This paper presents an analysis of the relationship between cultural orientation and home- brewed... more This paper presents an analysis of the relationship between cultural orientation and home- brewed alcohol use among adolescents in a rural setting. The study involved 1263 students from 30 high schools in Mankweng District in Limpopo Province of South Africa. Boys formed 48% of the sample. Means ages were 16.7 and 16.0 years for boys and girls respectively. A 16 item scale focusing on language, mass media and music preferences was constructed to measure cultural orientations. There was an integration of western and traditional/local activities by respondents who reported having used home-brewed alcohol in the past 12 months. In some respects the sample had western tendencies i.e. English newspapers were read more than no-English newspapers and funky music tended to be preferred to traditional South African music, while in others the reverse was true i.e. Radio Thobela (a radio station that uses vernacular languages) was listened to more than Radio Metro (a radio station that uses English language only). There were significant differences between boys and girls in the use of western media. Older adolescents (18 years or older) used more home brewed alcohol than the younger ones. The concept of culture and its associations with alcohol use invites a critical view on cultural values among adolescents. The positive association with home-brewed alcohol use among secondary school students in our sample has been demonstrated for an orientation towards external cultural influence. Educators and learners need to increase their consciousness on the problematic side of cultural import.
Background: This study evaluated the effects of a school-based intervention on cognitions and sel... more Background: This study evaluated the effects of a school-based intervention on cognitions and self-reported behaviours related to increased HIV risk amongst South African adolescents. Methods: The (“PREPARE”) intervention was based on the Information, Motivation, Behavioural skills model and incorporated 12 key messages into pre-existing health promotion in schools. The intervention was delivered by teachers in five 3-hour units over 5 weeks. A cluster-randomised trial involving 24 schools and 2588 adolescents aged 13-14 years in Limpopo, South Africa was employed to evaluate the intervention. Targeted beliefs, attitudes, norms, culture-specific beliefs and self-reported behaviours (e.g. condom use) were assessed via researcher-administered questionnaires at baseline and two months follow up. Findings: A series of targeted cognitions (e.g. condom use attitudes and self-efficacy) and self-reported condom use showed significant differences (p<.05) in favour of intervention particip...
This chapter outlines the development of two health promoting schools (HPS) programs in resource-... more This chapter outlines the development of two health promoting schools (HPS) programs in resource-limited settings in South Africa, informed by work from two PhD tracks and a round table discussion on core health promotion competencies. The chapter focuses on the development, implementation, and evaluation of a training program for HPS among high school educators in the Limpopo Province guided by an assessment of priority needs; and factors influencing HPS implementation in three secondary schools in Cape Town. The first case study focuses on training program objectives, learning outcomes, and critical cross-field outcomes related to introducing the concept of HPS, empowerment of educators to initiate and evaluate HPS program design, and implementation. The second case study focuses on the role of external actors and stakeholders in designing and implementing HPS in resource-limited settings and the barriers and enablers related to HPS capacity building. The findings are discussed wi...
Worldwide, there are new public health threats due to urbanization, climate change, demographic s... more Worldwide, there are new public health threats due to urbanization, climate change, demographic shifts, globalization, and political climates. At the same time, the global public health workforce may be ill-equipped to manage these threats. The current global health academic landscape in high income countries (HICs), has seen expansive growth in developing undergraduate and graduate learning opportunities aimed to provide short-term immersion in low and middle income countries [(LMICs) Jogerst et al. 2015; Panosian and Coates 2006]. There are many well-documented benefits to global health educational partnerships between the global north and global south and university linkages are a major avenue for these collaborations. For universities or host institutions in the global
Introduction Non-communicable diseases (NCDs) are increasingly prevalent in sub-Saharan Africa du... more Introduction Non-communicable diseases (NCDs) are increasingly prevalent in sub-Saharan Africa due to lifestyle changes related to urbanization and socio-economic, cultural and environmental factors. Strategies to reduce the impact of NCDs on human development are urgently needed but mostly rely on population-wide interventions for prevention. The healthy settings approach is considered crucial in driving health promotion in South Africa and may be applied to health services, including hospitals. In this case study a rural district hospital in the Limpopo Province was transformed into a Health Promoting Hospital (HPH) according to standards developed by WHO-Europe. Research design The project was designed as intervention study using a participatory action research design integrated with the PRECEDE-PROCEED model as framework for program planning, including a comprehensive needs assessment among a stratified random sample of hospital staff (n = 295), patients (n = 212) and their rela...
Worldwide, there are new public health threats due to urbanization, climate change, demographic s... more Worldwide, there are new public health threats due to urbanization, climate change, demographic shifts, globalization, and political climates. At the same time, the global public health workforce may be ill-equipped to manage these threats. The current global health academic landscape in high income countries (HICs), has seen expansive growth in developing undergraduate and graduate learning opportunities aimed to provide short-term immersion in low and middle income countries [(LMICs) Jogerst et al. 2015; Panosian and Coates 2006]. There are many well-documented benefits to global health educational partnerships between the global north and global south and university linkages are a major avenue for these collaborations. For universities or host institutions in the global
This project aimed at transforming a rural District Hospital in the Limpopo Province of South Afr... more This project aimed at transforming a rural District Hospital in the Limpopo Province of South Africa into a Health Promoting Hospital according to standards developed by WHO-Europe. The intervention used a diagnostic approach and baseline needs assessment of hospital staff, patients, and their relatives to identify health education and promotion needs. Activities included empowerment training and skills development, implementation of health education and promotion activities, and the integration of health-promoting standards and values in the hospital structure and culture. The project indicated applicability of the model in a resource-limited setting, based on staff empowerment, local leadership, and stakeholder engagement.
A district hospital in a rural area of the Limpopo Province in South Africa has recently been lau... more A district hospital in a rural area of the Limpopo Province in South Africa has recently been launched as a 'Health Promoting Hospital', based on the principles of the Ottawa Charter and according to standards developed by WHO-Europe. The initiative was conceived as a project in partnership with stakeholders from the local community and is considered a pilot by Provincial health authorities, representing an advance in health promotion practice in the region. The project was designed as a research intervention, guided by the principles of critical action research integrated with the Precede-Proceed model for the systematic evaluation of health promotion and education. This commentary reports on the process undertaken in successfully transforming this community-based hospital into a Health Promoting Hospital by integrating the concept, values and standards of health promotion into its structure and culture, thereby creating a healthy setting and promoting the health and wellbeing of the hospital's staff, its patients, and their relatives.
This paper presents an analysis of the relationship between cultural orientation and home- brewed... more This paper presents an analysis of the relationship between cultural orientation and home- brewed alcohol use among adolescents in a rural setting. The study involved 1263 students from 30 high schools in Mankweng District in Limpopo Province of South Africa. Boys formed 48% of the sample. Means ages were 16.7 and 16.0 years for boys and girls respectively. A 16 item scale focusing on language, mass media and music preferences was constructed to measure cultural orientations. There was an integration of western and traditional/local activities by respondents who reported having used home-brewed alcohol in the past 12 months. In some respects the sample had western tendencies i.e. English newspapers were read more than no-English newspapers and funky music tended to be preferred to traditional South African music, while in others the reverse was true i.e. Radio Thobela (a radio station that uses vernacular languages) was listened to more than Radio Metro (a radio station that uses English language only). There were significant differences between boys and girls in the use of western media. Older adolescents (18 years or older) used more home brewed alcohol than the younger ones. The concept of culture and its associations with alcohol use invites a critical view on cultural values among adolescents. The positive association with home-brewed alcohol use among secondary school students in our sample has been demonstrated for an orientation towards external cultural influence. Educators and learners need to increase their consciousness on the problematic side of cultural import.
Background: This study evaluated the effects of a school-based intervention on cognitions and sel... more Background: This study evaluated the effects of a school-based intervention on cognitions and self-reported behaviours related to increased HIV risk amongst South African adolescents. Methods: The (“PREPARE”) intervention was based on the Information, Motivation, Behavioural skills model and incorporated 12 key messages into pre-existing health promotion in schools. The intervention was delivered by teachers in five 3-hour units over 5 weeks. A cluster-randomised trial involving 24 schools and 2588 adolescents aged 13-14 years in Limpopo, South Africa was employed to evaluate the intervention. Targeted beliefs, attitudes, norms, culture-specific beliefs and self-reported behaviours (e.g. condom use) were assessed via researcher-administered questionnaires at baseline and two months follow up. Findings: A series of targeted cognitions (e.g. condom use attitudes and self-efficacy) and self-reported condom use showed significant differences (p<.05) in favour of intervention particip...
This chapter outlines the development of two health promoting schools (HPS) programs in resource-... more This chapter outlines the development of two health promoting schools (HPS) programs in resource-limited settings in South Africa, informed by work from two PhD tracks and a round table discussion on core health promotion competencies. The chapter focuses on the development, implementation, and evaluation of a training program for HPS among high school educators in the Limpopo Province guided by an assessment of priority needs; and factors influencing HPS implementation in three secondary schools in Cape Town. The first case study focuses on training program objectives, learning outcomes, and critical cross-field outcomes related to introducing the concept of HPS, empowerment of educators to initiate and evaluate HPS program design, and implementation. The second case study focuses on the role of external actors and stakeholders in designing and implementing HPS in resource-limited settings and the barriers and enablers related to HPS capacity building. The findings are discussed wi...
Worldwide, there are new public health threats due to urbanization, climate change, demographic s... more Worldwide, there are new public health threats due to urbanization, climate change, demographic shifts, globalization, and political climates. At the same time, the global public health workforce may be ill-equipped to manage these threats. The current global health academic landscape in high income countries (HICs), has seen expansive growth in developing undergraduate and graduate learning opportunities aimed to provide short-term immersion in low and middle income countries [(LMICs) Jogerst et al. 2015; Panosian and Coates 2006]. There are many well-documented benefits to global health educational partnerships between the global north and global south and university linkages are a major avenue for these collaborations. For universities or host institutions in the global
Introduction Non-communicable diseases (NCDs) are increasingly prevalent in sub-Saharan Africa du... more Introduction Non-communicable diseases (NCDs) are increasingly prevalent in sub-Saharan Africa due to lifestyle changes related to urbanization and socio-economic, cultural and environmental factors. Strategies to reduce the impact of NCDs on human development are urgently needed but mostly rely on population-wide interventions for prevention. The healthy settings approach is considered crucial in driving health promotion in South Africa and may be applied to health services, including hospitals. In this case study a rural district hospital in the Limpopo Province was transformed into a Health Promoting Hospital (HPH) according to standards developed by WHO-Europe. Research design The project was designed as intervention study using a participatory action research design integrated with the PRECEDE-PROCEED model as framework for program planning, including a comprehensive needs assessment among a stratified random sample of hospital staff (n = 295), patients (n = 212) and their rela...
Worldwide, there are new public health threats due to urbanization, climate change, demographic s... more Worldwide, there are new public health threats due to urbanization, climate change, demographic shifts, globalization, and political climates. At the same time, the global public health workforce may be ill-equipped to manage these threats. The current global health academic landscape in high income countries (HICs), has seen expansive growth in developing undergraduate and graduate learning opportunities aimed to provide short-term immersion in low and middle income countries [(LMICs) Jogerst et al. 2015; Panosian and Coates 2006]. There are many well-documented benefits to global health educational partnerships between the global north and global south and university linkages are a major avenue for these collaborations. For universities or host institutions in the global
This project aimed at transforming a rural District Hospital in the Limpopo Province of South Afr... more This project aimed at transforming a rural District Hospital in the Limpopo Province of South Africa into a Health Promoting Hospital according to standards developed by WHO-Europe. The intervention used a diagnostic approach and baseline needs assessment of hospital staff, patients, and their relatives to identify health education and promotion needs. Activities included empowerment training and skills development, implementation of health education and promotion activities, and the integration of health-promoting standards and values in the hospital structure and culture. The project indicated applicability of the model in a resource-limited setting, based on staff empowerment, local leadership, and stakeholder engagement.
A district hospital in a rural area of the Limpopo Province in South Africa has recently been lau... more A district hospital in a rural area of the Limpopo Province in South Africa has recently been launched as a 'Health Promoting Hospital', based on the principles of the Ottawa Charter and according to standards developed by WHO-Europe. The initiative was conceived as a project in partnership with stakeholders from the local community and is considered a pilot by Provincial health authorities, representing an advance in health promotion practice in the region. The project was designed as a research intervention, guided by the principles of critical action research integrated with the Precede-Proceed model for the systematic evaluation of health promotion and education. This commentary reports on the process undertaken in successfully transforming this community-based hospital into a Health Promoting Hospital by integrating the concept, values and standards of health promotion into its structure and culture, thereby creating a healthy setting and promoting the health and wellbeing of the hospital's staff, its patients, and their relatives.
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Papers by Joyce Mashamba