and quantitative data was embraced. The mixed method approaches used in this study were the concurrent triangulation and nested/embedded designs. A four-tier analysis was carried out once all the data had been coded and grouped. The analysis covered three categories of the population in the study area; namely the households, institutions and community groups, and analysis of Landsat images for change detection. The study reveals that there are several state and non-state institutions that are involved in the management of the Nandi Hills Forests and that their efforts have seen an improvement in the perceptions of the local population in terms of the importance of environmental management of the forests. Analysis of the Landsat images has revealed receding natural forest cover. The contribution of informal, local and indigenous knowledge to sustainable management of the Nandi Hills Forest was notable (85 percent of the population attribute their knowledge on forests and forestry to informal knowledge sources). These results informed the development of a heuristic to enable the adoption of strategies using readily accessible, though loosely applicable, information for problem solving in developing and implementing community environmental education practices for effective forest management and conservation practices that are responsive to the needs of the Nandi Forest community.
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- Date Issued: 2011