The implementation of data interoperability in healthcare relies heavily on policy frameworks. However, many hospitals across South Africa are struggling to integrate data interoperability between systems, due to insufficient policy frameworks. There is a notable awareness that existing policies do not provide clear actionable direction for interoperability implementation in hospitals. This study aims to develop a policy framework for integrating data interoperability in public hospitals in Gauteng Province, South Africa. The study employed a conceptual framework grounded in institutional theory, which provided a lens to understand policies for interoperability. This study employed a convergence mixed method research design. Data were collected through an online questionnaire and semi-structured interviews. The study comprised 144 clinical and administrative personnel and 16 managers. Data were analyzed through descriptive and thematic analysis. The results show evidence of coercive isomorphism that public hospitals lack cohesive policies that facilitate data interoperability. Key barriers to establishing policy framework include inadequate funding, ambiguous guidelines, weak governance, and conflicting interests among stakeholders. The study developed a policy to facilitate the integration of data interoperability in hospitals. This study underscores the critical need for the South African government, legislators, practitioners, and policymakers to consult and involve external stakeholders in the policy-making processes.
Political patronage has become a notable concern in the South African public sector, often compared to a new epidemic because of its adverse effects on governance and public administration. This phenomenon involves by political leaders offering rewards and appointment people for key government positions and allocating resources to them based on their political loyalty rather than their abilities and qualifications. This intensifies corruption by fostering a culture in which competence is subordinate, resulting in inadequately qualified individuals assuming key positions and receiving benefits, thereby amplifying opportunities for unethical conduct. In turn, this practice undermines the effectiveness and integrity of public sector institutions. The purpose of this article is to offer a broader analysis and implications of political patronage and how it fuels corruption and governance in the South African public sector. This article employs a secondary research method through the review of existing literature to examine the nature of political patronage, its nexus with corruption and misgovernance in the public sector, drawing reference to contemporary, renowned corruption cases. This paper submits that overcoming these challenges necessitates a holistic approach that involves the professionalization of the public sector, robust measures to combat corruption, and improved transparency. The objective is to establish and promote a public service that emphasizes competence, responsibility, and the fulfilment of governance functions in order to serve the wider interests of citizens.
In response to the challenges of climate change, this study explores the use of moringa pod powder as reinforcement in the manufacture of compressed earth bricks to promote sustainable building materials. The objective is to evaluate the impact of African locust bean pod powder on the mechanical properties of the bricks. Two types of soils from Togo were characterized according to geotechnical standards. Mixtures containing 8% African locust bean pod powder at various particle sizes (0.08 mm, 2 mm, and between 2 and 5 mm) were formulated and tested for compression and tensile strength. The results show that the addition of African locust bean pod reduces the mechanical strength of the bricks compared to the control sample without pods, with strengths ranging from 0.697 to 0.767 MPa, compared to 0.967 to 1.060 MPa for the control. However, the best performances for the mixtures were obtained with a fineness of less than 2 mm. This decrease in performance is attributed to several factors, including inadequate water content and suboptimal preparation and compaction methods. Optimizing formulation parameters is necessary to maximize the effectiveness of African locust bean pods. This work highlights the valorization of agro-industrial waste, paving the way for a better understanding of bio-based materials and future research for sustainable construction.
Leisure education has an impact not only on individuals but also on the environment and society. The present study aimed to explore and describe experts’ knowledge and experience about leisure education to develop leadership among youth with physical disabilities. The present study used a qualitative research approach through an exploratory design to answer the research question. Five participants were purposefully recruited and selected based on their expertise in the topic of interest. Participants’ expertise ranged from leisure, recreation, youth and leadership. The participants had experience working in higher education institutions, and community projects, held doctorate qualifications, and have over ten years in this field. Data was collected online using Google Meet software using semi-structured interviews with open-ended questions. Data was analyzed using a thematic analysis framework and guidelines. The findings of this study suggest that youth with physical disabilities can develop personal capacity through leisure education programmes. Leisure education programmes can be meaningful to youth with physical disabilities and have a developmental impact, including leadership. Youth with physical disabilities’ capacities and abilities should be nurtured and protected to allow growth and independence. The implications are that leisure education programmes for leadership development must be intentional to achieve the intended outcome.
This paper explores the interconnected dynamics between governance, public debt, and domestic investment (also known as gross fixed capital formation (GFCF) in South Africa). It also highlights domestic investment as a key driver of economic growth, noting a consistent decline in investment since the country’s democratic transition in 1994. Moreover, this downward trend is exacerbated by excessive public debt, poor governance, and increased economic risks, discouraging domestic and foreign investments. The analysis incorporates two theoretical perspectives: endogenous growth theory, which stresses the significance of local capital investment and innovation, and institutional governance theory, which focuses on the role of governance in promoting economic development. The study reveals that poor governance, rising debt, and high economic risks have impeded GFCF and economic stability. By utilizing quantitative data from 1995 to 2023, the research concludes that reducing public debt, improving governance, and minimizing economic risk are critical to revitalizing domestic investment in South Africa. These findings suggest that policy reforms centered on good governance, effective debt management, and economic stabilization can stimulate investment, promote growth, and address the country’s economic challenges. This study offers insights into how governance and fiscal policies shape investment and capital formation in a developing nation, providing valuable guidance for policymakers and stakeholders working towards sustainable economic growth in South Africa.
This study investigates the link between debt and political alignment in international relations between the People’s Republic of China (PRC) and African nations. Using recorded roll-call votes on United Nations General Assembly (UNGA) resolutions, we explore whether PRC investment in sovereign debt influences the voting behaviour of loan recipient countries. We compile voting data for African countries from 2000 to 2020 to calculate an annual voting affinity score as a proxy for political alignment. Concurrently, data on Chinese public and publicly guaranteed (PPG) loans to African governments are collected. A Two-Stage Least-Squares analysis is employed, using the ratio of Chinese PPG debt to GDP as an instrument to address endogeneity. Results reveal a negative impact of Chinese lending on African political support, while trade, foreign direct investment (FDI), and Chinese GDP positively influence political alignment. In high debt-risk African countries, interest rates have a negative impact, whereas loan maturity shows a positive effect. These findings suggest that Chinese loans, particularly under commercial terms, may have strained bilateral relations due to debt sustainability concerns. Nevertheless, the positive impacts of trade and FDI may enhance international relations, highlighting the limitations of China’s loan diplomacy in fostering long-term strategic alignment in Africa.
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