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- Item2D irregular strip packing at Kohler signs(Stellenbosch : Stellenbosch University, 2014-12) Bossenger, Wayne; Nieuwoudt, Isabelle; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH ABSTRACT: Kohler Signs (PTY) Ltd is a sign production company located in Cape Town, South Africa. They manufacture and install signs for the City of Cape Town and private companies as well as manufacture advertisement signs to be placed on vehicles. Road signs consist of steel sheets that are cut and bent to the appropriate size and frame, and an image design, which is cut from re ective vinyl, are applied to the bent steel sheet. The image design consists of various letters, numbers and symbols which are categorised as irregular items. When these irregular items are combined in a distinctive way, with the use of di erent coloured vinyl, they convey a message to the road user which may be to yield for pedestrians crossing the street, or indicate to the road user the various highway exits that exist on the interchange ahead. These irregular items are placed upon re ective vinyl for cutting which results in vinyl o cuts that are wasted. The focus of this thesis is to minimise the waste incurred by placing these irregular items upon the vinyl in an optimal and timely manner for industry use. The vinyl printer, which cuts the irregular items out of the vinyl, consists of a xed width and is only limited in height by the vinyl itself. Thus, this problem may be described as a Two Dimensional Irregular Strip Packing Problem. These irregular items have only a few possible heights for each type of irregular item packed, which allows these irregular items to be packed as a level packing problem. The items are packed within levels as though they are regular items with the assistance of a prede ned rule-set. In this thesis various packing algorithms and image processing methodologies from the literature are researched and used to develop a new packing algorithm for this speci c problem. The newly developed algorithm is put through various benchmarks to test its performance. Some of these benchmarks are procured from Kohler Signs themselves, whereas others are randomly generated under certain conditions. These benchmarks reveal that the newly developed algorithm performs better for both the minimisation of waste and the minimisation of algorithm running time than the tried and trusted techniques utilised in industry by Kohler Signs.
- ItemAccess to healthcare services in resource-constrained environments : evidence from Zimbabwe(Stellenbosch : Stellenbosch University, 2023-12) Chari, Abigail; Burger, Ronelle; von Fintel, Dieter; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH SUMMARY: Access to healthcare services is fundamental to health and well-being, yet approximately half of the world’s population is unable to access healthcare services in times of need, which derails attainment of the Sustainable Development Goals. Weak access to healthcare services is a global health challenge, and is prevalent in Zimbabwe. This weak access is attributed to a fragile and fragmented health system, characterised by weak and ineffective service delivery. The fragmented health system affects particularly the already disadvantaged population through healthcare services that are either unaffordable or unavailable. As part of achieving the global Sustainable Development Goals, Zimbabwe aims to address inequality in and weak access to its healthcare services. This thesis examined fiscal incidence and inequality in access to healthcare services in Zimbabwe, using 2017 administrative health expenditure data from the Ministry of Health and Child Care and the Prices, Income, Consumption and Expenditure Survey of the Zimbabwe National Statistics Agency. Fiscal incidence was found to be, on average, pro-poor for Zimbabwe’s low-level facilities, and pro-rich for high-level facilities. It was further found that availability and affordability are, on average, pro-rich. Thus, differential access to health services between rural and urban areas was contributing to pro-rich inequality. Despite government healthcare expenditure, inequality in availability and affordability of healthcare services remains a challenge. Pockets of inequality persist in the healthcare sector, as the more affluent continue to benefit from well-resourced facilities. The government should, therefore, focus on poor and rural populations, who bear the brunt of weak access to healthcare services. While the effects and causes of drug stockouts are well articulated, there is a dearth of literature on the link between district-level drug stockouts and poverty. This thesis investigated the spatial inequality of drug stockouts and the relationship between drug stockouts and district poverty in Zimbabwe using data on district-level drug stockouts and poverty. The results showed that spatial inequality in drug stockouts and district poverty exists, while the relationship between drug stockouts and district poverty was weak and insignificant. Spatial interdependence in drug stockouts between districts also exists, indicating hot spots in drug stockouts. In times of drug stockouts, individuals tend to use alternatives to healthcare, some of which pose health dangers, and it is therefore important to improve drug availability in underserved districts by reducing spatial inequality and hot spots in drug stockouts. Given the negative effects of malaria on the vulnerable population, this thesis examined the association between malaria prophylaxis stockouts and birth- and maternal outcomes in Zimbabwe. Preventive efforts against malaria are crucial, given that pregnant women and neonates bear the greatest malaria burden. Therefore, it was hypothesised that women who do not receive malaria prophylaxis during pregnancy are at risk of malaria infections, which compromise birth weight and cause maternal anaemia. Combining the administrative data on malaria prophylaxis stockouts and 2015 nationally representative Demographic Health Survey data, the results showed that malaria prophylaxis stockouts occur frequently over time, and have a significant association with birth weight, especially for neonates with an average birth weight. Stockouts are associated with neonates tending towards the lower end of a normal birth weight, compromising their development. Thus, there is a need to invest in pharmaceutical information- and stock-ordering systems to improve drug availability at the point of care. In conclusion, there is inequality in healthcare services in Zimbabwe, which causes a heavy burden on poor and rural populations. These vulnerable populations have weak access to healthcare services, despite the government's efforts to improve service provision. This thesis sheds more light on access to healthcare services, to enhance relevant stakeholders’ understanding of this subject. To achieve an equitable society, policymakers should address the inequalities in access to healthcare services, together with the socio-demographic determinants of health. Policymakers should improve resource management, follow a needs-based approach, invest in pharmaceutical information systems and stock-ordering systems, and foster multi-stakeholder collaboration to ensure improved access to healthcare services.
- ItemAn analysis of the role of impact assessment legislation in facilitating sustainable development : a case study of Tanzania(Stellenbosch : Stellenbosch University, 2015-04) Alfred, Emanoel R.; Muller, Anneke; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH ABSTRACT: Please refer to full text for abstract.
- ItemAn analysis of the sustainability of the United States Government (USG) aid-funded non-governmental organisations (NGOS) in the Namibian health sector(Stellenbosch : Stellenbosch University, 2015-12) Aipinge, Hilja Namene; Kaulihowa, T.; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH ABSTRACT: This study researched the sustainability of USG aid-funded local NGOs in the Namibian health sector. The first objective of the study was to analyse the continuity of NGO operations and the likely consequences of reduced PEPFAR funding on the key programmatic areas of NGOs such as the HIV/AIDS prevention, care and support services. The second objective was to investigate the other sources of funding that may be available to ensure sustainability of the NGOs. The study largely employed a qualitative approach and a descriptive analysis technique was used. A comparative case study assessment of seven NGOs that had received USAID/PEPFAR funding at any point during the period 2007-2013 was provided. The NGOs included Catholic AIDS Action, Church Alliance for Orphans, Katutura Youth Enterprise Centre, Nawa Life Trust, Project HOPE, Society for Family Health and Lilfe/Line Child/Line. The research findings were analysed and used to develop a set of conclusions and recommendations that could help to improve funding, ensure continuity of NGOs and sustain the health gains achieved over the years. The study found that on average PEPFAR constituted 80 per cent of the NGOs’ revenue and that due to the reduction in funding as well as the shift in PEPFAR’s focus to HIV treatment as prevention, the health gains achieved over the years could potentially be reversed if this behaviour did not change. The research suggested, amongst others, that the long-term sustainability of the programmes and the continuity of NGOs is dependent upon support from local governments. Literature has shown that local governments elsewhere have acknowledged the role that NGOs play and, therefore, created systems to allocate funding to NGOs, which practices can be extended to the Namibian situation. The recommendations further encouraged NGOs to embark on self-financing strategies by appointing dedicated personnel with the capacity to focus on fundraising activities with a target of achieving 50 per cent of income self-generated.
- ItemAn approach to human development in rural Western Cape with specific reference to farm workers(Stellenbosch : Stellenbosch University, 2005-12) Tregurtha, Norma; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH ABSTRACT: Using the conceptual framework of the human development approach as proposed by Amartya Sen, this dissertation attempts to measure the absolute and relative development status of Western Cape farm workers for 1996 and 2001. The dissertation begins by presenting a critical analysis of the traditional neo-classical model of development, and goes further to demonstrate how, from the early 1970s, the validity of this model was increasingly questioned by the broader development fraternity and eventually supplanted by the human development approach in the 1990s. The human development approach is based on two conceptual roots namely; social exclusion theory and the capability model of Amartya Sen. Social exclusion theory identifies important themes such as gender and culture which the neo-classical development approach failed to reflect in its theoretical and methodological structures while the capability model establishes the philosophical and theoretical foundations of human development. More specifically it clarifies the question: 'what is wellbeing, how do we measure it and how is it linked to development and poverty? From the perspective of the human development approach, wellbeing is about being able to exercise economic, social and political choice or freedom. These freedoms are labelled capabilities and are they are derived from functioning choices. A functioning represents different aspects of the state of a person, and can either be an activity such as working or a state of existence such as being educated. A functioning is an achievement whereas a capability is the possible options or choices open to a person. It is on the basis of a person's capability set that an evaluation of their level of wellbeing is possible. The human development approach therefore measures development in terms of capabilities The key methodological challenges related to measuring development in terms of human capabilities are numerous. The theory of human development does not specify which capabilities to include when measuring poverty or wellbeing, in addition it provides no method to rank capabilities. Capabilities can simultaneously expand in some areas while contract in others. Because there is no method of ranking capabilities it is impossible to conclude whether on balance, development has taken place. Finally on a practical level the data requirements to measure wellbeing in a multivariate way are significant and are more often than not based on detailed household socio-economic surveys that are not easily replicated over time. For these reasons, while development economists endorse the theory of human development on an ideological and strategic level, methodologically there is still a tendency to measure it in terms of income levels. Despite these challenges a number of empirical applications of the human development approach have emerged in recent years and a cross-section of these studies is described as part of this dissertation. The main methodological issues that have to be confronted when operationalising the human development approach are also documented while the appropriateness of using the theory of fuzzy sets to measure vague concepts such as poverty and wellbeing, is emphasized. Drawing on data from the 1996 and 2001 Population Census this dissertation confronts these measurement challenges and by limiting the analysis to 6 functionings namely; housing, housing services, education, health, social relations, employment and economic achievements, attempts to measure the overall development status of Western Cape farm workers. By comparing this result with the achievement of other labour groups such as the unemployed and workers employed elsewhere in the economy it is also possible to conclude on their relative development status. With respect to functioning achievement (measured as fuzzy scores), in 2001 farm workers scored the lowest of all the labour groups in terms of housing services, social relations and education achievement. In terms of their access to economic resources, while farm workers individual and household monthly income levels exceeded that of the unemployed - their fuzzy score was roughly half of that achieved by workers in other sectors. These various functionings were weighted and aggregated to arrive at an overall wellbeing indicator, and almost no difference could be detected in the score achieved by farm workers and the unemployed. This result was found to be relatively insensitive to the weight assigned to a particular functioning. While there is almost no difference in the overall level of human development "enjoyed" by farm workers and the unemployed, a large difference was found between farm workers and other workers in the economy. It can be argued that this discrepancy is indicative of the high concentration of unskilled workers found in the agricultural sector. However when occupation was brought into consideration, a relatively large discrepancy in development levels between farm workers and employed unskilled workers, could still be detected. In terms of gender, overall women farm workers scored slightly higher than men, however in terms of personal income they scored considerably lower than men. This difference could not be attributed to differences in the number of hours worked per week and confirms the findings of other studies that showed that women farm workers do not receive equal wages for equal work effort. In terms of development status, the results generated by the 1996 population census, were consistent with 2001 however, here farm workers scored poorly in terms of the housing, housing services, education and social relations functioning. It was only with respect to the employment and economic resources functionings that farm workers ranked above the unemployed. By applying the frequency-based membership functions generated for 1996 to the 2001 data set, it was possible to detect absolute changes in development status that took place between 1996 and 2001. Relative to the other labour groups, farm workers consistently exhibited the highest rate of progress. Education, social relations and housing services functionings scores in 2001, were 20% higher than 1996 levels. Key Words: Poverty, development, wellbeing, human development approach, capabilities, functionings, fuzzy sets, Western Cape, Western Cape agriculture, farm workers
- ItemArtikel 9C van die inkomstebelastingwet met spesiale verwysing na aktiewe en passiewe inkomste(Stellenbosch : Stellenbosch University, 1998-12) Wiese, Adelle; Matthee, J. A.; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH ABSTRACT: In the Fifth Interim Report of the Katz Commission recommendations were made on a number of fundamental tax issues, including the distinction between the source and residence principle. The Commission decided that the source principle should remain but that a distinction between "active" and "passive" income should be made. "Active" income should then be taxed on the source principle and "passive" income on the residence principle. With effect from 1 July 1997 exchange controls for South African residents were softened, which meant that South Africans could thereafter invest in foreign countries to a limited extent. To protect the South African tax base, sections 9C and 90 were incorporated in the Income Tax Act with effect from 1 July 1997. Section 9C regulates the taxation of investment income earned in foreign countries. The main purpose of this study was to investigate the taxation of foreign investment income in South Africa. For this purpose a critical analysis of section 9C was done within the context of the recommendations made by the Katz Commission in their Fifth Report. The focus of the study was aimed at the requirements for the exclusion of so-called active investment income according to section 9C(3)(a). In the analysis of section 9C it was necessary to determine where the terms used in the section were derived from. The terms which are not new in the South African tax context were analysed based on the opinions of tax specialists and national case law. The terms which are new in the South African tax context were mostly derived from international models of tax conventions and foreign tax codes. These were analysed according to the use thereof mainly in the Model Tax Convention on Income and on capital of the Organisation for Economic Co-operation and Development and the Commentaries thereon. The critical analysis of section 9C also included the applicability of the section on other sections in the Income Tax Act, a brief commentary on section 90 and the relief provided to taxpayers where the section leads to double taxation. The ability of the South African Revenue Service to collect the tax, the effect of the tax on immigrants and the effect of the electronic future on the tax were also investigated. The conclusion arrived at in this study is that most of the terms in section 9C are based on internationally used terms and could be analysed according to international tax conventions and case law. The South African Revenue Service will have to provide guidelines for the uncertainties and provide measures to rectify the irregularities and inconsistencies found in the section. In the light of further examinations to be done by the South African Revenue Service, based on the recommendations of the Katz Commission in their Fifth Report, section 9C provides a set of internationally accepted principles as a solid base for future regulation.
- ItemAspects of the economics of water management in urban settings in South Africa, with a focus on Cape Town(Stellenbosch : Stellenbosch University, 2012-03) Jansen, Ada Isobel; Van der Berg, Servaas; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH ABSTRACT: Concerns about the sufficiency of freshwater supplies and the impact of water shortages have placed sustainable water management on the global agenda. This is particularly relevant in South Africa, a country with precipitation rates well below the global average and water resources that have become highly polluted. The scarcity of water for consumption use and of unpolluted water bodies as recreational and environmental good highlights the need for an economic analysis of these issues. This dissertation investigates some economic aspects of water management in the South African context in two distinctive parts. Part One (Chapters 2 to 5) aims to provide an understanding of urban water demand and analyses water pricing as demand management tool. Part Two (Chapters 6 and 7) analyses the values people attach to water resources for recreational and environmental purposes. Quantitative methodological approaches are predominantly used to inform an economic perspective on water demand management. The extent of water scarcity is discussed in Chapter Two. South Africa is approaching physical water scarcity, but many poor households do not yet have access to water and basic sanitation facilities, i.e. there is also economic water scarcity. Given this background, Chapter Three focuses on water demand management as part of an integrated water management approach. The role of water prices is discussed, in particular the Increasing Block Tariff (IBT) structure which is predominantly used in South Africa. Chapter Four estimates the price elasticity of demand for water using household water consumption records obtained from the City of Cape Town (CCT). A distinctive feature of this case study is a survey undertaken to collect household information on demographic and water-use characteristics, as water databases are severely lacking in South Africa. The results show water demand to be mostly price inelastic, which concurs with findings from international empirical literature. Furthermore, higher-income households are found to be more sensitive to price changes, thus some reduction in water consumption can be achieved by increasing marginal prices at the upper end of the IBT structure. Chapter Five analyses the IBT structure as a redistributive tool. Particular attention is given to the Free Basic Water policy of South Africa, which allows each household to receive six kilolitres of water free per month. Empirical modelling indicates that the IBT structure in its current form holds limited benefits for the poor, given the state of service delivery in South Africa: the lack of access to the water network prevents the poorest households from being the recipients of the cross-subsidisation occurring in an IBT structure. Part Two studies urban water resources as recreational and environmental goods. The literature review of environmental valuation techniques in Chapter Six places particular emphasis on the Contingent Valuation Method. This method is applied in Chapter Seven, where the value of improving the environmental quality of a freshwater urban lake is analysed in a middle- to low-income urban area. Another survey was undertaken specifically for this purpose of gauging the willingness to pay for improved recreational facilities and water quality of Zeekoevlei. The results show that low-income households do attach value to urban environmental goods, a result which adds to our knowledge of willingness to pay for environmental goods in developing countries.
- ItemAssessing cartel detection and damages in simulated markets : a comparative study of econometric and machine learning approaches(Stellenbosch : Stellenbosch University, 2024-03) Visser, Amy Sharon; Boshoff, Willem; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH SUMMARY: Collusion among firms, with the intent to artificially elevate prices, has far-reaching implications for market competition and consumer welfare. This thesis explores the detection of structural breaks in simulated price data under collusion, and their subsequent impact on damage estimation. This contribution is significant in the field of competition economics as it allows for consideration of the implications for econometric methods aimed at identifying and measuring collusive effects in the age of machine learning alternatives. A combination of econometric and machine learning approaches, including Lasso regression, random forest regression and classification, logistic regression, and Bai-Perron structural break testing are rigorously examined against four distinct data generating processes simulated to mimic the behaviours of cartels observed in the market. These include a deterministic switch data generating process, a recurrent switch data generating process, a phased switch data generating process, and a Markov-switching data generating process. The study reveals that the Lasso model consistently outperforms the other methods in estimating structural breaks, demonstrating superior performance in identifying cartel and competitive pricing behaviours across the different linear data generating processes. Conversely, the Bai-Perron test exhibits the poorest performance, particularly in Phase and Markov-switching transitions, highlighting its limitations in capturing nuanced structural changes. Furthermore, damage estimation was performed using dummy variables generated by each of the models. All of the empirical models perform relatively well in capturing damages, with the exception of the Bai-Perron model when applied to the phase and Markov-switching data generating processes, further emphasising its limited utility in detecting nuanced switching mechanisms in pricing behaviour. To enhance the analysis, damage estimation was alternatively conducted by predicting movements in the price variable for the Lasso and random forest models. These modifications revealed slight discrepancies in damage predictions, with the Lasso model overpredicting and the random forest model underpredicting damages. Nevertheless, both models remain highly accurate in capturing the economic impact of structural changes in competitive pricing. This research contributes to the field of competition economics by providing a comprehensive analysis of structural break detection and damage estimation methodologies, ultimately demonstrating the practical advantages of the Lasso regression model when applied to linear pricing models. These findings offer valuable insights for policymakers and analysts seeking to better understand and address changes in competitive market dynamics.
- ItemAssessing the economic impact of road traffic injuries on privately insured healthcare recipients in South Africa during the covid-19 pandemic(Stellenbosch : Stellenbosch University, 2024-03) Mboko, Lewis Tendai; Sophia, du Plessis; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH SUMMARY: Background: Road Traffic Injuries (RTIs) are a global public health problem, with around 1.3 million deaths annually. According to the World Health Organisation (2020), road traffic injuries are the 10th leading cause of death in upper-middle-income countries and constitute one of the five major diseases and conditions with the highest mortality and morbidity in South Africa (Mabuza, Titus and Adeniji, 2020). Cost of Injury (COI) studies are essential to estimate the burden of injuries and are good guides for policymaking, priority setting, and public health management. However, a few COI studies have been conducted in low- and middle-income countries, even though more than 85% of injuries and death happen in the developing world (Wijnen, 2021). South Africa is not an exception to the lack of sufficient studies to assess the socioeconomic impact of road traffic crashes. The lack of studies makes it difficult to assess the cost-effectiveness of prevention methods, resulting in a lack of comprehension of the problem's scope. Aim: This study aimed to comprehensively assess the economic burden of road traffic injuries in South Africa by incorporating both direct medical costs and indirect costs from a healthcare system perspective in the private sector. Methods: Employing a retrospective Cost of Illness (COI) approach, the study evaluated the direct medical costs of road traffic injuries among BestMed-insured patients involved in accidents during 2020 and 2021. Furthermore, Indirect costs, including productivity loss and long-term healthcare expenses, were estimated using data from previous studies. Detailed claims information was utilized to track patient treatment costs specifically related to the respective accidents. Results: The average medical direct cost for treating a single road traffic injury in the study cohort was R58 964 ($3211), equivalent to 588% of South Africa's health expenditure per capita and 50.7% of the average Gross Domestic Product (GDP) per capita. Incorporating indirect costs substantially increased the economic burden of RTIs. The average indirect cost per crash stood at R 196,699 ($11,015). Factors such as gender, comorbidities, complications, hospital stay duration, and Major Diagnostic Categories (MDCs) significantly influenced injury costs. Conclusion: South Africa's average cost of treating road traffic injuries is significantly higher than the country's healthcare expenditure per capita. Cost of Injury analyses, stratification of costs, and employing regression models with accurate cost data provides a better understanding of the overall economic burden of road traffic injuries in South Africa. Placing a financial value on the tangible and intangible losses attributed to road traffic crashes makes the need for immediate and far-reaching intervention clear to policymakers and decision-makers.
- ItemAssessing the validity of the Structure, Conduct and Performance paradigm as theoretical framework for the application of competition policy in the long-term insurance sector of South Africa(Stellenbosch : Stellenbosch University, 2001-12) Blaauw, Petrus Arnoldus; Theron, N. M.; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH ABSTRACT: In the recent past the industrialised world bore witness to staggering growth in the secondary and tertiary sectors of the economy. In the face of this growth process economic theory had to confront new challenges in explaining and interpreting economic phenomena. The complex nature of inter- and intra-firm relationships forced a pragmatic stance on policy makers to ensure that all actions are efficient and competitive. Two prominent schools of thought with contradictory viewpoints emerged. The Structuralists built upon the foundations laid by Bain (1951) and Mason (1939). This implied a theoretical framework, namely the Structure, Conduct and Perofrmance paradigm (SCP paradigm) that could be used to explain inter- and intra-firm relations according to a simple forward causality argument. The Structuralists' interpretation of the SCP paradigm provides strong support for the implementation of deconcentration measures by competition authorities. The Chicago School, however, developed a counter-argument inspired by Demsetz's (1973) efficiency hypothesis. According to them, causality is reversed and deconcentration measures are used at the expense of the most efficient firms. The thesis aims to study these contradictory arguments as well as their evolution in South Africa. Various researchers in South Africa have built on the arguments of the Structuralists and the Chicagoans regarding the manufacturing sector. The theoretical methods implemented by them will be applied to the long-term insurance industry to assess the validity of the SCP paradigm as a theoretical framework for the application of competition policy.
- ItemThe assessment and improvement of the health status of vulnerable and low income individuals in South Africa: an analysis using quantitative and experimental methods(Stellenbosch : Stellenbosch University, 2016-12) Rossouw, Laura; Burger, Ronelle; Van der Berg, Servaas; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH SUMMARY : More than two decades after the end of apartheid, inequalities in health across socioeconomic subgroups are still a pervasive and persistent trend. South Africa also faces a high burden of disease which is disproportionate to its level of economic development. This dissertation contains three chapters on the contribution of demand-side factors to South Africa’s health burden, focusing on the health perceptions and eventual health choices of vulnerable individuals. Vulnerable individuals assessed in this dissertation include the income and wealth poor and, in particular, women living in low-resource areas with limited access to sexual and reproductive health services. Evidence is provided on innovative interventions aimed at improving the health-seeking behaviour and health outcomes of these individuals. Chapter two of the dissertation calculates the impact of reporting differences on the accurate measurement of health inequalities by wealth status. The analysis is performed by benchmarking the reporting behaviour of individuals using anchoring vignettes. A statistically significant difference in the reporting behaviour by wealth status is found, which will lead to an underestimation of health inequalities to the disadvantage of the poor. Chapter three explains how a package intervention to improve the health-seeking behaviour of pregnant women living in a low-resource area in the Western Cape was designed, implemented and tested. The results from a randomized controlled trial show that a community health worker programme and an incentive jointly led to a statistically significant improvement in the timing and frequency of antenatal care-seeking behaviour. The impact of the intervention on behaviour change is explored by measuring differences in the preferences for care. This heterogeneity in preferences for antenatal care is measured by looking at differences in time preferences and prioritization. The intervention also led to a statistically significant reduction in maternal depressive symptoms and a statistically significant improvement in the intention to exclusively breastfeed for six months. Lastly, the fourth chapter considers the cost-efficiency of two alternative approaches to providing women with better access to urine pregnancy tests. Even though having access to these tests have been linked to improved timing of healthcare-seeking behaviour, the availability and acceptability of test distribution at public health facilities is of poor quality. Two approaches, namely distribution at a mobile health facility and door-to-door distribution, are compared. Door-to-door distribution is found to be a more cost-effective approach. The dissertation is aimed at establishing a better understanding of the demand-side of health, the factors driving health-seeking behaviour and the factors affecting health reporting.
- ItemAn assessment of malaria prevention, diagnosis and treatment services in Uganda(Stellenbosch : Stellenbosch University, 2022-04) Kimbugwe, Hassan; Burger, Ronelle; Matovu, Fred; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH SUMMARY: Government, donor partners, and the private sector invest large amounts of financial resources annually in malaria prevention and care. Despite substantial spending on malaria prevention programmes by 2019/2020, the disease still accounted for 13.3% Uganda's mortality, as well as 29.8% of outpatient visits and 34.9% of inpatient admissions. To combat malaria more effectively, it is critical to understand whether these substantial investments in malaria prevention and care reach those who are most vulnerable to malaria, and whether approved malaria diagnosis and treatment protocols are followed diligently. This PhD was thus structured to consider three distinct but related issues: (i) the equity of bed net use and ownership in 2009 and 2014, (ii) the uptake of malaria prophylaxis amongst pregnant women, and (iii) the relationship between financial incentives and appropriate malaria diagnosis and case management. The first essay examines the equity in access to and utilisation of bed nets in 2009 and 2014. It was found that the availability of bed nets increased over time. Access to and use of bed nets became more equitable, with higher levels of access and use amongst poorer households. Households with access to at least one bed net rose from 59.2% to 94.1%. The percentage of households who slept under bed nets increased from 51.8% to 72.6%. The percentage of children under five years who slept under bed nets increased from 45.8% to 81.5%. The percentage of pregnant women who slept under bed nets increased from 78.6% to 83.8%. Through recentered influence functions (RIF) decomposition method, the study examined whether the demographic factors were associated with the relationship between the wealth index and bed net utilisation in 2009 and 2014. Results suggest that in 2009, place of residence, number of nets in a household, mother’s education level, region and household size were associated with the relationship between wealth index and bed net utilisation. In 2014, age of household members, and mother’s education level were associated with the relationship between the wealth index and bed net utilisation. In both years having a mother with at least primary level of education was vital in promoting bed net utilisation. The results further indicate that younger household members, women, household members from the northern region, household members from the poorest wealth quintile, mothers with a post-secondary education, and households with more bed nets and few members were more likely to sleep under bed nets in 2014. The second essay reviews factors associated with uptake of intermittent preventive treatment (IPT) of three doses of Sulfadoxine-pyrimethamine (SP) (IPT-SP3) during pregnancy. The analysis indicated a double and notable improvement in uptake over time, from 9.91% in 2011 to 17.89% in 2016. However, the uptake was still far below the 79% target of Uganda’s Health Sector Strategic Plan (Uganda Ministry of Health (MoH) 2014). Results showed that uptake was higher amongst younger women (under the age of 25 years) than older women (above the age of 34 years), higher amongst women who attended their first antenatal care (ANC) visit early (during the first trimester) than those who attended later (during the third trimester), higher amongst women from the upper wealth quintile than women from the poorest quintile, and higher amongst women from the northern region of Uganda than among women from the central region. Results also indicated that uptake of IPT-SP3 was lower amongst women from the western region than women from the central region. Findings from the pooled model (unrestricted) indicate that the relationship between IPT-SP3 and the covariates in the two different time period (2011 and 2016) have not changed. The third and final essay focuses on the relationship between financial incentives and the likelihood of private providers adhering to national guidelines on malaria diagnosis and dispensing practices. The specific concern is that volume or revenue-based staff remuneration may provide a strong incentive for provision of malaria drugs to patients who have not yet tested for malaria. This tension is observed in a subsample where facilities do not have malaria testing capabilities and only sell malaria treatment and staff are paid based on the volume of drugs sold or the revenue. The results suggest that the private healthcare providers who receive salaries are more likely to adhere to malaria treatment protocols. Descriptive findings indicate significant variations between drug-shop attendants and other private healthcare providers with regard to malaria diagnosis, antimalarial dispensing practices, and adhering to malaria treatment procedure.
- ItemBalance sheet policies and financial stability : central banking reimagined(Stellenbosch : Stellenbosch University, 2016-12) Van Lill, Dawid Johannes; Du Plessis, Stan, 1972-; Reid, Monique B.; Liu, Guangling; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH SUMMARY : Balance sheet policies have become the primary policy lever of several central banks in the wake of the international financial crisis. However, with inflated central bank balance sheets, and global economic conditions returning to normal, the future of balance sheet policies needs to be considered. In this thesis I aimed to define a role for balance sheet policies in the monetary policy toolkit, especially with regard to financial stability. First, I developed an explicit definition of balance sheet policies and their channels of transmission to help resolve the confusion clearly visible in the academic literature and popular media. Second, I explored the changing nature of central bank operational frameworks, which identifies several new regimes. Third, I developed a dynamic general equilibrium model that implements supply-side financial frictions and the salient features of balance sheet policies. My first empirical chapter employed a time-varying parameter vector autoregressive (TVPVAR) model to establish the nature of the relationship between central bank liabilities and the overnight policy rate. Four countries with different monetary policy regimes were considered. It was found that a clear negative relationship between these variables exists only in the case of one regime, namely the reserve regime. This result indicates that the introduction of new operational frameworks for central banks have challenged the traditional model of monetary policy implementation. The practical implication of the decoupling of interest rates from reserves is that central bank balance sheets potentially can be used alongside conventional interest rate policy. In the last two chapters of the thesis a dynamic general equilibrium model was developed, equipped with a heterogeneous banking sector, endogenous default and collateralised lending on the part of the central bank. Within this framework, changes along the dimensions of size and composition of the central bank’s balance sheet were integrated. Increasing the size in this model significantly contributed to financial stability. However, when used in conjunction with interest rate policy, it could cause conflicting effects. Changes in its composition establish local supply effects, which means that long-term interest rates are depressed, an explicit goal of many asset purchase programmes. Changing the composition has an impact beyond that for the change in size, relaxing borrowing conditions even more than a pure injection of liquidity.
- ItemBamboo shoots : Asian migration, trade and business networks in South Africa(Bureau for Economic Research, 2018) Kerby, E.Interconnected business and trade routes, or “bamboo networks” have long been recognised as engines of growth in Asia. However, as Asian migration expands to Africa, what are their impact? This paper examines the links between trade flows and Taiwanese migration in South Africa from 1975 to 1995. Constructing a bilateral trade series from novel declassified migration and trade data, two aspects of the change in trade are quantified: Firstly, how did international trade change during sanctions, vis-à-vis South Africa and its largest OECD trading partners? Secondly, using migration data, I examine the extent to which the 1975 immigration of Taiwanese investors to South Africa could have increased and diversified trade between the two countries through their investment. Three years after the lifting of sanctions, the share of South African exports to Taiwan was both greater, but importantly more diversified in the sectors in which migrants invested. Using archival accounts, I discuss the possible processes through which these changes to trade could have occurred. Known as the migrant-trade effect, the results suggest that Taiwanese entrepreneurs increased trade by forming business networks and supply chains linking them to Asian markets.
- ItemBargaining competition and vertical mergers(Stellenbosch : Stellenbosch University, 2022-04) Minnie, Roan Johan; Boshoff, Willem Hendrik; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH SUMMARY: Vertically related markets and vertical mergers are complex systems that comprise a number of distinct features. The modelling of such complex systems involves several modelling choices that affect the predicted model outcomes. We rely on simulation-based methods to consider how choices of key model parameters, assumptions and industry structures map onto competitive outcomes in vertically related markets and for vertical mergers. Our simulation results can help guide practitioners in selecting models that best characterise the features of a given vertical relationship, especially since assumptions that distinguish the models from one another — how and over what parties bargain — are typically not observed. In particular, this dissertation studies vertically related markets and vertical mergers along three dimensions. Firstly, we focus on comparing alternative models of vertical competition, based on different assumptions regarding the nature and object of vertical contracting. As far as the nature of vertical contracting is concerned, models may assume upstream and downstream firms reaching agreement through take-it-or-leave-it offers, bargaining or recursive bargaining. As far as the object of vertical contracting is concerned, models may assume vertical contracting is over linear prices (a marginal wholesale price) or two-part prices (a marginal wholesale price and a fixed f ee). We systematically compare the corpus of models of vertically related markets across two simple industry structures (‘1 _ 2’, one upstream and two downstream firms; and ‘2_1’, two upstream and one downstream firm) to allow direct comparisons. Our comparisons show that in a linear pricing setting, a modelling choice between bargaining and recursive bargaining is irrelevant to the outcome. In two-part pricing, however, bargaining leads to a more competitive outcome than the joint profit maximising outcome under recursive bargaining. Secondly, we study and compare models for vertical merger analysis, in order to investigate how assumptions regarding vertical contracting map onto observable merger effects. We also examine the extent to which predictions from models of vertical mergers are robust to different specifications of substitutability. In particular, we compare models calibrated to an increasing aggregate elasticity (i.e. the substitutability of the inside goods with the outside good) with models calibrated to the nest strength parameter of the demand function. Our results show that the predicted merger effects from different models are consistent for the two measures of substitutability. The results also illustrate that modelling choices such as the specification of the industry structure or object and nature of vertical contracting that determined outcomes in the pre-merger world, can also predetermine post-merger outcomes. Lastly, we introduce a vertical merger simulator tool to allow an assessment of vertical merger scenarios in practice. We illustrate the utility of the simulator as a screening tool by reference to a number of examples reflecting modelling choices often faced by practitioners. In this regard, we illustrate three examples where the exogenous variables of interest are the marginal cost of the upstream firm and downstream firms, the market shares and the prices of the downstream firms respectively. We compare the simulator to incentive scoring methods (comprising of various upward pricing pressure indices), which have received extensive attention in literature and policy circles as a screening tool for merger effects, including for vertical mergers. While direct comparisons are challenging, it is evident that the data requirements of our vertical merger simulator are not particularly onerous compared to those of incentive scoring indices. The simulator offers the additional benefit of full equilibrium analysis, compared to the partial equilibrium focus of incentive scoring methods. We conclude that the simulator can be a useful complementary tool for vertical merger screening.
- ItemBarriers to private housing development in townships in the Western Cape(Stellenbosch : Stellenbosch University, 2013-12) Helsby, Claire Margaret; Essop, Hassan; Stellenbosch University. Faculty of Economic & Management Sciences. Dept. of Economics.ENGLISH SUMMARY : Since 1994, the focus of the South African government on subsidy housing has resulted in 2.3 million housing units being built. But despite this achievement, the official housing backlog figure in 2010 was a considerable 2.1 million housing units. With government’s focus on subsidy housing, little development has occurred in the gap market (households who earn between R3 500 and R16 000 per month). The gap market is households who can, to some extent, provide for their own housing needs. However, there is a shortage of housing supply in this segment of the market, so even if households can afford to purchase a house, there is no such house available. The problem is further exacerbated in the Western Cape due to high land values. This research highlights that more affordable land, suitable for affordable housing development, is available in the townships of the Western Cape. Private development in the township and affordable market, is still, however, insignificant compared to the government subsidy market. This study therefore investigates the reasons why developers choose not to develop within the gap market in the township/affordable areas. The findings revealed that developers avoided development in the township/affordable market due to five encompassing barriers, namely: land, finance, government inefficiencies, thin profit margins and the risky township/affordable market environment.
- ItemThe Bass diffusion model for communication technology globally and the economic factors that influence it(Stellenbosch : Stellenbosch University, 2019-04) Boucher, Bradley; Rankin, Neil; Stellenbosch University. Faculty of Economic and Management Sciences. Dept. of Economics.ENGLISH SUMMARY : Globally over the period 1995 to 2015 there has been an increase in the everyday use of mobile phones and the associated technologies that come with it, but this has led to a digital divide in skill and access levels to these technologies between developed and developing countries. This paper looks to expand on previous research as to the cause and pattern of the adoption rates for mobile users which is used to provide people with access to cellular technologies such as mobile voice communications, sms and internet services. A view of the adoption rate of internet usage will also be analysed in order to have a secondary technology to compare against. It was found that the percentage of the total population that is older than 14 increases the rate of adoption and generational changes in the underlying technology led to a decrease in adoption rates. It was also found that while the wealth of a country is useful for predicting the initial level of adoption rates, it was a poor predictor with regards to year on year changes in adoption rates.
- ItemBehoeftes en waardes van kleurlingvroue ten opsigte van behuisingsomstandighede(Stellenbosch : Stellenbosch University, 1980) Van Wyk, Anna Sophia; Bekker, S. B.; Stellenbosch University. Faculty of Economic and Management Sciences. Department of Economics.AFRIKAANSE OPSOMMING: As gevolg van die geweldige behuisingstekort onder Kleurlinge in Wes-Kaapland en 'n toenemende ontplooing van Staatsprogramme ten opsigte van die beskikbaarstelling van behuising vir minder gegoede groepe, is kennis van beide die huidige behuisingsopset, asook die behoeftes en waardeoriëntasies van inwoners van hierdie skemas uiters noodsaaklik vir toekomstige beplanning, voorkoming van foutiewe optrede, asook die daarstelling van 'n evolusionêre samelewing en dus die suksesvolle uitvoering van die Regering se behuisingsbeleid.
- ItemBelastingoorwegings om in gedagte te hou by samesmeltings en oornames van Suid-Afrikaanse maatskappye(Stellenbosch : Stellenbosch University, 2000-12) De Bruin, Magdalena Maria; Van Schalkwyk, C. J.; Stellenbosch University. Faculty of Economic & Management Sciences. Dept. of Economics.ENGLISH ABSTRACT: TAX CONSIDERATIONS OF MERGERS AND ACQUISITIONS During the past few years the South African business environment experienced a considerable increase in corporate mergers and acquisitions. At a corporate tax rate of thirty per cent, the tax implications of mergers and acquisitions have an important impact on the financial success thereof. By way of background information, a short exposition of the characteristics, the various forms and the reasons for the increase, of mergers and acquisitions is provided. Essentially a merger or acquisition entails the acquisition of either the business of, or the shares in, the target company. A comparison is drawn between the tax consequences of the above two options for both parties to mergers and acquisitions. The composition of the purchase price payable by an acquiring company in respect of the acquisition of the target company's business or shares may have far reaching tax consequences. Consequently, the most commonly used arrangements relating to payment of the purchase price are scrutinized from a tax point of view. The bulk of the study consists of an analysis of particular aspects of mergers and acquisitions, which may, depending on how a particular transaction is structured, result in important tax benefits. The analysis is directed towards, firstly, establishing the tax consequences arising from mergers and acquisitions and, secondly, suggesting tax efficient structuring methods or alerting against structuring options that may have detrimental tax results. Some of the proposed tax structuring techniques have tax efficient results for one party to the merger or acquisition, but result in corresponding negative tax effects for the other. There are, however, opportunities to structure a tax efficient transaction in such a way to ensure that both parties share in the tax benefit. lt is even possible to, in respect of certain aspects of mergers and acquisitions, achieve a tax efficient result for both parties to the transaction without any commensurate disadvantage, or without them having to share the benefits thereof. lt is important to evaluate tax planning strategies against the general antiavoidance measures contained in the doctrine of substance over form and in tax legislation. Consequently, in the final analysis, the applicability of the antiavoidance measures to the tax planning strategies proposed in this study, is considered.
- ItemBeplanning van die verstedeliking van die Kleurlinggroep in Wes-Kaapland met spesiale verwysing na die Weskus(Stellenbosch : Stellenbosch University, 1976) Pienaar, W. P; Page, D.; Stellenbosch University. Faculty of Economics and Management Sciences. Department of Economics.ENGLISH ABSTRACT: Please see full text