Ounongo Repository

Ounongo means “knowledge” in the Oshiwambo and Otjiherero languages.

The Ounongo Repository (OR) is the institutional repository of Namibia University of Science and Technology.

The OR is administered by the Library, with technical assistance from DTBS, and its aim is to collect, organize, manage, store, preserve, publish and make accessible worldwide, the knowledge assets or intellectual output of the University's researchers, staff and post-graduate students.

Users may set up RSS feeds to be alerted to new content.

Recent Submissions

  • Item type:Item,
    A community-based model for cervical cancer prevention in Ohangwena and Kavango west regions, Namibia.
    (Namibia University of Science and Technology, 2026-04) Elizabeth Kaleinasho Ndakukamo
    Background Cervical cancer remains one of the leading causes of cancer related morbidity and mortality among women in Namibia, particularly in rural settings where access to preventive and screening services is limited. Despite national efforts through the Ministry of Health and Social Services to implement the Cervical Cancer Prevention and Control Policy in 2018, service uptake remains low due to social, behavioural, and systemic constraints. This study sought to develop a community-based prevention model for cervical cancer management that integrates community empowerment, health system responsiveness, as well as policy support to strengthen cervical cancer prevention in the Ohangwena and Kavango West regions of Namibia. Methods The study adopted an inductive theory-generating design. Moreover, it was implemented in three sequential phases, adopting a multi-method approach. Phase I entailed a quantitative cross-sectional survey that assessed community members’ knowledge, attitudes, as well as practices regarding cervical cancer prevention. Phase II and III employed an exploratory design to explore women’s health-seeking behaviour that influences the uptake of prevention services, moreover, to examine health system constraints in cervical cancer prevention. Furthermore, data was collected through structured questionnaires, focus group discussions and in-depth interviews, and analysed employing SPSS v29 and ATLAS.ti v23. Findings across the three phases were synthesised to generate key concepts, relationships, and propositions that informed the development of the community-based prevention model for cervical cancer management. Results The study revealed substantial gaps in knowledge and preventive practices of rural communities despite generally positive attitudes toward cervical cancer screening. More importantly, misconceptions, fear of positive results, as well as limited male involvement were prominent impediments to health-seeking behaviour. Furthermore, system-level constraints, including inadequate infrastructure, stock-outs of screening supplies, limited trained personnel, and weak referral systems, further impeded programme effectiveness. However, strong community leadership structures, peer support networks, as well as increasing awareness of women’s health rights emerged as critical facilitators of change. The integration of these findings led to the conceptualisation of a six-component model grounded in policy and financing, research, decentralized governance, equitable and integrated care, capacity building, resilience, and supply chain management, all linked by facilitators such as people-centred care, community empowerment, partnership, and advocacy. Conclusion: This study concludes that achieving a cervical-cancer-free Namibia requires coordinated initiatives that merge community engagement with systemic reform. Moreover, while policy frameworks exist, their translation into context-specific and community-driven interventions remains limited. More importantly, the proposed community-based prevention model provides a practical and adaptable framework for guiding programme design, implementation, as well as evaluation of cervical cancer prevention initiatives in rural Namibia. It emphasises empowerment, inclusivity, and sustainability, offering policymakers and practitioners an avenue to enhance early detection, improve service utilisation, and ultimately reduce cervical cancer growth.
  • Item type:Item,
    Community-based model for improving well-being and care of older persons in Namibia
    (Namibia university of science and technology, 2026-04) Haufiku-Weyulu, Mouyelele Tuyeimo
    Introduction/background: Population ageing is accelerating globally and in Namibia, where formal family support structures are increasingly under strain. Strengthened community-based care services (CBCS) are, therefore, essential for sustaining the health and social well-being of older persons. However, in this regard, empirical evidence from low- and middle-income countries (LMICs) remains fragmented and limited, hindering policy and service development. This study addressed these gaps through a programme of work culminating in the Namibia Community-Based Model for Improving the Well-Being and Care of Older Persons, which incorporates individual, social, health-system and structural determinants. This study was achieved through five objectives: it mapped existing CBCS approaches, examined older persons’ awareness and attitudes towards old-age homes; assessed the readiness of old age homes; profiled the prevailing health status and social living conditions of Namibian older persons aged 60 years and above; and developed the model for improving the well-being and care of Namibian older persons. Methodology: A multi-method approach was utilised. For Objective 1, a scoping review was conducted in accordance with the 2022 Joanna Briggs Institute Manual for Evidence Synthesis. The review employed Rayyan for screening, de-duplication, and reporting, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. For Objective 2, a mixed-methods, cross-sectional survey was conducted among community and old age home residents (≥60 years) across three regions. Quantitative analyses were performed using the Statistical Package for the Social Sciences, Version 30 (SPSS v30), (α = 0.05), whereas qualitative interviews with key informants were manually analysed thematically. Objective 3 entailed a structured checklist assessment of six old-age homes in the Khomas and Hardap regions (four private and two public); none were found in the Ohangwena region. The facilities were evaluated to compare the bed capacity, staffing, infrastructure, emergency readiness, and accessibility. For Objective 4, the results were informed by the cross-sectional survey administered to 304 older persons in communities and old-age homes. Correlation analyses and binary logistic regression were employed to examine the relationships between health outcomes and sociodemographic, regional, and service utilisation variables (α = 0.05). Insights from all four objectives informed the fifth objective, which was to develop a community-based model for Namibia to improve the well-being and care of older persons. Results: Objective 1 (scoping review). Twenty-two articles met the inclusion criteria. LMICs face systemic constraints in establishing comprehensive and sustainable frameworks for older-age support, including inadequate pensions, a scarcity of trained geriatric providers, and reliance on informal caregiving, all amidst the context of under-resourced primary care and residential services. Households with older members require additional income to sustain living standards comparable to those of households without older persons. The review emphasises the importance of CBCS, aligning with aspirations for ageing in place. Objective 2 (awareness and attitudes). Preferences indicated a marginal overall difference between remaining in the community and moving to old-age homes, with statistically significant associations between living arrangements, educational attainment, and the number of dependents to preferences for living places (P < 0.001). Qualitative data highlighted pension misuse, transportation barriers to vii healthcare, and caregiver burdens. The study notably integrates quantitative and qualitative perspectives in Namibia, highlighting the viewpoints of caregivers and community leaders and demonstrating the need for targeted awareness, caregiver training, and the expansion of affordable, well-equipped old age homes for older persons. Objective 3 (old age homes capacity and preparedness). The correlation between the bed capacity and occupancy displayed a near-perfect linear relationship (R²≈0.98; ŷ=−4.29+1.06x), indicating operation at or near full capacity, with some residences experiencing over-capacity. Private facilities consistently outperformed public ones in terms of staff, age-friendly amenities, service infrastructure, and emergency preparedness, although they were more expensive. The improvement requirements ranged significantly: public old age homes required extreme renovations/service gap remediation, whilst private homes needed either routine maintenance or medium-priority upgrades. Objective 4 (health status and social living conditions). Among 304 older persons, the predominant diagnoses were musculoskeletal disorders (179; 58.9%) and hypertension (176; 57.9%); about 60% of older persons relied heavily on daily medication. Numerous older persons reported positive residential satisfaction, comfort and safety; nevertheless, loneliness/isolation, financial hardship, and transport difficulties were common. Logistic regression revealed lower odds of current illness and perceived loss of independence among residents of old-age homes compared to their community counterparts (p < 0.05), after accounting for covariates. Objective 5 (Model synthesis). The Namibia Community-Based Model was developed. According to the panel validation results, the model achieved ≥80% agreement across all five Chin and Kramer criteria for model validation (clarity, simplicity, generality, accessibility, and importance), thereby demonstrating high agreement and acceptable validity. It positions older persons within interlocking concepts: individual/biological and health factors, social and community environments, health and care services and institutional/structural enablers. It prioritises caregiver support and professionalisation, as well as decentralised, regulated, and equitably paid long-term care, integrated chronic disease management and screening, and multi-sector collaboration across various sectors. Implementation can be done in phases/stages rather than strictly sequentially, with continuous monitoring and refinement. Conclusion: This study demonstrates that Namibia’s rapidly ageing population faces simultaneous challenges, including multimorbidity and medication dependence, limited household resources, inconsistent service capacity, and significant disparities in quality and accessibility between public and private old-age homes, as well as social barriers such as loneliness and restricted access to transportation. Although older persons often prefer to remain in their preferred home or community setting, this preference varies depending on several factors, including education, family obligations, and the availability of support. Strengthening community-based approaches and services through public awareness, caregiver training and support, enhancing geriatric competencies, providing accessible and age-friendly services, integrating chronic care, and ensuring equitable financing and regulation of residential alternatives are both urgent and feasible. The proposed model offers a practical, evidence-based framework to inform policy and practice, thereby enhancing the dignity, autonomy, and quality of life for older Namibians.
  • Item type:Item,
    A doctrinal analysis on enforcement mechanisms and compliance challenges in African continental free trade area: Transport services regulatory framework
    (Research in Business & Social Science, 2026) Nweke, Ogochukwu Chidiebere; Iipumbu, Vistorina; Petrus, Helvi Ndilimeke; Mabuku, Kennedy K
    The purpose of this study was to evaluate the enforcement mechanisms and compliance challenges in Africa’s Continental Trade Regime. This study employed the qualitative doctrinal and policy research design to explore the issue of the enforcement of transport services regulatory matters within the context of the African Continental Free Trade Area (AfCFTA). The study adopted a doctrinal analysis of the AfCFTA instruments with a combination of thematic policy reviews; hence, it relied exclusively on secondary qualitative data obtained from authoritative legal and institutional sources. Primary data sources and materials comprise the AfCFTA Agreement, Protocol on Trade in Services, the Dispute Settlement Protocol, and relevant annexes that govern regulatory cooperation, market access, and nontariff barriers. The data collection procedure involved a systematic desk review and thematic analysis for qualitative studies to analyse the data. The review shows four main enforcement mechanisms of the regulatory framework of transport services under the AfCFTA. These include legal obligations and notification requirements, institutional oversight by AfCFTA bodies, peer review and political accountability, and dispute settlement mechanisms are some of the most outstanding aspects of the AfCFTA Agreement. Factors including regulation fragmentation, the absence of enforcement powers, non-transparency, and restrictive market access conditions, insufficient professional standards in commonality, insecurity, and transport barriers challenges the effectiveness of enforcement mechanisms. The authors conclude that the design of the AfCFTA alone is not adequate in facilitating the opening of the transport service. The study therefore provides pragmatic measures to strengthen the institutional capacity, harmonise the regulations, and monitor compliance better. These reforms can influence the reduction of trade costs, the improvement of supply chain reliability, and the attainment of the AfCFTA's broader aim of economic integration across the continent.
  • Item type:Item,
    From Causes to Action: NUST-Institutional Research Week 27 - 30 October 2026
    (Namibia University of Science and Technology, 2026) Schulz, Stefan
    Files related to the Poster Presentation titled "From Causes to Action" by Dr. Stefan Schulz for NUST Instutional Research Week 2026.
  • Item type:Item,
    Empowering African women: An analysis of selected black female authored biographical texts in post-apartheid South Africa
    (Namibia University of Science & Technology, 2022-04-22) Hamann, Catherine
    This study examined the empowering of African women in selected black female authored biographical texts written in post-apartheid South Africa. Women in South Africa have been disadvantaged largely because of the criminal behaviour of the patriarchal male dominated society. The two texts studied were Khwezi – The Remarkable Story of Fezekile Ntsukela Kuzwayo (Tlhabi, 2017) and No Longer Whispering to Power: The Story of Thuli Madonsela (Gqubule, 2017). The texts were selected because both were written by African female authors and they address contemporary themes that affect the daily livelihoods of women. The texts also represent a true reflection of the difficult challenges encountered by most women in Africa and other parts of the world. The theories of radical feminism as well as trauma and resilience were used in the analysis of the two texts. The study concluded that it is not a waste of resources to educate the girl-child because education is the best method of empowering women. This study has also revealed that a male dominated society can go to any length to disempower women as long as they have the means. Furthermore, the study concluded that the most dehumanising manner of disempowering a woman through rape. Lastly, the study revealed that biographical writing plays a great role to empower women. The impact of literary texts written by women to represent other women serves as an inspiration because it presents real- life stories. Many women are ashamed to speak out, as a result, they suffer in silence. The stories of both Kuzwayo and Madonsela inspired many women to rise above their circumstances. Hence, women should be encouraged to speak out and report cases of rape or any case of injustices committed against them, despite criticism by society. The study recommends that the patriarchal male society should be educated on the rights of women. In addition, the girl child must be accorded the resources and given the necessary support to acquire an education. It is only when a woman is educated that a society can thrive. It is also imperative to encourage more women to write autobiographies even if someone write it on their behalf. This recommendation is an awareness strategy that can help women to share their various experiences.