3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item Giving birth in a foreign land : maternal health-care experiences among Zimbabwean migrant women living in Johannesburg, South Africa.(2014-09-11) Makandwa, TacksonThe republic of South Africa has a “health for all” policy, regardless of nationality and residence status. However, challenges still exist for non-nationals and little is known regarding migrants’ maternal healthcare experiences. This study explores the maternal healthcare experiences of migrant Zimbabwean women living in Johannesburg, South Africa. It focuses on the lived experiences of women aged 18years and above, who engaged with the public healthcare system in Johannesburg during pregnancy and childbirth. A desk review of the literature was undertaken. The theoretical framework in this study draws from three concepts (1) the Social determinants of health framework (WHO 2010), (2) the Access to healthcare framework (McIntyre, Thiede and Brich 2009) and (3) the “three-delays (Nour 2008). Primary data was collected through the use of open-ended semi-structured interviews with a sample of 15 migrant Zimbabwean women who have been in Johannesburg for a minimum of 2 years, and have attended and given birth or are currently attending antenatal care in inner city Johannesburg. Thematic content analysis was used to analyse data since it helps to extract descriptive information concerning the experiences of Zimbabwean women in Johannesburg and to construct meaning in order to understand their perceptions and opinions about the healthcare system in the city. Although the findings indicate that documentation status is not a key issue affecting access to healthcare during pregnancy and delivery, a range of other healthcare barriers were found to dominate, including the nature of their employment, power relations, language, and discrimination(generally) among others. Language was singled out as the major challenge that runs throughout the other barriers. More interestingly the participants raised their desire of returning home or changing facilities within the Public sector or to private institutions in case of any further pregnancy. This study concludes that the bone of contention is on belongingness, deservingness and not being able to speak any local language, that runs through the public health care institutions and this impact on professionalism and discharge of duties.Item Bringing order to the city: informal street trading in the Johannesburg CBD(2009-05-05T11:56:27Z) Bantubonse, Yvonne BwalyaInformal street trading has played a role in the decline of the inner city. In restoring the inner city to its splendor and attracting people plus investments back into it, there has been an acknowledgement of informal street trading and a move to organise the activity. The City of Johannesburg has taken action towards dealing with informal street trading within the CBD by having trading and non-trading zones, constructing markets and providing stalls along pavements in busy streets from where traders can sell. This study was carried out as a response to the major issue at hand of cleaning up the city and ridding the streets of informal traders and only letting them trade in a controlled manner preferably in enclosed markets. While not dwelling on matters of whether regulating traders is good or bad, the main purpose of the study was to probe into the systemisation of informal street trading in the CBD, further investigating the alternative of a street market as that which can be done in other parts of the inner city as a means of keeping the vibrancy of the city through the provision of minimal infrastructure. Hence, this study explored the functionality of a street market plus certain issues pertaining to informal street trading in terms of what is being done in regulating the activity, whether trading permits are being issued and whether traders are more secure trading from designated trading areas. The outcomes were then used to outline any lessons learned from the case study that can in turn be applied or be used as an insight to other parts of the inner city. In analysing informal street trading in the inner city and Kerk Street, street market it was shown that the provision of minimal infrastructure through a street market enables informal street trading to be controlled and managed in a well organised open environment while maintaining a vibrant area in which both traders and passer-bys are able to interact.