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Browsing by Author "Madhuha, Edmond"

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    "The (human) body is like a car - it needs service": exploring the factors influencing the health seeking behaviors of working class men in Modimolle Town, Limpopo province
    (2017) Madhuha, Edmond
    This study is founded on the argument that the health of a population is dependent on both structural factors and human agency. Literature shows that men are generally poor at attending to their health needs as compared to women, with statistics confirming higher mortality rates and lower life expectancy among them. This research study aimed to explore the factors influencing the health seeking behaviours of black South African working class men in Modimolle Township, Limpopo Province (South Africa). The study followed a qualitative approach where semi-structured face-to-face interviews were used for data gathering. A snowball non-probability sampling technique was used to select 15 black working class men between the ages of 29 and 50 years. All the interviews were conducted and audio recorded in Modimolle Township between two residential locations. The interviews were transcribed verbatim. Thematic content analysis was employed for data analysis in which emerging themes bordered around the identities of men, their relationship to their bodies and their perceptions of health care systems. The construction of masculinities among men created multiple and varied ways to their health seeking behaviors. Men engaged in multiple practices ranging from preventive medical check-ups, the use of various types of enemas as well as the use of traditional medicines for the maintenance of their health. These practices were associated with the construction of a responsible masculinity among the participants which challenges the notion that masculinity is associated with negative health seeking behaviors among men.
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    The Persistent Health Burden: Understanding Black South African Working-Class Men’s Experiences of Living with Tuberculosis
    (University of the Witwatersrand, Johannesburg, 2024) Madhuha, Edmond; Carrasco, Lorena Nunez
    This study is the culmination of ethnographic fieldwork on black working-class men’s tuberculosis (TB) illness experiences, conducted during 2020 and 2021 in Modimolle Township, a non-mining, peri-urban community of South Africa’s Limpopo province. The study examines ways men construct masculine identities and how this provides a lens through which to understand their health-seeking behaviours when beset with TB suggestive symptoms. Men’s construction of masculine identities further helps shed light on their tuberculosis illness experiences and treatment outcomes. Tuberculosis scholarship in South Africa has justifiably focused on the impact of silicosis on men, and the subsequent oscillating labour migration as pathways through which the disease is contracted and transmitted to non-mining communities of the country and the southern African region. Men’s experiences with tuberculosis disease in non-mining communities have however received little attention in South Africa’s extensive tuberculosis research. Drawing from the African-centred theories of masculinity is a conceptualisation of men that I call masculinity in sociability. This thesis of masculinity in sociability manifests when men gather in spaces and engage in social behaviours and practices such as sharing cigarettes and beer within proximity of each other. I demonstrate that masculinity in sociability is informed by the socio-cultural values of seriti (dignity, integrity, and respect), maitshwaro (manners and conduct), and botho (humanness, ubuntu, the sum of human values), which engender a sense of belonging and community among men in specific masculinised spaces. I argue that masculinity in sociability illuminates the crucial and intricate interplay between masculinised, enclosed physical spaces and shared air as possible ways tuberculosis is contracted and transmitted among men. Considering that masculinity in practices of sociability is predominantly performed in masculinised spaces, I further argue that its manifestation concomitantly recedes when men experience TB illness in the private sphere of the home. The thesis demonstrates that men’s exposure, infection, diagnosis, and response to tuberculosis treatment are influenced by their masculinity. In contrast to the public performances of masculinity for the purposes of sociability, the vulnerabilities brought about by tuberculosis create a significant disruption in individuals’ life stories. This disruption is evident in men’s experiences of losing their sources of income and becoming dependent on the care provided by mothers and spouses, which can be experienced by men as a return to a more childlike state. From health through to the continuum of TB diagnosis and illness experience, the thesis shows that masculinity exhibits a remarkable flexibility and adaptability. The thesis contributes to our understanding of masculinities by offering a condensed perspective on how iv economically marginalised black men perceive and undergo the challenges of tuberculosis. Using metaphors, men depict TB as a debilitating and insidious illness condition which unmasks their vulnerability.

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