Chapter Four a Needs Analysis for Health Interventions – Case Study of Kayamandi
CHAPTER FOUR A NEEDS ANALYSIS FOR HEALTH INTERVENTIONS – CASE STUDY OF KAYAMANDI 4.1 Introduction In the 1980s, the WHO emphasised that health and well-being of individuals are closely connected with social, cultural, physical, economic and other factors inside living areas or towns (Burlington, 2005). Against this background, it can be assumed that individuals living and growing up in extremely impoverished settings should therefore have the greatest need for health interventions that will enhance and strengthen their health and well-being. In regard to the intervention presented in this thesis, and undertaken in a very impoverished community, a needs analysis was outlined beforehand to 1) identify prevalent risks and resources in the specific setting, 2) immure the intervention in its surrounding and 3) adequately adjust the life-orientated modules for its participants. The information for the needs analysis was drawn from regular field trips and field reports, an extensive literature review (e.g. maps, official statistics, published and unpublished articles), and photographic documentation. The methodology for the needs analysis is described in chapter 6. The following section describes the particular case of Kayamandi (translated as ‘pleasant home’) in order to highlight the social, health, security and educational infrastructures in a disadvantaged community6 in South Africa that have resulted from historic, socio-economic, as well as political processes in the country. 4.2 The History and Geographical Development of Kayamandi The town Stellenbosch is located 30 kilometres east of Cape Town in the Western Cape Province. It is the second oldest town (founded in 1679) in South Africa (Dennerlein & Adami, 2004), and historically a centre of Afrikanerdom during Apartheid in which the university played a central role in educating the Apartheid elite.
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