I would also like to thank Mr Steel and Ms Marieanna Ie Roux for their invaluable contribution to the statistical analysis of the data. My appreciation to the women who participated in this project, for making time their already busy schedules. A special word of thanks goes to my mother Jo, my husband Albert, my son Jandre and my daughter Albe for their support and encouragement and for sacrificing time with me. The fInancial assistance the University Scholarship Committee of the University of Cape Town is hereby gratefully acknowledged.