Research Outputs
Permanent URI for this communityhttps://hdl.handle.net/10539/37787
Browse
255 results
Search Results
Item Technological Competition and the World Order(Wits University (Southern Centre for Inequality Studies), 2025-04-04) D Nathan; S RahulThis paper deals with the role of competition and technological domination in changing the world order. It points out that there are constraints in the major Asian economies, which could hamper their ambitions of building technological dominance. Acknowledging that competition and monopolisation dominate the history of technological development in global capitalist history, the paper points to the necessity of international cooperation in meeting contemporary global challenges and staving off new forms of devastating warfare.Item Fighting Inequality: Progress Made Under G20 Brazil and the Priorities for South Africa(2024-12-05) David Francis; David FrancisIn the latter half of the 20th century, notable progress was made globally in addressing poverty and hunger, with significant reductions in poverty in large parts of the world. However, alongside these achievements came a rapid growth in inequalities of income and wealth within countries, alongside the persistence of inequalities in race and gender, among others.Item The policy we want: An economic policy for informal traders in South Africa(University of the Witwatersrand (Southern Centre for Inequality Studies), 2025-04-04) Siphelele Ngidi; David FrancisIn 2024, SCIS, in partnership with WIEGO (Women in Informal Employment: Globalising and Organising), embarked on a research and policy project to develop an economic policy for informal traders in South Africa. The project gathered insights from individuals actively working in the sector, offering valuable perspectives for policymakers and stakeholders seeking to improve the conditions of informal traders and strengthen the informal trading economy. Based on these findings, we identified actionable policy recommendations to help create a more conducive environment for informal trading. The results are presented in a policy brief structured around eight key pillars, titled “The Economic Policy We Want.”Item Alcohol industry involvement in the delayed South Africa Draft Liquor Amendment Bill 2016: a case study based on freedom of information requests(BioMed Central, 2025-03) Goldstein, Susan; Mitchell, Gemma; Siwela, Pfumelani; Diedericks, Aadielah MakerBackground South Africa is reported to have one of the highest per capita rates of alcohol consumption among drinkers globally, with alcohol harms exacerbating socio-economic inequalities in the country. The Draft Liquor Amendment Bill 2016 proposed new restrictions on alcohol advertising, availability, and liability of retailers and manufacturers for harm related to any contravention of the regulations. To date, the Bill has not progressed through the legislative process. The alcohol industry is known to use a diverse set of strategies to delay evidence-based policies globally. Methods We aimed to explore Bill-related activity by industry within the National Economic and Development Labour Council, a multi-stakeholder forum that assesses socio-economic policies before they reach parliament. On 06 July 2023 we made a Request for Access to Record, using form two of the Promotion of Access to Information Act (PAIA), no. 2 of 2000 to the National Economic and Development Labour Council for access to minutes of all meetings, reports, and any other publications related to the Bill between January 2016 and December 2022. Informed by Ulucanlar et al’s (2023) model and taxonomies of corporate political activity, we extracted data on industry Bill-related activity and thematically analysed key events, presented here as a narrative synthesis. Results We identified activity by 14 alcohol industry organisations related to the Bill between 2016 and 2022. Industry representation on five National Economic and Development Labour Council-related committees identified between 2017 and 2021 facilitated their involvement in Bill-related discussions and supported access to other government departments. Community representation was low in all committees compared to industry, labour, and government. Industry funded two socio-economic assessments of the Bill in 2017 and 2022, despite an independent socio-economic impact assessment having already been completed. The 2017 report delayed progress of the Bill, and the 2022 ‘re-evaluation’ was more critical of the proposed measures, with the differing conclusions attributed to different methodologies. During the covid-19 pandemic, industry used a ‘carrot and stick’ approach of legal threats and donations to attempt to move towards self-regulation via a social compact. The National Economic and Development Labour Council confirmed in 2023 that the social compact was unsuccessful. Conclusions Early ‘regulatory capture’ gave the alcohol industry the opportunity to shape assessment of the Bill within the National Economic and Development Labour Council. Our findings are in line with previous studies on corporate influence on policy globally, and support calls for a reassessment of the role and proportion of industry representation within the National Economic and Development Labour Council locally.Item Current evidence on improving influenza vaccine uptake in low- and middle-income countries: a scoping review of determinants and interventions(Elsevier, 2025-03) Tsotetsi, Lerato; Msibi, Tshepiso; Mashamba, Mulalo; Dietrich, Janan; Alam, PrimaInfluenza is a vaccine-preventable disease affecting three to five million individuals across the globe annually. Low- and middle-income countries (LMICs) bear substantial health and economic consequences of influenza- related mortality. Despite this disproportionate burden, influenza vaccinations are seldom used across LMICs. In this article, we reviewed current evidence on improving influenza vaccine uptake within LMICs by examining key determinants and interventions. We conducted a scoping review of peer-reviewed studies pertaining to influenza vaccine uptake in LMICs. We searched five electronic databases for articles published 2014–2024, using terms relating to influenza vaccines, interventions, and context. Twenty-four articles met the inclusion criteria with sample sizes ranging from 38 to 9420. The authors followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines and synthesized the included articles using thematic analysis. All studies included in this review were cross-sectional and primarily used quantitative surveys. Most of the included studies were conducted in Sub-Saharan Africa (South Africa, Kenya, Malawi, and Sierra Leone) and the Middle East and North Africa (Tunisia, Jordan, Lebanon, and Egypt). Articles predominantly targeted vulnerable populations including elderly, pregnant women, and young children as well as healthcare workers. Participants across the included studies reported high levels of willingness to receive the influenza vaccination but lower levels of uptake. Having positive perceptions and attitudes towards the efficacy and safety of the vaccine, greater belief in disease susceptibility, physician recommendations, and a history of being vaccinated were associated with greater willingness to receive the influenza vaccine. Six articles explored national campaigns or researcher- led interventions to improve influenza vaccine uptake with educational campaigns positively changing attitudes towards influenza vaccination and integration of year-round vaccination campaigns with routine services as an effective vaccine delivery method.Item Trends in national and ethnic burden of ovarian cancer mortality in South Africa (1999–2018): a population based, age-period-cohort and join point regression analyses(BioMed Central, 2025-03) Olorunfemi, Gbenga; Libhaber, Elena; Musenge, Eustasius; Ezechi, Oliver C.Ovarian cancer is the most lethal and third leading cause of gynaecological cancers globally and in South Africa (SA). However, its current mortality trends have not been evaluated in most sub-Saharan African Countries including South Africa that is currently undergoing epidemiological and health transitions. We evaluate the trends in the ovarian cancer mortality rates in SA over 20 years (1999–2018). Methods: Crude (CMR) and age standardised mortality rates (ASMR) of ovarian cancer was calculated based on national mortality data of South Africa. The overall and ethnic trends of ovarian cancer mortality among women aged 15 years and older from 1999 to 2018 was assessed using the Join point regression model, while Age-period-cohort regression analysis was conducted to evaluate the underlying impact of age, period and cohort on ovarian cancer mortality. Results: In all, 12,721 ovarian cancer deaths were reported in South Africa from 1999 to 2018 and the mortality rates increased from 2.34 to 3.21 per 100,00 women at 1.8% per annum. In 2018, the overall mean age at ovarian cancer death in South Africa was 62.30±14.96 years while the mean age at death among Black women (58.07±15.56 years), was about 11 years earlier than among White women (69.48±11.71 years). In 2018, the White ethnic group (4.93 deaths per 100,000 women) had about doubled the ovarian cancer ASMR for the non-Whites (Indian/Asians, 2.92/100,000 women, mixed race, 2.49/100,000 women and Black women (2.36/ 100,000 women). All the ethnic groups had increased ASMR with Black women (Average annual percent change, [AAPC]: 4.7%, P-value<0.001) and Indian/Asian women (AAPC: 2.5%, P-value<0.001) having the highest rise. Cohort mortality risk ratio of ovarian cancer increased with successive birth cohort from 0.35 among 1924–1928 birth cohorts to 3.04 among 1999–2003 cohort and the period mortality risk increased by about 13% and 7.5% from 1999 to 2003 to 2004–2008 (RR: 0.87, 95% CI: 0.80–0.94), and from 2004 to 2008 to 2009–2013 (RR: 1.075, 95% CI:1.004–1.152) respectively. The longitudinal age analysis revealed that ovarian cancer increased with age, but there was an exponential increase from 55 years. Conclusions: Our study showed that there was increasing trends in ovarian cancer mortality among all the South African ethnic groups, driven partly by increasing cohort and period mortality risks. We therefore highlight the huge burden of ovarian cancer in SA and the need for targeted intervention. Public health interventions geared towards reducing ovarian cancer mortality should be instituted and ethnic disparity should be incorporated in the cancer control policyItem ‘We do not like talking about our problems’: socialization and idealized masculinity as drivers of help-seeking avoidance among college men in South Africa(BioMed Central, 2025-03) Sikweyiya, Yandisa; Jewkes, Rachel; Machisa, Mercilene; Mahlangu, Pinky; Brooke-Sumner, Carrie; Gibbs, Andrew; Dartnall, Elizabeth; Pillay, ManagaBackground: This article explores how identities and contexts influence help-seeking avoidance behaviour among college men. Methods: This exploratory qualitative study purposively selected 88 male students (aged 18–30) from some universities and Technical and Vocational Training colleges (TVETs) in South Africa. Data were collected through focus group discussions (FGDs). Eight FGDs were conducted, one in each selected university (n = 2) and TVETs (n = 6) in 2018–2019. Data were analyzed using a thematic analysis approach. Results: We found that college men’s early life experiences and socialisation strongly influenced their ability to express emotion and access services when in need of help. The data also revealed a masculinity that men aspired to and wanted to be seen as embracing or personifying while on campus. Most men ascribed to an ideal of masculinity that made it difficult for them to share their feelings (e.g., emotional pain, sadness; and bottle their emotions) and seek help from campus-based counselors or peers. The few men who reported using campus mental health support services appraised them as unsuitable and unhelpful for them, and indicated a preference for services that were more culturally relevant. Most men indicated a preference for male counselors, of which there were very few. Conclusions: These findings may be useful for the formulation of evidence-based context-specific and culturally sensitive approaches for increasing men’s access to mental health and psychological support services on South African college campuses.Item Refusal of male partner responsibility and pregnancy support: prevalence, associated factors and health outcomes in a cross sectional study in Harare, Zimbabwe(BioMed Central, 2025-03) Shamu, Simukai; Machisa, Mercilene Tanyaradzwa; Shamu, PatienceBackground The phenomenon of fathers refusing responsibility during pregnancy has not received adequate attention in African studies. This paper assesses associated factors and pregnancy-related outcomes when fathers refuse to support partners’ pregnancies and undertake parental responsibilities. Methods A cross-sectional survey of 15–49-year-old postnatal (1–6 weeks) women was conducted at six urban health facilities in Harare. Participants were interviewed about their male partners’ refusal to support their pregnancies and parenting, bride price payments (indicating marriage commitment), partner violence and control, alcohol abuse and family planning decision-making. Pregnancy health outcome data including antenatal care attendance, low birth weight (LBW)(<2500 g) and postnatal depression were collected through interviews and clinic records. Multiple regression models were built to assess gender-related factors and health outcomes associated with male partners’ refusal of parenting responsibilities. Results Of the 2042 women interviewed, 6.4% reported partner refusal to support the pregnancy or parenting. Higher odds of partner refusal of fathering responsibility were associated with partners not paying bride price (aOR 9.31; 95% CI 1.16–74.59), violence perpetration during pregnancy (aOR 2.84; 1.28–6.23), highly controlling behaviours (aOR 4.96; 2.83–8.69), alcohol abuse (aOR 1.78; 1.05–3.02), unintended pregnancy (aOR 3.72; 1.84–7.53) and partner refusal to use contraceptives (aOR 3.64; 1.86–7.14). Women who used contraceptives (aOR 0.40; 0.23–0.71), made joint (aOR 0.30; 0.14–0.67) or individual (aOR 0.25; 0.07–0.94) pregnancy decisions were protected from partner refusal of parenting responsibility. Women’s depressive symptomatology (aOR2.64; 1.52–4.59), LBW (aOR5.30; 1.18–23.74) and partner discouragement of antenatal care attendance (aOR 3.86; 1.13–13.17) were pregnancy outcomes associated with partner refusal of parenting responsibility. Conclusions Male partners’ refusal to acknowledge parenting responsibility was associated with men’s abusiveness, absence of commitment to long-term relationship/marriage, gender unequal practices and negative maternal and child health outcomes. Parenting programmes must be instituted and prioritise transforming traditional gender norms to improve fathering responsibilities.Item Seasonal Pollution Levels and Heavy Metal Contamination in the Jukskei River, South Africa(MDPI, 2025-03) Mukwevho, Nehemiah; Ntsasa, Napo; Chimuka, Luke; Tshilongo, James; Mothepane H. Mabowa; Mkhohlakali, Andile; Letsoalo, Mokgehle R.Monitoring river systems is crucial for understanding and managing water resources, predicting natural disasters, and maintaining ecological balance. Assessment of heavy metal pollution derived valuable data which are critical for the environmental management and regulatory compliance of the Jukskei River. Heavy elements were evaluated in the Jukskei River for seasonal impact, potential health risks, and contamination level with concentration levels ranging from 6900 mg/kg iron (Fe) to 0.85 mg/kg cadmium (Cd) in the dry sampling season and 6900 mg/kg Fe to 0.26 mg/kg Cd in the wet season. Enrichment factor analysis indicated high contamination levels of Fe and Pb in both dry and wet seasons. Moreover, pollution indicators revealed extremely high contamination of geo-accumulation and enrichment factors in the downstream to upstream in both seasons with a mild contamination factor for mercury (Hg). Principal Component Analysis revealed anthropogenic sources of arsenic (As), Cd, and Pb due to wastewater and agricultural pesticide application while Thorium (Th), uranium (U) and Hg were attributed as a results of gold mining activities. ANOVA and Pearson correlation analysis showed a high and moderate link between As–Pb, Cd–Pd, and As–Hg, which are significantly correlated. The potential ecological risk index assessment revealed a significant impact of heavy metals on the freshwater ecosystem.Item Chemical analysis of low grade gold from mine tailings after size fractionation and acid digestion using reverse aqua regia(Nature Research, 2025-03) Chimuka, Luke; Tshilongo, James; Mashale, Kedibone Nicholine; Sehata, James; Ntsasa, Napo GodwillThe growing interest in reprocessing mine tailings for gold recovery requires a suitable quantification method that is accurate, rapid, and not harsh to the environment. Acid digestion is often used to determination of gold; however, it often faces the challenge of incomplete digestion due to the presence of minerals such as quartz, and homogeneity is compromised due to small sample masses, which can result in low bias. This study investigated a shorter acid digestion method employing reverse aqua regia, both in the presence and absence of hydrofluoric acid. Before digestion, the sample was subjected to gold depot analysis, which showed that 78% was free-milling gold and that only 0.8% was associated with pyrite, increasing the chances of accurate quantifications. Furthermore, the size screening test showed that most of the gold could be recovered on the −38 μm screen. This proposed method provided good linearity (5–100 µg. L−1) and low detection limits (0.139–0.183 µg.kg−1). The concentrations obtained by the acid digestion was 0.258 g.t−1 with the recoveries ranging between 80% and 82%, which fit the criteria set. The method also worked well for the certified reference materials (CRM), AMIS 610 (accurate value=0.068 g.t−1) and AMIS 646 (accurate value=0.166 g.t−1), which are of a similar matrix and are also lower in grade compared to the sample. The method was also evaluated for uncertainty (±value) using the bottom-up approach, and the expanded uncertainty (k=2) was reported to be 0.258±0.092 g.t−1, which was comparable to that offered by the fire assay with the ICP‒OES finish, which was 0.28±0.10 g.t−1. This implies that the acid digestion method is suitable for quantifying gold from mine tailings without large uncertainties.