4. Electronic Theses and Dissertations (ETDs) - Faculties submissions

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Determinants of mortality in children younger than five years admitted with severe acute malnutrition to three hospitals in Vhembe district, Limpopo
(2024) Fakudze, Dakalo
Background: In 2014, one-third of child deaths occurring in South African hospitals were attributed to severe acute malnutrition. This study sought to determine demographic, family, socio-economic, clinical, and case-management factors contributing to mortality in severely malnourished children younger than 5 years admitted to three hospitals in Vhembe district, Limpopo, South Africa. Methods: A retrospective record review of children aged 6 to 59 months admitted with severe acute malnutrition over 30 months was conducted. Bivariable and multivariable regression analyses of determinants of mortality were undertaken. Results: Two hundred and forty-five children with severe acute malnutrition were identified. Their median (interquartile [IQR]) age was 14 (10, 18) months. The overall mortality was 26.9% (66/245). Determinants of mortality, based on the multivariable analysis, included diarrhoea on presentation (odds ratio [OR]=3.34, 95% CI 1.38, 8.10); anaemia (OR=3.30, 95% CI 1.28, 8.50]); a raised CRP (OR=9.29, 95% CI 2.81, 30.76]); and hyponatraemia (OR=6.64, 95% CI 2.70, 16.31). HIV status and a diagnosis of shock were not significant determinants of mortality. Conclusion: Severe acute malnutrition mortality was high, particularly for a high middle-income country setting. Factors that may be amenable to intervention include better management of the presenting illness, particularly diarrhea, a focus on electrolyte imbalance correction, and treatment of anemia.
Examining community participation in process evaluation of humanitarian food security projects in Matobo Zimbabwe
(University of the Witwatersrand, Johannesburg, 2023-12) Nyoni, Mbakisi
Climate change in Africa has resulted in devastating food insecurity especially among rural households in the semi-arid regions. The purpose of this research was to examine the roles of the local community in the process evaluation of the Fambidzanai Permaculture Centre food security project that is intended to improve food security in Matobo District, Ward 18. One key finding from the study is that community engagement in humanitarian interventions was key to improving community participation in community projects. The study also discovered that major constraints to community participation includes: lack of community inclusion in project design and planning stages, inadequate knowledge of project planning and management and inadequate knowledge of monitoring and evaluation
Exploring factors of food production in Mozambique and Zimbabwe (2001-2019)
(University of the Witwatersrand, Johannesburg, 2024) Ramos, Dominic Carlos; Small, Michelle
Climate change has emerged as a severe security threat which has worsened poverty, inequality and more importantly sustainable development throughout the global south. Southern African countries have been especially susceptible to climate change with severe weather patterns such as drought, land degradation, flooding and severe tropical cyclones that disproportionately affect poor communities. The effects of the impact of climate change on development and poor communities is observed with stubbornly high levels of food insecurity throughout Sub-Saharan Africa and by extension Southern Africa. Changing climates have forced farmers to undertake drastic measures to produce food for themselves and their communities with limited external support. In Mozambique and Zimbabwe alone around 3.5 million and 1.5 million subsistence and smallholder farmers respectively, are responsible for more than 70% of total food production (FAO 2011, World Bank 2019, INE 2014). This study explores the impact of climate variation and climate change on food production and food accessibility throughout Mozambique and Zimbabwe through a person-centred human security approach . The study further complements the challenges of food security by assessing the response of small-holder farmers in adapting and reacting to climate change. This study relied substantially on secondary sources such as regional reports, bulletins and journal articles alongside publications from NGOs, government departments and international organisations. The data was analysed through thematic and content analysis. The findings suggest that Mozambique and Zimbabwe remain highly vulnerable to climate change negatively affecting food insecure communities. Furthermore, while small-holder farmers have desperately undertaken various methods of adaptation they are unable to cope with extreme weather patterns. The findings underscore the necessity for interventions aimed at enabling farmers and vulnerable communities to adapt to climate change or, at the very least, mitigate its effects. This is crucial for preventing recurrent food and humanitarian crises.
Food sovereignty and the agrarian question in South Africa: Class Dynamics and Collective Agency from Below
(University of the Witwatersrand, Johannesburg, 2023) Bennie, Andrew Govan; Williams, Michelle
In South Africa – one of the most unequal countries in the world – patterns of food insecurity, hunger and malnutrition exist in conjunction with a dominant agro-food system that is highly modernised, commercialised and globally integrated, and includes a deeply unequal agrarian structure. Globally, there has been an upsurge in movement organising around the ecological and social impacts of the corporate food system. One of the most prominent political responses has been the food sovereignty movement. The politics of food sovereignty, however, is ultimately grounded and constituted in situated national and local contexts. The research for this thesis therefore sought to understand the nature of civil society organising from below in South Africa in response to the various inequalities of the agro-food system (the ‘food movement’), with which the global discourse and practice of food sovereignty articulates. I therefore argue that there is an emergent ‘food movement’ in South Africa whose character (and limits) reflects its construction through historical and ongoing conjunctural, contingent and contextual relationships between the agrarian and national questions, political struggles under national oppression, and the social, economic and ecological contradictions of national liberation in the post-apartheid order. The thesis is grounded in the conceptual frame of the agrarian question, a critical agrarian political economy approach that has principally been concerned with the relationship between agriculture and capitalism, the class relations within agriculture, and the associated politics arising out of the agrarian question. It is situated in the agrarian debate on food sovereignty, broadly construed as that between ‘agrarian populism’ and ‘agrarian Marxism’. It adopts a materialist analysis that is combined with historical and political specificity, open to the ways in which political agency is an important factor shaping the course of agrarian change. The research adopted a qualitative approach framed by Michael Burawoy’s extended case study method combined with elements of Gillian Hart’s method of relational comparison. Data was gathered primarily through an analysis of secondary and primary literature, extensive interviews, participant observation, and two case studies. To understand the terrain of food organising from below, the thesis examines the historically conjunctural, contingent and contextual processes that both underpinned the formation of the dominant agro-food system and to which that system contributed. It does this by weaving the history of food and hunger to the history of class formation, political resistance and organising, and larger historical developments. This sets the scene for understanding the origins and nature of the contemporary ‘food movement’ in South Africa. A typology shows that the array of organising around food and the agro-food system today falls along a continuum between justice-centred and food-centred conceptions of change in the food system, and that they cohere around lifestyle, organic, food justice and transformative politics. Importantly, these types should be understood through a longer history of varying political responses to national oppression and the evolving agrarian question, and to the continuities, limits and opportunities of national liberation. The thesis also analyses how these relational categories play out in specific local agrarian contexts of working class communities, showing that the form they take in a given context is shaped by the articulation of a number of conditions and factors. This is done through an examination of the political intersections between agriculture and the struggle against proposed mining in Amadiba in the Eastern Cape Province, and efforts by a smallholder farmer association in Limpopo Province to advance a food sovereignty politics through agroecology. I show that material socio-ecological conditions in situated contexts play an important role in shaping the form, potential and limits of agro-food politics, including patterns of differentiation, hegemonic state-society relationships, and fragmentation of subaltern classes. However, I show that the possibilities for transformative agro-food politics are also contingent on articulations between political histories and practices, the role of the state, and the nature of alliances. I conclude with the need to view food sovereignty not only through a structural lens of an endpoint and blueprint for food production and distribution, but also in terms of how its impulses might (or might not) contextually and conjuncturally connect with efforts to build transformative politics that seek non-alienated production and living, distributional justice, and the secure socio-ecological reproduction of life and living labour.
Interrogating the Shortcomings of the New Alliance for Food Security and Nutrition from a Human Rights Perspective
(University of the Witwatersrand, Johannesburg, 2023) Kibungu, Joseph; Meyersfeld, Bonita
Access to food entails the physical means to obtain food directly, and economic access, which is the ability to purchase food from available sources. Lack of access to food continues to deny a significant proportion of the globe, especially women and peasant farmers, a dignified life. There have been many attempts at both local and international levels to address food insecurity in Sub-Saharan Africa (SSA).2 Most recent attempts have championed agribusinesses to solve food insecurity, with increasing agribusiness involvement from the Global North. The primary advocates of this model have been agribusinesses’ home states and international financial institutions. At face value, the injection of capital by the private sector to boost agricultural production seems like a noble idea. The proponents of this model champion it as the remaining piece in the jigsaw to accelerate food production in developing economies. They view it as the ultimate solution to ongoing food insecurity in a continent with abundant, unutilized arable land
The contribution of non-governmental organisations to the fight against poverty in Chegutu District, Zimbabwe
(2022-06) Kabonga, Itai
The study explored the contribution of NGOs to the fight against poverty from an asset accumulation perspective. The research was motivated by the paucity of studies in Zimbabwe examining NGOs and poverty reduction from an asset accumulation perspective. The reality in Chegutu District reflects asset challenges emanating from income struggles, vulnerability to economic shocks and infrastructural shortages. Some of the problems are caused by politics and broader poor governance practices in the district and country at large. The study deployed a qualitative approach; given the goal of capturing NGOs’ beneficiaries, staff, and government officials' perspectives, lived realities and experiences. Data to answer the research questions were collected using in-depth interviews, focus group discussions (FGDs) and documentary analysis. It emerged that NGOs in Chegutu District rely more on supply side asset accumulation interventions to fight poverty. They include household economic strengthening (HES), vocational training, community apprenticeship, nutritional gardens as well as service provision, with only referral strategy and lobbying resembling demand side interventions. Several asset accumulation strategies mentioned above generate income (financial assets) in poor households; enabling them to buy food, pay for children's school fees, afford medical care, and meet other daily needs. As households build financial assets, their investments in children's health and education improve, a view supported by many scholars. Guided by a theoretical framing – the Sustainable Livelihood Framework (SLF), which argues that poverty is a function emanating from lack of access to five forms of assets–financial, social, physical, natural, and human (Arun, Annim, and Arun, 2010) –findings suggest the need to widen the framework. NGOs also facilitate the building of informational and psychological assets which are key factors in the process of poverty reduction. This research also established that asset accumulation interventions by NGOs hinge on both institutional and non-institution enablers such as government ministries, partner NGOs, community volunteers and community leaders. The study argues that for NGO beneficiaries to reap benefits from NGO interventions, agency taken to be a component of the SLF human assets in the form of patience, resilience, innovation and thinking outside the box plays a critical role. Asset building interventions by NGOs are not operating without challenges and drawbacks. Asset accumulation at household level supported by NGOs is being slowed by bad governance induced macro-economic challenges such as inflation as well the advent of COVID-19 which disrupted asset accumulation interventions like household economic strengthening, nutritional gardens, and educational support. While the supply side interventions are key in fighting poverty, this study recommends that NGOs need to intermix their interventions with more demand side interventions that include watchdog and advocacy to deal with structural causes of poverty. This may call for NGOs to re-examine their orientation.

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Browsing 4. Electronic Theses and Dissertations (ETDs) - Faculties submissions by SDG "SDG-2: Zero hunger"

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